HomeMy WebLinkAboutTKAC PREELECT16(1) 09/15/16Recipient Committee COVERFAGE
Campaign Statement CBS stamp
Cover Page '
(Government Code Sections 84200 16.5) 6 SEI p z(9
Statement covers period Data of alactian If applicable: lor O1 /ol /2016 (Month, Day, YBar) from - -' Official Use only
SEE INSTRUCTIONS ON REVERSE threa., 09/34/2016 11/08/3016
1. Type of Recipient Committee: All cnmmlnaaa -Cp pl@W Perta 1, 2, a, and 4.
09/15/20016
2. Type of Statement:
f
CITY
STATE
ZIP CODE
AREA CODEIPRONE
CITY
STATE
ZIP CODE
AREA COOEIPHONE
OPTIDNAE FAX I E -Mail AODRFSS
OPTIONAL: FAN I EMAIL ADDRESS
4. Verification
I have used all reasonable diligence in preparing and reviewing this statement and to the bestpkrayk��aIM1ei 3adon cpl�aiA�it herein and In me attached schedules is true and complete. I cerlfy
under perefly of perjury under the laws afthe Slate of California that the foreaoirm is hue andd0coo [[eefft / 778
Executed on
09/15/20016
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09 /15 /�]MO16
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FPPO Form 466 (JenR816)
FPPC Advice: advlm@fpP .ce.gov (86=75.3]]2)
wLnv.neHlle.com
..fppc gBl
Recipient Committee
Campaign Statement
Cover Page — Part 2
5. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE
Jeff Tkac
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
City Council Member: City of Bakersfield District 5
RESIDENTIALIBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP
Related Committees Not Included in this Statement: Listany oommieaee
not Included In this statement mat are controlled by yaw w are primarily abstract to receive
contributions or make eapendl vas on beheld a your candidacy.
COMMITTEE NAME LD. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
❑ YES ❑ NO
COMMITTEEADDRESS STREETADDRESS (NO PO. BOX)
CITY STATE ZIP CODE AREA CODEIPHONE
COMMITTEE NAME I.D.NUMBER
NAMEOFTREASURER OONTROLLEDCOMMITTEE?
❑ YES ❑ NO
COMMITTEEADDRESS STREETADDRESS(NO PO, BOX)
CITY STATE ZIP CODE AREA CODEMHONE
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PART
Page 2 of 21
6. Primarily Formed Ballot Measure Committee
NAME OF BALLOT MEASURE
BALLOT NO. OR LETTER JURISDICTION E] SUPPORT
❑ OPPOSE
Identify the controlling officeholder, candidate, or state measure proponent, if any.
NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT
OFFICE SOUGHT OR HELD DISTRICT NO, IF ANY
7. Primarily Formed Candidate/Officeholder Committee List names of
oebeholder(sl or ashAdffie(s) for which this committee is pdmadly harmed.
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
SUPPORT
❑ OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
SUPPORT
❑ OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
(] SUPPORT
❑ OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
E] SUPPORT
❑ OPPOSE
Attach continuation sheets If necessary
FPPC Form 460 (Jan/2016)
FPPC Advice: advice &ppc.ra.gov (66 612753172)
www.fppc.ca.gov
Campaign Disclosure Statement Amounts may be rounded
Summary Page to whole dollars. Statement covers period
from 01/01/2016
Jeff Tkac for City Council 2016
Contributions Received
1. Monetary Contributions ...._ ................
2. Loans Received ...............................
3. SUBTOTAL CASH CONTRIBUTIONS
4. Nonmonetary Contributions ...............
5. TOTAL CONTRIBUTIONS RECEIVED
Colunt
10 a1a¢reaion
mere .ecreoscreeoles
.............. Srhadhle A Linea
$
39,150.00
- ........... Schedule E, Lore 4
7. Loans Made ... .... ......................... ............................
schedule e, Loa
0000........... Schedules Loa
10,000.00
........ 0....... schedule F Los
10, Nonmonetary Adjustment - ..... .................._.._.........
Schedule C, Loa 3
................... AM Lineef 12
$
49,150.00
............... Schedule C Line 3
0.00
...........0000....... Add lines 3 +/
$
49,150.00
Expenditures Made
652.78
6. Payments Made... ....... - ........................ ...
- ........... Schedule E, Lore 4
7. Loans Made ... .... ......................... ............................
schedule e, Loa
8. SUBTOTAL CASH PAYMENTS .... ......... ............
AddLone 6 +7
9. Accrued Expenses (Unpaid Bills) ............ 000
........ 0....... schedule F Los
10, Nonmonetary Adjustment - ..... .................._.._.........
Schedule C, Loa 3
11. TOTAL EXPEN DITURES MADE .................
.._--- ..... Add Loss a +9 +19
Current Cash Statement
12. Beginning Cash Balance ....................... Prevwux summary Page. Line 16
13. Cash Receipts ......... ....... ................. .................. Column A, Lire 3 abere
14. Miscellaneous Increases to Cash __000_0 ................. Schedule t, Ever
15. Cash Payments ................... 0........................000... 7Romn A.LMe8above
16. ENDING CASH BALANCE 000_0.... Add Linea 12+ 13+ 14 men Subtract fine 15
If this is a termination statement, L'ne 16 must be zero.
$ 13,652.78
0.00
$ 13,652.78
315 -82
0.00
$ 13,968.60
$ 0.00
49,150.80
0.00
13,652.78
$ 35,497.22
17. LOAN GUARANTEES RECEIVED ........................... Sehenurea Pwl2 $ 0.02
Cash Equivalents and Outstanding Debts
18. Cash Equivalents... ................ -- - .......... Seeinamnansonmoor, $ 0.20
19. Outstanding Debts ......................... Add Lore 2+ L. 9 o Cwumn a above $ 12,315.82
w .netflle,com
through 29/24/2016 Pega 3 of 21
D. rWMBER
Column B
uALENEAR YEAR
$ 39,150.00
10,000.00
$ 49,150.00
0000
$ 49,150.00
$ 13
652.78
0.00
$ 13,652.78
315.82
0.00
$ U,968.
60
To calculate Column 8, add
amounts in Column A to the
corresponding amounts
from Column B of your last
report. Some amounts in
Column A may be negative
figures Nat should be
subtracted from previous
period amounts. If tis is
the first report being filed
for this calendar year, only
cart, over the amounts
from Lines 2, 7, and 9 (if
any).
387683
Calendar Year Summary for Candidates
Running in Both the State Primary and
General Elections
111 through W30 7/1 to Date
20. Contributions
Received $ $
21. Expenditures
Made $ $
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made'
(a aulyen to vd unhry EoreMINn omm
Date of Election Total to Date
(mm /dd /yy)
$
$
'Amounts In this section may he different from amounts
reportetl in Column B.
FPPC Form 460 (Jant2016)
FPM Advice: advim@fppc.ea.gov (86112753772)
www.fPpc.ce.gov
ScheduleA
SCHEDULE A
Monetary Contributions Received
Amounts twhole dollars. rounded
statement covers period
e _ 4
.1
from (1 /(1 /2(16
.'
through 09/24/2016
Page 4 of 21
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
I O. NUMBER
Jeff Tkac for City Council 2016
138]683
IF AN INDIVIDUAL. ENTER
AMOUNT
CUMUTATIVETODATE
PER ELECTION
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
OCCUPATION AND EMPLOYER
RECEIVED THIB
CALENDAR YEAR
IODATE
RECEIVED
OFCwmmeenlsOervimm rvuWeeal
CODE +
(ICUPATION AN ErrzEn NeME
PERIOD
JALEND
( DEC. 31)
(IF REQUIRED)
OFa14NE55)
07/23/2016
Jonathan R. Garger, D.M.D. Inc
[]IND
200.00
200.00
MOTH
❑ PTV
❑ SCC
07/28/2016
Jeffrey T Andrew Inc
❑IND
750.00
750.00
QOTH
❑ PTV
❑ SCC
08/01/2016
Stockdale Real Estate Group
❑IND
250.00
250.00
[]OTH
❑PTV
❑SCC
08/09/2016
Scott sirschenmann Farms, Inc
E]IND
1, 000. on
1,000.00
OTH
❑ PTV
❑FCC
O8 09 2016
UBP- Bakersfield In[
❑IND
250.00
250.00
[nOTH
❑PTY
❑SCC
SUBTOTALS 2,450.00
Schedule A Summary
1. Amount received this period — itemized monetary contributions.
(Include all Schedule A subtotals.) $ 38, 900.00
2. Amount received this period— unitemized monetary contributions of less than $100 .............................$ 250.(0
3. Total monetary contributions received this period.
Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1. TOTAL $
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•Contributor Codes
IND- IndiWdual
COM - Red pient CommiOee
(other than PTY or SCC)
0TH - Other (e g., business entity)
PTV - Political Party
SCC -Small Contributor Committee
FPPC Form 460(Jan /2016)
FPPC Advice: advin;,WppcUWNgov(866/2753772)
w ve.flepc.ce.g"
Schedule A (Continuation Sheet)
SCHEDULE (CONY)
Monetary Contributions Received Amounts may be rounded
Statement covenPedod
a.
to whole dollars.
• '
from Ol /Ol /201fi
e�
through 09/24/2016
Feel 5 of 21
NAME OF FILER
LO. NUMBER
Jeff Tkac for City Council 2016
138]683
FULL NAME, STREET ADDRESS AND ZIP CO
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULAMVETODATE
PER ELECTION
DATE
Ore0M41i1'e, ^is0Fn7Enm xuuaem
CONINBUTOR
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TODATE
RECEIVED
CODE
pf seLVFrnacRO, uv, ' u.E
PERIOD
(JAN .1 -DEG . 31)
(IF REQUIRED)
oreuslxERS)
08 19 2016
Diane S Lake
�% IND
NDmemaker
5,000.00
5,000.00
[]OTH
❑PTY
❑SCG
08/31/2016
Eric Berg
O)ND
Attorney
100.00
100.00
❑ OTH
❑PTl
❑SCG
08131/2016
Scott Garrison
®IND
VP Sale.
500.00
500.00
710TH
71 PTY
❑SCC
08/31/2016
Kern Valuation Services
BIND
200.00
200.00
71K OTH
❑PTY
❑SCC
Peter R Lever oni
IND
Telecoreaunications
❑COM
❑ OTH
71 PTY
❑SCC
SUBTOTALS 5,900.00
'CoItnbutor Codes
IND - individual
COM- Recipient Commune
(other than PTY or WC)
OTH - Other (e g., business entity)
PTY - Political Party
SCC -Small Comnbutor Committee
www.netfle.com
Pon Form 460 (Janli016)
PPPC Advice: advica®fppc.cAgov (66&2]SJTT2)
www.fPPC.ca.9ov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT )
Monetary Contributions Received Amounts mar be rounded
statement covers period
,.
towholedollars.
J 0 t
hom 01/01/2016
a
through 09/24/2016
Page 6 of 21
I.O. NUMBER
NAME OF FILER
Jeff Tkac for City Council 2016
1387683
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVETODATE
PER ELECTION
DATE
FULL NAME STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CODE
CONTRIBUTOR
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TODATE
RECEIVED
yETADDRESSaervreRm
CODE *
(IFBELFEMiLO RID EramERrauE
PERIOD
(JAN. t - DEC. 31)
(IF REQUIRED)
OF&UNINEae)
09 01 2016
Michael George
XQND
Danker
250.00
250.00
Credit Union
EIOTH
❑ PTV
❑ SCC
09/02/2016
William Joe Roberson
%BIND
Real Estate Sales and
500.00
500.00
Summit Financial Services
E]OTH
❑ PTV
❑SCC
09/03/2016
Lance xowarad
QIND
Adviso r
11 000.00
1,000.00
❑ OTH
❑ PTV
❑SCC
09/06/2016
MB Appraisals
LJIND
100.00
100.00
Q% OTH
❑ PTY
❑ SCC
09/06/2016
JUL ey Papming Service LLC
[]IND
500.00
500.00
xIOTH
PTV
❑SCC
SUBTOTALS z, 3so.bp
'Contributor Codes
IND- Individual
COM - Recipient Committee
(other Nan PTY or SCC)
OTH - Filter (e.g.. business entity)
PTV - Political Party
SCC - Small Contributor Committee
wwiv.netffle,com
FPPc Form 460 (Jan/2016)
FPPC Advice: advice@fppc.w.gov (86612133n2)
www.tPpo.ea.gov
Schedule A (Continuation Sheet)
SCHEDULE (CONT)
Monetary Contributions Received Amounts may be rounded
Statementcoverspedod
e.
towholedollam.
I ,
from 01/01/2016
e
through 09/24/2016
page q M 21
NAME OF FILER
D. NUMBER
Jeff Tkac for City Council 2016
L.I.
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMUTATIVETOOATE
PER ELECTION
GATE
FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TODATE
RECEIVED
IIFCMMIiiEE.N50ENTER10 xumsEal
CODE*
(IF SELF- EUxOVEh ENTER NAME
PERIOD
( DEC . Jt)
t
JAN. -
(IF REQUIRED)
OFW91NE55)
09 06/2016
Karen van Horn
QXIND
Retired
250.00
250.00
QOTH
Q PTV
QSCC
09/12/2016
Bakersfield Police Officers Association PAC
E]IND
5,000.00
5,000.00
flop 943492)
71com
Q PTY
❑SCC
09/12/2016
SCOtn Hanson
QIND
Real state Broker
s00.0o
600.00
QOTH
❑ PTV
❑SCC
09/12/2016
John Paul Lake
QIND
Owner and Advisor
500.00
500.00
❑ 0TH
❑ PTY
❑ SCC
09 12 2016
Barbara c14mm Mars a
%QIND
Bomema er
3,000.00
3,000.00
QOTH
Q PTY
QSCC
SUBTOTALS 9.250.00
'Contributor Codes
IND- IndiNdual
COM - Recipient C ommitlee
(other than PTY or SCC)
0TH - Oliver (e.g., business ently)
PTV - Political Parry
SCC - Small Contributor Committee
FPPC Form d (Janl2g16)
FPPC Advice: advio9&ppc.ca.gov (86611
www.fmac.ca.gov
www.neMle.cofn
Schedule A (Continuation Sheet)
SCHEDULE (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
e.
towholedollars.
J e'
hand 01/01/2016
e'
through 09/24/2016
Page 8 of 21
NAME OF FILER
D. NUMBER
Jeff Tkac for City Council 2016
1387 68 3
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL. ENTER
AMOUNT
CUMUtATIVETODATE
PER ELECTION
DATE
(IFCCMMxrEE. usoseream. NUMaem
•
OCCUPATIONANDEMPLOYER
RECEIVED THIS
CALENDAR
RECEIVED
CODE
(IF SELF -E
PERIOD
(JPN.1- )
N,1 DEC, 31)
(IF REQUIRED )
-
GFIAGO.EmEaxnME
au51xE551
09 Tl2 /2016
Pa lama Park LLC
QIND
500.00
500.00
[E0TH
Q PTV
El SCC
09/12/2016
Da car xuanick
MIND
Owner
100.00
100.00
Management
QOTH
❑PTV
[]SCC
09/12/2016
Tim Felt
QIND
General Manager
125.00
125.00
QOTH
❑ PTV
❑SCC
09/15/2016
Golden Empire Towing the
❑IND
1,000.00
1,000.00
0 DTH
❑ PTY
Q SCC
09 15 2016
xfis Boy works 6 Towing
%QIND
i, 000.
1,000.00
[]0TH
Q PTY
QSCC
SUBTOTALS 2,725.00
'Contributor Codes
IND - Individual
COM - Reapient Committee
(other man PTV or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC -Small CoMdbmor Committee
FPPC Form 40(Jan12016)
WING Advice: advim@fppc.ea.gov (866I276 -3112)
..fpPC.w.gov
wws,.netlilexcm
Schedule A (Continuation Sheet)
SCHEDULE (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covars period
a.
to whole dollars.
I ,
from 01/01/2016
• '
through 09/24/2016
page 9 of 21
NAME OF FILER
I.D. NUMBER
Jeff Tkac for City Council 2016
1 138] 683
FULL NAME, STREET ADORE SS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVETODATE
PERELECTION
TO DATE
��
0 %cwMrtTEa S650EaTeam. uuusem
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
RECEIVED
CODE
(11WIT.EanavEq EmeNrvuw
PERIOD
(JAN .1 - DEC . 31)
(IF REQUIRED)
Essl
09/15 2016
Christopher Hinds
MIND
enviommental Advisor
500.00
500.00
❑OTH
PTV
❑SCC
09/15/2016
Jim's Towing Service, Inc
❑IND
T, 000.00
1,000,00
MOTH
❑SCC
09/15/2016
Merriman, Hurst & ASSOCiateS Ing
E]IND
200.00
200. 00
QOTH
❑ PTV
❑SCC
09/15/2016
Randy's Towing
[]IND
1,000.00
1,000.00
MOTH
❑PTV
❑SCC
09 15 2016
510 ar Mr Too , APC
RIND
500.00
500.00
MOTH
❑ PTV
❑ SCC
SUBTOTALS 3,200.00
'Contributor Codes
IND - Individual
COM -Re iplent Committee
(other than PTY or SCC)
OTH - Other (a g., business entity)
PTY- Political Party
SCC - Small Contributor Committee
FPPC Form 460 (JaN2016)
FPPC Advice: advice4.Wppc.ca.gov (66611763772)
www.fppc.ca.gov
www.net/ile.com
Schedule A (Continuation Sheet)
SCHEDULE (CONT.)
Monetary Contributions Received Amountamayberounded
Statemenlcoversperiod
e.
lowholedollars.
I ,
been 01101/2016
e
through 09/24/2016
Page 10 of 21
NAME OF FILER
LD. NUMBER
Jeff TkaC for City Council 2016
138] 683
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVETODATE
PERELECTION
TODATE
DATE
pETADDRESS ANDZIP NODEO
t
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
RECEIVED
CODE
(IESELFEMPWED, ENTENNAME
PERIOD
(AN .1- DECA1)
(IF REQUIRED)
Os SUSINEcC
097---72 016
A -C EleCiric Company
BIND
3,000.00
3,000.00
%BOTH
❑ PTV
❑SCC
09/21/2016
AM Balfour Inc
E]IND
100.00
100.00
DOTH
❑PTY
❑SCC
09/21/2016
Michael Hay
QIND
Insry a rice Agen[
100.00
100.00
❑OTH
❑ PTY
❑SCC
09/21/2016
James Center Lundy
XQIND
President
1,000.00
1,000.00
❑0TH
❑PTV
❑SCC
09T21 201
Lee Jamieson
RIND
Partner
,500.00
21500.00
❑OTH
PTV
❑SCC
SUBTOTALS 6,700.00
'Contributor Codes
IND- Individual
COM - Redpier# Commiftee
(other than PTY or SIC)
OTH - Other (a g., business entity)
PTY- Political Party
SCC -Small Conhibutor CommiOee
wwtv.nef lle.com
FPPC Form I66 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov(6661276-3772)
vAVw./Ppc.ca.9ov
Schedule A (Continuation Sheet)
SCHEDULE (CONY)
Monetary Contributions Received Amounts may be rounded
Statement coveFSmanual
a.
to whole dollars.
/ e '
from al /al /zo16
•'
through 09/24/2016
page 11 O( 21
NAMEOFFILER
O.NUMBER
Jeff Tkac for City Council 2016
1387683
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
STREET ADDRESS AND
CONTRIBUTOR
IF AN INDIVIDUAL. ENTER
AMCi
CUMULATIVETODATE
PERELECTION
DATE
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
enm.ODEO)
CODE *
(IFEELF- EMPLOVEn ENTERNM1E
PERIOD
(JAI 1 -DEC, 31)
(IF REQUIRED)
OFSUSINERE)
09/2172016
Kern River Partners LLC
❑IND
500.00
500.00
xO OTH
PTY
❑SCC
09/21/2016
Gerald O. Matthews Jr
E]IND
200.00
200. Do
ff]OTH
PTY
❑SCC
09/21/2016
Dennis Mullins
QIND
Attorney
250.00
250.00
❑OTH
❑ PTY
❑ SCC
09/21/2016
Mustang Square LLC
E]I-ND
Soo. 00
500.00
X]OTH
E] PTY
❑SCC
09 21 70 16
N1C a Fam¢ y LLC
BIND
1,000.00
1,000.00
XIOTH
❑ PTV
[-]SCC
SUBTOTALS 2,450.00
'Contributor Codes
IND - Individual
COM - Recipient Cammigee
(other than PTY or SCC)
OTH - Other leS , business entity)
PTV - Political Party
SCC - Small Contributor Commiftee
1xww.netffle.com
FPPC Form 460(Jan12016)
FPPC AdAI advice@fppc.w.gov(6 W7&3772)
www.fPpc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE (CONT)
Monetary Contributions Received Amounts may be muncled
statementcoyersperted
a
to wEele dollars.
e 1
from 01/01/2016
a'
through 09/24/2016
PI 12 el 21
NAME OF FILER
1 D. NUMBER
Jeff Tkac for City Council 2016
11 1387683
FULL NAME, STREET A DDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMWM
CUMULATIVETO DATE
PER ION
��
OFCaNmInEEa<so EMSamrvmeenl
OCCUPATION AND EMPLOYER
RECEIVED THIS
CAENDAR YEAR
TO DATE
TO DATE
RECEIVED
CODE'
IIFSELV- EMPwvEILEmERNANs
PERIOD
(JAN .1 -DEC . 31)
(IF REQUIRED)
I
09 21 T2 016
Signature Development Company
LJINO
1,000.00
1,000.00
x�OTH
❑ PTV
❑SCC
09/21/2016
Todd Todd
%Q IND
Office r
125.00
125.00
❑ OTH
❑ PTV
❑ SCC
09/21/2016
Patricia Young
®IND
Special Education
250.00
250.00
earn high School Distirct
C]OTH
❑PTY
[]SCC
09/23/2016
NorklogicHR
[ I IND
2,500.00
2,500.00
JOTH
❑ PTY
❑ SCC
❑ IND
❑COM
❑OTH
❑ PTY
❑SCC
SUBTOTALS 3,B7 5. 00
'Contributor Codes
IND - Individual
COM - Reciplma Committee
(other than PTY er SCC)
OTH - Other (e.g., business entity)
PTV - Political Party
SCC- Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice&ppexa.gov (116111
www.fppe.ca.gov
www.nettille.com
SCHEDULEB -PART1
Schedule B— Part 1 Amounts may be rounded
statement covers period
........ ............................... $
e
, • '
Loans Received to whole dollars.
-
from 01/01/2016
•
SEE INSTRUCTIONS ON REVERSE
through 09/24/2016
page 3 of 21
NAME OF FILER
I D. NUMBER
Jeff Tkac for City Council 2016
1387603
FULL NAME, STREET ADDRESS AND ZIP CODE
IF AN INDIVIDUAL, ENTER
OUTSTANDING
OD
AMOUNT
(c)
AMOUNTPAID
d
OUTSTANDING
a
INTEREST
ORIGINAL
p
CUMULATIVE
OF LENDER
OCCUPATION AND EMPLOYER
BALANCE
RECEIVED THIS
OR FORGIVEN
BALANCEAT
PAID THIS
gMOUNTOF
CONTRIBUTIONS
OFCODUITreE, uSOENTFn LD. uuMa[m
'w.'r,ruso. Rrtm
BEGINNING THIS
PERIOD
CLOSE OF THIS
PERIOD
TODATE
NPMEOFeU31NESC
THIS PERIOD'
LOAN
Jeffery Tkac
Owner
PAID
CALENDARYEFA
f
f
O.00 W
5.000.00
f 1o. a00. oo
This is a loan
0
❑ FORGIVEN
PE0.ELECTION"
§ 0.00
§ 5,0 0,00
§
12/31/2016
§
08/19/2016
y
DATEOUE
DAiEINCURRED
tA] IND ❑ DOM ❑ OTH ❑ PTV ❑ BCC
Jeffery Tkac
Owner
PAID
CPLEN.R.
§ O1.
§ SA00.00
0.00
y 5,000.00
y lo,00s . oD
This is a loan
a
E] FORGIVEN
aERELELTION"
E 0.00
E 5,300.00
f O.CO
12/31/2016
§ 0.00
09/06/2016
a
DATE DUE
DATE INCURRED
tE5 IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
L] PAID
CPLENDARYEAN
E
f
FORGIVEN
FEREIELTION"
-Ts
E
f
DATE DUF
OgiE INCUwtm
T] IND ❑ COM E] OTH L] PTY E] EGG
SUBTOTALS S la, ooa ll$ i,ir$ 1s. soo.aoS a.00
Schedule B Summary
1. Loans received this period ........................ ...............................
(Total Column (b) plus unitemized loans of less than $100.)
2. Loans paid or forgiven this period ............................... ...............................
(Total Column (c) plus loans under $100 paid or forgiven.)
(Include loans paid by a third parry that are also itemized on Schedule A.)
3. Net change this period. (Subtract Line 2 from Line 1 .) .............................
Enter the net here and on the Summary Page, Column A, Line 2.
'Amounts forgiven or Paid by another Pant also must be reportetl on schedule A.
It reOUired.
www.neMlle.com
...... . ...... ..... .... .... ........... — $
101000000
........ ............................... $
0.00
NET $ 1o, 000.00
(M.. �wn-1ws
(E (6)on
SPwwaeE B-3)
tContdbutor Codes
IND - Individual
CO M - Redpient Committee
(other than PTY or SCC)
OTH - Other (e.g. business entry)
PTV- Political Party
SCC -Small Contributor Committee
FPPC Form 460 (Jant2016)
FPPC Advice: advlcaMppc.ca.gov (866/276 -3772)
www.fPPc.ca.gov
Schedule E
Payments Made
SEE INSTRUCTIONS ON REVERSE
Jeff Tkac for City
Amounts may be rounded
to whole dollars.
covers
from 01/01/2016
through 09/24/2036 I page 14 of 21
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment
1397683
O.P
campaign paraphemalia/misc.
NUR
membefcommunications
RAD
radio airtime and production costs
CNS
campaign consultants
MTG
meetings and appearances
RFD
returned contributions
CTB
contribution (explain nonmonetaryl
OFC
office expenses
SAL
campaign workers' salaries
CVC
civic donations
FIET
petition circulating
TEL
t v. or cable airtime and production costs
Fill
candidate filing/ballot fees
PHD
phone banks
TRC
candidate travel, urging, and meals
FIND
fundraising events
POI-
polling and wmey research
TRS
staff /spouse travel, lodging, and meals
PD
independent expenditure supporting/opposing others (explainp
POS
postage, delivery and messenger services
TSF
transfer between committees of the same candidate /sponcor
LEG
legal defense
PRO
professional services (legal, accounting)
VOT
voter, registration
LIT
campaign literature and mailings
FRIT
prim ads
VIEB
information technology costs (Internet, e-mail)
NAME AND ADDRESS OF PAYEE
pr couemFE. use ernes m. NUMeeal
CODE OR DESCRIPTION OF PAYMENT
AMOUNTPAID
Daizy 6 Associates
PRO
Accounting Services
261.00
Landslide Coarounications
LIT
1,000.00
COGS South Signs
CRT
11838.00
a Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 3,099.00
Schedule E Summary
1. Itemized payments made this period. (include all Schedule E subtotals .) ...........................
2. Unitemized payments made this period of under $100 ........................ ...............................
3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column ( e).) ..... ...............................
4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.)
www.nefffle.com
$ 13,578.28
$ 74.50
... ............................... $ 0.00
..................... TOTAL $ 13.652. 78
FPPC Form 460 (Jan12016)
FPPC Toll -Free Helpline: S66/ASK.FPPC (SM27S3772)
weew.tppc.w.gov
Schedule E
(Continuation Sheet)
Payments Made
Jeff Tkac for City Council 2016
Amounts may be rounded
towholedollars.
Statement covers Period
from 01 /01 /2016
through 09/24/2016
Page 15 of 21
LD. NUMBER
1387683
CODES: If one of the following codes accurately describes the payment, you may enter the code.
Otherwise, describe the payment.
QW
campaign paraphernalia /mist
M R
membercommunications
RAD
radio airtime and production costs
CNS
campaign consultants
MTG
meetings and appearances
RFD
returned contributions
CTB
Contribution (explain nonmonetary)'
OFC
office expenses
SAL
campaign workers' salaries
CVC
dvic donations
PET
petition circulafing
TEL
t.Y. or cable airtime and production costs
FIL
candidate filinglballot fees
PfiD
phone banks
TRC
candidate travel, lodging, and meals
FIND
fundraising events
POL
polling and survey research
TRS
sta8/spouse travel, lodging, and meals
ND
independent expenditure suppartingloppssing others (explain)'
POS
postage, delivery and messenger services
TSF
transfer between committees of the same candidatelsponsor
LEG
legal defense
PRO
professional services (legal, accounting)
VOT
voter registration
Lg
campaign literature and mailings
FF T
print ads
wEB
information technology costs (intemet, e-mail)
NAME AND ADDRESS OF PAYEE
CODE OR DESCRIPTION OF PAYMENT
AMOUNTPAID
(IF COMMITTEE ALEG ENTER I D NUMBER)
COGS South Signs
ME
1,038.00
Western Pacific Research
CBS
2,000.00
%im Schaefer and Associates
CNS
3,500.00
Kim Schaefer and Associates
OFC
375.36
EFundraising
OFC
Credit card processing fee
16.75
e Payments that are contributions car independent expenditures must also be summarized on Schedule D. SUBTOTALS 7,730.11
FPPC Form 460(Jao12016)
FPPC Toll-Free Helpline: 8661ASK -FPPC (866/275R3T12)
www.net ile.com, www.fPINCRu.gov
Schedule E
(Continuation Sheet)
Payments Made
Jeff Tkac for City Council 2016
Amounts maybe rounded
to whole dollars.
Statement covers Period
hom 01/01/2016
through 09/24/2016
Page 16 of 21
I.D.NUMBER
1387683
CODES: If one of the following codes accurately describes the payment, you may enter the code.
Otherwise, describe the payment.
Ovis
campaign paraphemalia /mist.
IvER
membercommunications
HAD
radio airtime and production costs
CNS
Campaign consultants
MTG
meetings and appearances
RFD
returned contributions
CM
contribution (explain nonmonetI
OFC
office expenses
SAL
campaign workers' salaries
CVC
dvic donations
FET
petition circulating
TEL
tv. or cable ainme and production costs
FIL
candidate filing/ballot fees
FHO
phone banks
TRC
candidate travel, lodging, and meals
FIND
fundraising events
P%
polling and survey research
TRS
staff /spouse travel, lodging, and meals
W
independent expenditure supporting /opposing others (explain)'
POS
postage, delivery and messenger services
TSF
transfer between committees of the same Candidate /sponsor
LEG
legal defense
Rm
professional services (legal, accounting)
VOT
voter registration
LIR
campaign Ilterature and mailings
PRr
print ads
WEB
information technology costs (Internet, a -mail)
NAME AND ADDRESS OF PAYEE
CODE OR
DESCRIPTION OF PAYMENT
AMOUNTPAID
Or coMwinEE ALSO em[e I D. NuMBEm
Jaizy & Associates
PRO
Accounting services
448.76
EFundraising
DEC
Credit Card
Processing Fee
98.50
Landslide Communications
LIT
1,580.00
Kim Schaefer and Associates
MTO
311.78
OeC
Credit Card
Processing Fee
95.38
Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTALS 2,484.42
FPPC Form 460(Jana016)
FPPC TolklEmat Helaine: 8661ASK -FPPC (8661276 -3772)
www.netlle.com www.fppc.ca.gov
Schedule E
(Continuation Sheet)
Payments Made
Jeff Tkac for City Council 2016
Amounts may be rounded
towholedollars.
from 01/01/2016
through 09/24/2016 1 Page 17 of 21
1387683
CODES: If one of the following codes accurately describes the payment, you may enter the code.
Otherwise, describe the payment.
O.P
campaign parmhemalia/misc.
NER
membercommunications
RAD
radio airtime and production costs
CNS
campaign consultants
WIG
meetings and appearances
RFD
returned contributions
CM
contribution (explain nonmonetmy)'
OFC
office expenses
SAL
campaign workers' salaries
CVC
civic donations
PET
petition circulating
TEL
tv or cable airtime and production costs
FIL
candidate filing /ballot fees
P1O
phone banks
TRC
candidate travel, lodging, and meals
FIND
fundraising events
POL
polling and survey research
TRS
stag /spouse travel, lodging, and meals
PD
independent expenditure supporting /opposing others (explain)'
POS
postage, delivery and messenger services
TSF
transfer between committees of the same candidate /sponsor
LEG
legal defense
PRO
professional services (legal, accounting)
VOL
voter registration
LIT
campaign literature and mailings
PZr
print ads
WEB
information technology costs (Internet, a -main
NAME AND ADDRESS OF PAYEE
(IF GCMMIUTEE, ALSO ENTER I NUMBER)
CODE OR DESCRIPTION OF PAYMENT
AMOUNT PAID
EFUndraising
OFC
Credit card processing fee
3.75
EFundraising
OTC
Credit Card Processing Fee
261.00
'Payments that are contributions or independent expenditures must also be Summarized on Schedule D. SUBTOTALS 264.75
FPPC Form 460(Jan12016)
FPPC Toll -Free Helpline: 86WASK -FPPC (8665!753112)
www.netfi /e.com www.fppc.ca.gov
NAME AND ADDRESS OF CREDITOR
CODE OR
la)
OUTSTANDING
Ib)
AMOUNTINCURRED
(c)
AMOUNTPAID
(tl)
OUTSTANDING
SCHEBULEF
Schedule
Accrued Expenses (Unpaid Bills)
BAL ANCEBEGINNING
Amounts may be rounded
towhole dollars.
THISPERIOD
Statement seven period
from 01/01/2016
•-
,• •
OF TH IS PERIOD
SEE INSTRUCTIONS ON REVERSE
(ALSO NEFWT ON E)
OF THIS PERIOD
SEockdale Country Club
through 09/24/2016
1e 21
Peg!- of
NAME OF FILER
0.00
315.82
• Payments that are contributions or Independent expandltures must also Be SUBTOTALS $ 0.00$ 31,82$ 0. 00$ 315.82
stanourized Me Schedule D.
Schedule F Summary
1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for
accrued expenses of $100 or more, plus total unitemized accrued expenses under $100.) ......................
2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on
accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.)
3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and
on the Summary Page, Column A, Line 9.) ................................................................ ...............................
www.net ile.com
INCURRED TOTALS $ 315.82
...................... PAID TOTALS $ 0.00
.......................... NET $ 315.82
Bay m a o"'. erneer
FPPC Form 460 (Jan12016)
FPPC Toll -Free Helpline: 8661ASK.FPPC (8661275 -3712)
www.fppc.ca.gov
Schedule G
Payments Made by an Agent or Independent
Contractor (on Behalf of This Committee)
SEE INSTRUCTIONS ON
Jeff Tkac for City Council
Kim Schaefer and Associates
Amountsmayberounded
towholedollam. from 01/01 /2,16
through 09/24/2016 I Page _19 of 21
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment
1387603
CNP
Campaign paraphemalialmisc.
IvER
membercommunicsions
RAD
radio aimme and production costs
CNS
Campaign consultants
MSG
meetings and appearances
RFD
returned contributions
CM
contribution (explain nonmonetaryr
OFC
office expenses
SAL
campaign W(Srvus' sutures
CVC
civic donations
PET
petition circulating
TEL
tv. or cable airtime and production mats
FR
candidate filing/ballot fees
R-IO
phone banks
TRC
Candidate travel, lodging, and meals
FPI)
fundraising events
POL
polling and Survey research
TRS
stag /spouse travel, lodging, and meals
PD
independent expenditure supportingloppoaing others (explain)'
POS
postage, delivery and messenger services
TSF
transfer between committees of the same candidate /sponsor
LEG
legal defense
R2O
professional services (legal, accounting)
VOT
voter registration
LR
Campaign literature and mailings
PRr
print ads
WEB
information technology costs (internet, e-mail)
' payments that are contributions or independent expenditures must also be summarized on Schedule D.
NAME AND ADDRESS OF PAYEE OR CREDITOR
ne COMMinEE ALSO ENTER 10. NUMBER)
CODE OR DESCRIPTION OF PAYMENT
AMOUNT PAID
Woolgrowers Restaurant
Pop
8/31/16 - Lunch provided at fundraiser attended by
375.36
Woolgrowers Restaurant
MTG
9/14/16 - Lunch meeting attended by Candidate,
231.82
Attach additional information on appropriately labeled continuation sheets. TOTAL' $ 607.18
- Oo not transfer W any other Schedule car so the Summary Page. This total may not equal the amount paid s, the agent or
independent contractor as reported on Schedule E.
FPPC Form 460 (Jan/2816)
FPPC Advice: advice pipPC.ca.gov (866/275-3772)
www.fppc.w.gov
www.nerfile.com
Schedule G
Payments Made by an Agent or Independent
Contractor (on Behalf of This Committee)
Jeff Tkac for City Council 2016
NAME OF AGENT OR INDEPENDENT CONTRACTOR
Landslide Communications
Amounts may be rounded ammmeorcoversPeri-
W hole dollars. born 01/01/2016
through 09/24/2016 I Page 20 Of 21
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment
Q.P
campaign paraphernalia /mist.
hBR
membercommunications
RAD
redio airtime and production Costs
CNS
Campaign consultants
MTG
ma dings and appearances
RFD
returned Contributions
CM
contribution (explain nonmonetI
OFC
office expenses
SAL
campaign "*am salaries
CVC
civic donations
FET
petition circulating
TEL
Lv, or Cable amme and production vests
FIL
Candidate filingmallot fees
PRO
phone banks
TRC
candidate travel, lodging, and meals
END
fundraising events
ROL
polling and survey research
TIES
staff /spouse travel, lodging, and meals
M
independent expenditure supparing /opposing othere (explaini
POS
postage, delivery and messenger services
TSF
transfer between Committees of the same candidate /sponsor
LEG
legal defense
PRO
professional services (legal, accounting)
VOT
voter registration
UT
Campaign IiteraWre and mailings
FRT
print atls
WEB
information technology Costs (Internet, e-mail)
' Payments that are contribugons or independent expenditures must also be summarized on Schedule D.
NAMEAND ADDRESS OF PAYEE OR CREDITOR
CODE OR DESCRIPTION OF PAYMENT
AMOONTPAID
(Ir COMMITTEE, KSO ENTER I D. NUMBER)
California Public Safety Voter Guide (ID# 1298740)
LIT
516.00
National Tax Limitation Committee Early Voter Guide (ID# 1306386)
LIT
516.00
Save PLOP 13 (ID# 598040)
LIT
516.00
Small Business Action Committee Newsletter (ID# 1322823)
LIT
516.00
Attach additional information on appropriately labeled continuation sheets. TOTAL' E 2,064. 00
Do not easier to any other schedule or to the Summery Page. This total may not equal the amount paid to the agent Or
independent coulmactor as reported on Schedule E
FPPC F 668 J 12816
oast (an
FPPC Advise: advice@fppc.ca.gov (8661215.3]/2)
www.fpPC.ce.gov
www.netrile.com
Schedule (Continuation Sheet)
Payments Made by an Agent or Independent Amounts maybe rounded Statement wavers period
Contractor (on Behalf of This Committee) to whole dollars. from 01/01/2016
through 29/24/2016 Page 2J_ of I
I.D. NUMBER
City Council 2016
Landslide Communications
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment
CMp
campaign pa aphemalia /miser
hER
membercommunicabons
RAE,
radio airtime and production costs
CNS
campaign consukants
MTG
meetings and appearances
RFD
returned contributions
CTB
contribution (explain nonmonetary)'
OFC
office expenses
SAL
campaign workers' salaries
CVC
civic donations
PET
petition circulating
TEL
tv. or cable airtime and production costs
FIL
candidate filing /ballot fees
R-ID
phone banks
TRC
candidate travel, lodging, and meals
FIND
fundraising events
PO_
polling and survey research
TRS
staff /spouse travel, lodging, and meals
FD
independent expenditure supporting /opposing others (explainl'
POS
postage, delivery and messenger services
TSF
transfer between committees of the same candidate /sponsor
LEG
legal defense
PRO
professional services (legal, accounting)
VOT
voter registration
LIT
campaign literature and mailings
PFL
print ads
WEE
information technology costs (Internet, e-mail)
R Payments thatare contributions or Indspendentexpenditures mustalso be summarized
on Schedule D.
NAME ANDADDRESS OF PAYEE OR CREDITOR
(surNMITTEE. u50 ENTEE ro. NUMBER)
CODE OR DESCRIPTION OF PAYMENT
AMOUNT PAID
Woman's Voice (ID# 1293667)
LIT
516.00
Attach additional information on appropriately labeled continuation sheets. TOTAL' $ 516.02
' Do not trouter to any other schedule or to the Summary Page. This total may not equal the amount paid to the agent w
independent contractor as reported on Schedule E.
FPPC Form 460 (JBNP016)
FPPC Advice: advimQfppc.ca.gov (8661
www.net(le.com
www.fpPc.ca.gov