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Home My WebLink AboutGOH SEMIANN20 (3)Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement covers period from 07/01/2020 through 12/31/2020 1. Type of Recipient Committee: All Committees—Complete Parts 1, 2, 3, and 4. m Officeholder, Candidate Controlled Committee ❑ Primarily. Formed Ballot Measure 0 State Candidate Election Committee Committee 0 Recall 0 Controlled (Also Complete Part 5) 0 Sponsored (Also Complete Part 6) ❑ General Purpose Committee 0 Sponsored 0 Small Contributor Committee 0 Political Party/Central Committee 3. Committee Information NAME IF NO COMM Karen Goh for Mayor 2020 ❑ Primarily Formed Candidate/ Officeholder Committee (Also Complete Part n I.D. NUMBER 1423226 STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREACODE/PHONE MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX/ E-MAIL ADDRESS 4. Verification Date Stamp Date of election if applicable: •21 JAIN 26 All (Month, Day, Year) /A A E, f i t !-%.D C 2. Type of Statement: - ❑ Preelection Statement l� Semi-annual Statement ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) COVER PAGE �;ALR-IIWAIAI •' 1 .- �a 1 of 5 or Official Use Only f� < ❑ Quarterly Statement ❑ Special Odd -Year Report Treasurer(s) NAME OF TREASURER Shawn P. Kelly, CPA MAI LI N G AD D RESS CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX/E-MAIL ADDRESS I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein and in the attached schedules is true and complete. I certify under penalty of perjury under the laws of the State of California that the foregoing due and correckl . / . /► Executed on 01/05/2021 ate 126 Executed o oo?' Date Executed on Date Executed on Date By Signature of Controlling Officeholder, Candidate, State Measure Proponent By Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Karen Goh OFFICE.SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IFAPPLICABLE) Mayor, City of Bakersfield RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP Related Committees Not Included in this Statement: List any committees not included in this statement that are controlled by you or are primarily formed to receive contributions or make expenditures on behalf of your candidacy. E NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURERI CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COVER PAGE - PART 2 Page 2 of 5 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION ❑ 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 officeholder(s) or candidate(s) for which this committee is primarily formed. 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 ❑ SUPPORT ❑ OPPOSE Attach continuation sheets if necessary FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Campaign Disclosure Statement Amounts may be rounded SUMMARY PAGE Summary Pae to whole dollars. Statement covers period Page CALIFORNIA from 07/01/2020 FORM • SEE INSTRUCTIONS ON REVERSE through 12/31/2020 Page 3 of 5 NAME OF FILER 6. Payments Made............................................................... schedule E, Line 4 I.D. NUMBER Karen Goh for Mayor 2020 $ 71,488.23 7. Loans Made....................................................................... Schedule H, Line 3 1423226 Contributions Received $ Column A Column B 9. Accrued Expenses (Unpaid Bills) .......................................... Schedule F Line 3 Calendar Year Summary for Candidates TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) CALENDARYEAR TOTAL TO DATE Running in Both the State Primary and 11. TOTAL EXPENDITURES MADE....................................Add Lines 8+9+10 $ 1,413.00 $ 71,488.23 Current Cash Statement General Elections 1.. Monetary Contributions....:.............................................. ISchedule A, Line 3 $ 5000.00 $ 90,500.00 31,071.77 2. Loans Received................................................................ Schedule B, Line 3 5,000.00 To calculate Column B, add amounts in Column 14. Miscellaneous Increases to Cash .................................. Schedule 1, Line 4 1/1 through 6/30 7/1 to Date 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 1 +2 5000.00 $ $ 90,500.00 1,413.00 20. Contributions 16. ENDING CASH BALANCE ..................Add Lines 12 + 13 + 14, then subtract Line 15 $ 34 658.77 amounts in Column A may be negative figures that if this is a termination statement Line 16 must be zero. Received $ $ 4. Nonmonetary Contributions ............................................ Schedule C, Line 3 0.00 1,750.00 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED................................Add Lines 3+4 $ 5000.00 $ 92,250.00 filed for this calendar year, Made $ $ Expenditures Made 6. Payments Made............................................................... schedule E, Line 4 $ 1,413.00 $ 71,488.23 7. Loans Made....................................................................... Schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS ....................................... Add Lines 6+7 $ 1,413.00 $ 71,488.23 9. Accrued Expenses (Unpaid Bills) .......................................... Schedule F Line 3 10. Nonmonetary Adjustment......................................................... Schedule C, Line 3 11. TOTAL EXPENDITURES MADE....................................Add Lines 8+9+10 $ 1,413.00 $ 71,488.23 Current Cash Statement 12. Beginning Cash Balance ............................ Previous summary Page, Line 16 $ 31,071.77 13. Cash Receipts........................................................... Column A, Line 3 above 5,000.00 To calculate Column B, add amounts in Column 14. Miscellaneous Increases to Cash .................................. Schedule 1, Line 4 A to the corresponding amounts from Column B 15. Cash Payments......................................................... Column A, Line 8 above 1,413.00 of your last report. Some 16. ENDING CASH BALANCE ..................Add Lines 12 + 13 + 14, then subtract Line 15 $ 34 658.77 amounts in Column A may be negative figures that if this is a termination statement Line 16 must be zero. should be subtracted from previous period amounts. If this is the first report being 17. LOAN GUARANTEES RECEIVED ................................ Schedule B, Part 2 $ 0.00 filed for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if Cash Equivalents and Outstanding Debts 18. Cash Equivalents ................................................ See Instructions on reverse $ 0.00 any). 19. Outstanding Debts .............................. Add Line 2 + Line 9 in Column B above $ 0.00 Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made" (if Subject to Voluntary Expenditure Limit) Date of Election Total to Date (mm/dd/yy) 'Amounts in this section may be different from amounts reported in Column B. FPPC Form 460.(Jan/2016)) FPPC Advice: advice@fppd.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A Amounts may be rounded SCHEDULE A Monetary Contributions Received W Statement covers period from 07/01/2020 CALIFORNIA FORM 1 SEE INSTRUCTIONS ON REVERSE through 12/31/2020 Page 4 of 5 NAME OF FILER I.D. NUMBER Karen Goh for Mayor 2020 1423226 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED CONTRIBUTOR CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME RECEIVED THIS CALENDAR YEAR TO DATE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) OF BUSINESS) PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) 07/30/2020 Frederic and Susan Rowe IND Physician 2,500.00 ❑ PTY ❑ SCC 11/20/2020 Valley Family Clinic ❑ IND N/A 2,500.00 Clinica Del Valle ❑ COM Z OTH ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL $ 5,000.00 Schedule A Summary Amount received this period — itemized monetary contributions. (Include all Schedule A subtotals.)............................................................................... 5,000.00 ........................ $ 2. Amount received this period — unitemlzed monetary contributions of less than $100 ...........................$ 0.00 3. Total monetary contributions received this period. 5,000.00 (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.)......................TOTAL $ `Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E Payments Made Amounts may be rounded SCHEDULE E to whole dollars. Statement covers period a from 07/01/2020 SEE INSTRUCTIONS ON REVERSE through 12/31/2020 Page 5 of 5 NAME OF FILER I.D. NUMBER Karen Goh for Mayor 2020 1423226 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia/misc. MBR member communications 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 civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals IND 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) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID Sheffield for Rosedale School Board CTB 500.00 Wren Kelly CPA's PRO 863.00 "_Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.)............................................................................................................. $ 1,363.00 2. Unitemized payments made this period of under $100........................................................................................................... .............................. $ 50.00 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e).)...............................:............................................. $ 0.00 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ........................... TOTAL $ 1,413.00 FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov