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Home My WebLink AboutGOH KAREN 460 TERMINATION STATEMENTRecipient Committee Campaign Statement Cover Page Statement covers perlo l from 07/01/22 SEE INSTRUCTIONS ON REVERSE Ithrough 12/15/22 1. Type of Recipient Committee: AgCemmmees- Complete Pans 1, 2.3. and 4. m Rceholdec Candidate Controlled Committee 8 State Candidate Election Committee 0 Recall Iwwcw,gennnsl ❑ Creneral Purpose Committee (8) Sponsored Small Contnbutor Committee Political Party/Central Committee 3. Committee Information Karen Colt for Mayor 2016 ❑ Primarily Formed Ballot Measure omminae Controlled Sponsored ram cwi e"pan& ❑ Primarily Formed Candidate/ Officeholder Committee (abeconands ano STREET ADDRESS (NO P.O. BOX) CITY STATE ZIPCODE AREACOOEIPHONE MAILING ADDRESS (11 DIFFERENT) NO, AND STREET OR PO. BOX CITY STATE ZIP CODE AREACODEPHONE 2: SR 2. Type of Statement: ❑ Preelection Statement ❑ Semi-annual Statement IiJ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) Page 1 of ❑ Ouartedy Statement ❑ Special Odd -Year Report Treasurer(s) NAME OF TREASURER Shaven P. Kelly, CPA MAILING ADDRESS CITY NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA LODEIPHONE OPTIONAL: FAX I E-MAILAOORESS 4. Verification 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 antl r the laws of the State of California that the foregoing is le end Correct. ExecutM on ' I� ZZ By .Iveawr DrAedeMnl reaemer Ezaculed on I�,�Z By NnaOn, ICoromnin eC Ca io.... Ie Memin, Pnoponexor Xan,ponvoseSponsor ay egnalma of D-Woury minernod., L.And., elate Maeaue rworcnl Executed on aN BY Ai ... of Convocing O1vxr1M,X Candidate men Meawre pintorem FPP[ Form 460 (tan/2016)) FPPC Advice: advice@fppc.ca.gov (966/27S-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 IF APPLICABLE) Mayor, City of Bakersfield RESIDENTIAUBUSINESSADDRESS (NO.ANDSTREET) CITY STATE ZIP Related Committees Not Included in this Statement: uwanycommittaea not Included in this slatement mat are controlled try you or are primarily formed to receive conMfiutlons or make expenditures on behalf of your candidacy. COMMITTEE NAME I IQ NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEENDDRESS STREET ADDRESS (NO PO. BOX) CITY STATE ZIP CODE AREACODEIPHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO PO. BOX) COVER PAGE - Page 2 of 8 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, 9 any. NAME OF OFFICEHOLDER. CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY 7. Primarily Formed Candidate/Officeholder Committee List name. of ofacehoiderfs) or candidate(s) for which due committee is primarily formed. NAME OF OFFICE HOLDER OR CANDI DATE OFF ICE 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 El SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD SUPPORT ❑ OPPOSE CITY STATE ZIP CODE AREA CODEIPH0 E Attach continuation sheets Ifnecessary FPPC Form 460 (Jan/2016) FPPC Advice: advice afppc.ca.gov (a66/275-3772) www.fPPc.ca.60v Campaign Disclosure Statement Amounts may be rounded to whole dollars. Statement covers period Summary Page from 07/Ol/22 12/15/22 Page 3 of 8 SEE INSTRUCTIONS ON REVERSE through I.D. NUMBER NAME OF FILER Karen Goh for Mayor 2016 1384218 A Column B Calendar Year Summary for Candidates Contributions Received ieColumn iRTHI5 YEW0o GALENDARVEAR Running in Both the State Primary and Im0MAc7AOIED SCHEDULES) TOTUTODATE General Elections 2200.00 $ 28,750.00 1. Monetary Contributions ........ ........................... _...... .... .., schedule A, Line 3 $ 111 mrown ergo Tit to dab 2. Loans Received ........................... ...._............ _................. schedule e, Linea 20. ContributionsReceived 28000.00 $ 28750.00 $ $ 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines l+z $ 4. Nonmonetary Contributions.... ........................ _..... ....... schedule C, Llne3 21. Expenditures 28,000+00 28.750.00 Made $ 8 5. TOTAL CONTRIBUTIONS RECEIVED.... . ....... . ...... , ndd Cmed3+4 $ $ Expenditures Made 6. Payments Made... ..................... ............. ........................... schedule E, Line $ 2$459.70 7. Loans Made ......... _......_............ _.__.............. ................. schedule N. Line 8. SUBTOTAL CASH PAYMENTS.._................................... Add 16+7 $ 28,459070 9. Accrued Expenses (Unpaid Bills) ...... ....... ............. ..__._.....Schadwe F Lines 10, NonmonetaryAdjustment............._.........._______............... Schedule c. One s 11. TOTAL EXPENDITURES MADE__.....__ .................... Add Lines 8+9+10 $ 28,459.70 Current Cash Statement 12. Beginning Cash Balance _____._...._......... PNNAos summand, Eage, Line 14 $ 459.70 28.000.00 13. Cash Receipts ............ -.............. .............................. caumn A,leme3above 14, Miscellaneous Increases to Cash ...................... ..... schedule i. Line a 15. Cash Payments ................ ............... Column A, Line eabove 28,459.70 16. ENDING CASH BALANCE ...._......... .Addunes 12+13+ 14, then subrrenune 15 $ 0.00 If this a a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ................ _............. schedule e, Part2 $ 18. Cash Equivalents_ ................................._......__. Seefinducransobneaenee $ 19. Outstanding Debts ................. Add Line 2+ Line a in Column a above $ 0'00 $ 21L814470 8 To calculate Column B, add amounts in Column A to the conesponding amounts from Column B of your last report. Some amounts in Column A may be negative figures that should be subtracted foul previous period amounts. If this is the first report being filed for this calendar year, only tarty over the amounts from Lines 2, 7, and 9 (if any). Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made` et sub ectovelumm, Eap.ndi Limit) Date of Election Total to Date (mmlddi 'Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (lan/2016)) FPPC Advice: advice@fppc.ca.see (866/275-3772) www.fppc.ca.eov e.-1....a..te A Amounts may be rounded SCHEDULE A to whole dollars. Monetary Contributions Received Statement covem period '' • 1 hom g7/O1/22 • - 12/15/22 Page 4 of 8 through SEE INSTRUCTIONS ON REVERSE I.D. NUMBER NAME OF FILER 1384218 Karen Gob for Mayor 2016 FULL NAME. STREET ADDRESS AND ZIP CODE OF IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF COMMITTEE. PLED ENTER IU. HUMBEP) CODE EMPLOYED. ENTER NAME yFSELE� OF 9L.INESEI PERIOD (JAN, 1-DEC. 31) (IF REQUIRED) 11/28/22 Farhad& Fatemah Bashhtash MIND Owner 4,900.00' ❑ PTY ❑ SCc 11/28/22 Kevin McCarthy for Congress ❑ IND N/A 4,900.00' m COM ❑ scc 11/28/22 Centric Health 0IND N/A 4,900.00' ❑ DOM ❑ PTY ❑ SOO 11/28/22 Diane Lake mIND Homemaker 4,900.00- ❑ DOM ❑ PTY ❑ SCC 11/28/22 California Water Service ❑IND N/A 4,900.00' ❑ PTY ❑ SCC SUBTOTAL$ 24,500.00 Schedule A Summary •Contdbmor Codes IND—Individual 1. Amount received this period — itemized monetary contributions. 28,000.00 DOM —Recipient Committee (Include all Schedule A subtotals.) .......................... ............ ........................................ ...........................$ (other than PTY or SOD) OTH — Other (e.g.. business entity) 2. Amount received this period — unitemized monetary contributions of lass than $100 ...................... .....$ PTV — Political Party SCC— Small Contributor Committee 3. Total monetary contributions received this period. 28,000.00 (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.)......................TOTAL $ FPPC Form 460 (Jan/2016)) FPPC Advice: a deice@fppc.ca.gov (866/275-3772) www.fPPc.ra.gov �* �4 pa )e 5 of 8 Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULE (CONT) Monetary Contributions Received towhot. dollar.. 8tatementcoversperiod e. from 07/01/22 e through 12/15/22 Page 5 of 8 NAME OF FILER D. NUMBER Karen Gain for Mayor 2016 1384218 FULL NAME, STREETADDRESS AND ZIP CODE OF IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS OALENDARYEAR TO DATE RECEIVED (IF COMMinEE ALSO ENTER I.O. NUMBER) CODE (IF SELF-EMPLOYED. DF VEN;ER NAME) NEss PERIOD (JAN.t - DEC. 31) (IF REOUmED) 11/28/22 Barbara Grimm -Marshall ®IND Owner 3,500.00' P. ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTV ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTV ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTV SCC SUBTOTAL $ 3,500.00 'Contnbnur Codes IND - Individual COM - Recipient Committee (other than PTV or SCC) OTH - Other (e,g., business entity) PTV - Political Party SCC - Small Contributor Committee - Dr( jvl . CQ✓7Frl G(/l. �"O �0�� (!0/h/Dd.£ [r, +ra,v4s rrefd - 40 2zl(p i*-G"Pr"-1.tL-1— -10 rL pa> loan. FPPC Form 460 (lan/2016)) FPPC Advice: advice@fppr...Bov (866/275-3772) www.fppaca.8ov SCHEDULE B - PART 1 Schedule B — Part 1 ee noCaon;..: Statement covers period e . Loans Received o-em 07rov22 . through 12/15/22 Peg. S of a SEE INSTRUCTIONS ON REVERSE I.O. NUMBER NAME OF FILER Karen Gob for Mayor 2016 1384216 FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTERis) OUTSTANDING AMOUNT AMOUNT PAID OUTSTANDING T INTEREST ORIGINAL B CUMULATIVE OFLENDER OCCUPATION AND EMPLOYER BALANCE RECEIVED THIS OR FORD IVEN BALANCEAT PAIDTHIS AMOUNTOF ONTRIBUTIONS OF COMMITTEE ALSO ENTER LD. NOMeem (IF SELF-EMPLOYED ENTER BEGINN ING TH IS PERIOD THISPERIOD- CLOSEOFTHIS PERIOD PERIOD LOAN TO DATE NAME OF BUSwesal PERIOD CALTRUK R ® PAID Karen Gob Mayor $ 28,000.00 0 % f 4,715.00 $ ® FORGIVEN PER ELFCTION" 52,715.00 f $ 24,715.00 N/A .00 8/11/16 $ $ $ DATE DUE DATE INCURRED 1C) IND ❑ COM ❑ OTH ❑ PTV ❑ SCC PAID CALENDAR YEA0. —% $ ❑FORGIVEN PER ELECTION" NniE $ DATE OUE DATE INCURRED 1[I IND ❑ COM ❑ OTH ❑ PTY ❑ SCC El PAID CALENDAR YEAR $ _% $ FORGIVEN RATE PER ELECTION" $ 3 $ DATE DUE DATE INCURRED 11] IND ❑ COM ❑ OTH ❑ PTV ❑ SCC SUBTOTALS $ $ 52,715.00 $ $ 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 party 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 party also must be reported on Schedule A. "If required. IeNur --is E L...,r $ 0.00 $ 52,715.00 tCOntEbUtOr Codes IND - Individual COM - Recipient Committee (other than STY or SCC) NET $ (52,715,00) OTH- Other (e.g. business entity) PTY - Political Party SCC - Small Contributor Committee (M.ve..AA. ....Rn FPPC Form 460 (lam/2016)) FPPC Advice: advlce@fppc.ca.gov (966/275-3772) W..fppc.o.gov Schedule E Amounts may be Founded Statements to whole dollars. Payments Made I from 07/01/22 Karen Gob for Mayor 2016 through 12/15/22 I Page 7 of 8 1384218 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphemalialmisc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)' OFC once expenses SAL campaign workers' salaries CVC civic donations PET petition Emulating TEL tv. or cable airtime and production costs FIL candidate filing/ballot fees PRO phone banks TRC candidate travel, lotlging, and meals FND fundraising events POL polling and survey research TRS sta9lspouse travel, lodging, and meals IND independent expenditure supportinglopposing others (explain)' POS postage, delivery and messenger services TSF transfer between committees of the same cantlidate/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, a -mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMI TFs ALSQ ENTER I. D. NUMBER) Wren Kelly CPAs Accounting 323.00 Tri Counties Bank Bank charges 40.00 Karen Goh Loan repayment 28,000.00 ' Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 28,363.00 Schedule E Summary 28,459.70 1. Itemized payments made this period. (Include all Schedule E subtotals.)............................................................................................................. $ 2. Unitemized payments made this period of under$100.......................................................................................................................................... $ Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e).)............................................................................. 0- Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.)........................... TOTAL $ 28,459.70 FPPC Form asp (Jan/2016)) FPPC Advice: advice@fppc.ca.Sov (966/275-3772) www.fppc.ca.dov Schedule E (Continuation Sheet) Payments Made Amounts may be rounded to whole dollars. 07/01/22 from SCHEDULE SEE INSTRUCTIONS ON REVERSE through 12/15/22 Page 8 of 8 NAME OF FILER LD. NUMBER Karen Gob for Mayor 2016 1384218 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign pampherriga/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 once expenses SAL campaign workers'salaries CVC civic dommons PET petition circulating TEL L. or cable airtime and production costs FILL candidate fling@allot fees RHO phone banks TRIO candidate travel, lodging, and meals FND f michan ing events ROL polling and survey research TRS staff/spouse travel, lodging, and meals IND independent expenditure suppoonglopposing 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, email) NAME AND ADDRESS OF PAYEE (IF COMMniEE ALSO ENTER tO. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Karen Gob for Mayor 2020 TSF 96.70 ' Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 96.70 FPPC Form 460 Jan 2016 FPPC Advice: advice@fppc.ca.6ov (8661275-3772) www.f ri c.ca.Bov