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HomeMy WebLinkAboutForm 460 - Velker, Bob - 2018.01.31 (Termination)COVER PAGE Recipient Committee Date Stamp. - , Campaign Statement n FORM Cover Page L C Ell Statement covers period Date of etection if applicable, n Page 1 of 10120f2018 (Month, Day, Year} � $ i F i ;'; l Co lclal Use Only from " SEE INSTRUCT€ONS ON REVERSE through 12/31/2018 1. Type of Recipient Committee: All Committees - Completa Parts 1, 2, 3, and 4. C✓J Officeholder, Candidate Controlled Committee 0 State Candidate Election Committee O Recall I'FlMs. Ccmpfefa Pvl b5 ❑ General Purpose Committee d Sponsored a Small Contributor Committee O Political Party/Central Committee 3. Committee Information ❑ Primarily Farmed Ballot Measure Committee 0 Controlled O Sponsored W4 Camgiefe Pan &) ❑ Primarily Formed Candidate! Officeholder Committee rNsu Coyi�pof3 RV 7) I.D, NuMBIPH 1380976 ;OMtMITTEE NAME (OR CANDIDATE NAME IF NO CON€F} Committee to Elect "Diamond Bar Bob" Volker for Council 2018 STREETAODR.ESS (NO PO. BOX) CITY STATE ZIPCDQE AREA CODEIPHONE Diamond Bar CA 91765 ( MAILING ADDRESS (IF Dt1=FEREN7) NO. AND STREET OR P,0 BOX CITY STATE ZIP CODE AREA CODE`PHONE 11/06/2018 2. Type of Statement: ❑ Preelection Statement ❑ Semi-annual Statement I✓7 Termination statement (Also file a Farm 410 Termination) ❑ Amendment (Explain below) ❑ Quarterly Statement ❑ Special Odd -Year Report Treasurer(s) NAME DF TREASURER Robert Volker MAILING ADDRESS CITY STAIE ZIP CODE AREACODEIPHONE Diamond Bar CA 91765 ( NAME OF ASSISTANT TREASURER. IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODEPHONE OPTIONAL: FAXIE-MAILADDRESS OPTIONAL- FAX)E-MAILADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the I mation 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 is true correct. r Executed on 113112019 Date Executed on 1131/2019 Date Executed on Date Executed on By By or By Signature of Controlling Ofiicehotder, Candidate, Stale Nfeamre Proponent By 5ignatn , crf Gontroliing OficetiuIder, Candidate, Slate Measure I rotwnent FPPC Form 460 (Jan/2416) FPPC Advice_ adviceofppc.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 Robert "Bob" Velker OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Diamond Bar City - Member of the City" CoUnc RESIDENTIAUBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP Diamond Bar, CA 91765 Related Committees Not Included in this Statement: List soy 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. I.D. NUMBER NAME OF TREASURER ( CONTROLLED COMMITTEE ❑ YFS ® NO COMMITTEE ADDRESS (NO P:O, BOX) CITY STATE ZIP CODE AREACODEIPHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO FO. BOX) CITY STATS ZIF CODE AREA CODEJPHONE COVED PAGE - PART 2 Page _...? of 6. Primarily Formes{ Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO OR LETTER1 JURISDICTION j SUPPORT ❑ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OR HELD DISTRICT 7. Primarily Formed Candidate/Officeholder Committee Listnames 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 OFFtCEHOLLER OR CANDIDATE OFFICE SOUGHTORWELD © SUPPORT Q OPPOSE NAME OF OFFICEHOLDf R OR CANDIDATE OFFICE SOUGHT OR HELD [] SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD (. SUPPORT ❑ OPPOSE Attach continuation sheets Jtnscossary FPPC Form 460 (Jan/2016) FPPC Advice. advice@fppc.ca..gav (666/2753777) www.fppc.ca.gov Campaign Disclosure Statement Amounts may be rounded to whole dollars. Summary Page Statement cowers period 10120/2018 from SUMMARY PAGE Expenditures Made 6, Payments Made................................................................ schedutet L;ne 4 $ 778.25 7. Loans Made... ............. ........... Schedule H, Line 3 0 8. SUBTOTAL CASH PAYMENTS .......................................... Add Lines s + 1 $ 778.25 9. Accrued Expenses (Unpaid Bills) .......... SAheduie t Lime 3 .... 0 10. Nonmonetary Adjustment Schedule c, Line 3 190:00 11. TOTAL EXPENDITURES MADE...,.,.-.. - .... ,....... Add Lines a + 9 + f© $ 968.25 Current Cash Statement 12. Beginning Cash Balance ............................ Previous Surnmary Page, Lige 16 $ 13. Cash Receipts........................................................... Column A, Lrne 3 above 14. Miscellaneous Increases to Cash .................................. Schedule t. Line 4 15, Cash Payments......................................................... Column A, Line a above 16. ENDING CASH BALANCE .................Add Lines 12 +13 + 14, then subtract Life 15 $ if this is a termination statement, Line 16 must be zero. 17, LOAN GUARANTEES RECEIVED- ...... ................. Schedule B, Parte $ ................ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ................................................ See instructions on reverse $ 19, Outstanding Debts. ................ ........... .. Add Line2+Line9inCotumnl3aboue $ 231.17 799.00 0 778.25 251.92 0 0 3400.00 $ 2277.45 0 $ 2277.45 0 190.00 $ 2467.45 To calculate Column i3, add amqunts in Column A to the corresponding amounts from Column B of your last report. Some amounts in Column A may be negative figures that should be subtracted from previous period amounts. If this is the tlrst report being filed for this calendar Vaal, only carry over the amounts from dines 2, 7. and 9 (if any). Expenditure Limit Summary for State Candidates 22, Cumulative Expenditures Made* (t€ Subject to Voluntary Expenditure Limit) Bate of Election Total to Date (mmldd{yy) �J $ 1 ............1� $ Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (Jan/2016) FPPC Advice: aduice@f.ppc.ca4ov (865¢275-3772) www,fppc.ca.gov through 1MV2018 Page 3 of SEE INSTRUCTIONS ON REVERSE NAMIF OF FILER E.D. NUIVIKR Robert Velker 1380976 Column A Column B Calendar Year Summary for Candidates ,y CContributionsr Received TOTAL THIS PERIOD CALENDAAYEAR Funning in Both the State Primary and jFROWATTAGHED SGHLDVLEM WTAl. TO PATE General Elections 799.00 2137.40 1. Monetary Contributions.................................................. Schedule A, Lind 3 $ $ 911 through fii30 70 to Bate 0 .3400,00 2. Loans Received............................_..----....................,....... sehsduin S, Line s 799.00 5237.40 24. Contributions 2969.00 3- SUBTOTAL CASH CONTRIBUTIONS .............................. Add Linea 1 +2 $ $ Received � , -- --. 190.00 670-00 4. NanmanetaryContributions ......................................... heduie C, Line 3 sc.�dd 29. Expenditures 2463.2 116.7 fa3.25 98 9.0 9A0 59©7.40 Made g 5. ICTAL CONTRIBUTIONS RECEIVED-......-.... .. .... Lrnes s + 4 $ ___ $ _ - -- Expenditures Made 6, Payments Made................................................................ schedutet L;ne 4 $ 778.25 7. Loans Made... ............. ........... Schedule H, Line 3 0 8. SUBTOTAL CASH PAYMENTS .......................................... Add Lines s + 1 $ 778.25 9. Accrued Expenses (Unpaid Bills) .......... SAheduie t Lime 3 .... 0 10. Nonmonetary Adjustment Schedule c, Line 3 190:00 11. TOTAL EXPENDITURES MADE...,.,.-.. - .... ,....... Add Lines a + 9 + f© $ 968.25 Current Cash Statement 12. Beginning Cash Balance ............................ Previous Surnmary Page, Lige 16 $ 13. Cash Receipts........................................................... Column A, Lrne 3 above 14. Miscellaneous Increases to Cash .................................. Schedule t. Line 4 15, Cash Payments......................................................... Column A, Line a above 16. ENDING CASH BALANCE .................Add Lines 12 +13 + 14, then subtract Life 15 $ if this is a termination statement, Line 16 must be zero. 17, LOAN GUARANTEES RECEIVED- ...... ................. Schedule B, Parte $ ................ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ................................................ See instructions on reverse $ 19, Outstanding Debts. ................ ........... .. Add Line2+Line9inCotumnl3aboue $ 231.17 799.00 0 778.25 251.92 0 0 3400.00 $ 2277.45 0 $ 2277.45 0 190.00 $ 2467.45 To calculate Column i3, add amqunts in Column A to the corresponding amounts from Column B of your last report. Some amounts in Column A may be negative figures that should be subtracted from previous period amounts. If this is the tlrst report being filed for this calendar Vaal, only carry over the amounts from dines 2, 7. and 9 (if any). Expenditure Limit Summary for State Candidates 22, Cumulative Expenditures Made* (t€ Subject to Voluntary Expenditure Limit) Bate of Election Total to Date (mmldd{yy) �J $ 1 ............1� $ Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (Jan/2016) FPPC Advice: aduice@f.ppc.ca4ov (865¢275-3772) www,fppc.ca.gov Qr•Feni tilln A Amounts may be rounded SCHEDULE A Monetary Contributions Received to whole dollars. Statement covers period CALIFORNIA 460 horn 10/2012018 FORM 12/31/2018 through Page of— SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Robert Velker 1380976 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, F14TER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE T{) DATE CALENDAR YEAR PER ELEriION TO DATE RECEIVED (IF C�MMI7iEF, A[ 8O ENTER LD. NUMBER) CODE * ff SEI -r -EMPLOYED. ENTER NAME PEMOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF C3U5fft��'S�p Robert Velker 9 IND COM El400.00400.00 Candidate 1400.00 1070°00 10/22/2018 ED OTH OTH Diamond Bar, CA 91765 ❑ PTY I ❑ GCC Robert Velker IND ❑ com Candidate 300.00 1700,00 1700.00 111512018 ❑ oTH Diamond Bar, CA 91765 ❑PTI' ❑ scc ❑ IND ❑ CONi ❑ OTH ❑ PTY ❑SCC ❑ IND ❑ com ❑ OTH Ply' ❑ SCC ❑ IND ❑ com ❑ OTH ❑ PTY ❑ sCC SUBTOTAL $ 799.00 Schedule A Summary 1, Amount received this period — itemized monetary contributions. (Include all Schedule A subtotals.) ........................................................................................................$ 2. Amount received this period — unitemize€i monetary contributions of less than $10€7 ...........................$ 3, Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Wage, Column A, Line 1.}......................TOTAL $ 700.00 99.00 7991.00 "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 FPPE Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (9661275-3772) www.fpPc.ca.gov Amounts may be rounded SCHEDULE B - PART 1 Schedule B — Part 1 to whale dollars. Statement covers period CALIFORNIA Loans Received from 10/20/2018 FORM through 12131/2018 Page - ___ of .. NAME OF FILER I.D. NUMBER Robert Velker 1380976 FULLMAME:STREET ADDRESS AND ZIP CODE WAN INDIVIDUAL, ENTER OUTSTANDING AMOUNT AMOUNT WTSTANDING INTEREST AMOUNT PAID ORIGINAL CUMULATIVE OCCUPATION AND EMPLOYER OE LENDER BALANCE RECEIVED THIS BALANCE AT PAID THIS (IF SELF-EMPLOYED, E€>0YEF2 BEGINNING THIS OR F�R�RIOD CLOSE OF TFf15 Aivi0U1VT OF GE}NTFtBUTIC?NS 1F GOMMFFTEE, ALSO ENTER 9.D. NUMBER1 � ruM� or �U51NE99} PERIOD PERIOD THIS PERIOD ` PERIOD PERIOD OF RUSIN. LOAN T9 DATE Robert Velker © PAID CALENDAR YEAR t s 3100.00 $ 2100.00 5. 3100.00 ❑ FORGIVEN VERELECr1oI- Diamond Bar, CA 91765 RATE $ 3100.00 10128/15 $ 3100m t® IND ❑ COM ❑ OTH ❑ PTY ❑ SCG $ _0 PATE DUE DATEINCURRED ..,_. ---m ❑ PAID CALENDAR YEAR ❑ FORGIVEN RATE PERELECTION*" DATE CLUE © IND ❑ COM ❑ OTH ❑ PTY ❑ SCC PATE INCURREC ❑ PAID CALENUA.R YEAR 4 $� % $ 3— AER ELECTION- I ❑ FORGIVEN _ $ $ $ - _ $ .�..,..... LAtE0U1 tEl IND ❑ COM © OTH ❑ PTY ❑ SCG DATE. kNCt1FiRED ^^ sUST®TALS $ 0$ $ 3100.00 Schedule B Summary 1. Loans received this period ................................................... (Total Column (b) plus unitemized loans of less than $100.) 2. Loans paid or forgiven this period............................................................................................................$ _ n (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.) ........... ............................ ............ ....,.,..... NET $ 0 Enter the net here and on the Summary Page, Column A, Line 2. {May be anegatIve n"mb—} ;enter Ie! Cr Schedule F, Une 3) tContributor Codes IND — Individual COIF — Recipient Committee (other than PTY or SCC) LITH — Other (e.g., business entity) PTY — PoIltical Party SCC — Small Contributor Committee 'Amounts forgiven or paid by another party also must be reported on Schedule A. FPPC Form 460 {tan/2016) *` If required. FPPC Advice: advlce@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Iqe*_�9�tillilp r Amounts may be rounded SCHEDULE C Nonmonetary Contributions Received ro wnoie goaars. Statement covers period CALIFORNIAFORM from .a. 1 012 012 0 1 8 through 12/3112018 - - Fuge 6 of SEE INSTRUCTIONS 9N REVERSE NAME OF FILER I.D. NUMBER Robert Velker 1380976 DATE PULL CONTRIBUTOR IF AN INDIVIDUAL, ENTER i9CCUPATION AND EMPLOYER DESCRIPTION OF AHt(3UNTf FAIR MARKET CUMULATIVE TO DATE PER ELECTION TO DATE RECEIVED ZiP CODE OF CONTRIBUTOR {i �OMWIIiiE�, ALSO rNro L T €.a, rv�meL�} CODE * IIF SELF-EMPLOYFF). F TFN NAME or- BUSINESS) GOODS OR SERVICES VALUE CALENDAR YEAR (JAN 1 - DEC 31) IF REQUIRED 1 ) Daren Obrecht IND none Banners 070.(10 10/2612018 F1GOM 190.01 670.00 Diamond Bar, CA 91765 E] STH PTY ❑ SCC IND COM ❑ OTH 1 PTY ® SCC ❑ IND ❑ com ❑ OTH ❑ PTY ❑ SCG ❑ IND ❑ GOM ❑ OTH ❑ PTY ❑ SCG Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ Schedule C Summary 1. Amount received this period — itemized nonmonetary contributions. (Include all Schedule C subtotals.). ...................................... -- ...................................... ..................... --- ........ $ 2. Amount received this period — un'Iternized nonmonetary contributions of less than $100 — ...............................$ 3. Total nonmonetary contributions received this period. (Add Lines 1 and 2. Enter Frere and on the Summary Page, Column A, Lines 4 and 10.).....................TOTAL $ 190.00 0 190.00 'Contributor Codes IND - Individual COM - Recipient Committee (other then PTY or SCG) OTH -- tither (e.g., business entity) PTY -- Political Party SCC - Small Contributor Committee FPPC Form 469 (Jan/299.6) FPPC Advice. advice@tppc.Ca.gov (866/275-3772) www.fppc.ca.gov Schedule E Payments Nude Amounts may be rounded to whole dollars. Statement covers per from 1012012018 SCHEOULE E through ..... 12/3112018 Pale _ 7 of SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Robert Velker 1360976 CODES., If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment CMP campaign parapherrtalialmisc. 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 workerssalaries CVG civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filinglballot fees PHO phone banks TRC candidate travel, €edging, and meals FND fundraising events POL pollipq and survey research TRS sta*-Spouse travel, lodging, and meals IND independent expenditure supportinglopposing others (explain)" POS postage, delivery and messenger services TSF transfer between committees of the same candidatelsponsnr 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 IIF COMM FF -Arse EwsEtt i.e. NUMeEP) CGDE OR DESCRIPTION OF PAYMENT AMOUNT PAID US Bank - -- -- Bank Service Charges OFC 15.00 Saint Paul, IVIN 55101-0800 Coyle Reproductions Yard Signs - GMP 233.26 Brea, CA 92821 Cornerstone Graphics Yard Sign Stakes CIVIP 54.75 Covina, CA 91792 " Payments that are contributions or independent expenditures trust also be summarized on Schedule D. SUBTOTAL $ 308.01 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 an the Summary Page, Column A, Line 6,) ........................... TOTAL $ 778.25 0 0 778.25 FPPC Form 460 iJan/2016) FPPC Advice- advlce@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E Amounts may be rounded (Continuation Sheet) to whole dollars. Payments Made SEE INSTRUGT![ONS ON REVERSE Robert Velker statement covers pork from 10/20/2018 through 1 2131 /201 8 SCHEDULE E (CONT.) Page S of -€]- NUMBER 1380976 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment, GMP campaign para ptiernaiialmisc. Mi3R member communications RAD radio aklime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)* OFC office expenses SAI. 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 POO polling and survey research TRS staffrspmAse travel, lodging, and meals IND independent expenditure. supportingiopposing others (explain)' POS postage, delivery and messenger services TSF Iransfer between committees of the same candidatelsponsor LEG legal defense PRO professional services (legal, acoaunting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (intemet, e-mail) tlb Payments that are (,crntributions or independent expenditures must also be summarized on Schedule I]. SUBTOTAL $ 470.2$ FPPIC Fortis 460 (Ian/2016) FPPC Advice. advice@fppc�ca.gov (866/275-3772) www.fppc.ca.gov