campaign statements - fishpaw

8/8/2019 Campaign Statements - Fishpaw

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City of Los AltosFPPC CAMPAIGN DISCLOSURE STATEMENT

Name of Committee: Fishpaw For Council 2010

Treasurer: Jerome T. Fishpaw

DISCLAIMER:



460COVER PAGE

Recipient CommitteeDate Stampype or print in ink.

CALIFORNIAampaign StatementFORM

Cover Page(Government Code Sections 84200-84216.5) CITY CLERK'S O F F ~ __

of -l.1Statement covers period Date of election if applicable:

(Month, Day, Year) For Official Use Onlyfrom 07/01/10

2010 OCT - r p ;}: 3 r11/02/10through 09/30/10EE INSTRUCTIONS ON REVERSE

1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4. 2. Type of Statement:hll . '

I;z] Officeholder, Candidate Controlled Committeeo State Candidate Election Committee

o Recall(Also Complele PanS)

o General Purpose Committee

o Sponsored

o Primarily Formed Ballot MeasureCommittee

o Controlled

o Sponsored(Also Complele Pan 6)

o Primarily Formed Candidate/

[;z] Preelection Statemento Semi-annual Statement

o Termination Statement(Also file a Form 410 Termination)

o Amendment (Explain below)

o Quarterly Statemento Special Odd-Year Report

o Supplemental PreelectionStatement- Attach Form 495

o Small Contributor Committee

o Political Party/Central Committee

Officeholder Committee(Also Compiele Pari 7)

I.D. NUMBER3. Committee Information

1329511COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)

Fishpaw for Council 2010

STREET ADDRESS (NO P.O. BOX)

15 Del Monte Avenue

CITY STATE ZIP CODE AREA CODE/PHONE

Los Altos CA 94022 650-949-5331

MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX


4.

OPTIONAL: FAX / E-MAIL ADDRESS

[email protected]

Executed on

Executed on

09/30/10Dale

4 / I 'D-Dale 1

By

By r-"

Treasurer(s)

NAME OF TREASURER

Jerome T. Fishpaw

MAILING ADDRESS

15 Del Monte AvenueCITY STATE ZIP CODE AREA CODE/PHONE

Los Altos CA 94022 650-949-5331

NAME OF ASSISTANT TREASURER. IF ANY

MAILING ADDRESS


OPTIONAL: FAX / E-MAIL ADDRESS

[email protected]

I certify

- - . ._ ' ••

~ ~ ' \ ' I ~ ~ - - - '1 , . . . " ' , . . . .u : __ . _ I J _ _ ,.......I...I_._ .... _._ ...~ . .... ,_,-..<L . . . . _

Executed on Date By Signature of Conirolling Officeholder. Candidate, State Measure Proponent

Executed on Date

FPPC Form 460 (January/OS)

FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)

State of California

By -------,:S""igr=-='a""'u:::re"":o"'r'='on""'""ol"-l n"'g"O f"e < > ""h C'o "d e '= 'a n : dw l d : = - e," "S ' = - eM; " e : = - su= 'e - P : o= po= n: en :-----



Type or print in ink.Campaign Disclosure StatementAmounts may be rounded

Summary Page to whole dollars.

SEE INSTRUCTIONS ON REVERSE

NAME OF FILER


Contributions Received

1. Monetary Contributions .. Schedule A, Line 3

2. Loans Received .. Schedule B. Line 3

3. SUBTOTAL CASH CONTRIBUTIONS .. Add Lines 1 + 2

4. Nonmonetary Contributions . Schedule C, Line 3

5. TOTAL CONTRIBUTIONS RECEIVED Add Lines 3 + 4

Expenditures Made6. Payments Made .. . Schedule E. Line 4

7. Loans Made . Schedule H, Line 3

8. SUBTOTAL CASH PAYMENTS Add Lines 6 + 7

9. Accrued Expenses (Unpaid Bills) Schedule Line 3

10. Nonmonetary Adjustment Schedule C. Line 3

11. TOTAL EXPENDITURES MADE ................. ..... AddLines8+9+ 10

Current Cash Statement

12. Beginning Cash Balance .. Previous Summary Page, Line 16

13. Cash Receipts .. .. Column A, Line 3 above

14. Miscellaneous Increases to Cash .. Schedule I, Line 4

15. Cash Payments .. .. Column A. Line 8 above

16. ENDING CASH BALANCE ........ Add Lines 12 + 13 + 14, then subtract Line 15

If this is a termination statement, Line 16 must be zero.

ColumnATOTAL THIS PERIOD

(FROMAnACHED SCHEDULES)

$

$

$

$

$

$

3870

3000

6870

689

7559

3908

o

3908

o

689

4597

o$

6870

o3908

2962$

o7. LOAN GUARANTEES RECEIVED . Schedule B, Part 2 $

Cash Equivalents and Outstanding Debts

o8. Cash Equivalents. See ins/nuctions on reverse $

300019. Outstanding Debts .. Add Line 2 + Line 9 in Column B above $

$

$

$

$

$

$

Statement covers period

from 07/01/10

through 09/30/10

Column BCALENDAR YEAR

TOTALTO DATE

3870

3000

6870

689

7559

3908

o

3908

o

689

4597

To calculate Column B, add

amounts in Column A to the

correspon'ding amounts

from Column B of your last

report. S ome amounts in

Column A may be negative

figures that should be

subtracted from previous

period amounts. If this is

the first report being fried

for this calendar year, only

carry over the amounts

from Lines 2, 7, and 9 (if

any).

SUMMARY PAGE

CALIFORNIA 460FORM

Page 3 of 1\

1.0 NUMBER

1329511

Calendar Year Summary for Candidates

Running in Both the State Primary and

General Elections

1/1 through 6130 7/1 to Date

20. ContributionsReceived $ _ $----

21. ExpendituresMade $ .._ _ $----

Expenditure Limit Summary for State

Candidates

22. Cumulative Expenditures Made'(If Subject o 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.





Schedule AMonetary Contributions Received

Type or print in ink.

Amounts may be rounded

to whole dollars.Statement covers period

from 07/01/10

SCHEDULE A

CALIFORNIA 460FORM

SEE INSTRUCTIONS ON REVERSENAME OF FILER through

09/30/10Page

4 \ \of - ' - --

Fishpaw for Council 2010 1329511.0. NUMBER

AMOUNT PER ELECTIONUMULATIVE TO DATEF AN INDIVIDUAL. ENTERFULL NAME. STREET ADDRESS AND ZIP CODE O.F CONTRIBUTOR ICONTRIBUTORDATE TO DATEECEIVED THIS CALENDAR YEARCCUPATION AND EMPLOYER(IF COMMITTEE. ALSO ENTER /.D. NUMBERI CODE *RECEIVED (IF SELF-EMPLOYED. ENTER NAME (IF REQUIRED)ERIOD (JAN. 1 - DEC. 31)OF BUSINESS)

~ I N D oCOM Realtor 100008/24/10DOTH Coldwell BankeroPTY

OSCC

IZIIND

oCOM Egg Farmer 250508/29/10DOTH Self EmployedoPTY

OSCC

Q'] IND

oCOM Employment Recruiter 100008/31/10DOTH PersonalizedOPTY PlacementsOSCC

I!llIND

oCOM Retired 100008/22/10DOTH

oPTY

OSCC

Q']IND

OCOM Homemaker250 2509/01/10

DOTH

oPTY

OSCC

SUBTOTALS 800 I

Schedule A Summary

1. Amount received this period - itemized monetary contributions.(Include all Schedule A subtotals.) $

2700_

2. Amount received this period - unitemized monetary contributions of ess than $100 . .$ 1170

3. Total monetary contributions received this period.(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) .. TOTAL $ 3870

'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





9124110

Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CaNT.)

Amounts may be rounded Statement covers periodonetary Contributions Receivedto whole dollars. CALIFORNIA 460

from 07/01/10 FORM

through 09/30/10 Page 5 of 1\

NAME OF FILER I.D. NUMBER

Fishpaw for Council 2010 1329511

AMOUNT PER ELECTIONUMULATIVE TO DATEF AN INDIVIDUAL, ENTERFULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR ICONTRIBUTORDATE RECEIVED THIS TO DATEALENDAR YEARCCUPATION AND EMPLOYER(IF COMMITTEE. AlSO ENTER 1.0. NUMBERICODE *RECEIVED (IF SELF-EMPLOYED, ENTER NAME PERIOD (IF REQUIRED)JAN. 1 - DEC. 31)

OF BUSINESS)

IlIINDGail Hall IT Manager\OCOM

09/08/10 10000United AirlinesOPTY

OSCC

DOTH

flllNDHomemaker

OCOM09/10/10 100 350DOTH

OPTY

OSCC

IZIINDRetired

OCOM09/21/10 100 100

DOTH

OPTY

OSCC

IZIIND Insurance BrokerOCOM

09/22/10 500 500Vita InsuranceDOTH

OPTY Associates, Inc.

oscc

IZIINDRetired

OCOM 15050DOTH

OPTY

OSCC

SUBTOTALS 950 I I

'Contributor Codes

IND -Individual

COM - Recipient Commil1ee


OTH - Other (e.g., business entity)PTY - Political Party

SCC - Small Contributor Commil1eeFPPC Form 460 (January/OS)

FPPC Toll-Free Helpline: B66/ASK-FPPC (B66/275-3772)



460

9/25/10

9/25/10

9/26/10

9/27/10

9/28/10


Amounts may be rounded Statement covers periodto whole dollars.

Monetary Contributions ReceivedCALIFORNIA

from 07/01/10 FORM

through 09/30/10 Page 6 o f_ ' I



AMOUNT PER ELECTIONUMULATIVE TO DATEF AN INDIVIDUAL. ENTERFULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR ICONTRIBUTORDATE RECEIVED THIS TO DATEALENDAR YEARCCUPATION AND EMPLOYER(IF COMMITTEE. ALSO ENTER 1.0. NUMBER) CODE *RECEIVED (IF SELF·EMPLOYEO. ENTER NAME PERIOD (IF REQUIRED)JAN. 1 - DEC. 31)

OF BUSINESS)

IllIND

OCOM

DOTH

OPTY

OSCC

~ I N D OCOM

DOTH

OPTY

osee

I l l IND

OCOM

DOTH

OPTY

OSCC

IZlINDOCOM

DOTH

OPTY

osce

IZlIND

DeoMDOTH

OPTY

osce

Retired10000

Retired10000

ConsultantNolunteer10000

Retired20000

Business, Meru Networks150 150

= = = = = = = = = = = = = = S = = U = B = T = O = T A = L = = S = = = = 6 = 5 = 0 = 1 = = = = = = = = = ~ _

·Contributor Codes

IND -Individual



OTH - Other (e.g., business entity)PTY - Polilical Party

FPPC Form 460 (January/OS)SCC - Small Conlributor Committee

FPPC ToII·Free Helpline: 866/ASK-FPPC (866/275-3772)




Amounts may be rounded Statement covers periodonetary Contributions ReceivedCALIFORNIA 460o whole dollars.

from 07/01/10 FORM

through 09/30/10 Page 7 of I \NAME OF FILER I.D.NUMBER


DATE

RECEIVED

FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR ICONTRIBUTOR(IF COMMInEE. ALSO ENTER I.D. NUMBER) CODE *

IF AN INDIVIDUAL, ENTER

OCCUPATION AND EMPLOYER

(IF SELF·EMPLOYED. ENTER NAMEOF BUSINESS)

AMOUNTRECEIVED THIS

PERIOD

CUMULATIVE TO DATE

CALENDAR YEAR

(JAN. 1 - DEC. 31)

PER ELECTION

TO DATE

(IF REQUIRED)

Elayne Dauber\ZJ IND

oCOM

DOTH

OPT'(

OSCC

Retired100 100

o lND

QlCOM

DOTH

OPTY

OSCC

200 200

o lND

oCOM

DOTH

OPT' (

OSCC

OINDDCOM

DOTH

OPT' (

OSCC

o lND

oCOM

DOTH

OPT' (

OSCC

9/29/10

9/30/10

SUBTOTAL$ 300 [ I

-Contributor Codes

IND -Individual


(other than PT'( or SCC)

OTH - Other (e.g., business entity)PTY - Political Party

FPPC Form 460 (January/OS)SCC - Small Contributor Committee




SCHEDULE B -PART 1

Schedule 8 - Part 1Loans Received



to whole dollars.


from 07/01/10CALIFORNIA 460

FORM

SEE INSTRUCTIONS ON REVERSE through09/30/10 Page __8_ of _1_1_


1329511

(d) (el (f) (9)

OUTSTANDING INTEREST ORIGINAL CUMULATIVEBALANCE AT

PAID THIS AMOUNT OF CONTRIBUTIONSCLOSE OF THIS

PERIoD PERIOD LOAN TO DATE

CALENDAR YEAR

1000 I N/A %$

1000 s 1000RATE

PER ELECTION"

N/AS

08/16/10DATE DUE DATE INCURRED I

CALENDAR YEAR

2000 I N/A s 2000 I s 3000RATE

PER ELECTION"

N/AS

09/16/10DATE DUE DATE INCURRED

CAI.ENDAR YEAR

- - "R ~ T E PER HEeTlON"

oo PAID

Ib) I Ie)AMOUNT AMOUNT PAID

RECEIVED THIS OR FORGIVEN

PERIOD THIS PERIOD'

•OUTSTANDING

BALANCE

BEGINNING THIS

PERI

IF AN INDIVIDUAL. ENTER

OCCUPATION AND EMPLOYER

(IF SELF.EMPLOYED. ENTER

NAME OF BUSINESS)

Business Analyst

Cisco Systems

FULL NAME. STREET ADDRESS AND ZIP CODE

OF LENDER

(IF COMMITTEE. ALSO ENTER 1.0. NUMBER)


Jarrett Fishpaw

o FORGIVEN

0 I s 1000 I s 0

t(;lJ IND o COM DOTH D PTY o SCC

I

Business Analysiso PAID

Cisco Systems L .___o FORGIVEN

0 2000 0I S st INO o COM DOTH o PTY [I SCC

' I I I o PAID

S _

o FORGIVEN

to IND 0 COM DOTH 0 PTY 0 SCC I I I DATE DUE I I DATE INCURR£Q

SUBTOTALS $ $ $ $ I(Enler te) on

Schedue E. Une 3)Schedule B Summary

30001. Loans received this period . ............................................. $

(Total Column (b) plus unitemized loans of less than $100.) tContributor Codes

IND -Individualo2. Loans paid or forgiven this period $ COM - Recipient Committee

(Total Column (c) plus loans under $1 00 paid or forgiven.) (other than PTY or SCC)

OTH - Other (e.g., business entity)(Include loans paid by a third party that are also itemized on Schedule A.)PTY - Political Party

3000 SCC - Small Contributor Committee3. Net change this period. (Subtract Line 2 from Line 1.) NET $

(May be a negalive number)

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. FPPC Form 460 (January/OS)


I



460

Type or print in ink.Schedule C SCHEDULECAmounts may be rounded

Nonmonetary Contributions Received to whole dollars.Statement covers period

CALIFORNIAfrom 07/01/10 FORM

SEE INSTRUCTIONS ON REVERSEthrough 09/30/10 Page__9_ of

NAME OF FILER1.0. NUMBER


DATE

RECEIVED

FULL NAME, STREET ADDRESS AND

ZIP CODE OF CONTRIBUTOR(IF COMMITIEE. ALSO ENTER 10. NUMBER)

CONTRIBUTOR

CODE *

IF AN INDIVIDUAL, ENTER

OCCUPATION AND EMPLOYER(IF SELF·EMPLOYED. ENTER

NAME OF BUSINESS)

DESCRIPTION OF

GOODS OR SERVICES

AMOUNTI

FAIR MARKET

VALUE

CUMULATIVE TO

DATE

CALENDAR YEAR(JAN 1 - DEC 31)

PER ELECTION

TO DATE(IF REOUIRED)

09/23/10Structural Engineers, Inc.

4970 EI Camino Real

Los Altos, CA 94022

DIND

DCOM

[;Z]OTH

DPTY

OSCC

Printer Ink480 480

DIND

DCOM

DOTH

DPTY

DSCC

DIND

DCOM

DOTH

DPTY

DSCC

DIND

DCOM

DOTH

DPTY

DSCC

Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 480

Schedule C Summary 'Contributor Codes

1. Amount received this period - itemized nonmonetary contributions.(Include all Schedule C subtotals.) $

480_

INO -Individual



2. Amount received this period - unitemized nonmonetary contributions of less than $100

3 Total nonmone tary contributions received this period.

$ 209 OTH - Other (e.g., business entity)

PTY - Political Party

SCC - Sma I Contributor Committee

(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.) TOTAL $ 689FPPC Form 460 (January/OS)




Schedule EPayments Made



to whole dollars.


from 07/01/10

CALIFORNIAFORM

SCHEDULEE

460


NAME OF FILER


through 09/30/10 Page 10_I.D. NUMBER

1329511

of II

CODES: If one of the following codes accurately describes the payment. you may enter the code. Otherwise, describe the payment.

CfVP campaign paraphernalia/misc, MBR member communications RAD radio airtime and production costs

CNS campa ign consult ants MTG meetings and appearances RFD returned contributionsCTB 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 PI-D phone banks TRC candidate travel, lodging, and mealsFND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals

IN ) independent expenditure supporting/opposing others (explain)' POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsorLEG legal defense PRO professional services (legal, accounting) VaT voter registrationLIT campaign literature and mailings PRT print ads \NEB information technology costs (internet. e-mail)

NAME AND ADDRESS OF PAYEE(IF cOMMlnEE,ALSO ENTER I.D, NUMBER) AMOUNT PAIDODE OR DESCRIPTION OF PAYMENT

Victorystore.com5200 SW 30th Street CMP 928

Davenport, Iowa 52802

Town Crier

138 Main Street2004

Los Altos, CA 94022

PRT

Reimbursement for postage stamps175

Jo Ann Flshpaw

* Payments that are contributions or independent expenditures must also be summarized on Schedule D, SUBTOTAL $ 3107

Schedule E Summary

1. Itemized payment s made this period. (InclUde all Schedul e E subtotals.) $ 3501

2. Unitemized payments made this period of under $1 00 $ 407

3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) , , $ 0

4. Total payments made this period. (Add Lines 1,2, and 3. Enter here and on the Summary Page, Column A, Line 6.) TOTAL $ 3908





Schedule E

(Continuation Sheet)Payments Made



to whole dollars.


from 07/01/10

SCHEDULE E (CaNT)

CALIFORNIA 460FORM I


NAME OF FILER

through 09/30/10 Page _1_1_

I.D.NUMBER

o f_1_J_


CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.

C1vP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs

CNS campaign consultants MTG meetings and appearances RFD returned contributions

cm contribution (explain nonmonetary)'OFC

office expenses SAL campaign workers' salariesCVC civic donations F£T petition circulating TEL t.v. or cable airtime and production costsFIL candidate filing/ballot fees Pf-() phone banks TRC candidate travel. lodging, and mealsFND fundrarsing events POL polling and survey research TRS staff/spouse travel, lodging, and mealsIN ) 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) Va T voter registrationLIT campaign literature and mailings PRT print ads IM::B information technology costs (internet, e-mail)

NAME AND ADDRESS OF PAYEE(IF COMMITTEE. ALSO ENTER 1.0. NUMBER)

CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID

Office Depot910 EI Monte Avenue

Mountain View, CA 94040

Paper and envelopes for literature259

Main Street Cafe

134 Main Street

Los Altos, CA 94022

Coffee & Pastries135

I* Payments that are contributions or ndependent expenditures must also be summarized on Schedule D. SUBTOTAL $


FPPC Toll-Free Helpline: 866/AS K-FPPC (866/275-3772)

394

campaign statements - fishpaw

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