HomeMy WebLinkAboutStrah Form 460 01-01-2016 through 06-30-2016_Redacted'EE INSTRUCTIONS ON REVERSE
from
Statement covers period
01/01/2016
through 06/30/2016
1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4.
® Officeholder, Candidate Controlled Committee
0 State Candidate Election Committee
0 Recall
(Also Compkte Part 5)
❑ General Purpose Committee
0 Sponsored
0 Small Contributor Committee
0 Political Party /Central Committee
3. Committee Information
❑ Primarily Formed Ballot Measure
Committee
0 Controlled
0 Sponsored
(Also Complete Part 6)
❑ Primarily Formed Candidate/
Officeholder Committee
(Also Complete Part 1)
I.D. NUMBER
1381689
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
Melissa Hernandez Strah for Dublin Council 2016
CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX / E -MAIL ADDRESS
Date Stamp
RECEIVED
Date of election if applicable: AUG 1 2016
(Month, Day, Year)
CAW � OF DUBLIN
CWV PMA'NAGER'S OR
2. Type of Statement:
❑ Preelection Statement
® Semi - annual Statement
❑ Termination Statement
(Also file a Form 410 Termination)
❑ Amendment (Explain below)
Treasurer(s)
NAME OF TREASURER
Pauline Tokunaga
MAILING ADDRESS
Anne Piegaro
MAILING ADDRESS
COVER PAGI
Page 1 of 9
For Official Use Only
❑ Quarterly Statement
❑ Special Odd -Year Report
E. Verification
I have used all reasonable diligence in preparing and reviewing this statement and to the best of m nd 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 a
Executed on July 29, 2016
Date
Executed on July 29, 2016
Date
Executed on
Date
Executed on
Date
By
By
By
Signature of Controlling Officeholder, Candidate, State Measure Proponent
By
Signature of Controlling Officeholder, Candidate, State Measure Proponent
FPPC Form 460 (Jan /201E
FPPC Advice: advice @fppc.ca.gov (866/275 -3772
erunu 4nnn ne an
Recipient Committee
Campaign Statement
Cover Page ® Part 2
i. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE
Melissa Hernandez Strah
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IFAPPLICABLE)
Councilmember
RESIDENTiAUBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP
Related Committees Not Included in this Statement: Listany 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.
COMMITTEE NAME I I.D. NUMBER
NAME OF TREASURER I CONTROLLED COMMITTEE?
❑ YES ❑ NO
STREETADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE-
COMMITTEE NAME I.D. NUMBER
NAME OF TREASURER
CONTROLLED COMMITTEE?
❑ YES ❑ NO
S STREETADDRESS (NO P.O, BOX)
CITY STATE ZIP CODE AREACODE /PHONE
COVER PAGE - PART 2
Page 2 of 9
6. Primarily Formed Ballot Measure Committee
NAME OF BALLOT MEASURE
BALLOT NO. OR LETTER J JURISDICTION
1 1771 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 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 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 /201E
FPPC Advice: advice @fppc.ca.gov (866/275 -3772
www.fppc.ca.go
,% Amounts Disclosure Statement Amounts may be rounded
)ummary Page to whole dollars.
;EE INSTRUCTIONS ON REVERSE
IAME OF FILER
Melissa Hernandez Strah for Dublin Council 2016
Statement covers period
from 01/01/2016
through 06/30/2016
.*ontributions Received
$
0
Column A
Column B
To calculate Column B,
3. Cash Receipts ............................ ............................... column A, Line 3 above
TOTAL THIS PERIOD
(FROM ATTACHED SCHEDULES)
6,649
CALENDARYEAR
TOTAL TO DATE
Monetary Contributions .................... ...............................
Schedule A, Line
$
6,549
$
6,549
!. Loans Received ................................. ...............................
schedule 6, Line
6. ENDING CASH BALANCE ..................Add lines 12 + 13 + 14, then subtract Line 15
100
6 368.50
100
I. SUBTOTAL CASH CONTRIBUTIONS ..............................
Add Lines 1 +2
$
6,549
$
6,549
Nonmonetary Contributions ............. ...............................
schedule c, Line 3
0
0
i, TOTAL CONTRIBUTIONS RECEIVED ........ ............................Add
Lines 3 +4
$
6,649
$
6,649
expenditures Made
only carry over the amounts
,ash Equivalents and Outstanding Debts
from Lines 2, 7, and 9 (if
i, Payments Made ................................. ...............................
schedule E, Line 4
$
280.50
$
280.50
Loans Made ........................................ ...............................
schedule H, Line 3
9. Outstanding Debts .............................. Add Line 2 +Line 9 in Column 8 above
0
0
{. SUBTOTAL CASH PAYMENTS ........... ...............................
Add Lines 6 +7
$
280.50
$
280.50
I. Accrued Expenses (Unpaid Bills) ..........................................
Schedule F Line
0
0
0. Nonmonetary Adjustment .......................... ...............................
schedule c, Line 3
0
0
1. TOTAL EXPENDITURES MADE ......... ...............................
Add Lines 6 + 9 + 10
$
280.50
$
280.50
current Cash Statement
2. Beginning Cash Balance ............................ Previous summary Page, Line 16
$
0
To calculate Column B,
3. Cash Receipts ............................ ............................... column A, Line 3 above
6,649
add amounts in Column
4. Miscellaneous Increases to Cash ... ............................... schedule i, Line 4
0
A to the corresponding
amounts from Column B
5. Cash Payments .......................... ............................... column A, Line 6 above
280.50
of your last report. Some
6. ENDING CASH BALANCE ..................Add lines 12 + 13 + 14, then subtract Line 15
$
6 368.50
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
7. LOAN GUARANTEES RECEIVED . ............................... Schedule B, Part
$
0
filed for this calendar year,
only carry over the amounts
,ash Equivalents and Outstanding Debts
from Lines 2, 7, and 9 (if
any).
8. Cash Equivalents ................. ............................... see instructions on reverse
$
9. Outstanding Debts .............................. Add Line 2 +Line 9 in Column 8 above
$
SUMMARY PAGI
I.D. NUMBER
1381689
Calendar Year Summary for Candidates
Running in Both the State Primary and
General Elections
1/1 through 6/30 7/1 to Date
20. Contributions
Received $ 6,649 $ 0
21. Expenditures
Made $ 280.50 $ 0
IExpenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made*
(If Subject to Voluntary Expenditure Limit)
Date of Election Total to Date
(mm /dd /yy)
I I $
*Amounts in this section may be different from amounts
reported in Column B.
FPPC Form 460 (Jan /2016
FPPC Advice: advice @fppc.ca.gov (866/275 -3772
www.fppc.ca.go
►chedule A Amounts may be rounded SCHEDULE
{.. ... L,.1_ J _.._
nonetary Contributions Received LO W110le collars.
Statement covers period
_
from 01/01/2016
®
,I •
_E INSTRUCTIONS ON REVERSE
through 06/30/2016
page 4 of 9
WE OF FILER I.D. NUMBER
Melissa Hernandez Strah for Dublin Council 2016 1381689
DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION
(IF COMMITTEE, ALSO ENTER I.D. NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE
RECEIVED CODE
(IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) OF REQUIRED)
OF BUSINESS)
Operating Engineers Local Union No. 3
❑ IND
171 coM
Political Action
01/29/16
District 20 PAC
❑ OTH
Committee
$500
$500
1620 South Loop Road
® PTY
Alameda, CA 94502 (ID #891396
❑scc
Advanced Automatic Sprinker Inc.
❑ IND
❑ coM
Small Business
03/31/16
1947 San Ramon Valley Blvd Suite 100
® OTH
Self- Employed
$500
$500
San Ramon, CA 94583
❑ PTY
❑ SCC
Laborers' International Union of North America
❑ IND
❑ coM
Political Action
05/09/16
Local 73 PAC Fund
❑ OTH
Committee
$500
$500
3984 Cherokee Rd.
® PTY
Stockton, CA 95215
El scC
Laborers' Local Union 270 PAC
❑ 1ND
E3 coM
Politcal Action Committee
05/03/16
Small Contributor Committee ID #901351
$500
$500
555 Capitol Mall, Suite 1425
❑ OTH
Sacramento, CA 95814
® PTY
❑ scc
Laborers Local 185 PAC
❑ IND
Political Action
04/19/16
ID #870122
El coM
❑ OTH
Committee
$500
$500
555 Capitol Mall, Ste 1425
Sacramento, CA 95814
® PT,
❑ scc
SUBTOTAL $ 2,500
ichedule A Summary
Amount received this period — itemized monetary contributions.
(Include all Schedule A subtotals.) ........................................... ...............................
Amount received this period — unitemized monetary contributions of less than $100
Total monetary contributions received this period.
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.)..,....
...............$
...............$
TOTAL $
6,549
0
6,549
*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 /201E
FPPC Advice: advice @fppc.ca.gov (866/275 -3772
www.fppc.ca.go
Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULEA (CON
Monetary Contributions Received to whole dollars. Statement covers period ,
®.
i
from 01 /01 /2016 ®-
through 06/30/2016 p 5 of 9
IAME OF FILER
Hernandez Strah for Dublin Council 2016 1381689
DATE CONTRIBUTOR FAN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION
FULL NAME, STREETADDRESS AND ZIP CODE OF CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE
RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE *
(IF SELF - EMPLOYED, ENTER NAME
OF BUSINESS) PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED)
Transition Financial Services LLC
❑ IND
Small Business
05/17/16
6850 Regional St., Suite 100
❑ coM
® OTH
$200
$200
Dublin, CA 94568
❑ PTY
❑ SCC
Mlchael T. Temkin
® IND
Physician
015101/16
❑ coM
Self- Employed
$500
$500
❑ OTH
❑ PTY
❑ SCC
Kenneth A. Fletcher
® IND
Retired
06114/16
❑ COM
$100
$100
❑ OTH
❑ PTY
❑ SCC
Committee for Biddle Dublin Council
❑ IND
Committee
06/30/16
IP CoM
$500
$500
❑ OTH
❑ PTY
❑ SCC
i
® IND
Executive Assistant
01/31/16
❑ coM
Riverbed Technology
$50
$50
❑ OTH
❑ PTY
❑ SCC
SUBTOTAL $ 1,350
*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.go
schedule A (Continuation Sheet)
Monetary Contributions Received
Melissa Hernandez Strah for Dublin Council 2016
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01/2016_
through 06/30/2016
SCHEDULE A (CON
Page 6 of 9
1381689
E
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CONTRIBUTOR
CODE *
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
(IF SELF - EMPLOYED, ENTER NAME
OF BUSINESS)
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
Lin B t
® IND
Teacher
01/31/16
El coM
❑ OTH
Dublin Unified School
$50
$50
❑ PTY
District
❑ SCC
Joe Washincton
® IND
Comcast Manager
01/31/16
❑ coM
CSN Bay Area
$99
$99
❑ OTH
❑ PTY
❑ SCC
S encer Yu
is IND
Security Computer Tech
01/27/16
❑ coM
Reuters Inc.
$200
$200
❑ OTH
❑ PTY
❑ SCC
Olivia Sanwong
62 IND
Thermofisher
03/17/16
El coM
❑ OTH
� vc-h
$150
$150
❑ PTY
❑ SCC
Construction & General Laborers
❑ IND
Political Action Committee
03/08/16
Local Union 304 PAC ID#902565
❑ coM
$500
$500
555 Capitol Mall, Suite 1425
❑ OTH
Sacramento, CA 95814
® PTY
❑ scc
SUBTOTAL$ ggg
*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.go
Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULEA (CON
Monetary Contributions Received to whole dollars, Statement covers period ® .
A
from
01/01/2016 ®°
i,
through 06/30/2016 page 7 of 9
IAME OF FILER I.D. NUMBER
Melissa Hernandez Strah for Dublin Council 2016 1381689
DATE CONTRIBUTOR IFAN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION
FULL NAME, STREETADDRESS AND ZIP CODE OF CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE
RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE *
(IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN, 1 -DEC, 31) (IF REQUIRED)
OF BUSINESS)
IBEW Local 595 PAC
I] IND
Political Action Committee
03/07/16
ID #1273532
❑coM
❑ OTH
$500
$500
6250 Village Pkwy
®PTY
Dublin, CA 94568
❑ SCc
® IND
Supervisor
06/30/16
Now
p COM
Sacramento Water Co.
$200
$200
❑ OTH
❑ PTY
❑ SCC
San Francisco Laborer's Local 261
❑ IND
Politcal Action Committee
05/31/16
PAC I D #981076
❑ CoM
$500
$500
3271 18th Street
El OTH
San Francisco, CA 94110
® PTY
❑ Scc
Northern California District Council of Laborers
❑ IND
Political Action Committee
04/25/16
PAC ID #1243030
❑ COM
$500
$500
555 Capitol Mall, Ste 1425
❑ OTH
® PTY
Sacramento, CA 95814
❑ SOC
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
SUBTOTAL $ 1,700
`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 /201E
FPPC Advice: advice @fppc.ca.gov (866/275 -3772
www.fppc.ca.go
�Giledll0e 1 Amounts may be rounded
to whole dollars.
.®arcs Received
EE INSTRUCTIONS ON REVERSE
SCHEDULE B - PART'
Statement covers period
from 01/01/2016
through 06/30/2016 1 I Page 8 of 9
AME OF FILER
LID, NUMBER
Jlelissa Hernandez Strah for Dublin Council 2016
1381689
FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OUTSTANDING a
OCCUPATION AND EMPLOYER BALANCE
AMOUNT
AMOUNT PAID
OUTSTANDING
BALANCE AT
INTEREST
ORIGINAL CUMULATIVE
OF LENDER (IF SELF-EMPLOYED, ENTER BEGINNING THIS
(IF COMMITTEE, ALSOENTER Lb. NUMBER)
RECEIVED THIS
PERIOD
OR FORGIVEN
*
CLOSE OF THIS
PAID THIS
PERIOD
AMOUNT OF CONTRIBUTION.
LOAN TO DATE
NAME OF BUSINESS) PERIOD
THIS PERIOD
PERIOD
trah
❑ PAID
CALENDARYEAR
$
$ 100
°�°
$ 100
$
❑ FORGIVEN
PER ELECTION'
. RATE
100
100
DATE DUE
DATE INCURRED
® IND ❑ COM ❑ OTH El PTY ❑SCC
❑ PAID
CALENDARYEAR
[:1 FORGIVEN FORGIVEN
PER ELECTION*
DATE DUE
DATE INCURRED
❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
❑ PAID
CALENDAR YEAR
❑ FORGIVEN
PER ELECTION*
RATE
DATE DUE
DATE INCURRED
❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
SUBTOTALS $
v
$ $ $
~Y�
(Enter (e) on
g,
>chedUle B Summary
Schedule E, Line 3)
Loansrecoivod this poriod .......................................................................................
.............................$°
inn
(Total Column (b) plus unitoinizod loans of less than $100.)
tcontributor Codes
Loans paid or fol'givon UII:; podod ..................... ............... ....................................
...............................
$
IND - Individual
COM - Recipient Committee
(Total Column (C) I)Ills IUiln,� ►It1dtt ,3'100 I)�tict el fol'giVen,)
(other than PTY or SCC)
(Include 1011115 hrti(I by a thlr(t Mil ly thol 1110 n1so iloinizod on Schedule A.)
OTH - Other (e,g., business entity)
PTY - Political Party
, Net change this horiod. (Subillact hlne 2 froth 1,11 to 'I ) ... ............................... ............................
NET $
jno
SCC - Small Contributor Committee
Enter the net horn and oil iho f,-1mi luny I logo, (ielumn A, I -,1110 2.
(May
be a negative number)
"Amounts forgiven or pald by onothor potty olvio niti t bo iopoltod on t}chodulu A, FPPC Form 460 (Jan /2016
If required. FPPC Advice; advlcepfppc.ca.gov (866/275 -3772
www.fppc.ca.go
Schedule
Dayments Made
EE INSTRUCTIONS ON REVERSE
Melissa Hernandez Strah for Dublin Council 2016
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01/2016
through 06/30/2016
:ODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
SCHEDULE
I.D. NUMBER
1381689
.MP
campaign paraphernalia /misc.
MBR
member communications
RAD radio airtime and production costs
:NS
campaign consultants
MTG
meetings and appearances
RFD returned contributions
;TB
contribution (explain nonmonetary)*
OFC
office expenses
SAL campaign workers' salaries
:VC
civic donations
PET
petition circulating
TEL t.v. or cable airtime and production costs
'IL
candidate filing /ballot fees
PHO
phone banks
TRC candidate travel, lodging, and meals
AD
fundraising events
POL
polling and survey research
TRS staff/spouse travel, lodging, and meals
VD
independent expenditure supporting /opposing others (explain)*
POS
postage, delivery and messenger services
TSF transfer between committees of the same candidate /sponsor
,EG
legal defense
PRO
professional services (legal, accounting)
VOT voter registration
,IT
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 AMOUNT PAID
'edric Chong Design
Logo creation
for campaign
?398 Walters Way, #4
LIT
Design based
on client specification
232.50
,oncord, CA 94520
Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 232.5(
schedule E Summary
Itemized payments made this period. Include all Schedule E subtotals. $ 232.50
!. Unitemized payments made this period of under $ 100 ........................................................................................................... ............................... $
48
i. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column ( e).) .............................................. ............................... $
0
i. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ........................... TOTAL $
280.50
FPPC Form 460 (Jan /201E
FPPC Advice: advice @fppc.ca.gov (866/275 -3772
www.fppc.ca.go
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