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Home My WebLink AboutDavid Haubert for Mayor 2016_ 01-01-2017-06-30-2017 COVER PAGE Recipient Committee Date Stamp Campaign Statement CALIFORNIA 460 Cover Page FORM (Government Code Sections 84200-84216.5) Statement covers period Date of election if applicable: (Month, Day,Year) g/i,5//7 Page 1 of 7 from 01/01/2017 For Official Use Only SEE INSTRUCTIONS ON REVERSE through 06/30/2017 11/08/2016 1. Type of Recipient Committee: All committees-Complete Parts 1,2,3,and 4. 2. Type of Statement: IN Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑ Preelection Statement ❑ Quarterly Statement Q State Candidate Election Committee Committee IN Semi-annual Statement ❑ Special Odd-Year Report Q Recall 0 Controlled (Also Complete Part 5) 0 Sponsored ❑ Termination Statement ❑ Supplemental Preelection (Also file a Form 410 Termination) Statement-Attach Form 495 (Also Complete Part 6) LI General Purpose Committee ❑ Amendment(Explain below) Q Sponsored ❑ Primarily Formed Candidate/ Q Small Contributor Committee Officeholder Committee Q Political Party/Central Committee (Also Complete Part 7) 3. Committee Information I.D. NUMBER Treasurer(s) 1363526 COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER DAVID HAUBERT FOR MAYOR 2016 DAVID BAUER MAILING ADDRESS STREET ADDRESS(NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS(IF DIFFERENT) NO.AND STREET OR P.O. BOX MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX/E-MAIL ADDRESS OPTIONAL: FAX/E-MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my - _.._- Executed on By " Date Proponent or Responsible Officer of Sponsor Executed on By Date Signature of Controlling Officeholder,Candidate,State Measure Proponent Executed on By Date 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 www.netfile.com COVER PAGE-PART 2 Recipient Committee CALIFORNIA Campaign Statement FORM 460 Cover Page—Part 2 Page 2 of 7 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE DAVID HAUBERT OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO.OR LETTER JURISDICTION ❑ SUPPORT Mayor: DUBLIN ❑ OPPOSE RESIDENTIAVBUSINESS ADDRESS (NO.AND STREET) CITY STATE ZIP Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER,CANDIDATE,OR PROPONENT 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 OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME I.D. NUMBER DAVID HAUBERT FOR CITY COUNCIL 2016 1346083 7. Primarily Formed Candidate/Officeholder Committee List names of NAME OF TREASURER CONTROLLED COMMITTEE? officeholder(s)or candidate(s)for which this committee is primarily formed. DAVID BAUER © YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O.BOX) NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE CITY STATE ZIP CODE AREA CODE/PHONE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE COMMITTEE NAME I.D. NUMBER NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF TREASURER CONTROLLED COMMITTEE? NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ YES ❑ NO ❑ SUPPORT ❑ OPPOSE COMMITTEE ADDRESS STREETADDRESS (NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary FPPC Form 460(Jan/2016) FPPC Advice:advice @fppc.ca.gov(866/275-3772) www.fppc.ca.gov www.netfile.com Campaign Disclosure Statement SUMMARY PAGE Amounts may be rounded Statement covers period CALIFORNIA 460 Summary Page to whole dollars. from 01/01/2017 FORM SEE INSTRUCTIONS ON REVERSE through 06/30/2017 Page 3 of 7 NAME OF FILER I.D. NUMBER DAVID HAUBERT FOR MAYOR 2016 1363526 Column A Column B Calendar Year Summary for Candidates Contributions Received TOTAL THIS PERIOD CALENDAR YEAR Running in Both the State Primary and (FROM ATTACHED SCHEDULES) TOTALTO DATE 9 rY General Elections 1. Monetary Contributions Schedule A,Line 3 $ 0.00 $ 0.00 1/1 through 6/30 7/1 to Date 2. Loans Received Schedule B,Line 3 0.00 5,000.00 3. SUBTOTAL CASH CONTRIBUTIONS Add Lines 1+2 $ 0.00 $ 5,000.00 20. Contributions Received $ $ 4. Nonmonetary Contributions Schedule C,Line 3 0.00 0.00 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED AddLines3+4 $ 0.00 $ 5,000.00 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made Schedule E,Line 4 $ 560.38 $ 560.38 Candidates 7. Loans Made Schedule H,Line 3 0.00 0.00 22. Cumulative Expenditures Made` 8. SUBTOTAL CASH PAYMENTS Add Lines 6+7 $ 560.38 $ 560.38 (If Subject to Voluntary Expenditure Limit) 9. Accrued Expenses (Unpaid Bills) Schedule F,Line 3 0.00 5,000.00 Date of Election Total to Date 10. Nonmonetary Adjustment Schedule C,Line3 0.00 0.00 (mm/dd/yy) 11. TOTAL EXPENDITURES MADE Add Lines 8+9+10 $ 560.38 $ 5,560.38 / / $ Current Cash Statement i_i $ 12. Beginning Cash Balance Previous Summary Page,Line 16 $ 19,365.54 To calculate Column B,add 13. Cash Receipts Column A,Line 3 above 0.00 amounts in Column A to the corresponding amounts *Amounts in this section may be different from amounts 14.Miscellaneous Increases to Cash Schedule I,Line 4 0.00 from Column B of your last reported in Column B. 15.Cash Payments Column A,Line 8 above 560.38 report. Some amounts in Column A may be negative 16. ENDING CASH BALANCE Add Lines 12+13+14,then subtract Line 15 $ 18,805.16 figures that should be subtracted from previous If this is a termination statement, Line 16 must be zero. period amounts. If this is the first report being filed 17. LOAN GUARANTEES RECEIVED Schedule B,Part 2 $ 0.00 for this calendar year, only carry over the amounts Cash Equivalents and Outstanding Debts any)Lines 2,7,and 9(if 18. Cash Equivalents See instructions on reverse $ 0.00 19. Outstanding Debts Add line 2+Line 9 in Column B above $ 10,000.00 FPPC Form 460(Jan/2016) FPPC Advice:advice©fppc.ca.gov(866/275-3772) www.fppc.ca.gov www.netfile.com . SCHEDULE B-PART 1 Schedule B—Part 1 Amounts may be rounded Statement covers period Loans Received to whole dollars. from 01/01/2017 CAFORMNIA 460 SEE INSTRUCTIONS ON REVERSE through 06/30/2017 Page 4 of 7 NAME OF FILER I.D. NUMBER DAVID HAUBERT FOR MAYOR 2016 1363526 IF AN INDIVIDUAL, ENTER OUTSTANDING AMOUNT (N OUTSTANDING (e) (f) (g) FULL NAME,STREET ADDRESS AND ZIP CODE AMOUNT AMOUNT PAID INTEREST ORIGINAL CUMULATIVE OCCUPATION AND EMPLOYER BALANCE BALANCE AT OF LENDER (IF SELF-EMPLOYED,ENTER BEGINNING THIS RECEIVED THIS OR FORGIVEN CLOSE OF THIS PAID THIS AMOUNT OF CONTRIBUTIONS (IF COMMITTEE,ALSO ENTER La NUMBER) NAME OF BUSINESS) PERIOD PERIOD THIS PERIOD' PERIOD PERIOD LOAN TO DATE DAVID HAUBERT THE CANDIDATE ❑PA° CALENDAR YEAR $ 0.00 $ 5,000.00 0.00 % $ 5,000.00 $ 0.00 El FORGIVEN RATE PER ELECTION*"' $ 5,000.00 $ 0.00 $ 0.00 $ 0.00 11/10/2015 $ I'M IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED ❑PAID CALENDAR YEAR $ $ % $ $ I=1 FORGIVEN RATE PER ELECTION** $ $ $ $ $ t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED ❑PAID CALENDAR YEAR $ $ % $ $ ❑FORGIVEN RATE PER ELECTION** $ $ $ $ $ t❑ IND ❑COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED SUBTOTALS $ 0.00$ 0.00$ 5,000.00$ o.00 (Enter(e)on Schedule B Summary Schedule E,Line3) 1. Loans received this period $ 0.00 (Total Column(b)plus unitemized loans of less than$100.) tContributor Codes IND—Individual 2. Loans paid or forgiven this period $ 0.00 COM—Recipient Committee (Total Column(c)plus loans under$100 paid or forgiven.) (other than PTY or SCC) (Include loans paid by a third party that are also itemized on Schedule A.) OTH—Other(e.g., business entity) PTY—Political Party 3. Net change this period. (Subtract Line 2 from Line 1.) NET $ o.o SCC-Small Contributor Committee Enter the net here and on the Summary Page, Column A, Line 2. (May bea negative number) *Amounts forgiven or paid by another party also must be reported on Schedule A. **If required. FPPC Form 460(Jan/2016) FPPC Advice:advice @fppc.ca.gov(866/275-3772) www.fppc.ca.gov www.neffile.com Schedule D Summa of Expenditures SCHEDULE D 'y p Amounts may be rounded Statement covers period CALIFORNIA 460 Supporting/Opposing Other to whole dollars. Candidates, Measures and Committees from 01/01/2017 FORM SEE INSTRUCTIONS ON REVERSE through 06/30/2017 Page 5 of 7 NAME OF FILER I.D.NUMBER DAVID HAUBERT FOR MAYOR 2016 1363526 CUMULATIVE TO DATE PER ELECTION DATE NAME OF CANDIDATE,OFFICE,AND DISTRICT,OR TYPE OF PAYMENT DESCRIPTION AMOUNT THIS CALENDAR YEAR TO DATE MEASURE NUMBER OR LETTER AND JURISDICTION, (IF REQUIRED) OR COMMITTEE PERIOD (JAN.1-DEC.31) (IF REQUIRED) 03/13/2017 DAN CUNNINGHAM p Monetary Refund of Contribution -100.00 -100.00 Board of Education DUBLIN USD Contribution ❑ Nonmonetary Contribution ❑ Independent El Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure • ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure SUBTOTAL $ -100.00 Schedule D Summary 1. Contributions and independent expenditures made this period of$100 or more. (Include all Schedule D subtotals.) $ -100.00 2. Unitemized contributions and independent expenditures made this period of under$100 $ 100.00 3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.) TOTAL $ 0.00 FPPC Form 460(Jan/2016) www.netfile.com FPPC Advice:advice @fppc.ca.gov(866/275-3772) www.fppc.ca.gov SCHEDULE E • Schedule E Statement covers period CALIFORNIA 460 Payments Made Amounts twhole dollars.nded FORM y from 01/01/2017 SEE INSTRUCTIONS ON REVERSE through 06/30/2017 Page 6 of 7 NAME OF FILER I.D. NUMBER DAVID HAUBERT FOR MAYOR 2016 1363526 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CIVP 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 FET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees FHO phone banks TRC candidate travel,lodging,and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals ND 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 UT campaign literature and mailings PRT print ads WEB information technology costs (Internet, e-mail) NAME AND ADDRESS OF PAYEE OF COMMITTEE,ALSO ENTER 1.0.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID DAVID BAUER PRO 656.88 DAN CUNNINGHAM FOR DUBLIN SCHOOL BOARD (ID# 1389510) CONTRIBUTION NOT CASHED -100.00 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 556.88 Schedule E Summary 1. Itemized payments made this period.(Include all Schedule E subtotals.) $ 556.88 2. Unitemized payments made this period of under$100 $ 3.50 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 $ 560.38 FPPC Form 460(Jan/2016) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) www.fppc.ca.gov www.netfile.com SCHEDULE F Schedule F Amounts may be rounded Statement covers period CALIFORNIA 460 Accrued Expenses (Unpaid Bills) to whole dollars. from 01/01/2017 FORM through_ 06/30/2017 Page 7 of 7 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D.NUMBER DAVID HAUBERT FOR MAYOR 2016 1363526 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 ND 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) CODE OR (a) (b) (c) (d) NAME AND ADDRESS OF CREDITOR OUTSTANDING AMOUNT INCURRED AMOUNT PAID OUTSTANDING (IF COMMITTEE,ALSO ENTER I.D.NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE OF THIS PERIOD (ALSO REPORT ONE) OF THIS PERIOD POTOMAC RESEARCH AND CONSULTING, LLC CNS 5,000.00 0.00 0.00 5,000.00 *Payments that are contributions or independent expenditures must also be SUBTOTALS$ 5,000.04 0.00$ 0.00$ 5,000.00 summarized on Schedule D. Schedule F Summary 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for accrued expenses of$100 or more, plus total unitemized accrued expenses under$100.) INCURRED TOTALS $ 0.00 2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on accrued expenses of$100 or more, plus total unitemized payments on accrued expenses under$100.) PAID TOTALS $ 0.00 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and on the Summary Page, Column A, Line 9.) NET 0.00 May be a negative number FPPC Form 460(Jan/2016) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) www.netfile.com www.fppc.ca.gov