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HomeMy WebLinkAboutHaubert Form 460 01-01-2018 to 04-21-2018 F= , Recipient Committee Date Stamp COVER PAGE Campaign Statement CALIFORNIA 460 Cover Page RECEIVED FORM (Government Code Sections 84200-84216.5) Statement covers period Date of election if applicable: 01/01/2018 (Month, Day,Year) APR 3 0 2018 Page 1 of 17 from For Official Use Only 11/os/2o16 CITY OF DUBLIN SEE INSTRUCTIONS ON REVERSE through 04/21/2018 CITY MANAGER'S OFFICE 1. Type of Recipient Committee: All Committees—Complete Parts 1,2,3,and 4. 2. Type of Statement: El Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure p Preelection Statement ❑ Quarterly Statement O State Candidate Election Committee Committee ❑ Semi-annual Statement ❑ Special Odd-Year Report O Recall 0 Controlled (Also Complete Part 5) Sponsored ❑ Termination Statement ❑ Supplemental Preelection p (Also file a Form 410 Termination) Statement-Attach Form 495 (Also Complete Part 6) . ❑ General Purpose Committee ❑ Amendment(Explain below) Q Sponsored ❑ Primarily Formed Candidate/ Q Small Contributor Committee Officeholder Committee O 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 _ ( 1/4 ii 8 By //�JJ Date Signature of Controlling OfficeholNer,CapSlAate,S te Measure Propon nt 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 Campaign Statement CAF MNIA 460 R Cover Page—Part 2 V Page 2 of 17 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 RESIDENTIAUBUSINESS 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 NAME OF TREASURER CONTROLLED COMMITTEE? 7. Primarily Formed Candidate/Officeholder Committee List names of 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 STREET ADDRESS (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.netfile.com www.fppc.ca.gov Campaign Disclosure Statement SUMMARY PAGE Amounts may be rounded Summary Page to whole dollars. Statement covers period CALIFORNIA 460 from 01/01/2018 FORM SEE INSTRUCTIONS ON REVERSE through 04/21/2018 Page 3 of 17 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 (FROM ATTACHED SCHEDULES) TOTALTODATE Running in Both the State Primary and General Elections 1. Monetary Contributions Schedule A,Line 3 $ 12,755.00 $ 12,755.00 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 $ 12,755.00 $ 17,755.00 20. Contributions Received $ $ 4. Nonmonetary Contributions Schedule C,Line 3 0.00 0.00 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED AddLines3+4 $ 12,755.00 $ 17,755.00 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made Schedule E,Line 4 $ 2,058.99 $ 2,058.99 Candidates 7. Loans Made Schedule H,Line 3 0.00 0.00 22. Cumulative Expenditures Made* 8. SUBTOTAL CASH PAYMENTS Add Lines 6+7 $ 2,058.99 $ 2,058.99 (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 $ 2,058.99 $ 7,058.99 i / $ Current Cash Statement / I $ 12. Beginning Cash Balance Previous Summary Page,Line 16 $ 15,215.43 To calculate Column B,add 13. Cash Receipts Column A,Line 3 above 12,755.00 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 2,058.99 report. Some amounts in Column A may be negative 16.ENDING CASH BALANCE Add Lines 12+13+14,then subtract Line 15 $ 25,911.44 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 anv)�m 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.neffile.com , Schedule A Amounts may be rounded - SCHEDULE A Monetary Contributions Received Statement covers period 460 to whole dollars. CALIFORNIA from 01/01/2018 FORM SEE INSTRUCTIONS ON REVERSE through 04/21/2018 Page 4 of 17 NAME OF FILER I.D. NUMBER DAVID HAUBERT FOR MAYOR 2016 1363526 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED,ENTER NAME PERIOD (JAN.1-DEC.31) (IF REQUIRED) OF BUSINESS) 02/06/2018 XIN HU pIND MANAGER 200.00 200.00 G2018 $200.00 ❑OTH ❑PTY ❑SCC 02/08/2018 ALAN CERRO pIND PRINCIPAL 500.00 500.00 G2018 $500.00 ❑OTH ❑PTY 0 s0 02/22/2018 RAMESHU IMMADI ©IND CONSULTANT 500.00 500.00 G2018 $500.00 ❑OTH ❑PTY ❑SCC 02/24/2018 JOHN SENSIBA pIND CPA 100.00 100.00 G2018 $100.00 ❑COM ❑OTH ❑PTY ❑SCC 03/21/2018 KUN YANG pIND FINANCIAL ADVISOR 500.00 500.00 G2018 $500.00 ❑COM ❑OTH ❑PTY ❑SCC SUBTOTAL$ 1,800.00 Schedule A Summary *Contributor Codes 1. Amount received this period-itemized monetary contributions. IND-Individual (Include all Schedule A subtotals.) $ 12,550.00 COM-Recipient Committee (other than PTY or SCC) 2. Amount received this period—unitemized monetary contributions of less than$100 $ 205.00 OTH-Other(e.g.,business entity) PTY-Political Party 3. Total monetary contributions received this period. • s0C-Small Contributor Committee (Add Lines 1 and 2.Enter here and on the Summary Page, Column A, Line 1.) TOTAL $ 12,755.00 FPPC Form 460(Jan/2016) FPPC Advice:advice @fppc.ca.gov(866/275-3772) www.netfile.com www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA 460 to whole dollars. from 01/01/2018 FORM through 04/21/2018 Page 5 of 17 NAME OF FILER I.D.NUMBER DAVID HAUBERT FOR MAYOR 2016 1363526 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED,ENTER NAME PERIOD (JAN.1-DEC.31) (IF REQUIRED) OF BUSINESS) 03/30/2018 INDER DOSANJH RIND MANAGER 500.00 500.00 G2018 $500.00 ❑COM ❑OTH ❑PTY ❑SCC 03/30/2018 valvinder dosanjh RIND dealer 500.00 500.00 ❑OTH ❑PTY ❑SCC 03/31/2018 Huiling Song MIND Director of Sales and 100.00 100.00 O COM Filter Press ❑PTY ❑SCC 04/03/2018 GH PacVest, LLC RIND none 500.00 500.00 ❑COM ❑OTH ❑PTY ❑SCC 04/04/2018 Yang Zhang RIND architect 500.00 500.00 ❑COM ❑OTH ❑PTY ❑SCC SUBTOTAL$ 2,100 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 ■ FPPC Form 460(Jan/2016) FPPC Advice:advice @fppc.ca.gov(866/275-3772) www.fppc.ca.gov www.netfile.com Schedule A (Continuation Sheet) SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. /�6 O from 01/01/2018 FORM 'T through_ 04/21/2018 Page 6 of 17 NAME OF FILER I.D.NUMBER DAVID HAUBERT FOR MAYOR 2016 1363526 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IFSELF-EMPLOYED,ENTER NAME PERIOD (JAN.1-DEC.31) (IF REQUIRED) OF BUSINESS) 04/05/2018 Minna millare ©IND Realtor 200.00 200.00 ❑COM ❑OTH ❑PTY ❑SCC 04/07/2018 jeff main ©IND business owner 500.00 500.00 ❑OTH ❑PTY ❑SCC 04/07/2018 Jia Hao Wu RIND CEO 250.00 250.00 ❑OTH ❑PTY ❑SCC 04/07/2018 Jessica yu Zhang MIND Manager 500.00 500.00 ❑COM ❑OTH ❑PTY ❑SCC 04/07/2018 Weisha Zhu ©IND inverstor 500.00 500.00 ❑COM ❑OTH ❑PTY ❑SCC SUBTOTAL$ 1,950 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 FPPC Form 460(Jan/2016) FPPC Advice:advice @fppc.ca.gov(866/275-3772) www.netfile.com www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA 460 to whole dollars. from 01/01/2018 FORM through 04/21/2018 Page 7 of 17 NAME OF FILER I.D.NUMBER DAVID HAUBERT FOR MAYOR 2016 1363526 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE.ALSO ENTER I.D.NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IFSELF-EMPLOYED,ENTER NAME PERIOD (JAN.1-DEC.31) (IF REQUIRED) OF BUSINESS) 04/08/2018 Peter Wang MIND Startup CEO 100.00 100.00 ❑COM ❑OTH ❑PTY ❑SCC 04/09/2018 SAMMIE XIAO RIND CEO 250.00 250.00 ❑COM ❑OTH ❑PTY • ❑SCC 04/11/2018 Brad Brown RIND Owner 500.00 500.00 ❑COM ❑OTH ❑PTY ❑SCC 04/11/2018 Cynthia Brown RIND Owner 500.00 500.00 ❑COM ❑OTH ❑PTY ❑SCC 04/11/2018 Zheng Rong RIND CEO 500.00 500.00 ❑COM ❑OTH ❑PTY ❑SCC SUBTOTAL$ 1,850.00 *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 FPPC Form 460(Jan/2016) FPPC Advice:advice @fppc.ca.gov(866/275-3772) www.fppc.ca.gov www.netfile.com Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. CALIFORNIA 460 from 01/01/2018 FORM through 04/21/2018 Page 8 of 17 NAME OF FILER I.D.NUMBER DAVID HAUBERT FOR MAYOR 2016 1363526 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED,ENTER NAME PERIOD (JAN.1-DEC.31) (IF REQUIRED) OF BUSINESS) 04/16/2018 BEEC INC. IND 500.00 500.00 G2018 $500.00 COM OTH ❑PTY ❑SCC 04/16/2018 ANA CRUZ pIND HEALTH CARE 500.00 500.00 G2018 $500.00 COM ❑OTH ❑PTY ❑SCC 04/16/2018 DOUG HAUBERT CITY PROSECUTOR 2018 (ID# ❑IND 500.00 500.00 G2018 $500.00 1394341) El COM ❑OTH ❑PTY ❑SCC 04/16/2018 BEATRICE EGU pIND HOMEMAKER 100.00 100.00 G2018 $100.00 ❑COM ❑OTH ❑PTY ❑SCC 04/16/2018 JONATHAN YU ENTERPRISE INC. ❑IND 500.00 500.00 G2018 $500.00 ❑COM p OTH ❑PTY ❑SCC SUBTOTAL$ 2,100 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 FPPC Form 460(Jan/2016) FPPC Advice:advice @fppc.ca.gov(866/275-3772) www.neifile.com www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONY) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA 460 to whole dollars. from 01/01/2018 FORM through 04/21/2018 Page 9 of 17 NAME OF FILER I.D.NUMBER DAVID HAUBERT FOR MAYOR 2016 1363526 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED,ENTER NAME PERIOD (JAN.1 -DEC.31) (IF REQUIRED) OF BUSINESS) 04/16/2018 RICHARD LEE BIND EXECUTIVE 200.00 200.00 G2018 $200.00 ['COM ❑OTH ❑PTY ❑SCC 04/16/2018 NOTHING BUNDT CAKES ❑IND 250.00 250.00 G2018 $250.00 OTH ❑PTY ❑SCC 04/16/2018 RANCHO CERRO LLC IND 500.00 500.00 G2018 $500.00 ❑COM OTH ❑PTY ❑SCC 04/16/2018 Prarthana Rawal BIND N/A 100.00 100.00 ❑COM ❑OTH ❑PTY ❑SCC 04/16/2018 THE QUARRY LANE SCHOOL, INC. IND 500.00 500.00 G2018 $500.00 ❑COM B OTH ❑PTY ❑SCC SUBTOTAL$ 1,550 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 FPPC Form 460(Jan/2016) FPPC Advice:advice @fppc.ca.gov(866/275-3772) wwW.netfile.com www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA 460 to whole dollars. from 01/01/2018 FORM through 09/21/2018 Page 10 of 17 NAME OF FILER I.D.NUMBER DAVID HAUBERT FOR MAYOR 2016 1363526 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE.ALSO ENTER I.D.NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED,ENTER NAME PERIOD (JAN.1-DEC.31) (IF REQUIRED) OF BUSINESS) 04/16/2018 WILDBEE NUTRITION USA GROUP, INC. IND 500.00 500.00 G2018 $500.00 ['COM OTH ❑PTY ❑SCC 04/16/2018 JOY ZHAO pIND ADVERTISING 100.00 100.00 G2018 $100.00 ❑OTH ❑PTY ❑SCC 04/17/2018 Stan Li El IND Education 500.00 500.00 ❑OTH ❑PTY ❑SCC 04/20/2018 Steve Kau El IND Accountant 100.00 100.00 ECM ❑OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC SUBTOTAL$ 1,200.00 *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 FPPC Form 460(Jan/2016) FPPC Advice:advice @fppc.ca.gov(866/275-3772) www.netfile.com www.fppc.ca.gov SCHEDULEB-PART1 Schedule B—Part 1 Amounts may be rounded Statement covers period I CALIFORNIA 460 Loans Received to whole dollars. from 01/01/2018 FORM SEE INSTRUCTIONS ON REVERSE through 04/21/2018 Page 11 of 17 NAME OF FILER I.D. NUMBER DAVID HAUBERT FOR MAYOR 2016 1363526 IF AN INDIVIDUAL ENTER (a) (b) (c) (d) (e) (r) (g) , FULL NAME,STREET ADDRESS AND ZIP CODE OUTSTANDING AMOUNT AMOUNT PAID OUTSTANDING INTEREST ORIGINAL CUMULATIVE OF LENDER OCCUPATION AND EMPLOYER BALANCE BALANCEAT (IFSELF-EMPLOYED,ENTER BEGINNING THIS RECEIVED THIS OR FORGIVEN CLOSE OF THIS PAID THIS AMOUNT OF CONTRIBUTIONS (IF COMMITTEE,ALSO ENTER I.D.NUMBER) NAME OF BUSINESS) PERIOD * PERIOD LOAN TO DATE PERIOD THIS PERIOD PERIOD DAVID HAUBERT THE CANDIDATE El PAID CALENDAR YEAR $ 0.00 $ 5,000.00 0.00 % $ 5,000.00 $ 0.00 ❑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 $ $ % $ $ ❑FORGIVEN RATE PER ELECTION** $ $ $ $ $ to IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED ❑PAID CALENDAR YEAR $ $ % $ $ El FORGIVEN RATE PER ELECTION** $ $ $ $ $ to IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED SUBTOTALS $ o.00$ 0.00$ 5,000.00$ 0.00 (Enter euleE,Lin Schedule B Summary Schedule E,Line 3) 1. Loans received this period $ 0.00 (Total Column(b)plus unitemized loans of less than$100.) tContributor Codes IND— ndividual 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 $ 0.00 SCC—Small Contributor Committee Enter the net here and on the Summary Page, Column A, Line 2. (May be anegafivenumber) *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.netfile.cowww.fppc.ca.gov • Schedule D Summary of Expenditures Statement covers period SCHEDULE D Supporting/Opposing Other Amounts may be rounded CALIFORNIA 460 to whole dollars. Candidates, Measures and Committees from 01/01/2018 FORM SEE INSTRUCTIONS ON REVERSE through 04/21/2018 Page 12 of 17 NAME OF FILER I.D.NUMBER DAVID HAUBERT FOR MAYOR 2016 1363526 NAME OF CANDIDATE,OFFICE,AND DISTRICT,OR CUMULATIVE TO DATE PER ELECTION DATE 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) 02/23/2018 DENNIS GAMES Monetary 100.00 100.00 WATER BOARD © ZONE 7 WATER AGENCY 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 $ 0.00 3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.) TOTAL $ 100.00 www.netfile.com FPPC Form 460(Jan/2016) FPPC Advice:advice @fppc.ca.gov(866/275-3772) www.fppc.ca.gov SCHEDULE E Schedule E Amounts may be rounded Statement covers period CALIFORNIA 460 Payments Made to whole dollars. FORM from 01/01/2018 SEE INSTRUCTIONS ON REVERSE through 04/21/2018 page 13 of 17 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 FET 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 UT campaign literature and mailings PRT print ads WEB information technology costs (intemet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID EFUNDRAISING CONNECTIONS OFC 13.50 EFUNDRAISING CONNECTIONS OFC 33.00 DENNIS GAMBS FOR ZONE 7 WATER BOARD 2018 (ID# 1402481) CTB 100.00 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 146.50 Schedule E Summary 1. Itemized payments made this period.(Include all Schedule E subtotals.) $ 1,980.49 2. Unitemized payments made this period of under$100 $ 78.50 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 $ 2,058.99 FPPC Form 460(Jan/2016) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) www.netfile.com www.fppc.ca.gov Schedule E SCHEDULE E(CONT.) (Continuation Sheet) Amounts may be rounded Statement covers period CALIFORNIA 460 to whole dollars. FORM Payments Made from 01/01/2018 SEE INSTRUCTIONS ON REVERSE through 04/21/2018 Page 14 of 17 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) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE,ALSO ENTER I.D.NUMBER) EFUNDRAISING CONNECTIONS OFC 33.00 EFUNDRAISING CONNECTIONS OFC 7.00 EFUNDRAISING CONNECTIONS OFC 33.00 EFUNDRAISING CONNECTIONS OFC 66.00 EFUNDRAISING CONNECTIONS OFC 7.00 *Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 146.00 FPPC Form 460(Jan/2016) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) www.netfile.com www.fppc.ca.gov • Schedule E SCHEDULE E(CONT.) (Continuation Sheet) Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. FORM 460 Payments Made from 01/01/2018 through 04/21/2018 Page 15 of 17 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 MFG 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) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE.ALSO ENTER I.D.NUMBER) EFUNDRAISING CONNECTIONS OFC 33.00 EFUNDRAISING CONNECTIONS OFC 33.00 EFUNDRAISING CONNECTIONS OFC 13.50 DAVID BAUER PRO 1,104.15 DUBLIN ROTARY CVC 250.00 *Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 1,433.65 FPPC Form 460(Jan/2016) FPPC Toll-Free Helpline:866/ASK-FPPC(8661275-3772) www.netfile.com www.fppc.ca.gov Schedule E SCHEDULE E(CONT.) (Continuation Sheet) Amounts may be rounded Statement covers period CALIFORNIA 460 to whole dollars. FORM Payments Made from 01/01/2018 through 04/21/2018 16 17 SEE INSTRUCTIONS ON REVERSE g Page of 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 AL 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) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE,ALSO ENTER I.D.NUMBER) EFUNDRAISING CONNECTIONS OFC 134.33 EFUNDRAISING CONNECTIONS OFC 16.75 EFUNDRAISING CONNECTIONS OFC 103.26 • *Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 254.34 FPPC Form 460(Jan/2016) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) www.netfile.com www.fppc.ca.gov • SCHEDULE F Schedule F Statement covers period CALIFORNIA Accrued Expenses (Unpaid Bills) Amotowhol dollars.rounded 460 to whole dollars. from 01/01/2018 FORM through 09/21/2018 17 17 SEE INSTRUCTIONS ON REVERSE Page of 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) NAME AND ADDRESS OF CREDITOR CODE OR f (b) (c) (A) OUTSTANDING G 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 ON E) 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,o00.00$ 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 $ o.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