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Home My WebLink AboutJean Josey 460_07-01-2019 - 12-31-2019 Semi-Annual - RedactedRecipient Committee pate Stamp COVER PAGE Campaign Statement Cover Page (Government Code Sections 84200-84216.5) 1270713 SEE INSTRUCTIONS ON REVERSE Statement covers period from 07/01/2019 through 12/31/2019 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. ❑x Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure 0 State Candidate Election Committee Committee 0 Recall 0 Controlled (Also Complete Part5) 0 Sponsored (Also Complete Part 6) ❑ General Purpose Committee 0 Sponsored ❑ Primarily Formed Candidate/ 0 Small Contributor Committee Officeholder Committee 0 Political Party/Central Committee (Also Complete Part7) 3. Committee Information I.D. NUMBER I ;OMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMM Jean Josey for Dublin City Council 2018 STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX 6937 Village Pkwy #2359 CITY STATE ZIP CODE AREA CODE/PHONE Dublin CA 94568 OPTIONAL: FAX / E-MAIL ADDRESS RECEIVE Date of election if applicable: (Month, Day, Year) JAN 2 9 2020 Page 1 5 For Official Use Only 11/06/2018 CITY OF DUBLIN CTTNF MIAE°c R,' 2. Type of Statement: ❑ Preelection Statement ❑ quarterly Statement ❑x Semi-annual Statement ❑ Special Odd -Year Report ❑ Termination Statement ❑ Supplemental Preelection (Also file a Form 410 Termination) Statement - Attach Form 495 ❑ Amendment (Explain below) Treasurers) NAME OF TREASURER MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE 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 knowledge the information 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 and correct. Executed on 01/25/2020 Date Executed on 01/25/2020 Date Executed on Date Executed an Data By By By Signature of Controlling Officeholder, Candidate, State Measure Proponent By Signature of Controlling Officeholder, Candidate, Slate Measure Proponent FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov www.neffile.com Recipient Committee Campaign Statement Cover Page — Part 2 6. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Jean Josey OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) City Council Member RESIDENTIALBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP 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 contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME I.D. NUMBER NAME OF TREASURER I CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. CITY STATE ZIP CODE AREA CODEIPHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE www.netfile.com COVER PAGE - PART 2 Page 2 of 5 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER I JURISDICTION I ❑ 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 List names 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/2016) FPPC Advice: advice@fppc.ca.gov (866/2753772) www.fppc.ca.gov .f, Campaign Disclosure Statement Summary Page Amounts may be rounded to whole dollars. Statement covers period from 07/01/2019 SUMMARY PAGE through 12/31/2019 Page 3 of 5 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Jean Josey for Dublin City Council 2018 1404712 Column A Column B Calendar Year Summary for Candidates Contributions Received TOTALTHIS PERIOD CALENDAR YEAR I , Primary Running n Both the State Prima and (FROMATTACHEDSCHEDULES) TOTALTODATE g General Elections 1. Monetary Contributions ........................................... schedule A, Line 3 $ 100.00 $ 100.00 1/1 through 6/30 7/1 to Date 2. Loans Received...................................................... schedule A Line 3 0.00 0.00 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 +2 $ 100.00 $ 100.00 20. Contributions Received $ $ 4. Nonmonetary Contributions .................................... schedule C, Line 3 0 .00 0.00 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3+4 $ 100.00 $ 100.00 Made $ $ Expenditures Made 6. Payments Made ....................................................... Schedule E, Line 4 $ 3.20 $ 229.20 7. Loans Made............................................................. schedule H, Line 3 0.00 0.00 8. SUBTOTALCASH PAYMENTS .................................... Add Lines 6+7 $ 3.20 $ 229.20 9. Accrued Expenses (Unpaid Bills) ............................... schedule 1, Line 3 0.00 0.00 10. Nonmonetary Adjustment .......................................... ScheduleC, Line 0.00 0.00 11. TOTAL EXPENDITURES MADE ................................ Addlines8+9+10 $ 3.20 $ 229.20 Current Cash Statement 12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ 5,664.99 To calculate Column B, add 13. Cash Receipts ................................................... Column A, Line 3 above 100.00 amounts in Column A to the corresponding amounts 14. Miscellaneous Increases to Cash ........................... schedule 1, Line 4 0.00 from Column B of your last 15. Cash Payments .................................................. Column A, Line 8 above 3.20 report. Some amounts in Column A may be negative 16. ENDING CASH BALANCE .......... Add lines 12 + 13 + 14, then subtract Line 15 $ 5,761.79 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 from Lines 2, 7, and 9 (if Cash Equivalents and Outstanding Debts any). 18. Cash Equivalents ........................................ see instructions on reverse $ 0.00 19. Outstanding Debts ......................... Add Line 2+Line 9 in Column B above $ 0.00 www.neffile.com Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made" (If Subject to Voluntary Expenditure Limit) Date of Election Total to Date (mm/dd/yy) 1 1 $ "Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov 'r Ad►horlrrla A SCHEDULE A --"--"' — Amounts may be rounded Monetary Contributions Received to whole dollars. Statement covers period 6 - , ' 0 from 07/01/2019 • - through 12/31/2019 Page 4 of 5 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Jean Josey for Dublin City Council 2018 1404712 DATE ADDRESSZIP FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IFCOADDRE I.D. NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OFBUSINESS) 08/23/2019 Elias Boudames MIND Investment Consultant 100.00 100.00 G2018 $100.00 ❑ OTH ❑ PTY ❑ SCC ❑IND ❑COM ❑ OTH ❑ PTY ❑ SCC ❑IND ❑COM ❑ OTH ❑ PTY ❑ SCC ❑IND ❑COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑COM [:]OTH ❑ PTY ❑ SCC SUBTOTAL$ 100.00� Schedule A Summary 1. Amount received this period — itemized monetary contributions. (Include all Schedule A subtotals.)........................................................................................................ $ 2. Amount received this period — unitemized monetary contributions of less than $100 ............................. $ 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $ 100.00 0.00 100.00 "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 (86612753772) wwwJppc.ca.gov www.netfile.com yl s Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE OF FILER Jean Josey for Dublin City Council 2018 Amounts may be rounded to whole dollars. SCHEDULE E Statement covers period from 07/01/2019 through 12/31/2019 I Page 5 of s I.D. NUMBER CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. 1404712 CNP campaign paraphemalia/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 F'ET 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 IND 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 (IF COMMITTEE,ALSO ENTER I.0.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 0.00 Schedule E Summary 1. Itemized payments made this period. (include all Schedule E subtotals.).............................................................................................................. $ 0.00 2. Unitemized payments made this period of under$100.......................................................................................................................................... $ 3.20 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 $ 3.20 www.netfile.com FPPC Form 460 (Jan/2016) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/2753772) www.fppc.ca.gov