5
"#ffis'\ Committee Q Controlled Q Sponsored (Also Complete Paft 6) ! Primarily Formed Candidate/ Officeholder Committee (AlsoComplete PartT) I.D. NUMBER Recipient Committee Gampaign Statement GoverPage (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE 1 . Type of Recipient Committee: All committees - complete Parts 1, 2, 3, and 4. n Officeholder, Candidate Controlled Committee I Primarily Formed Ballot Measure 2. Type of ! PreelectionStatement fl Semi-annualStatement I TerminationStatement (Also file a Form 410 Termination) fl Amendment (Explain below) COVERPAGE O State candidate Election Committee Q Recall (AlsoCwplete Pad 5) I General Purpose Committee Q Sponsored Q Small Contributor Committee Q Political Party/Central Committee 3. Committee lnformation COMMITTEE NAIME (OR CANDIDATE'S NAME IF NO COMMITTEE) santsa clara County Public safeLy AIIiance n n n Quarterly Statement Special Odd-Year Report Su pplemental Preelection Statement - Attach Form 495 Treasurer(s) NAME OF TREASURER ING ADDRESS 1155 Meridian Avenue, #214 CITY San Jose, CA 95L25 STATE ZIP CODE AREA CODE/PHONE 1408) 978-2064 CITY STATE ZIP CODE AREA CODE/PHONE ffiRER,TFANY Ten Almaden Boulevard, Suite l-250 CITY STATE ZIP CODE AREA CODE/PHONE San Jose. CA 95113 (4nA) 2?1 -?24q OPTIONAL: FAX / E-MAIL ADDRESS OPTIONAL: FAX / E-MAIL ADDRESS 4. verification under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed . tl '> e ' ll Executed on Executed on Executed on www.netfile.com By Bv -' -- Sgnature of controlling officeholder' candidate. State lveasure Proponen( ---------Gnatu@acontrolling officeholder, candidate. State Measure Proponenl FPPC Form 460 (January/0s) FPPC Toll-Free Helpline: 866/A5K-FPPC (866127 r37721 State of California STREET ADDRESS (NO P.O. BOX) 1155 Meridian Avenue, +214 By

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Page 1: caseythomas.files.wordpress.com · Created Date: 3/15/2014 5:36:28 PM

"#ffis'\

Committee

Q Controlled

Q Sponsored(Also Complete Paft 6)

! Primarily Formed Candidate/Officeholder Committee(AlsoComplete PartT)

I.D. NUMBER

Recipient CommitteeGampaign StatementGoverPage(Government Code Sections 84200-84216.5)

SEE INSTRUCTIONS ON REVERSE

1 . Type of Recipient Committee: All committees - complete Parts 1, 2, 3, and 4.

n Officeholder, Candidate Controlled Committee I Primarily Formed Ballot Measure

2. Type of! PreelectionStatement

fl Semi-annualStatement

I TerminationStatement(Also file a Form 410 Termination)

fl Amendment (Explain below)

COVERPAGE

O State candidate Election Committee

Q Recall(AlsoCwplete Pad 5)

I General Purpose Committee

Q Sponsored

Q Small Contributor Committee

Q Political Party/Central Committee

3. Committee lnformationCOMMITTEE NAIME (OR CANDIDATE'S NAME IF NO COMMITTEE)

santsa clara County Public safeLy AIIiance

nnn

Quarterly Statement

Special Odd-Year Report

Su pplemental PreelectionStatement - Attach Form 495

Treasurer(s)

NAME OF TREASURER

ING ADDRESS

1155 Meridian Avenue, #214CITY

San Jose, CA 95L25

STATE ZIP CODE AREA CODE/PHONE

1408) 978-2064

CITY STATE ZIP CODE AREA CODE/PHONE

ffiRER,TFANY

Ten Almaden Boulevard, Suite l-250CITY STATE ZIP CODE AREA CODE/PHONE

San Jose. CA 95113 (4nA) 2?1 -?24qOPTIONAL: FAX / E-MAIL ADDRESSOPTIONAL: FAX / E-MAIL ADDRESS

4. verification

under penalty of perjury under the laws of the State of California that the foregoing is true and correct.

Executed . tl '> e ' ll

Executed on

Executed on

Executed on

www.netfile.com

By

Bv-'

--

Sgnature of controlling officeholder' candidate. State lveasure Proponen(

---------Gnatu@acontrolling

officeholder, candidate. State Measure ProponenlFPPC Form 460 (January/0s)

FPPC Toll-Free Helpline: 866/A5K-FPPC (866127 r37721State of California

STREET ADDRESS (NO P.O. BOX)

1155 Meridian Avenue, +214

By

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Type or print in ink.

RecipientGommitteeCampaign Statement

5. Officeholder or Candidate Controlled Committee

NAME OF OFFICEHOLDER OR CANDIDATE

OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUIV!BER IF APPLICABLE)

RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP

Related Gommittees Not lncluded in this Statement: Listanycommitteesnot included in this statement that are controlled by you or are primarily formed to receivecontrihutions or make expenditures on behalf of your candidacy.

COMMITTEEADDRESS STREETADDRESS (NO P.O. BOX)

CITY SIATE ZIP CODE AREA CODE/PHONE

COMMITTEEADDRESS STREETADDRESS (NO PO. BOX)

STA]E ZIP CODE AREA CODE/PHONE

COVER PAGE - PART 2

5. Primarily Formed Ballot Measure Commiftee

ldentify the controlling officeholder, candidate, or state measure proponent, if any.

NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT

Primarily Formed Candidate/Officeholder Committee List names orofficeholder(s) or candidate(s) for which this committee is primarily formed.

Attach continuation sheefs if necessary

7.

CITY

BALLOT NO. OR LETTER

OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY

CONTROLLED COMMITTEE?

nYES nNo

CONTROLLED COMMITTEE?

n YES fl No

NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD n suPPoRrtr oPPosE

NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD I suPPoRT

T OPPOSE

NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ! suPPoRT

n oPPosE

NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD f] SUPPoRT

! oPPosE

FPPC Form 460 (January/os)FPPC Toll-Free Helpline: 866rA5K-FPPC (8661275-3772)

State of California

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Gampai g n Disclosu re StatementSummary Page

SEE INSTRUCTIONS ON REVERSE

NAME OF FILER

Santa CLara County PubIic Safety Alliance

Gontributions Received

1. Monetary Contributions schedute A, Line 3

2. Loans Received ................. schedute B, Line 3

3. SUBTOTALCASH CONTRIBUTIONS Add Lines 1 + 2

4. Nonmonetary Contributions schedute c, Line 3

5. TOTALCONTRIBUTIONS RECEIVED .....AddLines3+4

Expenditures Made6. Payments Made............ schedute E, Line 4

7. Loans Made schedute H, Line 3

8. SUBTOTALCASH PAYMENTS .................. AddLines6+7

9. Accrued Expenses (Unpaid Bills)...............................Sched1tteF,Lines

10.NonmonetaryAdjustment.................. ..schedutec,Line3

11. TOTALEXPEND|TURESMADE................................AddLinesB+s+10

Current Cash Statement'12. Beginning Cash Balance ..-.................... preyious Summary page, Line 16

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

14. Miscellaneous lncreases to Cash schedule I. Line 4

'l 5. Cash Payments..... Cotumn A, Line I above

1 6. ENDING CASH BAI-ANCE .......... Add Lines 1 z + 1 3 + 1 4, then subtract Line 1 s

/f thls is a termination statement. Line 16 must be zero.

Type or print in ink.Amounts may be rounded

to whole dollars.

Column ATOTALTHIS PERIOD

(FROi/l ATTACHED SCHEDULES)

0.00

0.00

Golumn BCALENDAR YEAR

TOTALlO DATE

0 .00

0.00

0.00

0.00

SUMMARYPAGE

Calendar Year Summary for GandidatesRunning in Both the State Primary andGeneral Elections

1/1 through 6/30 7/1 to Date

20. ContributionsReceived S- $-

21. ExpendituresMade $- $-

Expenditure Limit Summary for StateCandidates

22. Cumulative Expenditures Made*(lf Subiect to Voluntary Expenditure Limit)

Date of Election(mm/dd/yy)

Total to Date

0.00

0.00

0.00 0.00

60. o0 60.00

0.00

319.00

0.00

379.00

420 .'75

0. oo

60.00

To calculate Column B, addamounts in Column A to thecorresponding amountsfrom Column B of your lastreport. Some amounts inColumn A may be negativefigures that should besubtracted from previousperiod amounts. lf this isthe first report being filedfor this calendar year, onlycarry over the amountsfrom Lines 2, 7, and 9 (ifany).

$

$

.Amounts in this section may be different from amountsreported in Column B.

FPPC Form 460 (January/05)FPPC Toll-Free Helpline: 866/A5K-FPPC (866127 5-377 2'l

60.00

360.75

17. LOAN GUARANTEES RECEIVED Schedu/e B, parl z $ o . oo

Gash Equivalents and Outstanding Debts18. Cash Equivalents See insfructions on reverse

19. Outstanding Debts ... AddLine2+LinesinCotumnBabove

www.netfile.com

$

$

Statement covers period

or/or/2or|

o6/3O/2OLL

I.D. NUMBER

t2ar451

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Schedule EPayments Made

SEE INSTRUCTIONS ON REVERSE

NAME OF FILER

Santa Clara County Safety AlIiance

CIF campaign paraphemalia/misc.CNS campaign consultantsCTB contribution (explain nonmonetary)*CVC civic donationsFIL candidate filing/ballot feesFND fundraising eventsIND independentexpenditure supporting/opposing others (explain)-LEG legal defenseLIT campaign literature and mailings

Type or print in ink.Amounts may be rounded

to whole dollars.

MBR membercommunicationsMTG meetings and appearancesOFC office expensesFEt petition circulatingPl-lO phone banksPOL polling and survey researchPOS postage, delivery and messenger servicesFRO professional services (legal, accounting)PRT print ads

RAD radio airtime and production costsRFD returned contributionsSAL campaign workers' salariesTEL t.v. or cable airtime and production costsTRC candidate travel, lodging, and mealsTRS staff/spouse travel, lodging, and mealsTSF transfer between committees of the same candidate/sponsorVOT voter registration\AEB information technology costs (internet, e-mail)

Statement covers period

from oL/oL/2oLI

06/3o/2oLL

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

NAME AND ADDRESS OF PAYEE(lF COI\,IMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYIVIENT

* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 0.00

Schedule E Summary

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

0.00

50.00

0.00

60.00

FPPC Form 460 (January/05)FPPC Toll-Free Helpline: 866/A5K-FPPC 1866127 5-377 2l

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SCHEDULE F

Statement covers period

ftom 0r/ot/20L1,

o6 /.ao /2011

I.D. NUMBER

12 814 51

Schedule FAccrued Expenses (Unpaid Bills)

SEE INSTRUCTIONS ON REVERSE

NAME OF FILER

Santa clara county Public Safety Alliance

CODES: lf one of the following codes accuratelyCtlP campaign paraphernalia/misc.CNS campaign consultantsCTB contribution (explain nonmonetary)*CVC civic donationsFIL candidate filing/ballot feesFND fundraising events

Type or print in inkAmounts may be rounded

to whole dollars.

payment, you may enter the code.member communicationsmeetings and appearancesoffice expensespetition circulatingphone bankspolling and survey researchpostage, delivery and messenger servicesprofessional services (legal, accounting)print ads

Otherwise, describe the payment.RAD radio airtime and production costsRFD returned contributionsSAL campaign workers' salariesTEL t.v. or cable airtime and production costsIRC candidate travel, lodging, and mealsTRS staff/spouse travel, lodging, and mealsTSF transfer between committees of the same candidate/sponsorVOT voter registrationWEB information technology costs (internet, e-mail)

IND independentexpenditure supporting/opposing others (explain)*

LEG legal defenseLtT campaign literature and mailings

describes theMBRMTGoFcFET

Pt-0POLPOSPROFRT

NAME AND ADDRESS OF CREDITOR(F COIVMITTEE. ALSO ENTER I.D. NUMBER)

CODE ORDESCRIPTION OF PAYMENT

(alOUTSTANDING

BALANCE BEGINNINGOF THIS PERIOD

(b)AMOUNT INCURRED

THIS PERIOD

(clAMOUNT PAIDTHIS PERIOD

(ALSO REPORT ON E)

(dlOUTSTANDING

BALANCE AT CLOSEOF THIS PERIOD

Pirayou Law ottlce

6950 Almaden Expressway *125San ,fose , CA 9 512 0

PRO 390.00 0.00 0.00 390.00

irayou l,aw ottlce

950 Almaden Expressway #125an,Jose, CA 95120

PRO 0.00 319.00 0.00 319.00

* Payments that are contributions or independent expenditures must also besummarized on Schedule D.

SUBTOTALS $ :so.oo $ :rs. oo $ o.oo$ ?09.00

Schedule F Summary1. Totalaccrued expenses incurred this period. (lnclude allSchedule F, Column (b)subtotals for

accrued expenses of $100 or more, plus total unitemized accrued expenses under $100.).............. .......... INGURRED TOTALS $

2. Total accrued expenses paid this period. (lnclude 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 $

3. Net change this period. (Sub{ract Line 2 ftom Line 1. Enterthe difference here and

FPPC Form 460 (January/05)FPPG Toll-Free Helpline: 866/A5K-FPPC (866127 5'37721

0.00

www.netfile.com