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460 Recipient Committee Campaign Statement – Semi Annual 10-23-16 - 12-31-16 Recipient Committee COVER PAGE Campaign Statement ,, s • - Cover Page JAN 3 0 2017 1 13 Statement covers period Date of election if applicable: Page of from 10/23/2016 (Month,Day,Year) 5 -g gg For official use onl y SEE INSTRUCTIONS ON REVERSE through 12/31/2016 11/08/2016 1. Type of Recipient Committee: An committees-complete Parts 1,2,3,and 4. 2. Type of Statement: ® Officeholder,Candidate Controlled Committee O State Candidate Election Committee ❑ Primarily Formed Ballot Measure ❑ Preelection Statement ❑ Quarterly Statement Q Recall Committee O Controlled ® Semi-annual Statement ❑ Special Odd-Year Report (Also Complete Part S) Q Sponsored ❑ Termination Statement (Also Complete Part 6) (Also file a Form 410 Termination) ❑ General Purpose Committee ❑ Amendment(Explain below) O Sponsored ❑ Primarily Formed Candidate/ O Small Contributor Committee Officeholder Committee O Political Party/Central Committee (A/so Complete Part 7) 3. Committee Information I.D.NUMBER 1387675 s Treasurer ) COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER ROD SINKS FOR CITY COUNCIL 2016 Thorsten von Stein MAILINGADDRESS 22608 Poppy Dr STREET ADDRESS(NO P.O.BOX) 10949 Maria Rosa Way CITY STATE ZIP CODE AREA CODE/PHONE CA 95014 (650)255-7067 CITY STATE ZIP CODE AREACODE/PHONE NAME OF ASSISTANT TREASURER,IF ANY CA 95014 (408) 446-3907 Rod Sinks MAILING ADDRESS(IF DIFFERENT)NO.AND STREET OR P.O.BOX MAILING ADDRESS 10949 Maria Rosa Way CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE CA 95014 (408) 892-3841 OPTIONAL. FAX/E-MAILADDRESS OPTIONAL. FAX/E-MAILADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my 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 Campaign Disclosure Statement Amounts may be rounded Summary Page to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER ROD SINKS FOR CITY COUNCIL 2016 Contributions Received 1. Monetary Contributions................................................... schedule A,Line 3 $ 2. Loans Received................................................................ Schedule e,Line 3 3. SUBTOTAL CASH CONTRIBUTIONS.............................. Add Lines 1+2 $ 4. Nonmonetary Contributions............................................ schedule C,Line 3 5. TOTAL CONTRIBUTIONS RECEIVED....................................Add Lines 3+4 $ from Statement covers period 10/23/2016 through Column A Column B TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) CALENDAR YEAR TOTAL TO DATE 4,230.00 32,647.00 $ 0 0 4,230.00 $ 32,647.00 0 1,250.99 4,230.00 $ 33,897.99 txpenaitures made 6. Payments Made................................................................ Schedule E,Line 4 $ 18,849.87 7. Loans Made....................................................................... schedule H,Line 3 0 8. SUBTOTAL CASH PAYMENTS.......................................... Add Lines 6+7 $ 18,849.87 9. Accrued Expenses(Unpaid Bills)..........................................schedule F Line 3 0 10.Nonmonetary Adjustment.........................................................Schedule C,Line 3 0 11. TOTAL EXPENDITURES MADE........................................Add Lines 8+9+1p $ 18,849.87 Current Cash Statement 12.Beginning Cash Balance............................ Previous summary Page,Line 16 $ 18,144.49 13.Cash Receipts........................................................... Column A,Line 3 above 4,230.00 14.Miscellaneous Increases to Cash.................................. Schedule 1,Line 4 0 15.Cash Payments......................................................... Column A,Line 8 above 18,849.87 16.ENDING CASH BALANCE ..................Add Lines 12+13+14,then subtract Line 15 $ 3,524.62 If this is a termination statement,Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED................................ Schedule B,Part 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents................................................ See instructions on reverse $ 19. Outstanding Debts.............................. Add Line 2+Line 9 in Column B above $ 0 J $ 29,122.38 0 $ 29,122.38 1,250.99 $ 30,373.37 To calculate Column B, add amounts in Column A to the corresponding amounts from Column B of your last report. Some amounts in Column A may be negative figures that should be subtracted from previous period amounts. If this is the first report being filed for this calendar year, only carry over the amounts from Lines 2,7,and 9(if any). SUMMARY PAGE 12/31/2016 page 3 of 13 I.D.NUMBER 1387675 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 $ $ 21. Expenditures Made $ $ 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) -- $ / 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(866/275-3772) www.fppc.ca.gov _6'r-h®rl111® L2 _ D9W4 7 Amounts may be rounded SCHEDULE B-PART 1 160 — ' "'1. 1 to whole dollars. Statement covers period Loans Received CALIFORNIA from 10/23/2016 - SEE INSTRUCTIONS ON REVERSE through 12/31/2016 page 5 of 13 NAME OF FILER I.D.NUMBER ROD SINKS FOR CITY COUNCIL 2016 1387675 FULL NAME,STREET ADDRESS AND ZIP CODE [FAN INDIVIDUAL,ENTER a OUTSTANDING (b) AMOUNT (�) e OUTSTANDING e y OF LENDER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED,ENTER BALANCE RECEIVED THIS AMOUNT PAID BALANCE AT INTEREST ORIGINAL CUMULATIVE (IF COMMITTEE,ALSO ENTER I.D.NUMBER) NAME OF BUSINESS) BEGINNING THIS PERIOD OR FORGIVEN * CLOSE OF THIS PAID THIS AMOUNT OF CONTRIBUTIONS PERIOD THIS PERIOD PERIOD PERIOD LOAN TO DATE ❑PAID CALENDARYEAR ❑FORGIVEN PER ELECTION''" RATE t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC $ $ $ $ DATE DUE DATE INCURRED $ ❑PAID CALENDARYEAR El FORGIVEN FORGIVEN PER ELECTION*" t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC $ $ DATE DUE DATE INCURRED $ ❑PAID CALENDAR YEAR ❑FORGIVEN PER ELECTION' RATE t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC $ $ $ $ DATE DUE DATE INCURRED $ SUBTOTALS $ (Enter(a)on f Schedule B Summary Schedule E,Line 3) 1. Loans received this period....................................................................................................................$ n (Total Column (b) plus unitemized loans of less than$100.) 2. Loans paid or forgiven this period.........................................................................................................$ n (Total Column (c) plus loans under$100 paid or forgiven.) (Include loans paid by a third party that are also itemized on Schedule A.) 3. Net change this period. (Subtract Line 2 from Line 1.)..............................................................NET $ n Enter the net here and on the Summary Page, Column A, Line 2. (May be a negative number) *Amounts forgiven or paid by another party also must be reported on Schedule A. **If required. tContributor 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 Schedule C Nonmonetary Contributions Received SEE INSTRUCTIONS ON REVERSE ROD SINKS FOR CITY COUNCIL 2016 DATE FULL NAME,STREET ADDRESS AND RECEIVED ZIP CODE OF CONTRIBUTOR (IF COMMITTEE,ALSO ENTER I.D.NUMBER) Amounts may be rounded to whole dollars. Statement covers period from 10/23/2016 through 12/31/2016 Pane 7 CONTRIBUTOR IF AN INDIVIDUAL,ENTER I DESCRIPTION OF CODE* OCCUPATION AND EMPLOYER GOODS OR SERVICES (IF SELF-EMPLOYED,ENTER NAME OF BUSINESS) ❑IND ❑COM ❑OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC Attach additional information on appropriately labeled continuation sheets. I.D.NUMBER 1387675 AMOUNT/ CUMULATIVE TO FAIR MARKET DATE VALUE CALENDAR YEAR (JAN 1-DEC 31) 7 SUBTOTAL$ n Schedule C Summary 1. Amount received this period—itemized nonmonetary contributions. (Include all Schedule C subtotals.)......................................................................................................................$ 2. Amount received this period—unitemized nonmonetary contributions of less than $100..................................$ 3. Total nonmonetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.).....................TOTAL $ 0 I I of 13 PER ELECTION TO DATE (IF REQUIRED) *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 C Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE ROD SINKS FOR CITY COUNCIL 2016 Amounts may be rounded SCHEDULE E to whole dollars. Statement covers period . from 10/23/2016 through 12/31/2016 I Page 9 of 13 1387675 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 RAID 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 FIL civic donations candidate filing/ballot fees PET petition circulating TEL t.v.or cable airtime and production costs FND fundraising events PHO POL phone banks polling and survey research TRC TRS candidate travel,lodging,and meals 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.D.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Papyrus Printing 1437 Monterey Highway LIT San Jose, CA 95110 8,585.10 United States Postal Service 21701 Stevens Creek Boulevard POS Cupertino, CA 95014 7,271.53 Costco Food& Drink 1000 N Rengstorff Ave Mountain View, CA 94043 1,291.73 *Payments that are contributions or independent expenditures must also be summarized on Schedule D. Schedule E Summary SUBTOTAL$ 17,148.36 1. Itemized payments made this period. (Include all Schedule E subtotals.).............................................................................................................$ 2. Unitemized payments made this period of under$100..........................................................................................................................................$ 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).).............................................................................$ 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.)...........................TOTAL $ 18,598.30 251.57 0 18,849.87 FPPC Form 460(1an/2016) FPPC Advice:advice @fppc.ca.gov(866/275-3772) www.fppc.ca.gov Schedule F Accrued Expenses (Unpaid Bills) SEE INSTRUCT[ NAME OF FILER ON REVERSE ROD SINKS FOR CITY COUNCIL 2016 Amounts may be rounded to whole dollars. Statement covers period from 10/23/2016 through 12/31/2016 SCHEDULE F ,.;ALll-I*Rl1.IA I • • - Page 11 of 13 I.D.NUMBER 1387675 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 FIL civic donations candidate filing/ballot fees PET petition circulating TEL t.v.or cable airtime and production costs FND fundraising events PHO POL phone banks polling and survey research TRC TRS candidate travel,lodging,and meals 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 technnlnnv cnat-Q finf--f o_ nih NAME AND ADDRESS OF CREDITOR (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE OR DESCRIPTION OF PAYMENT (a) OUTSTANDING BALANCE BEGINNING OF THIS PERIOD (b) AMOUNT INCURRED THIS PERIOD (c) AMOUNT PAID THIS PERIOD (ALSO REPORT ON E) (d) OUTSTANDING BALANCEAT CLOSE OF THIS PERIOD summarized on Schedule D. Schedule F Summary SUBTOTALS $ 0 $ 0 $ 0 $ 0 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 $ 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 E 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 May be a negative number FPPC Form 460(Jan/2016) FPPC Advice:advice @fppc.ca.gov(866/275-3772) www.fppc.ca.gov Schedule 1 Amounts may be rounded qn"Pnl II G I w6buelianeOUS Increases LO Gash to whole dollars. SEE INSTRUCTIONS ON REVERSE Statement covers period 1 from 0/23/2016 through 12/31/2016 O. ' 460 Page 13 of 13 NAME OF FILER ROD SINKS FOR CITY COUNCIL 2016 I.D.NUMBER 1387675 DATE RECEIVED FULL NAME AND ADDRESS OF SOURCE (IF COMMITTEE,ALSO ENTER I.D.NUMBER) DESCRIPTION OF RECEIPT AMOUNTOF INCREASE TO rLLOWI aUU/L1U11d1 uuorrnarion on appropnareiy laDeled continuation sheets. SUBTOTAL$ 0 Schedule I Summary 1. Itemized increases to cash this period. ...........................................................................................................................$ 0 2. Unitemized increases to cash of under$100 this period. ................................................................................................$ 0 3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).) .......................................$ 0 4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the SummaryPage, Line 14.) ............................................................................................................................. TOTAL $ 0 FPPC Form 460(Jan/2016) FPPC Advice:advice @fppc.ca.gov(866/275-3772) www.fppc.ca.gov