SEIU Local 817 PAC

COVER °AGl=
Recipient Committee
Campaign Statement
Cover Page
(Government
Type or print in ink.
Date Stamp
I
I L E
~
IN SAN BENITO OOUNTY
Code Sections 84200-84216.5)
Statement
covers period
Jan 01 , 2007
from
Date of election if applicable:
(Month, Day, Year)
Page
AUG ~'1 Z007
ON REVERSE
o
All Committees
Officeholder, Candidate Controlled Committee
State Candidate Election Committee
o
o Recall
(Also Complete
Jun 30, 2007
through
1. Type of Recipient Committee:
- Complete
o
o Controlled
o Sponsored
(Also Comp/ete Part 6)
t21 General Purpose Committee
@ Sponsored
o Small Contributor
o
o
Committee
Political Party/Central
(Also Complete
NAME (OR CANDIDATE'S
RK
t-SE(o.o7D(.,>~
FlY
o
o
o
112!
o
o
o
Preelection Statement
Semi-annual Statement
Termination Statement
(Also file a Form 410 Termination)
Amendment
Quarterly Statement
Special Odd-Year Report
Supplemental Preelection
Statement - Attach Form 495
(Explain below)
Part 7)
1.0. NUMBER
-----------------
COMMITTEE
5
Primarily Formed Candidate/
Officeholder Committee
Committee
3. Committee Information
of
2. Type of Statement:
Parts 1, 2, 3. and 4.
Primarily Formed Ballot Measure
Committee
Part 5)
1
For Official Use Only
JO
SEE INSTRUCTIONS
460
CALIFORNIA
2001/02
FORM
Treasurer(s)
830560
NAME IF NO COMMITTEE)
NAME OF TREASURER
SEIU Local 817 PAC
Raymond Montemayor
MAILING
ADDRESS
334 Monterey Street
STREET ADDRESS
(NO P.O. BOX)
CITY
334 Monterey Street
CITY
STATE
Salinas
MAILING
CA
ADDRESS
(IF DIFFERENT)
STATE
Salinas
ZIP CODE
93901
NO. AND STREET
OR P.O. BOX
STATE
ZIP CODE
AREA CODE/PHONE
CA
NAME OF ASSISTANT
TREASURER.
ZIP CODE
93901
AREA CODE/PHONE
831-757-2061
IF ANY
831/757-2061
MAILING
ADDRESS
same as above
CITY
OPTIONAL:
AREA CODE/PHONE
FAX / E-MAIL ADDRESS
CITY
OPTIONAL:
STATE
ZIP CODE
AREA CODE/PHONE
FAX / E-MAIL ADDRESS
831-757-1863
4. Verification
I have used all reasonable diligence in preparing and reviewing this statement and to the best
under penalty of perjury under the laws of the State of California that the foregoing is true an
Executed
on
Executed
on
~~~1
j)wledge the information contained herein and in the attached schedules is true and complete.
I certify
By
By
Signatureof controlling Officeholder,Candidate,StateMeasureProponentor ResponsibleOfficer01Sponsor
Signatureof ControllingOffICeholder.Candidate,StateMeasureProponent
Signatureof Controllingdfficeholder.Candidate,StateMeasureProponent
FPPC Toll-Free
Helpline:
FPPC Form 460 (January/05)
8661ASK-FPPC (866/275-3772)
State of California
SEE INSTRUCTIONS
SUMMARY PAGE
Type or print in ink.
Amounts may be rounded
to whole dollars.
Campaign Disclosure Statement
Summary Page
Statement
from
through
ON REVERSE
covers
460
period
CALIFORNIA
FORM
Jan 01, 2007
Jun 30, 2007
Page__ 2_
of__ 5_
1.0. NUMBER
NAME OF FILER
830560
SEIU Local 817 PAC
$
Contributions Received
(FROM ATTACHED
SCHEDULES)
TOTAl
THIS PERIOD
500.99
$$ $
0.00
Calendar Year Summary
CALENDAR
TOTALYEAR
Column
Column
A
BTO DATE
for Candidates
Running in Both the State Primary and
General Elections
Schedule B,
C, Line 3
Add
Add Lines
Lines 31 + 2
4
Schedule A. Line 3
1.
Monetary Contributions
.
2.
Loans Received
.
3.
SUBTOTAL CASH CONTRIBUTIONS
4.
Nonmonetary
5.
TOTAL CONTRIBUTIONS
1/1 through 6/30
.
RECEIVED
to Date
20. Contributions
.
Contributions
7/1
.
$CASH
$ .......................................................
$
Loans
Made
.............................................................
SUBTOTAL
PAYMENTS
....................................
Add
Lines
6 F.
Schedule
H,
E.
Line
I,+Line
Line
3Line
47 16
43
Previous Schedule
Summary
Page,
Accrued
Expenses
(Unpaid
Bills)
...............................
Schedule
Payments
Made
Expenditures
Made
$
36.00
olumnA,
Line 8 above
11.
14.
TOTAL
Miscellaneous
EXPENDITURES
Increases
MADE
to
Cash
................................
Add subtract
Lines
8 +Line
93 + 10
16.
ENDING
CASH
BALANCE
..........
Add...........................
Lines 12 + 13 + 14,
then
15
12.
Beginning
Cash
Balance
.......................
0. 6.
Nonmonetary
Adjustment
..........................................
Schedule
C, Line
$
Received
$
$ ------
21. Expenditures
Made
$
$
Expenditure
Candidates
Limit Summary
_
for State
0.00
36.00
22. Cumulative
$
0.00
Date of Election
0.00
(mmldd/yy)
36.00
$
Expenditures
Made·
(If Subject to Voluntary Expenditure Limit)
___
I
I
----1
I
Total to Date
$---$----
17850.02
500.99
0.00
36.00
18315.01
If this is
a
termination
17. LOAN GUARANTEES
statement,
Line 16 must be zero.
RECEIVED
.
Schedule B, Part 2
$
Cash Equivalents and Outstanding Debts
18. Cash Equivalents
19. Outstanding
Debts
on reverse
$
Add Line 2 + Line 9 in Column B above
$
See instructions
.
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).
*Amounts in this section may be different from amounts
reported in Column B.
FPPC Form 460 (January/05)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A
Monetary Contributions
Received
Type or print in ink.
Amounts may be rounded
to whole dollars.
SCHEDULE
Statement
from
SEE INSTRUCTIONS
period
Page
NAME OF FILER
3
of
5
I.D. NUMBER
830560
SEIU Local 817 PAC
DATE
RECEIVED
460
CALIFORNIA
FORM
Jun 30, 2007
through
ON REVERSE
covers
Jan 01, 2007
FULL NAME. STREET
ADDRESS AND ZIP CODE OF CONTRIBUTOR
(IF COMMITTEE, ALSO ENTER 1.0. NUMBER)
I CONTRIBUTOR
CODE *
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE
CALENDAR
TO DATE
YEAR
(JAN. 1 - DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
OiNO
OCOM
OOTH
OPTY
OSCC
OiND
o COM
OOTH
OPTY
OSCC
OINO
OCOM
OOTH
OPTY
OSCC
OINO
o COM
OOTH
OPTY
OSCC
OIND
OCOM
OOTH
OPTY
OSCC
SUBTOTAL $
Schedule A Summary
·Contributor Codes
1. Amount received this period - itemized monetary contributions.
(Include all Schedule A subtotals.)
$
0.00
2. Amount received this period - unitemized monetary contributions of less than $100
$
500.99
INO-Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC - Small ContributorCommittee
3. Total monetary contributions received this period.
(Add Lines 1 and 2. Enter here and on the Summary Page. Column A, Line 1.)
TOTAL
$
500.99
FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
A
Schedule D
SCHEDULE 0
Summary of Expenditures
Supporting/Opposing
Other
Candidates, Measures and Committees
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement
from
through
SEE INSTRUCTIONS ON REVERSE
covers period
Jan 01 , 2007
Jun 30, 2007
NAME OF FILER
DATE
Page
4
460
of
5
1.0. NUMBER
SEIU Local 817 PAC
(IF REQUIRED)
CALIFORNIA
FORM
830560
NAME OF CANDIDATE, OFFICE. AND DISTRICT. OR
MEASURE NUMBER OR LETTER AND JURISDICTION,
OR COMMITTEE
o
Support
o
Oppose
o
Support
o
Oppose
o
Support
o
Oppose
--oo
DESCRIPTION
TO
DATE
I CALENDAR
ELECTION
(IF
REQUIRED)
YEARTHIS
(JAN.
1· PER
DEC.
31)
AMOUNT
PERIOD
0.00
I
Contribution
Monetary
Expenditure
Monetary
Nonmonetary
Independent
Independent
SUBTOTAL
CUMULATIVETO DATE
$
Schedule D Summary
1. Itemized contributions and independent expenditures made this period. (Include all Schedule D subtotals.)
$
0.00
2. Un itemized contributions and independent expenditures made this periOd of under $1 00
$
36.00
$
36.00
3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.)
TOTAL
FPPC Form 460 (January/05)
FPPC Toll-Free Helpline: 866/ASK·FPPC (866/275-3772)
SCHEDULE E
Schedule E
Payments Made
SEE INSTRUCTIONS
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement
period
through
Jun 30, 2007
NAME OF FILER
0vP
CNS
CTB
CVC
FIL
FND
IND
LEG
LIT
5
Page
of
5
1.0. NUMBER
SEIU Local 817 PAC
CODES:
460
CALIFORNIA
" FORM
Jan 01 , 2007
from
ON REVERSE
covers
830560
If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
campaign paraphernalia/misc.
campaign consultants
contribution (explain nonmonetary)'
civic donations
candidate filing/ballot fees
fundraising events
independent expenditure supporting/opposing others (explain)'
legal defense
campaign literature and mailings
OR
DESCRIPTION
(IF COMMITTEE, ALSO ENTER 1.0, NUMBER)
OF PAYMENT
NAME AND ADDRESS
MBR member communications
MTG meetings and appearances
OFC office expenses
F£T
petition circulating
PHO phone banks
POL polling and survey research
POS postage, delivery and messenger services
PRO professional services (legal, accounting)
PRT print ads
RAD
RFD
SAL
TEL
lRC
lRS
radio airtime and production costs
returned contributions
campaign workers' salaries
t.v. or cable airtime and production costs
candidate travel, lodging, and meals
staff/spouse travel, lodging, and meals
TSF transfer between committees of the same candidate/sponsor
VOT voter registration
WEB information technology costs (internet, a-mail)
AMOUNT CODE
PAID
OF PAYEE
,.
* 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.)
2. Unitemized payments made this period of under $1 00
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 SummaryPage,
Column A, Line 6.)
$
0.00
.......................................... $
36.00
$
0.00
TOTAL $
36.00
FPPC Form 460 (January/05)
FPPC Toil-Free Helpline: 866/ASK-FPPC (866/275-3772)