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Home My WebLink AboutDowney for Better Healthcare, Sponsored by SEIU - United Healthcare Workers West - 460 - Termination (10-01-23 thru 12-31-23)_RedactedRecipient Committee - -- ---------------------------------- -- ------- -- COVER PAGE CCampaign Statement Dole stomp, Cover Pao eray i "4 P" Statement covers period Date of olecuon if appicabi.:' (Month, Day, Year) page 1 of 4 IQ/1/23 from For Offidal Use Only 12/31/SENSRISO23 RVEE EITUCTONNERS through 1. Type of Recipient COMM ittCe: All Cornmitteee- Complete flarts 1, 2,3, and 4- 2. Type of Statement- [ ]Officeholder, Candidate Controlled Committee Ev�� Primarily Formed Ballot Measure [:]Preelection Statement Quarterly Statement [-181ale Candidate Election Committee Committee DSenn i-annual Statement 1::] Special Odd -Year Report 0,Recall Controlled [STermination Statement tAls,o Comptete Part 51 Sponsored (Also file a Form 410 Termination) E]General Purpose Committee (Also Complete Part 6) L]Amendnient (Explain below) nSponsored Primarily Formed Candidate/ [:] Small Contributor Committee Officeholder Committee E] Political Party fCentral Committee (Also Complete Part 7) 3: Committee Information I.0- NUMBER Treasurer(s) L4 47 0 04 COMMITTEE NAME (OR C-ANDIDATE'S NAME IF NO COMIMIlTIFFE) NAME OF TRFASURER Downey tot, Hiet',",az llea.Ltlware, SponoDred by Service Frriployo�--!s Suzanne Jimenez Intel,national """nion Hr„alrh�-are Work(-irs Ire st MAILING ADDRESS 77", S. Figueroa Street Suite 4050 STREET ADDRESS (NO P.O. BOX) CIT`( STATE ZIP CODE AREA CODEIPHONE 560 Thomas L Berkley Way Lou Angeies CIA 90017 (213) 452-6565 - CITY STATE ZIP CODE AREA CODEIPHONE NAME Of- ASSWAW'IREASURER, HFANY Oakland CA 94612 (510) 251-1250 -------- — MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX MAILING ADDRESS 77-1 :a. Stref,,2t Suita 40,I)D S-TATE ZIP CODE AREA COULIPHONE CITY STATF ZIP CODE AREA (,,cnFPHONF Los Angeles CA 90017 (211-3) 452-6565 OPTIONAL. rAX1E.-WF1F—ADDRFES OPTIONAL: FAXIE-MAIL ADDRESS 4. Veriftation I have used rillrealwable diligence in preparing and revIeWrig this statemerl and to the Best of my 1,n ....... -------------------------- chedules, is true and complete- I cerWy nndpr penally of perjury under in,- lawns of the Mate of California that the foreqorrq is turn and cormni Executed on 1/31/24 By DATE SIGrAIUREOFTREASI , ORAWN5 NTT SURER Executed on BY DATE SIGNATURE Or CWtROWNG Orr, CkFHOLDER, CANDIDATE, STAIE, 1AFASUREPROPONEN1, OR RE-sroNscu-F oFr icER E—FPRFP—ONE NT FPPC Form 460 iJaW2016) Executed on 13Y FPPC Advice: DATE SIGHATURE OF GANDIRAIE, ORSFATE rMASURE PROPONENT adVice@fppc.ca,gov Executed on By (866275-3772) DATE SInNATURE OF CONTROWNG OfFICEri-IOLDER CANDMATE, OR STATE MEASURE PROPONENT www-fopr-ca.gov Recipient Committee COVER PAGE -PART 2 Campaign Statement Cover Page -Part 2 F! 2 of 4 5. Officeholder or Candidate Controlled Committee 6.Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE Healthcare Workers Minimum Wage Ordinance OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO. OR LETTER JURISDICTION V SUPPORT city of Downey 27 []OPPOSE RES I DENTIAUSUSI NESS ADDRESS (NO. AND STREET) CITY STATE ZIP Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHLOLDER, CANDIDATE, OR PROPONENT Related Committees Not Included in this Statement: List any committees OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY not Included In this statement that are controlled by you or are primarily formed to receive I contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME I.D. NUMBER 7, Primarily Formed Candidate/Officeholder Committee List names of officehoWer(s) or candidate(s) for which this committee is primarily formed. NAME OF TREASURER CONTROLLED COMMITTEE? []YES F] NO NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD E]SUPPOR COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) E]OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD CITY STATE ZIP CODE AREA CODEIPHONE []SUPPORT DOPPOSE COMMITTEE NAME LD, NUMBER NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD �SUPPORT NAME OF TREASURER CONTROLLED COMMITTEE? __L_DOPPOSE []YES ONO NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD []SUPPORT OMMITTEE ADDRESS STREET ADDRESS (NO P,O. BOX) OPPOSE_ CITY STATE ZIP CODE AREA CODEIPHONE Attach continuation sheets if necessary FPPC Form 460 (Jan12016) FPPC Advice: advIceAfppc.ca,gov (8661276-3772) ~JpPcxa.gov SUMMARY PAGE Campaign Disclosure Statement Amounts may be rounded to whole dollars. Statement covers period , Summary Page ■ from 1 0/1 l2023 Page 3of 4 through 12/31/2023 SEE INSTRUCTIONS ON REVERSE NAME OF FILED l.o. NUMBER Downey for Setter Healthcare Sponsored by Service Employees International Union United healthcare Workers West 1447004 Contributions Received Column A Column B Calendar Year Summary for Candidates Total This Period CALENDAR YEAR Running in Both the ;State Primary and (FROM ATTACHED scwFtauLFs) TOTAL TO oArF General Elections 1. Monetary Contributions....:. Schedule A, Line 3 $ 0 . 0 0 $0.00 'Id1 through 6130 711 to Date 2. Loans Received:.. .......:: ......... Schedule B, Line 3 $0.00 $0. 00' 20. Contributions 3. SUBTOTAL CASH CONTRIBUTIONS- .... ......... Add Linea 1+2 $0. 00 $0. 00 Received 4.-Nonmonetaly Contributions........--.. .....::......... Schedule C, Line 3 $ 50. 00 $ 50. 00 21, Expenditures 5 TOTAL CONTRIBUTIONS RECEIVED.. ...... Add Lines 3 +4 $50. 00 $ 0. 00 Made Expenditures Made Expenditure Limit Summar for Mate Candidates 6. Payments Made Schedule E, Line 4 $0. 00 $0. 00 .....,... 7. Loans Made........ , ................. Schedule N, Line 3 $ 0. 00 $ 0 . 0 0 22Cumulative , V Expenditures Dade " (it stab}ecl so vr,l;anaary Expenditure Lamdil B. SUBTOTAL CASH PAYMENTS..:"... ............ Add Lines 6 + 7 $ 0 . 0 0 � $ 0 . 00 9. Accrued Expenses (Unpaid Bills)... ......... .......... Schedule F, Line 3 $ 0. 00 MOO 00 Date of Election Total to Date 10. Nonmonetary Adjustment....... -- . ....... .. ,. ....... Schedule C, Line 3 ®, $ 50 . 00 $ 50. 00 (mmlddlyyyy) 11. TOTAL EXPENDITURES MADE......--...... ., ...... . Add Lines 8 +9 + 10 $50.00 $ 5 0.0 0 Current Gash Statement 12. Beginning Cash Balance. Previous Summary Page, Line lea $ 0.0 0 To calculate Column 8, add ;., amounts In column Aura the 13. Cash Receipts... ......... ........... Column A, Line 3 above $ E 00 corresponding amounts from 14. Miscellaneous Increases to Cash. .......... ..... . .... Schedule I, Line 4 m� $ 0 . DO column 8 of your Col report, some amounts in Column A 15. Cash Payments ......:: .... Column A, Line 8 above y $ 0. 00 may be negative figures that should he subtracted from *Amounts in this section may be different from amounts 16. ENDING CASH BALANCE -Add Lines 12+13+14, then subtract Line 15 $ 0.0 0 previous period amounts. if reported in schedule B. this Is the first report being If this is a termination statement, Line 16 must be zeros filed for this calendar year, only carry over the amounis from Lines 2 7, and 9 (if 17. LOAN GUARANTEES RECEIVED,.., ..... Schedule B, Part 2 $ 0. 00 any), Cash Equivalents and Outstanding (debts 18. Cash Equivalents ......e . ......:;. See instructions on reverse $ 0.0 i3 19, Outstanding Debts,------ ... Add Line 2+Line 9 in Column B abode $ 0 . 00 FPPC Form 460 (9ari12016) FPPC Advtce: advice@fppc.ca.gov (8661276-37701 www.fippc.co.gov Amounts maybe rounded S H CDULE Schedule C to whole dollars. Statement severs period rNUMBER Nonmmnle#,er�y �Contrlbutio s Received from 10/1/2023 e 4 of F4 SEE INSTRUCTIONS ON REVERSE through 12/31/2023 Pa -NA tE of FILER Downey for Better Healthcare, 5pOn8ored by Service Employees international Unioe - United Healthcare Workers West 1447004 BATE FULL NAME, STREET ADDRESS AND ZIP CONTRIBUTOR IF AN INDIVIDUAL, ENTER (DESCRIPTION OF AMOUNTIFAIR CUMULATIVE TO DATE PER ELECTION RECEIVED CAGE of CONTRIBUTOR COME" OCCUPATION AND EMPLOYER GOODS OR MARKET VALUE CALENDAR YEAR TO DATE (IF COMMITTEE, ALSO ENTER LD. NUMBER) (IF SELF-EMPLOYED, ENTER NAME OF SERVICES (JAN, 1-DEC. 31) (IF REQUIRED) IND Co h OTli PTY SCE Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 0.00 Schedule C Summary 'Contributor Codes 1. Amount received this period -itemized IYDt76 onetary contributions. IND. Individual COO- Recipient Committee (Include all Schedule C subtotals).,_..... .............. ........ ,. Iu . 00 (olherthan PT ! or SCC) . Amount received this period-uniternized n inmonetery contributions of less than 100, . 0TH-Other (e.g., business entity) PTY- Pohtical Party S, Total nonmonetdry contributions received this period. — SCC- Smatl Contributor Committee (Add Lines 1 and 2. Enter here on the Summary Page, Column Ar Lines 4 and 1t7.).....,. .......;. TOTAL $50.00 FPPC Form 460 tJan12016y FPPC Advice. advice fpPc,ca•gov (6661275.3772) www,fppc.ca.gov