HomeMy WebLinkAboutDowney for Better Healthcare, Sponsored by SEIU - United Healthcare Workers West - 460 (07-01-22 thru 09-30-22)_RedactedRecipient Committee b-
Campaign Statement !!Tb
Cover Page
Statement covers period Date of election if applicable:
7/1/2022 (Month, Day;
Year)
from C' y tj
i
SEE INSTRUCTIONS ON REVERSE through - 9/30/2022
1. Type of Recipient Committee: All Committees — Complete Parts 1, 2,3, and 4.
2. Type of Statement:
Officeholder, Candidate Controlled Committee
Primarily Formed Ballot Measure
❑
Preelection Statement
0 State Candidate Election Committee
Committee
Semi-annual Statement
0 Recall
0 Controlled
❑
Termination Statement
(Also Complete Pad 5)
* Sponsored
(Also file a Form 410 Termination)
(Also Complete Pad 6)
El
Amendment (Explain below)
E:1 General Purpose Committee
0 Sponsored El Primarily Formed Candidate/
0 Small Contributor Committee Officeholder Committee
0 Political Party/Central Committee (Also Complete Pad 7)
3. Committee Information
OOMMITTEE NAME (OR GAWIDATE'S NAME IF NO C�W;M
I i I I - ;11111 # I'll, - Nrce
Union - United Healthcare Workers West
STREET ADDRESS (NO P.O BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
MAILING ADDRESS (IF DIFFERENT) NO, AND STREET OR P O. BOX
Page I of 5
For Official Use Only
Quarterly Statement
Special Odd -Year Report
Treasurer(s)
NAME OF TREASURER
Suzanne Jimenez
TI-AILINGADDRIESS
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 knowlec
certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Executedon1 0Z31 Z2Q22 By
Date
Executed on
Date
Executed on
Date
By Signature of Controlling Officeholder, Candidate, State Measure Proponent or Responsible Officer of -Sponsor
By Signature of Controlling Officeholder, Candidate, State Measure Proponent
By
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
Recipient Committee
Campaign Statement
Cover Page -Part 2
5. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
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 It.D. NUMBER
,RE 9AAMFUT111 X-1111115951
YES 7NO
COMMITTEE ADDRESS STREET ADDRESS (NO P.O, BOX)
CITY STATE ZIP CODE AREA CODEIPHONE
M
COVER PAGE -PART 2
Page 2 of 5
6.Primarily Formed Ballot Measure Committee
NAME OF BALLOT MEASURE
Healthcare Workers Minimum Wage Ordinance
JURISDICTION V f Downey I
BALLOT NO. OR LE SUPPORT
City oI DOPPO$E
Identify the controlling officeholder, candidate, or state measure proponent, if any,
NAME OF OFFICEHLOLDER, CANDIDATE, OR PROPONENT
rmuffr4welfreffflM
IF ANY
7. Primarily Formed Candidate/Officeholder Committee Listnamesof
officeholder(s) or candidate(s) for which this committee is primarily formed.
NAME OF OFFICEHOLDER OR CANDIDATE 1OFFICE SOUGHT OR HELD
NAME OF OFFICEHOLDER OR CANDIDATE
L_j OurrvRI
[j OPPOSE
OFFICE SOUGHT OR HELD [:]SUPPORT
[:] OPPOSE
OFFICE SOUGHT OR HELD I [:]SUPPORT
NAME OF TREASURER CONTROLLED COMMITTEE? I
I [] YES [:]NO NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD []SUPPORT
COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) [:] OPPOSE
CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary
FPPC Form 460 (Jan12016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
wwwJppc.ca.gov
Campaign Disclosure Statement
Summary Page
from 7/I/2022
through 9/30/2022
NAME OF FILER
oo*uev for Better Healthcare, nnooanrea by Service Employees International ooiuo - United Healthcare Workers west
1. Monetary Schedule A, Line 3
2.Loans Received ......................................................... Schedule B.Line 3
3.SUBTOTAL CASH CONTRIBUTIONS ........................... Add Lines 1+c
4.NonmonetmryContributions -----------' Schedule C.Line 3
5.TOTAL CONTRIBUTIONS ReCBvEo.____........ Add Lines 3+4
6.Payments Made ........................................................ Schedule E,Line 4
zLoans Schedule H.Line 3
8.SUBT0lAL CASH PAYMENTS .................................... Add Lines o+r
S.xncmed Expenses (Unpaid SnheduleF. Line
10. Nonmnnetary Adjustment..,.... _.___. 8oheduleC. Line
11.TOTAL EXPENDITURES MADE__ ....... _Add Lines D+p+1Q
Current Cash Statement
1u.Beginning Cash Balance ................. Previous Summary Page, Line 1m
13.Ceoh Column f\Line 3above
14. Miscellaneous Increases |uCaah..... __,= Schedule |. Line
15.CeshPaymemu.~___..^°___.~_~^ Column A.Line 8above
16. ENDING CASH BALANCE..Add Lines 12+13+14, then subtract Line 15
If this isatermination statement, Line 1nmust oezero.
1r.LOAN GUARANTEES RECEIVED ---- Schedule o.Part 2
Column
Total This Period
(FROM ATTACHED SCHEDULES)
$0.00
SUMMARYPAGE
Page 3 of 5
I.owumasR
1447004
�
Column Calendar Year Summary for Candidates
CALENDAR YEAR Running inBoth the State Primary and
�
TOTAL rnDATE General Elections
0.00 � 1nmmuqh6m0 rnmDate
20. Contributions
$0.00 neoa|,eg
U 21.ExponUUures
$977,338.55 Mode
$0.00
To calculate Column B, add
amounts in Column A to the
$0.00
corresponding amounts from
$0-00
Column B of your last report,
Some amounts in Column A
$0.00
may be negative figures that
should be subtracted from
$C). 0()
previous period amounts, If
0 filed for this calendar year,
only carry over the amounts
Cash Equivalents and Outstanding Debts
18.Cash Equ�a�m�.—~.__,__,_.___' See inn�unUonoon�vemo �D.O0
Expenditure Limit Summary for State
Candidates
22,Cumulative Expenditures Made(if Subject to Voluntary Expenditure Limit)
Date of Election Total mDate
*Amounts in this section may be different from amounts
reported in schedule B.
rPPCForm wmuan/cmm
FPPCAdvice: advme@fppc.camov(8661275-3n2)
���ca.mw
Schedule C
SEE INSTRUCTIONS ON REVERSE
Statement covers period A Go
from 7/1/2022 Page !ge 4 of 5 !
through 9/30/2022
NAME OF FILER
Downey for Ratter Healthcare, Sponsored by Service Employees Tnternational Union -- United Healthcare Workers West
DATE FULL NAME, STREET ADDRESS AND ZIP CONTRIBUTOR IF AN INDIVIDUAL, ENTER DESCRIPTION OF
RECEIVED CODE OF CONTRIBUTOR CODE OCCUPATION AND EMPLOYER GOODS OR
(IF COMMITTEE, ALSO ENTER I.D. NUMBER} (IF SELF-EMPLOYED, ENTER NAME OF I SERVICES
BUSINESS)
❑ IND
SFTU United Ilealthcaro Workers ZCOM
,,,, lolit.i.cal Issuos committee F] OTH
07/11/2022 [j PTY
ID: 991800 [j SCC
Amounts maybe rounded
to whole dollars.
I.D. NUMBER
1447004
AMOUNT/FAIR CUMULATIVE TO DATE PER ELECTION
MARKET VALUE CALENDAR TO DATE
I (JAN, 1-1 (IF REQUIRED)
CIS 1 $1,666.671 $951,028-45
E] IND
SEIU United Ffcalthcaro Workers COM
07/19/2022 oliti,ai Issues committeeOTH CNS $2,055.55 $951,028.45
❑PTY
ID: 991800 ❑ scc
❑ IND
SF.TU United Ifealthcare Workers R'/ COM
08/05/2022 We 1. Politicai ISSUOS COMMiL,LeE� Ej OTH R PTY CNS $1, 666.67 $951,028.45
TP: 991800 RSCC
Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $5, 388 - 89
Schedule C Summary *Contributor Codes
1. Amount received this period -itemized nonmonetary contributions. IND- Individual
COM- Recipient Committee
(include all Schedule C subtotals.)..-.. ........ ......... ...... ...... ............ $13, 834.26 (other than PTY or SCC)
2. Amount received this period -unitemized nonmonetary contributions of less than $1 00-___ ............ ...... 0 OTH- Other (e.g., business entity)
PTY- Political Party
3. Total nonmonetary contributions received this period. S , C " C-small Contributor Committee
.. . .. . ....
(Add Lines 1 and 2. Enter here on the Summary Page, Column A, Lines 4 and TOTAL �13,834.26 FPPC Form 460 (JaW2016)
--------- YPPC Advice: advice@fppc.ca.gov (866/276-3772)
wwW.fppc_c0.qoV
Schedule
•94AIA&ic
Amounts may be rounded
to whole dollars„
Statement covers period
from 7/1/2022
Page 5
of 5
SEE INSTRUCTIONS
ON REVERSE
through 9/30/2022
NAME OF FILER
€.D. NUMBER
Downey for Bettey
Healthcare, Sponsored by Service Emp?loyoos
i.nterneat.onal
union. - United Healthcare
Workers West-
1447404
DATE
FULL NAME, STREET ADDRESS AND ZIP
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
DESCRIPTION OF
AMOUNT/FAIR
CUMULATIVE TO DATE
PER ELECTION
RECEIVED
CODE OF CONTRIBUTOR
CODE "
OCCUPATION AND EMPLOYER
GOODS OR
MARKET VALUE
CALENDAR YEAR
TO DATE
(IF COMMITTEE, ALSO ENTER I.Q. NUMBER)
(IF SELF-EMPLOYED, ENTER NAME OF
SERVICES
(JAN, t-DEC..: 31)
(IF REQUIRED)
BUSINESS)
❑ IND
® COM
WETU Canned kSealttccare P?orkars
08/49/?_.0?_2
G,est. lol.lti.cal Tssuc s Cammit::tee
OTH
❑Pn
CNS
$4,875m00
$951,028.45
❑SCC
rf)e 991800
❑ IND
:®COOTH
SESU Unit@d Hed.I_thcaro Workers
n
08/22/2022
❑PTY
CNS
$1,903.71
$951,028.45
❑ SCC
zQr. 991800
❑ IND
®COM
,SEIC? United Healthcare Workers
`r?et"t Iesur�s C70`t[Iti_tt.E:e
:❑OTH
09/01/2022
k'ca.lif=.coal.
❑PTY
CNS
$1,666.66
$951,028.45
❑ SCC
TD: 991800
•
$8,445.3
Schedule C Summary Contributor Codes
1. Amount received this period -itemized nonmonetary contributions. IND- Individual
COM- Recipient Committee
(Include all Schedule C subtotals.)..:.° ,:, ........ ....... . ........ $13 , 834.26 (other than PTY or SCC)
2. Amount received this period -unitemized nonmonetary contributions of less than $100... ; OTH- Other (e,g., business entity)
p ry 0
PTY- Political Party
3. Total nonmonetary contributions received this period. SCC- Small Contributor Committee
(Add Lines 1 and 2. Enter here on the Summary Page, Column A, Lines 4 and 10.)............................................ TOTAL $1 , 834 , 26 FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca,gov (866t276-5772)
www,fppc cagov