Type or print In Ink. (Month, Day, Year) from 07/01/2014. Treasurer(s) NAME OF TREASURER Felipe Fuentes MAILING ADDRESS AREA CODE/PHONE

Size: px
Start display at page:

Download "Type or print In Ink. (Month, Day, Year) from 07/01/2014. Treasurer(s) NAME OF TREASURER Felipe Fuentes MAILING ADDRESS AREA CODE/PHONE"

Transcription

1 . '.,. Recipient Committee Campaign Statement (Government Code Sections ) Type or print In Ink. Date of election If applicable: (Month, Day, Year) from 07/01/2014 Date Stamp... COVER PAGE J:.. TtHC~ GUT> 1M I ~ 2015FEB-3 AM ;.,~s,&f.!~-m( :I~~~J ;~, :. ' I ' ' '' 1 ~/11. ln.,..,.. I :J v ~or Offidal Use Only through 12/31/2014 ~ 1. Type of Recipient Committee: All committees- complete Parts 1,2,3, and 4. 0 Officeholder, Candidate Controlled Committee 1R1 Ballot Measure Committee 0 State Candidate Election Committee 0 Primary Formed 0 Recall Controlled (Also Completa Part 5.) 0 Sponsored 0 General Purpose Committee (Also Complete Part 6.) 0 Sponsored 0 Primary Formed Candidate/ 0 Small Contributor Committee Officeliolder Committee 0 Political Party/Central Committee (Also Complete Part 7.) 2. Type of Statement: i~ f CVD '3Y 0 Pre-election Statement I&:J Semi-annual Statement 0 Termination Statement 0 Amendment (Explain below) 0 Quarterly Statement 0 Special Odd-Year Report 0 Supplemental Preelection Statement - Attach Form 495 Committee Information -.. COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMmEE I.D.NUMBER --- Treasurer(s) NAME OF TREASURER Felipe Fuentes --- STREET ADDRESS (NO P.O. BOX) MAILING ADDRESS CITY. STATE ZIP CODE Los Angeles CA MAILING ADDRESS (IF DIFFERENn NO. AND STREET OR P.O. BOX AREA CODE/PHONE CITY. STATE ZfP CODE AREA CODE/PHONE Los Angeles CA NAME OF ASSISTANT TREASURER, IF ANY l' '-- CITY Of>l'IONAL: FAX/ ADDRESS Verification DATE By STATE ZIP CODE AREA CODE/PHONE Executed on 0 2 I 0 2 I By... 2 DATE Executed on DATE Executed on DATE MAILING ADDRESS CITY OPTIONAL: FAX/ ADDRESS By~~~~~~== SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT By==~:;.;~~~;--- SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT STATE ZIPCODE AREA CODE/PHONE tion contained herein and in the attached schedules ue and correct. State of California

2 .. Recipient Committee Campaign Statement Cover Page - Part 2 COVER PAGE - PART 2 I ~ ~ - ~..., : -... ~ - " 2/8 5. Officeholder or Candidate Controlled Committee 6. Ballot Measure Committee NAME OF BALLOT MEASURE \! (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) RESIDENTIAUBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP 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 to make expenditures on behalf of your candidacy. COMMITTEE NAME Felipe Fuentes for City Council2013 I.D.NUMBER c D SUPPORT (i] OPPOSE identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT Felipe Fuentes Held: City Council Member DISTRICT NO. IF ANY 7. Primarily F 0 rmed Committee List names of offlceholder(s) or candidate(&) for which this committee is primarily formed. 07 \_ NAME OF TREASURER Felipe Fuentes COMMITTEE ADDRESS CITY Los Anaeles COMMITTEE NAME STREET ADDRESS (NO P.O.BOX) STATE CA ZIP CODE CONTROLLED COMMITIEE? I&)YES I.D.NUMBER 0NO AREA CODE/PHONE (213) SUPPORT D OPPOSE D SUPPORT D OPPOSE 0 SUPPORT D OPPOSE NAME OF TREASURER COMMITTEE: ADDRESS STREET ADDRESS (NO P.O. BOX) CONTROLLED COMMITIEE? DYES 0NO - D SUPPORT 0 OPPOSE CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary State of California

3 Campaign Disclosure Statement Summary Page " from t NAME OF FILER Contributions Received 1. Monetary Contributions?. Loans Received ~. -o. SUBTOTAL CASH CONTRIBUTIONS Nonmonetary Contributions 5. TOTAL CONTRIBUTIONS RECEIVED Schedule A, Line 3 Schedule 8, Line 7 Add Lines Schedule C, Line 3 Add Lines ColumnA TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) $ Q.OO_ $ Q,QQ through Column B CALENDAR YEAR TOTAL TO DATE $ 0 00 $ Q,QQ $. QJ)_Q_ 3/8 I.D. NUMBER I Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 through 6/ to Date 20. Contribution Received $ ~ Q,_OO_ $ 21. Expenditures Made $ $ Expenditures Made 6. Payments Made Schedule E, Line 4 $ Loans Made... Schedule H, Line 7 8. SUBTOTAL CASH PAYMENTS... Add Lines $ Accrued Expenses (Unpaid Bills) Schedule F, Line Nonmonetary Adjustment Schedule c, Line TOTAL EXPENDITURES MADE... Add Lines $ $ $ $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (If Subject to Voluntary Expenditure Limit) Date of Election (mm/ddlyy) $ Total to Date, ~ --~urrent Cash Statement ~ Beginning Cash Balance 13. Cash Receipts 14. Miscellaneous Increases to Cash Cash Payments Previous Summary Page, Line 16 Column A, Line 3 above Schedule I, Line 4 Column A, Line 8 above 16. ENDING CASH BALANCE... Add Lines , then subtract Line 15 If this is a termination statement, Line 16 must be zero. $ $ 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 lthefirstreportbeingfiled for this calendar year, only O 17. LOAN GUARANTEES RECEIVED... Schedule B, Part 2 $ 0.0 carry over the amounts Cash Equivalents and Outstanding Debts 18. Cash Equivalents See instructions on reverse $ 19. Outstanding Debts Add Line 2 + Line 9 in Column 8 above $. 25 from Lines 2, 7. and 9 (if any). *Since January 1, Amounts in this section may be different from amounts reported in Column B. s s $ $ $ FPPC Fonn 460 (June/01)

4 J Schedule E Payments Made from,... ~- ' -. '~,:.. ~- ;:,.r ~ ::,:;~e:;..:1,~ -:-, c;eio'i :< ' : ;.: ~!: _., :.. ~ ; :. ~ t f'~;;" ;~ {- ; ~:, 't:xl through /8 I.D. NUMBER CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia/misc. RAD radio airtime and production costs CNS campaign consultants RFD returned contributions CTB contribution (explain nonmonetary)* SAL campaign workers' salaries 1 ':VC civic donations PET petition circulating TEL t.v. or cable airtime and production costs '-.!. FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events TRS 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 VOT voter registration L-11 l,;i:lfridciiqii lll"li:iiuit: i:iiiu llli:iiiii1ql> rn.1 PlullCI\..1., ~~... ~... ~.. ~" ~~.. - -'\!~ --- "' \ _..,_.. {IF COMMITTEE, ALSO ENTER I.D. NUMBERI CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Kaufman Legal Group OFC In!': A~~~ r.a _90017 Kaufman Legal Group PRO ~ Ins AnnPIP!': r.a ~0017 Bankcard Center Credit Card Payment ~~It I ~kr:> Citv l it RA.1 ~n-os~~ * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ Schedule E Summary 1. Payments made this period of $100 or more. (Include all Schedule E subtotals.) $ Unitemized payments made this period of under $ $ 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$

5 ,, Schedule E Payments Made from NAME OF FILER through CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP CNS campaign paraphernalia/misc. campaign consultants ( CTB contribution (explain nonmonetary)* ;vc civic donations PET petition circulating '-- FIL candidate filing/ballot fees PHO phone banks FND fundraising events IND independent expenditure supporting/opposing others (explain)* POS postage, delivery and messenger services LEG legal defense L.ll \,;i:lii1p~iq1111lt:::iiqluic QIIU IIIQIIIIlQ:;, rn Pln11. a"'~ RAD RFD SAL TEL TRC TRS TSF VOT 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 transfer between committees of the same candidate/sponsor voter registration -~,,_,,_,,_..,,_,.Jgy _... _, - Chops Steakhouse. (IF COMMITTEE, ALSO ENTER 1.0. NUMBERI ~<>l"'r~mantn f'.a Qt:;R1d Hyatt Hotel F & B ID: ID: CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID -- MTG 4/23/~4- Meal for Candidate +4 While Attending Water Bond Meetmgs. info[ ] TRC 4/22-4/24(14 ~ac~amento, CA) LodginB for Candidate to Atten info[ ] d ~eg1slat1ve eetings Regardmg Bay elta Conservation Wat ~ r ond. ~ ~::tcramfmtn CA Q"iR14 Jamie's Bar and Grill ID: MTG 4/22/~4- Meal for Candidate +2 While Attending Water Bond Meet1ngs. info[ ] ~ ner CA 9!iR1R Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ Schedule E Summary 1. Payments made this period of $100 or more_ (Include all Schedule E subtotals.) $ 2. Unitemized payments made this period of under $ $ 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) _ $ Total payments made this period. (Add lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.)... TOTAL$------

6 Schedule E Payments Made from NAME OF FILER llirough CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. (L CMP campaign paraphernalia/misc. CNS campaign consultants CTB contribution (explain nonmonetary)* -:;vc civic donations FIL candidate filing/ballot fees FND fundraising events IND independent expenditure supporting/opposing others (explain)* LEG legal defense Lll ~,;ar00oll9n llltofaluit:o cuiu rrraruoq=> PET petition circulating PHO phone banks POS postage, delivery and messenger services rr\ 1 P nn. au., RAD radio airtime and production costs RFD returned contributions SAL campaign workers' salaries TEL t.v. or cable airtime and production costs TRC candidate travel, lodging, and meals TRS staff/spouse travel, lodging, and meals TSF transfer between committees of the same candidate/sponsor VOT voter registration.,..._...,,,,...,,,,,~._..,,, ~""""''"'..,,J~Y...,,,_., (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Bankcard Center Credit Card Payment SJ:~It I <>It" C:itv lit 1'\41 :10-01'\:1:1 Bankcard Center OFC info[ ] ~~- SJ:~It I <!kp. C:itv lit 1'\41 ~n_na ':! ':! Chevron Svlm<~r C:A TRC 1o/8/14 (Lqs An~eles to Sacramento, CA) Ground Transportati - info[ ] n or Candidate o Attend Bay Delta Water Bond Meetings. * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ Schedule E Summary 1. Payments made this period of $100 or more. (Include all Schedule E subtotals.).. $ 2. Unitemized payments made this period of under $ $ 3. Total interest paid this period on loans. (Enter amount from Schedule 8, Part 1, Column (e).) $ Total payments made this period. (Add lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) TOTAL$------

7 Schedule E Payments Made FILER Type or print In ink. covers period from through / NUMBER CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. \L. CMP campaign paraphernalia/misc. CNS campaign consultants CTB contribution (explain nonmonetary)* eve civic donations FIL candidate filing/ballot fees FND fundraising events IND independent expenditure supporting/opposing others (explain)* LEG legal defense PET petition circulating PHO phone banks POS postage, delivery and messenger services RAD radio airtime and production costs RFD returned contributions SAL campaign workers' salaries TEL t.v. or cable airtime and production costs TRC candidate travel, lodging, and meals TRS staff/spouse travel, lodging, and meals TSF transfer between committees of the same candidate/sponsor VOT voter registration _,... :::J'' :::J... I''' t""ioii... _... --,,...,,,,_.. _,,._...,,,_,...,:::J:I ,,,,._,,,_.., (IF COMMITI"EE, ALSO ENTER 1.0. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Faith & Flower ID: MTG 9/2114- Meal for Candidate +1 for Water Bond Meeting. info[ ] Ins lin CA Mak's Quick Corner TRC 10/12114 (Sacramento to Los A~eles, CA) Ground Transporta i- on for Candidate to Attend Bay elta Water Bond Meetings. info[ 12] ~:=~r.r::~mantn r.a Q"iA1A ''- Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ Schedule E Summary 1. Payments made this period of $100 or more. (Include all Schedule E subtotals.) $ 2. Unitemized payments made this period of under $ $ 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) $ Total payments made this period. (Add lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) TOTAL$

8 SCHEDULE F,.~ Schedule F CAL~6~~NIA 460 I Accrued Expenses (Unpaid Bills) from NAME OF FILER CODES: CMP CNS CTB eve!=il ~. =No INO LEG LIT through 8/8 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 PET petition circulating PHO phone banks POS postage, delivery and messenger services PRT print ads I.D. NUMBER RAD radio airtime and production costs RFD returned contributions SAL campaign workers' salaries TEL t.v. or cable airtime and production costs TRC candidate travel, lodging, and meals TRS staff/spouse travel, lodging, and meals TSF transfer between committees of the same candidate/sponsor VOT voter registration WEB information technology costs (internet, ) I Bankcard Center (IF COMMITIEE, ALSO ENTER 1.0. NUMBER) CODE OR DESCRIPTION OF PAYMENT Credit Card Payment (a) OUTSTANDING BALANCE BEGINNING OF THIS PERIOD (b) (c) (d) AMOUNT INCURRED AMOUNT PAID OUTSTANDING THIS PERIOD THIS PERIOD BALANCE AT CLOSE (ALSO REPORT ON E) OF THIS PERIOD Salt Lake Citv UT NGP VAN, Inc. OFC Washington DC L *Payments that are contributions or independent expenditures must also be summarized on Schedule D. Schedule F Summary SUBTOTALS $ $ 25$ $ 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 $100.) INCURRED TOTALS$ 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 $100.)..., Net change this period. ()ubtract Line 2 from Line 1. Enter the difference here and on the Summary Page, Column A, Line PAID TOTALS$ NET$ May be a negative number.

Recipient Committee Campaign Statement (Government Code Sections )

Recipient Committee Campaign Statement (Government Code Sections ) Recipient Committee Campaign Statement (Government Code Sections 84200-84216.5) Date Stamp COVER PAGE 2001/02 FORM 460 Date of election if applicable: (Month, Day, Year) Page 1 of 15 For Official Use Only

More information

Recipient Committee Campaign Statement Cover Page (Government Code Sections )

Recipient Committee Campaign Statement Cover Page (Government Code Sections ) Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) through of election if applicable: (Month, Day, Year) 09/22/ 11/06/ Stamp E-Filed 09/27/ 15:58:41 Filing ID: 173949065

More information

Recipient Committee Campaign Statement (Government Code Sections )

Recipient Committee Campaign Statement (Government Code Sections ) Recipient Committee Campaign Statement (Government Code Sections 84200-84216.5) Date Stamp COVER PAGE 2001/02 FORM 460 Date of election if applicable: (Month, Day, Year) Page 1 of 20 For Official Use Only

More information

2. 11 F) r ~;t,z:, r (t;

2. 11 F) r ~;t,z:, r (t; Recipient Committee Campaign Statement Cover Page Date Stamp COVER PAGE through 12/31/2015 Date of election if applicable: (Month, Day, Year) FIB I b 3: SS 1. Type of Recipient Committee: AU Committees

More information

Recipient Committee Campaign Statement Cover Page (Government Code Sections ) Statement covers period

Recipient Committee Campaign Statement Cover Page (Government Code Sections ) Statement covers period Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) Date of election if applicable: (Month, Day, Year) Date Stamp E-Filed 08/07/2017 11:25:58 Filing ID: 165607327

More information

Date of Election if applicable: (Month, Day, Year) 12/31/2011. Treasurer(s) NAME OF TREASURER Mary Ellen Padilla MAILING ADDRESS MAILING ADDRESS

Date of Election if applicable: (Month, Day, Year) 12/31/2011. Treasurer(s) NAME OF TREASURER Mary Ellen Padilla MAILING ADDRESS MAILING ADDRESS ..., Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) from 07/01/2011 through 12/31/2011 1. Type of Recipient Committee: li2f Officeholder, Candidate Controlled

More information

i: T r ~ 1 (~. ~ l~ () r\ ~ :~-~ ~ ;

i: T r ~ 1 (~. ~ l~ () r\ ~ :~-~ ~ ; Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) from 02/20/2011 through 0 3 / 0 2/2 0 11 1. Type of Recipient Committee: GZl Officeholder, Candidate Controlled

More information

Recipient Committee Campaign Statement Cover Page (Government Code Sections )

Recipient Committee Campaign Statement Cover Page (Government Code Sections ) Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) Date of election if applicable: (Month, Day, Year) 11/06/2018 Date Stamp E-Filed 09/26/2018 15:00:24 Filing ID:

More information

Recipient Committee Campaign Statement Cover Page (Government Code Sections )

Recipient Committee Campaign Statement Cover Page (Government Code Sections ) Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) Date of election if applicable: (Month, Day, Year) 06/07/2016 Date Stamp E-Filed 02/17/2016 16:46:26 Filing ID:

More information

Type or print in ink. (Month, Day, Year) from 10/18/2015. termination 11/03/2015. Treasurer(s) I NAME OF TREASURER Diet Stroeh MAILING ADDRESS

Type or print in ink. (Month, Day, Year) from 10/18/2015. termination 11/03/2015. Treasurer(s) I NAME OF TREASURER Diet Stroeh MAILING ADDRESS Cover Attach Recipient Committee Campaign Statement (Government Code Sections 842-8421 6.5) Date Stamp RECEIVED Date election if applicable OtT 2 9 215 1/18/215 (Month, Day, Year) termination 11/3/215

More information

06/05/2018. [il. Treasurer( s) Stacy Owens MAILING ADDRESS CITY AREA CODE/PHONE. Peter Sullivan MAILING ADDRESS AREA CODE/PHONE CITY

06/05/2018. [il. Treasurer( s) Stacy Owens MAILING ADDRESS CITY AREA CODE/PHONE. Peter Sullivan MAILING ADDRESS AREA CODE/PHONE CITY COVER PAGE Recipient Committee Campaign Statement Cover Page Date Stamp (Government Code Sections 84200-84216.5) Statement overs period / -~ - - - from --+--+-through 1. Type of Recipient Committee: 1K]

More information

0 Political Party/ Central Committee

0 Political Party/ Central Committee COVER PAGE Stamp SEE INSTRUCTIONS ON REVERSE I Statement covers period 1. Type Recipient Committee: All Committees Complete Parts 1, 2, 3, and 4. April 1, 2018 d Officeholder, Candidate Controlled Committee

More information

411 D. Recipient Committee Campaign Statement Cover Page. D Primarily Formed Candidate/ Officeholder Committee (Also Complete Pett 7) 17'0~M

411 D. Recipient Committee Campaign Statement Cover Page. D Primarily Formed Candidate/ Officeholder Committee (Also Complete Pett 7) 17'0~M Recipient Committee Campaign Statement Cover Page from 1/1/216 of election if applicable: (Month, Day, Year) Stamp ZS Alfililfi'!RfiJI~ 17'~M 411 D COVER PAGE BB Page : of _7 _ For Official Use Only through

More information

Type or print In Ink. I.D.NUMBER Treasurer(s) NAME OF TREASURER Kelly Lawler MAILING ADDRESS MAILING ADDRESS

Type or print In Ink. I.D.NUMBER Treasurer(s) NAME OF TREASURER Kelly Lawler MAILING ADDRESS MAILING ADDRESS Recipient Committee Campaign Statement (Government Code Sections 84200-84216.5) COpy from 10/30/2008 Type or print In Ink. Date of election If applicable: (Month, Day, Year) Date Stamp RECEIVED FEB 0 r;

More information

Use the Form 460 to file any of the following:

Use the Form 460 to file any of the following: Recipient Committee Campaign Statement FORM 460 The Form 460 is for use by ALL recipient committees, including: Candidates, Officeholders and Their Controlled Committees A candidate or ficeholder who has

More information

Recipient Committee Campaign Statement Cover Page (Government Code Sections ) Statement covers period

Recipient Committee Campaign Statement Cover Page (Government Code Sections ) Statement covers period Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) Date of election if applicable: (Month, Day, Year) Date Stamp E-Filed 07/25/2017 11:18:04 Filing ID: 165485987

More information

Recipient Committee Campaign Statement Cover Page (Government Code Sections )

Recipient Committee Campaign Statement Cover Page (Government Code Sections ) Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) Date of election if applicable: (Month, Day, Year) Date Stamp FORM Page 1 of 12 For Official Use Only COVER PAGE

More information

LOS ANGElES CITy ETHICS COMMISSION MAY Date Stamp.OS ANGELES Cl ~~~:::;---,--:::-:---:-:-----_2THICSC0NMISSI01\ 1 Statement r;overs period

LOS ANGElES CITy ETHICS COMMISSION MAY Date Stamp.OS ANGELES Cl ~~~:::;---,--:::-:---:-:-----_2THICSC0NMISSI01\ 1 Statement r;overs period Recipient Committee Campaign Statement Cover Page LOS ANGElES CITy ETHICS COMMISSION MAY 0 3 2013 RECEIVED Date Stamp OS ANGELES Cl ~~~:::;---,--:::-:---:-:-----_2THICSC0NMISSI01\ 1 Statement r;overs period

More information

Use the Form 460 to file any of the following:

Use the Form 460 to file any of the following: Recipient Committee 460 Campaign Statement FORM The Form 460 is for use by ALL recipient committees, including: Candidates, Officeholders and Their Controlled Committees A candidate or ficeholder who has

More information

o Sponsored Small Contributor Committee

o Sponsored Small Contributor Committee Recipient Committee Campaign Statement Cover Page Statement covers period from 07/01/2017 Date of Election if dpphcd 01 (Month, Day, Year) E g cio Datamp CL) CO w CO Page 1 of7 COVER PAGE tu1mn21 A I 03

More information

Type or print in ink. Date of election if applicable: (Month, Day, Yegp.q vill. Jun 30, Treasurer(s) NAME OF TREASURER David Whittum

Type or print in ink. Date of election if applicable: (Month, Day, Yegp.q vill. Jun 30, Treasurer(s) NAME OF TREASURER David Whittum RecipiL-, it Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) Statement covers period Date of election if applicable: (Month, Day, Yegp.q vill 31 P tr: 3 Ll For Official

More information

o Sponsored (Also Complete Pert 6) o Primarily Formed Candidate! Officeholder Committee (Also Complete Part 7)

o Sponsored (Also Complete Pert 6) o Primarily Formed Candidate! Officeholder Committee (Also Complete Part 7) Recipient Committee Campaign Statement Cover Page from 7/1118 of election if applicab1e: (Month, ay, Year) Stamp COVER PAGE Page of 7 For Official Use Only through 9/22/18 November 6, 2018 1. Type of Recipient

More information

Use the Form 460 to file any of the following:

Use the Form 460 to file any of the following: Recipient Committee Campaign Statement FORM 460 The Form 460 is for use by ALL recipient committees, including: Candidates, Officeholders and Their Controlled Committees A candidate or ficeholder who has

More information

be subject to contribution limits imposed by local ordinance. Questions concerning local limits purpose of making contributions to candidates

be subject to contribution limits imposed by local ordinance. Questions concerning local limits purpose of making contributions to candidates Recipient Committee Campaign Statement The Form 460 is for use by ALL recipient committees, including: Candidates, Officeholders and Their Controlled Committees A candidate or offi ceholder who has a controlled

More information

!.03 1.HGELES COUNT' Page 1e (_ t'o'' I (Month, Day, Year) Lu I u Y - P i~ ~ : Q2 For Official Use Only

!.03 1.HGELES COUNT' Page 1e (_ t'o'' I (Month, Day, Year) Lu I u Y - P i~ ~ : Q2 For Official Use Only '. i Recipient Committee Campaign Statement Cover Page January 1, 2016 from October 22, 2016 through--------- 1. Type of Recipient Committee: All Committees -Complete Parts 1, 2, 3, and 4. D Officeholder,

More information

Recipient Committee Campaign Statement Cover Page (Government Code Sections )

Recipient Committee Campaign Statement Cover Page (Government Code Sections ) Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Date of election if applicable: (Month, Day, Year) 11/06/2018 Date Stamp E-Filed 10/23/2018

More information

Recipient Committee Campaign Statement (Government Code Sections )

Recipient Committee Campaign Statement (Government Code Sections ) Recipient Committee Campaign Statement (Government Code Sections 84200-84216.5) Date Stamp COVER PAGE 2001/02 FORM 460 Date of election if applicable: (Month, Day, Year) Page 1 of 31 For Official Use Only

More information

Recipient Committee Campaign Statement Cover Page (Government Code Sections )

Recipient Committee Campaign Statement Cover Page (Government Code Sections ) Recipient Committee Campaign Statement Cover Page (Government Code Sections 842-64216.5) Date Stamp COVER PAGE ( \I II ()J{'\1 \ 46 I'OIUI l ot 11 Dale of Election "applicable: A For Official Use Only

More information

Note: Refer to the Statement of Organization, Form 410, for guidance to determine the type of committee.

Note: Refer to the Statement of Organization, Form 410, for guidance to determine the type of committee. Recipient Committee Campaign Statement FORM 460 The Form 460 is for use by ALL recipient committees, including: Candidates, Officeholders and Their Controlled Committees A candidate or fi ceholder who

More information

Type or print in ink. Date of election if applicable: 151('Semi-annual Statement. tj Termination Slatement (Also file a Form 4 10 Termination)

Type or print in ink. Date of election if applicable: 151('Semi-annual Statement. tj Termination Slatement (Also file a Form 4 10 Termination) .' tiecipientcommiuee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE lejcopy Statement covers peri7 0d from /-1..- L!.._ throu 3D" /1 Date of election

More information

o Amendment (Explain below)

o Amendment (Explain below) Recipient Committee Campaign Statement Cover Page (Govemment Code Sections 84200-84216.5) Type or print in ink. Statement covers period of election if applicable: (Month, Day, Year) Stamp COVER PAGE CALFORNA

More information

Type or print in ink. Date of election if applicable: (Month. Dav. Year) Statement covers period 11/4/2014. Treasurer(s)

Type or print in ink. Date of election if applicable: (Month. Dav. Year) Statement covers period 11/4/2014. Treasurer(s) Recipient Committee Campaign Statement Cover Page (Goverment Code Sections 84200-84216.5) Type or print in ink from 711/2 014 Date of election if applicable: (Month. Dav. Year) Date Stamp CALIFORNIA 2001/02

More information

Recipient Committee Campaign Statement Cover Page (Government Code Sections )

Recipient Committee Campaign Statement Cover Page (Government Code Sections ) Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Date of election if applicable: (Month, Day, Year) 11/06/2018 Date Stamp E-Filed 09/25/2018

More information

1121 Preelection Statement D. Treasurer(s) Ryan Luther CITY. San Francisco AREA CODE/PHONE MAILING ADDRESS AREA CODE/PHONE CITY

1121 Preelection Statement D. Treasurer(s) Ryan Luther CITY. San Francisco AREA CODE/PHONE MAILING ADDRESS AREA CODE/PHONE CITY Recipient Committee Campaign Statement Cover Page )lt:f~o from 7/1/216. 9/24/216 1. Type of Recipient Committee: All Committees- Complete Parts 1, 2, 3, and 4. State Candidate Election Committee Recall

More information

Type or print in ink. o Amendment (Explain below) Treasurer(s) NAME OF TREASURER. Jim King MAILING ADDRESS CITY AREA CODE/PHONE MAILING ADDRESS

Type or print in ink. o Amendment (Explain below) Treasurer(s) NAME OF TREASURER. Jim King MAILING ADDRESS CITY AREA CODE/PHONE MAILING ADDRESS '. Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. from O_c_t_o_be_r_1..;.,_2_0_1_2_ through October 20,2012

More information

BY---~~=-::~)~,.,;;:.

BY---~~=-::~)~,.,;;:. Recipient Committee Campaign Statement Cover Page (Government Code Sections 842-84216.5) from 1_/ 1 /_2_1_4 through 1_1_1_8/_2 14 Date of election if applicable: (Month, Day, Year) Nov.4,214 Date Stamp

More information

C CE V ED Statement covets pet-iou Date of election if applicalle yf i (Month, Day, Year) Treasurer(s) MAILING ADDRESS

C CE V ED Statement covets pet-iou Date of election if applicalle yf i (Month, Day, Year) Treasurer(s) MAILING ADDRESS Recipient Committee Date Stamp Campaign Statement Cover Page (Government Code Sections 84200-84216.5) C CE V ED Statement covets pet-iou Date of election if applicalle yf i (Month, Day, Year) (pr* Page

More information

Recipient Committee Campaign Statement Cover Page (Government Code Sections )

Recipient Committee Campaign Statement Cover Page (Government Code Sections ) Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) E-filed on: 10/04/2012 17:29:21 Date of election if applicable: (Month, Day, Year) Date Stamp FORM Page 1 of 9

More information

Date of election if applicable ~ (Month, Day, Year) 711/17 12/31/17. Treasurer(s) NAME OF TREASURER CITY MAILING ADDRESS

Date of election if applicable ~ (Month, Day, Year) 711/17 12/31/17. Treasurer(s) NAME OF TREASURER CITY MAILING ADDRESS ~ecip,ient Cmmittee Campaign Statement Cver Page Date f electin if applicable ~ (Mnth, Day, Year) frm thrugh 1. Type f Recipient Cmmittee: I!lI 12/31/17 2. Type f Statement: All Cmmittees - Cmplete Parts

More information

Type or print in ink. r r Type of Statement: D Preelection Statement. o Amendment (Explain below) Treasurer(s)

Type or print in ink. r r Type of Statement: D Preelection Statement. o Amendment (Explain below) Treasurer(s) Reci pient Comm ittee Campaign Statement Cover (Government Code Sections 84200-84216.5) r---------------r------------4 from JA_N_1-,-, -,2_0_16 Date of election if appllcab;lep (Month, Day, Year),, ' i'~

More information

Recipient Committee Campaign Statement (Government Code Sections )

Recipient Committee Campaign Statement (Government Code Sections ) Recipient Committee Campaign Statement (Government Code Sections 84200-84216.5) Date Stamp COVER PAGE CALIFORNIA 2001/02 460 Date of election if applicable: (Month, Day, Year) Page 1 of 24 For Official

More information

Recipient Committee Campaign Statement Cover Page

Recipient Committee Campaign Statement Cover Page Recipient Committee Campaign Statement Cover Page through Date of election if applicable: (Month, Day, Year) Date Stamp COVER PAGE Page 1 of For Official Use Only 30 1. Type of Recipient Committee: All

More information

Date of election if applicable: Month, Day, Year) 2. Type of Statement: Preelection Statement. P Semi - annual Statement.

Date of election if applicable: Month, Day, Year) 2. Type of Statement: Preelection Statement. P Semi - annual Statement. Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement covers period Date of election if applicable: Month, Day, Year) 11/ 6/ 18 Date Stamp keec- r V JAN 3120171 CITY CLERK

More information

Type or print in ink. Jan 1, March 17,2008. IZI Preelection Statement. Treasurer(s) OF TREASURER (831)

Type or print in ink. Jan 1, March 17,2008. IZI Preelection Statement. Treasurer(s) OF TREASURER (831) Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) SEE NSTRUCTONS ON REVERSE from Type or print in ink. Jan 1, 2008 March 17,2008 1. Type of Recipient Committee:

More information

o Primarily Formed Candidatel

o Primarily Formed Candidatel Recipient Committee Campaign Statement Cover Page...------------.---------..,:'\/'111; - I Date of Election if applicable I.

More information

Date of election if applicable, (Month, Day, v f, July Dec Iii1! o. Treasurer(s) NAMt=OF-ffiEASURER MAILING ADDRESS CITY

Date of election if applicable, (Month, Day, v f, July Dec Iii1! o. Treasurer(s) NAMt=OF-ffiEASURER MAILING ADDRESS CITY Recipient Cmmittee Campaign Statement Cver Page I 1. Type f Recipient Cmmittee: frm July 1 2017 thrugh Dec 31 2017 Date f electin if applicable, (Mnth, Day, v f, '-11-- - - - - - - - - - ' 2. Type f Statement:

More information

Statement covers period. Date of election if applicable: (Month. Day, Year) 1/1/2017 4I 1I Preelection Statement Committee.

Statement covers period. Date of election if applicable: (Month. Day, Year) 1/1/2017 4I 1I Preelection Statement Committee. Recipient Campaign Statement Cover Paae COVER PAGE Date Stamp Date of election if applicable: LOS ANGELES CITY ETHICS COMMISSIO i'! (Month. Day, Year) from through 1. Type of Recipient : 1/1/2017 4I 1I

More information

Type or print in ink. Ii2l Semi-annual Statement. o Termination Statement. (Also file a Form 410 Termination) (A/so Complete Part 5) Treasurer(s)

Type or print in ink. Ii2l Semi-annual Statement. o Termination Statement. (Also file a Form 410 Termination) (A/so Complete Part 5) Treasurer(s) Recipient Cmmittee Campaign Statement Cver Page (Gvernment Cde Sectins 842-84216.5) Type r print in ink. Statement cvers perid frm 1/1115 f electin if applicable: (Mnth, Day, Year) C~TY Stamp \.( D7:'Cr'!"Ir::O

More information

2: tnhar23 aurr (Month, Day, Year) J u liff '+ For Official Use Only

2: tnhar23 aurr (Month, Day, Year) J u liff '+ For Official Use Only ... Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) Date Stamp COVER PAGE :. f~! -ti: r,, 1,.,,, ~ (._, l')~~o-~rvq '~ (~ ~ " ~ 1 11 L...;,. ;\,, ~----------~~~--fio~a;te~o;f~el~ec~ti~on~i;f~ap;p~uc~abibj;.je

More information

Date of election if applicable: (Month, Day, Year) Statement covers period 9/25/ /8/ /22/2016

Date of election if applicable: (Month, Day, Year) Statement covers period 9/25/ /8/ /22/2016 Recipient Committee Campaign Statement Cover Page Date of election if applicable: (Month, Day, Year) Date Stamp 2001/02 Page 1 of 46 For Official Use Only COVER PAGE 11/8/2016 1. Type of Recipient Committee:

More information

11/08/16. Treasurer(s) MAILING ADDRESS

11/08/16. Treasurer(s) MAILING ADDRESS Recipient Committee Campaign Statement Cover Page ate Stamp COVER PAGE 4ma @~1111FB RJSH~ F RM 1111 from 09/25/16 Page_. of_l2 For Official Use Only through 10/22/16 11/08/16 1. Type of Recipient Committee:

More information

Recipient Committee Campaign Statement (Government Code Sections )

Recipient Committee Campaign Statement (Government Code Sections ) Recipient Committee Campaign Statement (Government Code Sections 84200-84216.5) Date Stamp COVER PAGE 2001/02 FORM 460 Date of election if applicable: (Month, Day, Year) Page 1 of 63 For Official Use Only

More information

Type or print in ink. (Month, Day, Year) For Official Use Only 07/01/ /19/ Treasurer(s) NAME OF TREASURER Trish Boorstein

Type or print in ink. (Month, Day, Year) For Official Use Only 07/01/ /19/ Treasurer(s) NAME OF TREASURER Trish Boorstein Recipient Committee Campaign Statement Covet Page RECEiVED (Government Code Sections 842-84216.5) SEP 2 4 3 Statement covets period Date of election if applicabic from 7/1/215 (Month, Day, Year) For Official

More information

I from January 22, 2017

I from January 22, 2017 Recipient Committee Campaign Statement Cover Page Date of election if applicable:7 (Month, Day, Year) I from January 22, 2017 February 18, 2017 March 7,2017 through COVER PAGE Date Stamp ( ( EL/L I Page

More information

o Recall 0 Controlled C Termination Statement ~ Supplemental Preelection

o Recall 0 Controlled C Termination Statement ~ Supplemental Preelection Recipient Committee ~ ~ print in mit C T~( ULrtiK~mp Campaign Statement CoverPage 29J N28 PH tpq3 (Government Code SectIons 842-842165) Statement coven period from Dte of election If applicabl: through

More information

(Month, Day, Year) 01/22/17. 02/18/17 March El Amendment (Explain below) Treasurer(s) NAME OF TREASURER Bill Neiman

(Month, Day, Year) 01/22/17. 02/18/17 March El Amendment (Explain below) Treasurer(s) NAME OF TREASURER Bill Neiman .. - Recipient Committee Campaign Statement Cover Page Statement covers period Date of election if applicable: Ct, 01/22/17 (Month, Day, Year) Date Stamp -ly r r from ZflFEO2I P 02/18/17 March 7 2017.

More information

Date of Election if applicable 11/06/2012. (Month, Day, Year) Treasurer(s) NAME OF TREASURER C. April Boling, C.P.A. STREET ADDRESS CITY.

Date of Election if applicable 11/06/2012. (Month, Day, Year) Treasurer(s) NAME OF TREASURER C. April Boling, C.P.A. STREET ADDRESS CITY. Recipient Committee Campaign Statement Cover Page Date of Election if applicable 11/06/2012 (Month, Day, Year) DateStartik, 1 CLE'eS 12 OCT Jo C COVER PAGE CALIFORNIA FORM ff-t A 60 Page 1 of 17 y e For

More information

B arespomllleoi!dirorsponsor &e tooon

B arespomllleoi!dirorsponsor &e tooon Recipient Committee Campaign Statement Cover Page (Government Code Section 842-84216.5) from Type or print In Ink. 11 1 1 2 14 Date of election if applica (Month, Day, Year) Date Stamp MAR 2 4 214 COVER

More information

o Amendment (Explain below) Statement - Attach Form 495

o Amendment (Explain below) Statement - Attach Form 495 Recipient Committee Campaign Statement (Government Code Sections 84200-84216.5) Type or print in ink. Date Stamp COVER PAGE from 01/01/2008 Date of election if applicable: (Month, Day, Year) 1 /19 For

More information

Type or print in ink. Statement covers period. Treasurer(s) NAME OF TREASURER SARIT JUDGE MAILING ADDRESS CITY AREA CODE/PHONE MAILING ADDRESS

Type or print in ink. Statement covers period. Treasurer(s) NAME OF TREASURER SARIT JUDGE MAILING ADDRESS CITY AREA CODE/PHONE MAILING ADDRESS Recipient Cmmittee Campaign Statement Cver Page (Gvernment Cde Sectins 84200-84216.5) rm 7/1/13 f thrugh 12/31/13 f electin if applicable: (Mnth, ay, Year) Nv 2,2010 Stamp COVER PAGE I?[CE/VE. C!1r F Silli

More information

Cover Page Government Code Sections

Cover Page Government Code Sections y w e ptit Recipient om ee Campa Statement Cover Page Government Code Sections 84200 84216 5 l or print Statement corers period in ink o election ifs Month DaY p Icable far Stamp W Page o For Officia Use

More information

Type or print in ink. Date of election if applicable: (Month, Day, Year) Treasurer(s) NAME OF TREASURER Rosalyn Butala CITY.

Type or print in ink. Date of election if applicable: (Month, Day, Year) Treasurer(s) NAME OF TREASURER Rosalyn Butala CITY. Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) Statement cov rs period from ~ 13 through &/'$o/ 17 Date of election if applicable: (Month, Day, Year) 4/2/2013

More information

o Officeholder. Cancfldate Controlled Committee III Primarily Formed Ballot Measure State Candidate Election Committee

o Officeholder. Cancfldate Controlled Committee III Primarily Formed Ballot Measure State Candidate Election Committee Recipient Committee Campaign Statement Cover Page (Government Code SectIons 84200-84216.5) 'TYpe or print JANUARY 1, 2008 from in ink. Date of election if applicable: (Month. Day, Year) JUL. 2 ~ 2QQ~ 'AUL~NZAliZ,

More information

Recipient Committee Campaign Statement Cover Page (Government Code Sections )

Recipient Committee Campaign Statement Cover Page (Government Code Sections ) Recipient Committee Campaign Statement Cover Page (Government Code Sections 8420084216.5) Type or print in ink Date Stamp 2001/02 FORM COVER PAGE 460 d Through Date of election if applicable: (Month, Day,

More information

Type or print in ink. Date of election if applicable: (Month, Day, Year) 1\ /G I\~ 2. Type of Statement: tm. Amendment (Explain below) (nu.

Type or print in ink. Date of election if applicable: (Month, Day, Year) 1\ /G I\~ 2. Type of Statement: tm. Amendment (Explain below) (nu. Recipient Committee Campaign Statement Cover Page (Government Code Sections 8420084216.5) SEE INSTRUCTIONS ON REVERSE from :r Q..JJ 1) 'd 0 \ ;} through Se/\?"t 30, ddj'j.. Date of election if applicable:

More information

CAMPAIGN FINANCIAL DISCLOSURE REPORT SUMMARY PAGE (Please Print or Type) City and Zip. City and Zip

CAMPAIGN FINANCIAL DISCLOSURE REPORT SUMMARY PAGE (Please Print or Type) City and Zip. City and Zip CAMPAIGN FINANCIAL DISCLOSURE REPORT SUMMARY PAGE (Please Print or Type) C-2 Rev. 10/07 Section I Name Candidate or Political Committee and Chairperson Offi ce Sought (if candidate) Seat (if any) Mailing

More information

Date of election if appii (Month, Day, Year) Statement covers period. Treasurer(s) MAJL.ING ADDRESS. CITY Oxnard AREA CODE/PHONE MAILING ADDRESS

Date of election if appii (Month, Day, Year) Statement covers period. Treasurer(s) MAJL.ING ADDRESS. CITY Oxnard AREA CODE/PHONE MAILING ADDRESS Recipient Committee Campaign Statement Cover Page Statement covers period &.rom 9/25/216 _ Date of election if appii (Month, Day, Year) t: Ul tlm:iugh 1/22/216 November 8, 216 1. Type of Recipient Committee:

More information

I CALIFORNIA FORM 460

I CALIFORNIA FORM 460 Recipient Committee Campa ign Statement Cover Page (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE (c(o)[plr from March 18, 2010 May 22,2010 1. Type of Recipient Committee: All Committees

More information

F ftetp E IN SAN BENITO COUN

F ftetp E IN SAN BENITO COUN r~ecipient Cmmittee Campaign Statement Cver Page (Gvernment Cde Sectins 84200-84216)b SEE INSTRUCTIONS ~ t7\ r~"7'sn.r. ;: II'!!~ I!, t.j '--'".f! I.) n~h t \-;' 'l) U '{- I.. :'~~i I Type r print in ink.

More information

Date of election if (Month, Day, Statement covers period. 22 Oct of Statement: MAILING ADDRESS. CITY Oxnard. CITY Oxnard

Date of election if (Month, Day, Statement covers period. 22 Oct of Statement: MAILING ADDRESS. CITY Oxnard. CITY Oxnard COVER PAGE SEE NSTRUCTONS ON REVERSE Statement covers period ~om 25 216 22 Oct216 Date of election if (Month, Day, Nov 8, 216 1. of Committee: All Committees-complete Parts 1, 2, 3, amt 4. Offlr..,,hnl,rli:>r.

More information

Type or print In Ink. hzi Semi-annual Statement Special Odd-Year Report. o Amendment (Explain below) Treasurer(s) NAME OF TREASURER MAILING ADDRESS

Type or print In Ink. hzi Semi-annual Statement Special Odd-Year Report. o Amendment (Explain below) Treasurer(s) NAME OF TREASURER MAILING ADDRESS copy Recipient Committee Date Campaign Statement Cover Page (Government Code Sections 84200-84216.5) Type or print In Ink. from 7/1/08 Date of election If applicable: (Month, Day, Year) Stamp JAN 3 0 2009

More information

the first report being filed 17. LOAN GUARANTEES RECEIVED... Schedule S. Part 2 $

the first report being filed 17. LOAN GUARANTEES RECEIVED... Schedule S. Part 2 $ Campaign Disclsure Statement Summary Page Type r print in ink. Amunts may be runded t whle dllars. Statement cvers perid frm 7/_1_/2_0_1_1 SUMMARY PAGE CALFORNA 460 FORM thrugh 1_2/_3_1_/2_0_1_1 Page 3,--_

More information

STATEMENT OF NO CONTRIBUTIONS OR EXPENDITURES

STATEMENT OF NO CONTRIBUTIONS OR EXPENDITURES C-2 CAMPAIGN FINANCIAL DISCLOSURE REPORT Rev. 11/17 SUMMARY PAGE (Please Print or Type) Section I Name of candidate or Political Committee and Chairperson Office Sought (if candidate) District (if any)

More information

Type or print in ink. A~me..r-.+- Date of election If applicable: (Month, Day, Year) Ii2I Amendment (Explain below) Treasurer(s)

Type or print in ink. A~me..r-.+- Date of election If applicable: (Month, Day, Year) Ii2I Amendment (Explain below) Treasurer(s) Recipient Cmmittee Campaign Statement Cver Page (Gvernment Cde Sectins 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Type r print in ink. A~me..r-.+- 05-23-2010 frm 06-30-2010 1. Type f Recipient Cmmittee:

More information

M /~~~ t cn,4 )hn4see

M /~~~ t cn,4 )hn4see Recipient Committee Campaign Statement Cover Page (Government Code Sections 842OO-S42~6.5) Type or print In Ink. Statem nt vbvers period from Date of election if applicable; (Month. Day, Year) CITY CLERK

More information

Subject: Addendum #1 to Report # of Apparent Violation of the Ventura County Campaign Finance Reform Ordinance (No. 4471)

Subject: Addendum #1 to Report # of Apparent Violation of the Ventura County Campaign Finance Reform Ordinance (No. 4471) Date: June 6, 2016 To: From: County Executive Office, Campaign Finance Staff Ventura County Clerk Subject: Addendum #1 to Report #2016-05 of Apparent Violation of the Ventura County Campaign Finance Reform

More information

Subject: Report # of Apparent Violation of the Ventura County Campaign Finance Reform Ordinance (No. 4471)

Subject: Report # of Apparent Violation of the Ventura County Campaign Finance Reform Ordinance (No. 4471) Date: June 30, 2016 To: From: County Executive Office, Campaign Finance Staff Ventura County Clerk Subject: Report #2016-08 of Apparent Violation of the Ventura County Campaign Finance Reform Ordinance

More information

APPENDIX A BLANK DISCLOSURE REPORTS

APPENDIX A BLANK DISCLOSURE REPORTS APPENDIX A BLANK DISCLOSURE REPORTS C-1 Appointment and Certification of Political Treasurer C-2 Campaign Disclosure Forms Detailed Summary Page C-4 Independent Expenditures C-5 48 Hour Notice of Contributions/Loans

More information

Recipient Committee Campaign Statement Cover Page (Government Code Sections )

Recipient Committee Campaign Statement Cover Page (Government Code Sections ) Recipient Committee Campaign Statement Cover (Government Code Sections 84200-84216.5) Date Stamp COVER PAGE as sa fr om Date of election if applicable (Month, Day, Year) SEE INSTRUCTIONS ON REVERSE June

More information

FOR CANDIDATES AND COMMITTEES (Please Print or Type)

FOR CANDIDATES AND COMMITTEES (Please Print or Type) C-1 APPOINTMENT AND CERTIFICATION OF POLITICAL TREASURER Rev. 11/17 FOR CANDIDATES AND COMMITTEES (Please Print or Type) Pursuant to Section 67-6603(c1), Idaho Code. No contribution shall be received or

More information

CAMPAIGN FINANCIAL DISCLOSURE REPORT SUMMARY PAGE (Please Print or Type)

CAMPAIGN FINANCIAL DISCLOSURE REPORT SUMMARY PAGE (Please Print or Type) CAMPAGN FNANCAL DSCLOSURE REPORT SUMMARY PAGE (Please Print or Type) C-2 Rev. 12114 Section Name of Candidate or Political Committee and Chairperson Office Sought (if candidate) District (if any) reasurer

More information

Type or print in Ink. Statement covers period CITY AREA CODE/PHONE CITY

Type or print in Ink. Statement covers period CITY AREA CODE/PHONE CITY Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) Type or print in Ink. from 0_1_10_1_12_0_1_5 Date of election if applicable: (Month, Day, Year) Napa County -Recorde!'-County

More information

Dale Stamp CALIFORNIA Cover Page RECEIVED. Type or print In Ink. Date if election If applicable: (Month, Day, Year)

Dale Stamp CALIFORNIA Cover Page RECEIVED. Type or print In Ink. Date if election If applicable: (Month, Day, Year) Recipient Committee Campaign Statement Type or print In Ink. Dale Stamp Cover Page FORM (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE from 10-01-08 through 10-18-08 Date if election

More information

o Recall (Also Comple/e Part 5)

o Recall (Also Comple/e Part 5) Recipient Cmmittee Campaign Statement Cver Page (Gvernment Cde Sectins 84200-84216.5) Type r print in ink. Date Stamp c -('[I U i \ >~ V >,~,.---------,-------i-'"'"'(4.lij,' STO C!l '( CLEI{I\ frm --'-0..::1/.::.0..::1/.::.2.::.0-'-16=-_

More information

CAMPAIGN CONTRIBUTION AND EXPENDITURE REPORT For County, Municipal and School Board Candidates

CAMPAIGN CONTRIBUTION AND EXPENDITURE REPORT For County, Municipal and School Board Candidates CAMPAIGN CONTRIBUTION AND EXPENDITURE REPORT For County, Municipal and School Board Candidates Check if this report is an amendment This report should be filed with the County Clerk of the county in which

More information

CAMPAIGN FINANCE REPORT LOCAL COMMITTEES OF WISCONSIN

CAMPAIGN FINANCE REPORT LOCAL COMMITTEES OF WISCONSIN CAMPAIGN FINANCE REPORT LOCAL COMMITTEES OF WISCONSIN Is This Report an Amendment: Yes No Instructions for completing schedules are on the back of each schedule. COMMITTEE IDENTIFICATION Name of Committee

More information

Type or pr~nt in ~nk. Date of election If appltcable: (Month Day, Year) 2. Type of Statement: [XI Preelect~on Statement NAME OF TREASURER

Type or pr~nt in ~nk. Date of election If appltcable: (Month Day, Year) 2. Type of Statement: [XI Preelect~on Statement NAME OF TREASURER Recipier Smittee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) SEE NSTRUCTONS ON REVERSE Type or pr~nt in ~nk. Statement covers perlod 07/01 2006 through 09/30/2006 Date of election

More information

Finance Checklist and GAB - Campaign Finance Overview Local Candidates

Finance Checklist and GAB - Campaign Finance Overview Local Candidates TOWN OF VERNON WAUKESHA COUNTY WISCONSIN 2018 Finance Checklist and GAB - Campaign Finance Overview Local Candidates (For additional resources and information please visit the Wisconsin Elections and Ethics

More information

c. r---:: r ----:- oi-.r',...,'j.:;:

c. r---:: r ----:- oi-.r',...,'j.:;: COVER PAGE Recipient Cmmittee Campaign Statement Cver Page Date Stamp t"< t. frm 01/01/2016 _ SEE INSTRUCTIONS ON REVERSE All Cmmittees - Cmplete Parts 1. 2, 3, and 4. Officehlder, Candidate Cntrlled Cmmittee

More information

Statement covers period Date of election if applicable: (Month 6/30/ /8/ Type of Statement: \i2l Preelection Statement.

Statement covers period Date of election if applicable: (Month 6/30/ /8/ Type of Statement: \i2l Preelection Statement. Recipient Cmmittee Campaign Statement Cver Page INSTRUCTIONS ON CLERK SEP 29 Statement cvers perid Date f electin if applicable: (Mnth 6/3/216 frm 1.4 9/ee,/216 11/8/216 thrugh 1. Type f Recipient Cmmittee:

More information

TEXAS ETHICS COMMISSION

TEXAS ETHICS COMMISSION TEXAS ETHICS COMMISSION GENERAL - PURPOSE COMMITTEE CAMPAIGN FINANCE REPORT FORM GPAC INSTRUCTION GUIDE Revised January 1, 2017 Texas Ethics Commission, P.O. Box 12070, Austin, Texas 78711 (512) 463-5800

More information

Candidates and Treasurers

Candidates and Treasurers Workshop for Candidates and Treasurers Hosted by: City of Anaheim Presented by: Deborah Hanephin External Affairs and Education Division Fair Political Practices Commission www.fppc.ca.gov advice@fppc.ca.gov

More information

contributor guide city elections

contributor guide city elections los angeles CITY ETHICS COMMISSION...preserving the public trust. contributor guide city elections 2013 Election Update Includes changes to the City s campaign finance laws that become effective October

More information

Date of election if applica~ (Month, Day, Year) L. June 30, 2017 April 4, H Amendment (Explain below) MAILING ADDRESS

Date of election if applica~ (Month, Day, Year) L. June 30, 2017 April 4, H Amendment (Explain below) MAILING ADDRESS Recipient Committee Campaign Statement Cover Page Date Stamp COVER PAGE from March 19, 2017 Date of election if applica~ (Month, Day, Year) L JUL 3 I [H 2:~6 Page of 2.2.. For Official Use Only SEE INSTRUCTIONS

More information

C.êinendment (Explain below) MAILING ADDRESS X) CITY STATE ZIP CODE AREA CODE/PHONE

C.êinendment (Explain below) MAILING ADDRESS X) CITY STATE ZIP CODE AREA CODE/PHONE Recipient Committee Type or print in ink. Date Stamp ] Campaign Statement Cover Page (Government Code Sections 842OO-8421&~.iJTY CLERK Date of election If applicable: through 03/ 19/ 2011 04/05/2011 from

More information

Workshop for Candidates and Treasurers

Workshop for Candidates and Treasurers Workshop for Candidates and Treasurers Hosted by the County of Santa Cruz This workshop is designed for local candidates who plan to raise or spend $2,000 or more on their election. Presented by John Kim

More information

TEXAS ETHICS COMMISSION

TEXAS ETHICS COMMISSION TEXAS ETHICS COMMISSION POLITICAL COMMITTEE DAILY PRE-ELECTION REPORT OF DIRECT EXPENDITURES FORM DAILY-E PAC INSTRUCTION GUIDE Revised January 4, 2016 Texas Ethics Commission, P.O. Box 12070, Austin,

More information

FINAL CAMPAIGN CONTRIBUTION AND EXPENDITURE REPORT For State and District Candidates Only For assistance in completing

FINAL CAMPAIGN CONTRIBUTION AND EXPENDITURE REPORT For State and District Candidates Only For assistance in completing FINAL CAMPAIGN CONTRIBUTION AND EXPENDITURE REPORT For State and District Candidates Only To be filed with: Mark Martin, Secretary of State For assistance in completing this form contact: Arkansas Ethics

More information

Campaign Finance Reports Handbook of Instructions

Campaign Finance Reports Handbook of Instructions Campaign Finance Reports Handbook of Instructions Issued by The League of Arizona Cities and Towns / May 2015 2 TABLE OF CONTENTS Table of Contents... 3 Notice... 5 Quick Alphabetical Index to Campaign

More information

COUNTY EXECUTIVE COMMITTEE CAMPAIGN FINANCE REPORT

COUNTY EXECUTIVE COMMITTEE CAMPAIGN FINANCE REPORT COUNTY EXECUTIVE COMMITTEE CAMPAIGN FINANCE REPORT FORM CEC COVER SHEET PG 1 The CEC Instruction Guide explains how to complete this form. 1 Filer ID (Ethics Commission Filers) 2 Total pages filed: 3 COMMITTEE

More information