Major Donor and Independent Expenditure Committee Campaign Statement (Government Code Sect ons )

Size: px
Start display at page:

Download "Major Donor and Independent Expenditure Committee Campaign Statement (Government Code Sect ons )"

Transcription

1 I Committee (Government Code Sect ons ) MAJOR DONOR AND INDEPENDENT EPENDITURE COMMITTEE STATEMENT Date Stamp CALIFORNIA 46 FORM Amendment from Statement covers period 07/0/04 Date of election if applicable: (Month, Day,Year) /5 For Official Use Only. Name and Address Of Filer (Inc ude name(s) of a aff ated ent t es whose contr but ons are nc uded n th s statement.) County Buildin Corpo - ration dba National City Park Apartments and Affiliated Entit - MA ies L NG ADDRESS (NO AND STREET) C TY STATE Z P CODE National City CA 9950 RESPONS BLE OFF CER AREA CODE/DAYT ME PHONE (If f er s other than an nd v dua ) Sharon K Ramirez. Nature and Interests of Filer (Comp ete each app cab e sect on.) A F LER THAT S AN ND V DUAL MUST L ST THE NAME ADDRESS AND BUS NESS NTERESTS OF EMPLOYER OR F SELF EMPLOYED THE NAME ADDRESS AND NATURE OF THE BUS NESS NAME OF EMPLOYER/BUS NESS ADDRESS OF EMPLOYER/BUS NESS /3/04 BUS NESS NTERESTS 3. Summary ( to who e do ars.). s and contributions (including loans) of 00 or more made this period. (Part 5.).... Unitemized expenditures and contributions (including loans) under 00 made this period Total expenditures and contributions made this period. (Add Lines +.)... SUBTOTAL 4. Total expenditures and contributions made from prior statement. (Enter amount from Line 5 of last statement filed. If this is the first statement for the calendar year, enter zero.) Total expenditures and contributions (including loans) made since January of the current calendar year. (Add Lines )...TOTAL A F LER THAT S A BUS NESS ENT TY MUST DESCR BE THE BUS NESS ACT V TY N WH CH T S ENGAGED Apartment housing. A F LER THAT S AN ASSOC AT ON MUST PROV DE A SPEC F C TS NTERESTS 4. Verification I have used all reasonable diligence in preparing this statement. I have reviewed the statement and to the best of my knowledge the information contained herein is true and complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. A F LER THAT S NOT AN ND V DUAL BUS NESS ENT TY OR ASSOC AT ON MUST DESCR BE THE COMMON ECONOM C NTEREST OF THE GROUP OR ENT TY Executed on 0/6/05 By Sharon K Ramirez S GNA URE O ND V DUAL DONOR OR RESPONS BLE O CER O HER HAN AN ND V DUAL For Technical Assistance: 96/ State of California

2 I Committee INDEPENDENT EPENDITURE COMMITTEE AND from 07/0/04 FORM 46 /3/04 /5 County Buildin Corporation dba National 5. s (Including s, Forgiveness of s, and Guarantees) and s Made CAND AND OFF CE CAND MEASURE 09/3/04 County Democratic Party Non /3/04 County Democratic Party Non /5/04 Escondido Taxpayers Association Escondido ID: 3749 CA 907 Non /5/04 Escondido Taxpayers Association Escondido ID: 3749 CA 907 Non SUBTOTAL For Technical Assistance: 96/3-5660

3 I Committee INDEPENDENT EPENDITURE COMMITTEE AND from 07/0/04 FORM 46 /3/04 3/5 County Buildin Corporation dba National 5. s (Including s, Forgiveness of s, and Guarantees) and s Made 0/03/04 0/03/04 /08/04 /08/04 CAND AND OFF CE CAND MEASURE Chula Vista Voters Against Corruption,opposing John McCann for City Made C uncil by San 04 Dieg Sponsored - by Building & Construction Trades Council,AFL-CIO CA 908 Non ID: 370 EP40 Chula Vista Voters Against Corruption,opposing John McCann for City Mady C uncil by San 04 Dieg Sponsored - by Building & Construction Trades Council,AFL-CIO CA 908 Non Corporation No ID: 370 EP4. County Democratic Party County Democratic Party Non Non SUBTOTAL For Technical Assistance: 96/3-5660

4 I Committee INDEPENDENT EPENDITURE COMMITTEE AND from 07/0/04 FORM 46 /3/04 4/5 County Buildin Corporation dba National 5. s (Including s, Forgiveness of s, and Guarantees) and s Made CAND AND OFF CE CAND MEASURE /0/04 County Democratic Party Non /0/04 County Democratic Party Non SUBTOTAL For Technical Assistance: 96/3-5660

5 TET ANNOTATION PAGE 3 Schedule F46P5 EP40 Committee primarily formed to oppose John McCann; City Council,Chula Vista. PAGE 3 Schedule F46P5 EP4 Committee primarily formed to oppose John McCann; City Council; Chula Vista.

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

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

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

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

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

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

(OFFICE USE ONLY) BUS# - REG# - TOT#

(OFFICE USE ONLY) BUS# - REG# - TOT# (OFFICE USE ONLY) BUS# - REG# - TOT# CITY OF ANAHEIM SHORT-TERM RENTAL PERMIT APPLICATION 200 S. Anaheim Blvd. #136, Anaheim, CA 92805 P.O. Box 61042, Anaheim, CA 92803-6142 (714) 765-5194 Chapter 4.05-Anaheim

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 (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 ) 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

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

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

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

PRODUCER ANNUITY SUITABILITY TRAINING REQUIREMENTS BY STATE As of September 11, 2017

PRODUCER ANNUITY SUITABILITY TRAINING REQUIREMENTS BY STATE As of September 11, 2017 PRODUCER ANNUITY SUITABILITY TRAINING REQUIREMENTS BY STATE As of September 11, 2017 This document provides a summary of the annuity training requirements that agents are required to complete for each

More information

POLITICAL PARTY REPORT REGARDING FUNDS FROM CORPORATIONS AND LABOR ORGANIZATIONS

POLITICAL PARTY REPORT REGARDING FUNDS FROM CORPORATIONS AND LABOR ORGANIZATIONS POLITICAL PARTY REPORT REGARDING FUNDS FROM CORPORATIONS AND LABOR ORGANIZATIONS FORM PTY-CORP COVER SHEET PG 1 Form PTY-CORP Instruction Guide explains how to complete this form. 1 Filer ID (Ethics 2

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

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

The POLL WATCHER. Inside This Issue. October 22, 2015

The POLL WATCHER. Inside This Issue. October 22, 2015 VOLUME 1 ISSUE 19 The POLL WATCHER October 22, 2015 Inside This Issue 1 Message from the Directors 2 Miscellaneous Reminders 3 Provisional Ballots 4 Presiding Judge Check List 5 Calendar and Contact Info

More information

Para más detalles en Español llame al BACKGROUND KEY REASONS WHY SDG&E IS ASKING FOR INCREASES ARE:

Para más detalles en Español llame al BACKGROUND KEY REASONS WHY SDG&E IS ASKING FOR INCREASES ARE: Para más detalles en Español llame al 1-800-311-7343 NOTIFICATION OF SAN DIEGO GAS & ELECTRIC COMPANY S REQUEST TO INCREASE RATES AND REVENUES FOR THE 2019 GENERAL RATE CASE APPLICATION FILING NO. A.17-10-007

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

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

5 JOHN HABERS TROH and JOSE ESPELETA cer tify t hat: 7 ASSOC IATED STUDENTS, CALIFORNIA STATE UNIVERSITY, LONG BEACH, a

5 JOHN HABERS TROH and JOSE ESPELETA cer tify t hat: 7 ASSOC IATED STUDENTS, CALIFORNIA STATE UNIVERSITY, LONG BEACH, a A0739341 1 RESTATED AND AMENDED 2 ARTICLES OF INCORPORATION 3 OF 6P FILEDJ ~M/ tl f\ secretary af State state of california FEB 2 5 2013 IP'-' 4 ASSOCIATED STUDENTS, CALIFORNIA STATE UNIVERSITY, LONG BEACH

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

EUROMED HERITAGE II. Grant Application Form. European Commission. Budget Line B Dossier No. Name of the applicant:

EUROMED HERITAGE II. Grant Application Form. European Commission. Budget Line B Dossier No. Name of the applicant: European Commission EUROMED HERITAGE II Grant Application Form Budget Line B7-4100 Name of the applicant: Country (ies) of implementation: Dossier No (for internal use only) I. THE PROJECT 1. D escr iption

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

CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT

CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT FORM C/OH COVER SHEET PG 1 The C/OH Instruction Guide explains how to complete this form. 1 2 Total pages filed: 9 3 CANDIDATE / MS / MRS / MR FIRST MI

More information

TABLE OF CONTENTS PAGE # PART I CLAIMANT IDENTIFICATION 2 PART II GENERAL INSTRUCTIONS 3

TABLE OF CONTENTS PAGE # PART I CLAIMANT IDENTIFICATION 2 PART II GENERAL INSTRUCTIONS 3 Advanced Micro Devices, Inc. Securities Litigation Claims Administrator c/o Epiq Systems, Inc. P.O. Box 4349 Portland, OR 97208-4349 Toll-Free Number: (844) 855-8569 Email: info@amdsecuritieslitigation.com

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

',7S'oiS'N> Los Angeles City Ethics Commission. June 20, 2016

',7S'oiS'N> Los Angeles City Ethics Commission. June 20, 2016 ',7S'oiS'N> Los Angeles City Ethics Commission June 20, 2016 The Honorable City Council c/o Holly Wolcott, City Clerk 200 North Spring Street City Hall - 3rd Floor Los Angeles CA 90012 Re: Council File

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

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

STATE / COUNTY CHAIR SPECIFIC-PURPOSE COMMITTEE CAMPAIGN FINANCE REPORT

STATE / COUNTY CHAIR SPECIFIC-PURPOSE COMMITTEE CAMPAIGN FINANCE REPORT STATE / COUNTY CHAIR SPECIFIC- COMMITTEE CAMPAIGN FINANCE REPORT FORM SC SPAC COVER SHEET PG 1 The SC SPAC Instruction Guide explains how to complete this form. 1 Filer ID (Ethics Commission Filers) 2

More information

Regarding Your Assembly's 2017 Federal and State Tax Filing Requirements

Regarding Your Assembly's 2017 Federal and State Tax Filing Requirements 2018 TAX ALERT After you have been informed by Vickie Garcia your Assembly's 2017 Annual IRS Financial Report is correct, you may file your Forms 199N e-postcard a RRF-1. Regarding Your Assembly's 2017

More information

W ' It ty PC- I si. tots* Los Angeles City Ethics Commission. May 31, 2018

W ' It ty PC- I si. tots* Los Angeles City Ethics Commission. May 31, 2018 W ' It ty PC- I si tots* Los Angeles City Ethics Commission May 31, 2018 The Honorable City Council c/o Holly Wolcott, City Clerk 200 North Spring Street City Hall - 3rd Floor Los Angeles CA 90012 Re:

More information

SANTA CRUZ COUNTY BOARD OF SUPERVISORS INDEX SHEET

SANTA CRUZ COUNTY BOARD OF SUPERVISORS INDEX SHEET SANTA CRUZ COUNTY BOARD OF SUPERVISORS INDEX SHEET Creation Date: Source Code: Agenda Date: I NVENUM: 9/29/10 COUNC 10/5/10 64401 Resol ution( s): Ordinance(s): Contract(s): Continue Date(s): Index: --Letter

More information

2016 CA BALLOT INITIATIVE LATE CONTRIBUTIONS TRACKER

2016 CA BALLOT INITIATIVE LATE CONTRIBUTIONS TRACKER Committee Name 2016 CA BALLOT INITIATIVE LATE CONTRIBUTIONS TRACKER Cash on Hand 1/1-9/24 9/25-10/18 Late Contributions Total: 10/20 Committee Total Contributions Reported in the last 24 Hours Contributed

More information

2016 CA BALLOT INITIATIVE LATE CONTRIBUTIONS TRACKER

2016 CA BALLOT INITIATIVE LATE CONTRIBUTIONS TRACKER Committee Name 2016 CA BALLOT INITIATIVE LATE CONTRIBUTIONS TRACKER Cash on Hand 1/1-9/24 9/25-10/6 Late Contributions Total: 10/9 Committee Total Contributions Reported in the last 24 Hours Contributed

More information

1355 Third Avenue Chula Vista, CA Office: (619) Fax: (619) APPLICATION PROCESS INSTRUCTIONS FOR APPLICANTS

1355 Third Avenue Chula Vista, CA Office: (619) Fax: (619) APPLICATION PROCESS INSTRUCTIONS FOR APPLICANTS 1355 Third Avenue Chula Vista, CA 91911 Office: (619) 426-4592 Fax: (619) 426-2173 APPLICATION PROCESS INSTRUCTIONS FOR APPLICANTS Dear Applicant, We appreciate your interest in applying for housing within

More information

NEW ACCOUNT & CREDIT APPLICATION. SHIP TO: (If different from Bill To) How would you like to receive invoices? (Choose 1) Fax ( /Fax#)

NEW ACCOUNT & CREDIT APPLICATION. SHIP TO: (If different from Bill To) How would you like to receive invoices? (Choose 1)  Fax ( /Fax#) HOLIDAY HOUSE DISTRIBUTING NEW ACCOUNT & CREDIT APPLICATION New Request Update Existing BILL TO: Legal D.B.A.: Street Address: City: County: State: Zip: Contact: Title: SHIP TO: (If different from Bill

More information

Texas Ethics Commission P.O. Box Austin, Texas (512) (TDD )

Texas Ethics Commission P.O. Box Austin, Texas (512) (TDD ) MONTHLY FILING COUNTY EXECUTIVE COMMITTEE CAMPAIGN FINANCE REPORT FORM MCEC COVER SHEET PG 1 The MCEC Instruction Guide explains how to complete this form. 1 ACCOUNT # (Ethics Commission Filers) 2 Total

More information

(CA Civil Code Section 8400 et seq) MATERIALS UNDER SECTION 8416 ET. AL., UPON THE PREMISES HEREINAFTER DESCRIBED, AND UPON EVERY

(CA Civil Code Section 8400 et seq) MATERIALS UNDER SECTION 8416 ET. AL., UPON THE PREMISES HEREINAFTER DESCRIBED, AND UPON EVERY Recording Requested By: When Recording Mail To: SPACE ABOVE THIS LINE FOR RECORDERS USE MECHANICS LIEN (CA Civil Code Section 8400 et seq) THE UNDERSIGNED CLAIMANT, (correct full name and address as on

More information

Jane Carter, Labor Economist III American Federation of State, County and Municipal Employees (AFSCME)

Jane Carter, Labor Economist III American Federation of State, County and Municipal Employees (AFSCME) Jane Carter, Labor Economist III American Federation of State, County and Municipal Employees (AFSCME) Why Are They Outsourcing? Desperate government is our best customer. There will be a lot of desperate

More information

JUDICIAL CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT

JUDICIAL CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT JUDICIAL CANDIDATE / FICEHOLDER CAMPAIGN FINANCE REPORT FORM JC/OH COVER SHEET PG 1 The JC/OH Instruction Guide explains how to complete this form. CANDIDATE / FICEHOLDER NAME MS / MRS / MR Ms. NICKNAME

More information

Small Business Incubator Tax Credit

Small Business Incubator Tax Credit Small Business Incubator Tax Credit Missouri State University has received $65,000 in Missouri tax credits for the efactory renovations and improvements. The Missouri Department of Economic Development

More information

i Other * Ontario, Rancho Cucamonga, Fontana

i Other * Ontario, Rancho Cucamonga, Fontana b OF THE CITY CLERK OF THE CITY FORM 700 STATEMENT OF ECONOMIC OF C, itial Filing Recei, ec INTERESTS MARffi2 ge2018 A PUBLIC DOCUMENT COVER PAGE City Clerk, CALIFORNIA FAIR POLITICAL PRACTICES COMMISSION

More information

FORM 2: CAMPAIGN CONSULTANT RE-REGISTRATION REPORT

FORM 2: CAMPAIGN CONSULTANT RE-REGISTRATION REPORT San Francisco Ethics Commission FORM 2: CAMPAIGN CONSULTANT RE-REGISTRATION REPORT INSTRUCTIONS: This form, which contains seven (7) parts, must be filed no later than January 1 of each year to maintain

More information

RESIDENCY QUESTIONNAIRE

RESIDENCY QUESTIONNAIRE ADMISSIONS & RECORDS OFFICE 1900 Pico Blvd. Santa Monica, CA 90405 Phone: 310-434-4380 Fax: 310-434-3645 RESIDENCY QUESTIONNAIRE Received by: Date: The information requested is deemed relevant and necessary

More information

CORRECTION/AMENDMENT AFFIDAVIT FOR CANDIDATE/OFFICEHOLDER

CORRECTION/AMENDMENT AFFIDAVIT FOR CANDIDATE/OFFICEHOLDER CORRECTION/AMENDMENT AFFIDAVIT FOR CANDIDATE/ FORM COR-C/OH 1 Filer ID (Ethics Commission Filers) 2 Total pages filed: 4 OFFICE USE ONLY 3 CANDIDATE / MS / MRS / MR FIRST MI Tennell NICK LAST SUFFI Atkins

More information

COMMITTEE INFORMATION. ' 1 - ) 1 - lc

COMMITTEE INFORMATION. ' 1 - ) 1 - lc REPORT OF RECEIPTS AND PENDITURES OF A POLITICAL COM State Form 4606 (R13/11-05) Indiana Election Commission (IC3 INSTRUCTIONS: Please type or print leg BLACK INK all information on this form assistance

More information

Educational Improvement Tax Credit Program

Educational Improvement Tax Credit Program Educational Improvement Tax Credit Program Business Guidelines and Application March 2011 Award of Tax Credits to Business Firms for Contributions to Scholarship Organizations, Educational Improvement

More information

Educational Improvement Tax Credit Program

Educational Improvement Tax Credit Program Educational Improvement Tax Credit Program Business Guidelines and Application April 2012 Award of Tax Credits to Business Firms for Contributions to Scholarship Organizations, Educational Improvement

More information

NOTICE OF SAN DIEGO GAS & ELECTRIC COMPANY S REQUEST TO INCREASE ELECTRIC RATES FOR 2016 ERRA FORECAST APPLICATION NO. A

NOTICE OF SAN DIEGO GAS & ELECTRIC COMPANY S REQUEST TO INCREASE ELECTRIC RATES FOR 2016 ERRA FORECAST APPLICATION NO. A Para más detalles llame al 1-800-311-7343 NOTICE OF SAN DIEGO GAS & ELECTRIC COMPANY S REQUEST TO INCREASE ELECTRIC RATES FOR 2016 ERRA FORECAST APPLICATION NO. A.15-04-014 On April 15, 2015, San Diego

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

Completion of the IRS Data Retrieval Process (DRT) & Tax Return Transcript (TRT) Information

Completion of the IRS Data Retrieval Process (DRT) & Tax Return Transcript (TRT) Information 2019-2020 Completion of the IRS Data Retrieval Process (DRT) & Tax Return Transcript (TRT) Information Students whose financial aid application is selected for verification are required to provide tax

More information

Investment Advisor Firm (Agent) and Primary Contact: Firm Name: Primary Contact: Title of Trust:* Effective Date of Trust: Trust Tax ID Number:

Investment Advisor Firm (Agent) and Primary Contact: Firm Name: Primary Contact: Title of Trust:* Effective Date of Trust: Trust Tax ID Number: INVESTMENT ADVISOR INFORMATION PERSONAL TRUST ACCOUNT APPLICATION Account # Advisor # Case # Investment Advisor Firm (Agent) and Primary Contact: Firm Name: Primary Contact: 1 COMPLETE ALL INFORMATION

More information

Presentation of Survey Results on the Millionaires Tax Ballot Measure to Restore Funding for Essential Services in California

Presentation of Survey Results on the Millionaires Tax Ballot Measure to Restore Funding for Essential Services in California Presentation of Survey Results on the Millionaires Tax Ballot Measure to Restore Funding for Essential Services in California Presented by: Ben Tulchin President, Tulchin Research Research Methodology

More information

Case LSS Doc Filed 05/17/16 Page 1 of 5 EXHIBIT A 01:

Case LSS Doc Filed 05/17/16 Page 1 of 5 EXHIBIT A 01: Case 16-10882-LSS Doc 357-1 Filed 05/17/16 Page 1 of 5 EXHIBIT A 01:18701000.1 Case 16-10882-LSS Doc 357-1 Filed 05/17/16 Page 2 of 5 UNITED STATES BANKRUPTCY COURT DISTRICT OF DELAWARE In re PACIFIC SUNWEAR

More information

TKPR Reimbursement Application

TKPR Reimbursement Application TKPR Reimbursement Application Eligibility & Priority Participants must currently be working in a School District Transitional Kindergarten or TK/K teaching position and work directly with students whose

More information

SUPERIOR COURT OF THE STATE OF CALIFORNIA IN AND FOR THE COUNTY OF LOS ANGELES ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) )

SUPERIOR COURT OF THE STATE OF CALIFORNIA IN AND FOR THE COUNTY OF LOS ANGELES ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 FRANCIS M. GREGOREK (144785 RACHELE R. RICKERT (190634 MARISA C. LIVESAY (223247 WOLF HALDENSTEIN ADLER FREEMAN & HERZ LLP Symphony

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

0. 6. a-c-ji 5 u i fie '1. day before election Runoff. Month Day Year ri Primary Runoff I I Other Description 5 / 9,,--/ I 5 tz General ri Special

0. 6. a-c-ji 5 u i fie '1. day before election Runoff. Month Day Year ri Primary Runoff I I Other Description 5 / 9,,--/ I 5 tz General ri Special coastv CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT COVER SHEET PG 1 I Filer ID( Ethics Commission Filers) 2 Total pages filed: The C/ OH Instruction Guide explains how to complete this form. 5-7.

More information

Medicare Alert: Temporary Member Access

Medicare Alert: Temporary Member Access Medicare Alert: Temporary Member Access Plan Sponsor: Coventry/Aetna Medicare Part D Effective Date: Jan. 12, 2015 Geographic Area: National If your pharmacy is a Non Participating provider in the Aetna/Coventry

More information

Form A Claim Form and Document Checklist

Form A Claim Form and Document Checklist Form A Claim Form and Document Checklist Please check all that apply and attach copies of the documents to this form: Forms Form A Claim Form and Document Checklist (REQUIRED) Form B Verification of Other

More information

CLAIMANT OPTION REQUEST Nonqualified Annuity Non-Spouse Beneficiary

CLAIMANT OPTION REQUEST Nonqualified Annuity Non-Spouse Beneficiary Symetra Life Insurance Company 777 108th Avenue NE, Suite 1200 Bellevue, WA 98004-5135 Mailing : Symetra Life Insurance Company PO Box 3882 Seattle, WA 98124-3882 Phone 1-800-796-3872 TTY/TDD 1-800-833-6388

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

The Brookings Institution Metropolitan Policy Program Alan Berube, Fellow

The Brookings Institution Metropolitan Policy Program Alan Berube, Fellow The Brookings Institution Metropolitan Policy Program Alan Berube, Fellow The Potential Value of IRS Data for State/Local Analysis KIDS COUNT regional workshop San Diego, CA February 2, 2006 Overview Why

More information

. the court ordered that the judgment debtor named in 2 may pay the judgment described

. the court ordered that the judgment debtor named in 2 may pay the judgment described SC-223 Declaration of Default Clerk stamps here when form is filed. Important: Read the other side before you fill out this form or if it was mailed to you. If you are the judgment debtor named in 2 and

More information

Seafood Crew Compensation Plan Claimant Sworn Written Statement

Seafood Crew Compensation Plan Claimant Sworn Written Statement Seafood Crew Compensation Plan Claimant Sworn Written Statement If you need more space to complete this Sworn Written Statement, attach additional pages and they will be incorporated into this document.

More information

NO ON 46 - PATIENTS, PROVIDERS AND HEAL THCARE INSURERS TO CONTAIN HEAL THCARE COSTS,!.D

NO ON 46 - PATIENTS, PROVIDERS AND HEAL THCARE INSURERS TO CONTAIN HEAL THCARE COSTS,!.D Enforcement Division Fair Political Practices Commission 428 J Street, Suite 620 Sacramento, CA 95814 Re: Fonnal Sworn Complaint Against NO ON 46 - PATIENTS, PROVIDERS AND HEAL THCARE INSURERS TO CONTAIN

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

ANALYSIS OF THE IMPACTS OF THE ACA S TAX ON HEALTH INSURANCE IN YEAR 2020 AND LATER

ANALYSIS OF THE IMPACTS OF THE ACA S TAX ON HEALTH INSURANCE IN YEAR 2020 AND LATER ANALYSIS OF THE IMPACTS OF THE ACA S TAX ON HEALTH INSURANCE IN YEAR 2020 AND LATER CHRIS CARLSON, FSA, MAAA GLENN GIESE, FSA, MAAA THOMAS SAUDER, ASA, MAAA AUGUST 28, 2018 ACA's Tax on Health Insurers

More information

Annual Return/Report of Employee Benefit Plan

Annual Return/Report of Employee Benefit Plan Form 5500 Department of the Treasury Internal Revenue Service Department of Labor Employee Benefits Security Administration Pension Benefit Guaranty Corporation Part I Annual Return/Report of Employee

More information

Married Filing Combined. Yourself Spouse Yourself Spouse Yourself Spouse Yourself Spouse. in Last Name

Married Filing Combined. Yourself Spouse Yourself Spouse Yourself Spouse Yourself Spouse. in Last Name Form MO-1040 Department of Revenue 2018 Individual Income Tax Return - Long Form For Calendar Year January 1 - December 31, 2018 Print in BLACK ink only and DO NOT STAPLE Amended Return Composite Return

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

Dear Central Market Street and Tenderloin Area Business,

Dear Central Market Street and Tenderloin Area Business, ECONOMIC AND WORKFORCE DEVELOPMENT TODD RUFO, DIRECTOR CITY AND COUNTY OF SAN FRANCISCO EDWIN M. LEE, MAYOR Dear Central Market Street and Tenderloin Area Business, Thank you for your interest and commitment

More information

Employee contribution as a percent of salary. Multiplier at 55

Employee contribution as a percent of salary. Multiplier at 55 Agency Name Employee type Employee contribution as a percent of salary Multiplier at 55 Multiplier at 60 Pay-in for $50,000 employee over 20 years Coronado police and fire Public Safety 0.00% 3.00% 3.00%

More information

JUDICIAL CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT

JUDICIAL CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT JUDICIAL CANDIDATE / FICEHOLDER CAMPAIGN FINANCE REPORT FORM JC/OH COVER SHEET PG 1 The JC/OH Instruction Guide explains how to complete this form. CANDIDATE / FICEHOLDER NAME MS / MRS / MR Ms. NICKNAME

More information

NORTH CAROLINA BOARD OF PHYSICAL THERAPY EXAMINERS FINANCIAL STATEMENTS JUNE 30, 2016

NORTH CAROLINA BOARD OF PHYSICAL THERAPY EXAMINERS FINANCIAL STATEMENTS JUNE 30, 2016 NORTH CAROLINA BOARD OF PHYSICAL THERAPY EXAMINERS FINANCIAL STATEMENTS JUNE 30, 2016 NORTH CAROLINA BOARD OF PHYSICAL THERAPY EXAMINERS CONTENTS JUNE 30, 2016 Independent Auditors' Report 1-2 Management's

More information

Tax Organizer For 2017 Income Tax Return

Tax Organizer For 2017 Income Tax Return Tax Organizer For 2017 Income Tax Return Prepared For: and, Prepared By: Carol A Reithmiller, CPA, PLLC 11020 S Tryon St #406 Charlotte, NC 28273 This Tax Organizer can be used to help identify information

More information

City of Henderson/Henderson County Fiscal Court Net Profit License Tax Return

City of Henderson/Henderson County Fiscal Court Net Profit License Tax Return FORM NP City of Henderson/Henderson County Fiscal Court Net Profit License Tax Return City/County Acct # Period Ending Business Type Individual Corpora on Partnership LLC/Individual LLC/Partnership Other

More information

City of Henderson/Henderson County Fiscal Court Net Profit License Tax Return

City of Henderson/Henderson County Fiscal Court Net Profit License Tax Return FORM NP City of Henderson/Henderson County Fiscal Court Net Profit License Tax Return City/County Acct # Period Ending Business Type Individual Corpora on Partnership LLC/Individual LLC/Partnership Other

More information

Updated Figures for Tracking and Stress Testing U.S. Household Leverage. Andreas Fuster, Benedict Guttman Kenney, and Andrew Haughwout 1

Updated Figures for Tracking and Stress Testing U.S. Household Leverage. Andreas Fuster, Benedict Guttman Kenney, and Andrew Haughwout 1 Updated Figures for Tracking and Stress Testing U.S. Household Leverage Andreas Fuster, Benedict Guttman Kenney, and Andrew Haughwout 1 Federal Reserve Bank of New York Staff Report No. 787 In this document,

More information

CALIFORNIA STATE UNIVERSITY, EAST BAY

CALIFORNIA STATE UNIVERSITY, EAST BAY CALIFORNIA STATE UNIVERSITY, EAST BAY DESIGNATION CODE: 07-08 CR3 DATE SUBMITTED: 1/10/08 TO: FROM: SUBJECT: PURPOSE: ACTION REQUESTED: The Academic Senate The Committee on Research Conflict of Interest

More information

V5 Dependent Aggregate Worksheet

V5 Dependent Aggregate Worksheet 1 COLUMBIA COLLEGE Tysons Main Campus 8620 Westwood Center Dr. Vienna, VA 22182 Tel. 703-206-0508 Fax. 703-206-0488 Centreville Extension 5940 Centreville Crest Lane Centreville, VA 20121 Tel. 703-266-0508

More information

Updated Figures for Tracking and Stress-Testing U.S. Household Leverage. Andreas Fuster, Benedict Guttman-Kenney, and Andrew Haughwout 1

Updated Figures for Tracking and Stress-Testing U.S. Household Leverage. Andreas Fuster, Benedict Guttman-Kenney, and Andrew Haughwout 1 Updated Figures for Tracking and Stress-Testing U.S. Household Leverage Andreas Fuster, Benedict Guttman-Kenney, and Andrew Haughwout 1 Federal Reserve Bank of New York Staff Report No. 787 In this document,

More information

Application for Hackney Carriage License (Taxicab)

Application for Hackney Carriage License (Taxicab) MARY-RITA O'SHEA City Clerk CITY OF MELROSE OFFICE OF THE CITY CLERK City Hall, 562 Main Street Melrose, Massachusetts 02176 Telephone - (781) 979-4114 Fax - (781) 979-4149 Application for Hackney Carriage

More information

Verification Worksheet Dependent Student- Tracking Group V5

Verification Worksheet Dependent Student- Tracking Group V5 2014 2015 Verification Worksheet Dependent Student- Tracking Group V5 Your 2014 2015 Free Application for Federal Student Aid (FAFSA) was selected for review in a process called verification. The law says

More information

CHANGE REQUEST: TRUST CERTIFICATION

CHANGE REQUEST: TRUST CERTIFICATION CHANGE REQUEST: TRUST CERTIFICATION Complete the following with your current personal information and indicate the account(s) requesting to be changed. Customer Name: Account Number(s): By signing below

More information

The 2018 National Multistate Tax Symposium Take the lead Tax reform and fortifying state positions. February 7-9, 2018

The 2018 National Multistate Tax Symposium Take the lead Tax reform and fortifying state positions. February 7-9, 2018 The 2018 National Multistate Tax Symposium Take the lead Tax reform and fortifying state positions February 7-9, 2018 Planning for future-state taxation regimes And the future state Scott Schiefelbein,

More information

REINSTATEMENT DIRECTIONS DOMESTIC CORPORATIONS NONPROFIT CORPORATIONS LIMITED LIABILITY COMPANIES

REINSTATEMENT DIRECTIONS DOMESTIC CORPORATIONS NONPROFIT CORPORATIONS LIMITED LIABILITY COMPANIES REINSTATEMENT DIRECTIONS DOMESTIC CORPORATIONS NONPROFIT CORPORATIONS LIMITED LIABILITY COMPANIES The following steps must be taken to reinstate your corporation or limited liability company when it has

More information

APPLICATION FOR LICENSE OF A CIRCUS OR CARNIVAL

APPLICATION FOR LICENSE OF A CIRCUS OR CARNIVAL APPLICATION FOR LICENSE OF A CIRCUS OR CARNIVAL The undersigned hereby makes an application to Stanislaus County for a license to operate a Circus or Carnival at the place and dates set forth below. Name

More information

January 27, Secondary-Market Disclosure Information as Required by SEC Rule 15c2-12

January 27, Secondary-Market Disclosure Information as Required by SEC Rule 15c2-12 SDFA Annual Disclosure Report - FY 2014/15 $18,900,000 (Ventura County, California) Wastewater Refunding Revenue Bonds, Series 2015 January 27, 2016 Secondary-Market Disclosure Information as Required

More information

MVAT AUDIT REPORT FORM 704 ANNEXURE A TO J CA JAGDISH KHATRI

MVAT AUDIT REPORT FORM 704 ANNEXURE A TO J CA JAGDISH KHATRI MVAT AUDIT REPORT FORM 704 ANNEXURE A TO J CA JAGDISH KHATRI Audit Report in Form 704 Relevant for Audit of dealers to whom section 61 of MVAT Act is applicable W e f 26.06.2014 (F Y 13-14) : Sales and

More information

Schenectady City School District

Schenectady City School District Schenectady City School District Mosaic Associates Architects Callie Gaspary, AIA Kersten Lorcher, AIA Hamlin Design Group Shawn Hamlin, AIA Turner Construction Larry Tune 19 November, 2014 CAPITAL PROJECT

More information

GREAT OAKS WATER COMPANY P.O. Box San Jose, California (408)

GREAT OAKS WATER COMPANY P.O. Box San Jose, California (408) GREAT OAKS WATER COMPANY P.O. Box 23490 San Jose, California 95153 (408) 227-9540 tguster@greatoakswater.com California Public Utilities Commission Water Division Room 3102 505 Van Ness Avenue San Francisco,

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

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

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

1 Filer ID (Ethics Commission Filers) 2 Total pages filed: ca A*'<- - STREET ADDRESS ( O PO BOX PLEASE); APT / SUITE #; CITY; ST TE; ZIP CODE

1 Filer ID (Ethics Commission Filers) 2 Total pages filed: ca A*'<- - STREET ADDRESS ( O PO BOX PLEASE); APT / SUITE #; CITY; ST TE; ZIP CODE CANDIDATE/FICEHOLDER FORM C/GH CAMPAIGN FINANCE REPORT cover sheet pg 1 The C/OH Instruction Guide explains how to complete this form. 1 Filer ID (Ethics Commission Filers) 2 Total pages filed: 3 CANDIDATE/

More information

INSTRUCTIONS FOR FILING A BUSINESS CERTIFICATE

INSTRUCTIONS FOR FILING A BUSINESS CERTIFICATE INSTRUCTIONS FOR FILING A BUSINESS CERTIFICATE MASSACHUSETTS GENERAL LAWS, CHAPTER 110, SECTION 5 Who Must File? Any person conducting business in Waltham Any person doing business under any title other

More information