Lex-\ RECElVED. (')~ Lee~ 6ro~ ~a.~ C\~ ~\\ c\\ ~e -- E\ec~ do.a\ <e OCT ~mari ly Fonned BaHot Measure

Transcription

1 Recipient Committee Campaign Statement Cover Page SEE NSTRUCTONS ON REVERSE from Statement covers period C\J?.S{ l(a through lo/d.pj \(p. Type of Recipient Committee: All Commlttoos - Complete Portt, 2, 3, and 4. g/'officeholder, Candidate Controlled Committee 0 State Candidate ElecUon Committee Committee 0 ~mari ly Fonned BaHot Measure 0 Recall Controlled ~~r l'tlft;) 0 Sponsored 0 General Purpose Committee 0 Sponsored 0 Small Contributor Committee 0 Political Party/Central Committee 3. Committee nformation (,lhtj~pflfe} 0 Primarily Formed Candidate/ Officeholder Committee ~o~pltt7) COMMTTEE NAME (OR CANDDATE'S NAME tf NO COMMTTEE) (')~ Lee~ 6ro~ ~a.~ C\~ ~\\ c\\ ~e -- E\ec~ do.a\ <e Date of e'lectlon f applicable: (Month, Day, Year) \\ J <n/5o\ <o 2. Type of Statement: g' Preelection Statement 0 Semi-annual Statement 0 Termination Statement (Also file a Form 40 Termination) 0 Amendment (Explain below) Treasurer(s) Lex-\ Date Stamp City of Grover Beac OCT RECElVED COVER PAGel.-.,,. CALFORNA 460 Page For Official Use Only 0 Quarterly Statement 0 Special Odd-Year Report ' ;., l - CTY STATE 4. Verification! OP_T_ONAL: _F_AX_/_E_~_!Al_L_AO_ORESS,....,.... have used all reasonable dlllgence Jn preparing and revlewltlg this statement and to the best of my knowledge the information contained herein end in the attached schedules s true and complete. certify under == penalty of perjury under the laws Of the Stale Of California that the fo true and correct. ',~iz:t~ executed on..., Executed on , FPPC Form 460 (Jan/206) FPPC Advice: advice@fppe.ca.gov (866/27&-3772)

2 Recipient Committee Campaign Statement Cover Page - Part 2 5. Officeholder or Candidate Controlled Committee NAME Of OFFCEHOLDER OR CANDDATE Jeff Lee OFFCE SOUGHT OR HELO (NCLUDE LOCATON ANO DSTRCT NUMBER F APPLCABLE) Grover Beach City Council RESOENTALJBUSNESSADORESS (NO.ANO STREET} CTY STATE ZP Grover Beach, CA Related Committees Not ncluded in this Statement: Ustanycommlttees 0 lncfudad n this atat.ment thet ero contra/lad by you or /0 prlmarlly fanned to Tfl(;(/Ve conllfbutlc>n or make expenditurvs on behalf of your candidacy. 6. Primarily Fonned Ballot Measure Committee NAME OF BAU.OT MEASURE BALLOT NO. OR LETTER JURSDCTON 0 SUPPORT 0 OPPOSE dentify tho controdlng offi~holder, candldaie, or state measure proponent, f any. NAME OF OFFCEHOLDER. CANDDATE, OR PROPONENT OFFCE SOUGHT OR HELD DSTRCT NO. F Am COMMTTEE NAME.0.NUMBER NAME OF TREASURER COMMTTEE ADDRESS CTY COMMTTEE NAME NAME OF TREASURER COMMTTEE ADDRESS CONTROLLED COMMTTEE? 0 YES D NO STREET ADDRESS {NO P.O. BOX) STATE ZlPCOOE AREA CODE/PHONE l.d. NUMBER DYES STREET ADDRESS (NO P.O. BOX) CONTROLLED COMMTTEE? ONO 7. Primarily Formed Candidate/Officeholder Committee List names of omceholder(s) or candldate(s) for which this committee ls primarily formed. NAME OF OFF!CEHOLOER OR CANDDATE NAME Of OFFCEHOLDER OR CANOOATE NAME OF OFFCEHOLDER OR CANDDATE NAME OF OFFlci=HOLDER OR CANOtDATE OFACE SOUGHT OR HELD OFFCE SOUGHT OR HELO OFFCE SOUGHT OR HELO OFFCE SOUGHT OR HELO D SUPPORT D OPPOSE D SUPPORT D OPPOSE 0 SUPPORT 0 OPPOSE 0 SUPPORT 0 OPPOSE CTY STATE ZP CODE AREA CODE/PHONE Attach continuation sheeta f necesa.ry FPPC Form 460 (Jan/206) FPPC Advice: advlce@fppc.ca.gov (866/ )

3 Campaign Disclosure Statement Summary Page SEE NSTRUCTONS ON REVERSE NAME OF FLER Jeff Lee for Grover Beach City Council Re-Election 206 Contributions Received. Monetary Contributions... Schedule A, Line 3 2. Loans Received... Schedule a, Une 3 3. SUBTOTAL CASH COfl!TRBUTONS... Add Unos Nonmonetary Contributions... Schedule c, Line 3 5. TOTAL CONTRBUTONS RECEVED....Add Unos Amounts may be rounded to whole dollars. Column A TOTAL THS PEROD (FROM ATACHED SCHEDULES) 2, ,75.00, , Column B CAlENOAA YEAR TOTAi.. TOOAlE Statement covers period from through 4, ,934.00, , SUMMARY PAGE CALFORNA 460 Pago 3 _ of e, LO.NUMBER Calendar Year Summary for Candidates Running in Both the State Primary and General Elections / through 630 7/ to Date 20. Contributions Received 2. Expenditures Made Expenditures Made 6. Payments Made... Schedule E, Line 4 ~4~~9"'-.4=5 7. Loans Made... Schedulo H, Line SUBTOTAL CASH PAYMENTS... Add unes 6 + 7, Accrued Expenses (Unpaid Bills)... ScM<iul F. Uno Nonmonetary Adjustment Schedule c, Uno TOTAL EXPENDTURES MADE... Add Unes a ,2,,,.,6,,,3""9"'-.4"'-0 Current Cash Statement 2. Beginning Cash Balance... Previous Summary Page, Une 6, Cash Receipts... ColumnA, Une 3 above 2, Miscellaneous ncreases to Cash... Schedule, Line Cash Payments... Column A, Uno 8 above, ENDNG CASH BALANCE... Add Lines , then subtract Uno 5 2, f this s a termination statement, Line 6 must be zero. 7. LOAN GUARANTEES RECEVED... Schedule B, Perl 2 0 Cash Equivalents and Outstanding Debts 8. Cash Equivalents... Seo nstructions on reverse 0 9. Outstanding Debts... AddLlne2+Une9fnColumnBabove , 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. f this s the first report being filed for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if any). Expenditure Limit Summary for State Candidates 22. Cumulatlve Expenditures Made"' (f Subject to VoJuntary Expenditure Umft) Date of Election (mm/dd/yy) _}_} }_} Total to Date Amounts in this section may be different from amounts reported in COiumn B. FPPC Form 460 (Jan/206) FPPC Advice: advice@fppc.ca.gov (866/ )

4 Schedule A Monetary Contributions Received see NSTRUCTONS ON Rl!WRSE D.'TE RECEVED \o Ci./\ f.p \C}'B/llo FULL NAME, STREET ADDRESS AND ZP CODE OF CONTRBUTOR CONTRBUTOR (F<n.'0'H,,l\ROE'NTEJU.0.NUllESR) CODE. ~ OPlY OSCO.Qll'O OCOM OPTY oscc ~D OCCM OOlli OPTY OSCO OND 0COM OPTY oscc. DNO.QCOM OOlli ClPTY DSCC 'TYP or print kl nk. Amoant m ~ rounded to whole dollars. F AN NDMOUAl, ENTER OCCUPAllCN AND EMPLOYER (P 6E.LF. UPUM!O, ENTERN'M! OPB\JGNUSJ Statement coven ptrtod from C\}AS /\le lhrouah \Of'd.d./ l ltj MOJNT RECl!M!O 'HS PERCO \a:o SUBTOTALt ~ \~S >:. Schedule A Summary ~:~: :c:~~~.: r:~~o~i:3'~~~~~~:.~~~~.~.~: d,) \4~. 2. Amount received this period- unjtemlzed monetary contributions of less than ~...,Q""'-- 3. Total monetary contributions received this period. 'd \ 5 C'.MJLATVE TODATS CALENDAR YEAR (JAN. CEO. 8) SCHEDULE A CALFORNA NUMBER \~T~ PER ELE!OTON TOOA'l"E OF REQURED) *COntrlbutar Codea ND ndividual COM- Recipient Commlttae (oherthan PTY or SCC) Olli - othtr (e.g., bu9lnh8 entity) PTY.. PoBUQal Party SCC-SmaB ContriWor Committee (Adel Wnes and 2. Enter here and on the Summary Page, Column A, Une.)... 'TOTAL S ) ~ FPPC Fonn 460 (January/06) FPPC TOU-F... Hetpllnt: 886/ASK.f:PPC ( )

5 Schedule B-Part Loans Received Type or print n nk. Amounta may be rounded to whole dollart. ltat ment coveni J"r'lod rrom q.fas/ Ka SCH DUL.E e-mrt CALFORNA 46 0 SEE NSTRUCTONS ON REVERSE through PageJa- of B NAM!! OP Al.ER 0e~ Lee ~ 8ro~ ~ G~ ~\ ~e-e..\ed\~ ~l<c FULL NAME, 8RE&'? ACDMSS ANDZP COO& OFLSN>ER (F CXWlilTTU.>ao lihta LO.NUlillEAJ CJFOftGNEN to ND Cl COM 0 O'n- CJ PY 0 SOC Qit;J"BOU! CJ PAii.a:ia 4,,. rjforgllleh CAU:MlM~.et.So rl"]a PER~ \~~(p ~- ~l~ 9 CJ PAD t QPAD CJ~ --- to ND D COM 0 OTH a PlY ' ORl!DU8 Schedule B Summary SUBTOTALS t. Loans rece.lved ttlfs.perlod... )25 (Tota! Column (b) plua unitemized loans of less than 00.) 2. Loans paid or forgiven this period '! f f (lbtal Column (c) plus loans under 00 paid orforgtven.) (nclude mns paid by a third party that are also temized on Schedule A.) 3. Net change this period. (Subtract Une 2 from Line.)... NET Enter the net here and on the summary Page, Column A, Line 2. *Amounfa forgiven or paid by another party eleo must be reported on Schedule A. f requ!j9d. ~ -" -- RAU AAT " : '... '._.,...-- PERa.amolf" --- t : : :- : tcontrlbutor Code ND-lncflyldual OOM-Recipient Committee (other than PTY or SCC) OTH - Ottler (e.g., business entity) P'Y-Pollllcal Party SCC-Small Conrlb\llor Committee FPPC Fenn '60 (Jamraryl05) FPPC 'foll.fl'm Hefllll.-: 888/ASK.f PPC ( )

6 Schedule C Nonmonetary Contributions Received see NSTRUCTONS ON REVERSE FLER Jew Lee ~' Gro"e\ ~o..d) G DATE RECEVED lo/0/ 0 FULL NAME, STREET ADDRESS AND ZP CODE OF CONTRBUTOR (F COMMTTEE, ALSO ENTER LO, NUMBER) CONTRBUTOR CODE* DNO DCOM 't;il(oth DPTY DSCC DNO DCOM DPTY DSCC DNO DCOM DPTY DSCC DNO DCOM DPTY Dscc Attach additional information on appropriately labeled continuation sheets. Amounts may be rounded to whole dollars. F AN NDVDUAL, ENTER OCCUPATON AND EMPLOYER (F SELF EMPLOYEO, ENTER NAME OF BUSNESS) DESCRPTON OF GOODS OR SERVCES Statement covere period from 9 }'45/\(a J, through tj~q./\lo AMOUNT/ FAR MARKET VALUE CUMULATVE TO DATE CALENDAR YEAR (JAN DEC3) SCHEDULE C CALFORNA 460 l.d. NUMBER \~ 77(oo-{ PER ELECTON TO DATE (F REQURED),, ' Schedule C Summary. Amount received this period - temized nonmonetary contributions. S (nclude all Schedule C subtotals.)...:... \ffi] Amount received this period - unitemized nonmon~tsry contributions of less than :;,µ 3. Total nonmonetary contributions received this perlo'd.. q S {Add Lines and2. Enter here and on the Summary Page, Column A, Lines 4 and 0.)... TOTAL \'d,j3,_ 'Contributor Codes ND - lndlvldual COM - Recipient Committee (other than PTY or SCC) OTH -Other (e.g., business enhty) PTY - Political Party SCC - Small Contributor Committee FPPC Form 460 (Jan/206) FPPC Advice: advlce@fppc.ca.gov (866/ }

7 ScheduleE Paymens Made Type or print n lnle. Amount may bt rounded to wllolt dollars. Statement cover period from. s /'~l(q_ CALFORNA forvj S!E NSTRUCTONS ON REVERS& through -~dad.[ \Ce Page CODES: ff one of the following codes accurately d~scrlbes the paymeot, you may enter the code. Othervlse, describe the payment. a/j campaltjl pasaphernala/mlec. t MSR mem!>ercommunlcationa RAD radio alltlme and produotlon casts CNS campaign conbultants MTG meetings and appeamnce8 RPO returned c:onirlbutlona OTB conlrlbutlon (txplaln nonmonetaty) ': OFC office alel)ensee SAL oampatsn womn' ealarfea eve Civic donations ~ PE' petllion olrculatlng re. t.v. or cable abtlme and ~ costs FL candlda9 MnglbaDot rees, PHO phone banks RC candidate travel, lodging, and meats FND fundra~ events POt. polung and eurvey researeh lrs etawepouae travel, lodging, and meal& N) ndependent expendlture tupport"9foppostno others (explain) POS postage, delivery and messenger services TSF transfer between commltteee of the same candldatef8p0nsor LEG legal defense PRO profeealonal eetvlcee (legal, accounting) VOT voter regletrauon UT campaign Uterature and mallnge PRT prtnt ad V\EB nformation tedlnotogy ooate (lntemet. tmnall) CODS OR DESCRP0N OF PA'tMENT AMOUNT PAD Sl 8\.. (os " Paymente Chit are contrlbuuom or independent expencuturea must also be summarized on Schedule D. SUBTOTAL \ \ ~ \.. (cs Schedule E Summary...-..L O... >. temized payments made thl& period. (nclude all SctJedule. E subtotals.)... see '~ ~... s-.,,..._ 2. Unitemized payments madetllis period ofunder00... S--~ Total nterest paid thls period on Joans. (Enter amount tom Schedule B, Part, Column (e).).....,~ Total payments rnade thta period. (Add Lines, 2, ar 3. Enter here and on the Summary Page, Column A. Une 6.)... TOTAL PPPC Form 480 (JanU4ryJOCS) FPPC TOU.free Helplne: 868/ASK-FPPC ( )

8 .. ScheduleE Payments Made Tfpe or print n nk. Amount y be rounded to whala dolllll'll. Sllltem nl COVOl'll period from. <\f'j..5j l(o C/\LFORNA 460 SEE NS'RUCTONS ON REVERSE through Page_ _ of~ NAME OF FLER 0e~ Lee~ b\0'ej:" ~ FOl<M.D. NUMBER \"~7tcO'-\ CODES: f one of the following codes accurately describes the payment, you may enter the oode. otherwise, describe the payment. CMP campaign parapbernaua/mlsc. j MBR member communications RAO radio airtime and production caste ONS oampalgn consultante, MlG meeunga and appaarances RFD returned contrfbuuone OTB oontrlbullon (expjaln nonmonelaly)' OFC office expenses SAL oampalgn workers' aataries CVO civic donauone PE' petition olroulatlng TEL t.v. or oebte airtime and produotton costs Fil. candidate tiling/ballot rees FHO phone banks '!RC candidate travel, lodging, and meals FNO fundralalng evente POL polllng and survey raaearoh "RS ataff/apousa travel, lodging, and meals ND ndependent experidlture 8\lpportlngfoppollng othera (explain)' PCS postage, denvery and messenger services TSF tranalsr between oommltleea ol lhe same oendldate/sponsor LEG legal defense J PRO profsslona servloea Oegal, aooounung) VOT voter reglatrauon UT campaign literature and majungs, PRr print ads WEB nformation technology ooatl Ontemet, e-mam NAM~ AND ADDRESS OF PAYE!! (ll'oommt68.auol!narld.nul!sl!rl CODE OR D!:SCRPTON OF PAYM~T AMOUNT PAD So\~~'O'.:~f"' ~' ~~ ~4:> "'ee\-. ~ ~\'co.m Cf\ C\ '2:,\G \ C\B d;\50.cd Paymente thllt ana contrlbutlo or tndpncent expand,urea muat 0 b aummrtnd an Schedule D. ' SUBTOTAL \ ~9) \ (os :.~:::~ 8 :y::::~thls period. (nclude all Jedule Eaubtotals.)... ) )'d.'5\.(os 2. Unitemized payments made this period of under 0t'..... ~ Total nterest paid this period on loans. (Enteramou from Schedule B, Part, Column (e).) ~ Total payments made this period. (Add Lines, 2, a.d 3. Enter here and on the Summary Page, ColumnA,Une 6.)... TOTAL \)L.\\C\.l..\.S FPPC Fonn 460 (JanQy/06) FPPO Tall~rae Helpllne: 868/ASK.f'PPC ( )