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

Size: px
Start display at page:

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

Transcription

1 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 State Cand idate Electin Cmmittee Recall Primarily Frmed Ballt Measure Cm mittee Cntrlled Spnsred (AJSfJ Cmplete P8lt 5) (AJs Cmplele PM 6) General Purpse Cmmittee Spnsred Small Cntributr Cmmittee Plitical Party/Central Cmmittee D (Mnth. Day. Ye"~!6 f Page ap~licable: JU 12 AH 10: 17 7 Fr Official Use Only 06/30/2016 thrugh 1. Type f Recipient Cmmittee : Date f electin if 460 CALIFORNIA FORM c. iv U r---:: r ----:- i-.r',...,'j.:;: E-'l, TO GiTY r;l U(r.. Statement cvers perid!l1 cr 2. Type f Statement: D Preelectin Statement b2j Semi-annual Statement D Quarterly Stalement Special Odd Year Reprt Terminatin Statement (Als file a Frm 4 10 Terminatin) Amendment (Explain belw) Primarily Frmed Candidate! Officehlder Cmmittee (Nl Cmplete Perl n 1.0. NUMBER 3. Cmmittee Infrmatin Treasurer(s) COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER Linda A. Ridenur Dug Ridenur, Sr. Fr Mdest City Cuncil 2015 MAILING ADDRESS STREET ADDRESS (NO P.O. BOX) CITY Mdest CIT Y STATE Mdest CA ZIP CODE AREA CODEIPHONE STATE CA Mdest CA ZIP COOE AREA CODEIPHO NE NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS (IF DI FFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE MAIUNGADDRESS AREA CODEIPHONE CITY STATE ZIP CODE AREA CODEJPHONE OPTIONAL: FAX I ADDRESS OPTIONAL: FAX I ADDRESS 4. Verificatin I have used all reasnable diligence in preparing and reviewing this statement and t the best f my knwledge the infrmatin cntained herein and in the attached schedules is true and cmplete. certify under penalty f perjury under the laws f the State f Califrnia that the freging is true and crrect. 07/11 /2016 Executed n Executed n Executed n Executed n Date 07/11/2016 nsible Officer f Spnsr Date Date Date By By Signature f Cntrlling Otficehlder, Candidate, State Measure Prpnent Signature f Cntrlling Officehlder. Candidate, State Measure Prpnent FPPC Frm 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gv(866/ )

2 Recipient Cmmittee Campaign Statement Cver Page - Part 2 COVER PAGE - PART 2 CALIFORNIA 460 FORM Page 2 f 7 5_ Officehlder r Candidate Cntrlled Cmmittee NAME OF OFFICEHOLDER OR CANDIDATE Duglas Ridenur, Sr. OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Held: City Cuncil Member - City f Mdest District 6 RESIDENTIAUBUSIN ESS ADDRESS (NO. AND STREET) CITY STATE ZIP Mdest, CA Primarily Frmed Ballt Measure Cmmittee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION D SUPPORT D OPPOSE Identify the cntrlling fficehlder, candidate, r state measure prpnent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT Related Cmmittees Nt Included in this Statement: List any cmmittees nt incfuded in this statement that are cntrlled by yu r are primarily frmed t receive cntributins r make expenditures n behalf f yur candidacy. OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY COMMITTEE NAME 1.0. NUMBER NAME OF TREASURER CONTROLLED COMMITIEE? DYES DNO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME 1.0. NUMBER 7. Primarily Frmed Candidate/Officehlder Cmmittee Ust names f fflcehlder(s) r candidate(s) fr which this cmmittee is primarily frmed. NAME OF OFFICEHOLDER OR CANDIDATE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD OFFICE SOUGHT OR HELD D SUPPORT D OPPOSE SUPPORT D OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD SUPPORT D OPPOSE NAME OF TREASURER COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CONTROLLED COMMITTEE? DYES D NO NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD D SUPPORT D OPPOSE CITY STATE ZIP CODE AREA CODE/PHONE Attach cntinuatin sheets if necessary FPPC Frm 460 (Jan/20i61 FPPC Advice: advice@fppc.ca.gv (866/ )

3 Campaign Disclsure Statement Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF FILER Dug Ridenur, Sr., fr Mdest City Cuncil 2015 Cntributins Received 1. Mnetary Cntributins Schedule A, Line 3 2. Lans Received Schedule e, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS AddUnes Nnmnetary Cntributins.. Schedule C, Une 3 5. TOTAL CONTRIBUTIONS RECEIVED AddUnes3+4 Amunts may be runded t whle dllars. Clumn A TOTAL THIS PERI OD (FROM ATTACHED SCHEDULES) Clumn B CALENDAR YEAR TOTAL TO DATE Statement cvers perid frm 01101/2016 _ thrugh SUMMARY PAGE CALIFORNIA 460 FORM 06/30/ Page NUMBER Calendar Year Summary fr Candidates Running in Bth the State Primary and General Electins 20. Cntributins Received 1/1 thrugh 6/ t Date Expenditures Made ---- Expenditures Made 6. Payments Made... Schedule E, Une 4 7. Lans Made Schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS..... Add Lines Accrued Expenses (Unpaid Bills) Schedule F, Une Nnmnetary Adjustment... Schedule C, Line TOTAL EXPENDITURES MADE Add Unes B S Expenditure Limit Summary fr State Candidates 22. Cumulative Expenditures Made'" (If Subject t Vluntary Expenditure Limit) Date f Electin (mmlddlyy) Ttal t Date Current Cash Statement 12. Beginning Cash Balance. Previus Summary Page, Line Cash Receipts. Clumn A. Line 3 abve 14. Miscellaneus Increases t Cash Schedule I, Line Cash Payments Clumn A. Line 8 abve 16. ENDING CASH BALANCE Add Lines , then subtract Line 15 If this is a terminatin statement, Line 16 must be zer. 17. LOAN GUARANTEES RECEIVED... ScheduleB. Pari 2 Cash Equivalents and Outstanding Debts 18. Cash Equivalents See instructins n reverse 19. Outstanding Debts.. Add Line 2 + Line 9 in Clumn B abve T calculate Clumn B, add amunts in Clumn A t the crrespnding amunts frm Clumn B f yur last reprt. Sme amunts in Clumn A may be negative figures that shuld be subtracted frm previus perid amunts. If this is the first reprt being filed fr this calendar year, nly carry ver the amunts frm Lines 2, 7, and 9 (if any) "'Amunts in this sectin may be different frm amunts reprted in Clumn B. FPPC Frm 460 (Jn/2016) FPPC Advice: advice@lppc.ca.gv(866/ )

4 Schedule B - Part 1 Lans Received Amunts may be runded t whle dllars. Statement cvers perid frm _---'0=--1"-10=--1"'/2::.:0:...:1"'6 SCHEDULE B - PART 1 CALIFORNIA 460 FORM SEE INSTRUCTIONS ON REVERSE thrugh 06/ Page 4 f 7 NAME OF FILER 1.0. NUMBER Dug Ridenur, Sr., fr Mdest City Cuncil 2015 FULL NAME. STREET ADDRESS AND ZIP CODE OF LE NDER (IF COMMITTEE, ALSO ENTER t. NUMBER) IF AN INDIVIDUA L, ENTER OCCUPATION AND EMPLOYER (IF SELF EMPLOYED, ENTER NAME OF BUSINESS) I' OUTSTANDING AMOUNT BALANCE RECEIVED THIS BEGINNING THIS PER IOD PERIOD 1'1 OUTSTANDING BALANCE AT AMOUNT PAID OR FORGIVEN THIS PERIOD * CLOSE OF THIS PERIOD INTEREST PAID THIS PERIOD ORIGINAL AMQUNTOF LOAN 9 CUMULATIVE CONTRIBUTIONS TO DATE Duglas Ridenur, Sr. Mdest, CA ~ INO 0 COM OOTH 0 PTY 0 sec 10lNO 0 COM OOTH 0 PTY 0 scc Retired PAID FORGIVEN,---- PAID,--- D FORGIVEN,---, /30/16 DATE DUE DATE DUE -_% """ -_% R'" /07/14 DATE INCURRED DATE INCURRED CALENDAR YEAR PER ELECTION" CALENDAR YEAR PER ELECTION '" D PAID D FORGIVEN --'. """ CALENDAR YEAR PER ELECTION ln O 0 COM OOTH 0 PTY 0 sec Schedule B Summary SUBTOTALS 0 DATE DUE 1. Lans received this perid..., (Ttal Clumn (b) plus unitemized lans f less than 100.) 2. Lans paid r frgiven this perid a (Ttal Clumn (c) plus lans under 100 paid rfrgiven.) (Include lans paid by a third party that are als itemized n Schedule A.) 3. Net change this perid. (Subtract Line 2 frm Line 1.) NET 0 Enter the net here and n the Summary Page, Clumn A, Line 2. (Maybeanegalivenumber) (Enter (e) n Schedule E, Line 3) DATE INCURRED t Cntributr Cdes INO -Individual COM - Recipient Cmmittee (ther than PTY r SCC) OTH - Other (e. g., business entity) PTY - Plitical Party SCC - Small Cntributr Cmmittee *Amunts frgiven r paid by anther party als must be reprted n Schedule A. "" If required. FPPC Frm 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gv (866/ )

5 Schedule E Payments Made Amunts may be runded t whle dllars. Statement cvers perid frm _----'0:...1::.-10=-1.::.1=20=-1:.c6=-_ SCHEDULE E CALIFORNIA 460 FORM SEE INSTRUCTIONS ON REVERSE NAME OF FILER thrugh 06/ Page 5 f 7 I.D. NUMBER Dug Ridenur, Sr., fr Mdest City Cuncil 2015 CODES: If ne f the fllwing cdes accurately describes the payment, yu may enter the cde. Otherwise, describe the payment. CMP campaign paraphernalia/misc. MBR member cmmunicatins RAD radi airtime and prductin csts CNS CTB CVC campaign cnsultants cntributin (explain nnmnetary)* civic dnatins MTG OFC PET meetings and appearances ffice expenses petitin circu lating RFD SAL TEL returned cntributins campaign wrkers' salaries t.v. r cable airtime and prductin csts FIL candidate filing/ballt fees PHO phne banks TRC candidate travel, ldging, and meals FND IND fundraising events independent expenditure supprting/ppsing thers (explain)" POL POS plling and survey research pstage, delivery and messenger services TRS TSF staff/spuse travel. ldging, and meals transfer between cmmittees f the same candidate/spnsr LEG LIT legal defense campaign literature and mailings PRO PRT prfessinal services (legal. accunting) print ads VOT vter registratin WEB infrmatin technlgy csts (internet, ) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID The UPS Stre Mdest, CA MRWF - Mdest Republican Wmans Federated Sacrament, CA Mailbx Services POS Cntributin t Annual Rnald Reagan Event CTB AT&T Mbility Atlanta, GA OFC Wireless Charges * Payments that are cntributins r independent expenditures must als be summarized n Schedule D. SUBTOTAL Schedule E Summary Itemized payments made this perid. (Include all Schedule E subttals.) , , Un itemized payments made this perid f under , Ttal interest paid this perid n lans. (Enter amunt frm Schedule B, Part 1, Clumn (e).) , Ttal payments made this perid. (Add Lines 1, 2, and 3. Enter here and n the Summary Page, ClumnA, Line 6.) TOTAL FPPC Frm 460 (Jan/20i6) FPPC Advice: advice@fppc.ca.gv (866/ )

6 Schedule E (Cntinuatin Sheet) Payments Made Amunts may be runded t whle dllars. Statement cvers perid frm 0_1/_0_1/_2_0_16 SCHEDULE E (CONT.) CALIFORNIA 460 FORM SEE INSTRUCTIONS ON REVERSE NAME OF FILER Dug Ridenur, Sr., fr Mdest City Cuncil 2015 thrugh 06/30/2016 Page 6 I.D. NUMBER f 7 CODES: If ne f the fllwing cdes accurately describes the payment, yu may enter the cde. Otherwise, describe the payment. CMP campaign paraphernalia/misc. MBR member cmmunicatins CNS campaign cnsultants MTG meetings and appearances RFD returned cntributins CTB cntributin (explain nnmnetary)" OFC ffice expenses SAL campaign wrkers' salaries CVC civic dnatins PET petitin circulating TEL FIL candidate filing/ballt fees PHO phne banks FND fundraising events POL plling and survey research TRS IND independent expenditure supprting/ppsing thers (explain) POS pstage, delivery and messenger services TSF LEG legal defense PRO prfessinal services (legal, accunting) VOT vter registratin LIT campaign literature and mailings PRT print ads V'v'EB RAD radi airtime and prductin csts t.v. r cable airtime and prductin csts TRC candidate travel, ldging, and meals staff/spuse travel, ldging, and meals transfer between cmmittees f the same candidate/spnsr infrmatin technlgy csts (internet. ) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Lve Mdest Mdest, CA Cmmunity Wide Vlunteer Day Dnatin CTB Critzer, Stephen Mdest, CA Reimbursement 1099 Frms OFC AT&T Mbility Atlanta, GA Campaign AT&T Mbility Charges OFC City f Mdest Mdest, CA Business License OFC Payments that are cntributins r independent expenditures must als be summarized n Schedule D. SUBTOTAL FPPC Frm 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gv (866/ )

7 Schedule I Miscellaneus Increases t Cash Amunts may be runded t whle dllars. Statement cvers perid frm _----'-0-'-'11-=-0-'-' 11;::. 20.::.1'-'6'--_ SCHEDULE I CALIFORNIA 460 FORM see INSTRUCTIONS ON REVERSE NAME OF FILER thrugh Page 7 f NUMBER Dug Ridenur, Sr., fr Mdest City Cuncil 2015 DATE RECEIVED FULL NAME AND ADDRESS OF SOURCE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) DESCRIPTION OF RECEIPT AMOUNT OF INCREASE TO CASH City f Mdest Mdest, CA Trust Depsit Refund Attach additinal infrmatin n apprpriately labeled cntinuatin sheets. SUBTOTAL Schedule I Summary 1. Itemized increases t cash this perid =.:26:.:9.:.:.2:.: Un itemized increases t cash f under 100 this perid ::.0 3. Ttal f all interest received this perid n lans made t thers. (Schedule H, Clumn (e).) ~O 4. Ttal miscellaneus increases t cash this perid. (Add lines 1, 2, and 3. Enter here and n the Summary Page, Line 14.) TOTAL --'2::;6:..:9"'.2::;7_ FPPC Frm 460 (Jan/20161 FPPC Advice: advice@fppc.ca.gv (866/ )

8 COVEf{ PAGE Statblment cven> perid frm 0_7_1_1/_2_01_6_ Date f electir! if applicable: (Mnth. Day Year) 'l.r7j'h"'~1"\ I, TIl j, 'J INSTR";CTIONS 0/; f~everse thrugh 12/31/ Type f Recipient Cmmittee: All CmmitteH - Cmpli!te Parts 1, 2, 3, and 4. 3.!ill Officehlder, Candidate Cntrlled Cmnlltiee State Canthdate EJectin Cmmittee Recall General Purpse Crmnittee Spnsred Smail Cntributr CmrmHee C) PliHcal Pilf!'yICermal Cmmitte;.' Primarily Frmed Ballt Mea:;ure Cmmittee Cntrllf?d Spnsred Primarily Frmed Candidate! ()ffjcehn~der CHnitte(;: 2. Type f Statement: Preelectin Statement Q'l Semi-anniJal Statement Terminatin Statement (Als file a F ann 410 Terminf!tin) Amendment (lxpla'n belw) Treasurer(s) Quarterly Statement Special Odd-Year Reprt Dug Ridenur, Sr. Fr Mdest City Cuncil 2015 Linda A. Ridenur CITY Mdest ZIP CUDL CA Mdest CA diligence in pli:parin'j.;md stalt;!l1ent the laws f the Stille f Cilh!rnia 01/27/ /27/2017 th~; k;r,;~;f1()ml1 my knwledge the infllnati()!1 cn!ainr!d he!(;;n ar".! in the ilttached schedules and cwre~t. and r:o!llplete. FPPC Frm 460 (Jan/2016) FPPC Advke: advict;@fppc.ca.gv (866/ ) wwwjppc.cilgo\l

9 COVER PAGE - PART 2 5. Officehlder r Candidate Cntrlled Cmmittee 6. Primarily Frmed Ballt Measure Cmmittee Duglas Ridenur, Sr. Ol'FICE' SCUGHT em HELD (INCLUDE LOCATION AM) DIS1F1IC 1 NUMB!'" 1':- APPL!CAKE) Bf,aOT NO. OR LETn::R JURISDICTION D SUPPORT OPPOSE Mdest, CA Identify the cntrlling fficehfdl'lf, candidate, r suite measure prpnent, if any. OF OFF1CfHOLDEP Related Cmmittees Nt included in this Statement: LiManycmmittees nt included in this st,~tement Ihal are crlulied by yu r are prinmrily fmn,d t rec0ive cntributins make fixpendifuflils 011 behalf f yur tlilndidacy. 7. Primarily Frmed Candidate/Officehlder Cmmittee Listnames fficehlder() r candid"tlc(;;1 fr which this cmmittee is primarily frmed. NAME OF OFFICEHOLDER OR (";M,DID,'Tf. OFFICI: GOUGH' OfFIC! S'UUGHT OR HlLD SOUGhT Of< HELl) D n D SdPf'ORl D D D Atrtilch cntinuatin sheets if necessary FPPC Frm 460 (jan/l016) FPPC Advice: advice@fppc.ca.gv (866/ )

10 Amunts may be runded whle d'jllars. Statment cvers perid frm 07_1_1/2_0_16 SUMMA!~Y PAGE Dug Ridenur, Sr., fr Mdest City Cuncil Mnetary Cntributins... Schedule A. Lilli, 2. Lans Received SUBTOTAL CASH CONTRIBUTIONS... Add 1+2 Cntributinr C. Line 3 5. TOTAL CONTRIBUTIONS RECEIVED AddLines 3 +4 Clumn A s Clumn B ~"'''~-- s ~_ thrugh 12/ _ Page 3 f 7 _ 1.0. Calendar Year Summary fr Candidates Running in Bth the State Primary and General Electins 0 111!hlugh 0 0 Cnlnbulins _ ExpenOf{LlreS Made ---- Lille 4 Lans Made;... Schedui(. H. Line :1 8. SUBTOTAL C/,SH PAyMENTS... Md Lm(?s A.ccrued Expenses (Unpaid T, Line. Schec!i;:" C, 11. TO'TAL EXPENDIrURES MADE S _. 587_.1_5 ~8T Expenditure Limit ~""..,... '''?U fr Candidates Da\e f EIt-'c1il1 (mm/ddrvv) Ttal Date Mn'hy,,><H'M Cash Balance P!I'NI!W" S:lmmiJiry F'E'ge L I Cash Rprpinl~... 80',!t7Jn A, Miscellaneus Increases Cash... Cash Payments... A, I 8 ab~," 16. ENDING CASH BALANCE 'Amunls this seclln may (hiferent frm reprted in Clumn 19. Outstanding Debts.... Line + Line 9 in Clamn abve FPPC Frm 460 (Jan/201til FPPC.Advice: i'ulvi!;e@fppc.ciil.gv www-fppc.ca.gv

11 Amunts may be runded whle dliars. Statilment cvers perid frffi 07/1/? _ NAME OF filer thrugh 12/31/2016 Page _4 f 7.!.D. Dug Ridenur, Sr., fr Mdest City Cuncil 2015 FULL IF AN INDIVIDUAL. EN OCCLiPi\TION A.ND EMPLOYER OUTSll,NDING Bfd..A~ICE BEGINNING PERIOD CUMULATIVE CONTRIBUTIONS D:,TE Duglas Ridenur, Sr., 'I;{] IND 0 CuM 0 err! [J sec t IND 0 COM n OTIi n PTY 0 sec r".ed! L. SUBTOTALS ntal Clumn (b) plus un itemized lans f than 100.) 2. Lans r frgiven this perid... Clumn (0) plus lans under 100 r (Include lans by third that are als itemized n Schedule A.) 3. Net Line frm Line 1.)... NET _ Summary Page, Clumn Line 2. als must be reprted n Seh""ie A. FPPC Frm 460 (1a/2016) FPPC Advice: advice@fppc.ca.g\l

12 Amunts may be runded t dulin>. Statement cvers perid frm 07/1/2016 thrugh 1_2_/3_1_/2_0_1_6 SCHEDULE E Dug Ridenur, Sr., fr Mdest City Cuncil 2015 CODES: If ens CTS eve Fit FND INO LEG LIT f the fllwing cdes accurately describes the nc".lr,."""" yu may enter the cde. Otherwise, describe the payment. campilign '\i",,,)l~nil,'1!j"'!""'~r campaign cnsultants (:(lmributin \,;xplain nnmnetary), civic dnat'ns candida! ; filmg/bililt fundr;;31sin~i independent "."''''''''j" legal Gt:tense camp;llgn and mailings MBR member cmmun!c';:,lins MTG meetings and appenrances OFC ffice expenses PET circulating PHO banks POL plling survey re"earcfr FMD radi airtime and prductin returned cntributins carnpaign V/rKers' TEL t.v, r airtime alld pw(h;din csts TRe candidate travel. ldging, meals TRS staff/spuse ldgirlfj, and supprting/ppsing thers (explain)' pas pstnqe. deliver', ilnd mes5("nger g;elvh::es TSF transfer betwl,r'il comrmuf? S f same car,didille!spnsr PF:;;O prfessini'l!!!{:rvices accunting) VOT v(jter registratin PRT p!int ads 'NEB infrmatin lechnk'q'{ csts (inl rnet, PAID The UPS Stre Mdest, CA POS Mailbx Services Amazn - Stre #4289 Seattle, WA, GO DADDY Scttsdale, AZ f_ ----, Tner fr Printer OFC t , _._---".,-, Website Renewal Charges WEB * Pci'YOlents are cu'lldbuti!ls r imh;pendent must ais be ~urn!tlanz(;d n D. SUBTOTAL _._...-._ _-_....-_..._ _-_..._ _--_._..._--_..._---_..._._-----_..._-_._---_..._---_._._-,-_..._---_.._----_.._ _..._-_.-,._--,---_._--_.,._.-- 1.!termzed nm\fifj~'" all Schedule E subtta!s.)...,...,...,.... Un itemized made this perid f under Ttal interest this Ttal payments made this n lans. (Enter amunt frm Schedule Part 1, Clumn (e).) (Add Lines 1, 2, and 3. Enter and n the Summary Page, Clumn A, Line... TOTAL. ~ FPPC Frm 460 (Jan/2016) fppc Advice: advict!@fppc.ca.gv (866/ ) www-fppc.ca.gv

13 Amunts may be runded t dllars. 1:~;t,;;;:;A;;;t;c:;:;;vers pgrid frm 0_7_1_1/_2_0_16 thrugh _12/31 12~~.. Dug Ridenur, Sr., fr Mdest City Cuncil 2015 CODES: If ne f the fllwing cdes accurately describes the CMF' campaiqn paraphernalia1misc. CNS campali]n ccn,,!lltimts CT8 cntrzhulmn nnmnetmyj* cve civlc D{}natins filing/ballt FND lundraising events INO indepemient expi~nditurti supprtin9ippslng thers (explain)" LEG legal LIT MBH MTG OFC PET PHO POL POS PRO PRT yu may enter the cde. OthePNise, describe the payment. member c;mmunicatins rneeting5 and appeaf~nces expenses circulating vhne b,mks SAL TEL -_._---.. _---.. _----- Cnstant Cntact Waltham, MA OR DESCRiPTION PAYMEN7 AMOl'NT i'aid Web Billing Cntact Activity WEB ;--- --r _. ---" =-==--- ntributins r 'Nl{'llF'nnf'nt expenditures als bil summam~nd 011 Sdledule... _._.-=========:::-..:.:.:...:== ==== ====.--~.~-~== SUBTOTAL FPPC Frm 460 (jan/2016) FPPC Adlli;;e: advice@fppc.ca.gv (866/275-J772.1 www-fppc.ca.gv

14 ,N~_' ~_w,'''~,,~,'~,",,',.", Amunts may be runded t whl dllars. Statl\!ment cvlltrs perid 07/1/2016 thrugh 1_2_/3_1_/2_0_1_6 SCHE:DULEI Page ~"_ f 7 Dug Ridenur, Sr., fr Mdest City Cuncil 2015 Dt\Tf RECEiVED FULL AND f'lddre~,5 01' SOL'RCE {lfc0\~m1tf[ f\,tl<:!:-) ~"et}i~ RECEIPT AMOUNT OF INCf<l:JISE CASH 8/4/16 8/4/16 James and Sndra Bates Reimbursement f Reagan Dinner Tickets Mdest, CA " ,---"' / Birgit Fladager Reimbrusement f Reagan Dinner Tickets Mdest, CA ,,-_ , '==- "'-.-::::-::c==~~_-"'_-=,-,-=,-_"_-==_' -,-,_-_'_-,,-_-_'=,-,.,-._-_"",,"~ Attach a1l(iitinai infml,ltlo17 n 'HlI"rnnnCUnil/ clltmaatin sheets, SUBTOTAL '-'--'~',"_"d _,_" _ ~_~~,_,,' ~"' '--'--- --"-- "_."', " c,_,'~,,--,--,'_,_",,.,._-. ~"«,'''----,,'' 1. Itemized increases cash perid...,..,...,...,..., Unitemized increases t cash f under 100 this...,..., Ttal f all interest received this perid n lans made t at/lers. (Schedule H, Clumn (e).)...,... _ 0 Ttal miscellaneus increases t cash this perid. (Add Lines 1, and 3. Enter here and n the Summary Page, Line TOTAL FPPC 460 (Jan/2016) FPPC Advice: advlce@fppc.ca.gv (866/ )

15 Recipient Cmmittee Campaign Statement Cver Page , ;...;"*''''.--'0-1 ~:i Statement cvers perid Date f electin if applicable:' (Mnth, Day, Y~a'l-; 1111 frm C",' '-"J,- <--?i I Date Stamp COVER PAGE CALIFORNIA l4-60 FORM Page 1 f 6 Fr Official Use Only SEE INSTRUCTIONS ON REVERSE thrugh 1. Type f Recipient Cmmittee: All CmmRtees -Cmplete Parts 1, 2, 3,and 4, 2. Type f Statement: III Officehlder, Candidate Cntrlled Cmmittee Preelectin Statement State Candidate Electin Cmmittee!;Zl Semi-annual Statement Recall Terminatin Statement (Als CmpJere Part 5) (Als file a Frm 410 Terminatin) General Purpse Cmmittee Amendment (Explain belw) Spnsred Small Cntributr Cmmittee Plitical Party/Central Cmmittee Primarily Frmed Ballt Measure Cmmittee Cntrlled Spnsred (Als Cmplete Parl6) Primarily Frmed Candidate! Officehlder Cmmittee (Als Cmplete Palt 7) Quarterly Statement Special Odd-Year Reprt 3. Cmmittee Infrmatin COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Dug Ridenur, Sr. Fr Mdest City Cuncil NUMBER Treasurer(s) NAME OF TREASURER Linda A. Ridenur MAILING ADDRESS STREET ADDRESS (NO P.O. BOX) CITY Mdest STATE CA ZIP CODE MAILING ADDRESS (IF DIFFERENn NO. AND STREET OR P.O. BOX AREA CODE/PHONE CITY Mdest NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS STATE ZIP CODE AREA CODE/PHONE CA CITY Mdest OPTIONAL: FAX I ADDRESS STATE CA ZIP CODE AREA CODE/PHONE CITY OPTIONAL: FAX I ADDRESS STATE ZIPCQDE A~EA CODE/PHONE 4. Verificatin I have used all reasnable diligence in preparing and reviewing this statement and t the best f my knwledge the infrmatin cntained herein and in the attached schedules is true and cmplete. certify under penalty f perjury under the laws f the State f Califrnia that the freging is true and crrect. Executed n Executed n Executed n Executed n Date Date Date Date BY ~~~~~~~~~~~~~~~~~= Signature f Cntrlling Officehlder, Candidate, State Measure Prpnent ~~~~~~~~~~~~~~~~ Signature f Cntrlling Officehlder, Candidate, Stata Measure Prpnent FPPC Frm 460 (Jan/2016) FPPC Advice: advice@fppc.ca,gv (866/ )

16 Recipient Cmmittee Campaign Statement Cver Page - Part 2 COVER PAGE - PART 2 5. Officehlder r Candidate Cntrlled Cmmittee NAME OF OFFICEHOLDER OR CANDIDATE Duglas Ridenur, Sr. OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Held: City Cuncil Member - City f Mdest District 6 RESIDENTIAUBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP Mdest, CA Primarily Frmed Ballt Measure Cmmittee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION SUPPORT OPPOSE Identify the cntrlling fficehlder, candidate, r state measure prpnent, if any. NAME OF OFFICEHOLDER. CANDIDATE. OR PROPONENT Related Cmmittees Nt Included in this Statement: Ustanycmmittees nt included in this statement that are cntrlled by yu r are primarily frmed t receive cntributins r make expenditures n behalf f yur candidacy. OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY COMMITTEE NAME t. NUMBER NAME OF TREASURER CONTROLLED COMMITIEE? DYES NO COMMITIEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? DYES NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) 7. Primarily Frmed Candidate/Officehlder Cmmittee List names f fficeh/der(sj r candidste(s) fr which this cmmittee is primarily frmed. NAME OF OFFICEHOLDER OR CANDIDATE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD OFFICE SOUGHT OR HELD SUPPORT OPPOSE SUPPORT OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD SUPPORT OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD SUPPORT OPPOSE CITY STATE ZIP CODE AREA CODE/PHONE Attach cntinuatin sheets jf necessary FPPC Frm 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gv (866/ )

17 Campaign Disclsure Statement Summary Page Amunts may be runded t whle dllars. SUMMARY PAGE Statement cvers perid CALIFORNIAAcn frm 01/01/2017 _ FORM "+UU SEE INSTRUCTIONS ON REVERSE NAME OF FILER Dug Ridenur, Sr., fr Mdest City Cuncil 2015 thrugh 06/30/ Page f J.D. NUMBER Cntributins Received 1. Mnetary Cntributins... "... Schedule A, Line 3 2. Lans Received... Schedule B, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS... Add Lines Nnmnetary Cntributins.... Schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED... AddUnes3+4 ClumnA TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) Clumn B CALENDAR YEAR TOTAL TO DATE Calendar Year Summary fr Candidates Running in Bth the State Primary and General Electins 1/1 thrugh 6/30 7/1 t Date 20. Cntributins Received Expenditures Made Expenditures Made 6. Payments Made... Schedule E, Line 4 7. Lans Made... Schedule H, Line 3 8. SUBTOTAL CASH PAyMENTS... Add Lines Accrued Expenses (Unpaid Bills) Schedule F, Line Nnmnetary Adjustmen! Schedule C, Line TOTAL EXPENDITURES MADE..... AddUnes Expenditure Limit Summary fr State Candidates 22. Cumulative Expenditures Made* (If Subject t Vluntary Expenditure Limit) Date f Electin (mm/dd/yy) 1 Ttal t Date Current Cash Statement 12. Beginning Cash Balance... Previus Summary Page, Line Cash Receipts...,.,... Clumn A, Line 3 abve 14. Miscellaneus Increases t Cash...,... Schedule J, Line Cash Payments...,... ClumnA, UneBabve 16. ENDING CASH BALANCE... Add Lines then subtractline 15 If this is a terminatin statement, Une 16 must be zer. 17. LOAN GUARANTEES RECEIVED... Schedule B. Part 2 Cash Equivalents and Outstanding Debts Cash Equivalents..,..,... See instructins n reverse 19. Outstanding Debts... Add Line 2 + Line 9 in Clumn B abve T calculate Clumn B, add amunts in Clumn A t the crrespnding amunts frm Clumn B f yur last reprt. Sme amunts in Clumn A may be negative figures that shuld be subtracted frm previus perid amunts. If this is the first reprt being filed fr this calendar year, nly carry ver the amunts frm Lines 2,7, and 9 (if any) *Amunts in this sectin may be different frm amunts reprted in Clumn B. FPPC Frm 460 (Jan/20i6) FPPC Advice: advice@fppc.ca.gv (866/ )

18 Schedule B - Part 1 Lans Received Amunts may be runded t whle dllars. Statement cvers perid frm 0=-1:.:.1,,-01.:.:./:::2,,-01.:..;7,--_ SCHEDULE B - PART 1 CALIFORNIA 4.69 FORM SEE INSTRUCTIONS ON REVERSE thrugh 06/ Page 4 f 6 NAME OF FILER 1.0. NUMBER Dug Ridenur. Sr.. fr Mdest City Cuncil 2015 IF AN INDIVIDUAL, ENTER lei FULL NAME, STREET ADDRESS AND ZIP CODE OUTSTANDING AMOUNT OCCUPATION AND EMPLOYER AMOUNT PAID OF LENDER BALANCE (IF SELF EMPLOYED. ENTER RECEIVED THIS BEGINNING THIS OR FORGIVEN <IF COMMITTEE. ALSO ENTER 1.0. NUMBER) NAME OF BUSINESS) PERIOD PERIOD THIS PERIOD' PAID Duglas Ridenur. Sr. Retired Mdest. CA l~ IND COM DOTH OPTY SCC 5000,00 FORGIVEN PAID OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD 5000,00 6/30/16 DATE DUE 9 INTEREST ORIGINAL CUMULATIVE PAID THIS AMOUNT OF CONTRIBUTIONS PERIOD LOAN TO DATE CALENDAR YEAR -_% 5000, ,00 RATE PER ElECTION** 11/07/14 DATE INCURRED CALENDAR YEAR 1 0lND COM DOTH OPTY SCC FORGIVEN DATE DUE s -_% RATE PER ELECTION** DATE INCURRED PAID CALENDAR YEAR FORGIVEN -_% RATIO PER ElECTION** 1 0lND COM DOTH PTY SCC DATE DUE DATE INCURRED Schedule B Summary SUBTOTALS 0 1, Lans received this perid",,,.,.,,,,,,,,,,, ''''',' '''' "'",'" '"'' '" "" '" '''' "" '''''',,,,,,,,,,,,, "".,,,,,,,,,,,,,,,,, '''''"'',,, (Ttal Clumn (b) plus unitemized lans f less than 100,) 2, Lans paid r frgiven this perid"""""""""""".""""""""",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,.,,,,,,,,,,,,,,,,,,,,,,,,,,,, (Ttal Clumn (c) plus lans under 100 paid r frgiven,) (Include lans paid by a third party that are als itemized n Schedule A) 3, Net change this perid, (Subtract Line 2 frm Line 1,) """""",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,NET Enter the net here and n the Summary Page. Clumn A. Line 2, 5000,00 (May be a negative number) 01 (Enter (e) n Schedule E, Line 3) tcntributr Cdes IND -Individual COM - Recipient Cmmittee (ther than PTY r SCC) OTH - Other (e,g.. business entity) PTY - Plitical Party SCC - Small Cntributr Cmmittee "'Amunts frgiven r paid by anther party als must be reprted n Schedule A. ** If required. FPPC Frm 460 (Jan/2016) FPPC Advice: advice@fppc,ca.gv (866/ )

19 Schedule E Payments Made Amunts may be runded t whle dllars. cvers frm 0_1-,-/0.:-1_/2_0_1_7 SCHEDULE E CAl.IFORNIAAcn FORM... \1\1 thrugh 06/30/2017 Page 5 f 6 Dug Ridenur, Sr., fr Mdest City Cuncil 2015 CODES: If ne f the fllwing cdes accurately describes the payment, yu may enter the cde. Otherwise, describe the payment. CMP campaign paraphernalia/misc. MBR member cmmunicatins RAD radi airtime and prductin csts ens campaign cnsultants MTG meetings and appearances RFD returned cntributins eta cntributin (explain nnmnetary)* OFC ffice expenses SAL campaign wrkers' salaries eve civic dnatins PET petitin circulating TEL tv. r cable airtime and prductin csts FIL candidate filingiballt fees PHO phne banks TRC candidate travel, ldging, and meals FND fund raising events POL plling and survey research TRS staff/spuse travel, ldging, and meals INO independent expenditure supprting/ppsing thers (explain)" POS pstage, delivery and messenger services TSF transfer between cmmittees f the same candidate/spnsr LEG legal defense PRO prfessinal services (legal, accunting) VOT vter registratin LIT campaign literature and mailings PRT print ads WEB infrmatin technlgy csts (internet, ) NAMEANDADDRESS OF PAYEE (IF COMM!TIEE, ALSO ENTER 1.0. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Secretary f State Sacrament, CA Mdest Republican Wmen Federated Mdest, CA Annual Fee fr Active Campaign FIL Annual Rnald Reagan Dinner CTB Maini Grewal fr State Senate 2020 FPCC# CTB Dnatin Sacrament, CA * Payments that are cntributins r independent expenditures must als be summarized n Schedule O. SUBTOTAL Schedule E Summary Itemized payments made this perid. (Include all Schedule E subttals.) Unitemized payments made this perid f under Ttal interest paid this perid n lans. (Enter amunt frm Schedule B, Part 1, Clumn (e).) Ttal payments made this perid. (Add Lines 1,2, and 3. Enter here and n the Summary Page, Clumn A, Line 6.)... TOTAL FPPC Frm 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gv (866/ )

20 Schedule E (Cntinuatin Sheet) Payments Made Amunts may be runded t whle dllars. Statement cvers perid frm 0_1/_0_1/_2_0_17 SCHEDULE E (CONT.) CALIFORNIAA~ n FORM <JtU'" SEE INSTRUCTIONS ON REVERSE NAME OF FILER Dug Ridenur, Sr., fr Mdest City Cuncil 2015 thrugh 06/30/2017 Page NUMBER f 6 CODES: If ne f the fllwing cdes accurately describes the payment, yu may enter the cde. Otherwise, describe the payment. emp campaign paraphernalia/misc. MBR member cmmunicatins RAD radi airtime and prductin csts ens campaign cnsultants MTG meetings and appearances RFD returned cntributins eta cntributin (explain nnmnetary)* OFC ffice expenses SAL campaign wrkers' salaries eve civic dnatins PET petitin circulating TEL t.v. r cable airtime and prductin csts FIL candidate filing/ballt fees PHO phne banks TRC candidate travel, ldging, and meals FND fundraising events POL plling and survey research TRS staff/spuse travel, ldging, and meals IND independent expenditure supprting/ppsing thers (explain)* POS pstage, delivery and messenger services TSF transfer between cmmittees f the same candidate/spnsr LEG legal defense PRO prfessinal services (legal, accunting) VOT vter registratin LIT campaign literature and mailings PRT print ads WEB infrmatin technlgy csts (internet, ) NAME AND ADDRESS OF PAYEE (IF commlnee. ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Amazn Seattle, WA OFC Office Supplies * Payments that are cntributins r Independent expenditures must als be summarized n Schedule D. SUBTOTAL FPPC Frm 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gv (866/ )

21 Schedule I Miscellaneus Increases t Cash Amunts may be runded t whle dllars. Statement cvers perid Irm 0_1 1_1_/2_0_1_7 SCHEDULE I CALIFORNIAACA FORM ~UU SEE INSTRUCTIONS ON REVERSE NAME OF FILER thrugh _-,0c;:6.:.:/3:.;0c..: /2",0:..;1c.:.7 Page 01_6 I.D. NUMBER Dug Ridenur, Sr., fr Mdest City Cuncil 2015 DATE RECEIVED FUll NAME AND ADDRESS OF SOURCE OF COMMITTEE, ALSO ENTER!.D. NUMBER) DESCRIPTION OF RECEIPT AMOUNTOF INCREASE TO CASH Attach additinal infrmatin n apprpriately labeled cntinuatin sheets. SUBTOTAL Schedule I Summary 1. Itemized increases t cash this perid Unitemized increases t cash f under 1 00 this perid Ttal f all interest received this perid n lans made t thers. (Schedule H, Clumn (e).)... -'-0 4. Ttal miscellaneus increases t cash this perid. (Add Lines 1,2, and 3. Enter here and n the Summary Page, Line 14.)... TOTAL FPPC Frm 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gv (866/ )

22 COVER PAGE Recipient Cmmittee Campaign Statement Cver Page Date Stamp Statement cvers perid frm _ SE E INSTRUCTIONS ON REVERSE 1. Type f Recipient Cmmittee:!!ll thrugh _ 0_7_1_1_/2_0_1_7 Officehlder, Cand idate Cntrlled Cmmittee State Candidate Electin Cmmittee Recall Primarily Frmed Ballt Measure Cmmittee Cntrlled Spnsred (,Vs Cmplete PBrl 6) General Purpse Cmmittee Spnsred Small Cntributr Cmmittee Plitical Party/Central Cmmittee Page Date f electin if applicable:. (Mnth. Day. Year), f 6 Fr Official Use Only.,I :: 12/31 /2017 All Cmmittees - Cmplete Parts 1, 2, 3, and 4. (/Vsa Cmplete Part 5) _ 460 CALIFORNIA FORM 2. Type f Statement: ~ D D Preelectin Statement Semi-annual Statement Quarterly Statement Special Odd-Year Reprt Terminatin Statement (Als file a Frm 410 Terminatin) Amendment (Explain belw) Primarily Frmed Candidatel Officehlder Cmmittee (Als Cmplete Palt 7) t. NUMBER 3. Cmmittee Infrmatin Treasurer(s) COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER Linda A. Ridenur Dug Ridenur, Sr. Fr Mdest City Cuncil 2015 MAILING ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE Mdest CITY STATE Mdest CA ZIP CODE AREA CODEIPHONE STATE Mdest CA AREA CODE/PHONE NAME OF ASSISTAN T TREASURER. IF ANY MAILI NG ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY CA ZIP CODE ZIP CODe MAILING ADDRESS AR EA CODEIPHONE CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAl: FAX / E MAIL ADDRESS OPTIONAl: FAX / ADDRESS 4. Verificatin I have used all reasnable diligence in preparing and reviewing this statement and t the best f my knwledge the infrmatin cntained herein and in the attached schedules is true and cmplete. certify under pen alty f pe~ury under the laws f the State f Califrn ia that the freging is t rue and crrect. Executed n 0'-1_1..,2,,4"'/2_0'-1"'8'-- Date Executed n 0_1_1..,2,,4"'/2_0_1_8 Date,~::,,::::::::::::::::::~ nt Respnsible Officer f Spnsr Of Executed n """", By ~~~~~~~~~~~~~~~~ Executed n """", By ~~~~~~~~~~~~~~~~~ Signature f Cntrlling Officehlder, Candidate, StateMeasurePrpnent Signature 01CntrllingOfficehlder, Candidate, State MeaslJre Prpnent FPPC Frm 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gv (866/ )

23 Recipient Cmmittee Campaign Statement Cver Page - Part 2 COVER PAGE - PART 2 5. Officehlder r Candidate Cntrlled Cmmittee NAME OF OFFICEHOLDER OR CANDIDATE Duglas Ridenur, Sr. OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Held: City Cuncil Member - City f Mdest District 6 RESIDENTIAUBUSINESS ADDRESS (NO. AN D STREET) CITY STATE ZIP Mdest, CA Primarily Frmed Ballt Measure Cmmittee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION SUPPORT OPPOSE Identify the cntrlling fficehlder, candidate, r state measure prpnent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT Related Cmmittees Nt Included in this Statement: List any cmmittees nt included in this statement that are cntrlled by yu r are primarily frmed t receive cntributins r make expenditures n behalf f yur candidacy_ OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY COMMITIEE NAME I. D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? 7. Primarily Frmed Candidate/Officehlder Cmmittee List names f fficeh/der(s) r candidate(s) fr which this cmmittee is primarily frmed. DYES COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) NO CITY STATE ZIP CODE AREA CODE/PHONE COMMITIEE NAME 1.0. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? DYES NO COMMJTTEEADDRESS STREET ADDRESS (NO P.O. BOX) NAME OF OFFICEH OLDER OR CANDIDATE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD OFFICE SOUGHT OR HELD SUPPORT OPPOSE SUPPORT OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD SUPPORT OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD SUPPORT OPPOSE CITY STATE ZIP CODE AREA CODE/PHONE Attach cntinuatin sheets if necessary FPPC Frm 460 (Jan/20i6) FPPC Advice: advice@fppc.ca.gv (866/ )

24 Campaign Disclsure Statement Summary Page Amunts may be runded t whle dllars, Statement cvers perid 07/01 /2017 frm SUMMARY PAGE CALIFORNIA 460 FORM SEE INSTRU CTIONS ON REVE RSE NAM E OF FILER Dug Ridenur, Sr. fr Mdest City Cuncil 2015 thrugh 12/31 / Page _ 01 _ r.d. NUMBER Cntributins Received 1. Mnetary Cntributins... Schedule A, Line 3 2. Lans Received... Schedule B, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS.... Add Lines S 4. Nnmnetary Cntributins TOTAL CONTRIBUTIONS RECEIVED. Schedule C, Line Add Lines ClumnA TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) Clumn B CALENDAR YEAR TOTAL TO DATE Calendar Year Summary fr Candidates Running in Bth tj:1e State Primary and General Electins 1/1 thrugh 6/30 7/1 t Date 20. Cntributins Received S Expend itures Made ---- Expenditures Made 6. Payments Made 7. Lans Made.. 8. SUBTOTAL CASH PAYMENTS. 9. Accrued Expenses (Unpaid Bills) Nnmnetary Adjustment 11. TOTAL EXPENDITURES MADE Schedule E, Line 4 Schedule H, Line 3 Add Lines Schedule F. Line Schedule C, Line Add Lines Expenditure Limit Summary fr State Candidates 22. Cumulative Expenditures Made (If Subject t Vluntary Expenditure Limit) Date f Electin (mmfddfyy) Ttal t Date Current Cash Statement 12. Beginning Cash Balance 13. Cash Receipts Miscellaneus 1ncreases t Cash 15. Cash Payments Previus Summary Page, Line 16 Clumn A. Line 3 abve Schedule I, Line 4 Clumn A, Line 8 abve 16. ENDING CASH BALANCE... Add Lines , then subtract Line 15 If this is a terminatin statement, Une 16 must be zer. 17. LOAN GUARANTEES RECEiVED Schedule e, Part 2 Cash Equivalents and Outstanding Debts 18. Cash Equivalents.. See instructins n reverse 19. Outstanding Debts... Add Line 2 + Line 9 in Clumn B abve T calculate Clumn B, add amunts in Clumn A t the crrespnding amunts frm Clumn B f yur last reprt. Sme amunts in Clumn A may be negative figures that shuld be subtracted frm previus perid amunts. If this is the first reprt being filed fr this calendar year, nly carry ver the amunts frm Lines 2, 7, and 9 (if any) *Amunts in this sectin may be different frm amunts reprted in Clumn B. FPPC Frm 460 (Jn/2016) FPPC Advice: advice@lppc.ca.gv (866/ )

25 Schedule B - Part 1 Lans Received Amunts may be runded t whle dllars. Statement cvers perid frm 0.: ,- 0--, 1/_2-,- 0_17 SCHEDULE B - PART 1 CALIFORNIA 460 FORM SEE INSTRUCTIONS ON REVERSE thrugh 12/ Page 4 f 6 NAME OF FILER 1.0. NUMBER Dug Ridenur, Sr. fr Mdest City Cuncil 2015 FULL NAME, STREET ADDRESS AN D ZIP CODE OF lender (IF COMMITIEE, AlSO ENTER 1.0. NUMBER) Duglas Ridenur, Sr. Mdest, CA IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Retired OUTSTANDING BALANCE BEGINNING THIS PERIOD AMOUNT RECEIVED THIS PERIOD 1<1 AMOUNT PAID OR FORGIVEN THIS PERIOD PAID FORGIVEN OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD I INTEREST PAID THIS PERIOD --~ ""TE ORIGINAL AMOUNT OF LOAN CUMULATIVE CONTRIBUTIONS TO DATE CALENDAR YEAR PER El ECTION u t ~ IND 0 COM OOTH 0 PTY 0 scc I /31/19 DATE DUE J llqz/1 4 DATE INCURRED 10 IND 0 COM OOTH 0 PTY 0 SCC._--- PAID FORGIVEN, DATE DUE S -_% "",. DATE INCURRED CALENDAR YEAR PER ELECTION" PAID CALENDAR YEAR FORGIVEN --'. RATE PER ELECTION u t IN D 0 COM OOTH 0 PTY 0 SCC DATE DUE DATE INCURRED Schedule B Summary 1. Lans received this perid.... (Ttal Clumn (b) plus unitemized lans f less than 100.) SUBTOTALS , Lans paid r frgiven this perid (Ttal Clumn (c) plus lans under 100 paid r frgiven.) (Include lans paid by a third party that are als itemized n Schedule A.) 3. Net change th is perid. (Subtract Line 2 frm Line 1.) NET a Enter the net here and n the Summary Page, Clumn A, Line 2. (Maybe a negative number) 01 (Enter (e) n Schedule E. llfle 3) tcntributr Cdes INO -Individual COM - Recipient Cmmittee (ther than PTY r SCC) OTH - Other (e.g., business entity) PTY - Plitical Party SCC - Small Cntributr Cmmittee *Amunts frg iven r paid by anther party als must be reprted n Schedule A. ** If requ ired. FPPC Frm 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gv (866/ )

26 Schedule E Payments Made Amunts may be runded t whle dlla rs. Statement cvers perid frm _----'0:..:7.:... 10=-1::./2=.0=-1:..:7 SCHEDULE E CALIFORNIA 460 FORM SEE INSTRUCTIONS ON REVERSE NAME OF FILER thrugh 12/ Page 5 f NUMBER Dug Ridenur, Sr. fr Mdest City Cuncil 2015 CODES: If ne f the fllwing cdes accurately describes the payment, yu may enter the cde. Otherwise, describe the payment. CMP campaign paraphernalia/misc. MBR member cmmunicatins RAD radi airtime and prductin csts CNS CTB campaign cnsultants cntributin (explain nnmnetary)* MTG meetings and appearances OFC ffice expenses RFD SAL returned cntributins campa ign wrkers' salaries cvc civic dnatins PET petitin circulating TEL t.v. r cable airtime and prdu ctin csts FIL candidate filing/ballt fees PHD phne banks TRC candidate trave l, ldging, and meals FND fundra ising events POL plling and survey research TRS staff/spuse travel, ldging, and meals IND independent expenditure supprting/ppsing thers (expla in )* POS pstage, delivery and messenger services TSF transfer between cmmittees f the same candidate/spnsr LEG legal defense PRO prfessinal services (legal, accunting) VOT vter registratin LIT campaign literature and mailings PRT print ads WEB infrmatin technlgy csts (internet, ) NAME AND ADDRESS OF PAYEE (IF COMMITTEE. ALSO ENTER 1.0. NUMBER) CODE OR DESCRIPTION OF PAYM ENT AMOUNT PAID City Ministry Netwrk Mdest, CA Secretary f State's Office Sacrament, CA GODADDY.COM Sunnyvale, CA Table fr Annual Dinner FND 500,00 Annual Fee FIL Annual Web Fees PRO * Payments that are cntributins r independent expenditures must als be summarized n Schedule D. SUBTOTAL Schedule E Summary Itemized payments made this perid. (Include all Schedule E subttals.) Unitemized payments made this perid f under Ttal interest paid this perid n lans. (Enter amunt frm Schedule S, Part 1, Clumn (e).) Ttal payments made this perid. (Add Lines 1, 2, and 3. Enter here and n the Summary Page, Clumn A, Line 6.) TOTAL FPPC Frm 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gv (866/ )

27 Schedule I Miscellaneus Increases t Cash Amunts may be runded t whle dllars. Statement cvers perid frm 0_7_1_1_/2_0_1_7 SCHEDULE I CALIFORNIA 460 FORM SEE INSTRUCTIONS ON REVERSE NAME OF FILER thrugh _--,1-=2",/3,--1.:..:/2",0,--1...:.7 Page _ 6 f _ NUMBER Dug Ridenur, Sr. fr Mdest City Cuncil 2015 DATE RECEIVED FULL NAME AND ADDRESS OF SOURCE (IF COMMITTEE, ALSO ENTER t D. NUMBER) DESCRIPTION OF RE CEI PT AMOUNT OF INCREASE TO CASH Attach additinal infnnatin n apprpriately labeled cntinuatin sheets. SUBTOTAL Schedule I Summary 1. Itemized increases t cash this perid...., Unitemized increases t cash f under 1 00 this perid.... " """"""""."""...,,.,,... """. 6-'-0::.,:.:.0"-0 3. Ttal f all interest received this perid n lans made t thers. (Schedule H, Clumn (e).) " """.. "... " ~O 4. Ttal miscellaneus increases t cash this perid. (Add Lines 1, 2, and 3. Enter here and n the Summary Page, Line 14.) "... "...""."... ".. ".. "...".. "... "...".. " ".. "..,," TOTAL _ '-'.-'- '-- FPPC Frm 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gv (866/ )

28 Recipient Cmmittee Campaign Statement Cver Page Statement cvers perid frm Date f electin ifappl Date Stamp R t:. C EI V t:. U TO en'! CLERK (Mnth, Day, Year) 161& Jt 26 ~M ~ t COVER PAGE Page 1 f 5 Fr Official Use Only SEE INSTRUCTIONS ON REVERSE thrugh Type f Recipient Cmmittee: All Cmmittees - Cmplete Parts 1, 2, 3, and 4. III Officehlder, Candidate Cntrlled Cmmittee D Primarily Frmed Ballt Measure State Candidate Electin Cmmittee Cmmittee D General Purpse Cmmittee Spnsred Small Cntributr Cmmittee Plitical Party/Central Cmmittee 2. Type f Statement: Preelectin Statement [2l Semi-annual Statement Recall (Als Cmplete Pari 5) Cntrlled Spnsred Terminatin Statement (Als Cmplete Part 5) Primarily Frmed Candidate! Officehlder Cmmittee (Alse CmpWw Palt 7) (Als file a Frm 410 Terminatin) D Amendment (Explain belw) D Quarterly Statement D Special Odd-Year Reprt 3. Cmmittee Infrmatin COMM1TIEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Dug Ridenur, Sr. Fr Mdest City Cuncil 2015 LD. NUMBER Treasurer(s) NAME OF TREAsURER Linda A. Ridenur MAILING ADDRESS STREET ADDRESS (NO P,O, BOX) CITY Mdest STATE CA ZIP CODE MAJUNGAbbRESS (IF DIFFER-ENT) NO, AND-STREET dffp,-6, BOX AREA CODEJPHONE CITY Mdest NAME OF ASSISTANT TREASURER, IF ANY MAILING ADbRESS STATE ZIP CODE AREA CODE/PHONE CA CITY Mdest 6PTIONAL:FAx I E MAILADDRESS STATE CA ZIP CODE AREA CODEIPHONE CITY OPTIONAL: FAX I E MAILADDRESS STATE ZIP CODE AREA cbbeiphone 4. Verificatin I have used all reasnable diligence in preparing and reviewing this statement and t the best f my knwledge the infrmatin cntained herein and in the attached schedules is true and cmplete. certify under penalty f pe~ury under the laws f the State f Califrnia t Executed n 07125/2018 Date Executed n Date.-~ nsible Officer f Spnsr Executed n --Oaie By S'lgnature f CentrO/ling Officehlder, Candidate, State Measure Prpnent Executed n Date By Signature f Cntrlling Officehlder, Candidate, State Measure Prpnent FPPC Frm 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gv (866/ )

29 Recipient Cmmittee Campaign Statement Cver Page - Part 2 COVER PAGE - PART 2 'IS.'1 5. Officehlder r Candidate Cntrlled Cmmittee NAME OF OFFICEHOLDER OR CANDIDATE Duglas Ridenur, Sr. OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Held: City Cuncil Member - City f Mdest District 6 RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP Mdest, CA Primarily Frmed Ballt Measure Cmmittee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION D SUPPORT D OPPOSE Identify the cntrlling fficehlder, candidate, r state measure prpnent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT Related Cmmittees Nt Included in this Statement: List any cmmittees nt included in this statement that are cntrlled by yu r are primarily frmed t receive cntributins r make expenditures n behalf f yur candidacy. OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY COMMITTEE NAME 1.0. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? 7. Primarily Frmed CandidatelOfficehlder Cmmittee List names f fficehlder(s) r candidate(s) fr which this cmmittee is primarily frmed. COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) DYES D NO NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD D SUPPORT D OPPOSE CITY STATE ZIP CODE AREA CODE/PHONE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD D SUPPORT D OPPOSE COMMtnEE NAME I.D. NUMBER NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD D SUPPORT D OPPOSE NAME OF TREASURER COMMITTEE ADDRESS CONTROLLED COMMITTEE? DYES D NO STREET ADDRESS (NO P.O. BOX) NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD D SUPPORT D OPPOSE CITY STATE ZIP CODE AREA CODE/PHONE Attach cntinuatin sheets if necessary FPPC Frm 460 (ln/2016) FPPC Advice: dvice@fppc.ca.gv (866/ )

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

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

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

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

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

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

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

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

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

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

J~o~p1?6/b Signatuffi FPPC Form 501 (Jan/lOI6) FPPC Advice; (866/27S-3772)

J~o~p1?6/b Signatuffi FPPC Form 501 (Jan/lOI6) FPPC Advice; (866/27S-3772) Candidate Intentin Statement Check One: ~al DAmendment IE'pl") -5 PM 12: 5~ CAL\FORNIA~~t\ if..,\1] Fr Official Use Only NAME OF CANDIDATE (lasl, Flrsl, Middle Initial) 17ft\..(.J E)

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

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 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

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

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 (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) 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 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

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

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

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 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

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

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

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

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

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

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

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

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

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

!.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

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

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

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

Type or print In Ink. (Month, Day, Year) from 07/01/2014. Treasurer(s) NAME OF TREASURER Felipe Fuentes MAILING ADDRESS AREA CODE/PHONE . '.,. Recipient Committee Campaign Statement (Government Code Sections 84200-84216.5) Type or print In Ink. Date of election If applicable: (Month, Day, Year) from 07/01/2014 Date Stamp... 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 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

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

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

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. 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

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

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

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

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

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

o Primarily Formed Candidatel

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

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

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

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

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

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

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

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

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

Schedule C Worksheet for Self-Employed Filers and Contractors tax year Part 1: Business Income and Expenses

Schedule C Worksheet for Self-Employed Filers and Contractors tax year Part 1: Business Income and Expenses Schedule C Wrksheet fr Self-Emplyed Filers and Cntractrs tax year 2017 This dcument will list and explain the infrmatin and dcumentatin that we will need in rder t file a tax return fr a self-emplyed persn,

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

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

Northwest Battle Buddies

Northwest Battle Buddies Serving ur Veterans, wh served us all! www.nrthwestbattlebuddies.rg Clubs & Organizatins Third Party Event Apprval We are hnred that yu have selected fr yur next third-party fundraising event. The cntributins

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

(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

Vision Service Plan (VSP) New Group Implementation Guide

Vision Service Plan (VSP) New Group Implementation Guide Visin Service Plan (VSP) New Grup Implementatin Guide Nrth Ranch Benefits Trust (NRBT) Administered by HealthSmart Benefit Slutins, Inc. Agents shuld submit the cmpleted New Grup Implementatin Guide back

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

Any line marked with a # sign is for Official Use Only 1

Any line marked with a # sign is for Official Use Only 1 IRM PROCEDURAL UPDATE DATE: 08/13/2014 NUMBER: WI-21-0814-1244 SUBJECT: Streamline Filing Cmpliance Prcedures fr Accunts Management Internatinal IMF AFFECTED IRM(s)/SUBSECTION(s): 21.8.1.27 CHANGE(s):

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

1. REIMBURSEMENTS FOR EXPENSES: 2. REQUESTING CHECKS:

1. REIMBURSEMENTS FOR EXPENSES: 2. REQUESTING CHECKS: Mnetary Plicies and Prcedures PTO funds are intended t benefit the students thrugh the enhancement f schl prgrams and activities. The PTO Officers are the guardians f these funds and have an bligatin t

More information

Hawaii Division of Financial Institutions 2019 Renewal Checklist

Hawaii Division of Financial Institutions 2019 Renewal Checklist Hawaii Divisin f Financial Institutins 2019 Renewal Checklist Instructins Renewal requests must be submitted thrugh by the date specified by yur state regulatr(s). Click here t review all renewal deadlines,

More information

WBlx4l12 A-17,94, hereby certify that the information in this Name of Poiiriral Treasurer

WBlx4l12 A-17,94, hereby certify that the information in this Name of Poiiriral Treasurer CAMPAGN FNANCAL DSCLOSURE REPORT SUMMARY PAGE Please Print r Type) C- 2 Rev. 12114 4artinn Name Candidate r Plitical Cmmittee and Chairpersn elyecca F/R U n /-' v2 /- i-r ND in ing rens 993 175me OMOT

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

CAREVEST MORTGAGE INVESTMENT CORPORATION Directions for Completing Retraction Requests

CAREVEST MORTGAGE INVESTMENT CORPORATION Directions for Completing Retraction Requests This package is ONLY fr Class A sharehlders f. Cntents f this package (5 pages): - Instructins fr cmpleting yur retractin request - Retractin Request frm fr CareVest Mrtgage Investment Crpratin The February

More information

Direct Entry Pre-Approval Requirements for Level II Technician Candidates

Direct Entry Pre-Approval Requirements for Level II Technician Candidates Direct Entry Pre-Apprval Requirements fr Level II Technician Candidates The Direct Entry prgram is intended t allw rpe access technicians wh have btained rpe access skills and experience n an industrial

More information

Withholding Certificate for Pension or Annuity Payments. --.a Code

Withholding Certificate for Pension or Annuity Payments. --.a Code epartment f Revenue Services Frm T -W4P ffective January 1, 2018 State f nnecticut (Rev. 10/17) Withhlding ertificate fr Pensin r Annuity Payments r7.'\l New withhlding requirement: ffective January 1,

More information

W2 Processing Cheat Sheet

W2 Processing Cheat Sheet W2 Prcessing Cheat Sheet **IGNORE any errrs related t YTD adjustments. IT is wrking with Escape t get these crrected** Verify Payrll Data Review the fllwing reprts: [HR/Payrll- Reprts- Payrll] - Pay 31

More information

PREPARING TO TERMINATE DROP

PREPARING TO TERMINATE DROP PREPARING TO TERMINATE DROP If yu wrk until yur riginal Deferred Retirement Optin Prgram (DROP) terminatin date, the Divisin f Retirement will mail yu yur DROP Terminatin Packet apprximately 90 days prir

More information

Town of Palm Beach Retirement System. Deferred Retirement Option Plan (DROP) Policies and Information for Participants

Town of Palm Beach Retirement System. Deferred Retirement Option Plan (DROP) Policies and Information for Participants Twn f Palm Beach Retirement System Deferred Retirement Optin Plan (DROP) Plicies and Infrmatin fr Participants Twn f Palm Beach Retirement System Deferred Retirement Optin Plan (DROP) Plicies and Infrmatin

More information

Golf Relief and Assistance Fund Application

Golf Relief and Assistance Fund Application Glf Relief and Assistance Fund Applicatin Eligibility The Glf Relief and Assistance Fund is designed t supprt individuals wrking in the glf industry and their husehld family members wh have been impacted

More information

Government Compensation in California Program. Electronic Reporting Instructions

Government Compensation in California Program. Electronic Reporting Instructions Gvernment Cmpensatin in Califrnia Prgram Electrnic Reprting Instructins Califrnia State Cntrller s Office Divisin f Accunting and Reprting Bureau f Lcal Gvernment Plicy and Reprting Last Updated 1/27/2014

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

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

TWU OFFICE OF RESEARCH & SPONSORED PROGRAMS INSTRUCTIONS FOR USING THE TWU PROPOSAL APPROVAL ROUTING FORM

TWU OFFICE OF RESEARCH & SPONSORED PROGRAMS INSTRUCTIONS FOR USING THE TWU PROPOSAL APPROVAL ROUTING FORM TWU OFFICE OF RESEARCH & SPONSORED PROGRAMS INSTRUCTIONS FOR USING THE TWU PROPOSAL APPROVAL ROUTING FORM Phne: (940) 898-3375 Website: http://www.twu.edu/research/ WHEN TO SUBMIT THROUGH RESEARCH & SPONSORED

More information

DISCOVER FINANCIAL SERVICES (Exact name of registrant as specified in its charter)

DISCOVER FINANCIAL SERVICES (Exact name of registrant as specified in its charter) UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washingtn, D.C. 20549 Frm 8-K Current Reprt Pursuant t Sectin 13 r 15(d) f the Securities Exchange Act f 1934 Date f Reprt (Date f earliest event reprted):

More information

Requirements and Best Practices for Payroll Expense Transfers (PETS)

Requirements and Best Practices for Payroll Expense Transfers (PETS) Requirements and Best Practices fr Payrll Expense Transfers (PETS) What is a PET? PET Best Practices Reasns fr Cmpleting a PET PET Reference Guide PET Checklist Grant Certificatin Tab and Examples Attachments

More information

DISCOVER FINANCIAL SERVICES (Exact name of registrant as specified in its charter)

DISCOVER FINANCIAL SERVICES (Exact name of registrant as specified in its charter) UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washingtn, D.C. 20549 Frm 8-K Current Reprt Pursuant t Sectin 13 r 15(d) f the Securities Exchange Act f 1934 Date f Reprt (Date f earliest event reprted):

More information

Relocation/Moving Procedures for New Employees

Relocation/Moving Procedures for New Employees Relcatin/Mving Prcedures fr New Emplyees Purpse T prvide guidelines and restrictins regarding thse cases where relcatin csts are necessary fr an individual t accept emplyment with the University and t

More information

Information Package CAFETERIA 125 PLANS

Information Package CAFETERIA 125 PLANS Infrmatin Package CAFETERIA 125 PLANS Shaffer Insurance Services, Inc. Benefits Divisin 902 E. Ave Q-9 Palmdale Ca. 93550 Tll Free (866) 412-5872 Office Tel (661) 575 9331 Fax (661) 280 2016 Sectin 125

More information

The Application is due by Mail: Friday, April 27, 2018 The scholarship applications must be mailed to:

The Application is due by Mail: Friday, April 27, 2018 The scholarship applications must be mailed to: Dear Emma Nylen Schlarship Applicant, Enclsed, yu will find the fllwing: 1) Eligibility Requirements; and 2) Emma Nylen Schlarship Prgram Applicatin Apprximately 20-50 schlarships are prvided thrugh the

More information

2017 BUSINESS TAX ORGANIZER

2017 BUSINESS TAX ORGANIZER 2017 BUSINESS TAX ORGANIZER Instructins: The fllwing infrmatin is required fr preparatin f yur Business Tax Returns. Please fill ut this frm cmpletely and return it with the requested infrmatin fr yur

More information

Community Campaign Strategy

Community Campaign Strategy Cmmunity Campaign Strategy Strategy 1. Steering Cmmittees The steering cmmittee membership shuld be tp-level vlunteer representatives f the entire services area. Each service area s Friends f Scuting chairman

More information

APPLICATION FOR PROJECT FUNDING REQUEST 2018 Charlevoix County Parks Millage 301 State St., Charlevoix, MI

APPLICATION FOR PROJECT FUNDING REQUEST 2018 Charlevoix County Parks Millage 301 State St., Charlevoix, MI APPLICATION FOR PROJECT FUNDING REQUEST 2018 Charlevix Cunty Parks Millage 301 State St., Charlevix, MI 49720 administratin@charlevixcunty.rg PROJECT APPLICANT INFORMATION Name f Municipal Applicant(s):

More information

Guide to Young Adult Dependent Coverage

Guide to Young Adult Dependent Coverage Guide t Yung Adult Dependent Cverage The New Yrk State Legislature passed a law in 2009 which extends the availability f health insurance cverage t yung adults thrugh the age f 29. As a result, Freelancers

More information

Highlights for 2017 Compliance

Highlights for 2017 Compliance Prvided by Natinal Insurance Services, Inc. Highlights fr 2017 Cmpliance The Affrdable Care Act (ACA) has made a number f significant changes t grup health plans since the law was enacted in 2010. Many

More information

Certification in Clinical Engineering

Certification in Clinical Engineering 2018 Handbk and Applicatin fr Retired and Emeritus Status Change Certificatin in Clinical Engineering by the Healthcare Technlgy Certificatin Cmmissin Prgram spnsred by the American Cllege f Clinical Engineering

More information

Tax Forms and Publications Recommendations July 11, 2012

Tax Forms and Publications Recommendations July 11, 2012 Tax Frms and Publicatins Recmmendatins July 11, 2012 Frms Reviewed: 1) 2159 and Instructins 2) 668 W(c)(DO) and Instructins 3) Increasing 941 E filing Frm 2159 and Instructins Part 1, Acknwledgement Cpy

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

o Quarterly Staternent

o Quarterly Staternent Reclpíent cmmittee Campaign Statement CverPage (Gvernment Cde Sectins 84200-84216.5) Type r print in ink. Statement cvers perid 01/01/2014 trm ~~-- t1ul.lgh 06/3.2014 W Date f electin if appticable: d(~nth,

More information

Annual Return Guidance

Annual Return Guidance Annual Return Guidance Updated July 2018 Scttish Charity Regulatr Annual Return Guidance CONTENTS Pg 3. 1. INTRODUCTION Pg 4. 2. SECTION A Pg 8. 3. SECTION B Pg 11. 4. SECTION C 1. Intrductin What this

More information