Date of election if applicable ~ (Month, Day, Year) 711/17 12/31/17. Treasurer(s) NAME OF TREASURER CITY MAILING ADDRESS
|
|
- Caren Fowler
- 5 years ago
- Views:
Transcription
1 ~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 1,2,3, and 4. Officehlder, Candidate Cntrlled Cmmittee State Candidate Electin Cmmittee Recall Preelectin Statement ~ Semi-annual Statement Terminatin Statement (Als file a Frm 410 Terminatin) (Als Cmplete Pari 6) General Purpse Cmmittee Spnsred Small Cntributr Cmmittee Plitical Party/Central Cmmittee Primarily Frmed Candidatel Officehlder Cmmittee 3. Cmmittee Infrmatin Special Odd-Year Reprt Amendment (Explain belw) Treasurer(s) NAME IF NO fr Mayr 2015 MAILING ADDRESS San Rafael Ca NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX Quarterly Statement (N Cmplete Part 7) COMMITIEE NAME (OR Primarily Frmed Ballt Measure Cmmittee Cntrlled Spnsred (Als Cmplete Parl 5) 711/17 MAILING ADDRESS 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. Executed n Executed n Executed n Executed n - Dale 1/23/17 Date - - Dale Dale ~ By By., = I _._...~LI1~~ O J ~ a. _ J. _. ~.," "m ~_.~ ~n~'~_.,-,_ " u,.. _ ~ n_u. By ~~~~~~~?W~~~~~~~~~~~~~ Signature f Cntrlling Officehlder, Candidate, State Measare Prpnent FPPC Frm 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gv (866/ )
2 COVER PAGE - PART 2 Recipient Cmmittee Campaign Statement Cver Page - Part 2 6. Primarily Frmed Ballt Measure Cmmittee 5. Officehlder r Candidate Cntrlled Cmmittee NAME OF BALLOT MEASURE BALLOT NO. OR LEITER (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) SUPPORT OPPOSE JURISDICTION Mayr - City f San Rafael RESIDENTIAUBUSINESS ADDRESS (NO. AND STREET) San Rafael ZIP Ca 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. COMMIITEE NAME I.D. NUMBER CO NTROLLED COMMITTEE? DYES COMMIITEE AD DRESS COMMIITEE NAME CONTROLLED COMMIITEE? DYES COMMIITEE ADDRESS NO Identify the cntrlling fficehlder, candidate, r state measure prpnent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT DISTRICT NO. IF ANY 1. Primarily Frmed Candidate/Officehlder Cmmittee Listnamesf fficehlder(s) r candidate(s) fr which this cmmittee is primarily frmed. SUPPORT OPPOSE SUPPORT OPPOSE ONO SUPPORT OPPOSE SUPPORT OPPOSE Attach cntinuatin sheets if necessary FPPC Frm 460 (Jan/20I6) FPPC Advice: advice@fppc.ca.gv (866/ )
3 Campaign Disclsure Statement Summary Page Amunts may be runded t whle dllars. frm 7/1/17 SUMMARY PAGE thrugh 12/31/17 Page 3 f 5 _ Cntributins Received 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. Mnetary Cntributins Schedule A, Line 3 1/1 thrugh 6/30 7/1 t Date 2. Lans Received Schedule B, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS... Add Lines Cntributins Received Nnmnetary Cntributins... Schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED Add Lines Expenditures Made Expenditures Made 6. Payments Made Schedule E, Line 4 Expenditure limit Summary fr State Candidates 7. Lans Made... Schedule H, Line 3 8. SUBTOTAL CASH PAyMENTS Add Lines Cumulative Expenditures Made* (If Subject t Vluntary Expenditure Limit) 9. Accrued Expenses (Unpaid Bills) Schedule F. Line Nnmnetary Adjustment Schedule C, Line TOTAL EXPENDITURES MADE... Add Lines Date f Electin (mm/dd/yy) _--...J/~ 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 Schedule B, Part 2 Cash Equivalents and Outstanding Debts 18. Cash Equivalents... See instructins n reverse 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. 19. Outstanding Debts... Add Line 2 + Line 9 in Clumn B abve FPPC Frm 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gv (866/ )
4 Schedule E Payments Made Amunts may be runded t whle dllars. frm 7/1/17 SCHEDULE E thrugh 12/31 /17 Page _4_~ f 5_ I.D. NUMBER 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 campaign cnsultants MTG meetings and appearances RFD returned cntributins CTa cntributin (explain nnmnetary)" OFC ffice expenses SAL campaign wrkers' salaries CVC 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 fund raising 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 COMMITIEE. ALSO ENTER ) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Marin Histry Museum C/O Gary Rigghanti rnia cvc Histry museum 500 Albert Park Restratin San Rafael Cmmunity Center 618 S Street, San Rafael, Ca cvd Supprt Park 500 Secty State Frm 410 Sacrament fil 50 * Payments that are cntributins r independent expenditures must als be summarized n Schedule D. Schedule E Summary 1. Itemized payments made this perid. (Include all Schedule E subttals.) 2. 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.) SUBTOTAL TOTAL FPPC Frm 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gv (866/ )
5 Schedule E (Cntinuatin Sheet) Payments Made Amunts may be runded t whle dllars. frm 7/1/17 SCHEDULE E (CONT) thrugh 12131/17 Page 5 f 5 CODES: If ne f the fllwing cdes accurately describes the payment, yu may enter the cde. Otherwise, describe the payment. CMP CNS CTS CVC FIL FND IND LEG LIT campaign paraphernalia/mise. campaign cnsultants cntributin (explain nnmnetary)* civic dnatins candidate filing/ballt fees fundraising events independent expenditure supprting/ppsing thers (explain)' legal defense campaign literature and mailings - NAME AND ADDRESS OF PAYEE (IF COMMITTEE. ALSO ENTER ) MBR MTG OFC PET PHO POL POS PRO PRT member cmmunicatins meetings and appearances ffice expenses petitin circulating phne banks plling and survey research pstage, delivery and messenger services prfessinal services (legal, accunting) print ads RAD radi airtime and prductin csts RFD returned cntributins SAL campaign wrkers' salaries TEL t.v. r cable airtime and prductin csts TRC candidate travel, ldging, and meals TRS staff/spuse travel, ldging, and meals TSF transfer between cmmittees f the same candidate/spnsr VOT vter registratin WEB infrmatin technlgy csts (internet, ) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID San Rafael Plice Officers Assciatin Supprt POA San Rafael Public Library Fundatin Supprt Library Ritter Center 16 Ritter Street Nn-prfit; hmeless and in need evc 100 Cmmunity Media Center f Marin 81 9 A Street, Nn-prfit; cmmunity media Payments that are cntributins r independent expenditures must als be summarized n Schedule D. SUBTOTAL 400 FPPC Frm 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gv (866/ )
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 informationType 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 informationType 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 informationStatement 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 informationthe 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 informationF 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 informationType 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 informationc. r---:: r ----:- oi-.r',...,'j.:;:
COVER PAGE Recipient Cmmittee Campaign Statement Cver Page Date Stamp t"< t. frm 01/01/2016 _ SEE INSTRUCTIONS ON REVERSE All Cmmittees - Cmplete Parts 1. 2, 3, and 4. Officehlder, Candidate Cntrlled Cmmittee
More informationRecipient 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 informationRecipient 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 informationo 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 informationRecipient 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 informationJ~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 informationRecipient 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 information0 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 informationRecipient 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 information2. 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 informationRecipient 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 informationDate 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 informationType 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 information411 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 informationRecipient 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 informationi: 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 informationUse 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 informationRecipient 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 informationo 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 informationType 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 information06/05/2018. [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 informationo 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 informationUse 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 informationType 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 informationRecipient 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 informationUse 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 informationLOS 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 informationbe 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 informationType 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!.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 informationRecipient 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 informationNote: 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 informationRecipient 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 informationType 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 informationRecipient 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 informationo 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 informationRecipient 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 informationType 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 informationDate 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 informationType 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 informationC 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 informationBY---~~=-::~)~,.,;;:.
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 informationRecipient 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 information1121 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 informationRecipient 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 informationType 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 informationType 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 informationo Primarily Formed Candidatel
Recipient Committee Campaign Statement Cover Page...------------.---------..,:'\/'111; - I Date of Election if applicable I.
More informationWBlx4l12 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 informationStatement 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 informationTWU 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 informationType 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 informationDISCOVER 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 informationDISCOVER 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 informationTax 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 informationHawaii 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 informationRecipient 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 informationDate 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 informationVision 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 informationGolf 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 informationSchedule 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 informationDate 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 informationGuide 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 informationSpecifications. RE: Architecture Firm with Professional Team. Business Overview. Established for over 30 years with a 25% profit margin!
Business Overview RE: Architecture Firm with Prfessinal Team Established fr ver 30 years with a 25% prfit margin! Specificatins Price $1,450,000 Prfit Margin 25% Service Area Hustn & Dallas Revenue $1,668,433
More informationUnderstanding Loan Product Advisor s Determination of Total Monthly Debt for Conventional Loans
Understanding Lan Prduct Advisr s Determinatin f Ttal Mnthly As indicated in Freddie Mac s Single-Family Seller/Servicer Guide (Guide) Sectin 5401.2, the Brrwer's liabilities must be reflected n the Mrtgage
More informationTown 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 informationVerification Worksheet- V1 DIRECTIONS 2016 INCOME TAX FILER DIRECTIONS:
2018-2019 Verificatin Wrksheet- V1 DIRECTIONS 2016 INCOME Yur applicatin was selected by the U.S. Dept. f Educatin fr review in a prcess called "verificatin". Yu must submit the last 3 pages f this verificatin
More informationDe minimis aid declaration
De minimis aid declaratin Declaratin within the scpe f the prvisin f aid as referred t in the de minimis aid Regulatin (OJ 2006, L379). It is recmmended that yu read the explanatry ntes in the annex t
More informationNorthwest 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 informationThe 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 informationDirect 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 informationFORM 2. INDEPENDENT REGULATORY BOARD FOR AUDITORS (Established under Section 3 of Act 26 of 2005)
FORM 2 INDEPENDENT REGULATORY BOARD FOR AUDITORS (Established under Sectin 3 f Act 26 f 2005) APPLICATION BY A FIRM FOR ADMISSION TO THE REGISTER OF AUDITORS (Fr applicatin in terms f Sectin 38(2)) and
More informationPREPARING 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 informationW2 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 informationSteps toward Retirement
Steps tward Retirement Eligibility, Actin Steps, and Benefit Optins fr Faculty and Staff Nearing Retirement Eligibility fr Official University Retiree Status The fllwing jb types f the University are eligible
More informationPROOF OF CLAIM AND RELEASE
PROOF OF CLAIM AND RELEASE Deadline fr Submissin: July 11, 2015 IF YOU PURCHASED THE COMMON STOCK OF, INC., ( ) DURING THE PERIOD FROM NOVEMBER 14, 2013 THROUGH APRIL 9, 2014, INCLUSIVE (THE CLASS PERIOD
More informationAPPLICATION 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 informationCAMPAIGN FINANCE AND BALLOT MEASURE GUIDE
TENNESSEE CAMPAIGN FINANCE AND BALLOT MEASURE GUIDE These resurces are current as f 6/2017. We d ur best t peridically update these resurces and welcme any cmments r questins regarding new develpments
More informationRequirements 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 informationPROOF OF CLAIM AND RELEASE
Deadline fr Submissin: June 9, 2018 PROOF OF CLAIM AND RELEASE IF YOU PURCHASED THE COMMON STOCK OF MAGNACHIP SEMICONDUCTOR CORP. ( MAGNACHIP ) BETWEEN FEBRUARY 1, 2012 AND MARCH 11, 2014, INCLUSIVE (TH
More informationLSI Securities Litigation
Page 1 f 8 ELECTRONIC FILING INSTRUCTIONS I. Imprtant Ntes PLEASE READ In additin t these instructins, please review the details set frth in the claim frm and ntice prir t submitting claims. Electrnic
More informationWithholding 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 informationI 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 informationMICRO GROUP EMPLOYER DOCUMENTATION REQUIREMENTS
Seattle, Washingtn 98101 MICRO GROUP EMPLOYER DOCUMENTATION REQUIREMENTS D nt cancel any existing plicies until yu receive cnfirmatin f final rates and/r acceptance f the grup by Regence BlueShield (Regence).
More informationGovernment 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 informationAny 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 informationInstruction Page. Verification of 2014 Income Information for Individuals with Unusual Circumstances
Instructin Page Imprtant Nte: Please ntify the financial aid ffice if the student r their parents had a change in marital status after the end f the 2014 tax year n December 31, 2014 and als if the parents
More informationELECTRONIC FILING INSTRUCTIONS Commvault Systems, Inc. Securities Litigation
ELECTRONIC FILING INSTRUCTIONS Cmmvault Systems, Inc. Securities Litigatin I. Imprtant Ntes PLEASE READ Electrnic claim submissin is available t institutins filing n their wn behalf r n behalf f thers
More informationCommvault Systems, Inc. Securities Litigation
Page 1 f 8 ELECTRONIC FILING INSTRUCTIONS Cmmvault Systems, Inc. Securities Litigatin I. Imprtant Ntes PLEASE READ Electrnic claim submissin is available t institutins filing n their wn behalf r n behalf
More informationCertification of Beneficial Owner(s)
GENERAL INSTRUCTIONS T help the gvernment fight financial crime, federal regulatin requires certain financial institutins t btain, verify, and recrd infrmatin abut the beneficial wners f legal entity custmers.
More information2017 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 informationParent Guide to Financial Aid
Parent Guide t Financial Aid fr the 2019-20 schl year OVERVIEW AND DEADLINES Welcme t the financial aid applicatin seasn fr the 2019-20 schl year. We recgnize that the applicatin prcess can be stressful
More informationA company is liable to UK corporation tax on all its profits and chargeable gains, whether made in the UK or elsewhere.
launchpad January 2014 crprate tax It may be sme years befre a start-up cmpany begins t make a prfit, but unfrtunately that des nt mean it can ignre tax issues. Even if tax is nt an issue n day ne f the
More information