Type or print in ink. November 4, o Semi-annual Statement. o Amendment (Explain below) Treasurer(s) NAME OF TREASURER Jim King MAILING ADDRESS
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- Diane Sharlene Walsh
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1 Recipient Committee Campaign Statement Cover Page (Government Code Sections ) Type or print in ink. Date Stamp RECEVED..TY OF SM VALLEY COVER PAGE CALiFORNA Page 1 of 19 Date of election if applicaqw.;. (Month, Day, Year) eu OCT - 2 Pl1 2: S6 For Official Use Only SEE NSTRUCTONS ON REVERSE through September 30,2014 November 4, Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4.!;ll Officeholder, Candidate Controlled Committee o Primarily Formed Ballot Measure State Candidate Election Committee Committee o Recall o Controlled (AlSO Complete Part 5) o General Purpose Committee Sponsored Small Contributor Committee o Political Party/Central Committee 3. Committee nformation o Sponsored (Also Complete Part 6) o Primarily Formed Candidate! Officeholder Committee (Also complete Part 7) COMMTTEE NAME (OR CAND'S NAME F NO COMMTTEE) 2. Type of Statement: j;zl Preelection Statement o Semi-annual Statement o Termination Statement (Also file a Form 410 Termination) o Amendment (Explain below) Treasurer(s) NAME OF TREASURER Jim King MALNG ADDRESS o Quarterty Statement o Special Odd-Year Report o Supplemental Preelection Statement - Attach Form 495 STREET ADDRESS (NO P.O. BOX) CTY STATE ZP CODE AREA CODE/PHONE CTY STATE ZP CODE AREA CODE/PHONE NAME OF ASSSTANTiREASURER~-FANY MALNG ADDRESS(F DFFERENT) NO. AND STREET OR P.O. BOX MALNG ADDRESS CTY STATE ZP CODE AREA CODE/PHONE CTY STATE ZP CODE AREA CODE/PHONE OPTONAL: FAX / E-MAL ADDRESS OPTONAL: FAX / E-MAL ADDRESS 4. Verification // have used all reasonable diligence in preparing and reviewing this statement and to th~est of my knowledge tli! information contained herein and i ;f-: ~ ~JZ...L ",,",~of"""fit_ofc.uro",''''~fo_i'~ e - Executed on. By v - e attached schedules is true and complete. certify Executed on By ~ oro ~~/~v ~no~ c~ sure Prooonantor Resl')onsib1e OfficerofSoonsor Executed on Executed on Date Date By " > Signature ofcontrolhngolfk:eholder, Cancfldate, Sta1e Measure Proponent Si9MfuieDlCClitticilltrigOfflcehotder, Candidate, State Measure PropOnent FPPC Fonn 460 (January/OS) FPPC Tol Free Helpline: 8661ASK-f'PPC ( ) state of California
2 Recipient Committee Campaign Statement Cover Page - Part 2 Type or print in ink. COVER PAGE - PART 2 iss_e of 5. Officeholder or Candidate Controlled Committee NAME OF OFFCEHOLDER OR CAND Robert O. Huber OFFCE SOUGHT OR HELD (NCLUDE LOCATON AND DSTRCT NUMBER F APPLCABLE) 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURSOCTON o SUPPORT D OPPOSE RESOENTAUBUSNESS ADDRESS (NO. AND STREET) CTY STATE ZP dentify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFCEHOLDER, CAND, OR PROPONENT Related Committees Not ncluded in this Statement: List any committees not included in this statement that are cqntrolled by you or are primarily formed to receive contributions or make expenditures on behalf of your candidacy. OFFCE SOUGHT OR HELD DSTRCT NO. F ANY COMMTTEE NAME NAME OF TREASURER COMMTTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CONTROLLED COMMTTEE? DyES D NO CTY. STATE ZP CODE AREA CODE/PHONE COMMTTEE NAME NAME OF TREASURER COMMTTEE ADDRESS STREET ADORESS (NO P.O. BOX) CONTROLLED COMMTTEE? DYES ONO 7. Primarily Formed Candidate/Officeholder Committee List names of offlceholder(s) or candidate(s) for which this committee is primarily formed. NAME OF OFFCEHOLDER OR CAND OFFCE SOUGHT OR HelD SUPPORT o OPPOSE NAME OF OFFCEHOLDER OR CAND OFFCE SOUGHT OR HELD o SUPPORT o OPPOSE NAME OF OFFCEHOLDER OR CAND OFFCE SOUGHT OR HELD SUPPORT o OPPOSE NAME OF OFFCEHOLDER OR CAND OFFCE SOUGHT OR HELD SUPPORT o OPPOSE CTY STATE ZP CODE AREA CODE/PHONE Attach continuation sheets f necessary FPPC Fonn 460 (January05) FPPC Toll-Free Helpline: 86G/ASK-FPPC ( ) State of California
3 Campaign Disclosure Statement Summary Page Type or print in nk. SUMMARY PAGE CALFORNA SEE NSTRUCTONS ON REVERSE Contributions Received ColumnA TOTAL THS PEROD (FROM ATTACHED SCHEDULES) 1. Monetary Contributions... Schedule A, Une 3 $ Loans Received...,... Schedule B. Une SUBTOTAL CASH CONTRBUTONS... Add Lines $ Nonmonetary Contributions..... Schedule C. Une TOTAL CONTRBUTONS RECEVED... Add Unes $ ColumnB TOTALTO $ (2010) $ $ through September Page 3 of 19 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 through 6/30 7/1 to Date 20. Contributions AJjPr Received $. $ fj/a- 21. Expenditures ;v/fj Made $ $-d4 Expenditures Made 6. Payments Made... ~... Schedule :. Une4 $ Loans Made... ScheduleH, Une SUBTOTAL CASH PAYMENTS... AddUnes6+7 $ Accrued Expenses (Unpaid Bills)... ScheduJeF; Une Nonmonetary Adjustment... ScheduleC.Line TOTALEXPENDTURESMADE... AddUhes $ $ $ $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* lf SUbject to Voluntary Expenditure Umlt) Date of Election (mm/dd/yy) --'----' ~ ~--'----'--- Current Cash Statement 12. Beginning Cash Balance PreVious Summary Page, Line 16 $ 13. Cash Receipts... ColumnA,Une3above 14. Miscellaneous ncreases to Cash... Schedule. Une Cash Payments... ColumnA. Line 8 above 16. ENDNG CASH BALANCE..... Add Lines , then subtract Une 15 $ "this is a termination statement, Une 16 must be zero LOAN GUARANTEES RECEVED... Schedule B, Part 2 $ 0.00 Cash Equivalents and Outstanding Debts 18. Cash Equivalents... See instructions on reverse $ 19. Outstanding Debts... Add Line 2 + Une 9 in Column B above $ To calculate Column B, add amounts in Column A to the corresponding amounts from Column B of your last report. Some amounts in Column A may be negative figures that should be subtracted from previous period amounts. f this is the first report being filed for this calendar year, only carry over the amounts from Lines 2, 7, and 9 Of any). Total to Date $ p/k $ tj/1t "Amounts in this section may be different from amounts reported in Column B. FPPC Fonn 460 (January/OS) FPPC Tol Free Helpline: 866/ASK FPPC ( )
4 Schedule A Type or print in ink. to whole dollan;. SCHEDULE A CALFORNA 4' '6,0' SEE NSTRUCTONS ON REVERSE through September 30,2014 Page 4 of 19 FULL NAME, STREET ADDRESS AND ZP CODE OF CONTRBUTOR CONTRBUTOR RECEVED (lfcommltiee,also ENTER ) CODE * 7/1/ /11/2014 Carmichael, Chuck 7/11/2014 7/11/2014 Tash, Delora Law Offices of Richard Rabbin, nc. Edwards, Bill Martinez. Sue [lund llno DNO!;lOTH [j(jno DOOM osce!;lno Dsce OCCUPATON AND EMPLOYER (F SELF-EMPLOYED, ENTER NAME OF BUSNESS) Retired V.P. GT Water Products Retired CHHA Simi Valley Hospital SUBTOTAL $ AMOUNT RECEVED THS PEROD CUMULATVE TO (JAN. 1 - DEC. 31) PER ELECTON TO (F REQURED) oolfmm j;:;j~;;;~::;;~j;~~;;1;/!'~2~t.2c~~~~1,?'l.xi,"g:~;';' '{-' Schedule A Summary WContributor Codes 1. Amount received this period - itemized monetary contributions. NO-ndividual (nclude all Schedule A subtotals.)... $ , eom-recipientcommiltee 2. Amount received this period - unitemized monetary contributions ofless than $ $ Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.)... TOTAL $ (other than PTY or See) OTH - Other (e.g business entity} see -Small eontributorcommiltee FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/ )
5 1Ype or print in ink. SCHEDULE A (CONT.) CALFORNA People for Bob Huber-Mayor 2014 FULL NAME, STREET ADDRESS AND ZP CODE OF CONTR.BUTOR CONTRBUTOR OCCUPATON AND EMPLOYER RECEVED {FCOMMtTTEE,ALSO ENTER ) CODE * (tfself-employeo, ENTER NAME OF BUSNESS) 7/14/2014 7/14/2014 Swink Enterprises Deese, Susan Re-elect Barbra Wilfiamson for City Council /2014 FPPC# /15/2014 7/15/2014 Moradi, saac Moradi, Jacqueline ONO OCOM /illoth oscc /illno OSCC OND lcom OSCC lnd lno OSCC Bank Manager Union Bank Developer &J Moradi, nc. Housewife through September 30, 2014 Page 5 of 19 1 AMOUNT CUMULATVE TO PER ELECTON RECEVED THS TO PEROD (JAN. 1 DEC. 31) (F REQURED) SOO.OO SUBTOTAL $ t;;n:';\ ;~;?2.<j:".;,;t;f;i'Y:;::';;~:::' :k,.:~.; '} "itj;~cwj *Contributor Codes NO -ndividual (other than PTY or SCC) OTH - Other (e.g., business entity) SCC - Sma" Contributor Committee FPPC Toll-Free Helpline: 8661ASK-FPPC ( )
6 Type or print in ink. to whole dojlal'$. SCHEDULE A (CONT.) CAUFORNA460' through September 3Q, 2014 Page 6 of 19 RECEVED 7/15/2014 7/15/2014 7/16/2014 7/16/2014 7/16/2014 FULL NAME. STREET ADDRESS AND ZP CODE OF CONTRBUTOR CONTRBUTOR OF COMMTTEE. ALSO ENTER ) CODE * Callahan, Roger Barbarossa, Raymond Dave's Towing Service Havens, Patricia Skidmore, Raymond lnd DeoM lund DeOM Dsee DND ~OTH Dsee lnd DeoM Dsee lnd Dsec OCCUPATON AND EMPLOYER OF!/ElF..fMPLOYED. ENTER NAME OF BUSNESS) Property Manager Callahan Ranch Properties Retired Museum Director Simi Valley Historical Society CPA Skidmore, Markell, nc. AMOUNT RECEVED THS PEROD CUMULATVE TO (JAN. 1 DEC. 31) PER ELECTON TOCATE (F REQURED) SUBTOTAL $ l;f'f'lk~ff,',f;}~ :0.;\,: ;. ; ~:! ;i.,~s:c.t',:;.:;:'~:;':';,:;; {::~~~:/ *eontributor Codes ND -ndividual (other than PTY or SeC) OTH - other (e.g., business entity) sec - Small Contributor Committee FPPC Form 460 (JanuarylO5) FPPC Toll-Free Helpline: 866/ASK FPPC (866/ )
7 Type or print in ink. SCHEDULE A (CONT.) CALlFORNA '.'4'.6.0.' through September 30,2014 Page 7 of 19 RECEVED 7/16/2014 7/18/2014 7/18/2014 7/18/2014 7/18/2014 FULL NAME, STREET ADDRESS AND ZP CODe OF CONTRBUTOR CONTRBUTOR OF COMMTTEE,ALGO ENTER ) CODe '" Ron Rauschenberger nsurance Mike Rovner Construction Company Alva, Leanne Huber, Matthew Todd Sadler. David DNO ~OTH ONO ~OTH rizllno rizllno 'llnd OSCC OCCUPATON AND EMPLOYER (FGELF EMPLOYEo,,ENTER NAME OF BUGNEGG) \ Corp. Developer Strategic Acquisitions, nc. Manager SBT Productions, nc. Retired SUBTOTAL $ AMOUNT RECEVED THS PEROD 500,00 CUMULATVE TO OATE (JAN. 1 DEC, 31) 500, PER ELECTON fodats (F REQURED) , i'f ';)';s{ <,;,' ;.~(~~~"",:'f;i::;\}:'~':l:;;;c'-ij;~gl',,;;~~,'581 *Contributor Codes NO -ndividual (other than PTY or SCC) QTH - Other (e.g., business entity) SCC - Small Contributor Committee FPPC Form 460 (January/05) FPPC Tol.Free Helpline: 866/ASK-FPPC ( )
8 Type or print in ink. SCHEDULE A (CONT.) CALFORNA.4" 6' 0 through September 30, 2014 Page 8 of~ RECEVED 7/18/2014 7/18/2014 7/21/2014 7/21/2014 \ 7/21/2014 FULL NAME, STREET ADDRESS AND ZP CODE OF CONTRBUTOR CONTRBUTOR (F COMMTTEE, AlSO ENTER 1,0. NUMBER) CODE * Grant, Sally King, Kathryn Russo, Robert D. Urban Strategies Macdonald. Reina lno ilno ilno -- DND illoth illlno OCCUPATON AND EMPLOYE.R (F SELF-EMPLOYED, ENTER NAME OF BUSNESS) Retired Retired Attorney Robert D. Russo, Attorney at Law Attorney, NMB, USA SUBTOTAL $ AMOUNT RECENED THS PEROD ' CUMUl.AnVETO (JAM. 1 DEC. 31) PER ELECTON TOOATE (F REQURED) ~",;,;[J;:;~-::::j;,,:,;,;;V:~'~r;:*,;,; S>:',,?,~-]:;i;f tn *Contributor Codes ND-ndividual (other than PTY or SCC) OTH - Other (e.g., business entity) SCC - Small Contributor Committee FPPC Toll-Free Helpline: 866/ASK-FPPC (866/ )
9 Type or print in ink. to whole dollal'$. Statement covel'$ period from July SCHEDUL.E A (CONT.) CAUFORN.~ 4.60 through September Page 9 of~ RECEVED 7/21/2014 7/21/2014 7/ /22/2014 7/23/2014 FULL NAME. STREET ADDRESS AND ZP CODE OF CONTRBUTOR CONTRBUTOR (F COMMTTEE. A.SO ENTER ) CODE * Capaldi, Catherine Lindsey. Karen stratton, Greg Holohan, Mary Ann Walker, Gary llnd OCOM oscc llnd OSCC lltnd OCOM oscc -- llno OCOM oscc ll/no OCOM OSCC OCCUPATON AND EMPLOYER (F SElF-EMPLOYED, ENTER NAME OF BUSNESS) Owner Pacific Rim Grading Realtor Tro.op Real Estate Retired Sales Glaxo Smithy Klein Engineer Gary Walker & Associates AMOUNT RECEVED THS PEROD CUMULATVE TO (JAN. 1 - DEC. 31) PER ELECTON TO (F REQURED) SUBTOTAL $ ;~i!;'i :(;~~~,;t;::a':\~;~{!,> ',"1, :;;;;~::;':r;i;2t':~.\s:;:;:; ;:wm Contributor Codes NO -ndividual (other than PTY or SCC) OTH - Other (e.g., business entity) sec - SmaD Contributor Committee FPPC Form 460 (January/05) FPPC ToU-Free Helpline: 8661ASK-FPPC (866/ )
10 lypa or print in ink. SCHEDULE A (CONT.) CALFORNA 4.60 through September page~ of 19.D.NUMeER RECEVED 7/23/2014 7/23/2014 7/23/2014 7/25/2014 7/29/2014 FULL NAME. STREET ADDRESS AND ZP CODE OF CONTRBUTOR CONTRBUTOR OF commttee, A~SO ENTER ) CODE * Altafer, Joyce Simi Valley Family Dental Office Gross, Lolly Jean Stermer, Richard Wales, Scott ilnd DeOM OND ~OTH ZND DeOM ZJND oeom DPl'Y Dsce ZlND OSCC F AN NDVDUAL, E;NTER OCCUPATON AND EMPLOYER (F SELf,.EMPLOYED, ENTER NAME OF BUSNESS) Retired Artist, Freelance CPA Hoffman, Stermer & Assicuates Mathemetician. Scott Wales. Mathemetician AMOUNT RECE;VED THS PEROD CUMULATive TO (JAN. 1 DEC. 31) PER ELECTON TO (F RE;QUlRED) SUBTOTAL $ :t;~!1,~!.;:;~;T\.!. }::!(., ~; ;;:;!~!A,',;,.. ;.!~;:];i;;!;fit'] *Contributor Codes ND -ndividual (other than PTY or sec) OTH - Other (e.g., business entity) sce - Small Contributor Committee FPPC Toll-Free Helpline: 866/ASK.fPPC (866/ )
11 lype or print in ink. from July 1,2014 SCHEDULE A (CONT.) CALFORN,l\.4'6'0 through September 30, 2014 Page 11 of 19 RECEVED 7/30/2014 7/30/2014 8/4/2014 8/4/2014 8/4/2014 FULL NAME, STREET ADDRESS AND ZP CODE OF CONTRBUTOR CONTRSUTOR OFCOMMTTEE.ALSOENTER.D.NUMBER) CODE *! Rhodes Dick Casella, Joe Brazelton, Debra Endeavor Public Affairs Blough. Scott hllnd DeoM o sec hllnd oeom lzllnd DeOM opty -- olnd DeoM lzloth o PlY osec hllnd oeom opty o sec OCCUPATON ANO EMPLOYER (F SELF-EMPLOYED, ENTER NAME OF BUSNESS) Owner, Green Acres Market Owner Simi Pacific Building Supplies Banker Union Bank VP Community West Bank AMOUNT RECENED THS PEROD CUMULATVE TO (JAN. 1 DEC. 31) PER ELECTON TO (F REQURED) SUBTOTAL $ ~,e': ;"i';' i;,)<i?:'i~"",~2;),'(m';::;'-~{"t ":):'/{;;W;,.:r;/! *Contributor Codes NO-ndividual COM -Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) sec - Small Contributor Committee FPPC Toll-Free Helpline: 8661ASK-FPPC ( )
12 -nrp~ or print in nk. SCHEDULE A (CONT.) CALFORNA through September 30,2014 Page 12 Of~ t FULL NAME. STREET ADDRESS AND ZP CODE OF CONTRBUTOR CONTRBUTOR RECEVED (F COMMTTEE. ALSO ENTER ) CODE * 8/4/2014 8/4/2014 8/4/2014 8/7/2014 8/6/2014 Morrera, George Huber, Lauren Seaton, Gary Abruzzese, Joanne First Automotive Group hlllnd ilnd -- lund -- ilno ONO iloth OCCUPATON AND EMPLOYER (F SELF-EMPLOYED, ENTER NAME OF BUSNESS) Psychologist G.J. Morrera, PhD Therapist Lauren H. Huber, MA M.F.T. Commercial Realtor NA Capital Executive Director Simi Valley Community Foundation SUBTOTAL $ 1.0. NUMB_ER AMOUNT CUMULATVE TO PER ELECTON RECENED THS ro PEROD (JAN. 1 " DEC. 31) (F REQURED) 100, f; );:":' i ;i:;,., ),,-f'?,:f'~,?: ',' t;';;;ij--0'wa~:~}5,"1 Contributor Codes NO -ndividual (other than PTY or SeC) OTH - other (e.g., business entity) SCC - Small Coritributor Committee FPPC TolJ.Free Helpline: 866/ASK FPPC ( )
13 Type or print in ink; SCHEDULE A (CONT.) CAUFORNA4', 6'0'. through September 30,2014 Page 13 of 19. RECEVED /18/2014 9/ /9/2014 FULL NAME, STREET ADDRESS AND ZP CODE OF CONTRBUTOR CONTRBUTOR (F COMMTTEE. ALSO ENTER ) CODE * Becker, Barry Mirage Salon Mid Valley Properties ASB Property Management, nc. Gillibrand, Celine ljnd DND 1l0TH DND 1l0TH -- DND 'ljoth o PlY LZlND osce OCCUPATON AND EMPLOYER (F SELF-EMPLOYED, ENTER NAME OF BUSNESS) General Contractor Pacific West Builders, nc. Owner P.W. Gillibrad, nc. AMOUNT RECEVED THS PEROD 100Q.00 CUMULATVE TO (JAN. 1 DEC. 31) PER ELECTON TOOATE (F REQURED) '~'---"-"~---- SUBTOTAL$ t~j;y:;'kf.;( S:;;;s';r),; \, ~t}(:,;r:., ';'Ei:':,., '" 1 *Contributor Codes ND -ndividual (other than PTY or SCC) OTH - Other (e.g., business entity). see - Small Contributor Committee FPPC Tol Free Helpline: 866/ASK-FPPC (866/ )
14 Type or print in ink. SCHEDULE A (CONT.) CAUFORN,44 60 through September 30,2014 Page 14 of 19.D.NUMBER RECEVED FULL NAME, STREET ADDRESS AND ZP CODE OF CONTRiBUTOR CONTRiBUTOR (F COMMTTEE. A.BOENTER ) CODE * OCCUPATON AND EMPl.OYER (F SaF-EMPLOYEO. ENTER NAME OF BUSNESS) AMOUNT RECEVED THS PEROD CUMULATVE TO (JAN. 1 DEC. 31) PER ELECTON TO (F REQURED) 9/15/2014 The Margarita Man DND ~OTH DscC 9/15/2014 Rafeh, Sam ZUND Realtor Century 21 Hilltop Realty 9/29/2014 Simi Valley Police Officers Assn PAC DND COM 9/29/2014 Knight, Julie llnd oscc Homemaker OND SUBTOTAL $ 2 l'o,i.:;~'j,t~, '.f,l<:;..:.,~:~;.;"'~':~~~'~;~,:>:";,;}~';t *Contributor Codes ND-ndividual (other than PTY or SCC) OTH - Other (e.g., business entity) SCC - Small Contributor Committee FPPC Tol Free Helpline: 866/ASK FPPC ( )
15 Schedule B - Part 1 Loans Received Type or print in ink. Amol,lnts may be rounded SCHEDULE B PART 1 CALFORNA 4.6'.0.'. SEE NSTRUCTONS ON REVERSE FULL NAME, STREET ADDRESS AND ZP CODE OF LENDER (F COMMTTEE, ALSO ENTER ) Robert Huber tlilj NO 0 COM 0 OTH 0 PTY 0 sec to ND 0 COM 0 OTH 0 PTY 0 SCC ~ar (lif OUTSTANDNG AMOUNT OCCUPATON AND EMP1.0YER BALANCE RECEVED THS OFSELF EMPLOYED, ENTER BEGNNNG THS NAME OF BUSNESS) 0 PEROD Business Owner. Law Offices of Robert O. Huber (e) AMOUNT PAD OR FORGVEN through September 30, 2014 T OUTS~DNG ~~EST BALANCEAT CLOSE OF THS PAD THS THS PEROD * o PEROD izpad $ 0.00 $ _0_% o FORGVEN $ $ None DUE $ $_--- $ o PAD RATE Page 15 fj ORGNAL AMOUNT OF LOAN $ $ -_% $ RATE o FORGNEN o PAD DUE $ NCURRED NCURRED of 19 (g) CUMULATVE CONTRBUTONS TO N/A PER ELECTON"" N/A PER ELECTON"" $ -_% $ $ RATE o FORGNEN PER ELECnoN'", $ 1$ 1$--- to NO 0 COM 0 PTY 0 sec DUE NCURRED SUBTOTALS $ 0.00 $ 0.00 $ $ 0.00 r',~':a: :;f;, ~~(:;:' -, ~" ~~". t Schedule B Summary 1. Loans received this period... $ 0 (Total Column (b) plus unitemized loans of less than $100.) 2. Loans paid or forgiven this period... $ (Total Column {c} plus loans under $1 00 paid or forgiven.) (nclude loans paid by a third party that are also itemized on Schedule A) 3. Net change this period. (Subtract Line 2 from Line 1.)... NET $ 0 Enter the net here and on the Summary Page, Column A, Line 2. (May/>eanegati'lenu~r) o (Enter (e) on Sc1edu!ElE,l.ine3) tcontributor Codes NO-ndividual CQM-Recipient Committee (other than PTY or SCC) OTH - Other (e.g business entity) PTY - Pofltical Party SCC - Small Contributor Committee "Amounts forgiven or paid by another party also must be reported on SchedUle A. ** f required. FPPC Form 460 (January/OS} FPPC Toll-Free Helpline: 866/ASK FPPC ( )
16 ScheduleC Nonmonetary Contributions Received Type or print in ink. from July 1,2014 SCHEDULEC CALFORNA SEE NSTRUCTONS ON REVERSE People for Bob Huber Mayor 2014 RECEVED FULL NAME, STREET ADDRESS AND ZP CODE OF CONTRBUTOR (F COMMTTEE. ALSO ENTER ) 7/1/2014 May's ~itchen Catering 7/1/2014 JYC nc.dba The Junkyard Cafe 7/1/2014 Magnavino Winery Barakat, Hakim 7/1/2014 CONTRBU~R CODE DND liloth o PlY DND DOOM liloth o PlY oscc -- OND OCOM liloth o PlY OSCC llnd o PlY OCCUPATON AND EMPLOYER (F SELF-EMPLOYED, ENTER NAME OF BUSNESS) Owner First Street Liquor Attach additional information on appropriately labe/ed continuation sheets. DESCRPTON OF GOODS OR SERVCES Catering for fundraiser 100 people at $10 per Food for fundraiser 100 people at $10 per through September Page ~ of 19 AMOUNT FAR MARKET VALUE,D,NUMBER CUMULATVE TO (JAN 1 DEC 31) PER ELECTON TO (F REQURED) t Wine for fundraiser Beer, wine and water for fundraiser SUBTOTAL $ Schedule C Summary 1. Amount received this period - itemized nonmonetary contributions. (nclude all Schedule C subtotals.)... $ Amount received this period - unitemized nonmonetary contributions of less than $ $ Total nonmonetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.)... TOTAL $ *Contributor Codes ND -ndividual (other than PTY or sec) OTH - Other (e.g., business entity) PTY - Pofitical Party SCC - Small Contributor Committee FPPC Form 460 (JanuaryOS) FPPC Tol-Free Helpline: 866/ASK.FPPC ( )
17 Schedule C (Continuation Sheet) Nonmonetary Contributions Received Type or print in ink. ' SCHEDULEC CA.LlFORNiA46.0 SEE NSTRUCTONS ON REVERSE through September 30, 2014 Page ~ of 19.D.NUMBER RECEVED FULL NAME. STREET ADDRESS AND ZP CODE OF CONTRBUTOR (F COMMmEE. ALSO ENTER ) CONTRBUT,!>R CODE F AN NDMDUAL. ENTER OCCUPATON AND EMPLOYER (F SELF-EMPLOYED, ENTER NAME OF BUSNESS) DESCRPTON OF GOODS OR SERVCES AMOUNT FAR MARKET VALUE CUMULATVE TO (JAN 1- DEC 31) PER ELECTON TO (F REQURED) Moss, Myrna 9/6/2014 Welcome to the Neighborhood ljlnd DOOM OND hl0th osce -- OND DOOM OND DOOM o sec Self Employed Massage Therapist Attach additional information on appropriately labeled continuation sheets. Massages for fundraiser prizes r Two months of campaign $500 per month SUBTOTAL $ Schedule C Summary 1. Amount received this period - itemized nonmonetary contributions. (nclude all Schedule C subtotals.)... $ 2. Amount received this period - unitemized nonmonetary contributions of less than $ $ N/A 3. Total nonmonetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, lines 4 and 10.)... TOTAL $ N/A N/A "Contributor Codes ND-ndividual COM-Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) sec - Small Contributor Committee FPPC Tol Free Helpline: 866/ASK FPPC ( )
18 ScheduleE Payments Made Type or print n ink. Statement covers perjod SCHEDULEE CALFORNA SEE NSTRUCTONS ON REVERSE through September 30,2014 Page ~ of 19 CODES: f one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CtP campaign paraphernalia/misc. MaR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating 1EL t.v. or cable airtime and production costs RL candidate filinglballot fees PHD phone banks 1RC candidate travel, lodging. and meals FND fundraising events POL polling and survey research lrs staff/spouse travel, lodging. and meals ND independent expenditure supporting/opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LT campaign literature and mailings PRT print ads WEB information technology costs Onternet, e-.mail) NAME AND ADDRESS OF PAYEe OFCOMMTTEE,ALSO ENlER LO. NUMBER) CODe OR DESCRPTON OF PAYMENT AMOUNT PAD All About Printing Fundraiser nvitations City of Simi Valley Candidate Filing Fee and Ballot Statement Fee JYC, nc dba The Junkyard Cafe Grapes for fund raiser (Grape Stomp) * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ Schedule E Summary 1. temized payments made this period. (nclude all Schedule E subtotals.)... $ Unitemized paym-ents made this period ofunder$ $ Total interest paid this period on loans. (Enter amountfrom Schedule B, Part 1, Column (e).)... $ Total payments made this period. (Add Lines 1,2, and 3. Enter here and on the Summary Page, Column A, Line 6.)... TOTAL $ FPPC Toll-Free Helpline: 866/ASK-FPPC ( )
19 Schedule E (Continuation Sheet) Payments Made "iype or print in ink. SCHEDULE E (CONT.) CALFORNA 4.60 SEE NSTRUCTONS ON REVERSE People for Bob Huber~Mayor through September 30,2014 page~of~ CODES: f one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CP campaign paraphernalia/mise. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries eve civic donations PET petition circulating TEL t.v. or cable airtime and production costs AL candidate filinglballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraisjng events POL polling and survey research TRS staff/spouse travel, lodging, and meals ND independent expenditure supporting/opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of thl;1 same candidate/sponsor LEG legal defense PRO pr?fessional services (legal, accounting) VOT voter registration LT campaign literature and mailings PRT pnnt ads VA33 information technology costs (internet, ) NAME AND ADDRESS OF PAYEE CODE OR (F COMMTTEE, ALSO ENTER ) DESCRPTON OF PAYMENT AMOUNT PAD Smart & Final Supplies for fundraiser Simi Valley Days Parade entry for SV Days Parade Laser Design 4 U Campaign signs and frames The Home Depot Campaign sign mounting materials COSTCO Printer nk 't Payments that are contributions or ndependent expenditures must also be summarized on Schedule D. SUBTOTAL $ FPPC Toll-Free Helpline: 866/ASK-FPPC (866/ )
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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
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