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)

Similar documents
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, v f, July Dec Iii1! o. Treasurer(s) NAMt=OF-ffiEASURER MAILING ADDRESS CITY

Type or print in ink. Statement covers period. Treasurer(s) NAME OF TREASURER SARIT JUDGE MAILING ADDRESS CITY AREA CODE/PHONE MAILING ADDRESS

Statement covers period Date of election if applicable: (Month 6/30/ /8/ Type of Statement: \i2l Preelection Statement.

the first report being filed 17. LOAN GUARANTEES RECEIVED... Schedule S. Part 2 $

F ftetp E IN SAN BENITO COUN

Type or print in ink. A~me..r-.+- Date of election If applicable: (Month, Day, Year) Ii2I Amendment (Explain below) Treasurer(s)

o Recall (Also Comple/e Part 5)

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

Recipient Committee Campaign Statement (Government Code Sections )

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

Recipient Committee Campaign Statement Cover Page (Government Code Sections )

Recipient Committee Campaign Statement Cover Page (Government Code Sections ) Statement covers period

0 Political Party/ Central Committee

2. 11 F) r ~;t,z:, r (t;

Recipient Committee Campaign Statement Cover Page (Government Code Sections )

Recipient Committee Campaign Statement (Government Code Sections )

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

Recipient Committee Campaign Statement Cover Page (Government Code Sections )

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 ) Statement covers period

06/05/2018. [il. Treasurer( s) Stacy Owens MAILING ADDRESS CITY AREA CODE/PHONE. Peter Sullivan MAILING ADDRESS AREA CODE/PHONE CITY

411 D. Recipient Committee Campaign Statement Cover Page. D Primarily Formed Candidate/ Officeholder Committee (Also Complete Pett 7) 17'0~M

i: T r ~ 1 (~. ~ l~ () r\ ~ :~-~ ~ ;

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. I.D.NUMBER Treasurer(s) NAME OF TREASURER Kelly Lawler MAILING ADDRESS MAILING ADDRESS

Use the Form 460 to file any of the following:

Recipient Committee Campaign Statement Cover Page (Government Code Sections )

o Sponsored Small Contributor Committee

Use the Form 460 to file any of the following:

o Sponsored (Also Complete Pert 6) o Primarily Formed Candidate! Officeholder Committee (Also Complete Part 7)

LOS ANGElES CITy ETHICS COMMISSION MAY Date Stamp.OS ANGELES Cl ~~~:::;---,--:::-:---:-:-----_2THICSC0NMISSI01\ 1 Statement r;overs period

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

Use the Form 460 to file any of the following:

Recipient Committee Campaign Statement Cover Page (Government Code Sections )

be subject to contribution limits imposed by local ordinance. Questions concerning local limits purpose of making contributions to candidates

Type or print in ink. Date of election if applicable: 151('Semi-annual Statement. tj Termination Slatement (Also file a Form 4 10 Termination)

!.03 1.HGELES COUNT' Page 1e (_ t'o'' I (Month, Day, Year) Lu I u Y - P i~ ~ : Q2 For Official Use Only

Type or print in ink. o Amendment (Explain below) Treasurer(s) NAME OF TREASURER. Jim King MAILING ADDRESS CITY AREA CODE/PHONE MAILING ADDRESS

o Amendment (Explain below)

Recipient Committee Campaign Statement (Government Code Sections )

Note: Refer to the Statement of Organization, Form 410, for guidance to determine the type of committee.

Recipient Committee Campaign Statement Cover Page (Government Code Sections )

Recipient Committee Campaign Statement Cover Page (Government Code Sections )

BY---~~=-::~)~,.,;;:.

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 (Government Code Sections )

Type or print in ink. r r Type of Statement: D Preelection Statement. o Amendment (Explain below) Treasurer(s)

Date of election if applicable: Month, Day, Year) 2. Type of Statement: Preelection Statement. P Semi - annual Statement.

C CE V ED Statement covets pet-iou Date of election if applicalle yf i (Month, Day, Year) Treasurer(s) MAILING ADDRESS

Type or print in ink. Jan 1, March 17,2008. IZI Preelection Statement. Treasurer(s) OF TREASURER (831)

Recipient Committee Campaign Statement Cover Page

1121 Preelection Statement D. Treasurer(s) Ryan Luther CITY. San Francisco AREA CODE/PHONE MAILING ADDRESS AREA CODE/PHONE CITY

o Primarily Formed Candidatel

Recipient Committee Campaign Statement (Government Code Sections )

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

Statement covers period. Date of election if applicable: (Month. Day, Year) 1/1/2017 4I 1I Preelection Statement Committee.

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 (Government Code Sections )

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

I from January 22, 2017

Date of election if applicable: (Month, Day, Year) Statement covers period 9/25/ /8/ /22/2016

PREPARING TO TERMINATE DROP

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.

De minimis aid declaration

o Recall 0 Controlled C Termination Statement ~ Supplemental Preelection

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.

B arespomllleoi!dirorsponsor &e tooon

Hawaii Division of Financial Institutions 2019 Renewal Checklist

Information Package CAFETERIA 125 PLANS

Direct Entry Pre-Approval Requirements for Level II Technician Candidates

Tax Forms and Publications Recommendations July 11, 2012

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

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

o Quarterly Staternent

2: tnhar23 aurr (Month, Day, Year) J u liff '+ For Official Use Only

Vision Service Plan (VSP) New Group Implementation Guide

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

11/08/16. Treasurer(s) MAILING ADDRESS

W2 Processing Cheat Sheet

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

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

INCOME NAME. Occupation and Employer. Current Residential Address. Current Postal Address. Address. Phone Number

Explanation of a U.S. Address and/or U.S. Phone Number (S3)

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

Northwest Battle Buddies

PROCESS FOR NATIONAL CAPITOL AREA GARDEN DISTRICTS, CLUBS AND COUNCILS CHOOSING TO FILE FOR 501(C)3 GROUP EXEMPTION

Golf Relief and Assistance Fund Application

Relocation/Moving Procedures for New Employees

PROOF OF CLAIM AND RELEASE

(Month, Day, Year) 01/22/17. 02/18/17 March El Amendment (Explain below) Treasurer(s) NAME OF TREASURER Bill Neiman

o Amendment (Explain below) Statement - Attach Form 495

PROOF OF CLAIM AND RELEASE

TaxAid. Your Personal Tax Account Filing Your Tax Return

Guide to Young Adult Dependent Coverage

Government Compensation in California Program. Electronic Reporting Instructions

How to Count Employees Determining Group Size Under the Medicare Secondary Payer Regulations

Specifications. RE: Architecture Firm with Professional Team. Business Overview. Established for over 30 years with a 25% profit margin!

MONTHLY REPORT FILING DETAILED INSTRUCTIONS

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

Transcription:

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 t 'l. t"lliji v ll... ' Ij".)iJ'il. A.wt f O r- pa q! 18 COVER PAGE Page 1 f 5 Fr Official Use Only thrugh 6/3/15 1114/14 1. Type f Recipient Cmmittee: All Cmmittees - Cmplete Parts 1, 2, 3, and 4. 2. Type f Statement: i2l Officehlder, Candidate Cntrlled Cmmittee Primarily Frmed Ballt Measure Preelectin Statement State Candidate Electin Cmmittee Cmmittee Ii2l Semi-annual Statement Recall Cntrlled Terminatin Statement (A/s Cmp/ete Part 5) Spnsred (Als file a Frm 41 Terminatin) (A/s Cmplete Part 5) General Purpse Cmmittee Amendment (Explain belw) Spnsred Primarily Frmed Candidatel Small Cntributr Cmmittee Officehlder Cmmittee (A/s Cmp/ete Part 7) Plitical Party/Central Cmmittee Quarterly Statement Special Odd-Year Reprt Supplemental Preelectin Statement - Attach Frm 495 1.. NUMBER COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) 3. Cmmittee Infrmatin Mike Judge Fr City Cuncil 214 Treasurer(s) Sarit Judge MAILING ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE CITY STATE ZIP CODE NAME 'OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX MAILING ADDRESS CITY STATE ZIP CODE CITY STATE ZIP CODE OPTIONAL: FAX / E MAIL ADDRESS OPTIONAL: FAX / E"MAIL ADDRESS 4. Verificatin I have used all reasnable diligence in preparing and reviewing this statement and t the best f my knwled under penalty f perjury under the laws f the State f Califrnia that the freging is true and crrect. Executed n Executed n 7/21/15 7/21/15 /.-.AU'>/,ntained herein and in the attached schedules is true and cmplete. I certify f' f~, ~-''''''''_.u'_.u.~_m.. ~,' <; _~_.. XJ,... L"':": L_.........1,... _.._..._.._... ". l. ",... ~ 8~ Executed n Signature f Cntrlling Officehlder, Candidate, state Measure Prpnent Executed n Signature f Cntrning Officehlder, Candidate, state Measure Prpnent FPPC Frm 46 (January/OS) FPPC TlI Free Helpline: 866/ASK-FPPC (8661275-3772) State f Califrnia

Recipient Cmmittee Campaign Statement Cver Page - Part 2 Type r print in ink. COVER PAGE - PART 2 se~a 5. Officehlder r Candidate Cntrlled Cmmittee 6. Primarily Frmed Ballt Measure Cmmittee NAME OF OFFICEHOLDER OR CANDIDATE Mike Judge OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) City Cuncil (simi Valley) RESIDENTIAUBUSINESS ADDRESS (NO. AND STREEn CITY STATE ZIP 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 behaff f yur candidacy. OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY COMMITIEE NAME CONTROLLED COMMITTEE? DYES DNO COMMITIEEADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE COMMITIEE NAME CONTROLLED COMMITIEE? DYES ONO COMMITIEE ADDRESS STREET ADDRESS (NO P.O. BOX) 7. Primarily Frmed Candidate/Officehlder Cmmittee List names f fficehlder(s) r candidate(s) fr which this cmmittee is primarily frmed. OPPOSE OPPOSE OPPOSE OPPOSE CITY STATE ZIP CODE Attach cntinuatin sheets if necessary FPPC Frm 46 (January/OS) FPPC Tll-Free Helpline: 866/ASK FPPC (866/275-3772) State f Califrnia

Campaign Disclsure Statement Summary Page TYpe r print in Ink. Amunts may be runded t whle dllars. Statement cvers perid frm 1/1/15 SUMMARY PAGE Mike Judge Fr City Cuncil 214 Cntributins Received ClumnA TOTAL THIS PERIOD (FROMATIACHEDSCHEDULES) 1. Mnetary Cntributins... Schedule A, Line 3 2. Lans Received... Schedule B, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS... Add Lines 1 + 2 4. Nnmnetary Cntributins... Schedule C, Une 3 5. TOTAL CONTRIBUTIONS RECEIVED... Add Lines 3 + 4 ClumnB CALENDAR YEAR TOTAL TO DATE thrugh 6/3/15 Page 3 f 5 Calendar Year Summary fr Candidates Running in Bth the State Primary and General Electins 1/1 thrugh 6/3 7/1 t 2. Cntributins Received 21. Expenditures Made Expenditures Made 6. Payments Made............ Schedule E, Une 4 7. Lans Made... Schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS... Add Lines 6 + 7 9. Accrued Expenses (Unpaid Bills)... Schedule F. Line 3 1. Nnmnetary Adjustment... Schedule C, Line 3 11. TOTAL EXPENDITURES MADE... Add Lines 8 + 9 + 1 Expenditure Limit Summary fr State Candidates 22. Cumulative Expenditures Made* (If Subject t Vluntary Expenditure Limit) f Electin (mm/dd/yy) ----1---1 Ttal t Current Cash Statement 12. Beginning Cash Balance... Previus Summary Page, Une 16 5277.86 13. Cash Receipts... Clumn A. Line 3 abve. 14. Miscellaneus Increases t Cash... Schedule I, Line 4 15. Cash Payments......... Clumn A, Line 8 abve 16. ENDING CASH BALANCE... Add Lines 12 + 13 + 14, then subtract Line 15 3742.84 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 19. Outstanding Debts... AddLine2+Line9inClumnBabve ----1---1 T calculate Clumn B, add amunts in Clumn A t the crrespnding amunts I * Amunts in this sectin may be different frm amunts frm Clumn B f yur last reprted in Clumn B. 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). FPPC Frm 46 (January/OS) FPPC TlI Free Helpline: 866/ASK FPPC (866/275-3772)

ScheduleE Payments Made Type r print in ink. Amunts may be runded t whle dllars. Statement cvers perid frm 1/1/15 SCHEDULEE Mike Judge Fr City Cuncil 214 thrugh 6/3/15 Page 4_ f 5 1.. NUMBER CODES: If ne f the fllwing cdes accurately describes the payment, yu may enter the cde. Otherwise, describe the payment. CIvP campaign paraphernalia/misc. MBR member cmmunicatins RAD radi airtime and prductin csts CNS campaign cnsultants MTG meetings and appearances RFD returned cntributins CTB cntributin (explain nnmnetary) OFC ffice expenses SAL campaign wrkers' salaries CVC civic dnatins PEr petitin circulating TEL t.v. r cable airtime and prductin csts FIL candidate filinglbalit fees PHO phne banks lrc candidate travel, ldging, and meals FND fund raising events POL plling and survey research lrs 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 VlEB infrmatin technlgy csts (internet, e-mail) Simi Valley Plice Fundatin NAME AND ADDRESS OF PAYEE (IF COMMITTEE. ALSO ENTER 1.. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID a L.(LJS",~ LD. "t"'cj~\-e~ Au" S-\-e 3\ \4 TRS 265. S';YV\ ~ \)J..\~ '-e ~ q 3\S Rtary Club f Simi Valley 35 Ls Angeles Ave Simi Valley, Ca 9365 TRS 175. Simi High Girls Lacrsse Bster Banner & Media Guide AD 54 Cchran St. 2. Simi Valley Ca 9363 * Payments that are cntributins r independent expenditures must als be summarized n Schedule D. SUBTOTAL 64. Schedule E Summary 1. Itemized payments made this perid. (Include all Schedule E subttals.)... 84. 2. Unitemized payments made this perid f under 1... 695.2 3. Ttal interest paid this perid n lans. (Enter amunt frm Schedule B, Part 1, Clumn (e).)... 4. 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 46 (January/OS) FPPC Tll-Free Helpline: 866/ASK-FPPC (866/275-3772)

Schedule E (Cntinuatin Sheet) Payments Made Type r print in Ink. Amunts may be runded t whle dllars. Statement cvers perid frm 1/1/15 SCHEDULE E (CONT.) Mike Judge Fr City Cuncil 214 thrugh 6/3/15 Page 5_ 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. Cfv'P campaign paraphernalia/misc. MBR member cmmunicatins RAD radi airtime and prductin csts CNS campaign cnsultants MTG meetings and appearances RFD returned cntributins CTB cntributin (explain nnmnetary) OFC ffice expenses SAL campaign wrkers' salaries CVC civic dnatins PEr petitin circulating ill t.v. r cable airtime and prductin csts FIL candidate filinglballt 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 VIlES infrmatin technlgy csts (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITIEE. ALSO ENTER 1.. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID s & Girls Club 285 Lemn Dr TRS Simi Valley, CA 9363 2. * Payments that are cntributins r independent expenditures must als be summarized n Schedule D. SUBTOTAL 2. FPPC Frm 46 (January/OS) FPPC TlI Free Helpline: 866IASK FPPC (8661275-3772)