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 from 01 / 01/ 2 013 Date of Election if applicable MAY 0~ COVER PAGE CALIFORNIA 460 Page 1 of * For Official Use Only 1 Type of Recipient Committee Officeholder, Candidate Controlled Committee D O State Candidate Election Committee O Recall D General Purpose Committee O Sponsored O Small Contributor Committee 0 Political Party/Central Committee Primarily Formed Ballot Measure Committee O Controlled 0 Sponsored 0 Primarily Formed Candidate/ Officeholder Committee (Month, Day, Year) 2 Type of Statement- 0 Pre-election Statement 0 Semi-Annual Statement D Termination Statement ~Amendment RECEIVED To Add Candidates Original Signature Quarterly Statement 0 Special Odd-Year Statement D Supplemental Pre-election Statement- Attach Form 495 3 Committee Information Treasurer(s) COMMITTTEE NAME Bernard Parks for Supervisor NAME OF TREASURER Mary Ellen Padilla STREET ADDRESS STREET ADDRESS (NO PO BOX) NAME OF ASSISTANT TREASURER, IF ANv MAILING ADDRESS (IF DIFFERENT) STREET ADDRESS STATE ZIP CODE OPTIONAL: FAX I E-MAIL ADDRESS OPTIONAL: FAX I E-MAIL ADDRESS 4 Verification Executed on 5 _ Executed on ------,,G----1-'-------- OF SPONSOR Executed on, r - Executed on----------- By ----- SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT FPPC Form 460- January/05 State of California/51
Recipient Committee Campaign Statement Cover Page Date of Election if ap1>licable (Month, Day, Year) COVER PAGE CA~I:;~~NIA 460 MAY 01 2~13 Page 1 of 8 RECE,VED For Official Use Only 1 Type of Recipient Committee Officeholder, Candidate Controlled Committee [] Primarily Formed Ballot Measure O State Candidate Election Committee Committee O Recall 0 Controlled 0 Sponsored D General Purpose Committee 0 Sponsored 0 Small Contributor Committee 0 Political Party/Central Committee [] Primarily Formed Candidate/ Officeholder Committee 2 Type of Statement 0 Pre-election Statement 0 Semi-Anr ual Statement 0 Termination Statement D AmendmEmt Quarterly Statement D Special Odd-Year Statement D Supplemental Pre-election Statement- Attach Form 495 3 Committee Information IID Number Treasurer(s) COMMITTTEE NAME Bernard Parks for Supervisor NAME OF TREASURER Mary Ellen Pajilla STREET ADDRESS STREET ADDRESS (NO PO BOX) STATE ZlPCODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS (IF DIFFERENT) STREET ADDRESS STATE ZIP CODE OPTIONAL: FAX I E-MAIL ADDRESS OPTIONAL: FAX I E-lv1AIL ADDRESS 4 Verification an arnendement to add his =-:::-; : signature Executed on ---------- Executed on -----------,_ ' -- - - By ------------------~S~IG~NA~T~U~R~E~O~FC~O~N~T~RO~L~L~IN~G~O~F~FI~CE~H~O~LD~E~ : R~,C~A~N~DI~DA~T~E~,S~T~AT~E~M~E~A~SU~R~E~P~R~OP~O~N~E~NT~------------- FPPC Form 460 - Januaryl05 State of California/51
Recipient Committee Campaign Statement Cover Page Part 2 COVER PAGE- PART 2 3 4 "" Page 2 of 8 5 Officeholder or Candidate Controlled Committe)e NAME OF OFFICEHOLDER OR CANDIDATE Bernard Parks 6 Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASL RE OFFICE SOUGHT OR HELD ( INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) City Council Member - District 8 City of - --------- RESIDENTIALIBUSINESS ADDRESS ( NO AND STREET) STATE ZIP CA 90008 Related Committees Not Included in this Statement: List any committees not included in this statement that are controlled by you or are primarily formed to receive contributions or make expenditures on behalf of your candidacy 8Acc o-rno~ -oo-i:etter-: --:iurisciic-tion - --- I [1 - -~:~~;T---- - - -- ---! D OPPOSE ----,------ --- - ------- ~:---- -- - --------- ------ - ------ - - -- - ---------_J _ Identify the controllin~ i officeholder, candidate, or state measure proponent, if any NAME OF OFFICEHOLDEF~ OR CANDIDATE OR PROPONENT o~orha,------ =:]rns~c:r-,;;o~,f-any--- COMMITTEE NAME Bernard Parks for City Council-Officeholder Account j ID NUMBER 1244698 NAME OF TREASURER i CONTROLLED COMMITTEE? Jane Leiderman ; YES D NO - - ------- - - -- - -- - --- - - --- - - --- ------- -- - -- -- - ---- - i - - ---- - -- ~---- - -- - - -- - - - -- --------- -- - COMMITTEE STREET ADDRESS ( NO PO BOX} COMMITTEE NAME!!D NUMBER NAME OF TREASURER i CONTROLLED COMMITTEE? -- - -- - ------------------- - -- ------ ----~---Q~~- -- ---g- ~~-------- - COMMITTEE STREET ADDRESS ( ~0 PO BOX} ST JITE ZIP CODE AREA CODE/PHONE 7 Primarily Formed Candidate/Officeholder Committee List names of officeholdu(s)or candidate(s) for whic/1 this committee is primarioy formed NAME OF OFFICEHOLDEH OR CANDIDATE NAME OF OFF!CEHOLDEI{ OR CANDIDATE OFFICE SOUGHT OR HELD OFFICE SOUGHT OR HELD D SUPPORT D OPPOSE SUPPORT D OPPOSE -NAMEoF-oFFice:loL:oEI~ c;r-canoioare-- 1 - --- -office-souohrorhelo-~------------ 1 D SUPPORT! D OPPOSE NAME OF OFFICEHOLDEJ~- OR CANDiDATE -l---- -O-FFJCESOU6HT OR HE~J D SUPPORT D OPPOSE ------- - -- -- - -- ------ - -- -- - -- --- ---------------i----- -------- - ----- -- ---~ _j FPPC Form 460- January/05 State of California/51
Campaign Disclosure Statement Summary Page NAME OF FILER Bernard Parks for Supervisor SUMMARY PAGE Page 3 of 8 10 NUMBER Column A Colt!mn B TOTAL THIS PERIOD CALEN )AR YEAR Contributions Received (FROM ATTACHED SCHHJIJLESi TOTAL TO 0'\TE 1 Monetary Contributions Schedule A, Line 3 $ $ 2 Loans Received Schedule B, Line 3 40,00 3 SUBTOTAL CASH CONTRIBUTIONS Add Lines 1+2 $ ------ $ 40,00 4 Nonmonetary Contributions Sci1edute c, Line 3 -- 5 TOTAL CONTRIBUTIONS RECEIVED Add Lines 3 + 4 $ $ 40,00 Expenditures Made 6 Payments Made Sct1edule E, Line 4 $ $ 7 Loans Made Schedule H, Line 3 8 SUBTOTALCASHPAYMENTS AddLines6+7 $ $ 9 Accrued Expenses (Unpaid Bills) Sc/1edute F, Une 3 2 6 5, 0 7 5 2 4 10 Nonmonetary Adjustment Schedule c Line 3 11 TOTAL EXPENDITURES MADE AddLinesB+9+ 10 $ $ 265,07524 Current Cash Statement 12 Beginning Cash Balance Previous Summary Page, Line 16 $ 6 38 13 Cash Receipts Column A, Line 3 above 14 Miscellaneous Increases to Cash Schedule 1 Line 4 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 Received $ $ 21 Expenditures Made $ $ Expenditure Limit Summary for State Candidates 22 Cumulative Expenditures Made* ( If Subject to Voluntary Expenditure Limits) $ $ * Amounts in this Section may be different from amounts reported in Column B 15 Cash Payments Column A Line 8 above 16 ENDING CASH BALANCE, Add Lines 12 + 13 + 14 then subtract Line 15 $ 638 17 LOAN GUARANTEES RECEIVED Schedule B Part2 $ Cash Equivalents and Outstanding Dt~bts 18 Cash Equivalents $ o oo 19 Outstanding Debts Add Lines 2 +Line 9 in Column B above $ 305,07 5 24 FPPC Form 460 - January/05 State of California/51
Schedule 8 Part 1 Loans Received SCHEDULE B- PART 1 CALIFORNIA 460 - Page 4 of 8 NAME OF FILER Bernard Parks for Supervisor ID NUMBER FULL NAME, STREET ADDRESS AND ZIP CODE OF LENDER Bernard Park s, CA 90008 Contributor Code: IND Bernard Parks, CA 90008 Contributor Code: IND IF INDIVIDUAL, OCCUPATION & EMPLOYER IF COMMITTEE, ID NUMBER City Councilman City of City Councilman City of BALANCE BEGINNING THIS PERIOD 20,00 I 20,00 I (b) AMOUNT RECIEVED THIS PERIOD I I \c) AMOUNT PAID OR FORGIVEN THif: PERIOD OPAID 0FORGIVEN OP,\ID 0FORGIVEN (d) BALANCE AT CLOSE OF THIS PERIOD 2oooo ool DUE DATE 08/23/2008 2000 DUE DATE 07/01/2009 I (e) INTEREST PAID THIS PERIOD INTEREST RATE I % INTEREST RATE % (f) ORIGINAL AMOUNT OF LOAN 30,00 DATE INCURRED 08/22/2007 20,00 DATE INCURRED 06/30/2008 (g) CUMULATIVE CONTRIBUTIONS TO DATE CALENDAR YEAR 0 PER ELECTION CALENDAR YEAR 0 PER ELECTION SUBTOTALS$ (b) (c) (d) 40,00 (e)ooo~ - -- -~- -~ Schedule B Summary 1 Loans received this period (Total Column (b) plus unitemized loans of less than $1 00) 2 Loans paid or forgiven this period (Total Column (c) plus loans under $100 paid or forgiven) (Include loans paid by a third party thatare also itemized on Schedule A) $ $ 0 00 *" Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC} OTH -Other PTY - Political Party SCC Small Contributor Committee 3 Net change this period (Subtract Lim~ 2 from Line 1 ) NET $ Enter the net here and on the Summary Page, Column A, Line 2 FPPC Form 460(January /05-SI)
Schedule F Accrued Expenses (Unpaid Bills) SCHEDULE F CALIFORNIA 460 NAME OF FILER Bernard Parks for Supervi~>or Page 5 of 8 ID NUMBER CODES: If one of the following accurately describes the payment, you may enter the code Otherwise, describe the payment CMP campaign paraphernalia/misc 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 CVC civic donations PET petition circulating TEL tv or cable production costs FIL candidate filing I ballot fees PHO phone banks TRC candidate travel, lodging and meals FND fundraising expenses POL polling and survey research TRS staff/spouse travel, lodging and meals IND independent expenditures supporting/opposing others 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 LIT campaign literature and mailings PRT print ads WEB information technology costs (internet,e-mail) NAME AND ADDRESS OF CREDITOR CODE OR DESCRIPTION OF PAYMENT BALANCE BEGINNING OF THIS PERIOD (b) (c) (d) AMOUNT INCURRED AMOUNT PAID BALANCE AT CLOSE THIS PERIOD THIS PERIOD OF THIS PERIOD Jason Ahn POL 1,00 0 00 1,000 00, CA 90005 California Litho-Arts LIT 61,78941i 0 00 61,78946, CA 90011 -- ----- SUBTOTALS $ 62,78946 $ 0 00 $ $ 62,78946 Schedule F Summary 1 Total accrued expenses incurred this period (Include all Schedule F, Column (b) subtotals for accrued expenses of $100 or more, plus total unitemized accrued expenses under $1 00) INCURRED TOTALS $ -'-------- 2 Total accrued expenses paid this period (Include all Schedule F, Column (c) subtotals for payme::nts on accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100) PAlO TOTALS $ 0 00 '-------- 3 Net change this period (Subtract Line 2 from Line 1 Enter the difference here and on the Summary Page, column A, Line 9) NE'T $ o oo FPPC Form 460(January 105-SI)
Schedule F (Continuation Sheet) Accrued Expenses (Unpaid Bills) NAME OF FILER Bernar d Parks for Supervis o r SCHEDULE F C 'LIFORNIA 460 Page 6 of 8 10, NUMBER CODES: If one of the following accurately describes the payment, you may enter the code Othe rwise, describe the payment CMP campaign paraphernalia/misc MBR member communications RAD radio airtime and production costs ens campaign consultants MTG meetings and appearances RFD returned contributions etb contribution (explain nonmonetary) OFC office expenses SAL campaign workers' salaries eve civic donations PET petition circulating TEL tv or cable production costs FIL candidate filing I ballot fees PHO phone banks TRe candidate travel, lodging and meals FND fundraising expenses POL polling and survey research TRS staff/spouse travel, lodging and meals IND independent expenditures supporting/opposing others 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 LIT campaign literature and mailings PRT print ads WEB information technology costs (internet,e-mail) NAME AND ADDRESS OF CREDITOR CODE OR DESCRIPTION OF PAYMENT BALANCE BEGINNING OF THIS PERIOD (b) (c) (d) AMOUNT INCURRED AMOUNT PAID BALANCE AT CLOSE THIS PERIOD THIS PERIOD OF THIS PERIOD Call Center Services Inc PHO 4 9, 92 47!i 49,92476 El Segundo, CA 902 45 Fairbanks Maslin Maullin & Ass ociates Inc POL 10,00 10,00 Santa Monica, CA 90404 Harris & Associates PRO 3, 22670 3,226 70, CA 90017 Bobbie Parks OFC 6264 15 0 00 62646, CA 90008 -- -- ---- SUBTOTALS $ 63,77792 $ $ $ 63,77792 FPPC Form 460(January 105-SI)
Schedule F (Continuation Sheet) Accrued Expenses (Unpaid Bills) NAME OF FILER Bernard Parks for Supervisor SCHEDULE F CALIFORNIA 460 ' Page 7 of 8 ID NUMBER CODES: If one of the following accurately describes the payment, you may enter the code Othe~rwise, describe the payment CMP campaign paraphernalia/misc MBR member communications CNS campaign consultants MTG meetings and appearances CTB contribution (explain nonmonetary) OFC office expenses CVC civic donations PET petition circulating FIL candidate filing I ballot fees PHO phone banks FND fundraising expenses POL polling and survey research IND independent expenditures supporting/opposing others POS postage, delivery and messenger services LEG legal defense PRO professional services (legal, accounting) LIT campaign literature and mailings PRT print ads RAD radio airtime and production costs RFD returned contributions SAL campaign workers' salaries TEL tv or cable production costs TRC candidate travel, lodging and meals TRS staff/spouse travel, lodging and meals TSF transfer between committees of the same candidate/sponsor VOT voter registration WEB information technology costs (internet,e-mail) NAME AND ADDRESS OF CREDITOR CODE OR DESCRIPTION OF PAYMENT BALANCE BEGINNING OF THIS PERIOD (b) (c) (d) AMOUNT INCURRED AMOUNT PAID BALANCE AT CLOSE THIS PERIOD THIS PERIOD OF THIS PERIOD Shallman Communications CNS 91,13 0 00 91,13 Encino, CA 91403 Edward Turley OFC 2, 320013 0 00 2,32006 Littlerock, CA 93543 Ira A Wells OFC 5734, CA 90008 0 00 5734 Herb Wesson III, CA 90016 CNS 3,00 0 00 3,00 - ----- SUBTOTALS$ 96,50740 $ $ 0 00 $ 96,50740 FPPC Form 460(January /05-SI)
Schedule F (Continuation Sheet) Accrued Expenses (Unpaid Bills;) SCHEDULE F CALIFORNIA 460 -----, Page 8 of 8 NAME OF FILER Bernard Parks for Supervisor JD NUMBER CODES: If one of the following accurately describes the payment, you may enter the code Othe~rwise, describe the payment CMP campaign paraphernalia/misc MBR member communications CNS campaign consultants MTG meetings and appearances CTB contribution (explain nonmonetary) OFC office expenses CVC civic donations PET petition circulating FIL candidate filing I ballot fees PHO phone banks FND fundraising expenses POL polling and survey research IND independent expenditures supporting/opposing others POS postage, delivery and messenger services LEG legal defense PRO professional services (legal, accounting) LIT campaign literature and mailings PRT print ads RAD radio airtime and production costs RFD returned contributions SAL campaign workers' salaries TEL tv or cable production costs TRC candidate travel, lodging and meals TRS staff/spouse travel, lodging and meals TSF transfer between committees of the same candidate/sponsor VOT voter registration WEB information technology costs (internet,e-mail) NAME AND ADDRESS OF CREDITOR CODE OR DESCRIPTION OF PAYMENT BALANCE BEGINNING OF THIS PERIOD (b) (c) (d) AMOUNT INCURRED AMOUNT PAID BALANCE AT CLOSE THIS PERIOD THIS PERIOD OF THIS PERIOD Justin Wesson OFC 7205 0 00 7205, CA 90016 Wright Graphics Chatsworth, CA 91311 LIT 41,92841 0 00 41,92841 ---- -- - ---~ ------ SUBTOTALS$ 4 2, 0 0 0 4 ) $ 0 00 $ $ 42,0004 6 FPPC Form 460(January /05-SI)