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HomeMy WebLinkAboutCalifornia Real Estate Political Action Committee - CREPAC - (27)Supplemental Independent Expenditure Report (Government Code Section 84203.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Amounts may be rounded to whole dollars. ❑ Amendment (Explain Below) I.D. NUMBER (If recipient committee) 1. Committee/Filer Information 890106 COMMITTEE/FILER'S NAME CALIFORNIA REAL ESTATE POLITICAL ACTION COMMITTEE (CREPAC) STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREACODE/PHONE LOS ANGELES CA, 90020 (213) 739-8200 OPTIONAL: FAX / E-MAIL ADDRESS Report covers period from 01/01/2012 through 10/20/2012 Date of election if applicable: (Month, Day, Year) 11/06/2012 SUPPLEMENTAL INDEPENDENT EXPENDITURE Date Stamp 01! 2 O E Al"I 1 I [ Page 1 of 2 For Official Use Only Treasurer (If recipient committee) NAME OF TREASURER M. IQBAL BHOLAT - MAILING ADDRESS CITY STATE ZIP CODE AREACODE/PHONE LOS ANGELES CA, 90020 (213) 739-8200 OPTIONAL: FAX / E-MAIL ADDRESS 2. Name of Candidate or Measure Supported or Opposed CHECKONE NAME OF CANDIDATE BARBARA DELGLEIZE OFFICE SOUGHT OR HELD AND DISTRICT, IF APPLICABLE City Council Member CITY OF HUNTINGTON BEACH SUPPORT X OPPOSE NAME OF BALLOT MEASURE BALLOT NO./LETTER JURISDICTION SUPPORT OPPOSE 3. Independent Expenditures Made Attach additional information on appropriately labeled continuation sheets. CUMULATIVE TO DATE DATE NAMEANDADDRESS OF PAYEE DESCRIPTION OF EXPENDITURE AMOUNT JAN. 1 DEC. 31 UNITED TAXPAYERS OF ORANGE COUNTY (#1285728) 2,200.00 SLATE MAILER 10/12/2012 2,200.00 ORANGE, CA 92868 FPPC Form 465 (June/09) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Supplemental Independent Type or print in Ink. Amounts may be rounded Expenditure Report to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME CALOFILER REAL ESTATE POLITICAL ACTION COMMITTEE (CREPAC) SUPPLEMENTAL INDEPENDENT EXPENDITURE Report covers period NMI= fromO1/01/2012 of through 10/20/2012 Page 2 2 I.D. NUMBER (If recipient cor 890106 4. Summary z,zoo:oo 1. Total independent expenditures of $100 or more made this period. (Part 3.)........................................................................................... $ 2. Total independent expenditures under $100 made this period. Not itemized. ................................................ $ 0.00 3. Total independent expenditures made this period (Add Lines 1 + 2.)................................................:....................................,....TOTAL $ 2,200.00 5. Filing Officers Enter the name and address of each filing officer with whom the filer's most recent campaign statements (Form 450, 460 or 461) have been filed. 1) NAME OF FILING OFFICER SECRETARY OF STATE ADDRESS (NO. AND STREET) POLITICAL REFORM DIVISION 1500 11TH ZIP CODE SACRAMENTO, CA 95814 2) NAME OF FILING OFFICER 61� CITY (NO. AND STREET) 3) NAME OF FILING OFFICER ADDRESS (NO. AND STREET) CITY STATE ZIP 4) NAME OF FILING OFFICER ADDRESS STATE ZIP CODE CITY (NO. AND STREET) STATE ZIP CODE S. Verification certify that the "independent expend itu re(s)" disclosed in this statement were not "made at the behest of" the candidate or committee that benefitted from the expenditure(s) as those terms are defined in Government Code Section 82031 and FPPC Regulatio 18225.7/ have used I reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein is true com Y t . I certify her penalty of perjury under the laws of the State of California that the foregoing is truce and correct.1 Executed on / �` By DATE / SIGNATURE OF FILER. "('REFlSURER OR ASSISTANT TREASURER Executed on By DATE SIGNATURE OF Executed on By DATE Executed on By DATE OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT, OR RESPONSIBLE OFFICER OF SPONSOR SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT FPPC Form 465 (June/09) FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772) FROM REED & DAVIDSON, LLP ATTORNEYS AT LAW LOS ANGELES, GA 90010-2732 TO Huntington Beach City Clerk Huntington Beach, CA 92648 „ cry p(-P1,. . ,`. 3� GF. �4,tltl P�.3 1 p h -' j,i � ✓ ic��.G .,.,�, e_�.�,Y P ITNIEY BOW ES }� $ 00i.1011 02 1P 000'1393032 OC,T 25 2012 MAILED FROM Z.IPCODE90010 Supplemental Independent Expenditure Report (Government Code Section 84203.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Amounts may be rounded to whole dollars. ❑ Amendment (Explain Below) I.D. NUMBER (If recipient committee) 1. Committee/Filer Information 890106 CALIFORNIA REAL ESTATE POLITICAL ACTION COMMITTEE (CREPAC) STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREACODE/PHONE LOS ANGELES CA, 90020 (213) 739-8200 OPTIONAL: FAX / E-MAIL ADDRESS 2. Name of Candidate or Measure Supported or Opposed Report covers period from 01/01/2012 through 09/30/2012 Date of election if applicable: (Month, Day, Year) 11/06/2012 SUPPLEMENTAL INDEPENDENT EXPENDITURE Date Stamp CALIFORNIA /� �` 51 FORM 'T V 2012 if 141-1 10 Fi b l 11ge 1 of 2 For Official Use Only I Treasurer (If recipient committee) NAME OF TREASURER M. IQBAL BHOLAT MAILING ADDRESS 525 STATE ZIP CODE AREA CODE/PHONE LOS ANGELES CA, 90020 (213) 739-8200 OPTIONAL: FAX / E-MAIL ADDRESS CHECK ONE NAME OF CANDIDATE DEVIN DWYER OFFICE SOUGHT OR HELD AND DISTRICT, IF APPLICABLE City Council Member CITY OF HUNTINGTON BEACH SUPPORT X OPPOSE NAME OF BALLOT MEASURE BALLOT NO./LETTER JURISDICTION SUPPORT OPPOSE 3. Independent Expenditures Made Attach additional information on appropriately labeled continuation sheets. CUMULATIVE TO DATE DATE NAME AND ADDRESS OF PAYEE DESCRIPTION OF EXPENDITURE AMOUNT �r+LCNUTAM Tr -art JAN. 1 - DEC. 31 CONTINUING THE REPUBLICAN REVOLUTION (#598041) 2,200.00 09/14/2012 1300 MAILER 2,200.00 NEWPORT BEACH, CA 92660 FPPC Form 465 (June/09) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Supplemental Independent Expenditure Report SEE INSTRUCTIONS ON REVERSE REAL ESTATE POLITICAL ACTION. COMMITTEE (CREPAC) Type or print in Ink. SUPPLEMENTAL INDEPENDENT EXPENDITURE Amounts may be rounded Report covers period I® . to whole dollars. _ v from 01/01/2012 g of throw h 09/30/2012 2 2 Page 4. Summary 1. Total independent expenditures of $100 or more made this period. (Part 3.)........................................................................................... $ 2. Total independent expenditures under $100 made this period. (Not itemized.)........................................................................................ $ 3. Total independent expenditures made this period (Add Lines 1 + 2.).......................................................................................... TOTAL $ 890106 .2,200.00 0.00 2,200.00 5. Filing Officers Enter the name and address of each filing officer with whom the filer's most recent campaign statements (Form 450, 460 or 461) have been tiled. 1) NAME OF FILING OFFICER 3) NAME OF FILING OFFICER SECRETARY OF STATE ADDRESS (NO. AND STREET) POLITICAL REFORM DIVISION CITY STATE ZIP CODE SACRAMENTO, CA 95814 2) NAME OF FILING OFFICER ADDRESS (NO. AND STREET) CITY STATE ZIP CODE 4) NAME OF FILING OFFICER ADDRESS (NO. AND STREET) ADDRESS (NO. AND STREET) CITY STATE ZIP CODE CITY STATE ZIP CODE 6. Verification I certify that the "independent expenditure(s)" disclosed in this statement were not "made at the behest of" the candidate or committee that benefitted from the expenditure(s) as those terms are defined in Government Code Section 82031 and FPPC Regulation 18225.7. 1 hayou ed all reapoable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein is trof perjury under the laws of the State of California that the foregoing is true and ccorL—�, Executed on � By DATE SIGNATURE OF FILER, TREASU ER OR ASSISTANT TREASURER Executed on DATE Executed on DATE By SIGNATURE OF By Executed on By DATE OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT, OR RESPONSIBLE OFFICER OF SPONSOR SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE. STATE MEASURE PROPONENT SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT FPPC Form 465 (June/09) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) FROM REED & DAVIDSON, LLP ATTORNEYS AT LAW LOS ANGELES, CA 90010-2732 TO Huntington Beach City Clerk Huntington Beach, CA 92648 illfilr'j!I4�:{f;?fi;.'•{it:'fr' •� � =t~c 02 1 P J o 0003930321 OCT O� 2012 N LLD FROM ZIP COL 900"i O