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Home My WebLink AboutDelgleize, Barbara - 2009 FPPC Campaign Disclosure Forms For (2)Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE COMMITTEE NAME I.D. NUMBER Barbara Delgleize for City Council 2010 1316078 4. Type of Committee Complete the applicable sections. • List the name of each controlling officeholder, candidate, or state measure proponent. If candidate or officeholder controlled, also list the elective office sought or held, and district number, if any, and the year of the election. • List the political party with which each officeholder or candidate is affiliated or check "non -partisan." • If this committee acts jointly with another controlled committee, list the name and identification number of the other controlled committee. ELECTIVE OFFICE SOUGHT OR HELD NAME OF CANDID/TE/OFFICEHOLDER/STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PARTY Barbara Delgleize City Council Member Huntington Beach 2010 ❑ Non -Partisan ❑ Non -Partisan • List the financial institution where the campaign bank account is located (controlled "candidate election" committees only) NAME OF FINANCIAL INSTITUTION AREA CODE/PHONE BANK ACCOUNT NUMBER ADDRESS CITY STATE ZIP CODE Primarily formed to support or oppose specific candidates or measures in a single election. Listbelow: CANDIDATE(S) NAME OR MEASURE(S) FULL TITLE (INCLUDE BALLOT N0. OR LETTER) CANDIDATE(S) OFFICE SOUGHTOR HELD OR MEASURE(S) JURISDICTION (INCLUDE DISTRICTNO., CITY OR COUNTY, AS APPLICABLE) CHECK ONE SUPPORT OPPOSE SUPPORT OPPOSE FPPC Form 410 (June/09) www.netfile.com FPPC Toll -Free Helpline: 8661ASK-FPPC Campaign Disclosure Statement Summary Page Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 01/01/2009 SUMMARYPAGE SEE INSTRUCTIONS ON REVERSE through 12/31/2009 Page 3 of 5 NAME OF FILER I.D. NUMBER Barbara Delgleize for City Council 2010 1316078 Contributions Received Column A TOTALTHIS PERIOD (FROMATTACHED SCHEDULES) 1. Monetary Contributions ........................................... Schedule A, Line 3 $ 0.00 2. Loans Received...................................................... Schedule B, Line 3 2,150.00 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 +2 $ 2,150.00 4. Nonmonetary Contributions .................................... Schedule C, Line 3 0.00 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3+4 $ 2,150.00 Expenditures Made 6. Payments Made ....................................................... Schedule E, Line 4 $ 150.22 7. Loans Made............................................................. Schedule H, Line 3 0.00 8. SUBTOTALCASH PAYMENTS .................................... Add Lines 6+7 $ 150.22 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F Line 3 0.00 10. Nonmonetary Adjustment .......................................... Schedule C, Line 3 0.00 11. TOTAL EXPENDITURES MADE ................................ Add Lines 8+9+10 $ 150.22 Current Cash Statement 12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ 0.00 13. Cash Receipts ................................................... Column A, Line 3 above 2, 150 . 00 14. Miscellaneous Increases to Cash ........................... Schedule /, Line 4 0.00 15. Cash Payments .................................................. Column A, Line 8 above 150.22 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ 1,999.78 If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ........................... Schedule B, Part 2 $ 0.00 Cash Equivalents and Outstanding Debts 18. Cash Equivalents ........................................ See instructions on reverse $ 0 .00 19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column B above $ 2,150.00 Column B Calendar Year Summary for Candidates CTOTALT DATE Runningin Both the State Prima and TOTALTO DATE Primary General Elections 0.00 1/1 through 6/30 7/1 to Date 2,150.00 2,150.00 0.00 2,150.00 150.22 0.00 150.22 0.00 $ 150.22 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. If this is the first report being filed for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if any). 20. Contributions Received $ $ 21. Expenditures Made $ $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (If Subject to Voluntary Expenditure Limit) Date of Election Total to Date (mm/dd/yy) *Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE I.D. NUMBER Barbara Delgleize for City Council 2010 4. Type of Committee Complete the applicable sections. • List the name of each controlling officeholder, candidate, or state measure proponent. If candidate or officeholder controlled, also list the elective office sought or held, and district number, if any, and the year of the election. • List the political party with which each officeholder or candidate is affiliated or check "non -partisan." • If this committee acts jointly with another controlled committee, list the name and identification number of the other controlled committee. ELECTIVE OFFICE SOUGHT OR HELD NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PARTY Barbara Delgleize City Council Member Huntington Beach ❑% Non -Partisan ❑ Non -Partisan • List the financial institution where the campaign bank account is located (controlled "candidate election" committees only) NAME OF FINANCIAL INSTITUTION AREA CODE/PHONE BANK ACCOUNT NUMBER ADDRESS CITY STATE ZIP CODE Primarily formed to support or oppose specific candidates or measures in a single election. List below: CANDIDATE(S) NAME OR MEASURE(S) FULL TITLE (INCLUDE BALLOT NO. OR LETTER) CANDIDATE(S) OFFICE SOUGHTOR HELD OR MEASURE(S) JURISDICTION (INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE) CHECK ONE SUPPORT OPPOSE SUPPORT OPPOSE FPPC Form 410 (Jan/05) www.netfle.com FPPC Toll -Free Helpline: 866/ASK-FPPC Statement of Organization Recipient Committee ORGAN INSTRUCTIONS ON REVERSE 3 of 3 COMMITTEE NAME I.D. NUMBER Barbara Delgleize for City Council 2010 4. Type of Committee (Continued) • • Not formed to support for oppose specific candidates or measures in a single election. Check only one box: ❑ CITY Committee ❑ COUNTYCommittee ❑ STATECommittee PROVIDE BRIEF DESCRIPTION OF ACTIVITY • • • List additional sponsors on an attachment. NAME OF SPONSOR INDUSTRY GROUP OR AFFILIATION OF SPONSOR STREET ADDRESS NO. AND STREET CITY STATE ZIP CODE ❑ _� / Check box and provide the date this committee qualified as a small contributor committee. If the committee qualified as a small Datequalified contributor committee on January 1, 2001, enter 1/1/01. 5.Termination Requirements By signing the verification, the treasurer, assistant treasurer and/or candidate, officeholder, or proponent certify that all ofthefollowingconditions have been met: • This committee has ceased to receive contributions and make expenditures; • This committee does not anticipate receiving contributions or making expenditures in the future; • This committee has eliminated or has no intention or ability to discharge all debts, loans received, and other obligations; • This committee has no surplus funds; and • This committee has filed all campaign statements required by the Political Reform Act disclosing all reportable transactions. -- There are restrictions on the disposition of surplus campaign funds held by elected officers who are leaving office and by defeated candidates. Refer to Government Code Section 89519. -- Additional filing obligations will be incurred if, after terminating, the committee receives or spends any funds, or receives the forgiveness of a loan, repayments of loans made to others, or any other receipts. FPPC Form 410 (Jan/05) www.netf!le.com FPPC Toll -Free Helpline: 866/ASK-FPPC Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE COMMITTEE NAME Barbara Delgleize for City Council 2010 4. Type of Committee Complete the applicable sections. IN • List the name of each controlling officeholder, candidate, or state measure proponent. If candidate or officeholder controlled, also list the elective office sought or held, and district number, if any, and the year of the election. • List the political party with which each officeholder or candidate is affiliated or check "non -partisan." • If this committee acts jointly with another controlled committee, list the name and identification number of the other controlled committee. NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT ELECTIVE OFFICE SOUGHT OR HELD (INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PARTY Barbara Delgleize City Council Member Huntington Beach ❑X Non -Partisan ❑ Non -Partisan • List the financial institution where the campaign bank account is located (controlled "candidate election" committees only) NAME OF FINANCIAL INSTITUTION ADDRESS AREA CODE/PHONE CITY STATE ZIP CODE Primarily formed to support or oppose specific candidates or measures in a single election. List below: CANDIDATE(S) NAME OR MEASURE(S) FULL TITLE (INCLUDE BALLOT NO. OR LETTER) CANDIDATE(S) OFFICE SOUGHTOR HELD OR MEASURE(S) JURISDICTION (INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE) CHECK ONE OPPOSE FPPC Form 410 (Jan/05) www.netfile.com FPPC Toll -Free Helpline: 866/ASK-FPPC Statement of Organization STATEMENT OF ORGANIZATION Recipient Committee CALIFORNIA 1.0 , .- INSTRUCTIONS ON REVERSE 3 of 3 COMMITTEE NAME I.D. NUMBER Barbara Delgleize for City Council 2010 4. Type of Committee (Continued) • • Not formed to support or oppose specific candidates or measures in a single election. Check only one box: ❑ CITY Committee ❑ COUNTYCommittee ❑ STATECommittee PROVIDE BRIEF DESCRIPTION OF ACTIVITY • • • • • • List additional sponsors on an attachment. NAME OF SPONSOR INDUSTRY GROUP OR AFFILIATION OF SPONSOR STREET ADDRESS NO. AND STREET CITY STATE ZIP CODE MUM ❑ -�J Check box and provide the date this committee qualified as a small contributor committee. If the committee qualified as a small Date qualified contributor committee on January 1, 2001, enter 1/1101. 5.Termination Requirements By signing the verification, the treasurer, assistant treasurer and/or candidate, officeholder, or proponent certify that all ofthe following conditions have been met: • This committee has ceased to receive contributions and make expenditures; • This committee does not anticipate receiving contributions or making expenditures in the future; • This committee has eliminated or has no intention or ability to discharge all debts, loans received, and other obligations; • This committee has no surplus funds; and • This committee has filed all campaign statements required by the Political Reform Act disclosing all reportable transactions. -- There are restrictions on the disposition of surplus campaign funds held by elected officers who are leaving office and by defeated candidates. Refer to Government Code Section 89519. -- Additional filing obligations will be incurred if, after terminating, the committee receives or spends any funds, or receives the forgiveness of a loan, repayments of loans made to others, or any other receipts. FPPC Form 410 (Janl05) www.netfi'le.com FPPC Toll -Free Helpline: 866/ASK-FPPC