HomeMy WebLinkAboutDwyer, Devin - 2011 FPPC Campaign Disclosure Forms - Success Lugar, Robin
From: Lugar, Robin
Sent: Tuesday, March 06, 2012 5:55 PM
To: 'RayLysa@aol.com'
Cc: Flynn, Joan
Subject: Request for 460 Amendment- Devin Dwyer for Council 2012
Hi Lysa,
The City Clerk's Office has completed review of the 460 campaign statements received by our office for the
filing period of 7-01-11 to 12-31-11. The form you submitted for Devin Dwyer for Council 2012 requires that
the following information be amended:
Schedule A, Page 8 Michael Howard Simons Contribute Code marked IND—must include occupation and
employer name in box left blank.
Thank you!
Robin Lugar, CMC
Assistant City Clerk
City of Huntington Beach
2000 Main Street
Huntington Beach CA 92648
(714) 536-5405
1
Campaign Disclosure Statement Type or print in ink. SUMMARY PAGE
Aunts may be rounded
Amounts
Summary Page to whole dollars. Statement covers period
CALIFORNIA
46
from
07/01/2011 FOR
SEE INSTRUCTIONS ON REVERSE through 12/31/2011 Page 3 of 12
NAME OF FILER I.D. NUMBER
Devin Dwyer for council 2012 1299718
Column Column B Calendar Year Summary for Candidates
Contributions Received t ATTACHED SCHEDULES) TOTALTODATE
TOTAL THIS PERIOD CALENDARYEAR
FROM Running in Both the State Primary and
General Elections
1. Monetary Contributions ........................................... Schedule A,Line $ 6,259.00 $ 6,259.00
2. Loans Received ...................................................... schedure B,Line 3 0.00 15.697.00 1/1 through 6/30 7/1 to Date
3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1+2 $ 6,259.00 $ 21,956.00 20. Contributions
Received $ $
4. Nonmonetary Contributions.................................... Schedule C,Line 3 0.00 0.00 21. Expenditures
5, TOTAL CONTRIBUTIONS RECEIVED .•.........................AddLines3+4 $ 6,259.00 $ 21,956.00 Made $ $
Expenditures Made Expenditure Limit Summary for State
6. Payments Made....................................................... Schedule E,Line 4 $ 1,247.49 $ 1,257.49 Candidates
7. Loans Made............................................................. Schedule H,Line 3 0.00 0.00
22. Cumulative Expenditures Made*
8. SUBTOTALCASH PAYMENTS .................................... Add Lines 6+7 $ 1,247.49 $ 1,257.49 (if Subject to Voluntary Expenditure Limit)
9. Accrued Expenses (Unpaid Bills) ...............................Schedule F Line 3 0.00 3,100.00 Date of Election Total to Date
10. Nonmonetary Adjustment ..........................................Schedule C,Line 3 0.00 0.00 (mm/dd/yy)
11. TOTAL EXPENDITURES MADE................................Add Lines 8+9+10 $ 1,247.49 $ 4,357.49 $
Current Cash Statement _�_� $
12. Beginning Cash Balance....................... Previous Summary Page,Line 16 $ 88.S8 To calculate Column B,add
13. Cash Receipts ................................................... Column A,Line 3 above 6,259.00 amounts in Column A to the
corresponding amounts *Amounts in this section may be different from amounts
reported in
14. Miscellaneous Increases to Cash........................... Schedule 1,Line 4 0.00 from Column B of your last Column B y
B.
15.Cash Payments.................................................. column A,Line a above 1,247,49 report. Some amounts inColumn A may be negative
16. ENDING CASH BALANCE.......... Add Lines 12+13+14,then subtract Line 15 $ 5,100.09 figures that should be
subtracted from previous
If this is a termination statement, Line 16 must be zero. period amounts. If this is
the first report being filed
17. LOAN GUARANTEES RECEIVED........................... Schedule B,Part $ 0.00 for this calendar year, only
carry over the amounts
Cash Equivalents and Outstanding Debts from Lines 2,7,and 9(if
18. Cash Equivalents.................................... See instructions on reverse $ 0.00 any).
19. Outstanding Debts......................... Add Line 2+Line 9 in Column B above $ 18,797.00 FPPC Form 460(January/05)
FPPC Toll-Free Helpline:866/ASK-FPPC(866/276-3772)
www.netfile.com
Statement of Organization STATEMENT OF ORGANIZATION
Recipient Committee a
INSTRUCTIONS ON REVERSE
2 of 3
COMMITTEE NAME I.D.NUMBER
Dvn Dwyer for City Council 2012 1342097
4.Type of Comm ittee Complete the applicable sections.
o 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
City Council Member ❑X Non-Partisan
Devin Dwyer Huntington Beach 2012
❑ 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 DISTRICTNO.,CITY OR COUNTY,ASAPPLICABLE) CHECK ONE
SUPPORT OPPOSE
SUPPORT OPPOSE
FPPC Form 410(June/09)
www.netfile.com
FPPC Toll-Free Helpline:866/ASK-FPPC
Statement of Organization STATEMENT OF ORGANIZATION
Recipient Coil mittee ° ' A 410
° e
INSTRUCTIONS ON REVERSE
3 of 3
COMMITTEE NAME I.D.NUMBER
Dvn Dwyer for City Council 2012
1342097
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
❑ J,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 of the 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(June/09)
www.netfrle.com FPPC Toll-Free Helpline:866/ASK-FPPC
Statement of Organization STATEMENT OF ORGANIZATION
Recipient Committee ORWIA A Al
® -
INSTRUCTIONS ON REVERSE
2 of 3
COMMITTEE NAME I.D.NUMBER
Devin Dwyer for Council 2012 1299718
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
City Council Member ❑X Non-Partisan
Devin Dwyer Huntington Beach 2012
❑ Non-Partisan
• List the financial institution where the campaign bank account is located(controlled"candidate election"committees only)
NAME OF FINANCIAL INSTITUTION AREACODE/PHONE BANK ACCOUNT NUMBER
ADDRESS CITY STATE ZIP CODE
Primarily formed to support or oppose speck 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 DISTRICTNO.,CITY OR COUNTY,ASAPPLICABLE) CHECK ONE
SUPPORT OPPOSE
-SUPPORT OPPOSE
FPPC Form 410(June/09)
www.netfile.com FPPC Toll-Free Helpline:866/ASK-FPPC
Statement of Organization STATEMENT OF ORGANIZATION
Recipient Committee
�_,GALIOF
-
INSTRUCTIONS ON REVERSE 3 of 3
COMMITTEE NAME I.D.NUMBER
Devin Dwyer for Council 2012 1299718
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
❑ __�__/ 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 1/1/0 1.
5.Telrmination RequirementS By signing the verification,the treasurer,assistant treasurer and/or candidate,officeholder,or proponent certify that all of the 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(June/09)
www.netfile.com
FPPC Toll-Free Helpline:866/ASK-FPPC
Statement of Organization STATEMENT OF ORGANIZATION
Recipient Committee c, LiFJOENA4 O
• -
INSTRUCTIONS ON REVERSE
2 of 3
COMMITTEE NAME I.D.NUMBER
Dvn Dwyer for City Council 2012
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.
o 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
City Council Member Fx� Non-Partisan
Devin Dwyer Huntington Beach 2012
❑ Non-Partisan
o 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(June/09)
www.neffile.com
FPPC Toll-Free Helpline:866/ASK7FPPC
6
Statement of Organization STATEMENT OF ORGANIZATION
Recipient Committee CALIFORNIA
FORM 4 10,
INSTRUCTIONS ON REVERSE 3 of 3
COMMITTEE NAME I.D.NUMBER
Dvn Dwyer for City Council 2012
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
s
❑ �� 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 1/1/01.
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 staternents 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(June/09)
www.netfile.com FPPC Toll-Free Helpline:866/ASK-FPPC
Campaign Disclosure Statement Type or print in ink. SUMMARY PAGE
Amounts may be rounded Statement covers period CON Summary Page to whole dollars. d
from 01/01/2011 FORM,
SEE INSTRUCTIONS ON REVERSE
through 06/30/2011 Page 3 of 6
NAME OF FILER I.D. NUMBER
Devin Dwyer for Council 1299718
Column Column B Calendar Year Summary for Candidates
Contributions Received TOTALTHIS PERIOD CALENDAR YEAR
(FROM ATTACHED SCHEDULES) TOTALTO DATE Running in Both the State Primary and
General Elections
1. Monetary Contributions ........................................... Schedule A,Line 3 $ 0.00 $ 0.00 1/1 through 6/30 711 to Date
2. Loans Received ...................................................... Schedule B,Line 3 0.00 15,697.00
3. SUBTOTALCASH CONTRIBUTIONS ......................... Add Lines 1+2 $ 0.00 $ 15,697.00 20. Contributions
Received $ $
4. Nonmonetary Contributions.................................... Schedule C,Line 3 0.00 0.00
21. Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED ...........................Add Lines 3+4 $ 0.00 $ 15,697.00 Made $ $
Expenditures Made Expenditure Limit Summary for State
6. Payments Made....................................................... schedule E,Line 4 $ 10.00 $ 10.00 Candidates
7. Loans Made............................................................. Schedule H,Line 3 0.00 0.00
22.Cumulative Expenditures Made*
8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6+7 $ 10.00 $ 10.00 (IfSubjectto Voluntary Expenditure Limit)
9. Accrued Expenses (Unpaid Bills) ...............................Schedule F,Line 3 0.00 3,100.00 Date of Election Total to Date
10. Nonmonetary Adjustment..........................................Schedule C,Line 3 0.00 0.00 (mm/dd/yy)
11. TOTAL EXPENDITURES MADE................................AddLines 8+9+10 $ 10.00 $ 3,110.00 --� J $
Current Cash Statement --1--1 $
12. Beginning Cash Balance....................... Previous summary Page,Line 16 $ 98.58 To calculate Column B,add
13.Cash Receipts ................................................... Column A,Line 3 above 0.00 amounts in Column A to the
14. Miscellaneous Increases to Cash........................... Schedule 1,Linea 0.00 corresponding amounts *Amounts in this section may be different from amounts
from Column B of your last reported in Column B.
15. Cash Payments.................................................. Column A,Line 8 above 10.00 report. Some amounts inColumn A may be negative
16.ENDING CASH BALANCE.......... Add lines 12+13+14,then subtract Line 15 $ 88.58 figures that should be
subtracted from previous
if this is a termination statement, Line 16 must be zero. period amounts. If this is
the first report being filed
...... Schedule B,Part 2 $ 0.00 for this calendar year, only
17. LOAN GUARANTEES RECEIVED.................... carry over the amounts
Cash Equivalents and Outstanding Debts from Lines 2,7,ands(if
q � any).
18. Cash Equivalents........................................ See instructions on reverse $ 0.00
19. Outstanding Debts......................... Add Line 2+Line 9 in Column B above $ 18,797.00 FPPC Form 460(January/05)
FPPC Toll-Free Helpline:866/ASK-FPPC(8661275-3772)
Schedule E Type or print in ink. SCHEDULEE
Statement covers period
Amounts may be rounded _
Payments Made to whole dollars. •-
from 01/01/2011
SEE INSTRUCTIONS ON REVERSE through 06/30/2011 Page 5 of 6
NAME OF FILER I.D. NUMBER
Devin Dwyer for Council 1299718
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CMP campaign paraphernalia/misc. MBR member communications RAID 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 t.v.or cable airtime and production costs
FIL candidate filing/ballot fees PHO phone banks TRC candidate travel,lodging,and meals
FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals
IND 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
LiT campaign literature and mailings PRT print ads WEB information technology costs (internet,e-mail)
NAME AND ADDRESS OF PAYEE
(IFCOMMITTEE,ALSO ENTER I.D.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 0.00
Schedule E Summary
1. Itemized payments made this period.(Include all Schedule E subtotals.)........................................... ................................ $ 0.oo
2. Unitemized payments made this period of under$100 .......................................................................................................................................... $ 10.00
3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e).)............................................................................... $ o.o0
4. Total payments made this period. Add Lines 1,2,and 3.Enter here and on the Summary Page,ColumnA, Line 6. TOTAL $ 10.00
FPPC Form 460(January/05)
FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772)