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HomeMy WebLinkAboutGrow, Heather - 2010 FPPC Campaign Disclosure Forms For 2010 (2) Schedule E Type or print in ink. SCHEDULEE Amounts may be rounded from Statement covers period so= Payments Made to whole dollars. 10/1/10 e 10/16/10 h Pa � of_LG SEE INSTRUCTIONS ON REVERSE through 9 NAME OF FILER I.D. NUMBER Heather Grow for Huntington Beach City Council 2010 1326392 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphemalia/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 (intemet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ Schedule E Summary 1. Itemized payments made this period. Include all Schedule E subtotals. 0 2. Unitemized payments made this period of under$100 .......................................................................................................................................... $ 50 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e).)............................................................................... $ 0 4. Total payments made this period. Add Lines 1,2, and 3. Enter here and on the Summary Page, Column A, Line 6. TOTAL $ 50 FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Type or print in ink. COVER PAGE-PART 2 Recipient Committee CA Campaign Statement :FOIFQRM,� 460 0 Cover Page®Part 2 Page Z:� of 6. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE Heather Grow for HB City Council 2010 ' OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO.OR LETTER JURISDICTION (❑ SUPPORT Huntington Beach City Council Member ❑ OPPOSE RE SIDENTIAL/BUSINESS ADDRESS (NO.AND STREET) CITY STATE ZIP Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER,CANDIDATE,OR PROPONENT 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 OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? 7. Primarily Formed Candidate/Officeholder Committee Listnamesof officeholder(s)or candidate(s)for which this committee is primarily formed. ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O.BOX) NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE CITY STATE ZIP CODE AREA CODE/PHONE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE COMMITTEE NAME I.D. NUMBER NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF TREASURER CONTROLLED COMMITTEE? NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ YES ❑ NO ❑ SUPPORT ❑ OPPOSE COMMITTEE ADDRESS STREETADDRESS (NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275.3772) State of California Campaign Disclosure Statement Type or print in ink. SUMMARYPAGE Amounts may be rounded Statement covers period Summary Page to whole dollars. a ® i from July 1, 2010 ® ' SEE INSTRUCTIONS ON REVERSE through Sept 30,2010 page of NAME OF FILER I.D. NUMBER Heather Grow for Huntington Beach City Council 2010 1326392 Contributions Received TOColumnA Column B Calendar Year Summary for Candidates TALTHIS PERIOD CALENDARYEAR Running in Both the State Prima and (FROM ATTACHED SCHEDULES) TOTALTO DATE g Primary General Elect_ions 1. Monetary Contributions ........................................... Schedule A,Line 3 $ 1882 $ 1882 1/1 Through 6l30 7!1 to Date 2. Loans Received ...................................................... Schedule B,Line 3 100 100 3. SUBTOTALCASH CONTRIBUTIONS ......................... Add Lines 1+2 $ 1992 $ 1992 20. Contributions Received $ $ 4. Nonmonetary Contributions.................................... Schedule C,Line 3 0 0 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED •................. .......•Add Lines 3+4 $ 1992 $ 1992 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made....................................................... Schedule E,Line 4 $ 2332.34 $ 2332.34 Candidates 7. Loans Made............................................................. Schedule H,Line 3 0 0 2332.34 2332.34 22. Cumulative Expenditures Made* 8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6+7 $ $ (If Subject to Voluntary Expenditure Limit) 9. Accrued Expenses (Unpaid Bills) ...............................Schedule F Line 3 0 0 Date of Election Total to Date 10. Nonmonetary Adjustment .................... 0 0 (mm/dd/yy) ......................Schedule C,Line 3 11. TOTAL EXPENDITURES MADE................................Add Lines 8+9+10 $ 2332.34 $ 2332.34 $ Current Cash Statement $ 12. Beginning Cash Balance....................... Previous Summary Page,Line 16 $ 0 To calculate Column B,add 13. Cash Receipts ................................................... Column A,Line 3 above 0 amounts in Column A to the 0 corresponding amounts *Amounts in this section may be different from amounts 14. Miscellaneous Increases to Cash........................... Schedule i,Line 4 from Column B of your last reported in Column B. 15. Cash Payments.................................................. Column A,Line 8 above 0 report. Some amounts in Column A may be negative 16. ENDING CASH BALANCE.......... Add Lines 12+13+14,then subtract line 15 $ 0 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 2 $ 0 for this calendar year, only carry over the amounts Cash Equivalents and Outstanding Debts am Lines 2,7,and 9 (if 18. Cash Equivalents........................................ See instructions on reverse $ 0 y 19. Outstanding Debts......................... Add Line 2+Line 9 in Column B above $ 100 FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Schedule E Type or print in ink. SCHEDULEE Amounts may be rounded Statement covers period •. Payments Made � to whole dollars. from July 1, 2010 SEE INSTRUCTIONS ON REVERSE through Sept 30, 2010 Page of NAME OF FILER I.D. NUMBER Heather Grow for Huntington Beach City Council 2010 1326392 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CtVP 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 (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID Heather Grow for HB City Council 2010 FIL 1500 Heather Grow for HB City Council 2010 LIT 117.48 Heather Grow for HB City Council LIT 510 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 2127 Schedule E Summary 1. Itemized payments made this period. Include all Schedule E subtotals. ................................... $ 2127.48 2. Unitemized payments made this period of under$100 .......................................................................................................................................... $ 204.86 3. Total interest paid this period on loans.(Enter amount from Schedule B, Part 1, Column(e).)............................................................................... $ 0 4. Total payments made this period. Add Lines 1,2, and 3. Enter here and on the Summary Page, Column A, Line 6. TOTAL $ 2332.34 FP PC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) 6'Q� Lugar, Robin (1� To: 'support@heathergrow.com' Cc: Flynn, Joan Subject: HB City Council Campaign Reporting Attachments: 0398_001.pdf; Grow 1st PE.pdf; Grow 2nd PE.pdf Heather, I am contacting you about the disposition of your campaign committee ""Heather Grow for HB City Council 2010." On October 29, 2010 I sent you an email (first attachment) requesting that you amend your first 460 pre-election statement (Grow 1st PE attached) for the period of 7-01-10 to 9-30-10. In addition, it is necessary for you to amend your second 460 pre-election statement for the period of 10-01-10 to 10-16-10 by including Treasurer information and signature, and summary figure for Schedule E (see attached highlights and notes in Grow 2nd PE attached). Are you planning to close your committee? If so, you must file a 410 Amendment to terminate your committee with the Secretary of State's (SOS) Office, with a copy to our office. If you are interested in re-designating campaign committee funds for the 2012 election, you were advised to file a 410 Amendment prior to December 31, 2010 and need to submit this paperwork to the SOS (copy to us) as soon as possible. The next scheduled 460 filing is the semi-annual for 10-17-10 to 12-31-10 - due to us on January 31, 2011. If you have questions on campaign filing procedures, please contact the FPPC at 1-866-275-3772. Your prompt attention to this matter is appreciated. Robin Lugar, CIVIC Assistant City Clerk City of Huntington Beach 2000 Main Street Huntington Beach CA 92648 (714) 536-5405 i Lugar, Robin From: Lugar, Robin Sent: Friday, October 29, 2010 3:31 PM To: 'support@heathergrow.com' Cc: Flynn, Joan Subject: Request for 460 Pre-Election Amendment(7-01-10 to 9-30-10)-Grow Hi Heather, The City Clerk has completed her review of pre-election statements filed in Huntington Beach on October 5, 2010 and requests that you file a 460 Amendment for to correct the following identified errors: Cover Page 1: Treasurer's signature missing "Heather Grow for HB City Council 2010" must be identified in Name of Candidate/Filer boxes (page 2, 3, 4, 5, 6) information included in Item Nos. 20 and 21 (Page 3- Calendar Year Summary for Candidates Running in Both the State Primary and General Elections) does not apply—resubmit page with this area left blank Summary Page, Column B, Page 3 was left blank—see instructions on how to calculate Column B on same page Schedule A, Page 4: Include name of business for Kramer Schedule B, Page 5: Need to complete information in columns a, b, c, e, f, and g Schedule E, Page 6: If applicable, add interest figure to line 3 under Schedule E Summary If you have any questions, please contact the FPPC at 1-866-275-3772. Robin Lugar, C1C Assistant City Clerk City of Huntington Beach 2000 Main Street Huntington Beach CA 92648 (714) 536-5405 i Type or print in ink. SUMMARY PAGE Campaign Disclosure Statement Amounts may be rounded Statement covers period ®- NIA 10/1/10 Summary Page to whole dollars. FORM 46,10 from SEE INSTRUCTIONS ON REVERSE through 10/16/10 Page of NAME OF FILER I.D. NUMBER Heather Grow for HB City Council 2010 1326392 TOTAL oD cColuDmn B Calendar Year Summary for Candidates Contributions Received Running in Both the State Primary and (FROM ATTACHED SCHEDULES) TOTALTO DATE L General Elections 1. Monetary Contributions ........................................... Schedule A,Line 3 $ 0 $ 1882 111 through 6/30 7/1 to Date 2. Loans Received ...................................................... schedule a,Line 3 25 125 3. SUBTOTAL CASH CONTRIBUTIONS .:....................... Add Lines 1+z $ 25 $ 2407 20, ContributionsReceived $ $ 4. Nonmonetary Contributions.................................... schedule C,Line 3 0 0 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED •••.•• •.••.......••.•.••AddLines3+4 $ 25 $ 2407 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made....................................................... Schedule E,Line 4 $ 50 $ 2177.48 Candidates 7. Loans Made............. Schedule H,Line 3 0 0 .......... ..................................... 22. Cumulative Expenditures Made" 8. SUBTOTALCASH PAYMENTS .................................... Add Lines 6+7 $ 50 $ 2177,48 (If Subject to Voluntary Expenditure Limit) 9. Accrued Expenses (Unpaid Bills) ...............................schedule F Line 3 0 0 Date of Election Total to Date 10. Nonmonetary Adjustment ..........................................ScheduleC,Line 0 0 (mm/dd/yy) 11. TOTAL EXPENDITURES MADE................................Add Lines 6+9+10 $ 50 $ 2177.48 ` $ Current Cash Statement $ 12. Beginning Cash Balance....................... Previous summary Page,Line 16 $ 49.66 g g To calculate Column B,add 13.Cash Receipts ................................................... Column A,Line 3 above 25 amounts in Column A to the 0 corresponding amounts "Amounts in this section may be different from amounts 14. Miscellaneous Increases to Cash........................... Schedule 1,Line 4 from Column B of your last reported in Column B. 15. Cash Payments.................................................. Column A,Line 8 above 50 report. Some amounts in Column A may be negative 16. ENDING CASH BALANCE.......... Add Lines 12+13+14,then subtract Line 15 $ 24.66 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 e,Part 2 $ 25 for this calendar year, only carry over the amounts Cash Equivalents and Outstanding Debts arny)Lines 2, �, ands(if 18. Cash Equivalents........................................ See instructions on reverse $ 0 19. Outstanding Debts......................... Add Line 2+Line 9 in Column 8 above $ 0 FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/276-3772) SCHEDULEE Schedule E Type or print in ink. Statement covers period CALIFORNIA Amounts may be rounded / ® �. Payments Made to whole dollars. 10/1/10 ®" from SEE INSTRUCTIONS ON REVERSE through 10/16/10 Page A_ of A— NAME OF FILER I.D. NUMBER Heather Grow for HB City Council 2010 1326392 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 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 PEr 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 (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID ' Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.).............................................................................................................. $ 2. Unitemized payments made this period of under$100 ......................................................... $ 50 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1,Column(e).)............................................................................... $ 0 4. Total payments made this period. Add Lines 1, 2,and 3. Enter here and on the Summary Page, Column A, Line 6. TOTAL $ 50 FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Type or print in ink. COVERPAGE-PART2 Recipient Committee , . Campaign Statement . -cALI ® 1 Covert-Page—Part 2 Page � of 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE Heather Grow OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO.OR LETTER JURISDICTION ❑ SUPPORT ❑ OPPOSE Huntington Beach City Council Member RESIDENTIAL/BUSINESS ADDRESS (NO.AND STREET) CITY STATE ZIP Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER,CANDIDATE,OR PROPONENT 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 OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? 7. Primarily Formed Candidate/Officeholder Committee List names of officeholder(s)or candidate(s)for which this committee is primarily formed. ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O.BOX) NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE CITY STATE ZIP CODE AREA CODE/PHONE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE COMMITTEE NAME I.D. NUMBER NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF TREASURER CONTROLLED COMMITTEE? NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD SUPPORT ❑ YES ❑ NO ❑ OPPOSE COMMITTEE ADDRESS STREETADDRESS (NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) State of California Campaign Disclosure Statement Type or print in ink. SUMMARY PAGE Amounts may be rounded Statement covers period CALIFORNIA Summary Page to whole dollars. I ! ' from July 1, 2010 • - SEE INSTRUCTIONS ON REVERSE through Sept. 30, 2010 Page of NAME OF FILER I.D. NUMBER Heather Grow Column A Column B Calendar Year Summary for Candidates Contributions Received TOTALTHISPERIOD CALENDARYEAR Running in Both the State Prima and (FROM ATTACHED SCHEDULES) TOTALTODATE g Primary General Elections 1. Monetary Contributions ........................................... schedule A,Line 3 $ 1882 $ 2. Loans Received ...................................................... schedule B,Line 3 100 1 1/1 through 6/30 7/1 to Date 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1+2 $ 1992 $ 20. Contributions Received $ 400 $ 1992 4. Nonmonetary Contributions.................................... schedule C,Line 3 21. Expenditures 0 2332.34 5. TOTAL CONTRIBUTIONS RECEIVED ••.........................AddLines3+4 $ 1992 $ Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made....................................................... Schedule E,Line 4 $ 2332.34 $ Candidates 7. Loans Made............................................................. Schedule H,Line 3 2332.34 22. Cumulative Expenditures Made* 8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6+7 $ $ (If Subjectto Voluntary Expenditure Limit) 9. Accrued Expenses (Unpaid Bills)...............................Schedule F,Line 3 V Date of Election Total to Date 10.Nonmonetary Adjustment ..........................................Schedule C,Line 3 0 (mm/dd/yy) 11. TOTAL EXPENDITURES MADE................................Add Lines 8+9+10 $ 2332.34 $ $ Current Cash Statement �� $ 12.Beginning Cash Balance....................... Previous Summary Page,Line 16 $ To calculate Column B,add 13.Cash Receipts ................................................... Column A,Line 3 above amounts in Column A to the corresponding amounts *Amounts in this section may be different from amounts 14. Miscellaneous Increases to Cash........................... Schedule 1,Line 4 — from Column B of your last reported in Column B. 15.Cash Payments.................................................. Column A,Line 8above ("� report. Some amounts in Column A may be negative 16.ENDING CASH BALANCE.......... Add Lines 12+13+14,then subtract Line 15 $ �� 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 e,Part 2 $ for this calendar year, only carry over the amounts Cash E uivalents and Outstandin Debts from Lines 2,7, and 9(if q 9 any). 18, Cash Equivalents........................................ See instructions on reverse $ ` 1 oo 19. Outstanding Debts......................... Add Line 2+Line 9 in Column B above $ FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) SCHEDULE E Schedule E Type or print in ink. Statement covers period CALIFORNIA Amounts may be rounded I Payments Made to whole dollars. from July 1, 2010 FORK SEE INSTRUCTIONS ON REVERSE through Sept 30, 2010 page_10- of NAME OF FILER I.D. NUMBER Heather Grow CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. P U campaign paraphernalia/misc. MBR member communications RAIDradio 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 PHC 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(intemet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID Heather Grow for HB City Council 2010 FIL 1500.00 Heather Grow for HB City Council 2010 LIT 117.48 Heather Grow for HB City Council 2010 LIT 510.00 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 2127.48 Schedule E Summary 1. Itemized payments made this period.(Include all Schedule E subtotals.) $ 2127.48 ................................................ 2. Unitemized payments made this period of under$100 ............................................................................................. $ 204.86 3. Total interest paid this period on loans.(Enter amount from Schedule B, Part 1,Column(e).)............................................................................... $ 4. Total payments made this period. Add Lines 1,2,and 3. Enter here and on the Summary Page, Column A, Line 6. TOTAL $ 2332.34 FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(8661275-3772) Statement of Organization STATEMENT OF ORGANIZATION Recipient Committee INSTRUCTIONS ON REVERSE Page 2 COMMITTEE NAW W.NUMBER . �L04 6�� a U-0w e 8h CA_.�A Lau,L"L/�l Z 0 f _t`� Y 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 � �� , (xZ,, � Non-Partisan ro Z01 0 "Jy ❑ 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 BANKACCOUNTNUMBER 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 SOUGHT OR HELD OR MEASURE(S)JURISDICTION (INCLUDE DISTRICT NO.,CITY OR COUNTY,AS APPLICABLE) CHECK ONE SUPPORT OPPOSE SUPPORT OPPOSE FPPC Form 410(June/09) FPPC Toll-Free Helpline: 866/ASK-FPPC (8661275-3772)