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Home My WebLink AboutHansen, Don - 2010 FPPC Campaign Disclosure Forms - SuccessfCampaign Disclosure Statement Type or print in ink. SUMMARYPAGE Amounts may be rounded Statement covers period ® - Sur>rallr>lary Page to whole dollars. I 0 n7 /nq /,)ni n ®C II from SEE INSTRUCTIONS ON REVERSE through 12/31/2010 Page 3 of 8 NAME OF FILER I.D. NUMBER Don Hansen for City Council 1235876 Column A Column B Contributions Received TOTALTHISPERIOD CALENDAR YEAR (FROMATTACHED SCHEDULES) TOTALTO DATE 1. Monetary Contributions ........................................... Schedule A, Line 3 $ 0.00 $ 0.00 2. Loans Received...................................................... Schedule B, Line 3 450.00 6,140.00 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 +2 $ 450.00 $ 6,140.00 4. Nonmonetary Contributions .................................... Schedule C, Line 3 0.00 0.00 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3+4 $ 450.00 $ 6,140.00 Expenditures Made 6. Payments Made ....................................................... Schedule E, Line 4 $ 542.00 $ 626.00 7. Loans Made............................................................. Schedule H, Line 3 0.00 0.00 8. SUBTOTALCASH PAYMENTS .................................... Add Lines 6+7 $ 542.00 $ 626.00 9. Accrued Expenses (Unpaid Bills) ............................... Schedule FLine 3 -220.00 0.00 10. Nonmonetary Adjustment .......................................... Schedule C, Line 3 0.00 0.00 11. TOTAL EXPENDITURES MADE ................................ Add Lines 8+9+10 $ 322.00 $ 626.00 Current Cash Statement 12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ 129.12 13. Cash Receipts ................................................... Column A, Line 3above 450.00 14. Miscellaneous Increases to Cash ........................... Schedule 1, Line 4 0.00 15. Cash Payments .................................................. Column A, Line 8 above 542.00 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ 37.12 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 $ 6,140.00 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). Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 through 6/30 711 to Date 20. Contributions Received $ $ 21. Expenditures Made $ $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (Ir 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 (866/275-3772) Campaign Disclosure Statement Type or print in ink Amounts may be rounded Summary Page to whole dollars Statement covers period from 01/01/2010 SUMMARY PAGE SEE INSTRUCTIONS ON REVERSE through 06/30/2010 Page 3 Of 6 NAME OF FILER ID NUMBER Don Hansen for City Council 1235876 Contributions Received 1 Monetary Contributions 2 Loans Received 3 SUBTOTAL CASH CONTRIBUTIONS 4 Nonmonetary Contributions 5 TOTAL CONTRIBUTIONS RECEIVED Expenditures Made 6 Payments Made 7 Loans Made 8 SUBTOTAL CASH PAYMENTS 9 Accrued Expenses (Unpaid Bills) 10 Nonmonetary Adjustment 11 TOTAL EXPENDITURES MADE Column A TOTALTHIS PERIOD (FROM ATTACHED SCHEDULES) Schedule A Line 3 $ 0 00 Schedule B Line 3 0 00 Add Lines 1 + 2 $ 0 00 Schedule C Line 3 0 00 Add Lines 3+ 4 $ 0 00 Schedule E Line 4 $ 84 00 Schedule H Line 3 0 00 Add Lines 6 + 7 $ 84 00 Schedule F Line 3 220 00 Schedule C Line 3 0 00 Add Lines 8+9+10 $ 304 00 Current Cash Statement 12 Beginning Cash Balance Previous Summary Page Line 16 $ 213 12 13 Cash Receipts Column Line 3 above 0 00 14 Miscellaneous Increases to Cash Schedule I Line 4 0 00 15 Cash Payments Column A Line 8 above 84 00 16 ENDING CASH BALANCE Add Lines 12 + 13 + 14 then subtract Line 15 $ 129 12 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 $ 5,910 00 Column B CALENDARYEAR TOTALTO DATE $ 0 00 5,690 00 $ 5 690 00 0 00 $ 5 690 00 $ 84 00 0 00 $ 84 00 220 00 0 00 $ 304 00 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 Limit) Date of Election Total to Date (mm/dd/yy) $ To calculate Column B add amounts in Column A to the corresponding amounts Amounts in this section may be different from amounts from Column B of your last reported in Column B 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) FPPC Form 460 (January/05) FPPC Toll Free Helpline 866/ASK FPPC (866/276 3772) Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Don Hansen for City Council Type or print in Ink Amounts may be rounded to whole dollars SCHEDULEE Statement covers period from 01/01/2010 through 06/30/2010 page 5 of 6 ID NUMBER 1235876 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 a mall) " 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 ) 2 Unitemized payments made this period of under $100 3 Total Interest paid this period on loans (Enter amount from Schedule B Part1 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 ) $ 0 00 $ 84 00 $ 0 00 TOTAL $ 84 00 FPPC Form 460 (January/05) FPPC Toll Free Helpllne 866/ASK FPPC (8661275 3772)