HomeMy WebLinkAboutHansen, Don - 2011 FPPC Campaign Disclosure Forms - SuccessfCampaign DiscOosure Statement Type or print in ink.
Amounts may be rounded
Summary Page to whole dollars.
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Don Hansen for City Council
Statement covers period
from 01/01/2011
through 06/30/2011
Column A Column B
Contributions Received TOTALTHISPERIOD CALENDARYEAR
(FROM ATTACHED SCHEDULES) TOTALTO DATE
1. Monetary Contributions ...........................................
Schedule A, Line 3
$
9, 549.00
$
9,549.00
2. Loans Received......................................................
Schedule e,Line 3
-6,140.00
0.00
3. SUBTOTAL CASH CONTRIBUTIONS .........................
Add Lines l+2
$
3,409.00
$
9,549.00
4. Nonmonetary Contributions ....................................
Schedule C, Line 3
0.00
0.00
5. TOTAL CONTRIBUTIONS RECEIVED ...........................
Add Lines 3+4
$
3,409.00
$
9,549.00
Expenditures Made
B. Payments Made .......................................................
Schedule E, Line 4 $
3,446.12
7. Loans Made.............................................................
Schedule H, Line 3
0.00
B. SUBTOTAL CASH PAYMENTS ....................................
Add Lines 6+7 $
3,446.12
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 $
3,446.12
Current Cash Statement
12. Beginning Cash Balance ....................... Previous summary Page, Line 16 $ 37.12
13. Cash Receipts ................................................... Column A, Line 3 above 3,409,00
14. Miscellaneous Increases to Cash ........................... Schedule 1, Line 4 0.00
15. Cash Payments .................................................. Column A, Line 8 above 3,446.12
16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ 0.00
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 $ 0.00
$ 3,446.12
0.00
$ 3,446.12
0.00
0.00
$ 3,446.12
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).
SUMMARY PAGE
Page 3 of 15
I.D. NUMBER
1235876
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)
I If $
IJ $
'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)
Schedule D
SCHEDULED
Summary of Expenditures Type or print in ink.
Statement covers period
Supporting/OpposingOther Amounts may be rounded
to dollars.
® ® ® i
®'
whole
from 01/01/2oil
Candidates, Measures and Committees
through 06/30/2011
Page 12 of 15
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
I.D. NUMBER
Don Hansen for City Council
1235876
CUMULATIVE TO DATE
PER ELECTION
DATE
NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR
TYPE OF PAYMENT
DESCRIPTION
AMOUNTTHIS
CALENDAR YEAR
TO DATE
MEASURE NUMBER OR LETTER AND JURISDICTION,
(IF REQUIRED)
PERIOD
(JAN.1- DEC. 31)
(IF REQUIRED)
OR COMMITTEE
06/10/2011
Republican Party of Orange County
1,300.00
1,300.00
Monetary
Contribution
❑ Nonmonetary
Contribution
❑ Independent
❑x Support ❑ Oppose
Expenditure
❑ Monetary
Contribution
❑ Nonmonetary
Contribution
❑ Independent
❑ Support ❑ Oppose
Expenditure
❑ Monetary
Contribution
❑ Nonmonetary
Contribution
❑ Independent
❑ Support ❑ Oppose
Expenditure
SUBTOTAL $ 1,300.00xr
Schedule D Summary
1. Itemized contributions and independent expenditures made this period. (Include all Schedule D subtotals.) ..............................
2. Unitemized contributions and independent expenditures made this period of under $100..........................................................
3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.)
$ 1,300.00
.............. $
. TOTAL $
0.00
1,300.00
FPPC Form 460 (January/05)
roorT..0 �...... LJi.l..l:....• OCC/ACV COG/ doraln7r 4779"
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE 3 of 3
COMMITTEE NAME I.D. NUMBER
Don Hansen for City Council 1235876
4. Type of Committee (Continued)
e • 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
LL
STREET ADDRESS NO. AND STREET CITY STATE ZIP CODE
❑ -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 1/1/01.
5.Termination RequirementS By signing the verification, the treasurer, assistant treasurer and/or candidate, officeholder, or proponent certify that all ofthe folloWng 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)