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HomeMy WebLinkAboutHuntington Beach 2020 Vision PAC - 2010 FPPC Campaign Discl (2) 9 Recipient Committee Type or print in ink. COVER PAGE-PART2 Campaign Statement ®®R ® 1 RM Cover Page—Part 2 Page 2 of 11 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO.OR LETTER JURISDICTION ❑ SUPPORT ❑ OPPOSE 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 ❑ 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. SUMMARY PAGE Amounts may dollars.y be rounded Summary Page to whole Statement covers period ® - d from 10/17/2010 SEE INSTRUCTIONS ON REVERSE through 12/31/2010 Page 3 of 11 NAME OF FILER I.D. NUMBER Huntington Beach 2020 Vision PAC 1331365 Column A Column B Calendar Year Summary for Candidates Contributions Received TOTALTHIS PERIOD CALENDARYEAR Running in Both the State Prima and (FROMATTACHED SCHEDULES) TOTALTO DATE g Primary General Elections 1. Monetary Contributions ........................................... Schedule A,Line 3 $ 11,000.00 $ 54,198.00 1/1 through 6/30 7/1 to Date 2. Loans Received ...................................................... Schedule e,Line 3 0.00 0.00 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1+2 $ 11,000.00 $ 54,198.00 20. Contributions Received $ $ 4. Nonmonetary Contributions.................................... Schedule C,Line 3 0.00 0.00 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ...........................Add Lines 3+4 $ 11,000.00 $ 54,198.00 Made $ $ Expenditures Bade Expenditure Limit Summary for State 6. Payments Made....................................................... Schedule E,Line 4 $ 53,516.21 $ 53,666.21 Candidates 7. Loans Made............................................................. schedule H,Line 3 0.00 0.00 22. Cumulative Expenditures Made* 8. SUBTOTALCASH PAYMENTS .................................... Add Lines 6+7 $ 53,516.21 $ 53,666.21 (lr Subject to Voluntary Expenditure Limit) 9. Accrued Expenses (Unpaid Bills) ...............................Schedule Linea -15,058.71 4,379.92 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 a+9+10 $ 38,457.50 $ 58,046.13 $ Current Cash Statement $ 12. Beginning Cash Balance....................... Previous Summary Page,Line 16 $ 43,048.00 To calculate Column B,add 13.Cash Receipts ................. ................................. Column A,Line 3 above 11,000.00 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 0.00 from Column B of your last reported in Column B. 15.Cash Payments.................................................. Column A,Line a above 53,516.21 report. Some amounts inColumn A may be negative 16. ENDING CASH BALANCE.......... Add Lines 12+13+14,then subtract Line 15 $ 531.79 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 a,Part 2 $ 0.00 for this calendar year, only carry over the amounts Cash Equivalents and Outstanding Debts from Lines 2, 7,and 9(if any). 18. Cash Equivalents........................................ See instructions on reverse $ 0.00 19. Outstanding Debts......................... Add Line 2+Line 9 in Column B above $ 4,379.92 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/Opposing®then Amounts may be rounded ®® ' to whole dollars. from 10/17/2010 Candidates, Measures and Committees SEE INSTRUCTIONS ON REVERSE through 12/31/2010 Page 5 Of 11 NAME OF FILER I.D. NUMBER Huntington Beach 2020 Vision PAC 1331365 NAME OF CANDIDATE,OFFICE,AND DISTRICT,OR DESCRIPTION CUMULATIVE TO DATE PER ELECTION DATE TYPE OF PAYMENT AMOUNTTHIS MEASURE NUMBER OR LETTER AND JURISDICTION, (IF REQUIRED) CALENDAR YEAR TO DATE OR COMMITTEE PERIOD (JAN.1-DEC.31) (IF REQUIRED) 10/19/2010 Barbara De g eize ❑ Monetary LIT & POS 4,908.40 13,630.48 City Council Member Contribution Huntington Beach ❑ Nonmonetary Contribution ❑x Independent ❑x Support ❑ Oppose Expenditure 10/25/2010 Barbara Delgleize ❑ Monetary LIT & POS 1,104.16 13,630.48 City Council Member Contribution Huntington Beach ❑ Nonmonetary Contribution ❑x Independent x❑ Support ❑ Oppose Expenditure 10/25/2010 Barbara Delgleize ❑ Monetary LIT & POS 1,891.00 13,630.48 City Council Member Contribution Huntington Beach ❑ Nonmonetary Contribution ❑x Independent x❑ Support ❑ Oppose Expenditure SUBTOTAL $ 7,903.56 ,i �01�� °;�` " Schedule D Summary 1. Itemized contributions and independent expenditures made this period. Include all Schedule D subtotals. 32,696.18 2. Unitemized contributions and independent expenditures made this period of under$100..................................................................................... $ 0.00 3. Total contributions and independent expenditures made this period. Add Lines 1 and 2. Do not enter on the Summary Page.) TOTAL $ 32,696.18 FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Schedule (Continuation Sheet) Type or print in ink. SCHEDULED CONT. Summary mmary of Expenditures Amounts may be rounded Statement covers period Support!ng pp ��® osin Other to whole dollars. s Candidates, Measures and Committees from 10/17/2010 through 12/31/2010 Page 6 of 11 NAME OF FILER I.D.NUMBER Huntington Beach 2020 Vision PAC 133136S DESCRIPTION CUMULATIVE TO DATE PER ELECTION DATE NAME OF CANDIDATE,OFFICE,AND DISTRICT,OR TYPE OF PAYMENT AMOUNTTHIS CALENDAR YEAR TO DATE MEASURE NUMBER OR LETTER AND JURISDICTION, (IF REQUIRED) OR COMMITTEE PERIOD (JAN.i-DEC.31) (IF REQUIRED) 10/19/2010 Matthew Harper ❑ Monetary LIT & POS 4,908.40 13,630.48 City Council Member Contribution Huntington Beach ❑ Nonmonetary Contribution ® Independent ❑x Support ❑ Oppose Expenditure 10/25/2010 Matthew Harper ❑ Monetary LIT & POS 1,104.16 13,630.48 City Council Member Contribution Huntington Beach ❑ Nonmonetary Contribution Independent x❑ Support ❑ Oppose Expenditure 10 25 2010 Matthew Harper LIT & POS 1,891.00 13,630.48 ❑ Monetary City Council Member Contribution Huntington Beach ❑ Nonmonetary Contribution ❑x Independent © Support ❑ Oppose Expenditure 10/25/2010 Measure O ❑ Monetary LIT & POS 3,312.50 8,985.50 Contribution Huntington Beach ❑ Nonmonetary Contribution ® Independent x❑ Support ❑ Oppose Expenditure SUBTOTAL $ 11,216.06 '! I � FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Schedule D (Continuation Sheet) Type or print in ink. SCHEDULED CONT. Amounts may be rounded Summary Of Expenditures to whole dollars. Statement covers period ® e d Supporting/Opposing Other from 10/17/2010 • Candidates, Measures and Committees through 12/31/2010 Page 7 of 11 NAME OF FILER I.D.NUMBER Huntington Beach 2020 Vision PAC 1331365 NAME OF CANDIDATE,OFFICE,AND DISTRICT,OR DESCRIPTION CUMULATIVETO DATE PER ELECTION DATE TYPE OF PAYMENT AMOUNTTHIS MEASURE NUMBER OR LETTER AND JURISDICTION, (IF REQUIRED) CALENDAR YEAR TO DATE OR COMMITTEE PERIOD (JAN.t-DEC.31) (IF REQUIRED) 10/25/2010 Measure O Monetary LIT & POS 5,673.00 8,985.50 ❑ Contribution Huntington Beach ❑ Nonmonetary Contribution ® Independent ❑x Support ❑ Oppose Expenditure 10/19/2010 Billy O'Connell ❑ Monetary LIT & POS 4,908.40 13,630.48 City Council Member Contribution Huntington Beach ❑ Nonmonetary Contribution ❑x Independent © Support ❑ Oppose Expenditure 10 25 2010 Billy O'Connell LIT & POS 1,104.16 13,630.48 ❑ Monetary City Council Member Contribution Huntington Beach ❑ Nonmonetary Contribution Independent © Support ❑ Oppose Expenditure Billy O'Connell 10/25/2010 ❑ Monetary LIT & POS 1,891.00 13,630.48 city Council Member Contribution Huntington Beach ❑ Nonmonetary Contribution ® Independent x❑ Support ❑ Oppose Expenditure Qr SUBTOTAL $ 13,576.56€ IRR FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(8661275-3772) - `^ aupp�swswTx� |wosPswosmTsxpswo|Tuns ��g����le00ental Independent �n or print in ink. Amounts may be rounded Report covers period Expenditure Report to whole dollars. from 10/17/2010 SEE INSTRUCTIONS ON REVERSE through 12/,31/2010 Page 2 of 2 NAME OF FILER LD, NUMBER(If recipient com.) 4' Summary r.�m so 1. Total independent empendhur*muf$100or more made this pahod. (Pad 3.)------------------------------. $ 2. Total independent expenditures under$100 made this period. (Notdomizedj -----------------------------. $ ».«« 3. Total independent expenditures made this period (Add Lines 1 + 2j .......................................... ...............................................TOTAL $ 7'903s6 5. Filing OfficerS Enter the name and address of each filing officer with whom the filer'smost recent campaign statements (Form 450 400u/40V have been Ned. 1) NAME OF FILING OFFICER 3) NAME OF FILING OFFICER ADDRESS (NO. AND STREET) ADDRESS (NO, AND STREET) CITY STATE ZIP CODE CITY STATE ZIP CODE 2) NAME OF FILING OFFICER 4) NAME OF FILING OFFICER ADDRESS (NO. AND STREET) ADDRESS (NO. AND STREET) u/' STATE ZIP CODE mn STATE ZIP CODE ~ 6' Verification |have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein is true and complete. |certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed on By Lo� I DATE f SIGNATURE OF `466,TREASURER OR ASSISTANT TREASURER Executed on By oms SIGNATURE or CONTROLLING OFFICEHOLDER.CANDIDATE,STATE MEASURE PROPONENT,on RESPONSIBLE OFFICER opSPONSOR Executed on By omc SIGNATURE op CONTROLLING OFFICEHOLDER,CANDIDATE,STATE MEASURE PROPONENT Executed on By u^rs SIGNATURE up CONTROLLING OFFICEHOLDER,CANDIDATE,STATE MEASURE PROPONENT rppo Form*os rppc Toll-Free He/nxoo:xneAmw'pppu(000mrs-ornz) _ ~ - oupp�s�smT�� |mosrswoswTsxpsmonuns Supplemental Independent Type mpnmmm� Amounts may be rounded Report covers period A Expenditure Report to whole dollars. from 10/17/2010 HEM SEE INSTRUCTIONS ON REVERSE through 12/31/2010 Page 2 of 2 NAME OF FILER I.D. NUMBER(if recipient corn.) Huntington Beach 2020 Vision PAC 1331365 4. Summary 1. Total independent expenditures of$1O0or more made this period. (Part 3.)------------------------------ r� � 'xoz.so 2. Total independent expenditures under$1O0 made this period. (Not itemized.) -----------------------------. $ ».»» 3. Total independent expenditures made this period (Add Linen 1 + 2j .......................................................................................... 7TO��L � '903.56 5. Filing OfficerS Enter the name and address of each filing officer with whom the N*r's most recent campaign statements (Fonn450, 460m-451)have been filed. 1) NAME OF FILING OFFICER 3) NAME OF FILING OFFICER ADDRESS (NO. AND STREET) ADDRESS (NO. AND STREET) CITY STATE ZIP CODE CITY STATE ZIP CODE 2) NAME OF FILING OFFICER 4) NAME OF FILING OFFICER ADDRESS (NO. AND STREET) ADDRESS (NO. AND STREET) "'` xm/E ZIP CODE CITY STATE ZIP CODE 6. Verification |have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein is true and complete. I certify under penalty of perjury under the laws of the State n/California that the foregoing is true and correct Executed on ` By 'DATE Z I 'RE OF FILER,TF(fASURER OR ASSISTANT TREASURER Executed on By mna SIGNATURE OF CONTROLLING OFFICEHOLDER.CANDIDATE,STATE MEASURE PROPONENT OR RESPONSIBLE CFFICER OF SPONSOR Executed on By oms SIGNATURE op CONTROLLING OFFICEHOLDER,CANDIDATE,STATE MEASURE PROPONENT Executed on By ome SIGNATURE np CONTROLLING OFFICEHOLDER,CANDIDATE,STATE MEASURE PROPONENT pppo Form*o5 rppu Toll-Free ye/pxno:osmAax'rppn(uom2rs-urr2) ' �oPP�emsw�� |mospswoswTsxrsmonuns Supplemental Independent �v mpmntmm� Amounts may be rounded Report covers period A A Expenditure Report to whole dollars. from 10/17/2010 0 SEE INSTRUCTIONS ON REVERSE through 12/31/2010 Page 2 of 2 NAME OF FILER I.D.NUMBER(if recipient com.) 4. Summary 1. Total independent expenditures of$100or more made this period. (Part 3j........................................................................................... $ 7'903.^u 2. Total independent expenditures under$10U made this period. (Not itemizadj ........................... ....................................... .................... $ ».»» 3. Total independent expenditures made this period (Add Lines 1 + 2j ........................................................................ .................TOTAL $ 7'903.56 5. Filing OfficerS Enter the name and address of each filing officer with whom the tiler's most recent campaign statements(Fonn450 460m401) have been filed. 1) NAME OF FILING OFFICER 3) NAME OF FILING OFFICER ADDRESS (NO. AND STREET) ADDRESS (NO, AND STREET) CITY STATE ZIP CODE CITY STATE ZIP CODE 2) NAME OF FILING OFFICER 4) NAME OF FILING OFFICER ADDRESS (NO. AND STREET) ADDRESS (NO. AND STREET) CITY STATE ZIP CODE CITY STATE ZIP CODE 6. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the bestufmy knowledge the information contained herein io true and complete. |certify under penalty of perjury under the laws of the State of California that the foregoing Executed on ' By Executed on By oms SIGNATURE OF CONTROLLING OFFICEHOLDER.CANDIDATE,STATE MEASURE PROPONENT OR RESPONSIBLE OFFICER OF SPONSOR Executed on By o^rs SIGNATURE or CONTROLLING OFFICEHOLDER,u^wmoms,STATE MEASURE PROPONENT Executed on By o^rs SIGNATURE np CONTROLLING OFFICEHOLDER,CANDIDATE,STATE MEASURE PROPONENT pppo Form*ns rppc Toll-Free He/pnnv:oumwox-ppPu(oxs/2rn-orrz) — ouPp��ssmT�� |moepswoswTsxp�mo|runs ��u����Ue00ental Independent �v o,pnmmm� Amounts may be rounded Report covers period Expenditure Report to whole dollars. from 10/17/2010 SEE INSTRUCTIONS ON REVERSE through 12/31/2010 2 of 2 P a Fge NAME OF FILER I.D.NUMBER(if recipient corn.) 4. Summary o.pvs so 1. Total independent expenditures of$10Oor more made this period. (Part 3j............................. ............................................................. $ 2. Total independent expenditures under$100 made this period. (Not domizedj ........................................................................................ $ ^.n» 3. Total independent expenditures made this period (Add Lines 1 + 2j ..........................................................................................TOTAL $ 8'985.s» 5. Filing OfficerS Enter the name and address of each filing officer with whom the filer's most recent campaign statements(Form 450, 460m401) have been filed. 1) NAME or FILING OFFICER 3) NAME op FILING OFFICER ADDRESS (NO. AND STREET) ADDRESS (NO. AND STREET) u/r xnns ZIP CODE un, STATE ZIP CODE 2) NAME OF FILING OFFICER 4) NAME OF FILING OFFICER ADDRESS (NO. AND STREET) ADDRESS (NO. AND STREET) CITY STATE ZIP CODE CITY STATE ZIP CODE 6. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein is true and complete. I certify under penalty of perjury under the laws of the State nf California that the foregoing is true or 1 ct. Executed on By 'DATE �IGNATURE OF FILE�,'TREASURER OR ASSISTANT TREASURER Executed on av DATE SIGNATURE OF CONTROLLING OFFICEHOLDER.CANDIDATE,STATE MEASURE PROPONENT,OR RESPONSIBLE OFFICER OF SPONSOR Executed on By DATE SIGNATURE vr CONTROLLING OFFICEHOLDER,CANDIDATE,STATE MEASURE PROPONENT Executed on By o^rs SIGNATURE op CONTROLLING OFFICEHOLDER,CANDIDATE,STATE MEASURE PROPONENT Fppo Form*os pppc Toll-Free*p/ponr:oomwuufPpu(oomurs'orru) Campaign Disclosure Statement Type or print in ink. SUMMARY PAGE Amounts may be rounded Statement covers period Waf ® - 04 Summary Page to whole dollars. d A from o1/01/2010 ®'kvi SEE INSTRUCTIONS ON REVERSE through 10/16/2010 Page 3 of 9 NAME OF FILER I.D. NUMBER Huntington Beach 2020 Vision PAC 1331365 Contributions Received TOColumnA Column Calendar Year Summary for Candidates TALTMS PERIOD CALENDAR YEAR Running ma in Both the State Primary and (FROMATTACHEDSCHEDULES) TOTALTO DATE ry General Elections 1. Monetary Contributions ........................................... Schedule A,Line 3 $ 43,198.00 $ 43,198.00 1/1 through 6/30 7!1 to Date 2. Loans Received ...................................................... Schedule e,Line 3 0.00 0.00 3. SUBTOTALCASH CONTRIBUTIONS ......................... Add Lines 43,198.00 43,198.00 20. Contributions +z $ $ Received $ $ 4. Nonmonetary Contributions.................................... Schedule C,Line 3 0.00 0.00 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ...........................Add Lines 3+4 $ 43,198.00 $ 43,198.00 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made....................................................... ScheduleE,Line $ 150.00 $ 150.00 Candidates 7. Loans Made............................................................. Schedule H,Line 3 0.00 0.00 22. Cumulative Expenditures Made* 8. SUBTOTALCASH PAYMENTS .................................... Add Lines 6+7 $ 150.00 $ 150.00 (IfSubjectto Voluntary Expenditure Limitl 9. Accrued Expenses (Unpaid Bills)...............................Schedule F Line 3 19,438.63 19,438.63 Date of Election Total to Date 10. Nonmonetary Adjustment ..........................................ScheduleC,Linea 0.00 0.00 (mm/dd/yy) 11. TOTAL EXPENDITURES MADE................................Add Lines 8+s+10 $ 19,588.63 $ 19,588.63 J Current Cash Statement $ 12. Beginning Cash Balance....................... Previous Summary Page,Line 16 $ 0.00 To calculate Column B,add 13.Cash Receipts ................................................... Column A,Line 3 above 43,198.00 amounts in Column A to the corresponding amounts *Amounts in this section may be different from amounts 14. Miscellaneous Increases to Cash........................... Schedule/,Line 4 0.00 from Column B of your last reported in Column B. report. Some amounts in 15. Cash Payments.................................................. column A,Line a above 150.00 Column A may be negative 16. ENDING CASH BALANCE.......... Add Lines 12+13+14,then subtract Line 15 $ 43,048.00 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 z $ 0.00 for this calendar year, only carry over the amounts Cash Equivalents and Outstanding Debts any).Lines 2, 7, and 9(if 18. Cash Equivalents........................................ See instructions on reverse $ 0.00 19. Outstanding Debts......................... Add Line 2+Line 9 in Column B above $ 19,438.63 FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(8661276-3772) Supplemental Independent Type or print in ink. SUPPLEMENTAL INDEPENDENT EXPENDITURE Amounts may be rounded Report covers period I A Expenditure Report t I o whole dollars. from 01/01/2010 10/16/2010 SEE INSTRUCTIONS ON REVERSE through Page 2 of 2 NAME OF FILER I.D. NUMBER(if recipient corn.) Huntington Beach 2020 Vision PAC 1331365 4. Summary 1. Total independent expenditures of$100 or more made this period. (Part 3.)............................................................ .............. ............... $ 5,726.92 2. Total independent expenditures under$100 made this period. Not itemized.) ..................................... .................................. ............... $ J.00 3. Total independent expenditures made this period (Add Lines 1 + 2.) ............. ................................................. ............. ............TOTAL $ 5,726.92 5. Filing Officers Enter the name and address of each filing officer with whom the filer's most recent campaign statements (Form 450, 460 or 461) have been filed. 1) NAME OF FILING OFFICER 3) NAME OF FILING OFFICER ADDRESS (NO. AND STREET) ADDRESS (NO. AND STREET) CITY STATE ZIP CODE CITY STATE ZIP CODE 2) NAME OF FILING OFFICER 4) NAME OF FILING OFFICER ADDRESS (NO. AND STREET) ADDRESS (NO. AND STREET) CITY STATE ZIP CODE CITY STATE ZIP CODE 6. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein is true and complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and ct Executed on 14,Q,l I D - By DATE L_W OF FILER. )RER OR ASSISTANT TREASURER Executed on By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER,CANDIDATE,STATE MEASURE PROPONENT OR RESPONSIBLE OFFICER OF SPONSOR Executed on By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER.CANDIDATE,STATE MEASURE PROPONENT Executed on By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT FPPC Form 465 FPPC Toll-Free Helpline:866/ASK-FPPC(8661275-3772) Supplemental Independent Type or print in ink. SUPPLEMENTAL INDEPENDENT EXPENDITURE Amounts may be rounded Report covers period Expenditure Report to whole dollars. from 011/01/2010 Ill SEE INSTRUCTIONS ON REVERSE throu gh 10/,16/2OiO 2 of 2 FP.ge-­�_ NAME OF FILER I.D. NUMBER(If recipient com.) Huntington Beach 2020 Vision PAC 1331365 4. Summary 5,726.9-2- 1. Total independent expenditures of$100 or more made this period. (Part 3.)........... ............................................................................... $ 2. Total independent expenditures under$100 made this period. (Not itemized.) .................................................... ................................... $ 0.00 3. Total independent expenditures made this period (Add Lines I + 2.) ..........................................................................................TOTAL $ S,726.92 5. Filing Officers Enter the name and address of each filing officer with whom the filer's most recent campaign statements (Form 450, 460 or 461) have been filed. 1) NAME OF FILING OFFICER 3) NAME OF FILING OFFICER ADDRESS (NO. AND STREET) ADDRESS (NO, AND STREET) CITY STATE ZIP CODE CITY STATE ZIP CODE 2) NAME OF FILING OFFICER 4) NAME OF FILING OFFICER ADDRESS (NO. AND STREET) ADDRESS (NO. AND STREET) CITY STATE ZIP CODE CITY STATE ZIP CODE 6. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein is true and complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed on��r By DATE SIGNATURE OF FILER,TREASURER OR ASSISTANT TREASURER Executed on By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER.CANDIDATE,STATE MEASURE PROPONENT OR RESPONSIBLE OFFICER OF SPONSOR Executed on By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT Executed on By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER,CANDIDATE,STATE MEASURE PROPONENT FPPC Form 465 FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Supplemental Independent Type or print in ink. SUPPLEMENTAL INDEPENDENT EXPENDITURE Amounts may be rounded Report covers period Expenditure Report to whole dollars. from 01/01/2010 0. Page 2 of 2 SEE INSTRUCTIONS ON REVERSE through "F9 NAME OF FILER I.D. NUMBER(If recipient cam.) Huntington Beach 2020 vision PAC 1331365 4. Summary -5,726.92 1. Total independent expenditures of$100 or more made this period. (Part 3.)................................................................. ......................... $ 2. Total independent expenditures under$100 made this period. Not itemized.) ............................ ...................................... ................... $ 0.00 3. Total independent expenditures made this period (Add Lines 1 + 2.) ............. ...................................................... .....................TOTAL $ 5,726.92 5. Filing Officers Enter the name and address of each filing officer with whom the filer's most recent campaign statements (Form 450, 460 or 461) have been filed. 1) NAME OF FILING OFFICER 3) NAME OF FILING OFFICER ADDRESS (NO. AND STREET) ADDRESS (NO. AND STREET) CITY STATE ZIP CODE CITY STATE ZIP CODE 2) NAME OF FILING OFFICER 4) NAME OF FILING OFFICER ADDRESS (NO. AND STREET) ADDRESS (NO, AND STREET) CITY STATE ZIP CODE CITY STATE ZIP CODE 6. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein is true and complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is true an, correct. � J ( Executed on- (C) q11()t, By DATE SIGNATUO OF FILER,TREASURER OR ASSISTANT TREASURER Executed on By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER.CANDIDATE.STATE MEASURE PROPONENT,OR RESPONSIBLE OFFICER OF SPONSOR Executed on By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER,CANDIDATE,STATE MEASURE PROPONENT Executed on By DATE SIG-NATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT FPPC Form 465 FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Type or print in ink. COVER PAGE-PART 2 Recipient Committee ® - , Campaign Statement FORK Cover Page— Part 2 Page 2 of 9 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO.OR LETTER JURISDICTION ❑ SUPPORT ❑ OPPOSE 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 V.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. SUMMARY PAGE Amounts may be rounded Statement covers period ® - Summary Page to whole dollars. d from 01/01/2010 ® " SEE INSTRUCTIONS ON REVERSE through 10/16/2010 Page 3 of 9 NAME OF FILER I.D. NUMBER Huntington Beach 2020 Vision PAC 1331365 Column A Column B Calendar Year Summary for Candidates Contributions Received TOTALTHIS PERIOD CALENDARYEAR (FROM ATTACHED SCHEDULES) TOTALTODATE Running in Both the State Primary and General Elections 1. Monetary Contributions ........................................... Schedule A,Line 3 $ 43,198.00 $ 43,198.00 1/1 through 6/30 7/1 to Date 2. Loans Received ...................................................... Schedule e,Line 3 0.00 0.00 43,198.00 43,198.00 20. Contributions 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1+2 $ $ Received $ $ 4. Nonmonetary Contributions.................................... Schedule C,Line 3 0.00 0.00 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ...........................Add Lines 3+4 $ 43,198.00 $ 43,196.00 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made....................................................... Schedule E,Line 4 $ 150.00 $ 150.00 Candidates 7. Loans Made............................................................. Schedule H,Line 3 0.00 0.00 22. Cumulative Expenditures Made* 8. SUBTOTALCASH PAYMENTS .................................... Add Lines 6+7 $ 150.00 $ 150.00 (If Subject to Voluntary Expenditure Limit) 9. Accrued Expenses (Unpaid Bills) ...............................Schedule F Line 3 19,438.63 19,438.63 Date of Election Total to Date 10. Nonmonetary Adjustment ..........................................ScheduleC,Line 0.00 0.00 (mm/dd/yy) 11. TOTAL EXPENDITURES MADE................................Add Lines 8+9+10 $ 19,588.63 $ 19,588.63 $ Current Cash Statement $ 12. Beginning Cash Balance....................... Previous Summary Page,Line 16 $ 0.00 To calculate Column B,add 13. Cash Receipts ................................................... Column A,Line 3 above 43,198.00 amounts in Column A to the corresponding amounts *Amounts in this section may be different from amounts 14. Miscellaneous Increases to Cash........................... schedule I,Line 4 0.oo from Column B of your last reported in Column B. report. Some amounts in 15. Cash Payments.................................................. Column A,Line a above 150.00 Column A may be negative 16. ENDING CASH BALANCE.......... Add Lines 12+13+14,then subtract Line 15 $ 43,048.00 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 s, Part 2 $ 0.00 for this calendar year, only carry over the amounts Cash Equivalents and Outstanding Debts from Lines 2, 7, and 9 (if any). 18. Cash Equivalents........................................ See instructions on reverse $ 0.00 19. Outstanding Debts......................... Add Line 2+Line 9 in Column B above $ 19,438.63 FPPC Form 460(January/05) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule D Summaryof Expenditures Type or print in ink. SCHEDULED p Statement covers period Supporting/OpposingOther NIA Amounts may be rounded ® ' to whole dollars. from 01/01/2010 ®" Candidates, Measures and Committees SEE INSTRUCTIONS ON REVERSE through 10/16/2010 Page 6 of 9 NAME OF FILER I.D. NUMBER Huntington Beach 2020 Vision PAC 133136S 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) OR COMMITTEE PERIOD (JAN.1-DEC.31) (IF REQUIRED) 10/01/2010 Barbara De g eize ❑ LIT & POS 5,726.92 5,726.92 Monetary City Council Member Contribution Huntington Beach ❑ Nonmonetary Contribution ❑x Independent Support ❑ Oppose Expenditure 10/01/2010 Matthew Harper ❑ Monetary LIT & POS 5,726.92 5,726.92 Contribution City Council Member Huntington Beach ❑ Nonmonetary Contribution Independent (] Support ❑ Oppose Expenditure 10/01/2010 Billy O'Connell Monetary LIT & POS 5,726.92 5,726.92 ❑ City Council Member Contribution Huntington Beach ❑ Nonmonetary Contribution Independent 0 Support ❑ Oppose Expenditure SUBTOTAL $ 17,180.76 �A-, Schedule D Summary 1. Itemized contributions and independent expenditures made this period. Include all Schedule D subtotals. ........................... $ 17,150.76 2. Unitemized contributions and independent expenditures made this period of under$100 ........................................ 0.00 3. Total contributions and independent expenditures made this period. Add Lines 1 and 2. Do not enter on the Summary Page.) TOTAL $ 17,1s0.76 P P P � rY 9 ) ............ FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Visit aups.corn""or call 1-800-PIC&UPS® (1-800-742-5877) This envelope is for use I to schedule a pickup or find a drop off location near, n:f_ ` ' :es: Domestic All w •To quality tot 0 correspondei ;I weigh 8 oz.i those listed c 0 1 International: N • The UPS Fxpr ® z O value.Certah a %p va— CV CN p CO • quality for P� 00 o �To q f Y C` 2= cv �� ® UPS Express E O00o o �� 4} ' o� Note:Express E O � U ,,� c� c'ti p on this s'i containing sens Z >-I 7' s or cash equival, 0 c� N s r Z Z . �� • r� � Z fozyF¢Letter ' 0.0 aC7 V ti J ££O9ZbB6£l9££OXXZI :Sdn Reduce pa; either to re �� � txn t>r .. «.'t.Pij 2E EEt�9iidald { See reuse it IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII s30Ina3s NOIVdWVO XVN VS41 :.+epueg ®ECIsioi ZZ—OL—OIOZ Vt :GIs t 'JOOTd Decision Gr T J A �.�a T O A}T a our pursuit 8H J0 XiIO For exam ph material am t of t �Ot?ae uoT uTTunH ;o TTa 100% Recycled fiber 80% Post-Consurner International Shipping Notice—Carriage'hereunder maybe subject to the rules relating to liability and other terms and/or conditions established by the Convention for the Unification of Certain Rules Relating to International Carriage by Air(the'Warsaw Convention)and/or the Convention on j Contract for the International Carriage of Goods by Road(the"CMR Convention').These commodities,technology or software were exported from the U.S.in accordance with the Export Administration Regulations.Diversion contrary.to U.S.law prohibited j 010195112. 01/10 BL United Parcel Service,Louisville, S STATEMENT OF ORGANIZATION Statement of Organization .Recipient CommitteeFOR _J ® m INSTRUCTIONS ON REVERSE 3 of 4 COMMITTEE NAME I.D.NUMBER Huntington Beach 2020 Vision PAC 1331365 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 CANDIDXE/OFFICEHOLDER/STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PARTY ❑ 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 CODEIPHONE 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(5)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.netfile.com FPPC Toll-Free Helpline:866/ASK-FPPC t Statement of Organization STATEMENT OF ORGANIZATION Recipient Committee a 1 FORM INSTRUCTIONS ON REVERSE 4 of 4 COMMITTEE NAME I.D.NUMBER Huntington Beach 2020 Vision PAC 1331365 4.Type of Committee (Continued) •• Not formed to support or oppose specific candidates or measures in a single election. Check only one box: ❑A CITY Committee ❑ COUNTYCommittee ❑STATECommittee PROVIDE BRIEF DESCRIPTION OF ACTIVITY Support or oppose issues or candidates inthe City of Huntington Beach •. 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 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 treasurerand/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) FPPC Toll-Free Helpline:866/ASK-FPPC www.netfile.com Statement of Organization STATEMENT OF ORGANIZATION Recipient Committee ® - ® - INSTRUCTIONS ON REVERSE 3 of 4 COMMITTEE NAME I D NUMBER Huntington Beach 2020 Vision PAC 4.Type of Committee 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 ❑ Non-Partisan ❑ 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 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 Helphne 866/ASK-FPPC Statement of Organization STATEMENT OF ORGANIZATION Recipient Committee RN fA ® - INSTRUCTIONS ON REVERSE 4 of 4 COMMITTEE NAME I D NUMBER Huntington Beach 2020 Vision PAC 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 Support or oppose issues or candidates inthe City of Huntington Beach •• -� 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 l/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 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