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Home My WebLink AboutHuntington Beach 2020 Vision PAC - 2011 FPPC Campaign Discl (2), 0 Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Type or print in ink. COVER PAGE - PART 2 OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP 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 contributions or make expenditures on behalf of your candidacy. COMMITTEENAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE AD DRESS STREETADDRESS (NO P.O. BOX) Page 2 of 5 6. Primarily Fnrmarf Rnllnt RAnacnrn NAME UFF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION ❑ SUPPORT ❑ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY 7. Primarily Formed Candidate/Officeholder Committee Listnames of officeholder(s) or candidates) for which this committee is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE Attach continuation sheets if necessary FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) State of California www.netfile.com Campaign Disclosure Statement Type or print in ink. Amounts may be rounded Summary Page to whole dollars. Statement covers period from 07/01/2011 SUMMARY PAGE SEE INSTRUCTIONS ON REVERSE , through 12/31/2011 I Page 3 of 5 NAME OF FILER Huntington Beach 2020 Vision PAC I.D. NUMBER1331365 Column A Contributions Received TOTALTHIS PERIOD (FROM ATTACHED SCHEDULES) 1. Monetary Contributions ........................................... Schedule A, Line 3 $ 0.00 2. Loans Received...................................................... Schedule B, Line 3 0.00 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 + 2 $ 0. 00 4. Nonmonetary Contributions .................................... Schedule C, Line 3 0.00 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 + 4 $ 0.00 Expenditures Made 6. Payments Made ...................................................... 7. Loans Made............................................................ 8. SUBTOTAL CASH PAYMENTS ............................... 9. Accrued Expenses (Unpaid Bills) .......................... 10. Nonmonetary Adjustment ...................................... 11. TOTAL EXPENDITURES MADE ....______ Schedule E, Line 4 $ 168,00 Schedule H, Line 3 0. 00 AddLines6+7 $ 168.00 ..... Schedule F, Line 3 0.00 .... Schedule C, Line 3 0.00 .. Add Lines 8 + 9 + 10 $ 168.00 Current Cash Statement 12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ 506.21 13. Cash Receipts ................................................... Column A, Line 3 above 0.00 14. Miscellaneous Increases to Cash ........................... Schedule 1, Line 4 0.00 15. Cash Payments .................................................. Column A, Line 8 above 168.00 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ 338.21 If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ........................... Schedule 8, 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 $ 4, 379.92 Column B CALENDARYEAR TOTALTO DATE $ 500.00 0.00 $ Soo .00 0.00 $ 500.00 $ 693.58 0.00 $ 693.58 4,379.92 0.00 $ 5,073.50 To calculate Column E, 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 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 ---J---/$ *Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (Januaryl05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) www.netfiie.com 1 LYSA RAY ampaign Services 603 E Alton Ave, Suite H Santa Ana, CA 92705 ArN $0.45 _ US POSTAGE FIRST-CLASS US POSTAGE FIRST-CLASS 062S0006229181 92705 062S0006229'181 92705 m m a Fhtnh�9� gam, L4 9,�I-rjYk Recipient Committee Campaign Statement Cover Page — Part 2 Type or print in ink. 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP 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 contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) COVER PAGE - PART 2 Page 2 of 6 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION ❑ SUPPORT ❑ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD I DISTRICT NO. IF ANY 7. Primarily Formed Candidate/Officeholder Committee List names of officeholder(s) or candidate(s) for which this committee is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE vl I , ql„I= u� I.VUC MRCJ� VVUGrRVIVC Attach continuation sheets if necessary FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) State of California Campaign Disclosure Statement Type or print in ink. SUMMARYPAGE Amounts may be rounded Statement covers period a - NIA Summary Page to whole dollars. , from of/o1/zou ®' SEE INSTRUCTIONS ON REVERSE through 06/30/2011 Page 3 of 6 NAME OF FILER I.D. NUMBER Huntington Beach 2020 Vision PAC 1331365 Contributions Received Column coluinnB TOTAL THIS PERIOD CALENDAR YEAR (FROM ATTACHED SCHEDULES) TOTALTO DATE 1. Monetary Contributions ........................................... Schedule A, Line 3 $ 500.00 $ 500.00 2. Loans Received...................................................... Schedule B, Line 3 0.00 0.00 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 +2 $ 500.00 $ 500.00 4. Nonmonetary Contributions .................................... Schedule C, Line 3 0.00 0.00 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3+4 $ 500.00 $ Soo.00 Expenditures Made 6. Payments Made ....................................................... Schedule E,Line 4 $ 525.58 $ 525.58 7. Loans Made............................................................. Schedule H, Line 3 0.00 0.00 8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6+7 $ 525.58 $ 525.58 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F Line 3 0.00 4.379.92 10. Nonmonetary Adjustment .......................................... Schedule C, Line 3 0.00 0.00 11. TOTAL EXPENDITURES MADE ................................ Add Lines 8+s+10 $ 525.58 $ 4,905.50 Current Cash Statement 12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ 531.79 13.Cash Receipts ................................................... Column A, Line 3above 500.00 14. Miscellaneous Increases to Cash ........................... Schedule 1, Line 4 0.00 15. Cash Payments .................................................. Column A, Line 8above 525.58 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ 506.21 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 $ 4,379.92 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 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) II $ 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 (866/276-3772)