HomeMy WebLinkAboutHuntington Beach Chamber of Commerce PAC - 2013 FPPC Campaig (2)Type or print in ink. COVER PAGE - PART 2
Recipient Committee CALWORMA• 1
Campaign Statement FORM
Cover Page — Part 2
Page 2 of 6
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)
CITY STATE ZIP CODE AREA CODE/PHONE
COMMITTEE NAME I.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
❑ YES ❑ NO
COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX)
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
CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary
FPPC Form 460 (January/05)
FPPC Toll -Free Helpllne: 866/ASK-FPPC (866/275-3772)
State of California
www.neffile.com
Cam al n Disclosure Statement Type or print in ink. SUMMARY PAGE
g Amounts may be rounded
Summary Page to whole dollars. Statement covers period - a
from
O1/01/2013 FORM
SEE INSTRUCTIONS ON REVERSE through 12/31/2013 Page 3 of 6
NAME OF FILER I.D. NUMBER
HUNTINGTON BEACH CHAMBER OF COMMERCE PAC 1361416
Column A
Column B
Contributions Received
TOTALTHISPERIOD
CALENDARYEAR
(FROM ATTACHED SCHEDULES)
TOTALTODATE
1.
Monetary Contributions ...........................................
Schedule A, Line 3
$
7,500.00
$
7,500.00
2.
Loans Received......................................................
Schedule B, Line 3
0.00
0.00
3.
SUBTOTAL CASH CONTRIBUTIONS .........................
Add Lines 1 +2
$
7, 500.00
$
7, so0.00
4.
Nonmonetary Contributions ....................................
Schedule C, Line 3
0.00
0.00
5.
TOTAL CONTRIBUTIONS RECEIVED••.•••••.........•••••.••••
Add Lines 3+4
$
7,500.00
$
7,500.on
Expenditures Made
6. Payments Made .......................................................
Schedule E, Line 4
$
550.00
7. Loans Made..................................................:..........
Schedule H, Line 3
0.00
8. SUBTOTAL CASH PAYMENTS ....................................
Add Lines 6+7
$
550.00
9. Accrued Expenses (Unpaid Bills) ...............................
Schedule F Line 3
504.28
10. Nonmonetary Adjustment ..........................................
Schedule C, Line 3
0.00
11. TOTAL EXPEN DITU RES MADE ................................
Add Lines 8+9+10
$
1,054.28
Current Cash Statement
12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ 0.00
13. Cash Receipts ................................................... Column A,Line 3above 7,500.00
14. Miscellaneous Increases to Cash ........................... Schedule i, Line 4 0.00
15.Cash Payments .................................................. Column A, Line 8above 550.00
16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ 6,950.00
If this is a termination statement, Line 16 must be zero.
17. LOAN GUARANTEES RECEIVED ........................... Schedule B, Part $ 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 $ 504.28
$ 550.00
0.00
$ 550.00
504.28
0.00
$ 1,054.28
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)
*Amounts in this section may be different from amounts
reported in Column B.
FPPC Form 460 (January/06)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/276-3772)
www.netfile.com
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0003930321 JAN 31 ',2014
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11
Huntington Beach City Clerk
2000 Main Street
Huntington Beach, CA 92648