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Huntington Beach Firefighters Association - 2011 FPPC Campai (2)
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 through 12/31/2011 Page 2 of 4 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Huntington Beach Firefighters Association 902935 Column A Column B Calendar Year Summary for Candidates Contributions Received TOTALTHISPERIOD CALENDAR YEAR Running in Both the State Primary and 9 r FROM ATTACHED SCHEDULES) TOTALTODATE General Elections 1. Monetary Contributions ........................................... Schedule A, Line 3 $ 1585.28 $ 1585.28 0.00 0.00 111 through 6i30 7!1 to Date 2. Loans Received...................................................... Schedule B, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 + 2 $ 1580.00 $ 1580.00 20. Contributions Received $ $ 4. Nonmonetary Contributions .................................... Schedule C, Line 3 0.00 0.00 21 Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3+4 $ 1585.28 $ 1585.28 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made ....................................................... Schedule E, Line 4 $ 982.03 $ 982.03 Candidates 7. Loans MadeSchedule H, Line 3 0.00 0.00 ............................................................. 982.03 982.03 22. Cumulative Expenditures Made* 8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6 + 7 $ $ (H Subjectto Voluntary Expenditure Limit) 9. Accrued Expenses (Unpaid Bills Schedule F, Line 3 0.00 0.00 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 $ 982.03 $ 982.03 _ J_ J $ -J-J $ Current Cash Statement 12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ 132374.71 To calculate Column B, add 13. Cash Receipts ................................................... Column A, Line 3 above 1585.28 amounts in Column A to the 0.00 corresponding amounts *Amounts in this section may be different from amounts 14. Miscellaneous Increases to Cash ........................... Schedule 1, Line 4 from Column B of your last reported in Column B. 982.03 report. Some amounts in 15. Cash Payments .................................................. Column A, Line 8 above Column A may be negative 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ 132977.96 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 B, Part 2 $ 0.00 for this calendar year, only ........................... carry over the amounts arum Lines 2, 7, and 9 (if Cash Equivalents and Outstanding Debts 18. Cash Equivalents ........................................ See instructions on reverse $ 132977.96 y) 19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column B above $ 0.00 FPPC Fomi 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) n Z ley,-. 9 ; Type or print in ink. SCHEDULE A Monetary Contributions Received Amounts may rounded to whole dollars. Statement covers period • - d from 07/01 /2011 ® - ty through 12/31/2011 Page 3 of 4 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Huntington Beach Firefighters Association 902935 DATE ZIPDE O FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED QFCOMMIDRESLSAND .D.N CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) ❑IND ❑ COM ❑ OTH PTY ❑SCC ❑IND COM OTH PTY ❑SCC IND ❑ COM ❑ OTH PTY ❑ SCC ❑IND COM OTH ❑ PTY ❑ SCC ❑IND COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL$ Schedule A Summary Amount received this period — itemized monetary contributions. Include all Schedule A subtotals............................................................... $ 2. Amount received this period — unitemized monetary contributions of less than $100 ............................. $ 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $ 1585.28 1585.28 IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC— Small Contributor Committee FPPC Forth 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE STATEMENT OF ORGANIZATION COMMITTEE NAME I.D. NUMBER HUNTINGTON BEACH FIREFIGHTERS ASSOCIATION 902935 4. Type of Comm tee 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. NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT ELECTIVE OFFICE SOUGHT OR HELD (INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PARTY • List the financial institution where the campaign bank account is located (controlled "candidate election" committees only) NAME OF FINANCIAL INSTITUTION ADDRESS AREA CODE/PHONE CITY BANKACCOUNT STATE ZIP CODE e 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 SOUGHT OR HELD OR MEASURE(S) JURISDICTION (INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE) N/A CHECK ONE )RT OPPOSE OPPOSE FPPC Form 410 (Apri112011) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/276-3772) Type or print in ink. COVER PAGE PART 2 Recipient Committee Campaign Statement C�LI©RN:IA Cover Page Part 2oRM 2/5 5. Officeholder or Candidate Controlled Committee 6. 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 to make expenditures on behalf of your candidacy. COMMITTEE NAME I.D.NUMBER 7, primarily Formed Committee List names of officeholders) or candidate(s) for which this committee is primarily formed. NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (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 STREET ADDRESS (NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE 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 (June/01) FPPC Toll -Free Helpline: 866/ASK-FPPC State of California Campaign Disclosure Statement Type or print in ink. SlAmmar Pa a Amounts may be rounded g to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER HUNTINGTON BEACH FIREFIGHTERS ASSOCIATION Contributions Received 1. Monetary Contributions ............................................. Schedule A, Line 3 2. Loans Received......................................................... Schedule B, Line 7 3. SUBTOTAL CASH CONTRIBUTIONS ............................ Add Lines 1 + 2 4. Nonmonetary Contributions ................................... Schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 + 4 Expenditures Made 6. Payments Made ........................................................ Schedule E, Line 4 7. Loans Made.............................................................. Schedule H, Line 7 8. SUBTOTAL CASH PAYMENTS ................................... Add Lines 6 + 7 9. Accrued Expenses (Unpaid Bills) ............................. Schedule F, Line 3 10. Nonmonetary Adjustment ......................................... Schedule C, Line 3 11. TOTAL EXPENDITURES MADE ............................ Add Lines 8 + g + 10 Current Cash Statement 12. Beginning Cash Balance ..................... Previous Summary Page, Line 16 13. Cash Receipts ................................................. Column A, Line 3 above 14. Miscellaneous Increases to Cash .................................... Schedule I, Line 4 Cash Payments ................................................. Column A, Line 8 above 16. ENDING CASH BALANCE..... Add Lines 12 + 13 + 14, then subtract Line 15 If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED.. ......................... Schedule B, Part 2 Cash Equivalents and Outstanding Debts 18. Cash Equivalents ........................................ See instructions on reverse 19. Outstanding Debts ....................... Add Line 2 + Line 9 in Column B above SUMMARY PAGE Statement covers period CUr" KI from 'FORM through P&P 1d 3 / 5 Column A Column B TOTAL THIS PERIOD CALENDAR YEAR (FROM ATTACHED SCHEDULES) TOTAL TO DATE $ 0.00 $ 0.00 0.00 0.00 $ 0.00 $ 0.00 0.00 0.00 0.00 $ 0.00 $ 0.00 $ 0.00 0.00 0.00 $ 0.00 $ 0.00 0.00 0.00 0.00 0.00 $ 0.00 $ 0.00 $ 132374.71 To calculate Column B, add 0.00 amounts in Column A to the corresponding amounts 0.00 from Column B of your last report. Some amounts in 0•00 Column A may be negative $ 132374.71 figures that should be subtracted from previous period amounts. If this is the first report being filed 0.00 for this calendar year, only $ carry over the amounts from Lines 2, 7, and 9 (if any). $ 0.00 $ 0.00 I.D. NUMBER Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 through 6/30 7/1 to Date 20. Contribution Received $ 0.00 $ 0.00 21. Expenditures Made $ 0.00 $ 0.00 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) *Since January 1, 2001. Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (June/01) FPPC Toll -Free Helpline: 866/ASK-FPPC SCHEDULE C dotes Form/Schedule Reference No TEXT Pa ment of administrative expense by sponsor. Reported pursuant to 2 C C1275 C�R Section 18215(c)(16). Paymnt of administrative expense by sponsor. Reported pursuant to 2 yR C C1276 C Seection 18215(c)(16).