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Home My WebLink AboutPeterson, Erik H. - 2013 FPPC Campaign Disclosure Forms For (2)Type or print in ink. COVER PAGE - PART 2 Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Erik Peterson OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) City Council Huntington Beach, Huntington Beach 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 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 Page 2 of 4 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER I JURISDICTION I ❑ 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 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. A from 07/01/2013 ® t SEE INSTRUCTIONS ON REVERSE through 12/31/2013 Page 3 of 4 NAME OF FILER I.D. NUMBER Erik Peterson for City Council 2012 1342226 Contributions Received 1. Monetary Contributions ........................................... Schedule A, Line 3 $ 2. Loans Received...................................................... Schedule a, Line 3 3. SUBTOTALCASH CONTRIBUTIONS ......................... Add Lines 1 +2 $ 4. Nonmonetary Contributions .................................... Schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3+4 $ Column A TOTALTHIS PERIOD (FROM ATTACHED SCHEDULES) 0.00 0.00 0.00 Column B Calendar Year Summary for Candidates CALENDARYEAR TOTALTO DATE g ry Running in Both the State Prima and General Elections $ 0.00 1/1 through 6/30 7/1 to Date 5,700.00 $ 5,700.00 0.00 0.00 0.00 $ Expenditures Made 6. Payments Made ....................................................... Schedule E, Line 4 $ 0.00 7. Loans Made............................................................. Schedule H, Line 3 0.00 8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6 + 7 $ 0.00 9. Accrued Expenses (Unpaid Bills Schedule F, Line 3 0.00 10. Nonmonetary Adjustment .......................................... ScheduleC, Linea 0.00 11. TOTAL EXPENDITURES MADE ................................Add lines a + 9 + 10 $ 0.00 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 1, Line 4 15. 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 $ 9,254.47 0.00 0.00 0.00 9,254.47 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 $ 5,700.00 5,700.00 $ 0.00 0.00 $ 0.00 0.00 0.00 $ 0.00 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). 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/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Type or print in ink. Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled. Committee NAME OF OFFICEHOLDER OR CANDIDATE Erik Peterson OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) City Council Huntington Beach Huntington Beach 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 COMMITTEENAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COVER PAGE - PART 2 Page 2 of 4 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 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. COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary 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 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/276-3772) State of California www.netfile.com Campaign Disclosure Statement Type or print in ink. 11111111111311 ill SUMMARYPAGE Amounts may be rounded Statement covers period p - Summary Page to Whole dollars. ® ® o from 01/01/2013 ® - through 06/30/2013 Page 3 of 4 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Erik Peterson for City Council 2012 1342226 olum Column B Calendar Year Summary for Candidates Contributions Received To ROD ALENDARYEAR Running in Both the State Primary and (FROMATTACHED SCHEDULES) TOTALTO DATE General Elections 1. Monetary Contributions ........................................... Schedule A, Line 3 $ 0.00 $ 0.00 1/1 through 6/30 7/1 to Date 2. Loans Received...................................................... Schedule B, Line 3 0.00 5,700.00 3. SUBTOTAL CASH CONTRIBUTIONS Add Lines 1 +2 $ 0.00 $ 5,700.00 20. Contributions ......................... Received $ $ 4. Nonmonetary Contributions .................................... Schedule C, Line 3 0.00 0.00 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3+4 $ 0.00 $ 5,700.00 Made $ $ Expenditures Made 6. Payments Made .................................. 7. Loans Made ........................................ 8. SUBTOTALCASH PAYMENTS ........... 9. Accrued Expenses (Unpaid Bills) ...... 10. Nonmonetary Adjustment .................. 11. TOTAL EXPENDITURES MADE .......... .................. Schedule E, Line 4 $ 0. 00 .................. Schedule H, Line 3 0.00 ...................... Add Lines 6+ 7 $ 0.00 ...................... Schedule F, Line 3 0. 00 ..................... Schedule C, Line 3 0.00 ................... Add Lines 8 + 9 + 10 $ 0.00 Current Cash Statement 12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ 9,254.47 13. Cash Receipts ................................................... Column A, Line 3above 0.00 14. Miscellaneous Increases to Cash ........................... Schedule 1, Line 4 0.00 15. Cash Payments .................................................. Column A, Line 8above 0.00 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ 9,254.47 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 $ 0.00 0.00 5,700.00 $ 0.00 0.00 $ 0.00 0.00 0.00 $ 0.00 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). 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/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) www.neifile.com Estanislau, Robin From: Estanislau, Robin Sent: Saturday, August 03, 2013 10:42 PM To: Erik Peterson Cc: Flynn, Joan Subject: Re: 460 Semi -Annual Filing Eric, We are working to bring forth an ordinance to Council that makes this process paperless, but for the time being we must still collect a hard copy form with wet signature. Thank you in advance for bringing it in next week. Robin Sent from my iPad On Aug 2, 2013, at 5:34 PM, "Erik Peterson" <erikpetersonhb@gmail.com> wrote: I did it on line. I thought if I did it on line I didn't have to come in. If not, I'll print it out next week and come in. Thanks On Aug 2, 2013, at 5:01 PM, "Estanislau, Robin" <Robin.Estanislau@surfcity-hb.org> wrote: Hi Eric, Your semi-annual 460 filing was due to our office on July 31, 2013 at 5:00 PM and I haven't received it. I would appreciate hearing from you about the status of this form. Thank you! Robin Estanislau Assistant City Clerk City of Huntington Beach 2000 Maim Street Huntington Beach CA 92648 (714) 536-5405 Robin.Estanislau@surfcity-hb.org