HomeMy WebLinkAboutPeterson, Erik - 2014 FPPC Campaign Disclosure Forms for 201 Statement of Organization CALIFORNIA
Recipient Committee FORM
INSTRUCTIONS ON REVERSE
Page 3
COMMITTEE NAME I.D.NUMBER
Erik Peterson for Huntington Beach City Council 2014
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 [] COUNTY Committee❑ STATE Committee
PROVIDE BRIEF DESCRIPTION OF ACTIVITY
.I List additional sponsors on an attachment.
NAME OF SPONSOR INDUSTRY GROUP OR AFFILIATION OF SPONSOR
STREET ADDRESS NO.AND STREET CITY STATE ZIP CODE
Small Contributor Committee
Date qualified
S.Termination Requirements By signing the verification,the treasurer,assistant treasurer and/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.
Leftover funds of ballot measure committees may be used for political, legislative or governmental purposes under Government Code Sections 89511-89518, and are
subject to Elections Code Section 18680 and FPPC Regulation 18521.5.
FPPC Form 410(Dec/2012)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov
Campaign Disclosure Statement Type or print in ink. SUMMARY PAGE
Amounts may be rounded Statement covers period CALIFORNIA
Summary Page to whole dollars. I / '
from 10/19/2014 FORM
SEE INSTRUCTIONS ON REVERSE
through 12/31/2014 page 3 of 12
NAME OF FILER I.D. NUMBER
Erik Peterson for City Council 2014 1342226
Column A Column B Calendar Year Summary for Candidates
Contributions Received TOTALTHISPERIOD CALENDARYEAR Running in Both the State Prima and
(FROM ATTACHED SCHEDULES) TOTALTO DATE g Primary
General Elections
1. Monetary Contributions Schedule A,Line3 $ 2,590.00 $ 22,729.27
...........................................
1/1 through 6/30 7/1 to Date
2. Loans Received ...................................................... Schedule B,Line 3 -5,000.00 0.00
3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1+2 $ -2,410.00 $ 22,729.27 20. Contributions
Received $ $
4. Nonmonetary Contributions.................................... Schedule C,Line 3 0.00 0.00 21. Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED ...........................Add Lines 3+4 $ -2,410.00 $ 22,729.27 Made $ $
Expenditures Made Expenditure Limit Summary for State
6. Payments Made....................................................... Schedule e,Line 4 $ 7,989.01 $ 26,668.74 Candidates
7. Loans Made............................................................. Schedule H,Line 3 0.00 0.00
22. Cumulative Expenditures Made*
8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6+7 $ 7,989.01 $ 26,668.74 (If Subject to 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 8+9+10 $ 7,989.01 $ 26,668.74 $
Current Cash Statement $
12.Beginning Cash Balance....................... Previous Summary Page,Line 16 $ 10,014.01
To calculate Column B,add
13.Cash Receipts ................................................... Column A,Line 3 above -2,410.00 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 4 385.00 from Column B of your last reported in Column B.
15.Cash Payments.................................................. Column A,Line 8above 7,989,01 report. Some amounts in
Column A may be negative
16.ENDING CASH BALANCE..........Add Lines 12+13+14,then subtract Line 15 $ 0.00 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 B,Part 2 $ 0.00 for this calendar year, only
carry over the amounts
Equivalents and Outstanding Debts from Lines 2,7,and 9(if
Cash E
�l 9 any).
18. Cash Equivalents.....................I.................. See instructions on reverse $ 0.00
19. Outstanding Debts......................... Add Line 2+Line 9 in Column B above $ 0.00 FPPC Form 460(January/05)
FPPC Toll-Free Helpline:866/ASK-FPPC(866/276-3772)
www.neffile.com
Campaign Disclosure Statement Type or print in ink. SUMMARYPAGE
Amounts may be rounded Statement covers period
Summary Page to whole dollars. CALIFORNIA ® 1
from 11/19/2014 ®-
MI
SEE INSTRUCTIONS ON REVERSE
through 12/31(2014 Page 3 of 6
NAME OF FILER I.D. NUMBER
Erik Peterson for City Council 2014 1342226
Column A Column B Calendar Year Summary for Candidates
Contributions Received TOTALTHISPERIDD CALENDARYEAR Running to Both the State Primary and
(FROMATTACHED SCHEDULES) TOTALTO DATE g ma ry
General Elections
1. Monetary Contributions Schedule A,Linea $ -540.00 $ 22,729.27
1/1 through 6/30 7/1 to Date
2. Loans Received ...................................................... Schedule B,Line 3 0.00 0.00
3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1+2 $ -540.00 $ 22,729.27 20. ContributionsReceived $ $
4. Nonmonetary Contributions.................................... Schedule C,Line 3 0.00 0.00 21. Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED •••••.••.............••••••AddLines3+4 $ -540.00 $ 22,729.27 Made $ $
Expenditures Made Expenditure Limit Summary for State
6. Payments Made....................................................... Schedule E,Line 4 $ 844.26 $ 26,668.74 Candidates
7. Loans Made............................................................. Schedule H,Line 3 0.00 0.00
22. Cumulative Expenditures Made`
8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6+7 $ 844.26 $ 26,668.74 (If Subject to Voluntary Expenditure Limit)
9. Accrued Expenses (Unpaid Bills)...............................ScheduleF,,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 8+9+10 $ 844.26 $ 26,668.74 $
Current Cash Statement $
12.Beginning Cash Balance....................... Previous Summary Page,Line 16 $ 999.26
To calculate Column B,add
13.Cash Receipts ............................................... ... Column A,Line 3 above -540.00 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 4 385.00 from Column B of your last reported in Column B.
15.Cash Payments.................................................. Column A,Line s above e44.26 report. Some amounts inColumn A may be negative
16.ENDING CASH BALANCE..........Add Lines 12+13+14,then subtract Line 15 $ 0.00 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 B,Part 2 $ 0.00 for this calendar year, only
carry over the amounts
Cash Equivalents and Outstanding Debts I
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 $ 0.00 FPPC Form 460(January/05)
FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772)
www.neffile.com
Campaign Disclosure Statement Type or print in ink. SUMMARYPAGE
Amounts may be rounded Statement covers period 'iCALIFORNIA
Summary Page to whole dollars. FORM, ® 0
from 10/01/2014
SEE INSTRUCTIONS ON REVERSE through 10/18/2014 Page 3 of 12
NAME OF FILER I.D. NUMBER
Erik Peterson for City Council 2014 1342226
Column A Column B Calendar Year Summary for Candidates
Contributions Received TOTALTHISPERIOD CALENDARYEAR Running in Both the State Prima and
(FROM ATTACHED SCHEDULES) TOTALTODATE g Primary
General Elections
1. Monetary Contributions ........................................... Schedule A,Line 3 $ 3,040.00 $ 20,139.27
1/1 through 6/30 7/1 to Date
2. Loans Received ...................................................... Schedule B,Line 3 °.00 5,000.00
3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1+2 $ 3,040.00 $ 25,139.27 20. Contributions
Received $ $
4. NOnmonetary Contributions.................................... Schedule C,Line 3 0.00 0.00
21. Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED ...........................Add Lines 3+4 $ 3,040.00 $ 25,139.27 Made $ $
Expenditures Made Expenditure Limit Summary for State
6. Payments Made....................................................... Schedule E,Line 4 $ 10,068.94 $ 18,679.73 Candidates
7. Loans Made............................................................. Schedule H,Line 3 0.00 0.00
22. Cumulative Expenditures Made*
8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6+7 $ 10,068.94 $ 18,679.73 (It Subject to 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 ..........................................ScheduleC,Linea 0.00 0.00 (mm/dd/yy)
11. TOTAL EXPENDITURES MADE................................Add Lines 8+s+10 $ 10,068.94 $ 18,679.73 $
Current Cash Statement $
12.Beginning Cash Balance....................... Previous Summary Page,Line 16 $ 17,042.95 To calculate Column B,add
13.Cash Receipts ................................................... Column A,Line 3 above 3,040.00 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 ° 00 from Column B of your last reported in Column B.
15.Cash Payments.................................................. column A,Line 8 above 10,068.94 report. Some amounts inColumn A may be negative
16.ENDING CASH BALANCE.......... Add Lines 12+13+14,then subtract Line 15 $ 10,014.01 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
Cash Equivalents and Outstanding Debts arny)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 $ 5,000.00 FPPC Form 460(January/05)
FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772)
www.netfile.com
Campaign Disclosure Statement or print in ink. SUMMARY PAGE
Amounts may be rounded Statement covers period
Summary Page to whole dollars. ®�
A" 46RD
from 07/01/2014 FORM
SEE INSTRUCTIONS ON REVERSE through 09/30/2014 Page 3 of 16
NAME OF FILER I.D. NUMBER
Erik Peterson for City Council 2014 1342226
ColumnA Column B Calendar Year Summary for Candidates
Contributions Received TOTALTHISPERIOD CALENDARYEAR Running in Both the State Primary and
(FROM ATTACHED SCHEDULES) TOTALTODATE r
General Elections
1. Monetary Contributions ........................................... Schedule A,Linea $ 12,004.27 $ 17,184.27
1/1 through 6/30 7/1 to Date
2. Loans Received ...................................................... Schedule B,Line 3 0.00 5,000.00
12,004.27 22,184.27 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 $ 12,004.27 $ 22,184.27 Made $ $
Expenditures Made Expenditure Limit Summary for State
6. Payments Made....................................................... Schedule E,Line 4 $ 6,330.75 $ 8,525.79 Candidates
7. Loans Made............................................................. Schedule H,Line 3 0.00 0.00
22. Cumulative Expenditures Made*
8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6+7 $ 6,330.75 $ 8,525.79 (If Subject to 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 ..........................................ScheduleC,Line 0.00 0.00 (mm/dd/yy)
11. TOTAL EXPENDITURES MADE................................Add Lines 8+9+10 $ 6,330.75 $ 8,s25.79 �� $
Current Cash Statement $
12. Beginning Cash Balance....................... Previous Summary Page,Line 16 $ 11,539.43 To calculate Column B,add
13.Cash Receipts ................................................... Column A,Line 3 above 12,004.27 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.o o from Column B of your last reported in Column B.
report. Some amounts in
15. Cash Payments.................................................. Column A,Line6,330.75 e a above Column A may be negative
16. ENDING CASH BALANCE.......... Add Lines 12+13+14,then subtract Line 15 $ 17,212.95 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
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 $ 5,000.00 FPPC Form 460(January105)
FPPC Toll-Free Helpline:8661ASK-FPPC(866/275-3772)
www.netfile.com
Campaign Disclosure Statement Type or print in ink. SUMMARYPAGE
Amounts may be rounded Statement covers period ffi
Summary Page to whole dollars. from 01/01/2014
SEE INSTRUCTIONS ON REVERSE through 06/30/2014 page__3_ of 11
NAME OF FILER I.D. NUMBER
Erik Peterson for City Council 2014 1342226
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 9 Primary
General Elections
1. Monetary Contributions ........................................... Schedule A,Line 3 $ 5,180.00 $ 5,180.00
1/1 through 6/30 7/1 to Date
2. Loans Received ...................................................... Schedule B,Line 3 -700.00 5,000.00
3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines I+2 $ 4,480.00 $ 10,180.00 20. Contributions
Received $ $
4. Nonmonetary Contributions.................................... Schedule C,Line 3 0.00 0.00 21. Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED ...........................Add Lines 3+4 $ 4,480.00 $ 10,180.00 Made $ $
Expenditures Made Expenditure Limit Summary for State
6. Payments Made....................................................... Schedule E,Line 4 $ 2,195.04 $ 2,195.04 Candidates
7. Loans Made............................................................. Schedule H,Line 3 0.00 0.00
22. Cumulative Expenditures Made*
8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6+7 $ 2,195.04 $ 2,195.04 Iff Subjectto Voluntary Expenditure Limit)
9. Accrued Expenses (Unpaid Bills)...............................Schedule Line 3 0.00 0.00 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+9+10 $ 2,195.04 $ 2,195.04 � � $
Current Cash Statement $
12. Beginning Cash Balance....................... Previous Summary Page,Line 16 $ 9,254.47
To calculate Column B,add
13.Cash Receipts ................................................... Column A,Line 3 above 4,480.00 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 8 above 2,195.04 report. Some amounts inColumn A may be negative
16.ENDING CASH BALANCE.......... Add Lines 12+13+14,then subtract Line 15 $ 11,53 9.43 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,Part2 $ 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 $ 5,000.00 FPPC Form 460(January105)
FPPC Toll-Free Helpline: 6661ASK-FPPC(866/275-3772)
www.netfile.com
l ® �
Statement of Organization �
Recipient Committee
INSTRUCTIONS ON REVERSE -
Page 3
COMMITTEE NAME I.O.NUMBER
Erik Peterson for Huntington Beach City Council 2014 1342226
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 ❑ COUNTY Committee❑ STATE Committee
PROVIDE BRIEF DESCRIPTION OF ACTIVITY
•• List additional sponsors on an attachment.
NAME OF SPONSOR INDUSTRY GROUP OR AFFILIATION OF SPONSOR
STREET ADDRESS NO.AND STREET CITY STATE ZIP CODE
Date qualified
S.Termination Requirements By signing the verification,the treasurer,assistant treasurer and/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.
-- Leftover funds of ballot measure committees may be used for political, legislative or governmental purposes under Government Code Sections 89511-89518,and are
subject to Elections Code Section 18680 and FPPC Regulation 18521.5.
FPPC Form 410(Dec/2012)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov
Statement of Organization A
Recipient Committee
INSTRUCTIONS ON REVERSE
Page 3
COMMITTEE NAME I D.NUMBER
Erik Peterson for Huntington Beach City Council 2014 1342226
Not formed to support or oppose specific candidates or measures in a single election. Check only one box:
IZI CITY Committee [:1 COUNTY Committee[:] STATE Committee
PROVIDE BRIEF DESCRIPTION OF ACTIVITY
List additional sponsors onanattachment.
NAME OF SPONSOR JINDUSTRY GROUP OR AFFILIATION OF SPONSOR
STREET ADDRESS NO,AND STREET CITY STATE ZIPCODE
Fl Date qualified
° This committee has ceased m 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 toGovernment
Code Section 8SS19.
— Leftover funds ofbaUot measure commiUeesmay be used for po|i�ca|' |egida�veorgovemmenta|purposes under GovemmentCode 5ecbons89S11'89S1�and ae
Wa� 8�u �oecUon�Code5ection18§80andFPP[Regu|ation18SZ1.S.
pppC Form«1n(oec/2nz2)
pppc Advice:auv/ce@f pc.ca.gov<ms*/2r*ar72>
www^,nnr.rx.gow