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Home My WebLink AboutDwyer, Devin - 2009 FPPC Campaign Disclosure Forms - Devin D Campaign Disclosure Statement Type or print in ink. SUMMARY PAGE Amounts may be rounded Statement covers period CA ® - Summary Page to whole dollars. from 07/01/2009 FORM, SEE INSTRUCTIONS ON REVERSE through 12/31/2009 Page 3 of 9 NAME OF FILER I.D. NUMBER Devin Dwyer for Council 1299718 Column Column B Calendar Year Summary for Candidates Contributions Received TOTALTHIS PERIOD CALENDARYEAR Running in Both the State Prima and (FROMATTACHED SCHEDULES) TOTALTO DATE g Primary General Elections 1. Monetary Contributions ........................................... Schedule A,Line 3 $ 3,600.00 $ 6,049.00 1/1 through 6/30 7/1 to Date 2. Loans Received ...................................................... Schedule B,Line 3 0.00 15,697.00 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1+2 $ 3,600.00 $ 21,746.00 20. Contributions Received $ $ 4. Nonmonetary Contributions.................................... Schedule C,Line 3 0.00 0.00 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ...........................Add Lines 3+4 $ 3,600.00 $ 21,746.00 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made....................................................... Schedule E,Line 4 $ s,s10.50 $ 6,065.50 Candidates 7. Loans Made............................................................. Schedule H,Line 3 0.00 0.00 22. Cumulative Expenditures Made* 8. SUBTOTALCASH PAYMENTS .................................... Add Lines 6+7 $ s,sio.so $ 6,065.50 (If Subject to Voluntary Expenditure Limit) 9. Accrued Expenses (Unpaid Bills) ...............................Schedule F Line 3 -4,500.00 3,100.00 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 $ 1,010.50 $ 9,165.so _�� $ Current Cash Statement $ 12. Beginning Cash Balance....................... Previous Summary Page,Line 16 $ 2,525.80 To calculate Column B,add 13. Cash Receipts ................................................... Column A,Line 3 above 3,600.00 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 a above s,Sio.so report. Some amounts inColumn A may be negative 16. ENDING CASH BALANCE.......... Add Lines 12+13+14,then subtract Line 15 $ 615.3 0 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 s,Part $ 0.00 for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if Cash Equivalents and Outstanding Debts any). 18. Cash Equivalents............................... ......... See instructions on reverse $ 0.00 19. Outstanding Debts......................... Add Line 2+Line 9 in Column B above $ 18,797.00 FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(8661275-3772) Recipient Committee Type or print in ink. Date Stamp COVER PAGE Campaign Statement CALIFORNIA, Cover Page FORM (Government Code Sections 84200-84216.5) Statement covers period Date of election if applicable('' Page 1 of 9 from 01/01/2009 (Month, Day, Year) ` 2999 s t_ 13 , 9: 56 For Official Use Only SEE INSTRUCTIONS ON REVERSE through 06/30/2009 L,. 1. Type of Recipient Committee: All Committees—Complete Parts 1,2,3,and 4. 2. Type of Statement:.11 �I 1 I ' Pt(� xJ Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑ Preelection Statement ❑ Quarterly Statement Q State Candidate Election Committee Committee ® Semi-annual Statement Q Recall Q Controlled (A/soCompletePartS) � Sponsored ❑ Termination Statement ❑ Supplemental Preelection (Also file a Form 410 Termination) Statement-Attach Form 495 (Also Complete Part 6) ❑ General Purpose Committee ❑ Amendment(Explain below) Q Sponsored ❑ Primarily Formed Candidate/ Q Small Contributor Committee Officeholder Committee Q Political Party/Central Committee (Also Complete Part7) 3. Committee Information I.D. NUMBER Treasurer(s) 1299718 COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) Devin Dwyer for Council Lysa Ray MAILING ADDRESS 603 E Alton Ave Suite H STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE 19051 Goldenwest St #106-249 Santa Ana, CA 92705 714-540-2295 CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY Huntington Beach, CA 92648 714-540-2295 MAILING ADDRESS (IF DIFFERENT) NO.AND STREET OR P.O. BOX MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX/ E-MAIL ADDRESS OPTIONAL: FAX/E-MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knipwte—agpAe information ained herein and in the attached schedules is true and complete. I certify under penalty of perjury under t e laws ?f the State of California that the foregoing is true and correct Executed on 7 By s atf gnatur ofTre r Assi "ntTreasurer r Executed on By to Signature ofContro fficeholderC Dandidate, asure Pro ponentor Responsible Officer ofSponsor Executed on By 77 - Date Signature of Controlling OfficehAd6r,Candidate,State Measure Proponent Executed on By Date Signature of Controlling Officeholder,Candidate,State Measure Proponent FPPC Form 460(January105) FPPC Toll-Free Helpline:866/ASK-FPPC(8661275-3772) State of California Recipient Committee Type or print in ink. COVER PAGE-PART Campaign Statement CALIFORNIA Cover Page—Part 2 Page 2 of 9 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE Devin Dwyer OFF R HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO.OR LETTER JURISDICTION ❑ SUPPORT City Council Member Huntington Beach ❑ OPPOSE RESIDENTIAL/BUSINESS ADDRESS (NO.AND STREET) CITY STATE ZIP 310 22nd St Huntington Beach, CA 92648 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 ❑ YES ❑ NO officeholder(s) or candidate(s)for which this committee is primarily formed. COMMITTEE ADDRESS STREETADDRESS (NO P.O.BOX) NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE CITY STATE ZIP CODE AREA CODE/PHONE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE COMMITTEE NAME I.D. NUMBER NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF TREASURER CONTROLLED COMMITTEE? NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ YES ❑ NO ❑ SUPPORT COMMITTEE ADDRESS STREETADDRESS (NO P.O.BOX) I ❑ OPPOSE CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/276-3772) 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. ® 1 from 01/01/2009 FORM SEE INSTRUCTIONS ON REVERSE through 06/30/2009 Page 3 of 9 NAME OF FILER I.D. NUMBER Devin Dwyer for Council 1299718 Column Column B Calendar Year Summary for Candidates Contributions Received TOTALTHISPERIOD CALENDARYEAR Running in Both the State Primary and (FROM ATTACHED SCHEDULES) TOTALTODATE g ma ry General Elections 1. Monetary Contributions ........................................... Schedule A,Line 3 $ 2,449.00 $ 2,449.00 2. Loans Received ...................................................... Schedule e,Line 3 0.00 1S,697.00 1/1 through 6/30 7/1 to Date 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1+2 $ 2,449.00 $ 18,146.00 20. Contributions Received $ $ 4. Nonmonetary Contributions.................................... Schedule C,Line 3 0.00 0.00 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED •••.•.•....................AddLines3+4 $ 2,449.00 $ 18,146.00 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made....................................................... Schedule E,Line 4 $ 555.00 $ 555.00 Candidates 7. Loans Made............................................................. Schedule H,Line 3 0.00 0.00 22. Cumulative Expenditures Made* 8. SUBTOTALCASH PAYMENTS .................................... Add Lines 6+7 $ s55.00 $ 555.00 (if Subjectto Voluntary Expenditure Limit) 9. Accrued Expenses (Unpaid Bills) ...............................Schedule F,,Line 3 0.00 7,600.00 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 $ 555.00 $ 8,155.00 $ Current Cash Statement $ 12. Beginning Cash Balance....................... Previous Summary Page,Line 16 $ 631.80 To calculate Column B,add 13.Cash Receipts ................................................... Column A,Line 3 above 2,449.00 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 555.00 report. Some amounts inColumn A may be negative 16. ENDING CASH BALANCE.......... Add Lines 12+13+14,then subtract Line 15 $ 2,525.80 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,Part 2 $ 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 $ 23,297.00 FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Schedule A Type or print in ink. Moneta Contributions Received Amounts may be rounded p SCHEDULE A Statement covers eriod to whole dollars. � ® " 46 , 1 from 01/01/2009 • SEE INSTRUCTIONS ON REVERSE through 06/30/2009 Page 4 of 9 NAME OF FILER I.D. NUMBER Devin Dwyer for Council 1299718 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTORTEE,ALSOENTERI.D.NUMBER) CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IFCOMMIT CODE * OCCUPAT NDAR YEAR TO DATE (IF SELF-EMPLOYED,ENTER NAME PERIOD (JAN. 1 -DEC.31) (IF REQUIRED) 30/2009Amstar/Red Oak ❑IND 250.00 250.00 P08 250.00 ❑COM 2101 Business Center Drive ❑X OTH #23 12 El SCC 05/01/2009 Timothy Buckley ❑RIND President - CEO 100.00 100.00 G08 ❑COM 4 Gondoliers Bluff ❑OTH Vintage Design Newport Coast, CA 92657 ❑SCC 03/24/2009 Butier Engineering, Inc. ❑IND 200.00 200.00 Goa zoo.o0 ❑COM 17782 E. 17th Street ❑X OTH Suite 107 ❑PTY Tustin, CA 92780 ❑SCC 05/01/2009 CDR Concrete, Inc. ❑IND 200.00 0.00 G 08 0.00 ❑COM P.O. Box 708 ❑X OTH Anaheim, CA 92815-0708 ❑PTY ❑SCC 05/05/2009 CDR Concrete, Inc. ❑IND -200.00 0.00 GOB 0.00 ❑COM P.O. Box 708 ❑x OTH Anaheim, CA 92815-0708 I]PTY ❑SCC SUBTOTAL$ 550.00 11 Schedule A Summary � *Contributor Codes 1. Amount received this period-itemized monetary contributions. IND-Individual (Include all Schedule A subtotals.)........................................................................................................$ 2,350.00 COM-Recipient Committee (other than PTY or SCC) 2. Amount received this period-unitemized monetary contributions of less than$100 ............................. $ 99.00 OTH—Other(e.g., business entity) PTY—Political Party 3. Total monetary contributions received this period. SCC-Small contributor committee Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1. TOTAL $ 2,449.00 FPPC Form 460(Januaryl05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Schedule'A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. from 01/01/2009 'FORM 460 through 06/30/2009 Page 5 of 9 NAME OF FILER I.D.NUMBER Devin Dwyer for Council 1299718 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IFCOMMITTEE,ALSO ENTER I.D.NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR D,ENTER NAME PERIOD (JAN. 1 -DEC.31) (IF REQUIRED) OF BUSINESS) 06/30/2009 Fuscoe Engineering, Inc. ❑IND 100. 08 100.00 ❑COM 16795 von Karman Avenue ❑X OTH Suite 100 El PTY Irvine, CA 92606 untington Beach Firefighters Association (#902935) OS/O1/2009 ❑IND 500.00 500.00 GOS 500.00 ❑x COM Huntington Beach, CA 92649 ❑PTY ❑SCC Lawson & Associates Geotechnical os/o1/2009 00.00 100.00 G os 100.00 ❑COM 1319 Calle Avanzado ❑x OTH San Clemente, CA 92673 ❑PTY ❑SCC fission Landscape Services, Inc. 06/30/2009 ❑IND 500.00 500.00 P08 500.00 ❑COM 3002 Dow Ave. ❑X OTH Suite 202 Tustin, CA 92780 ❑PTY ❑SCC 05/01/2009 Oak Leaf Landscape, Inc. ❑IND 100.00 100.00 G08 100.00 []COM 2885 E. La Cresta ❑x OTH ❑PW Anaheim, CA 92806 ❑SCC SUBTOTAL$ 1 3 00, .00 Contributor Codes IND—Individual COM—Recipient Committee (other than PTY or SCC) OTH—Other(e.g., business entity) PTY—Political Party FPPC Form 460(Januaryl05) SCC—Small Contributor Committee FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period a . to whole dollars. from 01/01/2009 through 06/30/2009 page 6 of 9 I.D.NUMBER NAME OF FILER Devin Dwyer for Council 1299718 ,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION FULL NAME, CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF COMMITTEE,ALSO ENTER I.D.NUMBER) C NTER NAME PERIOD (JAN. 1 -DEC.31) (IF REQUIRED) OF BUSINESS) 05/01/2009 Signal Landamrk ❑IND 500.00 500.00 G 08 500.00 ❑COM 6 Executive Circle ❑x OTH Suite 250 ❑PTY Irvine, CA 92614 El SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC G I C k i i i t I I ilpli llillllpii i�Ih Its PG •�';� SUBTOTAL$ *Contributor Codes IND—Individual COM—Recipient Committee (other than PTY or SCC) OTH—Other(e.g., business entity) PTY—Political Party FPPC Form 460(January/05) SCC—Small Contributor Committee FPPC Toll-Free Helpline:866/ASK-FPPC(8661276-3772) Schedule B—Park Type or print in ink. SCHEDULEB-PART1 Amounts may be rounded Statement covers period Loans Received to whole dollars. ® �NIA 6 from 01/01/2009 ® ' SEE INSTRUCTIONS ON REVERSE through 06/30/2009 Page 7 of 9 NAME OF FILER I.D. NUMBER Devin Dwyer for Council 1299718 FULL NAME,STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OUTSTANDING (b) W (d) (e) (f) M OCCUPATION AND EMPLOYER AMOUNT AMOUNTPAID OUTSTANDING INTEREST ORIGINAL CUMULATIVE OF LENDER BALANCE RECEIVED THIS BALANCEAT PAID THIS AMOUNTOF CONTRIBUTIONS (IFSEL NTER BEGINNING THIS PERIOD OR FORGIVEN CLOSE OF THIS PERIOD LOAN TO DATE (IFCOMMITTEE,ALSO ENTER I.D.NUMBER) NAME OF BUSINESS) PERIOD THIS PERIOD* PERT D Devin Dwyer Candidate ❑PAID CALENDARYEAR 310 22nd St $ 0.00 $ 6,000.00 0% /0 0.00 $ 0.00 Huntington Beach City Huntington Beach, CA 92468 Council ❑FORGIVEN RATE PER ELECTION** 6,000.00 0.00 G08 15,697.00 0.00 0.00 t® IND El COM $ $ $ $ 07/11/2007 $ ❑ OTH ❑ P DATE DUE DATE INCURRED Devin Dwyer Candidate ❑PAID CALENDARYEAR 310 22nd St $ 0.00 $ 1,000.00 00 / $ 1,000.00 $ 0.00 Huntington Beach City RATE Huntington Beach, CA 92468 Council ❑FORGIVEN PER ELECTION** 1,000.00 0.00 Goa 15,697.00 $ $ $ 0.00 $ 0.00 09/30/2008 $ t® IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATEDUE DATE INCURRED Devin Dwyer Candidate ❑PAID CALENDARYEAR 310 22nd St $ 0.00 $ 8,697.00 0% / $ 8,697.00 $ 0.00 Huntington Beach City RATE Huntington Beach, CA 92468 Council ❑FORGIVEN PER ELECTION*"' 8,697.00 0.00 0.00 0.00 11/03/2008 GOB 15,697.00 t® IND $ $ S $ $ ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED SUBTOTALS $ 0.00 $ 0.00 15,697.00 $ 0.00 �'+ _'a (Enter(a)on Schedule B Summary Schedule E,Line 3) 1. Loans received this period.................................................................................................................... $ 0.00 (Total Column(b)plus unitemized loans of less than$100.) tContributor Codes COM IND—individual 2. Loans paid or forgiven this period .......................................... .............................................................. $ 0.00 COM-Recipient Committee (Total Column(c)plus loans under$100 paid or forgiven.) (other than PTY or SCC) (Include loans paid by a third party that are also itemized on Schedule A.) OTH—Other(e.g., business entity) PTY—Political Party 3. Net change this period. Subtract Line 2 from Line 1. 0.00 SCC—Small Contributor Committee Enter the net here and on the Summary Page, Column A, Line 2. (May be a negative number) *Amounts forgiven or paid by another party also must be reported on Schedule A. **If required. FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) SCHEDULEE SChedlu9e'E Type or print in ink. Statement covers period Payments Made Amounts may be rounded ® ' to whole dollars. from 01/01/2009 SEE INSTRUCTIONS ON REVERSE through 06/30/2009 Page 8 of 9 NAME OF FILER I.D. NUMBER Devin Dwyer for Council 1299718 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)' OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals IND independent expenditure supporting/opposing others (explain)' POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration Lrr campaign literature and mailings WEB information technology costs (internet, e-mail) NA (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID Lysa Ray Campaign Services PRO 362.50 603 E Alton Ave Suite H Santa Ana, CA 92705 Lysa Ray Campaign Services PRO 187.50 603 E Alton Ave Suite H Santa Ana, CA 92705 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 550.00 Schedule E Summary 1. Itemized payments made this period. Include all Schedule E subtotals. ...................... $ 550.00 2. Unitemized payments made this period of under$100 .......................................................................................................................................... $ 5.00 3. Total interest paid this period on loans. Enter amount from Schedule B, Part 1, Column e $ 0.00 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ............................. TOTAL $ 555.00 FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772)