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Home My WebLink AboutKalmick, Dan - 2009 FPPC Campaign Disclosure Forms For 2010 (2) Campaign Disclosure Statement Type or print in ink. SUMMARY-PAGE Amounts may be rounded Statement covers period Summary Page to whole dollars. 4 from 07/01/2009 MIRM SEE INSTRUCTIONS ON REVERSE through 12/31/2009 Page 3 of 4 NAME OF FILER I.D. NUMBER Dan Kalmick for HB City Council 2010 1308462 /+ ® ColumnA Column B Calendar Year Summary for Candidates C Re ceived eceived TOTALTHISPERIOD CALENDAR YEAR Running In Both the State Primary and (FROM ATTACHED SCHEDULES) TOTALTODATE g r General Elections 1. Monetary Contributions ........................................... Schedule A,Linea $ $0.00 $ $100.00 2. Loans Received ...................................................... Schedule B,Line 3 $0.00 $0.00 1/1 through 6/30 7/1 to Date 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines I+2 $ $0.00 $ $100.00 20. Receibutions Received $ $ 4. Nonmonetary Contributions.................................... schedule C,Line 3 $0.00 $0.00 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED •••••••••••••.........•••••Add Lines 3+4 $ $0.00 $ $100.00 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made....................................................... Schedule E,Line 4 $ $34.80 $ $182.67 Candidates 7. Loans Made............................................................. Schedule H,Line 3 $0.00 $0.00 22. Cumulative Expenditures Made* 8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6+7 $ $34.80 $ $182.67 (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,Linea $0.00- $0.00 (mm/dd/yy) 11. TOTAL EXPENDITURES MADE................................Add Lines 8+g+10 $ $34.80 $ $182.67 Current Cash Statement --J / $ 12. Beginning Cash Balance....................... Previous Summary Page,Line 16 $ $993.78 To calculate Column B,add 13.Cash Receipts ................................................... Column A,Line 3 above $0.00 amounts in Column A to the corresponding amounts *Amounts in this section may be different from amounts 14. Miscellaneous Increases to Cash........................... Schedule 4Line 4 $0.00 from Column B of your last reported in Column B. 15.Cash Payments.................................................. Column A,Line 8 above $34.80 report. Some amounts in Column A may be negative 16. ENDING CASH BALANCE.......... Add Lines 12+13+14,then subtract Line 15 $ $958'98 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 A 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 8 above $ $0.00 FPPC Form 460(January/05) FPPC Toll-Free Helplinee 866/ASK-FPPC(866/276-3772) SCHEDULEE Schedule Type or print in ink. Statement covers period ® . Amounts may be rounded Payments Made to whole dollars. FORM 4o"O" from 07/01/2009 SEE INSTRUCTIONS ON REVERSE through 12/31/2009 Page 4 of 4 NAME OF FILER I.D. NUMBER Dan Kalmick for HB City Council 2010 1308462 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia/mist. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)' OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals IND independent expenditure supporting/opposing others (explain)' POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.).........._................................................................................................. $_ $0.00 2. Unitemized payments made this period of under$100 ......................................................................................................................................._ $ $34.80 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 $ $34.80 FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Type or print in ink. COVER PAGE-PART 2 Recipient Committee ®_ Campaign Statement ® - Cover Page—Part 2 Page 2 of 5 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEAS OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO.OR LETTER JURISDICTION ❑ SUPPORT ❑ OPPOSE City Council Member City of Huntington Beach District: 0 RESIDENTIAL/BUSINESS ADDRESS (NO.AND STREET) CITY STATE ZIP 16772 Glenhaven Lane Identify the controlling officeholder, candidate, or state measure proponent, if any. Huntington Beach CA 92647 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) 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 ❑ OPPOSE COMMITTEE ADDRESS STREETADDRESS (NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary FPPC Form 460(January/06) FPPC Toll-Free Helpline:866/ASK-FPPC(866/2763772) 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. d from 01/01/2009 ®- SEE INSTRUCTIONS ON REVERSE through 06/30/2009 Page 3 of 5 NAME OF FILER I.D. NUMBER Dan Kalmick for HB City Council 1308462 TColumn olum a oD cColuDmn B Calendar Year Summary for Candidates Contributions Received Running in Both the State Primary and (FROM ATTACHED SCHEDULES) TOTALTODATE g ma rY General Elections 1. Monetary Contributions ........................................... schedule A,Line $ $100.00 $ $100.00 1/1 through 6/30 7/1 to Date 2. Loans Received ...................................................... schedule a,Line $0.00 $0.00 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1+2 $ $100.00 $ $100.00 20. Contributions Received $ $ 4. Nonmonetary Contributions.................................... schedule C,Line 3 $0.00 $o.o0 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ...........................Add Lines 3+4 $ $100.00 $ $100.00 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made....................................................... ScheduleE,Line $ $147.87 $ $147.87 Candidates 7. Loans Made............................................................. Schedule H,Line 3 $0.00 $0.00 22. Cumulative Expenditures Made' 8. SUBTOTALCASH PAYMENTS .................................... Add Lines 6+7 $ $147.87 $ $147.87 (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 $ $147.87 $ $147.87 $ Current Cash Statement -J $ 12. Beginning Cash Balance....................... Previous summary Page,Line 16 $ $1,041.6s To calculate Column B,add 13.Cash Receipts ................................................... Column A,Line 3 above $100.00 amounts in Column A to the 14.Miscellaneous Increases to Cash........................... schedule 1,Line 4 $0.00 corresponding amounts *Amounts in this section may be different from amountsfrom Column B of your last reported in Column B. 15.Cash Payments.................................................. Column A,Line 8above $147.87 report. Some amounts in Column A may be negative 16. ENDING CASH BALANCE.......... Add Lines 12+13+14,then subtract Line 15 $ $993.78 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 from Lines 2,7,and 9(if Cash Equivalents and Outstanding Debts $o.00 any). 18. Cash Equivalents........................................ See instructions on reverse $ 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) Schedule A Type or print in ink. SCHEDULE A Amounts may be rounded Statement covers period Monetary Contributions Received to whole dollars. ®"N I A ® ® 0 from 01/01/2009 SEE INSTRUCTIONS ON REVERSE through 06/30/2009 Page 4 of 5 NAME OF FILER I.D. NUMBER Dan Kalmick for HB City Council 1308462 FULL NAME STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION , DATE CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF COMMITTEE,ALSO ENTER I.D.NUMBER) (IF SELF•EMPLOYED,ENTER NAME PERIOD (JAN.1-DEC.31) (IF REQUIRED) OF BUSINESS) 05/02/2009 Constance Boardman x]IND Professor $100.00 $100.00 G10 $100.00 8401 Sweetwater Cir ❑COM❑OTH Cerritos Community ❑PTY College Huntington Beach CA 92646 ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY [:]SCC SUBTOTAL$ $100.00 a s Schedule A Summary 'Contributor Codes 1. Amount received this period-itemized monetary contributions. IND-Individual (Include all Schedule subtotals.) ............$ $100.00 COM—RecipientCommittee (other than PTY or SCC) 2. Amount received this period-unitemized monetary contributions of less than$100 .............................$ $0.00 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 Summarye,Column A, Line 1. TOTAL $ $100.00 Page, )�� FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) SCHEDULEE Type or print in ink. Schedule E A Statement covers period Amounts may be rounded _ A Payments Made to whole dollars. from 01/01/2009 � SEE INSTRUCTIONS ON REVERSE through o6/30/2009 5 Page of 5 NAME OF FILER I.D. NUMBER Dan Kalmick for HB City Council 1308462 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)' OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel,lodging,and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals IND independent expenditure supporting/opposing others (explain)" POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE,ALSO ENTER LID.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ Schedule E Summary 1. Itemized payments made this period. Include all Schedule E subtotals. $ $o.00 2. Unitemized payments made this period of under$100 .......................................................................................................................................... $ $147.67 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1,Column(e).)............................................................................... $ $0.Do 4. Total payments made this period. Add Lines 1,2,and 3. Enter here and on the Summary Page, Column A, Line 6. TOTAL $ $147.87 FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(8661275-3772) Statement of Organization STATEMENT OF ORGANIZATION Recipient Committee CALIFORNIA, ® 1 FORM- INSTRUCTIONS ON REVERSE Page 3 COMMITTEE NAME I.D.NUMBER Dan Kalmick for HB City Council 1308462 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 :3• • . List additional sponsors on an attachment. NAME OF SPONSOR INDUSTRY GROUP OR AFFILIATION OF SPONSOR STREET ADDRESS NO.AND STREET CITY STATE ZIP CODE 9TITUR•.WWWRI9. ❑ —�_J Check box and provide the date this committee qualified as a small contributor committee. If the committee qualified as a Date qualified small contributor committee on January 1,2001,enter 1/1/01. 55.Termination Req t.19 rementS 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. FPPC Form 410(January/05) FPPC Toll-Free Helpline: 866/ASK-FPPC(866/275-3772)