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Hardy, Jill - 2009 FPPC Campaign Disclosure Forms - Committe
Campaign Disclosure Statement Type or print in ink. SUMMARY PAGE Summary Page Amo�otvt+hole dollars s may be rounded Statement covers`period ® - from U ` t� ® - SEE INSTRUCTIONS ON REVERSE through N,�*�U �8 Page of NAME OF FILER I.D. NUMBER Colu A Column B Calendar Year Summary for Candidates Contributions Received TOTAL THIS RIOD CALENDARYEAR Running In Both the State Primary and (FROM ATTACHED SCHEDULES) TOTALTODATE g r General Elections 1. Monetary Contributions ........................................... Schedule A,Line 3 $ 0 $ ® O 2. Loans Received ...................................................... Schedule B,Line 3 1/1 through 6/30 7/1 to Date 3. SUBTOTAL CASH CONTRIBUTIONS ............... 20. Contributions Add Lines 1+2 $ D $ —1i� Received $ $ 4. Nonmonetary Contributions.................................... Schedule C,Line 3 © 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED •••••.•••••.•••.•••.•••.••.Add Lines 3+4 $ $ Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made....................................................... Schedule e,Line 4 $ $ Candidates 7. Loans Made............................................................. Schedule H,Line 3 22. Cumulative Expenditures Made* 8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6+7 $ ® $ (If Subjectto Voluntary Expenditure Limit) 9, Accrued Expenses (Unpaid Bills) ...............................Schedule F Line 3 D Date of Election Total to Date 10. Nonmonetary Adjustment ..........................................Schedule C,Line 3 0— © (mm/dd/yy) 11. TOTAL EXPENDITURES MADE................................Add Lines 8+9+10 $ 0 $ $ Current Cash Statement 'A (� � / $ 12. Beginning Cash Balance....................... Previous Summary Page,Line 16 $ __^ — To calculate Column B,add 13.Cash Receipts ................................................... Column A,Line 3 above V amounts in Column A to the corresponding amounts *Amounts in this section may be different from amounts 14. Miscellaneous Increases to Cash........................... Schedule I,Line 4 1/ from Column B of your last reported in Column B. 15. Cash Payments.......I... . """""""""""""'.. Column A,Line s above ® report. Some amounts in " Column A may be negative 16, ENDING CASH BALANCE.......... Add Lines 12+13+14,then subtract Line 15 $ � • It�� 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.................... for this calendar year, only Schedule B,Part 2 $ 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 19. Outstanding Debts......................... Add Line 2+Line 9 in Column B above $ FPPC Form 460(January/05) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) a o City ®f Huntington Beach :., 2000 Main Street • Huntington Beach, CA 92648 OFFICE OF THE CITY CLERK JOA►N L. FLYNN CLERK October 27, 2009 Honorable Jill Hardy Councilmember 19082 Hamden Huntington Beach, CA 92646 Dear Jill: Please see the attached correspondence sent to you on September 8, 2009 regarding your obligation to submit an amended Recipient Committee Campaign Statement for the semi-annual filing period of 7/01/06 to 9/30/06. At your earliest convenience, please let me know what your plans are to resolve this pending mat e questions, feel free to contact me or the FPPC. Thank you. n Flynn ity Clerk c: Andrew Blair Farley, 4702 Madrid Way, Huntington Beach 92649 Attachment: Correspondence dated September 8, 2009 Sister Cities: Anjo, Japan • Waitakere, New Zealand (Telephone:714-536-5227) ®a, City ®f- Huntington Beach 2000 Main Street o Huntington Beach, CA 92648 o OFFICE OF THE CITY CLERK o ' JOAN L. FLYNN CLERIC September 8, 2009 Honorable Jill Hardy Councilmember 19082 Hamden Huntington Beach, CA 92646 Dear Jill: Thank you for submitting an amended Recipient Committee Campaign Statement for the semi-annual filing period of 7/01/06 to 9/30/06. After reviewing your statement I discovered that some errors exist that will require you to submit an additional amendment. I have enclosed a complete Form 460 for your use, and copies of pages from your original submittal that require the following revisions: a. Correct errors highlighted on pag Thank you for your timely response to this request. Sincerely, 6�j)l`zzA�� J Flynn Clerk c: Andrew Blair Farley,4702 Madrid Way, Huntington Beach 92649 Enclosures: Marked-up copy of original submission Form 460 Sister Citi0§9 0,n"jMhe -WA*kere, New Zealand (Telephone:714-536-5227) Recipient Committee Typo or print In Ink, COVER PAGE -7, 0 Campaign Statement Cover Page (Government Code Sections 84200-84216,5) Z 9 JUL 2 7 P IN 3 Statement covers period Date of election If applicable; of (Month, Day, Year) Page from ii-6ludyu 7-anck For Official Use Only SEE INSTRUCTIONS ON REVERSE Igo waNba, 1.0 through 1. Type of Recipient Committee: All Committees-Complete Parts 1,2,3,and 4, 2, Type of Statement: 7 Officeholder,Candidate Controlled Committee M Primarily Formed Ballot Measure ❑ Preelection Statement ❑ Quarterly Statement State Candidate Election Committee Committee Semi-annual Statement r7 Special Odd-Year Report Recall Q Controlled M Termination Statement F7 Supplemental Preelection (Also Complete Part 5) QSponsored (Also file a Form 410 Termination) Statement-Attach Form 495 r7 General Purpose Committee (Also Complete Parts) [7 Amendment(Explain below) (:) Sponsored [] Primarily Formed Candidate/ (DSmall Contributor Committee Officeholder Committee Political Party/Central Committee (Also Complete Part 7) 3, Committee e Information NUMBIER Treasurer(s) COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER #*4-qr4w MAILING ADDRESS W? (0mviii AD Qcet 41a WW,(sA Ws4 NoMir %&I III, STREET ADDRESS 0 P.O BOX) CITY a STATE- ZIP CODE AREA CODE/PHONE \Gkom AAY P.O. .CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY 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 knowledge the information contained herein and in the attached schedules is true and complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct Executed on :112211113 3 By L:t_ Date - Signs sistant Treasurer '7 I liv Executed on 2,1- By DateSignature In g IV holj��rte,Stata easureProponentorResponsibleOffiicerofSponsor . � Executed on Date B Signature of Controlling Officeholder,Candidate,State Measure Proponent '1135 Executed on By Data Signature of controlling Officeholder.Candidate,State Measure Proponent FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/A$K.FPPC(8661275-3772) State of California Campaign Disclosure Statement Type or print In Ink, SUMMARY PAGE Amounts may be rounded Statement covers period e Summary Page to whole dollars. I' ,�®� ®.' A s from o SEE INSTRUCTIONS ON REVERSE through (0 :50)Oat Page of NAME OF FILER I.D, NUMBER c VOW ,w, My1114611 Column A Column 8 Calendar Year Summary for Candidates Contributions Received TOTALTHISPERIOD CALENDAR YEAR Running Both the State Prima and (FROM ATTACHED SCHEDULES) TOTALTODATE g 'm Primary ® General Elections 1, Monetary Contributions ..........,, Schedule A,Line 3 $ 0 $ g� � ® 1/1 through 6/30 711 to Date 2, Loans Received ................... Schedule 6,Line 3 IV 3, SUBTOTAL CASH CONTRIBUTIONS Add Lines 1 +2 $ ® $ to 20, Contributions ® Received $ $ 4. Nonmonetary Contributions,... Schedule C,Line 3 21, Expenditures 5, TOTAL CONTRIBUTIONS RECEIVED •.,.,•,..•.................Add Lines 3+4 $ $ ® Made $ $ Expenditures Made Expenditure Limit Summary for State 6, Payments Made........................ Schedule E,Line 4 $ ® $ Candidates 7. Loans Made.............................. Schedule H,Line 3 ® O 22, Cumulative Expenditures Made' 8, SUBTOTAL CASH PAYMENTS ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, Add Lines 5+7 $ � $ 0 (If Subject to Voluntary Expenditure Limit) 9, Accrued Expenses (Unpaid Bills) ............ Schedule F,Line 3 0 0 Date of Election Total to Date 10, Nonmonetery Adjustment Schedule C,Line 3 ® 0 (mm/dd/yy) 11. TOTAL EXPENDITURES MADE „...................Add Lines 8+9+10 $ ® $ 0 �J J $ Current Cash Statement $ 12. Beginning Cash Balance Previous Summary Page,Line 15 $ we . y To calculate Column B,add 13. Cash Receipts ................................................... Column A,Line 3 above 0 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 from Column S of your last reported in Column 8, 0 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 $ (052h, 0- figures that should u 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 ® for this calendar year, only Schedule s,Part 2 $ carry over the amounts Cash Equivalents and Outstanding Debts fro any) lines 2, 7, and s(if. 18. Cash Equivalents........................................ see instructions on reverse $ 19, Outstanding Debts Add Line 2+Line 9 In Column 8 above $ 0 FPPC Form 460(Januaryl05) FPPC Toll-Free Helpline: 866/ASK-FPPC(866/276.3772) e �6_�_