HomeMy WebLinkAboutBoardman, Connie - 2012 FPPC Campaign Disclosure Forms - Suc Type or print in ink. SUMMARY PAGE
Campaign Disclosure Statement
Amounts may be rounded Statement covers period ®-
Summary Page to whole dollars. �✓ { RW d
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SEE INSTRUCTIONS ON REVERSE through 12-13t] Zo ` f Page of
NAME OF FILER I.D. NUMBER
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Column A Column B Calendar Year Summary for Candidates
Contributions Received TOTALTHIS PERIOD CALENDARYEAR Running in Both the State Prima and
(FROM ATTACHED SCHEDULES) TOTALTODATE 9
General Elections
1. Monetary Contributions ........................................... Schedule A,Line 3 $ `�� $
_ 1/1 through 6/30 7/1 to Date
2. Loans Received ...................................................... Schedule B,Line 3
��- -- 20. Contributions
3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1+2 $ $ Received $ $
4. Nonmonetary Contributions.................................... Schedule C,Line 3 21. Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED ............Add Lines 3+4 $ 2,0-0`-� $ Made $ $
Expenditures Made Expenditure Limit Summary for State
6. Payments Made....................................................... Schedule E,Line 4 $ $ t� 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 '
Date of Election Total to Date
10.Nonmonetary Adjustment ..........................................Schedule c,Line 3
el (mm/dd/yy)
11. TOTAL EXPENDITURES MADE................................Add Lines 8+9+10 $ $ I I $
Current Cash Statement $
12. Beginning Cash Balance....................... Previous Summary Page,Line 16 $
9 9 To calculate Column B,add
13. Cash Receipts ................................................... Column A,Line 3 above amounts in Column A to the
corresponding amounts *Amounts in this section may be different from amounts
14. Miscellaneous Increases to Cash........................... Schedule/,Line 4 from Column B of your last reported in Column B.
15. Cash Payments.................................................. Column A,Line s above report. Some amounts in
Q Column A may be negative
16. ENDING CASH BALANCE.......... Add Lines 12+13+14,then subtract Line 15 $ v p 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 $ 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 $
19. Outstanding Debts......................... Add Line 2+Line 9 in Column B above $ FPPC Form 460(January/05)
FPPC Toll-Free Helpline:866/ASK-FPPC(8661275-3772)
Recipient Committee TypeCampaign or print in ink. �` "Date"Stamp°' e. ,
® 1
Cover Page E-filed on: ##
(Government Code Sections 84200-84216.5)
Statement covers period Date of election if applicable:
(Month, Day,Year) Page 1 of 4
.from 01/01/2012
For Official Use Only
SEE INSTRUCTIONS ON REVERSE through
07/31/2012 - 4 ,zz't
1. Type of Recipient Committee: All committees-Complete Parts 1,2,3,and 4. 2. Type of Statement:
❑x Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑ Preelection Statement ❑ Quarterly Statement
p State Candidate Election Committee Committee ❑x Semi-annual Statement ❑ Special Odd-Year Report
O Recall Q Controlled
(Also Complete Part 5) O Sponsored ❑ ❑ Supplemental Preelection
(Also file a Form 410 Termination) Statement-Attach Form 495
❑ General Purpose Committee (Also Complete Part 6) ❑ Amendment(Explain below)
Q Sponsored ❑ Primarily Formed Candidate/
Q Small Contributor Committee Officeholder Committee
O Political Party/Central Committee (Also Complete Part 7)
3. Committee Information I.D. NUMBER 1329388 Treasurer(s)
COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER
Re-Elect Connie Boar on Beach City Council 2014 donlll'6
MAILING ADDRESS
STREET ADDRESS(NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE
8401 Sweetwater Circle _ CA -
CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY
Huntington Beach CA 92646 (818) 260-0669
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. i
Executed on 71 3011 L By (�C7z✓dt�c / i C1 1E2"✓�
// Date Signature of Treasurer or Assistant Treasurer
Executed on -7` � 11 z__ By
Date Signature of Controlling Officeholder,Candidate,State Measure Proponent or Responsible Officer of Sponsor
Executed on By
Date Signature of Controlling Officeholder,Candidate,State Measure Proponent
Executed on By
Date Signature of Controlling Officeholder,Candidate,State Measure Proponent FPPC Forst 460(January/05)
FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772)
State of California
Type or print in ink. COVER PAGE-PART 2
Recipient Committee CALIFORNIA
Campaign Statement F-ORM 460
,
Cover Page—Part 2
Page 2 of 4
5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee
CANDIDATE NAME OF BALLOT MEASURE
Connie Boardman
OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO.OR LETTER JURISDICTION ❑ SUPPORT
❑ OPPOSE
City Council Member
RESIDENTIAL/BUSINESS ADDRESS (NO.AND STREET) CITY STATE ZIP
8401 Sweetwater Circle Identify the controlling officeholder, candidate, or state measure proponent, if any.
Huntington Beach CA 92646
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/05)
FPPC Toll-Free Helpline:866/ASK-FPPC(8661275-3772)
State of California
Campaign Disclosure Statement Type or print in ink. SUMMARYPAGE
Amounts may be rounded Summary page to whole dollars. Statement covers period - 46,0
from 01/01/2012 ®-
SEE INSTRUCTIONS ON REVERSE I
through 07/31/2012 Page 3 of 4
NAME OF FILER I.D. NUMBER
Re-Elect Connie Boardman to Huntington Beach City Council 2014 1329388
Column A Column B Calendar Year Summary for Candidates
Contributions Received TOTALTHISPERIOD CALENDARYEAR Running in Both the State Prima and
(FROMATTACHED SCHEDULES) TOTALTO DATE g Primary
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 q
3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines I+2 $ $0.00 $ 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 $ Made $ $
Expenditures Made Expenditure Limit Summary for State
6. Payments Made....................................................... Schedule e,Line 4 $ $0.00 $ $0.00 Candidates
7. Loans Made............................................................. Schedule H,Line 3 $0.00 $0.00
22.Cumulative Expenditures Made"
8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6+7 $ $0.00 $ $0.00 (ITSubiectto 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 $ $0.00 $ $0.00 $
Current Cash Statement $
12.Beginning Cash Balance....................... Previous Summary Page,Line 16 $ $61.00 To calculate Column B,add
13.Cash Receipts ................................................... Column A,Line 3above $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 1,Line 4 $0.00 from Column B of your last reported in Column B.
$0.00 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 $ $61.00 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 from Lines 2,7,and 9(if
� g $0.00 any).
18. Cash Equivalents........................................ See instructions on reverse $
19. Outstanding Debts......................... Add Line 2+Line 9 in Column B above $ $250.00 FPPC Form 460(January/05)
FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772)
Type or print in ink. SCHEDULEB-PART1
Schedule B—Part 1 Amounts may be rounded Statement covers period
Loans Deceived to whole dollars. � ®®�
from 01/01/2012
SEE INSTRUCTIONS ON REVERSE through 07/31/2012 Page 4 of 4
NAME OF FILER I.D. NUMBER
Re-Elect Connie Boardman to Huntington Beach City Council 2014
1329388
IF AN INDIVIDUAL, ENTER OUTSTANDING (b) (c) OUTSTANDING e7AMOUNTOF
9
FULL NAME,STREET ADDRESS AND ZIP CODE AMOUNT AMOUNT PAID INTERESTCUMULATIVE
OCCUPATION AND EMPLOYER BALANCE BALANCE AT
OF LENDER (IF SELF-EMPLOYED,ENTER BEGINNING THIS RECEIVED THIS OR FOR S PAID THIS CONTRIBUTIONS
(IF COMMITTEE,ALSO ENTER I.D.NUMBER) NAME OF BUSINESS) PERIOD THIS PERIOD* PERIODTO DATE
Connie Boardman Biology Professor PAID CALENDARYEAR
Cerritos Community $250.00 $0.00
8401 Sweetwater Cir College ❑FORGIVEN RATE PERELECTION`*
G10 $250.00
Huntington Beach CA 92646 $ $250.00 $ $0.00 $ $ 12/31/2010 $
t® IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED
❑PAID CALENDARYEAR
❑FORGIVEN RATE PERELECTION**
t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED
❑PAID CALENDARYEAR
❑FORGIVEN RATE PERELECTION-
t❑ IND ❑COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED
SUBTOTALS $ $o.00$ $o.00$ $zso.00$ $0.00
(Enter(a)on
Schedule S Summary Schedule E,Line 3)
1. Loans received this period....................................................................................................................$ $0.00
(Total Column(b)plus unitemized loans of less than$100.) tcontributor codes
$0.00 IND—Individual
2. Loans paid or forgiven this period .........................................................................................................$ 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.)............................................................... NET $
$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)
Statement of Organization STATEMENT OF ORGANIZATION ii
Recipient Committee ®RMI®� a 0
INSTRUCTIONS ON REVERSE
Page 2
COMMITTEE NAME I.D.NUMBER �y
-e 1�C4 C M V1 t �dYUIC I �T�l lo�.Ct' ��e�U G 1 �12 3 D
4.Type of Committee Complete the applicable sections.
® List the name of each controlling officeholder, candidate, or state measure proponent. If candidate or officeholder controlled, also list the elective office sought or held, and
district number, if any, and the year of the election.
• List the political party with which each officeholder or candidate is affiliated or check"non-partisan."
o If this committee acts jointly with another controlled committee, list the name and identification number of the other controlled committee.
ELECTIVE OFFICE SOUGHT OR HELD
NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PARTY
❑ Non-Partisan
❑ Non-Partisan
• List the financial institution where the campaign bank account is located(controlled"candidate election"committees only)
NAME OF FINANCIAL INSTITUTION AREACODE/PHONE BANKACCOUNTNUMBER
ADDRESS CITY STATE ZIP CODE
o Primarily formed to support or oppose specific candidates or measures in a single election. List below:
CANDIDATE(S)NAME OR MEASURE(S)FULL TITLE(INCLUDE BALLOT NO.OR LETTER) CANDIDATE(S)OFFICE SOUGHT OR HELD OR MEASURE(S)JURISDICTION
(INCLUDE DISTRICT NO.,CITY OR COUNTY,AS APPLICABLE) CHECK ONE
SUPPORT OPPOSE
SUPPORT OPPOSE
FPPC Form 410 (draft 6/09)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Statement of Organization STATEMENT OF ORGANIZATION
Recipient Committee FO00
INSTRUCTIONS ON REVERSE
Page 3
COMMITTEE NAME I.D.NUMBER
4.Type of Committee (Continued)
°® ° Not formed to support or oppose specific candidates or measures in a single election. Check only one box:
Ei CITY Committee ❑ COUNTY Committee ❑ STATE Committee
PROVIDE BRIEF DESCRIPTION OF ACTIVITY
rv�tic,v-a-rv�a�nv �v,� c�
'AtL
List additional sponsors on an attachment.
NAME OF SPONSOR INDUSTRY GROUP ORAFFILIATION OF SPONSOR
STREETADDRESS NO.AND STREET CITY STATE ZIP CODE
❑_J_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.
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 fora;political; legislative or governmental purpose under Government Code Sections,- 511
89518 an ubet " C RCl 1E dF ation8521 5
FPPC Form 410 (draft 5/09)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)