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Home My WebLink AboutDwyer, Devin - 2012 FPPC Campaign Disclosure Forms - Devin D (2) Campaign Disclosure Statement Type or print in ink. SUMMARY PAGE Amounts may be rounded Statement covers period Summary Page to whole dollars. from 10/21/2012 SEE INSTRUCTIONS ON REVERSE through 12/31/2012 Page 3 of 17 NAME OF FILER I.D. NUMBER Devin Dwyer for Council 2012 1299718 T Column ADD Column B Calendar Year Summary for Candidates Contributions Received Running in Both the State Primary and (FROMATTACHED SCHEDULES) TOTALTO DATE '1�� General Elections 1. Monetary Contributions ........................................... Schedule A,Line 3 $ 9,359.00 $ 39,517.00 1/1 through 6/30 7/1 to Date 2. Loans Received ...................................................... Schedule s,Line 3 0.00 15,697.00 .35900, 55,214.00 20. Contributions 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines l+2 $ 9 $ Received $ $ 4. Nonmonetary Contributions.................................... Schedule C,Line 3 0.00 362.42 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED .................... • Add Lines 3+4 $ 9,359.00 $ 55,576.42 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made....................................................... Schedule E,Line 4 $ 15,945.49 $ 44,292.59 Candidates 7. Loans Made............................................................. Schedule H,Line 3 0.00 0.00 22. Cumulative Expenditures Made* 8. SUBTOTALCASH PAYMENTS .................................... Add Lines 6+7 $ 15,945.49 $ 44,292.59 (if Subjectto Voluntary Expenditure Limit) 9. Accrued Expenses (Unpaid Bills) ...............................Schedule F Line 3 -500.00 7.100.00 Date of Election Total to Date 10. Nonmonetary Adjustment ..........................................schedule c,Line 3 0.00 362.42 (mm/dd/yy) 11. TOTAL EXPENDITURES MADE................................Addlines8+9+10 $ 15,445.49 $ 51,755.01 Current Cash Statement $ 12. Beginning Cash Balance....................... Previous Summary Page,Line 16 $ 9,149.37 To calculate Column B,add 13. Cash Receipts ................................................... Column A,Line 3 above 9,359.00 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..............................., 15,945.49 report. Some amounts in.................. Column A,Line s above Column A may be negative 16. ENDING CASH BALANCE.......... Add Lines 12+13+14,then subtract Line 15 $ 2,562.88 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 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 gin Column B above $ 22,797.00 FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(8661275-3772) www.netfile.com Schedule G Type or print in ink. SCHEDULE G Payments Made by an Agent or Independent Amounts may be rounded Statement covers period ® - Contractor(on Behalf of This Committee) to whole dollars. from 10/21/2012 • - ® 1 through 12/31/2012 page 17 of 17 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D.NUMBER Devin Dwyer for Council 2012 1299718 NAME OF AGENT OR INDEPENDENT CONTRACTOR Bieber Communications 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 RAID 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 FIND 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) "Payments that are contributions or independent expenditures must also be summarized on Schedule D. NAME AND ADDRESS OF PAYEE OR CREDITOR CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID ff COMMITTEE,ALSO ENTER LD NUMBER) USPS POS 3,093.22 Sunflower Station Santa Ana CA 92707 Attach additional information on appropriately labeled continuation sheets. TOTAL' $ 3,093.22 "Do not transfer to any other schedule or to the Summary Page. This total may not equal the amount paid to the agent or independent contractor as reported on Schedule E. FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) www.netfile.com Recipient Committee Type or print in ink. Date Stamp COVER PAGE Campaign Statement ®® � ® • � Cover Page (Government Code Sections 84200-84216.5) Statement covers period Date of election if applicable i ` ( 2 0 :4 I I r 2' 3 1� Page of 14 from 10/01/2012 (Month, Day, Year) For Official Use Only SEE INSTRUCTIONS ON REVERSE through 10/20/2012 11/06/2012 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 0 State Candidate Election Committee Committee ❑ Semi-annual Statement ❑ Special Odd-Year Re 0 Controlled Termination Statement (Also Complete Part5) Sponsored ❑ ❑ Supplemental Preelection P (Also file a Form 410 Termination) Statement-Attach Form 495 ❑ (Also Complete Part 6)General Purpose Committee ❑ Amendment(Explain below) 0 Sponsored ❑ Primarily Formed Candidate/ 0 Small Contributor Committee Officeholder Committee 0 Political Party/Central Committee (Also Complete Part 7) 3. Committee Information I.D. NUMBER Treasurer(s) 1299718 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER Devin Dwyer 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 t I have used all reasonable diligence in preparing and reviewing this statement and to the best of myknowledge the info �tion 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 c rrect. Executed on 10/23/2012 By Date �,� /'J Sign M6rofT asureror ss tantTreasurer Executed on i n/2�/2 n 12 By Date Signatureof T RtrollingCi ceholder,Can id e, ate M sure Proponent or Responsible Officer of Sponsor Executed on By Date Signature of Controlling Officeholder,Candidate,State Measure Proponent Executed on By Date Signature ofControlling Officeholder,Candidate.State Measure Proponent FPPC Form 460(Januaryl05) FPPC Toll-Free Helpline:8661ASK-FPPC(866/275-3772) State of California www.neffile.com Type or print in ink. COVER PAGE-PART2 Recipient CommitteeNIA ®_ ALIF Campaign Statement ® _ Cover Page—Paint 2 Page 2 of 14 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLD ATE NAME OF BALLOT MEASURE Devin Dwyer OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO.OR LETTER JURISDICTION ❑ SUPPORT City Council Member ❑ OPPOSE Huntington Beach 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 Listnamesof officeholder(s)or candidates) 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 COMMITTEENAME 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(8661276-3772) State of California www.netfile.com Campaign Disclosure Statement Type or print in ink. SUMMARYPAGE Amounts may be rounded Statement covers period 9- Summary Page to whole dollars. � ® O from 10/01/2012 ®- SEE INSTRUCTIONS ON REVERSE through 10/20/2012 Page 3 Of 14 NAME OF FILER I.D. NUMBER Devin Dwyer for Council 2012 1299718 Column A Column B Calendar Year Summary for Candidates Contributions Received TOTALTHIS PERIOD CALENDARYEAR (FROMATTACHED SCHEDULES) TOTALTODATE Running in Both the State Primary and General Elections 1. Monetary Contributions ........................................... schedule A,Line $ 6,365.00 $ 30,158.00 1!1 through 6/30 7/1 to Date 2. Loans Received ...................................................... Schedule B,Line 0.00 15,697.00 ,365.00 45,855.00 20. Contributions 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1+2 $ 6 $ Received $ $ 4 Nonmonetary Contributions.................................... schedule C,Line 3 0.00 362.42 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ...........................Add Lines 3+4 $ 6,365.00 $ 46,217.42 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made....................................................... Schedule E,Line 4 $ 2,250.00 $ 28,247.10 Candidates 7. Loans Made............................................................. schedule H,Line 3 0.00 0.00 22. Cumulative Expenditures Made* 8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6+7 $ 2,250.00 $ 28,247.10 (If Subject to Voluntary Expenditure Limit) 9. Accrued Expenses (Unpaid Bills) ...............................schedule F Line 3 0.00 1,600.00 Date of Election Total to Date 10. Nonmonetary Adjustment ..........................................ScheduleC,Line 0.00 362.42 (mm/dd/yy) 11. TOTAL EXPENDITURES MADE............... ...............Add Lines 8+9+10 $ 2,250.00 $ 30 209.52 _�_� $ Current Cash Statement $ 12. Beginning Cash Balance....................... Previous summary Page,Line 16 $ 3,937.99 To calculate Column B,add 13. Cash Receipts ................................................... Column A,Line 3 above 6,365.00 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 1,096.38 from Column B of your last reported in Column B. 15. Cash Payments.................................................. Column A,Line 8 above 2,250.00 report. Some amounts inColumn A may be negative 16. ENDING CASH BALANCE.......... Add Lines 12+13+14,then subtract Line 15 $ 9,149.37 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 $ 17,297.00 FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) www.neifile.com Schedule A Type or print in ink. SCHEDULE A ®rle$a Contributions Received to may be rounded Statement covers period to whole dollars. from 10/01/2012 FORM SEE INSTRUCTIONS ON REVERSE through 10/20/2012 Page 4 of_ 14 NAME OF FILER I.D. NUMBER Devin Dwyer for Council 2012 1299718 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED ( COMMITTEE,ALSND .D.NUMB CODE * OCCUPATION AND EMPLOYER RECEIVED THIS (IFSELF-EMPLOYED,ENTER NAME PERIOD (JAN. 1 -DEC.31) (IF REQUIRED) OF BUSINESS) 10/20/2012 AES 520.00 520.00 G 12 520.00 ❑COM 1450 Lake Robbins Dr., Ste. 600 ❑R OTH Woodlands, TX 77380 ❑PTY SCC 10/16/2012 Bauer Investments, L.P. ❑IND 200.00 350.00 G12 350.00 ❑COM G 08 200.00 16511 Cotuit Cir. Huntington Beach, Ca 92649-2121 El PTY ❑SCC 10/09/2012 Steven Gochman ❑RIND Head of Operations 100.00 100.00 G 12 10 ❑COM 16452 Sundancer Ln. ❑OTH Community Hospital Huntington Beach, CA 92649 ❑PTY ❑SCC 10/09/2012 Jeffery Goldfarb ❑RIND Lawyer 100.00 100.00 G12 100.00 G 08 99.00 ❑COM 217 Hartford Ave. ❑OTH Self Huntington BCH, CA 92648 ❑PTY ❑SCC 10/09/2012 Richard Harlow ❑xIND Planning Consultant 125.00 325.00 G 12 425.00 ❑COM GOB 250.00 1742 Main St. ❑OTH Richard Harlow & Assoc. Huntignton Beach, Ca 92648 ❑PTY ❑SCC SUBTOTAL$ 1,045.00 �fiR Schedule A Summary *Contributor Codes 1. Amount received this period-itemized monetary contributions. IND-Individual (Include all Schedule A subtotals.) $ 6,315.00 COM—RecipientCommittee (other than PTY or SCC) 2. Amount received this period-unitemized monetary contributions of less than$100 ............................. $ so.oo OTH—Other l Part business entity) p rY 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 $ 6,365.00 ( Page, ) FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) www.netfile.com Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers periodNIA to whole dollars. ® I from 10/01/2012 • through 10/20/2012 Page 5 of 14 NAME OF FILER I.D.NUMBER Devin Dwyer for Council 2012 1299718 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED ( COMMITTEE,ALSND I.D.NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMP AME PERIOD (JAN. 1 -DEC.31) (IF REQUIRED) OF BUSINESS) Richard Harlow XIN D 10/20/2012 ❑ Planning Consultant G 12 425.00 ❑COM GOB 250.00 1742 Main St. ❑OTH Huntignton Beach, Ca 92648 ❑PT ❑SCC 10/16/2012 Huntington Beach Auto Dealer ❑IND 520.00 520.00 G 12 520.00 te 195 [2]OTH Huntington Beach, CA 92648 ❑PTY ❑SCC 10/09/2012 Huntington Executive Park ❑IND 00 P 12 100.00 ❑COM G 12 900.00 16168 Beach Blvd. Q OTH Ste. 200 El PTY Huntington Beach, CA 92647 ❑SCC'. 10/20/2012 Huntington Surf Sport ❑ IND 500.00 500.00 G 12 500.00 ❑COM 300 Pacific Coast Hwy., Ste 408 ❑%OTH Huntington Beach, CA 92648 ❑PTY ❑SCC 10/09/2012 Gary Kutscher ❑RIND Artist 50.00 100.00 G 12 100.00 El COM G 08 200.00 6565 Feather Dr. ❑OTH Self ❑PTY Huntignton Beach, Ca 92648-2673 ❑SCC SUBTOTAL$ 1,570.00 Contributor Codes IND—Individual COM—Recipient Committee (other than PTY or SCC) OTH—Other(e.g., business entity) PTY—Political Party FPPC Form 460(January/05) SCC—Small Contributor Committee FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) www.netfile.com Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period GALIFORNIA- to whole dollars. d from 10/01/2012 FORM through 10/20/2012 Page 6 of 14 NAME OF FILER I.D.NUMBER Devin Dwyer for Council 2012 1299718 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED ( COMMITTEE,ALSND .D.NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALE (IFSELF-EMPLOYED,ENTER NAME PERIOD (JAN.1-DEC.31) (IF REQUIRED) OF BUSINESS) 10/16/2012 Janis Mantini ❑IND Retir 00 100.00 G 12 100.00 ❑COM 19239 Beckonridge Ln. ❑OTH Huntington Beach, CA 92648 ❑PTY 10/18/2012 Manufactured Housing Education Trust PAC/MHETPAC (4820 65❑IND 520.00 520.00 G 12 520.00 ❑_COM GOB 500.00 mas St. ❑OTH Rancho Santa Marg., Ca 92688 ❑PTY ❑SCC 10/09/2012 Steven McKay ❑_IND Pr .00 100.00 G 12 100.00 ❑COM 16382 Golden Gate Ln. ❑OTH El PTY PCB, Inc. Huntington Beach, CA 92649 ❑SCC 10/09/2012 Michael C. Adams Associates ❑IND 100.00 100.00 G 12 100.00 ❑COM G 08 250.00 P.O. Box 382 ❑_OTH Huntignton Beach, Ca 92648 ❑PTY ❑SCC 10/20/2012 Christian Nielsen ❑_IND Manager 100.00 100.00 G12 100.00 ❑COM 16862 Baruna In. ❑OTH Nielsen Citros ❑PTY Huntington Beach, CA 92649 ❑SCC SUBTOTAL$ 920.00 , 'Contributor Codes IND—Individual COM—Recipient Committee (other than PTY or SCC) OTH—Other(e.g., business entity) PTY—Political Party FPPC Form 460(January/05) SCC—Small Contributor Committee FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) www.neffile.com Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONY.) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. ® � d from 10/01/2012 FOW 60 through 10/20/2012 Page 7 of 14 NAME OF FILER I.D.NUMBER Devin Dwyer for Council 2012 1299718 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE,ALSND I.D.N DE CODE * OCCUPATION AND EMPLOYER RECEIVED T ALENDAR YEAR TO DATE (IFSELF-EMPLOYED,ENTER NAME PERIOD (JAN.1 -DEC.31) (IF REQUIRED) OF BUSINESS) 10/20/2012 Octax 250.00 250.00 G 12 250.00 ❑x COM 25 Orchard ❑OTH Lake Forest, CA 92630 ❑PTY range County Automobile Dealers Association PAC (#870 77E]IND 520.00 520.00 G 12 520.00 ❑x COM 3737 Birch St., Suite 220 ❑OTH Newport Beach, CA 92660 ❑ John R. Saunders 10/09/2012 ❑xIND Property Management 520.00 520.00 G 12 620.00 ❑COM G 08 ur Blvd. 4300 ❑OTH Newport Beach, Ca 92660-2022 El PTY Saunders Property Company ❑SCC 10/20/2012 CAAPAC South Coast Apartment Association PAC (4745208) ❑IND 520.00 520.00 G 12 520.00 ❑x COM G 08 500.00 980 Ninth St., Suite 200 ❑OTH Sacramento, CA 95814 ❑PTY ❑SCC 10/09/2012 The E-Tail Network, Inc. ❑IND 520.00 520.00 G 12 520.00 ❑COM G 08 200.00 1450 N. Tustin Ave., Suite 202 MOTH ❑PTY Santa Ana, Ca 92706 ❑SCC SUBTOTAL$ 2,330.00 'Contributor Codes IND—Individual COM—Recipient Committee (other than PTY or SCC) OTH—Other(e.g., business entity) PTY—Political Party FPPC Form 460(January/05) SCC—Small Contributor Committee FPPC Toll-Free Helpline:866/ASK-FPPC(8661275-3772) www.netfile.com Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. a from 10/01/2012 through 10/20/2012 Page 8 of 14 NAME OF FILER I.D.NUMBER Devin Dwyer for Council 2012 1299718 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION RECEIVED (IF COMMITTEE,A IT RE,ALSAND ZIP .D.NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE SELF-EMPLOYED,ENTER NAME PERIOD (JAN. 1 -DEC.31) (IF REQUIRED) OF BUSINESS) Warmington Residential California, Inc. IND ❑ 250.00 250.00 G 12 250.00 ❑COM 3090 Pullman St. ❑X OTH Costa Mesa, CA 92626 ❑PTY ❑SCC K.J. Wilken ❑x IND 10/09/2012 Sales Manager 200.00 200.00 G 12 200.00 ❑COM G 08 250.00 6 Beacon Bay ❑OTH El PTY Kentel Medical, Irvine Newport Beach, Ca 92660 ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC SUBTOTAL$ ° 41 450.00 ; *Contributor Codes IND—Individual COM—Recipient Committee (other than PTY or SCC) OTH—Other(e.g., business entity) PTY—Political Party FPPC Form 460(January/05) SCC—Small Contributor Committee FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) www.netfile.com Type or print in ink. SCHEDULE B-PART 1 Schedule B—Past 1 Amounts may be rounded Statement covers period ®e Loans Received to whole dollars. a ®� from 10/01/2012 SEE INSTRUCTIONS ON REVERSE through 10/20/2012 Page 9 of 14 NAME OF FILER I.D. NUMBER Devin Dwyer for Council 2012 1299718 IF AN INDIVIDUAL ENTER a (b) (c) (d) (e) (f) (g) , FULL NAME,STREET ADDRESS AND ZIP CODE OUTSTANDING AMOUNT AMOUNT PAID OUTSTANDING INTEREST ORIGINAL CUMULATIVE OCCUPATION AND EMPLOYER BALANCE BALANCEAT OF LENDER (IF SELF- ER BEGINNING THIS RECEIVED THIS OR FORGIVEN CLOSE OF THIS PAID THIS AMOUNT OF CONTRIBUTIONS (IF COMMITTEE,ALSO ENTER I.D.NUMBER) NAME OF BUSINESS) PERIOD PERIOD THIS PERIOD* PERIOD PERIOD LOAN TO DATE Devin Dwyer Councilman ❑PAID CALENDARYEAR 310 22nd St 0.00 6,000.00 6,000.0 $ $ $ 0 $ 0.00 Huntington Beach City RATE Huntington Beach, CA 92468 Council ❑FORGIVEN PER ELECTION- 07/11/2007 6,000.00 0.00 0.00 0.00 GOB 15,697. $ $_ $ $ $ t® IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED Devin Dwyer Councilman ❑PAID CALENDAR YEAR 310 22nd St 0.00 1,000.00 1,000.00 Huntington Beach City RATE PER ELECTION** Huntington Beach, CA 92468 Council ❑FORGIVEN 1,000.00 0.00 0.00 0.00 cob 15,697.00 $ $ $ $ 09/30/2008 $ t® IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED Devin Dwyer Councilman ❑PAID CALENDAR YEAR 310 22nd St 0.00 8,697.00 8,697.00 0.00 Huntington Beach City $ $ $ $ Huntington Beach, CA 92468 Council ❑FORGIVEN RATE PER ELECTION"" 8,697.00 0.00 0.00 0.00 111/03/2008 GOB 15,697.00 t® IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED SUBTOTALS $ 0.00 $ 0.00 $ 15,697.00 $ 0.00 (Enter(e)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 IND—Individual 2. Loans paid or forgiven this period ......................................................................................................... $ 0.00 COM-RecipientCommittee (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 9 p ( )............................................................... NET $ 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. FPPC Form 460(January/05) If required. FPPC Toll-Free Helpline:866/ASK-FPPC(8661275-3772) www.netfile.com SCHEDULEE Schedule E Type or print in ink. Statement covers period Payments Made Amounts may be rounded ®R d y to whole dollars. 10/01/2012 FORK ,60 from SEE INSTRUCTIONS ON REVERSE through 10/20/2012 Page 10 of 14 NAME OF FILER I.D. NUMBER Devin Dwyer for Council 2012 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 T voter registration LIT campaign literature and mailings P WEB information technology costs (internet, e-m ME AND ADDRESS OF PAYEE (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID CRA Voter Guide LIT 1,600.00 11230 Gold Express Dr., Suite 310 Gold River, CA 95670 Educate Your Vote G12 (#1345655) LIT 250.00 7904 Vista Guyyaba Carlsbad, CA 92009 Brett Hickman CMp 100.00 20322 Ramona Lane Huntington Beach, CA 92646 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 1,950.00 Schedule E Summary 1. Itemized payments made this period. Include all Schedule E subtotals. 2,250.00 2. Unitemized payments made this period of under$100 .......................................................................................................................................... $ 0.00 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 $ 2,250.00 FPPC Form 460(January/OS) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) www.netfile.com Schedule E SCHEDULE E(CONT.) Type or print in ink. Statement covers period (Continuation Sheet) Amounts may be rounded CALIFFORNIA, Payments Made to whole dollars. from 10/01/2012 F• SEE INSTRUCTIONS ON REVERSE through 10/20/2012 Page 11 of 14 NAME OF FILER I.D.NUMBER Devin Dwyer for Council 2012 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 RAID 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 d mailings PRT print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE,ALSO ENTER I.D.NUMBER) Lysa Ray Campaign Services 603 E Alton Ave Suite H Santa Ana, CA 92705 PRO 300.00 "Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 300.00 FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) www.netfile.com SCHEDULEF Type or print in ink. Schedule F Amounts may be rounded Statement covers period ® " 46, Accrued Expenses (Unpaid Balls) to whole dollars. from 10/01/2012 IFFMM through 10/20/2012 Page 12 of 14 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D.NUMBER Devin Dwyer for Council 2012 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 PEr 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, a-mail) (a) (b) (c) (d) NAME AND ADDRESS OF CREDITOR CODE TANDING AMOUNT INCURRED AMOUNT PAID OUTSTANDING (IF COMMITTEE,ALSO ENTER PAYMENT BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE S PERIOD (ALSO REPORT ON E) OF THIS PERIOD Delta Partners, LLC CNS 3,500.00 0.00 0.00 3,500.00 17541 17th St. Tustin, Ca 92780 Pitkin Productions FND 500.00 0.00 0.00 500.00 8105 Irvine Dr., Suite 1170 Irvine, Ca 92618 Delta Partners, LLC CNS 1,000.00 0.00 0.00 1,000.00 17541 17th St. Tustin, Ca 92780 *Payments that are contributions or independent expenditures must also be SUBTOTALS $ 5,000.00 $ 0.00$ 0.00$ 5,000.00 summarized on Schedule D. Schedule F Summary 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for accrued expenses of$100 or more, plus total unitemized accrued expenses under$100.)............................................ INCURRED TOTALS $ 0.00 2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on accrued expenses of$100 or more, plus total unitemized payments on accrued expenses under$100.) .................................PAID TOTALS $ 0.00 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and onthe Summary Page, Column A, Line 9.) ................................................................................................................................................ NET$ 0.00 May be a negative number FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) www.netfile.com Schedule i= Type or print in ink. SCHEDULE F(CONY.) Amounts may be rounded Statement covers period CALIFORN (Continuation Sheet) to whole dollars. ® _ A Accrued (Expenses (Unpaid Bills) from 10/01/2012 through 10/20/2012 Page 13 of 14 NAME OF FILER I.D.NUMBER Devin Dwyer for Council 2012 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 RAID 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) *Payments that are contributions or independent expenditures must also be summarized on Schedule D. NAME AND ADDRESS OF CREDITOR CODE ( ( OUTSTANDING AMOUNT INCURRED AMOUNT PAID OUTSTANDING (IF COMMITTEE,ALSO ENTER I.D.NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD Devin Dwyer FIL 2,600.00 0.00 0.00 2,600.00 310 22nd St Huntington Beach CA 92468 SUBTOTALS $ 2,600.00 $ 0.00$ 0.00$ 2,600.00 FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(8661275-3772) www,neffile.com Schedule I Type or print in ink. SCHEDULE I Miscellaneous Increases to Cash Amounts may be rounded Statement covers period ALWORNIA, to whole dollars. 1o/o1/zo12 from through 10/20/2012 Page 14 of 14 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D.NUMBER Devin Dwyer for Council 2012 1299718 DATE FULL NAME AND ADDRESS OF SOURCE OF DESCRIPTION OF RECEIPT RECEIVED (IF COMMITTEE,ALSO ENTER I.D.NUMBER) INCREASE TO CASH 10/20/2012 Home Run Software Services RFD overpayment 1,096.38 15562 Chemical Lane Huntington Beach, Ca 92649 Attach additional information on appropriately labeled continuation sheets. SUBTOTAL$ 1,096.38 Schedule I Summary 1. Itemized increases to cash this period. .......................................................................................................................$ 1,096.38 2. Unitemized increases to cash of under$100 this period. ............................................................................................$ 0.00 3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).) .................................$ 0.00 4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the SummaryPage, Line 14.) ........................................................................................................................... TOTAL $ 1,096.38 FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(8661275-3772) www.neffile.com COVER PAGE Recl lent Committee p Type or print in ink. Date Stamp ®m Campaign Statement ®e ® • 1 Cover page (Government Code Sections 84200-84216.5) , Statement covers period Date of election if a ca�fl� ,1 "f p PpB,_ I '_J 9 , ,_�� f Page 1 of 31 07/o1/zo12 (Month, Day, Year) from For Official Use Only SEE INSTRUCTIONS ON REVERSE through 09/30/2012 11/06/2012 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 Q State Candidate Election Committee Committee ❑ Semi-annual Stat Report O Recall Q Controlled ❑ Termination Statement ❑ Supplemental Preelection (Also Complete Part 5) O Sponsored (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 Part7) 3. Committee Information I.D. NUMBER Tr 1299718 COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER Devin Dwyer for Council 2012 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-s295 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 he information, tained 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 10/02/2012 By 1 ate G)l UatZure I'las,a or sis ntTrea r Executed on By Date Signature of Controlling hol ,Candidate,Sta Mea Proponent or Responsible Officer of Sponsor Executed on By Date Signature of Controlling Officeholder,C ndidate,State Measure Proponent Executed on By Date Signature of Controlling Officeholder,Candidate,State Measure Proponent FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(8661275-3772) State of California www.netfile.com Type or print in ink. COVER PAGE-PART 2 Recipient Committee (CALIFNIA In Campaign Statement ®®� Cover page—Part 2 Page 2 of 31 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE N T MEASURE Devin Dwyer OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO.OR LETTER JURISDICTION ❑ SUPPORT City Council Member ❑ OPPOSE Huntington Beach 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 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(866/276-3772) State of California www.netfile.com Campaign Disclosure Statement Type or print in ink. SUMMARYPAGE Amounts may be rounded Statement covers period A ®- Summary Page to whole dollars. 1460, from 07/01/2012 ®- SEE INSTRUCTIONS ON REVERSE through 09/30/2012 Page 3 of 31 NAME OF FILER I.D. NUMBER Devin Dwyer for Council 2012 1299718 Column Column Calendar Year Summary for Candidates Contributions Received TOTALTHISPERIOD CALENDARYEAR (FROM ATTACHED SCHEDULES) TOTALTO DATE Running in Both the State Primary and General Elections 1. Monetary Contributions ........................................... schedule A,Line 3 $ 18,543.00 $ 23,793.00 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 18,543.00 $ 39,490.00 20. Contributions +2 $ Received $ $ 4. Nonmonetary Contributions.................................... Schedule C,Line 3 0.00 362.42 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED Add Lines 3+4 $ 18,543.00 $ 39,852.42 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made....................................................... Schedule E,Line 4 $ 19,698.25 $ 25,997.10 Candidates 7. Loans Made............................................................. schedule H,Line 3 0.00 0.00 22. Cumulative Expenditures Made" 8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6+7 $ 19,698.25 $ 25,997.10 (If subject to Voluntary Expenditure Limit) 9. Accrued Expenses (Unpaid Bills) ...............................schedule F,Line 3 0.00 1,600.00 Date of Election Total to Date 10. Nonmonetary Adjustment ..........................................ScheduleC,Line 0.00 362.42 (mm/dd/yy) 11. TOTAL EXPENDITURES MADE................................Add Lines a+s+10 $ 19,698.25 $ 27,959.52 _�_� $ Current Cash Statement $ 12. Beginning Cash Balance....................... Previous Summary Page,Line 16 $ 4,093.24 To calculate Column B,add 13. Cash Receipts ................................................... Column A,Line 3above 18,543.00 amounts in Column Atothe corresponding amounts *Amounts in this section may be different from amounts 14. Miscellaneous Increases to Cash........................... Schedule 1,Line 4 11000.00 from Column B of your last reported in Column B. 15.Cash Payments.................................................. Column A,Line 8above 19,698.25 report. Some amounts in Column A may be negative 16. ENDING CASH BALANCE.......... Add Lines 12+13+14,then subtract Line 15 $ 3,937.99 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,Part2 $ 0.00 for this calendar year, only carry over the amounts Equivalents and Outstanding Debts from Lines 2,7, ands(if Cash E Cl g any). 18. Cash Equivalents........................................ See instructions on reverse $ 0.00 19. Outstanding Debts......................... Add Line 2+Line s in Column B above $ 17,297.00 FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) www.netfile.com Schedule A Type or print in ink. SCHEDULE A Amounts may be rounded Statement covers period Monetary Contributions Received to whole dollars. CALIF014NIA A 6 from 07/01/2012 • SEE INSTRUCTIONS ON REVERSE through 09/30/2012 Page 4 of 31 NAME OF FILER I.D. NUMBER Devin Dwyer for Council 2012 1299718 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED ( COMMITTEE,ALSND I.D.NUMB CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TER NAME PERIOD (JAN. 1-DEC.31) (IF REQUIRED) OF BUSINESS) 08/06/2012 Travis Allen ®IND President 100.00 ❑COM 17132 PCH ❑OTH Wealth StrategieS- #101 ❑Pam. Huntington Beach, CA 92649 ❑ RIND Hotel Business 500.00 500.00 G 12 500.00 ❑COM G 08 500.00 355 Bris ❑OTH Ayres Group Costa Mesa, Ca 92626 El PTY ❑SCC 08/09/20 12 Bassenian/Lagoni Architects ❑IN .00 100.00 G 12 100.00 ❑COM 2031 Orchard Dr. R OTH Suite 100 ❑Per Newport Beach, CA 92660-0753 El SCC 08/06/2012 Douglas Bauer RIND CEO 100.00 100.00 G 12 100.00 ❑COM 1714 Newport Hills Dr. W ❑OTH Newport Beach, CA 92660-7128 ❑PTY ❑SCC 08/06/2012 Bauer Investments, L.P. ❑IND 150.00 150.00 G 12 150.00 ❑COM GOB 200.00 16511 Cotuit Cir. MOTH Huntington Beach, Ca 92649-2121 ❑PTY ❑SCC SUBTOTAL$ 950.00 ' Schedule A Summary *Contributor Codes 1. Amount received this period-itemized monetary contributions. IND-Individual (Include all Schedule A subtotals.) $ 18,060.00 COM-Recipient Committee (other than PTY or SCC) 2. Amount received this period-unitemized monetary contributions of less than$100 ............................. $ 483.00 OTH—Other(e.g.,business entity) p rY PTY—Political Party 3. Total monetary contributions received this period. SCC-Small contributor committee (Add Lines 1 and 2. Enter here and on the SummaryA, Line 1. TOTAL $ 18,543.00 Page,Column �� FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(8661275-3772) www.neffile.com Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period Iffl, ®. to whole dollars. from 07/01/2012 through 09/30/2012 Page 5 of 31 NAME OF FILER I.D.NUMBER Devin Dwyer for Council 2012 1299718 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED ( COMMITTEE,ALSNDI.D.NUMB CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE ,ENTER NAME PERIOD (JAN.1 -DEC.31) (IF REQUIRED) OF BUSINESS) 08/06/2012 Franz Berghammer ❑RIND Retired 00 100.00 G 12 100.00 ❑COM 10041 Theseus Dr. ❑OTH _ Huntington Beac 46-5452 ❑PTY ❑SCC 09/13/2012 Catherine Beshore ❑RIND Homemaker 500.00 500.00 G 12 500.00 ❑COM El OTH Ladera Ranch, CA 92694 ❑PTY ❑SCC 09/13/2012 (Cole Beshore ❑xIND Pastor 500.00 50 ❑COM 37 Bushwood ❑OTH ❑PTY Mariners Church Ladera Ranch, CA 92694 ❑SCC 09/28/2012 Big Bear of California Phatom Fireworks ❑IND 500.00 500.00 G 12 500.00 ❑COM 4740 Green River Rd. suite 218 ❑x OTH Corona, CA 92880 ❑PTY ❑SCC 09/29/2012 Building Industry Asociation of S./C (#741733) ❑IND 500.00 500.00 G 12 500.00 ❑x COM 3699 Wilshire Blvd #1290 ❑OTH ❑PTY Los Angeles, CA 90010 ❑SCC _ SUBTOTAL$ 2,1oo.00 x � � "`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) www.netfile.com Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. ®R NIA60 from 07/01/2012 • through 09/30/2012 Page 6 of 31 NAME OF FILER I.D.NUMBER Devin Dwyer for Council 2012 1299718 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE D,ENTER NAME PERIOD (JAN.1-DEC.31) (IF REQUIRED) OF BUSINESS) 09/25/2012 California Real Estate PAC 'CREPAC' 0890106) 12 520.00 ❑X COM P 08 500.00 252 S. Virgil Ave. ❑OTH Los Angeles, Ca 90020 ❑PTY ❑SCC hamberlain B❑IND 08/06/2012 Insurance Agent 100.00 100.00 G 12 200.00 ❑COM 206 Riverside Ave. ❑OTH Sui Mariner's General Newport Beach, CA 92663 ❑SCC Insurance Group Edward C1ark,Jr. OB/06/2012 ❑RIND Sales G 12 150.00 ❑COM 17061 Bolero Lane ❑OTH USA Nation Title Huntington Beach, CA 92649-3031 ❑PTY ❑SCC 09/07/2012 Jerrold Clarke ❑RIND Financial Advisor 500.00 500.00 G 12 600.00 ❑COM 16752 Wanda Cir. ❑OTH Merrill Lynch Huntington Beach, CA 92647-4358 ❑PTY ❑SCC 08/06/2012 Carol Coleman ❑RIND Retired 200.00 200.00 G 12 200.00 ❑COM 20072 Crown Reef Ln. ❑OTH ❑PTY Huntington Beach, CA 92646 []SCC SUBTOTAL$ t f- 1,470.00 'Contributor Codes IND—Individual COM—Recipient Committee (other than PTY or SCC) OTH—Other(e.g.,business entity) PTY—Political Party FPPC Form 460(January/05) SCC—Small Contributor Committee FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) www.netfile.com Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. CALIFORNIA I � ' from 07/01/2012 • RM through 09/30/2012 Page 7 of 31 NAME OF FILER I.D.NUMBER Devin Dwyer for Council 2012 1299718 DATE FULL NAME,STREET ADDRESS AND 21P CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE,A IT RE,ALSAND ZIP I.D.NUMBER) CODE * OCCUPATION AN CEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED,ENTER NAME PERIOD (JAN. 1-DEC.31) (IF REQUIRED) 08/08/2012 Scott Cotton ❑RIND CEO 250.00 250.00 G 12 250.00 ❑COM 412 Olive Ave.619 OTH ❑PTY Fire Scope,Inc. Huntington Beach, CA 92648 ❑SCC 09/13/2012 Gary Daichen 500.00 ❑COM 39 Clermont - ❑OTH Newport Beach, Ca 92657 ❑PTY 012 Rachel Daichendt ❑RIND Homemaker 500.00 500.00 G 12 500.00 ❑COM 39 Clermont ❑OTH Newport Beach, CA 92657 ❑PTY ❑SCC 09/13/2012 Barbara Delgleize ❑RIND Realtor 300.00 300.00 G 12 400.00 ❑COM 5901 Warner Ave. ❑OTH #454 Remax Select One Huntington Beach, CA 92649 ElPTY ❑SCC 06/06/2012 Robert Dettloff ❑RIND Retired 100.00 100.00 G 12 100.00 ❑COM 6812 Laurelhurst Drive ❑OTH ❑Pam' Huntington Beach, CA 92647 ❑SCC SUBTOTAL$ 1,6so 00 WW , �w i, *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(8661275-3772) www.netfile.com Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. from 07/01/2012 • RM 4:60 through 09/30/2012 Page 8 of 31 NAME OF FILER I.D.NUMBER Devin Dwyer for Council 2012 1299718 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE,A IT RE,ALSAND ZIP I.D.NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEA (IFSELF-EMPLOYED,ENTER NAME PERIOD (JAN.1-DEC.31) (IF REQUIRED) OF BUSINESS) 08/06/2012 Dolores M XIND ❑ Retired 200.00 200.00 G12 200.00 ❑COM G 08 300.00 20601 Suburbia Huntington Beach, Ca 92646-5451 ❑PTY ❑SCC 08/09/2012 Edison International ❑IND G12 250.00 ❑COM P.O.Box 700 ❑x OTH Rosemead, CA 91770 ❑PTY ❑SCC 08/06/2012 Jean P. Evans ❑XIND d 150.00 150.00 G 12 250.00 ❑COM G 08 500.00 16852 Marina Bay Dr. ❑OTH Huntignton Beach, Ca 92649 ❑PTY ❑SCC 08/09/2012 Bob Ewing ❑XIND Pastor 100.00 100.00 G 12 100.00 ❑COM 4690 Oceano Cir. ❑OTH First Christian Church Huntington Beach, CA 92649-3224 ❑PTY of HB ❑SCC 09/27/2012 Curtis Fleming ❑XIND Mortgage Banking 150.00 150.00 G 12 150.00 ❑COM 1824 Galaxy ❑OTH El PTY Knight Bridge Realty Newport Beach, CA 92660 ❑SCC SUBTOTAL$ 850.00 : ' � "Contributor Codes IND—Individual COM—Recipient Committee (other than PTY or SCC) OTH—Other(e.g., business entity) PTY—Political Party FPPC Form 460(January/05) SCC—Small Contributor Committee FPPC Toll-Free Helpline:866/ASK-FPPC(8661275-3772) www.netfile.com Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period ® . to whole dollars. 46101 from 07/01/2012 th rough_o9/30/2012 Page 9 of 31 NAME OF FILER I.D.NUMBER Devin Dwyer for Council 2012 1299718 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE,ALSND I.D.NUMB CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO (IF SELF-EMPLOYED,ENTER NAME PERIOD (JAN.1 -DEC.31) (IF REQUIRED) OF BUSINESS) IND 08/15/2012 Jon Gergen ❑ 0.00 150.00 G 12 150.00 ❑COM 20021 Sand Dune Ln. ❑OTH ❑PTY JDP Holdings LLC CA 92646 ❑SCC Thomas Grable IND OB/06/2012 ❑ VP- Project Mgmt. 100.00 100.00 G 12 100.00 20947 Parkridge ❑OTH ❑Pam, Tri Pointe Homes Lake Forest, CA 92630 ❑SCC Brian ❑MIND President 100.00 100.00 G12 100.00 ❑COM 3862 Sirius Drive ❑OTH ❑Pam, Southern Counties Express Huntington Beach, CA 92649 ❑SCC 08/06/2012 Thomas Grimes [MIND Retired 100.00 100.00 G 12 100.00 [3Com 19431 Waterbury Ln. ❑OTH Huntington Beach, CA 92646 ❑PTY ❑SCC 08/06/2012 Lawrence Grote ❑MIND President 100.00 100.00 G 12 100.00 ❑COM 17151 Corbina Lane ❑OTH El PTY Ariel Supply Huntington Beach, CA 92649 ❑SCC SUBTOTAL$ sso.oo `ro *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(866/275-3772) www.netfile.com Schedule Q (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.) Monetary Contributions ReceivedAmounts may be rounded Statement covers period to whole dollars. CALIFORNIA d ,60 from 07/01/2012 through 09/30/2012 Page 10 Of 31 NAME OF FILER I.D.NUMBER Devin Dwyer for Council 2012 1299718 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED ( COMMITTEE,ALSNDI.D.NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALE TO DATE (IF SELF-EMPLOYED,ENTER NAME PERIOD (JAN. 1-DEC.31) (IF REQUIRED) OF BUSINESS) 08/06/2012 Michael Grubbs xIND ❑ CFO 100.00 100.00 G 12 100.00 ❑COM 309 Signal Rd. ❑OTH ❑PTY Tri Pointe Homes Newport Beach, CA ❑SCC Donald Hansen Q IND 08/06/2012 Vice President 150.00 150.00 G 12 150.00 ❑COM 1 r ❑OTH El PTY Balboa Capital Huntington Beach, CA 92646 ❑SCC 08/09/2012 Richard Harlow g Consultant 100.00 100.00 G 12 200.00 ❑COM GOB 250.00 1742 Main St. El OTH ❑PTY Richard Harlow & Assoc. Huntignton Beach, Ca 92648 ❑SCC 09/28/2012 Laird Hayes ❑RIND Doctor 100.00 100.00 G 12 100.00 ❑COM 2507 Holly Ln. ❑OTH Quarterback + Receiver Newport Beach, CA 92663 ❑PTY Camp ❑SCC 08/06/2012 HB Digital ❑IND 100.00 100.00 G 12 100.00 ❑COM 1615 Alabama Street ❑x OTH ❑PTY Huntington Beach, CA 92648 ❑SCC - SUBTOTAL$ s50.00 tz `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(8661275-3772) www.netfile.com Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.) Monetary Contributions Received Amounts maybe rounded Statement covers period CALIFORNIA to whole dollars. 0 e / ' from 07/01/2012 through 09 30 2012 page 11 Of 31 NAME OF FILER I.D.NUMBER Devin Dwyer for Council 2012 1299718 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION RECEIVED ( COMMITTEE,ALSNDI.D.NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR (IF SELF-EMPLOYED,ENTER NAME PERIOD (JAN.1-DEC.31) (IF REQUIRED) OF BUSINESS) 08/06/2012 Bryant Henry Retired 150.00 150.00 G 12 150.00 ❑COM 17033 Edgewater Lane ❑OTH Huntington Beach, CA 92649 ❑PTY /2012 Christopher Hodson ❑RIND Agent 100.00 350.00 G 12 450.00 ❑COM 626 Feather Drive h Company Huntington Beach, CA 92648 �PTY C Insurance Services, Inc. 09/25/2012 Home Run Software ❑IND 100.00 100.00 G 12 100.00 ❑COM 15562 Chemical Lane ❑x OTH Huntington Beach, Ca 92649 ❑PTY ❑SCC 08/09/2012 Huntington Executive Park ❑IND 500.00 500.00 G 12 600.00 ❑COM 16168 Beach Blvd. ❑X OTH Ste. 200 El per. Huntington Beach, CA 92647 ❑SCC 08/15/2012 Bruce lbbetson 1IND Real Estate Agent 100.00 100.00 G 12 100.00 ❑COM 400 Aliso Ave. ❑OTH ❑Pry ZMI Real Estate LLC Newport Beach, CA 92663-5105 ❑SCC SUBTOTAL$ 950 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(January/05) SCC—Small Contributor Committee FPPC Toll-Free Helpline:866/ASK-FPPC(866/276-3772) www.netfile.com Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. / from 07/01/2012 • RM through 09/30/2012 Page 12 of 31 NAME OF FILER I.D.NUMBER Devin Dwyer for Council 2012 1299718 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALEND E (IF SELF-EMPLOYED,ENTER NAME PERIOD (JAN. 1 -DEC.31) (IF REQUIRED) OF BUSINESS) 09/25/2012 Kenneth Jacobs tising 100.00 100.00 G 12 100.00 ❑COM 6280 Seabourne Dr ❑OTH El PTY Turn Communications ach, CA 92648 ❑SCC 09/14/2012 Joel Jones ❑RIND Engineer 150.00 150.00 G 12 150.00 ❑COM 1985 El PTY Boeing Huntington Beach, CA 92646 ❑SCC 08/06/2012 William Jumonville ❑xIND President 150.00 150.00 ❑COM 19751 Quiet Bay Lane ❑OTH South Coast Health & Huntington Beach, CA 92648 ❑PTY Wellness ❑SCC Kevin Kelter 07/06/2012 [MIND Developer 300.00 300.00 G 12 300.00 ❑COM G 08 500.00 1.8281 Gothard St., Suite 201 ❑OTH Tuscany Development Huntington Beach, Ca 92708 ❑PTY Inc./Kelter Partners ❑SCC 09/25/2012 Leonard16741 Car Lady [MIND Retired 250.00 250.00 G12 250.00 ❑COM 16741 Carousel Ln - ❑OTH ❑PTY Huntington Beach, CA 92649 ❑SCC SUBTOTAL$ 950.00 sue,'. ,,<: .a. �aYK,� .�w�""' s �• *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(8661275-3772) www.neffile.com Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period • to whole dollars. O from 07/01/2012 through 09/30/2012 Page ` 13 of 31 NAME OF FILER I.D.NUMBER Devin Dwyer for Council 2012 1299718 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE,ALSND I.D.NUMB CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE EMPLOYED,ENTER NAME PERIOD (JAN. 1-DEC.31) (IF REQUIRED) OF BUSINESS) X IND 08/06/2012 wince Latora ❑ Constructi 0.00 100.00 G12 100.00 ❑COM 16772 Irby Ln. ❑OTH ❑Pam, Self/Vince Latora Huntington Beach, 21 []SCC Don MacAllister RIND 08/06/2012 Retired 100.00 100.00 G12 100.00 ❑COM ❑OTH Huntington Beach, CA 92648 ❑PTY ❑SCC Jaime Manca-Graziadei 08/06/2012 ❑RIND Motor l 100.00 100.00 G12 100.00 []COM 12 Amesbury Ct. ❑OTH ❑PTY Self/Jaime Manca Ladera Ranch, CA 92694-0321 ❑SCC Robert Mandic,Jr. RIND OB/06/2012 ❑ Owner 100.00 100.00 G12 100.00 ❑CO-M 16242 Tisbury Circle ❑OTH _ Mandic Motors Huntington Beach, CA 92649 ❑PTY ❑SCC 09/28/2012 Dana McKee ❑RIND President 150.00 150.00 G12 150.00 ❑COM 18657 Ambrose Ln. ❑OTH Bartco ❑PTY Huntington Beach, CA 92648 ❑SCC SUBTOTAL$ 550.00 s.>. '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(866/275-3772) www.netfile.com Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period IMM to whole dollars. from 07/01/2012 through 09/30/2012 Page 14 of 31 NAME OF FILER I.D.NUMBER Devin Dwyer for Council 2012 1299718 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE +* OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR (IF SELF-EMPLOYED,ENTER NAME PERIOD (JAN. 1-DEC.31) (IF REQUIRED) OF BUSINESS) 08/06/2012 Thomas Mitchell RIND .00 100.00 G 12 100.00 ❑COM 1441 Galaxy Dr. ❑OTH El Pam, Tri Pointe Newport Beach, CA ❑SCC Buddy Molway x IND 09/13/2012 ❑ Staff Occupant 500.00 500.00 G 12 50 ❑COM 16 Villeneuve ❑OTH ❑Pam, Omega Solutions Newport Beach, CA 92660 ❑SCC Molway 09/13/2012 ❑xIND Homemaker 500.00 500.00 G 12 500.00 ❑COM 16 Villeneuve []OTH Newport Beach, CA 92660 ❑PTY ❑SCC 08/06/2012 Marcia Morrell ❑ XIND Retired 150.00 150.00 G 12 150.00 ❑COM 21181 Shaw Lane ❑OTH Huntington Beach, CA 92646-7143 ❑PTY ❑SCC 08/06/2012 New-Barr Consultants ❑IND 100.00 100.00 G 12 100.00 ❑COM 6941 Dresden Cir ❑x OTH ❑PTY Huntington Beach, CA 92647-2728 ❑SCC SUBTOTAL$ 1,350.00 'Contributor Codes IND—Individual COM—Recipient Committee (other than PTY or SCC) OTH—Other(e.g., business entity) PTY—Political Party SCC—Small Contributor Committee FPPC Form C( 661275 3772) FPPC Toll-Free Helpline:886/ASK-FPPC(868/275-3772) www.netfile.com Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIF®. to whole dollars. 460 .from 07/01/2012 FORM through 09/30/2012 page 16 of 31 NAME OF FILER I.D.NUMBER Devin Dwyer for Council 2012 1299718 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED ( COMMITTEE,ALSND .D.NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALEND ATE (IF SELF-EMPLOYED,ENTER NAME PERIOD (JAN. 1-DEC.31) (IF REQUIRED) OF BUSINESS) 08/06/2012 Helan ❑xIND Attorney 100.00 100.00 G 12 100.00 ❑COM 6595 Feather Dr. ❑OTH El PTY rk Huntington Beach, CA 92648 ❑SCC 08/06/2012 Laer Pearce ❑RIND President 100.00 200.00 G 12 ❑COM 23 Blackhawk ❑OTH El PTY Laer Pearce & Associates Coto De Caza, CA 92679 ce DIND President 100.00 200.00 G 12 200.00 ❑COM 23 Blackhawk El OTH ❑PTY Laer Pearce & Associates Coto De Caza, CA 92679 ❑SCC 09/27/2012 Pedigo Products ❑IND 520.00 520.00 G 12 520.00 ❑COM 4000 SE Colmbi.a Way ❑x OTH Vancouver, WA ❑PTY ❑SCC 08/09/2012 Petra Geotechnical, Inc. ❑IND 100.00 100.00 G 12 100.00 ❑COM 3190 Airport Loop Dr. ❑X OTH Ste. J1 ❑PTY Costa Mesa, CA 92626 ❑SCC SUBTOTAL$ ;5 920.00 *Contributor Codes IND—Individual COM—Recipient Committee (other than PTY or SCC) OTH—Other(e.g., business entity) PTY—Political Party FPPC Form 460(January/05) SCC—Small Contributor Committee FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) www.nelfile.com Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. AA 1 from 07/01/2012 • _ through 09/30/2012 Page 17 of 31 NAME OF FILER I.D.NUMBER Devin Dwyer for Council 201.2 1299718 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IFCOMMITTEE,ALSNDI.D.NUMBER) CODE * OCCUPATION AND EMPLOYER RECEI NDAR YEAR TO DATE (IFSELF-EMPLOYED,ENTER NAME PERIOD (JAN.1-DEC.31) (IF REQUIRED) OF BUSINESS) 08/06/2012 Curtis Radi MIND❑ Business Owner 200.00 200.00 G12 200.00 ❑COM 6782 Presidente Dr. ❑OTH TY Self/Curtis Radi Huntington Beach, CA 92648 []SCC 09/28/2012 Brian Randolph IND ❑X R 0.00 150.00 G 12 150.00 ❑COM No Physical Address ❑OTH ❑PTY ❑SCC Attorney 200.00 200.00 G 12 200.00 ❑COM G 08 500.00 7380 Sherwood Dr ❑OTH ❑PTY Black & Roge, LLP Huntington Beach, CA 92648 ❑SCC 09/27/2012 Keiko Sakamoto MIND Homemaker 520.00 520.00 G 12 520.00 ❑COM 1270 Pacific Ave ❑OTH Laguna Beach, CA 92651 ❑PTY ❑SCC 08/06/2012 Schweitzer & Associates ❑IND 150.00 150.00 G 12 150.00 ❑COM 25422 Trabuco Road ❑X OTH Suite 105-P ❑PTY Lake Forest, CA 92630 []SCC SUBTOTAL$ 1,220.00 "Contributor Codes IND—Individual COM—Recipient Committee (other than PTY or SCC) OTH—Other(e.g., business entity) PTY—Political Party FPPC Form 460(January/05) SCC—Small Contributor Committee FPPC Toll-Free Helpline:866/ASK-FPPC(8661275-3772) www.netfile.com Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period e to whole dollars. / ® 1 from 07/01/2012 FPage through 09/30/2012 18 of 31 NAME OF FILER I.D.NUMBER Devin Dwyer for Council 2012 1299718 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED ( COMMITTEE,ALSNDI.D.NUMB CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE MPLOYED,ENTER NAME PERIOD (JAN.1-DEC.31) (IF REQUIRED) OF BUSINESS) 08/06/2012 Elizabeth Shier Burnett ❑xIND Aerospace G 12 150.00 ❑COM GOB 500.00 1016 13th St ❑OTH - Huntington Beach, CA 92648 ❑P Michael Howard Simons IND. 08/09/2012 ❑ Dr. of Orthopedics 100.00 100.00 G 12 200.00 ❑COM ❑OTH Self/Michael Howard Huntington. Beach, CA 92648 ❑❑PTY C Simons 08/09/2012 Michelle Steel Member 150.00 150.00 G 12 150.00 ❑COM 27520 Hawthorne Blvd. Ej OTH 4270 ❑❑PTY Board of Equalization Palos Verdes, CA 90274 ❑SCC 09/27/2012 David Sullivan [MIND Retired 100.00 100.00 G 12 100.00 ❑COM G OS loo.o0 4162 Windsor Dr. ❑OTH Huntignton Beach, Ca 92649 ❑PTY ❑SCC 08/06/2012 Carol Sullivan-MacFarlane ❑xIND Senior Vice President 100.00 100.00 G 12 100.00 ❑COM 607 17th Street ❑OTH FORMA ❑PTY Huntington Beach, CA 92648-4019 ❑SCC SUBTOTAL$ 600.00 `. -11 2141 *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(866/275-3772) www.netfile.com Schedule A (Continuation .Sheet) Type or print in ink. SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. ' from 07/01/2012 FORM through 09/30/2012 Page 19 of 31 NAME OF FILER I.D.NUMBER Devin Dwyer for Council 2012 1299718 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (E COMMITTEE,RALSAND ZIP .D.N DE O CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IFSELF-EMPLOYED,ENTER NAME PERIOD (JAN. 1-DEC.31) (IF REQUIRED) OF BUSINESS) Clyde Tamanaha IND 08/06/2012 ruction Manager 100.00 100.00 G 12 100.00 ❑COM 23185 Stoneridge ❑OTH ❑PTY Tama Construc on Viejo, CA 92692 - ❑SCC 08/06/2012 Dianne Thompson ❑XIND Sales 100.00 100.00 G 12 100.00 d. ❑OTH ❑PTY State Farm Huntington Beach, CA 92647 ❑SCC 08/15/2012 C.Sheldon Thorne XIND retired 150.00 150.00 G12 150.00 ❑COM 19842Shorecliff Ln. ❑OTH Huntington Beach, CA 92648 ❑PTY ❑SCC 09/25/2012 TNT American Promotional Events West ❑IND 150.00 150.00 G 12 150.00 ❑COM 4511 Helton Drive Industrial Park ❑X OTH Florence, CA 35630 ❑PTY - ❑SCC 09/27/2012 Michael Van Voorhis ❑XIND Sales Rep 100.00 100.00 G 12 100.00 ❑COM 16923 Park Ave. ❑OTH ❑PTY Newport Meat Co Sunset Beach, CA 90742 ❑SCC SUBTOTAL$ .. 600.00 `Contributor Codes IND—Individual COM—Recipient Committee (other than PTY or SCC) OTH—Other(e.g., business entity) PTY—Political Party FPPC Form 460(January/05) SCC—Small Contributor Committee FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) www.netfile.com Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. WA from 07/01/2012 • _ M 460 through 09/30/2012 Page 20 of 31 NAME OF FILER I.D.NUMBER Devin Dwyer for Council 2012 1299718 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE,ALSND .D.N DE CODE * OCCUPATION AND EMPLOYER RECEIV DATE (IF SELF-EMPLOYED,ENTER NAME PERIOD (JAN.1-DEC.31) (IF REQUIRED) OF BUSINESS) 08/09/ Associates ❑IND 100.00 100.00 G 12 100.00 ❑COM 2552 White Road ❑x OTH A 92614-6274 El SCC 08/09/2012 Waterstone Apartment Partners, LP ❑IND 520.00 520.00 G 12 520.00 18802 Bardeen Ave. ❑X OTH Irvine, CA 92612 ❑PTY ❑SCC 08/06/2012 Richard Wiens ❑BIND Retired 150.00 150.00 G 12 150.00 ❑COM 8888 Lauderdale Ct. ❑OTH Apt. 217B El PTY Huntington Beach, CA 92646 ❑SCC 09/27 /2012 William Witte ❑RIND Business Owner 220.00 220.00 G 12 420.00 r]COM G 08 500.00 L 1270 Pacific Ave. ❑OTH ❑PTY Related California Laguna Beach, Ca 92651 ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC r 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(8661275-3772) www.netfile.com SCHEDULE E(CONT.) Schedule E Type or print in ink. Statement covers period (Continuation Sheet) Amounts may be rounded • ® ® t Payments Made to whole dollars. from 07/01/2012 • through 09/30/2012 Page 23 of 31 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.NUMBER Devin Dwyer for Council 2012 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 RAID 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 FIND 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 registrati and mailings PRT print ads WEB information technology costs (i NAME AND ADDRESS OF PAYEE CODE OR AYMENT AMOUNT PAID (IF COMMITTEE,ALSO ENTER I.D.NUMBER) Bieber Communications Suite 812 Santa Ana, Ca 92704 LIT 3,437.23 Ci 1,500.00 2000 Main Street FIL Huntinaton Beach, CA 92648 COGS South Signs 3309 S. Main St. CMp 1,489.65 Santa Ana, Ca 92707 Continuing the Republican Revolution (#598041) 1,000.00 1300 Bristol St, Suite 100 LIT Newport Coast, Ca 92660 Fred's Best Wood Fired Pizza - FND 1,000.00 18191 Santa Lauretta Cir. Fountain Valley, CA 92708 "Payments that are contributions or independent expenditures mustalso be summarized on Schedule D. SUBTOTAL$ 8,426.88 FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) www.netfile.com - Schedule E SCHEDULE E(CONT.) Type or print in ink. Statement covers period (Continuation Sheet) Amounts may be rounded • ' ®FORM ® ' Payments Made to whole dollars. from 07/01/2012 SEE INSTRUCTIONS ON REVERSE through 09/30/2012 Page 24 of 31 NAME OF FILER I.D.NUMBER Devin Dwyer for Council 2012 1299718 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CW campaign paraphernalia/misc. MBR member communications RAID 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 FIND 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 c and mailings PRT print ads WEB information technolo , e-mail) NAME AND ADDRESS OF PAYEE IPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE,ALSO ENTE Brett Hickman 20322 Ramona Lane Huntington Beach, CA 92646 85.00 Brett Hickman 20322 Ramona Lane CMP 35.00 Huntington Beach, CA 92646 Brett Hickman 20322 Ramona Lane CMP 75.00 Huntington Beach, CA 92646 Brett Hickman 100.00 20322 Ramona Lane CMP Huntington Beach, CA 92646 Home Run Software Services CMP 355.55 15562 Chemical Lane Huntington Beach, Ca 92649 ' Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 650.55 FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(8661275-3772) www.netfile.com Schedule E SCHEDULE E(CONT.) Type or print in ink. (Continuation Sheet) Amounts may be rounded St atement covers period CALIFORNIA I • 1 Payments Made to whole dollars. from 07/01/2012 • RM through 09/30/2012 Page 25 of 31 SEE INSTRUCTIONS ON REVERSE g NAME OF FILER I.D.NUMBER Devin Dwyer for Council 2012 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, accountin stration UT campaign literature and mailings PRT print ads W ology costs (internet, e-mail) NAME AND ADDRESS OF PAYE DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE,ALSO ENTER I.D.NU n Software Services 15562 Chemical Lane Huntington Beach, Ca 92649 740.78 Home Run Software Services 15562 Chemical Lane CMP 740.78 Huntington Beach, Ca 92649 Home Run Software Services 15562 Chemical Lane CMP 740.78 Huntington Beach, Ca 92649 Home Run Software Services 355.60 15562 Chemical Lane CMP Huntington Beach, Ca 92649 Home Run Software Services CMP 355.60 15562 Chemical Lane Huntington Beach, Ca 92649 "Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 2,933.54 FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) www.neffile.com Schedule E SCHEDULE E(CONT) Type or print in ink. Statement covers period (Continuation Sheet) Amounts may be rounded • " Payments Made to whole dollars. from 07/01/2012 • RM 460 through 09/30/2012 Page 26 of 31 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D.NUMBER Devin Dwyer for Council 2012 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 RAID 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 gn literature and mailings PRT print ads WEB informati ernet, e-mail) NAME AND ADDRESS OF PAYEE C OF PAYMENT AMOUNT PAID (IF COMMITTEE,ALSO ENTER I.D.NUMBER) 22431 Antonio Pkwy., Suite-B-160#131 RSM, CA 92688 862.50 Lysa Ray Campaign Services 603 E Alton Ave Suite H PRO 300.00 Santa Ana, CA 92705 Lysa Ray Campaign Services 603 E Alton Ave Suite H PRO 300.00 Santa Ana, CA 92705 Lysa Ray Campaign Services 300.00 603 E Alton Ave Suite H PRO Santa Ana, CA 92705 Quality Offset Printing CMP 343.72 7573-B Slater Ave. Huntington Beach, CA 92647 *Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 2,106.22 FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) www.netfile.com SCHEDULEF Schedule F Type or print in ink.Amounts may be rounded Statement covers period Accrued Expenses (Unpaid Bills) towholedollars. from 07/01/2012 SEE INSTRUCTIONS ON REVERSE through 09J30/2012 Page 28 Of 31 NAME OF FILER I.D.NUMBER Devin Dwyer for Council 2012 1299718 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalialmisc. MBR member communications RAID 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 PEr 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 FIND 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 CREDITOR CODE OR ( ( ( ( OUTSTANDING AMOUNT INCURRED AMOUNT PAID (IF COMMITTEE,ALSO ENTER I.D.NUMBER) DESCRIPTION OF PAYMENT BALANCE ERIOD BALANCE AT CLOSE OF THIS PERIOD (ALSO REPORT ON E) OF Delta Partners, LLC CNS 3,500.00 0.00 0.00 3,500.00 17541 17th St. Tustin, Ca 92780 Pitkin Productions FND 500.00 0.00 0.00 500.00 8105 Irvine Dr., Suite 1170 Irvine, Ca 92618 Delta Partners, LLC CNS 1,000.00 0.00 0.00 1,000.00 17541 17th St. Tustin, Ca 92780 *Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTALS$ 5,000.00 $ 0.00$ 0.00$ 5,000.00 Schedule F Summary 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for accrued expenses of$100 or more, plus total unitemized accrued expenses under$100.)............................................ INCURRED TOTALS $ 0.00 2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on accrued expenses of$100 or more, plus total unitemized payments on accrued expenses under$100.) .................................PAID TOTALS $ 0.00 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and on the Summary Page, Column A, Line 9.) .................... NET$ 0.00 .............................................................................................................. May be a negative number FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(8661275-3772) www.netfile.com Schedule F Type or print in ink. SCHEDULE F(CONT.) Amounts may be rounded Statement covers period e (Continuation Sleet) p a to whole dollars. ® _ Accrued Expenses (Unpaid Bills) from 07/01/2012 through 09/30/2012 Page 29 of 31 NAME OF FILER I.D.NUMBER Devin Dwyer for Council 2012 1299718 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CHIP 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) "Payments that are contributions or independent expenditures must also be summarized on Schedule D. NAME AND ADDRESS OF CREDITOR ( (c) ( OUTSTAA NDING AMOUNT IN CURRED AMOUNT PAID OUTSTANDING (IF COMMITTEE;ALSO ENTER I.D.NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD Devin Dwyer FIL 2,600.00 0.00 0.00 2,600.00 310 22nd St Huntington Beach CA 92468 SUBTOTALS$ 2,600.00 $ 0.00$ 0.00$ 2,600.00 FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) www.netfile.com Schedule G SCHEDULE G Type or print in ink. Payments Made by are Agent Or Independent Amounts may be rounded Statement covers period C'ALIFORNIA Contractor(on Behalf of This Committee) to whole dollars. from 07/01/2012 FO,- 4610 through 09/30/2012 Page 30 of 31 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D.NUMBER Devin Dwyer for Council 2012 1299718 NAME OF AGENT OR INDEPENDENT CONTRACTOR Red Zone Strategies 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) re contributions or independent expenditures m ized on Schedule D. NAME AND ADDRESS OF PAYEE OR CREDITOR(IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Total Wine FND 187.92 16272 Beach Blvd . Hb CA 92647 USPS POS POS 746.00 Sunflower Station Santa Ana CA 92707 _ Attach additional information on appropriately labeled continuation sheets. TOTAL* $ 933.92 *Do not transfer to any other schedule or to the Summary Page. This total may not equal the amount paid to the agent or independent contractor as reported on Schedule E. FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(666/275-3772) www.netfile.com Schedule I Type or print in ink. SCHEDULE I Miscellaneous Increases to Cash Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. from 07/01/2012 FORM SEE INSTRUCTIONS ON REVERSE through 09/30/2012 page 31 of 31 NAME OF FILER LD.NUMBER Devin Dwyer for Council 2012 1299718 DATE FULL NAME AND ADDRESS OF SOURCE AM COMMITTEE,ALSO ENTER I.D.NUMBER) DESCRIPTION OF RECEIPT INCREASE TO CASH 09/27/2012 Continuing the Republican Revolution 598041 refund 1,000.00 1300 Bristol St, Suite 100 Newport Coast, Ca 92660 Attach additional information on appropriately labeled continuation sheets. SUBTOTAL$ 1,000.00 Schedule I Summary 1. Itemized increases to cash this period. .......................................................................................................................$ 1,000.00 2. Unitemized increases to cash of under$100 this period.............................................................................................$ 0.00 3. Total of all interest received this period on loans made to others. Schedule H, Column e . 0.00 4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the SummaryPage, Line 14.) .......................................................... ................................................................ TOTAL $ 1,000.00 FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(8661276-3772) www.neffile.com Campaign Disclosure Statement Type or print in ink. SUMMARY PAGE period Amounts may be rounded Statement covers p Summary Page to whole dollars. mawd from 01/01/2012 ® ' 11 SEE INSTRUCTIONS ON REVERSE through 06/30/2012 Page 3 of 16 NAME OF FILER LD. NUMBER Devin Dwyer for Council 2012 1299718 Column A Column B Calendar Year Summary for Candidates Contributions Received TOTALTHIS PERIOD CALENDARYEAR Running in Both the State Primary and (FROMATTACHED SCHEDULES) g TOTALTO DATE General Elections 1. Monetary Contributions ........................................... Schedule A,Line $ 5,250.00 $ 5,250.00 2. Loans Received ...................................................... Schedule B,Line 3 0.00 15.697.00 1 111 through 6/30 7/1 to Date 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1+2 $ s,25o.00 $ 20,947.00 20. Contributions Received $ $ 4. Nonmonetary Contributions.................................... Schedule C,Line 3 362.42 362.42 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ...........................Add Lines 3+4 $ 5,612.42 $ 21,309.42 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made....................................................... Schedule E,Line 4 $ 6,298.85 $ 6,298.85 Candidates 7. Loans Made............................................................. Schedule H,Line 3 0.00 0.00 22. Cumulative Expenditures Made* 8. SUBTOTALCASHPAYMENTS .................................... Add Lines 6+7 $ 6,298.85 $ 6,298.85 (If Subject to Voluntary Expenditure Limit) 9. Accrued Expenses (Unpaid Bills)...............................schedule F Line 3 -1,500.00 11600.00 Date of Election Total to Date 10. Nonmonetary Adjustment ............................ (mm/dd/yy) ..............Schedule C,Line 3 362.42 362.42 11. TOTAL EXPENDITURES MADE................................AddLines8+9+10 $ 5,161.27 $ 8,z61.27 _� � $ Current Cash Statement $ 12. Beginning Cash Balance....................... Previous summary Page,Line 16 $ 5,100.09 To calculate Column B,add 13.Cash Receipts ................................................... Column A,Line 3 above 5,250.oo 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 42.00 from Column B of your last reported in Column B. 15. Cash Payments.................................................. Column A,Line 8above 6,298.85 report. Some amounts in Column A may be negative 16. ENDING CASH BALANCE.......... Add Lines 12+13+14,then subtract Line 15 $ 4,093.24 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 any). 18. Cash Equivalents........................................ See instructions on reverse $ 0.00 19. Outstanding Debts......................... Add Line 2+Line 9 in Column B above $ 17,297.00 FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) www.netfile.com SCHEDULE B-PART1 Type or print in ink. Statement covers period CAUFORNIAE Schedule B—Part 1 Amounts may be rounded to whole dollars. 01/ol/zolz • Loans Received from through 06/30/2012 page 8 of 16 I.D. NUMBER SEE IN N REVERSE 1299718 NAME OF FILER Devin Dwyer for Council 2012 (d) ( (9) a (b) (c) OUTSTANDING INTEREST ORIGINAL CUMULATIVE JCODE AN ENTER OUTSTANDING AMOUNT AMOUNTPAID BALANCEAT PAID THIS AMOUNTOF CONTRIBUTIONS FULL NAME,STREET ADDRESS AND ZIP CUPATION AND EMPLOYER BALANCE RECEIVED THIS OR FORGIVEN CLOSE OF THIS TO DATE OF LENDER (IF SELF-EMPLOYED,ENTER BEGINNING THIS PERIOD * PERIOD LOAN THIS PERIOD P RI D (IF COMMITTEE,ALSO ENTER I.D.NUMBER) NAME OF BUSINESS) P RI D CALENDAR YEAR cilman ❑PAID Devin Dwyer 0.00 6,000.00 0% 6,000.00 $ p.00 $ °h $ 310 22nd St RATE PER ELECTION** tington Beach City ❑FORGIVEN Huntington Beach, CA 92468ncil 0.00 6,000.00 0.00 0.00 $ 07/11/zoo7 $ $ $ $ DATE DUE DATE INCURRED t® IND ❑ COM ❑ OTH ❑ PTY CALENDARYEAR ❑PAID Councilman 0.00 1,000.00 0% 1,000.00 0.00 Devin Dwyer % $ $ $ $ RATE PER ELECTION** 310 22nd St Huntington Beach City ❑FORGIVEN Huntington Beach, CA 92468 Council 0.00 0.00 $ 0.00 09/30/2008 $ 1,000.00 $ $ $ DATE DUE DATE INCURRED t® IND ❑ COM ❑ OTH ❑ PTY ❑ SCC PAID CALENDARYEAR o Councilman ❑ Devin Dwyer 8,697.00 U$ 8,697.00 $ o.00 .00 $ � g $ RATE PER ELECTION** 310 22nd St Huntington Beach City ❑FORGIVEN 00 Huntington Beach, CA 92468 Council8,697.00 0.00 0.00 0. 11/03/2008 $ $_ $_ $ DATE DUE $ DATE INCURRED t® IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTALS $ 0.00 $ ().Do $ 15,697.00 $ 0 00 (Enter(e)an Schedule E,Line 3) Schedule B Summary $ o.00 1. Loans received this period.................................................................................................................... tContributor Codes (Total Column(b)plus unitemized loans of less than$100.) IND-Individual 0.00 COM—Recipient Committee ............................................................$ (other than PTY or SCC) 2. Loans paid or forgiven this period ............................................ OTH_other(e.g.,business entity) (Total Column(c)plus loans under$100 paid or forgiven.) PTY—Political Party (Include loans paid by a third party that are also itemized on Schedule A.) SCC—Small Contributor Committee �T o.00 3. Net change this period. (Subtract Line 2 from Line ................................................ ................................................... NG 1 $ (May be a negative number) Enter the net here and on the Summary Page, Column A, Line 2. FPPC Form 460(January/05) EAmounts forgiven or paid by another party also must be reported on Schedule A. FppC Toll-Free Helpline:8661ASK-FPPC(866/275-3772) If required. www.netfile.com Schedule C Type or print in ink. SCHEDULE C Amounts may be rounded period covers Nonmonetary Contributions Received to whole dollars. Statementp • - 46from 01/01/2012 • - 1 SEE INSTRUCTIONS ON REVERSE through 06/30/2012 Page 9 of 16 NAME OF FILER I.D.NUMBER Devin Dwyer for Council 2012 1299718 IF AN INDIVIDUAL,ENTER DESCRIPTION OF AMOUNT/ CUMULATIVE TO PER ELECTION DATE FULL NAME,STREET ADDRESS AND CONTRIBUTOR DATE OCCUPATION AND EMPLOYER FAIR MARKETTO DATE RECEIVED ZIP CODE OF CONTRIBUTOR CODE '� (IF SELF-EMPLOYED,ENTER GOODS OR SERVICES VALUE CALENDAR YE (IF COMMITTEE,ALSO ENTER I.D.NUMBER) NAME OF BUSINESS) (JAN 1-DEC 31) 01/27/2012 PepsiCo Inc & Affiliates ❑IND Event Expenses 362.42 362.42 G12 362.42 ❑COM 00 Anderson Hill Rd M312 ®OTH Purchase, NY 10577 ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC Attach additional information on appropriately labeled continuation sheets. SUBTOTAL$ 362.42 Schedule C Summary •Contributor Codes 1. Amount received this period-itemized nonmonetary contributions. IND-Individual (Include all Schedule C subtotals.).....................................................................................................................$ 362.42 COM—Recipient other than Committee mi teSCC) TY or 2. Amount received this period—unitemized nonmonetary contributions of less than$100 ....................................$ 0.00 OTH-Other(e.g., business entity) PTY-Political Party 3. Total nonmonetary contributions received this period. SCC-Small contributor committee Add Lines 1 and 2. Enter here and on the Summary Page,Column A, Lines 4 and 10. 362.42 9 ) ......................TOTAL $ FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) www.netfile.com SCHEDULE E Schedule E Type or print in ink. (CONY.) Statement covers period (Continuation Sheet) Amounts may be rounded e - Paoyments Made to whole dollars, from 01/01/2012 • - 46,07 through 06/30/2012 Page 13 of 16 SEE INSTRUCTIONS ON REVERSE g NAME OF FILER i.D.NUMBER Devin Dwyer for Council 2012 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, a registration LIT campaign literature and mailings PRT print ads WEB inform internet, e-mail) NAME AND ADDRESS OF PAYEE COD N OF PAYMENT AMOUNT PAID (IF COMMITTEE,ALSO ENTER Lysa Ray Campaign Services 603 E Alton Ave Suite H Sa RO - 300.00 Lysa Ray Campaign Services Retainer-June 2012 603 E Alton Ave Suite H PRO 250.00 Santa Ana, CA 92705 Red Zone Strategies 10252 Wesley Circle CMP 633.32 Huntington Beach, CA 92646 Republican Party of OC 1800 W. Katella 4210 500.00 Orange, Ca 92667 - FND Suzanne's Catering - 9121 Atlanta Ave., Suite 227 FND 639.53 Huntington Beach, CA 92646 Fundraiser - 27 Attendees including candidate "Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 2,322.85 FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) www.netfile.com SCHEDULEF Schedule F Type or print in ink. Amounts may be rounded Statement covers period A • a Accrued Expenses (Unpaid Bills) • to whole dollars. from of/ol/zolz • SEE INSTRUCTIONS ON REVERSE through 06/30/2012 Page 14 Of 16 NAME OF FILER I.D.NUMBER Devin Dwyer for Council 2012 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 PEF 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 CREDITOR CODE OR ( ( ( ( NDING AMOUNT INCURRED AMOUNN T PAID OUTSTANDING (IF COMMITT RIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CL OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD Delta Partners, LLC CNS 5,000.00 0.00 1,500.00 3,500.00 17541 17th St. Tustin, Ca 92780 Pitkin Productions FND 500.00 0.00 0.00 500.00 8105 Irvine Dr., Suite 1170 Irvine, Ca 92618 Delta Partners, LLC CNS 1,000.00 0.00 0.00 1,000.00 17541 17th St. Tustin, Ca 92780 *Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTALS $ 6,500.00 $ 0.00$ 1,500.00$ 5,000.00 Schedule F Summary 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for accrued expenses of$100 or more, plus total unitemized accrued expenses under$100.)............................................ INCURRED TOTALS $ 0.00 2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on accrued expenses of$100 or more, plus total unitemized payments on accrued expenses under$100.) .................................PAID TOTALS $ 1,500.00 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and onthe Summary Page, Column A, Line 9.) ................................................................................................................................................ NET$ -1,500.00 May be a negative number FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) www.netfile.com Schedule I Type or print in ink. SCHEDULE 1 Miscellaneous Increases $O Cash Amounts may be rounded Statement covers period 11CALIFORNIA to whole dollars. 1 ® . from ® ® O 01/01/2012 through 06/30/2012 Page 16 of 16 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D.NUMBER Devin Dwyer for council 2012 1299718 DATE FULL NAME AND ADDRESS OF SOURCE AMOUNT OF RECEIVED - (IF COMMITTEE,ALSO ENTER I.D.NUMBER) DESCRIPTION OF RECEIPT INCREASE TO CASH Attach additional information on appropriately labeled continuation sheets. SUBTOTAL$ 0.00 Schedule I Summary 1. Itemized increases to cash this period. .......................................................................................................................$ 0.00 2. Unitemized increases to cash of under$100 this period.............................................................................................$ 42.o0 3. Total of all interest received this period on loans made to others. Schedule H, Column e . 0.00 4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the SummaryPage, Line 14.) ...... .................................................................................................................... TOTAL $ 42.00 FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC (8661275-3772) www.netfile.com