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Huntington Beach Firefighters Association - 2012 FPPC Campai (2)
Campaign Disclosure Statement Type or print in ink. SUMMARY PAGE Amounts may be rounded Statement covers period ®- Summary Page to whole dollars. ® ® 1 from 10/21/2012 ®- through 12/31/2012 page 2 of 9 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Huntington Beach Firefighters Association 902935 Column A Column B Calendar Year Summary for Candidates Contributions Received TOTALTHISPERIOD CALENDARYEAR Running in Both the State Primary and (FROM ATTACHED SCHEDULES) TOTALTODATE g ma rY General Elections 1. Monetary Contributions ........................................... schedule A,Line 3 $ 19,013 $ 80,382 2. Loans Received ...................................................... schedule e,Line 3 0 0 1/1 through 6/30 7/1 to Date 19,013 80,382 20. Contributions 3. SUBTOTAL CASH CONTRIBUTIONS ................... Received $ $ 4. Nonmonetary Contributions.................................... schedule C,Line 3 0 0 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ...........................Add Lines 3+4 $ 19,013 $ 80,382 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made....................................................... schedule E,Line 4 $ 41,888 $ 139,603 Candidates 7. Loans Made............................................................. Schedule H,Line 3 0 0 41,888 139,603 22. Cumulative Expenditures Made' 8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6+7 $ $ (If Subjectto Voluntary Expenditure Limit) 9. Accrued Expenses (Unpaid Bills) ...............................schedule F Line 3 0 0 Date of Election Total to Date 10. Nonmonetary Adjustment ..........................................schedule C,Line 3 0 0 (mm/dd/yy) 11. TOTAL EXPENDITURES MADE................................Add Lines 8+9+10 $ 41,888 $ 139,603 $ Current Cash Statement $ 12. Beginning Cash Balance....................... Previous summary Page,Line 16 $ 96,632 To calculate Column B,add 13. Cash Receipts ................................................... Column A,Line 3 above 19,013 amounts in Column A to the corresponding amounts *Amounts in this section may be different from amounts 14.Miscellaneous Increases to Cash........................... Schedule/,Line 4 0 from Column B of your last reported in Column B. 15. Cash Payments.................................................. Column A,Line 8 above 41,888 report. Some amounts ti Y Column A may be negative 16. ENDING CASH BALANCE.......... Add Lines 12+13+14,then subtract Line 15 $ 35,731 figures that should be subtracted from previous If this is a termination statement, Line 16 must be zero. period amounts. If this is the first report being filed 17. LOAN GUARANTEES RECEIVED........................... Schedule e,Part 2 $ 0 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 19. Outstanding Debts......................... Add Line 2+Line 9 in Column a above $ 0 FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(8661275-3772) Schedule A Type or print in ink. SCHEDULE A Amounts may be rounded Statement covers period Monetary Contributions Deceived to whole dollars. 10/21/2012 CALIFORNIA � • RM from through 12/31/2012 Page 3 Of 9 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Huntington Beach Firefighters Association 902935 FULL NAME STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION , DATE CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE* (IF SELF-EMPLOYED,ENTER NAME PERIOD (JAN.1-DEC.31) (IF REQUIRED) OF BUSINESS) ZIND See attached list El COM Various ❑OTH 18,645 78,690 78,690 ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC SUBTOTAL$ 18,645 a x Schedule A Summary *Contributor Codes 1. Amount received this period—itemized monetary contributions. IND-Individual (Include all Schedule A subtotals.) $ 18,645 COM—Recipient Committee ........................................................................................................ (other than PTY or SCC) 2. Amount received this period—unitemized monetary contributions of less than$100 ............................. $ 368 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 SummaryPa Col A, Line 1. TOTAL $ 19,013 Page, Column )����������������������� FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(8661275-3772) Schedule D Summaryof Expenditures Type p SCHEDULED p T e or riot in ink. Statement covers period Amounts may be rounded •- Supporting/Opposing Other to Whole dollars. 10/21/2012 FORM Candidates, Measures and Committees from SEE INSTRUCTIONS ON REVERSE through 12/31/2012 Page 7 of 9 NAME OF FILER I.D. NUMBER Huntington Beach Firefighters Association 902935 CUMULATIVE TO DATE PER ELECTION DATE NAME OF CANDIDATE,OFFICE,AND DISTRICT,OR TYPE OF PAYMENT DESCRIPTION AMOUNTTHIS CALENDAR YEAR TO DATE MEASURE NUMBER OR LETTER AND JURISDICTION, (IF REQUIRED) PERIOD (JAN.1-DEC.31) (IF REQUIRED) ORCOMMITTEE Jim Katapodis ❑ Monetary Mailers, signs, and phone Various City Council Contribution blasts 5,329 21,602 21,602 ❑ Nonmonetary Contribution ® Independent ® Support ❑ Oppose Expenditure ❑Various Jill Hardy contributi Monetary on Mailers, signs, and phone 21,602 Nonmonetary City Council ❑ blasts 5.329 21,602 Contribution ® Independent ® Support ❑ Oppose Expenditure Billy O'Connell ❑ Monetary Mailers, signs, and phone Various City Council Contribution blasts 5,329 21,602 21,602 ❑ Nonmonetary Contribution Independent Support ❑ Oppose Expenditure SUBTOTAL $ 15,987 ;z Schedule D Summary 1. Itemized contributions and independent expenditures made this period. Include all Schedule D subtotals. 15,987 2. Unitemized contributions and independent expenditures made this period of under$100..................................................................................... $ 0 3. Total contributions and independent expenditures made this period. Add Lines 1 and 2. Do not enter on the Summary Page.) TOTAL $ 15,987 FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Type or print in ink. 496 Independent Expenditure Report Amounts may be rounded to whole dollars. 496 INDEPENDENT EXPENDITURE REPORT NAME OF FILER Date of Pa e Staf�p 0 0 10/29/2012 ILI Hun Firefighters Association This Filing 1 I.D.NUMBER(if appiica�we) For Official Use Only AREA CODE/PHONENUMBER Official Use Only Report No. 714-642-1014902935 S�T_REETADDRESS E]Amendment 5484 McFadden to Report No. CITY STATE ZIP CODE 'explain below) Pages No.of Huntington Beach CA 92649 1. List Only One Candidate or Ballot Measure NAME OF CANDIDATE SUPPORTED OR OPPOSED NAME OF BALLOT—MEASURE SUPPORTED OR OPPOSED Billy O'Connell OFFICE SOUGHT OR HELD DISTRICT NO. Z>UHIuRl utltluor BALLOT NOJLETTER JURISDICTION SUPPORT OPPOSE City Council X 2. Independent Expenditures Made Attach additional information on appropriately labeled continuation sheets. DATE DESCRIPTION OF EXPENDITURE AMOUNT AMAC-Mailers 4,819 10/29/2012 Reason forArnendment: —-------- --—------ FPPC Form 496(MarchJ2011) FPPC Toll-Free Helpline:866/ASK-FPPC(8661275-3772) 496 Independent Expenditure Report Type or print in ink. Amounts may be rounded to whole dollars. 496 INDEPENDENT EXPENDITURE REPORT NAME OF FILER Date Stamp 1 Date of 0 1 10/29/2012 Huntington Beach Firefighters Association This Filing 20 12 -0, 1' 2 9 A 1 10'. 0 CODEiPHONE NUMBER 1 I.D.NUMBER(ifuppicawe) 71MI Use Only For Official Use Only 714-642-1014 1902935 Report No. STREETADDRESS E]Amendment 5484 McFadden to Report No. CITY STATE ZIP CODE 'explain below) Pages Huntington Beach CA 92649 No.of 1. List Only One Candidate or Ballot Measure NAME OF CANDIDATE SUPPORTED OR OPPOSED NAME OF BALLOT MEASURE SUPPORTED OR OPPOSED Jim Katapodis OFFICE SOUGHT OR HELD DISTRICT NO. SUPPORT OPPOSE BALLOT NO,/LETTER JURISDICTION SUPPORTI OPPOSE City Council X 2. Independent Expenditures Made Attach additional information on appropriately labeled continuation sheets. DATE DESCRIPTION OF EXPENDITURE AMOUNT AMAC-Mailers 10/29/2012 4,818 Reason forAmendment: ............ FPPC Form 496(March/2011) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) 496 Independent Expenditure Report Type or print in ink. Amounts may be rounded to whole dollars. 496 INDEPENDENT EXPENDI NAME OF FILER I Date of Da 10/29/201*?3 12 T 2 9 P Huntington Beach Firefighters Association This Filing AREA CODE,,%6i4E NUMBER LD.NUMBER(fappficable) For Official Use Only 714-642-1014 902935 Report No. STREETADDRESS ❑Amendment 5484 McFadden to Report No. CITY STATE ZIP CODE (explain below) Huntington Beach CA 92649 No.of Pages 1. List Only One Candidate or Ballot Measure NAME OF CANDIDATE SUPPORTED OR OPPOSED NAME OF BALLOT MEASURE SUPPORTED OR OPPOSED Jill Hardy OFFICE SOUGHT OR HELD DISTRICT NO. SUPPORT OPPOSE IBALLOT NO.ILETTER JURISDICTION SUPPORTI OPPOSE City Council X 2. Independent Expenditures Made Attach additional information on appropriately labeled continuation sheets. DATE DESCRIPTION OF EXPENDITURE AMOUNT AMAC-Mailers 10/29/2012 4,818 Reason forArnendrnent: -—------------_...............------------- .............. ——------------- FPPC Form 496(March/2011) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) 496 Independent Expenditure Report Type or print in ink. Amounts may be rounded to whole dollars. 496 INDEPENDENT EXPENDITURE REPORT NAME OF FILER I Date of Date Sta#m Huntington Beach Firefighters Association This Filing 10/29/2012 y 'I � ;fit AREA CODEIPHONE NUMBER i I.D.NUMBER f 1 For Official Use Only 714-642-1014 1902935 Report No. STREETADDRESS ❑Amendment 5484 McFadden to Report No. CITY STATE ZIP CODE iexWain below) I Huntington Beach CA 92649 No,of Pages 1 I 1. List Only One Candidate or Ballot Measure NAME OF CANDIDATE SUPPORTED OR OPPOSED NAME OF BALLOT MEASURE SUPPORTED OR OPPOSED Measure Z OFFICE SOUGHT OR HELD DISTRICT NO. SUPPORT OPPOSE BALLOT NOJLETTER JURISDICTION SUPPORT OPPOSE Z Huntington Beach X 2. Independent Expenditures Made Attach additional information on appropriately labeled continuation sheets. DATE DESCRIPTION OF EXPENDITURE AMOUNT AMAC-Mailers and signs 10/29/2012 6,535 Reason forAmendment- .----........---- -- ----------------- ----._�— FPPC Form 496(March/2011) FPPC Toll-Free Helpline:866/ASK-FPPC(8661275-3772) �. Su lemental Inde endent Type or print in ink. SUPPLEMENTAL INDEPENDENT EXPENDITURE pp p Report covers period Date Stamp Amounts may be rounded to p , .. Expenditure Report whole dollars. (Government Code Section 84203.5) from 10/01/2012 �� el SEE INSTR ERSE through 10/20/2012 �' 'a ! � � '; 1 4 ❑ Amendment (Explain Below) 9 Page of Date of election if applicable:'. For Official Use Only (Month,Day,Year), 1 1/061201 2 a " NUMBER I.D. (If recipient committee) 1. Committee/Filer Information 902 Treasurer (If recipient committee) COMM NAME OF TREASURER Huntington Beach Firefighters Association Chad Stewart MAILING ADDRESS STREET ADDRESS(NO P.O.BOX) P.O. Box 757 5484 McFadden CITY STATE ZIP CODE AREA CODElPHONE CITY STATE ZIP CODE AREA CODEtPHONE Huntington Beach CA 92649 714-642-1014 Huntington Beach CA 92648 714-642-1014 OPTIONAL: FAX/E-MAIL ADDRESS OPTIONAL: FAX/E-MAIL ADDRESS 2. Name of Candidate or Measure Supported or Opposed CHECK ONE NAME OF CANDIDATE OFFICE SOUGHT OR HELD LE SUPPORT OPPOSE NAME OF BALLOT MEASURE BALLOT NOJLETTER JU OPPOSE Measure Z Z Huntington Beach enditures Made Attach additional information on appropriatelylabeled continuation sheets. CUMULATIVE TO DATE DATE NAME AND ADDRESSOF PAYEE DESCRIPTION OF EXPENDITURE AMOUNT CALENDAR YEAR JAN. 1-DEC.31 10/17/2012 Home Run Media Group Signs 560 560 15562 Chemical Lane Huntington Beach, CA 926499 10/17/2012 The Fairfax Research Group Study 3,080 7,060 2925 Black Horse Drive Ontario, CA 91761 Various AMAC Signs and mailers 16,314 17,772 114 S. Catalina Ave. Redondo Beach,CA 90277 FPPC Form 465 (Junel09) FPPC Toil-Free Helpline: 866/ASK-FPPC (8661275-3772) Supplemental, Inde Independent Type or print in ink. SUPPLEMENTAL INDEPENDENT EXPENDITURE p Date Stamp Expenditure Report Amounts maybe rounded to Report covers period p !,or whole dollars. (I a , 9 r (Government Code Section 84203.5) from 10/01/2012 p ml' SEE INST VERSE 10/20/2012 ❑ Amendment (Explain Below) through Pa2 of 4 Date of election if applicable: fficial Use Only (Month,Day,Year) 11/06/2012 I.D.NUMBER(If recipient committee) 1. Committee/Filer Information Treasurer (if recipient committee) COMMITTEE/FILER'S NAME NAME OF TREASURER Huntington Beach Firefighters Association Chad Stewart MAILING ADDRESS STREET ADDRESS(NO P.O.BOX) P.O. Box 757 5484 McFadden CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE Huntington Beach CA 92649 714-642-1014 Huntington Beach CA 92648 714-642-1014 OPTIONAL: FAX/E-MAIL ADDRESS OPTIONAL: FAX/E-MAIL ADDRESS 2. Name of Candidate or Measure Supported or Opposed CHECK ONE NAME OF CANDIDATE OFFICE SOUGHT OR HELD AND DISTRICT,IF APPLICABLE SU T MEASURE BALLOT NOJLETTER JURISDICTION SUPPORT OPPOSE Z Huntington Beach X 3. Independent Expendit additional information on appropriately labeled continuation sheets. CUMULATIVE TO DATE DATE NAME AND ADDRESSOF PAYEE DESCRIPTION OF EXPENDITURE AMOUNT CALENDAR YEAR JAN. 1-DEC.31 10/02/2012 Voter Guide Slate Cards Slate mailers 2,000 2,000 6285 E. Spring Street, Ste 202 Long Beach, CA 90808 Various HB Digital Letters&envelopes 1,479 1,479 1615 Atlanta Ave. Huntington Beach, CA 92648 10/17/2012 USPS Postage 225 225 316 Olive Avenue Huntington Beach, CA 92648 FPPC Form 465 (June/09) FPPC Toll-Free Helpline: 866/ASK-FPPC (8661275-3772) • Type or print in ink. SUPPLEMENTAL INDEPENDENT EXPENDITURE Supplemental Independent Amounts may be rounded to Report covers period Date Stamp •- I d Expenditure Report whole dollars. ® • 10/01/2012 from(Government Code Section 84203.5) SEE INSTRUCTIONS ON REVERSE rough 10/20/2012 3 4 El Amendment (Explain Below) g Page of Date of election if applicable: For Official Use Only (Month,Day,Year) 11/06/2012 NUMBER I.D. (If recipient committee) 1. CommitteelFiler Infor 2935 Treasurer (If recipient committee) COMMITTE&FILER'S NAME NAME OF TREASURER Huntington Beach Firefighters Association Chad Stewart MAILING ADDRESS STREET ADDRESS(NO P.O.BOX) P.O. Box 757 5484 McFadden CITY STATE ZIP CODE AREACODEIPHONE CITY STATE ZIP CODE AREA CODE/PHONE Huntington Beach CA 92649 714-642-1014 Huntington Beach CA 92648 714-642-1014 OPTIONAL: FAX/E-MAIL ADDRESS OPTIONAL: FAX 1 E-MAIL ADDRESS 2. Name of Candidate or Measure Supported or Opposed CHECKONE NAME OF CANDIDATE OFFICE SOUGHT OR HELD AND DIS SUPPORT OPPOSE NAME OF BALLOT MEASURE BALLOT NOJLETTER JURISDICTION SUPPORT OPPOSE Measure Z Z Huntington Beach X 3. Independent Expenditures Made Attach additional information on appropriatelylabeled continuation sheets. CUMULATIVE TO DATE DATE NAME AND ADDRESSOF PAYEE DESCRIPTION OF EXPENDITURE AMOUNT CALENDAR YEAR JAN. 1-DEC.31 10/19/2012 McGinty Knudtson &Black Accounting 219 219 20422 Beach Blvd., Ste 450 Huntington Beach, CA 92648 FPPC Form 465 (June/09) FPPC Toll-Free Helpline: 866/ASK-FPPC (8661275-3772) Supplemental Independent Type or print in ink. SUPPLEMENTAL INDEPENDENT EXPENDITURE Amounts may be rounded Report covers period © - Expenditure Report to whole dollars. from 10/01/2012 SEE INSTRUCTIONS ON REVERSE through 10/20/2012 Page 4 of 4 NAME OF FILER I.D.NUMBER(If recipient corn.) Huntington Beach Firefighters Association 902935 4. Summary 1. Total independent expenditures of$100 or more made this period. Part 3. 23,877 2. Total independent expenditures under$100 made this period. Not itemized. 0 3. Total independent expenditures made this period Add Lines 1 +2. TOTAL $ 23,877 5. Filing Officers Enter the name and address of each filing officer with who t recent campaign statements(Form 450, 460 or 461)have been filed. 1) NAME OF FILING OFFICER 3) NAME OF FILING OFFICER Huntington Beach City Clerk ADDRESS (NO. AND STREET) . AND STREET) 2000 Main Street CITY STATE ZIP CODE CITY STATE ZIP CODE Huntington Beach CA 92648 2) NAME OF FILING OFFICER 4) NAME OF FILING OFFICER OC Registrar of Voters ADDRESS (NO. AND STREET) ADDRESS (NO. AND STREET) 1300 S. Grand Avd., Bldg C CITY STATE ZIP CODE CITY STATE ZIP CODE Santa Ana CA 92705 6. Verification certify that the"independent expend itu re(s)" disclosed in this statement were not"made at the behest of the candidate or committee that benefitted from the expenditure(s) as those terms are defined in Government Code Section 82031 and FPPC Regulation 18225.7. 1 have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein is true and co fete. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. (S�(( Executed on By DATE SIGNATURE OF FILER,TREASURER OR ASSISTANT TREASURER Executed on By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER,CANDIDATE,STATE MEASURE PROPONENT OR RESPONSIBLE OFFICER OF SPONSOR Executed on By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER,CANDIDATE,STATE MEASURE PROPONENT Executed on By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER,CANDIDATE,STATE MEASURE PROPONENT FPPC Form 465 (June/09) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) 496 Independent Expenditure Report Type or print in ink. Amounts may be rounded to whole dollarsF",', 496 INDEPENDENT EXPENDITURE REPORT NAME OF FILER Date of 10121203ZY'"2 e) Date Stamp A Huntington Beach Firefighters Association This Filing 12 AREA CODE/PHONE NUMBER I.D.NUMBER(if apoicable) 1 For Official Use Only 714-642-1014 902935 Report No. STREETADDRESS Amendment 5484 McFadden to Report No. CITY STATE ZIP CODE (explain below) Huntington Beach CA 92649 No.of Pages 1. List Only One Candidate or Ballot Measure NAME OF CANDIDATE SUPPORTED OR OPPOSED NAME OF BALLOT MEASURE SUPPORTED OR OPPOSED Measure Z OFFICE SOUGHT OR HELD DISTRICT NO. SUPPORT OPPOSE I BALLOT NO./LETTER JURISDICTION SUPPORTI OPPOSE I Z Huntington Beach X 2. Independent Expenditures Made Attach additional information on appropriately labeled continuation sheets. DATE DESCRIPTION OF EXPENDITURE AMOUNT AMAC-Mailers 10/24/2012 12,403 Reason for Amendment: FPPC Form 496(March/2011) FPPC Toll-Free Helpline:866/ASK-FPPC(8661275-3772) COVER PAGE Recipient Committee Type or print in ink. Date Stamp ®- Campaign Statement Coven Page (Government Code Sections 84200-84216.5) ". Page 1 of 10 Statement covers period Date of election if a NeAble: a G P " 12: 10/01/2012 (Month, Day,Year) For Official Use Only from 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: ❑ Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ® Preelection Statement ❑ Quarterly Statement Q State Candidate Election Committee Committee ❑ Semi-annual Statement ❑ Special Odd-Year Report O Recall Q Controlled ❑ tement ❑ Supplemental Preelection (Also Complete Part 5) O Sponsored (Also file a Form 410 Termination) Stateme General Purpose Committee (Also Complete Part 6) ❑ Amendment(Explain below) ® ® Sponsored ❑ Primarily Formed Candidate/ 0 Small Contributor Committee Officeholder Committee 0 Political Party/Central Committee (Also Compi efe Part 7) 3. Committee Information I.D. NUMBER Treasurer(s) 902935 COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER Huntington Beach Firefighters Association Chad MAILING ADDRESS P.O. Box 757 STREET ADDRESS(NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE 5484 McFadden Huntington Beach CA 92648 714-642-1014 CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY Huntington Beach CA 92649 714-642-1014 MAILING ADDRESS (IF DIFFERENT) NO.AND STREET OR P.O. BOX MAILING ADDRESS P.O. Box 757 CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE Huntington Beach CA 92648 714-642-1014 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 kno a get a information contained herein and in the attached schedules is true and complete. I certify under penalty of perjury under th laws of the State of California that the foregoing is true and correct. Executed on �` By DateSignature of Treasurer or Assistant Treasurer Executed on BY Date Signature of Controlling Officeholder,Candidate,State Measure Proponent or Responsible Officer of Sponsor Executed on BY Date Signature of Controlling Officeholder,Candidate,State Measure Proponent Executed on BY Date Signature of Controlling Officeholder,Candidate,State Measure Proponent FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) State of California Campaign Disclosure Statement Type or print in ink, SUMMARY-PAGE Amounts may be rounded Statement covers period ® - Summary Page to whole dollars. from 10/01/2012 ®' through 10/20/2012 page 2 of 10 SEE INSTRUCTIONS ON REVERSE g NAME OF FILER I.D. NUMBER Huntington Beach Firefighters Association 902935 Column A Column B Calendar Year Summary for Candidates Contributions Received TOTALTHISPERiOD CALENDAR YEAR Running in Both the State Primary and (FROM ATTACHED SCHEDULES) TOTALTO DATE g 1. Monetary Contributions ........................................... schedule A,Line 3 $ 23,878 $ 61,369 General Elections 0 0 1/1 through 6/30 7/1 to Date 2. Loans Received ...................................................... schedule e,Line 3 23,878 61,369 20. Contributions 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1+2 $ $ Received $ $ 4. Nonmonetar Contributions.................................... schedule C,Line 3 0 0 y 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED .••...................•••••AddLines3+4 $ 23,878 $ 61,369 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made....................................................... schedule E,Line 4 $ 61,083 $ 97,715 Candidates 7. Loans Made............................................................. Schedule H,Line 3 0 0 61,083 97,715 22. Cumulative Expenditures Made' 8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6+7 $ $ (If Subject to Voluntary Expenditure Limit) 9. Accrued Expenses (Unpaid Bills)...............................schedule F Line 3 0 0 Date of Election Total to Date 10.Nonmonetary Adjustment ..........................................schedule C,Line 3 0 0 (mm/dd/yy) 11. TOTAL EXPENDITURES MADE................................Add Lines 8+9+10 $ 61,083 $ 97,715 J $ Current Cash Statement - 1--/ $ 12. Beginning Cash Balance....................... Previous Summary Page,Line 16 $ 133,837 9� 9 To calculate Column B,add 13. Cash Receipts ................................................... Column A,Line 3 above 23,878 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 from Column B of your last reported in Column B. e amounts 15.Cash Payments.................................................. Column A,Line8above 61,083 report. Somaybenegati Y Column A may be negative 16. ENDING CASH BALANCE.......... Add Lines 12+13+14,then subtract Line 15 $ 96,632 figures that should be subtracted from previous If this is a termination statement, Line 16 must be zero. period amounts. If this is the first report being filed 17. LOAN GUARANTEES RECEIVED........................... Schedule e,Part 2 $ 0 for this calendar year, only carry over the amounts Cash Equivalents and Outstanding Debts any)Lines 2,7, and 9(if. 18. Cash Equivalents........................................ see instructions on reverse $ 0 19. Outstanding Debts......................... Add Line 2+Line 9 in Column 8 above $ 0 FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Schedule A Type or print in ink SCHEDULE A IVlOffleta Contributions Received Amounts may be rounded Statement covers period ®- �/ to whole dollars. ® 1 from 10/01/2012 •- SEE INSTRUCTIONS ON REVERSE through 10/20/2012 Page 3 of 10 NAME OF FILER I.D. NUMBER Huntington Beach Firefighters Association 902935 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (E COMMITTEE,ALSO ENTER ZIP I.D.NUMBER)O CODE* OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED,ENTER NAME PERIOD (JAN.1-DEC.31) (IF REQUIRED) OF BUSINESS) ZIND See Attached List Various ❑COM 22,600 60,045 60,045 ❑OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC SUBTOTAL$ 22,600 > fi.. Schedule A Summary 'Contributor Codes 1. Amount received this period—itemized monetary contributions. IND—Individual (Include all Schedule A subtotals.)........................................................................................................ $ 22,600 COM—Recipient Committee (other than PTY or SCC) 2. Amount received this period—unitemized monetary contributions of less than$100 .............................$ 1,278 OTH—Other(e.g.,business entity) PTY—Political Party 3. Total monetary contributions received this period. SCC—Small contributor committee Add Lines 1 and 2. Enter here and on the SummaryPa C A,Line TOTAL $ 23,878 ( Page,Column 1.) FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(8661276-3772) DATE 1 NAME ADDRESS I AMOUNT RECEIVED THIS PERIOD j CUMULATIVE TO DATE Various ngton Beach, CA 92686 200.00 1 535.00 Various Garrett j P.O. Box 757, Huntington Beach, CA 92687 - 200.00 ! 535.00 Various ;Geiger P.O. Box 757, Huntington Beach, CA 92688 - - 200.00 ! 535.00 Various_jGerardi P.O. Box 757, Huntington Beach, CA 92689 _ 200.00� 535.00 _ _ 1 -- - -- --- - - - - - - j - ------g- ,- - 200.00 535.00 Various Hartman P.O. Box 757, Huntington Beach CA 92692 - - --- --- ` _- 0 Various Glenn P.O. Box 757, Huntin ton Beach, CA 92690 � _ - g_ 200.00 535A0 Various IHaynes P.O. Box 757, Huntington Beach, CA 92693 if 200.00 j 535.00 DATE NAME ADDRESS AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE Vario Beach, CA 92729 _ 200.00 _ _ 535.00 Varb— s _Ponder-___ I P.O. Box 757, Huntington Beach, CA 92730 200.00 j _ _ 535.00 Various (Prentiss -- LP.O_ Box 757, Huntington Beach, CA 92731 _ 20C 535.00 Various Pyle P.O. Box 757, Huntington Beach, CA 92732 200.001 535.00 _Various ,Raymond_- P.O. Box 757, Huntington Beach, CA 92733 _ _ _ 200.00 ' _ _ 535.0 Various Rile P.O. Box 757, Huntington Beach, CA 92734 -^ 200.00d _ 535.00 Various ;Roozen r P.O. Box 757, Huntington Beach, CA 92735 200.00 1 535.00 DATE NAME ADDRESS AMOUNT RECEIVED THIS PERIOD CUMULAT 92759 i 200.00 535.00 � PP Various ;White, Jeff P.O. Box 757, Huntington Beach, CA 92760 200.00 535.00 - Various Tom i P.O. Box 757, Huntington Beach, CA 92761 200.00 535.00 Various Witt, Darrin I P P.O. Box 757, Huntington Beach, CA 92762 j 200.00 535.00 200.00 _ 535.00 Various Wright, Zachery P.O. Box 757, Huntington Beach, CA 92763 Various f W man j P.O. Box 757, Huntington Beach, CA 92764 j 200.00 535.00 !TOTAL 22,600.00 j 60,045.00 Schedule D SCHEDULED Summary of Expenditures Type or print in ink. Statement covers period CALIFORNIA Supporting/Opposing Other Amounts may be rounded from , to whole dollars. 10/01/2012 FORK Candidates,Measures and Committees through 10/20/2012 Page 7 of 10 9 SEE INSTRUCTIONS ON REVERSE I.D. NUMBER NAME OF FILER Huntington Beach Firefighters Association 902935 CUMULATIVE TO DATE PER ELECTION DATE NAME OF CANDIDATE,OFFICE,AND DISTRICT,OR TYPE OF PAYMENT DESCRIPTION AMOUNTTHIS CALENDAR YEAR TO DATE MEASURE NUMBER OR LETTER AND JURISDICTION, (IF REQUIRED) PERIOD (JAN.1-DEC.31) (IF REQUIRED) OR COMMITTEE ❑ Monetary Signs and Mailers Jim Katapodis Contribution g 16,273 Various City Council 11,509 16,273 ❑ Nonmonetary Contribution ® Independent ® Support ❑ Oppose Expenditure ❑ Monetary Signs and Mailers Various Jill Hardy Contribution g 16,273 City Council ❑ Nonmonetary11,509 16.273 Contribution ® Independent ® Support ❑ Oppose Expenditure ❑ Monetary Signs and Mailers Various Billy O'Connell Contribution g 16,273 City Council 11,509 16,273 ❑ Nonmonetary Contribution Independent Support ❑ Oppose Expenditure t� z t SUBTOTAL $ 34,527 �f_ r Schedule D Summary 36,087 1. Itemized contributions and independent expenditures made this period.(Include all Schedule D subtotals.)......................................................... $ 2. Unitemized contributions and independent expenditures made this period of under$100..................................................................................... $ 254 3. Total contributions and independent expenditures made this period. Add Lines 1 and 2. Do not enter on the Summary Page.) TOTAL $ 36,341 P P P ( rY 9 ) ............ FPPC Form 460(January/05) FPPC Toil-Free Helpline:866/ASK-FPPC(8661275-3772) Schedule (Continuation Sheet) Type or print in ink. SCHEDULE D CONT. Summary O$Expenditures Amounts may be rounded Statement covers period p to whole dollars. MEN= Supporting/Opposing Other from 10/01/2012 Candidates, Measures and Committees through 10/20/2012 page 8 of 10 NAME OF FILER I.D.NUMBER Huntington Beach Firefighters Association 902935 CUMULATIVE TO DATE PER ELECTION DATE NAME OF CANDIDATE,OFFICE,AND DISTRICT,OR TYPE OF PAYMENT DESCRIPTION AMOUNTTHIS CALENDAR YEAR TO DATE MEASURE NUMBER OR LETTER AND JURISDICTION, (IF REQUIRED) PERIOD (JAN.1-DEC.31) (IF REQUIRED) OR COMMITTEE Jill Hardy ® Monetary 10/02/2012 City Council Contribution 520 520 520 ❑ Nonmonetary Contribution ❑ Independent ® Support ❑ Oppose Expenditure Monetary Bill O'Connell ® 10/02/2012 y Contribution 520 City Council ❑ Nonmonetary 520 520 Contribution ❑ Independent R1 Support ❑ Oppose Expenditure Jim Katapodis R1 Monetary 10/02/2012 City Council Contribution 520 520 520 ❑ Nonmonetary Contribution ❑ Independent RI Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure SUBTOTAL $ 1,560 FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) SCHEDULE E Type or print in ink. Statement covers period Amounts may be rounded ®. Payments Made to whole dollars. from 10/01/2012 SEE INSTRUCTIONS ON REVERSE through 10/20/2012 Page 9 of 10 NAME OF FILER I.D. NUMBER Huntington Beach Firefighters Association 902935 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 (intemet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID Huntington Beach Firefighters Association PIC Transfer for PIC activities P.O. Box 757 23,878 Huntington Beach, CA 92648 AMAC Campaign signs 114 S. Catalina Ave. LIT 27,327 Redondo Beach, CA 90277 Voter Guide Slate Cards Slate mailers 6285 E. Spring Street, Ste 202 LIT 7,200 Long Beach, CA 90808 ' Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 58,405 Schedule E Summary 1. Itemized payments made this period. Include all Schedule E subtotals. 60,724 2. Unitemized payments made this period of under$100 ................... $ 359 3. Total interest paid this period on loans. Enter amount from Schedule B, Part 1,Column e . 0 4. Total payments made this period. Add Lines 1,2,and 3. Enter here and on the Summary Page,Column A, Line 6. 61,083 P Y P � rY 9 ) ............................. TOTAL $ FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(8661276-3772) • SCHEDULE E(CONT.) Schedule E Type or print in ink. Statement covers period (Continuation Sheet) Amounts may be rounded towholedollars. 10/01/2012 Payments Madefromthrough 10/20/2012 F!!q SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D.NUMBER Huntington Beach Firefighters Association 902935 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CNP 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 QUID independent expenditure supporting/opposing others (explain)' POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE,ALSO ENTER I.D.NUMBER) McGinty Knudtson& Black, LLP Accounting fees 20422 Beach Blvd., Ste 450 PRO 219 Huntington Beach, CA 92648 USPS Postage 318 Olive Avenue POS 540 Huntington Beach, CA 92648 Committee to Elect Jill Hardy PO Box 6671 CTB 520 Huntington Beach, CA 92615 ID#1244691 Billy O'Connell for City Council 7372 Prince Drive Ste 102 CTB 520 Huntington Beach, CA 92647 ID# 1352016 Katapodis City Council 2012 5901 Warner Ave.#434 CTB 520 Huntington Beach, CA 92649 ID# 1328537 "Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 2,319 FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(8661275-3772) COVER PAGE Recipient Committee Type or print in ink. Date Stamp Campaign Statement ®. 46 Cover Page (Government Code Sections 84200-84216.5) 7n12 n I'T - PIN IN 1 ' 13 Page 1 of g Statement covers period Date of election if applicable: 07/01/2012 (Month, Day,Year)r For Official Use Only from SEE INSTRUCTIONS ON REVERSE through 09/30/2012 11/06/ 012 1. Type of Recipient Committee: All committees-complete Parrs 1,2,3,and 4. 2. Type of Statement: ❑ Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ® Preelection Statement ❑ Quarterly Statement Q State Candidate Election Committee Committee ❑ Semi-annual Statement ❑ Special Odd-Year Report Q Recall Q Controlled ❑ Termination Statement ❑ Supplemental Preelection (Also Complete Part 5) O Sponsored (Also file a Form 410 Termination) Statement-Attach Form 495 (Also Complete Part 6) ® General Purpose Committee ❑ Amendment(Explain below) ® Sponsored ❑ Primarily Formed Candidate/ O Small Contributor Committee Officeholder C O Political Party/Central Committee (Also Complete Part 7) 3. C mation I.D. NUMBER Treasurer(s) 902935 COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER Huntington Beach Firefighters Association Chad Stewart MAI P.O. Box 757 STREET ADDRESS(NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE 5484 McFadden Huntington Beach CA 92648 714-642-1014 CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY Huntington Beach CA 92649 714-642-1014 MAILING ADDRESS (IF DIFFERENT) NO.AND STREET OR P.O. BOX MAILING ADDRESS P.O. Box 757 CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE Huntington Beach CA 92648 714-642-1014 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 kn wledge t e information contained herein and in the attached schedules is true and complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed on �z& By Date Signature of Treasurer or Assistant Treasurer Executed on By Date Signature of Controlling Officeholder,Candidate,State Measure Proponent or Responsible Officer of Sponsor Executed on By Date Signature of Controlling Officeholder,Candidate,Slate Measure Proponent Executed on By Date Signature of Controlling Officeholder,Candidate,State Measure Proponent FPPC Form 460(January/05) FPPC Toll-Free Helpline:8661ASK-FPPC(866/275-3772) State of California Campaign Disclosure Statement Type or print in ink. SUMMARYPAGE Amounts may be rounded Statement covers period Sulrnrnal�/gage to whole dollars. ALlro a from 07/01/2012 AOR SEE INSTRUCTIONS ON REVERSE through 09/30/2012 Page 2 of 9 NAME OF FILER I.D. NUMBER Huntington Beach Firefighters Association 902935 Column A Column B Calendar Year Summary for Candidates Contributions Received TOTALTHISPERIOD CALENDAR YEAR (FROMATTACHED SCHEDULES) TOTALTO DATE Running in Both the State Primary and 37,491 General Elections 1. Monetary Contributions ........................................... Schedule A,Line 3 $ 18,691 $ O 0 1/1 through 6/30 7/1 to Date 2. Loans Received ...................................................... Schedule B,Line 3 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1+2 $ 18,691 37,491 20. Contributions$ Received $ $ 4. Nonmonetary Contributions.................................... Schedule C,Line 3 0 0 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ...........................Add Lines 3+4 $ 18,691 $ 37,491 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made....................................................... Schedule E,Line 4 $ 34,132 $ 36,632 Candidates 7. Loans Made............................................................. Schedule H,Line 3 0 0 34,132 36,632 22. Cumulative Expenditures Made* 8. SUBTOTALCASH PAYMENTS .................................... Add Lines 6+7 $ $ (if subject to Voluntary Expenditure Limit) 9. Accrued Expenses (Unpaid Bills)...............................Schedule F Line 3 0 0 Date of Election Total to Date 10. Nonmonetary Adjustment ..........................................Schedule C,Line 3 0 0 (mm/ddlyy) 11. TOTAL EXPENDITURES MADE................................Add Lines 8+9+10 $ 34,132 $ 36,632 ll $ Current Cash Statement � � $ 12. Beginning Cash Balance....................... Previous Summary Page,Line 16 $ 149,278 9 9 �' 8 To calculate Column B,add 13.Cash Receipts ................................................... Column A,Line 3 above 18,691 amounts in Column A to the 0 corresponding amounts *Amounts in this section may be different from amounts 14. Miscellaneous Increases to Cash........................... Schedule 1,Line 4 from Column B of your last reported in Column B. 15.Cash Payments.................................................. Column A,Line 8 above 34,132 report. some amounts in y Column A may be negative 16.ENDING CASH BALANCE.......... Add Lines 12+13+14,then subtract Line 15 $ 133,837 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 for this calendar year, only carry over the amounts Cash Equivalents and Outstanding Debts from Lines 2,7,and 9(if 0 any). 18. Cash Equivalents........................................ See instructions on reverse $ 19. Outstanding Debts......................... Add Line 2+Line 9 in Column B above $ 0 FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(8661276-3772) Schedule A Type or print in ink. SCHEDULE A Amounts may be rounded Statement covers period Monetary Contributions Received to whole dollars. ®' d from 07/01/2012 through 09/30/2012 Page 3 of 9 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D.NUMBER Huntington Beach Firefighters Association 902935 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION O(I RECEIVED (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE * FSELFF-EMPLOYYED,ENTER NAME R RECPERIODHIS CALENDAR R YEAR TO DATE (JAN.N.1 1-DEC.31) (IF REQUIRED) OF BUSINESS) WIND See Attached List ❑ MCO Various QOTH 18,645 37,445 37,445 ❑PTY ❑SCC ❑IND ❑COM []OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC s SUBTOTAL$ 18,645 Schedule A Summary 'Contributor Codes 1. Amount received this period—itemized monetary contributions. IND-Individual (Include all Schedule A subtotals.) $ 18,645 COM-Recipient Committee (other than PTY or SCC) 2. Amount received this period—unitemized monetary contributions of less than$100............................. $ 46 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 SummaryLine 1. TOTAL $ 18,691 Page,Column A, )����������������������� FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/276-3772) DATE NAME ADDRESS AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE Vario 335.00 Various Gale _ P.O. Box 757, Huntington Beach, CA 92684 ! 165.00 _ _ 165.00 Various Gamboa P.O. Box 757, Huntington Beach, CA 92685 _ _ _ 165.00 _ 335.00 Various Garcia, Bryan P.O. Box 757, Huntington Be_a_ch, CA 92686 _ 165.00 335.00- Various Garrett P.O. Box 757, Huntington Beach, CA 92687 - _ 165.00 ; — 335.00 Various !Geiger P.O. Box 75_7, Huntington Beach, CA 92688 _ 165.00 _ 335.00 _Various Gerardi P.O. Box 757, Huntington Beach, CA 92689 j 165.00 335.00 varb_u S_Glenn 1 P.O. Box 757, Huntington Beach, CA 92690 _ 165.00 __- 335.00 335.00 Various Hartman _ _P.O. Box 757, Huntington Beach, CA 92692 _ 1_65.00 !165.00 - Various .Haynes } P.O. Box 757, Huntington Beach, CA 92693 ; ! 335.00 DATE NAME ADDRESS AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE --- - - 7_Huntington Beach, CA 9272 165.00-04_ _ 335.00 Various Perry _ P.O. Box 757, Huntington Beach, CA 92728 165.00 _ __ 335.00 Various Pokorny 165.00_. Box 757, Huntington Beach, CA 92729 165.0 — 335.00 Various I Ponder P.O Box 757, Huntington Beach, CA 92730 _ 165.00 F 335.00 Various Prentiss _ P.O. Box 757, Huntington Beach, CA 92731 I, � 165.00 I 335.00_ ---- - Y g --- - ----- --— — Vanous Pyle P.O. Box 757, Huntington Beach, CA 92732 165.00 335.00 ---V s-F and 1 P.O. Box 757, Huntington Beach, CA 92733 165.00 335.00 Various r-- -- 57, --- - _ _ 335.00 'Riley___ i, P.O. Box 757, Huntington Beach, CA 92734 _ 165.00 I _ _ _ Vanous rRoozen P.O. Box 757, Huntington Beach, CA 92735 165.00 335.00 DATE NAME ADDRESS AMOUNT 165.00 j _ 335.00 Various White, Jeff I P.O. Box 757,_Huntington Beach, CA 92760 _1_65.00 ! 335.00_ Various Wilson, Tom P.O. Box 757, Huntington Beach, CA 92761 165.00 1 335.0_0 Various-Mi, DP.O. —Box 757, Huntington Beach, CA 92762 ; 165.00 335.00 Various I Wright_arnn, Zachery j P.O. Box 757,_Huntington Beach, CA 92763,__�__ 165.00 335.00 Various I W man 1 P.O. Box 757, Huntington Beach, CA 92764 165.00 ; 335.00 1 TOTAL 18,645.00 37,445.00 Schedule SCHEDULED Summary of Expenditures Type or print in ink. Statement covers period Amounts may be rounded °- Supporting/Opposing Other to whole dollars. 07/01/2012 ®- s 1 Candidates, Measures and Committees from SEE INSTRUCTIONS ON REVERSE through 09/30/2012 page 7 of 9 NAME OF FILER I.D. NUMBER Huntington Beach Firefighters Association 902935 NAME OF CANDIDATE,OFFICE,AND DISTRICT,OR CUMULATIVETO DATE PER ELECTION DATE TYPE OF PAYMENT DESCRIPTION AMOUNTTHIS CALENDAR YEAR TO DATE MEASURE NUMBER OR LETTER AND JURISDICTION, (IF REQUIRED) PERIOD (JAN.t-DEC.31) (IF REQUIRED) OR COMMITTEE Jim Katapodis ❑ Monetary Signs and Mailers Various City Council Contribution 4,764 4,764 4,764 ❑ Nonmonetary Contribution Independent ® Support ❑ Oppose Expenditure Jill Hardy ❑ Monetary Signs and Mailers Various Contribution 4,763 City Council ❑ Nonmonetary 4,763 4,763 Contribution ® Independent ® Support ❑ Oppose Expenditure Billy O'Connell ❑ Monetary Signs and Mailers Various City Council Contribution 4,763 4,763 4,763 ❑ Nonmonetary Contribution independent 0 Support ❑ Oppose Expenditure SUBTOTAL $ 14,290 Schedule D Summary 1. Itemized contributions and independent expenditures made this period. Include all Schedule D subtotals. $ 14,290 2. Unitemized contributions and independent expenditures made this period of under$100............................................................ 0 3. Total contributions and independent expenditures made this period. Add Lines 1 and 2. Do not enter on the Summary Page.) TOTAL $ 14,290 FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/2753772) SCHEDULEE Schedule Type or print in ink. Statement covers period CALIFORNIAAmounts may be rounded Payments Made to whole dollars. from 07/01/2012 0" SEE INSTRUCTIONS ON REVERSE through 09/30/2012 Page 8 of 9 NAME OF FILER I.D. NUMBER Huntington Beach Firefighters Association 902935 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphemaiia/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 PI-10 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 UT campaign literature and mailings PRT print ads WEB information technology costs (i l) NAME AND ADDRESS OF PAYEE (IF COMMITTEE,ALS CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Huntington Beac IC Transfer for PIC activities P.O. Box 757 18,691 Huntington Beach, CA 92648 AMAC Campaign signs 114 S. Catalina Ave. LIT 2,477 Redondo Beach, CA 90277 Independent Voters League Slate mailers 3700 Wilshire Blvd., #1050B LIT 7,313 Los Angeles, CA 90010 ID#588034 ' Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 28,481 Schedule E Summary 1. Itemized payments made this period. Include all Schedule E subtotals. _.._... $ 34,132 2. Unitemized payments made this period of under$100 .......................................................................................................................................... $ 0 3. Total interest paid this period on loans.(Enter amount from Schedule B, Part 1,Column(e).)............................................................................... $ 0 4. Total payments made this period. Add Lines 1,2,and 3. Enter here and on the Summary Page,Column A, Line 6. ............ TOTAL $ 34,132 FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/276-3772) Schedule E SCHEDULE E(CONT.) Type or print in ink. period(Continuation Sheet) Amounts may be rounded Statement covers p © . d 60 Payments Made to whole do from 07/01/2012 ® " SEE INSTRUCTIONS ON REVERSE through 09/30/2012 Page 9 of 9 NAME OF FILER I.D.NUMBER Huntington Beach Firefighters Association 902935 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 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 W 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 an t ads WEB information technology costs(internet, e-mail) NAME AND ADDRES DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE,ALSO ENTER I.D.NUMBER) ide Slate mailers 3700 Wilshire Blvd.,#1050B LIT 4,500 Los Angeles, CA 90010 ID#598005 Premier Business Center Rent 17011 Beach Blvd, Ste 900 OFC 901 Huntington Beach, CA 92647 McGinty Knudtson &Black, LLP Accounting fees 20422 Beach Blvd., Ste 450 PRO 250 Huntington Beach, CA 92648 ' Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 5,651 FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(8661275-3772) Supplemental Independent Type or print in ink. SUPPLEMENTAL INDEPENDENT EXPENDITURE Amounts may be rounded to Report covers period Date Stamp; Expenditure Report whole dollars. 7F! (Government Code Section 84203.5) from 07/01/2012 SEE INSTRUCTIONS ON REVERSE ❑ Amendment (Explain Below)w) 9 throw h t i # of 3 Date of election if applicable: For Official Use Only ([Month,Day,Year) ;,I2; 11/06/2012 I.D.NUMBER(If recipient committee) 1. Committee/Filer Information 902935 Treasurer (If recipient committee) COMMITTEElFILER'S NAME NAME OF TREASURER Huntington Beach Firefighters Association Chad Stewart MAIL STREET ADDRESS(NO P.O.BOX) P.O. Box 757 5484 McFadden CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE Huntington Beach CA 92649 714-642-1014 Huntington Beach CA 92648 714-642-1014 OPTIONAL: FAX/E-MAIL ADDRESS OPTIONAL: FAX/E-MAIL ADDRESS 2. Name of Candidate or Measure Supported or Opposed CHECK ONE NAME OF CANDIDATE OFFICE SOUGHT OR HELD AND DISTRICT,IF APPLICABLE SUPPORT OPPOSE NAME OF BALLOT MEASURE BALLOT NO./LETTER JURISDICTION SUPPORT Huntington Beach X 3. Independent Expenditures Made Atta appropriately labeled continuation sheets. CUMULA NAME AND ADDRESS OF PAYEE DESCRIPTION OF EXPENDITURE AMOUNT CALENDAR YEAR JAN. 1-DEC.31) Various Hop Scotch Marketing Consultant 9,315 9,315 31938 Temecula Parkway Suite A314 Temecula,CA 92592 Various The Fairfax Research Group Polling 3,980 3,980 2925 Black Horse Drive Ontario, CA 91761 09/26/2012 AMAC Signs 1,458 1,458 114 S. Catalina Ave. Redondo Beach,CA 90277 FPPC Form 465 (June/09) FPPC Toll-Free Helpline: 8661ASK-FPPC (8661275-3772) Supplemental Independent Type or print in ink. SUPPLEMENTAL INDEPENDENT EXPENDITURE pp Amounts may be rounded to Report covers period Date Stamp Expenditure Report whole dollars. 8 (Government Code Section 84203.5) from 07/01/2012 SEE INSTRUCTIONS ON through 09/30/2012 2 3 El Amendment (Explain Below) Page of Date of election if applicable: For Official Use Only (Month,Day,Year) 11/06/2012 I.D.NUMBER(If recipient committee) 1. Committee/Filer Informa 35 Treasurer (If recipient committee) COMMITTEE,'FILER'S NAME NAME OF TREASURER Huntington Beach Firefighters Association Chad Stewart MAILING ADDRESS STREET ADDRESS(NO P.O.BOX) P.O. Box 757 5484 McFadden CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODElPHONE Huntington Beach CA 92649 714-642-1014 Huntington Beach CA 92648 714-642-1014 OPTIONAL: FAX/E-MAIL ADDRESS OPTIONAL: FAX!E-MAIL ADDRESS 2. Name of Candidate or Measure Supported or Opposed CHECKONE NAME OF CANDIDATE OFFICE SOUGHT OR HELD AND DISTRICT,IF APPLICABLE SUPPOR OT MEASURE BALLOT NO./LETTER JURISDICTION SUPPORT OPPOSE Measure Z n Beach X 3. Independent Expenditures Made Attach additional information on appropriately labeled continuation sheets. CUMULATIVE TO DATE DATE NAME AND ADDRESSOF PAYEE DESCRIPTION OF EXPENDITURE AMOUNT CALENDAR YEAR JAN. 1-DEC.31 09/26/2012 Independent Voters League Slate mailers 2,438 2,438 3700 Wilshire Blvd., #1050B Los Angeles, CA 90010 09/26/12 CA Law Enforcement Voter Guide Slate mailers 1,500 1,500 3700 Wilshire Blvd., #1050B Los Angeles, CA 90010 FPPC Form 465 (June/09) FPPC Toll-Free Helpline: 8661ASK-FPPC (8661275-3772) r Supplemental Independent Type or print in ink. SUPPLEMENTAL INDEPENDENT EXPENDITURE Amounts may be rounded Report covers period F Expenditure Report to whole dollars. 07/01/2012from SEE INSTRUCTIONS ON REVERSE through 09/30/2012 __: of 3 NAME OF FILER I.D.NUMBER(If recipient cam.) Huntington Beach Firefighters Association 1902935 4. Summary 1. Total independent expenditures of$100 or more made this period. Part 3. 18,691 2. Total independent expenditures under$100 made this period. Not itemized. 0 3. Total independent expenditures made this period Add Lines 1 + 2. 18,691 p P p � ) ..........................................................................................TOTAL $ 5. Filing Officers Enter the name and address of e r with whom the filer's most recent campaign statements(Form 450, 460 or 461)have been filed. 1) NAME OF FILING OFFICER CER Huntington Beach City Clerk ADDRESS (NO. AND STREET) ADDRESS (NO. AND STREET) 2000 Main Street CITY STATE ZIP CODE CITY STATE ZIP CODE Huntington Beach CA 92648 2) NAME OF FILING OFFICER 4) NAME OF FILING OFFICER OC Registrar of Voters ADDRESS (NO. AND STREET) ADDRESS (NO. AND STREET) 1300 S. Grand Avd., Bldg C CITY STATE ZIP CODE CITY STATE ZIP CODE Santa Ana CA 92705 6. Verification I certify that the "independent expend iture(s)" disclosed in this statement were not"made at the behest of the candidate or committee that benefitted from the expenditure(s) as those terms are defined in Government Code Section 82031 and FPPC Regulation 18225 . 'gave used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein is true and c plete. I rtify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed on 4dr.4, By DATE SIGNATURE OF FILER.TREASURER OR ASSISTANT TREASURER Executed on By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER,CANDIDATE,STATE MEASURE PROPONENT.OR RESPONSIBLE OFFICER OF SPONSOR Executed on By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER,CANDIDATE,STATE MEASURE PROPONENT Executed on By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER,CANDIDATE,STATE MEASURE PROPONENT FPPC Form 465 (June/09) FPPC Toll-Free Helpline: 8661ASK-FPPC (866/275-3772) I COVER PAGE Recipient Committee Typo or print in Ink. Date Stamp Campaign Statement Cover Page 1 7 (Government Code Sections 84200-84216.5) Statement covers period Date of election if applZ212:1, '3 P I'1 04 Page of 01/01/2012 (Month, Day,Year) For Official Use Only from SEE INSTRUCTIONS ON REVERSE through 06/30/2012 1. Type of Recipient Committee: All Committees complete Parts 1,2,3,and 4. 2. Type of Statement: n Officeholder,Candidate Controlled Committee Fj Primarily Formed Ballot Measure D Preelection Statement ❑ Quarterly Statement 0 State Candidate Election Committee Committee [Z Semi-annual Statement F-1 Special Odd-Year Report ement E] Supplemental Preelection (Also Complete Part 5) 0 Sponsored (Also file rmination) Statement-Attach Form 495 (Also complete Part 6) Ej Amendment(Explain below) General Purpose Committee k 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) 1 902935 COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER Chad Stewart Huntington Beach Firefighters Associatio ADDRESS P.O. Box 757 STREET ADDRESS(NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE 5484 McFadden Huntington Beach CA 92648 714-642-1014 CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER,IF ANY Huntington Beach CA 92649 714-642-1014 MAILING ADDRESS(IF DIFFERENT)NO.AND STREET OR P.O. BOX MAILING ADDRESS P.O. Box 757 STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE CITY Huntington Beach CA 92648 714-642-1014 OPTIONAL: FAX J E-MAIL ADDRESS OPTIONAL: FAX/E-MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein and in the attached schedules is true and complete. I certify under penalty of periury under the laws of the State of California that the foregoing is true and correct tZ24s:: Executed on Date By 11� 1. Signature of Treasurer or Assistant Treasurer Executed on Date By Signature of Controlling Officehoider,Candidate,State Measure Proponent or Responsible Officer of Sponsor Executed on Date By Signature ofControging Officeholder,Candidate,State-Measure Proponent Executed on Date By 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 Campaign Disclosure Statement Type or print in ink. SUMMARYPAGE Amounts may be rounded Statement covers period ® - Summary Page to whole dollars. I from 01/01/2012 •- through 06/30/2012 page 2 of 7 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Huntington Beach Firefighters Association 902935 Column A Column B Calendar Year Summary for Candidates Contributions Received TOTALTHiSPERiOD CALENDAR YEAR Running in Both the State Prima and (FROMATTACHEDSCHEDULES) TOTALTO DATE 9 Primary 1. Monetary Contributions........................................... Schedule A,Line 3 $ 18800.00 $ 18800.00 General Elections 2. Loans Received ...................................................... Schedule B,Line 3 0.00 0.00 1/1 through 6/30 7/1 to Date 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1+2 $ 18800.00 $ 18800.00 20. Contributions Received $ $ 4. Nonmonetary Contributions.................................... Schedule C,Line 3 0.00 0.00 21 Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ...........................Add Lines 3+4 $ 18800.00 $ 18800.00 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made....................................................... Schedule e,Line 4 $ 2500.00 $ 2500.00 Candidates 7. Loans Made............................................................. Schedule H,Line 3 0.00 0.00 2500.00 2500.00 22. Cumulative Expenditures Made* 8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6+7 $ $ (M Subject to Voluntary Expenditure Limit) 9. Accrued Expenses (Unpaid Bills)...............................Schedule F,Line 3 0.00 0.00 Date of Election Total to Date 10.Nonmonetary Adjustment ..........................................Schedule C,Line 3 0.00 0.00 (mm/dd/yy) 11. TOTAL EXPENDITURES MADE................................Add Lines 8+s+10 $ 2500.00 $ 2500.00 J J $ Current Cash Statement $ 12.Beginning Cash Balance....................... Previous Summary Faye,Line 16 $ 132977.96 9 9 To calculate Column B,add 13.Cash Receipts ............................. Column A,Line 3 above 18800.00 amounts in Column A to the 0.00 corresponding amounts *Amounts in this section may be different from amounts 14.Miscellaneous Increases to Cash........................... Schedule 1,Line 4 from Column B of your last reported in Column B. 15.Cash Payments.................................................. Column A,Line 8above 2500.00 report. Some amounts ti Column A may be negative 16.ENDING CASH BALANCE.......... Add Lines 12+13+14,then subtract Line 15 $ 149277.96 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 cant'over the amounts Cash Equivalents and Outstanding Debts an Lines 2,7,and 9(if 149277.96 y) 18. Cash Equivalents.........................:.............. See instructions on reverse $ 19. Outstanding Debts......................... Add Line 2+Line 9 in Column B above $ 0.00 FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Schedule A Type or print in ink. SCHEDULE A Amounts may be rounded Statement covers period monetary Contributions Received to whole dollars. 01/01/2012 � � from through 06/30/2012 Page 3 of 7 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Huntington Beach Firefighters Association 902935 ,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL,ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION FULL NAME, OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED OF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE k OF SELF-EMPLOYED,ENTER NAME PERIOD (JAN.1-DEC.31) (IF REQUIRED) OF BUSINESS) VI IND See Attached List ❑COM 18800.00 18800.00 18800.00 Various ❑OTH ❑PTY ❑SCC [-]IND ❑COM ❑OTH ❑PTY [-]SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC [-]IND ❑COM ❑OTH ❑PTY ❑SCC SUBTOTAL$ 18800.00 ? �x Schedule A Summary *Contributor Codes 1. Amount received this period-itemized monetary contributions. IND-Individual Include all Schedule A subtotals. . ........ 18800.00 COM—Reherthannt PTY ( )....................................................................................... (other than PTY or SCC) 2. Amount received this period unitemized monetary contributions of less than$100............................. $ 0.00 OTH—Other l Part business entity) p ry PTY—Political Party 3. Total monetary contributions received this period. SCC-Small contributor committee 9e,Column(Add Lines 1 and 2.Enter here and on the SummaryPa Col A, Line 1. ....................... TOTAL $ 18800.00 � FPPC Fortn460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(8661275-3772) Amount Received Cumulative to Date Received Name Address untington Beach, CA 92648 $ 170.00 $ 170.00 Various Garrett P.O. Box 757, Huntington Beach, CA 92648 $ 170.00 $ 170.00 Various Geiger P.O. Box 757, Huntington Beach, CA 92648 $ 170.00 $ 170.00 Various Gerardi P.O. Box 757, Huntington Beach, CA 92648 $ 170.00 $ 170.00 Various Glenn P.O. Box 757, Huntington Beach, CA 92648 $ 170.00 $ 170.00 Various Hartman P.O. Box 757, Huntington Beach, CA 92648 $ 170.00 $ 170.00 Various Haynes P.O. Box 757, Huntington Beach, CA 92648 $ 170.00 $ 170.00 Various Hess, Steve P.O. Box 757, Huntington Beach, CA 92648 $ 170.00 $ 170.00 Amount Received Cumulative to Date Received Name Address ington Beach, CA 92648 $ 170.00 $ 170.00 Various Raymond P.O. Box 757, Huntington Beach, CA 92648 $ 170.00 $ 170.00 Various Riley P.O. Box 757, Huntington Beach, CA 92648 $ 170.00 $ 170.00 Various Roozen P.O. Box 757, Huntington Beach, CA 92648 $ 170.00 $ 170.00 Various Russell P.O. Box 757, Huntington Beach, CA 92648 $ 170.00 $ 170.00 Amount Received Cumulative to Date Received Name Address t 0.00 Various White, Jeff P.O. Box 757, Huntington Beach, CA 92648 $ 170.00 $ 170.00 Various Wilson, Tom P.O. Box 757, Huntington Beach, CA 92648 $ 170.00 $ 170.00 Various Witt, Darrin P.O. Box 757, Huntington Beach, CA 92648 $ 170.00 $ 170.00 Various Wright, Zachery P.O. Box 757, Huntington Beach, CA 92648 $ 170.00 $ 170.00 Various Wyman P.O. Box 757, Huntington Beach, CA 92648 $ 170.00 $ 170.00 BW TOTAL $ 18,800.00 $ 18,800.00 Schedule E Type or print In ink SCHEDULEE Amounts may be rounded Statement covers period m Payments Made to whole dollars. from 01/01/2012 ®' 06/30/2012 h 7 SEE INSTRUCTIONS ON REVERSE through Page 7 of NAME OF FILER I.D. NUMBER Huntington Beach Firefighters Association 902935 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CW campaign paraphemalia/miser 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 (IT campaign literature and mailing WEB information technology costs (intemet,e-mail) NAME AND ADDRESS OF PAYEE OFCOM I.D.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID McGinty Knudtson&Black LLP Accounting services 20422 Beach Blvd., Ste 450 PRO 500.00 Huntington Beach,CA 92648 Costa Mesa FireFgghters PAC Fund Contribution to PAC P.O. Box 2141 CTB 2000.00 Costa Mesa, CA 92628 ° Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 2500.00 Schedule E Summary 1. Itemized payments made this period.(Include all Schedule E subtotals.).............................................................................................................. $ 2500.00 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 Summer Page,Column A, Line 6. 2500.00 P Y P ( Summary 9 ) ............................. TOTAL $ FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772)