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Huntington Beach Police Officers' Association - 2012 FPPC Ca (2)
i Type or print in ink. SUMMARY PAGE Campaign Disclosure Statement Amounts may be rounded ; Statement covers period - Summary Page to whole dollars. CALIOONA d from 10/21/2012 rORM, SEE INSTRUCTIONS ON REVERSE through 12/31/2012 Page 2 of 6 NAME OF FILER I.D. NUMBER Huntington Beach Police Officers'Association j 882363 Column A Column B' Calendar Year Summary for Candidates Contributions Received TOTALTHISPERIOD CALENDARYEA$ (FROM ATTACHED SCHEDULES) TOTALTO DATES Running in Both the State Primary and ! General Elections 1. Monetary Contributions ........................................... schedule A,Line 3 $ 8,960 $ 94,P37 ( 0 1I1 through 6/30 7I1 to Date 2. Loans Received ...................................................... schedule B,Line 3 0 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1+2 $ 8,960 00 $ 9 1 20. Contributions Received $ $ 4. Nonmonetary Contributions.................................... schedule C,Line 3 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ...........................Add Lines 3+4 $ 8,960 $ 94, 37 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made....................................................... ScheduleE,Line $ 8,748 $ 166,;183 Candidates 7. Loans Made............................................................. Schedule H,Line 3 0 0 8,748 166,1183 22•Cumulative Expenditures Made' 8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6+7 $ $ (it 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 a+9+10 $ 8,748 $ 166,183 JJ $ Current Cash Statement 12. Beginning Cash Balance....................... Previous Summary Page,Line 16 $ 55,607 To calculate Column add 13. Cash Receipts ................................................... Column A,Line 3 above 8,960 amounts in Column�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 yo r last N reported in Column B. 748 report. Some amounts in 15.Cash Payments.................................................. Column A,Line b above 8 Column A may be negative 16. ENDING CASH BALANCE.......... Add Lines 12+13+14,then subtract Line 15 $ 55,819 figures that should bg subtracted from preylous If this is a termination statement, Line 16 must be zero. period amounts. If I S is the first report being fled 17. LOAN GUARANTEES RECEIVED........................... schedule B,Part 2 $ 0 for this calendar yeaf, only carry over the amounts Cash Equivalents and Outstanding Debts from Lines 2,7,and (if 18. Cash Equivalents........................................ See instructions on reverse $ 0 any). 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(866/275-3772) I i Schedule D SCHEDULED Summary Of Expenditures Type or print in ink. Statement covers period Supporting/OpposingOther Amounts may be rounded ®* � to whole dollars. from 10/21/2012 ROOM 60' ' Candidates, Measures and Committees through 12/31/2012 Page 4 6 of SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Huntington Beach Police Officers'Association 882363 CUMULATIVE TO DATE PER ELECTION DATE NAME OF CANDIDATE,OFFICE,AND DISTRICT,OR TYPE OF PAYMENT DESCRIPTION i AMOUNTTHIS CALENDAR YEAR TO DATE MEASURE NUMBER OR LETTER AND JURISDICTION, (IF REQUIRED) PERIOD (JAN.1-DEC.31) (IF REQUIRED) OR COMMITTEE Jim Katapodis Moneta❑ ry Signs, Robo-calling Various City Council Contribution 1,003 38,917 38,917 ❑ Nonmonetary Contribution Independent ® Support ❑ Oppose Expenditure ❑ Monetary Various Jill Hardy City Council Contribution Robo-calling ( 529 21,680 21,680 ❑ Nonmonetary Contribution ❑ Independent ® Support ❑ Oppose Expenditure i ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure SUBTOTAL J$ 1,532 i Schedule D Summary I Jude all Schedule D subtotals.).. 1,532 1. Itemized contributions and independent expenditures made this period.(Include C ••••••••••••••••••••••• •• $ 0 2. Unitemized contributions and independent expenditures made this period of under$100..............................!. 3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on in` Summary Page.) ............ TOTAL $ 1,532 FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(8661275-3772) I I I SUPPLEMENTAL INDEPENDENT EXPENDITURE Supplemental Independent Type or print in ink. to Scamp Amounts may be rounded to Report covers period Qa r ®- !__9' Ex enditure Re oit whole dollars. 10/01/2012fi�' ® - °I'����9 P P �'�R Ii�i��(Government Code Section 84203.5) f RSE throu h10/20/2012 22,12 rT 25 F' :� 1��❑ Amendment (Explain Below) g Page 1 Date of election if applicable: Far Official Us y (Month,Day,Year) 11/06/2012 NUMBER I.D. (If recipient committee) 1. Committee/Filer Information 882 Treasurer (If recipient committee) COMMITTEE;FILER'S NAME NAME OF TREASURER Beach Police Officers'Association Dennis Hashin MAILING ADDRESS STREET ADDRESS(NO P.O.BOX) P.O. Box 896 20422 Beach Blvd., Ste 450 CITY STATE ZIP CODE AREA CODEtPHONE CITY STATE ZIP CODE AREA CODE/PHONE Huntington Beach CA 92648 714-536-7777 Huntington Beach CA 92648 714-842-8851 OPTIONAL: FAX(E-MAIL ADDRESS OPTIONAL: FAX r E-MAIL ADDRESS 2. Name of Candidate or Measure Supported or Opposed CHECKONE NAME OF CANDIDATE OFFICE SOUGHT OR HELD AND DISTRICT,IF APPLICABLE SUPPORT O E OF BALLOT MEASURE BALLOT NO./LETTER JURISDICTION SUPPORT OPPO Z Huntington Beach X 3. Independent Expenditures (lade nformation on appropriately labeled continuation sheets. CUMULATIVE TO DATE DATE NAME AND ADDRESS OF PAYEE DESCRIPTION OF EXPENDITURE AMOUNT CALENDAR YEAR JAN. 1 -DEC.31' 10/03/12 CA Justice Voter Guide Mailers 900 900 P.O. Box 631 Torrance, CA 90508 10/17/12 The Fairfax Research Group Polling 1,155 7,125 2925 Black Horse Drive Ontario, CA 91761 Various AMAC Signs, mailers and postage 21,594 39,837 114 S. Catalina Ave. Redondo Beach,CA 90277 FPPC Form 465 (June/09) FPPC Toll-Free Helpline: 866/ASK-FPPC (8661275-3772) SUPPLEMENTAL INDEPENDENT EXPENDITURE Supplemental Independent Type or print in ink. Amounts may be rounded to Report covers period Date Stamp ® . Expenditure Report whole dollars. (Government Code Section 84203.5) from © /©� � © 9 094GA2Qfiz❑ 10-Ze-i SEE INSTRUCTIONS ON 3 Amendment (Explain Below; throw Page 2of Date of election if applicable: For Official Use Only (Month,Day,Year) 11/06/2012 T882363 D.NUMBER(If recipient committee) 1. Committee/Filer Information Treasurer pfrecipientcommitte TEEiFiLER'S NAME NAME OF TREASURER Huntington Beach Police Officers'Association Dennis Hashin MAILING ADDRESS STREET ADDRESS(NO P.O.BOX) P.O. Box 896 20422 Beach Blvd., Ste 450 CITY STATE ZIP CODE AREACODEiPHONE CITY STATE ZIP CODE AREA CODE/PHONE H Huntington Beach CA 92648 714-842-8851 Huntington Beach CA 92648 714-536-7777 OPTIONAL: FAX!E-MAIL ADDRESS OPTIONAL: FAX i E-MAIL ADDRESS 2. Name of Candidate or Measure Supported or Opposed CHECKONE NAME OF CANDIDATE OFFICE SOUGHT OR HELD AND DISTRICT,IF APPLICABLE SUPPORT OPPOSE NAME O BALLOT NO.11LETTER JURISDICTION SUPPORT OPPOSE Measure Z Z Huntington Beach X 3. Independent Expenditures Made rmation on appropriately labeled continuation sheets. CUMULATIVE TO DATE DATE NAME AND ADDRESSOF PAYEE DESCRIPTION OF EXPENDITURE AMOUNT CA JAN. 1-CEC.LENDAR YEAR 31) 10/13/2012 Home Run Media Group Signs 841 841 15562 Chemical Lane Huntington Beach, CA 92649 Various USPS Postage 4,770 7,870 Main Street Huntington Beach, CA 92648 10/03/2012 Sir Speedy Letters&envelopes 245 594 15140 Transistor Lane Huntington Beach, CA 92649 FPPC Form 465 (June/09) FPPC Toll-Free Helpline: 8661ASK-FPPC (866/275-3772) s COVER PAGE Recipient Committee Type or print in ink. Date Stamp CALIFORNIA Campaign Statement ,, r, e, a Cover Page (Government Code Sections 84200-84216.5) Pa e 1 of 12 Statement covers period Date of election if applicable: 5 1`� �ij�' ' "''� �`t 1''t• l: ( g 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 O State Candidate Electi ee ❑ Semi-annual Statement ❑ Special Odd-Year Report O Recall Q Controlled ❑ Termination Statement ❑ Supplementa (Also Complete Part 5) Q Sponsored (Also file a Form 410 Termination) Statement-Attach Form 495 (Also Compete Part 6) ❑ 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) 882363 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER Huntingto e Officers'Association Dennis Hashin MAILING ADDRESS P.O. Box 896 STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE 20422 Beach Blvd., Ste 450 Huntington Beach CA 92648 714-842-8851 CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY Huntington Beach CA 92648 714-536-7777 MAILING ADDRESS(IF DIFFERENT) NO.AND STREET OR P.O. BOX MAILING ADDRESS P.O. Box 896 CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE Huntington Beach CA 92648 714-842-8851 OPTIONAL: FAX/E-MAIL ADDRESS OPTIONAL: FAX/E-MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information c 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 an orrect. Executed on I d-. )5 j(2 BY W Signature of Treasurer or Assistant Treasurer Date Executed on Date BY Signature of Controlling Officeholder,Candidate,State Measure Proponent or Responsibie 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(January105) FPPC Toll-Free Helpline:8661ASK-FPPC(8661276-3772) State of California Campaign Disclosure Statement Type or print in ink. SUMMARY PAGE Amounts may be rounded Statement covers period CALIFORNIA SummaryPa to whole dollars. • , Page from 10/01/2012FORM: through 10/20/2012 page 2 of 12 SEE INSTRUCTIONS ON REVERSE I.D. NUMBER NAME OF FILER Huntington Beach Police Officers'Association 1882363 Column Column B Calendar Year Summary for Candidates Contributions Received TOTALTHiSPERIOD CALENDAR YEAR (FROMATTACHED SCHEDULES) TOTALTO DATE .7 Runnint�77 in Both the State Primary and General Elections 1. MonetaryContributions ........................................... Schedule A,Line 3 $ 30,406 $ 85,677 1l1 through 6I30 7l1 to Date 2. Loans Received ................................ schedule B,Line 3 0 0 30,406 85,677 20. Contributions 3. SUBTOTALCASH CONTRIBUTIONS ......................... Add Lines 1+2 $ $ Received $ $ 4. Nonmonetary Contributions.................................... schedule C,Line 3 0 0 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ...........................Add Lines 3+4 $ 30,406 $ 85,677 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made....................................................... schedule E,Line 4 $ 73,044 $ 157,435 Candidates 7. Loans Made............................................................. schedule H,Line 3 0 0 73,044 157,435 22. Cumulative Expenditures Made* 8. SUBTOTALCASH PAYMENTS .................................... Add lines 6+7 $ $ (n 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 6+9+10 $ 73,044 $ 157,435 J $ Current Cash Statement —�—� $ 12. Beginning Cash Balance....................... Previous Summary Page,Line 16 $ 98,245 To calculate Column B,add 13.Cash Receipts ................................................... Column A,Line 3 above 30,406 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. 73,044 report. Some amounts in 15. Cash Payments.................................................. Column A,Line 6 above Coiumn A may be negative 16.ENDING CASH BALANCE.......... Add Lines 12+13+14,then subtract Line 15 $ 55,607 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(8661275-3772) Schedule Type or print in ink. SCHEDULE A Amounts may be rounded Statement covers period Monetary Contributions Received to whole dollars. 10/01/2012 CALIFORNIA a from RM through 10/20/2012 Page 3 of 12 SEE INSTRUCTIONS ON REVERSE NA I.D. NUMBER ME OF FILER Huntington Beach Police Officers'Association 882363 IF AN INDIVIDUAL,ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR 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) ®IND See Attached List [I COM 30,216 85,266 85,266 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$ 30,216 Schedule A Summary 'Contributor Codes 1. Amount received this period-itemized monetary contributions. IND-Individual (Include all Schedule A subtotals.) 30,216 COM-Reher thannt PTY ........................................................................................................$ (other than PTY or SCC) 190 OTH—Other business entity) PTY Party 2. Amount received this period-unitemized monetary contributions of less than$100 ............................. $ art y scc-small Contributor committee 3. Total monetary contributions received this period. Add Lines 1 and 2. Enter here an on e Summarye,Column , Line 1. TOTAL $ 30,406 ( d the Pa l A Li g )"""""""""""� FPPC Form 460(January105) FPPC Toll-Free Helphne:866/ASK-FPPC(8661275-3772) Individual Date Contributor Address Code Occupation Employer This Period Cumulative 9/ er City of HB $ 137.00 $ 387.00 9/30/2012 Smith, Lauren 2000 Main Ste., HB, CA 92648 IND Dispatcher City of HB $ 137.00 $ 387.00 9/30/2012 Sutton, Bianka 2000 Main Ste., HB,CA 92648 IND Dispatcher City of HB $ 137.00 $ 387.00 9/30/2012 Tur in,Amy 2000 Main Ste., HB, CA 92648 IND Dispatcher City of HB $ 137.00 $ 387.00 9/30/2012 Urban ,Courtney 2000 Main Ste., HB, CA 92648 IND Dispatcher City of HB $ 137.00 $ 387.00 9/30/2012 Williams,Ann 2000 Main Ste., HB, CA 92648 IND Dispatcher City of HB $ 137.00 $ 387.00 9/30/2012 Abrahams, Jerry 2000 Main Ste., HB, CA 92648 IND Officer City of HB $ 137.00 $ 387.00 9/30/2012 Allard, James 2000 Main Ste., HB,CA 92648 IND Officer Cityof HB $ 137.00 $ 387.00 9/30/2012 Altenbach, Roman 2000 Main Ste., HB, CA 92648 IND Officer Cityof HB $ 137.00 $ 387.00 Individual Date Contributor Address Code Occupation Employer This Period Cumulative r, Richard 2000 Main Ste., HB, CA 92648 IND Officer City of HB $ 137.00 $ 387.00 9/30/2012 Elkins,Avar 2000 Main Ste., HB, CA 92648 IND Officer City of HB $ 137.00 $ 387.00 9/30/2012 Ellis, Patrick 12000 Main Ste., HB, CA 92648 IND Officer City of HB $ 137.00 $ 387.00 9/30/2012 Elser,John 2000 Main Ste., HB, CA 92648 IND Officer City of HB $ 137.00 $ 387.00 9/30/2012 Emanuel, Timothy 2000 Main Ste., HB, CA 92648 IND Officer City of HB $ 137.00 $ 387.00 9/30/2012 Eskes, Marc 2000 Main Ste., HB, CA 92648 IND Officer City of HB $ 137.00 $ 387.00 9/30/2012 Ferrin, Kenton 2000 Main Ste., HB, CA 92648 IND Officer City of HB $ 137.00 $ 387.00 9/30/2012 Fon , Steven 2000 Main Ste., HB, CA 92648 IND Officer City of HB $ 137.00 $ 387.00 Individual Date Contributor Address Code Occupation Employer This Period Cumulative 9/30/2012 Kansaku, Scott 2000 Main Ste., HB, CA 92648 IND Officer City of HB $ 137.00 $ 387.00 9/30/2012 Ka ano,Terry 2000 Main Ste., HB, CA 92648 IND Officer City of HB $ 137.00 $ 387.00 9/30/2012 Kennedy, Edmond 2000 Main Ste., HB, CA 92648 IND Officer CitV of HB $ 137.00 $ 387.00 9/30/2012 Kesler, Kevin 2000 Main Ste., HB, CA 92648 IND Officer City of HB $ 137.00 $ 387.00 9/30/2012 Kim, Daniel 2000 Main Ste., HB, CA 92648 IND Officer City of HB $ 137.00 $ 387.00 9/30/2012 Kim, Gary 2000 Main Ste., HB, CA 92648 IND Officer City of HB $ 137.00 $ 387.00 9/30/2012 Knorr, Brian 2000 Main Ste., HB, CA 92648 IND Officer City of HB $ 137.00 $ 387.00 9/30/2012 Knox, Jake 2000 Main Ste., HB, CA 92648 IND Officer City of HB $ 137.00 $ 387.00 Individual Date Contributor Address Code Occupation Employer This Period Cumulative 9/ CA 92648 IND Officer City of HB $ 137.00 $ 387.00 9/30/2012 Parker, Reed 2000 Main Ste., HB, CA 92648 IND Officer City of HB $ 137.00 $ 387.00 9/30/2012 Petersen,Joel 2000 Main Ste., HB, CA 92648 IND Officer City of HB $ 137.00 $ 387.00 9/30/2012 Pham,Anthony2000 Main Ste., HB, CA 92648 IND Officer City of HB $ 137.00 $ 387.00 9/30/2012 Phelps, Nathan 2000 Main Ste., HB, CA 92648 IND Officer City of HB $ 137.00 $ 387.00 9/30/2012 Pitcher, Lawrence 2000 Main Ste., HB,CA 92648 IND Officer City of HB $ 137.00 $ 387.00 9/30/2012 Placentia, Raymond 12000 Main Ste., HB, CA 92648 IND Officer City of HB $ 137.00 $ 387.00 9/30/2012 Preece,Arthur 12000 Main Ste., HB, CA 92648 IND Officer Cityof HB 1 $ 137.00 $ 387.00 Individual Date Contributor Address Code Occupation Employer This Period Cumulative 9/30/2 e., HB, CA 92648 IND Officer City of HB $ 137.00 $ 387.00 9/30/2012 Thomas, Casey 2000 Main Ste., HB,CA 92648 IND Officer City of HB $ 137.00 $ 387.00 9/30/2012 Thomas, Michael 2000 Main Ste., HB, CA 92648 IND Officer City of HB $ 137.00 $ 387.00 9/30/2012 To artzer, John 2000 Main Ste., HB, CA 92648 IND Officer City of HB $ 137.00 $ 387.00 9/30/2012 Tunstell,Trent 2000 Main Ste., HB, CA 92648 IND Officer City of HB $ 137.00 $ 387.00 9/30/2012 Turner,Adam 2000 Main Ste., HB, CA 92648 IND Officer City of HB $ 137.00 $ 387.00 9/30/2012 Valdez, Humberto 2000 Main Ste., HB, CA 92648 IND Officer City of HB $ 137.00 $ 387.00 9/30/2012 Van Holt, John 2000 Main Ste., HB, CA 92648 IND Officer City of HB $ 137.00 $ 387.00 Individual Date Contributor Address Code Occupation Employer This Period Cumulative 9/30 ight, Charles 2000 Main Ste., HB, CA 92648 IND Officer City of HB $ 13 .00 9/30/2012 Young, Derek 2000 Main Ste., HB, CA 92648 IND Officer 7.00 $ 387.00 9/30/2012 Zara oza, Eric 2000 Main Ste., HB,CA 92648 City of HB $ 137.00 $ 387.00 9/30/2012 Zumwalt, Richard 2000 Main Ste., HB, IND Officer City of HB $ 137.00 $ 387.00 9/18/2012 Graham, Dr., Cypress, CA 90630 IND Inspector Supervisor - 100.00 9/28/2012 Dettloff, Robert 6812 Laurelhu ton Beach, CA 92647 IND Retired - 100.00 9/18/2012 Albers, Patricia 3341 Tempe Drive, Huntington Beach, CA 92649 IND Sr. Personnel Analyst - 100.00 10/8/2012 Sloan, Michael 17911 San Leandro, Huntington Beach, CA 92647 IND Retired 150.00 150.00 10/8/2012 Fox, Tina 16551 Higgins Circle, Huntington Beach, CA 92647 IND Parking Control Officer City of HB 100.00 100.00 10/18/2012 Winchell, Grace 6411 Weber Circle,Huntington Beach, CA 92647 IND Retired 100.00 100.00 $ 30,216.00 $ 85,266.00 Schedule D SCHEDULED Summary of Expenditures Type or print in ink. Statement covers period ®' .SIE Ortln �® OSfn ®then Amounts may be rounded d hh pp to whole dollars. 10/01/2012 ®' Candidates, Measures and Committees from SEE INSTRUCTIONS ON REVERSE through 10/20/2012 1882363 ge 10 of 12 NAME OF FILER . NUMBER Huntington Beach Police Officers'Association 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.t-DEC.31) (IF REQUIRED) OR COMMITTEE Jim Katapodis ❑ Monetary Mailers, Consultant, Various City Council Contribution Polling &Signs 22,737 37,914 37,914 ❑ Nonmonetary Contribution ® Independent ® Support ❑ Oppose Expenditure ❑ Monetary Various Jill Hardy Contribution Mailers, Consultant, 21,151 City Council ❑ Nonmonetary Polling &Signs 10,386 21,151 Contribution ® Independent ® Support ❑ Oppose Expenditure Billy O'Connell ❑ Monetary Mailers, Consultant, Various City Council Contribution Polling &Signs 10,387 21,151 21,151 ❑ Nonmonetary Contribution Independent 0 Support ❑ Oppose Expenditure SUBTOTAL $ 43,510 Schedule D Summary 1. Itemized contributions and independent expenditures made this period. Include all Schedule D subtotals. $ 43,510 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 $ 43,510 FPPC Form 460(January105) FPPC Toll-Free Helpline:8661ASK-FPPC(8661275-3772) • SCHEDULE E, Schedule E Type or print in ink. Statement covers period ®. Amounts may be rounded 460 Payments Made to whole dollars. from 10/01/2012 FORM, SEE INSTRUCTIONS ON REVERSE through 10/20/2012 Page 11 of 12 NAME OF FILER I.D. NUMBER Huntington Beach Police Officers'Association 882363 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CIVP 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 LI literature and mailings FRT print ads WEB inform ts(internet,e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE.ALSO ENTER I.D.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Huntington Beach Police Officers'Association PIC Transfer for PIC activities P.O. Box 896 29,534 Huntington Beach, CA 92648 AMAC Campaign mailers 114 S. Catalina Ave. LIT 19,576 Redondo Beach, CA 90277 USPS Postage for mailers Main Street POS 9,949 Huntington Beach, CA 92648 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 59,059 Schedule E Summary 1. Itemized payments made this period. Include all Schedule E subtotals. .......................... $ 73,044 2. Unitemized payments made this period of under$100 .......................................................................................................................................... $ 0 3. Total interest aid 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 SummaryPage,Column A, Line 6. TOTAL $ 73,044 FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Schedule E SCHEDULE E(CONT.) Type or print in ink. Statement covers period ® . (Continuation Sheet) Amounts may be rounded e Payments Made to whole dollars. 10/01/2012 ® _ from through 10/20/2012 Page 12 of 12 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D.NUMBER Huntington Beach Police Officers'Association 882363 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 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 (l ing) VOT voter registration LIT campaign literature and mai WEB information technology costs(internet, e-mail) PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF I.D.NUMBER) CA Justice Voter Guide Mailers LIT 2,700 Torrance, CA 90508 Hop Scotch Marketing Consultant 31938 Temecula Pkwy., Ste A314 CNS 4,658 Temecula, CA 92592 Home Run Media Group Signs 15562 Chemical Lane LIT 2,802 Huntington Beach, CA 92649 Fairfax Research Group Polling 2925 Blackhorse Drive POL 3,465 Ontario, CA 91761 Home Depot Sign hangers 2782 El Camino Real LIT 360 Tustin, CA 92782 ' Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 13,985 FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) . . COVERPAGE Recipient Com ittee Type or print in ink. Date Stamp Campaign Statement CoverPage (Government Code Sections 84200-84216.5) Statement covers period Date of election if app"U,'I, C T 4 F 1`1 2- 1,3 Page 1 of 13 F,"'fici., Use 09., from 07/0112012 (Month, Day,Year) Fo Official Use Only SEE INSTRUCTIONS ON REVERSE through 1. Type of Recipient Committee: All Committees—complete Parts 1,2,3,and 4. 2. Type of Statement: F-1 Officeholder,Candidate Controlled Committee Primarily Formed Ballot Measure Preelection Statement E] Quarterly Statement • State Candidate Election Committee Committee Semi-annual Statement E-] Special Odd-Year Report ontrolled E] Termination Statement E] Supplemental Preelection (Also Complete Part 5) 0 Sponsored (Also file a Form 410 Termination) t-Attach Form 495 General Purpose Committee (Ailso Complete Part 6) EJ Amendment(Explain below) CX) Sponsored F-] 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) COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER Huntington Beach Police Offimano'Association Dennis Haahin MAILING ADDRESS 6 STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE 2U422 Beach B|vd.. Ste 45O Huntington Beach CA 02648 7148428851 CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY Huntington Beach CA 93648 714-538'7777 MAILING ADDRESS (IF DIFFERENT) NO.AND STREET OR P.O. BOX MAILING ADDRESS P.O. Box 8SO CITY STATE ZIP CODE AREA CODEIPHONE CITY STATE ZIP CODE AREA CODE/PHONE Huntington Beach CA 92848 7148428851 OPTIONAL: FAX/E-MAIL ADDRESS OPTIONAL: FAX/E-MAJL ADDRESS 4' Verification |have used all reasonable diligence m preparing and reviewing this statement and t the best of knowledge the mmnn�oo contained herein nummoouac*eo schedules i0000 and cvmpm�. /rom� under nanu|�orve�u�under m m ��e|uwoo, e� v/Caommium th e u Executed on By Date Signature of Treasurer or Assistant Treasurer Executed on Date By Signature of Controlling Officeholder,Candidate,State Measure Proponent or Responsible Officer of Sponsor Executed on Date By Signature of Controlling Offii:eholder,Candidate,State Measure Proponent Executed on av Date Signature--Controlling Officeholder,Candidate,State--Measure Proponent pppo Form^mo(Jun"anmo) rppo Toll-Free xunno=o66moK-rppomo61zo-3ra State mCalifornia Campaign Disclosure Statement Type or print in ink. SUMMARYPAGE Amounts may be rounded Statement covers period a Summary Rage to whole dollars. d ® O from 07/01/2012 SEE INSTRUCTIONS ON REVERSE through 09/30/2012 page 2 of 13 NAME OF FILER I.D. NUMBER Huntington Beach Police Officers'Association 882363 Column A Column B Calendar Year Summary for Candidates Contributions Received TOTALTHIS PERIOD CALENDAR YEAR (FROM ATTACHED SCHEDULES) TOTAI.TO DATE Running in Both the State Primary and 55,271 General Elections 1. Monetary Contributions ........................................... schedule a,Line ne 3 $ $ O O 1/1 through 6/30 7/1 to Date 2. Loans Received ...................................................... Schedule a,Line 3 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1+2 $ 49,835 $ 55,271 20. Contributions 0 0 Received $ $ 4. Nonmonetary Contributions.................................... Schedule C,Line 3 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED •.........................•Add Lines 3+4 $ 49,835 $ 55,271 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made....................................................... Schedule E,Line 4 $ 83,841 $ 84,391 Candidates 7. Loans Made............................................................. Schedule H,Line 3 0 0 83,841 84,391 22. Cumulative Expenditures Made" 8. SUBTOTAL CASH PAYMENTS .................................... Add ones 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 6+9+10 $ 83,841 $ 84,391 $ Current Cash Statement $ 12. Beginning Cash Balance....................... Previous Summary Page,Line 16 $ 132,251 To calculate Column B,add 13.Cash Receipts ................................................... column A,Line 3 above 49,835 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. 841 report. Some amounts in 15.Cash Payments.................................................. Column A,line 8 above 83, Column A may be negative 16. ENDING CASH BALANCE.......... Add Lines 12+13+14,then subtract Line 15 $ 98,245 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 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 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 Received may be rounded Statement covers period monetary ContributionsReceived to whole dollars. from 07/01/2012 i F0- through 09/30/2012 Page 3 of 13 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Huntington Beach Police Officers'Association 882363 IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR 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) ®IND See Attached List ❑COM 49,794 55,050 55,050 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$ 49,794 Schedule A Summary 'Contributor Codes 1. Amount received this period-itemized monetary contributions. IND-Individual Include all Schedule A subtotals. ....................$ 49,794 COM—R(other thannt PTY .................................................................................... (other than PTY or SCC) 2. Amount received this period unitemized monetary contributions of less than$100 ............................. $ 41 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 SummaryCol A, Li 1. TOTAL $ 49,835 Page,Column Line ������������������������ FPPC Form 460(January105) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Date Individual Contributor Address Code Occupation Employer This Period Cumulative 9/30/201 Dispatcher City of HB 226.00 250.00 9/30/2012 Sutton, Bianka 2000 Main Ste., HB, CA 92648 IND Dispatcher City of HB 226.00 250.00 9/30/2012 Tur in, Amy 2000 Main Ste., HB, CA 92648 IND Dispatcher City of HB 226.00 250.00 9/30/2012 Urban , Courtney 2000 Main Ste., HB, CA 92648 IND Dispatcher City of HB 226.00 250.00 9/30/2012 Williams,Ann 2000 Main Ste., HB, CA 92648 IND Dispatcher City of HB 226.00 250.00 9/30/2012 Abrahams, Jerry 2000 Main Ste., HB, CA 92648 IND Officer City of HB 226.00 250.00 9/30/2012 jAllard, James 2000 Main Ste., HB, CA 92648 IND Officer City of HB 226.00 250.00 Date Individual Contributor Address Code Occupation Employer This Period Cumulative 9/30/2012 Richard 2000 Main Ste., HB, CA 92648 IND Officer City of HB 226.00 250.00 9/30/2012 Elkins, Avar 2000 Main Ste., HB, CA 92648 IND Officer City of HB 226.00 250.00 9/30/2012 Ellis, Patrick 2000 Main Ste., HB, CA 92648 IND Officer City of HB 226.00 250.00 9/30/2012 Elser, John 2000 Main Ste., HB, CA 92648 IND Officer City of HB 226.00 250.00 9/30/2012 Emanuel, Timothy 2000 Main Ste., HB, CA 92648 IND Officer City of HB 226.00 250.00 9/30/2012 1 Eskes, Marc 2000 Main Ste., HB, CA 92648 IND Officer City of HB 226.00 250.00 Date Individual Contributor Address Code Occupation Employer This Period Cumulative 9/30 Jack 2000 Main Ste., HB, CA 92648 IND Officer City of HB 226.00 250.00 9/30/2012 Pappas,Ted 2000 Main Ste., HB, CA 92648 IND Officer City of HB 226.00 250.00 9/30/2012 Pappas, Timothy 2000 Main Ste., HB, CA 92648 IND Officer City of HB 226.00 250.00 9/30/2012 Parker, Reed 2000 Main Ste., HB, CA 92648 IND Officer City of HB 226.00 250.00 9/30/2012 Petersen,Joel 2000 Main Ste., HB, CA 92648 IND Officer City of HB 226.00 250.00 9/30/2012 Pham,Anthony2000 Main Ste., HB, CA 92648 IND Officer City of HB 226.00 250.00 Date Individual Contributor Address Code Occupation Employer This Period Cumulative 9/30/2012 te 2000 Main Ste., HB, CA 92648 IND Officer City of HB 226.00 250.00 9/30/2012 Szyperski, Michael 2000 Main Ste., HB, CA 92648 IND Officer City of HB 226.00 250.00 9/30/2012 Tatar, Christopher 2000 Main Ste., HB, CA 92648 IND Officer City of HB 226.00 250.00 9/30/2012 Teichmann, Peter 2000 Main Ste., HB, CA 92648 IND Officer City of HB 226.00 250.00 9/30/2012 Thomas, Casey 2000 Main Ste., HB, CA 92648 IND Officer City of HB 226.00 250.00 9/30/2012 Thomas, Michael 2000 Main Ste., HB, CA 92648 IND Officer City of HB 226.00 250.00 Date Individual Contributor Address Code Occupation Employer This Period Cumulative 9/30/2012 9/30/2012 Zumwalt, Richard 2000 Main Ste., HB, CA 92648 IND Officer City of HB 226.00 250.00 9/18/2012 Graham,Tom 10919 Delano Dr., Cypress, CA 90630 IND Inspector Supervisor 100.00 100.00 9/28/2012 Dettloff, Robert 6812 Laurelhurst Drive, Huntington Beach, CA 92647 IND Retired 100.00 100.00 9/18/2012 Albers, Patricia 13341 Tempe Drive, Huntington Beach, CA 92649 IND Sr. Personnel Analyst 100.00 100.00 $ 49,794.00 $ 55,050.00 Schedule D SCHEDULED Summary of Expenditures Type or print in ink. Statement covers period Amounts may be rounded SE Supporting/Opposing Other to whole dollars. 07/01/2012 Candidates,Measures and Corr mittees from SEE INSTRUCTIONS ON REVERSE through 09/30/2012 Page 10 of 13 NAME OF FILER I.D. NUMBER Huntington Beach Police Officers'Association 882363 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 Jim Katapodis �] Monetary 09/14/2012 City Council Contribution 520 520 520 ❑ Nonmonetary Contribution ❑ Independent ® Support ❑ Oppose Expenditure ❑ Monetary Various Jim Katapodis contribution Signs and Mailers 15,177 Nonmonetary City Council ❑ 14,657 15,177 Contribution ® Independent ® Support ❑ Oppose Expenditure Monetary 09/21/2012 Jill Hardy Contribution 520 City Council 520 520 ❑ Nonmonetary Contribution ❑ Independent ® Support ❑ Oppose Expenditure SUBTOTAL $ 15,697 Schedule D Summary 1. Itemized contributions and independent expenditures made this period. Include all Schedule D subtotals. 36,706 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 $ 36,706 FPPC Form"0(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(8661275-3772) Schedule (Continuation Sheet) Type or print in ink. SCHEDULE D(CONT. Amounts may be rounded SU�B1maryofExpenditures to whole dollars. Statement covers period O- � � Supporting/Opposing Other from 07/01/2012 - Candidates, Measures and Committees through 09/30/2012 Page 11 of 13 NAME OF FILER I.D.NUMBER Huntington Beach Police Officers'Association 882363 NAME OF CANDIDATE,OFFICE, , DESCRIPTION CUMULATIVE TO DATE PER ELECTION AND DISTRICT OR DATE TYPE OF PAYMENT AMOUNT THIS CALENDAR YEAR TO DATE MEASURE NUMBER OR LETTER AND JURISDICTION, (IF REQUIRED) PERIOD (JAN.1-DEC.31) (IF REQUIRED) OR COMMITTEE Jill Hardy ❑ Monetary Signs and Mailers Various City Council Contribution 10,245 10,765 10,765 ❑ Nonmonetary Contribution ® Independent ® Support ❑ Oppose Expenditure Billy O'Connell ® Monetary 09/26/2012 Contribution 520 City Council 520 520 ❑ Nonmonetary Contribution ❑ Independent Support ❑ Oppose Expenditure Billy O'Connell ❑ Monetary Signs and Mailers Various City Council Contribution 10,244 10,764 10,764 ❑ Nonmonetary Contribution independent Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure SUBTOTAL $ 21,009 FPPC Form 460(January/05) FPPC Toll-Free Helpline:8661ASK-FPPC(8661275-3772) SCHEDULEE Type or print in ink. Schedule Amounts may be rounded Statement covers periodCA s. I Payments Made to whole dollars. 07/01/2012 from SEE INSTRUCTIONS ON REVERSE through 09/30/2012 Page 12 of 13 NAME OF FILER I.D. NUMBER Huntington Beach Police Officers'Association 882363 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CIVIP 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 LTf campaign literature and mailings PRT print ads WEB echnology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE ,ALSO ENTER I.D.NUMBER) CODE OR DESCRIPTION OF PAYMENT PAID Huntington Beach Police Officers'Association PIC Transfer for PIC activities P.O. Box 896 47,135 Huntington Beach, CA 92648 AMAC Campaign signs and mailers 114 S. Catalina Ave. LIT 25,347 Redondo Beach, CA 90277 USPS Postage for mailers Main Street POS 9,300 Huntington Beach, CA 92648 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 81,782 Schedule E Summary 1. Itemized payments made this period. Include all Schedule E subtotals. 83,841 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 $ 83,841 FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/276-3772) SCHEDULE E(CONT.) Schedule E Type or print in ink. Statement covers period ® . (Continuation Sheet) Amounts may be rounded � Payments Made to whole dollars. from 07/01/2012 FORM g SEE INSTRUCTIONS ON REVERSE through 09/30/2012 Page 13 of 13 NAME OF FILER I.D.NUMBER Huntington Beach Police Officers'Association 882363 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 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 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 literat PRT print ads WEB information technology co NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT (IF COMMITTEE,ALSO ENTER I.D.NUMBER) The Home Depot S 2782 El Camino Real LIT 499 Tustin, CA 92782 Elect Jim Katapodis 5901 Warner Avenue#434 CTB 520 Huntington Beach, CA 92649 ID# 1328537 Billy O'Connell 7372 Prince Drive, Ste 102 CTB 520 Huntington Beach, CA 92647 ID# 1352016 Elect Jill Hardy PO Box 6671 CTB 520 Huntington Beach, CA 92615 ID# 1244691 *Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 2,059 FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Supplemental Independent Type or print in ink. SUPPLEMENTAL INDEPENDENT EXPENDITURE Amounts may be rounded to Report covers period Date Stamp Expenditure Report whole dollars. 4`° � qi. (Government Code Section 84203.5) from 07/01/2012 { ) '® � SEE INSTRUCTIONS ON REVERSE 09/30/2012 ❑ Amendment (Explain Below) through Page 1 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 Information $82363 Treasurer (If recipient committee) COMMITTEE/FILER'S NAME NAME OF TREASURER Huntington Beach Police Officers'Association Dennis Hashin MAILING ADDRESS STREET ADDRESS(NO P.O.BOX) P.O. Box 896 20422 Beach Blvd., Ste 450 CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE Huntington Beach CA 92648 714-536-7777 Huntington Beach CA 92648 714-842-8851 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 ALLOT MEASURE BALLOT NO./LETTER JURISDICTION SUPPORT OPPOSE Z Huntington Beach X 3. Independent Expenditures nal information on appropriately labeled continuation sheets. CUMULATIVE TO DATE DATE NAME AND ADDRESSOF PAYEE DESCRIPTION OF EXPENDITURE AMOUNT CALENDAR YEAR JAN. 1-DEC.31 Various Hop Scotch Marketing Consultant 9,316 9,316 31938 Temecula Parkway Suite A314 Temecula, CA 92592 Various The Fairfax Research Group Polling 5,970 5,970 2925 Black Horse Drive Ontario, CA 91761 Various AMAC Signs and Mailers 18,243 18,243 114 S. Catalina Ave. Redondo Beach,CA 90277 FPPC Form 465 (June109) 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. ®. (Government Code Section 84203.5) from 07/01/2012 SEE INSTRUCTIONS ON REVERSE 09/30/2012 El Amendment (Explain Below) through Page 2 of Date of election if applicable: For Official Use Only (Month,Day,Year) 11/06/2012 I.D.NUMBER(If recipient committee) 9. Committee/Filer Information 1882363 Treasurer (if recipient committee) COMMITTEEIFILER'S NAME NAME OF TREASURER Huntington Beach Police Officers'Association Dennis Hashin MAILING ADDRESS STREET ADDRESS(NO P.O.BOX) P.O. Box 896 20422 Beach Blvd., Ste 450 CITY STATE ZIP CODE AREACODElPHONE CITY STATE ZIP CODE AREA CODE/PHONE Huntington Beach CA 92648 714-536-7777 Huntington Beach CA 92648 714-842-8851 OPTIONAL: FAX t 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 SUPPORT OPP LOT MEASURE BALLOT NO./LETTER JURISDICTION POSE Measure Z Z Huntington Beach X xpenditures Made Attach additional information on appropriate/ylabeled continuation sheets. CUMULATIVE TO DATE DATE NAME AND ADDRESSOF PAYEE DESCRIPTION OF EXPENDITURE AMOUNT CALENDAR YEAR JAN. 1-DEC.31 09/21/2012 The Home Depot Sign Hangers 166 166 2782 El Camino Real Tustin, CA 92782 09/26/2012 USPS Postage 3,100 3,100 Main Street Huntington Beach, CA 92648 09/29/2012 AMAC Postage 9,753 27,996 114 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 Amounts may be rounded to Report covers period Date Stamp Expenditure Report whole dollars. d ® • (Government Code Section 84203.5) from 07/01/2012 ® SEE INSTRUCTIONS ON REVERSE throw h 09/30/2012 3 4 ElAmendment (Explain Below) g 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 Information 882363 Treasurer (If recipient committee) COMMITTEE/FILER'S NAME NAME OF TREASURER Huntington Beach Police Officers'Association Dennis Hashin MAILING ADDRESS STREET ADDRESS(NO P.O.BOX) P.O. BOX 896 20422 Beach Blvd., Ste 450 CITY STATE ZIP CODE AREA CODErPHONE CITY STATE ZIP CODE AREACODE/PHONE Huntington Beach CA 92648 714-536-7777 Huntington Beach CA 92648 714-842-8851 OPTIONAL: FAX i 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 NO.lLETTER JURISDICTION SUPPORT OPPOSE Meas Huntington Beach X 3. Independent Expenditures Made Attach additional information on appropriately labeled continuation sheets. CUMULATIVE TO DATE DATE NAME AND ADDRESS OF PAYEE DESCRIPTION OF EXPENDITURE AMOUNT CALENDAR YEAR JAN. 1-DEC.31 09/05/2012 Bentley Printing Envelopes 238 238 12800-C Garden Grove Blvd. Garden Grove, CA 92843 Various Sir Speedy Flyers 349 349 15140 Transistor Lane Huntington Beach, CA 92649 FPPC Form 465 (June/09) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) Supplemental Independent Type or print in ink. SUPPLEMENTAL INDEPENDENT EXPENDITURE Amounts may be rounded Report covers period s . Expenditure Report to whole dollars. " e from 07/01/2012 09/30/2012 � SEE INSTRUCTIONS ON REVERSE through page 4 of 4 NAME OF FILER I.D.NUMBER(If recipient com.) Huntington Beach Police Officers'Association 1882363 4. Summary 1. Total independent expenditures of$100 or more made this period. Part 3. 47,135 2. Total independent expenditures under$100 made this period. Not itemized. 0 3. Total independent expenditures made this period Add Lines 1 +2. .........................TOTAL $ 47,135 5. Filing Officers Enter the name and address of each filing officer wi 's most 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. ESS (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 certify that the "independent expenditure(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 complete. I certify under penalty of perjury under the taws of the State of California that the foregoing is true and correct. c Executed on ._ Z 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 (8661275-3772) COVER PAGE Recipient Committee Date Stamp Type or print in ink. Campaign Statement Cover Page (Government Code Sections 84200-84216.5) Statement covers period Date of election if applic I JUL COF`1 1: 0 Page 1 of 4 01/01/2012 (Month, Day, Year) tp from For Official Use Only SEE INSTRUCTIONS ON REVERSE through — 06/30/2012 iR 1. Type of Recipient Committee: All Committees-complete parts 1,2,3,and 4. 2. Type of Statement: ❑ Officeholder,Candidate Controlled Committee ❑ Ballot Measure Committee ❑! Preelection Statement ❑ Quarterly Statement •State Candidate Election Committee Q Primarily Formed g Semi-annual Statement ❑ Special Odd-Year Report v Recall Q ation Statement (Also Complete Part S) Sponsor ed d ❑ Supplemental Preelection p ❑ Amendment(Ex Statement-Attach Form 495 (Also Complete Part 6) {g] General Purpose Committee k Sponsored ❑ Primarily Formed Candidate/ - - 0 Small Contributor Committee Officeholder Committee Q Political Party/Central Committee (Also Complete Part 7) 3. Committee Information I.D. NUMBER Treasurer(s) 882363 COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER Huntington Beach Police Officers'Association Dennis MAILING ADDRESS P.O. Box 896 STREET ADDRESS(NO P.O. BOX) CITY STATE ZIP CODE AREA CODEIPHONE 20422 Beach Blvd., Ste 450 Huntington Beach CA 92648 714-842-8851 CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY Huntington Beach CA 92648 714-536-7777 MAILING ADDRESS (IF DIFFERENT)NO. AND STREET OR P.O.BOX MAILING ADDRESS P.O. Box 896 CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE Huntington Beach CA 92648 714-842-8851 OPTIONAL: FAX/E-MAIL ADDRESS OPTIONAL: FAX 1 E-MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein and in the attached schedules is true and complete. I certify under penalty of perjury under the laws of the State of California that the foreg Ing Is true and correct. t Executed on -�" Y- l BY -ANUN" "i Date Signature of Treasurer or Assistant Treasurer Executed on BY Date 5ignatureotControlling Officeholder,Candidate-State Measure Proponent orResponsitleORcerofSponsor Executed on BY Date Signature of Controlling Officeholder.Candidata.State Measure Propenen; Executed on BY Signature Form 460(June/01) Date Signature of Controlling Officeholder.Candidate,State Measure Proponent FPPC Toll-Free Heipline:866IASK-FPPC State of California Campaign Disclosure Statement Type or print in ink. SUMMARY PAGE Amounts may be rounded ! Statement covers period o I�! Summary Page to whole dollars. i t 0 d • 01/01/2012 ®,. gs�9awll from I through 06/30/2012 page 2 of 4 SEE INSTRUCTIONS ON REVERSE NAME OF FILER i I.D. NUPJIBER Huntington Beach Police Officers'Association 882363 Column A Column B Calendar Year Summary for Candidates Contributions Received TOTAL THIS PERIOD CALENDAR YEAR Running in Both the State Primary and FROM ATTACHED SCHEDULES) TOTAL TO DATE 9 General Elections 1. Monetary Contributions ........................................... Schedule A,Line 3 $ 5,430 $ 5,430 lit through 6i30 7t1 to Date 2. Loans Received ...................................................... Schedule B.Line 3 0 20. Contributions _ 3. SUBTOTAL CASH CONTRIBUTIONS ..................... Add Lines 1+2 $ 5,436 $ 5,430 Received $ $ 4. Nonmonetary Contributions............. .................. ... Schedule C,Line 3 0 0 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ••..•••••.-••••_. .......••Add Lines 3+4 $ 5,436 $ 5,436 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made............................. ....................... . Schedute e,L ne 4 $ 550 $ 550 Candidates 7. Loans Made............................................................. Schedule H,Line 3 0 0 22. Cumulative Expenditures Made' 8, SUBTOTAL CASH PAYMENTS ..................... _........... Add Lines 6+7 $ 550_ $ 550 Itt Subjectto voluntary Expenditure Limit) 9. Accrued Expenses (Unpaid Bills)...............................Schedule F Line 3 0 0 Date of Election Total to Date 0 0 {mmldd/yy} 10. Nonmonetary Adjustment ..........................................Schedule C,Line 3 - 11. TOTAL EXPENDITURES MADE................................Add Lines s+s+10 $ 550 $ 550 J $ Current Cash Statement ---�—� $ ----- 12. Beginning Cash Balance....................... Previous Summary Page.Line 16 $ 27,365 To calculate Column Q add / $ 436 amounts in Column A to the 13. Cash Receipts ................................................... Column A,Line 3 above 5, 0 corresponding amounts 14.Miscellaneous Increases to Cash........ .................. Schedule 1,Line 4 from Column B of your last ---�_---� - $----- 550 report. Some amounts in 15. Cash Payments.............................._.................. Column A,Line 6 above Column A may be negative / $ _ 16. ENDING CASH BALANCE.......... Add tines 12+13+14,then subtract Line 15 $ 132,251 figures that should be _ subtracted from previous If this is a termination statement; Line 16 must be zero period amounts. If this is J $ the first report being filed ..... Schedule B,Part 2 $ 0 for this calendar year, only -Since January 1,2001. Amounts in this section may be 17. LOAN GUARANTEES RECEIVED.................... carry over the amounts from Lines 2,7,and 9(if different from amounts reported in Column B. Cash Equivalents and Outstanding Debts any). ... 18. Cash Equivalents.................................... . See instructions on reverse $ _._� 19. Outstanding Debts......................... Add Line 2+Line gin Column B above $ 0 FPPC Form 460 (June101) FPPC Toll-Free Helpline: 8661ASK-FPPC Schedule A Type or print in ink. SCHEDULE A Amounts may be rounded Monetary Contributions Received to whole dollars. Statement covers period from 01/01/2012 a e o 06/30/2012 3 4 SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER I.D. NUMBER Huntington Beach Police Officers'Association 882363 I FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR •' IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE CONTRIBUTOR I OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF COMMITT ,ALSO ENTER I.D.NUMBER) CODE * I i (IF SEIF•EMPLOYED.ENTER NAME PERIOD (JAN.1-DEC.31) (1F REQUIRED) OF BUSINESS) IND { l]COM ❑OTH i PTY { ❑SCC — BIND ~— COM Lr]OTH I 17 PTY ❑SCC j --- ❑IND 7 — — --- ----- I j7COM j ❑OTH j PTY SCC IND ❑COM OTH PTY SCC IND 1 ❑COM ❑OTH 17 PTY SCC i SUBTOTAL$ Schedule A Summary •Contributor Codes 1. Amount received this period—contributions of$100 or more. IND—Individual (Include all Schedule A subtotals.) $ COM—RecipientCommittee .................................................................................................... (other than PTY or SCC) 2. Amount received this period—unitemized contributions of less than$100............................................. $ 5,436 OTH—Other --- PTY—Political Party 3. Total monetary contributions received this period. SCC—Small Contributor committee (Add Lines 1 and 2. Enter here and on the Summary Page,Column A, Line i.).......................TOTAL $ 5,436 FPPC Form 460 (Junel01) FPPC Toll-Free Helpline: 866/ASK-FPPC SCHEDULEE Schedule E Type or print in ink. i Statement covers period Amounts may be roundedPayments Made to whole dollars. from 01/01/2012SM 06/30/2012 4. 4 through Page of I I SEE INSTRUCTIONS ON REVERSE I.D. NUMBER NAME OF FILER Huntington Beach Police Officers'Association 882363 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CNP campaign paraphemalia/misc. MBR member communications RAID radio airtime and production costs CNS campaign consultants MrG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)' OFC office expenses SAL campaign workers' salaries PET petition circulating TEL t.v.or cable airtime and production costs CVC civic donations 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 stration LIT campaign literature and mailings PRT EB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID OF COMM(TEE.ALSO ENTER I.O.NUMBER] CCLEA , $300 1314 W. 5th Street, Suite A CTB. i Santa Ana, CA 92706 i _ I SAC PAC CTB I $250 1415 L Street#410 Sacramento, CA 95814 ID#1235097 I I 1 " Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 550 — Schedule E Summary 550 1. Payments made this period of$100 or more.(Include all Schedule E subtotals.).................................................................................................. $ 0 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).).......................................................... ............ $ ......... -- ......... TOTAL $ 550 4. Total payments made this period. (Add Lines 1,2,and 3. Enter here and on the SummaryPage, Column A, Line 6. --- FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC