HomeMy WebLinkAboutKalmick, Dan - 2012 FPPC Campaign Disclosure Forms For 2014 (2) Campaign Disclosure Statement Type or print in ink. SUMMARY PAGE
Amounts may be rounded Statement covers period ® -
Summary Page to whole dollars.
from 10/21/2012 ® -
SEE INSTRUCTIONS ON REVERSE through 12/31/2012 Page 3 of 4
NAME OF FILER I.D. NUMBER
Dan Kalmick for HB City Council 2014 1308462
ColumnA Column B Calendar Year Summary for Candidates
Contributions Received TOTALTHISPERIOD CALENDARYEAR Running in Both the State Prima and
(FROM ATTACHED SCHEDULES) TOTALTODATE g Primary
General Elections
1. Monetary Contributions ........................................... Schedule A,Line 3 $ 0.00 $ 0.00
1l1 through 6I30 7/1 to Date
2. Loans Received ...................................................... Schedule e,Line 3 0.00 0.00
20. Contributions
3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1+2 $ 0.00 $ 0.00 Received $ $
4. Nonmonetary Contributions.................................... Schedule C,Line 3 0.00 0.00 21 Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED ...........................Add Lines 3+4 $ 0.00 $ 0.00 Made $ $
Expenditures Made Expenditure Limit Summary for State
6. Payments Made....................................................... Schedule E,Line 4 $ 82.00 $ 246.72 Candidates
7. Loans Made............................................................. Schedule H,Line 3 0.00 0.00
22. Cumulative Expenditures Made'
8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6+7 $ 82.00 $ 246.72 (If 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 ..........................................ScheduleC,Line 0.00 0.00 (mm/dd/yy)
11. TOTAL EXPENDITURES MADE................................Add Lines 8+s+10 $ 82.00 $ 246.72 $
Current Cash Statement J $
12. Beginning Cash Balance....................... Previous Summary Page,Line 16 $ 1,733.01 To Calculate Column B,add
13.Cash Receipts ................................................... Column A,Line 3 above 0.00 amounts in Column A to the
corresponding amounts 'Amounts in this section may be different from amounts
14. Miscellaneous Increases to Cash........................... Schedule/,Line 4 0.00 from Column B of your last reported in Column B.
15. Cash Payments.................................................. Column A,Line 8 above 82.00 report. Some amounts in
Column A may be negative
16. ENDING CASH BALANCE.......... Add Lines 12+13+14,then subtract Line 15 $ 1,651.01 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 $ 0.00 for this calendar year, only
carry over the amounts
Cash Equivalents and Outstanding Debts from Lines 2,7, and s cif
q � any).
18. Cash Equivalents........................................ See instructions on reverse $ 0.00
19. Outstanding Debts......................... Add Line 2+Line 9 in Column a above $ 0.00 FPPC Form 460(January/05)
FPPC Toll-Free Helpline: 866/ASK-FPPC(866/275-3772)
Recipient Committee covERPAGE
Campaign StatementType or print in ink. Date Stamp ® '
d
Cover Page E-filed on: 10/22/2012 14:44:43 ,'
(Government Code Sections 84200-84216.5)
Statement covers period Date of election if applicable- p ,.. fi, �� 1 4
10/01/2012 (Month, Day, Year) 12 Of.a T 23 Ad"I Vic• 0 Page Use
92206624 from For Official Use Only
SEE INSTRUCTIONS ON REVERSE through 10/20/2012 11/04/2014
1. Type of Recipient Committee: All Committees—Complete Parts 1,2,3,and 4. 2, Type of Statement:
❑x Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑x Preelection Statement ❑ Quarterly Statement
Q State Candidate Election Committee Committee ❑ Semi-annual Statement r Report
Q Recall Q Controlled ❑ Termination Statement ❑ Supplemental Preelection
(Also Complete Part5) 0 Sponsored (Also file a Form 410 Termination) Statement-Attach Form 495
❑ (Also Complete Part 6)General Purpose Committee ❑ Amendment(Explain below)
Q Sponsored ❑ Primarily Formed Candidate/
Q Small Contributor Committee Officeholder Committee
Q Political Party/Central Committee (Also Complete Pail 7)
3. Committee Information I.D. NUMBER Treasurers)
1308462
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER
Dan Kalmick for HB City Council 201
n Kalmick
MAILING ADDRESS
16772 Glenhaven Lane
STREET ADDRESS(NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE
16772 Glenhaven Lane Huntington Beach CA 92647 (714) 699-4326
CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY
Huntington Beach CA 92647 (714) 699-4326
MAILING ADDRESS(IF DIFFERENT) NO.AND STREET OR P.O. BOX MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX/E-MAIL ADDRESS OPTIONAL: FAX/E-MAIL ADDRESS
dan@dankalmick.com info@dankalmick.com
4. Verification
I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowled a the information contained herein and in the attached schedules is true and complete. I certify
under penalty of perjury under the laws of the State of California that the foregoing is true ect.
Executed on 10/22/2012 By / --
Date _ stant1[
Executed on J/,11,70Iz- By
'Date ature of Co*olling OThce Ider,Candidate,State Measure Pr nt or Responsible Officer of Sponsor
Executed on By
Date Signature of Controlling Officeholder,Candidate,State Measure Proponent
Executed on By
Date Signature of Controlling Offb holder,Candidate,State Measure Proponent FPPC Form 460(January/05)
FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772)
State of California
Type or print in ink. COVER PAGE-PART 2
Recipient Committee
IA
Campaign Statement ®®RN ® 1
Cover Page® Part 2
Page 2 of 4
5, Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee
NAME OF OFFICEHOLD NAME OF BALLOT MEASURE
Dan Kalmick
OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO.OR LETTER JURISDICTION ❑ SUPPORT
❑ OPPOSE
City Council Member
RESIDENTIAL/BUSINESS ADDRESS (NO.AND STREET) CITY STATE ZIP
16772 Glenhaven Lane Identify the controlling officeholder, candidate, or state measure proponent, if any.
Huntington Beach CA 92647
NAME OF OFFICEHOLDER,CANDIDATE,OR PROPONENT
Related Committees Not Included in this Statement: List any committees
not included in this statement that are controlled by you or are primarily formed to receive OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY
contributions or make expenditures on behalf of your candidacy.
COMMITTEE NAME I.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE? 7. Primarily Formed Candidate/Officeholder Committee List names of
officeholder(s)or candidates)for which this committee is primarily formed.
❑ YES ❑ NO
COMMITTEE ADDRESS STREETADDRESS (NO P.O.BOX) NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT
❑ OPPOSE
CITY STATE ZIP CODE AREA CODE/PHONE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
❑ SUPPORT
❑ OPPOSE
COMMITTEE NAME I.D. NUMBER
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT
❑ OPPOSE
NAME OF TREASURER CONTROLLED COMMITTEE? NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
❑ YES ❑ NO ❑ SUPPORT
❑ OPPOSE
COMMITTEE ADDRESS STREETADDRESS (NO P.O.BOX)
CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary
FPPC Form 460(January/05)
FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772)
State of California
Campaign Disclosure Statement Type or print in ink. SUMMARYPAGE
Amounts may be rounded Statement covers period CAL Summary Page to whole dollars. _
from 10/01/2012
SEE INSTRUCTIONS ON REVERSE
through 10/20/2012 Page 3 of 4
NAME OF FILER I.D. NUMBER
Dan Kalmick for HB City Council 2014 1308462
ColumnA Column B Calendar Year Summary for Candidates
Contributions Received TOTALTHISPERIOD CALENDAR YEAR Running In Both the State Prima and
(FROM ATTACHED SCHEDULES) TOTALTODATE 9 Primary
General Elections
1, Monetary Contributions ........................................... schedule A,Linea $ $0.00 $ $0.00
1/1 through 6/30 7/1 to Date
2. Loans Received ...................................................... schedule e,Line 3 $0.00 $0.00
3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1+2 $ $o.oo $ $0.00 20. Contributions
Received $ $
4. Nonmonetary Contributions.................................... Schedule C,Line 3 $0.00 $0.00 21 Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED ....................•.••.•.Add Lines 3+4 $ $0.00 $ $0.00 Made $ $
Expenditures Made Expenditure Limit Summary for State
6. Payments Made....................................................... schedule E,Line 4 $ $16.00 $ $164.72 Candidates
7. Loans Made............................................................. schedule H,Line 3 $0.00 $0.00
22. Cumulative Expenditures Made*
8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6+7 $ $16.00 $ $164.72 (If 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 ..........................................ScheduleC,Linea $0.00 $0.00 (mm/dd/yy)
11. TOTAL EXPENDITURES MADE................................Add Lines 8+9+10 $ $16.00 $ $164.72 $
Current Cash Statement $
12. Beginning Cash Balance....................... Previous summary Page,Line 16 $ $1,749.01
To calculate Column B,add
13.Cash Receipts ................................................... Column A,Line 3 above $0.00 amounts in Column Ato the
corresponding amounts *Amounts in this section may be different from amounts
14. Miscellaneous Increases to Cash........................... schedule/,Line 4 $0.00 from Column B of your last reported in Column B.
15.Cash Payments................ $16.00 report. Some amounts in
Column A,Line 8 above Column A may be negative
16. ENDING CASH BALANCE.......... Add Lines 12+13+14,then subtract Line 15 $ $1,733.01 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 $ $o.00 for this calendar year, only
carry over the amounts
from Lines 2, 7, and 9 (if
Cash Equivalents and Outstanding Debts $0.00 any)
18. Cash Equivalents........................................ See instructions on reverse $
19. Outstanding Debts......................... Add Line 2+Line 9 in Column a above $ $0.00 FPPC Form 460(January/05)
FPPC Toll-Free Helpline. 866/ASK-FPPC(866/275-3772)
Schedule E Type or print in ink. SCHEDULEE
Statement covers period ® .
Payments Made from
Amounts may be rounded ® 1
to whole dollars. 10/01/2012 FOWSEE INSTRUCTIONS ON REVERSE through 10/20/2012 Page 4 of 4
NAME OF FILER I.D. NUMBER
Dan Kalmick for HE City Council 2014 1308462
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CNP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs
CNS campaign consultants WM meetings and appearances RFD returned contributions
CTB contribution (explain nonmonetary)" OFC office expenses SAL campaign workers' salaries
CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs
FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging,and meals
FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals
IND independent expenditure supporting/opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor
LEG legal defense PRO professional services (legal, accounting) VOT voter registration
LIT campaign literature and mailings PRT print ads WEB information technology costs (internet, ea-mail)
NAME AND ADDRESS OF PAYEE
(IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$
Schedule E Summary
1. Itemized payments made this period. Include all Schedule E subtotals. ...............a........................... $ $0.00
2. Unitemized payments made this period of under$100 .................................................e........................................................................................ $ $16.00
3. Total interest paid this period on loans. (Enter amount from Schedule 13, Fart 1,Column(e).)............................................................................... $ $0.00
4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ............................. TOTAL $ $16.00
FPPC Form 460(January/06)
FPPC Toll-Free Helpline:866/ASK-FPPC(866/276-3772)
Recipient Committee COVER PAGE
Type or print in ink. Date Stamp ® .
Campaign Statement ® .
Cover Page E-filed on: 09/28/2012 13:58:13
(Government Code Sections 84200-84216.5) ) >
Statement covers period Date of election if applicable;
Page 1 of 4
76240323 from
07/01/2012 (Month, Day, Year) 2012 01 _3 Pi1 J: 3 J For Official Use Only
SEE INSTRUCTIONS ON REVERSE through 09/30/2012 11/04/2014
1. Type of Recipient Committee: All Committees—Complete Parts 1,2,3,and 4. 2. Type of Statement: 1 ""
❑x Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑x Preelection Statement ❑ Quarterly Statement
Q State Candidate Election Committee Committee atement ❑ Special Odd-Year Report
Q Recall Q Controlled ❑ Termination Statement ❑ Supplemental Preelection
(Also Complete Part 5) Q Sponsored (Also file a Form 410 Termination) Statement-Attach Form 495
❑ (Also Complete Part 6)General Purpose Committee ❑ Amendment(Explain below)
Q Sponsored ❑ Primarily Formed Candidate/
Q Small Contributor Committee Officeholder Committee
0 Political Party/Central Committee (Also Complete Part 7)
3. Committee Information I.D. NUMBER Treasurers)
1308462
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) NAM
Dan Kalmick for HB City Council 2014
Dan Kalmick
MAILING ADDRESS
16772 Glenhaven Lane
STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE
16772 Glenhaven Lane Huntington Beach CA 92647 (714) 699-4326
CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY
Huntington Beach CA 92647 (714) 699-4326
MAILING ADDRESS (IF DIFFERENT) NO.AND STREET OR P.O. BOX MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX/E-MAIL ADDRESS OPTIONAL: FAX/E-MAIL ADDRESS
dan@dankalmick.com info@dankalmick.com
4. Verification
I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein and in the attached schedules is true and complete. I certify
under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Executed on 10/01/2012 By
Date surer
Executed on By /
Date of Controlling 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(JanUary105)
FPPC Toll-Free Flelpline:866/ASK-FPPC(866/275-3772)
State of California
Type or print in ink. COVER PAGE-PART 2
Recipient Committee
Campaign Statement
Cover Page—Part 2
Page 2 of 4
5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee
NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE
ICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO.OR LETTER JURISDICTION ❑ SUPPORT
❑ OPPOSE
City Council Member
RESIDENTIAL/BUSINESS ADDRESS (NO.AND STREET) CITY STATE ZIP
16772 Glenhaven Lane Identify the controlling officeholder, candidate, or state measure proponent, if any.
Huntington Beach CA 92647
NAME OF OFFICEHOLDER,CANDIDATE,OR PROPONENT
Related Committees Not Included in this Statement: List any committees
not included in this statement that are controlled by you or are primarily formed to receive OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY
contributions or make expenditures on behalf of your candidacy.
COMMITTEE NAME I.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE? 7. Primarily Formed Candidate/Officeholder Committee List names of
officeholder(s)or candidate(s)for which this committee is primarily formed.
❑ YES ❑ NO
COMMITTEE ADDRESS STREETADDRESS (NO P.O.BOX) NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT
❑ OPPOSE
CITY STATE ZIP CODE AREA CODE/PHONE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
❑ SUPPORT
❑ OPPOSE
COMMITTEE NAME I.D. NUMBER
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT
❑ OPPOSE
NAME OF TREASURER CONTROLLED COMMITTEE? NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
❑ YES ❑ NO ❑ SUPPORT
❑ OPPOSE
COMMITTEE ADDRESS STREETADDRESS (NO P.O.BOX)
CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary
FPPC Form 460(January/05)
FPPC Toll-Free Helpline:866/ASK-FPPC(866/276-3772)
State of California
Campaign Disclosure Statement Type or print in ink. SUMMARYPAGE
Amounts may be rounded Statement covers period ® -
Summary Page to whole dollars. d
from 07/01/2012
SEE INSTRUCTIONS ON REVERSE through 09/30/2012 !Page93 of
NAME OF FILER I.D. NUMBER
Dan Kalmick for HB City Council 2014 1308462
Column A Column B Calendar Year Summary for Candidates
Contributions Received TOTALTHISPERIOD CALENDARYEAR
(FROM ATTACHED SCHEDULES) TOTALTODATE Running in Both the State Primary and
General Elections
1. Monetary Contributions ........................................... Schedule A,Line 3 $ $0.00 $ $0.00
1/1 through 6/30 7/1 to Date
2. Loans Received ...................................................... Schedule B,Line 3 $0.00 $0.00
3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1+2 $ $o.oo $ $0.00 20. Contributions
Received $ $
4. Nonmonetary Contributions.................................... ScheduleC,Linea $0.00 $0.00
21. Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED ...........................Add Lines 3+4 $ $0.00 $ $0.00 Made $ $
Expenditures Made Expenditure Limit Summary for State
6. Payments Made....................................................... Schedule E,Line 4 $ $44.42 $ $148.72 Candidates
7. Loans Made............................................................. Schedule H,Line 3 $0.00 $0.00
22. Cumulative Expenditures Made*
8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6+7 $ $44.42 $ $148.72 (If 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 ..........................................ScheduleC,Linea $0.00 $0.00 (mm/dd/yy)
11. TOTAL EXPENDITURES MADE................................Add Lines 8+9+10 $ $44.42 $ $148.72 $
Current Cash Statement $
12. Beginning Cash Balance....................... Previous summary Page,Line 16 $ $1,793.43
To calculate Column B,add
13.Cash Receipts ................................................... Column A,Line 3 above $0.00 amounts in Column A to the
corresponding amounts *Amounts in this section may be different from amounts
14. Miscellaneous Increases to Cash........................... Schedule i,Line 4 $0.00 from Column B of your last reported in Column B.
15.Cash Payments................................ $44.42 report. Some amounts in
Column A,Line a above Column A may be negative
16. ENDING CASH BALANCE.......... Add Lines 12+13+ 14,then subtract Line 15 $ $1,749.01 figures that should be
subtracted from previous
If this is a termination statement, Line 16 must be zero. period amounts. If this is
the first report being filed
17. LOAN GUARANTEES RECEIVED........................... Schedule B, Part 2 $ $0.00 for this calendar year, only
carry over the amounts
from Lines 2, 7, and 9(if
Cash Equivalents and Outstanding Debts $o.00 any).
18. Cash Equivalents........................................ See instructions on reverse $
19. Outstanding Debts......................... Add Line 2+Line 9 in Column B above $ $0.00 FPPC Form 460(January105)
FPPC Toll-Free Helpline: 8661ASK-FPPC(8661275-3772)
SCHEDULEE
Schedule E Type or print in ink. Statement covers period FPage
Pa f11e11tS Made Amounts may be roundedyto whole dollars. from 07/01/2012
SEE INSTRUCTIONS ON REVERSE through 09/30/2012 4 Of 4
NAME OF FILER I.D. NUMBER
Dan Kalmick for HB City Council 2014 1308462
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CW campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs
CNS campaign consultants MTG meetings and appearances RFD returned contributions
CTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries
CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs
FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging,and meals
FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals
IND independent expenditure supporting/opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor
LEG legal defense PRO professional services (legal, accounting) VOT voter registration
LIT campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail)
NAME AND ADDRESS OF PAYEE
(IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
' Payments that are contributions Or independent expenditures must also be summarized on Schedule D. SUBTOTAL_$
Schedule E Summary
1. Itemized payments made this period. Include all Schedule E subtotals. $ $0.00
2. Unitemized payments made this period of under$100 ............................................................... . $ $44.42
3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e).)............................................................................... $ $0.00
4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ............................. TOTAL $._ _ 44.42
FPPC Form 460(January/05)
FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772)
Type or print in ink. COVER-PAGE-PART 2
Recipient Committee Campaign Statement A F® -
NIA
® ® 1
Cover Page—Part 2
Page 2 of 4
5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee
OR CANDIDATE NAME OF BALLOT MEASURE
Dan Kalmick
OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO.OR LETTER JURISDICTION ❑ SUPPORT
❑ OPPOSE
City Council Member
RESIDENTIAL/BUSINESS ADDRESS (NO.AND STREET) CITY STATE ZIP
16772 Glenhaven Lane Identify the controlling officeholder, candidate, or state measure proponent, if any.
Huntington Beach CA 92647 NAME OF OFFICEHOLDER,CANDIDATE,OR PROPONENT
Related Committees Not Included in this Statement: List any committees
not included in this statement that are controlled by you or are primarily formed to receive OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY
contributions or make expenditures on behalf of your candidacy.
COMMITTEE NAME I.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE? 7• Primarily Formed Candidate/Officeholder Committee List names of
officeholders)or candidate(s)for which this committee is primarily formed.
❑ YES ❑ NO
COMMITTEE ADDRESS STREETADDRESS (NO P.O.BOX) NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT
❑ OPPOSE
CITY STATE ZIP CODE AREA CODE/PHONE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
❑ SUPPORT
❑ OPPOSE
COMMITTEE NAME I.D. NUMBER
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT
❑ OPPOSE
NAME OF TREASURER CONTROLLED COMMITTEE? NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
❑ YES ❑ NO ❑ SUPPORT
❑ OPPOSE
COMMITTEE ADDRESS STREETADDRESS (NO P.O.BOX)
CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary
FPPC Form 460(January/05)
FPPC Toll-Free Helpline:8661ASK-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. A �
from 01/01/2012
SEE INSTRUCTIONS ON REVERSE
through 06/30/2012 Page 3 of 4
NAME OF FILER I.D. NUMBER
Dan Kalmick for HB City Council 2014 1308462
Contributions
ColumnA Column B Calendar Year Summary for Candidates
Contributions Received TOTALTHISPERIOD CALENDARYEAR Running In Both the State Prima and
(FROM ATTACHED SCHEDULES) TOTALTODATE g Primary
General Elections
1. Monetary Contributions ........................................... schedule A,Linea $ $0.00 $ $0.00
1/1 through 6/30 7/1 4o Date
2. Loans Received ...................................................... Schedule B,Linea $0.00 $0.00
3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1+2 $ $0.00 $ $0.00 20. Contributions
Received $ $
4. Nonmonetary Contributions.................................... Schedule C,Line 3 $0.00 $0.00
21. Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED °°•°••°•°•••.... ..........Add Lines 3+4 $ $0.00 $ $0.00 Made $ $
Expenditures Made Expenditure Limit Summary for State
6. Payments Made....................................................... schedule E,Line 4 $ $104.30 $ $104.30 Candidates
7. Loans Made............................................................. Schedule H,Line 3 $0.00 $0.00
22. Cumulative Expenditures Made*
8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6+7 $ $104.30 $ $104.30 fit Subjectto Voluntary Expenditure Limit)
9. Accrued Expenses (Unpaid Bills) ...............................Schedule F Linea $0.00 $0.00 Date of Election Total to Date
10. Nonmonetary Adjustment ..........................................ScheduleC,Linea $0.00. $0.00 (mm/dd/yy)
11. TOTAL EXPENDITURES MADE................................Add Lines 8+s+10 $ $104.30 $ $104.30 JJ $
Current Cash Statement JJ $
12. Beginning Cash Balance....................... Previous Summary Page,Line 16 $ $1,897.73
To calculate Column B,add
13. Cash Receipts ................................................... Column A,Line 3 above $0.00 amounts in Column A to the
corresponding amounts *Amounts in this section may be different from amounts
14. Miscellaneous Increases to Cash........................... Schedule/, Line 4 $0.00 from Column B of your last reported in Column B.
15. Cash Payments.............. "°'°°°°°°°°°'°°°"........... Column A,Line 8above $104.30 report. Some amounts in
Column A may be negative
16. ENDING CASH BALANCE.......... Add Lines 12+13+14,then subtract Line 15 $ $1,793.43 figures that Should be
subtracted from previous
If this is a termination statement, Line 16 must be zero. period amounts. If this is
the first report being filed
17. LOAN GUARANTEES RECEIVED ........................... schedule B,Part 2 $ $0.00 for this calendar year, only
carry over the amounts
Cash E uivalents and OutstandingDebts from Lines 2, 7, ands(if
� $0.00 any).
18. Cash Equivalents........................................ See instructions on reverse $
19. Outstanding Debts......................... Add Line 2+Line 9 in Column B above $ $0.00 FPPC Form 460(Januaryl05)
FPPC Toll-Free Helplinee 8661ASK-FPPC(866/275-3772)
Schedule E Type or print in ink. SCHEDULEE
Statement covers period
Amounts may be rounded ®R460
Payments Made to whole dollars. from 01/01/2012
SEE INSTRUCTIONS ON REVERSE through 06/30/2012 page 4 of 4
NAME OF FILER I.D. NUMBER
Dan Kalmick for HB City Council 2014 1308462
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CMP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs
CNS campaign consultants MTG meetings and appearances RFD returned contributions
CTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries
CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs
FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging,and meals
FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals
ND independent expenditure supporting/opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor
LEG legal defense PRO professional services (legal, accounting) VOT voter registration
LIT campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail)
NAME AND ADDRESS OF PAYEE
(IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID
* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$
Schedule E Summary
1. Itemized payments made this period. (Include all Schedule E subtotals.).............................................................................................................. $ $0.00
2. Unitemized payments made this period of under$100 .......................................................................................................................................... $ $104.30
3. Total interest paid this period on loans. (Enter amount from Schedule S, Part 1, Column(e).)...........................................................____........_ $ $0.00
4. Total payments made this period, (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ............................. TOTAL $ $104.30
FPPC Form 460(January/05)
FPPC Toll-Free lielpline;866/ASK-FPPC(866/275-3772)