Loading...
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)