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HomeMy WebLinkAboutKatapodis, Jim - 2012 FPPC Campaign Disclosure Forms For 201 e or Campaign Disclosure Statement Type print in Ink. SUMMARY PAGE Summary Page Amounts may be rounded Statement covers period g to whole dollars. - from 10/21/2012 FORM 4 SEE INSTRUCTIONS ON REVERSE through 12/31/2012 Page 3 of 12 NAME OF FILER I.D. NUMBER Katapodis City Council 2012 1328537 ColumnA Column 6 Calendar Year Summary Contributions Received TOTALTHIS PERIOD CALENDARYEAR for Candidates (FROM ATTACHED SCHEDULES) TOTALTO DATE Running in Both the State Primary and 1. Monetary Contributions........................................... Schedule A,Line 3 $ 4,032.00 $ 23,076.00 General Elections 2. Loans Received ....................... -6,500.00 5,000.00 1/1 through 6/30 7/1 to Date ••....•••...................... Schedule 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines I+2 $ -2,468.00 $ 28,076.00 20. Contributions Received $ $. 4. Nonmonetary Contributions.................................... Schedule C,Line 3 0.00 0.00 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ...•.....•.•...............AddLines3+4 $ -2,468.00 $ 28,076.00 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made....................................................... Schedule E,Line 4 $ 491.62 $ 28,061.83 Candidates 7. Loans Made............................................................. Schedule H,Line 3 0.00 0.00 22. Cumulative Expenditures Made* $. SUBTOTALCASH PAYMENTS .................................... Add Lines 6+7 $ 491.62 $ . 28,061.83 (if subjectto Voluntary Expenditure umn) 9. Accrued Expenses (Unpaid Bills)...............................Schedule F Line 3 0.00 0.00 Date of Election . Total to Date 10. Nonmonetary Adjustment ..........................................Schedule C,Line 3 0.00 0.00 (mm/dd/yy) 11. TOTAL EXPENDITURES MADE................................Add Lines 8+9+10 $ 491.62 $ 28,061.83 $ Current Cash Statement � � $ 12. Beginning Cash Balance....................... Previous summary Page,Line 16 $ 3,132.59 To calculate Column B,add 13. Cash Receipts ..........:............ ... Column A,Line 3 above -2,4 6 8.00 amounts in Column A to the 3 92.00 corresponding amounts *Amounts in this section may be different from amounts 14. Miscellaneous Increases to Cash........................... Schedule 1,Linea from Column B of your last reported in Column B. 15. Cash Payments.............. 491.62 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 $ 564.97 figures that should be subtracted from previous If this Is a tenrilnatlon statement, Line 16 must be zero. period amounts. If this is the first report being filed 17. LOAN GUARANTEES RECEIVED........................... Schedule B,Part 2 $ 0.00 for this calendar year, only carry over the amounts Cash Equivalents and Outstanding Debts from Lines 2,7,and 9(if any). 18. Cash Equivalents........................................ See instructions on reverse $ 0.00 19. Outstanding Debts......................... Add Line 2+Line 9 in Column B above $ 5,000.00 FPPC Form 460(January105) FPPC Toil-Free Helpline:866/ASK-FPPC(866/275-3772) www.neffile.com Statement of Organization STATEMENT OF ORGANIZATION Recipient Committee cALlEQRNlA411911 �;': s - INSTRUCTIONS ON REVERSE Page 3 COMMITTEE NAME I.D.NUMBER Katapodis City Council 2016 1328537 4.Type of Committee (Continued) •. Not formed to support or oppose specific candidates or measures in a single election. Check only one box: ❑ CITY Committee ❑ COUNTY Committee ❑ STATE Committee PROVIDE BRIEF DESCRIPTION OF ACTIVITY .. -. List additional sponsors on an attachment. NAME OF SPONSOR INDUSTRY GROUP OR AFFILIATION OF SPONSOR STREETADDRESS NO.AND STREET CITY STATE ZIP CODE Date qualified 5.Termination Requirements By signing the verification,the treasurer,assistant treasurer and/or candidate,officeholder,or proponent certify that all of the following conditions have been met: • This committee has ceased to receive contributions and make expenditures; • This committee does not anticipate receiving contributions or making expenditures in the future; • This committee has eliminated or has no intention or ability to discharge all debts, loans received, and other obligations; • This committee has no surplus funds; and • This committee has filed all campaign statements required by the Political Reform Act disclosing all reportable transactions. -- There are restrictions on the disposition of surplus campaign funds held by elected officers who are leaving office and by defeated candidates. Refer to Government Code Section 89519. -- Leftover funds of ballot measure committees may be used for political, legislative or governmental purposes under Government Code Sections 89511 - 89518, and are subject to Elections Code Section 18680 and FPPC Regulation 18521.5. FPPC Form 410 (April/2011) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) COVER PAGE Recipient Committee Type or print in ink. Date Stamp � Campaign Statement � FSPage COVerPage E-filed on: 10/23/2012 08:52:30 (Government Code Sections 84200-84216.5) Statement covers period Date of election if applicable: gg - n c t 1 17(Month, Day,Year) k l-!' a�`� FE b !a � of 20927292 from 10/01/2012 For Official Use Only SEE INSTRUCTIONS ON REVERSE through 10/20/2012 11/06/2012 1. Type of Recipient Committee: All Committees-Complete Parts 1,2,3,and 4. 2. Type of Statement: ❑R Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑x Preelection Statement ❑ Quarterly Statement Q State Candidate Election Committee Committee ❑ Semi-annual Statem dd-Year Report O Recall Q Controlled Termination Statement (Also Complete Part5), - ❑ ❑ Supplemental Preelection � 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 Part7) 3. Committee Information I.D. NUMBER Treasurer(s) 1328537 COMMITTEE NAME(OR CANDIDATE'S NA NAME OF TREASURER Katapodis City Council 2012 Jim Katapodis MAILING ADDRESS 6571 Paris Circle STREET ADDRESS(NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE 6571 Paris Circle Huntington Beach CA 92648 (714) 901-1314 CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY Huntington Beach CA 92647 (714) 901-1314 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 limkatapodis@gmail.com iimkatapodis@gmail.com 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge th f", rm tion contained herein and in the attached schedules is true and complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is true andlorrect. 11�111—'O—Izel) Executed on 10/23/2012 By Date S at o a urero ssistantTreasurer Executed on 10/23/2012 By Date Si reofControlli6g"Gfficehold andidate,St9teMeasureProponentorResponsibleOfficerofSponsor 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 46D(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/276-3772) State of California Type or print in ink. COVER PAGE-PART 2 Recipient Committee SOUP OkNI Campaign Statementa_ ® 6 Cover Page—part 2 Page 2 of 17 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Meas NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE Jim Katapodis 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 6571 Paris Circle Identify the controlling officeholder, candidate, or state measure proponent, if any. Huntington Beach CA 92646 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. COMMITTEENAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? 7. Primarily Formed Candidate/Officeholder Committee Listnames 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 Amounts or print in ink. SLIMMARYPAGE Amounts may be rounded Statement covers period ® - Suu>r>Imary Page to whole dollars. A � from 01 10/01/2012 - 10 SEE INSTRUCTIONS ON REVERSE through 10/20/2012 Page 3 of 17 NAME OF FILER I.D. NUMBER Katapodis City Council 2012 1328537 Column A Column B Calendar Year Summary for Candidates Contributions Received TOTALTHISPERIOD CALENDARYEAR (FROM ATTACHED SCHEDULES) TOTALTO DATE Running in Both the State Primary and General Elections 1. Monetary Contributions ........................................... Schedule A,Line 3 $ $7,595.00 $ $19,044.00 1/1 through 6/30 7/1 to Date 2. Loans Received ...................................................... Schedule B,Line 3 $3,000.oo $11,S0o.00 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1+2 $ $10,595.00 $ $30,544.00 20, Contributions Received $ $ 4. Nonmonetary Contributions.................................... Schedule C,Line 3 $0.00 $0..00 21 Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ...........................Add Lines 3+4 $ $10,595.-00 $ $30,544.00 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made....................................................... Schedule E,Line4 $ $13,694.75 $ $27,570.21 Candidates 7. Loans Made............................................................. Schedule H,Line 3 $0.00 $0.00 22. Cumulative Expenditures Made* 8. SUBTOTALCASH PAYMENTS .................................... Add Lines 6+7 $ $13,694.75 $ $27,570.21 (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 .......:..................................schedule c,Line 3 $0.00 $0.00 (mm/dd/yy) 11. TOTAL EXPENDITURES MADE................................Add Lines 8+9+10 $ $13,694.75 $ $27,S70.21 $ Current Cash Statement $ 12. Beginning Cash Balance....................... Previous Summary Page,Line 16 $ $6,232.34 To calculate Column B,add 13. Cash Receipts ................................................... Column A,Line 3above $10,595.00 amounts in Column Atothe 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 $13,694.75 report. Some amounts in """""""' Column A may be negative 16. ENDING CASH BALANCE.......... Add Lines 12+13+14,then subtract Line 15 $ $3,132.5 9 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 a,Part 2 $ $0.00 for this calendar year, only carry over the amounts fr om Lines z,7,ands(if Cash Equivalents and Outstanding Debts 18. Cash Equivalents................. $o.00 Y) ....................... See instructions on reverse $ 19. Outstanding Debts......................... Add Line 2+Line 9 in Column B above $ $11,500.00 FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Schedule A Type or print in ink. SCHEDULE A Monetary Contributions Received to may be rounded Statement covers period to whole dollars. CALIFORNIA, from 10/01/2012 SEE INSTRUCTIONS ON REVERSE through 10/20/2012 page 4 of 17 NAME OF FILER I.D. NUMBER Katapodis City Council 2012 1328537 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUM ULATIVETO DATE PER ELECTION RECEIVED (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR ATE (IF SELF-EMPLOYED,ENTER NAME PERIOD (JAN.1-DEC.31) (IF REQUIRED) OF BUSINESS) 10/03/2012 Darrin Witt RIND Fire Captain $500.00 G12 $500.00 507 Lake ❑COM City of Huntington Beach ❑OTH Huntington Beach CA 92648 ❑PTY /04/2012 Mike McClanahan ®IND Fire Captain $100.00 $100.00 G12 $100.00 2822 Ellesmere Ave ❑COM[I OTH City of Huntington Beach Costa Mesa CA [-]PTY ❑SCC 10/04/2012 Yasha Nikitin ®IND Sergeant $300.00 $300.00 G12 $300.00 City of Huntington Beach Huntington Beach CA 92648 ❑PTY ❑SCC 10/04/2012 Orange County League of Conservation Voters ❑IND $500.00 $500.00 G12 $500.00 (#1223961) ❑%COM PO Box 1303 ❑OTH Huntington Beach CA 92647 ❑PTY ❑SCC 10/06/2012 Linda Moon x❑IND Attorney $100.00 $100.00 G12 $100.00 2134 Main St ❑COM Self[1 OTH Ste 140 El Pam, Huntington Beach CA 92648 [:]SCC SUBTOTAL$ $1,s00 00 y Kf " i0 Schedule A Summary Contributor Codes 1. Amount received this period—itemized monetary contributions. IND-Individual Include all Schedule subtotals. $ $7,170.00 COM-RecipientCommittee ............................................................................................. (other than PTY or SCC) 2. Amount received this period—unitemized monetary contributions of less than$100 .............................$_ $425.00 OTH-Other(e.g.,business entity) P rY PTY-Political Party 3. Total monetary contributions received this period. SCC-Small contributor committee Add Lines 1 and 2. Enter here and on the SummaryPage, Column , Line . TOTAL $ $7,59s.00 Cl A Li 1 9 ��������������������� FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(8661275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. from 10/01/2012 FORM 400 through 10/20/2012 Page 5 of 17 NAME OF FILER I.D.NUMBER Katapodis City Council 2012 1328537 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (E COMMITTEE,RALSAND ZIP .D.N DE O CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE LF-EMPLOYED,ENTER NAME PERIOD (JAN.1-DEC.31) (IF REQUIRED) OF BUSINESS) 10/06/2012 Stanley Watanabe ®IND Police Officer $ $100.00 G12 $100.00 ❑COM Cityof Huntington Beach 2000 Main St ❑OTH g Huntington Beach CA 92648 ❑PTY ❑S 9/2012 Larry Pitcher ®IND Detective $100.00 $100.00 G12 $100.00 2000 Main St ❑COM❑OTH City of Huntington Beach n Beach CA 92648 ❑PTY ❑SCC 10/11/2012 Richard Backstrom ®IND Police officer $520.00 $520.00 G12 $520.00 ❑COMEl OTH City of Huntington Beach Huntington Beach CA 92648 []PTY El SCC 10/11/2012 Robert Barr X❑IND Police Officer $100.00 $100.00 G12 $100.00 2000 Main St DOTH City of Huntington Beach Huntington Beach CA 92648 ❑PTY ❑SCC 10/12/2012 200 Main Street LLC ❑IND $520.00 $520.00 G12 $520.00 ❑COM 200 Main St ®OTH Ste 206 ❑PTY Huntington Beach CA 92648 ❑SCC SUBTOTAL$ $1,340 00 *Contributor Codes IND—Individual COM—Recipient Committee (other than PTY or SCC) OTH—Other(e.g., business entity) PTY—Political Party FPPC Form 460(January/05) SCC—Small Contributor Committee FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period ® . to whole dollars. NjA from 10/01/2012 4601 through 10/20/2012 Page 6 of 17 NAME OF FILER I.D.NUMBER Katapodis City Council 2012 1328537 DATE. FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION RECEIVED (IF COMMITTEE,A IT RE ADDRESS ZIP .D.N DE O CODE * OCCUPATION AND EMPLOYER RECEIVED T O DATE (IFSELF-EMPLOYED,ENTER NAME PERIOD (JAN.1-DEC.31) (IF REQUIRED) OF BUSINESS) 10/12/2012 KSK . ❑IND $520.00 $520.00 G12 $520.00 ❑COM 419 Main St ®OTH Ste 321 ❑PTY each CA 92648 ❑SCC 10/12/2012 Sierra Investments Properties, Inc. ❑IND $520.00 $520.00 G12 $520.00 ❑COM ❑PTY ❑SCC 10/14/2012 Edwin Laird ®IND Chief Executive Officer $500.00 $500,00 G12 $500.00 25 ❑COM❑OTH Laird Coatings ❑OTH Corporation Newport Beach CA 92660. PTY ❑SCC 10/14/2012 Debbie McNair x❑IND Police Officer $100.00 $100.00 G12 $100.00 [:]COM Los Angeles Police 16291 Copuntess Dr ❑OTH g #219 ❑PTY Department Huntington Beach CA 92649 ❑SCC 10/14/2612 Charles Spencer ®IND Retired $200.00 $200.00 G12 $200.00 17591 San Roque [-]COM FJOTH COM❑OTH Retired Huntington Beach CA 92647 ❑PTY ❑SCC SUBTOTAL$ $1,840 00 W %!,...., iu' *Contributor Codes IND-Individual COM-Recipient Committee (other than PTY or SCC) OTH-Other(e.g., business entity) PTY-Political Party FPPC Form 460(January/05) SCC-Small Contributor Committee FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.) Monetary Contributions Received may be rounded Statement covers period CALIFORNIX to whole dollars. I ® , from 10/01/2012 FORM through 10/20/2012 Page 7 of 17 NAME OF FILER I.D.NUMBER Katapodis City Council 2012 1328537 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COADDRE,ALSAND ZIP I.D.NUMB O CODE * OCCUPATION AND EMPLOYER RECEIVED THI TO DATE (IFSELF-EMPLOYED,ENTER NAME PERIOD (JAN. 1-DEC.31) (IF REQUIRED) OF BUSINESS) 10/14/2012 Steven ®IND Accountant $100.00 $175.00 G12 $175.00 5703 Temple City Blvd ❑COM❑OTH Steven.Tyre CPA Temple City CA 91780 ❑SCC 10/16/2012 Heidi Fong ®IND Police Officer $300.00 $300.00 G12 $300.00 ❑COM 2000 Main n Beach Huntington Beach CA 92648 [:]PTY ❑SCC 10/16/2012 Larry Geisse ®IND Retired 00 $150.00 G12 $150.00 ❑COM PO Box 250 ❑OTH Retired Los Alamitos CA 90720 ❑PTY ❑SCC 10/17/2012 Angeles Chapter of The Sierra Club (#990434) ❑IND $400.00 $400.00 G12 $400.00 COM 3435 Wilshire Blvd ❑X OTH #320 OTH Los Angeles CA 90010 PTY ❑SCC 10/17/2012 John Domingo ®IND Police Officer $100.00 $100.00 G12 $100.00 2000 Main St El COM❑OTH City of Huntington Beach Huntington Beach CA 92648 PTY ❑SCC SUBTOTAL$ $ 1,050 00 :� � �3� � f ra *Contributor Codes IND—Individual COM—Recipient Committee (other than PTY or SCC) OTH—Other(e.g., business entity) PTY—Political Party FPPC Form 460(January/05) SCC—Small Contributor Committee FPPC Toll-Free Helpline:866/ASK-FPPC(8661275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period - I CALIFORNIA, to whole dollars. ® ® 'I ' from 10/01/2012 FOR through 10/20/2012 Page 8 of 17 NAME OF FILER I.D.NUMBER Katapodis City Council 2012 1328537 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF.CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION RECEIVED (IF COMMITTEE,A IT RE ADDRESS ZIP I.D.NUMBER)O CODE * OCCUPATION AND EMPLOYER R CALENDAR YEAR TO DATE (IF SELF-EMPLOYED,ENTER NAME PERIOD (JAN.1-DEC.31) (IF REQUIRED) OF BUSINESS) 10 bert Nava RIND Retired $100.00 $100.00 G12 $100.00 6392 Lambert Dr ❑COM Retired❑OTH Huntington Beach CA 92647 ❑PTY ❑S Phelps RIND Police Officer $100.00 $100.00 G12 $100.00 ❑COM 2000 Main St ach Huntington Beach CA 92648 ❑PTY ❑SCC 10/18/2012 Orange County Automobile Dealers Association $520.00 $520.00 G12 $520.00 PAC (#870777) RCOM 3737 Birch St ❑OTH #220 ❑PTY Newport Beach CA 92660 ❑SCC 10/19/2012 AES Huntington Beach, LLC ❑IND $520.00 $520.00 G12 $520.00 1450 Lake Robbins Dr ❑COM #600 ❑X OTH The Woodlands TX 77380 ❑PTY ❑SCC 10/20/2012 Sean Biggio ®IND Police Officer $100.00 $100.00 G12 $100.00 ❑COM Cityof Huntington Beach 2000 Main St ❑OTH g Huntington Beach CA 92648 ❑PTY. ❑SCC SUBTOTAL$ $1,340 00 'Contributor Codes IND—Individual COM—Recipient Committee (other than PTY or SCC) OTH—Other(e.g.,business entity) PTY—Political Party FPPC Form 460(January/05) SCC—Small Contributor Committee FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Schedule A (Continuation .Sheet) Type or print in ink. SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period ® . to whole dollars. from 10/01/2012 through 10/20/2012 Page 9 of 17 NAME OF FILER I.D.NUMBER Katapodis City Council 2012 1328537 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION RECEIVED (E COMMITTEE,RALSAND ZIP .D.N DE O CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE EMPLOYED,ENTER NAME PERIOD (JAN. 1 DEC.31) (IF REQUIRED) OF BUSINESS) 10/20/2012 Jesse Garber ®IND Police Officer $100.00 $100.00 G12 $100.00 2000 Main St ❑COM❑OTH City of Huntington Beach Huntington Beach CA 92648 ❑PTY []SCC ❑IND ❑COM ❑OTH ❑PTY []SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC f SUBTOTAL$ $100.00 . u "Contributor Codes IND—Individual COM—Recipient Committee (other than PTY or SCC) OTH—Other(e.g., business entity) PTY—Political Party FPPC Form 460(January/05) SCC—Small Contributor Committee FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) SCHEDULE B-PART 1 Type or print in ink. Schedule B—Part 1 Amounts may be rounded Statement covers periodCALIFORNIA 0 : Loans Received to Whole dollars. FORM from 10/01/2012 SEE INSTRUCTIONS ON REVERSE through 10/20/2012 Page 10 of 17 NAME OF FILER I.D. NUMBER Katapodis City Council 2012 1328537 IF AN INDIVIDUAL, ENTER OUTSTANDING (b) (c) OUTSTANDING (e) ) UL FULL NAME,STREET ADDRESS AND 21P CODE AMOUNT AMOUNT PAID INTEREST ORIGINAL CUMULATIVE OCCUPATION AND EMPLOYER BALANCE BALANCEAT OF LENDER (IF SELF-EMPLOYED,ENTER BEGINNING THIS RECEIVED THIS OR FORGIVEN CLOSE OF THIS PAID THIS AMOUNT OF CONTRIBUTIONS R I.D.NUMBER) NAME OF BUSINESS) PRI OD PERIOD THIS PERIOD* PERIOD PERIOD LOAN TO DATE Jim Katapodis ❑PAID CALENDAR YEAR $500.00 0.00 %a $500.00 $9,000.00 ❑FORGIVEN RATE PERELECTION— G12 $11,350.00 Fountain Valley CA 92708 $ $500.00 $ $0.00 $ $ 01/05/2012 $ to IND ❑ COM ® OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED Jim Katapodis CALENDAR YEAR $ $ $500.00 0.00 $500.00 $ $9,000.00 18030 Brookhurst St 371 ❑FORGIVEN RATE PER ELECTION** G12 $11,350.00 Fountain Valley CA 92708 $ $500.00 $ $0.00 $ $ 01/12/2012 $ t❑ IND ❑ COM ® OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED Jim Katapodis ❑PAID CALENDARYEAR $ $ $2.500.00 0.00 °8 $ $2,500,00 $ $9,000.00 18030 Brookhurst St 371 ❑FORGIVEN RATE PERELECTION— G12 $11,350.00 Fountain Valley CA 92708 $ $2,500.00 $ $0.00 $ $ 05/06/2012 $ t❑ IND ❑ COM ® OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED SUBTOTALS $ $o.00$ $o.00$ $3,500.00$ $o 00 (Enter(e)on Schedule B Summary Schedule E,Line 3) 1. Loans received this period $ $3,000.00 ...................................................................................... .. . (Total Column(b)plus unitemized loans of less than$100.) tcontributor codes $0.0 0 IND—individual 2. Loans paid or forgiven this period .........................................................................................................$ COM—Recipient Committee (Total Column(c)plus loans under$100 paid or forgiven.) (other than PTY or sec) (Include loans paid by a third party that are also itemized on Schedule A.) OTH—Other(e.g., business entity) PTY—Political Party 3. Net change this period. (Subtract Line 2 from Line 1.)............................................................. NET $ $3,000.00 SCC—Small Contributor Committee Enter the net here and on the Summary Page,Column A, Line 2. (May be a negative number) If required. FPPC Form 460(January/05) *Amounts forgiven or paid by another party also must be reported on Schedule A. ** FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) SCHEDULE B-PART 1 Type or print in ink. Schedule S—Part 1 Amounts may be rounded Statement covers period •. Loans Received to Whole dollars. • from 10/01/2012 •' SEE INSTRUCTIONS ON REVERSE through 10/20/2012 page 11 of 17 NAME OF FILER I . NUMBER Katapodis City Council 2012 1328537 IF AN INDIVIDUAL, ENTER a (b) (c) (d) (e) (g) FULL NAME,STREET ADDRESS AND ZIP CODE OUTSTANDING AMOUNT OUTSTANDING INTEREST ORIGINAL CUMULATIVE OCCUPATION AND EMPLOYER BALANCE AR FOR IVE BALANCEAT OF LENDER (IF SELF-EMPLOYED,ENTER BEGINNING THIS RECEIVED THIS OR FORGIVEN CLOSE OF THIS PAID THIS AMOUNT OF CONTRIBUTIONS (IF CO F BUSINESS) PERIOD PERIOD THIS PERIOD" PERIOD PERIOD - LOAN TO DATE Mrs. Aileen Katapodis retired ❑PAID CALENDARYEAR retired $ $ $500.00 0.00 °Eon $ $500.00 $ $500.00 ❑FORGIVEN RATE PER ELECTION" Unit 1319-A G12 $500.00 Huntington Beach CA 92646 $ - $s0o.00 $ $O.00 $ $ OS/24/2012 $ t® IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURR ❑PAID CALENDARYEAR $2,500.00 Q ol1 g/Q $ $2,500.00 $ $9,000.00 $ $ 18030 Brookhurst St 371 ❑FORGIVEN RATE PER ELECTION** G12 $11,350.00 Fountain Valley CA 92708 $ $2,500.00 $ $0.00 $ $ 08/23/2012 $ t❑ IND. ❑ COM ® OTH ❑ PTY ❑ SCC DATE DUE DATEINCURRED Jim Katapodis ❑PAID - CALENDARYEAR $ $ $2,000.00 0.00 $ $ $2,000.00 $ $2,000.00 18030 Brookhurst St 371 ❑FORGIVEN RATE PER ELECTION" G12 $2,000.00 Fountain Valley CA 92647 $ $2,000.00 $ $0.00 $ $ 09/23/2012 $ to IND ❑ COM ® OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED SUBTOTALS $ $0.00$ $0.00$ $5,000.00$ $o 00 � (Enter(a)on Schedule B Summary Schedule E,Line 3) 1. Loans received this period $ $3,000.00 ............................................................ (Total Column(b)plus unitemized loans of less than$100.) tcontributor Codes $o.00 IND—Individual 2. Loans paid or forgiven this period ..........................................................................................................$ COM—Recipient Committee (Total Column(c)plus loans under$100 paid or forgiven.) (other than PTY or SCC) (Include loans paid by a third party that are also itemized on Schedule A.) OTH-Other(e.g.,business entity) PTY—Political Party 3. Net change this period. (Subtract Line 2 from Line 1.)............................................................... NET $ $3,o 0 0.o o SCC—Small Contributor Committee Enter the net here and on the Summary Page, Column A, Line 2. (May be a negative number) 'Amounts forgiven or paid by another parry also must be reported on Schedule A. If required. FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) SCHEDULEB-PART1 Type or print in ink. Schedule B—Part 1 Amounts may be rounded Statement covers period ®_ Loans Received to whole dollars. from 10/01/2012 SEE INSTRUCTIONS ON REVERSE through 10/20/2012 Page 12 of 17 NAME OF FILER I.D. NUMBER Katapodis City Council 2012 1328537 IF AN INDIVIDUAL, ENTER a (b) (c) (d) (e) O (9) FULL NAME,STREET ADDRESS AND ZIP CODE OUTSTANDING AMOUNT OUTSTANDING INTEREST ORIGINAL CUMULATIVE OCCUPATION AND EMPLOYER BALANCE AMOUNTPAID BALANCEAT OF LENDER (IF SELF-EMPLOYED,ENTER BEGINNING THIS RECEIVED THIS OR FORGIVEN CLOSE OF THIS PAID THIS AMOUNT OF CONTRIBUTIONS (IF COMMIT R) NAME OF BUSINESS) PERIOD PERIOD THIS PERIOD" PERIOD PERIOD LOAN TO DATE Jim Katapodis ❑PAID CALENDARYEAR $ $ $ $$2,000-.00 .0.00 $� $2,000.00 $9,000.00 18030 Brookhurst S N RATE PER ELECTION" G12 $11,350,00 Fountain Valley CA 92708 $ $0.00 $ $2,000.00 $ $ 10/14/2012 $ t❑ IND ❑ COM ® OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED Jim Katapodis ❑PAID CALENDARYEAR $1,000.00 0.00 $� $ $1,000.00 $ $9,000.00 $ $ 18030 Brookhurst St 371 ❑FORGIVEN RATE PER ELECTION** G12 $11,350.00 Fountain Valley CA 92708 $ $0.00 $ $1,000.00 $ $ 10/16/2012 $ t❑ IND ❑ COM ® OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED- ❑PAID CALENDARYEAR ❑FORGIVEN - RATE PER ELECTION** t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED SUBTOTALS $ $3,000.00$ $0.00$ $3,000.00$ $o /.% (Enter(e)on Schedlule.B Summary Schedule E,Line 3) 1. Loans received this period .............................$ $3,000.00 ....................................................................................... (Total Column(b)plus unitemized loans of less than$100.) tcontributor Codes $0.00 IND—Individual 2. Loans paid or forgiven this period ......................................................................................................... $ COM—Recipient Committee (Total Column(c)plus loans under$100 paid or forgiven.) (other than PTY or SCC) (Include loans paid by a third party that are also itemized on Schedule A.) OTH-Other(e.g., business entity) PTY—Political Party 3. Net change this period. (Subtract Line 2 from Line 1.)..................... $3,000.00 SCC—Small Contributor Committee .......................................... NET $ Enter the net here and on the Summary Page, Column A, Line 2. (May be a negative number) 'Amounts forgiven or paid by another party also must be reported on Schedule A. "If required. FPPC Form 460(January/05) FPPC Toil-Free Helpline:866/ASK-FPPC(866/275-3772) SCHEDULEE Schedule E Type or print in ink. Statement covers period ® _ Amounts may be rounded d Payments bade to whole dollars. from 10/01/2012 SEE INSTRUCTIONS ON REVERSE through 10/20/2012 Page 13 of 17 NAME OF FILER I.D. NUMBER Katapodis City Council 2012 1328537 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia/misc. MBR member communications RAID radio airtime and production costs CNS campaign consultants IVITG 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 ma nt ads WEB information technology costs (internet, e-mail) NAME AND A - (IF COMMITTEE,ALSO ENTERI.D.NUMBER) CODE OR DESCRIPTION OF PAYME U.S. Postmaster - 90742 POS EDDM postage $171.39 16885 Pacific Coast Hwy Huntington Beach CA 90742 U.S. Postmaster - 92615 POS EDDM postage 713.26 9151 Atlanta Avenue Huntington Beach. CA 92615 U.S. Postmaster - 92648 POS EDDM postage $623.94 316 Olive Avenue Huntington Beach CA 92648 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ $1,508.59 Schedule E Summary 1. Itemized payments made this period.(Include all Schedule E subtotals.)............................................................................ $ $13,649.75 2. Unitemized payments made this period of under$100 .......................................................................................................................................... $ $45.00 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).)............................................................................... $ $0.00 4. Total payments made this period. (Add Lines 1,2,and 3. Enter here and on the Summary Page,Column A, Line 6.) ............................. TOTAL $ $13,694.75 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 � , • O Payments Made to whole dollars. from 10/01/2012 O through 10/20/201z Page 14 of 17 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D.NUMBER Katapodis City Council 2012 1328537 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 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 professiona I services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT. print ads WEB information technology costs (internet, ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT - (IF COMMITTEE,ALSO ENTER I.D.NUMBER) Landmark Huntington November 2012 issue of Landmark $200.00 Liv Lane Huntington Beach CA 92646 U.S. Postmaster $719.64 6771 Warner Ave Huntington Beach CA 92647 U.S. Postmaster - 92615 POS Postage $712.82 9151 Atlanta Avenue Huntington Beach CA 92615 U.S. Postmaster POS Postage $725.00 6771 Warner Ave Huntington Beach CA 92647 U.S. Postmaster POS Postage $39.01 6771 Warner Ave Huntington Beach CA 92647 *Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ $2,3 96.47 FPPC Form 460(January/05). FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) ScheduleIE SCHEDULE E(CONT.) Type or print in ink. Statement covers period ® . ' (Continuation Sheet) Amounts may be rounded Payments Made to whole dollars: e from 10/01/2012 SEE INSTRUCTIONS ON REVERSE through 10/20/2012 Page 15 of 17 NAME OF FILER I.D.NUMBER Katapodis City Council 2012 1328537 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CIW' 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 UT campaign literature and mail T print ads WEB information technology costs(internet, e-mail) NA YEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID LSO ENTER I.D.NUMBER) U.S. Postmaster POS Postage $715.29 6771 Warner ton Beach CA 92647 U.S. Postmaster - 92615 POS Postage $704.56 ue Huntington Beach CA 92615 U.S. Postmaster POS Postage $240.12 6771 Warner Ave Huntington Beach CA 92647 Nailspa Printing LIT printing cost of campaign posters $1,000.00 8632 Universe Dr Westminster CA 92683 Nailspa Printing LIT printing cost for campaign posters $1,300.00 8632 Universe Dr Westminster CA 92683 *Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ $3,959.91 FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Typo or print In Ink. COVERPAGE-PART2 Recipient Committee Campaign Statement GALIFORNIA, . i Cover Page—Part 2 Page 2 of i s 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE Jim Katapodis OFFICE SOUGHT OR HELD(INCLUDE ICT NUMBER IF APPLICABLE) BALLOT NO,OR LETTER JURISDICTION ,t❑ SUPPORT City Council Member ❑ OPPOSE RESIDENTIAL/BUSINESS ADDRESS (NO.AND STREET) CITY STATE ZIP 6571 Paris Circle Identify the controlling officeholder, candidate, or state measure proponent, If any. Huntington Beach CA 92648 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 CODEiPHONE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT - ❑ COMMITTEENAME W. NUMBER OPPOSE 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 COMMITTEE ADDRESS STREETADORESS (NO P.O.BOX) ❑ OPPOSE CITY STATE ZIP CODE AREA COOElPHONE Attach continuation sheets If necessary FPPC Form 460(January106) FPPC Toll-Free Hoipline:866/ASK-FPPC(866/276.3772) State of California Campaign Disclosure Statement. Type or print in ink. SUMMARY PAGE Amounts may be rounded Summary Page to whole dollars. Statement covers period CALIFORNIX , 64 from 07/01/2012. S SEE INSTRUCTIONS ON REVERSE through 09/30/2012 Page 3 of 1a NAME OF FILER Katapodis City Cacncil 2012 I.D. NUMBER 1328537 Contributions Received Column Column Calendar Year Summary for Candidates TOTALTHISPERIOD CALENDARYEAR (FROM ATTACHE D SCHEDULES) TOTALTODATE Running In Both the State Primary and 1. Monetary Contributions ..................... .. .................. Schedule A,Line 3 $ S10,449.00 $ $11,449.00 General Elections 2. Loans Received ...................................................... schedules,Line 3 S4,500.00 $8,500.00 111 through 6/30 7/1 to Date 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add tines 1+2 $ $14,949.00 S $19,949.0.0 20. Contributions 4. Nonmonetary Contributions.................................... schedule c,Line 3 $0.00 $0.00 Received $ $ 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ...•..•....................AddLines3+4 $ $14,949.00 S $19,949.00 Made S $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made....................................................... ScheduleE.Line $ $12,757.12 $ $13,875.46 Candidates 7. Loans Made............................................................. Schedule H.Line 3 $0.00 $0.00 22. Cumulative Expenditures Made' 8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6+7 S $12;757.12 $ $13,875.46 (if Subject to Voluntary Expenditure Urnit) 9. Accrued Expenses (Unpaid Bills)...............................Schedule F Line 3 $0.00 $0.00 Date of Election Total to Date 10. Nonmonetary Adjustment ..........................................ScheduleC,Line 3 $0.00 $0,00 (mmtdd/yy) 11. TOTAL EXPENDITURES MADE................................Add Lines 8+9+to S $12,757.12 $ $13,875.46 $ Current Cash Statement � J $ 12.Beginning Cash Balance....................... Previous summary Page,Line 16 $ $4,0.10.46 To calculate Column B,add 13. Cash Receipts ................................................... Column A,Line 3above $14,949.00 amounts In Column Atothe 14.Miscellaneous Increases to Cash......... ...... $0.00 corresponding amounts 'Amounts in this section may be different from amounts . ........... Schedule r,Line 4 from Column B of your last reported in Column B. 15. Cash Payments............. . $12,757.12 report. Some amounts in Column A,Line 9 above Column A may be negative 16. ENDING CASH BALANCE.......... Add Lines 12+13+14,then subtract Line 15 $ $6,232.34 figures that should be !f this is a termination statement, Line 16 must be zero, subtracted from previous amounts. If this is the first report being filed 17.LOAN GUARANTEES RECEIVED.,......................... Schedule B.Parr 2 $ $0.00 for this calendar year,only carry over the amounts Cash Equivalents and Outstanding Debts from Lines 2,7, and s(if 18. Cash Equivalents........................................ Sea instructions on reverse $ S0.00 any). 19. Outstanding Debts......................... Add Line 2+Line gin Column 8 above $ $8,500.00 FPPC Form 460(January105) FPPC Toll-Free Helpline;866tASK-FPPC(8661275-3772) Schedule A Type or print In ink. SCHEDULE A Monetary Contributions Received Amounts may rounded Statement covers period to whole doolf lars, CALIFORNIA � � ' from 07/01/2012 ®- SEE INSTRUCTIONS ON REVERSE through 09/30/2012 page 4 of is — NAME OF FILER Katapodis City Council 2012 I.D. NUMBER 1328537 DATE FULL NAME.STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE,ALSO ENTERLD.NUMBERI CODE * OCCUPAYIONANDEMPLOYER RECEIV R YEAR TO DATE (IF SELF-EMPLOY ED,ENTER NAME PERIOD (JAN,1-DEC.31) (IF REQUIRED) - pF BUSiNE55} 07/05/201 sal Ca. Inc, ❑IND $350.00 $350,00 G12 $350.00 17121 Nichols Street ❑COM FX]OTH Huntington Beach CA 92647 ❑ h Amerson ®IND Police officer $100.00 $10D.00 012 $100.00 24.03 Thoreau St ❑COM geles Police Inglewood CA 90308 ❑PTY Department ❑SCC 07/09/2012 Tony Coutsoyannopoulos ®IND President $100.00 $100 0 9550 Warner Avenue ❑COM❑OTH Adonis Financial Ste 250-23 Fountain Valley CA 92708 ❑PTY ❑SCC 07/09/2012 Jeffery Huss RIND Police Officer $200.00 $200.00 ❑ $200.00 G12 2000 Main Street [3Com Huntington Beach Police ❑OTH Department Huntington Beach CA 92648 ❑PTY ❑SCC 07/09/2012 Kelly Kades Esq. QIND Attorney $200.00 $200.00 C12 $200.00 7632 Park Bay Dr EI COTH City of Las Angeles Huntington Beach CA 92648 ❑PTY ❑SCC SUBTOTAL$ Schedule A Summary •Contributor Codes 1. Amount received this period-itemized monetary contributions. IND-individual (Include all Schedule A subtotals,).............................. ......$ $9,470.00 COM-RecipientCommittee (other than PTY or SCC) 2. Amount received this period-unitemized monetary contributions of less than$100.............................$ $979.00 OTH—Other(e.g.,business entity) PTY—Political Party 3. Total monetary contributions received this period, SCC-Small contributor Committee (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1)....................... TOTAL $ $10,449.D0 FPPC Form 460(January/05) FPPC Toll-Free Heipline:866/ASK-FPPC(866/276-3772) Schedule (Continuation Street) Typeor print In Ink. SCHEDULE (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period towholedollars. CALIFORNIA' from 07/01/2012 fORM 6 ' 4. through 09/30/2012 Page 5 of 18 NAME OF FILER Katapodis City Council 2012 I,D.NUMBER 1328537 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL,ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMIT-EE,ALSO ENTER I.D.NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE F SELF-EMPLOYED,ENTER NAME PERIOD (JAN.1-DEC.31) (IF REQUIRED) OF BUSINESS) 07/09/2012 Larry Patsouras ©IND Presiden 11700 Burke St ❑COM❑OTH El, Greco, Inc. Santa Fe Springs CA 90670 ❑PTY ❑SCC 07/09/2012 Blue Ribbon Insurance $100.00 $100.00 G12 $100.00 16276 Pacific Circle [3Com Owner Unit A ❑PTY ton Beach CA 92649 ❑SCC 07/09/2012 Dianne Thompson' ©IND Insurance Agent $P00.00 $100.00 G12 $100.00 ❑COM ail Drive #102 ❑OTH State Farm Insurance Huntington Beach CA 92648 ❑PTY []SCC07/19/2012 Corey Brente Esq. 00 ❑X IND Attorney r�100. $100.00 G12 $100.00 PO Box 53445 E)DOH City of Los Angeles Los Angeles CA 90053 []PTY ❑SCC 07/19/2012 William Hart [EIND LAPD Captain $100.00 $100,00 G12 $100.00 17581 San Roque Lane ❑COM[]OTH City of Las Anoeles Huntington Beach CA 92647 ❑PTY ❑SCC SUBTOTAL$ $650 00' # f 'Contributor Codes IND—Individual COM—Recipient Committee (other than PTY or SCC) OTH—Other(e.g.,business entity) PTY-Political Party SCC—Small Contributor Committee FPPC Form 460(January/05) FPPC Toll-Froe Helpline;866/ASK-FPPC(866/275.3772) Schedule A (Continuation Sheet) Type or print In Ink. SCHEDULE A (CONT) Monetary Contributions Received Amounts may beroundod to whole dollars. Statement covers period e from 07/01/2012 FQkM through 09/30/2012 Page 6 of la NAME OF FILER I.D.NUMBER Katanodis City Council 2012 1328537 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE.ALSO ENTER LD.NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE COD MPLOYED•ENTER NAME PERIOD (JAW 1-DEC.31) (IF REQUIRED) OF BUSINESS) - Qe/0112012 ritarie Fellhauer ®IND Serg 0.00 G12 $100.00 PO Box 2842 ❑COM ❑OTH Los Angeles Police ❑PTY Department E1 Segundo CA 90245 12 Lisa Karos 2IND Owner $100,00 $100.00 G12 $100.00 1610 Pacific Coast Highway ❑OTH Karosel Inc. ton Beach CA 92648 ❑PTY ❑SCC 08/28/2012 Eric Rose ®IND Partner/Political $200.00 $200.00 G12 $200.0 ❑COM Consultant 67 West Boulder Creek Rd ❑OTH Englander, Knabe & Allen Simi Valley CA 93065 PTY ❑SCC 09/03/2012 Jack Carden RIND Retired $100.00 $100.00 ❑ $100.00 G12 PO Box 1501 ❑COM Retired ❑OTH Sunset Beach CA 90742 ❑PTY ❑SCC 09/il/2012 Jason Melschau ©IND Police Officer $520,00 $520.00 C12 $520.00 2000 Main St ❑COM❑OTH City of Huntington Beach Huntington Beach CA 92646 []PTY ❑SCC SUBTOTAL$ $1 020 Qo _. `Contributor Codes IND—Individual COM—Recipient Committee (other than PTY or SCC) OTH—Other(e.g_business entity) PTY—Political Party SCC—Small Contributor Committee FPPC Form 460(January106) FPPC Toll-Free Helpline:8661ASK-FPPC(866/275.3772) Schedule A (Continuation Sheet) Type or print In Ink, SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. •` from 07/01/2012 FORM 0 through 09/30/2012 Page 7 of 18 NAME OF FILER Katapodis City Council 2012 I.D.NUMBER 1328537 DATE FULL NAME.STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL,ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE.ADDRESS RE S SAND ZILD.N DE O CODE � OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE- OYED.ENTER NAME PERIOD (JAN. 1-DEC.31) (IF REQUIRED) OF BUSINESS) 09/1212012 Jack Chen QIND Doctor $200,00 0 G12 $200.00 3371 Yellowtail Dr ❑COM ❑OTH Chen Medical Corporation Rossmcor CA 90720 []PTY []SCC 49/12/ ce RIND Police Officer $500.00 $500.00 G12 $500.00 2000 Main St o OTH City of Huntington Beach Huntington B PTY ❑SCC 09/17/2412 Matthew Austin QIND Police Officer $100.00 $100.00 G12 $100.00 2000 Main Street ❑COMMOTH City of Hun Huntington Beach CA 92646 ❑PTY 09 ❑SCC /17/2012 Elizabeth Beckstram ❑RIND Communicaticns Supervisor $500,0q $500.00 G12 $500.00 2000 Main St ❑COM Cityof Huntin ❑OTH Huntington Beach Huntington Beach CA 92646 ❑PTY ❑SCC 09/17/2412 Richard Chen ®IND Police Officer $520.001 $520.00 G1.2 $520:00 2000 Main St ❑COM ❑OTH City of Huntington Beach Huntington Beach CA 92646 ❑PTY []SCC SUBTOTAL$ $1 824 00 'Contributor Codes IND-Individual COM-Recipient Committee (other than PTY or SCC) OTH-Other(e,g.,business entity) PTY-Political Party SCC-Small Contributor Committee FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(8661275.3772) Schedule A (Continuation Sheet) Type or print In ink. SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers periodill to whole dollars. g 6 from 07/01/2012 FORM through 09/30/2012 Page 8 Of 1e NAME OF FILER LD.NUMBER Katapodis City Council 2012 1328537 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL.ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE.ALSO ENTER I.D.NUMBER) CODE* OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMP AME PERIOD (JAN. 1•DEC.31) (IF REQUIRED) OF BUSINESS) - 09/17/2012 David Dereszynski []IND Police Officer $520.00 2 $520.00 2000 Main St 0 OOTH City of Huntington Beach Huntington Beach CA 92646 PTY ❑SCC 09/17/2012 Catherine Green BIND ber $100.00 $100,00 G12 $100.00 6151 Kimberly Dr [3Com�OTH Orange County Water P ict Huntington Beach CA SCC 09/17/2012 Huntington Beach Police Officers Assn (4882363) BIND $520.00 $520,00 G12 $520.00 2 ®COM❑OTH Huntington Beach CA 92648 PTY ❑SCC D9/17/2012 Francisco Jimenez XXIND Police Officer $100.00 $100.00 012 $100.00 2000 Main St [3 CoTH City of Huntington Beach Huntington Beach CA 92646 ❑PTY ❑SCC 09/17/2012 Jennifer Marlatt ®IND Police Officer $500.00 $So0.00 G12 $500.00 2000 Main St o OOTH City of Huntington Beach Huntington Beach CA 92646 0 PTY Q SCC SUBTOTAL$ $1,740.0o 'Contributor Codes IND-Individual COM-Recipient Committee (other than PTY or SCC) OTH-Other(e.g.,business entity) PTY-Political Party SCC-Small Contributor Committee FPPC Form 460(Januaryf05) FPPC Toll-Free Helpline:866/ASK-FPPC(8661275-3772) Schedule A (Continuation Sheet) Type or print In Ink. SCHEDULE (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. CALIFORNIAd from 07/01/2012 • ' through 09/30/2012 page 9 of 18 NAME OF FILER I.D.NUMBER Katapodis City Council 2012 1328537. DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR IF AN INDIVIDUAL,ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE,ALSO ENTER L CONTRIBUTOR D.NUMBERI CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED,ENTER NAME PERIOD (JAN. 1-DEC.31) (IF REQUIRED) OF 6USiNESS) 09/17/2012 Sean McCollom ®IND Police Offi 0 $100.00 G1.2 $100.00 2000 Main St 0 cTOH City of Huntington Beach Huntington Beach CA 92646 ❑PTY ❑SCC 09/17/2012 Jack Paholski fice t $500.00 $500.00 G12 $500.00 2000 Main St ❑COM❑OTH City of Huntington Beach Huntington Beach CA ❑PTY ❑SCC 09/17/2012 Peace Officers Research Association of ❑IND $520.00 $520.00 C12 $520,00 California PAC (481083 4010 Truxel Road ❑OTH Sacramento CA 95834 []PTY ❑SCC 09/17/2012 Miguel Prieto xIND Police Officer $200.00 ❑ $200.00 G12 $200.00 2000 Main St Q CCO City of Huntington Beach Huntington Beach CA 92646 ❑PTY []SCC 09/17/2012 Kendra wood jND Police Officer $500.00® $500.00 G12 $500.00 2000 Main St [3Com❑OTH City of Huntington Beach Huntington Beach CA 92646 ❑PTY ❑SCC SUBTOTAL$ $1,e20.00 L 'Contributor Codes IND—Individual COM—Recipient Committee (other than PTY or SCC) OTH—Other(e.g.,business entity) PTY—Political Party SCC—Small Contributor Committee FPPC Form 460(January105) FPPC Toll-Free Helpline:8661ASK-FPPC(8661275-3772) Schedule A (Continuation Sheet) Type or print In ink. SCHEDULE (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. 'o ' 460 from 07/01/2012 8 through 09/30/2012 page 10 of 18 NAME OF FILER I.D.NUMBER Katapodis City Council 2012 1328537 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL,ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE,ALSO ENTER I.D.NUMBER) * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE CODE LOY ED,ENTER NAME PERIOD (JAN.1-DEC.31) (IF REQUIRED) OF BUSINESS) 09/20/2012 David Humphreys ®IND Police Officer $204,00 $20 200.00 2000 Main St EICOM OTH City of Huntington Beach Huntington Beach CA 92646 ❑PTY ❑SCC 09/27/2012 R IND Police Officer ® li $i00.04 $100.00 G12 $100.00 [:]CCM 2000 Main St OTH City of Huntington Beach tington Beach CA 92648 PTY ❑SCC 09/27/2012 !dark Bixby ®INO Software Engineer $520.00 $520,04 C12 $520.00 1745 ane ❑COMQ O7.H quintessential School � Systems INC. Huntington Beach CA 92649 OPT SCC 09/27/2012 Christopher Nesmith ❑RIND Police Officer $300.00 $300.00 012 $300.00 2000 Main St a CO City of Huntington Beach Huntington Beach CA 92648 ❑PTY ❑SCC 09129/2012 Jeffrey Goodspeed QIND Police Officer $200.00 $200:00 C12 $200.00 2000 Main St E]CCO City of Huntington, Beach CIOTHuntington Beach CA 92648 Q PTY ❑SCC SUBTOTAL$ $1,320.00 'Contributor Codes IND—Individual COM—Recipient Committee (other than PTY or SCC) OTH—Other(e.g.,business entity) PTY—Political Party SCC—Small Contributor Committee FPPC Form 460(January105) FPPC Toll-Free Hetpline:8661ASK•FPPC(8661276-3772) Schedule A (Continuation Sheet) Type or print In ink. SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. o ' / from 07/01/2012 e through 09/30/2012 Page 11 Of 18 NAME OF FILER I.D.NUMBER Katapodis City Council 2012 1328537 DATE FULL NAME,STREET ADDRESS AND 21P CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED QFCOMMITTEE,ALSO ENTER I.D.NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED,ENTER NAME PERIOD (JAN, 1-DEC.31) (IF REQUIRED) OF BUSINESS) 09/29/2012 Samuel Shepherd ®IND Police Officer $750,00 $1S0.00 G12 $150.00 2000 Main St MCO City of Huntington Beach MOTH Huntington Beach CA 92648 [3PTY ❑SCC (]IND ❑COM ❑OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY p SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC ❑IND EI COM ❑OTH EIS CC SUBTOTAL$ $150,00 'Contributor Codes IND—Individual COM—Recipient Committee (other than PTY or SCC) OTH—Other(e.g.,business entity) PTY—Political Party SCC—Small Contributor Committee FPPC Form 460(January105) FPPC Toll-Froo Heiplino:666/ASK-FPPC(4661275-3772) Schedule B—Part 1 Type or print In ink. SCHEDULE B-PART 1 Amounts may be rounded Statement covers period _ Loans Received to whole dollars. CA m NIA from 07/0112012 FORM SEE INSTRUCTIONS ON REVERSE through 09/30/2012 page 12 Of 18 NAME OF FILER I.D. NUMBER Katapodis City Council 2012 1328537 IF AN INDIVIDUAL, ENTER (0 (9) FULL NAME,STREET ADDRESS AND ZIP CODE OUTSTANDING AMOUNT AMOUNTPAID OUTSTANDING INTEREST ORIGINAL CUMULATIVE OF LENDER OCCUPATION AND EMPLOYER BALANCE RECEIVED THIS BALANCEAT PAID THIS AMOUNT OF CONTRIBUTIONS (IFCOMMITTEE,ALSO ENTER I.D YED.ENTER BEGINNING THIS OR FORGIVEN CLOSE OF THIS NAMEOFBUSINESS) R PERIOD THIS PERIOD' p R PERIOD LOAN TO DATE Jim Katapodis ©PAID - CALENDARY@AR SSOO.00 1 $500,co $6,000.00 $ 0.00 *% a s 18030 Brookhurst St 371 ❑FORGIVEN RATE PER ELECTION" $8,350.00 Fountain Valley CA 92708 $soa.co sa.ao G12O1f45/2412 t + 5 S ❑ IND ❑ COM ® OTH ❑ PTY [,] SCC DATEOUE DATE INCURRED Jim Katapodis ©PAID CALENDAR YEAR $SOp.00 E S 0.00 @�; $500.00 $6,000.00 s S 18030 Brookhurst St 371 [:] RATE FORGIVEN - PERELECTION•• Fountain Valley CA 92708 $sao.ap G.2 $8,350.00 S So.oO S 01/12/2412 t❑-IND [I COM ® $ s OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED S Jim Katapodis ❑PAID CALENDARYEAR $ s $2,sao.oa 0 00 t $ $2,500.00 $ $6,000.00 16030 Brookhurst St 371 ❑ RATE FORGIVEN PER ELECTION•' ciz sa,3so.op Fountain Valley CA 92748 52,Soo.oO $0.00 t❑ 05/06/2012 IND El ©OTH PTY f E S $ ❑ ❑ SCC DATE DUE DATE INCURRED SUBTOTALS $ sa.ao$ ya.00$ so,saa.oa$ a.oa ' Schedule B Summary (EMe ( SrnoaiAo E,Line 3) 1. Loans received this period........................................ ...................$ $4,500.00 (Total Column(b)plus unitemized loans of less than$100.) tContributor Codes 0 0 IND—Individual 0. 2. Loans paid or forgiven this period ......................................................................................................... $ $ — COM-Recipient Committee (Total Column(c)plus loans under$100 paid or forgiven.) (other than PTY or SCC) (Include loans paid by a third party that are also itemized on Schedule A.) OTH-other(e.g.,business entity) PTY—Political Party I Net change this period. Subtract Line 2 from Line 1. ..... NET $ $4,500.00 SCC—Small Contributor Committee Enter the net here and on the Summary Page,Column A,Line 2, (May boaneBa Gve number} `Amounts forgiven or paid by another party also must be reported on Schedule A. "If required. FPPC Form 460(January105) FPPC Toll-Free Helpline:866/ASK•FPPC(866/275-31M) Schedule B—Part 1 Type or print in ink. SCHEDULEB-PART1 Amounts may be rounded Statement covers period _ Loans Received to whole dollars. ® • from 07/01/2012FPage a SEE INSTRUCTIONS ON REVERSE through 09/30/2012 13 of 16 NAME OF FILER I.D. NUMBER Katapodis City Council 2012 2328537 IF AN INDIVIDUAL,ENTER a FULL NAME,STREET ADDRESS AND ZIP CODE OUTSTANDING AMOUNT (c) OUTSTANDING INTEREST ORIGINAL CUMULATIVE OF LENDER AMOUNTPAID OCCUPATION AND EMPLOYER BALANCE BALANCE AT (IF SELF•EMPLOYED,ENTER BEGINNING THIS RECEIVED THIS OR FORGIVEN CLOSE OF THIS PAID THIS EE,ALSO ENTER I,D.NUMBER) NAME OF BUSINESS) PERIOD PERIOD THIS PERIOD PERIOD PERIOD LOAN TO DATE Mrs. Aileen Katapodis retired ❑PAID CALENDAR YEAR retired - SS00.00 D DD $500.00 s 8932 Biscayne Court RATE ❑FORGIVEN PERELECTION- Unit 1319-A G12 $soo.ac Huntington Beach CA 92646 $ $Soo.00 $ $0.00 $ S 05/24/2012 $ t® IND ❑ COM ❑ OTH DATE DUE DATE INCURRED Jim Katapodis ❑PAID CALENDARYEAR $2,500.00 $2,500.00 S6,000.00 $ S 0.00 W S S 1B030 Brookhurst. St 371 RATE ❑FORGIVEN PER ELECTION`* C12 $6,350.00 Fountain Valley CA 92708 $0.00 $2,500.00 $ $ $ $ S 08/23/2012 t❑ IND ❑COM ® OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED Jim Katapodic ❑PAID CALENDAR YEAR $ $ $2,000.00 0.00- $ye 1 $2,000.00 6 $2,000.00 18030 Brookhurst St 371 RATE ❑FORGIVEN PER ELECTION** G12 $2,000.00 Fountain Valley CA 92647 $ $0.00 $ $2,000.00 $ $ 09/23/2012 $ to IND ❑ COM ® OTH ❑ PTY ❑ SCC DATEDUE DATE INCURRED SUBTOTALS $ $4,500.00$ $0.00$ S51000.00$ 00 (Entor(e)on Schedule B Summary SviodWe E,Line 3) 1. Loans received this period................. $ $4,500.00 (Total Column(b)plus unitemized loans of less than$100.) 1 tcontributor codes IND—Individual 2. Loans paid or forgiventh is period ..............$ $0.00 COM-Recipient Committee (Total Column(c)plus loans under$100 paid or forgiven.) other than PTY or SCC) (include loans paid by a third party that are also itemized on Schedule A.) OTH-Other(e.g„business entity) PTY-Political Party 3. Net change this period, (Subtract Line 2 from Line 1.)......................................................... NET $ $4 S00.00 SCC-Small Contributor Committee Enter the net here and on the Summary Page,Column A, Line 2. (May be nega:cve number) 'Amounts forgiven or paid by another party also must be reported on Schedule A. If required. FPPC Form 460(January/05) FPPC Toil-Free Helpline:866/ASK-FPPC(8661276-3772) SCHEDULEE Schedule E Type or print In ink. Statement covers period Payments Dade Amounts may be roundedIF e' , from to whole dollars. o'r/a1/zolz SEE INSTRUCTIONS ON REVERSE through 09/30/2012 Page 14 of 18 NAME OF FILER I.D. NUMBER Katapodis City Council 2012 1328537 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalialmisc. MBR member communications RAID radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution(explain nonmonetary)' OFC office expenses SAL campaign workers'salaries CVC civic donations 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 M 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 regi gn literature and mailings PRT print ads WEB information technolo et, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE,ALSO ENTER I.D.NU IPTION OF PAYMENT AMOUNT PAID Vivian Katapodis FOS reimburse postage expenses $22.91 18030 Brookhurst St #371 Fountain Valley CA 92708 aymon 's Cali ornia Bistro FIND Campaign Kick-Off $1 02.50 7391 Warner Ave Huntington Beach CA 92647 Vivian Katapodis POS reimburse postage expenses $45.65 18030 Brookhurst St #371 Fountain Valley CA 92708 ` Payments that are contributions orindependont expenditures must also be summarized on Schedule D. SUBTOTAL$ $170.56 Schedule E Summary 1. Itemized payments made this period.(Include all Schedule E subtotals.).............................................................................................................. $ $12,746.72 2. Unitemized payments made this period of under$100 .......................................................................................................................................... $- $10.4 0 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1,Column(e).)............................................................................... $ $0.oa 4. Total payments made this period. (Add Lines 1,2,and 3.Enter here and on the Summary Page,Column A, Line 6.) ............................. TOTAL $_ $12 75 7,12 FPPC Form 460(January/05) FPPC Toll-Frey Helplino:866fASK-FPPC(8661275-3772) Schedule E SCHEDULE E(CONT.) Typo or print in ink Statement covers period (Continuation Sheet) Amounts may be roundedCALIFORNIA Payments Made to whole dollars. • Y from_ 07/01/2012 SEE INSTRUCTIONS ON REVERSE through 09/30/2012 Pago 15 of 18 NAME OF FILER Katapodis City Council 2012 I.D.NUMBER 2328537 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphemalia/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 filinglballot.fees PHO phone banks TRC candidate travel,lodging,and meals FND fundralsing events POL polling and survey research. TRS stafflspouse travel, lodging, and meals IND independent expenditure supporting/opposing others (explain)' POS postage, delivery and messenger services TSF transfer between committees of the same candidateisponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration UT campaign l lings PRT print ads WEB information technology casts (internet,e-mail) OF PAYEE CODE OR DESCRIPTION OF PAYMENT OF COMMITTEE,ALSO AMOUNT PAID NailSpa Printing CMP campaign banners Universe Dr Westminster CA 92683 City of Huntington Beach LIT $1,500.00 2000 Main Street Huntington Beach CA 92646 AMAC CMP Yard signs $949.93 114 South Catalina Ave Redondo Beach CA 90277 Vivian Katapodis CMP campaign materials $125.77 18030 Brookhurst St 4371 Fountain Valley CA 92708 Vivian Katapodis CMP campaign materials $86.31 18030 Brookhurst .St 0371 Fountain Valley CA 92708 Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ $3,162.01 FPPC Form 460(January105) FPPC Toll-Froe Helplino:866fASK•FPPC(866/276-3772) Schedule E SCHEDULE E(CONT.) Type or print in ink. Statement covers period (Continuation Sheet) Amountsm'ydb'I rounded ®e R -Payments Made from 07/01/2012 SEE INSTRUCTIONS ON REVERSE through 09(30/2022 Page 16 of 18 NAME OF FILER I.D.NUMBER Katapodis City Council 2012 1328537 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CNP campaign paraphernalialmisc. 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 F1L candidate filing/ballot fees. PHO phone banks TRC candidate travel,lodging,and meals FND fundraising events POL polling and survey research TRS staffispouse travel, lodging, and meals M 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 mail T print ads WEB information technology costs(internet,e-mail) NAME A CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE,ALSO ENTER I.D.NUMBE POS stamps $135.00 7131 Yorktown Huntington Beach CA 92648 United State FOS stamps $360.00 Bunker Hill Post Office Los Angele Costco Huntington Beach OFC ink cartridges for printer $165.91 7562 Center Avenue Huntington Beach CA 92647 Vivian Katapodis CMP ties, straps, weights for campaign banners and $159.33 16030 Hrookhurst St posters #371 Fountain Valley CA 92708 Nailspa Printing LIT postcard mailers $1,250,00 8632 Universe Dr Westminster CA 92683 `Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ $2,o7 c,24 FP PC Form 460(January/05) FPPC Toll-Froo Helpline:866/ASK-FPPC(866/275-3772) Schedule E SCHEDULE E(CONT.) Type or print in ink. Statement covers period (COnf111UattOn Sheet) Amounts may be rounded e• 0 , Payments Made to whole dollars. from 07/0112012FOW SEE INSTRUCTIONS ON REVERSE through 09/30/2012 Page 17 of 1s NAME OF FILER I.D.NUMBER Katapodis City Council 2012 1328537 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CUP campaign paraphernalialmisc. 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 l.v.or cable airtime and production costs FIL candidate filingtballot 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 supportinglopposing others (explain)' POS postage, delivery and messenger services TSF transfer between committees of the same candidatelsponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration UT campaign lit PRT print ads WEB information technology costs (Internet,e-mail) NAME A CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE,ALSO ENTER I rican Voter Guide LIT campaign slates $625.00 603 E. Santa Ana CA 92705 Budget Watchdogs Newsletter LIT cam 0.00 1954 W. Carson ST #B Torrance CA 90501 California Latino Voters Guide LIT campaign slates $-150.00 933 Colorado Blvd Bldg 2 Los Angeles CA 90041 California Voter Guide LIT campaign slates $1,000.00 1954 W. Carson St #B Torrance CA 90501 Election Digest G2012 LIT campaign slates $1,000.00 13701 Riverside Dr #604 Sherman Oaks CA 91423 *Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL$ $4,3 75.00 FPPC Form 460(January/05) FPPC Toll-Freo Helpline:866/ASK-FPPC(866/275.3772) Schedule E SCHEDULE E(CONT.) Type or print in ink. Statement covers period (Continuation Sleet) Amounts may be rounded CALIFORNIA Payments Made to whole dollars. e . a 6 y from 07/01/2012 SEE INSTRUCTIONS ON REVERSE through. 09!30/2012 Pago is of is NAME OF FILER Katapadis City Council 2012 LD.NUMBER 1328537 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CNP campaign paraphernalialmisc. 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 PFO 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 supportinglopposing others (explain)' POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accountin egistration LIT campaign literature and mailings PRT print ads ogy costs(intemet,e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCR AMOUNT PAID(IF COMMITTEE,ALSO ENTER I.D.NUMBER) - - Nailspa Printing LIT postcard mailers - final payment $1,250.00 6632 Universe Dr Westminster CA 92683 Your Ballot Guide LIT campaign slates $1,000.00 15021 Ventura Blvd #530 Sherman Oaks CA 91403 U.S. Postmaster - 92615 POS EDDM postage $718.91 9151 Atlnata Avenue Huntington Beach CA 92615 `Payments that are contributions or independent expenditures must also be summarized on Schedule D, SUBTOTAL$ $2,96 a.91 FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(8661275-3772) Recipient Committee COVERPAGE Campaign Statement Type or print in ink. Date Stamp s Cover Page E-filed on: 07/27/2012 11:26:10 t ? n y e (Government Code Sections 84200-84216.5) Statement covers period Date of election if applicable: , .a 3:, of 2012 gage 1 8 71914280 from 01/01/2012 (Month, Day,Year) JUL ! For Official Use Only SEE INSTRUCTIONS ON REVERSE through 06/30/2012 1. Type of Recipient Committee: All Committees—Complete Parts 1,z,3,and 4. 2. Type of Statement: x❑ Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑ Preelection Statement ❑ Quarterly Statement Q State Candidate Election Committee Committee ❑x Se t ❑ Special Odd-Year Report Q Recall Q Controlled Termination Statement Sponsored ❑ ❑ Supplemental Preelection (Also Complete Part5) 0 (Also file a Form 410 Termination) Statement-Attach Form 495 ❑ General Purpose Committee (Also Complete Part 6) ❑ Amendment(Explain below) Q Sponsored ❑ Primarily Formed Candidate/ Q Small Contributor Committee Officeholder Committee Q Political Party/Central Committee (Also Complete Part 7) 3. Committee Information I.D. NUMBER Treasurer(s) 1328537 COMMITTEE NAME(OR CANDIDATE'S NAME IF N NAME OF TREASURER Katapodis City Council 2012 Jim Katapodis MAILING ADDRESS 6571 Paris Circle STREET ADDRESS(NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE 6571 Paris Circle Huntington Beach CA 92648 (714) 901-1314 CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY Huntington Beach CA 92647 (714) 901-1314 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 iimkatapodis@amail.com iimkatapodis@amail.com 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge ormatit/n contained herein and in the attached schedules is true and complete. I certify under penalty of perjury under the laws of the State of Califomia that the foregoing is true and co ec Executed on 07/27/2012 By Date ig o amAysnanLTreasurer Executed on 07/27/2012 By ZZ Date eofControlling ehol r,Ca i e,StateMeasureProponentorResponsibleOfficerofSponsor Executed on By Date Signature of Controlling Officeholder,Candidate,State Measure Proponent Executed on By Date Signature of Controlling Officeholder,Candidate,State Measure Proponent FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/276-3772) -State of California Type or print in ink. COVER PAGE-PART 2 Recipient Committee CALIFORNIA Campaign Statement FORM Cover Page—Part 2 Page 2 of 8 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDID BALLOT MEASURE Jim Katapodis OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO.OR LETTER JURISDICTION ❑ SUPPORT ❑ OPPOSE City Council Member RESI DENTIAUBUSI NESS ADDRESS (NO.AND STREET) CITY STATE ZIP 6571 Paris Circle - Identify the controlling officeholder, candidate, or state measure proponent, if any. Huntington Beach CA 92648 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(866/275-3772) State of California Campaign Disclosure Statement Type or print in ink. SUMMARYPAGE Amounts may be rounded Statement covers period CALIFORNIA Summary Page to whole dollars. 61_ from 01/01/2012 FOM SEE INSTRUCTIONS ON REVERSE through 06/30/2012 Page 3 Of 8 NAME OF FILER I.D. NUMBER Katapodis City Council 2012 1328537 TColumn of Hmn Roo Column B Calendar Year Summary for Candidates Contributions Received Running in Both the State Primary and (FROM ATTACHED SCHEDULES) TOTAL TO DATE g r General Elections 1. Monetary Contributions ........................................... Schedule A,Line 3 $ $1,000.00 $ $1,000.00 1/1 through 6/30 7/1 to Date 2. Loans Received ...................................................... Schedule e,Line 3 $4,000.00 $4,000.00 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1+2 $ $5,000.00 $ $5,000.00 20. Contributions Received $ $ 4. Nonmonetary Contributions.................................... Schedule C,Line 3 $0.00 $0.00 21 Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ...........................Add Lines 3+4 $ $5,000.00 $ $5,000.00 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made....................................................... ScheduleE,Line $ $1,118.34 $ $1,118.34 Candidates 7. Loans Made............................................................. Schedule H,Line 3 $0.00 $0.00 22. Cumulative Expenditures Made* 8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6+7 $ $1,118.34 $ $1,118.34 (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 ..........................................Schedule Q Line 3 $0.00 $0.00 (mm/dd/yy) 11. TOTAL EXPEN DITURES MADE................................Add Lines 8+9+10 $ $1,118.34 $ $1,118.34 $ Current Cash Statement $ 12. Beginning Cash Balance....................... Previous summary Page,Line 16 $ $158.80 To calculate Column B,add 13. Cash Receipts ................................................... Column A,Line 3above $5,000.00 amounts in Column Ato the corresponding amounts *Amounts in this section may be different from amounts 14. Miscellaneous Increases to Cash........................... Schedule 1,Linea $0.00 from Column B of your last reported in Column B. 15. Cash Payments.................................................. column A,Line sabove $1,118.34 report. Some amounts inColumn A may be negative 16. ENDING CASH BALANCE.......... Add Lines 12+13+14,then subtract Line 15 $ $4,04 0.46 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 A Part 2 $ $0.00 for this calendar year, only carry over the amounts Cash Equivalents and Outstanding Debts from Lines 2,�,and s(if g $0.00 any). 18. Cash Equivalents........................................ See instructions on reverse $ 19. Outstanding Debts......................... Add Line 2+Line 9 in Column B above $ $4,000.00 FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Type or print in ink. SCHEDULE B-PART 1 Schedule B—Part 1 Amounts may be rounded Statement covers period ORNIA Loans Received to whole dollars. • ® . ® g from 01/01/2012 SEE INSTRUCTIONS ON REVERSE through 06/30/2012 page 5 of 8 NAME OF FILER I.D. NUMBER Katapodis City Council 2012 1328537 IF AN INDIVIDUAL, ENTER a (b) (c) !d) (e) ( (g) FULL NAME,STREET ADDRESS AND ZIP CODE OUTSTANDING AMOUNT OUTSTANDING INTEREST ORIGINAL CUMULATIVE AMOUNT PAID OCCUPATION AND EMPLOYER BALANCE BALANCE AT OF LENDER (IFSELF-EMPLOYED,ENTER BEGINNING THIS RECEIVED THIS OR FORGIVEN CLOSE OF THIS PAID THIS AMO (IF COMMITTEE,ALSO ENTER I.D.NUMBER) NAME OF BUSINESS) PERIOD PERIOD THIS PERIOD* PERIOD PERIOD LOAN TO DATE Jim Katapodis PAID CALENDARYEAR ❑ $500. 00 $3,500.00 $ $ $ $ 18030 Brookhurst St 371 ❑FORGIVEN RATE PER ELECTION** G12 $5,850.00 $0.00 $500.00 01/05/2012 Fountain Valley CA 92708 $ $ t❑ IND ❑COM ® OTH ❑ PTY ❑ SCC - DATE DUE DATE INCURRED Jim Katapodis ❑PAID CALENDARYEAR $500.00 0.00 %o $500.00 $3,500.00 18030 Brookhurst St 371 ❑FORGIVEN RATE PER ELECTION** G12 $5,850.00 Fountain Valley CA 92708 $ $0.00 $ $500.00 $ $ 01/12/2012 $ to IND ❑ COM ® OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED Jim Katapodis ❑PAID CALENDARYEAR $2,500.00 0.00 96o $2,500.00 $3,500.00 18030 Brookhurst St 371 ❑FORGIVEN RATE PER ELECTION** G12 - $5,850.00 Fountain Valley CA 92708 $ $0.00 $ $2,500.00 $ $ 05/06/2012 $ t❑ IND ❑ COM MOTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED SUBTOTALS $ $3,500.00$ o 00$$ g., (Enter(e)on Schedule B Summary Schedule E,Line 3) 1. Loans received this period.................................................................................................................... $ $4,000.00 (Total Column(b)plus unitemized loans of less than$100.) tcontributor Codes IND—Individual 2. Loans paid or forgiven this period ......................................................................................................... $ $0.00 COM—Recipient Committee (Total Column(c)plus loans under$100 paid or forgiven.) (other than PTY or SCC) (Include loans paid by a third party that are also itemized on Schedule A.) OTH—Other(e.g.,business entity) PTY—Political Party 3. Net change this period. Subtract Line 2 from Line 1. ..... NET $ $4,000.00 SCC—Small Contributor Committee Enter the net here and on the Summary Page, Column A, Line 2. (May bea negative number) *Amounts forgiven or paid by another party also must be reported on Schedule A. **If required. FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(8661275-3772) Type or print in Ink. SCHEDULE B-PART 1 Schedule B—Part I Amounts may be rounded Statement covers period b-ALWbIRNIA Loans Received to whole dollars. ® • from 01/01/2012 SEE INSTRUCTIONS ON REVERSE through 06/30/2012 Page 6 of 8 NAME OF FILER I.D. NUMBER Katapodis City Council 2012 1328537 IF AN INDIVIDUAL, ENTER a (b) (c) (d) (e) (► (9 FULL NAME,STREET ADDRESS AND ZIP CODE OUTSTANDING AMOUNT OUTSTANDING INTEREST ORIGINAL CUMULATIVE OCCUPATION AND EMPLOYER BALANCE A AID BALANCE AT OF LENDER (IFSELF-EMPLOYED,ENTER BEGINNING THIS RECEIVED THIS ORR F FORGIORGIVEN CLOSE OF THIS PAID THIS AMOUNT OF CONTRIBUTIONS (IF COMMIT D PERIOD THIS PERIOD* PERIOD PERIOD LOAN TO DATE Mrs. Aileen Katapodis retired ❑PAID CALENDARYEAR retired $ $ $500.00 0.00 %s $ $500.00 $ $500.00 8932 Biscayne Court ❑FORGIVEN RATE PER ELECTION- Unit 1319-A G12 $500.00 Huntington Beach CA 92646 $ $0.00 $ $500.00 $ $ 05/24/2012 $ t® IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED ❑PAID CALENDARYEAR ❑FORGIVEN - RATE PER ELECTION** t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED ❑PAID CALENDARYEAR ❑FORGIVEN RATE PERELECTION** t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED 01, SUBTOTALS $ $500.00$ $o.00$ $500.00$ $o 00 RUR ?' (Enter(e)on Schedule B Summary Schedule E,Line 3) 1. Loans received this period.................................................................................................................... $ $4,000.00 (Total Column(b)plus unitemized loans of less than$100.) tContributor Codes $0.00 IND—Individual 2. Loans paid or forgiven this period .........................................................................................................$ COM—RecipientCommittee (Total Column(c)plus loans under$100 paid or forgiven.) (other than PTY or SCC) (Include loans paid by a third party that are also itemized on Schedule A.) OTH—Other(e.g., business entity) PTY—Political Party 3. Net change this period. Subtract Line 2 from Line 1. $4,000.00 SCC—Small Contributor Committee 9 P ( )............................................................... NET $ Enter the net here and on the Summary Page, Column A, Line 2. (May be a negative number) *Amounts forgiven or paid by another party also must be reported on Schedule A. **If required. FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) SCHEDULEE Schedule E Type or print In Ink. Statement covers period e - Amounts may be rounded Payments Made to whole dollars. from 01/01/2012 • SEE INSTRUCTIONS ON REVERSE through 06/30/2012 page 7 Of 8 NAME OF FILER I.D. NUMBER Katapodis City Council 2012 1328537 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs - CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries CVC civic donations PEr petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel,lodging,and meals FND fundraising events POL polling and survey research. TRS staff/spouse travel, lodging, and meals IND independent expenditure supporting/opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF C .NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID Discount Signs and Printing CMP busi ad $215.56 7923 Warner Ave Unit M Huntington Beach CA 92647 AMAC CMP printing of fundraiser envelopes 307.54 114 South Catalina Ave Redondo Beach CA 90277 Discount Signs and Printing LIT printing of business cards and letterhead $215.50 7923 Warner Ave Unit M Huntington Beach CA 92647 * Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL$ $738.54 Schedule E Summary 1. Itemized payments made this period.(Include all Schedule E subtotals.).............................................................................................................. $ $988.54 2. Unitemized payments made this period of under$100 ........................................................................................................................................... $ $129.80 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 $ $1,118.34 FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Schedule E Type or print in ink. SCHEDULE E(CONT.) (Continuation Sheet) Amounts may be rounded Statement covers period ® . I ® 1 Payments Made to whole dollars. • ' from 01/01/2012 through 1 06/30/2012 Page 8 of 8 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D.NUMBER Katapodis City Council 2012 1328537 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMS campaign paraphernalia/misc. MBR member communications RAID radio airtime and production costs CNS campaign consultants NITG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)' OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel,lodging,and meals FIND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals IND independent expenditure supporting/opposing others (explain)` POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and PRT print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE,ALSO ENTER I.D.NUMBER) Nailspa Printing LIT printing of campaign flyers $250.00 8632 Universe Dr Westminster CA 92683 Payments thatare contributions or independent expenditures mustalso be summarized on Schedule D. SUBTOTAL$ $250.00 FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772)