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Home My WebLink AboutDwyer, Devin - 2008 FPPC Campaign Disclosure Forms - Devin D Supplemental Independent Type or print in ink. SUPPLEMENTAL INDEPENDENT EXPENDITURE Amounts may be rounded Report covers period ® . Expenditure Report to whole dollars. from 01/01/2008 12/31/2008 SEE INSTRUCTIONS ON REVERSE through Page 2 of 2 NAME OF FILER I.D. NUMBER(If recipient corn.) CALIFORNIA REAL ESTATE POLITICAL ACTION COMMITTEE (CREPAC) 890106 4. Summary 1. Total independent expenditures of$100 or more made this period. (Part 3.)........................................................................................... $ 2,50c.00 2. Total independent expenditures under$100 made this period. Not itemized. .............................................................. 0.00 3. Total independent expenditures made this period Add Lines 1 + 2, 2,500.00 p p p ( ) ..........................................................................................TOTAL $ 5. Filing Officers Enter the name and address of each filing officer with whom the filer's most recent campaign statements(Form 450, 460 or 461) have been filed. 1) NAME OF FILING OFFICER 3) NAME OF FILING OFFICER SECRETARY OF STATE CITY & COUNTY OF SAN FRANCISCO ADDRESS (NO. AND STREET) ADDRESS (NO. AND STREET) POLITICAL REFORM DIVISION DEPARTMENT OF ELECTIONS 1500 11TH STREET, ROOM 495 1 DR. CARLTON B. GOODLETT PL. #48 CITY STATE ZIP CODE CITY STATE ZIP CODE SACRAMENTO, CA 95814 SAN FRANCISCO, CA 94102 2) NAME OF FILING OFFICER 4) NAME OF FILING OFFICER LOS ANGELES COUNTY REGISTRAR OF VOTERS ADDRESS (NO. AND STREET) ADDRESS (NO. AND STREET) 12400 IMPERIAL HWY. 2ND FLOOR CITY STATE ZIP CODE CITY STATE ZIP CODE NORWALK, CA 90650 6. Verification have used all reasonable diligence in preparing and reviewing this statement and tkre best my nowledge t e information contained herein is true and complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is tru a corre r Executedon By DATE SIGNATURE OF FILER,TREASURER OR ASSISTANT TREASURER Executed on By DATE SIGNATURE O CONTROLLING OFFICEHOLDER,CANDIDATE,STATE MEASURE PROPONENT,OR RESPONSIBLE OFFICER OF SPONSOR Executed on By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER,CANDIDATE,STATE MEASURE PROPONENT Executed on By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER,CANDIDATE,STATE MEASURE PROPONENT FPPC Form 465(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Supplemental Independent Typeor print rint in ink. SUPPLEMENTAL INDEPENDENT EXPENDITURE Expenditure Report Amounts may be rounded Report covers period o . p p to whole dollars. from at I 0 L l 20 0g SEE INSTRUCTIONS ON REVERSE through 12A�1I )zoo& Page 2 of 7- NAME OF FILER I.D.NUMBER(If recipient com.) HUNTINGTON BEACH FIREFIGHTERS ASSOCIATION 902935 4. Summary 1. Total independent expenditures of$100 or more made this period. (Part 3.)........................................................................................... $ 3 6's 1•L1 I 2. Total independent expenditures under$100 made this period. (Not itemized.) ........................................................................................ $ !3.CD 3. Total independent expenditures made this period (Add Lines 1 + 2.) ..........................................................................................TOTAL $ Z65-1-41 5. Filing Officers Enter the name and address of each filing officer with whom the filer's most recent campaign statements(Form 450, 460 or 461)have been filed. 1) NAME OF FILING OFFICER 3) NAME OF FILING OFFICER HUNTINGTON BEACH CITY CLERK DEPT OF ELECTIONS - CITY AND COUNTY OF SAN FRANCISCO 2000 MAIN ST ADDRESS (NO. AND-STREET) HUNTINGTON BEACH, CA 92648 1 DR. CARLTON B. GO(?DLETT PLACE, CITY HALL- RM 48 '- CITY STATE ZIP CODE SAN FRANCISCO CA 94102 4) NAME OF FILINGOFFICER LOS ANGELES COUNTY REGISTRAR-RECORDER ORANG&C56UNTY REGISTRAR OF VOTERS ADDRESS (NO. AND STREET) ADDRESS (NO. AND STREET) 12400 IMPERIAL HIGHWAY 130f?1'S. GRAND AVE., BLDG C CITY 41 STATE ZIP CODE CITY STATE ZIP CODE NORWALK CA 90650 SANTA ANA CA 92705-4407 6. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein is true and complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed on dt�3�j20Qq BYMIKE McCLANAHAN V. J'n`7te- DATE SI F ER,TREA RE ISTANT TREASURER Executed on (j11-6L a9 ByMICHAEL PERRY �{ DATE SIGNATURE OF CONTROLLING OFFICER DE ,CANDID*E';STATE MEASUR ONENT,OR RESPONSIBLE OFFICER OF SPONSOR Executed on By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER,CANDIDATE,STATE MEASURE PROPONENT Executed on By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER,CANDIDATE,STATE MEASURE PROPONENT FPPC Form 466(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Campaign Disclosure Statement Type or print in ink. SUMMARY PAGE Amounts may be rounded Statement covers period ® - Summary to whole dollars. I age from 10/19/2008 ® - SEE INSTRUCTIONS ON REVERSE through 12/31/2008 Page 3 of 16 NAME OF FILER I.D. NUMBER Devin Dwyer for Council 1299718 Column Column B Calendar Year Summary for Candidates Contributions Received TOTALTHIS PERIOD CALENDAR YEAR Running in Both the State Prima and (FROMATTACHED SCHEDULES) TOTALTO DATE 9 Primary General Elections 1. Monetary Contributions ........................................... Schedule A,Line 3 $ 9,567,00 $ 38,107.00 1/1 through 6/30 7/1 to Date 2. Loans Received ...................................................... Schedule B,Line 3 8,697.00 15,697.00 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1+2 $ 18,264.00 $ 53,804.00 20. Contributions Received $ $ 4. Nonmonetary Contributions.................................... Schedule C,Line 3 200.00 200.00 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ...........................Add Lines 3+4 $ 18,464.00 $ 54,004.00 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made....................................................... Schedule E,Line 4 $ 19,604.13 $ 49,642.42 Candidates 7. Loans Made............................................................. Schedule H,Line 3 0.00 0.00 22. Cumulative Expenditures Made* 8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6+7 $ 19,604.13 $ 49,642.42 (IfSubjectto Voluntary Expenditure Limit) 9. Accrued Expenses (Unpaid Bills) ...............................Schedule F,Line 3 -5,243.75 7.600.oo Date of Election Total to Date 10. Nonmonetary Adjustment ..........................................ScheduleC,Line 200.00 200.00 (mm/dd/yy) 11. TOTAL EXPENDITURES MADE................................Add Lines 8+9+10 $ 14,560.38 $ S7,442.42 �_- $ Current Cash Statement ---/ $ 12. Beginning Cash Balance....................... Previous Summary Page,Line 16 $ 1,471.93 To calculate Column B,add 13. Cash Receipts ................................................... Column A,Line 3 above 18,264.00 amounts in Column A to the corresponding amounts *Amounts in this section may be different from amounts 14. Miscellaneous Increases to Cash........................... Schedule 1,Line 4 500.00 from Column B of our last Y reported in Column B. 15. Cash Payments............. 19,604.13 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 $ 631.80 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,Part2 $ 0.00 for this calendar year, only carry over the amounts from Lines 2, �, ands(if Cash Equivalents and Outstanding Debts any). 18. Cash Equivalents.................:...................... See instructions on reverse $ 0.00 19. Outstanding Debts......................... Add Line 2+Line 9 in Column B above $ 23,297.00 FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Schedule C Type or print in ink. SCHEDULE C Amounts may be rounded fVonmoneta Contributions Received period to whole dollars. Statement covers eCALIFORNIA A from 10/19/2008 FORM t60 :1 SEE INSTRUCTIONS ON REVERSE through 12/31/2008 Page 11 of 16 NAME OF FILER I.D.NUMBER Devin Dwyer for Council 1299718 FULL NAME,STREET ADDRESS AND IF AN INDIVIDUAL,ENTER AMOUNT/ CUMULATIVE TO PER ELECTION DATE CONTRIBUTOR DESCRIPTION OF DATE ZIP CODE OF CONTRIBUTOR CODE * OCCUPATION AND EMPLOYER FAIR MARKET TO DATE RECEIVED (IF COMMITTEE,ALSO ENTER I.D.NUMBER) (IF SELF-EMPLOYED,ENTER GOODS OR SERVICES CALENDAR YEAR (IF REQUIRED) NAME OF BUSINESS) VALUE (JAN1-DEC 31) 10/19/2008Kings Seafood ❑IND Gift certificates 200.00 200.00 G 08 200.00 ❑COM for door prizes MOTH Costa Mesa, CA El PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC Attach additional information on appropriately labeled continuation sheets. SUBTOTAL$ 200.001 Schedule C Summary *Contributor Codes 1. Amount received this period—itemized nonmonetary contributions. IND—Individual (Include all Schedule C subtotals.).....................................................................................................................$ 200.00 COM—RecipientCommittee (other than PTY or SCC) 2. Amount received this period—unitemized nonmonetary contributions of less than$100 ....................................$ 0.00 OTH—Other(e.g., business entity) PTY—Political Party 3. Total nonmonetary contributions received this period. SCC—Small contributor committee Add Lines 1 and 2.Enter here and on the S ummary Page,Column A, Lines 4 and 10. TOTAL $ 200.00 FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Schedule G SCHEDULE G Type or print in ink. Payments Made by an Agent or Independent Amounts may be rounded Statement covers period • _ • ' , Contractor(on Behalf of This Committee) to whole dollars. from 10/19/2008 SEE INSTRUCTIONS ON REVERSE through 12/31/2008 Page is of 16 NAME OF FILER I.D.NUMBER Devin Dwyer for Council 1299718 NAME OF AGENT OR INDEPENDENT CONTRACTOR Bieber Communications 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 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) *Payments that are contributions or independent expenditures must also be summarized on Schedule D. NAME AND ADDRESS OF PAYEE OR CREDITOR (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID USPO POS 3,162.50 Sunflower Station Santa Ana CA 92705 Attach additional information on appropriately labeled continuation sheets. TOTAL' $ 3,162.50 .Do not transfer to any other schedule or to the Summary Page. This total may not equal the amount paid to the agent or independent contractor as reported on Schedule E. FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Su DeBl�en$�I �� Type or print in ink. TEXPENDITURE �� Amounts may be rounded Report covers period Expenditure Report to whole dollars. C from \ i SEE INSTRUCTIONS ON REVERSE I through 12,431 2/3 NAME OF FILER I.D.NUMBER (If Recipient Corn.) Freedom From Taxes 1290839 4. Summary 1. Total independent expenditures made of$100 or more this period. (Part 3) ............................................................................................. $ 1771.02 2. Total independent expenditures under$100 made this period. (Not itemized.) ........................................................................................... $ 0.00 3. Total independent expenditures made this period (Add Lines 1 + 2.) .....................................................................................................TOTAL..$.. 1771.02 5. Filing Officers Enter the official title and address of each filing officer with whom most recent campaign statements have been filed. Please see attached pages 6. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein and in the attached schedules is true and complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. r Executed on 01/16/2009 B etf DATE _ SIGNATURE OF TREASURER OR ASSISTANT TR ASURER Executed on By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER,CANDIDATE,STATE MEASURE PROPONENT OR RESPONSIBLE OFFICER OF SPONSOR Executed on By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER,CANDIDATE,STATE MEASURE PROPONENT Executed on By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER,CANDIDATE,STATE MEASURE PROPONENT FPPC Form 465(12/99) For Technical Assistance:916/322-5660 State of California CASH RECEIPT CITY OF HUNTINGTON BEACH U) City Treasurer — Shari L. Freidenrich P. 0. BOX 711 IL ® � :',9o9:Q. ` HUNTINGTON BEACH, CALI Issuing Dept. a Department Cont Phone# \ z FUNDS RECEIVED FROM_,., . ja,teli r l 3 6 ADDRESS 3 !�✓ LLI - Y co f r; FOR AMOUNT RECEIVED i c 1 E3 Credit Card C Q O Cas1.h Check# t ® °, Prepa d Received Finance f B 1 i �7 By Approval i05 IF OBf7=50000 THRU r� 00,FINANCE APPROVAL REQUIRED Approval Date i8 w siness Unit Object Subs Sub-Ledger, Type. �- 90-7162/3222 2230 J., DEV1N DWYER IV" 8712664792 P-0.BOX 485 s�_� REPUBLIC,MO 657W-0485 DATE ' !�J®a PAY TO THE ., DER OF —� DOLLARS Washingt®ea �i��la9 P L A T I N U M U S T O M E R Wa$"l`gton Mutual-Bank,FA DiamaOtl 8ai-Grantl Aye-.Financial Center 1120 1100 S.Diamond Bar Blvd. 1-800-788 7000 ' Diamond Bar,CA 91765 2 our Customer Se/�rv/�cje MEMO YY^I �� Ca LOi MP 1: 322271G271. : a ? 126647920 2230 TOTAL $ Please do not write in the box below I i i 1 FINANCE COPY CITY OF HUNTINGTON BEACH Request for Supplemental Check Department: City Clerk Date Check Desired: 12/11/08 Vendor Name: J. Devin Dwyer IV Purchase Order (if applicable): OD Invoice Numbers (if applicable): TOTAL AMOUNT OF CHECK $ 1566.00 A supplemental check is required for one of the following reasons (check one): ❑ The City will lose substantial cash if the check is not prepared. ® The City is legally required to make payment on the above date. ❑ The City will be extraordinarily inconvenienced by not preparing check. ❑ Payroll check for less than $5,000 requires approval by Accounting only, Please provide justification for above and why the normal processing deadlines could not be met. This is a refund for the candidate statement and the election code gives us 30 days for the refund and we are now over that deadline, but just received the accounting from the County ROV. Account 10000100.48550 12/11/08 Departn4nt Head A oval Date i l 12/11/08 City Treasurer Approval Date 12/11/08 Finance Administration Approval Date 1-- CASH RECEIPT CITY OF HUNTINGTON BEACH _ City Treasurer — Shari L. Freidenrich ® P. 0. BOX 711 � .' HUNTINGTON BEACH, CALIFORNIA 92648 e a DATE CO Issuing Dept_ -- � LL Department Con e# \ �! 7 �� YO z FUNDS RECEIVED FROP�I ADDRESS FOR AMOUNT RECE di epa id Received Finance Z B �; ! By Approval 1 0 IF OBJECr= 50 b-L_ er, iT, a d . - � Uj - 9"2'3M 2230 J. DEVIN DWYER IV E712%4792 p_O. BOX 485 - REPUBLIC,MO 65738-0485 DATE t 20,0� ikx To TrIE , — :ORD£R� 6-9 �C✓^ DOLLARS OWashington actual P ! A T I iV U M UST 0 M E R iNashirrgtoo Motaal Bank,rA Diamond Bar-Grand Ave Financial center 1120 - MO S.Diamond Bar Blvd. 1 8M 7M 7000 Diamond Bar.CA 91765 ur cuno�,er serce ea3 2 2 27 16 27ee 1371256t.. 7921►® 2230 f TOTAL $ 21 (11-1 l0. `90 J Please do not write in the box below Supplier _- -- - - ----- ---- 2-Wa or 3-Wad Account I l H � � � �� b iV Pv Batch Milk No. F NANCE COPY CANDIDATE STATEMENT ACTUAL COST-November 4,2008 1 OFF.ASST.@ 17,90 X 2 HR 35.80 ALTERNATE LANGUAGE PAMPHLET- SPANISH 575 CHINESE 425 DEPARTMENT OVERHEAD(291.11%) 104.22 VIETNAMESE 1,350 KOREAN 425 TOTAL LABOR PER CAND.STMT. 140.02 ENGLISH SPANISH VIETNAMESE CHINESE KOREAN City of Huntington Beach PAGE SETUP 32.00 32.00 32.00 32.00 32.00 NUMBER OF 200 WORD STATEMENTS 4 TYPSET-PER#OF PAGE FOR CONTEST 2.75 2.75 2,75 2.75 2.75 NUMBER OF 400 WORD STATEMENTS 0 TRANSLATION(200 WORD) 0.00 46.00 46.00 46.00 46.00 NUMBER OF PAGES FOR CONTEST 1 TRANSLATION(400 WORD) 0.00 92.00 92,00 92.00 92.00 MULTIPLE LANGUAGES IN SAMPLE BALLOT 0 TYPESET(PER CANDIDATE STATEMENT) 0.00 45.00 45.00 45.00 45.00 ALT. LANG,PAGES(VRA) 0 TYPESET(400 WORD) 0.00 0.00 0.00 0.00 0.00 SAMPLE BALLOT ORDER 149,850 RUN CHARGE PER 1,000) 330.00 330.00 330.00 330.00 330.00 ENGLISH ALTERNATE] -CALCULATIONS- SPANISH VIETNAMESE 200 WORD 400 WORD 200 WORD 400 WORD 200 WORD 400 WORD PAGE SETUP PLUS TYPSET PER#OF PAGES FOR CONTEST 34.75 I 34.75 34.75 I 34.75 34.75 34.75 RUN CHARGE(S/B ORDER X RUN CHG/1000) 49,450.50 49,450.50 189.75 189.75 445.50 445.50 PAGE CHARGE(RUN CHARGE DIVIDED BY PAGES OF SAMPLE 1,766,09 14766.09 6.78 6.78 15.91 15.91 ALTERNATE LANGUAGE(DIVIDED BY PAGES OF SAMPLE BALLOT) PAGE CHG X#PGS DIVIDED BY#CANDIDATE STATEMENTS 441.52 883.04 1.69 3,39 3.98 7.96 PAGE SETUP AND TYPSET PER#OF PAGES FOR CONTEST 8.69 17.38 8.69 17.38 8.69 17.38 CHARGES DIVIDED BY SHARING CANDIDATES 400 WORD DOUBLES 200 WORD CHARGES. TRANSLATE 0.00 0.00 46.00 92.00 46.00 92.00 TYPESET(PER CANDIDATE STATEMENT) 0.00 0.00 45.00 45.00 45.00 45.00 SUBTOTAL PER STATEMENT 450.21 900.42 101.38 157.76 103.67 162.33 0%DISCOUNT 0.00 0.00 0.00 0.00 0.00 0.00 7.75%SALES TAX 34.89 69.78 0.80 I 1.61 I 0,98 1.96 TOTAL 485.10 970.20 102.19 159,37 104.65 164.29 TOTAL LABOR PER CANDIDATE STATEMENT 140.02 140.02 0.00 0.00 0.00 0.00 SUBTOTAL CANDIDATE COST 1,110,22 102.19 159.37 104,65 164.29 i 200 WORD 400 WORD TOTAL CANDIDATE COST INCLUDING VRA REQUIREMENTS 1,035.00 1,751.00 �f, LANGUAGES CHINESE KOREAN 200 WORD 400 WORD 200 WORD 400 WORD 34.75 34.75 34.75 34,75 140.25 140.25 140.25 140.25 5.01 5.01 5.01 5.01 1.25 2.50 1.25 2.50 8.69 17.38 8.69 17.38 46.00 92.00 46.00 9200, 45.00 45.00 45.00 45.00 100.94 156.88 100.94 156.88 0.00 0.00 0.00 0.00 0.77 1.54 0.77I 1.54 101.71 158.42 101.71 158.42 0.00 0.00 0.00 0.00 101.71 158.42 101.71 158.42 CanVaign Disclosure Statement Type or prW in Ink SUMMARYPAGE A3rdwvft may be vowwW Summary age whole tot Statement covers period ® - L F*om 10/01/2008 ®' SEE INSTRUCTIONS ON REVERSE through 10/18/2008 Page 3 of 17 NAME OF FILER I.D. NUMBER Devin Dwyer for Council 1299718 ColumnA C01112MB Calendar Year Summary for Candidates Contributions Received TOTALTHISPERIOD CALENDAR YEAR (FROM ATTACHED SCHEDULES) TOTALTO DATE Running in Both the State Primary and General Elections 1. Monetary Contributions ........................................... Schedule A,Line 3 $ 13,818.00 $ 28,540.00 1/1 through 6/30 7/1 to Date 2. Loans Received ...................................................... Schedule a,Line 3 0.00 7,000.00 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1+2 $ 13,818.00 $ 35,540.00 20. Contributions Received $ $ 4. Nonmonetary Contributions.................................... Schedule C,Line 3 0.00 0.00 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ...........................Add Lines 3+4 $ 13,818.00 $ 35,540.00 Made $ $ Expenditures Dade Expenditure Limit Summary for State 6. Payments Made....................................................... schedule E,Line 4 $ 17,142.88 $ 30,038.29 Candidates 7. Loans Made............................................................. Schedule H,Line 3 0.00 0.00 22. Cumulative Expenditures Made* 8. S U BTOTAL CAS H PAYM E NTS .................................... Add Lines 6+7 $ 17,142.88 $ 30,038.29 (if Subjectto Voluntary Expenditure Limit) 9. Accrued Expenses (Unpaid Bills) ...............................Schedule F Line 3 -1,501.40 12,843.75 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 $ 15,641.48 $ 42,882.04 _ � � Current Cash Statement $ 12. Beginning Cash Balance....................... Previous Summary Page,Line 16 $ 4,796.81 To calculate Column B,add 13.Cash Receipts ................................................... Column A,Line 3 above 13,818.00 amounts in Column A to the corresponding amounts *Amounts in this section may be different from amounts 14. Miscellaneous Increases to Cash........................... Schedule 1,Line 4 0.00 from Column B of your last reported in Column B. 15.Cash Payments.................................................. Column A,Line 8 above 17,142,88 report. Some amounts in Column A may be negative 16. ENDING CASH BALANCE.......... Add Lines 12+13+14,then subtract Line 15 $ 1,471.93 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 E uivalents and Outstandin Debts from Lines 2, 7,and 9(if q g any). 18. Cash Equivalents........................................ See instructions on reverse $ 0.00 19. Outstanding Debts......................... Add Line 2+Line 9in Column 8 above $ 19,843.75 FPPC Form 460(January/06) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Campaign Disclosure Statement Type or print in ink. SUMMARY PAGE Amounts may be rounded Statement covers period Summary/Page to whole dollars. 'ffidOull from 10/01/2008 SEE INSTRUCTIONS ON REVERSE through 10/18/2008 Page 3 of 16 NAME OF FILER I.D. NUMBER Devin Dwyer for Council 1299718 TColumn olulm EA D Column B Calendar Year Summary for Candidates Contributions Received Running in Both the State Prima and (FROM ATTACHED SCHEDULES) TOTALTO DATE 9 Primary General Elections 1. Monetary Contributions ........................................... Schedule A,Line 3 $ 13,818.00 $ 28,540.00 1/1 through 6/30 7/1 to Date 2. Loans Received ...................................................... Schedule s,Line 3 0.00 7,000..00 3. SUBTOTALCASH CONTRIBUTIONS ......................... Add Lines 1+2 $ 13,818.00 $ 35,540.00 20. Contributions Received $ $ 4. Nonmonetary Contributions.................................... Schedule C,Line 3 0.00 0.00 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED •.....••••.............•••.AddLines3+4 $ 13,818.00 $ 35,540.00 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made....................................................... Schedule E,Line 4 $ 17,142.88 $ 30,038.29 Candidates 7. Loans Made............................................................. schedule H,Line 3 0.00 0.00 22. Cumulative Expenditures Made* 8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6+7 $ 17,142.88 $ 30,038.29 (It Subject to Voluntary Expenditure Limit) 9. Accrued Expenses (Unpaid Bills) ...............................Schedule F Line 3 -4,101.40 10,243.75 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 a+9+10 $ 13,041.48 $ 40,282.04 �_� $ Current Cash Statement $ 12. Beginning Cash Balance....................... Previous Summary Page,Line 16 $ 4,796.81 To calculate Column B,add 13.Cash Receipts ................................................... Column A,Line 3 above 13,818.00 amounts in Column A to the corresponding amounts *Amounts in this section may be different from amounts 14.Miscellaneous Increases to Cash........................... Schedule 1,Line 4 0.00 from Column B of your last reported in Column B. 15. Cash Payments.............................. 17,142.88 report. Some amounts in Column A,Line 6 above Column A may be negative 16.ENDING CASH BALANCE.......... Add Lines 12+13+14,then subtract Line 15 $ 1,471.93 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 from Lines 2,7,and 9(if Cash Equivalents and Outstanding Debts any). 18. Cash Equivalents........................................ see instructions on reverse $ 0.00 19. Outstanding Debts......................... Add Line 2+Line 9 in Column B above $ 17,243.75 FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(8661275-3772) Schedule G SCHEDULE G Type or print in ink. Payments Made by an Agent or Independent Amounts may be rounded Statement covers period QJRNIA Contractor(on Behalf of This CouT mittee) t0 whole dollars. from 10/01/2008 ` FORM 46 1 through 10/18/2008 16 16 SEE INSTRUCTIONS ON REVERSE Page of NAME OF FILER I.D.NUMBER Devin Dwyer for Council 1299718 NAME OF AGENT OR INDEPENDENT CONTRACTOR Bieber Communications CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v.or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel,lodging,and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals IND independent expenditure supporting/opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration Lrr campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) *Payments that are contributions or independent expenditures must also be summarized on Schedule D. NAME AND ADDRESS OF PAYEE OR CREDITOR(IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID use0 POS 2,250.00 Sunflower Station Santa Ana CA 92705 Attach additional information on appropriately labeled continuation sheets. TOTAL* $ 2,250.00 *Do not transfer to any other schedule or to the Summary Page. This total may not equal the amount paid to the agent or independent contractor as reported on Schedule E. FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Recipient Committee COVE I R PAGE I '41 Type or print in ink. Date Stamp Campaign Statement �QALIFORMA- 10 Cover Page (Government Code Sections 84200-84216.5) Statement covers period Date of election if applicable:4 008 OCT -6 AN I 1: 3 J from 07/01/2008 (Month, Day, Year) Page 1 of 17 For Official Use Only SEE INSTRUCTIONS ON REVERSE through 09/30/2008 U 1. Type of Recipient Committee: All Committees—Complete Parts 1,2,3,and 4. 2. Type of Statement: Fx1 Officeholder,Candidate Controlled Committee E] Primarily Formed Ballot Measure Preelection Statement ❑ Quarterly Statemen Election Committee Committee ❑ Semi-annual Statement E] Special Odd-Year Report 0 Recall 0 Controlled E] Termination Statement ❑ Supplemental Preelection (Also Complete Part 5) 0 Sponsored (Also file a Form 410 Termination) Statement-Attach Form 495 E] General Purpose Committee (Also Complete Part 6) ❑ Amendment(Explain below) 0 Sponsored F—] Primarily Formed Candidate/ 0 Small Contributor Committee Officeholder Committee 0 Political Party/Central Committee (Also Complete Part 7) 3. Committee Information I.D. NUMBER Treasurer(s) MMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER Devin Dwyer for Council Lysa Ray MAILING ADDRESS 603 E Alton Ave Suite H STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE 19051 Goldenwest St 4106-249 Santa Ana, CA 92705 714-540-2295 CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY Huntington Beach, CA 92648 714-540-2295 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 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the informati contain e ein and in the attached schedules is true and complete. I certify under penalty of perjury under the la s of the State of California that the foregoing is true and correc Executed on By bale VSignat 0 ryl�r��.JreofT asurer By Executed on uatel Signature ofCont llfig Officeholder,Candidatey/al Measure Proponent or Responsible Officer of Sponsor Executed o By— r Date Signature of Controlling Officeh6lder,Candidate,State Measure Proponent Executed on By Date Signature of Controlling Officeholder,Candidate,State Measure Proponent FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) State of California Type or print in ink. COVER PAGE-PART 2 Recipient Committee OALI Campaign Statement FORNW a Cover Page—Part 2 Page 2 of 17 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDE TE NAME OF BALLOT MEASURE Devin Dwyer OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO.OR LETTER JURISDICTION ❑ SUPPORT City Council Member ❑ OPPOSE Huntington Beach RESIDENTIAL/BUSINESS ADDRESS (NO.AND STREET) CITY STATE ZIP 310 22nd St Huntington Beach, CA 92648 Identify the controlling officeholder, candidate, or state measure proponent, if any. 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 ❑ YES officeholder(s)or candidate(s)for which this committee is primarily formed. ❑ 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 Summary Page to whole dollars. FbRNMI1 from 07/01/2008 ® SEE INSTRUCTIONS ON REVERSE through 09/30/2008 Page 3 of 17 NAME OF FILER I.D. NUMBER Devin Dwyer for Council 1299718 ColumnA Column B Calendar Year Summary for Candidates Contributions Received TOTALTHISPERIOD CALENDAR YEAR Running in Both the State Prima and (FROM ATTACHED SCHEDULES) TOTALTO DATE g Primary General Elections 1. Monetary Contributions ........................................... Schedule A,Line 3 $ 13,724.00 $ 14,522.00 2. Loans Received ...................................................... Schedule B,Line 3 1,000.00 7,000.00 1/1 through 6/30 7/1 to Date 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1+2 $ 14,724.00 $ 21,522.00 20. Contributions Received $ $ 4. Nonmonetary Contributions.................................... Schedule C,Line 3 0.00 0.00 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ...........................Add Lines 3+4 $ 14,724.00 $ 21,522.00 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made....................................................... Schedule e,Line 4 $ 11,461.36 $ 12,895.41 Candidates 7. Loans Made............................................................. Schedule H,Line 3 0.00 0.00 22. Cumulative Expenditures Made* 8. SUBTOTALCASH PAYMENTS .................................... Add Lines 6+7 $ 11,461.36 $ 12,895.41 (IfSubjectto Voluntary Expenditure Limit) 9. Accrued Expenses (Unpaid Biffs)...............................Schedule Line 3 14,345.15 14.345.15 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 $ 25,806.51 $ 27,240.56 Current Cash Statement JJ $ 12. Beginning Cash Balance....................... Previous Summary Page,Line 16 $ 534.17 To calculate Column B,add 13.Cash Receipts ................................................... Column A,Line 3 above 14,724.00 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 1,000.00 from Column B of our last y reported in Column B. 15.Cash Payments.................................................. Column A,Line 6 above 11,461.36 report. Some amounts in Column A may be negative 16. ENDING CASH BALANCE.......... Add Lines 12+13+14,then subtract Line 15 $ 4,796.81 figures that should be subtracted from previous li 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 9(if any). 18. Cash Equivalents........................................ See instructions on reverse $ 0.00 19. Outstanding Debts......................... Add Line 2+Line 9 in Column B above $ 21,345.15 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 Amounts may be rounded Statement covers period to whole dollars. O-A - from 07/01/2008 ® - SEE INSTRUCTIONS ON REVERSE through 09/30/2008 Page 4 of 17 NAME OF FILER I.D. NUMBER Devin Dwyer for Council 1299718 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION RECEIVED (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALE (IF SELF-EMPLOYED,ENTER NAME PERIOD (JAN. 1-DEC.31) (IF REQUIRED) OF BUSINESS) 09/17/2008 Aryes D 250.00 250.00 G08 250.00 ❑COM 355 Bristol St., Suite A ❑x OTH Costa Mesa, Ca 92626-966 ❑SCC 08/28/2008 D.B. Ayres ❑RIND Hotel Business 500.00 500.00 G08 500.00 ❑COM 355 Bristol St., Suite A Costa Mesa, Ca 92626 ❑PTY ❑SCC 09/17/2008 Scott Baugh ❑HIND Attorney 500.00 500.00 G08 ❑COM 6662 Blue Heron Dr. []OTH Scott Baugh & Associates Huntington Beach, Ca 92648 ❑PTY ❑SCC 08/08/2008 Mark Bucher ❑HIND Owner 500.00 500.00 G08 500.00 ❑COM 18002 Irvine Blvd., Suite 108 ❑OTH Employers Resource Tustin, CA 92780-3321 ❑PTY ❑SCC 09/17/2008 Catalina Securities LLC MIND 500.00 500.00 G08 500.00 ❑COM 121 Hartford Dr. x❑OTH Newport Beach, Ca 92660 ❑PTY ❑SCC SUBTOTAL$ 2,250 00 { mid 'Ii Schedule A Summary *Contributor Codes 1. Amount received this period—itemized monetary contributions. IND—Individual (Include all Schedule subtotals.)........................................................................................................$ 13,599.00 COM—Recipient Committee (other than PTY or SCC) 2. Amount received this period—unitemized monetary contributions of less than$100 .............................$ 125.00 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 $ 13,724.00 FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. ® � from 07/01/2008 through 09/30/2008 Page 5 of 17 NAME OF FILER I.D.NUMBER Devin Dwyer for Council 1299718 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE,A IT RE ADDRESS ZIP I.D.N DE O CODE * OCCUPATION AND EMPLOYER RECEIVED DAR YEAR TO DATE (IF SELF-EMPLOYED,ENTER NAME PERIOD (JAN. 1-DEC.31) (IF REQUIRED) OF BUSINESS) 08/2008 09 Craig C ❑FIND / VP 500.00 500.00 G08 500.00 ❑COM 19 Balboa Coves ❑OTH ❑P rance Newport Beach, Ca 92663 ❑SCC 09 08 2008 Julice Chamberlain ❑F IND / / 500.00 500.00 GOB 500.00 El COM 19 Balboa Coves ❑OTH Newport Beach, Ca 92663 ❑SCC 09/17/2008 RIND Laura Cunningham Homemaker 100.00 100.00 G08 100.00 ❑COM 435 E. Riverview Ave. ❑OTH Orange, Ca 92865 ❑PTY ❑SCC 09 17 2008 Delta Partners, LLC / / [IIND 500.00 500.00 cos 500.00 ❑COM 17541 17th St. [MOTH Torrance, Ca 92780 ❑PTY ❑SCC 09/17/2008 Debra Drake [MIND Homemaker 500.00 500.00 G 08 500.00 ❑COM 24 Old Ranch Rd. ❑OTH Laguna Niguel, Ca 92677 El PTY ❑SCC SUBTOTAL$ z loo.00 *Contributor Codes IND—Individual COM—Recipient Committee (other than PTY or SCC) OTH—Other(e.g., business entity) PTY—Political Party FPPCForm460 Janus /05 SCC—Small Contributor Committee FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. 46 from 07/01/2008 ' ORK through 09/30/2008 Page 6 of 17 NAME OF FILER I.D.NUMBER Devin Dwyer for Council 1299718 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 I.D.N DE O CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR (IF SELF-EMPLOYED,ENTER NAME PERIOD (JAN.1-DEC.31) (IF REQUIRED) OF BUSINESS) 08 28 2008 Dolores M ND / / Retired 150.00 300.00 G08 300.00 ❑COM 20601 Suburbia Ln. ❑OTH Huntingto 2646-5451 ❑PTY ❑SCC 08/28/2008 Dolores M. Dwyer ❑BIND Retired 150.00 300.00 G 08 30 20601 Suburbia Ln. ❑OTH Huntington Beach, Ca 92646-5451 ❑PTY ❑SCC 09/17/2008 Diane Harkey ❑xIND mber 500.00 500.00 GOB 500.00 76 Ritz Cove ❑COM❑OTH City Council Dana Point Monarch Beach, Ca 92629 ❑PTY ❑SCC 09/17/2008 Greg Haskin ❑RIND Teacher 500.00 500.00 GOB 500.00 ❑COM 18220 Santa Arabella ❑OTH Westminster School Fountain Valley, Ca 92780 ❑PTY District [:]SCC 09/30/2008 Jack C. Hennings, Jr. MIND Realtor 100.00 100.00 G 08 100.00 ❑COM 996 Summit Dr. ❑OTH Self Laguna Niguel, Ca 92651 ❑PTY ❑SCC SUBTOTAL$ tilun l 1,400.00 "Contributor Codes IND—Individual COM—Recipient Committee (other than PTY or SCC) OTH—Other(e.g., business entity) PTY—Political Party FPPC Form 460 Janus /05 SCC—Small Contributor Committee ( ry ) 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. mom, from 07/01/2008 through 09/30/2008 Page 7 of 17 NAME OF FILER I.D.NUMBER Devin Dwyer for Council 1299718 FULL NAME STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION , DATE CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF COMMITTE ) CODE (IF SELF-EMPLOYED,ENTER NAME PERIOD (JAN.1-DEC.31) (IF REQUIRED) OF BUSINESS) da Howit IND 09/17/2008 ❑ Homemaker 500.00 500.00 G 08 500.00 ❑COM 23 Signal Hill, Ca 907SS-3936 ❑PTY ❑SCC [Douglas Ingram RIND09/30/2008 ❑ Executive 300.00 300.00 GOS ❑COM Cataina ❑OTH PT, Allergan port Coast, CA 92657SCC in Kelter 09/I7/2008 ❑XIND 500.00 G08 500.00 ❑COM 18281 Gothard St., Suite 201 ❑OTH Tuscany Development Inc. Huntington Beach, Ca 92708 ❑PTY ❑SCC 09/17/2008 Thomas Mauro MIND President 100.00 100.00 G 08 100.00 ❑COM 26662 Stetson Pl. ❑OTH ❑PTY Denoxo Farmhouse Laguna Hills, Ca 92653-5765 ❑SCC 08/28/2008 Gerald Moffatt MIND President 250.00 250.00 G 08 250.00 ❑COM 16787 Beach Blvd., #554 ❑OTH Rainbow Disposaol Co.. ❑PTY Inc. Huntington Beach, Ca 92647-4848 ❑SCC SUBTOTAL$ 1,650.00 *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 (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. • L 01 from 07/01/2008 "FORM through_ 0913012008 Page 8 of 17 NAME OF FILER I.D.NUMBER Devin Dwyer for Council 1299718 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 I.D.N DE O CODE * O PLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED,ENTER NAME PERIOD (JAN.1 -DEC.31) (IF REQUIRED OF BUSINESS) 09 17/2008 Montrose Partners ❑IND / 500.00 500,00 G08 500.00 ❑COM 24 Old Ranch ❑x OTH Laguna Niguel, Ca 92677 ❑PTY ❑SCC 09/17/2008 Michael Muellerleile ❑xIND Attorn 0.00 GOB 500.00 ❑COM 32 Sunset Cv. El OTH El PTY Self Newport Coast, Ca 08 John O'Dwyer ❑RIND Congressional Liaison 300.00 300.00 G08 300.00 ❑COM P.O. Box 2045 El OTH FEMA Port Townsend, WA 98369-0239 ❑PTY ❑SCC 09/03/2008 Manuel Padilla IND Retired ❑ 100.00 100.00 G 08 100.00 ❑COM 19041 Chadbourne Ln. ❑OTH Santa Ana, Ca 92705 ❑PTY ❑SCC 08/16/2008 Adam Probolsky [MIND CEO 249.00 249.00 G 08 249.00 ❑COM 23276 S. Point Hills Dr. ❑OTH#206 PTY prObOlsky Research ❑ Laguna Hills, CA 92653 ❑SCC SUBTOTAL$ 1 649.00 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. L 1 F OR from 07/01/2008 F0' through 09/30/2008 Page 9 of 17 NAME OF FILER I.D.NUMBER Devin Dwyer for Council 1299718 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IFCOMMITTEE,ALSOENTERI.D.NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED T R YEAR TO DATE (IF SELF-EMPLOYED,ENTER NAME PERIOD (JAN.1 -DEC.31) (IF REQUIRED) OF BUSINESS) 08/28/2008 Ra ❑IND 500.00 500.00 G08 500.00 ❑COM 17121 Nichols St. ❑x OTH Huntington Beach, Ca 92647 ❑PTY 09 03 2008 John R. Saunders ❑x IND / / ❑ Property Management 500.00 500.00 G08 500.00 COM 4040 MacArthur Blvd. #300 ❑OT ❑PTY Saunders Property Company Newport Beach, Ca 92660-2022 ❑SCC 08/28/2008 Ronald Shenkman ❑RIND Cha .00 200.00 GOB 200.00 15682 Sunflower Ln. ❑COM ❑OTH Rainbow Disposaol Co. . Huntington Beach, Ca 92647 ❑PTY Inc. ❑SCC 09 30 2008 Elizabeth Shier Burnett / / ❑xIND Aerospace 300.00 300.00 G08 300.00 El COM 1016 13th St El OTH Self Huntington Beach, CA 92648 ❑PTY n ❑SCC 2008 09 17 SunCal Management, LLC / / ❑IND 500.00 500.00 GOB 500.00 ❑COM 2392 Morse Ave. - ❑X OTH - ❑PTY Irvine, Ca 92614 El SCC SUBTOTAL$ 2 000 00 n ri r'Co t buto Codes IND—Individual COM—Recipient Committee (other than PTY or SCC) OTH—Other(e.g., business entity) PTY—Political Party Janua /05 460 FPPC Form SCC—Small Contributor Committee ( rY ) 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. CALIFORN A; from 07/01/2008 FORM through 09/30/2008 Page 10 of 17 NAME OF FILER I.D.NUMBER Devin Dwyer for Council 1299718 FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION DATE CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IFCOMMITT ER) CODE (IF SELF-EMPLOYED,ENTER NAME PERIOD (JAN. 1-DEC.31) (IF REQUIRED) OF BUSINESS) Stanley Tkaczy OS/28/2008 ❑ Executive 300.00 300.00 G08 300.00 ❑COM 20301 SW Cypress St. ❑OTH 0 ❑PTY Rainbow Disposal ❑SCC 09/30/2008 Toyota of Huntington Beach ❑IND 500.00 500.00 G 08 500.00 18881 Beach Blvd. ❑X OTH Huntington Beach, Ca 92648 ❑PTY ❑SCC 09/03/2008 Thomas Tucker ❑xIND Chairman 500.00 500.00 GOS 500.00 ❑COM 3 Upper Newport Plaza, 2nd floor ❑OTH Newport Beach, Ca 92660 El PTY Pennhill Properties ❑SCC 09/30/2008 Norm Westwell RIND❑ Business Owner 500.00 500.00 G 08 500.00 ❑COM 17171 Englewood Cir. ❑OTH True West Huntington Beach, Ca 92647-5502 ❑PTY ❑SCC 09/17/2008 K.J. Wilken ®IND Retired 250.00 250.00 G 08 250.00 ❑COM 6 Beacon Bay ❑OTH ❑PTY Newport Beach, Ca 92660 ❑SCC SUBTOTAL$ Pig " I�tl�,IRINlNA ,y�"��,�' . 2,050.00 *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 RN A Statement covers period to whole dollars. from 07/01/2008 IrORMI through 09/30/2008 Page 11 of 17 NAME OF FILER I.D.NUMBER Devin Dwyer for Council 1299718 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION RECEIVED (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS TO DATE (IF SELF-EMPLOYED,ENTER NAME PERIOD (JAN.1 -DEC.31) (IF REQUIRED) OF BUSINESS) William Witte X IND 09/OS/2008 ❑ Business Owner 500.00 500.00 G 08 500.00 ❑COM 1270 Pacific Ave. ❑OTH Laguna Beach, Ca 92651 ❑PTY Related California ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC SUBTOTAL$ �p��l �ii , soo.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) Type or print in ink. SCHEDULEB-PART1 Schedule B—Part 1 Amounts may be rounded Statement covers period ii o _ Loans Received to whole dollars. from 07/01/2008 o SEE INSTRUCTIONS ON REVERSE through 09/30/2008 Page 12 of 17 NAME OF FILER I.D. NUMBER Devin Dwyer for Council 1299718 IF AN INDIVIDUAL ENTER a (b) (c) (d) (e) M (9) , FULL NAME,STREET ADDRESS AND ZIP CODE OUTSTANDING AMOUNT OUTSTANDING INTEREST ORIGINAL CUMULATIVE OCCUPATION AND EMPLOYER BALANCE AMOUNT PAID gALANCEAT OF LENDER (IF SELF-EMPLOYED,ENTER BEGINNING THIS RECEIVED THIS OR FO SE THIS PAID THIS AMOUNTOF CONTRIBUTIONS (IFCOMMITTEE,ALSO ENTER I.D.NUMBER) NAMEOFBUSINESS) PERIOD PERIOD THIS PERIOD* PERIOD PERIOD LOAN TO DATE Devin Dwyer Candidate ❑PAID CALENDARYEAR 310 22nd St 0.00 6,000.00 6,000.00 ntington Beach City $ *6 Huntington Beach, CA 92468 Council ❑FORGIVEN RATE PER ELECTION** 07/11/2007 6,000.00 0.00 0.00 0.00 008 7,000.00 $ $ $ $ $ t® IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED Devin Dwyer Candidate ❑PAID CALENDARYEAR 310 22nd St 0.00 1,000.00 011 1,000.00 1,000.00 Huntington Beach City RATE Huntington Beach, CA 92468 Council ❑FORGIVEN PER ELECTION** 0.00 1,000.00 0.00 0.00 c08 7,000.00 $ $ $ $ 09/30/2008 $ t® IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED ❑PAID CALENDARYEAR $ $ 06 % $ $ ❑FORGIVEN RATE PER ELECTION** t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED SUBTOTALS $ 1,000.00 $ 0.00 $ 7,000.00 $ 0.00 rry I��IIIIii;llli pI (Enter(e)on Schedule B Summary Schedule E,Line 3) 1. Loans received this period.................................................................................................................... $ 1,000.00 (Total Column(b)plus unitemized loans of less than$100.) tContributor Codes IND—Individual 2. Loans paid or forgiven this period .........................................................................................................$ 0.00 COM-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. NET $ 1,000.00 SCC-Small Contributor Commit tee g p ( )...............................................................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(8661275-3772) Schedule E Type or print in ink. SCHEDULEE Statement covers period Aunts may be rounded CALIFORNIA L Payments Made to whole dollars. s- from 07/01/2008 60 SEE INSTRUCTIONS ON REVERSE through 09/30/2008 Page 13 of 17 NAME OF FILER I.D. NUMBER Devin Dwyer for Council 1299718 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 PI O 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 th /sponsor LEG legal defense PRO professi egal, accounting) VOT voter registration LIT campaign literat nt 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 COGS South Signs CMP 1,709.55 3309 S. Main St. Santa Ana, Ca 92707 COGS South Signs CMP 5,893.52 3309 S. Main St. Santa Ana, Ca 92707 CompleteCampaigns OFC cc processing 18.68 610- Gateway center way, Suite K San Diego, CA 92102 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 7,621.75 Schedule E Summary 1. Itemized payments made this period. Include all Schedule E subtotals. ............................................................................. $ 11,461.36 2. Unitemized payments made this period of under$100 .......................................................................................................................................... $ 0.00 3. Total interest paid this period on loans. Enter amount from Schedule B, Part 1, Column e . 0.00 4. Total payments made this period. Add Lines 1,2,and 3. Enter here and on the Summary Page, Column A, Line 6. TOTAL $ 11,461.36 FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Schedule E Type or print in ink. Statement covers period (Continuation Sheet) Amounts may be rounded SCHEDULE E(CONT.) ® ' to whole dollars. OR Payments Made from 07/01/2008 NIL h SEE INSTRUCTIONS ON REVERSE through 09/30/2008 14 Page of 17 NAME OF FILER I.D.NUMBER Devin Dwyer for Council 1299718 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)` OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v.or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel,lodging,and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals IND independent expenditure supporting/opposing others (explain)" POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense gal, accounting) VOT voter registration LIT c PRT print ads WEB information technology costs (internet, e-mail) YEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF NTER t.D.NUMBER) CompleteCampaigns 610- Gateway center Wa 37.50 San Diego, CA 92102 CompleteCampaigns 610- Gateway center Way, Suite K OFC 112.50 San Diego, CA 92102 Continuing the Republican Revolution (#598041) 1300 Bristol St, Suite 100 LIT 350.00 Newport Coast, Ca 92660 Democratic Voters Choice (#595002) 340 N. Meyers St. 500.00 LIT Burbank, CA 91506 Impact Placements CMP 1,675.00 22431 Antonio Pkwy., Suite-B-160#131 RSM, CA 92688 ' Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 2,675.00 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 ® _ � to whole dollars. ® o Payments Made from 07/01/2008 • through 09/30/2008 15 17 SEE INSTRUCTIONS ON REVERSE g Page of NAME OF FILER I.D.NUMBER Devin Dwyer for Council 1299718 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel,lodging,and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals IND independent expenditure supporting/opposing others (explain)" POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense services (legal, accounting) VOT voter registration LIT cam d mailings PRT print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID (IF COMMITTEE,ALSO ENTER I.D.NUMBER) Lysa Ray Campaign Services 603 E Alton Ave Suite H PRO 168.75 Santa Ana, CA 92705 Soree Event Planning & Catering 2727 S. Shannon St. FND 995.86 Santa Ana, Ca 92704 *Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 1,164.61 FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) SCHEDULEF Schedule F Type or print in ink. Amounts may be rounded Statement covers period ',CALIFeRNIA Accrued Expenses (Unpaid Bills) to whole dollars. from 07/01/20osFORIVIISEE I NSTRUC TIONS ON REVERSE through 09/30/2008 Page 16 of 17 NAME OF FILER I.D.NUMBER Devin Dwyer for Council 1299718 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 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 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 mailings PRT print ads WEB information technology costs (internet, e-mail) (a) (b) (c) (d) RESS OF CREDITOR CODE OR OUTSTANDING AMOUNTINCURRED AMOUNTPAID OUT ENTER I.D.NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THIS PERIO OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD Delta Partners, LLC CNS 0.00 10,000.00 0.00 10,000.00 17541 17th St. Torrance, Ca 92780 Bieber Communications LIT 0.00 4,101.40 0.00 4,101.40 3609 W. MacArthur Blvd. Suite 812 Santa Ana, Ca 92704 Lysa Ray Campaign Services PRO 0.00 243.75 0.00 243.75 603 E Alton Ave Suite H Santa Ana, CA 92705 *Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTALS $ 0.00 $ 14,345.15 $ 0.00$ 14,345.15 Schedule F Summary 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for accrued expenses of$100 or more, plus total unitemized accrued expenses under$100.)............................................ INCURRED TOTALS $ 14,345.15 2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on accrued expenses of$100 or more, plus total unitemized payments on accrued expenses under$100. 0.00 p p p Y p ) .................................PAID TOTALS $ 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and on the Summary Page, Column A, Line 9.) NET 14,345.15 ................................................................................................................................................ $ May be a negative number FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Schedule I Type or print in ink. SCHEDULE 1 Miscellaneous Increases to Cash Amounts may be rounded Statement covers period ® - towholedollars. 07/01/2008 • - from through 09/30/2008 page 17 of 17 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D.NUMBER Devin Dwyer for Council 1299718 DATE FULL NAMEAND ADDRE DESCRIPTION OF RECEIPT AMOUNT OF RECEIVED (IF COMMITTEE,ALSO ENTER I.D.NUMBER) ASH 09/29/2008 Democratic Voters Choice 595002 Voided Check 500.00 340 N. Meyers St. Burbank, CA 91506 09/30/2008 Official Non-Partisan Voter Guide 1277947 refund 500.00 921 11th St., Suite 400 Sacramento, CA 95B04 Attach additional information on appropriately labeled continuation sheets. SUBTOTAL$ 1,000.00 Schedule I Summary 1. Itemized increases to cash this period. .......................................................................................................................$ 1,000.00 2. Unitemized increases to cash of under$100 this period.............................................................................................$ 0.00 3. Total of all interest received this period on loans made to others. Schedule H, Column e . $ 0.00 4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the SummaryPage, Line 14. TOTAL $ 1,000.00 9 ) ........................................................................................................................... FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(8661276-3772) Campaign Disclosure Statement Type or print in ink. SUMMARYPAGE Amounts may be rounded Statement covers period 'CALIFORNIA Summary Page to whole dollars. I from 01/01/2008 ®' SEE INSTRUCTIONS ON REVERSE through 06/30/2008 Page 3 of 9 NAME OF FILER I.D. NUMBER Devin Dwyer for Council 1299718 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 $ 796.00 $ 798.00 1/1 through 6l30 7/1 to Date 2. Loans Received ...................................................... schedule 8,Line 3 0.00 6,000.00 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1+2 $ 798.00 $ 6,798.00 20. Contributions Received $ $ 4. Nonmonetary Contributions.................................... schedule C,Line 3 0.00 0.00 21, Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ...........................Add Lines 3+4 $ 798.00 $ 6,798.00 Made $ $ Expenditures trade Expenditure Limit Summary for State 6. Payments Made....................................................... Schedule E,Line 4 $ 1,434.05 $ 1,434.05 Candidates 7. Loans Made............................................................. Schedule H,Line 3 0.00 0.00 22. Cumulative Expenditures Made* 8. SUBTOTALCASH PAYMENTS .................................... Add Lines 6+7 $ 1,434.05 $ 1,434.05 (if Subjectto Voluntary Expenditure Limit) 9. Accrued Expenses (Unpaid Bills) ...............................schedule F Line 3 -583.42 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+9+10 $ 850.63 $ 1,434.05 �� $ Current Cash Statement $ 12. Beginning Cash Balance....................... Previous Summary Page,Line 16 $ 670.22 To calculate Column B,add 13.Cash Receipts ................................................... Column A,Line 3 above 798.00 amounts in Column A to the corresponding amounts *Amounts in this section may be different from amounts 14. Miscellaneous Increases to Cash........................... Schedule 1,Line 4 500.00 1from Column B of your last reported in Column B. 15.Cash Payments.................................................. Column A,Line 8 above 1,434.05 report. Some amounts in Column A may be negative 16. ENDING CASH BALANCE.......... Add Lines 12+13+14,then subtract Line 15 $ 534.17 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 s,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 8 above $ 6,000.00 FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772)