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HomeMy WebLinkAboutFreidenrich, Shari - 2008 FPPC Campaign Disclosure Forms - S Campaign Disclosure Statement Type or print in ink. SUMMARY PAGE Amounts may be rounded Statement covers period Summary age to whole dollars. 07/01/2008 FFORM from SEE INSTRUCTIONS ON REVERSE through 12/31/2008 Page 3 of 6 NAME OF FILER I.D. NUMBER Shari Freidenrich for City Treasurer 961031 Contributions Received To Column oD cColumn B Calendar Year Summary for Candidates (FROMATTACHED SCHEDULES) TOTAL TO DATE Running in Both the State Primary and General Elections 1. Monetary Contributions ........................................... Schedule A,Line $ 199.00 $ 1,249.00 1/1 through 6/30 7/1 to Date 2. Loans Received ...................................................... Schedule s,Line 3 0.00 0.00 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1+2 $ 199.00 $ 1,249.00 20. Contributions Received $ $ 4. Nonmonetary Contributions.................................... Schedule C,Line 3 0.00 0.00 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ...........................Add Lines 3+4 $ 199.00 $ 1,249.00 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made....................................................... Schedule E,Line 4 $ 1,039.43 $ 1,993.46 Candidates 7. Loans Made............................................................. Schedule H,Line 3 0.00 0.00 22. Cumulative Expenditures Made* 8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6+7 $ 1,039.43 $ 1,993.46 (If Subject to Voluntary Expenditure Limit) 9. Accrued Expenses (Unpaid Bills) ...............................Schedule F Line 3 0.00 85.00 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 $ 1,039.43 $ 2,078.46 _�,� $ Current Cash Statement $ 12.Beginning Cash Balance....................... Previous Summary Page,Line 16 $ 7,908.90 To calculate Column B,add 13.Cash Receipts ................................................... Column A,Line 3 above 199.00 amounts in Column A to the corresponding amounts *Amounts in this section may be different from amounts 14.Miscellaneous Increases to Cash........................... Schedule/,Line 4 0.00 from Column B of your last reported in Column B. 15.Cash Payments.................................................. Column A,Line 8above 1,039.43 report. Some amounts in Column A may be negative 16. ENDING CASH BALANCE.......... Add Lines 12+13+14,then subtract Line 15 $ 7,068.47 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 2,7,ands(if any). 18. Cash Equivalents........................................ See instructions on reverse $ 0.00 19. Outstanding Debts......................... Add Line 2+Line 9 in Column B above $ 85.00 FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) ,l a CASH RECEIPT CITY OF HUNTINGTON BEACH City Treasurer — Shari L. Freidenrich P. 0. BOX 711 »'"969•' ` HUNTINGTON BEACH, CALIFORNIA 92648 i DATE �000 Issuing Dept. r Department Contact Phone# FUNDS RECEIVED FROM '.;��(! ADDRESS FOR _ 1C� A F14af `G-UGC ucd' AMOUNT RECEIVED �f []Cash WCheck# 6?,5—e ❑Credit Card Prepared,, cl "f Received;, �f � Finance ByL ,g _ , :,.;�. :r.��.._ Approval IF OBJECT='50000 THRli!90000,FINANCE APPROVAL REQUIRED Approval Date Business}Unit Ob ect Subs._, Sub-L d er . ._;T -- � -- - — TOTAL $ Please do not write in Ze box below r ISSUING DEPARTMENT COPY Campaign Disclosure Statement Type or print in ink. SUMMARY PAGE Amounts may be rounded Statement covers period gEm Summary Page to whole dollars. from 01/01/2008 SEE INSTRUCTIONS ON REVERSE through 06/30/2008 Page 3 of 8 NAME OF FILER I.D. NUMBER Shari Freidenrich for City Treasurer 961031 Column A Column B Calendar Year Summary for Candidates Contributions Deceived TOTALTHISPERIOD CALENDARYEAR (FROM ATTACHED SCHEDULES) TOTALTODATE Running in Both the State Primary and General Elections 1. Monetary Contributions ........................................... Schedule A,Line 3 $ 1,050.00 $ 1,050.00 1/1 through 6/30 7/1 to Date 2. Loans Received ...................................................... Schedule B,Line 3 0.00 0.00 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1+2 $ 1,050.00 $ 1,050.00 20. Contributions Received $ $ 4. Nonmonetary Contributions.................................... Schedule C,Line 3 0.00 0.00 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ...........................Add Lines 3+4 $ 1,050.00 $ 1,050.00 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made....................................................... Schedule E,Line 4 $ 954.03 $ 954.03 Candidates 7. Loans Made............................................................. Schedule H,Line 3 0.00 0.00 22. Cumulative Expenditures Made* 8. SUBTOTALCASH PAYMENTS .................................... Add Lines 6+7 $ 954.03 $ 954.03 (If Subject to Voluntary Expenditure Limit) 9. Accrued Expenses (Unpaid Bills)...............................Schedule F,Line 3 0.00 85.00 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 $ 954.03 $ 1,039.03 _�� $ Current Cash Statement $ 12.Beginning Cash Balance....................... Previous Summary Page,Line 16 $ 7,812.93 To calculate Column B,add 13.Cash Receipts ................................................... Column A,Line 3 above 1,050.00 amounts in Column A to the corresponding amounts *Amounts in this section may be different from amounts 14. Miscellaneous Increases to Cash........................... Schedule/,Line 4 0.00 from Column B of your last reported in Column B. 15.Cash Payments.................................................. Column A,Line 8 above 954.03 report. Some amounts in Column A may be negative 16. ENDING CASH BALANCE.......... Add Lines 12+13+14,then subtract Line 15 $ 7,908.90 figures that should be -subtracted from previous If this is a termination statement, Line 16 must be zero. period amounts. If this is the first report being filed 17. LOAN GUARANTEES RECEIVED ........................... Schedule B,Part $ 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 $ 85.00 FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Schedule D Summary o$Expenditures Type or print in ink. SCHEDULED Amounts may be rounded Statement covers period • Supporting/Opposing Other to whole dollars. ® - a Candidates, Measures and Committees from 01/01/2ooe SEE INSTRUCTIONS ON REVERSE through 06/30/2008 Page 6 of 8 NAME OF FILER I.D. NUMBER Shari Freidenrich for City Treasurer 961031 NAME OF CANDIDATE,OFFICE,AND DISTRICT,OR DESCRIPTION CUMULATIVE TO DATE PER ELECTION DATE TYPE OF PAYMENT AMOUNT THIS MEASURE NUMBER OR LETTER AND JURISDICTION, (IF REQUIRED) CALENDAR YEAR TO DATE OR COMMITTEE PERIOD (JAN.1-DEC.31) (IF REQUIRED) 06/09/2008 Republican Party ot orange County 250.00 250.00 © Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure SUBTOTAL $ 250.00 Schedule D Summary 1. Itemized contributions and independent expenditures made this period. Include all Schedule D subtotals. 250.00 2. Unitemized contributions and independent expenditures made this period of under$100..................................................................................... $ 0.00 3. Total contributions and independent expenditures made this period. Add Lines 1 and 2. Do not enter on the Summary Page.) TOTAL $ 250.00 P P p � rY 9 ) ............ FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Schedule G Type or print in ink. SCHEDULE G Statement covers period Payments Made by an Agent or Independent Amounts may be rounded • -MIA towholedollars. , Contractor(on Behalf of This Committee) from 0l/01/2008 • - SEE INSTRUCTIONS ON REVERSE through 06/30/2008 Page 8 of 8 NAME OF FILER I.D.NUMBER Shari Freidenrich for City Treasurer 961031 NAME OF AGENT OR INDEPENDENT CONTRACTOR Clive Freidenrich CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CW campaign paraphernalia/misc. MBR member communications 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 (intern s that are contributions or independent expenditures must also be summarized on Sch ESS OF PAYEE OR CREDITOR(IF COMMITTEE,ALSO ENTER I.D NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID . Community Care Health Centers CVC 125.00 P.O. Box 4516 Huntington Beach CA 92606 Republican Party of Orange County (#742088) CTB 250.00 1800 W Katella, Suite 210 Orange CA 92869 Attach additional information on appropriately labeled continuation sheets. TOTAL* $ 375.00 *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) Statement of Organization STATEMENT OF ORGANIZATION Recipient Committee 'CALIFORNIAe 0 . - INSTRUCTIONS ON REVERSE Page 2 COMMITTEE NAME I.D.NUMBER Shari Freidenrich for City Treasurer 961031 4.Type of Comm ittee Complete the applicable sections. • List the name of each controlling officeholder,candidate,or state measure proponent. If candidate or officeholder controlled,also list the elective office sought or held,and district number, if any, and the year of the election. • List the political party with which each officeholder or candidate is affiliated or check"non-partisan." • If this committee acts jointly with another controlled committee, list the name and identification number of the other controlled committee. ELECTIVE OFFICE SOUGHT OR HELD NAME OF CAN DID/VE/OFFICEHOLDER/STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PARTY Local Treasurer - Q Non-Partisan Shari Freidenrich Huntington Beach 2008 District ❑ Non-Partisan • List the financial institution where the campaign bank account is located(controlled"candidate election"committees only) NAME OF FINANCIAL INSTITUTION AREACODE/PHONE BANK ACCOUNT NUMBER ADDRESS CITY STATE ZIP CODE -. Committep Primarily formed to support or oppose specific candidates or measures in a single election. List below: CANDIDATE(S)NAME OR MEASURE(S)FULL TITLE(INCLUDE BALLOT NO.OR LETTER) CANDIDATE(S)OFFICE SOUGHTOR HELD OR MEASURE(S)JURISDICTION (INCLUDE DISTRICT NO.,CITY OR COUNTY,AS APPLICABLE) CHECK ONE SUPPORT OPPOSE SUPPORT OPPOSE FPPC Form 410(Jan/05) www.netfile.com FPPC Toll-Free Helpline:866/ASK-FPPC S STATEMENT OF ORGANIZATION Statement of Organization Recipient Committee cALLIFORNIA, 410 FORM INSTRUCTIONS ON REVERSE Page 3 COMMITTEE NAME I.D.NUMBER Shari Freidenrich for City Treasurer 961031 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 ❑COUNTYCommittee ❑STATECommittee PROVIDE BRIEF DESCRIPTION OF ACTIVITY •• List additional sponsors on an attachment. NAME OF SPONSOR INDUSTRY GROUP OR AFFILIATION OF SPONSOR STREET ADDRESS NO.AND STREET CITY STATE ZIP CODE s ❑ -JJ Check box and provide the date this committee qualified as a small contributor committee. If the committee qualified as a small Date qualified contributor committee on January 1,2001,enter 1l1/01. 5.Termination Requirements By signing the verification,the treasurer,assistant treasurer and/or candidate,officeholder,or proponent certify that all ofthe 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. -- Additional filing obligations will be incurred if, after terminating, the committee receives or spends any funds, or receives the forgiveness of a loan, repayments of loans made to others, or any other receipts. FPPC Form 410(Jan/05) www.netfile.corn FPPC Toll-Free Helpline:866/ASK-FPPC