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HomeMy WebLinkAboutHansen, Don - 2008 FPPC Campaign Disclosure Forms - Don Hans Supplemental Independent Type or print in ink. SUPPLEMENTAL INDEPENDENT EXPENDITURE Expenditure Report Amounts may be rounded Report covers period ® . p p to whole dollars. from OI Ot(2.00� SEE INSTRUCTIONS ON REVERSE through l Z1 3( 12p Q 8 Page 2 of--3:— NAME OF FILER I.D. NUMBER(If recipient corn.) HUNTINGTON BEACH FIREFIGHTERS ASSOCIATION 902935 4. Summary 1. Total independent expenditures of$100 or more made this period. (Part 3.)........................................................................................... $ 36 5 Z•4 2. Total independent expenditures under$100 made this period. (Not itemized.) ........................................................................................ $ 0•Cb 3. Total independent expenditures made this period (Add Lines 1 + 2.) ..........................................................................................TOTAL $ 3L,S-1-Lll 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 (NOAND STREET) HUNTINGTON BEACH, CA 92648 1 DR. CARLTON B. GOOgLM PLACE, CITY HALL- RM 48 CITY STATE ZIP CODE SAN FRANCISCO CA 94102 4) NAME OF FILING OFFICER LOS ANGELES COUNTY REGISTRAR-RECORDER ORANGE,COUNTY REGISTRAR OF VOTERS ADDRESS / (NO. AND STREET) ADDRESS (NO. AND STREET) 12400 IMPERIAL HIGHWAY 1300,S. GRAND AVE., BLDG C CITY STATE ZIP CODE CIJ STATE ZIP CODE NORWALK CA 90650 ANTA 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 underthe laws of the State of California that the foregoing is true and correct. Executed on 0113tIzOQ9 BYMIKE MCCLANAHAN V, ,C DATE SIG ATU:��ASSISTANT TREASURER Executed on atl3tlZ009 ByMICHAEL PERRY DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, ANDIDATE,STATE M URE 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(8661276-3772) Supplemental Independent Type or print in ink. SUPPLEMENTAL INDEPENDENT EXPENDITURE Amounts may be rounded Report covers period Expenditure Report to whole dollars. from of/ol/loos 12/31/2008 SEE INSTRUCTIONS ON REVERSE through Page 2 of 2 NAME OF FILER I.D. NUMBER(If recipient com.) CALIFORNIA REAL ESTATE POLITICAL ACTION COMMITTEE (CREPAC) 890106 4. Summary 1. Total independent expenditures of$100 or more made this period. (Part 3.)........................................................................................... $ 2,500.00 2. Total independent expenditures under$100 made this period. Not itemized. ................................... $ 0.00 3. Total independent expenditures made this period Add Lines 1 + 2. T 2,500.00 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 l 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 to the best of m owledge 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 an rrect. Executed on /' v By DATE TSIGNATURE OF FILER,TREASURER OR ASSISTANT TREASURER Executed on By DATE SIGNATURE OF 6ONTROLLING 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) Type or print in ink. SUMMARY PAGE Campaign Disclosure Statement Amounts may be rounded Statement covers period Summary Page to whole dollars. d from 10/19/2008 ' •" SEE INSTRUCTIONS ON REVERSE through 12/31/2008 Page 3 of 24 NAME OF FILER I.D. NUMBER Don Hansen for City Council 1235876 Column A Column B Calendar Year Summary for Candidates Contributions Received TOTALTHISPERIOD CALENDAR YEAR (FROM ATTACHED SCHEDULES) TOTALTODATE Running in Both the State Primary and General Elections 1. Monetary Contributions ........................................... Schedule A,Line 3 $ 19,383.00 $ 55,912.00 1/1 through 6/30 7/1 to Date 2. Loans Received ...................................................... Schedule e,Line 3 0.00 7,690.00 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1+2 $ 19,383.00 $ 63,602.00 20. Contributions Received $ $ 4. Nonmonetary Contributions.................................... Schedule C,Line 3 0.00 500.00 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED •••..•..•_.••••••Add Lines 3+4 $ 19,383.00 $ 64,102.00 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made....................................................... Schedule E,Line 4 $ 21,232.92 $ 55,014.63 Candidates 7. Loans Made............................................................. Schedule H,Line 3 0.00 0.00 22. Cumulative Expenditures Made* 8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6+7 $ 21,232.92 $ 55,014.63 (If Subject to Voluntary Expenditure Limit) 9. Accrued Expenses (Unpaid Bills)...............................Schedule F Line 3 -8,194.32 0.00 Date of Election Total to Date 10. Nonmonetary Adjustment ..........................................Schedule C,Line 3 0.00 500.00 (mm/dd/yy) 11. TOTAL EXPENDITURES MADE................................Add Lines 8+9+10 $ 13,038.60 $ 55,514.63 $ Current Cash Statement $ 12.Beginning Cash Balance....................... Previous Summary Page,Line 16 $ 3,877.04 To calculate Column B,add 13.Cash Receipts ................................................... Column A,Line 3 above 19,383.00 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 a above 21,232.92 report. Some amounts inColumn A may be negative 16.ENDING CASH BALANCE.......... Add Lines 12+13+14,then subtract Line 15 $ 2,027.12 figures that should be subtracted from previous If this is a termination statement, Line 16 must be zero. period amounts. If this is the first report being filed 17. LOAN GUARANTEES RECEIVED ........................... Schedule B,Part 2 $ 0.00 for this calendar year, only carry over the amounts Equivalents and Outstanding Debts from Lines 2,7,and 9(if Cash E q 9 any). 18. Cash Equivalents........................................ See instructions on reverse $ 0.00 19. Outstanding Debts......................... Add Line 2+Line 9 in Column B above $ 7,690.00 FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Schedule G Type or print in ink. SCHEDULE G Payments Dade by an Agent or Independent Amounts may be rounded Statement covers period ® - towholedollars. 1o/19/z008 ® - Contractor(on Behalf of This Committee) from through 12/31/zoos Pa a 24 of 24 SEE INSTRUCTIONS ON REVERSE g NAME OF FILER I.D.NUMBER Don Hansen for City Council 1235876 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 US Postmaster LIT 3,162.50 Main Office Huntington Beach CA 92646 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 �������� '��� ������ Type or print in ink. SUPPLEMENTAL INDEPENDENT E DIT RE �� Amounts may be rounded Report covers period Expenditure Report to whole dollars. from SEE INSTRUCTIONS ON REVERSE through f / 2/0 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) ............................................................................................. $ 1771.03 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..$.. 1771.03 5. Filing ®fffficerS 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. Executed on 01/16/2009 gy tea ' DATE SIGNATURE OF TREASURER OR ASSISTANT TRFASDIRFR 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(12199) For Technical Assistance:916/322-5660 State of California CASH RECEIPT CI ch M *, P.O. BOX 711 JL H, CALI FUNDS RECEIVED FROM yf ADDRESS tv FOR AMOUNT RECEIVED - ,�Cash Check# "5 O Credit Card �'�,.� d3%) 0 10 o; Pr d s Received Finance u- $ A roval i l o f IF OB3 = 50 0 HR 000,FINANCE APPROVAL REQUIRED Approval Date Z ¢ W "Business-Unit Ob'ect Subs Sub-Led er iT 4 00 y v. O._ _ DONALD F HANSEN JR 3188 SARA A HANSEN 16-24/251 4337 _ 10252 WESLEY CIR os6o25i323 HUNTINGTON BEACH,CA 92646-4934 7 DATE PAY TO THE ORDER OF 4+ u p DOLLARS _ wells Fargo Bank, A -. California wellsfargocom FOR `®^ cs n �`j ._... .__..._.._. ......M' _ as L 2 2000 2 4 71a O M60 2 5 13 2 311® 03188 - - TOTAL Please do not write in the box below I� i i N®a J. a . CITY OF HUNTINGTON BEACH v Request for Supplemental Check Department: City Clerk Date Check Desired: 12/11/08 Vendor dame: Don Hansen Purchase Order (if applicable): OD Invoice Numbers (if applicable): TOTAL AMOUNT OF CHECK $ 1565.00 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 -�,J -- 12/11/08 jr Department Riad Ap roval Date I 12/11/08 City Treasurer Approval Date 12/11/08 Finance Administration Approval Date CASH RECEIPT CH U) City Treasurer - Shari L. Freidenrich, X 711 l: 1 1.ii.ISO y HUNTINGTON BEACH, CALIFORNIA 92648 f i DATE / L� Issuing Dept. k /1 � ® - `� ct� , Department Contact`t?hone# FUNDS RECEIVED FROM � J ADDRESS #, FOR AMOUNT RECEIVED Cash Check# s [ Credit Cardf, ® Finance O Pre d Received } z Approval B + o IF OBJ = 50 0 HR 000,FINANCE APPROVAL REQUIRED Approval Date tL 8usiness.Unit Ob`ect Subs Sub-Led ec T. iL iLW o DONALD F HANSEN JR 12 $8 SARA A HANSEN as0660221 23 — 10252 WESLEY CIR ! p660251323 HUNTINGTON BEACH,CA 92646-4934 — ttt DATE PAY TO THE ORDER OF - --- vt/ DOLLARS 8 saw L- Wells Fargo Bank A - n CaGfamia weUsfargosom FOR _ — — — -e — -- -- om 8: 1220002r, 78: 0660251323+03L138 - s� TOTAL $ ® Please do not write in the box below Su�lfer # - ----- - — ---- 2-Wa r 3 a Account " P+ Batch No. F-5NANCE OOP 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 ALTERNATEI **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 34.75 34.75 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 1,766.09 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 I 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 I 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 1 625.12 1,110.22 1 102.19 159.37 104.65 164.29 200 WORD 400 WORD TOTAL CANDIDATE COST INCLUDING VRA REQUIREMENTS 1,035.00 i 1,751.00 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 92.00 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 0.77 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 Recl lent Committee COVERPAGE p Type or print in ink. Date stampOLIF® e Campaign Statement Clover Page (Government Code Sections 84200-84216.5) Statement covers period Date of election if applicable: 2003 OCT 23 Ail 9: -*e 1 of le 10/01/2009 (Month, Day, Year) from For Official Use Only SEE INSTRUCTIONS ON REVERSE through 10/18/2008 11/04/2008 I f ,l...�' .� r 1. Type of Recipient Committee: All Committees-Complete Parts 1,2,3,and 4. 2. Type of Statement: x] Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ® Preelection Statement ❑ Quarterly Statement Q State Candidate Election Committee Committee ❑ Semi-annual Statement ❑ Special Odd-Year Report rolled ❑ ❑ Supplemental Preelection � Termination Statement (Also Complete Part 5) Also file a Form 410 Termination (Also Complete Part ( ) Statement-Attach Form 495 ❑ General Purpose Committee ❑ 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) 1235876 COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER Don Hansen for City Council Betty Presley MAILING ADDRESS 30151 Tomas Street STREET ADDRESS(NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE 10252 Wesley Circle Rancho Sta Margarita, CA 92688 949-858-7448 CITY P CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY Huntington Beach, CA 92646 714-964-8722 MAILING ADDRESS (IF DIFFERENT)NO.AND STREET OR P.O. BOX MAILING ADDRESS PO Box 5981 CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE Huntington Beach, CA 92615 OPTIONAL: FAX/E-MAIL ADDRESS OPTIONAL: FAX/E-MAIL ADDRESS 949-399-3164 donfh@earthlink.net 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowled ormation 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 t orrect. Executed on ' �/ 6 0( `O By Date �jignature fT surero ntTreasurer V IO —423 ©1 Executed on� Date Signature of Controlling Ofte holder,C didate,State roponentor Responsible OffimrofSponsor Executed on By Date Signature of Controlling Offireholder,Candidate,StateMeasureProponent 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 Campaign Disclosure Statement Type or print in ink. SUMMARYPAGE Amounts may be rounded Statement covers period is= Summary Page to whole dollars. from 10/01/2008 SEE INSTRUCTIONS ON REVERSE through 10/18/2008 Page 3 of 18 NAME OF FILER I.D. NUMBER Don Hansen for City Council 1235876 Column A Column B Calendar Year Summary for Candidates Contributions Received TOTALTHISPERIOD CALENDARYEAR (FROMATTACHED SCHEDULES) TOTALTO DATE Running in Both the State Primary and General Elections 1. Monetary Contributions ........................................... Schedule A,Line $ 14,570.00 $ 36,529.00 1/1 through 6/30 7/1 to Date 2. Loans Received ...................................................... Schedule A Line 3 0.00 7,690.00 3. SUBTOTALCASH CONTRIBUTIONS ......................... Add Lines 1+2 $ 14,570.00 $ 44,219.00 20. Contributions Received $ $ 4. Nonmonetary Contributions.................................... Schedule C,Line 3 0.00 500.00 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ...........................Add Lines 3+4 $ 14,570.00 $ 44,719.00 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made....................................................... Schedule e,Line 4 $ 16,902.23 $ 33,781.71 Candidates 7. Loans Made............................................................. Schedule H,Line 3 0.00 0.00 22. Cumulative Expenditures Made* 8. SUBTOTALCASH PAYMENTS .................................... Add Lines 6+7 $ 16,902.23 $ 33,781.71 (If Subject to Voluntary Expenditure Limit) 9. Accrued Expenses (Unpaid Bills) ...............................ScheduleF,,Line 3 5,003.06 5,003.06 Date of Election Total to Date 10. Nonmonetary Adjustment ..........................................Schedule C,Line 3 0.00 500.00 (mm/dd/yy) 11.TOTAL EXPENDITURES MADE................................Add Lines 8+9+10 $ 21,905.29 $ 39,284.77 _�� $ Current Cash Statement $ 12. Beginning Cash Balance....................... Previous Summary Page,Line 16 $ 6,209.27 To calculate Column B,add 13.Cash Receipts ................................................... Column A,Line 3 above 14,570.00 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 16,902.23 report. Some amounts in Column A may be negative 16. ENDING CASH BALANCE.......... Add Lines 12+13+14,then subtract Line 15 $ 3,8 7 7.04 figures that should be subtracted from previous If this is a termination statement, Line 16 must be zero. period amounts. If this is the first report being filed 17. LOAN GUARANTEES RECEIVED........................... Schedule B,Part 2 $ 0.00 for this calendar year, only carry over the amounts Cash Equivalents and Outstanding Debts anY)m Lines z,7,and s pf • 18. Cash Equivalents........................................ See instructions on reverse $ 0.00 19. Outstanding Debts......................... Add Line 2+Line 9 in Column B above $ 12,693.06 FPPC Form 460(January/05) FPPC Toll-Free Helpline: 866/ASK-FPPC(866/275-3772) Schedule G Type or print in ink. SCHEDULE G Payments Made by an Agent or independent Amounts may be rounded Statement covers period Contractor(on Behalf of This Committee) to whole dollars. from 10/01/2008 ® - SEE INSTRUCTIONS ON REVERSE through 10/18/2008 page 18 of 18 NAME OF FILER I.D.NUMBER Don Hansen for City Council 1235876 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 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 FlL 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 US Postmaster LIT 7,200.00 Main Office Huntington Beach CA 92646 Attach additional information on appropriately labeled continuation sheets. TOTAL* $ 7,200.00 *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) Campaign®ISC�®SLlrestatel>nent Type or print in ink. SUMMARYPAGE Amounts may be rounded Statement covers period ®- Summary Page to whole dollars. from 07/01/2008 FORK SEE INSTRUCTIONS ON REVERSE through 09/30/2008 Page 3 of 27 NAME OF FILER I.D. NUMBER Don Hansen for City Council 1235876 Contributions Received TO AOLTHIs1PEA Colu�mn B Calendar Year Summary for Candidates (FROMATfACHED SCHEDULES) TOTALTO DATE Running in Both the State Primary and General Elections 1. Monetary Contributions ........................................... Schedule A,Line $ 21,359.00 $ 21,959.00 1/1 through 6/30 7/1 to Date 2. Loans Received ...................................................... schedule e,Line 3 0.00 7,690.00 3. SUBTOTALCASH CONTRIBUTIONS ......................... Add Lines I+2 $ 21,359.00 $ 29,649.00 20. Contributions Received $ $ 4. Nonmonetary Contributions.................................... Schedule C,Line 3 500.00 500.00 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ...........................Add Lines 3+4 $ 21,859.00 $ 30,149.00 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made....................................................... Schedule e,Line 4 $ 16,036.22 $ 16,879.48 Candidates 7. Loans Made............................................................. Schedule H,Line 3 0.00 0.00 22. Cumulative Expenditures Made* 8. SUBTOTALCASH PAYMENTS .................................... Add Lines 6+7 $ 16,036.22 $ 16,879.48 (If Subject to Voluntary Expenditure Limit) 9. Accrued Expenses (Unpaid Bills)...............................Schedule F Line 3 0.00 0.00 Date of Election Total to Date 10. Nonmonetary Adjustment ..........................................ScheduleC,Line 500.00 500.00 (mm/dd/yy) 11.TOTAL EXPENDITURES MADE................................Add Lines 8+9+10 $ 16,536.22 $ 17,379.46 �_� Current Cash Statement $ 12. Beginning Cash Balance....................... Previous summary Page,Line 16 $ 886.49 To calculate Column B,add 13.Cash Receipts ................................................... Column A,Line 3 above 21,359.00 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 16,036.22 report. Some amounts in Column A may be negative 16.ENDING CASH BALANCE.......... Add Lines 12+13+14,then subtract Line 15 $ 6,209.27 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 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 8 above $ 7,690.00 FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Schedule SCHEDULED SummaryType e Of Expenditures print rint in ink. Statement covers period Supporting/Opposing®then Amounts may be rounded ®' to whole dollars. 07/01/2008 m Candidates, Measures and Committees from SEE INSTRUCTIONS ON REVERSE through 09/30/2008 Page 23 of 27 NAME OF FILER I.D. NUMBER Don Hansen for City Council 1235876 NAME OF CANDIDATE,OFFICE,AND DISTRICT,OR DESCRIPTION CUMULATIVETO DATE PER ELECTION DATE MEASURE NUMBER OR LETTER AND JURISDICTION, TYPE OF PAYMENT AMOUNTTHIS CALENDAR YEAR TO DATE OR COMMITTEE OR REQUIRED) PERIOD (JAN.1-DEC.31) (IF REQUIRED) 09/29/2008 epu scan arty of orange County 1,000.00 1,000.00 G 08 1,000.00 Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent x❑ Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure SUBTOTAL $ 1,000.00 ,; Schedule D Summary 1. Itemized contributions and independent expenditures made this period. Include all Schedule D subtotals. .......................................... $ 1,000.00 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 $ 1,000.00 FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(8661275-3772) Campaign Disclosure Statement Type or print in ink. SUMMARYPAGE Amounts may be rounded Statement covers period ® - NIA Summary Page to whole dollars. from 07/01/2008 ®- SEE INSTRUCTIONS ON REVERSE through 09/30/2008 Page 3 of 26 NAME OF FILER I.D. NUMBER Don Hansen for City Council 1235876 ToColulmnRAoD cColuDmnEB Calendar Year Summary for Candidates Contributions Received (FROM ATTACHED SCHEDULES) TOTALTO DATE Running in Both the State Primary and General Elections 1. Monetary Contributions ........................................... Schedule A,Linea $ 21,359.00 $ 21,959.00 1/1 through 6/30 7/1 to Date 2. Loans Received .....................::............................... Schedules,Line 3 0.00 7,690.00 3. SUBTOTALCASH CONTRIBUTIONS ......................... Add Lines 1+2 $ 21,359.00 $ 29,649.00 20. Contributions Received $ $ 4. Nonmonetary Contributions.................................... Schedule C,Line 3 500.00 500.00 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ...........................Add Lines 3+4 $ 21,859.00 $ 30,149.00 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made....................................................... Schedule e,Line 4 $ 16,036.22 $ 16,879.48 Candidates 7. Loans Made............................................................. Schedule H,Line 3 0.00 0.00 22. Cumulative Expenditures Made* 8. SUBTOTALCASH PAYMENTS .................................... Add Lines 6+7 $ 16,036.22 $ 16,879.48 (if Subjectto 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 3 500.00 500.00 (mm/dd/yy) 11.TOTAL EXPENDITURES MADE................................Add Lines 8+9+10 $ 16,536.22 $ 17,379.48 _�� $ Current Cash Statement - / J $ 12. Beginning Cash Balance....................... previous Summary Page,Line 16 $ 886.49 To calculate Column B,add 13.Cash Receipts ................................................... Column A,Line 3 above 21,359.00 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 our last y reported in Column B. 15.Cash Payments.................................................. column A,Line 8 above 16,036.22 report. Some amounts inColumn A may be negative 16.ENDING CASH BALANCE..........Add Lines 12+13+14,then subtract Line 15 $ 6,209.27 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 Y)• 18. Cash Equivalents........................................ See instructions on reverse $ 0.00 19. Outstanding Debts......................... Add Line 2+Line 9 in Column s above $ 7,690.00 FPPC Form 460(January/05) FPPC Toll-Free Helpline: 866/ASK-FPPC(866/275-3772) Schedule SCHEDULED SummaryType e Of Expenditures print rint in ink. Statement covers period Supporting/OpposingOther Amounts may be rounded ®' to whole dollars. s- • from 07/01/2008 Candidates, Measures and Committees SEE INSTRUCTIONS ON REVERSE through 09/30/2008 Page 22 of 26 NAME OF FILER I.D. NUMBER Don Hansen for City Council 1235876 NAME OF CANDIDATE,OFFICE,AND DISTRICT,OR DESCRIPTION CUMULATIVETO DATE PER ELECTION DATE MEASURE NUMBER OR LETTER AND JURISDICTION, TYPE OF PAYMENT AMOUNTTHIS CALENDAR YEAR TO DATE OR R LETTER A (IF REQUIRED) PERIOD (JAN.1-DEC.31) (IF REQUIRED) 09/29/2008 epu .scan Party ot Orange County 1,000.00 1,000.00 Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent 0 Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure SUBTOTAL $ 00F, Schedule D Summary 1. Itemized contributions and independent expenditures made this period. Include all Schedule D subtotals. ................. $ 1,000.00 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 $ 1,000.00 FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/27"772) Campaign Disclosure Statement Type or print in ink. SUMMARY PAGE Amounts may be rounded Statement covers period Summary page to whole dollars. - 0 from 01/01/2008 FORM SEE INSTRUCTIONS ON REVERSE through 06/30/2008 Page 3 of 7 NAME OF FILER I.D. NUMBER Don Hansen for City Council 1235876 Column A Column B Calendar Year Summary for Candidates Contributions (Received TOTALTHISPERIOD CALENDARYEAR Running in Both the State Primary and (FROM ATTACHED SCHEDULES) TOTALTO DATE g r General Elections 1. Monetary Contributions ........................................... Schedule A,Line $ 600.00 $ 600.00 1/1 through 6/30 7/1 to Date 2. Loans Received Schedule B,Line 3 1,000.00 7,690.00 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1+2 $ 1,600.00 $ 8,290.00 20. Contributions Received $ $ 4. Nonmonetary Contributions.................................... Schedule C,Line 3 0.00 0.00 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ...........................Add Lines 3+4 $ 1,600.00 $ 8,290.00 Made $ $ Expenditures Dade Expenditure Limit Summary for State 6. Payments Made....................................................... Schedule E,Line 4 $ 843.26 $ 843.26 Candidates 7. Loans Made............................................................. Schedule H,Line 3 0.00 0.00 22. Cumulative Expenditures Made* 8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6+7 $ 843.26 $ 843.26 (If Subject to Voluntary Expenditure Limit) 9. Accrued Expenses (Unpaid Bills)...............................Schedule F Line 3 -300.00 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 $ 543.26 $ 843.26 $ Current Cash Statement $ 12. Beginning Cash Balance....................... Previous Summary Page,Line 16 $ 129.75 To calculate Column B,add 13.Cash Receipts ................................................... Column A,Line 3 above 1,600.00 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 our last y reported in Column B. 15.Cash Payments.................................................. Column A,Line 8 above 843.26 report. Some amounts in Column A may be negative 16. ENDING CASH BALANCE.......... Add Lines 12+13+14,then subtract Line 15 $ 8 8 6.49 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 $ 7,690.00 FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Statement of Organization Type or print in ink �30 STATEMENT OF ORGANIZATION Recipient Committee Date Stamp ca r)Amend for New Cycle Statemen Amendment E] Termination—See Part 5 . ..... Not yet qualified 0 or List I.D.number: List I.D.number: 2C011 01 F Val # 1235876 # 4; Date qualified as committee Date qualified as committee Date of Termination (If applicable) tee Information 2. Treasurer and Other Principal offPTMSTRAR OF VOTERS NAME OF COMMITTEE NAME OF TREASURER By Deputy Don Hansen for City Council Betty Presley STREET ADDRESS STREET ADDRESS (NO PO BOX) 30151 Tomas Street 10252 Wesley Circle CITY STATE ZIP CODE AREACODE,PHONE Rancho Sta Margarita, CA 92688 9419-8',8-'144 CITY AREA CODE/PHONE NAME OF ASSISTANT TREASURER,IF ANY Huntington Beach, CA 92646 714-964-8722 MAILING ADDRESS(IF DIFFERENT) STREET ADDRESS PO Box 5981 Huntington Beach, CA 926-'5 CITY STATE ZIP CODE AREACODE'PHUNE OPTIONAL: FAX/E-MAIL ADDRESS 949-399-3164 donfh@e.artlili.nk.net NAME AND POSITION OF OTHER PRINCIPAL OFFICER(S), IF APPLICABLE COUNTY OF DOMICILE COUNTY WHERE COMMITTEE IS ACTIVE IF DIFFERENT THAN COUNTY OF DOMICILE MAILING ADDRESS Orange Attach additional information on appropriately labeled continuation sheets, CITY STATE ZIP CODE AREA CODET,HONE 3. Verification I have used all reasonable diligence in preparing this statement and to the best of my knowledge ormatio 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 an �crt.. .. ..y knowledge OrM a,,o contained herein I S true true ,cor t, Executed on DATE By AT Sl AFUR OF, REASURER OR ASSISTANT TREASURER Executed o� DATE Executed on W4 SIGNATURE OF C NTR LIN OFFICEHOLDER,CANDIDATE,OR STATE MEASURE PROPONENT DATE By S, C, T . ING r" R , r",.T, SIGNATURE OF CONTRO ING OFFICEHOLDER,CANDIDATE,OR STATE MEASURE PROPONENT Executed on By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER,CANDIDATE,OR SLATE MEASURE PROPONENT www.netfile.com FPPC Form 410(Jan/05) FPPC Toll-Free Helpline:866/ASK-FPPC Statement of Organization STATEMENT OF ORGANIZATION Recipient Committee 7MBER INSTRUCTIONS ON REVERSE COMMITTEE NAMElion Hansen for Cty Council 4.Type of Committee 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 CANDID/ E/OFFICEHOLDER/STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PAR TY City Council Member ❑ Non-Partisan Donald P. Hansen Huntington Beach 2008 District ❑ Non-Partisan • List the financial institution where the campaign bank account is located(con idate election"committees only) NAME OF FINANCIAL INSTITUTION AREA CODE/PHONE BANK ACCOUNT NUMBER Bank of America 949-837-3482 09920 09369 ADDRESS CITY STATE ZIP CODE 26821 Trabuco Road Mission Viejo CA 92692 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 r)NP SUPPORT OPPOSE SUPPORT OPPOSE FPPC Form 410(Jan/05) www.netfile.com FPPC Toll-Free Helpline:866/ASK-FPPC Statement of Organization STATEMENT OF ORGANIZATION Recipient Committee EM INSTRUCTIONS ON REVERSE Page 3 COMMITTEE NAME D.NUMBER Don Hansen for City Council 123587F 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 ❑ J / 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 1/1/01. 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.netfiie.com FPPC Toll-Free Helpline:866/ASK-FPPC CANDIDATE INTENTION STATEMENT Candidate intention Statement Type or Print in Ink, Date Stamp ® - ` For Official Use Only Check One: F1 Initial Fxj Amendment (Explain) Amend for New Election Cycle 1. Candidate information: '_ '�11 T i .t.tt'`s.) NAME OF CANDIDATE (last,First,Middle Initial) DAYTIME TELEPHO R (optional) E-MAIL (optional) Donald F. Hansen 714-964-8722 949-399-3164 donfh@earthlink.net STREET ADDRESS CITY STATE ZIP CODE 10252 Wesley Circle Huntington Beach CA 92646 OFFICE SOUGHT(POSITION TITLE) AGENCY NAME DISTRICT NUMBER, ifapplicable. JE]NON-PARTISAN City Council Member City of Huntington Beach 0 PARTY: OFFICE JURISDICTION State (Complete Part 2.) Huntington Beach 20 0 City County Multi-County: Name of Jurisdiction) (Year of Election) R^ iR 2. State Candidate Expenditure Limit Statement: (Ca/PERS candidates,judges,judicial candidates, and candidates for local offices are not required to complete Part 2.) (Year (Year of Election) Primarylgeneral election Speciallrunoff election (Check one box) []I accept the voluntary expenditure ceiling for the election stated above. I do not accept the voluntary expenditure ceiling for the election stated above. Amendment: Q 1 did not exceed the expenditure ceiling in the primary or special election held on: and I accept the voluntary expenditure ceiling for the general or special run-off election. (Mark if applicable) ❑ On I contributed personal funds in excess of the expenditure ceiling for the election stated above. 3. Verification: I certify under penalty of perjjury under the laws of the State of California that the foregoing is true and corr t. NLExecuted orri`� J �'� Signatur (month,day,year) (Candidate) FPPC Form 501 (Jan105) FPPC Toll-Free Helpline:8661ASK-FPPC 866/275.3772