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HomeMy WebLinkAboutForm 460 - Barbara Heller for City Council (2011-12-31)El Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statement covers period fran7�_�it�4 / througfi•13Fi—bbbbb dType of Recipient Committee: All Committees -Complete Parts 1, 2, 3, and 4. y`l Officeholder. Candidate Controlled Committee ❑ Primarily Formed Ballot Measure C State Candidate Election Committee Committee Recall O Controlled (Also Complete Part 5) Sponsored ❑ General Purpose Committee (Also Co PlY ee Pan 6) ❑ Sponsored ❑ Primarily Formed Candidatel 0 Small Contributor Committee Officeholder Committee C Political Party/Central Committee (Als. C—plete Pan 7) 3. Committee Information (I DuMeER COMMITTEE NAME (OR CANOIDATES NAME IF NO COMMiTT m? f't �`e-r— STTAATE .ZIP CODE MAILING ADDRESS (IF ) NO. AND STREET OR f.t BX CITY STATE ZIP CODE AREA COOEIPHONE COVER PAGE Dale S%,,np I Date of election if applicable: Page �_ of (Month, `Jay, Year) For Otraa! Use Only 2. Type of Statement: ❑ Preelection Statement ❑-Quarledy Statement Semi-annual Statement ❑ Special Odd -Year Report Termination Statement ❑ Supplemental Preelection (Also file a Form 410 Termination) Statement -Attach Form 495 ❑ Amendment (Explain below) Treasurer(s) NAME OF TREASURER CITY STATE - ZIP CODE AREA CODE/PHONE ,5� 1 ek F,r 4,/ , e�t,4 NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX 1 E-MAIL ADDRESS OPTIONAL- FAX 1 E-MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the bestof my knowledge the information contained herein and in the attached schedules is true and complete. 1 certify under penalty of perjury under the laws of the State of California that the foregoing is true4d correct Executed on /Date �.egrature c -fire mraAssistant Treasrer Executed on By __A&2q 14- Sgna?ure of *.0 '-Te,Stae asure Prcporreni. Resporsi"ule C`ficer of S{ronscr Executed on By Dale Sigrafu c cf Con'—big Q'ta hoofer Catididate. State Measv^e Prapone .t I xecuted or, By :.laic S'4 at�re o; t � 1 a9>n� O" tettakfer. ,araF;G tc. S�a'e Measure ?r„rc=ne^€ FPPC Form 460 (JanuaryiOS' FPPC Toil -Free Help4ine- 866/ASK-FPPC (8661275-3772} State of Califon Fa Recipient Committee Campaign Statement Cover page — Part 2 5. O older or Candidate Controlled Committee fficeh NAME OF OFFICEHOLDER OR CANDIDATE I, 1-1e /, k - Ila NUMBERpA� LE) LOCATION AND DISTRIOFI-IuL SOUGH, OR HELD (INCLUDI co a C- iSTATE AAICITY SADDRESS (NO-ANDSIHt"') RESIDEflI1AUU1---S Type -- or print in ink. ily Formed Ballot Measure Committee io, Primar NAME OF BALLOT MEASURE BALLOT NO, OR LETTER COVER PAGE - PART 2 7 - Page � T of- [j- SUPPORT El OPPOSE NA ontrolling officeholder, candidate, or state measure proponent, if any - Identify the c ZIP ME OF OFFICEHOLDER. CANDIDATE, OR PROPONENT IWO/ I DISTRICT NO. IF ANY Conin"'Itt ees Included in this Statement: List any committees Not Inclu rmed to receive or are primarily to Related included in this 'Statement m 'u"' that are c On trolled by you or, behalf of your candidacy. onne""'BER not - 0 ' expencirl"res contributions or make expenditures contributionsrm make on NUMBER COMMITTEE NAME -------- -- - CONTROLLED COMMITTEE-' oNT NAME OF TREASURER NFR YES F7JNO E3 YES P.O.RD BOX� STREET DRESS (NO P 0 BOX� STREET ADDRESS (NO COMMITTEE ADDRESS AREA CODFJPHONE STATE Zip CODE CITY I_D. NUMBER COMMITTEE NAME CONTROLLED COMMIT-LEEI-- NAME OF TREASURER [] YES ❑ NO STREET ADDRESS (NO PO BOX) COMMITTEE ADDRESS AREA C0CF-jPHGNt STRTEZip CODE CITY OFFICE SOUGHT OR HELD ceholder Committee List names Of 7. Primarily Formed Candidate] I primarily formed off officeholder(s) or candidate(s) for which this committee is p OFFICE SOUGHT OR HELD Ej SUPPORT NAME OF OFFICEHOLDER OR CANDIDATE El OPPOSE CANDIDATE NAME OF OFFICEHOLDER OR NAME OF OFFICEHOLDEROR CANDIDATE ,,,jAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD Ej SUPPORT 0 OPPOSE OFFICE SOUGHT 01 HELD Ej SUPPORT El OPPOSE OFFICE SOUGHT OR HELD El SUPPORT El OPPOSE Attach continuation sheets if necessary VPPC T,o'M 460 (janU3'yiw' s6fifASII (IIGO1275-3772, FppC Tolt-l' state Of Cafifo"t"a 13 ol > 3 c c > n o < 0 -1 0 0 3 0 0 o G) M 0 m x 0 0 m p Z > w X 0 0 3 z = 10 ol 0 a- m >UlaTp&' > --i LI: CD : c' M M OZ IDK K Fr 3 (D O> a c M rn 3 CL C6 as m Z -.1 m U) cn m et > 5x 12 0 -1 0 0 3 0 0 o G) M 0 m x 0 0 m p I @ > :3 w X 3 z = 10 0 C 0 > 3 0 0 LI: CD OZ 3 Fr 3 (D M F, U) 0 m et > 5x 12 to aA ei it 0 -1 0 0 3 0 0 o G) M 0 m x 0 p M 0 @ > :3 0 z 0 0 C O > 3 0 0 w OZ Fr 3 (D M F, U) 0 m et 5x to aA ei it 0 -1 0 0 3 0 0 o G) M 0 m x 0 p M 0 @ > :3 & 0 0 Fr 3 (D Schedule D ncHeouLEo Summary of Expenditures Amounts may be rounded SupportinglOpposing Other to whole dollars. from Candidates, Measures and Committees through Page of SEE INSTRUCTIONS ON REVERSE NAME OF FILER I-D.NUMBER DATE NAME OF CANDIDATE, OFFICE. AND DISTRICT OR TYPE OF PAYMENT DESCRIPTION AMOUNT THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE MEASURE NUMBER OR LETTER AND JURISDICTION. (IF REQUIRED) PERIOD (JAN I -DEC. 31) (IF REQUIRED) OR COMMITTEE *7'7/ 74 t E] Nonmonetary Contribution Independent [9 Support El Oppose Expenditure 19A/ r Monetary Contribution 0 V- E] Nonmonetary E] Independent support El oppose Expenditure Contribution A) E] Nonmonetary Contribution F1 Independent kj support El oppose Expenditure SUBTOTAL $ Schedule DSunumar)(' t 1. Itemized contributions and independent expenditures made this period. (Include all Schedule D subtotals.) ..... ......... ^ . 2. Unitemized contributions and independent expenditures made 3, Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on 'the Summary Page.) - -------­$ ~m - ------ —. $ ----- TOTAL$ pppcForm wmuanuarymq Schedule D (Continuation Sheet) Summary of Expenditures Supporting/Opposing Other Candidates, Measures and Committees Type or print in ink Amounts may be rounded to whole dollars, NAME Of FILER r DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT. OR MEASURE NUMBER OR LETTER AND JURISDICTION. OR COMMITTEE TYPE OF PAYMENT all 4 I's c rc, v- F# e5 3 Y/.z o Monetary Contribution Nonmonetary Contribution E] Independent Support ❑ Oppose Expenditure Monetary Contribution Nonmonetary Contribution eL Independent IA Support El Oppose Expenditure /ao it ;ty 69 v- Monetary Contribution Nonmonetary Contribution Independent support oppose Expenditure o17- Fp r- Y Co4fibution ❑ Nonmonetary F4 lip, Contribution independent Support [j Oppose Expenditure SCHEDULED Statement covers period from -q 469 4240& �throug�h,�AX�� Pagc'-5— Of'5_ i9i I.D. NUMBER t.0,4f y CUMULATIVE TO DATE PER ELECTION DESCRIPTION AMOUNT THIS CALENDAR YEAR TO DATE (if: REQUIRED) PERIOD (JAN, I -DEC, 31) (IF REQUIRED) SUBTOTAL $ NMI I �m FPPC Form 460 (January/05) FPPC Tail -Free Hefpfinc' SC-GIASK-FPPC (8661275-37712)