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HomeMy WebLinkAboutForm 460 - Whitney Hoyt for City Council (2012-01-27)Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statemelt co%Wrs period from k 7, 3 1 1 through \ I vi I a, 1. Type of Recipient Committee: All Committees -Complete Parts 1, 2, 3, and 4. Officeholder, Candidate Controlled Committee E] Primarily Formed Ballot Measure 0 State Candidate Election Committee Committee 0 Recall 0 Controlled (Also Complete Part 5) 0 Sponsored (Also Complete Part 6) ❑ General Purpose Committee 0 Sponsored E] Primarily Formed Candidate/ 0 Small Contributor Committee Officeholder Committee 0 Political Party/Central Committee (Also Complete Pad 7) 3. Committee Information I.D. NUIER o 1 11 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) STREE( CITY STATE ZIP CODE AREA CODE/PHONE MAILING,;ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS Date of election if applicable: (Month, Day, Year) � k � �( it Date Stamp 2. Type of Statement: ❑ Preelection Statement Semi-annual Statement Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) COVER PAGE Page -I— of For Official Use Only F-1 Quarterly Statement 0 Special Odd -Year Report F -I Supplemental Preelection Statement - Attach Form 495 Treasurer(s) NAME OF TREASURER ty� u MAILING CITY STATE kZIP CODE AREA CODE/PHONE G C'�__ I "( C �tj (01 NAME OF ASSISTANT TREASURER. IF ANY MAILING ADDRESS CITY 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 under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed on By D to Executed an By Daft! Signature of Controllinq Off Executed on Date Executed on Date STATE ZIP CODE AREA CODE/PHONE information contained her in and in the attached schedules is true and complete. I certify By Signature of Controlling Officehoider. Candidate, State Measure Proponent By Signature a' Controlling Officeholder. Candclate, State Measue Proportent FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866lASK+PPC (8661275-3772) State of California Recipient Committee Type or print in ink. COVER PAGE - PART 2 CALIFORNIA Campaign Statement. • Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee 6. Primarilv Formed Ballot Measure Committee Page of NAME OF O FICEHOLDER OR CANDIDAT NAME OF BALLOT MEASURE o OFFICE SOUGHT OR HELD (INCL E LOCATION AND DIS RICT NUMBER IF APPLICABLE) BALLOT NO. OR LETTER JURISDICTION ❑ SUPPORT ❑ OPPOSE RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP CA,(� lj 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 officeholder(s) or candidate(s) for which this committee is primarily formed. ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE Attach continuation sheets if necessary FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) State of California Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF FILER Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 12 - through 711 12, M 11•_071 I & F-11 ffid9WITC] Page -' of I.D.NUMBER Expenditures Made - 6. Payments Made ....................................................... Schedule E, Line 4 $ 'C $ "N 7. Loans Made ............................................................. Schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS ............. ................ Add Lines 6 + 7 $ $ 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F, Line 3 10. Nonmonetary Adjustment .......................................... Schedule C, Line 3 11. TOTAL EXPENDITURES MADE ................................ Add Lines 8 + 9 + 10 $ $ I'l 0 Current Cash Statement 12. Beginning Cash Balance.. ..................... Previous Summary Page, Line 16 $ 13. Cash Receipts ................................................... Column A, Line 3 above 14. Miscellaneous Increases to Cash ........................... Schedule L Line 4 15. Cash Payments .................................................. Column A, Line 8 above 16. ENDING CASH BALANCE . ...... _ Add Lines 12 + 13 + 14, then subtract Line 15 $ If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ........ Schedule B, Pail 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents..,.... ... __ ....... _ ....... _ .... .. See instructions or, reverse $ 19. Outstanding Debts. ... _ ............. ..... Add Line 2 + Line 9 in Column 13 above $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* 11, Subject to Voluntary Expenditure Limit) Date of Election Total to Date (mm/dd/yy) $ J_ $ To calculate Column 13, add amounts in Column A to the corresponding amounts *Amounts in this section may be different from amounts from Column B of your last reported in Column B. report, Some amounts in Column A may be negative figures that should be subtracted from previous period amounts. If this is the first report being filed for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if any). FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Column A Column B Calendar Year Summary for Candidates Contributions Received TOTALTHIS PERIOD CALENDAR YEAR (FROM ATTACHED SCHEDULES) TOTALTO DATE Running in Both the State Primary and 315'A General Elections 1. Monetary Contributions ........ ........ .................. Schedule A, Line 3 $ $ — i, 1/1 through 6/30 7/1 to Date 2. Loans Received .. ............... ........ _ ........................ Schedule B, Line 3 0 3. SUBTOTAL CASH CONTRIBUTIONS Add Lines 1+2 $ $ 20. Contributions .................. Received $ $ 4. Nonmonetary Contributions .................................... Schedule C, Line 3 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 + 4 $ $ Made $ $ Expenditures Made - 6. Payments Made ....................................................... Schedule E, Line 4 $ 'C $ "N 7. Loans Made ............................................................. Schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS ............. ................ Add Lines 6 + 7 $ $ 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F, Line 3 10. Nonmonetary Adjustment .......................................... Schedule C, Line 3 11. TOTAL EXPENDITURES MADE ................................ Add Lines 8 + 9 + 10 $ $ I'l 0 Current Cash Statement 12. Beginning Cash Balance.. ..................... Previous Summary Page, Line 16 $ 13. Cash Receipts ................................................... Column A, Line 3 above 14. Miscellaneous Increases to Cash ........................... Schedule L Line 4 15. Cash Payments .................................................. Column A, Line 8 above 16. ENDING CASH BALANCE . ...... _ Add Lines 12 + 13 + 14, then subtract Line 15 $ If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ........ Schedule B, Pail 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents..,.... ... __ ....... _ ....... _ .... .. See instructions or, reverse $ 19. Outstanding Debts. ... _ ............. ..... Add Line 2 + Line 9 in Column 13 above $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* 11, Subject to Voluntary Expenditure Limit) Date of Election Total to Date (mm/dd/yy) $ J_ $ To calculate Column 13, add amounts in Column A to the corresponding amounts *Amounts in this section may be different from amounts from Column B of your last reported in Column B. report, Some amounts in Column A may be negative figures that should be subtracted from previous period amounts. If this is the first report being filed for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if any). FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule D SCHEDULED summa Ot Cx enaitures Type or print in ink. :summary p Statement covers period Amounts may be rounded /Opposln Other to whole dollars. CALIFORNIASupportln 460 Candidates, Measures and Committees from SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER f( I" t9 I.D. NUMBER DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR TYPE OF PAYMENT DESCRIPTION AMOUNTTHIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE MEASURE NUMBER OR LETTER AND JURISDICTION, ORCOMMITTEE (IF REQUIRED) PERIOD (JAN. t -DEC. 31) {IF REQUIRED} Monetary e Contribution ❑ Nonmonetary Contribution a ttt f-1 Independent Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure SUBTOTAL $ (so - Schedule D Summary 1. Itemized contributions and independent expenditures made this period. (Include all Schedule D subtotals.)......................................................... $ 2. Unitemized contributions and independent expenditures made this period of under $100..................................................................................... $ 3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.) ............ TOTAL $ F FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Type or print in ink. Amounts may be rounded to whole dollars. L,/ Lt\� s_\ 4 )�ev (-, 0 Statement covers period from through ` CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. Page of I.D. NUMBER It CNP 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 Lv. 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 stafflspouse travel, lodging, and meals IND independent expenditure supporting/opposing others (explain)' POS postage, delivery and messenger services TSF transfer between committees of the same 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) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER LD. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID * Payments that are contributions or independent expenditures must also be summarized on Schedule D. 1 Y p p SUBTOTAL $ � Schedule E Summary 1. Itemized payments made this period. Include all Schedule E subtotals................................................................................... $ 2. Unitemized payments made this period of under $100 .......................................................................................................................................... $ 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).)............................................................................... $ 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ............................. TOTAL $ FPPC Form 464 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)