Loading...
HomeMy WebLinkAboutForm 460 - Whitney Hoyt for City Council (2011-12-31) TerminationRecipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statement c vers period Date of election if applicable: from (Month, Day, Year) _�".� through 1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4. '�. Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure Q State Candidate Election Committee Committee Q Recall 0 Controlled (Also Complete Part 5) Q Sponsored (Also Complete Part 6) ❑ General Purpose Committee Q Sponsored ❑ Primarily Formed Candidate/ Q Small Contributor Committee Officeholder Committee Q Political Party/Central Committee (Also Complete Part 7) 3. Committee Information LDI kqR0 Ck COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) � rr C,.- tib✓u� c. 1 L c7 1 {� CITY STATE ZIP CODE AREA CODE/PHONE MAILING ADR S (IF DIS FERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX t E-MAIL ADDRESS Date Stamp 2. Type of Statement: ❑ Preelection Statement ( Semi-annual Statement Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) Treasurer(s) NAME OF TREASURER COVER PAGE Page _I of For Official Use Only ❑ Quarterly Statement ❑ Special Odd -Year Report ❑ Supplemental Preelection Statement - Attach Form 495 MAILING ADDRESS CITY STATE ZIPCODE AREA CODE/PHONE -e. .- ( t.�i (°�C t o / NAME OF ASSISTANT TRFASURFR. IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE 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 information contained herein and in the attached schedules is true and complete. I certify under penalty of perjury unde the laws of the State of California that the foregoing is true and correct. Executed on t By DataI J Ngnaiunaofre8su'=r 4 s Executed on 1 By 11, ate Signature of Co troftg Officeholde , andidate, State Measure Proporientor Responsible Officer of Sponsor Executed on By Date Signature of Controlling Officeholder, Candidate, State Measure Proponent Executed on By Date Signature of Controlling Otfoehokier, Candidate, State Measure Proponent FPPG Form 460 (Januarytt}5} FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) State of California Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFIC€HOi DER �t CANDIDATE iiLV/^v+fl {{1lll�� k\ -t 7 , OFFICE SOUGHT OR HELD fl(INCLU EE LO__CAAlTION AND 13STRICT NUMBER IF .APPLICABLE) Type or print in ink. 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE COVER PAGE - PART 2 Page 2 of _ BALLOT NO. OR LETTERI JURISDICTION I ❑ SUPPORT ❑ OPPOSE RESIDENTIAL/ ) �i•• 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 contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME I I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODEIPHONE 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 CODEIPHONE OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY 7. Primarily Formed Candidate/Officeholder Committee List names of officeholder(s) or candidate(s) for which this committee is primarily formed. 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 Toil -Free Helpline: 866/ASK-FPPC (8661275-3772) State of California Campaign Disclosure Statement Type or print in ink. SUMMARY PAGE Summary Page Amounts may be rounded to whole dollars. Statement cov rs per o A 0. ' 0 2 3 from i) • ' • through ( Page _3__ of 6 SEE INSTRUCTIONS ON REVERSE NAME OF FILERP t 1\ Cl �f/i ✓ o. o l ,o 1 1 ER IC I BO l -1 Contributions Received TOTALT `HIBnPEROD Column B Calendar Year Summary for Candidates (FROM ATTACHED SCHEDULES) TOTALTODATE Running in Both the State Primary and r s S ` �- 1 ) ,L �� General Elections 1. Monetary Contributions ........................................... Schedule A, Line 3 $ $ LO OHO t Q - 1/1 through 6/30 711 to Date 2. Loans Received...................................................... Schedule B, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 12 $ 1 `$ 1 �, s`I 20. Contributions Received $ $ 4. Nonmonetary Contributions .................................... Schedule C, Line 3 0. 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED .... __..••••••.••••... ... Add Lines 3+4 $ �� S $ 'it '1.�►/ Made $ $ Expenditures Made 6. Payments Made ....................................................... Schedule E, Line 4 $;01.11. 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 $ 7j >7 • 1 �- Current Cash Statement 19 12. Beginning Cash Balance ....................... Previous summary Page, Line 16 $ 13. Cash Receipts ................................................... Column A, Line 3 above 14. Miscellaneous Increases to Cash ........................... Schedule 1, Line 4 m` 15. Cash Payments .................................................. Column A, Line 8 above (Ot . 2- 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ 11� 5 1 29 If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ........................... Schedule B, Part 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents.... . ...................... ............ See instructions on reverse $ 19. Outstanding Debts ......................... Add Line 2 + Line 3 in Column B above $ $ t$�t . 0 $ To calculate Column B, add amounts in Column A to the corresponding amounts from Column B of your last 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). Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (If Subject to Voluntary Expenditure Limit) Date of Election Total to Date (mm/dd/yy) $ *Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Crharlr da A Type or print in ink. SCHEDULE A Amounts may be rounded Monetary Contributions Received to Whole dollars. Statement cov rs period ,1FORM• CALIFORNIA , , from 1� 6 Pageq�::::: SEE INSTRUCTIONS ON REVERSE through of NAME OF FILER s (A/ L t•✓V L �l t all �O t 1 I.D. NU(MjBEpR� I ( V q(f I DATE FULL NAME, STREET AD ESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) i1�hJ� C-, J OCOM `` CA v _ ® k OTH V\a' ❑ PTY '\. (fps .k -z\ 0 ❑SCC VA V, 0 ` fIND COM (A 8 st.4 ❑ OTH ❑ PTY V N VLA T �i ( V V C y Yi7 Ck k El SCC ❑IND ❑ COM ❑ OTH ❑ PTY ❑ SGC ❑IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL$ Schedule A Summary 1. Amount received this period — itemized monetary contributions. kw n (Include all Schedule A subtotals.)........................................................................................................ $ 2. Amount received this period — unitemized monetary Contributions of less than $100 ............................. $ t d (ZS 3. Total monetary contributions received this period. t ,� (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $ *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Type or print in ink. SCHEDULEB-PART1 Statement covers period CALIFORNIA Schedule B — Part 1 Amounts may be rounded Loans Received to whole dollars. t) �1FORM , from Page of through , Y , SEE INSTRUCTIONS ON REVERSE I NAME OF FILER I.D. NUMBER 13 111 cwt FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER OUTSTANDING BALANCE AMOUNT AMOUNTPAID OUTSTANDING BALANCEAT INTEREST ORIGINAL CUMULATIVE OF LENDER COMMITTEE, ALSO ENTER I.D. NUMBER) (IF SELF-EMPLOYED, ENTER BEGINNING THIS RECEIVED THIS PERIOD OR FORGIVEN CLOSE OF THIS PAID THIS PERIOD AMOUNT OF LOAN CONTRIBUTIONS TO DATE (IF NAMEOF BUSINESS) PERIOD THIS PERIOD* PERIOD fPAID CA FNDARYEAR $ g $ WM $ �ORGI EN RATE $ u Ii 1 ►� PERELECTION— $2,0000, $11 t)O• $7,0000. DATE DUE DATE INCURRED t IND ❑ COM ❑ OTH ❑ PTY ❑ SCC a � ❑ PAID CALENDAR YEAR ❑ FORGIVEN PER ELECTION ** RATE DATE DUE DATE INCURRED t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ PAID CALENDARYEAR ❑ FORGIVEN RATE PER ELECTION t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATEDUE DATE INCURRED SUBTOTALS $ $ $ $ Schedule B Summary 1. Loans received this period.................................................................................................................... $ 0 (Total Column (b) plus unitemized loans of less than $100.) 2. Loans paid or forgiven this period......................................................................................................... $ -1-0000. (Total Column (c) plus loans under $100 paid or forgiven.) (Include loans paid by a third party that are also itemized on Schedule A.) 3. Net change this period. Subtract Line 2 from Line 1. �. o 0©n , ........................................................ NET $ Enter thenet 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. (Enter (e) on Schedule E, Line 3) tContributor Codes �I IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC — Small Contributor Committee FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from through - t,1 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. SCHEDULE E Page _(0__ of —1a— I.D. NUMBER 13 `1®k `(1 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 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 M 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 I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID d y�1% 40 I/\ A r d Lk siiJ Ii, A- Ot n ,� t * Payments that are contributions or independent expenditures must also be summarized on Schedule D. 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 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)