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Home My WebLink AboutForm 460 - Barbara Heller for City Council (2013-06-30)V. Recipieokk, Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE (a Type or print in ink. Statement covers period from through 1. Type of Recipient Committee-. All Committees —Complete Parts 1, 2, 3, and 4. Officeholder, Candidate Controlled Committee Primarily Formed Ballot Measure 0 State Candidate Election Committee Committee 0 Recall 0 Controlled (Also Complete Parr 5) 0 Sponsored (Also Complete Part 6) General Purpose Committee 0 Sponsored Primarily Formed Candidate/ 0 Small Contributor Committee Officeholder Committee 0 Political Party/Central Committee (Also Complete Part 7) 3. Committee Information I.D,NUMBER 1 6?&0 6 COMMITTEE NAME (OR CAW;;,ME IF NO teao,opfl7t Jorge r— STREET ADDRESS (NO P.O. BOX) ...� CITY STATE ZIP CODE AREA CODE/PHONE '0' *^ fpx- lea - A, F-WLy tot a] 1101 004 T) NO. AND STREET BOX CITY OPTIONAL: FAX / E-MAIL ADDRESS STATE ZIP CODE AREA CODEIPHONE Date of election if applicable (Month, D. Year) 2. Type of Statement: F-] Preelection Statement � Semi-annual Statement F-1 Termination Statement (Also file a Form 410 Termination) Amendment (Explain below) 91811111M Page / - of For Official Use Only 71 Quarterly Statement Special Odd -Year Report Supplemental Preelection Statement - A.Xa-c�-)Tm-495 NAME OF TREASURER J- MAILING TAME Or ASSISTAN-t TREASURER, IF ANY M STATE ZIP CODE AREA CODE/PHONE Executed on By Date Signature of Controlling Officeholder, Candtdate, '--late Measure Proponent FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) State of California 5. Officeholder or CandidateControlled CommiXee 0 Type or print in ink. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) RESIDENTIAL/BUSINESS ADDRESS (NO. AND TREET) CITY STATE ZIP 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.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? [-] 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? [j YES [ NO . Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE 0 COVER PAGE - PART 2 BALLOT NO. OR LETTER JURISDICTION SUPPORT OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE. OR PROPONENT OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY 7. Primarily Formed Ca nd idate/Offi ce holder Committee List names of officeholder(s) candidate(s) for which this committee is primarilyformed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD SUPPORT [� OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD SUPPORT F] OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR FIELD � SUPPORT [] OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD SUPPORT OPPOSE Campal"gn Disclosure Statemerill Summary Page I 1101i'LW "011ingum-g-ja do Type or print in ink. Amounts may be rounded to whole dollars. NAME OF FILER eopnr" t ffe C 10 Re e-1Peri Z 4, rwe �L44 zoml;fam Z. -F. e I IN I lillillillij Contributions Received Column A TOTALTHIS PERIOD (FROM ATTACHED SCHEDULES) 1. Monetary Contributions ........................................... Schedule A, Line 3 $ 0 2. Loans Received ...................................................... Schedule B, Line 3 D 3. SUBTOTALCASH CONTRIBUTIONS ......................... Add Lines 1 + 2 $ 90 4. Nonmonetary Contributions .................................... Schedule C, Line 3 0 5. TOTAL CONTRIBUTIONS RECEIVED .......................... Add Lines 3 + 4 $ 0 _==xpenditures Madc 6. Payments Made ....................................................... Schedule E, Line 4 $ 7. Loans Made ............................................................. Schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6 + 7 $ 00 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F Line 3 10. Nonmonetary Adjustment .......................................... Schedule C, Line 3 11. TOTAL EXPENDITURES MADE ................................ Add Lines 8 + 9 + to $ c) Current Cash Statement 12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ 3 13. Cash Receipts ................................................... Column A, Line 3 above 0 14. Miscellaneous Increases to Cash ........................... Schedule /, Line 4 AtC) 15. Cash Payments .................................................. Column A, Line 8 above t3 1,67t6 -0 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, Part 2 $ Cash Equivalents and Out tanding Debts 18. Cash Equivalents ........................................ See instructions on reverse $ 19. Outstanding 0 SUMMARY PAGE Statement covers period CALIFORNIA 46( from tA10L.2 ovg FORM through 6,/90 /0290 Page of I.D. NUMBER Column B Calendar Year Summary for Candidates CALE N DAR YEAR TOTALTO DATE Running in Both the State Primary and � 1 General Elections 1/1 through 6/30 7/1 to Date E. 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 any). 20. Contributions Received $ 21. Expenditures Made $ 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) *Arnounts in this section may be different from amounts reported in Column B. FPPC Form 460 (January/06) FC Toll -Free Helpline.* 866/ASK4FPPC (866/276-3772) NAME OF FILER DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR TYPE OF PAYMENT DESCRIPTION MEASURE NUMBER OR LETTER AND JURISDICTION, (IF REQUIRED) OR COMMITTEE P RXr'� Monetary Contribution Nonmonetary Contribution Independent Support Oppose Expenditure Monetary 1..�, !� ! d r., Contribution t*- 0 - oll,%- 6;V1erv,#WrNonmonetary lye Contribution Independent Support Oppose Expenditure /.IMonetary '� 473 X � �� Contribution ft rjTyNonmonetary Contribution Independent Support Oppose Expenditure 9� a SCHEDULED Statement covers period CALIFORNIA 46C g$ FORM 49(0 00 13 f # . i through l I� Pagi of J "r I.D. NUMBER CUMULATIVE TO DATE PER ELECTION AMOUNT THIS CALENDAR YEAR TO DATE uu Effr'_�- f Schedule D Summary . Itemized contributions and independent expenditures made this period. {Include all Schedule D subtotals.) ......................................................... . Uniternized contributionsindependent expenditures made this period under ..................................................................................... 3. Total contributions andin ntn it r this period.In n not enter on the u ac.} ............ TOTAL $ FPPC Form 460 (January/05) M Type or print in ink. Amounts may be rounded to whole dollars. NAME OF FILER QD/l�I�'lI OFT er A6tr //rte DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR MEASURE NUMBER OR LETTER AND JURISDICTION, OR COMMITTEE S/� 14!5o0040�7-46 �a ��FR�L ��f� �ou,J�. / Support ❑ oppose ��k`ri,�CJ'2'Tjf �NS� ey d /C�y Fo 3a` 1AVeI ?,*Jtj 4 A-, Support ❑ Oppose Support TYPE OF PAYMENT DESCRIPTION I (IF REQUIRED) Monetary Contribution `• -- p- aeepediture ■Monetary Contribution Nonmonetary Contribution Independent Expenditure E] Monetary Contribution 0 Nonmonetary Contribution Independent Expenditure E] Monetary Contribution Nonmonetary Contribution Independent Support Oppose Expenditure SUBTOTAL $ Statement covers period CUMULATIVE AMOUNT THIS CALENDAR PERIOD (JAN. 1 - DEC IN a 0 DATE � i� Mi�� u i iii � PER ELECTION EAR TO DATE (IF REQUIRED) FPPC Form 460 (January/05) FPPC Toll -Free Helpfine: 866/ASK-FPPC (866/276-3772) DATE FULL NAME AND ADDRESS OF SOURCE DESCRIPTION OF RECEIPT AMOUNT OF RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) INCREASE TO CASH e /AJ rO a -194C A; 0, e A Z/ '00/ 'ae la A) eV -VN_ 4166) Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ *e C) 1. Itemized increases to cash this period . ....................................................................................................................... 2. Uniternized increases to cash of under $100 this period . ............................................................................................ $ am% a — 3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).) ................................. $ 4. Total miscellaneous increases to cash this period. (Add Li1, 2, and 3. ter here and on the Summary Panes En ge, Line 14.) ........................................................................................................................... TOTA L $ FPPC Form 460 (January/05) FPPC Toll -Free Helpfine: 866/ASK-FPPC (866/276-3772)