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HomeMy WebLinkAboutForm 460 - Whitney Hoyt for City Council 2011 (2011-09-24)Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statem nt govers period Date of election if applicable: ` from (Month, Day, Year) � � �_ _ t 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 Part 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 LD i 2 MY. ) a u t COMMITTEE E (OR CANDIDATE'S NAME IF NO COMMITTEE) Y����tC-` (OvlNC.� \ STREET CITY STATE ZIP CODE AREA CODE/PHONE MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS 4. Verification to Stag ve) 2. Type of Statement: ❑ Preelection Statement ❑ Semi-annual Statement ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) Treasurer(s) NAME,OF_jREA�SR W7 MAILING COVER PAGE Page of S2� For Ofricial Use Only Quarterly Statement ❑ Special Odd -Year Report ❑ Supplemental Preelection Statement - Attach Form 495 CITY STATE, ZIP CODE AREA CODE/PHONE • tom-14cl 01 MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein nd in the attached schedules is true and complete under penalty of perjury underlithe lawi of the State of California that the foregoing is true and correct. c� Executed on By --__-� e Sigrature fire surer, or Assistant Tr asurer Executed on � 4 --_ By DAe &gnature of Gortro�rWVfftCehddEr, Candid e, Slote Measure Proponent or Respensi6Ee Officer of Sponsor Executed on Date By S,irattse of Crrtro'd=ng Offce-rckier. Candidate, State Measure Proponent I certify Executed on By Cats Signature ofCortmrgCffleehoAer,Cardilate.State Measure Prsparent FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772) State of California Type or print in ink. Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICF� `D R CANDID TE W -C , - OFFICE SOU HT OR HELD (INCLUDELOCATIONAND DISTRICT NUMBER IF APPLICABLE) RESIDENTIALB ("� - a,%,\ � 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? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE COVER PAGE - PART 2 Page Z of BALLOT NO, OR LETTERI JURISDICTION I E]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 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 ullY blAlc ur cwt xncHWUtJrnuNc Attach continuation sheets if necessary FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 8661ASK-FPPC (866;275-3772) State of California 50 2 �����«x��� ��m�mm�� n�s��A Amounts may be rounded Monetary Contributions Received to whole dollars. cojers pet_ ------l Statemen iod CALIFORNIAfrom FORM SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER I.D.NUMBER DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR CODE IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IFSELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) El SCCOTHPTY TPG' 2,5F-1 SCCE] PTYOTHPTYCOME] OTH SchmduUeA Summary 1.Amount received this period - itemized monetary contributions. ��~? ��0 2.Amount received this period -unhemizedmonetary contributions of less than $100 3.Total monetary contributions received this period. (Add Lines 1and 2.Enter here and onthe Summary Page, Column A.Line 1j.- -� ------'� l ^~ _ ---. TO77\L $ *Contributor Codes |wo-mmwuua roM-nwmpientcommitto (other than PTY n,SCC) or* - Other (ng.. business entity) pTY-Puouoa|Pmrty SCC — Small Contributor Committee rppcForm wm(Jamvarvmq Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded to whole dollars. Statement covers period from CALIFORNIA FORM I 460�i Page I_ of through NAME OF FILER I.D. NUMBER ( � 4 0j t4k DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CONTRI UTOR 13 CODE IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) PERIOD (JAN. I -DEC. 31) (IF REQUIRED) Y\ (k " IND fCOM t L'i LA —,Ark GOTH [:] PTY SCC A . V\ � UV =0- El ICOM FICOM CITH + Ej coi Ct C) n PTY F-1 SCC -I'dIND 15com GOTH T_ Mtt7VWWWWM!W AA [:] PTY EJ SCC '[COM OCITH El PTY SCC 14 R -Ot ND Jv GOTH Ej PTY 0 SCC SUBTOTAL$ 000 *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: 866iASK-FPPC (866/275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded to whole dollars. Statement covers period CALIFORNIA 46 -71(111 FORM from Ok through 4 7 Page of _�_ NAME OF FILER I.D. NUMBER t ; A oqq\ DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CONTR BUTOR I CODE IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED —rNDM (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) V Lo,/5 CO + ij A�o F1 OTH 0 ti n PTY SCC IND COM OAO,(Ag,� OTH PTY I E] SCC C14 V\ v,.e— TOM E] OTH PTY po< t Wol 0 V El SCC [:] IND EICOM R OTH F PTY [:] SCC E] IND E] COM ❑ OTH E:] PTY [] SCC SUBTOTAL$ q o o *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other ( 'e.g., business entity) PTY — Political Party SCC — Small Contribute, Committee FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Campaign Disclosure Statement Summary Page Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from I I I 111 SUMMARY PAGE throughvi Page --fa—of SEE INSTRUCTIONS ON REVERSE o4 NAMIE_j�F FILER I.D. NUMBER �_( t _( .11 �s 4 W uo-- <" 0i'A oa, Contributions Received 1. Monetary Contributions........................................... 2. Loans Received ...................................................... Schedule A, Line 3 Schedule B, Line 3 Column A TOTALTHISPERIOD (FROM ATTACHED SCHEDULES) $ 5&A 0k, Column B CALENDARYEAR TOTALTODATE s 50-k0k Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 through 6/30 7/1 to Date 1'0 000- 10 0 0 101, 3. SUBTOTAL CASH CONTRIBUTIONS ......................... 4. Nonmonetary Contributions .................................... Add Lines I + 2 Schedule C, Line 3 011 $ 1kk , 0 , $ 1-5" 0A "I , 20. Contributions Received $ $ 21. Expenditures 0 0 5. TOTAL CONTRIBUTIONS RECEIVED . ........ ............. Add Lines 3 , 4 $ T!5LQA�® ^-'$ IC01CI - Made $ $ Expenditures Made 6. Payments Made ....................................................... Schedule E, Line 4 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 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 1, Line 4 15. Cash Payments .................................................. Column A, Line 8 above 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Lire 15 If this is a termination statement, Line 16 must be zero. $ 091A, $ ct094 01 0— $ A 1 $ 0- 0. 0. $ Q9'A ' $ ge-4-, 17. LOAN GUARANTEES RECEIVED..... ...................... Schedule B, Part 2 $ — — I Cash Equivalents and Outstanding Debts 18. Cash Equivalents ...................... ...... .......... See instructions On reverse $ 19. Outstanding Debts......,....... ... __.. Add Line 2 + Line 9 in "Ohimr. B above $ 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) I _____j $ I — $ 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) SCHEDULE B - PART 1 . Y r.......... Schedule B — Part 1 Amounts may be rounded Statement covers period CALIFORNIA Loans Received to whole dollars. from -7111(1 _ . - • FM °f y Page :�_ SEE INSTRUCTIONS ON REVERSE through of NAME OF FILER (.F �`"� It �JU� Ev� 4+�✓Ll C 4 �� �� FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER OUTSTANDING BALANCE AMOUNT O 'N AMOUNT PAID OUTSTANDING BALANCEAT te) INTEREST f ORIGINAL (9) CUMULATIVE OF LENDER (IF COMMITTEE, ALSO ENTER I.D. NUMBER) (IF SELF-EMPLOYED, ENTER NAMEOFBUSINESS) BEGINNING THIS PERIOD RECEIVED THIS PERIOD OR FORGIVEN THIS PERIOD" CLOSE OF THIS PERIOD PAID THIS PERIOD AMOUNT OF LOAN CONTRIBUTIONS TO DATE Y��".,[��" � ❑PAID �j �,,��yh CALENDARYEAR FORGIVEN RATE PERELECTION— ❑ DA E I CURRED DATE DUE IND E] COM ❑ OTH F] PTY ❑ SCC ❑ PAID CALENDARYEAR Cj FORGIVEN PER ELECTION** RATE DATE DUE DATE INCURRED tEl IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ PAID CALENDARYEAR ❑ FORGIVEN PERELECTION— RATE DATE DUE DATE INCURRED t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC I SUBTOTALS $ $ $ $ (Enter (e) on Schedule B Summary Schedule E, Line 3) 1. Loans received this period.................................................................................................................... $ -- (Total Column (b) plus unitemized loans of less than $100.) 2. Loans paid or forgiven this period......................................................................................................... $ (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. ......... NET $ ffi Enter the net here and on the Summary Page, Column A, Line 2.a;,np�s E mtr *Amounts forgiven or paid by another party also must be reported on Schedule A. ** If required. tContdbutor 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) E Schedule E Type or print in ink. Amounts may be rounded Statement covers period CALIFORNIA Payments Made to whole dollars. from FORM 460 SEE INSTRUCTIONS ON REVERSE through Page -g— of NAME OF FILER UMBER CODES: If one of the following codes accurately describes the payment, you may enter the code. Dthenwiso, describe the paymenL CW campaign MBR member communications RAD radio airtime and production costs CNS campaign consultants mm meetings and appearances RFD returned contributions CTB onmm»uuon (explain nunmvnmar0` OFC ommy expenses SAL campaign workers' salaries ovo civic donations PET petition circulating TEL /xo,cable airtime and production costs nL candidate filing/ballot fees n+o phone banks TRC candidate travel, lodging, and meals FIND fundraising events poL polling and survey research TRS nmmapousooawy|. muomo, and meals M munnvnuom expenditure ouppumnomv»usinn omom (explain)* poa postaoo, delivery and moon*noe, uomioea TSF tmnxm, uawmen committees of the same candidate/sponsor Lea legal defense PRO professional services (|eou|. accounting) voT voter registration LIT campaign literature and mailings Pnr print ads vwEo information technology costs <intemot.*maiV NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID, V ^ Payments that are contributions v,independent expenditures must also be summarized on soxeuu/, D. GUBTOTAL$ Ilk o�«�� Schedule E Summary LA1.Itemized payments made this period. (Include all Schedule Esubhotadoj............... ------......... .................. ---........ ....... —.............. $ 2.Unitemizedpayments made this period cfunder $100 ................................. ... ....... ......... ................... ................ ---...... ..... —.... --$ 01 3.Total interest paid this period onloans. (Enter amount from Schedule B.Part 1.Column (e)j...... ......... ---....... --------................. S ot 4, Total payments made this period. (Add Lines 1. 2, and 3. Enter here and on the Summary Page, Column A. Line 6,) ............... _ ........... TOTAL $ A,08 A Z n`pcForm wm(Jonuwnm5)