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HomeMy WebLinkAboutForm 460 - Barbara Heller for City Council (2012-12-31)'Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statement covers period from &,o �&,o V &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 General Purpose Committee fAisc Complete Paer 6) 0 Sponsored r—Primarily Formed Candidate/ 0 Small Contributor Committee Officeholder Committee 0 Political Party/Central Committee (Aisr, Complete Part 7) 3. Committee Information I IDqL4R.UMBE0 4. c1 a COMMITTEE NAME (OR CANDIDATES NA IF NO COMMITTEE) r _tt 7�6 eye t -//- fpm 'OV, t4 ell S I BEE I ADDRESS (NO P.O. BOX) CiTTF STATE ZIP CODE AREA CODE/PHONE lea MAILING ADDRESS (IF DIFFEREN i I NO. AND STREET OR P.G. BOX CITY STATE ZIP CODEAREACODEIPMONE OPTIONAL FAX I E-MAIL ADDR Date of election if applicable: (Month, Day, Year) 2. Type of Statement: E] Preelection Statement Semi-annual Statement Termination Statement (Also file a Form 410 Termination) Amendment (Explain below) Treasurer(s) NAME OF TREASURER /V. 0 4* 7 MAII ING ADDRESS Dale Stamp mmli COVER PAGE Page -/— of For Official Use E Quarterly Statement 1--i Special Odd -Year Report Ll Supplemental Preelection i Statement - Attach Form 495 1.STATE ZIP CODE AREA CODE/PHONE 4AI I el lez �- NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODEIPHONE OPTIONAL: FAX r E-MAIL ADDRESS ventIca tion 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 under the laws of the State of California that the foregoing is true correct. - Executed on 2� , tn, ate By A1717 42-1-W-- c�L"zm,),&�3 lgaZW of Te.surm o, Assstagi,`Tmasurer Executed on_6i, A0/3 By JA -4-1111' ff11 e Measure Proro,enicrResponslpl­ Ofsce,ofSrcnr By Kfn2t.;.T- cf n,- OfrCe-hoder. Carve -date, State P,,,,,oe,? Execuled or !late By S4rr.arure Of Ccrtl-oh,rc G>cehdder. Ca,�doklte State Measure P,rponerl FPPC Form 460 (January/05) FIPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) State of California Type or print in ink. COVER PAGE - PAR -S Recipient Committee Campaign Statement FORM Cover Page 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE '16MKA L'irle- OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) ,561�1 /a.Ct+rj_ (?/�/ RESIDENTIAL/BUSINESS ADDRESS (NO. AN STREET) CITY STATE ZIP 4 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 ID.NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? El YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NOP.O BOX) CITY STATE ZIP CODE AREA CODEIPHONE COMMIT T EE NAME LD NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ,F_1 YES NO Page I of — If - 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO OR LETTER I 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 Candidate/Officeholder Committee Listnames of officeholder(s) or candidate(s) for which this committee is primarily formed COMMILT-1 FE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA, CODEfPHONE Attach continuation sheets if necessary NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD E] SUPPORT E] OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD SUPPORT Eli OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD [j SUPPORT I EIOPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD E] SUPPORT EtOPPOSE FPPC Form 460 (January105) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) State of California o 3 a c :3 Z 91: CL m O >H ph -7 z Ls to - m CE r,� mo (D r, (D r - i m 3 3 L� 3 su to L4 65ac o 3 a c :3 Z 91: CL m O >H Ls m (D r - i m 3 3 L� 3 o 3 a c :3 Z 91: CL m 11' Summary of Expenditures Type or print in ink. Statement covers period Supporting/Oosin Other Amounts may be rounded pp � pp g to whole dollars. ,r f • from ` "�"� � ��� e � • Candidates, Measures and Committees f through �C�r�j Page Y_ of SEE INSTRUCTIONS ON REVERSE NAME OF FILERI.D. NUMBER C -9-^n- We r_ ��,�-�e �".s��,�E�. �:�: ► 9,3o1n �'� e/�--$,•�e�,��� 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. Or REQUIRED) PERIOD (JAN I-DEC.31) (IF REQUIRED) OR COMMITTEE �.— r ❑ Monetary Contribution —0.00 / ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure SUBTOTAL $ �.--� 4-0 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 ............................................... contributions3, Total • independent expenditures made this period. if Lines 1 and 2. Do not enter on the Summary•i ................... $ FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)