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Home My WebLink AboutForm 460 - Samantha Sargent for City Council 2011 (2013-06-30)Recipient Committee Type or print in Campaign Statement CoverPage (Government Code Sections 84200-84216.5) Statement covers period Date of election it applicable: i I (Month, Day, Year) from ---AA li, SEE INSTRUCTIONS ON REVE.-FISE through J U'L 1. Ty Recipient Committee'. All Committees - Complete Parts 1. 2,3, and 4. Ofteholder, Gandidate Controlled Committee Primarily Formed Ballot Measure 0 State Gandidate EfecticIn Committee Gornmittee 0 Recall 0 Controlled (AAo (kvnpkte Part 6) 0 Sponsored General Purpose Committee (AJso CaVlate Part 6) 0 Sponsored E] Primarily Formed Candidate/ 0 Small Gontributor Committee Officeholder Committee 0 Political Party/Central Gommittee (AJSo COM100 PWt 7) 3. Committee Information COMIAR"TEE NAME, (OR CANDIDATE'S NAME W NO GOMMITTEE�.', STREET ADDRESS (NO PO, BOX) CITY STATE -*P CODE MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR RO, BOX CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS • 2. Type of Statement: E] Preelection Statement y 6"eryt '�.' emi-annual Statement d _0j, Report E] Termination Statement F-1 Supplemental Preelection (Also file a Form 410 Termination) Statement - Attach Form 495 Amendment (Explain below) Treasuref(s) NAME OF TREASURER MAILING ADDRESS CITY STATE V ZIP CODE NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODEIPHONE 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 intheM ed schedules is true and complete. I certify under penalty of porjury under the laws of the State of California that the foregoing is true and correct. -7 Exocuwd on By reaArer 0 & Executod on BY SgnMured0ontro"Oftioahokiw, C-4n�ole Measure Propormt or AesponsiW Offkw of Sponsor Executed on By Measure r Executed on Daft BY Sqna"e of ControlkV Oftcahok*r, Cawkiate, State Measure Propawlt FPPC Form 460 (January/05) FPPC Toll -Free "pline: OWASK-FPPC (866/275-3772) State of California UTM M�� # a UIRL n1ro-T. MIMMMI Mot M# I NAM OF Of FICEHOLDER 08 CANDIDATE OFFICE SOLIGHT OR HELD (INGA-UDE L0CAAJN AND DISTRICT, MBER IF APPLICABLE) RESIDENTIAL)BIJ,AE ADDRESS (NO,,qND STREET) 1) CITY STATE ZIP Related Committees Not Included in this Statement: tiat any committees not included In this stalontent thot are contw/Aad by you or are primarily formed to receive contribudons or moke experWituras on behalf of your candidacy. COMMITTEE NAME I I.D. NUMBER NAME OF -TREASURER GONTWA-LED COMMITTEE? I [] YES 0 NO COMMI'TTEE. ADDRESS STREET ADDRESS (NO PO, BOX) CHIT Y STATE ZIP GODE AREA CODE1PHONE G'0MW7TEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? E] YES E] NO CC EE ADDRESS STREET ADDRESS (NO P0, BOX) CITY STArF ZIP OODE AREA GODEIPHONE Page -V-1- of G. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT O. OR LETTER JURISDICTION n SUPPORT I E] OPPOSE Identity the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD I DISTRICT NO. IF ANY T. Primarily Formed CandidatatOtficeholder Committee cyst names of officeholder(s) or candideWs) for which this comm' ee Is primarily formed NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD SUPPORT El OPPOSE, NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD SUPPORT DOPPOSE NAME OF OFECEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD SUPPORT El OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE )'OFFICE SOUGHT OR HELD D SUPPORT OPPOSE Affach continuation shoots If necessety FPPC Form 460 (January/05) FPPC ToWFree Helpline: 8WASIC-FPPC (866/275-3772) State of California SEE INSTRUCTIONS ON REVERSF, 4�MF'OF FILEA S 114 PirM Type or print in ink. Amounts may be rounded to whole dollars. Contributions Received I Column A TOTAL THiS PERIOD (FROM ATTACHED SCHEDULES) 1. Monetary Contributions ......... Schedule A, one 3 $ 2, Loans Received ........ Schedule B, Late. 3. SUBTOTAL CASH CONTRIBUTIONS .... Add Lines I + 2 4, Nonmonetary Contributions... . ........ ........ Schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED .... AddLines3+4 $ Expenditures Made 6. Payments Made- ...................... ................. Scheklule E, Line 4 $ 7. Loans Made ............................ ..... $~ule H, Line 3 8, SUBTOTAL CASH PAYMENTS— ... ...... Add Lines 6 + 7 $ 9. Accrued E"nses (Unpaid Bills) .......... schedwe F, Line 3 10. Nonmonetary Adjustment Schedule C, Line 3 11, TOTAL EXPENDITURES MADE ... ................ ...... Add Lines 8 + 9 + 10 $ Current Cash Statement ry ag 0 45' 4V 5 - 9 12. Beginning Cash Balance .... ...... Pwious summa P a, Lin i $ 13. Cash Receipts ....... Wurm .,n 3 above 14. Miscellaneous Increases to Cash . Sch&Yule 1, Line 4 15. Cash Payments .............. ...... ........ Column A, Line Sabo lop 6. ENDING CASH BALANCE AM Lines 12 + 13 + 14, then subtrad Line 15 $ If this is a termination statement, Line 16 must be zero. 17. LOAN 6- UARANTEES RECEIVED—,........,.,..._a,..._,.... Schedule 8, Part 2 $ Cash Equivalents and Outstanding Debts $ 19, Outstanding Debts Add Line 2 + Line 9 in Calumn B above $ Statement covers period CALIFORNIA 4o FORM from —11LAQ91 :Z � Page of through Column 8 Calendar Year Summary for Candidates CALENDAR YEAR TOTALTODATE Running in Both the State Primary and General Elections $ 1/1 through 6M 7/1 to Date $ � 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 Unes 2, 7, and 9 (d any), 20. Contributions Received $ $ 21. Expenditures Made $ $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (it stmect to vdw" ecun*) Date of Election Total to Date (mm/dd/yy) / ----J— $ .A unts in this section may be different from amounts reported in Column B. FPPC Form 460 (January/06) FPPC Toll -Free Helpllne: 8MASK.-FPPC (86W75,3772) Schedule {. Summary of Expenditures Type or print Amounts M "Mrounded Supporting/Opposing to whole dollars. Candidates, Measures and Committees SEE INSTRUM, '10NS ON REVERSE W coversNAMF OF CANDIDATE, OFFICE, AND DISTRICT, OR MEASURE NUMBER 08 LFTTER AND JURISDtCTION, TYPE OF PAYMENT ORCOMMITTEE Statement period CALIFORNIA fromr FORm 4 through -CU-MULATIVE TO DATE PER ELECTION DESCRIPTiON AMOUNT THIS CALENDAR YEAR TO DATE PERIOD (IF REOURED) FE Schedule t . 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..................................................................................... . Total contributions and independent expenditures made this period. Add Lines t and 2. Do not enter on the Summary Page.) TOTAL � FPPC Form 460 (January/05) FPPC Toll -Free Helpline: ASK FPPC (866t275-3772) AV Monetary 0 Nonmonetary Contribution Independent Supp ►rt 0 opposeExpenditure 0Monetary Contribution - t 0 Nonrnonetary Contribution ._ Independent Support oppose /` Fpetditura Monetary., Contribution 60 0Nonnionetary Contribution Independent support oppose Expenditure SUBTOTAL Schedule t . 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..................................................................................... . Total contributions and independent expenditures made this period. Add Lines t and 2. Do not enter on the Summary Page.) TOTAL � FPPC Form 460 (January/05) FPPC Toll -Free Helpline: ASK FPPC (866t275-3772) e Type or print In Ink. SchedulE Amounts may be rounded statement covers period CALIFORNIA 401.le dollars. FORM from NAME AND ADDRESS OF PAYEE (IF COMMITTFE, ALSOENTER L0, KAMER) IK7 Zf A/ t. top"* I—Y A T Vio ALI KK Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 1151 C 0, $ 1. Itemized payments made this period. (include all Schedule E subtotals.) .............................................................................................................. 2. Undernized 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.) .................... I ........ TOTAL $ FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK+PPC (866(775-3772) NAME OF FILER I.D. NUMBER 3_411 CODES*- It one of the following codes accurately describes pr you may enter the code. Otherwise, describe the payment. (W campaign paraphernalia/misc. NW rnember communications RAD radio airtime and production costs GW campaign consultants MTG meetings and appearances RFD returned contributions GIB contribution (explain nonnionetary)* OFC office expenses SAL campaign workers' salaries GVG 'civic donations PEr petition circulating TEL t.v. or cable airtime and production costs FIL candidate fitir*/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 N) independent expenditure supportinglopposing 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 UT campaign fitorature and mailings PRT print ads VVEB information technology costs (intemet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTFE, ALSOENTER L0, KAMER) IK7 Zf A/ t. top"* I—Y A T Vio ALI KK Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 1151 C 0, $ 1. Itemized payments made this period. (include all Schedule E subtotals.) .............................................................................................................. 2. Undernized 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.) .................... I ........ TOTAL $ FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK+PPC (866(775-3772) Schedule E (Continuation Sheet) Payments Made ,5 INSTRUCTIONS ON REVERSE NAME OF FILER Type or print in ink. Amounts may be rounded to whole dollars. Statement covers from through Page40 of MOWN fZ� e"_- 1-il C 5 CODES: if one of the following codes accurately describes the payment, you may enter the cede. Otherwise, describe the payment. CW campaign n raphornalia mber communications RAD radio airtime and production costs OW campaign consultants MTG meetings and appearances RFD returned contributions GM contribution explain nonmonetary)* OFC office expenses SAL. campaign workers' salaries QVC chic donations PET petition circulating TIL t.v. or cable airtime and production costs llw candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FW fundraising events POL palling and survey research TRS staff/spouse travel, lodging, and meals independent expendituresupporting/opposing Gathers (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal detense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRY print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE (W COMMiTTEE, ALSO ENTER ID NUS G E OR DESCRIPTION OF PAYMENT AMOUNT PAID rzlr 'V1 w M i 44 C-11 HA CE f Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL M FPPC Form 4W (January/05) FPPC Toil -Fr Helpline: ASK-FPPC (866t275-3772) Schedule E (Continuation Sheet) Payments Made SEE* INSTRLK,"TW,�NS ON REVERSE, i��—OFFILER--,— Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from through ,,a Page Ap— Of W, NUMBER II Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 6D A)YV FPPC Form 460 (January/05) FPPC Toll -Free Helpfine: SWASK-FPPC (86612M3772) I Z #I NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D, NUMBER) CODE OR DESCRIPTION OF PAYMENT "A WOW— Is W Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 6D A)YV FPPC Form 460 (January/05) FPPC Toll -Free Helpfine: SWASK-FPPC (86612M3772)