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HomeMy WebLinkAboutForm 460 - Whitney Hoyt for City Council 2011 (2011-10-22)Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statement covers period Date of election If applicable: from (Month, Day, Year) through I ()I I Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4. YOfficeholder, Candidate Controlled Committee E] 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 I I.D. NUMBV4 004*COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) volt STREET CITY STATE ZIP CODE AREA CODE/PHONE (A, ci-tt 0 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS 4. Verification COVER PAGE Date Stamp CALIFORNIA 460 2001102 FORM Page —t— of For Official Use Only 2. Type of Statement: Preelection Statement ❑ Quarterly Statement E] Semi-annual Statement E] Special Odd -Year Report E] Termination Statement F-1 Supplemental Preelection (Also file a Form 410 Termination) Statement - Attach Form 495 ❑ Amendment (Explain below) Treasurer(s) NAME OF TCVJ;ER MAILING ADDRESS CITY� a(A 0 C AREA CODE/PHONE �ct to. K'� 't " "P " MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX I 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 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 and correct. Executed on L.31 I I I IBy — S Date ' Tr rer or Assistant Treasurer Executed on 6 % 11:� % — By Date a —sigratue of ContmAg Otticeholder, care4ate, State Measure Proponent or Responsib4e Officer of Sponsor Executed on Date By Signature of Controffing Officehoider, Candidate, State Measure Proponent Executed on By Date Signature of Contmfirg Officeh6der, Carddate, State Measufe Proponent FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) State of California Type or print in ink. COVERPAGE-PART2 Recipient Committee CALIFimii lull i RNIA Campaign Statement ,'. • 1 Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDEtR OR CANDIDATE .*Au, 5. kioo OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) ? aM 1F�L�.hC'0 ✓V% c.. ETj 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? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) Page Z. of _j I__ 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION I F-1SUPPORT ❑ 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 candidates) 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 I' IT JIHIC LIT uuut: AKCtt I..UUrjYr1UI14C Attach continuation sheets if necessary FPPC Form 460 (January/05) FPPC Toil -Free Helpline: 866/ASK-FPPC (8661275-3772) State of California E C1 1( 9 ScheduleA Type or print in ink. SCHEDULE A Moneta Contributions Received Amounts may be rounaea ry to whole dollars. Stateme t cover period at • ' 2 from �.� • through Z+ Page SEE INSTRUCTIONS ON REVERSE of NAME OF FILER f(c ` ` ` 1M �` t I.D. NUMBER J{ W v ` 0 1 DATE RECEIVED 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 (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) f). ( (ZL e ({ wit 04A% (j�►N+N.] IND 7f & # ❑ OTH Y j �t 7 ❑ PTY fFM i i 4 0 I D SCC '1 t 1 7 ®t" _ ILC �'7 `/�4 �i l� "'C., OMD El COM []OTH �t t L Cii7 111 D PTY S G"K 1iµ 'fq p D SCG �`r t- IND El COM 1 i ❑ OTH ❑ PTY w 4\A • ,p 0 h F1 scG r�INDE3COM 111 DOTH ❑PTY El SCC t ,\ 4\ I,/'` S IND T COM DOTH El PTY 5 SUBTOTAL$ t �, Schedule A Summary 1. Amount received this period - itemized monetary contributions. LA -700 t (Include all Schedule A subtotals.) ........................................................................................................ $ 2. Amount received this period - unitemized monetary contributions of less than $100 ............................. $ 4 O 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.} ....................... TOTAL $ ` m `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 (8661275-3772) 9 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 , . ALIFOp NIA I i from •RM Page of through NAME OF FILER,t -� � I.D.�NUMBER Oct DATE RECEIVED FULL NAMESTREET 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 (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) (AlWL �� IND rVv �y��l✓f� [:]COMi+V�pv i✓ } ❑ OTH CA,-( CIO +� ❑ PTY ❑ SCC SCA IND COM ❑ OTH j W"�W ❑PTY�T - ❑SCC 1 MIND jt i �yysi ❑ OTH ii { t �t ®atl 1l. "� ❑SCC rIND 102COME] �.1��){ OTH E] PTY g i Vt-1(4) 6 ❑SCC f (( `d't t E] COM t ,n OTH �ttli �t ❑ PTY t on) CA1n�ci,y []SCC.°'i SUBTOTAL $ tS°4 '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) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded to whole dollars. Statem ntcovers eriod I. NIA ' from _ FORM through ` Page 57 of _ NAME OF FILER I( .b(UTO G 4 GATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IFCOMMRTEE,ALSOENTER 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 (IF SELF-EMPLOYED. ENTER NAME OF BUSINESS) PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) �`�� ��✓a ND COM ~ {- ! tar J p ❑ OTH ❑ PTY ( - `i 1 t ❑ SCC XIND ncom i �1ry ❑ OTH osC ` C "it ((,,. Q ill Lit C tJ� IND COM (n h ❑OTH S 2 III❑ E] PTY SCC41 l ti� t�a LiA COM l ❑ OTH L sW il\ V\ , 06 110 ❑ SCC 1-A% 4. C/l%vr 41 `e� -Wj IND �cOM f+—1 ,re ❑ OTH ❑PTY A"(,li VV ❑SCC *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCG — Small Contributor Committee SUBTOTAL$ f FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded to whole dollars. Statern nt rs; period CALIFORNIA I 460 qcov FORM i from Page of through NAME O=FILER I.D. NUMBER % I %( Oct 4 DATE FULL NAME, STREET ADDRESS AND ZII,D, NUMBERP CODE OF CONTRIBUTOR OF COMMITTEE, ALSO ENTER ) 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 OF BUSINESS) PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) 41 je, COM fo OTH LW 0,00 G F] PTY El SCC ND L EICOM E] OTH E] PTY A 'Art O I n SCC 2., 4;j[IND n com n OTH 0 77� �,(A, E] PTY E] SCC Vn IND � com A ram F1 OTH E] PTY El ScC MIND Mm F] OTH 6L 40,1 ^A.1 n PTY [:] SCC SUBTOTAL$ to JV *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) 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 I CALIFORNIA 460 d FORM from Page —7— of through AME OF FILER \0-' 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 (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) PERIOD (JAN. I - DEC. 31) (IF REQUIRED) %�' Z 4 '0► IND COM f OTH 'I 7+ I E] PTY E] ScC h, X]IND F-1 COM VD n OTH VA 4C t) F] PTY El SCC ]IND E]COM OTH VV E] c) n SCC 4 VX IND COM OTH 0V ❑ Alt-, L4 E] PTY El SCC Vj-5 �IND com VIA C, v-, OV4, OTH 0SCC 12- SUBTOTAL$ *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 (8661275-3772) Lil Schedule A (Continuation Sheet) Tvioe or print in ink. SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded to whole dollars. Statement covers period CALIFORNIA 460 t FORM from Page of through Ila 17,1211 1 k -9-- NAME OF FILER I.D. NUMBER� DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMIT -TEE, 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 t(IF SELF-EMPLOYED, ENTER NAME PERIOD (JW I -DEC. 31) (IF REQUIRED) OF BUSINESS) G?VfA,L JYIND Y -e t I f_v� 71 to [-ICOM E] OTH f -I PTY L - (A "GA 4o p El SCC td4iT4 IND COM dAt, E] OTH 4,1 1 t ia E] PTY El ScC _JJ(IND n COM E] OTH F1PTY n ScC [:] IND El COM n OTH ❑ PTY ❑ SCC E] IND ncom n OTH Q PTY El SCC *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 SUBTOTAL$ FPPC Form 460 (January/05) FP1PC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772) Campaign Disclosure Statement Summary Page Type or print in ink. Amounts may be rounded to whole dollars. Statement co ers period from SUMMARYPAGE Expenditures Made 6. Payments Made ....................................................... Schedule E, Line 4 through 1 ;21 VO 1% Page of SEE INSTRUCTIONS ON REVERSE 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 NAME OF Fit FA 00, s!13 0\f"tt- I.D. NUMBER 11-10C%4) Contributions Received Column A Column B Calendar Year Summary for Candidates TOTALTHIS PERIOD (FROM ATTACHED SCHEDULES) CALENDARYEAR TOTALTODATE Running in Both the State Primary and Contributions v L!J 0 i 0 49ri General Elections 1. Monetary ........................................... Schedule A, Line 3 $ $ 2. Loans Received ......................................................Schedule B, Line 3 'L 0 000 1/1 through 6/30 7/1 to Date 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines I +2 $ $ N 0 6 20. Contributions Received $ 4. Nonmonetary Contributions... ....... .................. Schedule C, Line 3 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ............ .............. Add Lines 3 + 4 $ VAG 75 -it I 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 $ 11,8508. $ 7,11.1 Current Cash Statement 12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ 2, iD 13. Cash Receipts ............................................. Column A, Line 3 above 14. Miscellaneous Increases to Cash ........................... Schedule /, Line 4 15. Cash Payments.................................................. Column A, Line 8 above 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 Outstanding Debts 18. Cash Equivalents ........... ....... _ ........ See instructions on reverse $ 19. Outstanding Debts ... .............. ...... Add Line 2 + Line 9 in Coiumn 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 (mmldd/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 (8661275-3772) Type or print in ink. SCHEDULE B - PART 1 Statement covers period i Schedule B — Part 1 Amounts may be rounded Loans Received to whole dollars. - ` _ • from Page _ to of through O �i3 ` ` SEE INSTRUCTIONS ON REVERSE NAME OF FILERy I.D. NUMBER �{ FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER OUTSTANDING BALANCE (b) AMOUNT (c) AMOUNT PAID OUTSTANDING BALANCEAT (e) INTEREST (f) ORIGINAL CUMULATIVE UL OF LENDER (IF COMMITTEE, ALSO ENTER ID NUMBER) (IFSELF-EMPLOYED, ENTER NAME OF BUSINESS) BEGINNING THIS PERIOD RECEIVED THIS PERIOD OR FORGIVEN THIS PERIOD` CLOSE OF THIS PERIOD PAID THIS PERIOD AMOUNT OF LOAN CONTRIBUTIONS TO DATE ` uA h rb E] PAID $ $ 210_4b CALENDAR YEAR $ L� 'f % RATE $ PER ELECTION— E]FORGIVEN $ ' $ $ $ $ DATE INCURRED IND ❑ COM El OTH F-1PTY 1771 SCC DATE DUE (� PAID CALENDAR YEAR ❑ FORGIVEN PER ELECTION ** RATE DATE DUE DATE INCURRED t❑ IND ❑ COM ❑ OTH ❑ PTY [I SCC ❑ PAID CALENDARYEAR $ $ — t $ $ ❑ FORGIVEN PER ELECTION*'' RATE $ $$ $ $ DATE DUE DATE INCURRED t❑ IND ❑ COM E] OTH [I PTY ❑ SCC 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.) tContributor Codes IND -individual 2. Loans paid or forgiven this period......................................................................................................... $ COM - Recipient Committee (Total Column (c) plus loans under $100 paid or forgiven.) (other than PTY or SCC) (Include loans paid by a third party that are also itemized on Schedule A.) OTH - Other (e.g., business entity) PTY - Political Party NET $ a SCC - Small Contributor Committee 3. Net change this period. Subtract Line 2 from Line 1. Enter the net here and on the Summary Page, Column A, Line 2. (May be aneg.1"."umber) 'Amounts forgiven or paid by another party also must be reported on Schedule A. " If required. FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) Schedule E Payments Made Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from (2,<- 1 1 SEE INSTRUCTIONS ON REVERSE I through n 1, 2�l (� I Page —L—k_ of l to NAME OF FILER " I.D. NUMBBER�lr co -t' ,11 o CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. 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) I NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) MW CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ qS-(} , Sol Schedule E Summary �r�► 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 $ k S FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)