HomeMy WebLinkAbout460 01/28/2016 Campaign Statement from 07/01/2015 through 12/31/2015 Ellery A. DeatonRecipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200 - 84216.5)
Type or print in ink.
Statement covers period Date of election if appl
-', It (Month, Day, Year)
from
SEE INSTRUCTIONS ON REVERSE I through 12 - 3 / - t 5
1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4.
25 Officeholder, Candidate Controlled Committee ❑ Ballot Measure Committee
0 State Candidate Election Committee
0 Primarily Formed
0 Recall
0 Controlled
(Also Complete Part 5)
0 Sponsored
❑ General Purpose Committee
(Also complete Pan 6)
0 Sponsored
❑ Primarily Formed Candidate/
0 Small Contributor Committee
Officeholder Committee
0 Political Party /Central Committee
(Also complete Pad 7)
3. Committee Information
I.D. NUMBER
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
CITY STATE ZIP CODE AREA CODE /PHONE
OPTIONAL: FAX / E -MAIL ADDRESS
2. Type of Statement:
aDDERdIEDD
JAN 2 8 2016
CITY CLERK
CITY OF SEAL BEACH
❑ Preelection Statement
®, Semi - annual Statement
❑ Termination Statement
❑ Amendment (Explain below)
Treasurer(s)
�— of ..3
For Official Use Only
❑ Quarterly Statement
❑ Special Odd -Year Report
❑ Supplemental Preelection
Statement - Attach Form 495
PAGE
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE /PHONE
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 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 f_ 7-g a'Otle
Date
Executed on 1-132-1?-167
Date
Executed on
Dale
By
Signature olCOnV011irx{ ORiceholder, CaMidale, State Measure Proponent
Executed on B FPPC Form 460 June /01
Dale y SignalureMControlling OKCeholder, Candidate, State Measure Proponent ( )
FPPC Toll -Free Helpline: 866 /ASK -FPPC
State of California
Recipient Type or print in ink. COVER PAGE - PART 2
. ➢,x ti:r r r,ttr, w k,
CALIFORNIA 460
Campaign °`r" >FORM
Cover Page — Part 2
5. Officeholder or Candidate Controlled Committee 6. Ballot Measure Committee
NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOTMEASURE
OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
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 I.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
YES Q NO
COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX)
COMMITTEE NAME
NAME OF TREASURER
STATE ZIP CODE AREA CODE /PHONE
I.D.NUMBER
0 YES Q NO
ADDRESS STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE /PHONE
Page —QZ— ofd
BALLOT NO. OR LETTER JURISDICTION I D SUPPORT
0 OPPOSE
Identify the controlling officeholder, candidate, or state measure proponent, if any.
NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT
OR HELD
DISTRICT NO IF ANY
7. Primarily Formed Committee List names of oHiceholderfs) or candidate(s) for
which this committee is primarily formed.
NAME
OF
OFFICEHOLDER
OR
CANDIDATE
OFFICE SOUGHT
OR
HELD
[] SUPPORT
Q OPPOSE
NAME
OF
OFFICEHOLDER
OR
CANDIDATE
OFFICE SOUGHT
OR
HELD
0 SUPPORT
a OPPOSE
NAME
OF
OFFICEHOLDER
OR
CANDIDATE
OFFICE SOUGHT
OR
HELD
n
SUPPORT
l8 OPPOSE
NAME
OF
OFFICEHOLDER
OR
CANDIDATE
OFFICE SOUGHT
OR
HELD
SUPPORT
l8 OPPOSE
Attach continuation sheets it necessary
FPPC Form 660 (June /01)
FPPC Toll -Free Helpline: 866 /ASK -FPPC
State of California
Campaign Disclosure Statement
Type or print in ink.
Schedule P, tine 4
7. Loans Made .............................. ...............................
SUMMARYPAGE
Summary Page
Add Lines 6 +7
Amounts whole dolla rounded
Schedule F Line 3
Statement covers period
-
III ,
11. TOTAL EXPENDITURES MADE ...................
............. Add Lines 8 +9 +10
•
from
e • ,;.,
i
through !�. �� �s
Page � of
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
I.D. NUMBER
,Rler Dif- v
9307
Contributions Received
ColumnA
Column B
Calendar Year Summary for Candidates
TOTAL THIS PERIOD
(FROM ATTACHED SCHEDULES)
CALENDAR YEAR
TOTALTODATE
Running to Both the State Prima and
9 Primary
General Elections
1. Monetary Contributions ............ ...............................
Schedule A, Line 3
$ $
1/1 through 6130 7/1 to Dale
2. Loans Received ....................... ...............................
Schedule B, Line 3
3. SUBTOTAL CASH CONTRIBUTIONS .........................
Add Lines I.2
$ $
20. Contributions
Received $ $
4. Nonmonetary Contributions ..... ...............................
Schedule C, Line 3
21. Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED ....... ....................
Add Lines 3 +4
$ $
Made $ $
Expenditures Made
6. Payments Made ........................ ...............................
Schedule P, tine 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 I, Line 4
15. Cash Payments ................... ............................... Column A, Line a above
16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15
If this is a termination statement, Line 15 must be zero.
$
$
$
$ 3,31. 6o
17. LOAN GUARANTEES RECEIVED.. ......................... Schedule B, Pad 2 $
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ......... ............................... See instructions on reverse $
19. Outstanding Debts ......................... Add Line 2 • Line 9 in Column 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 fled
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'
it Subject to Voluntary Expenditure Limit)
Date of Election
(mm/dd /yy)
I $
$
$
$
Total to Date
'Since January 1, 2001. Amounts in this section may be
different from amounts reported in Column B.
FPPC Form 460 (June/01)
FPPC Toll -Free Helpline: 666 /ASK -FPPC