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Home My WebLink About460 10/11/2011 Recipient Committee Campaign Statement 07/01/2011 - 09/30/2011 Save our Seal Beach IncRecipient Committee Campaign Statement Cover Page (Government Code Sections 84200 - 84216.5) Type or print in Ink. Statement covers period from 07/01/2011 1:,2011 Date or election if applicable: OCT , - (Month, Day, Year) Ii ii =0k- Page OF of 5 SEE INSTRUCTIONS ON REVERSE STATE through 09/30/2011 N/A BEACH CA 90740 (562) 431 -0950 OPTIONAL: FAX I E -MAIL ADDRESS OPTIONAL: FAX I 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 _/O /y /�/ By / Data Signature of Treasurer or Assistant Treasurer Executed on By Dale Signature of Controlling Oficeholtleq Candidate, State Measure Proponent or Responsible Officer of6ponsor Executed on By Data Signature a(COntrolling OPoceM1Oltler, Candidate, Stale Measure Proponent Executed on By FPPC Form 460 Junelgi Date Signature ofGonirolling OMceholtleq Candidate ,Sreta Measure Proponent f t FPPC Toll -Free Helplina: 866IASK -FPPC State of California t. Recipient Committee Campaign Statement Cover Page — Part 2 S. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Type or print In Ink. 6. Ballot Measure Committee COVERPAGE -PART2 Page 2 of 5 NAMEOF BALLOTMFASURE MEASURE Z BALLOT NO, OF? LETTER JURISDICTION ❑ SUPPORT SEAL BEACH ® OPPOSE RESIDENTIAUBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP Identify the controlling officeholder, candidate, or state measure proponent, it any. 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 ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO PO. BOX) CITY STATE ZIP CODE AREA CODE /PHONE COMMITTEENAME I.D.NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT HELD DISTRICT NO. IF ANY 7. Primarily Formed Committee List names of officeholders) or candidate(s) For which this committee Is primarily formed. COMMITTEE ADDRESS STREET ADDRESS (NO PO. BOX) CITY STATE ZIP CODE AREA CODE /PHONE Attach continuation sheets if necessary 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 FPPC Form 460 (Junel0l) FPPC Toll -Free Helpline: 866 /ASK.FPPC State of California Campaign Disclosure Statement Type or print in Ink. SUMMARY PAGE Summa Page Summary g Amounts may be rounded to whole dollars. Statement covers period � a • 460 from 07/01/2011 • SEE INSTRUCTIONS ON REVERSE through 09/30/2011 Page 3 of 5 NAME OF FILER D. NUMBER SAVE OUR SEAL BEACH, INC. 1292074 Contributions Received Column A Column B Calendar Year Summary for Candidates TOTALTHISPERI00 (FROMATTACHEO SCHEDULES) CALENDAR YEAR TOTALTOOATE Running in Both the State Primary and General Elections 1. Monetary Contributions ........... .........._ ................ Schedule A, Line 3 $ 0.00 $ 0.00 2. Loans Received ................... .... ........................ ..... Schedule B, Line 0.00 0.00 1/1 through 6/30 7/1 to Date 3. SUBTOTAL CASH CONTRIBUTIONS ........._ .............. Add Lines l +2 $ - 0.00 $ 0.00 20. Contributions 0.00 0.00 Received $ $ 4. Nonmonetary Contributions ..... ............................... Schedule c, Linea 000 . . 000 5. TOTAL CONTRIBUTIONS RECEIVED .............AddLines3 +q $ 0.00 $ 0.00 21. Expenditures Made $ 0.00 $ 0.00 Expenditures Made Expenditure Limit Summary for State 6. Payments Made ........................ ............................... Schedule E, Line $ 0.00 $ 0.00 Candidates 7. Loans Made ........................ .................. ...... ............ Schedule H, Linea 0.00 0.00 8. SUBTOTAL CASH PAYMENTS Add Lines 6 +7 $ 0.00 0.00 22. Cumulative Expenditures Made' ..... ............................... $ (If Sublac( to Voluntary Expenditure Limit) 9. Accrued Expenses (Unpaid Bills) ........ .............. ........ Schedule E Line 3 0.00 0.00 Date of Election Total to Date 10. Nonmonetary Adjustment .......................................... Schedule C, Line 3 0.00 0.00 (mm /dd /yy) 11. TOTAL EXPENDITURES MADE .......... ................ ..... Add Lines 8 +g +lo $ 0.00 $ 0.00 J / $ Current Cash Statements $ 12. Beginning Cash Balance .. ................ .... Previous Summary Page, Lino 16 $ 0.00 To calculate Column B, add 13. Cash Receipts ......_ ............ ............................... Column A, Line 3above 0.00 amounts in Column A to the _ J_� $ 14. Miscellaneous Increases to Cash ....................._ .... Schedule L Line q 0.00 corresponding amounts from Column B of your last $ 15. Cash Payments .............................. .. Column A, Line a above ��'� " "' 0.00 report. Some amounts in Column may be negative $ 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ 0.00 figures that should be -� subtracted from previous If this is a termination statement, Line 16 must be zero. period amounts. If this is $ the first report being fled 17. LOAN GUARANTEES RECEIVED ........................... Schedule B, Pert 2 $ 0.00 for this calendar year, only carry over the amounts 'Since January 1, 2001. Amounts in this section may be Cash Equivalents and Outstanding Debts from Lines 2, 7, and 9 (if different from amounts reported in Column B. any). 18. Cash Equivalents ...... ............ ........... .... _..... See instructions on reverse $ 0.00 19. Outstanding Debts ........ ....... ......... Add Line2+Line9in Column Babove $ 0.00 FPPC Form 460 (June /01) FPPC Toll -Free Helpline: 8661ASK -FPPC u Schedule A Type or print In ink. SCHEDULE A Monetary Contributions Received Amounts may oe rounoeo ry to dollars. Statement covers period CALIFORNIA whole , from 07/01/2011 FORM through 09/30/2011 Page 4 of 5 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER SAVE OUR SEAL BEACH, INC. 1292074 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED OE COMM ITTEE ALSO ENTER I. o. NUMBER) CODE • OCCUPATION AND EMPLOYER RECEIVED THIS (JAN, TOQUIR DATE pE SErF.ROFBUSI PERIOD 1 -DYEAR (JAN. 1 -DEC. 31) (IF REQUIRED) EENrearvAME OF BUSINESS) ®IND ❑ COM ❑ OTH ❑ PTV ❑ SCC ®IND ❑COM ❑ OTH ❑ PTY ❑ SCC ® IND ❑ COM ❑ OTH ❑ PTY ❑ SCC MIND ❑ COM ❑ OTH ❑ PTY ❑ SCC MIND ❑ COM ❑ OTH ❑ PTY []SCC SUBTOTAL$ Schedule A Summary 1. Amount received this period — contributions of $100 or more. (Include all Schedule A subtotals.) ......................................................................... ............................... $ 2. Amount received this period — unitemized contributions of less than $ 100 .............. ............................... $ 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $ all 1 11' 1 11 'Contributor Codes IND— Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other PTY — Political Party SCC — Small Contributor Committee FPPC Form 660 (June/01) FPPC Toll -Free Hetpline: 866 1ASK -FPPC � k Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE Type or print In Ink. Amounts may be rounded to whole dollars. Statement covers per from 07/01/2011 through 09/30/2011 Page 5 of 5 SAVE OUR SEAL BEACH, INC. 11292074 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment CW campaign paraphernalia /misc. MBR member communications RAID radio airtime and production costs CNS campaign consultants lVTG 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 W independent expenditure supporting /opposing others (explain)" FOS 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 casts (internet, e-mail) * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 0.00 Schedule E Summary 1. Payments made this period of $100 or more. Include all Schedule E subtotals. 0.00 2. Unitemized payments made this period of under $100 ........................................................................................................... ............................... $ 0.00 3. Total interest aid this period on loans. Enter amount from Schedule B, Part 1, Column (e).) 0.00 4. Total payments made this period. Add Lines 1, 2, and 3. Enter here and on the Summa Page, Column A, Line 6. P Y P C Summary 9 ) ............................. TOTAL $ 0.00 FPPC Form 460 (June /01) FPPC Toll -Free Helpline: 666 /ASK -FPPC