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Home My WebLink About~Form 460 - Save Our Seal Beach Inc 10/01/2014 - 12/31/2014Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200- 84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statement covers period from 10/01/2014 through 12/31/2014 1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4, ❑ Officeholder, Candidate Controlled Committee ® Ballot Measure Committee Q State Candidate Election Committee ® Primarily Formed Q Recall Q Controlled (Also Compkb Part3) Q Sponsored F-1 General Purpose Committee (mw Compete Part 6) O Sponsored ❑ Primarily Formed Candidate/ Q Small Contributor Committee Officeholder Committee Q Political Parry /Central Committee (ALSO Compkfe Part ]) 3. Committee Information I I,D. NUMBER oNUMBE SAVE OUR SEAL BEACH, INC. STREET ADDRESS (NO P.O. BOX) ❑ Preelection Statement ❑ 119 8TH STREET ❑ Termination Statement ❑ CITY STATE ZIP CODE AREA CODE /PHONE ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX SAME 119 8TH STREET CITY STATE ZIP CODE AREA CODE /PHONE OPTIONAL: FAX / E -MAIL ADDRESS ( 4. Verification Date Stamp DCc CHVIED Date of election if appli (Month, Day, Year) N/A 2. Type of Statement: ❑ Preelection Statement ❑ Semi - annual Statement ❑ Termination Statement ❑ Amendment (Explain below) Treasurer(s) JAN 1.2 2015 WILLIAM L. CONSTANTINE CITY CLERK OF SEAL BE COVERPAGE age 1 of 5 For Official Use Only 18 Quarterly Statement ❑ Special Odd -Year Report ❑ Supplemental Preelection Statement - Attach Form 495 MAILING ADDRESS CITY STATE ZIP CODE AREA CODE /PHONE VA 22124 (703) 264 -2024 NAME OF ASSISTANT TREASURER, IF ANY MARY PARKER LEWIS MAILING ADDRESS 119 8TH STREET CITY STATE ZIP CODE AREA CODE /PHONE BEACH CA 90740 (562) 431 -0950 OPTIONAL: FAX / 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. certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed on a By Date Slaoatueot Trwsureror AssisbntTreasurer Executed on By Gab SgnaNre of CorrtmAing Oa[eM1Oper, Caxddab, State Measure Proponentor RespomiEleofficerot Sponsor Executed on By Date 61gnaWre of CoxNOtlirg Olficeroke5 Cena4lab, Stab Measure Pmpomrt Executed on By Date SlgnaWreoiCOrNOAIrg Omceroaer, CaMpa[e, Stab Measure PmponerR FPPC Form 46 FPPC Toll-Free Helpline: 86fi /ASK-F ASK -FPPC PC State of California Type or print in ink. COVER PAGE -PART2 Recipient Committee Campaign Statement , • 1 Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) 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. COMMITTEENAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO DOM MITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEENAME 11.0. NUMBER NAME OF ❑ YES ❑ NO CITY STATE ZIP CODE AREA CODE/PHONE Page 2 of 5 6. Ballot Measure Committee NAME OF BALLOT MEASURE MEASURE BALLOT NO. OR LETTER JURISDICTION ❑ SUPPORT ISEALBEACH ® 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 Committee List names of officeholder(s) or candldatels) 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 Attach continuation sheets If necessary FPPC Form 460 (June/01) FPPC Toll -Free Helpline: 666 1ASK -FPPC State of California Campaign Disclosure Statement Type or print in ink. SummaPa Amounts may be rounded Summary 9 a to whole dollars. Statement covers period from 10/01/2014 SEE INSTRUCTIONS ON REVERSE 6. Payments Made ....................._ ................................ through 12/31/2014 Page 3 of 5 NAME OF FILER 0.00 8. SUBTOTAL CASH PAYMENTS .................. Add Lines 6 +7 $ 0.00 $ I.D. NUMBER SAVE OUR SEAL BEACH, INC. 0.00 10. Nonmonetary Adjustment ........... ............................... Schedule C, Linea 0.00 1292074 Contributions Received 0.00 $ Column A Column B Calendar Year Summar for Candidates y TuTKTHISPBRIOD (FROMATTPGHEDSCHEDULES) CALENDARYEAR TOTALTODATE Running in Both the State Primary and General Elections 1. Monetary Contributions ............ ............................... Schedule A, Line 3 $ 0.00 $ 0.00 2. Loans Received ....................... ............................... schedule S. Linea 0.00 0.00 1/1 through 6130 7/1 to Date 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines I «2 $ 0.00 $ 0.00 20. Contributions 0.00 0.00 4. Nonmonetary Contributions ..... ............................... Schedule C,Llns3 0.00 0.00 Received $ $ 5. TOTAL CONTRIBUTIONS RECEIVED .............. Add Lines 3. 4 $ 0.00 $ 0.00 21. Expenditures Made $ 0.00 $ 0.00 Expenditures Made 6. Payments Made ....................._ ................................ Schedule E, Line 4 $ 0.00 $ 7. Loans Made .................... ......... ................................ Schedule H. Line 3 0.00 8. SUBTOTAL CASH PAYMENTS .................. Add Lines 6 +7 $ 0.00 $ 9. Accrued Expenses (Unpaid Bills ) ..............._.............. Schedule F Line 3 0.00 10. Nonmonetary Adjustment ........... ............................... Schedule C, Linea 0.00 11. TOTAL EXPENDITURES MADE ................................ AddLlnesa,9 +10 $ 0.00 $ 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 1, Line 4 15. Cash Payments ................... ............................... Column A, Line 8 above 16. ENDINGCASH 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 instmctionson reverse $ 19. Outstanding Debts ................... Add Lme2 « Line gin Column B above $ '11W 5.0m oil 1 11 1 1/ 1 11 1 11 0.00 0.00 0.00 0.00 0.00 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* (H 6ublectto Wluntary ExpendItum Uma) Date of Election Total to Date (mmldd/yy) '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: 866 /ASK -FPPC Schedule A Type or print in ink. SCHEDULE A Monetary Contributions Received Amounts may de rounded ry to dollars. Statement covers period •' whole from 1010112014 FORM 12/31/2014 4 5 SEE INSTRUCTIONS ON REVERSE through Page of g 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 (IF COMMITTEE,ALSO ENTER I D.NUMBEa1 CODE • OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF- EMIRLaYED, ENTER NAME PERIOD (SAN. 1 -DEC. 31) (IF REQUIRED) OFBUSINESSI KIND ❑ COM ❑OTH ❑ PTY ❑ SCC K IND ❑COM ❑OTH ❑ PTY ❑ SCC ®IND ❑COM ❑OTH ❑ PTY ❑SCC ®IND ❑COM ❑OTH ❑ PTY ❑SCC KIND ❑ COM ❑ OTH ❑ PTY ❑SCC SUBTOTAL$ Schedule A Summary 1. Amount received this period— contributions of $100 or more. (Include all Schedule A subtotals.) ......................................................................... ....................I.......... $ 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 $ =I 1 1/ 1 // 'Contributor Codes IND- Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other PTY- Political Party SCC -Small Contributor Committee FPPC Form 460 (June /01) FPPC Toll -Free Helpline: 666 /ASK -FPPC Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 10/01/2014 through 12131/2014 I Page 5 of 5 NAME OF FILER I.D. NUMBER SAVE OUR SEAL BEACH, INC. 1292074 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia /misc. MBR member communications RAID 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 WD 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, a -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 madethis period of under $100 $ 0.00 3. Total interest paid 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 Summary Page, Column A, Line 6. 0.00 Y P � Y 9 ) ............................. TOTAL $ FPPC Form 460 (June /01) FPPC Toll -Free Helpline: 666 1ASK -FPPC