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Home My WebLink About460 04/08/2013 Save Our Seal Beach Inc 01/01/2013 - 03/31/2013`Recipient Committee I ampaign Statement ,overPage Government Code Sections 84200- 84216.5) ;EE INSTRUCTIONS ON REVERSE Type or print in ink. Statement covers period from 01/01/2013 through 03/31/2013 COVER PAGE APR 0 8 2013 Date of election if applicable: Page 1 of (Month, Day, Year) CITY CLERK CITY OF SEAL BEACH I For Official Use Only N/A I. Type of Recipient Committee: All Committees - Complete Parts t, 2, 3, and 4. 1 2. Type of Statement: rI C Officeholder, Candidate Controlled Committee ® Ballot Measure Committee ❑ Preelection Statement NAME OF TREASURER Q State Candidate Election Committee ® Primarily Formed ❑ Semi - annual Statement ❑ Q Recall O Controlled ❑ Termination Statement ❑ (Also Complete Pan 5) O Sponsored E) Amendment (Explain below) CITY STATE (Also complete Part 6) AREA CODE /PHONE ASSISTANT 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 of Treasurer or Assistant Treasurer Executed on By Date Signature of Controlling OHiceho'deq Cantlitlate, Stale Measure Proponent or Responsible Officer of Sponsor Executed on By Date Signature of Conhollirg Officeholder, CaMitleta, State Measure Proponent Executed on BY FPPC Form 460 June /Ot Date SignatureofContmllirgORiceholtler, Candidate, State Measure Proponent I ) FPPC Toll -Free Helpline: 666 /ASK -FPPC State of California Type or print in ink. COVER Recipient Committee . Campaign Statement . Cover Page — Part 2 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. COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEEADDRESS 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 2 of 5 6. Ballot Measure Committee NAME OF BALLOTMEASURE MEASURE Z BALLOT NO. OR LETTER JURISDICTION ❑ SUPPORT SEAL BEACH ® OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT DISTRICT NO. IF ANY 7. Primarily Formed Committee List names of officeholder(s) or candidate(s) 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 CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary FPPC Form 460 (June /0f) FPPC Toll -Free Helpline: 666 1ASK -FPPC State of California :ampaign Disclosure Statement iummary Page Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 01/01/2013 SUMMARYPAGE through 03/31/2013 Page 3 of 5 EE INSTRUCTIONS ON REVERSE AME OF FILER I.D. NUMBER SAVE OUR SEAL BEACH, INC. 1292074 ColumnA Column B Calendar Year Summary for Candidates iontributions Received TOTALTHISPERIOO CALENDAR YEAR Running n Both the State Prima and 9 Primary (FROMATTACHEDSCHEDULESI TOTALTODATE General Elections Monetary Contributions ............ ............................... Schedule A, Line 3 $ 0.00 $ 0.00ry 0.00 0.00 through 6/30 7/1 to Date Loans Received ....................... ............................... Schedule e. Line 3 SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines I + 2 $ 0.00 $ 0.00 20. Contributions 0.00 0.00 Received $ $ Nonmonetary Contributions .... .................. ........... Schedule C, Line 3 0.00 0.00 21 Expenditures TOTAL CONTRIBUTIONS RECEIVED ....... ....................Add Lines 3 +4 $ 0.00 $ 0.00 Made $ 0.00 $ 0.00 Expenditures Made Expenditure Limit Summary for State Payments Made ........................ ............................... Schedule E, Line $ 0.00 $ 0.00 Candidates Loans Made .............................. ............................... Schedule H, Line 3 0.00 0.00 0.00 0.00 22. Cumulative Expenditures Made' SUBTOTAL CASH PAYMENTS ..... ............................... Add Lines 6 +7 $ $ 111 Subject to voluntary Expenditure Limit) Accrued Expenses (Unpaid Bills) ............................... Schedule F Line 3 0.00 0.00 Date of Election Total to Date 0. Nonmonetary Adjustment ........... ............................... Schedule C, Line 3 0.00 0.00 (mm/dd /yy) 1. TOTAL EXPENDITURES MADE ........ ................... ... Add Lines 819 +10 $ 0.00 $ 0.00 J $ �� $ :urrent Cash Statement 2. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ 0.00 To calculate Column B, add $ 3. Cash Receipts .................... ............................... Column A, Line 3 above 0.00 amounts in Column A to the 0.00 corresponding amounts 4. Miscellaneous Increases to Cash ......... ........... Schedule /, Line 4 from Column B of your last -J� $ 5. Cash Payments ................... ............................... Column A, Line s above 0.00 report. Some amounts in Column A may be negative J� $ 6. 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 filed 7. LOAN GUARANTEES RECEIVED ........................... Schedule e, Part 2 $ 0.00 for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if 'Since January 1, 2001. Amounts in this section may be different from amounts reported in Column B. :ash Equivalents and Outstanding Debts fry) 8. Cash Equivalents... ..................................... See instructions on reverse $ 0.00 9. Outstanding Debts ......................... Add Line 2+ Line 9 in Column 8 above $ 0'00 FPPC Form 460 (June /01) FPPC Toll -Free Helpline: 866 /ASK -FPPC ichedule A Type or print in ink. SCHEDULE A loneta Contributions Received Amounts may rounded ry dollars. Statement covers period CALIFORNIA to whole of � 6 , from 01/01/2013 - 03/31/2013 4 5 =E INSTRUCTIONS ON REVERSE through Page of WE 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 OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVETO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMI'TEE, ALSO ENTER I.D. NUMBER) CODE* (IF SELF- EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OFBUSINESS) ®IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ®IND ❑COM ❑ OTH ❑ PTY ❑ SCC ®IND LCOM LOTH ❑ PTY ❑ SCC ®IND ❑COM ❑ OTH ❑ PTY ❑SCC ®IND ❑COM LOTH ❑ PTY ❑ SCC SUBTOTAL$ chedule A Summary Amount received this period —contributions of $100 or more. (Include all Schedule A subtotals.) ........ ............................... Amount received this period — unitemized contributions of less than $100.......... Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) . ......................... $ ... $ TOTAL $ 1 11 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 460(June /01) FPPC Toll -Free Helpline: 866 /ASK -FPPC Schedule E Dayments Made EE INSTRUCTIONS ON REVERSE AME OF FILER SAVE OUR SEAL BEACH, INC. Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period 7292074 . from 01/01/2013 through 03/31/2013 5 of 5 MBER :ODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment UP campaign paraphernalia /misc. MBR member communications RAD radio airtime and production costs .NS campaign consultants MTG meetings and appearances RFD returned contributions :TB contribution (explain nonmonetary)' OFC office expenses SAL campaign workers' salaries :VC civic donations PET petition circulating TEL t.v. or cable airtime and production costs IL candidate filing /ballot fees PHO phone banks TRC candidate travel, lodging, and meals ND fundraising events POL polling and survey research TRS staff /spouse travel, lodging, and meals JD independent expenditure supporting /opposing others (explain)' POS postage, delivery and messenger services TSF transfer between committees of the same candidate /sponsor EG legal defense PRO professional services (legal, accounting) VOT voter registration IT campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER ID, NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 0.00 Schedule E Summary Payments made this period of $100 or more. (Include all Schedule E subtotals.) . Unitemized payments made this period of under $100 Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column ( e).) ........................... $ 0.00 $ 0.00 $ 0.00 Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ............................. TOTAL $ 0.00 FPPC Form 460 (June /01) FPPC Toll -Free Helpline: 866 /ASK -FPPC