HomeMy WebLinkAbout460 01/09/2013 Recipient Committee Campaign Statement 10/01/2012 - 12/31/2012 Save Our Seal Beach IncRecipient 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 10/01/2012 (Month, Day, Year)
through
12/31/2012
1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4.
❑ Officeholder, Candidate Controlled Committee
® Ballot Measure Committee
0 State Candidate Election Committee
® Primarily Formed
0 Recall
0 Controlled
(Also Complete Part 5)
0 Sponsored
STATE
(Also Complete Part 6)
❑ General Purpose Committee
ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
SAME
CITY
STATE
ZIP CODE
CITY
STATE
ZIP CODE
AREA CODE /PHONE
OPTIONAL: FAX I E -MAIL ADDRESS
(703) 264 -2084 BILL @CONSTANTINEFINANCIAL.COM
N/A I
JAN 0 9 2013
CITY CLERK
CITY OF SEAL BE/
2. Type of Statement:
❑
Preelection Statement
❑
Semi - annual Statement
❑
Termination Statement
❑
Amendment (Explain below)
COVERPAGE
Page of
For Official Use Only
® Quarterly Statement
❑ Special Odd -Year Report
❑ Supplemental Preelection
Statement - Attach Form 495
Treasurer(s)
BY
Signature pfCOntrolling OMmhober, Cantlitlafe, Sbte Measure Proponentor Responsible gficer of Sponsor
NAME OF TREASURER
BY
Sgnature of Conlrelling plfimbOlJal, Gentlitlete, Slate Measure Prepdr,enl
WILLIAM L. CONSTANTINE
By
SignalureofControlling Olcahreder, Candidate, Slate Measure Proponent
FPPC Form 460(Juna /01)
MAILING ADDRESS
FPPC
Toll -Flee Helpline: 8661ASK -FPPC
2961 -A HUNTER MILL ROAD, SUITE 808
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 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.
certify under penalty of perjury un 3 er the laws of the State of California that the foregoing -
Executed o.. � BY
Date Signetum of Treasurer or ASSisbnlTreasurer
Executed on
pale
BY
Signature pfCOntrolling OMmhober, Cantlitlafe, Sbte Measure Proponentor Responsible gficer of Sponsor
Executed on
Dab
BY
Sgnature of Conlrelling plfimbOlJal, Gentlitlete, Slate Measure Prepdr,enl
Executed on Date
By
SignalureofControlling Olcahreder, Candidate, Slate Measure Proponent
FPPC Form 460(Juna /01)
FPPC
Toll -Flee Helpline: 8661ASK -FPPC
State of California
Type or print In Ink. COVERPAGE -PART2
Recipient Committee CALIFORNIA
Campaign Statement . • ' •
Cover Page — Part 2
Page 2 or 5
5. Officeholder or Candidate Controlled Committee 6. Ballot Measure Committee
NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE
MEASURE Z
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 I LUIV KULLtU LUMMI CC!
❑ YES ❑ NO
STREETADDRESS (NO PO.
CITY STATE ZIP CODE AREA CODEIPHONE
COMMITTEENAME
NAME OFTREASURER
LD. NUMBER
❑ YES ❑ NO
CITY STATE ZIP CODE AREA CODE /PHONE
BALLOT NO. OR LETTER JURISDICTION ❑ SUPPORT
ISEALBEACH I ® OPPOSE
Identity the controlling officeholder, candidate, or state measure proponent, if any.
NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT
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
Attach continuation sheets it necessary
FPPC Form 460 (June/01)
FPPC Toll-Free Helpllne: 866 1ASK -FPPC
State of California
Campaign Disclosure Statement Type or print In Ink.
Amounts may be rounded
Summary Page to whole dollars.
Statement covers period
from 10/01/2012
SUMMARY
Expenditures Made
6. Payments Made ............................
Schedule E, Line $
through
12/3112012
Page 3 of 5
SEE INSTRUCTIONS ON REVERSE
9. Accrued Expenses (Unpaid Bills) ...............................
Schedule F Linea
10. Nonmonetary Adjustment ........... ...............................
Schedule C, Line
11. TOTAL EXPENDITURES MADE .............. ........
.......... Add Lines 8 +9 +10 $
NAME OF FILER
I.D. NUMBER
SAVE OUR SEAL BEACH, INC.
1292074
Column A
Column B
Calendar Year Summary for Candidates
Contributions Received
DTA His RERiDD
CALENDAR YEAR
Running in Both the State Primary and
(FROM A7TACHEDsCHEDU�S)
TOT. TODATE
General Elections
0.00
0.00
1. Monetary Contributions ............ ...............................
Schedule A, Line 3
$ $
0.00
0.00
1/1 through 6/30 7/1 to Date
2. Loans Received ....................... ...............................
Schedule e, unit 3
3. SUBTOTAL CASH CONTRIBUTIONS .........................
Add Lines l +2
$ 0.00 $
0.00
20. Rontribtions $ 0.00 $ 0.00
0.00
0.00
4. Nonmonetar Contributions ..... ...............................
Y
Schedule C, Linea
21. Expenditures
0.00 0.00
5. TOTAL CONTRIBUTIONS RECEIVED ......... �����.�....
����Add Lines 3 +4
$ 0.00 $
0.00
Made $ $
Expenditures Made
6. Payments Made ............................
Schedule E, Line $
7. Loans Made .............................. ...............................
Schedule H, Line 3
8. SUBTOTAL CASH PAYMENTS ..... ...............................
Add Lines 6 +7 $
9. Accrued Expenses (Unpaid Bills) ...............................
Schedule F Linea
10. Nonmonetary Adjustment ........... ...............................
Schedule C, Line
11. TOTAL EXPENDITURES MADE .............. ........
.......... Add Lines 8 +9 +10 $
Current Cash Statement
12. Beginning Cash Balance ....... ............... Previous Summety 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 8 above
16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract tine 15 $
If this is a termination statement, Line 16 must be zero.
0.00 $
0.00
0.00 $
0.00
0.00
0.00 $
0.00
0.00
0.00
0.00
0.00
17. LOAN GUARANTEES RECEIVED ........................... Schedule B, Part 2 $ 0.00
Cash Equivalents and Outstanding Debts
18. Cash Equivalents....... See instructions on reverse $ 0.00
.. ...............................
19. Outstanding Debts ........ ........ .._.... Add Line 2+ Line 9 in Column B above $ 0.00
1 /1
1 11
1 11
1 1/
1 11
W,
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 Llmltl
Date of Election Total to Date
(mm /dd /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
Ar- hprlulp A Type or print In Ink. SCHEDULE A
Monetary Contributions Received Amounts may be rounded
ry to dollars.
Statement covers period
•'
whole
from 10/01/2012
J '
O.
12/31/2012
4 5
SEE INSTRUCTIONS ON REVERSE
through
Page of
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
CUMULATIVETO DATE
PER ELECTION
RECEIVED
OFCOMM1TTEE, ALSOENTERio. NUMBER)
CODE
OCCUPATION AND EMPLOYER
pr SELF EMPLOYED, ENTER NAME
RECEIVED THIS
PERIOD
CALENDAR YEAR
(JAN.1 -DEC, 31)
TO DATE
(IF REQUIRED)
OFBUSINESS)
® IND
❑ COM
❑ OTH
❑ PTY
❑SCC
®IND
❑COM
❑ OTH
❑ PTY
❑ SCC
® IND
[-]COM
❑ OTH
❑ PTY
❑ SCC
® IND
❑ COM
❑ OTH
❑ PTY
❑SCC
®IND
[-]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 $
=1
1 11
M
"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 Type or print In Ink. Statement covers period
Payments Made Amounts may be rounded
y to whole dollars. from 1010112012
Page 5 of 12/31/2012 h Pa 5
SEE INSTRUCTIONS ON REVERSE through it
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.
CNP
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 fling /ballot fees
RHO
phone banks
TRC
candidate travel, lodging, and meals
FND
fundraising events
POL
polling and survey research
TRS
staff /spouse travel, lodging, and meals
hD
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)
' 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 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.
TOTAL $
0.00
FPPC Form 460 (June /01)
FPPC Toll -Free Helpline: 866 /ASK -FPPC