HomeMy WebLinkAbout460 01/06/2014 Recipient Committee Campaign Statement 10/01/2013 - 12/31/2013 Save Our Seal Beach IncRecipient Committee
Camaign Statement
Cover Page
(Government Code Sec tions 84200 - 84216.5)
Type or print in ink.
yV��Rr
Date Stamp
RECOVIED
Statement covers period
10/01/2013
from
Date of election if applica e:
(Month, Day, Year)
L�
JAN O V 2Ot4
CIRK COY
of 5
rag.-Iff'o'.
l Use Only
SEE INSTRUCTIONS ON REVERSE
through 12/31/2013
N/A
Ill OFS `BEAC
MAILING ADDRESS (IF DIFFERENT) NO AND STREET OR P.O. BOX
1. Type of Recipient Committee: All Committees - complete Parts 1, 2. a, and 4.
2. Type of Statement:
STATE
❑ Officeholder, Candidate Controlled Committee
® Ballot Measure Committee
❑ Preelection Statement
® Quarterly Statement
Q State Candidate Election Committee
Q Recall
(Also Complete Palt5)
❑ General Purpose Committee
® Primarily Formed
Q Controlled
O Sponsored
(Also COmpkre Pert B)
[:1 Semi - annual Statement
❑ Termination Statement
E] Amendment (Explain below)
❑ Special Odd -Year Report
❑ Supplemental Preelection
Statement - Attach Form 495
O Sponsored
0 Small Contributor Committee
Q Political PartylCentral Committee
❑ Primarily Formed Candidate/
Officeholder Committee
(Aron COmp�le Pert])
MARY PARKER LEWIS
3. Committee Information D NumBER
1292074
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
SAVE OUR SEAL BEACH, INC.
STREET ADDRESS (NO PO. BOX)
119 8TH STREET
CITY
STATE
ZIP CODE
AREA CODE /PHONE
BEACH
CA
90740
(526) 431 -0950
MAILING ADDRESS (IF DIFFERENT) NO AND STREET OR P.O. BOX
SAME
VA
22124
(703) 264 -2024
NAME OF ASSISTANT TREASURER, IF ANY
MARY PARKER LEWIS
MAILING ADDRESS
119 8TH STREET
CITY
STATE
ZIP CODE
AREA CODEIPHONE
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. I
certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Executed on 4�11111 By
Date TreasurerorAsslsfantTreasurer
Executed on BY
Data SignaNreot COrRmpingoaceaolder, CantlHate, Sla[e Measure Proponentor RespomiGe Orcicerot Sponsor
Executed on By
Date SignaNreot COntrollirg OlficeMper, CanOitlate, State Measure PmporerR
Executed on By FPPC Form 460(June/01)
pate SignaNre orCOntrolling Omceroaer, CarWl] are, Stag Measure ProporerR
FPPC Toll -Free Helpline: 866/ASK -FPPC
State of California
Recipient Committee
Campaign Statement
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)
Type or print in ink.
COVER PAGE -PART 2
Page 2 of 5
6. Ballot Measure Committee
NAMEOF BALLOT MEASURE
MEASURE Z
BALLOT NO OR LETTER JURISDICTION ❑ SUPPORT
SEALBEACH
® OPPOSE
RESIDENTIAUBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP
Identify the controlling officeholder, candidate, or state measure proponent, if any.
NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT
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
NUMCtH
NAME OF TREASURER I CON I t ULLtU WMM1I I tt (
❑ YES ❑ NO
COMMITTEEADDRESS
CITY STATE ZIP CODE AREA CODEIPHONE
COMMITTEENAME II. D. NUMBER
NAME
STREET ADDRESS (NO P.O.
❑ YES ❑ NO
CITY STATE ZIP CODE AREA CODE/PHONE
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 if necessary
FPPC Form 460 (June /01)
FPPc Toll-Free Helaine: 666 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 10/01/2013
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 8 above
16. ENDING CASH BALANCE.......... Add Lines 12.13+ 14, then subtract Line 15 $
If this is a termination statement, Line 16 must be zero.
K02
Me
0.00
0.00
0.00
17. LOAN GUARANTEES RECEIVED ........................... Schedule 6, Pan 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 8 above $ 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).
$
$
$
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
through
12131/2013
Page 3 of 5
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
I.D. NUMBER
SAVE OUR SEAL BEACH, INC.
1292074
Column A
Column B
Calendar Year Summary for Candidates
Contributions Received
TOTALTMSPEROD
C5LENDARYEAR
Running in Both the State Primary and
y
(FROM ATTPCHED SCHEDULES)
TOTAI.TODATE
g
General Elections
0.00
0.00
1. Monetary Contributions ............ ...............................
Schedule A, Line 3
$
$
1/1 through 6130 7/1 to Dale
0.00
0.00
2. Loans Received ...................... .......................
.. Schedule S, Line
3. SUBTOTAL CASH CONTRIBUTIONS .........................
Add Lines 1. 2
$
0.00
$
0.00
20, Contributions 0.00 0.00
Received $ $
0.00
0.00
4. Nonmonetar Contributions .... .........._....................
Y
Schedule C,Line3
21. Expenditures
0.00 0.00
5. TOTAL CONTRIBUTIONS RECEIVED
Add lines 3 «4
$
0.00
$
0.00
Made $ $
Expenditures Made
Expenditure Limit Summary for State
6. Payments Made ....................................
Schedule E, Line 4
$
0.00
$
0.00
Candidates
7. Loans Made ...............................
Schedule H, Linea
0.00
0.00
..............................
0.00
0.00
22. Cumulative Expenditures Made'
8. SUBTOTAL CASH PAYMENTS .... .. ..................
Add Lines 6.7
$
$
(H Subject to Voluntary Expenditure Uma)
9. Accrued Expenses (Unpaid Bills) ...............................
Schedule F, Line 3
0.00
0.00
Date of Election Total to Date
10, Nonmonetary Adjustment ........... ...............................
Schedule C, Linea
0.00
0.00
(mnUdd /yy)
11. TOTAL EXPENDITURES MADE .... ..._......... ............
Add Lines 8. 9. 10
$
0.00
$
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 I, Line 4
15. Cash Payments .......................................... Column A, Line 8 above
16. ENDING CASH BALANCE.......... Add Lines 12.13+ 14, then subtract Line 15 $
If this is a termination statement, Line 16 must be zero.
K02
Me
0.00
0.00
0.00
17. LOAN GUARANTEES RECEIVED ........................... Schedule 6, Pan 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 8 above $ 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).
$
$
$
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
Cncar'lr Ila A Type or print in ink. SCHEDULE A
- Amounts may oe rounaeo
Monetary Contributions Received to whole dollars.
Statement covers period
•' ' . 1
10/01/2013
• - •
from
through 12/31/2013
Page 4 of 5
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
I.D. NUMBER
SAVE OUR SEAL BEACH, INC.
1292074
D4TE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED THIS
CUMUTATIVETODATE
CALENDAR YEAR
PER ELECTION
TODATE
RECEIVED
IIFCOMMITTEE, ALSO ENTER LD.NUMBERI
CODE
(IF SELF - EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED )
OF BUSINESS)
KIND
❑ COM
❑ OTH
❑ PTY
❑SCC
KIND
❑ COM
❑ OTH
❑ PTY
❑ SCC
MIND
❑ COM
[]OTH
❑ PTY
❑ SCC
MIND
El COM
❑OTH
❑ PTY
❑ SCC
MIND
❑COM
[-]OTH
❑ PTY
❑ SCC
SUBTOTAL$
Schedule A Summary
1. Amount received this period - contributions of $100 or more.
nclude all Schedule A subtotals.) $ 0.00
2. Amount received this period - unitemized contributions of less than $ 100 .............. ............................... $ 0.00
3. Total monetary contributions received this period.
Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1. TOTAL $ 0.00
'Contributor Codes
IN D— 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 Type or print in ink. Statement covers period
Amounts may be rounded
Payments Made to whole dollars. from 10/01/2013
SEE INSTRUCTIONS ON REVERSE
through
12/31/2013
Page 5 of 5
SAVE OUR SEAL BEACH, INC. 1 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.
MSR
member communications
RAID
radio airtime and production costs
CNS
campaign consultants
MT'G
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
IND
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
0.00
1. Payments made this period of $100 or more. Include all Schedule E subtotals. $
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 (a).) $ 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