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Home My WebLink About460 01/17/2019 Recipient Committee Campaign Statement 01/01/2019 - 01/12/2019 Peter AmundsonRecipient Committee Campaign Statement Cover Page (Government Code Sections 84200 - 84216.5) SEE INSTRUCTIONS ON REVERSE Statement covers period from 01/01/2019 through 01/12/2019 1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4. ❑x Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure 0 State Candidate Election Committee Committee 0 Recall 0 Controlled (Also complete Pan 5) 0 Sponsored (Also Complete Part 61 ❑ General Purpose Committee 0 Sponsored 0 Small Contributor Committee 0 Political Party /Central Committee 3. Committee Information .OMMITTEE NAME (OR CANDIDATE'S NAME Amundson for City Council 2018 ❑ Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) I.D.NUMBER STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE /PHONE MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE /PHONE OPTIONAL: Date of election if applicable: (Month, Day, Year) 11/06/2018 1 JAN i 7 2019 07 Y CLERK CITY OF SEAL BEACH 2. Type of Statement: 0 Preelection Statement ❑ Semi - annual Statement ❑ Termination Statement Si al ofT asurer or Assistant Treasurer (Also file a Form 410 Termination) ❑ Amendment (Explain below) Treasurer(s) NAME OF TREASURER Jen Slater COVERPAGE 1 of 10 For Official Use Only ❑ Quarterly Statement ❑ Special Odd -Year Report ❑ Supplemental Preelection Statement - Attach Form 495 MAILING ADDRESS CITY STATE ZIP CODE AREA CODE /PHONE NAME OF ASSISTANT TREASURER. IF ANY MAILING ADDRESS CITY OPTIONAL: FAX / E -MAIL ADDRESS STATE ZIP CODE AREA CO 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 Data Signature of Controlling Officeholder. Cantlidate, State Measure Proponent or Responsible Officer of Sponsor Executed on By Date Sgnalure of Controlling Officeholder. Candidate, Slate Measure Proponent Executed on g y Date Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (Jan/2016) FPPC Advice: advice @fppc.ca.gov(866 /275 -3772) Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Peter M. Amundson, Jr OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) City Council Member: City of Seal Beach 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 NAMEOFTREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEEADDRESS STREETADDRESS (NO PO. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEENAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS(NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE PAGE -PART2 Page 2 of 10 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER (JURISDICTION ❑ SUPPORT ❑ 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 Ca nd idatelOffice holder Committee List names of of iceholderfs) 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 (Jan/2016) FPPC Advice: advice @fppc.co.gov (866275 -3772) ,.A.,,., r� ,.,.,, Campaign Disclosure Statement SUMMARYPAGE Amounts may be rounded Statement covers Summary Page to whole dollars. period - I ' from 01/01/2019 • ' � NAME OF FILER Amundson for City Council 2018 Contributions Received 1. Monetary Contributions ............ ............................... Schedule A, Line 3 2. Loans Received ....................... ............................... Schedule B, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 +2 4. Nonmonetary Contributions. ................................... Schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED ................ .......... Add Lines 3 +4 Expenditures Made $ 6. Payments Made ........................ ............................... Schedule E, Line 4 7. Loans Made .............................. ............................... Schedule H, Line 3 8. SUBTOTALCASH PAYMENTS ..... ............................... Add Lines 6 +7 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F Line 3 10. Nonmonetary Adjustment ........... ............................... Schedule 0 Line 3 11. TOTAL EXPENDITURES MADE ............... ................. Add Lines a +9 +10 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. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 If this is a termination statement, Line 16 must be zero. through 01/12/2019 I Page 3 of 10 ColumnA Column TOTALTHIS PERIOD CALENDAR YEAR (FROM ATTACHEDSCHEDULES) TOTALTODATE $ 920.00 $ 920.00 0000 2,500.00 $ 920.00 $ 3,420.00 0.00 0.00 $ 920.00 $ 3,420.00 $ 1,480.35 $ 1,480.35 0.00 0.00 $ 1,480.35 $ 1,480.35 63.63 1,946 0.00 0.00 $ 1,543.98 $ 3,426.98 $ 4,4132.88 920.00 1,480.35 $ 3,922.53 17. LOAN GUARANTEES RECEIVED ........................... Schedule B, Part 2 $ 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 $ 4,446.63 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). I.D. NUMBER 407882 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 through 6/30 7/1 to Date 20. Contributions Received $ S 21. Expenditures Made $ $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made' (If Subject to Voluntary Expenditure Limit) Date of Election Total to Date (mm /dd /yy) Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (Jan /2016) FPPC Advice: advice @fppc.ca.gov (866275 -3772) ScheduleA SCHEDULE A Monetary ontributions Received Amounts may ne rouneea ry to whole dollars. Statement covers period CALIFORNIA ' from 01/01/2019 " through 01/12/2019 Page 4 of 10 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Amundson for City Council 2018 1407862 ZI CODE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION DATE (IF COMMITTEE n�SAND to. CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IFSELF- EMPLOYED. ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 01/07/2019 Kwo -Tai Richard Sun MIND Retired 500.00 500.00 R2018 $500.00 248 E Main St, #202 ❑COM None G2018 $250.00 Alhambra, CA 91801 ❑ OTH ❑ PTY ❑ SCC 01/08/2019 7oel Davidson FIND Owner 100.00 100.00 82018 $100.00 116 1st Street []COM The Davidson Company G2018 $300.00 Seal Beach, CA 90740 ❑ OTH ❑ PTY ❑ SCC 01/08/2019 Audrey E. Green MIND Retired 100.00 100.00 R2018 $100.00 4005 N Virginia Rd Unit 9 ❑COM None Long Beach, CA 90807 ❑ OTH ❑ PTY ❑ SCC 01/08/2019 SM Pekar (MIND 100.00 100.00 82018 $100.00 []COM []OTH ❑ PTY ❑SCC FIND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL$ 800.00-' Schedule A Summary 1. Amount received this period — itemized monetary contributions. (Include all ScheduleA subtotals.) ............. ............................... 2. Amount received this period — unitemized monetary 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.) ...... $ 800.00 $ 120.00 ............ TOTAL $ 920.00 'Contributor Codes IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) SCHEDULEB -PART1 Schedule B — Part 1 Amounts may be rounded statement covers period Loans Received to whole dollars. 1 from 01/01/2019 • SEE INSTRUCTIONS ON REVERSE through 01/12/2019 Page 5 of 10 NAME OF FILER I.D. NUMBER Amundson for City Council 2018 1407882 FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER (a) OUTSTANDING (b) AMOUNT (c) AMOUNTPAID (tl) OUTSTANDING (e) INTEREST V) ORIGINAL (g) CUMULATIVE OF LENDER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER BALANCE BEGINNING THIS RECEIVED THIS OR FORGIVEN LOSEO THIS CLOSE OF THIS PAID THIS AMOUNT OF CONTRIBUTIONS (IF COMMITTEE ALSO ENTER LO. NUMBER) BUSINESS) NAME OF auswESB) PERIOD THIS PERIOD PERIOD PERIOD LOAN TO DATE Peter M. Amundson Jr. Sales PAID CALENDAR YEAR 110 A Surfside Ave Minuteman Transport, Inc Seal Beach, CA 90743 $ 0.00 $ 1,500.00 0.00 0 $ 1,500.00 $ 0.00 Loan RATE L] FORGIVEN PERELECTION" $ 1,500.00 $ 0.00 $ 0.00 $ 0.00 08/15/2018 $62018 2,520.00 DATE DUE DATE INCURRED t® IND ❑ COM ❑ OTH ❑ PTV ❑ SCC Peter M. Amundson Jr. Sales PAID CALENDARYEAR 110 A Surfside Ave Minuteman Transport, Inc Seal Beach, CA 90743 $ 0.00 $ 1,000.00 0.00 % $ 1,000.00 $ 0.00 L] FORGIVEN PERELECTION" RATE $ 1,000.00 $ 0.00 $ 0.00 $ 0.00 10/05/2018 $G201e 2,520.00 DATE DUE DATE INCURRED t® IND ❑ COM ❑ OTH ❑ PTV I] SCC PAID CALENDARYEAR S $ % It $ FORGIVEN PER ELECTION" RATE $ $ S $ $ DATEDUE DATE INCURRED t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC y a t ti a SUBTOTALS $ o.00$ o.00$ z,soo.00$ o.00 Schedule B Summary 1. Loans received this period .......................................... ............................... (Total Column (b) plus unitemized loans of less than $100.) 2. Loans paid or forgiven this period ............................... ............................... (Total Column (c) plus loans under $100 paid or forgiven.) (Include loans paid by a third party that are also itemized on Schedule A.) 3. Net change this period. (Subtract Line 2 from Line 1 .) ............................. Enter the net here and on the Summary Page, Column A, Line 2. 'Amounts forgiven or paid by another party also must be reported on Schedule A. " If required. (Emer(s)on ahedole E, Line 3) 0.00 tContributor Codes 0.00 NET $ 0.00 (Me, be a negabve number) IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY —Political Party SCC —Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice @fppe.ca.gov (866/275 -3772) unanu f— r. n- Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Amundson for City Council 2018 Amounts may be rounded to whole dollars. Statement covers period from 01/01/2019 through 01/12/2019 I Page 6 of 10 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment 1407882 CNP campaign paraphernalia /misc. MBR member communications RAD 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 P10 phone banks TRC candidate travel, lodging, and meals FIND 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 UT campaign literature and mailings PRr print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I D_ NUMBER) Campaign Compliance Group Campaign Compliance Group Smart Levels Medi CODE OR DESCRIPTION OF PAYMENT PRO WEB AMOUNTPAID 360.00 280.15 " Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 1,000.15 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) ....... 2. Unitemized payments made this period of under $100 .... ............................... 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column ( e).) ..... ............................... 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ................. $ 1,313.80 $ 166.55 $ 0.00 TOTAL $ 1,480.35 FPPC Form 460 (Jan/2016) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) Schedule E SCHEDULEE(CONT.) (Continuation Sheet) Amounts may be rounded Statement covers period CALIFORNIA ` to whole dollars. - Payments Made from oyoyzol9 SEE INSTRUCTIONS ON REVERSE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID USPS 221 Main Street Seal Beach, CA 92740 POs through 01/12/2019 Page 7 of 10 NAME OF FILER Banners 188.95 I.D. NUMBER Amundson for City Council 2018 1407882 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 RAD radio airtime and production costs GINS 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 TRIG candidate travel, lodging, and meals FIND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals MD 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) NAME AND ADDRESS OF PAYEE QF COMMITTEE. ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID USPS 221 Main Street Seal Beach, CA 92740 POs 124.70 All American Sign Company, Inc 5480 Katella Ave, #201 Los Alamitos, CA 90720 CMP Banners 188.95 ` Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 313.65 FPPC Form 460 (Jan/2016) FPPC Toll -Free Heloline: 866 /ASK -FPPC (8661275 -37721 Schedule F Accrued Expenses (Unpaid Bills) NAME OF Amundson for City Council 2018 Amounts may be rounded to whole dollars. Statement covers period from 01/01/20 through 01/12/2019 SCHEDULEF Page 8 of 10 I.D. NUMBER 1407882 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CIVP campaign paraphernalia /misc. MBR member communications PAD 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 IND independent expenditure supporting /opposing others (explain)` PQS 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 LrT 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. SUBTOTALS $ 1,523.00$ 0.00$ 360.00$ 1,163.00 Schedule F Summary 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for accrued expenses of $100 or more, plus total unitemized accrued expenses under $100.) ........................ 2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.) .. 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and onthe Summary Page, Column A, Line 9.) ................................................................. ............................... ..... INCURRED TOTALS $ 783.63 ....... I......... PAID TOTALS $ 720.00 .............1111... NET $ 63.63 May be a negative number FPPC Form 460 (Jan/2016) FPPr. Tnll_Fraa Hpinlinp- RRRrACK_FPPr. rRRR071i (a) ( (c) (d) NAME AND ADDRESS OF CREDITOR CODE OR OUTSTANDING AMOUNT IN IN AMOUNT PAID OUTSTANDING (ir COMMITTEE , ALSO ENTER ro. NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE OF THIS PERIOD (ALSO REPORT OR E) OF THIS PERIOD Peter M. Amundson Jr. FIL 563.00 0.00 0.00 563.00 110 A Surfside Ave Seal Beach, CA 90743 Campaign Compliance Group PRO 360.00 0.00 360.00 0.00 9070 Irvine Center Drive, #150 Irvine, CA 92618 Political Data Inc LIT 600.00 0.00 0.00 600.00 12501 Imperial Hwy, Suite 200 Norwalk, CA 90650 ' Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTALS $ 1,523.00$ 0.00$ 360.00$ 1,163.00 Schedule F Summary 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for accrued expenses of $100 or more, plus total unitemized accrued expenses under $100.) ........................ 2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.) .. 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and onthe Summary Page, Column A, Line 9.) ................................................................. ............................... ..... INCURRED TOTALS $ 783.63 ....... I......... PAID TOTALS $ 720.00 .............1111... NET $ 63.63 May be a negative number FPPC Form 460 (Jan/2016) FPPr. Tnll_Fraa Hpinlinp- RRRrACK_FPPr. rRRR071i Schedule F SCHEDULEF(CONT.) Amounts may be rounded Statement covers period CALIFORNIA ' (Continuation Sheet) to whole dollars. p Accrued Expenses (Unpaid Bills) from 01/01/2019 •' through 01/12/2019 Page 9 of 10 NAME OF FILER I.D. NUMBER Amundson for City Council 2018 1407882 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CfvP 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 FIND fundraising events POL polling and survey research TRS staff /spouse travel, lodging, and meals MD 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. NAME AND ADDRESS OF CREDITOR (IF COMMITTEE ALSO ENTER i.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT (a) OUTSTANDING BALANCE BEGINNING (b) AMOUNTINCURRED THIS PERIOD (c) AMOUNT PAID THIS PERIOD (d) OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD Campaign Compliance Group PRO 360.00 0.00 360.00 0.00 9070 Irvine Center Drive, #150 Irvine, CA 92618 DMH Meyer Inc LIT 0.00 783.63 0.00 783.63 1560 -1 Newbury Road Suite 212 Newbury Park, CA 91320 SUBTOTALS $ 360.00$ 783.63$ 360.00 $ 783.63 FPPC Form 460 (Jan/2016) FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772) Schedule G Payments Made by an Agent or Independent Amounts may be rounded Statement covers Contractor (on Behalf of This Committee) to whole dollars. from 01/01/20 NAMEANDADDRESS OF PAYEE OR CREDITOR (IF COMM ITTEE, ALSO ENTER I. D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID OSPS 221 Main Street Seal Beach, CA 92740 through 01/12/2019 a Pa —0 Of�— 9 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Amundson for City Council 2018 1407882 NAME OF AGENT OR INDEPENDENT CONTRACTOR DMH Meyer Inc CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia /mist. 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 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 Lrr 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. NAMEANDADDRESS OF PAYEE OR CREDITOR (IF COMM ITTEE, ALSO ENTER I. D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID OSPS 221 Main Street Seal Beach, CA 92740 POS 301.00 Attach additional information on appropriately labeled continuation sheets. TOTAL* $ 301.00 Do not transfer to any other schedule or to the Summary Page. This total may not equal the amount paid to the agent or independent contractor as reported on Schedule E. FPPC Form 460 (Jan/2016) FPPC Advice: advice @fppc.ca.gov (866/275 -3772)