HomeMy WebLinkAbout460 - 07/01/2022 thru 09-24-2022_ Redacted (SC)R0apient Committee COVERPAGE
�
• Campaign Statement�,e,,CjEl �/� RCALIFORNIA FORM ' 6 0
Cover Page
Statement covers period
OCT 0 3 2022 om VX�y ;�
N
SEE INSTRUCTIONS ON REVERSE through
1/Type of Recipient Committee. s —Complete Parts 1, z, 3, and 4.
Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure
State Candidate Election Committee Committee
0 Recall 0 Controlled
(Also Complete Part5) 0 Sponsored
(Also Complete Part 6)
❑ General Purpose Committee /
0 Sponsored r Primarily Formed Candidate/
0 Small Contributor Committee Officeholder Committee
0 Political Party/Central Committee (Also Complete Part7)
3. Committee Information I.D. NUMBER
2 0
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
STREET ADDRESS (NO P.O. BOX)
i/Sb S,h i►�f �Js�d JY
CITY V 41 STATE ZIP CODE AREACODE/PHONE
�dtw G+ 9) vvGn 62f 6zrs,*v q
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
CITY STATE ZIP CODE AREACODE/PHONE
OPTIONAL: FAX/ E-MAIL ADDRESS
Date of election if applicable: I 0 CT 1 7 2022
(Month, Day, Year)
CITY OF ARCADIA
CITY CLERK
Page of —
For Official Use Only
2. Type of Statement:
❑ Preelection Statement ❑ Quarterly Statement
RSemi-annual Statement ❑ Special Odd -Year Report
❑ Termination Statement
(Also file a Form 410 Termination)
❑ Amendment (Explain below)
Treasurer(s)
NAME OF TREASURER
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE'PHONE
c f- f/s�-or 5zf„ a-" y-18
NAME OF ASSISTANT TREASURER, IF ANY
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE
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
ce
/rtify under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Executed on , q/ - 4 �7E� 2�- By
Date ignature f Treasurer or Assistant Treasurer
Executed on ` By
a e r Signature of Controlli ho , COidate, State Measure Proponent -or—Responsible Officer of Sponsor
Executed on By
Date Signature of Controlling Officeholder, Candidate, State Measure Proponent
Executed on By
Date Signature of Controlling Officeholder, Candidate, State Measure Proponent
FPPC Form 460 (Jan/2016))
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
COVER PAGE - PART 2
Recipient Committee
Campaign Statement
Cover Page — Part 2
5. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE
Sh-el, a o
OFFICE SOUGH R HELD (I&CLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
4) d/w Ct a-whC4 lei`
RESIDENTIAL/BUSINESS ADDR SS (NO. AND STREET) CITY STATE ZIP
Ld . * 2-!Z Armes <;+ fiab
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
COMMITTEE ADDRESS 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)
CITY STATE ZIP CODE AREA CODE/PHONE
Page of
6. Primarily Formed Ballot Measure Committee
NAME OF BALLOT MEASURE
BALLOT NO. OR LETTER I 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 Candidate/Officeholder 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
dkil
I�Y dr1 (,� (ppy�
❑OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HE
❑ 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.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A Amounts may be rounded SCHEDULE A
to wnoie sonars. Statement covers period
Monetary Contributions Received
• - 460
from
FORM
SEE INSTRUCTIONS ON REVERSE through ���
Page of {
NAME OF FILER
I.D. NUMBER
I
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
RECEIVED
CONTRIBUTOR
CODE *
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
RECEIVED THIS
CALENDAR YEAR
TO DATE
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
OFBUSINESS)
PERIOD
(JAN.1-DEC. 31)
(IF REQUIRED)
RIND
�`�
❑ COM
r
Ccf 11 S'DS�� )%1!
El OTH
Pays
V
❑ PTY
A
❑ SCC
�jLIND
❑ COM
l
�I
❑OTH
❑ PTY
/(9c9D
`
f�
❑ SCC
RIND
l2
O
"i
❑ OTH�--
❑ PTY
❑ SCC
J21qND
❑ COMEl
OTH
❑PTY
p
�f
❑ SCC
JX4ND
❑ COM
❑ OTH
❑ PTY
❑ SCC
SUBTOTAL $
Schedule A Summary
1. Amount received this period — itemized monetary contributions.
�3Z
(Include all Schedule A 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.)...
*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
TOTAL $ FPPC Form 460 (Jan/2016))
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULEA (CONT.)
to whole dollars.
Monetary Contributions Received
Statement covers period
p
.
A
from ��r�n��FORM•
&(zo
5'
through 2,2
Page of
NAME OF FILER
I.D. NUMBER
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
RECEIVED
CONTRIBUTOR
*OR
CODE
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME)
RECEIVED THIS
CALENDAR YEAR
TO DATE
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
OF BUSINESS)
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
,9IND
%
/ IZOZ2
� �
❑ COM
[I OTH
❑ PTY
&
❑ SCC
,.IND
9
❑ COM
❑ OTH
PTY
2► 13, °S
El SCIC
I N D
C/ r
❑ COM
❑ OTH
❑ PTY
a
❑ SCC
-XIND
/
❑ COM
El OTH
PTY
❑
v L!
❑ SCC
�ND
//
I,��,�
e �" ""/�
OM
❑ COTH
❑ PTY
(66
v
SCC
SUBTOTAL $ J Z 3
*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
Amounts may be rounded
'Schedule B — Part 1 to whole dollars.
Loans Received
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
SCHEDULE B - PART 1
Statement covers period CALIFORNIA
a
fromFORM
2o2.z
through Page of
I.D. NUMBER
STREE�/ADDRESDUAL,
AND ZIP CODE
IF AN INDIVIDUAL, ENTER
OUTSTANDING
AMOUNT
AMOUNT PAID
OUTSTANDING
INTEREST
ORIGINAL
CUMULATIVE
NAME,
OF LENDER
OCCUPATION AND EMPLOYER
BALANCE
RECEIVED THIS
OR FORGIVEN
BALANCE AT
PAID THIS
AMOUNT OF
CONTRIBUTIONS
(IF SELF-EMPLOYED. ENTER
BEGINNING THIS
PERIOD
THISPERIOD-
CLOSE OF THIS
PERIOD
LOAN
TO DATE
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
NAME OF BUSINESS)
PERIOD
PERIOD_
CALENDAR YEAR
r/,�C. ` Z B
�� �� ii��
[I PAID
9�
$
$
$
$
RATE
�
❑FORGIVEN
PER ELECTION**
DATE DUE
DATE INCURRED
t IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
❑ PAID
CALENDAR YEAR
$
$
%
$
$
❑FORGIVEN
RATE
PER ELECTION"
$
$
DATE DUE
$
$
DATE INCURRED
t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
SUBTOTALS $ j
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 $100 paid or forgiven.)
(Include loans paid by a third party that are also itemized on Schedule A.)
3. Net change this period. (Subtract Line 2 from Line 1.)...................................................
Enter the net here and on the Summary Page, Column A, Line 2.
'Amounts forgiven or paid by another party also must be reported on Schedule A.
'" If required.
Lj PAID
❑ FORGIVEN
CALENDAR YEAR
RATE
PER ELECTION"
DATE DUE DATE INCURRED
� ?
.......$ ��/
6
!;ZT
.......$
...... NET $
(May be a negative number)
on Schedule E,Line 3)
tContributor 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)
www.fppc.ca.gov