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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