HomeMy WebLinkAbout460 - 01/01/2022 thru 09/24/2022_ Redacted (MD)COVER PAGE
Recipient Committee
Campaign Statement
Cover Page
SEE INSTRUCTIONS ON REVERSE
Statement covers period
from o11 / D (_
through O 9 12If /-1- 0, -)---2-
1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4.
❑ Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure
O State Candidate Election Committee Committee
O Recall O Controlled
(Also Complete Part 5) O Sponsored
(Also Complete Part 6)
❑ General Purpose Committee
O Sponsored Primarily Formed Candidate/
O Small Contributor Committee Officeholder Committee
O Political Party/Central Committee (Also Complete Part7)
3. Committee Information
COMMITTEE
I.D. NUMBER _
No 4" ke4, Recc- ed
NAME IF NO COMMITTEE)
I- ckcLeI Davt►e_lsovt tc,I Cif y CO(AVlc It ")-C 2':1-
STREET ADDRESS (NO P.O. BOX)
Z 60 1 i=O5s Ave
99bbikn
Date of election if applicable: S E p 2 7 2022
(Month, Day, Year)
Z I CITY OF ARCADIA
nrry r+l r-nIi
Page of 3
For Official Use Only
2. Type of Statement:
Preelection Statement ❑ Quarterly Statement
❑ Semi-annual Statement ❑ Special Odd -Year Report
❑ Termination Statement
(Also file a Form 410 Termination)
❑ Amendment (Explain below)
Treasurer(s)
NAME OF TREASURER I
{ 'k C_k CA
MAILING ADDRESS
S Wr Cru�,� P Nv 5 3
CITY STATE ZIP CODE AREA CODE/PHONE
Mvh��r� c�v Gig C41 7 S L� (ty.z6)z�bu -4zan
CITY STATE ZIP CODE AREACODE/PHONE NAME OF ASSISTANT TRE SURER,IFANY
/''-C_GtGA g1C)06 (6-2-6)37S-1�63tf
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
MAILING ADDRESS
a4 w. t:7�vv- Avg 13
CITY STATE ZIP CODE AREACODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX/E-MAIL ADDRESS OPTIONAL: FAX/E-MAIL ADDRESS
'D c4mvel som tk Cr4-y COuwccVnci cam
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.
2-& /z0 zz.
Executed on O BY
Dale Signature of Treasurer ssistant Treasurer
U ct z 6 /-2. 0 Z?a. _
Executed on BY
Executed on
Dale
By
Signature of Controlling Officeholder, Candidate, State Measure Proponent
Executed on BY
Dale 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
Recipient Committee
Campaign Statement
Cover Page — Part 2
5. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE
M I C' a e 1 D Q V) el s oo
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IFAPPLICABLLE) `
RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP
a b 9 I �055 Av-e )q -Cct d;a CA cf I of)
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 STREETADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
COVER PAGE - PART 2
Page ' - of 3
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 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
❑ 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.ca.gov (866/275-3772)
www.fppc.ca.gov
Campaign Disclosure Statement
Summary Page
Amounts may be rounded
to whole dollars.
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
C"( I ctn a e� tl CJLV) s0V, f Uv G t.�.. CC) LA- %4 IC 1 2 U 2Z
Contributions Received
1. Monetary Contributions................................................... Schedule A, Line
2. Loans Received................................................................ Schedule s, Line 3
3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines i+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. SUBTOTAL CASH PAYMENTS .......................................
Add Lines 6+7
9. Accrued Expenses (Unpaid Bills) ..........................................
Schedule F Line 3
10. Nonmonetary Adjustment.........................................................
Schedule C, Line 3
11. TOTAL EXPENDITURES MADE....................................Add
Lines 8+9+10
Column A
TOTAL THIS PERIOD
(FROM ATTACHED SCHEDULES)
$ C)
$
$ Q
$
io
$ 0
n
$
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.
17. LOAN GUARANTEES RECEIVED ................................ Schedule B, Part 2 $
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ................................................ See instructions on reverse $ (Q
19. Outstanding Debts .............................. Add Line 2 +Line 9 in Column B above $ �✓
SUMMARY PAGE
Statement covers period /
from 0 L i D 1 < 110 1 "2
through O F z I U Z Page 3 of 3
I.D. NUMBER
N n 'Ir- y e+ ire c6v a vi
Column B
CALENDAR YEAR
TOTAL TO DATE
:0
$ 0
0
$ Q
_ 0
$
Q
To calculate Column B,
add amounts in Column
Ato 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).
Calendar Year Summary for Candidates
Running in Both the State Primary and
General Elections
1/1 through 6/30 711 to Date
20. Contributions
Received $ $ .-
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)
— f $
*Amounts in this section may be different from amounts
reported in Column B.
FPPC Form 460 (Jan/2016))
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov