HomeMy WebLinkAbout2009 COVER PAGE
p Type or print in ink. D ate S tamp
Recipient Committee
Campaign Statement CALIFORNIA 460
Cover Page RECEIVE FORM
7D •,0
(Government Code Sections 84200-84216.5) q qpy Page 1 of 4
JAM Statement covers period Date of election if applicable: L LC--
07/01 /2009 (Month, Day, Year) For Official Use Only
from
C ITT CLERKS DEPT.
SEE INSTRUCTIONS ON REVERSE through 12/31/2009
1. Type of Recipient Committee: All committees— complete Para 1, 2, a, and 4. 2. Type of Statement:
® Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑ Preelection Statement ❑ Quarterly Statement
Q State Candidate Election Committee Committee 2 Semi - annual Statement ❑ Special Odd -Year Report
Q Recall 0 Controlled ❑ Termination Statement
(Also Compete Part 5) Q Sponsored (Also file a Form 410 Termination) ❑ Supplemental t Preelection
(Also Conple'e Pmt 6) ( / Statemment ent -Attach ach Form ni
495
❑ General Purpose Committee ❑ Amendment (Explain below)
Q Sponsored ❑ Primarily Formed Candidate/
Q Small Contributor Committee Officeholder Committee
Q Political Party /Central Committee (a/.m Complete Part n
3. Committee Information I.D. NUMBER Treasurer(s) -
1272781
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER
MARYANN FOR CITY COUNCIL JAMES A MEYLER, EA
MAILING ADDRESS
STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE /PHONE
CITY STATE ZIP CODE AREA CODE /PHONE NAME OF ASSISTANT TREASURER, IF ANY
.
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE /PHONE CITY STATE ZIP CODE AREA CODE /PHONE
OPTIONAL: FAX / E -MAIL ADDRESS OPTIONAL: FAX / 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. \ M
Executed an 1 /13/2010 B AO A
Da 4U Signature .et rem ' • tin) mar
Executed on la :l o By ,4k 1 ! /
to gnatureo1Conbdi to oeheld:, . didale,Stxle Measure Pmponentor Respmside OficerafSponsor
Executed on By
Date Signalise d ConNHNg Officeholder, Canddato, Slate Measure Proponent
Executed on By
Dale Signalise of Unending Oamlxider, Candidate, Ste Measure Proponent FPPC Form 460 (January/05)
FPPC TollFree Helpline: 8661ASK -FPPC (8661276-3772)
State of Callfornla ,
S
Type or print in ink. COVER PAGE -PART2
Recipient Committee
Campaign Statement CALIFORNIA 460
Cover Page Part 2
Page 2 of 4
5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee
NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE
MARYANN EDWARDS
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO. OR LETTER JURISDICTION SUPPORT
CITY COUNCIL MEMBER OPPOSE
RESIDENTIAL/BUSINESS ADDRESS (N0. 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 OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY
contributions or make expenditures on behalf of your candidacy.
COMMITTEE NAME I.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE? 7. Primarily Formed Candidate /Officeholder Committee List names of
officeholder(s) or candidate(s) for which this committee is primarily formed.
YES NO
COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HEW SUPPORT
OPPOSE
CITY STATE ZIP CODE AREA CODE/PHONE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
SUPPORT
OPPOSE
COMMITTEE NAME I.O. NUMBER
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
SUPPORT
OPPOSE
NAME OF TREASURER CONTROLLED COMMITTEE? NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
YES NO SUPPORT
OPPOSE
COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary
FPPC Forn 460 (January/0S)
FPPC Toll -Free Helplino: 8661ASK -FPPC (8551276 -7772)
State of California
Campaign Disclosure Statement Type or print in ink. SUMMARY PAGE
Amounts may be rounded Statement covers period CALIFORNIA 6 0
Summary Page to whole dollars. from 07/01/2009 FORM 460
SEE INSTRUCTIONS ON REVERSE through 12/31!2009 Page 3 of 4
NAME OF FILER I.D. NUMBER
MARYANN EDWARDS 1272781
Contributions Received T o oTmn Column B Calendar Year Summary for Candidates
(FROM ATTACHED SCHEDULES) TOTAL TO DATE Running in Both the State Primary and
General Elections
1. Monetary Contributions Schedule A. Line 3 0 0
1ll through 6/30 7/1 to Date
2. Loans Received Schedule B, Linea
0 0
3. SUBTOTAL CASH CONTRIBUTIONS Add Lines 1+2 0 0 20. Contributions
0 0 Received
4. Nonmonetary Contributions Schedule C, Line 3 21. Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED Add Lines3 +4 0 0 Made 5
Expenditures Made Expenditure Limit Summary for State
6. Payments Made Schedule E, Line 4 300 375 Candidates
7. Loans Made Schedule H, Line 3 0 0
22. Cumulative Expenditures Made'
8. SUBTOTAL CASH PAYMENTS Add Lines 6 +7 5 300 375 (It Subject toVoluntary Expenditure Limo)
9. Accrued Expenses (Unpaid Bills) Schedule F Line 3 0 0 Date of Election Total to Date
10. Nonmonetary Adjustment Schedule C, Line 0 0 (mm /dd/yy)
11. TOTAL EXPENDITURES MADE Add Lines a 9 300 375
Current Cash Statement __i_____/
12. Beginning Cash Balance Previous SummaryPage, line 16 327
To calculate Column B, add
13. Cash Receipts Column A. Line 3 above
0 amounts in Column A to the
0 corresponding amounts 'Amounts in this section may be different from amounts
14. Miscellaneous Increases to Cash Schedule I, Line 4 from Column B of your last reported in Column B.
15. Cash Payments Column A, Line 8 above 300 report. Some amounts in
Column A may be negative
16. ENDING CASH BALANCE Add Lines 12+ 13+ 14, then subtract Line 15 27 figures that should be
subtracted from previous
If this is a termination statement, Line 16 must be zero, period amounts. If this is
the first report being filed
17. LOAN GUARANTEES RECEIVED Schedule B, Part 2 0 for this calendar year, only
carry over the amounts
Cash Equivalents and Outstanding Debts a fro ;Lines 2, 7, and 9 (if
18. Cash Equivalents See instructions on reverse 0 y
19. Outstanding Debts Add tine 2+ Line 9 in Column B above 0 FPPC Form 460 (January/OS)
FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/2754772)
SCHEDULE E
Schedule E Type or print In ink.
Amounts may be rounded Statement covers period CALIFORNIA 460
Payments Made to whole dollars. 07/01/2009 FORM
from
SEE INSTRUCTIONS ON REVERSE
through 12/31/2009 Page 4 of 4
NAME OF FILER I.D. NUMBER
MARYANN EDWARDS 1272781
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
01P 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 nonmonelaryy 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 TFt candidate travel, lodging, and meals
FND fundraising events POL polling and survey research TRS staff /spouse travel, lodging, and meals
PA 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 PRY print ads WEB information technology costs (intemet, e-mail)
NAME AND ADDRESS OF PAYEE
IF OCMMITtEE. ALSO ENTERID.NUMBERI CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
HABITAT FOR HUMANITY DONATION TO HABITAT FOR HUMANITY
41615 WINCHESTER RD. CTB (7' Christmas tree, lights, decorations) 300
TEMECULA, CA 92590
Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTALS 300
Schedule E Summary
1. Itemized payments made this period. (Include all Schedule E subtotals.) 300
2. Unitemized payments made this period of under $100 0
3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) 0
4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) TOTAL 300
FPPC Form 460 (January/05)
FPPC Toll-Free Hetpllne: 866/ASK -FPPC (866/275 -3772)
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