HomeMy WebLinkAbout2011 Recipient Committee COVER PAGE
Type or print in ink. Date Stamp
Campaign Statement RECEIVED rFor � � ' • �
Cover Page
(Government Code Sections 84200-84216.5) JUL ZO1 t of 7
Statement covers period Date of election if applicable: from 1/1/2011 (Month, Day, Year) TrFY CLERKS DEPT Official Use Onl
SEE INSTRUCTIONS ON REVERSE through 6/30/2011
1. Type of Recipient Committee: All Committees - Complete Parts t, 2, 3, and 4. 2. Type of Statement:
EZ Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑ Preelection Statement ❑ Quarterly Statement
0 State Candidate Election Committee Committee Semi - annual Statement ❑ Special Odd -Year Report
0 Recall 0 Controlled
Sponsored ❑ Termination Statement El Supplemental Preelection
(Also Complete Part 5)
0 P (Also file a Form 410 Termination) Statement - Attach Form 495
(Also Complete Part 6)
F General Purpose Committee ❑ Amendment (Explain below)
0 Sponsored ❑ Primarily Formed Candidate/
0 Small Contributor Committee Officeholder Committee
0 Political Party /Central Committee (Also Complete Part 7)
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
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.
Executed on 7/26/2011 By
Date SignatureeasurerorAssist tT asurer
Executed on /a /!j By
Dail Signatur of Controlling cehold andidate, 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 (January/05)
FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772)
State of California
Recipient Committee Type or print in ink. COVER PAGE -PART2
CALIFORNIA
Campaign Statement FORM •
Cover Page — Part 2
Page 2 of 7
5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee
NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE
MARYA EDWARDS
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO. OR LETTER JURISDICTION FEJOPPOSE
PPORT
CITY COUNCIL MEMBER
RESIDENTIAUBUSINESS ADDRESS (NO. 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 Listnames 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 HELD ❑ SUPPORT
❑ OPPOSE
CITY STATE ZIP CODE AREA CODE /PHONE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
❑ SUPPORT
❑ OPPOSE
COMMITTEE NAME I.D. NUMBER
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT
❑ OPPOSE
NAME OF TREASURER CONTROLLED COMM ITTEE? NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
❑ YES ❑ NO ❑ SUPPORT
F OPPOSE
COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE /PHONE Attach continuation sheets if necessary
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772)
State of California
Campaign Disclosure Statement Type or print in ink. SUMMARYPAGE
Summary Page
Amounts may be rounded Statement covers period CALIFORNIA
to whole dollars.
from 1/1/2011 • - '
SEE INSTRUCTIONS ON REVERSE through 6/30/2011 Page 3 of
NAME OF FILER I.D. NUMBER
MARYANN FOR CITY COUNCIL 1272781
Column A Column B Calendar Year Summary for Candidates
Contributions Received TOTALTHISPERIOD CALENDAR YEAR
(FROM ATTACHED SCHEDULES) TOTALTODATE Running in Both the State Primary and
General Elections
1. Monetary Contributions ............ ............................... Schedule A, Line 3 $ 0 $ 0
2. Loans Received ....................... ............................... Schedule B, Line 3
0 0 1/1 through 6/30 7/1 to Date
3. SUBTOTALCASH CONTRIBUTIONS ......................... Add Lines 1 +2 $ 0 $ 0 20. Contributions
Received $ 0 $
4. Nonmonetary Contributions ..... ............................... Schedule C, Line 3 0 0 21. Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 +4 $ 0 $ 0 Made $ $
Expenditures Made Expenditure Limit Summary for State
6. Payments Made ........................ ............................... Schedule e, Line 4 $ 0 $ 0 Candidates
7. Loans Made .............................. ............................... Schedule H, Line 3 0 0
Cumulative Expenditures Made'
8. SUBTOTAL CASH PAYMENTS ..... ............................... Add lines 6 + 7 $ 0 $ 0 22. (If Subject to Voluntary Expenditure Limit)
9. Accrued Exp enses ( Unp aid Bills 0 0 Date of Election Total to Date
P ( P � ••••••••••••••••�•� •�� ������ScheduleF,Line3
10. Nonmonetary Adjustment ........... ............................... schedule C, Line 3 0 0 (mm /dd /yy)
11. TOTAL EXPENDITURES MADE ................................ AddLines8 +9 +10 $ 0 $ 0 / J $
Current Cash Statement $
12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ 5342
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 1, Line 4 from Column B of your last reported in Column B.
15. Cash Payments ................... ............................... Column A, Line a above 0 report. Some amounts in
Column A may be negative
16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ 5342 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 e, Part 2 $ 0 for this calendar year, only
carry over the amounts
from Lines 2, 7, and 9 (if
Cash Equivalents and Outstanding Debts any).
18. Cash Equivalents ......... ............................... See instructions on reverse $ 0
19. Outstanding Debts ......................... Add Line 2 +Line 9 in Column B above $ 8363 FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772)
Type or print in ink. SCHEDULE B - PART 1
Schedule B — Part 1 Amounts may be rounded Statement covers period
Loans Received to whole dollars. 1/1/20 •
from
SEE INSTRUCTIONS ON REVERSE through 6/30/2011 Page 4 of
NAME OF FILER I.D. NUMBER
MARYANN FOR CITY COUNCIL 1272781
IF AN INDIVIDUAL ENTER ° ( b) (C) (d) (e) (f) (g)
,
FULL NAME, STREET ADDRESS AND ZIP CODE OUTSTANDING AMOUNT AMOUNT PAID OUTSTANDING INTEREST ORIGINAL CUMULATIVE
OCCUPATION AND EMPLOYER BALANCE BALANCEAT
OF LENDER (IF SELF - EMPLOYED, ENTER BEGINNING THIS RECEIVED THIS OR FORGIVEN CLOSE OF THIS PAID THIS AMOUNT OF CONTRIBUTIONS
(IF COMMITTEE, ALSO ENTER I.D. NUMBER) NAMEOFBUSINESS) PERIOD PERIOD THIS PERIOD" PERIOD PERIOD LOAN TO DATE
MARYANN EDWARDS PRESIDENT AND CEO ❑ PAID CALENDAR YEAR
SOUTHWEST COUNTY ❑ FORGIVEN RATE PER ELECTION"
$ 30 $ 0 $ 0 NONE $ 0 7/20/10 $
tv IND [::] COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED
MARYANN EDWARDS PRESIDENT AND CEO ❑ PAID CALENDAR YEAR
SOUTHWEST COUNTY ❑ FORGIVEN RATE PER ELECTION"
$ 3766 $ 0 $ 0 NONE $ 0 7/29/10 $
t9l IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED
MARYANN EDWARDS PRESIDENT AND CEO ❑ PAID CALENDAR YEAR
SOUTHWEST COUNTY ❑ FORGIVEN RATE PER ELECTION"
$ 245 $ 0 $ 0 NONE $ 0 8/4/10 $
tQ) IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED
SUBTOTALS $ 0$ 0 $ 4041 $ 0
(Enters
Schedule B Summary in
edule E. SU Line 3)
1. Loans received this period ..................................................................................... ............................... $ 0
(Total Column (b) plus unitemized loans of less than $100.) tContributor Codes
2. Loans paid or forgiven this period .......................................................................... ............................... $ 0 IND- Individual COM - Recipient Committee
(Total Column (c) plus loans under $100 paid or forgiven.) (other than PTY or SCC)
(Include loans paid by a third party that are also itemized on Schedule A.) OTH — Other (e.g., business entity)
PTY — Political Party
3. Net change this period. Subtract Line 2 from Line 1. 0 SCC — Small Contributor Committee
9 p ( ) ................................ ............................... NET $
Enter the net here and on the Summary Page, Column A, Line 2. (Ma be a negative number)
'Amounts forgiven or paid by another party also must be reported on Schedule A.
If required. FPPC Form 460 (January/05)
FPPC Toll -Free Helpiine: 866 /ASK -FPPC (866/275 -3772)
Type or print in ink. SCHEDULE B - PART 1
Schedule B — Part 1 Amounts may be rounded Statement covers period CALIFORNIA
Loans Received to whole dollars. 1/1/201 • '
from FORM
SEE INSTRUCTIONS ON REVERSE through 6/30/2011 Page 5 of 7
NAME OF FILER I.D. NUMBER
MARYANN FOR CITY COUNCIL 1272781
IF AN INDIVIDUAL, ENTER AMOUNT PAID a (b) (c) (d) (e) (f) (g)
FULL NAME, STREET ADDRESS AND ZIP CODE OUTSTANDING AMOUNT OUTSTANDING INTEREST ORIGINAL CUMULATIVE
BALANCE EAT
OCCUPATION AND EMPLOYER
OF LENDER (IF SELF-EMPLOYED, ENTER BEGINNING THIS RECEIVED THIS OR FORGIVEN CLOSE LOSE O OF THIS PAID THIS AMOUNT OF CONTRIBUTIONS
(IF COMMITTEE. ALSO ENTER I.D.NUMBER) NAME OF BUSINESS) PE RIOD PERIOD THIS PERIOD` PERIOD PERIOD LOAN TO DATE
MARYANN EDWARDS PRESIDENT AND CEO ❑ PAID CALENDARYEAR
SOUTHWEST COUNTY ❑FORGIVEN RATE PER ELECTION
$ 143 $ 0 $ 0 NONE $ 0 8/10/10 $
tZ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED
MARYANN EDWARDS PRESIDENT AND CEO E] PAID CALENDAR YEAR
SOUTHWEST COUNTY [] FORGIVEN PER ELECTION"
$ 959 $ 0 $ 0 NONE $ 0 8/20/10 $
tV IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED
MARYANN EDWARDS PRESIDENT AND CEO ❑ PAID CALENDARYEAR
SOUTHWEST COUNTY ❑ FORGIVEN RATE PER ELECTION"
$ 42 $ 0 $ 0 NONE $ 0 8/27/10 $
tZ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED
SUBTOTALS $ 0 $ 0 $ 1144 $ 0
(Enter (e) on
Schedule B Summary Schedule E, Line 3)
1. Loans received this period ..................................................................................... ............................... $ 0
(Total Column (b) plus unitemized loans of less than $100.) tContributor Codes
IND — Individual
2. Loans paid or forgiven this period .......................................................................... ............................... $ 0 COM — RecipientCommittee
(Total Column (c) plus loans under $100 paid or forgiven.) (other than PTY or SCC)
(Include loans paid by a third party that are also itemized on Schedule A.) OTH— Other (e.g.. business entity)
PTY — Political Party
3. Net ( period. this change Subtract Line 2 from Line 1. ��������� � ................ ............................... NET $ 0 SCC — Small Contributor Committee
g P (May be negative number)
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. FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772)
Type or print in ink.
SCHEDULEB -PART1
Schedule B — Part 1 Amounts may be rounded Statement covers period CALIFORNIA r
Loans Received to whole dollars. from 1/1/2011 FORM •
SEE INSTRUCTIONS ON REVERSE through 6/30/2011 Page 6 of 7
NAME OF FILER I.D. NUMBER
MARYANN FOR CITY COUNCIL 1272781
IF AN INDIVIDUAL, ENTER a (b) (o) (d) (e) (f) (g)
FULL NAME, STREET ADDRESS AND ZIP CODE OUTSTANDING AMOUNT OUTSTANDING INTEREST ORIGINAL CUMULATIVE
OCCUPATION AND EMPLOYER BALANCE AMOUNT PAID BALANCEAT
OF LENDER (IF SELF- EMPLOYED, ENTER BEGINNING THIS RECEIVED THIS OR FORGIVEN CLOSE OF THIS PAID THIS AMOUNT OF CONTRIBUTIONS
(IF COMMITTEE. ALSO ENTER W. NUMBER) NAME OF BUSINESS) PERIOD PERIOD THIS PERIOD` PERI D PERIOD LOAN TO DATE
MARYANN EDWARDS PRESIDENT AND CEO ❑ PAID CALENDAR YEAR
SOUTHWEST COUNTY ❑ FORGIVEN RATE PERELECTION-
$ 374 $ 0 $ 0 NONE $ 0 9/1/10 $
t5Z IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED
MARYANN EDWARDS PRESIDENT AND CEO ❑ PAID CALENDARYEAR
SOUTHWEST COUNTY ❑ FORGIVEN RATE PER ELECTION •'
$ 6 $ 0 $ 0 NONE $ 0 9/6/10 $
tZ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED
MARYANN EDWARDS PRESIDENT AND CEO ❑ PAID CALENDAR YEAR
SOUTHWEST COUNTY ❑FORGIVEN RATE PER ELECTION"
$ 304 $ 0 $ 0 NONE $ 0 9/24/10 $
tZ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED
SUBTOTALS $ 0 $ 0 $ 684 $ 0
(Enter (e) on
Schedule B Summary Schedule E. Line 3)
1. Loans received this period ..................................................................................... ............................... $ 0
(Total Column (b) plus unitemized loans of less than $100.) tContributor Codes
IND— Individual
2. Loans paid or forgiven this period .......................................................................... ............................... $ 0 COM - Recipient Committee
(Total Column (c) plus loans under $100 paid or forgiven.) (other than PTY or SCC)
(Include loans paid by a third party that are also itemized on Schedule A.) OTH — Other (e.g., business entity)
PTY — Political Party
3. Net ( this change period. Subtract Line 2 from Line 1.) ................. ............................... NET $ 0 SCC — Small Contributor Committee
Enter the net here and on the Summary Page, Column A, Line 2. (May be a negative number)
'Amounts forgiven or paid by another party also must be reported on Schedule A.
If required. FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/2753772)
Type or print in ink. SCHEDULE B - PART 1
Schedule B — Part 1 Amounts may be rounded Statement covers period
Loans Received to whole dollars. 1/1/20 '
from
SEE INSTRUCTIONS ON REVERSE through 6/30/20 page 7 of 7
NAME OF FILER j I.D. NUMBER
MARYANN FOR CITY COUNCIL 1272781
IF AN INDIVIDUAL ENTER a (b) (c) (d) (e) (t) (g)
,
FULL NAME, STREET ADDRESS AND ZIP CODE OUTSTANDING AMOUNT OUTSTANDING INTEREST ORIGINAL CUMULATIVE
AMOUNT PAID
OF LENDER OCCUPATION AND EMPLOYER BALANCE BALANCE AT
(IF SELF - EMPLOYED, ENTER BEGINNING THIS RECEIVED THIS OR FORGIVEN CLOSE OF THIS PAID THIS AMOUNT OF CONTRIBUTIONS
(IF COMMITTEE. ALSO ENTER I.D. NUMBER) NAME OF BUSINESS) P RI OD PERIOD THIS PERIOD` PERIOD PERIOD LOAN TO DATE
MARYANN EDWARDS PRESIDENT AND CEO p PAID CALENDAR YEAR
SOUTHWEST COUNTY E] FORGIVEN RATE PER ELECTION"
$ 2360 $ 0 $ 0 NONE $ 0 9/30/10 $
tV IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED
MARYANN EDWARDS PRESIDENT AND CEO ❑ PAID CALENDAR YEAR
SOUTHWEST COUNTY ❑ FORGIVEN RATE PER ELECTION
$ 62 $ 0 $ 0 NONE $ 0 10/22/10 $
tZ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED
MARYANN EDWARDS PRESIDENT AND CEO ❑ PAID CALENDAR YEAR
SOUTHWEST COUNTY ❑ FORGIVEN RATE PER ELECTION"
$ 72 $ 0 $ 0 NONE $ 0 11/11/10 $
t 9Q IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED
SUBTOTALS $ 0 $ 0 $ 2494 $ 0
(Enter (e) on
Schedule B Summary Schedule E, Line 3)
1. Loans received this period ..................................................................................... ............................... $ 0
(Total Column (b) plus unitemized loans of less than $100.) TContributor Codes
IND— Individual
2. Loans paid or forgiven this period .......................................................................... ............................... $ 0 COM — RecipientCommittee
(Total Column (c) plus loans under $100 paid orforgiven.) (other than PTY or SCC)
(Include loans paid by a third party that are also itemized on Schedule A.) OTH — Other (e.g., business entity)
PTY — Political Party
3. Net change this period. Subtract Line 2from Line 1. ................ NET $ 0 SCC - Small Contributor Committee
9 p ( ) ................ ...............................
Enter the net here and on the Summary Page, Column A, Line 2. (May be a negative number)
Amounts forgiven or paid by another party also must be reported on Schedule A.
" If required. FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772)