HomeMy WebLinkAbout2014 Recipient Committee T COVER PAGE
Campaign Statement Type or print in ink. Date Stamp _
1tECBIVE® - • 1
Cover Page
(Government Code Sections 84200-84216.5) JAN 2 8 2015 Page 1 of 5
Statement covers period Date of election if applicable:
.July 1, 2014 (Month, Day, Year) For Official Use Only
from CITY CLi oar
SEE INSTRUCTIONS ON REVERSE through December 31, 2014
1. Type of Recipient Committee: All Committees-Complete Parts 1,2,3,and 4. 2. Type of Statement:
lA Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑ Preelection Statement ❑ Quarterly Statement
Q State Candidate Election Committee Committee V Semi-annual Statement ❑ Special Odd-Year Report
0 Recall 0 Controlled
Sponsored ❑ Termination Statement ❑ Supplemental Preelection
(Also Complete Part5)
0 P (Also file a Form 410 Termination) Statement-Attach Form 495
❑ (Also Complete Pert 6)General Purpose Committee ❑ Amendment(Explain below)
Q Sponsored ❑ Primarily Formed Candidate/
Q Small Contributor Committee Officeholder Committee
0 Political Party/Central Committee (Also Complete Part])
3. Committee Information I.D. NUMBER 1236008 Treasurerys)
COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER
Committee to Elect Chuck Washington City Council 2012 Kathy Washington
MAILING ADDRESS
31205 Kahwea Rd.
STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE
31205 Kahwea Rd. Temecula CA 92951 951-699-5706
CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY
Temecula CA 92591 951-699-5706
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
951-699-7786 951-699-7786
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 elaws fthe State of California that the foregoing is true and correct. -
Executed on / Z� / By Wa
t
m 1ignatuaWTmasumrvAssistantTmesumr
Executed on -7 1 S By
ate SignatureolConlrolling Or(ce tl ,Cantlitla eMemure Proponenlor Responsible OAice Sponsor
Executed on By
Dale Signature pf Conalling ORcanolder,Candidate,State Measure Proponent
Executed on By
Date SignmmWConniling OliicMolder,Cantlitlate.Slam Measure Proponent FPPC Form 460(January/O6)
FPPC Toll-Free Halpin:866/ASK-FPPC(866Y2276-3772)
State of California
I
Type or print in ink. COVERPAGE-PART2
Recipient Committee CALIFORNIA
Campaign Statement FORM 460
Cover Page—Part 2
Page 2 of 5
5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee
NAME OF OFFICEHOLDER OR CANDIDATE NAMEOF BALLOT MEASURE
Chuck Washington
OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO.OR LETTER JURISDICTION ❑ SUPPORT
City Council, Temecula I I
❑ OPPOSE
RESIDENTIAUBUSI NESS ADDRESS (NO.ANDSTREET) CITY STATE ZIP -
31205 Kahwea Rd. Temecula CA 92591 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.
COMMITTEENAME 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 STREETADDRESS (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
COMMITTEENAME I.D. 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 ❑❑ OPPOSE
COMMITTEE ADDRESS STREETADDRESS (NO PO.BOX)
CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary
FPPC Form 460(January/06)
FPPC Toll-Free Helpline:866/ASK-FPPC(8661276-3772)
State of California
Campaign Disclosure Statement Type or print in ink. SUMMARY PAGE
Amounts may be rounded Statement covers period -
Summary Page to Whole dollars. A '
from July 1, 2014 • -
SEE INSTRUCTIONS ON REVERSE through December 31, 2014 Page 3 of 5
NAME OF FILER I.D. NUMBER
Committee to Elect Chuck Washington City Council 2012 1236008
Column A Column B Calendar Year Summary for Candidates
Contributions Received TOTALTHISPERIOD CALENDAR YEAR Running in Both the State Prima and
(FROM ATTACHED SCHEDULES) TOTALTO DATE 9 Primary
General Elections
1. Monetary Contributions ........................................... Schedule A,Line 3 $ 00.00 $ 00.00 t/1 through s/3o 7/1 to Dale
2. Loans Received ...................................................... Schedule B,Line 3 00.00 00.00
3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1.2 $ 00.00 $ 00.00 20. Contributions
Received $ $
4. Nonmonetary Contributions.................................... Schedule c,Line 3 00.00 00.00
21. Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED Add Lines 3+4 $ 00.00 $ 00.00 Made $ $
Expenditures Made Expenditure Limit Summary for State
6. Payments Made....................................................... Schedule e,Line 4 $ 550.00 $ 1800.00 Candidates
7. Loans Made............................................................. Schedule H,Line 3 00.00 00.00
550.00 1800.00 22. Cumulative Expenditures Made"
8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6+7 $ $ (If Sublectto Voluntary Expenditure Limit)
9. Accrued Expenses (Unpaid Bills) ...............................Schedule F Line 3 00.00 00.00 Date of Election Total to Date
10. Nonmonetary Adjustment ..........................................ScheduleC,Linea 00.00 00.00 (mm/dd/yy)
11. TOTAL EXPENDITURES MADE................................Add Lines 8+9+10 $ 550.00 $ 1800.00 Jl $
Current Cash Statement $
12, Beginning Cash Balance....................... Previous Summary Page,Line 16 $ 5287.38
To calculate Column B,add
13. Cash Receipts ................................................... Column A,Line 3 above 00.00 amounts in Column A to the
00.00 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.
00 report. Some amounts in
15. Cash Payments.................................................. Column A,Line Babove 550. Column A may be negative
16. ENDING CASH BALANCE.......... Add Lines 12+13+14,then subtract Line 15 $ 4737.38 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,Pan 2 $ 00.00 for this calendar year, only
carry over the amounts
Equivalents and Outstanding Debts from Lines 2,7, and 9 (if
Cash E
9 9 any).
18. Cash Equivalents........................................ See instructions on reverse $
00.00
19. Outstanding Debts......................... Add Line 2+Line 9 in Column B above $ 5000.00 FPPC Form 460(Januaryl05)
FPPC Toll-Free Helpline:8661ASK-FPPC(866/275-3772)
Type or print in ink. SCHEDULEB-PART1
Schedule B— Part 1 Amounts may be rounded Statement covers period I CALIFORNIA
Loans Received to whole dollars. from July 1, 2014 • 1
through December 31, 201b page 4 of 5
SEE INSTRUCTIONS ON REVERSE 9 9
NAME OF FILER I.D. NUMBER
Committee to Elect Chuck Washington City Council 2012 1236008
IF AN INDIVIDUAL, ENTER a (b) (o) (tl) (e) In (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 AMOUNTOF CONTRIBUTIONS
(IFcoMMITTEE,ALSO ENTER LD.NUMBER) NAMEOF BUSINESS? p 1 D PERIOD 7H$PEROD' E PERIOD LOAN TO DATE
Chuck Washington Retired ❑PAID CALENDARYEAR
31205 Kahwea Rd. $ 00.00 $ 5000.00 0.00 % $ 5000.00 $ 00.00
Temecula, CA 92591 FORGIVEN RATE PER ELECTION'
$ 5000.00 E 00.00 $ 00.00 NA $ 00.00 10/15/12 $
t[Z IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED
PAID CALENDARYEAR
$ E % $ $
FORGIVEN RATE PER ELECTION"
$ $ $ $ S
tEl IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED
Ej PAID CALENDARYEAR
S $ % $ S
FORGIVEN RATE PER ELECTION"
S 5 S 8 S
t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED
SUBTOTALS $ 00.00$ 00.00 $ 5000.00 $ 00.00
(Enter(e)on
Schedule B Summary Sc ule E,Llne3)
1. Loans received this period.................................................................................................................... $ 00.00
(Total Column(b)plus unitemized loans of less than$100.) tcontributor Codes
00 IND—Individual
2. Loans paid orforgiven this period ......................................................................................................... $ 00. 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. NET $ 00.00 SCC—Small Contributor committee
9 P ( )...............................................................
Enter the net here and on the Summary Page, Column A, Line 2. (Mar ea.neBeuoe nmba.)
"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)
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�r Recipient Committee COVER PAGE
Type or print in ink. Date Stamp
Campaign Statement •' A 0 1
Cover Page ♦f�- " '
(Government Code Sections 84200-84216.5) •
Statement covers period Date of election if applicable: c1 9 't01411F.r
1 of
��ur Official use only 6
from
January 1, 2014 (Month, Day, Year) F+
SEE INSTRUCTIONS ON REVERSE through
June 30, 2014
1. Type of Recipient Committee: All Committees-Complete Parts 1.2.3,and 4. 2. Type of Statement:
® Officeholder,Candidate Controlled Committee ❑ Ballot Measure Committee ❑ Preelection Statement ❑ Quarterly Statement
Q State Candidate Election Committee O Primarily Formed Semi-annual Statement
Q Recall Q Controlled ® ❑ Special Odd-Year Repo
(Also Complete Part!) ❑ Termination Statement ❑ Supplemental Preelection
Q Sponsored ❑ Amendment(Explain below) Statement-Attach Form 495
❑ General Purpose Committee (Alm Complete Part ri)
Q Sponsored ❑ Primarily Formed Candidate/
Q Small Contributor Committee Officeholder Committee
0 Political Party/Central Committee (Also complete Pant)
3. Committee Information I.D. NUMBER Treasure
1236008
COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER
Committee to Elect Chuck Washington City Council 2012 Kathy Washington
MAILING ADDRESS
31205 Kahwea Rd.
STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE
31205 Kahwea Rd. Temecula CA 92591 951-699-5706
CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY
Temecula CA 92591 951-699-6706
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX MAILING ADDRESS
CITY I STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX/ E-MAIL ADDRESS OPTIONAL: FAX/E-MAIL ADDRESS
951-699-7786 951-699-7786
4. Verification
thieve 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.
I-
Executed on By `
Signet fT reror sistant Treasurer
Executed on By -
Date Signature ofConlrolling OfueholerCantlitlate, to Measure Preironent orReswirsible Ofticerof Sponsor
Executed on By
Date Signature of ConVdling Officeholder,Cantlitlate,State Measure Proponent
Executed on D By
Doe SgnaluredConhdlirg Olrcehdtler,CarWibate,State Measure Proponent FPPC Form 46 (et)
FPPC Toll-Free Helpline:866/ASK-FPPC-FPPC
State of California/
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