The URL can be used to link to this page

Home My Public Portal AboutForm 460 (Jan 18 - Feb 14, 2009) Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) Type or print In Ink. Statement covers period from 1/18/09 SEE INSTRUCTIONS ON REVERSE through 2114109 1. Type of Recipient Committee: All Conh..... - ConIp/N P..... 1, 2, 3, and 4- ~ Ol'Iiceholder, Candidate Controlled Committee 0 Primarily Formed SaBot Measure o State Candidate Election Committee COITI1'" o Recall 0 Controlled (AJao CompIeIe Part 5) 0 Sponsored (Ilbo CotrrpIIite Part 8) o General Purpose Committee o Sponsored o SmaH ContrtXJtor Committee o Political PartylCentral ConvniItee o Primarily Fonned Candidate! Officeholder Committee (AItIo CompIeIa Part 7) 3. Committee Infonnatlon 1.0. NUMBER 1313981 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Bridget Healy for Council STREET ADORESS (NO P.O. BOX) 124 Miramar Ave CITY STATE ZIP CODE AREA CODE/PHONE 909 445 9628 Claremont CA 91711 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best under penalty of peljury u~ the laws of the State of California that the foregoing is true a co Exectned on iiJ.17/ ~ By l-ro -0; o.e COVER A\GE Date Stamp CALIFORNIA 460 I 2001'02 FORM ECEIVE Date of eIec:tJon If applicable: (Month, Day, Year) 03103109 FEB 1 ~ 2009 CITY CLERK ITV OF CLAREMON For 0fIIcIa1 Use Only Pagel of/5" 2. Type of Statement: ~ p,.lection Statement o Semi-annual Statement o Termination Statement (Also file a Form 410 Termination) o Amendment (Explain below) o Quarterly Statement o Special Odd- Year Report o Supplemental Preelection Statement - Attach Form 495 TreaaUntr(s) NAME OF TREASURER John Moylan MAILING ADDRESS 124 Miramar Ave CITY STATE ZIP CODE Claremont CA 91711 NAME OF ASSISTANT TREASURER, IF ANY AREA CODE/PHONE 909 445 9628 MAILING ADDRESS CITY JJMoylan@aol.com OPTIONAL: FAX / E-MAIL ADDRESS STATE ZIP CODE AREA CODE/PHONE Exectned on By Executed on By 0818 Executed on By 0818 the information contained herein and in the attached schedules is true and complete. I certify Of AsIisIrot T~ sv-n d ConlroIng 0IIiceh0ldlii. CardcIIII8, SlIIIIl""""Propanent SilJ1lIllndConlrolngOllic:eholdllr, CancidIIle, SlIIIIl""""Proponent FPPC Form _ (JanuarylO5) FPPC To/l.J'rwe HelplIne: 888IASK.J'PPC (8881275-3772) State of CafIfomIa Type or print In Ink. Recipient Committee Campaign Statement Cover Page - Part 2 5. otrIceholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Bridget Healy OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPliCABLE) Claremont City Council RESlDENT1AlIBUSINESS ADDRESS (NO. AND STREEl) CITY ~lE ZIP 640 Marshall Ct Claremont CA 91711 Related Committees Not Included In this Statement: LIft My ~ not Included In "". ..eemem ",., .. confroIIed by )'UU or .. ptfnwIIy fotmed to rw:eIn contlllHltlons or m.. expendlfurea on "."." of 10111' ~y. COMMITTEE NAME 1.0. NUMBER NAME OF TREASURER CONTROllED COMMITTEE? o YES 0 NO STREET ADDRESS (NO PO. BOX) COMMITTEE ADDRESS CITY S1JIUE ZIP CODE AREA CODElPHONE COMMITTEE NAME 1.0. NUMBER NAME OF TREASURER CONTROllED COMMITTEE? DYES oNO STREET ADDRESS (NO P.O. BOX) COMMITTEE ADDRESS CITY S1JIUE ZIP CODE AREA CODElPHONE COVER PAGE - PART 2 NAME OF BAlLOT MEASURE 6. Primarily Formed Ballot Me.sure Committee BALLOT NO. OR LETTER JURISDICTION o SUPPORT o OPPOSE Identify the controlling officeholder, candJdllte, or stMe measure proponent, If any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD I DISTRICT NO. IF ANY 7. Primarily Formed Candidate/OffIceholder Committee Uat nltmN of otfIeeItoIdet(s) or candldnl(s) for wItIch "". com"",," ,. prl"""ly formed. NAME OF OFFICEHOLDER OR CANDIDATE NAME OF OFFICEHOLDER OR CANDIDATE NAME OF OFFICEHOLDER OR CANDIDATE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD o SUPPORT o OPPOSE OFFICE SOUGHT OR HELD o SUPPORT o OPPOSE OFFICE SOUGHT OR HELD o SUPPORT o OPPOSE OFFICE SOUGHT OR HELD o SUPPORT o OPPOSE Attech contlnuMlon .heet8 "necessaty ~ FPPC Form 410 CJlinuarylO5) FPPC ToII~.... Helpline: II88IASK~PPC (11881271-3772) St8te of CalIfornia Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF FILER Bridget Healy for Council Conbibutions Received 1. Monetary Contributions ........................................... Schedule A, Line 3 $ 2. Loans Received ...................................................... Schedule B, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 + 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 .................................... AddL1nN6+7 $ :19. Accrued Expenses (Unpaid Bills) ............................... ScheduleF; Line 3 10. Nonmonetary Adjustment .......................................... Schedule C, Line 3 11. TOTAL EXPENDITURES MADE ................................AddLines8+9+ 10 $ ~pe or prfnt In Ink. Amounts may be rounded to whole dollars. CoknnA TOTAl TtIS PERIOD (fROMATTACHEOSCHeIlUl.ES) 4429.00 0.00 4429.00 0.00 4429.00 1487.71 0.00 1487.71 804.00 0.00 2291.71 Stlltement covers period SUMMARy A\GE o To calculate Column B, add amounts in Column A to 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 carTy over the amounts from Lines 2, 7, and 9 (if any). 17. LOAN GUARANTEES RECEIVED ........................... Schedule B, Pwt 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ........................................ See insinJctions on reverse $ 19. Outstanding Debts ......................... AddLine2+Line9inColumnB.bove $ 7209.85 4429.00 0.00 1487.71 10151.14 o 2204.03 from through Column B CAl.ENOAA YEAR TOTAl TOOt.TE $ 13615.00 1300.00 14915.00 0.00 14915.00 $ $ 1/18109 CALIFORNIA 460 FORM 2/14109 Page S of J cs- $ 4763.87 0.00 4763.86 904.03 0.00 5667.89 1.0. NUMBER 1313981 Calendar Year Summary for Candidates Running In Both the State Primary and General Elections 1/1 through 6130 7/1 to Date $ $ 20. Contributions Received $ 21. expenditures Made $ $ $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made. (If Subject to ~ Expendftu,.. Limit) Date of Election (mmlddlyy) Total to Date I $ $ Current Cash Statement 12. Beginning Cash Balance ....................... Prevfou5SummBlyPege. Line 16 $ 13. Cash Receipts ................................................... ColumnA. Line3.bove 14. Miscellaneous Increases to Cash ........................... Schedule f. Line 4 15. Cash Payments .................................................. ColumnA. LineS.bove 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14. then subtract Line 15 $ "this is 8 IfHminaIJon statement, Une 16 must be zero. ----.J '- .Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (JanuaryI05) FPPC ToIl-F,.. Helpline: 888IASK-FPPC (8HI275-3772) Schedule A Monetary Contributions Received Type or print In Ink. Amounts may be rounded to whole dollars. Statement covers period from 1/18/09 CALIFORNIA 460 FORM SCHEDUlE A SEE INSTRUCTIONS ON REVERSE NAME OF FILER through 2/14109 Page '-1 011< Bridget Healy for Council 1.0. NUMBER 1313981 DATE FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR RECEIVED (lFCOMMfTTEE,AlSOENlERI.D. NUMBER) CODE * WAN INCN~OUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SElF-EMPlOVED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF 1lUSINESS) Partner, Ledesma & 200.00 Meyer 200.00 200.00 Kris Meyer ~INO 1/18109 821 Deep Springs Dr DOOM Claremont, CA 91711 DOTH DPTY oscc Shannon Rimmereid i211NO 1/18109 12470 Sundance Ave o COM San Diego CA 92129 OOTH OPTY osee Joe Healy Iii!JINO 1/21/09 449 Cole Ranch Road DOOM Encinitas CA 92024 OOTH OPTY osec Robert Tenner ~INO 1/21109 2805 N Mountain Ave DOOM Claremont CA 91711 OOTH OPTY osec Charles Walker i!INO 1122109 12 Crown Way o COM Marblehead MA 01945 OOTH OPTY Dsec Fund Development Sharp Memorial Hospital 250.00 250.00 250.00 Sales Manager, Insight Investments 100.00 100.00 100.00 Self, Consultant 200.00 200.00 200.00 Self Employed Consultant 100.00 100.00 100.00 SUBTOTALS 850.00 I ,'.'<;' ,..... >,.~ .' '. .... .. Schedule A Summary 1. Amount received this period - itemized monetary contributions. (Include all Schedule A subtotals.) ... .......... ......... ......... .................. ....................................................... $ 2. Amount received this period - unitemized monetary contributions of less than $100 ............................. $ 3. Total monetary oontributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A,line 1.) ....................... TOTAL $ 1850.00 2579.00 -Contributor Codes INO -Individual COM - Recipient Committee (other than PTY or seC) OTH - Other (e.g., business entity) PTY - PoIltlc8I Party see - Small Contributor Commitl8e 4429.00 FPPC Form 480 (JanuarylOS) FPPC ToIf.F.... Helpline: 888IASK-FPPC (8881275-3772) Schedule A (Continuation Sheet) lJpe or print In Ink. SCHEDULE A (CQNT.) Monetary Contributions Received Amounts rMy be rounded State.,W!tcovers period CALIFORNIA 460 to whole doIllIrs. from 1/18109 FORM ~ ./ through 2/14109 Page of 17 NAME OFFILER 1.0. NUMBER Bridget Healy for Council 1313981 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION MTE CONTRIBUTOR OCCUPATION AND EMPlOYER RECEIVED THIS CAlENDAR YEAR TO DATE RECEIVED (IFCOMMfTTEE, AlSO ENTER 1.0. NUMBER) CODE * (IF SElF-EMPlOYED. ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF IIUSlNESS) Butch Henderson i21IND Retired Pastor 606 Delaware Dr o COM 100.00 1/28109 Claremont CA 91711 oOTH oPTY Osee Jack Stark flIlNO Retired 212109 1769 Tulane Rd o COM 100.00 Claremont CA 91711 oOTH oPTY OSCC Edgar Reese flIlNO Self, Venture Capitalist 213109 PO Box 1601 o COM 250.00 Claremont, CA 91711 oOTH OPTY Osee Harold Hunter i21IND Retired 2/4109 744 Sierra Madre Blvd o COM 100.00 San Marino, CA 91108 OOTH oPTY Osee Donna Beakley i21INO Occupational Therapist, 684 Windham Dr o COM Self 100.00 215109 Claremont CA 91711 OOTH OPTY OSCC . I '.'-'.-, SUBTOTALS 650.00 r .Contributor Codes INO -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party see - Small Contributor Committee FPPC Fonn 480 (Januaryf05) FPPC ToIl-Free Helpline: lMSIIASK-FPPC (lMSII275-3772) Schedule A (Continuation Sheet) lype or print In Ink. SCHEDULE A (CONT.) Monetary Contributions Received Amoum.1nIly be rounded StIIt8ment covers period CALIFORNIA 460 to whole dol...... from 1/18109 FORM through 2/14/09 p. ~ of I~ NAME OF FILER 1.0. NUMBER Bridget Healy for Council FUlL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMUlATIVE TO DATE PER ELECTION DATE CONTRIBUTOR OCCUPATION AND EMPlOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF c:cJMYTTEE. ALSO BITER 1.0. NUMBER) CODE * (IF SELF.aFt.OYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) John Maguire 'lI1NO Retired o COM 100.00 100.00 100.00 219/09 537 11th St OOTH Claremont, CA 91711 OPTY Osee 21 Choices OINO o COM 250.00 250.00 250.00 2/13/09 2058 N Mills ~OTH Claremont, CA 91711 OPTY Osee OINO o COM OOTH OPTY osec DIN[) o COM OOTH OPTY Osee OIND o COM OOTH OPTY oscc . I ~"" ."c,",". SUBTOTALS 350.00 I. .Contributor Codes tNO -individual COM - Recipient CommIttee (other than PTY or SCC) OTH - Other (e.g.. business entity) PTY - PoIltlc8I Party SCC - Small Contributor Committee FPPC Fonn 410 (J.nuary/05) FPPC ToI~n18 Helpline: 888IASK~PPC (888f275-3m) Schedule B - Part 1 Loans Received lype or print In Ink. Amounts may be rounded to whole dolla.... SCHEDULE B - PART 1 from 1/18109 CALIFORNIA 460 FORM Statement covers period FUU NAME. STREET ADDRESS AND ZIP CODE OF LENDER (IF COMMIT'IEE, ALSO ENTER 1.0. NUMBER) IF AN INDIVIDUAL. ENTER OCCUPATION AND EMPLOYER (IF SB.F-EMPlOYEO. ENTER NAME OF BUSINESS) Retired · b ~l OUTSTANDING AMOUNT AMOUNT PAID BAlANCE BEGINNING THIS RECEIVED THIS OR FORGIVEN PERIOD THIS PERIOD- o PAlO . INTEREST PAID THIS PERIOD Page ~ of~ 1.0. NUMBER 1313981 9 ORIGINAL CUMULATIVE AMOUNT OF CONTRIBUTIONS LOAN TO DATE CAlENDAR YEAR 1300.00 S PER ELECTION" 0 11/28/09 DATE INCURRED CAlENDAR YEAR S PER ELECTION" DATE INCURRED CAlENDAR YEAR PER ELECTION" SEE INSTRUCTIONS ON REVERSE NAME OF FILER through 2/14/09 Bridget Healy for Council Bridget Healy Marshall Ct Claremont, CA 91711 s o FORGIVEN o s 1300.00 ~% RATE tlii1l IND 0 COM 0 OTH 0 PTY 0 SCC s 1300 s 0 s 0 3f.31/09 DATE DUE o PAID S o FORGIVEN DATE DUE s _% RATE to IND 0 COM 0 OTH 0 PTY 0 sec s s s o PAID S o FORGIVEN s _% RATE to IND 0 COM 0 OTH 0 PTY 0 sec s s s s DATE DUE DATE INCURRED SUBTOTALS $ $ $ 1300.00 $ 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.) ............................................................... N!I' $ Enter the net here and on the Summary Page, Column A, line 2. (Enler(e) on Sc:tIecUe E, Li1e 3) o o tcontributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party sec - Small Contributor Committee o (Mey be. negalIve ~ -Amounts forgiven or paid by another party also must be reported on Schedule A. - If required. FPPC Fonn 480 (JanuarylO5) FPPC ToIl-Free Helpline: 888IASK-FPPC (8681275-3n2) Schedule B - Part 2 Loan Guarantors lJpe or print In Ink. Amounts may be rounded to whole doll.,.. SCHEDULE B - PART 2 from 1/18109 CALIFORNIA 460 FORM Sgtement cove,. period SEE INSTRUCTIONS ON REVERSE NAME OF FILER through 2/14/09 pagel oiL 1.0. NUMBER Bridget Healy for Council 1313981 FULL NAME, STREET ADDRESS AND ZIP CODE OF GUARANTOR (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) CONTRIBUTOR CODE IF AN INDMDUAL, ENTER OCCUPATION AND EMPLOYER (IF SElF-EMPlDYEO, ENTER NAME OF BUSlH LOAN AMOUNT GUARANTEED THIS PERIOD CUMULATIVE TO DATE BALANCE OUTSTANDING TO DATE DINe o COM DOTH DPTY DSCC LENDER CAlENDAR YEAR DAlE S PER ELECTION (IF REQUIRED) s DINe o COM DOTH DPTY Dsec LENDER CAlENDAR YEAR DAlE S PER ELECTION (IF REQUIRED) s DINe o COM OOTH OPTY oscc CAlENDAR YEAR LENDER DAlE PER ELECTION (IF REQUIRED) s DINe o COM OOTH OPTY osec LENDER CAlENDAR YEAR s DAlE PER ElECTION (IF REQUIRED) s SUBTOTAL $ o Enter on Sunmary PlIge, l.i1e 17 only FPPC Form 410 (.htnlNlrylO5) FPPC ToIl-F.... Helpline: 8IIIASK-FPPC (8111275-3772) Schedule C Nonmonetary Conbibutions Received Type or print In Ink. Amounts rMy be rounded to whole dol..,... from Statement covers period 1/18109 CALIFORNIA 460 FORM SCHEDULE C SEE INSTRUCTIONS ON REVERSE NAME OF FILER through 2/14109 Pagelof~ 1.0. NUMBER Bridget Healy for Council 1313981 DATE RECEIVED FUll NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMtTTEE. ALSO ENTER 1.0 NUMII:R) IF AN INDIVIDUAL, ENTER CONTRIBUTOR OCCUPATION AND EMPLOYER DESCRIPTION OF CODE * (IF SELF-EMPlOYED. ENTER GOODS OR SERVICES NAME OF BUSINESS) AMOUNTI FAIR MARKET VALUE CUMULATIVE TO DATE CALENDAR YEAR (JAN 1 - DEC 31) PER ELECTION TO DATE (IF REQUIRED) OIND OCOM OOTH OPTY OSCC OIND OCOM OOTH OPTY OSCC OIND OCOM OOTH OPTY OSCC OIND OCOM OOTH OPTY OSCC Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ Schedule C Summary 1. Amount received this period - itemized nonmonetary contributions. (Include all Schedule C subtotals.) .... ............ ........................... ....................... ....... ...... ....... ........... ...... .............. $ 2. Amount received this period - unitemized nonmonetary contributions of less than $100 .................................... $ 3. Total nonmonetary contributions received this period. (Add lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.) ...................... TOTAL $ o o .Contrlbutor Codes tNO -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee o FPPC Fonn 410 (JanuaryI05) FPPC ToIl-Free Helpline: 888IASK-FPPC (8881275-3772) Schedule 0 Summary of Expenditures Supporting/Opposing Other Candidates, Measures and Committees 'rom 1/18109 CALIFORNIA 460 FORM SCHEOW:o Type or print In Ink. Amounts m.y be rounded to whole dollars. Statement covers period SEE INSTRUCTIONS ON REVERSE NAME OF FILER through 2/14/09 Page ---.!.J2 of ~ Bridget Healy for Council 1.0. NUMBER 1313981 ~TE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR MEASURE NUMBER OR LETTER AND JURISDICTION, OR C<M4rTTEE TYPE OF PAYMENT DESCRIPTION (IF REQUIRED) AMOUNT THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN 1 . DEC. 31) PER ELECTION TO DATE (IF REQUIRED) o Support o Oppose o Monetary Contribution o Nonmonetary Contribution o Independent Expenditure o Support o Oppose o Monetary Contribution o Nonmonetary Contribution o Independent Expenditure o Support o Oppose o Monetary Contribution o Nonmonetary Contribution o Independent Expenditure SUBTOTAL $ I Schedule D Summary 1. Itemized contributions and independent expenditures made this period. (Includeafl Schedule 0 subtotals.) ......................................................... $ 2. Unitemized contributions and independent expenditures made this period of under $100 ..................................................................................... $ o o 3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enteron the Summary Page.) ............ TOTAL $ o FPPC Fonn 480 (J.nUllrylO5) FPPC ToIl-Free HelplIne: 88elASK-FPPC (8881275-3n2) Schedule E Payments Made ~pe or print In Ink. Amounts may be rounded to whole doll.,.. Statement cove,. period from 1/18109 CALIFORNIA 460 FORM ~E SEE INSTRUCTIONS ON REVERSE NAME OF FILER through 2/14109 Page ~ of J.2.-.- I.D. NUMBER Bridget Healy for Council 1313981 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. eM' campaign paraphernalia/misc. t.eR member communications RAe radio airtime and production costs CNS campaign consultants Mro meetings and appearances RFD retumed contributions ClB contribution (explain nonmonetary). OR:: office expenses SAL campaign workers' salaries eve civic donations FEr petition circulating lB. t. v. or cable airtime and production costs FL candidate filinglballot fees PH:) phone banks TR:: candidate travel, lodging, and meals FN) fund raising events POl polling and survey research ms staff/spouse travel, lodging, and meals N> independent expenditure supporting/opposing others (explain). POS postage, delivery and messenger services TSF transfer between committees of the same candidatelsponsor LEG legal defense PR> professional services (legal, accounting) VOT voter registration UT campaign literatUA! and rnailings flRT print ads 'M:B information technology costs (internet, 8-mail) NAME AND ADDRESS OF PAYEE CODE (IF COMMITTEE. AlSOENlElI.D. NUMBER) OR DESCRIPTION OF PAYMENT AMOUNTPAJD A & Mailing For Direct Mail POS $1,268.75 Zoe Beal Food for Kickoff Event LIT $248.83 , I · Payments that .re contributions or Independent expenditures must .Iso be summarized on Scheduls D. SUBTOTALS 1517.58 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) .............................................................................................................. $ 2. Unitemized payments made this period of under $1 00 .......................................................................................................................................... $ 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) ............................................................................... $ 4. Total payments made this period. (Add lines 1, 2, and 3. Enter here and on the Summary Page, ColumnA, line 6.) ............................. TOTAL $ 1517.58 o o 1517.58 FPPC Fonn 480 (JanuarylO5) FPPC ToIl-F.... Helpline: 88IIASK-FPPC (1881275-3772) Schedule F Accrued Expenses (Unpaid Bills) SCHEDULE F Type or print In Ink. Amounts !My be rounded to whole dollars. from Statement covers period 1/18109 CAL IFORNIA 460 FORM SEE INSTRUCTIONS ON REVERSE NAME Of FILER through 2/14/09 ./} of I~ Page~ ~ 1.0. NUMBER Bridget Healy for Council 1313981 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. OF campaign paraphemalia/misc. a.eR member communications RAe radio airtime and production costs CNS campaign consultants MrG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)* a:c office expenses SAL campaign workers' salaries cve civic donations PET petition circulating TB. t. v. or cable airtime and production costs FL candidate filinglballot fees PH) phone banks 1R: candlc:l&te travel, lodging, and meals FN) fundraising events POl polling and survey research TRS staff/spouse travel, lodging, and meals N> independent expendibJre supporting/opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the sarne candlc:latelsponsor LEG legal defense PR) professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads IM:8 Information technology costs (internet, e-mail) CODE OR (s) (b) (e) (d) NAME AND ADDRESS OF CREDITOR OUTSTANDING AMOUNT INCURRED AMOUNT PAID OUTSTANDING (IF COMMITTEE, ALSO ENTER 1.0. NUMlIER) DESCRIPTION OF PAYMENT BAlANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE Of THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD t Couner PRT 1420 N Claremont Blvd Claremont CA 91711 0 804.00 0 804.00 * P8yIMfds tIl8t ... c:ontrtbutlons or IndepencIent upencIItu.. mu<< .-0 be sUlllnl8ltzM on Schedule D. SUBTOTALS $ $ $ s Schedule F Summary 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for accrued expenses of $100 or more, plus total unitemized accrued expenses under $100.)............................................ INCURRED TOTALS $ 2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on accrued expenses of $100 or more, plus total un itemized payments on accrued expenses under $100.) ................................. PAID TOTALS $ 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and on the Summary Page, Column A, line 9.) .. ....... ........ .... ........................... .................. ................. ............................................................. NET $ M8y be. negMi~~ FPPC Fonn 410 (J.nuarylO5) FPPC ToIl-F.... Helpline: lI8IIASK-FPPC (8HI275-3712) 804.00 o Schedule G Payments Made by an Agent or Independent Contractor (on Behalf of This Committee) ~.. or print In Ink. Amounts mIlJ be rounded to whole doIIana. from SbII8ment covers period 1118109 CALIFORNIA 460 FORM SCHEDULE G SEE INSTRUCTIONS ON REVERSE NAME OF FILER through 2/14/09 Page--13- of ~ Bridget Healy for Council NAME OF AGENT OR INDEPENDENT CONTRACTOR 1.0. NUMBER 1313981 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. (MJ campaign paraphemalialmisc. t.eR member communications RAe radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD retumed contributions CTB contribution (explain nonmonetary). OFC office expenses SAL campaign workers' salaries cve civic donations FEr petition circulating lB. t. v. or cable airtime and production costs FL candidate filinglballot fees PI<<) phone banks 1R:: candidate travel, lodging, and meals fN) fundraising events Pa.. polling and survey research ms staff/spouse travel, lodging, and meals N> independent expenditure supporting/opposing others (explain). POS postage, delivery and messenger services TSF transfer between committees of the same candldatelsponsor LEG legal defense Fm professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings AU print ads V\E8 information technology costs (intemet, e-mail) * PIlym8nts that ant contributions or Independent expendttures must also be summarlad on Schedule D. NAME AND ADDRESS OF PAYEE OR CREDITOR CODE OR DESCRIPTION OF PAYMENT AMOUNT PAlO (IF COMMITTEE. ALSO ENTER 1.0. NUMBER) . Attach additional information on appropriately labeled continuation sheets. TOTAL. $ o . Do not transfer to any other schedule or to the S/JIfIIfJ8t)' Psge. This total may not equal the tJmOUnt paid to the agent or independent contT8ctor as reported on Schedule E. FPPC Fonn 480 (JanuaryI05) FPPC ToIl-Free Helpline: 8861ASK-FPPC (8MI275-3n2) Schedule H Loans Made to Others* from 1/18109 CALIFORNIA 460 FORM SCHEDULE H TYPe or print In Ink. Amounts INIy be rounded to whole doIla.... Statement cove... period SEE INSTRUCTIONS ON REVERSE NAME Of FilER through 2/14109 Page~ ofL 1.0. NUMBER Bridget Healy for Council 1313981 FULL NAME, STREET ADDRESS AND ZIP CODE OF RECIPIENT (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) IF AN INDMDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPlOYED, ENTER NAME OF BUSINESS) la (b) Ie) Id) OU~~g~NG AMOUNT REPAYMENT OR OUTSTANDING BEGINNING THIS LOANED THIS FORGIVENESS c~cft ~S RI PERIOD THIS PERIOD- P I o PAID Ie) INTEREST RECEIVED (r) ORIGINAL AMOUNT OF LOAN la) CUMULATIVE LOANS TO DATE CALENDAR YEAR $ . . $ o FORGIVEN $ DATE DUE o PAID . . o FORGIVEN . DATE DUE 0$ o $ I I _% RAlE . . PER ELECT1ON** . DATE INCURRED CALENDAR YEAR _% . $ RAlE PER ELECTION- $ DATE INCURRED $ $ *LOlH1S that are contributions to another c:andIdat8 or committM must also be summarized on Schedule D. Loa.. forgiven must also be reported on Schedule E. SUBTOTALS $ o $ I (Enter (e) on Schedule I, line 3) Schedule H Summary 1. Loans made this period.........................................,........ ................................................................................................ $ (Total Column (b) plus unitemized loans of less than $100.) 2. Payments received on loans......... .... ... .......,. .... ..... .......... .... .......................... ....................... ............................ .............. $ (Total Column (c) plus unitemized payments of less than $100.) 3. Net change this period. (Subtract Line 2 from Line 1.) ............. .................. .............................. ............................. NET $ (Enter the net here and on the Summary Page, Column A, Line 7.) o I -'f Required I o o (May be . nega\Ml ........., FPPC Fonn 480 (January/os) FPPC ToIl-F... Helpline: 8I8IASK-FPPC (88eI275-3772) Schedule I Miscellaneous Increases to Cash Amounes may be rounded 8tatMtent covers period CA L'FOR~~IA 460 to whole dot...... 1/18109 FORM from through 2/14109 p.-1L of.L5.- SEE INSTRUCTIONS ON REVERSE NAME OF FILER 1.0. NUMBER Bridget Healy for Council 1313981 DATE FULL NAME AND ADDRESS OF SOURCE DESCRIPTION OF RECEIPT AMOUNT OF RECEIVED (IF COMMITTEE, ALSO ENTER 1.0. NUMIIER) INCREASE TO CASH I I lYpe or print In Ink SCHEDULE I Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ o Schedule I Summary 1. Itemized increases to cash this period. ....................................... ...................... ..................... ..................................... $ 2. Unitemized increases to cash of under $100 this period. .... ............................................................ ..... ....................... $ 3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).) ................................. $ 4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Line 14.) ........................................................................................................................... TOTAL $ o o o o FPPC Form 480 ("'nuaryI05) FPPC ToII-F.... Helpline: HflASK.fPPC (8881275-3772)