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Home My Public Portal AboutForm 460 (Jan 18 - Feb 14, 2009) Amendment Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) Type or print in ink. Statement covers period 1/18/09 from SEE INSTRUCTIONS ON REVERSE 2/14/09 through 1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4. 121 Officeholder, Candidate Controlled Committee 0 Primarily Formed Ballot Measure o State Candidate Election Committee Committee o Recall 0 Controlled (Also Comp/ete Part 5) 0 Sponsored (Also Complete Part 6) o General Purpose Committee o Sponsored o Small Contributor Committee o Political Party/Central Committee o Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) I.D. NUMBER 1313981 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) 3. Committee Information Bridget Healy for Council STREET ADDRESS (NO P.O. BOX) 124 Miramar Ave CITY Claremont ZIP CODE 91711 AREA CODE/PHONE 909 445 9628 STATE CA 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 bes m no under penalty of perjury under the laws of the State of California that the foregoing is true a co ct Executed on ~/;. rl () 1: By z;- z.-6 -09 COVER PAGE Date Stamp CALIFORNIA 460 2001/02 FORM RECEIVED Date of election if applicable: (Month, Day, Year) 03/03/09 CI FEB 2 S 2009 CITY CLERK OF CLAREMONT For Official Use Only Page of 2. Type of Statement: 121 Preelection Statement o Semi-annual Statement o Termination Statement (Also file a Form 410 Termination) 121 Amendment (Explain below) Correction to Schedule E o Quarterly Statement o Special Odd-Year Report o Supplemental Preelection Statement - Attach Form 495 Treasurer(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 ge the information contained herein and in the attached schedules is true and complete. I certify Executed on By Date Executed on By Date Executed on By Date Signature of Controlling OIIiceholder, Candidate, State Measure Proponent Signature of Controlling OIIiceholder, Candidate, State Measure Proponent FPPC Fonn 460 (January/OS) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) State of California Campaign Disclosure Statement Summary Page Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period 1/18/09 CALIFORNIA 460 FORM SEE INSTRUCTIONS ON REVERSE NAME OF FILER Bridget Healy for Council from through SUMMARY PAGE 2/14/09 Page of I.D. NUMBER 1313981 Contributions Received Column A Column B Calendar Year Summary for Candidates TOTAL THIS PERIOD CALENDAR YEAR Running in Both the State Primary and (FROM ATTACHED SCHEDULES) TOTAL TO DATE 4429.00 13615.00 General Elections $ 0.00 1300.00 1/1 through 6/30 7/1 to Date 4429.00 $ 14915.00 20. Contributions 0.00 0.00 Received $ $ 21. Expenditures 4429.00 $ 14915.00 Made $ $ 1. Monetary Contributions ........................................... Schedu/eA, Une3 $ 2. Loans Received ...................................................... Schedule B. Une 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 .................................... Add Lines 6 + 7 $ 9. Accrued Expenses (Unpaid Bills) ...............................Schedu/eF, Line 3 10. Nonmonetary Adjustment .......................................... Schedule C, Line 3 11. TOTAL EXPENDITURES MADE ................................Add Lines B + 9 + 10 $ 1487.71 0.00 1487.71 804.00 0.00 2291.71 $ 4763.87 0.00 4763.86 904.03 0.00 5667.89 Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (If Subject to Voluntary Expenditure Limit) Date of Election (mm/dd/yy) Total to Date $ $ __L__-'_ $ Current Cash Statement 12. Beginning Cash Balance....................... Previous Summary Page, Line 16 $ 13. Cash Receipts ................................................... ColumnA, Line 3 above 14. Miscellaneous Increases to Cash ........................... Schedule I, Line 4 15. Cash Payments .................................................. Column A, Line Babove 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ If this is a termination statement, Line 16 must be zero. 7209.85 4429.00 0.00 1487.71 10151.14 17. LOAN GUARANTEES RECEIVED ........................... Schedule B, Part 2 $ o To calculate Column 8, add amounts in Column A to the corresponding amounts from Column 8 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). Cash Equivalents and Outstanding Debts 18. Cash Equivalents ........................................ See instructions on reverse $ 19. Outstanding Debts ......................... AddLine2+Line9inCo/umnBabove $ o 2204.03 ~~- $ .Amounts in this section may be different from amounts reported in Column 8. FPPC Form 460 (January/OS) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) SCHEDULEE from 1/18/09 CALIFORNIA 460 FORM Schedule E Payments Made Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period SEE INSTRUCTIONS ON REVERSE NAME OF FILER Bridget Healy for Council through 2/14/09 Page_ of_ I.D. NUMBER 1313981 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. ctvf' campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)> OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating 1EL t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks lRC candidate travel, lodging, and meals FND fund raising events POL polling and survey research TRS 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 candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration UT campaign literature and mailings PRT print ads \,II,EB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE. ALSO ENTER 1.0. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID A & M Mailing For Direct Mail POS $1,268.75 Zoe Beal Food for Kickoff Event LIT $248.83 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 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 (29.87) o 1487.71 FPPC Form 460 (January/OS) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)