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HomeMy Public PortalAboutForm 460 (01/01/14 - 06/30/14)Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statement covers period from January 1, 2014 through June 30, 2014 1. Type of Recipient Committee: All committees - complete Parts 1, 2, 3, and 4. © Officeholder, Candidate Controlled Committee ❑ Ballot Measure Committee 0 State Candidate Election Committee 0 Primarily Formed 0 Recall 0 Controlled (Also Complete Part 5) 0 Sponsored AREA CODE/PHONE 909-624-1170 (Also Corrnlete Part 5) ❑ General Purpose Committee MAILING ADDRESS 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 1277625 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Committee to Elect Opanyi Nasiali - 2011 STREET ADDRESS lNO P.O. BOX) 220 Ferris Street CITY STATE ZIP CODE AREA CODE/PHONE Claremont CA 91711 909-625-4176 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS Date of election if applicable: (Month, Day, Year) n/a COVER PAGE JUL 2 2014 1 Page 1 of 3 CITY CLERK For Official Use Only CITY OF CURL 9T { 2. Type of Statement: ❑ Preelection Statement ® Semi-annual Statement ❑ Termination Statement ❑ Amendment (Explain below) ❑ Quarterly Statement ❑ Special Odd -Year Report ❑ Supplemental Preelection Statement - Attach Form 495 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. Executed on July 28, 2014 By Date Executed on July 28, 2014 By Date or Executed on By Date Signature of Controlling Officeholder, Candidate, State Measure Proponent Executed on By FPPC Form 460 (June/01) Date Signature of Controlling Officeholder, Candidate. State Measure Proponent FPPC Toll -Free Helpline: 866/ASK-FPPC State of California Treasurer(s) NAME OF TREASURER Barbara J. Miller MAILING ADDRESS 877 Connors Ct. CITY STATE ZIP CODE Claremont CA 91711 AREA CODE/PHONE 909-624-1170 NAME_ OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS 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 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 July 28, 2014 By Date Executed on July 28, 2014 By Date or Executed on By Date Signature of Controlling Officeholder, Candidate, State Measure Proponent Executed on By FPPC Form 460 (June/01) Date Signature of Controlling Officeholder, Candidate. State Measure Proponent FPPC Toll -Free Helpline: 866/ASK-FPPC State of California Tape or print in ink. Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Opanyi K. Nasiali OFFICE SOUGHT OR HELD ("INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) City Council Member RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP 220 Ferris Street, Claremont, CA 91711 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 contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) NAME OF BALLOT MEASURE COVER PAGE - PART 2 Page 2 of 3 BALLOT NO. OR LETTER JURISDICTION I ❑ SUPPORT ❑ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD I DISTRICT NO. IF ANY 7. Primarily Formed Committee List names of officeholder(s) or candidate(s) for which this committee is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary FPPC Form 460 (June/01) FPPC Toll -Free Helpline: 866/ASK-FPPC State of California of Campaign Disclosure Statement Type or print in ink. Amounts may be rounded Summary Page to whale dollars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER Opanyi K. Nasiali SUMMARY PAGE Statement covers period ®` .' i' 0- ON from January 1, 2014 through June 30, 2014 page 3 of 3 Expenditures Made 6. Payments Made ....................................................... Schedule E, Line 4 $ 0 $ Column A 7. Loans Made............................................................. Column B Contributions Received 0 8. SUBTOTAL CASH PAYMENTS .................................... TOTAL THIS PERIOD 0 $ CALENDAR YEAR 9. Accrued Expenses (Unpaid Bills Schedule F, Line 0 (FROMATTACHED SCHEDULES) 10. Nonmonetary Adjustment .......................................... TOTALTODATE 0 0 11. TOTAL EXPENDITURES MADE ......... ............ 0 0 $ 130.10 1. Monetary Contributions ........................................... Schedule A, Line 3 $ from Lines 2, 7, and 9 (if $ any) 2. Loans Received...................................................... Schedule e. Line 3 0 0 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 + 2 $ 0 $ 0 4. Nonmonetary Contributions .................................... Schedule C, Line 3 0 0 5. TOTAL CONTRIBUTIONS RECEIVED ............ .......... ..... Add Lines 3+4 $ 0 $ 0 Expenditures Made 6. Payments Made ....................................................... Schedule E, Line 4 $ 0 $ 0 7. Loans Made............................................................. Schedule H. Line 3 0 0 8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6 + 7 $ 0 $ 0 9. Accrued Expenses (Unpaid Bills Schedule F, Line 0 0 10. Nonmonetary Adjustment .......................................... Schedule C, Line 3 0 0 11. TOTAL EXPENDITURES MADE ......... ............ ........... Add Lines 8+9+10 S 0 $ 0 Current Cash Statement 12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ 13. Cash Receipts ................................................... Column A, Line 3 above 14. Miscellaneous Increases to Cash ........................... Schedule 1, Line 4 15. Cash Payments .................................................. Column A, Line 8 above 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ........................... Schedule e, Part 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ........................................ See instructions on reverse $ 19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column 8 above $ 130.1 0 — To calculate Column B, add 0 amounts in Column A to the 0 corresponding amounts from Column B of your last 0 report. Some amounts in Column A may be negative 130.10 figures that should be subtracted from previous period amounts. If this is the first report being filed 0 for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if 0 any) 0 I.D. NUMBER 1277625 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 through 6/34 7/1 to Date 20. Contributions Received S 21. Expenditures Made $ $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (If Subject to Voluntary Expenditure Limit) Date of Election Total to Date (mmiddlyy) JJ $ J/ $ *Since January 1, 2001. Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (June/01) FPPC Toll -Free Helpline: 866/ASK-FPPC