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Home My Public Portal AboutForm 460 (01/01/13 - 06/30/13)a 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 1,2013 through June 30, 2013 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. V Officeholder, Candidate Controlled Committee 0 State Candidate Election Committee Q Recall (Also Complete Part 5) ❑ General Purpose Committee O Sponsored Q Small Contributor Committee Q Political Party/Central Committee ❑ Primarily Formed Ballot Measure Committee O Controlled Q Sponsored (Also Complete Part 6) ❑ Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) 3. Committee Information I I.D. NUMBER 1277625 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Committee to Elect Opanyi Nasiali - 2011 STREET ADDRESS (NO 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 COVER PAGE a W Date of election if applicable: JUL 15 2013 Page 1 of 5 (Month, Day, Year) CITY CLERK For Official Use Only n/a CITY OF CL.AREMONT 2. Type of Statement: ❑ Preelection Statement ❑ Quarterly Statement Semi-annual Statement ❑ Special Odd -Year Report ❑ Termination Statement ❑ Supplemental Preelection (Also file a Form 410 Termination) Statement - Attach Form 495 ❑ Amendment (Explain below) Treasurer(s) NAME OF TREASURER Barbara J. Miller MAILING ADDRESS 877 Connors Ct. CITY STATE ZIP CODE AREA CODE/PHONE Claremont CA 91711 909-624-1170 NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS OPTIONAL: FAX / E-MAIL ADDRESS STATE ZIP CODE AREA CODE/PHONE 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. By By By Signature of Controlling Officeholder, Candidate, State Measure Proponent By Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) \ State of California O a July 15, 2013 Executed on Date Executed on Date Executed on Date Executed on Date By By By Signature of Controlling Officeholder, Candidate, State Measure Proponent By Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) \ State of California O a f a Recipient Committee Type or print in ink. COVERPAGE-PART2 Campaign Statement • " p 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 NAME OF BALLOT MEASURE Opanyi K. Nasiali OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO. OR LETTER JURISDICTION T[EEJ SUPPORT City Council Member OPPOSE RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP 220 Ferris Street Claremont, CA 91711 Identify the controlling officeholder, candidate, or state measure proponent, if any. O 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 List names of YES F-1 NO officeholder(s) or candidate(s) for which this committee is primarily formed. ❑ COMMITTEE ADDRESS STREETADDRESS (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 STREETADDRESS (NO P.O. BOX) 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 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) State of California of Campaign Disclosure Statement Type or print in ink. Amounts may be rounded Summary Page to whole dollars. SEE INSTRUCTIONS ON REVERSE SUMMARY PAGE Statement covers period from January 1, 2013 through June 30, 2013 Page 3 of 5 NAME OF FILER Opanyi K. Nasiali To calculate Column B, add 0 6. Payments Made ....................................................... Contributions Received 0 $ Column Column BTOTALTHIS Schedule H, Line 3 0 TOTALTHIS PERIOD CALENDAR YEAR Add Lines 6 + 7 $ 0 $ (FROMATTACHED SCHEDULES) TOTALTODATE 1. Monetary Contributions ........................................... Schedule A, Line 3 $ 0 $ 130.10 2. Loans Received...................................................... Schedule B, 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 $ 130.10 Expenditures Made To calculate Column B, add 0 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 3 0 0 10. Nonmonetary Adjustment .......................................... Schedule C, Line 3 0 0 11. TOTAL EXPENDITURES MADE ................................ Add Lines 8+9+10 $ 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 /, Line 4 15. Cash Payments .................................................. Column A, Line 8above 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 B, Part 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ........................................ See instructions on reverse $ 19. Outstanding Debts ......................... Add Line 2 +Line 9 in Column B above $ 130.10 To calculate Column B, add 0 amounts in Column A to the corresponding amounts from Column B of your last 0 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 any). I I.D. NUMBER 1277625 'alendar Year Summary for Candidates Running in Both the State Primary and 3eneral Elections 1/1 through 6/30 7/1 to Date 20. Contributions O Received $ $ 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 (mm/dd/yy) Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule A Type or print in ink. Amounts may be rounded Monetary Contributions Received to whole dollars. Statement covers period from January 1, 2013 SCHEDULE A 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 contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $ J I 0 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC — Small Contributor Committee 0 0 June 30, 2013 4 5 SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER I.D. NUMBER 1277625 DATE A RES FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR ZIPDEO CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED SAND IT (IF COMMITTEE, I.D.N CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IFSELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OFBUSINESS) ❑IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑IND [:]COM ❑ OTH ❑ PTY ❑ SCC ❑IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑IND [:]COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL$ ...: 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 contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $ J I 0 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC — Small Contributor Committee 0 0 b Schedule E Payments Made Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from January 1.2013 SCHEDULEE 2013 SEE INSTRUCTIONS ON REVERSE through June 30, Page 5 Of 5 NAME OF FILER I.D. NUMBER Opanyi K. Nasiali 1277625 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment CMP 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 TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FIND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals IND independent expenditure supporting/opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor O LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTERLD. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID 0 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 0 Schedule E Summary 1. Itemized payments made this period. Include all Schedule E subtotals. 0 2. Unitemized payments made this period of under $100.......................................................................................................................................... $ 0 3. Total interest paid this period on loans. Enter amount from Schedule B, Part 1, Column (e).) 0 4. Total payments made this period. Add Lines 1, 2, and 3. Enter here and on the Summa Page, Column A, Line 6. 0 p Y P C Summary 9 ) ............................. TOTAL $ FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) 0