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Home My Public Portal AboutForm 460 (07/31/12 - 12/31/12)Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) Type or print in ink. Date Stamp Statement covers period Date of election if applicable: t " ` r " u from July 31, 2012 (Month, Day, Year) COVER PAGE Page 1 of 5 For Official Use Only 4. Verification 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. January 14, 2013 Executed on By Datet�—A /_Signat1ureofTreasy�erorAssistantTreasurer Executed on By L " Date Signatur of Contr Iling iceholder, anliidate, Sfate Measure Proponent or Responsible Officer of Sponsor Executed on By Date Signature of Controlling Officeholder, Candidate, State Measure Proponent Executed on By Date Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (January/OS) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) State of California SEE INSTRUCTIONS ON REVERSE December 31,2012 through n/a 1. Type of Recipient Committee: All Committees - complete Parts 1, 2, 3, and 4. 2. Type of Statement: ® 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 Q Recall O Controlled E] Termination Statement E] Supplemental Preelection (Also Complete Part S) � Sponsored (Also file a Form 410 Termination) Statement -Attach Form 495 ❑ General Purpose Committee (Also Complete Part 6) ❑ Amendment (Explain below) O Sponsored ❑ Primarily Formed Candidate/ n Q Small Contributor Committee Officeholder Committee �J O Political Party/Central Committee (Also Complete Part 7) 3. Committee Information I.D. NUMBER Treasurer(s) 1277625 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER Committee to Elect Opanyi Nasiali - 2011 Barbara J. Miller MAILING ADDRESS 877 Connors Ct. STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE 220 Ferris Street Claremont CA 91711 909-624-1170 CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY Claremont CA 91711 909-625-4176 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX MAILING ADDRESS ZIP CODE AREA CODE/PHONE CITY STATE CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS OPTIONAL: FAX / E-MAIL ADDRESS 4. Verification 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. January 14, 2013 Executed on By Datet�—A /_Signat1ureofTreasy�erorAssistantTreasurer Executed on By L " Date Signatur of Contr Iling iceholder, anliidate, Sfate Measure Proponent or Responsible Officer of Sponsor Executed on By Date Signature of Controlling Officeholder, Candidate, State Measure Proponent Executed on By Date Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (January/OS) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) State of California Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Opanyi K. Nasiali Type or print in ink. 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 STREETADDRESS (NO RO_ 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) 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 COVER PAGE - PART 2 Page 2 of 5 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTERI JURISDICTION I F-1SUPPORT ❑ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY 7. Primarily Formed Candidate/Officeholder 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 of Campaign Disclosure Statement To calculate Column B, add Type or print in ink. 6. Payments Made ....................................................... Schedule e, Line 4 $ 0 $ SUMMARY PAGE Summary Page 0 Amounts may be rounded to dollars. Add Lines 6+7 $ Statement covers p period 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F Line 3 0 whole Schedule C, Line 0 11. TOTAL EXPENDITURES MADE ................................ Add Lines 8+9+10 $ 0 $ any). from July 31, 2012 a - SEE INSTRUCTIONS ON REVERSE through December 31, 2012 Paye 3 of 5 NAME OF FILER I.D. NUMBER Opanyi K. Nasiali Illi 1277625 Contributions Received Column Column B Calendar Year Summary for Candidates TOTALTHISPERIOD (FROMATTACHED SCHEDULES) CALENDAR YEAR TOTALTODATE Running n othe tate Primary g I . Both hSPiry and General Elections 1. Monetary Contributions ........................................... Schedule A, Line 3 $ 0.02 $ 130.08 2. Loans Received...................................................... Schedule e, Line 3 0 0 1/1 through 6/30 7/1 to Date 3. SUBTOTALCASH CONTRIBUTIONS ......................... Add Lines 1 +2 $ 0.02 $ 130.10 20. Contributions Received $ $ 4. Nonmonetary Contributions .................................... Schedule C, Line 3 0 0 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3+4 $ 0.02 $ 130.10 Made $ $ Expenditures Made To calculate Column B, add 6. Payments Made ....................................................... Schedule e, Line 4 $ 0 $ 7. Loans Made............................................................. Schedule H, Line 3 0 8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6+7 $ 0 $ 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F Line 3 0 10. Nonmonetary Adjustment .......................................... Schedule C, Line 0 11. TOTAL EXPENDITURES MADE ................................ Add Lines 8+9+10 $ 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 gin Column B above $ 0 0 0 0 0 0 130.08 To calculate Column B, add 0.02 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). L' 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) /l $ "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. SCHEDULE A Moneta Contributions Received Amounts may be rounaea Statement covers period to whole dollars. from July 31, 2012 0 _ December 31, 2012 4 5 SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER I . NUMBER 1277625 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTERI.D.NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) ❑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$ � �4, 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 $ 0 0.02 0.02 '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 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) O Schedule E Payments Made Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from July 31, 2012 SEE INSTRUCTIONS ON REVERSE through Dec.31,2012 Page 5 of 5 NAME OF FILER I.D. NUMBER 1277625 E 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 FND 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 LEG legal defense PRO professional services (legal, accounting) VOT voter registration UT campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. 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 Summary Page, e, Column A, Line 6. 0 ) ............................. TOTAL $ FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)