HomeMy Public PortalAboutCommittee to Elect Rebecca J. Wells - Form 460 - 01.31.11 - Terminationl Statement RecipientCommittee Type ar print in Ink. � a P COVERPAGE
CampaignStatement '' ' � � �
CoverPage " '
(Government Code Sections 8420D-84216.5)
JAN 3 1 2011 �
, Statement covers period Date of election if applicable: - Peee � af 5
01/01/OS (Monih, Day, Year)
r��'" C TY O F LY N W 0 For OKual llse o�i
SEE INSTRUCTIONS ON REVERSE � thfough 06/30/08 November 6 , 2���C � Y C L E R KS O F F I C E
1. Type of Recipient Committee: nn commm�s -comPi�a ve,m +, z, a, a�e s. 2. Type of Statement:
� Officeholder, Candidate Conirolled Committee ❑ Primarily Formed Ballot Measure ❑ Preelection Statement � puarterty Sfatement
Q State Candidate Election Commiflee � Committee � �J Semiannual SWtement � Special Odd-Year Report
Q Recall Q Controlled Tertnination Statement
(AlsoCompkMPertS) Sponsoretl � ❑ SupplementalPreelection
� (Also fle a Form 470 Termination) Statement-Attach Fortn 495
(NSOGompbhPaR6)
❑�.GeneralPUrposeCommiqee � �Amendment(Explainbelow)
Q Sponsored � PrimarilyFormedCandidate/ Termination
QSmaIlContributorCommittee _ � OficeholderCommiflee
Q PoliticalParty/CentrelCOmmittee , lAmocomperePert��
3. Committee Information i.o. tiurneEa Treasurer(s) �
1300382
COMMITTEE NAME (OR CANOIOATE'S NAME IF NO COMMIITEE) NAME OF TREASURER �� �
Committee to Elect Rebecca J. Wells Rebecca J. Wells
MAILING AOORESS � - - � � �
11672 Lugo Park Ave.
STREET ADDRESS (NO P.O. BOX) CITV STATE ZIP CODE AREA CODE/PHONE
11672 Lugo Park Ave. Lynwood CA 90262 562-533-0072
CITV , � STATE � ZIP CO�E AREA CO�E/PHONE • NAME OF ASSISTANT TREASURER, IF ANY
Lynwood CA 90262 562-533-0072
� MAILING ADDRESS Qf �IFFERENT) NO. AND STREET OR P.O. BOX MAILING ADORESS
CITY � STATE - ZIP CODE AREA CO�EIPHON� � CITY STATE ZIP CODE AREA WDE/PHONE
OPTIONAL PA% / E-MAIL A�ORESS OPTIONAL FA% / E-MAIL ADDRESS
4. Verification
I have used all reasonable diligence in preparing and reviewing ihis statementand to ihe best of my knowledge�the inf rmation contained herein and in the attacned schedules is irue and complete. I certify
underpenaltyofperjuryunderthe�awsoftheSfateofCaliforniathatiheforegoingistrueandcorrect. � '
01/28l11 '
EzecutM on By� '
� U� a � - WreofT r AassteniTreesurer �
FicecWed on �� ✓ � . �' . By ,
eb . � SpnaNreotContrapirq �ho GCen easureProponantotReaponsiWe01l�cerot50onao�
6cewted on By
� � Defa � � ' , ' SignaNreoiCOMmNingOlficaholtler,CaMkata,5taleMeasureProporeM .
- � Fxecuted on BY - . .
�� � SigranunofCOnhvtlingOfimhokeqCantlitlam;StateMeasurePmporoM � ' FPPCFO�m460�January/05)
• FPPC Toll•Free Helpline: 888/ASK•FPPC (86812763T72)
State oi Californla
-� - � Type or.print in ink. . COVERPAGE-PART2
ecipientCommittee �. ,
ampaign Statement .. ' • �
over Page — Part 2
Page 2 of 5
Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee
NAME OF OFFICEHOLDER OR CANDIDATE . NAME OF BALLOT MEASURE - �
Rebecca J. Wells
OPFICE SOUGHT OR HELD QNCLUDE LOCATION AND �ISTRICT NUMBER IF APPLICABLE) BALLOT NO.OR IETTER JURISDICTION � SUPPORT
Council Member, City of Lynwood O �PPOSE
RESIDENTIAL/BUSINESS ADDRESS �NO. ANO STREET) CITV STATE ZIP
11672 LUgo Pa1'k Ave LynWOOd CA 90262 �dentity the controlling� officeholde�, candidate, or state measure proponent, It any.
. � NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONEM �
Related Committees Not Included in this Statement: usea�ycommmees
not Included M th(s statemen! tha! are conV011etl by you or are prlmarlty /ormetl to recelve OFFICE SOUGHT OR HELD DISTRICT N0. IFANV
conVi6utlona or make expenditures on behall o/ your canditlacy.
. �OMMI7iEENAME I.D.NUMBER �
VAMEOFTREASURER CONTROLLEDCOMMIITEE? �• PrimarilyFormedCandidate/O�ceholderCommittee Lls}nameso/
o%Iceholder(s) or candidafe(s) !or which thls commlttee is prlmarlly formetl.
� YES ❑ NO
�OMMITTEEADDRESS S7REE7ADDRESS (NO P.O. BOX) NAME Of OFFICEHOLDER OR CAN�IDATE OFFICE SOUGHT OR HELD � SUPPORT
� OPPO5E
:ITY SfATE ZIP CODE AREA CODE/PHONE ' ryqME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
� SUPPORT
❑ OPPOSE
;OMMITfEE W.ME I.O. NUMBER
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR�HELD � SUPPORT
. , � � ❑ OPPOSE
VAME OF TREASURER �CONTROLLED COMMITTEE? N,qME OF OFFICEHOLDER OR CANDIDATE - OFFICE SOUGHT OR HELD
� ❑ YES ❑ NO ❑ SUPPORT
❑ OPPOSE
�OMMITTEEADDRESS STREETAD�RESS(NOP.O.BOX)
�ITY � STAiE ZIP CODE - AREA CODEJPHONE Attach eonGnuaGOn sheets !f neressary
� . �� � -� � � FPPC Fortn 480 (January/05)
. . FPPC ToIMFree Helpline:868/ASK-FPPC (866/275-]77P}.
� � Sfate of CaliFOmia
.BIllP21g�1 DISCIOSU�@ S�t@�YI@�It � Type or print in ink. � SUMMARYPAGE
Amounts may be rountled Statement covers period �-
�ummary Page to whole dollars. I�,
hom 01/01/OS �'
:E INSTRUCTIONS ON REVERSE through OF)I3O/OS Pe9e 3 o f 5
4ME OF FILER �� I.D. NUMBER
Committee to Elect Rebecca J. Wells 1300382
ColumnA Column B Calendar Year Summary for Candidates
:ontributions Received .ar,�TM�sP��� cnteNOnRVFna
�cRoNATfACHEDSCHmULES7 rorr�rooare Running in Both the State Primary and
2744.04 2744.04 Generel Elections
, Monetary Contributions ........................................... scned��ea, �ine s$ $ �/� t�rough 6/30 7n �o o�e
. Loans Received ...................................................... scheauie e, une 3 0.00 0.00 .
, SUBTOTALCASHCONTRIBUTIONS ......................... addunest+z g 2744.04 $ 2744.04 ZO.Contributions '
Received $ $
Nonmonetary Contributions .................................... ScneduieC,unes � 0.00 0.00 �
' 21. Expenditures
. TOTALCONTRIBUTIONSRECEIVED����-����������������������adduness.a $ z744.04 $ 2744.04 �Made S $
ixpellditu�eS Made � Expenditure Limit Summary for State
PaymentsMade ....................................................... scnedwee,�inea $ 3071.16 g 3071.16 Candidates
, Loans Made ............................................................. scnedme tf, une s O.OQ � 0.00 � .
3071.16 3071.16 ZZ• Cumuletive Expenditurea Made*
. SUBTOTALCASHPAYMENTS ..:................................. Atldllnes6+7 $ � $ (IfSub�acttoWlu�ryExpantlkureLlmH�
. Accrued Expenses (Unpaid Bilis) ...............................ScheduleF,Line3 � 0.00 � 0.00 DateofElection rotalto�ate
J. Nonmonetary Adjustment .......................................... scnedmec, unea 0.00 0.00 (mm/dd/yy)
1.TOTALEXPENDITURESMADE ................................AddLiness+g+10 $ 0.00 g 0.00 _ $
:urrent Cash Statement -��- $
2.Beginning Cash Balance ....................... PremoussummaryPage,unets S 32�.�2 . .
. To calculate Column B, add
3. Cash Receipts ...:............................................... CWumna, unesabove 2744.04 amounts in Column A to the
� 0.00 �rresponding amounis �Amounts in ihis section may be ditterent from amounts
4. Miscellaneous Increases to Cash ........................... Scneduie �, �ine a from Column B of your last repoAed in Column B.
S.Cash Payments .................................................. coi�m�a,u�eeano�e 3071.16 rePOrt. Someamountsin
Column A may be negative
3.ENDINGCASHBALANCE..........AddLines72+13+iq,thensubtractLina/5 $ 0 . 0 � figur05�hetshouldbe
� � subtracted from previous - �
❑ this is a fenninafion statement Line 1fi musf 6e zero. penod amounis. If [his is � � �
� - - � � the first repartbeing Tiled
7. LOAN GUARANTEES RECEIVED ........................... schedu�e e, aan z�$ 0 for this calendar year, only _
� � carry over the amounts �
:ash E uivalents and Outstandin Debts hom Lines 2, 7, and8 (if .
Q g O any).
� 8. Cash Equivalents ........................................ seemsnucno�so�re�a�e S . �
9. OutStanding Debts.........� ................ AddLine2+LinesinCdumnBebove $ � . PPPCForm460(Januaryl05)
. � � � � . FPPC Toll-Free Helpline: 866/ASK-FPPC (866/2753T72)
Schedule A Type or print In ink. SCHEDULE A
Moneta Contributions Received Amounts may be rounded Statement covers period �.
rY to wno�e douars. � � ,
from 01/01/08 � -
SEE INSTRUCTIONS ON REVERSE thrOUgh O6/30/08 . Page /� �� $
NAME OF FILER � � � � � I.D. NUMBER
Committee to Elect Rebecca J. Wells 1300382
pA � FULCNAME,STREETAOORESSAN�2IPCODEOPCONTR�BUTOR WNTRIBUTOR �FANINDIVIDUAL,EMER AMOUM CUMULATIVETODATE PERELECTION
RECEIVED (IFCOMMITiEE.AL50ENiERI.O.NUMBE� CODE+ OCCUPATIONANDEMPLOYER RECEIVEDTHIS CALENOARVEAR TOOATE
pFSEtF-Extc�oYE�,EUr�tNane PERIOD (JAN. 1- DEC. 37) (IF RE�UIRED)
OFBUSINESS] �
Committee to Elect Andrea L. Hooper �COM
01/04/08 11940 Lindburgh Ave. ❑oTH 1192.31 1192.31
Lynwood, CA 90262 ❑ PT�'
❑scc
mIND
Rebecca J. Wells ❑COM Auditor
01/30/OS 11672 Lugo Park Ave. ❑OTH LA County 1551.73 1551.73
Lynwood, CA 90262 ❑ PT�'
❑scC
❑IND
❑COM
❑ 07H
❑PN .
❑ SCC
❑IND
❑ COM
❑ OTH
❑ PTY
OSCC
❑IND
❑COM
❑OTH
❑PN
Q SCC
. SUBTOTAL$ 2744.04 � ' �
Schedule A Summary • ContributorCOdes
1. Amount received this period - itemized monetary contributions. wo-Individual
IncludeallScheduleAsubtotals. .............................$ 2744.04 COM-RecipientCommittee
( ) .......................................................................... � (other than PN or SCC)
2. Amount received this period-unitemized monetary contributions of less than $100 ............................. $ 0 OTH - Other (e.g., business entity)
� � Pn-POliticalPaM
3. Totalmonetarycontributionsreceivedthisperiod. scc-smaiico�mburorcomminee
Add Lines T and 2. Enter here and on the Summa Pa e, Column A, Line 1. TOTAL $ 2�44.04
( ry 9 � � � � FPPCFOrm460�January105)
" . FPPC Toll-Pree kelpline:8661A5K-FPPC (86W2753772)
� SCHEDULEE
SCFI@CIUI@ E � Type or pr(nt tn Ink. Statement covers perfod
Amounts may be rounded •� I�'
Payments Made ' c Wno�e dollars. 01/01/08 �'
from
SEEINSTRUCTIONS ON REVERSE th�ough 06/30/08 Pa90 5 � r J
. NAME OF FILER � � I.D. NUMBER
Committee to Elect Rebecca J. Welis 1300382
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
' CNP campaign�paraphemalia/misa MBR membercommunications RAD radio airtime and production cosis
CNS campaign consultants MTG meetings antl appearences � RFD retumed contributions
CiB contribution (explain nonmonetary)' OFC offce expenses SAL campaign workers' sataries
CVC civic donations PEf petition circulating TEL t.v. or cable airtime and production costs
, FlL candidate filing/ballot fees PFIO phone banks TRC candidate frevel, lodging, and meals
FND fundraising events - POL polling�and survey research TRS staff/spouse travel, lodging, antl meals
AD independeni expenditure supportinglopposing others (explain)• POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor
LEG legal defense PRO professional services (legal, accound'ng} VOT voter registration
LfT campaign literature and mailings PRT pnnt ads WEB information technology cosis (internet, e-maip
NAME AND AODRESS OF PAYEE
QFCOMMfITEE,qL50ENTERI.D.NUNBEl� CODE OR DESCRIPTIONOFPAYMENT AMOUNTPAID
Chase Campaign Literature
PO Box 94014 LIT 3003.49
Palatine, IL 60094
� . " Payments that are� contrlbutions or independent expendltures must also be summarized on Schedule D, SUBTOTAL$ 300$.49 �
Schedule E Summary
1. Itemized payments made this period. (Inclutle all Schedule E subtotals.) .............................................................................................................. $ 3003.49
2. Unitemized payments made this period of under $100 ................................... .,..._,,,,,,,,,,,,,,,,,._......,..,,,,, g 67.67
................................................................
3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) ........................................ _., g 0.00
.................................. .
4. Total a ments made this eriod, Add Li�es 1, 2, and 3. Enter here and on the Summa Pa e, Column A, Line 6. TOTAL $ 3074.16
P Y P ( rY 8 ) .............................
� - FPPC Form 460 (January105)
� ' . � FPPCToII-FreeHelpline:866lASK-FPPC(BB6/275J772)