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HomeMy Public PortalAboutLynwood Citizens for Good Government -Form 460 - 02.15.11 - Termination Statement Recipient Committee coveRPace . Type or print in� ink. DateSiamp �_ Campaign Statement C� C I` , '_ �. � Cover Page : C C V (Government Cotle SeGions 84200-84216.5) ' � � Page� ot� Statement covers period Date of election if applicable: F'�B � C�0�� 7 _ /_ `!l (MOnth, Day, Year) ^� For Official Use Only from v ITY OF LYNVJO p � SEEINSTRUCTIONSONREVERSE � through �oZ'.3�' /t� - r=1TY CLERKS OFF CE 1. Type of Recipient Committee: an comm�nees -comPie�e Pa� �, z; a, ana a. 2. Type of Statement; ❑ Officeholder, Candidate Controlled Committee � Primarily Formed Ballof Measure ❑ Preelection Statement � quarterly Slatement - � State Candidate Election Committee � Commiltee ❑ Semi-annual�Statement � Special Odd-Year Report � Recall Q Controlled - - (nisocomPie�ePartS/ S onsored � TerminationStatement � SupplementalPreelection � P (Also fle a Form 410 Termination) Statement -Attach Form 495 (AlynCOmp'etePeRb) ❑ General Purpose Committee 0 Amendment (Explain below) � Q Sponsored � Primarily Formed Candidate/ � QSmaIlContributorCommittee OfficeholderCommittee . . QPOliticalParty/CentralCommittee (A�soCOmpletePartl/ 3. Committee Information i.o. "u"'BER Treasurer(s) Q7! � COMMITTEE NAME (OR CANOI�ATE'S NAME IF NO COMMITTEE) NAME OF TREASURER � � �� /NWODO Ct'FIZ.C�S Y02 �O�O�i �OOt1�(W(+�j�.��- E.��'iJ�/ ��2N?N�O �"fE2N�y�'�EL MAILING ADO ESS ' l�788 t3a�c�,ow .av_ STREET ADDRE55 (NO P.O. BO%) CITY STATE ZIP CODE AREA CODEIPHONE lo7ar� �3 4✓' ��'tiwc�o� G� 9t�zlo2, 3l0 30�-937q CITV . STATE ZIP CO�E AREA CODE/PHONE NAM OF ASSISTANT TREASURER, IF ANY oC.Ytiwoo� G� 4��62 3t� 76`f.0077 MAILING AO�RESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX MAILING A��RESS � CITY STA7E ZIP CODE AREA CO�E/PHONE CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL, fAX / EMAIL ADDRESS - � OPTIONAL FA% / 6MAIL ADDRE55 G�'�Y -�l R( C� �10 l. e, o al � 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best ot my kno edge t � orm ' tainetl rein and in the attached schedules is true antl complete. I certify under penalty of perjury under lhe laws of the State of California that the foregoing is tme and correct. Execuletl on' `�' �/� � v I J � gy / . Date ignat of ea t ssisfantTreasurer ' Executed on By Date SignaNraofCoMrollingOffceholtler, Wntlitlate,StateMeasureProponen�o�ResponsibleOficerotSponsor Executed�an By Date � SignaWteofCOntrollingOffice�oltler,Cantlitlate.StafeMeasureProponent - ' Executed on gy - Oate , SignaWreofCOriWllingOfficeMbar,Centliaate,5tateMeasureProponeM FPPCFotm460(January/O5) � FPPC Toll-Free Helplina: 866lASK-FPPC (86fi/275-3772) � . SWte of California Type or print in ink. COVERPAGE-PART2 Recipient Committee � . . Campaign Statement . - ' • � Cover Page — Part 2 � 7 Page L of.1� 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE uwoo� �i -vs �'oit 600a - u Nrt � OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO.OR LETTER JURISDICTION � SUPPORT QL n� w o o"� ❑ OPPOSE RESIDENTIAVBUSINESS ADDRESS (NO. AND STREEn CITY STA'iE ZIP IdentiTy the controliing officeholder, candidate, ar state measure proponent, if any. NAME OF OFFICEHOLOER, CANDIDATE, OR PROPONENT Related Committees Not Included in this Statement: tis�anycommircees _ not inc/uded in this statement fhaf are conV011ed by you or are primarity /ormed to receive OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY contribu6ons or make expenditures on behalf o( your candidacy: COMMITTEENAME I.D.NUMBER NAMEOFTREASURER CONTROLLEDCOMMITTEE? �• Primarily Formed CandidatelOfficeholder Committee Listnames o/ officeholder(s) or candidate(sJ for which this rommittee is primarity /ormed. ❑ VES ❑ NO COMMITTEEADDRESS STREETADDRESS (NO P.O. 80X) NAME OF OFFICEHOLOER OR CANDIDATE OFFICE SOUGHT OR HELD � SUPPORT ❑ OPPOSE CITY STATE ZIP CO�E AREA COOE/PHONE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT � � OPPOSE COMMITTEENAME I.D.NUMBER NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD � SUPPORT ❑ OPPOSE NAME OF TREASURER CONTROLLED COMMITTEE? NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ YES ❑ NO ❑ SUPPORT � OPPOSE COMMITTEEAD�RE55 STREETA�DRESS (NOP.O.BOX) CITY 5iAiE ZIP CODE AREA CODE/PHONE At[aCh continUafion 5heef5 i/ neCessary - ' FPPC Form 460 (January/05) FPPC Toll-Frea Helpline: 8fi6/ASK-FPPC (8661275-3772) State of California Campaign Disclosure Statement Type or print in ink. SUMMARYPAGE Amounts may 6e rounded Statement covers periotl �- Summary Page �o wno�e dollars. � � � from 7' / - J C� � . SEE INSTRUCTIONS ON REVERSE thfOUgh ��- _�� r L� Page � of NAME OF FILER I.D. NUMBER ' ColumnA Column e Calendar Year Summary for Candidates Contributions Received TOTPITHISPERIOD CALENOARYEAR iFaoMnnncHeoscHeo��esi ,orurooAre Running in Both the State Primary and General Elections t MonetaryContributions ................._........................ scneauiea,une3 $ � $ '�^ � . ��� V1 Nrough 6/30 7A lo Date 2. Loans Received ...................................................... scneduie e, une 3 20. Contribulions 3. SUBTOTALCASHCONTRIBUTIONS ......................... Addunesi+2 $ � S Received $ '� S � 4. Nonmonetary Contributions .................................... Scheduiec,une7 � 21. Expenditures 5. TOTALCONTRIBUTIONSRECENED �����������������������-��AddLiness+q b - g �� Made S '� S '� Expenditures Made Expenditure Limit Summary for State 6. Payments Made ....................................................... scned�ieE,u�e4 S �� 5 �� Candidates 7. Loans Made ............................................................. s�nedwen,unea 22. Cumulative Expenditures Made' 8. SUBTOTALCASHPAYMENTS .................................... AdtlLines6+7 $ -�� $ -�^ (ItSubf¢c[roVOluntaryExpentliNreLimit) � 9. Accrued Expenses (Unpaid Bills) ............................... Sceedu�eF, une 3 Date of Election Total to Date 10. Nonmonetary Adjustment .......................................... Scneduie c, �ine 3 (mm/dd/yy) 11.TOTALEXPENDITURESMADE ...................:............AddLinesete+7o $ � $ � _�� $ �/ Current Cash Statement —J� $ � 12. Beginning Cash Balance ....................... are�m�ssommaryaa9e, u�e ie $ � To calculate Column B, add 13.CeSh RBCBIPfS ................................................... ColumnA,l.fne3above amountsinColumnAlothe " corresponding amounts �p,mounts in this section may be dittereN from amounts 14. Miscellaneou5 Increases to Cash ........................... 5cnedule I, Line 4 from Column 8 ot your last �eported in Column 8. . 15. Cash Payments .................................................. cowmnA, une a aeove report. Some amounts in . Column A may be negalive 16. ENDINGCASH BALANCE .......... Addl.i�nes i2 i i3+ iq, then subtrect V'ne 75 5� fgures thal shoWd be subiracted from previous I/ this is a termination statement Line 16 musf be zero. � period amounts. If lhis is ihe frst report being fled 1Z LOAN GUARANTEES RECEIVED ........................... scneduie e, aart 2 S � for this calendar year, only carry over the amounts Cash Equivalents and Outstanding Debts arom Lines 2, 7, and 9(if � Y) 18. CeSh EGUIVeI0f1i5 ........................................ See instructions on reverse $ 19. OutStanding Debts ......................... AdaLine2+UnesinCOlumnBebove S � FPPCForm460(January/05) FPPC 7oll•Free Helpline: 866/ASK-FPPC (866/275-3772)