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HomeMy WebLinkAboutH Miller 460 Pre-electionLU U.1 0 U O CD OD LL Q LL U O 0 T a) C) CO ai a CO c) a0m (a CD (0 w T Ca O° O c T —y o o' r (c) 0 0 O 0) O L a) 0 SEE INSTRUCTIONS ON REVERSE r 0 a a)a) a) E fb ca a >'O r ' 0 CeL 0 (.0 0 Ca E c I- 0) a) o C a) E m a) E co 0 r C O c9 co O N C Q co 0 Q 1 51❑❑ ❑ Amendment (Explain below) Committee: All Committ Type of Recipien a) a) E E O U a) N 0 o_ d a`) a) a) E E 0 0 a c 2 o o 0 V)_ c 7.7 0 co co a) a) E E 0 0 7,2 c a) U Ca co a 0 O a (a.D)000 o N- 2 CO zCC) Cl) 0 r O O FW U F- 7 2U o U ow - z u Z c� 0 a p O o = z O QV) W w 0 z w E E 0U0 U W 0 0 O O N- O CL N W Q Q HU cj 0 c'j U 0 O m NAME OF ASSISTANT TREASURER, IF ANY 0o 0 O Q - N (3) w Qa FU MAILING ADDRESS MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX AREA CODE/PHONE U AREA CODE/PHONE >- U OPTIONAL: FAX / E-MAIL ADDRESS OPTIONAL: FAX / E-MAIL ADDRESS rmation contained herein and in the attached schedules is true and complete. I C C i 0 0) a • U) 0 O C T E Ca o O > Q .N (1) 0) Y ,C rn o Ca a) w a) Eo Ca as 3.0 N C N w rn (a U o 0 a0 a � C Ca w o Ca 0_ (13 oL C o 00 c c a) 7 .m v., as a`) O_ C o 0 T. CO Ca = Q O Ca w, a a> U)a o L N > - 8 O CO rn O Executed on O a) CO o N 0) O n 0 n c a a` a, a, (n d V U V 0 t a 0 c U 0 D m Executed on d 0 Signature of Controlling Officeholder, Candidate, State Measure Proponent Signature of Controlling Officeholder, Candidate, State Measure Proponent m m Executed on N 0 Executed on N 0 CD N 1-1 N M c N. aoo o Oco U u a a a LL a @.) a) v R U U a O. LL COVER PAGE - PART 2 0 CD E O R� u_ o J u - Q U = NI L E awi a a U 0 c Cco ) ro .cu Q Q d 'E> SUV 6. Primarily Formed Ballot Measure Committee 5. Officeholder or Candidate Controlled Committee NAME OF BALLOT MEASURE NAME OF OFFICEHOLDER OR CANDIDATE Howard Miller OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Saratoga City Council a N w CO U RESIDENTIAUBUSINESS ADDRESS (NO. AND STREET) Identify the controlling officeholder, candidate, or state measure proponent, if any. Saratoga, CA 95070 13138 Pierce Road NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT DISTRICT NO. IF ANY OFFICE SOUGHT OR HELD H v E o w U � d N 0 E E �0 cu ct, -v w+ o C V) C o .aom 0. G v — m G CDw E EEo U c ... w v ;a ca e c Q'0ou I.D. NUMBER w 0 d y E d � O E m E UO. =' L � dV. •E E .0 0 d E "C 0 r tai -`moo LI N Cavi w U43 ye E L L 0LL CO 2 E o ti CONTROLLED COMMITTEE? oCO 0Q) CL CL a pa, a 0 O ❑ ❑ ❑ ❑ w a O 0-a- (/)0 ❑ ❑ C a O Q. O- W v=) O ❑ ❑ OFFICE SOUGHT OR HELD OFFICE SOUGHT OR HELD OFFICE SOUGHT OR HELD OFFICE SOUGHT OR HELD COMMITTEE NAME NAME OF TREASURER STREETADDRESS (NO P.O. BOX) COMMITTEE ADDRESS AREA CODE/PHONE w 0 O 0 a N w Q N <73 I.D. NUMBER CONTROLLED COMMITTEE? COMMITTEE NAME NAME OF TREASURER STREETADDRESS (NO P.O. BOX) COMMITTEE ADDRESS Attach continuation sheets if necessary AREA CODE/PHONE w 0 O 0 a N F- 0 0 a O T o CO c a) E a) Y E O w ^C. W E C// 0 U) O co Ea a) co EE V V) SEE INSTRUCTIONS ON RE CC W m 2 coN. Z co O (D CO - T Howard Miller for Council 2016 .U) r CO 0 0 co 0 173 a : C E U L Q. w (11 toE E t r+ y N IS, O O4, d m U = d • co C) ..- .0 = = E d C C C 1/1 through 6/30 U, E9 Total to Date Efl Er, oca N ra N m U C c IA U E -� a as w E v c 3 ° E> 3 c oLL a U (j O a. a. u v LL a a) w >, y a) a) E '> o a) '' m a) c 0 N N 7 a .c o Q �U a cn N C LL C a O r O O Q 0) O O O Contributions Received O O O CD 10 O O E9 Schedule A, Line 3 Q O O O U, Schedule B, Line 3 O O O O 10 U, Add Lines 1 + 2 O O O O O Schedule C, Line 3 Add Lines 3 + 4 Monetary Contributions Loans Received N SUBTOTAL CASH CONTRIBUTIONS Nonmonetary Contributions TOTAL CONTRIBUTIONS RECEI U) O O O O O O O O O O O O O O try 0 0 0 0 0 0 O O O N O (Ni a) rn E» Schedule E, Line 4 6. Payments Made Schedule H, Line 3 Loans Made U, Add Lines 6 + 7 SUBTOTAL CASH PAYMENTS Schedule F, Line 3 Accrued Expenses (Unpaid Bills) Ih co a) Schedule C, Line 3 10. NonmonetaryAdjustment in Add Lines 8 + 9 + 10 11. TOTAL EXPENDITURES MADE O O O Current Cash Statement O O O 0 U, Previous Summary Page, Line 16 '2. Beginning Cash Balance 0 O O Column A, Line 3 above -13. Cash Receipts 0 O O Schedule I, Line 4 14. Miscellaneous Increases to Cash O O ci O U) Column A, Line 8 above 15. Cash Payments Add Lines 12 + 13 + 14, then subtract Line 15 16. ENDING CASH BALANCE Line 16 must be zero. N ermination st co U) h O O O Schedule 8, Part 2 . LOAN GUARANTEES RECEIVED 0 O O w� W C) C 11:C O C C d > w .0 N U O O O O LC) EA U, See instructions on reverse Cash Equivalents Add Line 2 + Line 9 in Column 8 above Outstanding Debts \ § § 0 CO CCIlliqDrO e g0 I.D. NUMBER 138879 (9) CUMULATIVE CONTRIBUTIONS TO DATE / > 0 c_ \ 2 } 0 0_ / $ 0 _ \ \ _ § §ZW 0 _ o ` \ _ Z O b # m v0) (fl ORIGINAL AMOUNT OF LOAN \ 0 E ® c \ OD \ ,0 0 - \ 0 ® - \ Statement covers period 08/11/16 from 09/24/16 through (e) INTEREST PAID THIS PERIOD . o 0 0 . § . § SUBTOTALS $ 500.00 $ 0.00 $ 500.00 $ 0.00 OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD 0 0 LO m \ \ uj LU k DATE DUE 0 2 (c) AMOUNT PAID OR FORGIVEN THIS PERIOD" @ ! 0 — § 0 0 0 _ 0 » O_ ) 0 0 O _ @ ! O_ § i u. O _ /1111‘....1111... Schedule B — Part 1 to whole dollars. w`M Loans Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Committee to Elect Howard Miller for Council 2016 (b) AMOUNT RECEIVED THIS PERIOD o / (a) OUTSTANDING BALANCE BEGINNING THIS PERIOD o ci IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Saratoga City Council FULL NAME, STREET ADDRESS AND ZIP CODE OF LENDER (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Howard Miller 13138 Pierce Road Saratoga, CA 95070 t 0 IND 0 COM 0 OTH 0 PTY ❑ SCC t ❑ IND 0 COM ❑ OTH ❑ PTY 0 SCC t❑ IND 0 COM 0 OTH 0 PTY 0 SCC ZD: Lis E/ / \ tContributor Codes / a m / \ _ z (May be a negative number) £ z \ / C / �/ Q ta > .N [ c E E o f / 2$ 70 0 2 O m U) /5 0 ai cm y as o_ CO /\ \b / �£ -E [ \ •/� L/ E kU)2 kf 0f /§/ CO c acu 0 s .c §\� %= E > — ' e E ƒ _\ kr 2�E ma) 22c cm /-c CO „a) /%\� B/ kf —w° §f 13 (/ c/\ 0 2/- \-- zw C/),-- •(Ni w or to • N m a cCOa tO 0.k• er CO E> ) % O. 0. O. \ 0) \ £ U W 0 W U a d a 2 a T lC E N C 7 0 E CD CO Q o CL E O n LL 0 J V- w U a I.D. NUMBER 138879 PER ELECTION TO DATE (IF REQUIRED) $500.00 CUMULATIVE TO DATE CALENDAR YEAR (JAN 1 - DEC 31) $500.00 Statement covers period from 08/11/16 through 09/24/16 NAME OF FILER Committee to Elect Howard Miller for Council 2016 AMOUNT/ FAIR MARKET VALUE $500.00 ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 500.00 DESCRIPTION OF GOODS OR SERVICES Recycled election signs IO wnoie aouars. Nonmonetary Contributions Received SEE INSTRUCTIONS ON REVERSE IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Saratoga City Council CONTRIBUTOR CODE * 0OH�O OOa.v) !`■■■■ 0OI-E--O _OOOv) ■■■■■ (01-�U _OOcLtn ■■■■■ FULL NAME, STREETADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Howard Miller 13138 Pierce Road Saratoga, CA 95070 DATE RECEIVED co T 0) *Contributor Codes O U7 to 0 c 0 0 N a) O E 0 a) N a)v) I o U O o_• 0 E N(1) 3 ▪ N Cl) .> 0 U 00� i 0 (6 ▪ O O E • Q A r O 0 2. Amount received this period — unitemized nonmonetary contributions of less than $100 O O 0 0 69 J 0 I- 0 c0 to a) J Q E O U aS CD CO d o N L. Q- fn 7 (1) a) a) a) O U 10 c N (6 O • N .— a) O � L.- • a) o w U a, N co 13 N N o E c o c c J Q M N o NM c co N. O U3 ✓ 10 ca o 0u. 0•co4 a p. U a c u .> u Q U a a LL U- w J 0 w 2 U SEE INSTRUCTIONS ON REVERSE NAME OF FILER Committee to Elect Howard Miller for Council 2016 O c 0 0. N a) m v v C 8 a) N E 00 0 co a) w (1.) N a) C o a) E w a) o E o U C a) O .VN+ C Oc 0 0` o 0) a) 8 w a 0'C E _ `°D CmE as"O to a) C p) O o V) (6 -0 O EO O Q ate, ` a) O ' O O 7 0 E -> C C C a) c - i > a) a) o U 0 C o a ( a) 0 '-' a) rn _O m c0 O N (6 .L m0•m a0. U o E a v, E a) -O (E�p O (QC N C O N U .� U(n ` C w 1 (1) 00JJU(nu_H00 K N H CO 1- F O> a) L 0.i N D U En O Z C O C 0.1 N = te.. 0 U 0) U c as U) L N ` N a) a) C C CD a) E Q) > '� N (o 8 0. a) 0 a) 8_ E cu a)mN=>w >' O a) a) E C "O -0 C 4-1 0 0 C)2 C o X L 0 al 0 a) _0 � a) . C m N E E S C.2c' s0 EE>+ aa) a) o .0a EEo0.0.0.0.0. Q a) mF-U-w20OO�CL _c22Oaaaaaa O a) U O a) U U (a O a) 0 0 . 0) C m o rn 3 d0. O .N 0 c c 0. o f E ca N E C a) 0 = U a) m w u) c C L E C C o p co 'c� co 0 a.)92 9-L - _ O 0. = 0. c 0. (a(/) X N O) j N N Cl) (6 O C c N a) a) C O_ U C .� r= 0) C C 0 C C O (V a) C D C v- O) = o c0 N C a) .cy) 'a) a) o -C :O (` a) 'O 0.S CL 1= E E p C •v c c a rn E w �83•�8 .s LD 8 Cl EL 0 2ZH>JZa W F- 0 UUUU(iu.' ).7 fR fA SUBTOTALS $ N To N E 0) a x aC) 0 aa)) 0 0 00 a) Cpp U N 0 N„, 0 'O C N (1) E 0.3 m E c Schedule F Summary O O N rn INCURRED TOTALS $ O O O PAID TOTALS $ O O N 0) CO-. (0 (n O O N oO w C � RS a) zL Q O C U N _a a) @ N N Em �o D (n C U a) Z ( E to c U Q Cc 2 O O U N O C a) LL (7 - a)E o H w Z May be a negative number CO j N a) Q o _ "0 L-0 C 0 CO N U) N_ -a •E E a) a) a) U *Ea) -6 c •C ..-00 . p U E C O O •. o �+ 0.Q o Q c J L a) Q 0.j J -pO CO 0 r) <- 0.)E yE as. L w =O � O = _ co 0.o U N o 0.)U Wu) � D 0. CO 0 O 'O M CO O QN 0 Q a) _ -6 a) D a) E Cl) Q ) 0. a L x L x a-) E a) a) O -a U -O (aU) (v a) (a a) ..c Cl) rz U @ 0 — (a I— H as Z O N c,-) Amounts may be rounded to whole dollars. 497 Contribution Report CI T No. of Pages Council 2016 0 U a) LLE o E w • O 2 I.D. NUMBER (if applicable) AREA CODE/PHONE NUMBER 408-802-4034 STREET ADDRESS 13138 Pierce Road Lu O o r, 0 • 0 a Lr) N C) W a7 1. Contribution(s) Received AMOUNT RECEIVED 25000.00 ® Check if Loan 0.00 i Provide interest rate ❑ Check if Loan Provide interest rate ❑ Check if Loan i Provide interest rate IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) a) .0 E a) 2 0 C = O J J CONTRIBUTOR CODE * z 0 0 a (i) Z 0 o a_ c, ? OU o EL cocn FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Howard Miller 13138 Pierce Road Saratoga, CA 95070 DATE RECEIVED 9/28/16 "Contributor Codes Reason for Amendment: 0 o n °• Nm u • N 2 • Cr c E > 3 LLo U a u. c) ar u (13a) u 13 Q U LL