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HomeMy WebLinkAboutH Miller 410 and 460 Terminationz(. O0 0 V) N a ar V1 C 0 '• N CCa ers .00 C E N- E . cc F �co N T N 51 J I cu a) V E \ E (0 C T a) N '4 0 ;) N 2C E Ic •U E C co N a 9 c) I ' o CO ✓ p ❑"T J It 0 0 O 0_ 0 +I w N a^),rD Q CO +�-' ❑ o 'E E O U0 co C ar ca a) ro UI NAME OF ASSISTANT TREASURER, IF ANY STREET ADDRESS (NO P.O. BOX) 0 O O ar N0 LC) rn aU AREA CODE/PHONE MAILING ADDRESS OF DIFFERENT) FAX / E-MAIL ADDRESS NAME OF PRINCIPAL OFFICER(S) AREA CODE/PHONE STREET ADDRESS (NO P.O. BOX) V K w r a) on Vit., N) CD • o 0 h _0 40 c'.-,,,..,_ c L O f0 Y a C co a • v Y a C E N Q 0 p N i w U N 0 F a1 o a K a Z E a 0 a 0 R 0. 0 C 0 C 0 a t G 0 0 0 COUNTY OF DOMICILE a c 0 0 0 L Q m m a°N oo N M v C ▪ N u 1."" Q CDv E '0 0 OD LL Uu 1 V a c. a, V a) la a) O. a a LL F Z Z 0 O o. a a) 0 s V O 0 U O O z 0 0 u 0 C a 1z u: o v L @ 2 ci•L N % a C z O • � LL Q J u - U E I U Ui Ca a a) U Ui • N co .0 0) EN- E C co CIJ0 c" H Lai J SC C a, N E � O E E• 2 CO Q CY) r-1 H T J YL Statement Type Not yet qualified 0 or O N Lf) T \ N T \ N E 8 m g Tt3V cu to0 D O. U •L a w t 0 � L C 2 w f0 0 ''c ZV J N Committee to Elect Howard Miller for Council 2016 (1) o▪ 0 a � 0 LC) 0) Q r, -;U CZ 01 0 Cd (n cz NAME OF ASSISTANT TREASURER, IF ANY STREET ADDRESS (NO P.O. BOX) MAILING ADDRESS (IF DIFFERENT) AREA CODE/PHONE 0 0 FAX / E-MAIL ADDRESS NAME OF PRINCIPAL OFFICER(S) a r 2 0 O z 0 0 STREET ADDRESS (NO P.O. BOX) COUNTY OF DOMICILE AREA CODE/PHONE 0 0 Attach additional information on appropriately labeled continuation sheets. a) C a) 0 ai a) Q E 0 C (O a) t- 4-0 Y ,V1 C a) a -c a - a) C cn Y C 0 C 0 E 0 c a) t Y CU 4_1 -a a) a 3 p • u C Y C CD ? f6 E c V- p U, 00 - 0.• 0` Y a) 0 1_ 4-4 p C L (, Y C Y E ✓ ,co % Y ` ro � p N Y U °p o C_ 7 Y Q a) n (1) n s C Y CD 0 OD (O ANDIDATE, OR STATE MEASURE PROPONENT GNATURE OF CONTROL SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT 10a > > > m m m Executed on Executed on a 0 TE, OR STATE MEASURE PROPONENT SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDI a 1D N 9 o N N M u C Nco N a a C 3 E 3 m Y. • • " a U - 9- UI U v eaV V 0. a LL COVER PAGE a m N. 0 CITY OF SARATOGA W d•+ ▪ d E d E O //•"/�' A, VI W r.)C co cu .Q Q w c O Q OO 47) co Qa) 0. } C a) O 0 v a) N O 0 2 O a) Co 11/08/2016 LO N SEE INSTRUCTIONS ON REVERSE ype of Statement: ❑ ❑ Preelection Statement Semi-annual Statement Termination Statement (Also file a Form 410 Termination) Amendment (Explain below) ❑ ❑ ❑ Committee: All Committ . Type of Recipien a) oE E m o m U z• E °) o a) E o U E O O o U U o m E o mU Co W E c 'O N o `O 0 o U 5U N W — C U 2 ta 2- N o d 'OaU-= u0ia) 0 -c • m a) E `° a E o ✓ cn CC8 a) co co o_ 000,4 8)000 Treasurer(s) N w0 2c0 :(0 zCo or 3. Committee Information COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) 2 Committee to Elect Howard Miller for Council 2016 W 0 N.0 0 0 0 O CL Lr) N (3) W Q U cti 0) 0 c6 oci NAME OF ASSISTANT TREASURER, IF ANY W 00 0N. 00 N ( W Q FU MAILING ADDRESS MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX AREA CODE/PHONE 0 U N U AREA CODE/PHONE 0 0 U N U OPTIONAL: FAX / E-MAIL ADDRESS OPTIONAL: FAX / E-MAIL ADDRESS a) U E 0 m a) N a) 0 U a) a) CO co co C U) .U) a) L U) C C .U) C O O co E c U) a) 0) 0 a) O co 0 0 E a) in .. a) O a) 0) C C o 0) • c a) c w 0 E m -c O C CD 0 O O 0) C U 0 N u) U • a) a) 0) C o • C a@ m ao c U'O C C a) 0 a) U a c o O >, N +- a) �a � C C — E. O -0 a) a)0 U > j F (0r > - 0 12-15-2016 co O N v O Executed on 0 Executed on Signature of Controlling Officeholder. Candidate, State Measure Proponent Executed on Signature of Controlling Officeholder, Candidate. State Mea t0 N > N N 0.0 O I••• • N M u C V O - N 0. )0 C 3 E > 3 0• D• v a a 0. 0 LL Q U) U .> co co ui > a u 0. 0. LL N F a w 0 w 0 0 Measure Committee . Primarily Formed Ball d E) 4- 5. Officeholder or Candidate Controlled Comm 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 Identify the controlling officeholder, candidate, or state measure proponent, if any. RESIDENTIALBUSINESS ADDRESS (NO. AND STREET) CITY 13138 Pierce Road Saratoga NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT DISTRICT NO. IF ANY OFFICE SOUGHT OR HELD I.D. NUMBER CONTROLLED COMMITTEE? I- F- I- I- CC W CC LU Et LU CC W QVn Qv) 00) Q v) a.a as na',a CL CL 0O - D O (0 0 c(n 0 u)0 EL EL EL EL OFFICE SOUGHT OR HELD OFFICE SOUGHT OR HELD OFFICE SOUGHT OR HELD OFFICE SOUGHT OR HELD Q z } COMMITTEE NAME NAME OF TREASURER STREET ADDRESS (NO P.O. BOX) COMMITTEE ADDRESS AREA CODE/PHONE w 0 Q U a N I- U I.D. NUMBER CONTROLLED COMMITTEE? COMMITTEE NAME NAME OF TREASURER STREET ADDRESS (NO P.O. BOX) COMMITTEE ADDRESS Attach continuation sheets if necessary AREA CODE/PHONE w 0 0 0 a N w >- 5 0 l0 N C N N � rvf u • 0 tj ra ▪ N C• w aCO E > 3 o m LL a`) a LL a) v v �a u a a. a a LL w a >- 2 2 2 (n E (0 - C a) C) m 0 N C C • , E O m O m 0 E w 3 C O 0 E E cC a) L U) 0 4 a) U) O) D0 ms ,c. E EE 0() SEE INSTRUCTIONS ON REVERSE I.D. NUMBER O N U C z O 0 0 Howard Miller 1/1 through 6/30 EA EA J N rCD a7 X CO W U Total to Date C O U >' w -o E E to v eA CA - (DN >O N n to 0 o n N MU C 7 cV 0 _....co N Q E .- a co v 0 3 o E > 3 N U- qa VQ u _ 0 LL Q a) a/' T co wu E C -a o m U m a) c u En N j > 'O 1E o Q cU U N •c C c -0LL 7 0E 0 a) V U w a) W U) O CC 1±1 LL E () E w O C 0 0 z U EA Monetary Contributions Loans Received N EA EA Add Lines 1 + 2 3. SUBTOTAL CASH CONTRIBUTIONS Schedule C, Line 3 Nonmonetary Contributions 4 Add Lines 3 + 4 TOTAL CONTRIBUTIONS RECEIVED 10 O 10 IC O w 0 2 N d 113 C CD 0- X x W EA Schedule E, Line 4 6. Payments Made O O Schedule H, Line 3 7. Loans Made 71- Add Lines 6 + 7 8. SUBTOTAL CASH PAYMENTS O O O 9. Accrued Expenses (Unpaid Bills) 10. Nonmonetary Adjustment EA 11. TOTAL EXPENDITURES MADE En - Zn a) m E •C m 7 0 cc)me E E @ ° o >,o" I.c E C C O a .t+ 7 E EA EUo(5 E2�m°a°ctm cc 0 7 7 m O C L1 ET A m U n a) E U C 7 0> 7 O O N C000=00?0. ym 0 0 N N N 9 En y C (a CO Y 7 7 7 a) O N U J 0.000 �. O C > N 'O T E I- N a m O m J N O..... w O_ Current Cash Statement O O O N (0 'a. CA CA EA Previous Summary Page, Line 16 12. Beginning Cash Balance O Column A, Line 3 above 13. Cash Receipts Schedule I, Line 4 14. Miscellaneous Increases to Cash 71• (C) O O Column A, Line 8 above 15. Cash Payments EA Add Lines 12 + 13 + 14, then subtract Line 15 16. ENDING CASH BALANCE is a terminati 0- Schedule B, Part 2 . LOAN GUARANTEES RECEIVED O Cash Equivalents and Outstanding Debts See instructions on reverse O Add Line 2 + Line 9 in Column B above 19. Outstanding Debts SCHEDULE A a m c 0 d .0 U co E a c 0 E *Contributor Codes Schedule A Summary O 10 vi C O C O U 0) a) C O E a) N_ a) 6 I ( O O -0 ' a) aQ • (;) 1 73 > U U CO 2 N C N 7 0 E c Q O 2. Amount received this period — unitemized monetary contributions of less than $100 0 J 0 I - a) C J Q C E O 0 a) 0) c0 d (0 -o E o E • COa 3 a) C a) ° O N • CN 0) a) c C O im;a) 7 � ▪ W C N O a O C a^ co (0 N (n C a) O C E (0 -0 ♦° Q UD N 0 N 4a MNu (n 41 N G w La La 00 3 E > 3 0 0°0 LL U u a o, LL 0. V co co .' V U a a LL I.D. NUMBER 1388792 PER ELECTION TO DATE (IF REQUIRED) O CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) in O in 12/15/16 through AMOUNT RECEIVED THIS PERIOD in O in ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL$ 5054 Monetary Contributions Received co wnoie aouars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER Committee to Elect Howard Miller for Council 2016 IF AN INDIVIDUAL ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED. ENTER NAME OF BUSINESS) Retired CONTRIBUTOR CODE * 2I)-0 g, OI - I - U ? 000(n ti111111111111 2 2} U 0O -FU ?000(n DOLED 2 2 U 0OI-�U ?000(n ❑❑❑❑❑ 2 2 U cpOH�U _000 u) DECIDE 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 (0 a0 O r *Contributor Codes Schedule A Summary O 10 vi C O C O U 0) a) C O E a) N_ a) 6 I ( O O -0 ' a) aQ • (;) 1 73 > U U CO 2 N C N 7 0 E c Q O 2. Amount received this period — unitemized monetary contributions of less than $100 0 J 0 I - a) C J Q C E O 0 a) 0) c0 d (0 -o E o E • COa 3 a) C a) ° O N • CN 0) a) c C O im;a) 7 � ▪ W C N O a O C a^ co (0 N (n C a) O C E (0 -0 ♦° Q UD N 0 N 4a MNu (n 41 N G w La La 00 3 E > 3 0 0°0 LL U u a o, LL 0. V co co .' V U a a LL d CO w J 0 w 0 CO Occ o aw Zr e 2 O O Q m U a I.D. NUMBER 1388792 CUMULATIVE CONTRIBUTIONS TO DATE w Z N W < to O w w a N w cc w cc Z w < «> z 0 U Ill W a a. w Q z w U x 0 0 UJ W a to (f) ORIGINAL AMOUNT OF LOAN o O ❑ W cc a U Z LU ati ❑ ❑ WfY a cc Z 0 0 W CC CCa0 z 0 Statement covers period 10/23/2016 from 12/15/16 through (e) INTEREST PAID THIS PERIOD o w ff 0 o K 0 SUBTOTALS $ 0 $ 25000 $ 0 $ 0 OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD 0 O N r WW D 0 0 0 0 0 W 0 0 ~¢ 0 (c) AMOUNT PAID OR FORGIVEN THIS PERIOD * 'c) 00 Zi a T ❑ > w ❑ O 61 in O w 00 a ❑ .❑ z > 0 0 w ❑ a ❑ w❑ > 0 «, Schedule B — Part 1 towhole dollars. Y�V 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 0 0 0 I.0 N 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 to IND ❑ COM ❑ OTH ❑ PTY ❑ SCC tEl IND ❑ COM El OTH ❑ PTY ❑ SCC t❑ IND 0 COM ❑ OTH ❑ PTY ❑ SCC O tContributor Codes O O O U' N O O O N (May be a negative number) Q a) a) _c N U N C C J O O- O C0 < u > .N ^. C C E Eas o .0) .0 O 0 U covs N :O ca O m 00 0- `N a N O N C C6 O co « J E c o a C0 6 N C a L- (n E a) c -a Ta a) a) a (i)7 .0 @ w - C j w O 0 0 a >M a) a -om SD a) m Q) •@ Q. 4) e oma N a) C C Y) Y L E a 7 0 O N O — C a) 0 aU� r_C @ C @ 7 0 N ~ J~�. Z N Ch tO N 0 N. 13.0 • n1 U C U) V co N N 0' 00. 0 ID 1.0 v 00 > E > O o0 V u 0. n LL /ii V > v co G) U 0 a a LL Q d) a U) 0 r 0 n a) .0 a E 0 N m r o_ N 0 N o 0 C N > cr0 92C E Q x V a) V C 7 o a O � N E O 3 O 0 E w CLw LU z 0 N O w U J_ LT - U_ (4 O z w wa (/) Z Committee to Elect Howard Miller for Council 2016 O O a N m a U N E 0 Nw co NIf O w a) m C VI o am) E w m ` c" E a o c m ati i N`momomy c) >om o ' 0 E ,E 'O m 4a m p) E 0) @ a° m V_o O a mFC O 7 " E -> C C C a) > 12 0 0 a) U y E m� a'� Eoa)� U C 1) a) 7 .p .N O V N O) U o O- O) :- m m 70 a) m U '' E 0 C73 al c m 2- V 00JJU(OLI_ I—m a Q (/) I— I- I- I-- > a) L_ O V U ov 2 � c N N O O CY5C (0 N N 0 m C m U m a) 0) N Co C E a) N u C 2 Uu! > m E n a) a) Z m u, m oC N Z > a) E mmfn O m V V C x ajo . x4 m .0(1) .� E 8Pc a) m ai m 1+ (1) a) N .0 0 0 2 'C (0 EE000c ooa n. m�OwICKwa) LLoo 2200_ 0_a 0_0_0_ U) a) 0 U) i. N c -0 @ _T > a) a) (0 e a) 7 L U -'6" O Co m a) o a) a O 0 0 m O C u o o) c a c O ,�.63 coc a — E E co E 4'..- CO Cl) N V a) m O) C 7 C . C C O V m a) co'I m 0 aci Cl) L w a P. O C@ c N 0) > N m 00Owp0 C .0)c - c O c c .- ma)'c Va) c w m m O m y c a) .rn '(0 (6 .O -O V 'm N V N a a'C a_ a ui m m 0 .> O N LLJ 00 0 0 o 0 w .G _ 0 0 d W m U 0,0 I— U UUUUZJ LLLL J AMOUNT PAID CO71- N CODE OR DESCRIPTION OF PAYMENT Postcard mailer for 5000 Credit Card Payment of previously accrued 260 I— J NAME AND ADDRESS OF PAYEE (IF COMMITTEE. ALSO ENTER I.D. NUMBER) Thomas Crail 1089 Lincoln Avenue San Jose, CA 95125 Cardmember Services Box 790408 St. Louis, MO 63179 SUBTOTAL $ * Payments that are contributions or independent expenditures must also be summarized on Schedule D. Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) O O O EA a) V C O V O a) a- U) a) (0 ns E U) C a) E (0 a- V a) N E C CV 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) ER J 0 H (.6 a) C J <C- .7) O U a) 0) (0 0_ co E E a) C O C (0 a) a) L a`) C -o w (Yi C co N N a) •C J O a) a- U) a) E U) C a) E Co a- Ta tC N N DD N N V C NV N a o v 00 3 E > 3 0 to LL (5 V u CL LL a a) w V V ro a) V U a a LL SCHEDULE F Committee to Elect Howard Miller for Council 2016 C 0 0_ as a U a3 O E E E m o U 112 N a) a) O C 0 0 a`.) a o• Ec o c c moo c @ aaiw 0 o206)o a (1 'U - O - C i O E O C o_ O 7 7 o E _- > c c 2 Y C a) a) a) O U CO E- a) c E O U -0 (3 C O ma) a) Opp �0coLLHm •2 <WcFWQ C/)O� 0)•— • U c 0 E T N as -0 O E '` a) O ,T;oo p describe the a) L_ O a) 0 O U 0 U — O) 2 C a) C O N _C O 0) U 45 ca) 1d N U N (a CD C 0 a(°) E m T .o m Co v N �a) c (c)E 'C 0_ 0, T N U 0_E a) N .N Z > N a) a) >' o 02 E CN 0N -0 C _ U a7 N 0-.5 (a C 0 0 C) c ax) c Q ) a) v, m E c a).o c c m m E U o = y C Co E E o aa°oaaaa a_ '<7UF-O-JcnOF- N mF- LLw=OOCCo' 22O0_0_0_0_0_a co a) Q U U) 0 -E - '0 c•0 .ai > n TL) a) (6 L N 7 L U o U CO m o N 0 CL o o U m 0) C C a3co () m CD n c O .00 c 0_ -5E E w 0 E 4- 03 CO w a) CD m co c _ c C C C C O -0 CO 0 a) 'CT) m CO aa, f.1-) 4-6 t 7 d Q C O O X X (11 EU - C d U C .,. (0 0, C C .= O C C .2 (a a, C C c 0 0.0 -00 U 'm 0 U N iri E m o .> (c° c 0- o) m W00000..-.__0 CI d 0 m U 0 (d) OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD O (c) AMOUNT PAID THIS PERIOD (ALSO REPORT ON E) O CO N (b) AMOUNT INCURRED THIS PERIOD O (a) OUTSTANDING BALANCE BEGINNING OF THIS PERIOD O CO N CODE OR DESCRIPTION OF PAYMENT Pay off Credit Card NAME AND ADDRESS OF CREDITOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CardMember Services Box 790408 St, Louis, MO 63179-0408 O EA O CO N EA O O CO N SUBTOTALS $ a) 0 m a E a) 0 D a a) a) a) v `o 0 a 0 c w O U 13 U N � m c -C 0 w � C a) 'C E E a. Schedule F Summary O INCURRED TOTALS $ O N O O� (r)- CD ) - N U) 77 SD C_ C E a ) C U a X a) a) U U (d a) N .E a) C UL a) a a) 77 U (0 a) U C -Co O ❑. J ( a C N O N E L L U O C O a) Ea C O a)�, a_ X C a) a 2 co a) o F— L Co O N U C a) Q X a) a) 7 U U Co CO N PAID TOTALS $ O N as C a) Q X a) a) 7 U U cB C (0 i) a) L a) U C a) a a) a) C W a) C J E 2 N a) C J v Co W a) C J C E lD N N O N N m c (� CO N a co E 0 LL D• V u a 0. 0. LL et. t) a) 0 m a) > U 0. a u-