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HomeMy WebLinkAboutH Miller 2nd Pre-election AmendCOVER PAGE a E a) 0 0 RECEIVED CD C E Ea) Ecu o +' (I) a) c co C En co a,a ▪ Q 1,25 • a) ca o TUU 11/08/2016 L O Co a m O d 1.0 N U p) c a) E co a) U) E w O N O SEE INSTRUCTIONS ON REVERSE 0 0 a) C a) Q E @ in ▪ -0 >,0 • @ Eft> o • a O (n ❑ ❑ 0 0 U O 2 . 0 Cs0 C c ~ 9 al r N E O O C_ C E N E' aN N Q E _ m E WE @ C - LL C i+ C O O @ � w C @ a ED fn @c -o— 46 'E E g n= ac) (5 O E2 d d cQon 4 Q,- I- ❑❑❑ Q7° N @ N a) m ✓ 2 o 0 'O o o m C C m m U E M N N a EO E -0 �e E U,o t C - a) 9 N a - -,:,,5 a a E E • U (n8 E c°'i8 E a`UOOa a`o4 U ❑ ❑ N ttee: All Committ a) E E °) o U a) -0E z a °) 0 a) E T2 U E O E o g a))E U O a E U as o m w Ea o a 0 `o U =a m U N a N a C 'O O - 0 - - @ 0. 3_ a dNU @ -id o a0s C:w L m a E m a E o O (nO8 (()cnd 000¢ cI000 . Type of Recipien 3. Committee Information COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) ( Committee to Elect Howard Miller for Council 2016 W O a 00 0 0 N. O N 0 W Q Q ;U 0 O m . NAME OF ASSISTANT TREASURER, IF ANY W 00 0 0 U 0 a If) N Q) W QQ HU 0 U MAILING ADDRESS MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX AREA CODE/PHONE 0 0 U N U AREA CODE/PHONE 0 0 0 N Q N OPTIONAL: FAX / E-MAIL ADDRESS OPTIONAL: FAX / E-MAIL ADDRESS ation contained herein and in the attached schedules is true and comp) O 0 N a, I i 0 ,_ Executed on 0 Executed on Signature of Controlling Officeholder, Candidate, State Measure Proponent Signature of Controlling Officeholder, Candidate, State Measure Prop T T lD N G N QO N 0 N• 1,4 M U C N V CO N N 1 w 30 O. C 3 cr CO E > 3 o Ou. O• U u a u a a LL a U U a, @ 0) 0- 0 - LL CO CO Executed on Executed on NAME OF BALLOT MEASURE NAME OF OFFICEHOLDER OR CANDIDATE Howard Miller CL - w °0 CL a. • a - U)0 ❑ ❑ JURISDICTION 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. RESIDENTIAL/BUSINESS 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? K UJ a_ CLd CO 0 ❑❑ CL - w K W a' - W O 0) OO 0 Q) a s a s a a0. v=i 0 (0 0 10 0 ❑❑ D 0 OFFICE SOUGHT OR HELD OFFICE SOUGHT OR HELD OFFICE SOUGHT OR HELD OFFICE SOUGHT OR HELD 0 z w COMMITTEE NAME NAME OF TREASURER STREET ADDRESS (NO P.O. BOX) COMMITTEE ADDRESS AREA CODE/PHONE 0 0 U N >- O I.D. NUMBER CONTROLLED COMMITTEE? O z >-w COMMITTEE NAME NAME OF TREASURER STREET ADDRESS (NO P.O. BOX) COMMITTEE ADDRESS Attach continuation sheets if necessary AREA CODE/PHONE w 0 O 0 a_ N >- 1-- 0 w C9 SUMMARY a) E d U) a, N 0 ) U)a) as .Q E E E 0 0)) SEE INSTRUCTIONS ON REVERSE m N rn co z co co CO a) 0 N 0 Cl) Y C CCiC L a • d (C u) E N • C L p mo >- C w COa) — D C R C C C • CLC9 1/1 through 6/30 EA EA • v 2 c0 J cn 2 v w d c C i w g X g E wg = Ce U) > > r U E a J 7 m a) U•L= U) +- R N a -a C CD 1C3 Q C W U Total to Date O ▪ T a�� w -O • E E 0 CA- ER l0 (7.i. G N N pq N M V C 7 C Ln 0 M E N o. a v co Eto (o w o o $ C (O to m U u a. J a LL a O. a v-. )> m 01 E V > C O N U m N C U m' m 7 L _E o ca. U U m C U. c "O o O E Q N Contributions Received !fl O O 10 N E» Schedule A, Line 3 1. Monetary Contributions Schedule B, Line 3 2. Loans Received Add Lines 1 + 2 3. SUBTOTAL CASH CONTRIBUTIONS Schedule C, Line 3 4. Nonmonetary Contributions Add Lines 3 + 4 5. TOTAL CONTRIBUTIONS REC O O a) a a) O. X w O O O O Add Lines 6 + 7 O O N CO O Schedule F, Line 3 O O Schedule C, Line 3 O O N EA co O Efi Add Lines 8 + 9 + 10 6. Payments Made 7. Loans Made 8. SUBTOTAL CASH PAYMENTS 9. Accrued Expenses (Unpaid Bills) 10. Nonmonetary Adjustment 11. TOTAL EXPENDITURES MADE EA >" E " C Erm E E m w (15 TOS E@ E o' c •c m E O -O o c 7 U O o O E j O(ao N w (0 m U .E 2 E m 8 ,.= o N 0> N- rcss O Cto 0 O tin .c > m C.� Cl) 0 • O O m (0 m l6 XI CO y .'C-. Z' C O E Y C c C O) -O 0OW J 6 N = ._.N O -O 0 oOoCOmaE o NEE N 1 _Q)_ c < (Q O ( .o d .- w O (0 Current Cash Statement O O In N + us Summary Page, Line 16 12. Beginning Cash Balance O Column A, Line 3 above 13. Cash Receipts O Schedule I, Line 4 14. Miscellaneous Increases to Cash O O O N 15. Cash Payments Er) Add Lines 12 + 13 + 14, then subtract Line 15 16. ENDING CASH BALANCE 16 must be zero. -J If this is a termination statem Schedule B, Part 2 . LOAN GUARANTEES RECEIVED O EU) ns on reverse 2 CU a Cash Equivalents Add Line 2 + Line 9 in Column B above Outstanding Debts cD I— CO w -J 0 w 2 0 (n Occ$ qiiill ZCC G O� dco LL O 71 Q L.L. U a I.D. NUMBER 1388792 Is) CUMULATIVE CONTRIBUTIONS TO DATE Lo O. o N Z W U �n o W W d p N w < rt Z W 0 w z w W W Q. . < cc 0 Z J 0 s o W W W D. (f) ORIGINAL AMOUNT OF LOAN O CO r 00 O ❑ K c U z a 0 A o fu K LU 0 Z LU a CI❑ ,,, 0 K LU 0 Z lil Q Statement covers period I 9/25/2016 from 10/22/16 through (e) INTEREST PAID THIS PERIOD e W 0 o o W ac SUBTOTALS $ 24500 $ 0 $ 25000 $ 0 (d) OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD O O O N co \ N T > O10 a o $ DATE DUE > ❑ a 0 (c) AMOUNT PAID OR FORGIVEN THIS PERIOD" 0 a ❑ CD «> Z W > K o a ❑ O «n O ❑ .i Z W > K a ❑ w 0 a ❑ z W > K 0 U ❑ w Schedule B — Part 1 towhole dollars. Loans Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Committee to Elect Howard Miller for Council 2016 (b) AMOUNT RECEIVED THIS PERIOD O O co N (a) OUTSTANDING BALANCE BEGINNING THIS PERIOD 0 CD 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 ❑ COM ❑ OTH ❑ PTY ❑ SCC t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC I 0 0 u) }❑ CL I O 2 0 U 0 Z ❑ O O 10 N tContributor Codes CD Q a) D (May be a negative number) a) .0 N 0 C C J OO O a) N Q (ii > • ^. C c to E a) O co L 9O .- c O u) o o J U _u) o 0 0) 15; Q � w co N O @ C Oru a) 0 r �_ _O —) E -0 -0 a) V E Oa) O f6 N C C Q F o_ V) d 7 L •0 'ON 1E V C O C Y ` O O E a) Z -ate oma u) (1) co a) C '-c co w -c m' 0D -aco cr,c O (6 O - C a) d U n.0 a) mO r L .- '0C (6 C co C o 0 w Ss o t J~ J H- Z W U Cl) - N ri 40 N O N N fel N N CO ▪ (0 E o O OD • • U V (L u O. a LL a ar v 10 0) u Le, a 0. LL LL L1.1 a W 2 U a, a) v O .0O -o >co N E O In, C 0 E co O (V •U V) C O CE U O 'nI m C L O Cl) U) o CD cc tth > _ C W U Q) z a) Q/ o K LlJ Z O W O a) C) —6 'a o w �% cc E 4i 13 L (0Lu. - O EO fnQ waU u0 z C -o @ C O )n o` @ O) @ y C O E @� =gE > (6 O c u! @ -p O EO O a s .� -N0 O - U O -O O N E ->)a) 0 C c c C O E U P -oC D@ 7 D 'N O o § EcL o 2 c m 0 "O 2 U Y U w@> .0 a) aaJ JQWLLHC 2 (nF-HHH>> a) L a) a U O Z c a) C a) N Y 0 O (Uj (D L ` N N �2 @E� >, •O @ N E C.E Q 0)o > @ U E@ a> @ > > U) E 2 3 Y m o @ a) c 'o 'o U Cl) o_ .c.) @ c y C @ N C D a N 'O a) D .0 @ O a) m @ to @ E N' U y N 2 .0 (o E E o t.o_ a. a s nn a a) mto-(ULwzooccw y 2 2 O a_ a_ a. a a. a_ N a) D N N c -O .@ T o. a) a) El U 12a)r 0 CO 0) C N O N a O 2 0) Oa^ ) C '_ @ o o) 3 U 0. C O 'N O N 6 o f E v E a) To cn cO y C _c E C C O U co N y0 'Fa (6 Y a) 2 O a. a D c a 7 X x co @ C Q) j @ a) Z" co ir) C O_ U C .0 0) C C O c c o CO o c' c w 'm 'm a -oo 'm ac) -@O m E E C •2 -° 0@ E U) W U U OU U U w C_ U CI D2z1->-1zawI- (d) OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD 0 0 N (c) AMOUNT PAID THIS PERIOD (ALSO REPORT ON E) O (b) AMOUNT INCURRED THIS PERIOD co co (a) OUTSTANDING BALANCE BEGINNING OF THIS PERIOD O CODE OR DESCRIPTION OF PAYMENT a) W NAME AND ADDRESS OF CREDITOR (IF COMMITTEE. ALSO ENTER I.D. NUMBER) Wix.com Box 40190 San Francisco, CA 95070 0 O N 0 Vi 0 SUBTOTALS $ 0 m m E 0. w a) a) ro C N '0 C d 'C 0 O n 0 a) C 0 - U co Q) to o d C E Schedule F Summary a0 CO co O N INCURRED TOTALS $ O 0 Cr) a) N C a) a x a) a) 2 0 U (o a a) N E a) C 18; O N V) as w 4) O E 0 C O a)(_» C O a)�, a (1) X V) a) c a) a ts m G) b- o 0 H co 0 PAID TOTALS $ May be a negative number C 0 O U) O C >3 a) a 3 a D a) (o N77a)a) N U 2L C O U E (6 C O U N C 'O m E w- 0- -C -C -0 C (/) N LL1 a)' C -O C O � J Ura E o C O O7 O - N 'c a C C a) a J J O V <L- IE E EEE (L°C a O = O a0 U O a) e3 C p ,O (o aa) a� a) O „,(1) •- (U 0 0- &.)3 a C a) Tt6 w U N - (c Io Z O (V M �� o n m u c u N a0. �� a LO W 1.0 w > E > 3 0 LLbD • a a " U- O. C. V a) -o co > 0. 0. a LL