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HomeMy WebLinkAboutH Miller 2nd Pre-electionW a_ W 0 U O U a 0 O N a (] a) Cf) > (NI V a) C 0) E 0) Ca (n E O SEE INSTRUCTIONS ON REVERSE Type of Statement Quarterly Statement Special Odd -Year Report 0 Preelection Statement Semi-annual Statement 0 co E a) H a) c) a) co E (n O C W 0 (0 C a) C_ w N 8 Q Amendment (Explain below) ❑ ❑ ❑ `) u) co a) 2 v Ca Co E -o N O1.) LL a) O T = C w E o a E E aU0 U ❑ a) co a a) c a) co E 0 o `O U a W j� d >+ p ro — L E U U Q OQ E a) E ) o E E(1) Q 0 a) 0 E E 9 E T2 O E Ea) U.0 • 0) E U O m aa)) E o io CoW E U C O -a a) 0 0 0 4E i C U 5 U N col a) _ate .Q 0 t a Ts a) o C1- (1.) 43) _O—� (1 NU 0 O f0 a`2 C @ r co U E N O O 0(n00 c(n(na a o00Q 6)000 Treasurer(s) CoK Lull) Z� 0 Committee Information tri (Y D Q N W CC c G W O '0 w C Q '.cC^'j l (.0 O N w�U C 200 O i U O z w Q) U z ❑ O U Q) 0 O w 0 Z Q) W W • E 2 0UO U AREA CODE/PHONE 408/802-4034 CO 0) 0 CO W X 0 m O NAME OF ASSISTANT TREASURER, IF ANY O L 0o 0 O a N CJ) w Q< Q U MAILING ADDRESS MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX AREA CODE/PHONE w ❑ 0 U a N AREA CODE/PHONE F- U OPTIONAL: FAX / E-MAIL ADDRESS FAX / E-MAIL ADDRESS z O F- 0 4. Verification a) 0 E 0 U m a) U) N a) a) N U Cn N 0 U co co co a) w C co C 0) a) s a) C O U O as E O C a) s a) O) a) Cn O 0 Y U E C o 6 0 O N Jo N 0) c O 00) - a) c o as w E a) c Cm N 'c O .c '— 0) C4 U 3 0 a) a) a) CO L 0) o N m 3 a a) CO o. c U -0 C C a) .a) o CD n. CO CO 0 T n .. as To 0)) c _ m Co a -o a) a) D CO C a) >C t 0 U 10/25/2016 Executed on Executed on C) 0 Signature of Controlling Officeholder, Candidate, State Measure Proponent Executed on 0 Executed on Signature of Controlling Officeholder, Candidate, State Measure Proponent C) 0 iC N N O N \ M C "9 N � CD 1-0 tt 03 C -O E > LL 0.0 U u a a, LL a 0) N La Ca to 0) U .> U LL N CC d w 0 d w 0 0 6. Primarily Formed Ballot Measure Committee 5. Officeholder or Candidate Controlled Committee NAME OF BALLOT MEASURE NAME OF OFFICEHOLDER OR CANDIDATE Howard Miller 0 0) a 0 a 0- D D du) 0 ❑ ❑ JURISDICTION OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Saratoga City Council a N F- 0 RESIDENTIAL/BUSINESS 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 d m m � v E o o N.e E m y `OF 10 E. E O Q v d `v ▪ m •� O G • c o O N > C v O • o c G t: d O _ � N 4 to j 0 Z • w0 EtE 0.5 •1 c. cc 8 I.D. NUMBER 0 E y E N42 E EQ O oCD t 'a E t o d 0 V 0 U•e +' to v w Cw � co UJo° e do E� L O O u. y •L E N O,. o ri CONTROLLED COMMITTEE? H H F- H O 0 u) 0 w 0 u) asasasas co • 0 a) 00 0) 0 uu)) 0 ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ OFFICE SOUGHT OR HELD OFFICE SOUGHT OR HELD OFFICE SOUGHT OR HELD OFFICE SOUGHT OR HELD COMMITTEE NAME NAME OF TREASURER STREET ADDRESS (NO P.O. BOX) COMMITTEE ADDRESS AREA CODE/PHONE w 0 0 0 d N V) F- 0 I.D. NUMBER CONTROLLED COMMITTEE? 0 z u) w r 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 I- 0 -o a) C c • , • cn O m • O AV m a) E w 3 3 S o O E E -I cv z N O V O _� C) a 'Fs 03E V O N N O a) 0) m a z 0) 0 r SEE INSTRUCTIONS ON REVERSE d 'O co (73 C • E U � �a 4• (8 • N Et Cl) • rO O a) +, d m ca C To • 6- a) i O reC7 7/1 to Date 1/1 through 6/30 20. Contributions Eft ER m d.---- 2-cc .-E (o • C- CCJ v/OG a P., N w as E a)- C L]. G W 3 0) 0 N > N E 3d a J c w' • U" 4.7, 412 csii5 43 N a) • V K • CU W U Total to Date C 0 U W• O E • E co c FR ER Oh. °, o n C N M U C O LA O to N O. a E v o E '0 3 C O o O LL a)(J o aa. a LL > 0) @ U E •> C '0 o m iS m a) C U '' N 7 -o .0 o Q cU a co C LL o • o C O O Q 2 O O N Eft Contributions Received ER Schedule A, Line 3 Monetary Contributions Schedule B, Line 3 Loans Received O ER O Eft Add Lines 1 + 2 SUBTOTAL CASH CONTRIBUTIONS O O O 10 N Schedule C, Line 3 Nonmonetary Contributions Add Lines 3 + 4 TOTAL CONTRIBUTIONS RECEIVED r N M L O ER O d cc 2 N L) 0 C 0) Q. K W ER Schedule E, Line 4 O O 6. Payments Made Schedule H, Line 3 Loans Made O O O N ER O CO O ER Add Lines 6 + 7 SUBTOTAL CASH PAYMENTS 0 O Schedule F, Line 3 Accrued Expenses (Unpaid Bills) co o) O O N ER co O Schedule C, Line 3 10. Nonmonetary Adjustment Eft Add Lines 8 + 9 + 10 11. TOTAL EXPENDITURES MADE co >. aa E• co- E C o C m O v'7 rn�mOvF UE aU oC Eoc o3ooTo.0o CO CL pr65U 'nmo�� oa. a)C ai E t7 ` > N-0 (6 7OC> a. copN U U E 12:3 C C a) S 7 "-' C (0 w 7 II 7a)-ON>UJE O'I'M? O O O C O> U) 'O T E N N H (0 < CO 0 CO .0 N .1):-E.,... :.= 0C 2 C (0 Current Cash Statement O O O 10 N Eft Previous 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 10 N Column A, Line 8 above 15. Cash Payments ER Add Lines 12 + 13 + 14, then subtract Line 15 16. ENDING CASH BALANCE Line 16 must be zero. ermination stateme Schedule 8, Part 2 17. LOAN GUARANTEES RECEIVED O ER ER See instructions on reverse Cash Equivalents Add Line 2 + Line 9 in Column 8 above Outstanding Debts 0o o) CO e 0 / I.D. NUMBER 1349058 (9) CUMULATIVE CONTRIBUTIONS TO DATE ( CI 0 \ / 3 0 _ \ § 0 \ to § j z , 0 -J to ( j0 5 - ic0 _ (f) ORIGINAL AMOUNT OF LOAN I�0 ® co \! CO — �jO k *a®k CYCY / CCCY 0n k Statement covers period 9/25/2016 from 10/22/16 through )e) INTEREST PAID THIS PERIOD SUBTOTALS $ $ $ $ OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD 0 \ / $ \ u § 0 DATE DUE § 0 (c) AMOUNT PAID OR FORGIVEN THIS PERIOD * 0 » O- z Q 0 O - g ! 0_ z 0 2 O _ 0 » O_ § @ 2 O - Schedule B — Part 1 to wholedollars. Loans Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Committee to Elect Howard Miller for Council 2016 (b) AMOUNT RECEIVED THIS PERIOD 0 \ (a) OUTSTANDING BALANCE BEGINNING THIS PERIOD 0 69 69 69 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 Sararoga, CA 95070 t IND ❑ COM ❑ OTH ❑ PTY ❑ SCC t❑ IND ❑ COM D OTH ❑ PTY ❑ SCC t IND ❑ COM D OTH ❑ PTY ❑ SCC \ \ tContributor Codes 00 %%/ �o o=m 0 2 \ \ \ w (May be a negative number) FPPC Form 4 on j R LL W J 0 LL U U) SEE INSTRUCTIONS ON REVERSE NAME OF FILER Committee to Elect Howard Miller for Council 2016 O 0 0 - Cf) a) m C coco a) E . E a) co Nm - To N o co aa)i a) c N oa)E— N O U E2 O C 0 •O -0 m Nw C O N O` m 0) N N Ea) U O_ 6).0 . O 7 m 0 C O) T 'O N ( 2C 0) O E O) 0 O 0 N m ° O a 0. •� N (1) (2 U O -0 D a) E -> C C C a) C5- "E a)ma)o_0 m om> m aa) m_ O a) -0 N C E U C O a) 7 Q .N .2 -o 0) m f0 0 O7 Ti U m c m O-0 uo) )- -c .Ti u) '-°-O '5Ec c o `o -a 1.2 N U ...%U V)6 - 4) ❑❑JJUcn1LHm N <LLQW CCCC(1)0 W (Z U)I-H H H > > CO O a) -a0) o C) O a) N 7 _a N O 0) U L c O N U m a) c ° m 0 N o C E ' N N N C E 0- 0) >-• m U CO 7:2 a) >> m 7 V) N C a) o ` Y a) m m a) C "O -° C ° N Q•U m C O CD _ .c m C a) 0) a) N m c O a) E m e C 5 a) a) a) U _ O = N O .0 N L O O c E E o n. o- o- on on a aceO0HOJ(/)OH O COHLLW 200CIX - 20CLaa_aan. N a) U x N a) c -O >- a ` 7 ) 0 O 0) C U) o O Q O 0 U 0) a) C m O 0) j U a) Q C o N 0 n - O E EN N E a) 9— m 0 E.)v a) 'm N C 7 c' T) E C _C O m +' — C N 4-- L m m 0 a) O c 7 nx. _0 C X- 7 U N ca C i c C> N (6 m C n, OU .0 �, 7 C c- O C C m a) _C _0 C4 -0)O) C0 m .N C N •0) 'm 'm _ -0 U – a) N iri E E E .5 c 2 E W co 0 0 O. O. .0 ami 0 Cl- U)mO ❑ UU UUUUIUIZL?� J (d) OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD 0 co ,- (c) AMOUNT PAID THIS PERIOD (ALSO REPORT ON E) o 0 (b) AMOUNT INCURRED THIS PERIOD 0 co ,- (a) OUTSTANDING BALANCE BEGINNING OF THIS PERIOD o O CODE OR DESCRIPTION OF PAYMENT m W NAME AND ADDRESS OF CREDITOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Wix.com PO Box 40190 San Francisco, CA 95070 0 CO O 6R 0 O O SUBTOTALS $ a) 0 N m E N a) a a)x CC) C 0. a) 0 N O C N o 8 U a) U m U rc C 0 .N-rU C N a) a3 E E x N c0 O INCURRED TOTALS $ O PAID TOTALS $ c O U) O C C� C O Q _N �-. L V) O O a) O O N CD a) _0 G C "a a) E a)"U O C C 0 U a c O IL U a) LL a) NL °�E U U (0 o a L U N U) N_ (0 E C a O C O C O O O N U) a) a a o Q - LN Q -a 0 V) 0 E E L7 O L OL :a 0 (6 • O a0 N T cn a) N� E CO C O O m O- a) O C O C LLNa a. 0 a) a) U O U N a) a caa Gi U O U VI- c6 H• CO C T N co O a C a) a) L a) U C 2 O a) C W a) J E 2 N a) C J V cc Y U) I- w z May be a negative number O a) C J C E _7 O 0 o a) C Ct Q- 0.. 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