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CA Form 460 Recipient Committee Preelection Campaign Statement No. 2 - Ken Dyda - Amendment No. 1 Recipient Committee COVER PAGE p Campaign Statement RtIFED CALIFORNIA 460 FnRM Cover Page CITY OF RANCHO PALOS Statement covers period Date of election if applicable: Page of n h Day,Y r JAN 2 9 2016 For Official Use n / (Mot ea) Only from SEE INSTRUCTIONS ON REVERSE through V C!'IN CLERK'S OFFICE 1. Type of Recipient Committee: All Committees-Complete Parts 1,2,3,and 4. 2. Type of Statement: El Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure g;1,-"Preelection Statement ❑ Quarterly Statement O State Candidate Election Committee Committee El Semi-annual Statement ❑ Special Odd-Year Report O Recall 0 Controlled ❑ Termination Statement (Also Complete Part 5) 0 Sponsored (Also file a Form 410 Termination) (Also Complete Part 6) ❑ General Purpose Committee 1mendment(Explain below) O Sponsoredrimarily Formed Candidate/ O Small Contributor Committee Officeholder Committee , - - - - _- • J 7) O Political Party/Central Committee (Also Complete Part 3. Committee Information I.D.NUMBER Treasurer(s) 4)4/1114";L- 1 OMMITTEE NAME(OR CAN !DATE'S NAME IF NO COMMITTEE) N F TREASURER 6'4 'W*"1V tdAa°,eja‘,#' 1—,..., ! ''� /jjNfAILING ADDRESS .2,0J_<— . . STREET ADDRESS(NO P.O.BOX) , C i STATE ZIP CODE AREA CODE/PHONE . 4, Air.dP, .... , ..,...:. 41 ° AI.' r► � STATE ZIP CODE AREA CODE/PHONE N .. E OFA SISTANT T EAS RER,IF• / c.asoe 6.. AO s �' s � 5- � ICING ADDRESS IF FEREN NO.AND STREET R P.O.B f MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX/E-MAIL ADDRESS OPTIONAL: FAX/E-MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the be • •• knowledge the information contained herein and in the attached schedules is true and complete. I certify under penalty of perju nder t laws of the State of California that the forego'•• .'rrect. Executed on Zr 704 By DateCignaturelet. Executed ori42 '/d, By Date _ -ndidate,State Measure Proponent or Responsible Officer of Sponsor Executed on By Date Signature of Controlling Officeholder,Candidate,State Measure Proponent Executed on By Date Signature of Controlling Officeholder,Candidate,State Measure Proponent FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov COVER PAGE-PART 2 Recipient Committee CALIFORNIA 460 Campaign Statement FORM Cover Page — Part 2 Page of 3 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE 47415CES' OR (I E LOCATION AND DISTRICT NUMBER IF APPLIC LE) BALLOT NO.OR LETTER JURISDICTION ❑ SUPPORT ❑ OPPOSE Al L-, Z14f/If ril _ Ar . if_ ........ _, ..,_, R SIDENTIAUBUSINESS ADDR S (Ns.AND STREET) rSTATE ZIP �� — NAME OF OFFICEHOLDER,CANDIDATE,OR PROPONENT Related Committees Not Included in this Statement: List any committees not included in this statement that are controlled by you or are primarily formed to receive OFFICE SOUGHT OR HELD DISTRICT NO.IF ANY contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME I.D.NUMBER 7. Primarily Formed Candidate/Officeholder Committee List names of NAME OF TREASURER CONTROLLED COMMITTEE? officeholder(s)or candidate(s)for which this committee is primarily formed. ❑YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O.BOX) NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD SUPPORT Vel? ) .._ ~,f OPPOSE CITY STATE ZIP CODE AREA CODE/PHONE E OF OFFICE LDER OR CANDIDATE OFFICE SOUGHT/ OR HELD ❑ SUPPORT ❑ OPPOSE COMMITTEE NAME 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 El YES ID NO El SUPPORT ❑ OPPOSE COMMITTEE ADDRESS STREET ADDRESS (NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov Campaign Disclosure Statement Amounts may be rounded SUMMARY PAGE to whole dollars. Statem nt coversperiod Summary Page CALIFORNIA 460 from 12 / FORM 7SEEINSTRUCTIONS ON REVERSE through./ 4 Z' Page 3 of,_____ NA145E OF FILER I.D.NUMBER Li-C9e.3fr / a ,1m 24)4),,L—...1 J 2- Column A I Column B Calendar Year Summary for Candidates Contributions Received TOTAL THIS PERIOD CALENDAR YEAR (FROM ATTACHED SCHEDULES) TOTAL TO DATE Running in Both the State Primary and General Elections 1. Monetary Contributions Schedule A,Line 3 $ /L Li 7 $ -2-..<44-e--- 1/1 through 6/30 7/1 to Date 2. Loans Received Schedule B,Line 3 34.,W d' 20. Contributions 3. SUBTOTAL CASH CONTRIBUTIONS Add Lines 1+2 $ �,1/7 $ ./r' r Received $ $ 4. Nonmonetary Contributions Schedule C,Line 3 0e-- 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED .Add Lines 3+4 $ _____41.e51-z___ $ 70,44,,e__. Made $ $ r Expenditures Made , Expenditure Limit Summary for State 6. Payments Made Schedule E,Line 4 $ . 3‘....- $ Candidates 7. Loans Made Schedule H,Line 3 6 0 ..----- 22. Cumulative Expenditures Made* 8. SUBTOTAL CASH PAYMENTS Add Lines 6+7 $ $ (If Subject to Voluntary Expenditure Limit) 9. Accrued Expenses(Unpaid Bills) Schedule F,Line 3 0 l' Date of Election Total to Date 10. Nonmonetary Adjustment Schedule C,Line 3 ( C7), (mm/dd/yy) 11. TOTAL EXPENDITURES MADE Add Lines 8+9+10 $ ‘3 $ 5Z.„„ _j _______I_I $ Current Cash Statement $ 12. Beginning Cash Balance Previous Summary Page,Line 16 $ j ? .L,/9 9To calculate Column B, 13.Cash Receipts Column A,Line 3 above _ 2....... add amounts in Column A to the corresponding *Amounts in this section may be different from amounts 14. Miscellaneous Increases to Cash Schedule 1,Line 4 amounts from Column B reported in Column B. 15.Cash Payments Column A,Line 8 above of your last report. Someamounts in Column A may 16. ENDING CASH BALANCE Add Lines 12+13+14,then subtract Line 15 $ 20' -.-..1be negative figures that should be subtracted from If this is a termination statement,Line 16 must be zero. previous period amounts. If this is the first report being 17. LOAN GUARANTEES RECEIVED Schedule B,Part 2 $ filed for this calendar year,only carry over the amounts Cash Equivalents and Outstanding Debts from Lines 2,7,and 9(if any). 18. Cash Equivalents See instructions on reverse $ 19. OutstandingDebts Add Line 2+Line 9 in Column B above $ ____.c.-36 FPPC460 Jan 2016 Form ( / ) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov