The URL can be used to link to this page

Home My WebLink About2017 01-01 thru 06-30 Nichols 460Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Type or print In ink. Statement covers period from Jan 1, 2017 through June 30, 2017 1. Type of Recipient Committee: All Committees —Complete Parts 1, 2, 3, and 4. ❑ Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure Q State Candidate Election Committee Committee p Recall O Controlled (Also complete Pan 5) O Sponsored ❑ General Purpose Committee (Also Complete Part B) 0 Sponsored IZ Primarily Formed Candidate/ O Small Contributor Committee Officeholder Committee O Political Party/Central Committee (Also Complete Part 7) 3. Committee Information I.D. NUMBER COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Committee to Elect Kim Nichols for Orange City Council 2014 STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODEIPHONE Orange CA 92869 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX P. O. Box 6069 CITY STATE ZIP CODE AREA CODE/PHONE Orange CA 92683 OPTIONAL: FAX / E-MAIL ADDRESS C111Y 0t OKI} 7 AUG -4 AM 11 Date of election if applicable: (Month, Day, Year) Nov 4, 2014 i 2. Type of Statement: ❑ Preelection Statement ® Semi-annual Statement ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) Treasurer(s) COVER PAGE Page 1 of 5 For OBlclal Use Only ❑ Quarterly Statement ❑ Special Odd -Year Report ❑ Supplemental Preelection Statement - Attach Form 495 NAME OF TREASURER Lynn A Nichols MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE Orange CA 92869 NAME OF ASSISTANT TREASURER, IF ANY Not applicable MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS 4. Verification �////1111 I have used all reasonable diligence In preparing and reviewing this statement Signature of Controlkng Oficehoider, Candidate, State Meaatre Proponent Executed on Date By Signature of Contrd4ng OfAceholder, Candidate, State Measure Proponent FPPC Form 480 (January105) FPPC To16Free Helpline: 866/ASK.FPPC (86612753772) State of California Recipient Committee Type or print In ink. COVER PAGE - PART 2 Campaign Statement CALIFORNIA Cover Page — Part 2 FORM 460 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Kimberlee C Nichols OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) CITY COUNCIL MEMBER, ORANGE RESIDENTIALIBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP Orange, CA 92869 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 contributions or make expenditures on behalf of your candidacy. COMMITTEENAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEENAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE Page 2 of 5 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER I JURISDICTION ❑ SUPPORT ❑ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, If any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT UK HtLU DISTRICT NO. IF ANY 7. Primarily Formed Candidate/Officeholder Committee List names of officeholder(s) or candidates) for which this committee is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE Attach continuation sheets if necessary FPPC Form 460 (January/05) FPPC Toll -Free Helpllne: 866/ASK-FPPC (866/2753772) State of Callfornla Campaign Disclosure Statement Type or print in ink. Amounts may be rounded Summary Page to whole dollars. Statement covers period from Jan 1, 2017 SUMMARYPAGE SEE INSTRUCTIONS ON REVERSE through June 30, 2017 - Page 3 Of 5 NAME OF FILER I.D. NUMBER Committee to Elect Kim Nichols for Orange City Council 2014 1368342 Contributions Received Column A Column B Calendar Year Summary for Candidates TOTAL THIS PEMD (FROM ATTACHED SCHEDULES) CALENDARYEAR TCTALTO DATE Running in Both the State Primary and General Elections 1. Monetary Contributions ..... _ ............................ ....... Schedule A, Line 3 $ 0 $ 0 2. Loans Received ...... ........ ............ ............. ...... Schedule B, Line 3 0 0 1/1 through 6/30 7/1 to Date 3. SUBTOTAL CASH CONTRIBUTIONS ................... Add Lines l+2 $ 0 $ 0 20. Contributions Received $ $ — — 4. Nonmonetary Contributions ... .................. ...... Schedule C, Line 3 0 0 — Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ............ .............. Add Lines 3 + 4 $ 0 $ 0 Made $ — $ Expenditures Made 6. Payments Made ........... ................................. ......... Schedule E, Line 4 $ 554.00 $ 7. Loans Made .............. ................................... ...... ... Schedule H, Line 3 0 8. SUBTOTALCASH PAYMENTS .............................. Add Lines 6+7 $ 554.00 $ 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F, Line 3 0 10. Nonmonetary Adjustment .......................................... Schedule C, Line 3 0 11. TOTAL EXPENDITURES MADE................................Add Lines 8 + 9 + 10 $ 554.00 $ Current Cash Statement 12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ 13. Cash Receipts ............. ............. ................. Column A, Line 3 above 14. Miscellaneous Increases to Cash ........................... Schedule I, Line 4 15. Cash Payments .................................................. Column A, Line 8 above 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ..... _ .............. Schedule B, Part 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ........................................ See Instructions on reverse $ 19. Outstanding Debts ......................... Add Line 2 +Line gin Column above $ 5W;' 554.00 0 554.00 0 0 554.00 To calculate Column B, add 0 amounts in Column A to the corresponding amounts from Column B of your last 0 — 554.00 report. Some amounts In Column A may be negative 357.18 figures that should be subtracted from previous period amounts. If this is the first report being filed for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if any). Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (If Subject to voluntary Expenditure Limit) Date of Election Total to Date (mm/dd/yy) $ *Amounts In this section may be different from amounts reported in Column B. FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) T, n n ..ri-# I« I..L 3CHFni II P R _ PART 9 va,r 1q9uu1W o — ran t I Amounts may be rounded Statement covers period Loans Received to whole dollars, Jan 1, 2017 CALIFORNIA • from OR SEE INSTRUCTIONS ON REVERSE through June 30, 2017 Page 4 of 5 NAME OF FILER I.D. NUMBER Committee to Elect Kim Nichols for Orange City Council 2014 1368342 FULL NAME, STREET ADDRESS AND ZIP CODE OF LENDER IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER OUTS ANDING gALAE AMOUNT t0) AMOUNT PAID ( OUTST ING ° INTEREST ORIGINAL 9 CUMULATIVE (IFCOMMITTEE, ALSO ENTERI.D, NUMBER) (IFSELF•EMPLOYED,ENTER BEGINNING THIS RECEIVED THIS OR FORGIVEN BALANCEAT CLOSE OF THIS PAID THIS AMOUNT OF CONTRIBUTIONS NAME OF BUSINESS) ERIOD PERIOD THIS PERIOD PERIOD PERIOD LOAN TO DATE Steven A Nichols Attorney ❑PAID CALENDARYEAR ,, RATE $ ❑ FORGIVEN PER ELECTION'" $ 10000.00 $ 0 $ 0 12/15/17 0 8/15/14 la IND ❑ COM ❑ OTH ❑ PTY ❑ SCC $ DATE DUE DATE INCURRED Kimbedee C Nichols Restaurant Manager ❑PAID CALENDAR YEAR Cyranos Caffe LLC $ 0 $ 3,254.41 0 100 S 3,254.41 uran e, tA y)Zbby ; g % RATE $ ❑FORGIVEN PER ELECTION "* $ 3254.41 $ 0 $ 0 12/15/17 $ 0 8/15/14 $ to IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE INCURRED DATE DUE ❑ PAID CALENDAR YEAR ❑ FORGIVEN PER ELECTION RATE t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC S S $ S $ DATE DUE DATE INCURRED SUBTOTALS $ 0 $ 0 $ 13,254.41 $ 0 Schedule B Summary 1. Loans received this period.................................................................................................................... $ (Total Column (b) plus unitemized loans of less than $100.) 2. Loans paid or forgiven this period......................................................................................................... $ (Total Column (c) plus loans under $100 paid or forgiven.) (Include loans paid by a third party that are also itemized on Schedule A.) 3. Net change this period. (Subtract Line 2 from Line 1.)...................................................... Enter the net here and on the Summary Page, Column A, Line 2. "Amounts forgiven or paid by another party also must be reported on Schedule A. " If required. N ...... NET $ 0 (Mey be a negative number) Shcadde E, Une 3) tContributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC —Small Contributor Committee FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) Schedule E Payments Made Type or print In ink. Amounts may be rounded to whole dollars. Statement covers period from — Jan 1, 2017 . SEE INSTRUCTIONS ON REVERSE through — June 30, 2017 — Page 5 Of NAME OF FILER I.D. NUMBER Committee to Elect Kim Nichols for Orange City Council 2014 1368342 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CIVP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees R-iO phone banks TRC candidate travel, lodging, and meals FND fundralsing events POL polling and survey research TRS staff/spouse travel, lodging, and meals M independent expenditure supporting/opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LfT campaign literature and mailings PRT print ads WEB Information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID California Secretary of State FIL 200.00 United States Postal Service POS 164.00 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 364.00 Schedule E Summary 1. Itemized payments made this period. (include all Schedule E subtotals.) ............................ .................... ...... ...................................... $ 364.00 2. Uniternized payments made this period of under $100 ................................ ............................... ............................................... ............... $ 190.00 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) ................ ............................................................. �$ 0 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ...... ...................... TOTAL $ 554M FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)