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460 BOURNE 21-1231_RedactedRecipient Committee COYER PAGE Campaign Statement Data Saw e" Otto Cover Page 0. rQECe/VF ehbmem eewo puled ease of election if appnuhla: T011F n _age m_ from 7/1/2021 (Montt. Day. )ANG FO �6 414,Fur Ol lDw Odv SAN SEE INSTRUCTIONS ON REVERSENroYah 12/31%21 N/A jU/N �Ap N,� 1. Type of Reclplent Committee: Ancoumlmea-CRmpIFle Pemf.2.3,and4. 2. Type of StaNmem: ® Olficehoder, Candidate Controlled Committee ❑ Pomanly Fanned Ballot Measure ❑ Preelection Statement ❑ Quarterly Slatement O State Candidate Election Commitee Conmltee ® Semiannual Statement ❑ Special Otld-Year Report 0 Rewil�S O Controlled ❑ Termination Statement O Sponsored (Aso fila a Form 410 Termination) ❑ Gannon Purpose CommMee nAr F«pe. FnY ❑ Amendment (Explain hasow) O sponsored ❑ Primeny Formed Candidate) O SmallContributorCommittee OfficeholderCommittee O Poltcal PalylCentralcommittee ha°NF,Nn 3. Committee Information LD. NUMBER Treasurer(s) al-liSkOlAi BOURNE FOR COUNCIL 2018 STREET ADDRESS CITY STATE nncoDE AREA CODEMMNE SAN JUAN CAPISTRANO CA 92675 - NAILINGADDRESS pF DIFFERENT) W. AM STREET OR PO. 83X — CITY STATE LP CODE EACO ENWW ALEX THURMAN WILINGADDREss CITV STATE LP CODE PAEA COOEFXOSE LAGUNA NIGUEL CA 92677 - NAME OFASSISTANT TREASURER, IFANY CITY STATE ME CODE AREACOOEPNONE OPTIONAL' FAX I E.MNLAOORESS Verification I have used all reasonable dlliperlce in pmpering and mviewr INS snatemant and to Ilse heel of my knovAedge tw Infomutlon conlaMM Weld and in the allached schedules is )rue and Complete. I cetify under penally of perjury under the laws of the Slate of California that Me foregoing Is Int and correct. Emauled on 1131/2022 av E.ecwd on `y 7� ey vim I E.evvee an am av E.ecvlea on oae em mer m. bMa eu Proponent FPPC Form 40 (Jan/2016) FPPC Addce: adAm@fppc.a.gov (966/275-3772) www.floCa.gov Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE I�Ecrrfenia.ly OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IFAPPLICABLE) CITY COUNCIL MEMBER RESICENTIAUBUSINESSADDRESS (NO.ANDSTREET) CITY STATE ZIP SLC, CA 92675 Related Committees Not Included in this Statement: Lrsr any committees notrndpded In fbfa Statement that am conlmMdby you or are pNmarlly formed to receive conbibudoas ormake expenditures on behalfelyew candfdary. COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEEADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE WOODS AREAGODEPHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YEs ❑ NO COMMITTEEADDRESS STREETADDRESS(NO P.O. BOX) CITY STATE ZIP CODE AREACODEPHONE COVER PAGE - PART 2 Page— of_ 6. Primarily Formed Ballot Measure Committee BALLOT NO. OR LETTER JURISDICTION ❑ SUPPORT ❑ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent If any. NAME OF OFFICEHOWER CANDIDATE. OR PROPONENT OFFICE SOUGHTOR HELD DISTRICT NO, IF ANY 7. Primarily Formed Candidate/Officeholder Committee umnamesa elfrcehdderi) or carmMamfs) ear wNch thin committee is primarily reamed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPOm ❑ OPPOSE NAME OF OFFICEHCLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT [I OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUP [I OPPOSE AeanN nenNnusffan assets ffnecassary FPPC Form460(lan/20161 PPPOAdvice: advice@fppc.co.gov (866/275-3772) Wv Jppcxa.gov Campaign Disclosure Statement Amounts may be rounded SUMMARY PAGE Summary Page to whole dollars. Statement covers period -_ 7/1/2021 .19" • , SEE INSTRUCTIONS ON NAME OF FILER BOURNE FOR COUNCIL 2018 Contributions Received Column A TOTALTHIS PERIOD schedule E, Line 4 7. Loans Made....................................................................... (FROMATTACHED SCHEDULES) 1. Monetary Contributions................................................... Schedule A, Line 3 $ 0 $ 2. Loans Received................................................................ schedule e, Line 3 Schedule C, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines I +2 $ 0 $ 4. Nonmonetary Contributions ............................................ schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED .................................... Add Lines 3 + 4 $ 0 $ Expenditures Made 6. Payments Made................................................................ schedule E, Line 4 7. Loans Made....................................................................... schedule H, Line 3 B. SUBTOTAL CASH PAYMENTS .......................................... Add Lines 6+7 9. Accrued Expenses (Unpaid Bills) .......................................... Schedule F Linea 10. Nonmonetary Adjustment......................................................... Schedule C, Line 3 11. TOTAL EXPENDITURES MADE ........................................ Add Lines 8+9+10 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 1, Line 4 15. Cash Payments......................................................... Column A, line 8 above 16. ENDING CASH BALANCE .................. Add Lines 12+T3+14,then subtract Line 15 If this is a termination statement, Line 16 must be zero. $ 0 $ $ 0 $ $ $ 17. LOAN GUARANTEES RECEIVED ................................ Schedule 6,Part 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ................................................ Seeinshucbonsonieverse $ 19. Outstanding Debts .............................. Add Line 2+ Line s in Column a above $ 0 0 0 0 0 $ through 12/31/2021 Column B CALENDARYEAR TOTAL TO DATE 0 0 0 0 To calculate Column B, add amounts in Column A to the corresponding amounts from Column B of your last report. Some amounts in Column A may be negative 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). Page of 83-1669361 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 111 through 6/30 7/1 to Date 20. Contributions Received $ 21. Expenditures Made $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made - (if Subleot to voluntary Expenditure Limit) Date of Election Total to Date (mm/dd/yy) q 'Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A Amounts may be rounded SCHEDULE A Monetary Contributions Received to whole dollars. Statement covers period I CALIFORNIA 7/1/2021 • from FORM 12/31/2021 SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER I.D. NUMBER BOURNE FOR COUNCIL 2018 83-1669361 DATE FULL NAME, STREETADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR ]FAN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMMEE, ALSO EWER I.D. NUMBER) CODE* OCCUPATION AND EMPLOYER RECEIVEDTHIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, EWER NAME PERIOD (JAN.1-DEC. 31) (IF REQUIRED) OF BUSINESS) ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL$ Schedule A Summary 1. Amount received this period — itemized monetary contributions. (Include all Schedule A subtotals.)..................................................................................... 2. Amount received this period — unitemized monetary contributions of less than $100 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.)....... ..............$ ..............$ TOTAL $ *Contributor 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 (Jan/2036) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.w.gov