Yuri Bohlen For Mayor Poway 2022 460 Preelection 09/26/20223. Committee Information
COMMITTEE NAME (OR CAN
r;t.,` 89 `1L,/,y /-Or
Recipient Committee
Campaign Statement
Cover Page
Statement covers period
from L
SEE INSTRUCTIONS ON REVERSE I through 9 _ 19q V t912
1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4.
IQ Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure
U State Candidate Election Committee Committee
0 Recall 0 Controlled
(Also Complete Part5) 0 Sponsored
(Also Complete Part 6)
❑ General Purpose Committee
0 Sponsored ❑ Primarily Formed Candidate/
0 Small Contributor Committee Officeholder Committee
0 Political Party/Central Committee (Also Complete Part7)
I.D. NUMBER
COMMITTEE)
3TREETADDRESS (NO P.O. BOX)
:ITY STATE ZIP CODE �AAREACODE/PHONE
u AILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
CITY STATE ZIP CODE AREACODE/PHONE
OPTIONAL: FAX / E-MAIL ADDRESS
COVER PAGE
Date Stamp
RFF.CENED
Date of election if applicable: Page / of 3
(Month, Day, Year) SEA' 2 6 2022 For Official Use Only
CITY OF POWAY
ITY CLERK'S OFFICE
2. Type of Statement:
Preelection Statement ❑ Quarterly Statement
❑ Semi-annual Statement ❑ Special Odd -Year Report
❑ Termination Statement
(Also file a Form 410 Termination)
❑ Amendment (Explain below)
Treasurer(s)
NAME OF TREASURER
MAILING ADDRESS
rYz
ZIP CODE AREA CODE/PHONE
J f
NAME OF ASSISTANT TREASURER, IF ANY
MAILING ADDRESS
CITY STATE ZIP CODE AREACODE/PHONE
OPTIONAL: FAX/E-MAIL ADDRESS
4. Verification
I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein and in the attached schedules is true and complete. I
certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Executed on 9 Z (' .a By
Date Signat e) of Treasurer or Assistant Treasurer
Executed on �~ �(' �Z.L By IilAL41 /�
Date of Conlrollina Officeholder. Ca idle. Slate Measure Proponent or Resnonsihle officer of .Snoosnr
Executed on
Date
Executed on
Date
By Signature of Controlling Officeholder, Candidate, State Measure Proponent
By 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
Campaign Disclosure Statement Amounts may be rounded
Summary Page to whole dollars.
Statement covers period
from J'�_ 'i�
SEE INSTRUCTIONS ON REVERSE through 9—
NAME OF FILER
`
Contributions Received
Column A
TOTAL THIS PERIOD
(FROM ATTACHED SCHEDULES)
Column B
CALENDAR YEAR
TOTAL TO DATE
1. Monetary Contributions...................................................
Schedule A, Line 3
$ 0 $
2. Loans Received................................................................
Schedule B, Line 3
3. SUBTOTAL CASH CONTRIBUTIONS ..............................
Add Lines 1 +2
$ �� $
J U
4. Nonmonetary Contributions ............................................
Schedule C, Line 3
C)
5. TOTAL CONTRIBUTIONS RECEIVED................................Add
Lines 3+4
$ ~n $
10
Expenditures Made
6. Payments Made................................................................ Schedule e, Line 4 $
7. Loans Made....................................................................... Schedule H, Line 3
8. SUBTOTAL CASH PAYMENTS ....................................... Add Lines 6+7 $ yy�
9. Accrued Expenses (Unpaid Bills) .......................................... Schedule F Line 3 L/
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 + 13 + 14, then subtract Line 15 $ 7 J
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 9 in Column B above $
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).
SUMMARY PAGE
Page -�, of
I.D. NUMBER
Calendar Year Summary for Candidates
Running in Both the State Primary and
General Elections
1/1 through 6/30 7/1 to Date
20. Contributions
Received
$ $
21. Expenditures
Made
$ ._ $ f
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 (Jan/2016))
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Amounts may be rounded SCHEDULE B - PART 1
acneuule 0 — fart -I to whole dollars.
Statement covers period
Loans Received
` If �
CALIFORNIA '
• I
from _�_Y
.
'
SEE INSTRUCTIONS ON REVERSE
through
Page of
NAME OF FILER
I.D. NUMBER
FULL NAME, STREET ADDRESS AND ZIP CODE
IF AN INDIVIDUALENTER
OC, CUPATION AND EMPLOYER
a
OUTSTANDING
(b)
AMOUNT
c
AMOUNT PAID
OUTSTANDING
e
INTEREST
ORIGINAL
y
CUMULATIVE
OF LENDER
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
(IF SELF-EMPLOYED, ENTER
BALANCE
BEGINNING THIS
RECEIVED THIS
PERIOD
OR FORGIVEN
THIS PERIOD*
BALANCE AT
CLOSE OF THIS
PAID THIS
PERIOD
AMOUNT OF
LOAN
CONTRIBUTIONS
TO DATE
NAME OF BUSINESS)
PERIOD
PERIOD
j�
r[ l''�' 7L�
❑ PAID
CALENDARYEAR
l
$ 2 as
(/1
RATE
,P��
PER ELECTION
2 i, y
(,✓� 1 L� �� -s ✓
$ Z� ��
$
$ 2r s
t & IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
DATE INCURRED
DATE DUE
❑ PAID
CALENDAR YEAR
❑ FORGIVEN
PER ELECTION-
RATE
t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
DATE DUE
DATE INCURRED
❑ PAID
CALENDARYEAR
❑ FORGIVEN
PER ELECTION-
RATE
t ❑ IND ❑ COM ❑ OTH El PTY ❑SCC
$
$
$
$
$
DATE DUE
DATE INCURRED
SUBTOTALS $ $ $ $
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 $100 paid or forgiven.)
(Include loans paid by a third party that are also itemized on Schedule A.)
3. Net change this period. (Subtract Line 2 from Line 1.)..............................................
Enter the net here and on the Summary Page, Column A, Line 2.
*Amounts forgiven or paid by another party also must be reported on Schedule A.
** If required.
....................$
....................$
........... NET $ b i 15
(May be a negative number)
(Enter (a) on Schedule E, Line 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 (Jan/2016))
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov