Yuri Bohlen For Mayor Poway 2022 460 Preelection 10/26/2022Recipient Committee
Campaign Statement
Cover Page
Statement covers period
from o - S
SEE INSTRUCTIONS ON REVERSE
I through ` ,
1. Type of Recipient Committee: All Committees — complete Parts 1, 2, 3, and 4.
Officeholder, Candidate Controlled Committee ❑
Primarily Formed Ballot Measure
O State Candidate Election Committee
Committee
Q Recall
O Controlled
(Also Complete Part5)
O Sponsored
(Also Complete Part 6)
❑ General Purpose Committee
O Sponsored ❑
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)
�lte r /NI,,q-/.,)r PJi�/9 y
CITY STATE ZIP CODE AREACODE/PHONE
MAILINGADDRESS (IF DIFFERENT) NO.AND STREET OR P.O. BOX
CITY STATE ZIP CODE AREACODE/PHONE
OPTIONAL: FAX/E-MAILADDRESS
4. Verification
COVER PAGE
Date Stamp CALIFORNIA
RECEIVE® FORM 41'
Date of election if applicable: OCT � � 20��
Page % of ;
(Month, Day, Year) For Official Use Only
CITY OF POWAY i
ITY CLERKS OFFICEI
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
yyr/ A'qi/ly
MAIL NG ADDRESS
/
CITY STATE ZIP CODE AREA CODE/PHONE
NAME OF ASSISTANT TREASURER, IF ANY
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE
ONAL: FAX / E-MAIL ADDRESS
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.
certify under penalty of perjury/under the laws of the State of California that the foregoing is true and correct.
Executed on - v - `7). By
Date Sigy tureofTreasurerorAssistantTreasurer
Executed on By
Dale Signature of Controlling Officeholder, didale, State Measure Proponent or Responsible Officer of Sponsor
Executed on
Date
Executed on
Date
By
Signature of Controlling Officeholder, Candidate, Stale 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
Summary Page
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
}furl rho l e-Y Fo r m,44 b r f 2 We
Contributions Received
o2Z-
1. Monetary Contributions................................................... Schedule A, Line 3
2. Loans Received................................................................ Schedule B, Line 3
3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 1 +2
4. Nonmonetary Contributions ............................................ Schedule C, Line 3
5. TOTAL CONTRIBUTIONS RECEIVED................................Add Lines 3+4
Expenditures Made
6. Payments Made................................................................
Schedule e, Line 4
7. Loans Made.......................................................................
Schedule H, Line 3
8. SUBTOTAL CASH PAYMENTS .......................................
Add Lines 6+7
9. Accrued Expenses (Unpaid Bills) ..........................................
Schedule F Line 3
10. Nonmonetary Adjustment.........................................................
Schedule C, Line 3
11. TOTAL EXPENDITURES MADE....................................Add
Lines 8+9+10
Amounts may be rounded
to whole dollars.
Column A
TOTAL THIS PERIOD
(FROM ATTACHED SCHEDULES)
Current Cash Statement
12. Beginning Cash Balance ............................ Previous Summary Page, Line 16 $ cI 56�f
13. Cash Receipts........................................................... Column A, Line 3 above
14. Miscellaneous Increases to Cash .................................. Schedule 1, Line 4
G
15. Cash Payments......................................................... Column A, Line 8 above
7
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 $ I
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ................................................ See instructions on reverse $
19. Outstanding Debts .............................. Add Line 2 + Line 9 in Column B above $ `?
SUMMARY PAGE
Statement covers period
from 51 — � a.- :T ,'
through /`� �'� Page 91 of 7
Column B
CALENDAR YEAR
TOTAL TO DATE
$ 0
$
t�
To calculate Column B,
add amounts in Column
Ato 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).
I.D. NUMBER
/ysy35�y
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 $ $
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
SCHEDULE B-PART 1
Schedule B — Part 1 vtowholedollars.
Statement covers period
P
CALIFORNIA
Loans Received
')-� a Z E
•
from
SEE INSTRUCTIONS ON REVERSE
through
Page of
NAME OF FILER
I.D. NUMBER
jLls
FULL NAME, STREET ADDRESS AND ZIP CODE
[FAN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
a
OUTSTANDING
(b)
AMOUNT
c
AMOUNT PAID
OUTSTANDING
e
INTEREST
ORIGINAL
g
CUMULATIVE
OF LENDER
BALANCE
RECEIVED THIS
OR FORGIVEN
BALANCE AT
PAID THIS
AMOUNT OF
CONTRIBUTIONS
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
(IF SELF-EMPLOYED, ENTER
OF BUSINESS)
BEGINNINGTHISNAME
PERIOD
PERIOD
THISPERIOD-
CLOPERIOD EOFTHIS
PERIOD
LOAN
TO DATE
r
CAII jI/
❑ PAID
$
$ L)I'� �q
�2%
$
CALENDARYEAR
$ 9 j?
❑FORGIVEN
_
/ 7
c=/'e�:vs
RATE
PER ELECTION
$
$ (� 9i9
$
z
$
;,,..t�
$
'RE IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
DATE DUE
DATE INCURRED
❑ PAID
CALENDAR YEAR
❑ FORGIVEN
PER ELECTION-
RATE
t ❑ IND ❑ COM ❑ OTH [I PTY ❑ SCC
$
$
$
$
$
DATE DUE
DATE INCURRED
❑ PAID
CALENDAR YEAR
❑ FORGIVEN
PER ELECTION**
RATE
$
$
$
$
$
DATE DUE
DATE INCURRED
t ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
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 $100 paid or forgiven.)
(Include loans paid by a third party that are also itemized on Schedule A.)
3. Net change this period. (Subtract Line 2 from Line 1.) .............................
Enter the net here and on the Summary Page, Column A, Line 2.
*Amounts forgiven or paid by another party also must be reported on Schedule A.
** If required.
..........................................$ _L);919
..........................................$ — O —
L1
.................................NET $ % 2 —
(May be a negative number)
(triter (e) on scneawe t, Line s)
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
Schedule E
Payments Made
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Amounts may be rounded
to whole dollars.
Statement covers period
from `� 2 Z
through 10 a A Z L
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
SCHEDULE E
Page of
1i S
yy
J
CMP
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
PHO
phone banks
TRC
candidate travel, lodging, and meals
FND
fundraising events
POL
polling and survey research
TRS
staff/spouse travel, lodging, and meals
IND
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
LIT
campaign literature and mailings
PRT
print ads
WEB
information technology costs (internet, e-mail)
NAME AND ADDRESS OF PAYEE
CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
PC
yuT: Ao.� {./ r'Jai)Fz-eS
* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $
Schedule E Summary 0
1. Itemized payments made this period. (Include all Schedule E subtotals.)....
2. Unitemized payments made this period of under$100..........................................................................................................
3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e).).............................................
4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.)........
................................ $ ��
................................ $
................................ $ +�
................... TOTAL $
L L;
FPPC Form 460 (Jan/2016))
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov