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Yuri Bohlen For Mayor Poway 2022 460 Termination 12/27/2022Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement covers period from 0 A 3" ,t through ;�A 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure 0 State Candidate Election Committee Committee 0 Recall 0 Controlled (Also Complete Part 5) 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) COVER PAGE Date Stamp CALIFORNIA Date of election if applicable: DEC 2 % 2�LL Page -- of ~ U (Month, Day, Year) For Official Use Only ITITY OF P Y CLERK'SaWAY 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) 3. Committee Information I.D. NUMBER �y' %y 35y Treasurer(s) COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER Ar,` 6'9ytir ,,fig7 /�/ !, y ,t // n� y / �1N 1 J �� t'/ l L ;i� f `� 1 ✓ !� / .ri / //� ,�✓ y / (� nirY / l 3l�/ n L MAILING ADDRESS � � ` / , 7REETADDRESS (NO P.O. BOX) 3i��; ��.�,,�� boy STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREACODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX MAILING ADDRESS CITY STATE ZIP CODE AREACODE/PHONE CITY STATE ZIP CODE AREACODE/PHONE OPTIONAL: FAX/E-MAILADDRESS 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 certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed on / y W ` ` Date By S' nature of Treasurer or Assistant Treasurer Executed on %in 7 —'2��)� By A") /�, Signature of Controlling Officeholder, 7ndidate, Slate 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 Campaign Disclosure Statement Amounts may be rounded SUMMARY PAGE Summary Page to whole dollars. Statement covers period . from s , 60 through Page `x of SEE INSTRUCTIONS ON REVERSE S NAME OF FILER I.D. NUMBER A 89 �. Wa Zp /Ll 3s y Contributions Received Column A TOTAL THIS PERIOD Column B Calendar Year Summary for Candidates (FROM ATTACHED SCHEDULES) CALENDAR YEAR TOTAL TO DATE Running in Both the State Primary and '✓ General Elections 1. Monetary Contributions................................................... Schedule A, Line 3 $ ' J $ .. 1/1 through 6/30 7/1 to Date 2. Loans Received................................................................ Schedule B, Line 3 �` C� 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 1 +2 $ J �� $ s) /` 20. Contributions Received $ $ 4. Nonmonetary Contributions ............................................ Schedule C, Line 3 0 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ................................ Add Lines 3+4 $ 0 $ Made $ $ Expenditures Made t�, 3 2 lr 6. Payments Made................................................................ Schedule e, Line 4 $ r J $ l J 7. Loans Made..................................................................•--.. Schedule H, Line 3 � L) -S L2 8. SUBTOTAL CASH PAYMENTS ....................................... Add Lines 6+7 $ 3 `7 $ 1 3 9. Accrued Expenses (Unpaid Bills) .......................................... Schedule F Line 3 C� 10. Nonmonetary Adjustment......................................................... Schedule C, Line 3 0 /0� / 11. TOTAL EXPENDITURES MADE....................................Add Lines 8+9+10 $ % $ j Current Cash Statement _ 12. Beginning Cash Balance ............................ Previous Summary Page, Line 16 $ 3 s 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 5 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 9 in Column B above $ 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). 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 A—.— — — . k— ....... SCHEDULE B - PART 1 Schedule B — Part 1 to whole dollars. Statement covers period CALIFORNIA 460 Loans Received / J' Z j` ZZ- from FORM h ( Z 7 through SEE INSTRUCTIONS ON REVERSE — Page-3-- of—�— NAME OF FILER I.D. NUMBER ` /9 '/_y 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 g CUMULATIVE OF LENDER (IF COMMITTEE, ALSO ENTER I.D. NUMBER) ( IF SELF-EMPLOYED, ENTER BALANCE BEGINNINGTHISNAME RECEIVED THIS PERIOD OR FORGIVEN THIS PERIOD. BALANCE AT CLOPEE OF HIS PAID THIS PERIOD AMOUNT OF LOAN CONTRIBUTIONS TO DATE of BUSINESS) PERIOD RIOD ❑ PAID SC CALENDARYEAR ❑ FORGIVEN ** PER ELECTION `�y /� �{ � .,� �CL.i�� RATE 9 Zvi, L/ Z-3/--?Z $ 0 $ 91) ;., t ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR ❑ FORGIVEN PER ELECTION- RATE f ❑ IND ❑ COM ❑ OTH ❑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 $100 paid or forgiven.) (Include loans paid by a third party that are also itemized on Schedule A.) 3. Net change this period. (Subtract Line 2 from Line 1.) ............................. Enter the net here and on the Summary Page, Column A, Line 2. *Amounts forgiven or paid by another party also must be reported on Schedule A. ** If required. .$ )'Do .................... $ ............... NET $ 0 V C) (May be a negative number) (tnter (e) on scneowe t, Line �i) 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 Amounts may be rounded to whole dollars. Statement covers period from / v - 3 LT throng__ 7 Z — _ SCHEDULE E Page _y_ of Z/ NAME OF FILER I.D. NUMBER i CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. 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 (IF COMMITTEE. ALSO ENTER I.D. NUMBER) & YLry �� !� y✓L 17 L 'y 301 " Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ / l ) Schedule E Summary 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.)..... ................................... $ / 3 Y ................................... $ 0 ................................... $ 0 ...................... TOTAL $ 3 J FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov