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080321 Form 460 Hertz
Recipient Committee COVER PAGE Campaign Statement Dare Stamp VIE 6 - • . i Cover Page RECEIVED + - SEE INSTRUCTIONS ON REVERSE Stalament covers period from 111/21 through 5130/21 1. Type of Recipient Committee: All Committees - Complete Parts 1, z, 3, and 4. mceholder, Candidate Controlled Committee LJ Primarily Farmed Ballot Measure State Candidate Elcoon Committee ammittee Recall Controlled rte' e PW q Sponsored (A�a Cargap� Panlgl ❑gneral Purpose Committee Sponsored ❑ Primarily Farmed Candidate/ Small Contributor Committee Offloeholder Committee Political PartylCentral Committee iAha C,r Oil n%l � 3, Committee Information I.D. NUMBER 1432333 COMMrrTEE NAME (OR CANOIDATE'S NAME IF NO COMMITTEE) Anne Hertz for Cypress City Council 7020 STREETADDRESS (NO P.O. BOX} crry STATE ZIPCODE AREACODElPHONE' Cypress CA 90630 MAILINGADDRESS (IF DIFFERENT) Na. AND ST RE£T OR R0. BOX Cr ry STATE ZIP CODE AREACODO--ONE OPTIONAL: FAXIE-MAILADDRE$S Date of election if applicable: AUGn g g�y+7 Pale i of L (Month, Day, Year) AUV 3 LLIL1 For CMcial Use Only 11)3/2020 City of Cypress City Clerks office J 2. ijlpe of Statement: Preelection Statemerri ❑ Cuartedy Statement Semi-annual Statement ❑ Spedal Odd -Year Report ❑ Termination Statement OJso file a Form 410 Termination) ❑ Amendment (Explain below) Treasurers) NAME OFTREASURER Jesus Malian MAILINGADDR SS Cypress CA 90630 - NAME OFASSISTANTTREASURER, IFANY AILING❑DRESS CITY STATE ZIP CODE AREACOpEIPHQNE OPTIOMiAL• FANirm-MAILADDRESS anne.hertx@verizon.net ma[Lifival@yahoo.com 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the beat of my knowted rein 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 #rue and correct Executed on W3121 M& EY Executed on $/3/21 ° Ry gnatura Cont ng wR"PanWbie CKftmrat SpDnBw Executed on By Date gnature Gontr nP a ,Gond , SYata eaaure ropanent Execuled on By to 5Ignatura crC ng rAuhulklor, Cardldwm, S ate MeaBlife mpon°nt FPPC Farm 460 (Jan/2016)) FPPC Advice: advlceQrppc-ca.gov (966/215-3772) www.fppc.ca.gov Recipient Committee Campaign Statement Cower Page — Part 2 5. officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Anne Herta OFFICE SOUGHT OR HELD (INCLUDE LOCATIONAND DISTRICT NUMBER IFAPPLICABLE) Cypress City+ Cotut d RESIDENTIALtSUSINESS ADbRESS {NO.ANDSTREET) CITY STATE ZIP Cypress CA 40630 Related Committees Not Included in this Statement: List any comrrtirt"s not lnOuded In this sratoment Vwt are eantroiled by you or are prAmarfiy formed to reeaive cmVibuflona or make axpanditures on behalf of your candidacy. COMMITTEE NAME 1. D. NUMBER NAME OF TREASURER CONTROLLED C0MMrUEE7 ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREACODElPHONE COMMITTEE NAME NAME OF TREASURER I.D. NUMBER ❑ YES ❑ NO CITY STATE ZIP CODE AREACODEIPHONE COVER PAGE - PART 2 Page 2 or ! 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT M EASU RE BALLOT NO. OR LETTER JURISDICTION ❑ $UPPOR7 ❑ OPPOSE Identify the controlling afftoeholder, candidate, or std measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE. OR PROPONENT BOUGHT OR HELD DISTRICT NO. IF ANY i. Primarily Formed Candidate/Officeholder Con 111111 tee Llatnarnes of of kahafdwTs) or candidate(s) for which this committee fa prfmadly fanned. 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 ❑ SUPP4fRT © OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE BOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE Attach condlrluafiew sheets if necessary FPPC Farm 450 (Jan/2016) FPPC Advfce; advlce@fppc,ca.gov iB66/275-3772) www.fppC.CA.60V Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF FILER Anne Hertz for Cypress City Council 2020 Contributions Received Amounts may he rounded to whale dollars. Column A TOTALTHIS PERW FROM ATTACNED SCHEQLJLEBI t. M o note ry Co ntributio n s ................................................... Schedvis A. Lim 3 S 0 2. Loans Received.............................................................. schedule 6, Una 3 0 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines f +2 $ 0 4. Nonmonetary Contributions............,..... .......................... schedule C. Lina 3 0 5. TOTAL CONTRIBUTIONS RECEIVED................................Add Lino 3+4 $ 0 Expenditures Made B. Payments Made.............................................................. ScheduhlE Lire 7. Loans Made.,..................................................................... Schedule H, Lina3 B. SUBTOTAL CASH PAYMENTS ....................................... Add Unes6+7 8. Accrued Expenses (Unpaid Bills)_ ............. ......... . ......... Schadae F Lane 8 10. Nonmonetary Adjustment ...... ............................ ............. .........scraduie C,11ne 3 11. TOTAL EXPENDITURES MADE .......... ....................... ..Add Liras 0+9+10 Current Cash Statement 12. Beginning Cash Balance ............................ Provious summary Page, Grua 16 13. Cash Reeeipt$........... —............................................. Column A, Line 3 above 14. Miscellaneous Increases to Cash ...._.......... ................... schedule 1, One 4 15. Cash Payments......................................................... Column A, LJna l3 above 15. ENDING CASH BALANCE ..................Add Ungs 12+ 13 + 14, when subtract rine 15 If this 0 a terminaltfon statement, line 1d must be zero- Statement covers period fram 111121 through ±13121 Column i3 GALENDARYEAR TOTAL TO GATE $ 0 $ a $ 0 0 a 0 — $ 4958 0 0 0 $ 4958 17. LOAN GUARANTEES RECEIVED ................................ SchadWe6, Pail $ 0 Cash Equivalents and Outstanding Debts 1$. Cash Equivalents.............. .................................. sae instructions on reverse 19. Outstanding Debts .............................. Add Line 2 +Lina 9 in Gakrmn B above $0 $ 0 $ 0 0 0 0 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 aubtraoted from previous period amounts. Ir this is the first report being flied for this calendar year, only carry ❑verthe amounts from Lines 2, 7, and 9 (if any). SUMMARY PAGE Page 3 of 1432333 Calendar Year Summary for Candidates Running in Both the State Primary and General Erections 117 through 6W 711 to Date 2U. Contributions Received $ D $ 0 21- Expenditures Made $ 0 E i7 Expenditure Limit Summary for State Candidates 22, Cumulative Expenditures Made" Itr aublect to Valur"FY Expenditure LIMItl Date of Election Total to Date (mm/dd/yy) S "Amaunts in this section may be different from amounts reported In 'Column 13. FPPC Form 460 Van/71026)) FPPCAdvice: advioe@Fppc_ca,gw (866/275-3772) www.fppc.ca.gov Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Anne Hertz For Cypress City Counr-i12D2p DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF RECEIVED CONTRIBUTOR (IF GONIMITTEE,ALSO ENTER I.Q. NUMBER) Amounts may be rounded to whole dollars. GONTRIBUTOR IF AN INDIVIDUAL, ENTER GQDE" OCCUPATIONANDEMPLOYER pFSELFEINPLOYED, ENTER NAME ❑ IND ❑CDM ❑ DTH ❑ PTY ❑ SCG ❑ IND ❑ com ❑ DTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ scC ❑IND ❑ CO M ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ cOM © OTH ❑ PTY SCC SUBTOTAL $ Schedule A Summary 9. Amount received this period —itemized monetary contributions. (Inc)ude all Schedule subtotels.)......................................................................................................... $ 2. Amount received this period — unitemized monetary oontribdons of less than $100 ...........................$ statement covers from 11>!Zl through 6130121 SCHEDULE A Page 4 of 7 I.D. NUMBER 1432333 AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED THIS GALENDAR YEAR TO DATE PERIOD NANI. 1 -DEC. 31) (IF REQUIRED) `Cvntritwtor Codes IND — I ndivldual COM — Recipient Committee (other than PTY or SCC) OTH — Other (a.g., buslnmentity} PTY—Political Party SCC — 8ma1 Contributor Comrnittee 3, Total monetary coniMbutions received this period. (Add tines t and 2. Enter here and on the Summary Page, Column A, Line 1.) ...................... TOTAL $ FPPC Form ado (Jon/20161) FPPC Ad ice: advice@fppc.ca.gov (856/275-3772) www.fppc.ca.gov _IM I Ll | ({ ! §!| ■KE f§§ �n E| q |k /0/ « |kk ! I Ll ({ f - f§§ E| / | C| Ll 2 p ) Ik %(§ ■ e CD ! � k °°§ i ! ¢ §/ M ; _ 7 ! !PCL | , - ° �~\ 7 \ 7 \ Q ) ® ())\ f$% \`§\ (( §§ 0 \ \c El Is [\[■[ (�! / [_/( ;|; MM ) \§( �MW § \AS . ', E ;za 2 « � 2 < j\ - Schedule E Payments Made INSTRUCTIONS ON REVERSE Anne Herta for Cypress City Cauncg 2020 Amounts may be rounded to whose dollars. Statement covers period from 111121 through 6134!21 I paw 6 of 7 CODES. if one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. GMP campaign paraphernalialmisc. MBR CNS campaign consultant& MTC CTB contribution (explain nonmonetary)" OPG CVC chic donations PET FIL candidate filing(ballot fees PHO FIND fundralsing events Ppb IND independent expenditure supportinglopposing others jexplain)• PCS LEG fegal defense PRO LIT campaign literature and mailings PRT NAME AND ADORE SS OF PAYEE fIF COMMITTEE. ALSO ENTER La. NUMBEFn 1432333 member communications RAID radio airtime and production casts meetings and appearances RFD returned contributions ofllce expenses SAL campaign workers` salaries petition circulating TEL t.v, or cable airtime and production costs phone banks TRC candidate travel, lodging, and meals polling and survey research TRS stalflspouse travel, lodging, and meals postage, delivery and messenger services TSF transfer between oommittees of the same candidatelsponsor professional services (legal, accounting) VOT voter registration print ads UVEB informabon technology costs (internet, e-mail) CODE OR DESCFUP71ON OF PAYMENT * Payments that are contributions or independent expenditures must also be summarized on Schedule D. Schedule E Summary SUBTOTAL $ 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 $ AMOUNT PAID FPPC Farm 960 (Jan/2016)) F PPC Advice. advice@f p pe. ca4av (8661275-3772) www,fppc.c$.gov Schedule ESCHEDULE E (CONT.) Amounts may he rounded ! � • IS f (Continuation Sheet) to whole dollars. Statement covers period pe Payments Mede �m 1�i1 1 0 - 0 SEE INSTRUCTIONS ON REVERSE through 00121 _ Page 7 of 7 NA110 2- OF FILPR J.D. NunaaLP Anne Herta for Cypress City Council. 2020 1432333 CODES: If one of the fallowing codes accurately describes the payment, you may enter the Lode. Otherwise, describe the payment, CMP campaign paraphernalialmisc. IVEIR member communications RAD radio airtime and production casts CNS campaign cvnsultarrts MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetery)* OFC office expenses SAL campaign workers' salaries CVC dvicdonations PET petltlon oreulating TEL t v or cable airtime and production costs FIL candidate fllinglballot fees RHO phone banks TRC candidate travel, lodging, and meals FND rundraising events PDL polling and survey research TRS staWspouse travel, lodging, and meals IND independent expenditure supportinglopposing others (explain)* PDS postage, delivery and messenger services TSF transfer between committees of the same candldatelsponsor LEG legal defense PRO professional services (legalr accounting) VDT Voter registration LrF campaign literature and mailings PRF print ads WEB information technology costs Wemetr e-mail) NAME AND ADD11686 OF PAYEE OF COM WITT EE, ALM ENTr I, D, Nl MBERI CODE OR DESCRIPTION DF PAYMENT AMOUNT PAID w Payments that are contributionn or independent expenditures must also he summareed on Schedule D. SUBTOTAL $ FPPC Form 460 []an2016 FPPC Advice: advlce@fppc.ca.gov (EM/275-3772) www.fppc.ca.gov