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072922 Form 460 Miller 2022Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement covers period Date of election If applicable: JUL 2 9 2022 from ]/1/2022 1 (Month, Day, Year) through 6/30/2022 Type of Recipient commnee: MiCommb -compM Parbt,3,3.and4. mgmeholder, Candidate Controlled Committee El Primarily Formed Ballot Measure 8 State Candidate Election Committee Committee O Recall O Controlled rwa+ca 4ope5i O Sponsored (AIroG,efea PniN ❑ great Purpose Committee Sponsored ❑ Primarily Formed Candidate/ Small Contributor Committee Officeholder Committee Political PartylCentral Committee o[WOMMOXPana 3. Committee Information Terry Miller for Cypress City Council 2022 COVER PAGE Page ` of r 11/8/2022 Cr CLEWS OFFICE 2. Type of Statement: ❑ Preelection Statement ❑ Quarterly Statement Z Semi-annual Statement ❑ Special Odd -Year Report ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) Treasurer(s) NAME OF TREASURER Ralani Maiatico MAILINGADDRESS STREET ADDRESS NO PO. BOX) CITY STATE ZIPCODE AREACODEIPHONE Aliso Viejo CA 92656 CITY STATE ZIP CODE AREACODEIPHONE NAME OF ASSISTANT TREASURER, IF ANY Cypress CA 90630 Jennifer Miller MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR RO. BOX MAILING ADDRESS CITY STATE ZIPCODE AREACODDPHONE CITY STATE ZIP CODE AREACOOE/PHONE Cypress CA 90630 CVII CA 90630 OPTIONAL: FAX E-MAIL ADDRESS OPTIONAL: FAX I E-MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge Me Information contained herein and in the attached schedules is true and complete. I certify under Penally of pelluly untljr the laws of the Stale of California ihffi the foregoin n Ercewtetl on ~! IoW By ,a reo t,....... ma real,... Ili. Executed on ore Z By sreom ohm cana�aale Slat, Measue roweaem a. nasponabla�AiA,..ro—f Poaar Examined on BY— caw synewre m CommFln9 oaolwiden Candidate suite Meeeum Portal Executed on BY— caw cuatiffle Of Ceitai Offielewax Canaiaate, Stela Meawre PrOlnnem FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Terry Miller OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Cypress City Council RESIDENTIALIBUSINESS ADDRESS (NO.ANDSTREET) CITY STATE ZIP Cypress CA 90630 Related Committees Not Included in this Statement: Llstanycommlttees not included in this statement that are contrelted by you or are primaNiy fo medro rece/ve contributions or make espendimres on behalf ofyourcarMi✓acy. COMMITTEE NAME I I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE) ❑ YES ❑ NO COMMITTEEADDRESS STREETADDRESS (NO PO.BOX) CITY STATE ZIP CODE AREA CODEIPHONE COMMITTEENAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? D YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO PO. BOX) CITY STATE ZIP CODE AREACODEIPHONE COVER Page 2 of 7 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION ❑ SUPPORT ❑ OPPOSE Idenafy the controlling officeholder, Candidate, or state measure proponent, IT any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY 7. Primarily Formed Candidate/Officeholder Committee List names or oMceholderls) orcerMldeb(s) for which sale committee is primaNry hi mod. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAMEOF 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 ❑ SUPPORT I] OPPOSE Attach continuation sheets it necessary FPPC Form 060 (Jan/2016) FPPC Advice: adviceefppc.ca.gov (866/275-3722) www.fppc.ca.gov Campaign Disclosure Statement Amounts may be rounded Summary Page to whole dollars. Statement covers period from 1/1/2022 SUMMARY PAGE SEE INSTRUCTIONS ON REVERSE through 6/30/2022 Page 3 of 7 NAME OF FILER I.D. NUMBER Terry Miller for Cypress City Council 2022 1447291 Contributions Received 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 Lines8+9+f0 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 If this is a termination statement, Line 16 must be zero. Column A TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) $ 2,859.00 $ 2,859.00 975.15 $ 3,834.15 $ 251.45 0 $ 251.45 0 975.15 $ 1,226.60 $ U 2,859.00 0 251.45 $ 2,607.55 17. LOAN GUARANTEES RECEIVED ................................ Schedule e, Pan 2 $ 0 1 Cash Equivalents and Outstanding Debts 18. Cash Equivalents ................................................ see instructions on reverse $ 0 19. Outstanding Debts .............................. Add Line 2+ Line 9 in Column a above $ 0 Column B CALENDAR YEAR TOTAL TO DATE $ 2,859.00 $ 2,859.00 975.15 $ 3,834.15 $ 251.45 0 $ 251.45 0 975.15 $ 1,226.60 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). 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' (x subject to voluntary Eximoditum Limit) Date of Election Total to Date (mm/dd/yy) 3 'Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.w.gov (866/275-3772) www.fppc.ca.gov Schedule A Amounts may be Founded SCHEDULE R to whole dollars Monetary Contributions Received statement covers period7YEARTO 1/1/2022SEE from INSTRUCTIONS through 6/30/2022 ON REVERSE NAME OF FILER Terry Miller for Cypress City Council 2022 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE CONTRIBUTOR ` OCCUPATION AAN OYNAMERRECEIVEDTHIS CALENDAR RECEIVED CODE ENMEn PIP COMMITTEE. ALSO ENTER IN NUMBER) of BUSINESS) PERIOD (JAM 1 -DEC. 31) (IF REQUIRED) 5/9/22 Terr MY 61er IT Manager 480 0IND COM.00 ❑OTH 696.60 696.60 OOTH Spectrum Cable Cypress, CA 90630 El Pry 0 SCC 6/3/22 Seth Pizzo MIND IT Technician 240.00 240.00 240.00 El coM 00TH Charter Communications Westminster CA 92683 p PITY 0 scc 6(3/22 Viethggguuuggqeeer��t IT 240.00 240.00 240.00 - ❑COM 00TH Spectrum Cable Anaheim CA 92804 ❑ PTY ❑ scc 6/4/22 Jimmy Lam -My Z IND IT 240.00 240.00 240.00 ❑IOM [I 0TH Spectrum Cable Orange CA 92868 ❑PTY 0 SCC 6/10/22 George Garcia MIND IT 300.00 300.00 300.00 ❑CDM ❑OTH Charter Communications San Bernardino CA 92407 [1 PTY ❑SDC SUBTOTAL$ 1,500.00 Schedule A Summary 1. Amount received this period - itemized monetary contributions. 2,760.00 (Include all Schedule A subtotals.).........................................................................................................$ 2. Amount received this period - unitemized monetary contributions of less than $100 ...........................$ 99'00 3. Total monetary contributions received this period. 2,859.00 (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 PTV or SCC) 0TH - Other (e.g., business entity) PTY- Political Party SCC - Small Contributor Committee FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fpINNSU 8ov(866/275-3772) wwW.fppe.Ca.i o , Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULE (CONT) Monetary Contributions Received to whole dollars. Statement covers period - e Of A , from 1/1/2022 • - through 6/30/2022 pie 5 m 7 NAME OF FILER I.D. NUMBER Terry Miller for Cypress City Council 1447291 FULL NAME, STREET ADDRESS AND ZIP CODE OF IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION PATE CONTRIBUTOR CONTRIBUTOR x OCCUPATION AND EMPLOYER RECEIVEDTHIS CALENDAR YEAR TO DATE RECEIVED CODE OP$ELFEMPLOYED, ENTER NOVAE) UE COMMITTEE.ALSO ENTER Eo. NUMBER) OF BUSINESS) PERIOD (JAN.1-OEC.3u (IF REQUIRED) 6/22/22 Seth Pizzo MIND ITTechnician 240.00 480.00 480.00 ❑ODM Chatter Communications ❑ OTH Westminster CA 92683 ❑PTY ❑ Scc 6/22/22 Seth Pizzo ZIND IT Technician 240.00 720.00 720.00 Ej COM Charter Communications El OTH Westminster CA 92683 ❑ PTY ❑ SDD 6/23/22 jimmy Lam -My ®IND IT 240.00 480.00 480.00 ❑ODM Spectrum Cable ❑ OTH Orange CA 92868 0 pry ❑ SCC 6/28/22 George Garcia MIND IT 300.00 600.00 600.00 ❑ COM Charter Communications OTH ❑ DTH San Bernardino CA 92407 ❑pry ❑ SCC 6/29/22 Vieth MIND IT 240.00 460.00 480.00 WE ❑ TN DOTH Spectrum Cable Anaheim CA 92804 p pTy SCC SUBTOTAL $ 1,260.00 'Contributor Codes IND -Individual COM - Recipient Committee (other than PTV or SCC) OTH - Other (e g., business entity) PTV - Political Party SCC - Small Contributor Committee FPPC Form 460 Lan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.m.gov Schedule C Amounts1. may be rounded SCHEDULED Nonmonetary Contributions Received - ...... Statement covers period �. ' from 1/1/2022 I 6/30/2022 Pa8B6 SEE INSTRUCTIONS ON REVERSE through �7 NAME OF FILER I O. NUMBER Terry Miller for Cypress City Council 2022 1447291 DATE FULL NAME, STREET ADDRESS AND CONTRIBUTOR FAR INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER DESCRIPTION OF AMOUNTI CUMULATIVE TO DATE PER ELECTION RECEIVED ZIP CODE OF CONTRIBUTOR (OF COMMITTEE ALSO ENTER n. NUMBER) CODE* pE SErFeMnmgN,Emgq GOODS OR SERVICES FAIR MARKET VALUE CALENDAR VEAR o DATE log (IF REQUIRED) NAME OF BUSINESS) (SAN 1 -DEC aII 3/28/22 Terry Miller ®IND IT Manager Rental Mailbox Ren . 20700 687.00 067.00 - ❑CDM Spectrum Cable 0OTH Cypress, CA 90630 0 PTY ❑SCC IND 3/28/22 Terry Miller 0 0COM IT Manager Domain Name 9.60 696.60 696.60 El OTH Spectrum Cable Cypress, CA 90630 0 PTY 0 SCC 01ND 04/15/22 Libertarian Party of California ❑ COM g Voter Registration 758.55 758.55 758.55 ❑ OTH Data ID% 1367692 0 PTY ❑SCC ❑IND [1COM I] OTH I] PTV ❑ SCC Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 975.15 Schedule C Summary 1. Amount received this period — itemized nonmonetary Contributions. 975.15 (Include all Schedule C subtotals.)........................................_................................................_......_..._..._......_$ 2. Amount received this period — unitemized nonmonetary contributions of less than $100 ..................................$ 0 3. Total nonmonetary contributions received this period. 975.15 (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.).....................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 (Ian/2016)) FPPC Advice: adWm@fppc.ca.gev(866/275-3772) WMAv.1ppc.ca.8ov Schedule E Payments Made Terry Miller for Cypress City Council 2022 Amounts may be rounded to whole dollars. Statement covers periotl I from 171/2022 a mrough 6/30/2022 Page 7 pf 7 I.D. NUMBER 447291 CODES: If one of the following codes accurately describes the payment, you may enter the Code. Otherwise, describe the payment CMP campaign paraphernalimmisc. MBR member Communications RAD radio aimms and production costs CNS campaign Consultants MITE meetings and appearances RFD returned contributions CTB Contribution (explain nonmonetary)' OFC office expenses SAL campaign workers'seenies CVC civic donations PET petition circulating TEL tY.. or Cable airtime and production costs FIL candidate filingmallot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS steg/spouse travel, lodging, and meals IND independent expenditure supporfing/opposing others(explail POS postage, delivery and messenger services TSF transfer between committees of me same candidate/sponsor LEG legal defense PRO professional services gaped, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology Costs(intemet, e-mail) NAME AND ADDRESS OF PAYEE pr COMMITTEE, ALSO ENTER rV. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID Wfx -San Francisco. CA WEB Website hosting services 141.65 Payments that are Contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 141.65 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.)............................................................................................................. $ 41.65 109.80 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).)............................................................................. $ 0 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ........................... TOTAL $ 251.45 FPPC Form 460 (Jan/2016)) FPPC Advice: advicellfppc.ca.gov (866/DS-SgT2) www.fPPc.ra.gov