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Home My WebLink About250728 Form 460 Bhence 2024COVER PAGERecipientCommittee CALIFORNIA 460CampaignStatementREgmiyEDFORMCoverPage Statement covers period Date of election if applicable: Page 1 of 9 from 1/1/2025 Month,Day,Year)JUL 2 8 2025 For Official Use Only SEE INSTRUCTIONS ON REVERSE through 7/31/2025 11/5/2024 CITY CLERKS OFFICE 1. Type of Recipient Committee: All Committees-Complete Parts 1,2,3,and 4. 2. Type of Statement: Z Officeholder,Candidate Controlled Committee D Primarily Formed Ballot Measure Preelection Statement Quarterly StatementStateCandidateElectionCommitteeCommitteeSemi-annual Statement Special Odd-Year Report Recall Controlled m Termination Statement Also Complete Part 5) Sponsored Also file a Form 410 Termination) Also Complete Part 6) Amendment(Explain below) General Purpose Committee Sponsored Primarily Formed Candidate/ Small Contributor Committee Officeholder Committee Political Party/Central Committee Also Complete Part 7) 3. Committee Information I.°.NUMBER Treasurer(s) COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE)NAME OF TREASURER Blaze Bhence for Cypress City Council 2024 Blaze Bhence MAILING ADDRESS STREET ADDRESS(NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE Cypress CA 90630 CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER,IF ANY Cypress CA 90630 Cheryl Bhence MAILING ADDRESS(IF DIFFERENT)NO.AND STREET OR P.O.BOX MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE Cypress CA 90630 OPTIONAL: FAX/E-MAIL ADDRESS 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 Treasurer Executed on 7(`[f/'Za c5— By `— Date Signature of Controlling Officeholder,Candidate,State Measure Proponent or Responsible Officer of Sponsor Executed on ByDate Signature of Controlling Officeholder,Candidate,State Measure Proponent Executed on ByDate 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 COVER PAGE-PART 2 Recipient Committee CALIFORNIACampaignStatement FORM 460 Cover Page — Part 2 Paget of 9 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE Blaze Bhence OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO.OR LETTER JURISDICTION SUPPORT City Council Member:City of Cypress OPPOSE RESIDENTIAL/BUSINESS ADDRESS (NO.AND STREET) CITY STATE ZIP Identify the controlling officeholder,candidate,or state measure proponent,if any.Cypress CA 90630 NAME OF OFFICEHOLDER,CANDIDATE,OR PROPONENT Related Committees Not Included in this Statement: List any committees not included in this statement that are controlled by you or are primarily formed to receive OFFICE SOUGHT OR HELD DISTRICT NO.IF ANY contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME I.D.NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? 7. Primarily Formed Candidate/Officeholder Committee List names of officeholder(s)or candidate(s)for which this committee is primarily formed. YES NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O.BOX) NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD SUPPORT OPPOSE CITY STATE ZIP CODE AREA CODE/PHONE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD SUPPORT El OPPOSECOMMITTEENAMEI.D.NUMBER NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD SUPPORT El OPPOSE NAME OF TREASURER CONTROLLED COMMITTEE? NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD YES 111 NO 111 SUPPORT COMMITTEE ADDRESS STREET ADDRESS (NO P.O.BOX) OPPOSE CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary 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 CALIFORNIA 460from 1/1/2025 FORM SEE INSTRUCTIONS ON REVERSE through 7/31/2025 Page 3 of 9 NAME OF FILER I.D.NUMBER Blaze Behnce 1473139 Column A Column B Calendar Year Summary for CandidatesContributionsReceivedTOTALTHISPERIODCALENDARYEAR FROM ATTACHED SCHEDULES) TOTAL TO DATE Running in Both the State Primary and General Elections 1. Monetary Contributions Schedule A,Line 3 $ 0.00 0.00 2. Loans Received Schedule 8,Line 3 0.00 0.00 1/1 through 6/30 7/1 to Date 3. SUBTOTAL CASH CONTRIBUTIONS Add Lines 1+2 $ 0.00 0.00 20. ContributionsReceived $ 4. Nonmonetary Contributions Schedule C,Line 3 0.00 0.00 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED Add Lines 3+4 $ 0.00 0.00 Made Expenditures Made Expenditure Limit Summary for State 6. Payments Made Schedule E,Line 4 $ 0.00 0.00 Candidates 7. Loans Made Schedule H,Line 3 0.00 0.00 8. SUBTOTAL CASH PAYMENTS Add Lines 6+7 $ 0.00 0.00 22. Cumulative Expenditures Made* If Subject to Voluntary Expenditure Limit) 9. Accrued Expenses(Unpaid Bills)Schedule F,Line 3 0.00 0.00 Date of Election Total to Date 10. Nonmonetary Adjustment Schedule C,Line 3 0.00 0.00 mm/dd/yy) 11. TOTAL EXPENDITURES MADE Add Lines 8+9+10 $ 0.00 0.00 J Current Cash Statement 12. Beginning Cash Balance Previous Summary Page,Line 16 $ 0.00 To calculate Column B, 13. Cash Receipts 0.00PColumnA.Line 3 above add amounts in Column 0.00 A to the corresponding Amounts in this section may be different from amounts14. Miscellaneous Increases to Cash Schedule 1,Line 4 amounts from Column B reported in Column B. 15. Cash Payments Column A,Line 8 above 0.00 of your last report. Some amounts in Column A may 16. ENDING CASH BALANCE Add Lines 12+13+14,then subtract Line 15 $ 0.00 be negative figures that should be subtracted from If this is a termination statement, Line 16 must be zero. previous period amounts. If this is the first report being 17. LOAN GUARANTEES RECEIVED Schedule B.Part 2 $ 0.00 filed for this calendar year, only carry over the amounts Cash Equivalents and Outstanding Debts from Lines 2,7,and 9(if 18. Cash Equivalents See instructions on reverse $ 0.00 any). 19. Outstanding Debts Add Line 2+Line 9 in Column B above $ 0.00 FPPC Form 460(Jan/2016)) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov Schedule A Amounts may be rounded SCHEDULE A to whole dollars. Statement covers rindMonetaryContributionsReceived CALIFORNIA 460from1/1/2025 FORM SEE INSTRUCTIONS ON REVERSE through 7/31/2025 Page 4 of 9 NAME OF FILER I.D.NUMBER Blaze Bhence 1473139 FULL NAME,STREET ADDRESS AND ZIP CODE OF IF AN INDIVIDUAL,ENTER AMOUNT CUMULATIVE TO DATE PER ELECTIONDATECONTRIBUTOR RECEIVED CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE CODE* (IF SELF-EMPLOYED,ENTER NAME IF COMMITTEE,ALSO ENTER I .NUMBER) OF BUSINESS) PERIOD JAN.1-DEC.31) IF REQUIRED) N/A I N D COM OTH PTY SCC IND COM OTH PTY SCC IND COM OTH PTY SCC IND COM OTH PTY SCC IND COM OTH PTY SCC SUBTOTAL$ Schedule A Summary Contributor Codes 1. Amount received this period—itemized monetary contributions.IND—Individual 0.00 COM—Recipient CommitteeIncludeallScheduleAsubtotals.) other than PTY or SCC) OTH—Other(e.g.,business entity) 2. Amount received this period— unitemized monetary contributions of less than $100 0.00 PTY—Political Party SCC—Small Contributor Committee 3. Total monetary contributions received this period. Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) TOTAL $ 0.00 FPPC Form 460(Jan/2016)) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov SCHEDULE EScheduleEAmounts whmao ey be rounded Statement covers period CALIFORNIAPaymentsMade1/1/2025 FORM 460 from SEE INSTRUCTIONS ON REVERSE through 7/31/2025 Page 5 of 9 NAME OF FILER I.D.NUMBER Blaze Bhence 1473139 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 mealsFNDfundraisingeventsPOLpollingandsurveyresearchTRSstaff/spouse travel,lodging,and mealsINDindependentexpendituresupporting/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 PAIDIFCOMMITTEE,ALSO ENTER I.D.NUMBER) Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 0.00 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.)0.00 2. Unitemized payments made this period of under$100 0.00 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) 0.00 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) TOTAL $ 0.00 FPPC Form 460(Jan/2016)) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov Schedule E SCHEDULE E(CONT.) Amounts may be rounded Statement covers periodContinuationSheet) to whole dollars. P CALIFORNIA 460PaymentsMadefromtII (2-C"2- FORM SEE INSTRUCTIONS ON REVERSE through 7 1 3 f Z ZS^ Page (1 of. NAME OF FILER I.D.NUMBER 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 mealsFNDfundraisingeventsPOLpollingandsurveyresearchTRSstaff/spouse travel, lodging,and mealsINDindependentexpendituresupporting/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) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ FPPC Form 460(Jan/2016)) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov SCHEDULE F Schedule F Amounts may be rounded Statement covers period CALIFORNIA 460towholedollars. Accrued Expenses (Unpaid Bills) from 1/1/2025 FORM through 7/31/2025 7 9 SEE INSTRUCTIONS ON REVERSE Page of NAME OF FILER I.D.NUMBER Blaze Bhence 1473139 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) a) b) c) d) NAME AND ADDRESS OF CREDITOR CODE OR OUTSTANDING AMOUNT PAID OUTSTANDING IF COMMITTEE,ALSO ENTER I.D.NUMBER)DESCRIPTION OF PAYMENT BALANCE BEGINNING AMOUNT INCURRED THIS PERIOD BALANCE AT CLOSE OF THIS PERIOD THIS PERIOD ALSO REPORT ON E)OF THIS PERIOD Payments that are contributions or independent expenditures must also be SUBTOTALS $summarized on Schedule D. Schedule F Summary 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for 0.00accruedexpensesof$100 or more, plus total unitemized accrued expenses under$100.) INCURRED TOTALS $ 2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on 0.00 accrued expenses of$100 or more, plus total unitemized payments on accrued expenses under$100.) PAID TOTALS $ 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and 0.00ontheSummaryPage, Column A, Line 9.) NET$ May be a negative number FPPC Form 460(Jan/2016)) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov SCHEDULE H Schedule H Amounts may be rounded Statement covers period CALIFORNIA 460towholedollars. 1/1/2025LoansMadetoOthers* from FORM SEE INSTRUCTIONS ON REVERSE through 7/31/2025 Page 8 of 9 NAME OF FILER I.D.NUMBER Blaze Bhence 1473139 FULL NAME,STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL,ENTER a) b) c) d) e) f) g) OCCUPATION AND EMPLOYER OUTSTANDING AMOUNT REPAYMENT OR OUTSTANDING ORIGINAL CUMULATIVEOFRECIPIENTBALANCEBALANCEATINTERESTIFSELF-EMPLOYED,ENTER LOANED THIS FORGIVENESS AMOUNT OF LOANSIFCOMMITTEE,ALSO ENTER I.D.NUMBER) NAME OF BUSINESS) BEGINNING THIS PERIOD THIS PERIOD* CLOSE OF THIS RECEIVED LOAN TO DATEPERIODPFRIOr) N/A PAID CALENDAR YEAR 0.00 0.00 RATE FORGIVEN PER ELECTION 0.00 0.00 0.00 DATE DUE DATE INCURRED PAID CALENDAR YEAR RATE FORGIVEN PER ELECTION DATE DUE DATE INCURRED Loans that are contributions to another candidate or committee must also be summarized on Schedule D. Loans forgiven must also be reported on Schedule E. SUBTOTALS $ Enter(e)on Schedule I,Line 3) Schedule H Summary 0.001. Loans made this period Total Column (b) plus unitemized loans of less than $100.) 0.00 If Required 2. Payments received on loans Total Column (c) plus unitemized payments of less than $100.) 3. Net change this period. (Subtract Line 2 from Line 1.) NET $ 0.00 Enter the net here and on the Summary Page, Column A, Line 7.) May be a negative number) FPPC Form 460(Jan/2016)) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov Schedule I Amounts may be rounded SCHEDULE I Miscellaneous Increases to Cash to whole dollars. Statement covers period CALIFORNIA 460 from 1/1/2025 FORM throw h 7/31/2025 g gSEEINSTRUCTIONSONREVERSEgPageof NAME OF FILER I.D.NUMBER Blaze Bhence 1473139 DATE FULL NAME AND ADDRESS OF SOURCE AMOUNT OF DESCRIPTION OF RECEIPTRECEIVEDIFCOMMITTEE,ALSO ENTER I.D.NUMBER) INCREASE TO CASH None Attach additional information on appropriately labeled continuation sheets. SUBTOTAL$ 0.00 Schedule I Summary 1. Itemized increases to cash this period. 0.00 2. Unitemized increases to cash of under$100 this period. 0.00 3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).) 0.00 4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the 0.00SummaryPage, Line 14.) TOTAL $ FPPC Form 460(Jan/2016)) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov