Tab 4 - Candidate's Statement Guidelines/Word Count Standards/Sample of Candidate Statement Format by a candidate, that candidate's statement shall be printed in the main voter pamphlet in English only. SECTION 3. PAYMENT. A. Translations and Printing: 1. The candidate shall not be required to pay for the cost of translating the candidates statement http://www.beverlyhills.org/cbhfiles/storage/files/1743915418247548797/Tab4-Candidate'sGuidelines-WordCountStandards-SampleofCandidateStatementFormat.pdf

Apply for a Charitable Solicitations Permit Online of the application will automatically transmit application via email to the Commission Secretary. Print the application before you click the SAVE button. After printing, sign the last page and FAX to 310.246.9854. You will be contacted if there are any questions http://www.beverlyhills.org/citygovernment/commissions/charitablesolicitationscommission/applyforacharitablesolicitationspermitonline

Application for Preferential/Overnight Parking Permit CITY OF BEVERLY HILLS TRANSPORTATION DEPARTMENT APPLICATION FOR PREFERENTIAL/OVERNIGHT PARKING PERMIT PLEASE TYPE OR PRINT ALL INFORMATION REQUESTED NAME: http://www.beverlyhills.org/cbhfiles/storage/files/filebank/3170--ApplicationForPermit.pdf

Pickle Fest Application With delivery of product, BRING RECIPE TYPED OR PRINTED ON AN 8 ˝" X 11" SHEET INCLUDING CONTESTANT NAME. No incomplete entries will be considered. 6. All entries become the property of the City of Beverly Hills. We reserve the right to use your entry in all http://www.beverlyhills.org/cbhfiles/storage/files/311033403418179825/PickleFestApplication2013rev1.pdf

Professional's Certification of Digital-Format Plans PROJECT DESCRIPTION: __________________________________________________________________ _____________________________________________________ Professional of Record ( Printed Name) _____________________________________________________ http://www.beverlyhills.org/cbhfiles/storage/files/filebank/5606--Professional's Certification of Digital-Format Plans.pdf

Pre-construction affidavit to provide digital-format plans Professional of Record ( Printed Name) _____________________________________________________ Professional of Record (Signature) _____________________________________________________ Professional of Record's Mailing Address http://www.beverlyhills.org/cbhfiles/storage/files/filebank/5607--Pre construction affidavit to provide digital format plans.pdf

CALGreen (BM-3) Commissioning Plan The following form may be required to be printed on the permit set of construction drawings or submitted separately. Italicized text indicates direct or partial quotes from the CALGreen Code. CALGreen Commissioning Requirement http://www.beverlyhills.org/cbhfiles/storage/files/filebank/8587--BM-3 Commissioning Plan.pdf

Advertising Rates/Form be received prior to printing date) ? Check Check No. ___________ ? Credit Card - circle: AX MC VI Card # Exp. date ˝ page Full page Back cover Terms & Conditions 1. Advertisers shall remit http://www.beverlyhills.org/cbhfiles/storage/files/10157173241425655775/BrochureApplication2013_v2.pdf

Form 496, Independent Expenditure Report - Willie Brien 02/26/2013 Report No. 022613WB O Amendment to Report No. _________ C.xpIabi beIo~ No. of Pages 1 496 Independent Expenditure Report NAME OF FILER Weet Eollywood Deiuocr~tic Club/Beverly Hills Democratic Club Type or print In Ink. AREA CODES'PHONE NUMBER (0. NUMBER ~rCae*) http://www.beverlyhills.org/cbhfiles/storage/files/10720446481123657769/WehoDemoClub-BHDemoClubForm496BrienMailer.pdf

Form 496, Independent Expenditure Report - Willie Brien 03/04/2013 Report No. 022613WB, Amendment FPPC Toll-Free Helpline: a8BIASK.Fppc (86612754772) Type or print in ink. Amounts may be rounded to whole (1011am. CITY Beverly Hills, CA 90210 STATE ZIPCODE cn-Y o~ ZO13 ~ CiT' CLEF~c~S OHITCE inckx-~ii 3(qq~2~ ~~~~1 2. Independent Expenditures Made~ http://www.beverlyhills.org/cbhfiles/storage/files/12720498781742810900/WehoDemoClub-BHDemoClubForm496Brien022613WBAmendment.pdf

Title 1 - GENERAL PROVISIONS Chapter 8: CITY ELECTION CAMPAIGNS; CONTRIBUTION LIMITS, VOLUNTARY EXPENDITURE LIMIT AND DISCLOSURE REQUIREMENTS 1-8-4: ELECTION CAMPAIGNS; VOLUNTARY EXPENDITURE CEILING: such candidate, the city clerk shall: 1. Cause to be printed in the city sample ballot materials, at the option of the candidate, a candidate's statement at no charge to the candidate. Additionally, if federal law requires the city sample ballot materials http://sterlingcodifiers.com/codebook/index.php?book_id=466§ion_id=705928&keywords=

Vote-By-Mail Application - English must enter their name, address & telephone number NOTE: Use of barcoding of the voter's identification number somewhere on this form will assist in a faster turn-around of the Vote by Mail ballot. Print Name Date of Birth (mo/day/yr): http://www.beverlyhills.org/cbhfiles/storage/files/451447742449670394/VBMApplication-English.pdf

Skatedogs Summer Camp Waiver X_____________________ _________________________ ____________ Parent/Participant Signature Print Name Date PLEASE PRINT CLEARLY http://www.beverlyhills.org/cbhfiles/storage/files/1881075752631057843/2013SkateboadCamp.pdf

Procedures and Affidavit for Duplication of Plans Date:_____________________________ Date:___________________________ ___________________________________ _________________________________ Print Name Print Name ___________________________________ _________________________________ Signature http://www.beverlyhills.org/cbhfiles/storage/files/filebank/2467--Procedures for Requesting Copies of Plans.pdf

Computer Usage and Access Rules 2012 at the library for the current day. Library users can only have one reservation at a time. Printing Printing is available for 20 cents per page (black and white) or $1.00 for color. There is currently no printing available from the library catalog http://www.beverlyhills.org/cbhfiles/storage/files/422029915960062545/ComputerUsageandAccessRules2012.pdf

Form 460, Pre-election Statement - 01/23/2011-02/19/2011 Recipient Committee Type or print in ink. Date SCampaign Statement 1~CE~VEL' Cover Page (~~J1~t Or BEYERL~ (Government Code Sections 84200-84216.5) __________________________ Statement covers period Date of election if applicable: 21311 FEU 211 http://www.beverlyhills.org/cbhfiles/storage/files/filebank/8383--no on o 2-24-2011.PDF

Form 460, Termination Statement - 02/27/2011-03/31/2011 866/ASK-FPPC Recip~ent Committee Campa~gn Statement (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statement covers period from _____ 02/27/2011 through 03/31/2011 Date of election if applicable:: (Month, Day, Year) http://www.beverlyhills.org/cbhfiles/storage/files/filebank/8817--Form 460 Termination Statement 02-27-2011 thru 03-31-2011.pdf

*Form 460, Pre-election Statement - 01/23/2011-02/19/2011 PROPONENT FPPC Form 460 (Januarylo5) FPPC Toll-Free Helpline: 8661ASK-FPPC State of California Type or print in ink. Statement covers period frnm 01/23/2011 CITY C 'ml RECEIV~ Stamp F BEVERLY HILLS E~2~ P 1:51Date of election if applicable: (Month, Day, http://www.beverlyhills.org/cbhfiles/storage/files/filebank/8379--yes on 2p 2-24-2011.PDF

Form 460, Pre-election Statement - 01/23/2011-02/06/2011 OFFICEHOLDER. CANDIDATE, STATE MEASURE PROPONENT and in the attached schedules FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 8661ASK-FPPC State of California Type or print in ink. Statement covers period from 01/23/2011 through 02/06/201 1 Date Stamp http://www.beverlyhills.org/cbhfiles/storage/files/filebank/8340--Yes on 2p - 02-11-2011.PDF

Catastrophic Leave Policy Request to Receive Donations will be based on appropriate considerations. The intent of the City's Catastrophic Administrative Regulation 3B.18 is to provide assistance to those employees truly in need. Name of Employes:_________________________________ ( Print of Type) http://www.beverlyhills.org/cbhfiles/storage/files/6580693421540094308/Catastrophic Leave Policy Request to Receive Donations.doc

Form 460 Pre-election Statement - 01/01/2011-02/19/2011 (Friends of Lili Bosse) Recipient Committee Type or print in ink. Date Stamp Campaign Statement RECEIVEDCover Page CITY OF BEVERLY HIt (Government Code Sections 84200-84216.5) Statement covers period Date of election if applicable: ~ (Month, Day, Year) ZOit FEB 21~ P 14: http://www.beverlyhills.org/cbhfiles/storage/files/filebank/8388--bosse 2-24-2011 bb.PDF

Catskills 2013 - Medical Release form City of Beverly Hills Community Services Department Medical Release Form - Catskills (All information will be kept confidential - Please print legibly - One child per form) Child's Name: Grade(entering): Age: Birth Date: http://www.beverlyhills.org/cbhfiles/storage/files/filebank/9176--Catskills Medical Release.pdf

Form 460, Semi-Annual Statement - 02/20/2011 - 06/30/2011 (Friends of Lili Bosse) Recipient Committee Type or print in ink. Date Stamp Campaign Statement RECEIVED Cover Page CITY (IF BEVERLY (Government Code Sections 84200-84216.5) Statement covers period Date of election if applicable: ~üll JUL 2~ A 8. _______ _______ 2/20/11 http://www.beverlyhills.org/cbhfiles/storage/files/filebank/9208--friends of lili bosse 460.PDF

Form 460, Pre-election Statement Amendment - 01/23/2011-02/19/2011 _________________ COVER PAGERecipient Committee Type or print in ink. Date Stamp Campaign Statement RECE!VEO Cover Page !TY OF BEVERLY NIL (Government Code Sections 84200-84216.5) Statement covers period Date of election if applicable:i 2011 APR -8 http://www.beverlyhills.org/cbhfiles/storage/files/filebank/8723--Form 460 Pre-election Statement Amendment 01-23-2011 thru 02-19-2011.pdf

Form 460, Quarterly Statement - 10/01/2010-12/31/2010 By David L. Gould DATE SIGNATURE O,~~e~RER OR7'~SSISTANT TREASURER Executed on________________________ DATE Executed on_______________________ DATE Executed on DATE Type or print in ink. SEE INSTRUCTIONS ON REVERSE Statement covers period 10/01/2010 Date http://www.beverlyhills.org/cbhfiles/storage/files/filebank/8251--Save Free Pkng - 2010 Jan27.PDF

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