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Home My WebLink AboutForm 460 Atascadero Citizens for Accountability 011921Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement covers period from 01/01/2021 through 01/1912021 1. Type of Recipient Committee: All committees - complete Parts 1,2,3, and 4. ❑ Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Q State Candidate Election Committee Measure Committee O Recall O Controlled (Also Complete Part 5) O Sponsored xJ General Purpose Committee {Also Complete Part 6.) O Sponsored ❑ Primary Formed Candidate/ O Small Contributor Committee Officeholder Committee O Political Party/Central Committee (Also complete Part 7 ) 3. Committee Information COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Atascadero Citizens for Accountability I,D.NUMBER 1430464 CITY STATE ZIP CODE AREA CODEIPHONE Fresno CA 93710 D STREET OR P O BOX CITY STATE ZIP CODE AREA CODE/PHONE Fresno CA 93710 OPTIONAL: FAXIE-MAIL ADDRESS Date of election if applicable: (Month. Day, Year) Date Stamp r'ECEIV:,. I"' FEB 012021 rY OF ATA' ( -r-v 2. Type of Statement: ❑ Pre-election Statement ❑ Semi-annual Statement Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) COVER PAGE CALIFORNIA 460 FORM Page 119 of For Official Use Only ❑ Quarterly Statement ❑ Special Odd -Year Report Treasurer(s) NAME OF TREASURER Varinder Bains, CPA CITY STATE ZIP CODE AREA CODE/PHONF Fresno CA 93710 NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZiP CODE AREA CODE/PHONE OPTIONAL: FME-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 qalifornia that the foregoing is true and correct. Executed on 01 /19/2021 By Varinder Bains, CPA DATE SIGNATURE Or TREASURER OR ASSISTANT TREASURER Executed on By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT OR RESPONSIBLE OFFICER OF SPONSOR Executed on By DATE Executed on By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT FPPC Form 460 (Jan12016) SIGNATURE OF CONTROLLING OFFICEHCLDER. CANDIDATE. STATE MEASURE PROPONENT FPPC Advice: advice@fppc.ca.gov ($661275-3772) www.fppc.ca.gov Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) RESIDENTIALIBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP 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 contributions or to make expenditures on behalf of your candidacy. COMMITTEE NAME O.NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O.BOX) CITY STATE ZIP CODE AREA CODEIPHONE COMMITTEE NAME I.D.NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE COVER PAGE - PART 2 CALIFORNIA O AC FORM 4V 2/9 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE 6NLLVI RV. VR LCI I CRJURIJVIV IIVR LJ SUPPORT ❑ OPPOSE Identify the controlling officeholder, candidate, or state measure proponeK Ifany. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY 7. Primarily Formed Candidate/Officeholder Committee List names of officeholder(s) or candidate(s) for which this committee Is primarily formed. 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 ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE Attach continuation sheets if necessary FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov Campaign Disclosure Statement ry g SUMMARYPAGE Summa Pa a Amounts may rounded Statement covers period CALIFORNIA 460 to whole dollars. from 20210101 FORM through 20210119 3/9 NAME OF FILER I.D. NUMBER Atascadero Citizens for Accountability 1nonnan 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 To calculate Column B, add 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 Lines 8 + 9 + 10 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 I, Line 4 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. 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 Column A To calculate Column B, add Column B TOTAL TMS PERIOD CALENDPRYEAR )FROM ATTACHED SCHEDULES) from Column B of your last TOTAL TO DATE $ 5000.00 $ 5000.00 0 00 figures gures that should be 0 n0 $ 5000.00 $ 5000.00 15330.00 the first report being filed 15330.00 20330.00 $ 20330.00 $ 18589.50 $ 18589.50 0.00 0.00 $ 18589.50 $ 18589.50 -28765.18 0.00 15330.00 15330.00 $ 5154.32 $ 33919.50 $ 13589.50 To calculate Column B, add 5000.00 amounts in Column A to the corresponding amounts 0.00 from Column B of your last report' Some amounts in 18589.50 Column A may be negative 0.00 figures gures that should be subtracted from previous period amounts. If this is the first report being filed $ 0.00 for this calendar year, only Carry over the amounts from Lines 2, 7, and 9 (if any). $ 0.00 $ 000 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 $ 0.00 $ 0.00 21. Expenditures Made $ 0.00 $ 0.00 Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made' (If Subject to Voluntary Expenditure Limit) Date of Election Total to Date (minod/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 (8661275-3772) www.fppC.Ca.gov Schedule A SCHEDULE Moneta Contributions Received runvunmay ay oe rounaeo to whole dollars. Statement covers period CALIFORNIA ��O from 20210101 FORM 4/9 SEE INSTRUCTIONS ON REVERSE through 20210119 NAME OF FILER I. D. Number Atascadero Citizens for Accountability 1430464 DATE RECEIVED FULL NAME, MAILING ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR CODE' IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED. ENTER NAME OF BUSINESSI AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) PER ELECTION TO DATE (IF REQUIRED) R tDt: 01111/2021 LSA Architects LLC El IND ❑ COM 5000.00 5000.00 5000.00 G20 0 OTH ❑ PTY ❑ SCC SUBTOTAL $ 5000.00 €III Schedule A Summary 'Contributor Codes 1. Amount received this period - itemized monetary contributions. IND - Individual (Include all Schedule A subtotals.)........................................................................................................ $ 5000.00 COM -Recipient Committee 000 (other than PTY or SCC) 2. Amount received this period - unitemized monetary contributions of less than.$1.00.............. .OTH- Other PTY - Political Party 3. Total monetary contributions received this period. 5000.00 SCC- Small Contributor Committee (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) .................... TOTAL $ FPPC Form 460 (JaW2016) FPPC Advice: advice@fppc.ca.gov (8661276-3772) www.fppc.ca.gov SCHEDULE A Notes Form/Schedule ! Reference No TEXT LSA Architects LLC -20210111 -LLC Legal Responsible Officer: Loch Soderq- A A-74 uist Schedule C SrwFn(u F r Nonmoneta Contributions Received nmouncs may oe rounaea to whole dollars. Statement covers period CALIFORNIA 460 from 20210101 FORM 6/9 through 20210119 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. Number Atascadero Citizens for Accountability 1430464 DATE FULL NAME, STREET ADDRESS AND CONTRIBUTOR IF AN INDIVIDUAL, ENTER DESCRIPTION OF AMOUNT! CUMULATIVE TO DATE PER ELECTION RECEIVED ZIP CODE OF CONTRIBUTOR CODE ' OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER GOODS OR SERVICES FAIR MARKET VALUE CALENDAR YEAR TO DATE (IF COMMITTEE. ALSO ENTER I D. NUMBER) Parkwest Associates NAME OF BUSINESS) Debt Forgiven 15330.00 (JAN 1 - DEC 31) (IF REQUIRED) 15330.00 G 20 Rcpt t 01/1912021 El IND ❑ COM 15330.00 ® OTH ❑ PTY ❑ SCC Attach additional information on appropriately labeled continuation sheets. SUBTOTALS 15330.00 Schedule C Summary Amount received this period - itemized nonmonetary contributions. (Include all Schedule C subtotals.)...................................................................................................................... $ 2. Amount received this period - unitemized nonmonetary contributions of less than $100 ................................. $ 3. Total nonmonetary contributions received this period (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.) ..................... TOTAL $ 15330.00 WE 15330.00 `Contributor Codes IND - Individual COM- Recipient Committee - (other than PTY or SCC) OTH - Other PTY - Political Party SCC - Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-0772) www.fppc.ca.gov Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Atascadero Citizens for Accountability Amounts may be rounded to whole dollars. Statement covers period from 20210101 through 20210119 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia/misc. CNS campaign consultants CTB contribution (explain nonmonetary)` CVC civic donations FIL candidate filinglballot fees FIND fundraising events IND independent expenditure supporting/opposing others (explain)' LEG legal defense LIT camoaian literature and mailinas MBR member communications MTG meetings and appearances OFC office expenses PET petition circulating PHO phone banks POL polling and survey research POS postage, delivery and messenger services PRO professional services (legal, accounting) PRT wint ads SCHEDULE CALIFORNIA 0 46 FORM 6 719 D. NUMBER 1430464 RAD radio airtime and production costs RFD returned contributions SAL campaign workers' salaries TEL t.v. or cable airtime and production costs TRC candidate travel, lodging, and meals TRS staffispouse travel, lodging, and meals TSF transfer between committees of the same candidate/sponsor VOT voter registration WFR information technolnnv costs fintpmpt Amain NAME AND ADDRESS OF PAYEE IIF COMMITTEE, ALSO ENTER I.O. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID OFC Online Disclosure Service 150,00 PRO PAC Accounting 500.00 Bains CPA, Inc PRO PAC Accounting 100.00 Bains CPA, Inc "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.).................................................................................. $ 18589.50 2. Unitemized payments made this period of under $100................................................................................................................................. $ 0.00 3. Total interest paid this period on loans. (Enter amount from Schedule 6, 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 $ 18589.50 FPPC Form 460 (3an12016) FPPC Advice: advice@fppc.ca.gov (6661275.3772) Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE Atascadero Citizens for Accountability Amounts may be rounded to whole dollars. Statement covers period from 20210101 through 20210119 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia/misc. CNS campaign consultants CTB contribution (explain nonmonetary)' CVC civic donations FIL candidate filing/ballot fees FND fundraising events IND independent expenditure sup porting/op posing others (explain)" LEG legal defense LIT camoaian literature and mailings MBR member communications MTG meetings and appearances OFC office expenses PET petition circulating PHO phone banks POL polling and survey research POS postage, delivery and messenger services PRO professional services (legal, accounting) PRT print ads CALIFORNIA �V�O FORM 819 NUMBER 1430464 RAD radio airtime and production costs RFD returned contributions SAL campaign workers' salaries TEL t.v. or cable airtime and production costs TRC candidate travel, lodging, and meals TRS staff/spouse travel, lodging, and meals TSF transfer between committees of the same candidatelsponsor VOT voter registration WEB information technoloav costs (internet. email} NAME AND ADDRESS OF PAYEE IIF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Park West Associates RAD Radio Ads & Mailers 10347.03 Sultana Media CNS Consulting Services 4404.32 Sultana Media LIT Mailer and Postage 3088.15 'Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 18589.50 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.) .......................... TOTAL $ FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppe.ca.gov (8661275.3772) Schedule F Accrued Expenses (Unpaid Bills) Amounts may be rounded to whole dollars. Statement covers period from 20210101 SCHEDULEF CALIFORNIA ��` 0 FORM V SEE INSTRUCTIONS ON REVERSE CODE OR DESCRIPTION OF PAYMENT (a) OUTSTANDING BALANCE BEGINNING OF THIS PERIOD through 20210119 919 NAME OF FILER POL 15330.00 0.00 0.00 I NUMBER Atascaderc Citizens for Accountability Polling CMP 10347.03 0.00 10347.03 1430464 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 CVG civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate fifinglballot 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 supportinglopposing 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, email) NAME AND ADDRESS OF CREDITOR (IF COMMITTEE. ALSO ENTER i o NUMBER) CODE OR DESCRIPTION OF PAYMENT (a) OUTSTANDING BALANCE BEGINNING OF THIS PERIOD (b) AMOUNT INCURRED THIS PERIOD {c) AMOUNT PAID THIS PERIOD (ALSO REPORT ON E) (d) OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD POL 15330.00 0.00 0.00 0.00 ParkWest Associates Polling CMP 10347.03 0.00 10347.03 0.00 ParkWest Associates Radio Ads & Mailers LIT 3088.15 0.00 3088.15 0.00 Sultana Media Mailer & Postage ' Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTALS $ 28765,18$ 0.00$ 13435.18 $ 0.00 Schedule F Summary 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for accrued expenses of $100 or more, plus total unitemized accrued expenses under $100.) ................................................. INCURRED TOTALS $ 0.00 2. Total accrued expenses paid this period. (include all Schedule F, Column (c) subtotals for payments on accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.). .................................... 3, Net change this period. ( Subtract Line 2 from Line 1. Enter the difference here and onthe Summary Page, Column A, Line 9.) ...................... .............. -..... .,,...,,,.,............. ............ -..... ..... ................................................................ PAID TOTALS $ 28765.18 NET $ -28765.18 May be a negative number FPPC Form 460 (Jan12016) FPPC Advice: advice@fppe.ca.gov (8661275-3772)