HomeMy WebLinkAboutForm 460 A Better Atascadero 063021Recipient Committee
Campaign Statement
Cover Page
SEE INSTRUCTIONS ON REVERSE
Statement covers period
from i ^) aCoZ
through
Ca-3)-aaD-r
'I. Type of Recipient Committee: All Committees – Complete Parts 1, z, 3, and 4.
❑ifioeholder, Candidate Controlled Committee
State Candidate Election Committee
0 Recall
(Also Complete Pad 5)
gneral Purpose Committee
Sponsored
Small Contributor Committee
Political Party/Central Committee
3. Committee Information
4.
COMMITTEE NAME (OR CANDIDAT
❑ Primarily Formed Ballot Measure
ommittee
Controlled
Sponsored
(Also G-Plele Pad b)
❑ Primarily Formed Candidate/
Officeholder Committee
(Ako Complete Pad 7)
I.D. NUMBER
130
# fg564 -ee re)
STATE ZIP CODE
CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX/E-MAIL ADDRESS
Date of election if applicable:
(Month, Day, Year)
Date Stamp
RECEIVED
JUL "12 2021
CITY OF ATASCADERO
CITY CLERK'S OFFICE
2. Type of Statement:
❑
Preelection Statement
Semi-annual Statement
❑
Termination Statement
(Also file a Form 410 Termination)
❑
Amendment (Explain below)
COVER PAGE
`4•1
FORM
Page of
ForOffidal Use Only
❑ Quarterly Statement
❑ Special Odd -Year Report
9
Treasurer(s)
NAME OF TREASURER
yvkadq 1yK M6 Z)Q'j, el
+zgscq def -y C/-4- R3�1�a
OF ASSISTANT TREASURER, IF ANY
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODElPHONE
OPTIONAL: FAX / E-MAIL ADDRESS
Verification
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 p-edury under the
laws
�of the State of California that the foregoing is true and correct.
Executed on
atei :,c!X.,T'rje"uor urer
Executed on — .7-i2_���L, -ate lure ontrollinp cehoi(er. Candiae, tate Wasure Proponent or Responsiblecar oonsw
Executed on
Date
Executed on
Date
By
Signature of Contmiling Ofreeholder, CarxiWata. State Measure Proponerd
By
Stgnelure of Conlro ling OfficWiokier. Candidate, State Measure Proponent
FPPC Form 460 (Jan/2016))
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Campaign Disclosure Statement
Summary Page
Amounts may be rounded
to whole dollars.
NAME OF FILER �y
!-, 13 e -�-k e,- R- i--! s ca ice f -v
Contributions Received
1. Monetary Contributions...................................................
schedule A. Line 3
2. Loans Received................................................................
Schedule s, Line 3
3. SUBTOTAL CASH CONTRIBUTIONS ..............................
Add Lines l+2
4. Nonmonetary Contributions ............................................
Schedule C, Line 3
5. TOTAL CONTRIBUTIONS RECEIVED ..... ...........................
AddLines3+4
Expenditures Made
6, Payments Made ................................
7. Loans Made .......................................
8. SUBTOTAL CASH PAYMENTS..
9. Accrued Expenses (Unpaid Bills)..
10. NonmonetaryAdjustment ..................
11. TOTAL EXPENDITURES MADE
............ Schedule E, Line 4
............ Schedule H, Line 3
................. Add Lines 6+7
... Schedule F, Line 3
.. Schedule C, Line 3
Add Lines 9 + g + 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 1, Line 4
15. Cash Payments......................................................... Column A, Line a 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
TOTALTHIS PERIOD
(FROM ATTACHED SCHEDULES)
$
$
$ 8 $
SUMMARY PAGE
Statement covers period
from /-/—o2Ga/
through & — 3 °" a c7);)-( I Page i of 3
Column B
CALENDARYEAR
TOTAL TO DATE
$ (lg.Do $ (IQ.OD
$ I 1 g -DD $ 11 '? -&z>
$ I C 9 e as $ / I W. oy
$ y 1 f? . 33
/12.06
$ 37?.t3,3
17. LOAN GUARANTEES RECEIVED ................................ Schedule e, Part 2 $
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ................................................ See inshuctions on reverse S
19. Outstanding Debts .............. _.............. Add Line 2 +Line 9 in Column a shove $
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).
13 C) qc9 lig
Calendar Year Summary for Candidates
Running in Both the State Primary and
General Elections
111 through 6/30 7/1 to Date
20. Contributions
Received $ $
21. Expenditures
Made $ $
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made`
(e Subject to Voluntary Expenditure urmq
Date of Election Total to Date
(mm/dd/yy)
Amounts in this section may be different from amounts
reported in Column B.
FPPC Form 460 (Jan/2016))
FPPC Advice: advice@fppc.m.gov (866/275-3772)
www.fppc.ca.gov
Schedule E Amounts may be rounded
Payments Made to whole dollars'
Statement covers period
from i i — ; C'd-
through 6,-30 -26A( I Page 3 of
it ge--4 r � SC4 �P/I� 1.. ..D el'? �'g
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment
CMP
campaign paraphemalia/mist.
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 candidatelsponsor
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 1.0. NUMBER)
CODE OR DESCRIPTION OF PAYMENT
AMOUNT PAID
(,Islas
X05
/.�DK reH+al
118��0
Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ l 06
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 Summa Page, Column A, Line 6.
P Y P ( Summary 9 )........................... TOTAL $ I C
FPPC Form 460 (Jan/2016))
FPPC Advice: acWice@fppc.ca.gov (966/275-3772)
www.fppc.ca.gov