HomeMy WebLinkAboutForm 460 Donovan 012621Recipient Committee
Campaign Statement
Cover Page
Statement covers period
from 01/01/2021
SEE INSTRUCTIONS ON REVERSE l through 01/26/2021
1. Type of Recipient Committee: All Committees - Complete Parts 1,2,3, and 4.
0 Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot
0 State Candidate Election Committee Measure Committee
0 Recall 0 Controlled
(Also Complete Part 5.) 0 Sponsored
❑ General Purpose Committee (Also Complete Part E )
0 Sponsored ❑ Primary Formed Candidate/
0 Small Contributor Committee Officeholder Committee
0 Political Party/Central Committee (Also complete Part 7 )
3. Committee Information 1 D "UMBER
1429946
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
Josh Donovan for Atascadero Mayor 2020
CITY
Fresno
STATE ZIP CODE AREA CODE/PHONE
CA 93710
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
1625 East Shaw Avenue
Suite 130
CITY STATE ZIP CODE AREA CODE/PHONE
Fresno CA 93710
OPTIONAL FAX/E-MAIL ADDRESS
COVER PAGE
Date Stamp CALIFORNIA 460
FORM V
RECEIVED
Date of election if applicable: Page 1 16 of
(Month. Day, Year) FEB 03 2021
For Official Use Only
CITY OF ATASCADER
CITY CLERK'S OFRC
2. Type of Statement:
❑ Pre-election Statement ❑ Quarterly Statement
❑ Semi-annual Statement ❑ Special Odd -Year Report
F71 Termination Statement
(Also file a Form 410 Termination)
❑ Amendment (Explain below)
Treasurer(s)
NAME OF TREASURER
Varinder Bains, CPA
CITY STATE ZIP CODE AREA CODE/PHONE
Fresno CA 93710
NAME OF ASSISTANT TREASURER, IF ANY
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL FAx/E-MAIL ADDRESS
4. Verification
I have used all reasonable diligence in preparing and reviewing this statement andto e st of my knowledge the information contained herein and in the attached
schedules is true and complete. €certify under penalty of perjury under the laws of e of California t at the foregoing is true and correct.
Executed on 01/26/2021 By Varinder Bainst CPA
DATE SIGNATURE OFT EASU ER OR TANT TREASURER
Executed on 01/26/2021 By Josh Donovan
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER C /DATE, STA EASURE PROPONENT OR RESPONSIBLE OFFICER OF SPONSOR
Executed on By
DATE
Executed on By
DATE
SIGNATURE OF CONTROLLING OFFICEHOLDER. CANDIDATE. STATE MEASURE PROPONENT
SIGNATURE OF CONTROLING OFFICEHOLDER, CANDIDATE STATE MEASURE PROPONENT
FPPC Form 460 (Jan12016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fppc.ca.gov
Recipient Committee
Campaign Statement
Cover Page — Part 2
5. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE
Josh Donovan
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
Sought: Mayor Mayor
City City of Astacadero
RESIDENTIALlBUSINESS ADDRESS NO. AND STREET) CITY STATE ZIP
Atascadero CA 93422
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 I.D.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 ��
FORM
2/6
6. Primarily Formed Ballot Measure Committee
NAME OF BALLOT MEASURE
BALLOT NO. OR LETTER JURISDICTION ❑ SUPPORT
OPPOSE
Identify the controlling officeholder, candidate, or state measure proponent, If any.
NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT
OFFICE SOUGHT OR HELD
DISTRICT NO. IF ANY
7. Primarily Formed Candidate/Officeholder Committee
List names of officeholder(&) 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 (Jan12016)
FPPC Advice: advice@fppc.ca.gov (8661276-3772)
www.fppc.ca.gov
Campaign Disclosure Statement SUMMAKY FAIL
Amounts may be rounded Statement covers period CALIFORNIA
Summary Pa/� CO
Page to whole dollars.
from 20210101 FORM 46
SEE INSTRUCTIONS ON REVERSE through 20210126 3/6
NAME OF FILER I.D. NUMBER
Josh Donovan for Atascadero Mayor 2020
1429946
Contributions Received
1. Monetary Contributions ................
2. Loans Received .............................
Column A Column B Calendar Year Summary for Candidates
TOTP THIS PERIOD CALENDAR YEAR Running in Both the State Primaryand
(FROM ATTACHED SCHEDULES) TOTAL TO DATE 9
General Elections
Schedule A, Line 3 $ 0.00 $ 0.00
Schedule B, Line 3
3. SUBTOTAL CASH CONTRIBUTIONS ........................... Add Lines 1 + 2 $ 0.00
4. Nonmonetary Contributions ................................... Schedule C, Line 3 0.00
5. TOTAL CONTRIBUTIONS RECEIVED .......................... Add Lines 3 + 4 0.00
Expenditures Made
6.
Payments Made ........................................................
Schedule E, Line 4
$
5773.70
7.
Loans Made..............................................................
Schedule H, Line 3
13.
0.00
8.
SUBTOTAL CASH PAYMENTS ..................................
Add Lines 6 + 7
$
5773.70
9.
Accrued Expenses (Unpaid Bills) .............................
Schedule F, Line 3
Column A, Line 8 above
-55.00
10.
Nonmonetary Adjustment .........................................
Schedule C, Line 3
0.00
11.
TOTAL EXPENDITURES MADE ............................
Add Lines 8+9+ 10
$
5718.70
Current Cash Statement
12.
Beginning Cash Balance.....................
Previous Summary Page, Line 16 $
5773.70
13.
Cash Receipts .................................................
Column A, Line 3 above
0.00
14.
MISCehaneous Increases to Cash ....................................
Schedule I, Line 4
0.00
Cash Payments .................................................
Column A, Line 8 above
5773.70
16.
ENDING CASH BALANCE.... Add Lines 12 + 13 + 14, then subtract Line 15 $
0.00
If this is a termination statement, Line 16 must be zero.
17. LOAN GUARANTEES RECEIVED ........................... Schedule B, Part 2 $ 0.00
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ........................................ See instructions on reverse $ 0.00
19. Outstanding Debts ....................... Add Line 2 + Line 9 in Column B above $ 0.00
0.00 Con
20.
. 1/1 through 6/30 7/1 to Date
iv dons
$ Received $ 0.00 a 0.00
0.00
21. Expenditures
$ 0.00 Made $ 0.00 $ 0.00
$ 5773.70
0.00
$ 5773.70
0.00
0.00
$ 5773.70
calculate Column B, add
ounts in Column A to the
responding amounts
n Column B of your last
on. Some amounts in
lumn A may be negative
Cres that should be
nracted from previous
tod amounts. If this is
first report being filed
this calendar year, only
ry over the amounts
n Lines 2, 7, and 9 (if
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made'
(if Subject to voluntary Expenditure Limit)
Date of Election Total to Date
(mMdd/yy)
Amounts in this section may be
different from amounts reported in Column B.
FPPC Form 460 (Jon/2016)
FPPC Advice: advlce@fppc.n.gov (888/278-3772)
www.fppc.ca.gov
Schedule E
Payments Made
SEE [NSTRUCTIONS ON REVERSE
Amounts may be rounded
to whole dollars.
Statement covers period
from 20210101
through 20210126
CALIFORNIA A
FORM
416
NAME OF FILER I.D- NUMBER
Josh Donovan for Atascadero Mayor 2020
1429946
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CMP campaign paraphernaliaimisc.
CNS campaign consultants
CTB contribution (explain nonmonetary)`
CVG civic donations
Flt candidate filing/ballot fees
FND fundraising events
IND independent expenditure supporting/opposing others (explain)`
LEG legal defense
LIT camDaian literature and madinas
NA_ WAND ADDRESS OF PAYEE
• pF COMMITTEE, ALSO ENTER I.U. NUMBER)
MBR member commun+cations
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 Drini ads
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 candidate/sponsor
VOT voter registration
WEB information technology costs (internet, email)
CODE OR DESCRIPTION OF PAYMENT
OFC J Online Disclosure Service
OFC I Office Equipment
CVC I Donation - Relief for Atascadero Businesses
'Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL. $
Schedule E Summary
AMOUNT PAID
150.00
2230.06
2661.67
1. Itemized payments made this period. (Include all Schedule E subtotals.) ................................................................................... $ 5718.70
2. Unitemized payments made this period of under $100. ..... 55.00
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 $ 5773.70
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-37721
Schedule E
Payments Made
SEE fNSTRUCTIONS ON REVERSE
Amounts may be rounded
to whole dollars.
Statement covers period
from 20210101
SCHEDULE E
CALIFORNIA
FORM
through 20210126 I 5/6
NAME OF FILER I.D. NUMBER
Josh Donovan for Atascaderc Mayor 2020
1429946
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)*
CVG civic donations
FIL candidate filing/ballot fees
FND fundraising events
IND independent expenditure supporting/opposing others (explain)`
LEG legal defense
I IT n lit—t-- A —ndi
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 —int arae
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 candidate/sponsor
VOT voter registration
WEB information technoloov costs (internet. email)
NAME AND ADDRESS OF PAYEE
CODE OR DESCRIPTION OF PAYMENT
AMOUNT PAID
pF cOMMMEE, ALSO ENTER I.O. NLIMBERy
PRO
Campaign Accounting
676.97
Bains CPA, Inc
*Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 5718.70
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@fppc.ca.gov (8661275-3772)
Payments that are contributions or independent expenditures must also be SUBTOTALS $ 0.00$ 0.00$ 0.00 $ 0.00
summarized on Schedule D.
Schedule F Summary
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.)..........
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 g.).......................................................................................................................................................
INCURRED TOTALS $ 0.00
PAID TOTALS $ 55.00
NET $ -55.00
May be a negative number.
FPPC Form 460 (Jan/2076)
FPPC Advice: advice@fppc.ca.gov (866/276-3772)
(a)
(b)
(c)
SCHEDULE
Statement covers period
from 20210101
CALIFORNIA 460
FORM
Schedule F Amounts may be rounded
Accrued Expenses (Unpaid Bills) to whole dollars.
6/6
AMOUNT PAID
through
20210126
SEE INSTRUCTIONS ON REVERSE
BALANCE BEGINNING
THIS PERIOD
THIS PERIOD
BALANCEATCLOSE
NAME OF FILER
OF THIS PERIOD
(ALSO REPORT ON E)
OF THIS PERIOD
I.D. NUMBER
Josh Donovan for Atascadero Mayor 2020
1429946
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 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)
Payments that are contributions or independent expenditures must also be SUBTOTALS $ 0.00$ 0.00$ 0.00 $ 0.00
summarized on Schedule D.
Schedule F Summary
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.)..........
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 g.).......................................................................................................................................................
INCURRED TOTALS $ 0.00
PAID TOTALS $ 55.00
NET $ -55.00
May be a negative number.
FPPC Form 460 (Jan/2076)
FPPC Advice: advice@fppc.ca.gov (866/276-3772)
(a)
(b)
(c)
(d)
NAME AND ADDRESS OF CREDITOR
CODE OR
OUTSTANDING
AMOUNT INCURRED
AMOUNT PAID
OUTSTANDING
(IF OOMMITn:E, NbSO ENTER I.D. NUMBER)
DESCRIPTION OF PAYMENT
BALANCE BEGINNING
THIS PERIOD
THIS PERIOD
BALANCEATCLOSE
OF THIS PERIOD
(ALSO REPORT ON E)
OF THIS PERIOD
Payments that are contributions or independent expenditures must also be SUBTOTALS $ 0.00$ 0.00$ 0.00 $ 0.00
summarized on Schedule D.
Schedule F Summary
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.)..........
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 g.).......................................................................................................................................................
INCURRED TOTALS $ 0.00
PAID TOTALS $ 55.00
NET $ -55.00
May be a negative number.
FPPC Form 460 (Jan/2076)
FPPC Advice: advice@fppc.ca.gov (866/276-3772)