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Home My WebLink AboutForm 460 Funk 063021Recipient Committee Date Stam COVERPAGE Campaign Statement p lim Cover Page RECEIVE (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Statement covers period from 01/01/2021 through 06/30/2021 1. Type of Recipient Committee: All Committees -Complete Parts 1, 2, 3, and 4. ❑X Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure 0 Stale Candidate Election Committee Committee 0 Recall 0 Controlled (Also Complete Part 5) 0 Sponsored (Also Complete Part 6) ❑ General Purpose Committee 0 Sponsored 0 Small Contributor Committee 0 Political Party/Central Committee ❑ Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) 3. Committee InformationI I.D. NUMBER 1402781 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Funk for City Council 2018 CITY STATE ZIP CODE AREA CODEWHONE Sacramento CA 95841 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR PO. BOX CITY STATE 71P CODE AREA CODEIPHONE OPTIONAL FAX fE-MA1 ADDRESS Q. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my k under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed on 07/19/2021 Data Executed on 07/19/2021 Data Executed on Executed on Date www.netfile.com By By Date of election if applicable: JUL 2 8 2021 page 1 of 6 (Month, Day, Year) CITY OF ATASCAD I -'RO For Official Use Only CITY CLERKS OFF ICE 2. Type of Statement: ❑ Preelection Statement [] Quarterly Statement ❑x Semi-annual Statement ❑ Special Odd -Year Report ❑ Termination Statement [] Supplemental Preelection (Also file a Form 410 Termination) Statement - Attach Form 495 ❑ Amendment (Explain below) Treasurer(s) NAME OF TREASURER Denise Lewis MAILING ADDRESS CITY STATE ZIP CODE AREA CODEIPHONE Sacramento CA 95841 NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODEIPHONE OPTIONAL, FAX I E-MAIL ADDRESS e the information I Signature of F C herein and in the attached schedules is true and complete. I certify 1 Measure Proponent or Responsible Officer of Sponsor By Signature of Controlling Ofricandder, Candidate, State Measure Proponent By Signature of Conrro€ ling Ofriceho€der, 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 Susan E. Funk OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) City Council Member City of Atascadero RESIDENTIAL/BUSINESS 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 make expenditures on behalf of your candidacy. COMMITTEENAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) COVER PAGE - PART 2 Page 2 of 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(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 ..,. 1 .pini` sir 1-1 -1.1Attach continuation sheets if necessary www.netfile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275.3772) www,fppc.ca.gov Campaign Disclosure Statement Summary Page Amounts may be rounded Statement covers period to whole dollars. from of/ol/zozl SEE INSTRUCTIONS ON REVERSE 6. Payments Made ....................................................... schedule E, Line 4 7. Loans Made............................................................. schedule H, Line 3 through 06/30/2021 Page 3 of 5 ...................... Schedule F Linea NAME OF FILER schedule c, Line 3 11. TOTAL EXPENDITURES MADE ................................Add Lines 8+9+ 10 I.D. NUMBER Punk for City Council 2018 1402781 Contributions Received Column TOTALTnIS%RIOD (MCMATTACIEDSCt WLES) Column B CALENDARYEAR TOTUTOOATE Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1. Monetary Contributions ........................................... schedule A, Line 3 $ 0.00 $ 0.00 1/1 through 6/30 7/1 to Date 2. Loans Received...................................................... schedule e, urre 3 0.00 1,800.00 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 +2 $ 0.00 $ 1, 800. oo 20. Contributions Received $ $ 4. Nonmonetary Contributions .................................... schedule C, Line a 0.00 0.00 27 Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 + 4 $ 0.00 $ 1,800.00 Made $ $ Expenditures Made 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 Linea 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 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. $ 138.30 $ 138.30 0.00 0.00 $ 138.30 $ 138.30 54.67 142.97 $ 192.97 $ $ 206.35 0.00 c.o0 138.30 $ 68.05 17. LOAN GUARANTEES RECEIVED ........................... schedule B, Pmt 2 $ o. oo I Cash Equivalents and Outstanding Debts 18. Cash Equivalents ........................................ see instructions on reverse $ 0.00 19. Outstanding Debts ......................... Addune2+1-ine Bin ColumnBabove $ 1,942.97 www.netfile.com 27 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). Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made' (RSubject to Voluntary Expenditure Limit) 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 (Janl2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule B — Part 1 SCHEDULE B - PART 1 Amounts may be rounded Statement covers period e:. a Loans mecelvea to wnole oollars. 01/01/20217NUMBER - a It from SEE INSTRUCTIONS ON REVERSE through 06/30/2021 Of 6 NAME OF FILER Funk for City Council 2018 1402781 FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER a OUTSTANDING (b) AMOUNT ic) AMOUNT PAID (d) OUTSTANDING (e) INTEREST ORIGINAL (g) CUMULATIVEOF LENDER IF SELF-EMPLOYED,EINTER BALANCE BEGINNING THIS RECEIVED THIS OR FORGIVEN BALANCE AT T CLOSE OF HIS PAID THIS AMOUNT OF CONTRIBUTIONS (IF COMMITTEE, ALSp ENTERIp NUMBER) NAME OF BUSINESS) PERI ❑ PERIOD THIS PERIOD ' PERI D PERIOD LOAN TO DATE Susan Funk Candidate ❑ PAID CALENDARYFAR Candidate Atasca era, CA 93422 Rin Donn n n wa $ i Rnn nn S n nn ❑ FORGIVEN PERELECTION- RATE #® IND CDM s l,Rnn on $ n on $Ann 06/28/2019 $_ n nn 12/28/2018 $G2018 2,926.89 ❑ ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR ❑ FORGIVEN PERELECTION— RATE t❑ IND COM ❑ OTH ❑ PTY ❑ SCC s s $ a $ DATE DUE DATE INCURRED PAID CALENDARYEAR S S 96 S S ❑ FORGIVEN PER ELECTION"' RATE IND COM OTH PTY ❑ SCC t❑ L]❑ 8 S $ $ $ DATE DUE DATE INCURRED SUBTOTALS $ 0.00$ 0.00$ 1,800.00$ 0.00 Schedule B Summary 1. Loans received this period.................................................................................................................... $ (Total Column (b) plus unitemized loans of less than $100.) 2. Loans paid orforgiven this period......................................................................................................... $ (Total Column (c) plus loans under $100 paid or forgiven.) (include loans paid by a third party that are also itemized on Schedule A.) 3. Net change this period. (Subtract Line 2 from Line 1.)............................................................... NET $ Enter the net here and on the Summary Page, Column A, Line 2. 'Amounts forgiven or paid by another party also must be reported on Schedule A. If required. www.netfile.com 0,00 0.00 o.0o (Maybe a Regatw number} (EnterWon Schetlule E, Line 3) tContributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov LE 1 Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Funk for City Council 2018 Amounts may be rounded to whole dollars. Statement covers period from 01/01/2021 through 06/30/2021 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. Page 5 of 6 I.D. NUMBER 1402781 E CNP campaign paraphernalialmisc. 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 PEI petition circulating TEL t.v. or cable airtime and production costs FIL candidate filingiballot 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 Lrr campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE SIF COMMITTEE. ALSO ENTER I.D.NUMBER1 CODE OR DESCRIPTION OF PAYMENT AMOUNTPAIO River City Business Services Sacramento, CA 95841 PRO 88.30 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 66.30 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) 88.30 2. Unitemized payments made this period of under $100 .... .... $ so .00 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e).).............................................................................1. $ 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 $ 138.30 FPPC Form 460 (Jan/2016) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) www.netfile.com www.fppc.ca.gov Schedule F Accrued Expenses (Unpaid Bills) SEE INSTRUCTIONS ON REVERSE NAME OF FILER Funk for City Council 2018 Amounts may be rounded to whole dollars. Statement covers period from 01/01/2021 through 06/30/2027. Page 6 of 6 I.D. NUMBER 1402781 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CAP 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 PEI petition circulating TFL t _ 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) NAME AND ADDRESS OF CREDITOR CODE OR ( OUTSTANDING NDING ( AMOUNTIN CURRED (c) AMOUNTPAID (d) OUTSTANDING {iF COMMITTEE. ALSO ENTER ro. NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE OF THIS PERIOD (ALSO REPORT ON F) OF THIS PERIOD River City Business Services PRO 88.30 0.00 88.30 0.00 Sacramento, CA 95841 River City Business Services PRO 0.00 142.97 0.00 142.97 Sacramento, CA 95841 * Payments that are contributions or independent expenditures must also be SUBTOTALS $ 88.30$ 142.97$ 88.30$ 142.97 summarized on Schedule D. 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.) .......................... 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 on the Summary Page, Column A, Line 9.)................................................................................................... INCURRED TOTALS $ 142.97 PAID TOTALS $ 88.30 NET $ 54.67 ......... May be a negative number FPPC Form 460 (JanI2016) FPPC Toll -Free Helpline: 8661ASK-FPPC (866/275.3772) WWW.nefflle.com www.fppc.ca.gov