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Home My WebLink AboutForm 460 Keen 063022COVER PAGE Recipient Committer' Date Stamp Campaign Statement RECE 7Vj FORM Cover Page SEE INSTRUCTIONS ON REVERSE Statement covers period from 01/0:./2022 through OW30/2022 1. Type of Recipient Com mittee: All Committees - Complete Parts 1, 2, 3, and 4. Z Officeholder, Candidate Controlled Committee O State Candidate Electicn Committee O Recall (Also Cc mplete Parf 5) ❑ gneral Purpose Committee Sponsored Small Contributor Committee Political Party/Central Committee 3. Committee Information COMMITTEE NAME (OR CANDIDA 4. Keen for Council 2020 ❑ Primarily Formed Ballot Measure Committee Controlled Sponsored Mso Complete Part 6) ❑ Primarily Form ad Candidate/ Officeholder Committee (Also Corrplele Part 7) I.D. NUMBER 1428685 Atascadero CA 93422 MAILING ADDRESS (IF DIFFERENT) NO. NND STREET OR P.O. BOX STATE ZI CODE AREACODE/PHONE Atascaderti CA 93423 OPTIONA-: FAX/E-MAILADDRESS Date of election if applicable: AUG 012029 Page _ of (Month, Jay, Year) For Offic at Use Only CITY OF ATASCAMERO CITY CLERK'S O FICE 2. Type ol Statement: ❑ Preelection Statement ❑ Quarterly Statement m Sem -annual Statement ❑ Special Odd -Year Report ❑ Termination Statement (Also file a Form 410 Term nation) ❑ Ameidrment (Explain below) Treasuri NAME OF TREASURER Rachel M cElhinney Los Osos CA 93402 - NAME OF ASSISTANT TREASURER. IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS 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 arid complete. I certify under penalty of perjury ender the laws of the State of California that the foregoi^^'- - I&A ^^^^* Fx cuted on Dal 1 e Fac cured on Y11-1 I 7 Date Exacuted on _ Date Exscuted on _ Date By Signature of Controlling Officeholder, Candidate, ate Measure Proponent By ignalure of Controlling"cehoider, Cani ateMeasure Proponent FP PC Form 496 (Feb/2019) FPPC Advice: advice@fppc.ca.go,r (866/275-3772) +erww.fppc.ca.gov Recipient Committee Campaign Statement Cover (Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Victoria Keen OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Atascadero City Council RESIDENTIAUBUSINESSADDRESS (NO.ANDSTREE:T) 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. COMMITTEE NAME NAME OF TREASURER I.D. NUMBER ❑ YES ❑ NO ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME NAME OF T COMMITTEE I.D. NUMBER ❑ YES ❑ NO CITY STATE ZIP CODE AREA CODE/PHONE COVER PAGE - PART 2 Page of 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 01=FICEHOLDER 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 Amounts may be rounded SUMMARY PAGE to whole dollars. Statement covers period . . Summary Page 01/01/2022 . • � • � from Expenditures Made 6. Payments Made................................................................ Schedule E, Line 4 through 06/30/2022 Page of SEE INSTRUCTIONS ON REVERSE 8. SUBTOTAL CASH PAYMENTS ....................................... Add Lines 6 + 7 $ 94.33 9. Accrued Expenses (Unpaid Bills) . . ....................................... g 0 10. Nonmonetary Adjustment ............ ............................................ NAME OF FILER 0 11, TOTAL EXPENDITURES MADE....................................AddLines8+9+10 $ 94.33 17. LOAN GUARANTEES RECEIVED ................................ Schedule B. Part 2 I.D. NUMBER Victoria Keen Cash Equivalents and Outstanding Debts 18. Cash Equivalents ................................................ See instructions on reverse $ 1428685 Contributions Received $ Column A TOTAL THIS PERIOD Column B Calendar Year Summary for Candidates (FROM ATTACHED SCHEDULES) CALENDAR YEAR TOTAL TO DATE Running in Both the State Primary and General Elections 1. Monetary Contributions................................................... Schedule A, Line 3 $ 126.48 $ 126.48 0 0 1/1 through Gd30 7/t to Date 2. Loans Received................................................................ Schedule B, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 1 +2 $ 126.48 $ 126.48 20. Contributions Received $ $ 4. Nonmonetary Contributions ............................................ schedule C, Line 3 0 0 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ............. ................... Add Lines 3+4 $ 126.48 $ 126.48 Made $ $ Expenditures Made 6. Payments Made................................................................ Schedule E, Line 4 $ 94.33 7. Loans Made....................................................................... Schedule H, Line 3 0 8. SUBTOTAL CASH PAYMENTS ....................................... Add Lines 6 + 7 $ 94.33 9. Accrued Expenses (Unpaid Bills) . . ....................................... Schedule F Line 3 0 10. Nonmonetary Adjustment ............ ............................................ ScheduleC,Line3 0 11, TOTAL EXPENDITURES MADE....................................AddLines8+9+10 $ 94.33 Current Cash Statement 12. Beginning Cash Balance ............................ Previous Summary Page, Line 16 $ 130.78 13. Cash Receipts........................................................... Column A, Line 3 above 126.48 14. Miscellaneous Increases to Cash .................................. Schedule 1, Line 4 0 15. Cash Payments......................................................... Column A, Line 8 above 94.33 16. ENDING CASH BALANCE ..................Add Lines 12 + 13 + 14, then subtract Line 15 $ 162.93 If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ................................ Schedule B. Part 2 $ 0 Cash Equivalents and Outstanding Debts 18. Cash Equivalents ................................................ See instructions on reverse $ 0 19. Outstanding Debts .............................. Add line 2 + Line 9 in Column B above $ 0 $ 94.33 0 $ 94.33 0 0 $ 94.33 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` (If Subject to Voluntary Expenditure Limit) Date of Election Total to Date (mm/dd/yy) I _./_-J $ "Amounts in this section may be different from amounts reported in Column B. FPPC Form 496(Feb/2019) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Victoria Keen DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF RECEIVED CONTRIBUTOR (IF COMMITTEE,ALSO ENTER I.D. NUMBERI 6/8/2022 Deborah Keen Amounts may be rounded to whole dollars. SCHEDULE A Statement covers period from 10/18/2020 through 12/31/2020 Page of I.D. NUMBER 1428685 IF AN INDIVIDUAL, ENTER AMOUNT CONTRIBUTOR CODE OCCUPATION AND EMPLOYER RECEIVED THIS (IF SELF-EMPLOYED, ENTER NAME PERIOD ®IND 17-1 COM retired $126.48 ❑ OTH ❑ PTY ❑ SCC L] IND ❑ COM ❑ OTH ❑ PTY ❑ SGC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC 17-1 IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑IND ❑ COM ❑ OTH ❑ PTY F-1 SCC SUBTOTAL $ 842.16 Schedule A Summary 1. Amount received this period — itemized monetary contributions. 126.48 (include _ll Schedule. A Subtotals.` (include C au .�uncuul� l ......................... ........................................................ ........................ � 2. Amount received this period — unitemized monetary contributions of less than $100 ...........................$ _ 3. Total monetary Contributions received this period. 126.48 (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.)......................TOTAL $ CUMULATIVE TO DATE PER ELECTION CALENDAR YEAR TO DATE (JAN. 1 -DEC. 31) (IF REQUIRED) $126.48 'Contributor 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 496(Feb/2019) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Victoria Keen Amounts may be rounded to whole dollars. SCHEDULE E covers from 1/1/2022 through 6/30/2022 I Page of CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. 1428685 CMP campaign paraphemalia/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 tv. 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, e•mall) Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.)............................................................................................................. $ 2. Unitemized payments made this period of under $100 ...................... ... $ 94.33 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 $ 94.33 FPPC Form 496 (Feb/2019) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov