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Home My WebLink AboutForm 460 Funk 063022Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) Statement covers period from 01/01/2022 SEE INSTRUCTIONS ON REVERSE Ithrough 06/30/2022 1. Type of Recipient Committee: All Committees — Complete Parts t, 2, 3, and 4. ❑x Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure Q State Candidate Election Committee Committee 0 Recall Q Controlled (Also Complete Part 5) Q Sponsored (Also Complete Part 6) ❑ General Purpose Committee 0 Sponsored 0 Small Contributor Committee 0 Political Party/Central Committee 3. Committee Information OMMITTEE NAME (OR CANDIDATE'S NAME IF Funk for City Council 2022 STREET ADDRESS (NO P.O. BOX) Date of election if applicable: (Month, Day, Year) Date Stamp RECEIVED AUG 012022 COVER PAGE Page 1 of 15 OFATASCADERa For Official Use Only CLERK'S OFFICEI 2. Type of Statement: ❑ Preelection Statement 0 Semi-annual Statement ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) ❑ Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) I.D. NUMBER Treasurer(s) 1443535 COMMITTEE) NAME OF TREASURER Denise Lewis MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE Sacramento CA 95841 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE/PHONE ❑ Quarterly Statement ❑ Special Odd -Year Report ❑ Supplemental Preelection Statement - Attach Form 495 CITY STATE ZIP CODE AREA CODE/PHONE Sacramento CA 95841 NAME OF ASSISTANT TREASURER, IF ANY Marissa Russell MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE Sacramento CA 95841 OPTIONAL: FAX / E-MAIL ADDRESS OPTIONAL: FAX / E-MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my kn ntained her in and in the attached schedules is true and complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed on 07/22/2022 By Date Executed on 07/22/2022 By Date Executed on Date Executed on Date www.netfile.com By Signature of Controlling Officeholder, Candidate, State Measure Proponent By Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Recipient Committee Campaign Statement Cover Page — Part 2 COVER PAGE - PART 2 _ NIA 1 O CALIFR 460 Page 2 of 15 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE Susan E. Funk OFFICE SOUGHT OR HELD OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO. OR LETTER JURISDICTION ❑ SUPPORT City Council Member City of Atascadero ❑ OPPOSE RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP ❑ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. Atascadero CA 93422 ❑ SUPPORT NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT Related Committees Not Included in this Statement: List any committees NAME OF OFFICEHOLDER OR CANDIDATE not included in this statement that are controlled by you or are primarily formed to receive OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME I.D. NUMBER 7• Primarily Formed Candidate/Officeholder Committee List names of NAME OF TREASURER CONTROLLED COMMITTEE? officeholder(s) or candidate(s) for which this committee is primarily formed. ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (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) 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 CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary www.netfile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Campaign Disclosure Statement Amounts may be rounded SUMMARY PAGE Summa Pae Statement covers periodCALIFORNIASummary g to whole dollars.460 from 01/01/2022 FORM SEE INSTRUCTIONS ON REVERSE through 06/30/2022 Page 3 of 15 NAME OF FILER I.D. NUMBER Funk for City Council 2022 1443535 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 $ 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 $ Column A TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) 8,980.00 0.00 Column B Calendar Year Summary for Candidates CALENDAR YEAR TOTALTODATE Running in Both the State Primary and General Elections $ 8,980.00 0.00 1/1 through 6/30 7/1 to Date 8,980.00 $ 8,980.00 500.00 500.00 9,480.00 $ 9,480.00 990.77 $ 990.77 0.00 0.00 990.77 $ 990.77 931.50 931.50 500.00 500.00 2,422.27 $ 2,422.27 Current Cash Statement 12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ 0.00 13. Cash Receipts ................................................... Column A,Line 3above 8,980.00 14. Miscellaneous Increases to Cash ........................... Schedule 1, Line 4 0.00 15. Cash Payments .................................................. column A, Line 8above 990.77 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ 7,989.23 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 $ 931.50 www.netfile.com 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). 20. Contributions Received $ $ _ 21. Expenditures Made $ $ _ IExpenditure 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 'Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Sr-hprli dp A C�ilpl��lll��G� Moneta Contributions Received Amounts may be rounded Monetary Statement covers period _ to whole dollars. ' from 01/01/2022 • ' through 06/30/2022 Page 4 of 15 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Funk for City Council 2022 1443535 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (IF COMMITTEE, ALSENTERI.D.NUMBER) * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 04/25/2022 Grenda Ernst ❑x IND Retired 100.00 125.00 G2022 $125.00 [-]COM n/a Atascadero, CA 93422 ❑ OTH ❑ PTY ❑ SCC 04/25/2022 Doroth Funk MIND Retired 1,000.00 1,000.00 G2022 $1,000.00 ❑COM n/a❑ Topeka, KS 66611 OTH ❑ PTY ❑ SCC 05/07/2022 Judith Bamburg MIND Retired 100.00 100.00 G2022 $100.00 ❑COM n/a Poulsbo, WA 98370 ❑ OTH Received through intermediary: Stripe Inc. El PTY 185 Berry street, suit 550 [j SCC San Francisco, CA 9410 05/07/2022 Straith Smith-Zanartu MIND Retired 100.00 200.00 G2022 $200.00 ❑COM n/a Atascadero, CA 93422 Received through inte ediary: ❑OTH Stripe Inc. ❑ PTY 185 Berry Street, Suit 550 San Francisco, CA 9410 ❑ SCC 05 07 2022 MIND Retired 100.00 250.00 G2022 $250.00 n/a Atascadero, CA 93422 ❑COM Received through inte ediary: El OTH stripe Inc. PTY les Berry street, suit 550 ❑ San Francisco, CA 9410 ❑ SCC SUBTOTAL$ 1,400.00 Schedule A Summary 1. Amount received this period — itemized monetary contributions. (Include all Schedule A subtotals.) $ 7,575.00 2. Amount received this period — unitemized monetary contributions of less than $100 ............................. $ 1,405.00 3. Total monetary contributions received this period. Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1. TOTAL $ 8, 980.00 www.netrile.com *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 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) ivionetary L ontrioutionS Keceivea Amounts may be rounded Statement coversperiod to whole dollars.CALIFORNIA• ' from 01/01/2022 ' through 06/30/2022 Page 5 of is NAME OF FILER I.D. NUMBER Funk for City Council 2022 1443535 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (E COMMITTEE, ALSO ENTERI.D.NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 05/09/2022 Roger Gambs E]IND Retired 100.00 150.00 G2022 $150.00 Atascadero, CA 93422 ❑COM n/a E] OTH Received through inte mediary: Stripe Inc. ❑ PTY 165Berry street, Sui a 550 El SCC San Francisco, CA 94117 06/04/2022 Mar uerite Kelly Pullev x❑IND Retired 250.00 250.00 G2022 $250.00 ❑COM n/a Atascadero, CA 93422 ❑OTH Received through inte mediary: Stripe Inc. ❑ PTY 165 Berry Street, Sui a 550 ❑ SCC San Francisco, CA 941 7 06/07/2022 r i - x❑IND Retired 100.00 200.00 G2022 $200.00 Atascadero, CA 93422 ❑COM n/a El OTH Received through inte mediary: Stripe Inc. ❑ PTY 165 Berry street, Sui a 550 ❑ .SCC San Francisco, CA 94117 06/10/2022 Charlotte B. Br ne X❑IND Retired 100.00 100.00 G2022 $100.00 tascacero, CA 93422 ❑ COM n/a ❑ OTH ❑ PTY ❑ SCC 06 10 2022 Brian P 1 1 Cisneros 91 IND Teacher, pt.►o 100.00 100.00 G2022 100.00 A&&WWii@WN8-4Jnified School ascacero, CA 93422 ❑COM District ❑ OTH ❑ PTY ❑ SCC SUBTOTAL$ 650.00 '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 www.netfile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 4601 � t from 01/01/2022 • ' through 06/30/2022 Page 6 of 15 NAME OF FILER I.D. NUMBER Funk for City Council 2022 1443535 ZIP FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE (E COMMITTEE,DDRALSAND O ENTER I.D. NUMBER) * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVEDCODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 06/10/2022 Judith H. Cleary X❑IND Retired 100.00 100.00 G2022 $100.00 ❑COM n/a Atascadero, CA 93422 ❑ OTH ❑ PTY D SCC 06/10/2022 Claudia Collier RIND Retired 100.00 100.00 G2022 $100.00 ❑COM n/a Atascadero, CA 93422 ❑ OTH ❑ PTY ❑ SCC 06/10/2022 Grenda Ernst x❑IND Retired 25.00 125.00 G2022 $125.00 ❑COM n/a Atascadero, CA 93422 ❑ OTH ❑ PTY D SCC 06/10/2022 Tom Fulks %]IND Business Executive 100.00 100.00 G2022 $100.00 ❑COM Mightycomm, Inc. Morro Ba CA 93442 Bay, DOTH Received through intermediary: Stripe Inc. E] PTY 185 Berry street, Suite s5o San Francisco, CA 941,17 D SCC 06/10/2022 Elizabeth S. Hel erson x❑IND Retired 50.00 1,050.00 G2022 $1,050.00 n/a Atascacero, CA 93422 [-]COMReceived through intermediary: DOTH stripe rno. E:1 PTY 185 Berry Street, Suite 550 San Francisco, CA 941117 D SCC SUBTOTAL$ 375.00 2 F *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 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov www.netrile.com Schedule A (Continuation Sheet) SCHEDULE A (CONT.) ivionetary L ontrawtionS Keceivea Amounts may be rounded Statement covers period to whole dollars. • ' from 01/01/2022 • • through 06/30/2022 Page y of 15 I.D. NUMBER NAME OF FILER Funk for City Council 2022 1443535 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IFSELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 06/10/2022 Judith Mac x❑IND Retired 100.00 100.00 G2022 $100.00 Atascacero, CA 93422 ❑COM n/a D OTH D PTY ❑ SCC 06/10/2022 Philip Noel RIND Retired 100.00 100.00 G2022 $100.00 D COM tasca ero, CA 93422 ❑ OTH ❑ PTY D SCC 06/10/2022 Ka e L. Rasband xDIND Retired 100.00 100.00 G2022 $100.00 Atascadero, CA 93422 ❑COM n/a D OTH D PTY ❑ SCC 06/10/2022 Kathy Reid ❑IND Retired 100.00 100.00 G2022 $100.00 Atascadero, CA 93422 ❑COM DOTH Received through intermediary: D PTY stripe Inc. 185 Berry Street, Suite 550 ❑SCC San Francisco, CA 941,17 06/10/2022 Bettina H. Salter RIND Retired 100.00 100.00 G2022 100.00 ❑COM n/a asca ero, CA 93422 DOTH D PTY ❑ SCC SUBTOTAL$ 500.00 *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 www.netfile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period . to whole dollars. CALIF• NIA ' from 01/01/2022 • ' • through 06/30/2022 page 8 of 15 NAME OF FILER I.D. NUMBER Funk for City Council 2022 1443535 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR A DEO RE,ALSAND ZI CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION 7RECE71VED 7 (IF IT I.D.N CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IFSELF-EOFBUSID,ENTERNAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OFBUSINESS) 06/10Thomas Thompson x❑IND Retired 100.00 350.00 G2022 $350.00 []COM n/a Atasca ero, CA 93422 ❑ 0TH ❑ PTY ❑ SCC 06/10/2022 Violet S. Walker BIND Tribal Executive 250.00 250.00 G2022 $250.00 ❑❑ COTOH Northern Chumash Tribal uaca upe, CA 93434 Council ❑ PTY ❑ SCC 06/10/2022 Rav J. Wevmann x❑IND Retired 150.00 250.00 G2022 $250.00 ❑COM n/a Atascadero, CA 93422 ❑ OTH ❑ PTY ❑ SCC 06/11/2022 RIND Retired 50.00 150.00 G2022 $150.00 ❑COM n/a ascacero, Received through inte mediary: ❑OTH Stripe Inc. ❑ PTY 185 Berry Street, Suite S50 San Francisco, CA 941117 ❑ SCC 06/17/2022 Elizabeth S. Hel n 91 IND Retired 1,000.00 1,050.00 G2022 $1,050.06 n/a asca ero, []COM Received through intermediary: ❑OTH Stripe Inc. L] PTY 185 Berry street, sui a 550 San Francisco, CA 941 7 ❑ SCC. SUBTOTAL $ 1, 550.00 *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 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.netfile.com www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) monetary toontrmutlonS Keceivea Amounts may be rounded Statement covers period to whole dollars.CALIFORNIAIIIIIIIIIIIIIII4 ' from 01/01/2022 • . through 06/30/2022 Page 9 of 15 NAME OF FILER I.D. NUMBER Funk for City Council 2022 1443535 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 06/27/2022 Sharon Turner QIND Retired 250.00 250.00 G2022 $250.00 Atascadero, CA 93422 ❑COM n/a ❑OTH Received through inte ediary: Stripe Inc. ❑ PTY 195 Berry Street, Sui .e 550 ❑ SCC San Francisco, CA 941 )7 06/28/2022 Eileen O'Gradv x❑IND Retired 250.00 250.00 G2022 $250.00 ❑COM Templeton, CA 93465 ❑OTH Received through intermediary: Stripe Inc. ❑ PTY 185 Berry Street, Sui a 550 ❑SCC San Francisco, CA 941 )7 06/28/2022 Mon' QIND Retired 150.00 150.00 G2022 $150.00 ❑COM Templeton, CA 93465 ❑OTH Received through intermediary: Stripe Inc. ❑ PTY 195 Berry street, suite 550 ElSCC San Francisco, CA 941 7 06/28/2022 Jerry Tanimoto NI IND Owner 100.00 100.00 G2022 $100.00 El COM Tanjerine Enterprises LLC Atas Cadero, CA 93422 ❑OTH Received through inte mediary: Stripe Inc. ❑ PTY 185 Berry street, sui a 550 ❑ scc San Francisco, CA 94117 06/29/2022 Vy Pierce x❑IND Homemaker 100.00 100.00 G2022 100.00 n/a asca ero, CA 93422 ❑COM Received through inte mediary: DOTH stripe Inc. ❑ PTY 185 Berry Street, Sui a 550 San Francisco, CA 941 7 El SCC SUBTOTALS 850.00 *Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) 0TH - Other (e.g., business entity) PTY- Political Party SCC - Small Contributor Committee www.netrile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. I � t from 01/01/2022 • ' through 06/30/2022 page 10 of 15 NAME OF FILER I.D. NUMBER Funk for City Council 2022 1443535 DATE ZIPDEO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSOAND .D.N CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 06/29/2022 Thomas Thompson x❑IND Retired 250.00 350.00 G2022 $350.00 ❑COM n/a Atascadero, CA 93422 ❑ OTH ❑ PTY ❑ SCC 06/30/2022 Atascadero Democratic Club (ID# 822106) [:1 IND 2,000.00 2,000.00 G2022 $2,000.00 x❑COM Atascadero, CA 93465 ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL$ 2,250.00 '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 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov www.netfile.com Schedule C crNFnl n F r Nonmoneta Contributions Received "'"to whole " Mars. " ry to whole dollars. Statement covers period P - • / from 01/01/2022 FORM• SEE INSTRUCTIONS ON REVERSE through 06/30/2022 Page 11 Of 15 NAME OF FILER I.D. NUMBER Funk for City Council 2022 1443535 DATE FULL NAME, STREET ADDRESS AND CONTRIBUTOR WAN INDIVIDUAL, ENTER DESCRIPTION OF AMOUNT/ CUMULATE E TO PER ELECTION RECEIVED ZIP CODE OF CONTRIBUTOR CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER GOODS OR SERVICES FAIR MARKET CALENDAR YEAR TO DATE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) NAME OF BUSINESS) BUSINESS) VALUE (JAN 1 -DEC 31) IF REQUIRED ( ) )6/10/2022 Ronald N. Helgerson RIND Retired In -Kind, Food and 500.00 500.00 G2022 $500.00 Atascadero, CA 93422 ❑COM n/a Beverages ❑ OTH ❑ PTY In -Kind ❑ SCC ❑IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 500.00 Schedule C Summary 1. 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 $ www.netfile.com 500.00 0.00 500.00 '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 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Funk for City Council 2022 Amounts may be rounded to whole dollars. Statement covers period from 01/01/2022 through 06/30/2022 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment SCHEDULE E Page 12 of 15 I.D. NUMBER 1443535 CNP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants NTTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)` OFC office expenses SAL campaign workers' salaries CVC civic donations FIT 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 FIND 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 PAYEE (IF COMMITTEE, ALSO ENTER I . NUMBER) Elizabeth S. Helgerson Atascadero, CA 93422 Elizabeth S. Helcerson Atascadero, CA 93422 Elizabeth S. Helgerson ascacero, 2 CODE OR DESCRIPTION OF PAYMENT CMP OFC MTG * Payments that are contributions or independent expenditures must also be summarized on Schedule D. Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.)........................................................................................ 2. Unitemized payments made this period of under $100.................................................................................................................... 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e).)......................................................... 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) .................... www.netfile.com SUBTOTAL$ AMOUNT PAID 592.21 196.00 61.00 849.21 ._.._....... $ 849.21 $ 141.56 $ 0.00 TOTAL $ 990.77 FPPC Form 460 (Jan/2016) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) www.fppc.ca.gov Schedule F Statement covers period Amounts may be rounded Accrued Expenses (Unpaid Bills) to whole dollars. from 01/01/2022 SCHEDULEF 06/30/2022 h SEE INSTRUCTIONS ON REVERSE through page 13 Of 15 NAME OF FILER I.D. NUMBER Funk for City Council 2022 1443535 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 M 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 technoloov costs (internet. e-mail) NAME AND ADDRESS OF CREDITOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT ( OUTSTANDING ( AMOUNT IN NCURRED (c) AMOUNT PAID (d) OUTSTANDING BAOUTSTAA LANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD River City Business Services PRO 0.00 225.22 0.00 225.22 5445 Madison Avenue Sacramento, CA 95841 River City Business Services PRO 0.00 593.64 0.00 593.64 5445 Madison Avenue Sacramento, CA 95841 Wells Fargo Card Services OFC 0.00 85.89 0.00 85.89 420 Montgomery Street Daly City, CA 94014 - rayments that are contributions or independent expenditures must also be SUBTOTALS $ o . o0 summarized on Schedule D. $ 904.75$ 0.00$ 904.75 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 $ 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.) ................................. PAID TOTALS $ 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and on the Summary Page, Column A, Line 9.)...................................................................... www.netfile.com 931.50 0.00 931.50 .............................................................. NET $ May be a negative number FPPC Form 460 (Jan/2016) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) www.fppc.ca.gov Schedule F SCHEDULE F (CONT.) (Continuation Sheet) Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. FORM ' Accrued Expenses (Unpaid Bills) from 01/01/2022 through 06/30/2022 Page 14 of 15 NAME OF FILER I.D. NUMBER Funk for City Council 2022 11443535 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 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) * Payments that are contributions or independent expenditures must also be summarized on Schedule D. NAME AND ADDRESS OF CREDITOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT ( OUTSTAA NDING BALANCE BEGINNING OF THIS PERIOD ( AMOUNT IN NCURRED THIS PERIOD (c) AMOUNT PAID THIS PERIOD (ALSO REPORT ON E) (d) OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD Wells Fargo Card Services 420 Montgomery Street Daly City, CA 94014 POS 0.00 26.75 0.00 26.75 www.netfile.com SUBTOTALS $ 0.00$ 26.75$ 0.00 $ 26.75 FPPC Form 460 (Jan/2016) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) www.fppc.ca.gov Schedule G Payments Made by an Agent or Independent Contractor (on Behalf of This Committee) SEE INSTRUCTIONS ON REVERSE NAME OF FILER Funk for City Council 2022 NAME OF AGENT OR INDEPENDENT CONTRACTOR Elizabeth S. Helgerson Amounts may be rounded to whole dollars. Statement covers period from 01/01/2022 through 06/30/2022 i.Yel:f0111lAel Page 15 of 15 I.D. NUMBER 1443535 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CNP 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 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) * Payments that are contributions or independent expenditures must also be summarized on Schedule D. NAME AND ADDRESS OF PAYEE OR CREDITOR (IF COMMITTEE, ALSO ENTER I NUMBER) . CODE OR DESCRIPTION OF PAYMENT CMP AMOUNT PAID 592.21 J. Carroll San Luis Obispo, CA 93401 Attach additional information on appropriately labeled continuation sheets. TOTAL" $ 592. z Do not transfer to any other schedule or to the Summary Page. This total may not equal the amount paid to the agent or independent contractor as reported on Schedule E. www.netfile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov