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HomeMy WebLinkAboutForm 460 Committee to Elect Bob Kelley 073108Recipient Committee COVER PAGE Campaign Statement T or print In ink. REOEWEType D , Cover Page (Government Code Sections 84200-84216.5) 0 JUL 3 "1�V4df Page 1 5 Statement covers period Date of election if applicable: ll TWO of 1/1/2008 (Month, Day, Year) For Official Use Only from TY OF ATASCADER SEE INSTRUCTIONS ON REVERSE through 6/30/2008 ITY CLERK'S OFFICE 1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4. 2. Type of Statement: ® Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑ Preelection Statement ❑ Quarterly Statement Q State Candidate Election Committee CommitteeSemi-annual ® Statement [7SOdd-Year Report O Recall (Also Complete Part i Q Controlled Sponsored Termination Statement ❑ ❑ Supplemental Preelection (Also file a Form 410 Termination) Statement -Attach Form 495 r­1General Purpose Committee (Also Complete Pert Bl ❑ Amendment (Explain below) Q Sponsored ❑ Primarily Formed Candidate/ Q Small Contributor Committee Officeholder Committee Q Political Party/Central Committee (Also Complete Part n 3. Committee Information I I.D. NUMBER A I1- /'IMA Committee to Elect Bob Kelley STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE Atascadero Ca 93422 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS Treasurer(s) NAME OF TREASURER David P. Bentz MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE Atascadero Ca 93422 AME OFASSISTANT 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 and to the best of my krio ledge the information tained herein 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 torrct. - Z.� n -a.— Executed on July 21, 2008 Datefu"�, Executed on �0 Date Executed on Date Executed on Date By By By gnettxe ofConfrolling Officeholder, Candidate. State Measure Pmponent By Signature ofConhDilingOfflc"der, Candidate, State Measure Proponent FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 6661ASK-FPPC (866/275.3772) State of California Recipient Committee Type or print in ink. COVER PAGE - PAR'r 2 Campaign Statement CAUFORNIAi 1 Cover Page --Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Bob Kelley OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Atascadero City Council 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, NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO ADDRESS STREET ADDRESS (NO P.O. BOX) CITY SWE ZIP CODE AREA CODE/PHONE COMMITTEE NAME 1,D.NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. CITY STATE ZIP CODE AREA CODE/PHONE Page 2 _ of 5 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 ICE SOUGHT HELD DISTRICT N0, IF ANY 7. Primarily Formed Candidate/Officeholder Committee a_ist 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 HELP [] 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 (January/05) FPPC Toll -Free Helpline: 8661ASK-FPPC (866/275-3772) State of Callfom)a Campaign Disclosure Statement Type or print in ink. Amounts may be rounded Summary Page to whole dollars. Statement covers period from ____ 1/1/2008_ SUMMARY PAGE through 6/30/2008 Page 3 of 5 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Committee to Elect Bob Kelley 1247989 Contributions Received Column A �e Column B Calendar Year Summary for Candidates TOTALTHISPERIOD (PROMATTACHED SCHEDULES) CALENDAR YEAR TOTALTODATE Running in doth the State Prima and 9 Primary General Elections 1. Monetary Contributions ........................................... Schedule A, Line 3 $ 0 $ 0 0 0 111 through 6130 7!1 to Date 2. Loans Received ...................................................... Schedule S, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 +2 $ 0 $ 0 20. Contributions Received $ ___._ $ 4. Nonmonetary Contributions .................................... Schedule c, Line 3 0 0 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED•••.•.•••..•••.•••••.••••..Add Lines 3+4 $ 0 $ 0 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made ....................................................... Schedule E. Line 4 $ 250.00 $ 250.00 Candidates 7. Loans Made............................................................. Schedule M, Line 3 0 0 250.00 250.00 22• Cumulative Expenditures Made* 8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6 + 7 $ $ (If Subfectto Voluntary Expenditure Limit) 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F, Line 3 0 0 Date of Election Total to Date 10. Nonmonetary Adjustment .......................................... Schedule C, Line 3 0 0 (mm/dd/yy) 11. TOTAL EXPENDITURES MADE. . ........... Add Lines a + s + 10 $ ^_. 250.00 $ 250.00 Current Cash Statement $ - -- 12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ __ 410.68 To calculate Column B, add 13. Cash Receipts ................................................... Column A, Line 3 above 0 amounts in Column A to the 0 corresponding amounts *Amounts in this section may be different from amounts 14. Miscellaneous Increases to Cash ........................... Schedule 1, Line 4 from Column B of your last reported in Column B. 15. Cash Payments ................................... y Column A, Line 9 above 250,00 — — report. Some amounts in Column A may be negative 16. ENDING CASH BALANCE .......... Add Lines 12.13 + 14, then subtract Line 15 $ 160'68 figures that should be subtracted from previous If this is a termination statement, Line 16 must be zero, period amounts, If this is the first report being filed 17. LOAN GUARANTEES RECEIVED Schedule 8, Part 2 $ __ _ 0 for this calendar year, only .......................... earn, over the amounts Cash Equivalents and Outstanding Debts Lines 2, 7, and 9 (if any).D 18. Cash Equivalents ........................................ See instructions on reverse $ _ 19. Outstanding Debts ......................... Add Line 2 +Line s in Column a above $ FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule D ..,r.HFnl11 Fn Summary of Expenditures Type or print In ink. Statement covers period Supporting/OpposingOther Amounts may be rounded to whole dollars. 1/1/2008 � i ' Candidates, Measures and Committees from __SEE rp-4 6/30/2008 of 5 INSTRUCTIONS ON REVERSEthrough NAME OF FILER I.D. NUMBER Committee to Elect Bob Kelley 1247989 DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR TYPE OF PAYMENT DESCRIPTION AMOUNT THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE MEASURE NUMBER OR LETTER AND JURISDICTION, (IF REQUIRED) PERIOD (,IAN.1- DEC. 31) (IF REQUIRED) OR COMMITTEE Committee to Elect Debbie Arnold 0 Monetary 4/16/08 ID#1302630, Supervisor San Luis Obispo Contribution 250.00 250.00 250.00 County ❑ Nonmonetary Contribution ❑ Independent ® Support © Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary I Contribution ❑ Independent ❑ Support ❑oppose Expenditure SUBTOTAL $ 250.00 Schedule D Summary 1. Itemized contributions and independent expenditures made this period. Include all Schedule D subtotais. .......... $ 250.00 0 2. Unitemized contributions and independent expenditures made this period of under $100..................................................................................... $ 3. Total contributions and independent expenditures made this period. Add Lines 1 and 2. Do not enter on the Summar Page.) TOTAL $ — 250.00 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275.3772) Schedule E Payments Made Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from ______ 1/1/200$ SEE INSTRUCTIONS ON REVERSE through , 6/30/2008 Page —5 _._ of 5 NAME OF FILER J.D. NUMBER Committee to Elect Bob Kelley 1247989 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CNP campaign paraphernalia/mise. 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 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 UVEB information technology costs (internet, e-mail) * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 250.00 Schedule E Summary 1. Itemized payments made this period. Include all Schedule E subtotals. $ _ 250.00 2. Unitemized payments made this period of under $100 ............................... $ 0 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) ................. . $ __ 0 4. Total payments made this period. Add Lines 1, 2, and 3. Enter here and on the Summa Page, Column A, Line 6. 250.00 P Y P ( Summary 9 ) ............................. TOTAL $ FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)