HomeMy WebLinkAboutForm 460 Atascadero Consumers for Choice No D08Recipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200-84216.5)
SEE INSTRUCTIONS ON REVERSE
Type or print in ink.
Statement covers period Date of election if applicable:
from
01/01/200- (Month, Day, Year)
through 09/30/2008
1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4.
❑ Officeholder, Candidate Controlled Committee ® Primarily Formed Ballot Measure
Q State Candidate Election Committee Committee
0 Recall Q Controlled
(Also Complete Part 5) E) Sponsored
(Also Complete Part 6)
❑ General Purpose Committee
Q Sponsored
Q Small Contributor Committee
Q Political Party/Central Committee
❑ Primarily Formed Candidate/
Officeholder Committee
(Also Complete Part 7)
3. Committee InformationI I.D. NUMBER
13083
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
Atascadero Consumers for Choice, No on Measure D-08, sponsored by
Wal-Mart Stores, Inc.
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX / E-MAIL ADDRESS
11/04/2008
COVER PAGE
RECEIVE
v - r 2008
Page 1 of 13
For Official Use Only
CITY OF ATASCAD RO
CITY CLERK'S OFF CE
2. Type of Statement:
® Preelection Statement
❑ Semi-annual Statement
❑ Termination Statement
(Also file a Form 410 Termination)
❑ Amendment (Explain below)
Treasurer(s)
NAME OF TREASURER
❑ Quarterly Statement
❑ Special Odd -Year Report
❑ Supplemental Preelection
Statement - Attach Form 495
Mr. Thomas W. Hiltachk
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE
NAME OF ASSISTANT TREASURER, IF ANY
MAILING ADDRESS
CITY
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 knowledge the information contal ec
under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Executed on 10/03/2008
Date
Executed on
Date
Executed on
Date
Executed on --
Date
By
STATE ZIP CODE AREA CODE/PHONE
and in the attached schedules is true and complete. I certify
Treasurer
By
Signature of Controlling Officeholder, Candidate, Slate Measure Proponent or Responsible Officer of Sponsor
By
Signature of Controlling Officeholder, Candidate, State Measure Proponent
By
Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275.3772)
State of California
Type or print in ink. COVER PAGE - PART 2
Recipient Committee CALIFORNIA
Campaign Statement FORM '
Cover Page — Part 2
6. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
RESIDENTIAUBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP
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 STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
COMMITTEENAME I.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
❑ YES ❑ NO
COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX)
Page 2 of 13
6. Primarily Formed Ballot Measure Committee
NAME OF BALLOT MEASURE
Measure D-08
BALLOT NO. OR LETTER I JURISDICTION I ❑ SUPPORT
D-08 City of Atascadero FK] 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 Listnames 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
CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
State of California
Campaign Disclosure Statement Type or print in ink.
Amounts may be rounded
Summary Page to Whole dollars.
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Atascadero Consumers for Choice, No on Measure D-08, sponsored by Wal-Mart Stores, Inc.
Contributions Received
1. Monetary Contributions ..................................
2. Loans Received .............................................
3. SUBTOTALCASH CONTRIBUTIONS ............
4. Nonmonetary Contributions ...........................
5. TOTAL CONTRIBUTIONS RECEIVED ...........
Column A
TOTALTHIS PERIOD
(FROM ATTACHED SCHEDULES)
......... Schedule A, Line a $ 150,200.00
......... Schedule B, Line 3 0.00
............. Add Lines 1+2 $ 150,200.00
......... Schedule C, Line 3 37, 993 . 96
................ Add Lines 3+4 $ 188,193.96
Expenditures Made
6. Payments Made .......................................................
Schedule E, Line $
60,750.99
7. Loans Made.............................................................
Schedule H, Line
0.00
8. SUBTOTAL CASH PAYMENTS ....................................
Add Lines 6+7 $
60,750.99
9. Accrued Expenses (Unpaid Bills) ...............................
Schedule F, Line 3
0.00
10. Nonmonetary Adjustment ..........................................
Schedule C, Line
37,993.96
11. TOTAL EXPENDITURES MADE .....................
.......... Add Lines 8+9+10 $
98,744.95
Current Cash Statement
12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ 0.00
13. Cash Receipts ................................................... Column A, Line 3above 150,200.00
14. Miscellaneous Increases to Cash ........................... Schedule 1, Line 4 0.00
15. Cash Payments .................................................. Column A, Line 8above 60,750.99
16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ 89, 449.01
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
SUMMARY PAGE
Statement covers period
from 01/01/2008
through 09/30/2008 Page 3 of 13
I.D. NUMBER
1308333
Column B
CALENDAR YEAR
TOTALTO DATE
$ 150,200.00
0.00
$ 150,200.00
37,993.96
$ 188,193.96
60,750.99
0.00
$ 60,750.99
0.00
37.993.96
$ 98.744.95
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).
Calendar Year Summary for Candidates
Running in Both the State Primary and
General Elections
111 through 6/30 711 to Date
20. Contributions
Received $ $
21. Expenditures
Made $ $
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made'
(if Subject to Voluntary Expenditure Limn(
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 (January/05)
FPPC Toil -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A Type or print in ink. SCHEDULE A
Moneta Contributions Received Amounts may be rounded
Monetary dollars.
statement covers period
,
to whole
460
from 01/01/2008
FORM
through 09/30/2008
page 4 of 13
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
I.D. NUMBER
Atascadero Consumers for Choice, No on Measure D-08, sponsored by Wal-Mart Stores, Inc.
1308333
DATE
A ZIP
ADDRESS
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
ITTEE I.D. NUMBER)
(IF COMMITTEE.
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
08/05/2008
Wal-Mart Stores, Inc.
❑IND
150,000.00
167,750.00
G 08 167,750.00
❑ COM
t
X❑ OTH
[I PTY
--]I
Through in Citizens for Jobs & EconomicGLOwC&
09/22/2008
Frank Platz
X❑IND
President
200.00
200.00
G 08 200.00
❑ COM
❑ OTH
San Luis Butane
[]PTY
—
❑ SCC
❑ IND
❑COM
❑ OTH
❑ PTY
❑ SCC
❑ IND
[:]COM
❑ OTH
❑ PTY
❑ SCC
❑IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
SUBTOTAL$ 150, 200.00
_
* EK s
Schedule A Summary
Amount received this period — itemized monetary contributions.
(Include all Schedule A subtotals.)..........................................................
2. Amount received this period — unitemized monetary contributions of less than $100
3. Total monetary contributions received this period.
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ......
$ 150,200.00
.................. $
0.00
*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
TOTAL $ 150,200.00
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule C
Type or print in ink.
��•rraan�xy
Amounts may be rounaeo
Nonmonetary Contributions Received to dollars.CALIFORNIA
Statement covers period
whole
, • t
from 01/01/2008
FORM
through 09/30/2008
Page 5 of 13
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
I.D. NUMBER
Atascadero Consumers for Choice, No on Measure D-08, sponsored by Wal-Mart Stores, Inc.
1308333
FULL NAME, STREET ADDRESS AND
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
DESCRIPTION OF
AMOUNT/
CUMULATIVE TO
DATE
PER ELECTION
DATE
ZIP CODE OF CONTRIBUTOR
CODE *
OCCUPATION AND EMPLOYER
GOODS OR SERVICES
FAIR MARKET
CALENDAR YEAR
TO DATE
RECEIVED
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
(IF SELF-EMPLOYED, ENTER
NAME OF BUSINESS)
VALUE
(JAN 1 -DEC 31)
IF REQUIRED)
08/13/2008
Mission Oaks Annex, LLC
[-]IND
Office space for
14,766.00
20,243.96
G 08 20,243.
❑COM
3 months
®OTH
❑ PTY
❑ SCC
09/26/2008
Mission Oaks Annex, LLC
❑IND
Billboard Design
2,045.00
20,243.96
G 08 20,243.
❑ COM
®OTH
❑ PTY
❑ SCC
09/26/2008
Mission Oaks Annex, LLC
❑IND
Billboards
3,432.96
20,243.96
G 08 20,243.
❑COM
KI OTH
❑ PTY
I
❑ SCC
09/30/2008Wal-Mart
Stores, Inc.
[]IND
5,250.00
167,750.00
G 08 167,750.
❑ COM
Services
Services
x❑ OTH
❑ PTY
❑ SCC
Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 25,493.96
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.) .
$ 37,993.96
................ $ o .00
... TOTAL $ 37, 993.96
*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 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
)6
)6
)6
)0
Schedule C Type or print in ink. SCHEDULE C
Amounts may be rounded
Nonmonetary Contributions Received to whole dollars.
Statement covers period
CALIFORNIAA '
•
Continuation Sheet
from 01/01/2006
•
through 09/30/2008
Page 6 of 13
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
I.D. NUMBER
Atascadero Consumers for Choice, No on Measure D-08, sponsored by Wal-Mart Stores, Inc.
1308333
DATE
FULL NAME, STREET ADDRESS AND
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
DESCRIPTION OF
AMOUNT/
FAIR MARKET
CUMULATIVE TO
DATE
PER ELECTION
TO DATE
RECEIVED
ZIP CODE OF CONTRIBUTOR
CODE *
(IF SELF-EMPLOYED, ENTER
GOODS OR SERVICES
VALUE
CALENDAR YEAR
(IF REQUIRED)
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
NAME OF BUSINESS)
(JAN 1 - DEC 31)
09/30/2008
Wal-Mart Stores, Inc.
❑IND
Consulting
12,500.00
167,750.00
G08 167,750.
❑COM
Services
♦-
® OTH
❑ PTY
❑ 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 $ 12, soo .00
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule E
Payments Made
SEE INSTRUCTIONS ON REVERSE
Type or print in ink.
Amounts may be rounded
to whole dollars.
NAME OF FILER
Atascadero Consumers for Choice, No on Measure D-08, sponsored by Wal-Mart Stores, Inc.
Statement covers period
from 01/01/2008
through 09/30/2008
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment
Page 7 of 13
I.D. NUMBER
1308333
CHIP
campaign paraphernalia/mist.
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)
NAME AND ADDRESS OF PAYEE
(IF COMMITTEE, ALSOENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID
Amber Johnson OFC 170.00
man
Meridian Pacific, Inc. POS 845.00
5
Atascadero Chamber of Commerce CVC Business Showcase Mixer Sponsorship 2,000.00
" Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 3,015.00
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.) ...
$ 60,750.99
$ 0.00
$ 0.00
TOTAL $ 60, 750.99
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule E Type or print in ink.
(Continuation Sheet) Amounts may be rounded
Payments Made to whole dollars.
ON REVERSE
NAME OF FILER
Atascadero Consumers for Choice, No on Measure D-08, sponsored by Wal-Mart Stores, Inc.
Statement covers period
from 01/01/2008
through 09/30/2008
SCHEDULE E (CONT.)
Page a of 13
I.D. NUMBER
1308333
CODES: If one of the following codes accurately describes the payment, you may enter the code.
Otherwise, describe the payment.
CIv1P
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
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
camDaign literature and mailinqs
PRT
print ads
WEB
information technology costs (internet, e-mail)
NAME AND ADDRESS OF PAYEE
CODE OR DESCRIPTION OF PAYMENT
AMOUNT PAID
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
Bob Leute Insurance Agency
OFC
898.44
Michael D. Meyers Company
LIT, WEB
17,820.00
Bell, McAndrews & Hiltachk, LLP
PRO
1,238.50
Postmaster
1,000.00
POS
P G & E
OFC
121.52
* Payments thatare contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 21, 078.46
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule E
(Continuation Sheet)
Payments Made
Type or print in ink.
Amounts may be rounded
to whole dollars.
AMOUNT PAID
Amber Johnson
SCHEDULE E (CONT.)
Statement coverd i
s period
from 01/01/2008
CALIFORNIA
FORM , •'
SEE INSTRUCTIONS ON REVERSE
254.56
through 09/30/2008
page 9 of 13
NAME OF FILER
I.D. NUMBER
Atascadero Consumers for Choice, No on Measure D-08,
sponsored by Wal-Mart Stores, Inc.
Wilkins Printing
1308333
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)"
CVC civic donations
FIL candidate filing/ballot fees
FND fundraising events
IND independent expenditure supporting/opposing others (explain)'
LEG legal defense
Lrr campaign literature and mailings
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 print 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, e-mail)
NAME AND ADDRESS OF PAYEE
(IF COMMITTEE, ALSO ENTER LD NUMBER)
CODE OR DESCRIPTION OF PAYMENT
AMOUNT PAID
Amber Johnson
OFC
254.56
Michael D. Meyers Company
LIT
16,347.00
Wilkins Printing
LIT
499.78
Michael D. Meyers Company
� low
15,294.00
LIT
Prime Signs
Yard Signs
PRT
3,198.26
*Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 35,59 - 3.60
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule E
(Continuation Sheet)
Payments Made
SEE INSTRUCTIONS ON REVERSE
Type or print in ink.
Amounts may be rounded
to whole dollars.
NAME OF FILER
Atascadero Consumers for Choice, No on Measure D-08, sponsored by Wal-Mart Stores, Inc.
Statement covers period
from 01/01/2008
through 09/30/2008
SCHEDULE E (CONT.)
Page 10 of 13
I.D. NUMBER
1308333
CODES: If one of the following codes accurately describes the payment, you may enter the code.
Otherwise, describe the payment.
CIVP
campaign paraphernalia/mist.
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
camnaian literature and mailings
PRT
print ads
WEB
information technology costs (internet, e-mail)
NAME AND ADDRESS OF PAYEE
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE OR DESCRIPTION OF PAYMENT
AMOUNT PAID
Bell, McAndrews ✓k Hiltachk, LLP
PRO
1,063.93
" Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 1,063.93
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule G Type or print in Ink.
Payments Made by an Agent or Independent Amounts may be rounded Statement covers per
Contractor (on Behalf of This Committee) to whole dollars. from 01/01/2008
through 0913 )/2008
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Atascadero Consumers for Choice, No on Measure D-08, sponsored by Wal-Mart Stores, Inc.
NAME OF AGENT OR INDEPENDENT CONTRACTOR
Meridian Pacific, Inc.
Page 11 of 13
I.D. NUMBER
1308333
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
IID
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
thatare contributions or independent expenditures must also be summarized on Schedule D.
NAME AND ADDRESS OF PAYEE OR CREDITOR
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE OR DESCRIPTION OF PAYMENT
AMOUNT PAID
Postmaster
POS
845.00
Attach additional information on appropriately labeled continuation sheets. TOTAL* $ 845.00
* 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. FPPC Form 460 (January
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-377272)
)
Schedule G Type or print in ink. SCHEDULE G
Payments Made by an Agent or Independent Amounts may be rounded Statement covriod • _ '
to whole dollars.01/01:/2008I •
Contractor (on Behalf of This Committee) from •
through 09/308 Page 12 of 13
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER I.D. NUMBER
Atascadero Consumers for Choice, No on Measure D-08, sponsored by Wal-Mart Stores, Inc. 1308333
NAME OF AGENT OR INDEPENDENT CONTRACTOR
Michael D. Meyers Company
CODE OR DESCRIPTION OF PAYMENT
AMOUNT PAID
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
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 mustalso
be summarized
on Schedule D.
NAME AND ADDRESS OF PAYEE OR CREDITOR
CODE OR DESCRIPTION OF PAYMENT
AMOUNT PAID
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
WEB
1,541.00
Aaron Thomas and Associates
1
Aaron Thomas and Associates
LIT
3,363.00
POS
1,457.00
Postmaster
LIT
6,435.00
Aaron Thomas and Associates
Nam
Attach additional information on appropriately labeled continuation sheets. TOTAL* $ 12, 796.00
* 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. FPPC Form 460 66/275 3772)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule G Type or print in ink. SCHEDULE G
Payments Made by an Agent or Independent Amounts may be rounded Statement covers period .
ll
d
l
hoe oars. � � t
Contractor (on Behalf of This Committee) to wfrom 01/01/2008 -
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Atascadero Consumers for Choice, No on Measure D-08, sponsored by Wal-Mart Stores, Inc.
NAME OF AGENT OR INDEPENDENT CONTRACTOR
Michael D. Meyers Company
through 09/30/2008 Page 13 of 13
I.D. NUMBER
1308333
CODES: If one of the following codes accurately describes the payment, you may enter the code.
Otherwise, describe the payment.
CNS
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
Jr
campaign literature and mailings
PRT
print ads
WEB
information technology costs (internet, e-mail)
* Pavments
that are contributions or independent expenditures must also
be summarized
on Schedule D.
NAME AND ADDRESS OF PAYEE OR CREDITOR
CODE OR DESCRIPTION OF PAYMENT
AMOUNT PAID
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
POS
3,258.00
Postmaster
Aaron Thomas and Associates
LIT
5,148.00
Political Data
LIT
181.00
POS
1,962.00
Postmaster
Attach additional information on appropriately labeled continuation sheets. TOTAL* $ 10, 549.00
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. FPPC Form 460 (January
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-377272)
)