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Home My WebLink AboutForm 460 Atascadero Consumers for Choice No on D084 Verification I have used all reasonable diligence in preparing and reviewing this -statement and to the best of my knowledge the information co under penalty of -perjury under the laws of the State of California that -the foregoing is true and correct. ; Executed on _ 10/21/2008 Date. Executed on Date Executed on Date Executed on Date By Or nand in the attached schedules is true and complete I certify By Signature of Controlling Officeholder Candidate. State Measure Proponenl or Responsible Officer of Sponsor By - SignatureolConuollingOfficeholder Candidate. State, Measure Proponent By Signature of Controlling Officeholder Candidate. Stale Measure Proponent FPPC Form 460 (January105) FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275.3772) State of California r � r ReClplent'COmmlttee COVER PAGE p .Campaign -Statement` Type or print in ink. 5 m Dale Siam R E C E I'V E D' '' Ar ' r Cover Page •1' FORM T,, (Government Code Sections?`84200-84216 5) Statement covers period Date of -election if applicable 0C T (Month, Day Year) Page I of 9 from 10/01/2008 For Official Use Only j CITY OF ATASCAD RO SEE INSTRUCTIONS ON REVERSE through° 10/18/2008 _ 11-/04/-2008 CITY 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, Committee ❑ Semi-annual Statement ❑ Special Odd -Year Report Q Recall (Also Complete Pan S) 0 Controlled ® Sponsored. ❑ Termination Statement ❑ Supplemental Preelection (Also Complete Part 6) ( Also file a' Form 410 Termination ) Statement Attach Form 495 ❑ General Purpose Committee ❑ Amendment (Explain below) Q Sponsored F-� Primarily Formed Candidate/ 0 Small Contributor Committee Officeholder Committee Q Political PartylCentral Committee (Also complete Pan r) 3 Committee Information Lo NUMBER Treasurers) 1308333 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) - - - - NAME OF TREASURER Acascadero Consumers for Choice No on Measure D 08 sponsored�by Mr Thornas_'w. HilLachk Wal Mart Stores Inc MAILINGADDRESS i' STREET ADDRESS' (NO PO 80X) CITY u STATE ZIP CODE AREA CODE/PHONE CITY' STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER IF ANY MAILING ADDRESS (IF DIFFEREN7NO AND STREET OR PO BOX MAILING ADDRESS CITY STATE ZIP CODE AREA COOEIPHONE CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL, FAX I 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 knowledge the information co under penalty of -perjury under the laws of the State of California that -the foregoing is true and correct. ; Executed on _ 10/21/2008 Date. Executed on Date Executed on Date Executed on Date By Or nand in the attached schedules is true and complete I certify By Signature of Controlling Officeholder Candidate. State Measure Proponenl or Responsible Officer of Sponsor By - SignatureolConuollingOfficeholder Candidate. State, Measure Proponent By Signature of Controlling Officeholder Candidate. Stale Measure Proponent FPPC Form 460 (January105) FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275.3772) State of California r � r :3. Type•or print in ink. RecpientCommittee W, s_ CampaignStatement Cover Page'— Part 2 s r - z 5 Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) w RESIDENTIAUSUSINESS ADDRESS (NO AND STREET) CITY STATE ZIP Related Committees -Not Included in this Statement: Listanycommittees 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 1.0 NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑' NO COMMITTEE ADDRESS STREETADDRESS (NO PO BOX) CITY 1110 STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME II.D NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑' YES ❑ NO STREETADDRESS (NOPO'-BOX) 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE Measure D 08 PAGE` PART 2 Page 2 of 9 BALLOT NO. OR LETTER JURISDICTION ❑ SUPPORT D OB City of Atascadero Q OPPOSE Identify the controlling officeholder candidate, or state measure proponent, if any NAME OF OFFICEHOLDER, CANDIDATE. OR PROPONENT t 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 COMMITTEE ADDRESS CITY STATE ZIP LODE AREACODEIPHONE Attach continuation sheets if necessary FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275.3772) State of California Campaign Disclosure Statement Summary,Page SEE�MSTRUCTIONS 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 Contributions Received 1 Monetary Contributions 2 Loans Received 3 SUBTOTAL CASH CONTRIBUTIONS 4 Nonmonetary Contributions 5 TOTAL CONTRIBUTIONS RECEIVED ARY. PAGE Statement covers period from 10/01/2008 through 10/18/2008 Page 3 of 9 I.D NUMBER 1308333 Column A Column,B Calendar Year Summary for Candidates TOTAL THIS EO SCHEDULES) CALENDAR TALTOD TE Running in Both the State Prima and (FROMATTACMED SCHEDULES) TOTALTO DATE 9 Primary General Elections Schedule A.- Line 3 $ 0 00 $ 150,200 00 J 1/1 Through 6130 7/1 to Date Schedule 8 Line 3 0.00 0.00 Add Lines I + 2 $ 0 00 $ 150, 200.00 Schedule C Line 3 0 00 Y7 993 9 6 Add Lines 3*4 $ 0 00 $ 188,193 96 Expenditures -Made 6 Payments Made Schedule E, Line 4. $ 55,439 84 $ 116 190 83 7 Loans Made Schedule H, Line 3; 0.00 0 00 8. S U BTOTAL CAS H PAYM E NTS Add Lines:6+7 $ 55,439.84 $ 116,190.83 9 Accrued Expenses (Unpaid Bills) Schedule Linea ix 0.00 0.00 10 Nonmonetary Adjustment Schedule Linea 0 00_ 31,993.96 11 TOTAL EXPENDITURES MADE Add Lines 8 + 9 + to $ 55.439.84 $ 154 , 184.79 x Current Cash Statement 12. Beginning Cash Balance Previous Summary Page, Line 16 $ 89, 449.01 To calculate Column B. add 13 Cash 'Receipts Column A, Line 3 above - 0..O0 amounts imCDlumn A to the corresponding amounts' 14 Miscellaneous increases to Cash Schedule 1„Line 4 0.00 from Column'B`of your last 15 Cash Payments CotumnA Line8above 55,439.84. ; report. Some amounts in t - Column A may be negative 16 ENDING CASH BALANCE Add'L_ines 12 + 13 + 14, then subtract Line 15 $ 34,009 17 figures that should be subtracted from previous l/ this is a termination statement, Line 16 must;be�zerco period amounts. If this is the first report being filed 17 LOAN GUARANTEES RECEIVED schedule B; Panz $ 0.00 for this calendar year only -_ carry over the amounts ` Cash'Equivalents,and,Outstanding D from, Lines 2 7 and 9 (ifebts any) 18 Cash 'Equivalents' See Instructions or, reverse $ 0 00, 19 Outstanding Debts Add Line 2.+ Line 9 in Column B above $ 0.60 20 Contributions Received $ $ 21 Expenditures Made $ $ 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) Amounts in this section may be different from amounts reported in Column B FPPC Form 460 (January/05) FPPC Toll -Free Helpline- 866/ASK-FPPC (8661275-3772) Schedule E, Type,or print in, ink. a Amounts`"may be ,rounded Payments Made to whole dollars. SEE INSTRUCTIONS.ON REVERSE r NAME OF FILER Atascadero Consumers for Choice No on Measure. D 08 sponsored by war Mart Stores, Ince Statement covers period from 10/01/2008 through 10/18/2008 SCHEDULEE u Page 4 of 9 - LD 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/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, PEr ,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.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID A T h T' - OFC 350 77 Payment Center Sacramento CA 95887 Atascadero Colony Days Committee CVC 1 000 00 Atascader'o News PRT 1 400 00 r' ' Payments that are contributions, or independent' expenditures must' also be summarized on Schedule D SUBTOTAL$ 2 750 77 Schedule E Summary 1 Itemized" payments made this period (Include all Schedule"E subtotals ) 2. Unitemized payments made this period of'under $100' 3 Totalinterest+paid'this period on loans (Enter amount from Schedule B Part 1 Column (e) 4 Total payments made_this period: i(Add' Lines 1 2, and 3' Enterhere and on the Summary Page, Column A, Line 6 ) a $ 55,398 47 $ 41 37 $ 0 00 TOTAL $ 55,439 84 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID IIF COMMITTEE. ALSO ENTER I.D. NUMBER) Michael D Meyers C3mpany SCHEDULEE(CONT) Schedule E Type or print in ink. Statement covers period (Continuation Sheet) Am ounts,mayberoundeli' 8 321 00 CALIFORNIA 460 Payments :Made to whole dollars. from 10/D1/- through to/le/zooe _ Page 5 of 9 e SEE INSTRUCTIONS ON:REVERSE ... _ 4. NAME OF FILER' _' 1.0 NUMBER Ac'ascadero Consumers for Choice L7o on ,Measure D 08 sponsored by Wal Marc ScoresInc Michael D Meyers Company 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. 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 Lv 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 I rr r mnninn litcrntnro and mailings PRT orint:ads WEB information technology costs (internet. e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID IIF COMMITTEE. ALSO ENTER I.D. NUMBER) Michael D Meyers C3mpany Row _ PHO: 8 321 00 Michael D' Meyers Company _ 13 355 00 LIT 4. Michael D Meyers Company - - LIT 13 355 00 Bell., McAndrews 6 HilEachk LLP- r - _ 1 2 052 01 v e. R. PRO Amber Johnson OFC 302 95 Paymentsthat aye contributions or independent expenditures must also be summarised on Schedule D. SUBTOTAL $ 37 385 96 FPPC Form 460 (January/05) FPPC Toll -Free Helpline 866/ASK-FPPC (866/275-3772) ii h SCKedule ESCH_EDIJLE,E'(C0NT)-, '� Type in ink. Statement covers per (Pon'tinl6a.tion,"S Met) Amounts m" be rounded toiWh6le dollars. 10/01/2008• le PAyrtients-Mad , from P NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE. ALSO ENTER I.D. NUMBER) Michael D Meyers Company SEE INSTRUCTIONS ON,REVIEIRSE through 10/18/2008 Page 6 of 9 13 355 00 Prime Signs ex NAM E_e,017, FILER :4 1 D NUMBER Yard .Signs A Atascaderb Consumers for Choice No on,Measure D 08 sponsored by Wal Mart'rStdfes Inc 1308333 6, CODES if one of the following -codes accurately describes the ppyment, you may enter the code Otherwise describe the payment. '�P �CP campaign paraphernalia/misc. 1, :membercommunications MBR, mem - - 41 RAD radio airtime and production costs CNS -campaign consultants NTG meetings and appearances RFD returned contributions - 66ritribution (explain no.nmonetary)* CTB OFC offi66 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 FNR fLindraising events POL: =polling and survey research TRS staff/spouse travel, lodging, and meals liz ind6pprident expenditure supporting/opposing others (explain)* POS postage" delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense _�,_:professional services (legal, accounting) VOT voter registration LIT campaign literature and mailinqs PRT phnt ads WEB information technology costs (internet, e-mail) P NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE. ALSO ENTER I.D. NUMBER) Michael D Meyers Company _7 LIT 13 355 00 Prime Signs --_- :4 Yard .Signs A 1 906 74 6, PRT Payments that are contr(butiori-s or independent expenditures m6stals6be summarized on Schedule D. SUBTOTAL $ 15 261 74 FPPC Form 460 (January/05) ry J-1 FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275.3772) P NAME AND ADDRESS OF PAYEE OR CREDITOR �~ CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE. ALSO ENTERI.D. NUMBER) s.. ._.. Schedule G- jStatement Type or print In ink. SCH EDUL E'G,, Pa nents'Made'by an,Agent or independent Amounts may berounded Aaron Thomas.and;Associates - - covers period - ' ' t _. Y N Contractor (on�Behaif of This Committee) to whole dollars. 0 from 1D/o1/2DD8 _ . - }, - through 10/18/2008 Page; 7 of 9 SEE INSTRUCTIONS ON REVERSE y NAME,OF FILER LIT 174 00_ I.D. NUMBER a: Atascadero_Consumers 4or Choice No on Measure D 08 sponsored by Wal Mart .Stores Inc.. 1 v 1308333 NAME OF AGENT OR INDEPENDENT CONTRACTOR 4 - Michael,.D Meyers Company r CODES If ore of the following codes accurately describes the ,payment, you may enter the code Otherwise describe the payment CMP` campaign.paraphernalia/mist. MBR member communications RAD radio airtime and production costs CNS campaign consultants WG meetings and appearances RFD returned contributions CTB :contribution (explain nonmonetary) OFC office expenses SAL campaign workers salaries CVC civic donations PET petition circulating TEL I.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 t Lrr campaign; literature and mailings PRT print ads ' WEB information technology costs (internet, e-mail) b Pavments that are contributions,or indepen cientexPend itures must also be s}ummarized on Schedule D. P NAME AND ADDRESS OF PAYEE OR CREDITOR �~ CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE. ALSO ENTERI.D. NUMBER) s.. - LIT 5 573 00 Aaron Thomas.and;Associates - - , - - - 'PHO - 2 721 00 Luce Research, ae - LIT 174 00_ Political Data r y _.. POS 5 563 00 Postmaster - -. Attach additional,informatlon-on app_ropnately;latieled contlnti.ationjsheei`s. TOTAL' $ 14 031 00 'Do. not transfer to, -any other schedule or: to, the, SummaryFage... This,rotal may -not equal the amount paid to the agent or independent contractor as reported od Schedule;E. FPPC Form 460 (January/05) FPPC Toll -Free Helpline- 8661ASK-FPPC (8661275-3772) Schedule G CMP campaign paraphernalia/mist. SCHEDULEG member communications Type or print in ink.. radio airtime and production costs CNS ,Payinenls M'ade�by an Agent or Independent Amounts may be rounded meetings and appearances Statement covers period . - Contractor (on Behalf of This Committee) to whole dollars OFC from 10/01/2008 SAL ' • - , CVC civic donations PET petition circulating TEL through 10/18/2008 Page 8 of 9 SEErWSTRUCTiONSONREVERSE ;FHO phone banks TRC candidate travel, lodging, and meals NAME OF FILER fundraising events POL I.D NUMBER Atascadero Consumers for Choice No on Measure D 08 sponsored by Wal Mart Stores Inc IND 1308333 NAME OF AGENT OR INDEPENDENT CONTRACTOR postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor Michael D.Meyers •.Company legal defense PRO ,professional services (legal, accounting) CODES If one of the following codes accurately describes the payment, you may enter the code. Otherwise describe the payment. CMP 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 ;FHO 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 Lrr 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.D. NUMBER) CODE OR .DESCRIPTION OF PAYMENT AMOUNT PAID Aaron Thomas and Associates ' LIT 3 573 00 Political Data LIT 174 00 Postmaster - -POS 5 563 00 Aaron Thomas and Associates a LIT 3 573 00 Attach additional information on appropriately labeled continuation sheets. TOTAL' $ 12 883 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/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) ' + 4 ' Schedule G Type or print in ink. _ SCHEDULE:G Amounts may be rounded- Statement covers period Payments Made by an Agent orindependent vCALIFORNIA , • 0 ' Confractor.(on-Behalf of This Committee) townole'doltars. from 10/01/2008 • I NAME AND ADDRESS OF PAYEE OR CREDITOR CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE. ALSO ENTER I.D. NUMBER) through 10/18/2008 Page 9 of 9 SEEINSTRUCTIONSON,REVERSE LIT - 174 00 Political. Data NAME OF FILER n 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 CODES If one of the following codes accurately describes the .payment, you may enter the code Otherwise describe the payment. OVIP campaign paraphernalia/mist. MBR member communications RAD radio airtime and production costs CNS campaign consultants IvTTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)' OFC office expenses SAL campaign workers salaries CVC civic donations PEr petition circulating TEL t.v. or cable airtime and production costs FII- 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 IF campaign literature and mailings FRT print ads VVEB information technology costs (internet, e-mail) PnvmPnts that are contributions or. independent expenditures must also: .be,summarized.onSchedule D. NAME AND ADDRESS OF PAYEE OR CREDITOR CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE. ALSO ENTER I.D. NUMBER) _ - LIT - 174 00 Political. Data n 'Postmaster POS 5 563 00 Attach additional information on:appropriately labeled continuation sheets. TOTAL $ s 737 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. FPPCFonn4 (86612 5-3772) FPPCToII-Free Helpline- 866lASK-FPPC (8661275-3772)