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HomeMy WebLinkAboutForm 460 Committee to Elect Roberta Fonzi 102308Recipient'Comrrmittee W Campaign Statement Cover Page (Government Code Sections 84200784216:5) Type or print In ink. Date Stam RECEIVED Statement covers period' Date_ of election if applicable: OCT 2 2 2008 ` O _ / _ ,®ly(Month, Day, Year) from { I 0�CItY OF ATASCADERO SEE INSTRUCT,IONS'OMREVERSE through _ e ITY CLERK'S OFFICE COVER PAGE CALIFORNIA " FORM For Official Use Only 1 Type of Recipient Committee AII'Committees - Complete Parts 1, 2, 3, and:4. yP P 2. Type of Statement: 'Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure Preelection Statement A 11 Statement ❑ Quarterly Statement 0 State Candidate Election Committee Committee ❑- Semi-annual ❑ Special Odd -Year Report Q Recall Q Controlled ❑ Termination Statement ❑ Supplemental Preelection (Also Complete Part 5) O Sponsored .(Also file -a -Form 410 Termination) Statement Attach Form 495 (Also Compete Part 6) I] Amendment (Explain below) ❑ GeneraLPurpose Committee 0 Sponsored ❑ Primarily Formed Candidate/ Q Small Contributor Committee Officeholder Committee Q Political Party/Central Committee (Also complete Parr 7) 3. Committee Information LD NUMBER Treasurer(s) COMMITTEE NAME (OR CANDIDATE'S NAME IF NO CO;MM�ITTE�E)` NAME-OF'TREASURER �,S � ) �V r �� T+O ��'� 1 \ � L}• ��' 7� J Z-�Z'/, -� - � t�'i 1.) --J 1r, l�—V�i' Y1 N,A_ CITY 11�STATE '' ZIP CODE AREA CODE/PHONE /�A - Verification v 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 and complete I certify urider penalty of perjury under the laws of the State of California that the foregoing is true and torr Executed on - — / BY Dale ignalure orTrea Assistant VFeas.rer �k,.40211y Executed on By Date ' - -- - Signelu f onVoging ho er, Candida e, State e roponent or Responsible Officer of Sponsor Executed on: By v - Date Signature of Controlling Officeholder, Candidate, Slate Measure Proponent Executed on BY Date Signature of Controlling Officeholder, Candidata, Stale Measure Proponent FPPC Form 460 (January/05) FPPC Toll-Free,Helpllne: 866/ASK-FPPC (8661275.3772) State of California Recipient: Committee Campaign -Statement Cover Page — Part 2 Type or print in ink. COVER PAGE, PART 2 CALIFORNIA FORM 460 Page �' of -5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) RESIDENTIAUBUSINES&ADORESS _(NO AD STREET). CITY STATE ZIP' Related Committees Not Included in this Statement: List any.comrnittees 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 ILD NUMBER NAME -OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO PO BOX) CITY STATE ZIP CODE AREA CODEIPHONE COMMITTEENAME 'I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? Ej YES ❑ NO 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER I JURISDICTION I ❑ 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. COMMITTEE ADDRESS STREETADDRESS' (NO PO' BOX) CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary 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 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661276.3772) State of California V 4 F i= Campaign Disclosure Statement =Summary Page: SEE INSTRUCTIONS ON REVERSE NAME OF FILER Contributions Deceived 1 Monetary, Contributions 2. Loans. Received 3: SUSTOTALCASH CONTRIBUTIONS �- 4 Nonmonetary Contributions 5 TOTAL CONTRIBUTIONS RECEIVED Eipenditures Made 6. Payments Made 7 Loans Made 8. SUBTOTAL CASH PAYMENTS 9 Accrued Expenses (Unpaid Bills) 10-mNonmonetary Adjustment - 11. TOTAL EXPENDITURES MADE Type or, print in -ink. Amounts may be rounded to whole dollars. Schedule E;:Line'4 $ Schedule H, Line 3 Schedule F Line 3 l✓ Schedule C, -Line -3 I Add Lines 8 + 9 + 10 $ 6 s"` P, > G Statement clovers periodCALIFORNIA from J 5�1� - I • 1 through / :_� / Y. Page of �L I.D. NUMBER aQ)"K �s2 Column B Calendar Year Summary for Candidates CALENDAR YEAR TOTAL TO DATE Running ry in Both the State Prima and �s0 GenerM Elections 1/1 through 6130 7/1 to Date & 11=1 . Z-6- S`35�7. �7 SCJ Calrrent Cash Statement p °12. Beginning Cash Balance, Previous. Summary Page, Line 16' ;$ S_ / / 9 9 G / , To calculate Column B add 13 Cash Receipts Column A,.Line s above ZS3. / f9 amounts.in'Column A to the r..�x correponding samounts 14 Miscellaneous Increases to Cash Schedule 1, Line, 4' - F~sc z� = from Column B of your last - ` �; 3,30 report. Some amounts in 15 Cash --Payments Column A Line s above _ Column A,may be negative 16 ENDING CASH BALANCE P Add Lines 12 +,13!* 14, then subtract Line,15 $ 2-�IS V3 figures.ttlat,should be subtracted' from, previous If,this is a termination: statement,,. Line 16 must be zero. period amounts. If this is r g. v• T the first report being filed 17 LOAN' GUARANTEES, RECEIVED : * jScheduleB,-Part .2 $i - w for this calendar year only ri carry over the amounts ?-� from;iines 2 7 and 9 (if Cash"Equivalents and Outstaridlrig° Debts any 18 Cash Equivalents See instructions on -reverse $ 19 Outstanding Debts Add Line 2 + Line 9 i Column B above $ 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) I _$ 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 (866/275.3772) Column A TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) Schedule A, Line'3 Schedule_ B, Linea $- �+ v Add Lines`t +2 $' - 7 Schedule C. Line a /� n Add. Lines:3 * 4 /ZK $_ Schedule E;:Line'4 $ Schedule H, Line 3 Schedule F Line 3 l✓ Schedule C, -Line -3 I Add Lines 8 + 9 + 10 $ 6 s"` P, > G Statement clovers periodCALIFORNIA from J 5�1� - I • 1 through / :_� / Y. Page of �L I.D. NUMBER aQ)"K �s2 Column B Calendar Year Summary for Candidates CALENDAR YEAR TOTAL TO DATE Running ry in Both the State Prima and �s0 GenerM Elections 1/1 through 6130 7/1 to Date & 11=1 . Z-6- S`35�7. �7 SCJ Calrrent Cash Statement p °12. Beginning Cash Balance, Previous. Summary Page, Line 16' ;$ S_ / / 9 9 G / , To calculate Column B add 13 Cash Receipts Column A,.Line s above ZS3. / f9 amounts.in'Column A to the r..�x correponding samounts 14 Miscellaneous Increases to Cash Schedule 1, Line, 4' - F~sc z� = from Column B of your last - ` �; 3,30 report. Some amounts in 15 Cash --Payments Column A Line s above _ Column A,may be negative 16 ENDING CASH BALANCE P Add Lines 12 +,13!* 14, then subtract Line,15 $ 2-�IS V3 figures.ttlat,should be subtracted' from, previous If,this is a termination: statement,,. Line 16 must be zero. period amounts. If this is r g. v• T the first report being filed 17 LOAN' GUARANTEES, RECEIVED : * jScheduleB,-Part .2 $i - w for this calendar year only ri carry over the amounts ?-� from;iines 2 7 and 9 (if Cash"Equivalents and Outstaridlrig° Debts any 18 Cash Equivalents See instructions on -reverse $ 19 Outstanding Debts Add Line 2 + Line 9 i Column B above $ 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) I _$ 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 (866/275.3772) 10-.' ,ln — /0�� RrhPr(t tip A Type or print in ink. .SCHEDULE^A Moneta Contributions' Amounts may be rounded ry Received to whole dollars. Statement covers period • ' �; • ', trom Page �1 ,SEE • INSTRUCTIONSON REVERS' E' through _ -- of NAME,OF FILER { 1.0 NUMBER DATE FULL NAMESTREET ADDRESS AND ZIP CODE OF CONTRIBUTOR , IIF COMMITTEE.ALSO ENTER I.D. NUMBER) CONTRIBUTOR CODE- IF AN INDIVIDUAL. ENTER' OCCUPATION AND EMPLOYER ENTER NAME AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR 1 DEC. 31) PER ELECTION TO DATE (IF REQUIRED) RECEIVED _ (IF SELF•EMPLOVED, OF BUS BUSINESS) - (JAN. Jj TsZ t1 Y Vc9c(Z� ��tr .T q .l 'A IND ❑COM �L.-. - UOTH - n- PTY � � y� j._ .-.. _. PJ P SCC PIND �_ TH Y77L� %V�J TY L+ X PSCCc`�! — JC 'LIoMhi 1ND �l aq �� C Civ`Y,�l� i 7 (� f• - 00TH ,, \\ VI�tA SiF� J 7 ` PTY P SCC PIXS0;L Lr-iCOM 11 P PTY PSCC •–. y� /� 1 Y�I h� CC7�J�Y_ ND P OM P PTY ❑ SCC SUBTOTAL$ / 2—(:--)o Schedule A Summary 1 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 """ """"'""`"' """"ry JI (Add Lines 1 and 2 Enter here and on.the Summary Page Column A Line 1) TOTAL $ jJ �� 7 FPPC Form 460 Janua !OS FPPC •roll -Free Helpline: 866/ASK-FPPC (866/275-3772) r z ,r Schedule AlContinuation Sheet) Tunas—nA.t1,; ink x _SCHEDULEA (CONT) au Monetary Contributions Received Amounts may be rounded to whole dollars., Statement covers period . from through Page � of NAME OF FILER I.D. NUMBER K DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) C ONTRIBUTOR IF AN INDIVIDUAL, ENTER ; OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION` TO DATE RECEIVED a} CODE' *' (If SELF-EMPLOYED; ENTER NAME. OF BUSINESS) PERIOD (JAN. 1 DEC. 31) (IF REQUIRED) XIND COMtvrc°d7'fi�' ❑ pT H `�` sti p 0 ❑,PTY h�o,�� f`►,`�' ❑SCC []IND — COM n OTH 0 PTY Q SCC []IND Q COM LOTH O'PTY SCC — QIND QCOM ❑OTH. []'PTY -,Q SCC ❑IND Q COM 00TH 0 PTY Q SCC SUBTOTAL$ I� -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: 8661ASK-FPPC.(BGS/276-3772) i r i 4. Type: or print In ink. 'SCHEDULE; B' PART 1 Schedule B`— part 9 Amounts may be rounded 1 LoIs Statement covers periodCALIFORNIA ' 1. o Loans RecelVed' to whole' dollars. �`FORM • t from Page U of through / J SEE INSTRUCTIONS ON REVERSE NAME;OF'FILER I.D. NUMBER ` � ��"�..... � J C'_� Crc. ���v / J'J �Ci' /��.. Cr..J ti�-� f-�r� r:%'7���► _ z _ FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OCCUPATIONoDEM EOY&,, a �- "OUTSTANDING BALANCE b 1 ) AMOUNT RECEIVED THIS yN AMOUNT PAID 6R d () OUTSTANDING BALANCEAT le) INTEREST PAID THIS I) ORIGINAL AMOUNTOF (g) CUMULATIVE CONTRIBUTIONS OF'LENDER (IF COMMITTEE. ALSO ENTER I.O. NUMBER) (IF SELF-EMPLD. ER NAME aF BuswEss)-'. B_ EGINNING THIS p PERIOD 'PERIOD FORGIVEN THIS PERIOD CLOSE OF THIS PERIOD LOAN, TO DATE ❑PAID CALENDAR YEAR RATE PER ELECTION— ,❑ FORGIVEN IND ❑_.COM ❑=0TH [1] PTY ❑ SCC DATEINCURRED DATE DUE ❑.PAID CALENDARYEAR ❑IFORGIVEN =' - RATE PER ELECTION •:t E E E E E DATE DUE GATE INCURRED JE] IND- ❑' COM [3OTH ❑ PTY' ❑ SCC _- - - - _ `" ❑ PAID CALENDARYEAR 4 RATE _ E ❑. FORGIVEN PER ELECTION 'a❑ ,IND 0 -COM ❑,OTH ❑ PTY ❑ SCCI DATE INCURRED DATE DUE ;SUBTOTALS $ ;' $ 0 $ $ A. -- c w a(Enter (e)on Schedule E. line 3) Schedule B Summary M .z ! d th d ans:recelve perlo (Total Column (b) plus unitemized loans'of:less than^$100-)r tContributor Codes IND— Individual ti 2. Loans paid or:forgiven this period' - $ COM — Recipient Committee I=(Total:Column'(c) plus loans under $100 paid Dr..forgiven) (other than PTY Dr SCC) (Include]oans pai6by a third party that are alsolitemized on Schedule A.) OTH - Other (e.g., business entity) PTY — Political Party r 7 SCC — Small Contributor Committee, 3 Net change this period (Subtract',LIne,2 fromline 1 ') NET $ (May De a negative number) Enter the net here and on the Summary Page Column A, Line 2 Amounts,forgiven or paid by,another',party also must be,,reported on Schedule A. r If: required °y . j FPPC Form 460 (January/OS). ',- - FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)- 4. T , r V y Schedule C / Z. Type or print in ink. SrW:r)I 11"F r 011ll1011eta or . . ,,,,,....w_ ry,COIltrlbutions Receivedto whole dollars. Statement covers period CALIFORNIA c�- , • ' from /.f -. /� • ' SEE INSTRUCTIONS ON REVERSE' through/ Page �^ of �L NAME OF; FILER' - - - , D NUMBER IF AN INDIVIDUAL, ENTER AMOUNT/ CUMULATIVE TO DATE FULL ,COD STREET ADDRESS AND l CONTRIBUTOR DESCRIPTION OF DATE PER ELECTION ZIP CODE`OF CONTRIBUTOR CODE * OCCUPATION AND EMPLOYER GOODS'OR SERVICES FAIR MARKET TO DATE RECEIVED (IF SELF-EMPLOYED. ENTER CALENDAR YEAR - --- (IF COMMITTEE, ALSO ENTER I.D..NUMBER) NAME OF BUSINESS) VALUE (,JAN 1 DEC 31) (IF REQUIRED) ❑IND J� �i�� i S� �. r 7ZI E�. Kc, % +fes ❑COM TH B iiwii&L�-. "2 TY , ,n �- U SL 10 /� pscC AA PL�r LLQ / v �' ❑IND - ❑COM.. ❑ OTH ❑ PTY ❑ SCC []IND ❑COM ❑ OTH ❑ PTY ❑SCC ❑IND ' - (-]COM' ❑ OTH' PTY E]KC - Aftach:additiona?information ons appropriately labeled contini/ation sheets SUBTOTAL $ 4 Schedule C Summary *Contributor Codes 1 Amount received this'period- itemized nonmonetary contributions IND -Individual (Include all Schedule C subtotals) A $ ;� COM -Recipient Committee (other than PTY or SCC) 2. Amount received:thisperiod- unitemized nonmonetary contributionsof less than $100 $ _ 0TH - Other (e.g business entity) 3 total nonmonetary contributions received this period PTY -Political Party ' � / SCC - Small contributor committee (Add Lines 1 -and 2. Enterhere and on the Summary Page Column A; Lines 4 and, 10 TOTAL $-1-2-4, ��� y u _ t FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC'(866/276-3772) r - Aftach:additiona?information ons appropriately labeled contini/ation sheets SUBTOTAL $ 4 Schedule C Summary *Contributor Codes 1 Amount received this'period- itemized nonmonetary contributions IND -Individual (Include all Schedule C subtotals) A $ ;� COM -Recipient Committee (other than PTY or SCC) 2. Amount received:thisperiod- unitemized nonmonetary contributionsof less than $100 $ _ 0TH - Other (e.g business entity) 3 total nonmonetary contributions received this period PTY -Political Party ' � / SCC - Small contributor committee (Add Lines 1 -and 2. Enterhere and on the Summary Page Column A; Lines 4 and, 10 TOTAL $-1-2-4, ��� y u _ t FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC'(866/276-3772) r N SChedule'EType or print in ink. Amounts may be rounded Payments Mede to whole dollars. �i SEE -INSTRUCT IONS. ON REVERSE _ SGHEDULEE Statement covers period CALIFORNIA from � J '`/ "_ v z, O4601,11 - through _ through �i t1 Pagey of, �. rvnlwc,vr rlLCrt CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID 10 NUMBER �/s CODES If one of the following codes accurately describes the payment, you may enter the code Otherwise describe the payment. CfvP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned :ontributions 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 UT 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 - mxftm , S �7NO L2'r 3`3oY. )1� Al 3 t/ go " 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 , Scheduie.E subtotals.) 2. Unitemized payments made this period of under $100 3 Total interest paid this period on loans (Enter amount from Schedule B Part 1 Column (e) ) 4 Total payments made this period (Add Lines 1 2 and 3 Enter here and on the Summary Page Column:A, Line 6 ) M SUBTOTAL$ S 3,'Q , G $ $ / TOTAL $ FPPC Form 460 (January/06) FP C: Toll -Free Helpline: 866/ASK-FPPC (866/276-3772) ,I