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
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1 \ � L}• ��' 7� J Z-�Z'/,
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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