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Home My WebLink AboutForm 460 Committee to Elect Bob Kelley 102308% n 4 e r �Recipieht;C®mmittee r Cimpaign Statement CoverPage (GcGemment Code Sections 84200-84216.5) Type or print In ink, Date of election', if applicable (Month, .Day Year) RSC';t ED i 2008 COVER PAGE Page of 6 For Official Use Only 11104/2008 ICiTY OF ATASCADEO CITY CLERK'S CIFFIC 2. Type of.Siatement: 0 Preelection Statement ❑ Quarterly Statement ❑ Semi annual'Statement ❑ Special Odd -Year Report ❑ Termination Statement ❑ Supplemental Preelection (Also file a Form 410 Termination) Statement Attach Form 495 Amendment (Explain below) Treasurers' NAME OF TREASURER David P Bentz CITY STATE ZIP CODE AREA CODE/PHONE smw�-_ . NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY - STATE ZIP CODE AREA CODE/PHONE OPTIONAL. FAX / E-MAIL ADDRESS 4. Verificationi' - shave 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 under penatyof peduri under the laws of the'State of California that the foregoing is true and toff E Executed on 10/2,1/08 n By Q DateSignature ofTreasurer orAss)dtan reasurer Executed on° 'Date Executed on Date - - Executed on Date _a By Signature of Controlling Officeholder, Candidate, State Measure Proponent or Responsible Ofrioer of Sponsor By - --Signature of ontrolNrtg Offfcehoider, NMM0ete, Stare Measure Proponent 6y - Signature of ControllingOfteholder, Candidate, State Measure Proponent FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 888/ASK-FPPC (8601276-3772) State of Callfomla Statement covers period 1.0/1/2008 from SEE INSTRUCTIONS,ON REVERSE through 1.0/18/2008. 1(. Type of Recipient Committee: All Committees - Complete;Parts 1 2, 3, and 4.. Officeholder Candidate Controlled Committee ❑ Primarily Formed Ballot Measure 0 State Candidate Election Committee Committee 0 Recall 0 Controlled (Also Complete Parr 5) 0 Sponsored (Also Comptere Part 6) ❑ GeneralPurpose Committee 0 Sponsored ❑ Primarily Formed Candidate/ 0 Small Contributor Committee Officeholder, Committee 0 Political Party/Central Committee (Also Complete Pat 7), 4 3. Committee°Information MBER 71.DNUMBER- 1247989 1247989 COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) Committee to Elect Bob Kelley STREET ADDRESS, (NO -PO. BOX) i CITY" STATE ZIP CODE ' AREA-CODE/P.HONE MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR, P 0 BOX' CITY STATE ZIP CODE, `AREA CODE/PHONE OPTIONAL. FAX / E-MAIL ADDRESS - - - - Date of election', if applicable (Month, .Day Year) RSC';t ED i 2008 COVER PAGE Page of 6 For Official Use Only 11104/2008 ICiTY OF ATASCADEO CITY CLERK'S CIFFIC 2. Type of.Siatement: 0 Preelection Statement ❑ Quarterly Statement ❑ Semi annual'Statement ❑ Special Odd -Year Report ❑ Termination Statement ❑ Supplemental Preelection (Also file a Form 410 Termination) Statement Attach Form 495 Amendment (Explain below) Treasurers' NAME OF TREASURER David P Bentz CITY STATE ZIP CODE AREA CODE/PHONE smw�-_ . NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY - STATE ZIP CODE AREA CODE/PHONE OPTIONAL. FAX / E-MAIL ADDRESS 4. Verificationi' - shave 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 under penatyof peduri under the laws of the'State of California that the foregoing is true and toff E Executed on 10/2,1/08 n By Q DateSignature ofTreasurer orAss)dtan reasurer Executed on° 'Date Executed on Date - - Executed on Date _a By Signature of Controlling Officeholder, Candidate, State Measure Proponent or Responsible Ofrioer of Sponsor By - --Signature of ontrolNrtg Offfcehoider, NMM0ete, Stare Measure Proponent 6y - Signature of ControllingOfteholder, Candidate, State Measure Proponent FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 888/ASK-FPPC (8601276-3772) State of Callfomla ryti 1 k Recipient Comlrnittee { ;CArnpeign Statement Cover Page -- Part 2 Type or print in= ink, 5. Ot''ficeholder 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 RESIDENTIAUBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP Related..Committees Not Included in this Statement: Wstany committees not included7n this statement that are controlled by you or are primarily formed to receive contributions or make expenditures on behalf of your candidacy I.D NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES j❑ NO ITTEEADDRESS STREET CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE 11M. NUMBER' NAME OF TREASURER 'j,CONTROLLED COMMITTEE? YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO PO. BOX) CITY STATE ZIP CODE AREA CODE/PHONE 6. Primarily Formed Ballot Measure Committee NAME'OF BALLOT MEASURE COVER PAGE . PART 2 Page 2 of 6 BALLOT NO OR LETTER JURISDICTION ❑ SUPPORT ❑ OPPOSE Identify the controlling officeholder candidate, or state measure proponent, If any NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OR HELD DISTRICT NO. IF ANY 7 Primarily' Formed Candidate/Officeholder Committee List names of officeholder(s) or candidates) 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 Attach continuation sheets if necessary FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 866lASK-FPPC (888/2783772) State of Californla r F I 4 Cauinpaign' Disclosure Statement Summary Page 'SEE INSTRUCTIONS'ON REVERSE 'NAME DF`FILER, Committee°to Elect Bob Kelley Type or print in ink. Amounts may be rounded to whole dollars. SUMMARY, PAGE' Statement covers ;period CALIFORNIA, 5• t from 10/1/2008 • - through 10/18/2008 Page 3 of 6 5: TOTALCONTRIBUTIONS RECEIVED Add Lines 3 + 4 $ 974•89 $ 1,973.35 0 Column A Column M Contributions' Received TOTAL THIS PERIOD CALENDARYEAR - Schedule E, Line 4 (FROMATTACHED SCHEDULES) TOTALTODATE y1 Monetary�Contnbutions Schedule A, Line 3 64600 $ - - $ 1391.00 0 0 328.89 582.35 2: Loans'Received Schedule B, Line 3 1152.35 9. Accrued Expenses (Unpaid' Bills) 3. SUBTOTAL CASH CONTRIBUTIONS Add Lines 1.+.2 $ 97489 $ 197335 P 4`, Nonmonetary Contributions Schedule C, Line 3 0 0 5: TOTALCONTRIBUTIONS RECEIVED Add Lines 3 + 4 $ 974•89 $ 1,973.35 0 Expenditures Made 328.89 1231.68 figures that, should be subtracted from-+ previous 6. Payments Made Schedule E, Line 4 $ 328:89 g 1152.35 7 Loans Made Schedule H, Line.3 for this calendar year only carry over- the amounts from Lines 2, 7 and 9 (if 0 0 8. SUBTOTAL CASH PAYMENTS Add Lines 6 + 7 $ 328.89 $ 1152.35 9. Accrued Expenses (Unpaid' Bills) Schedule F Line.3 0 0 10 Nonmonetary Adjustment Schedule C, tine 3 0 0 11 TOTAL EXPENDITURES MADE. Add Lines a + 9 + 10 $ 328.89 $ 1152.35 Current Cash Statement _ 12. Beginning Cash Balance Previous Summary Page, Line 16 $ 13. Cash Receipts Column A, Line 3 above 14 Miscellaneous Increases to Cash Schedule 1, L/ne 4 15 Cash Payments. column A, Line 8 above 16. ENDING CASH BALANCE Add Lines 12 + 13 + 14, then subtract Line. 15 $ If this is a termination statement, Line 16 must be zero. 17 LOAN GUARANTEES RECEIVED Schedule B; Pert 2 $ Cash Equivalents and Outstanding Debts 18 Cash Equivalents See instructions on reverse $ 19 Outstanding Debts Add Line 2 + Line 9 in Column,B above $ 58568 To calculate Column B, add 974:89 amounts in ColummA to the corresponding amounts 0 from Column B of your last report. Some amounts in Column A may be negative 328.89 1231.68 figures that, should be subtracted from-+ previous period amounts. if this is the first reportibeing filed 0 for this calendar year only carry over- the amounts from Lines 2, 7 and 9 (if any). I.D. NUMBER 1247989 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 through 6/30 7/1 to Date 20. Contributions Received $ $ 21 Expenditures Made $ $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made" (if Subject to Voluntary Expenditure Until) 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 (866/275-3772) Ir r 4chdidule A rA6netary Contribut6o'ns Received j - SEE INSTRUCTIONS ON REVERSE,. -NAME OF -FILER Committee t1o.Sect Bob Kelley DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF RECEIVED (IF COMMITTEE, AL SO ENTER 1. 0. NUMBER) 10/09/08- Robert W -Jones . -A, Professional Law Corp Typo or print in,ink. Amounts maybe rounded to whole dollars. IF,AN INDIVIDUAL, ENTER ITOR1 CO�TRIBUTOR OCCUPATION AND.EMPILOYER COIJE-* (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (3com R]OTH, E],PTY O§cc E]IND, E]qom MOTH M PTY [3scC A [:]IND OCOM E] OTH CIPTY, E]'Scc'. MIND ocom MOTH M ?TY []SGC DIND E)COM E] OTH C:] PTY ❑ SCC 1$ 250 00 j *Contributor Codes IND—individual 25000 COM—Recipient Committee $ (other than PTY or SCC) 39600 OTH — Other (e.g., business entity) $ PTY — Political Party SCC: — Small Contributor Committee TOTAL $ 64600 FPIPC Form 460 (January/06) FPPC: Toll -Free Helpline: 866/ASK-FPPC (866/275n3772) ;S'6hedule A,Summa ? ry 1 Amount received this period -Jtemized 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 2o"Enter, fiere'6nd"6n1theSiJmmary,Page Column A, Line 1 I SCHEDULEA Statement covers periodCALIFORNIA 10/1/2008 460 from — FORM throdgh 10/18/2008 Page 4 of 6 I.D.NUMBER 1247989 AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED THIS CALENDAR YEAR TO DATE PERIOD (JAN. i DEC.(IF REQUIRED) 25000 1 25000 T,. _1 SCHEDULEB,PART1_ C eQule is.- F'aR T Amounts may be rounded Statement covers period Loans Received'- to whole dollars. 10/1/2008 CALIF• , NIA �' '� �' from FORM 10/18/2008 5 6 SEE'INURUCTIONS ON REVERSE cnrou g n Page of NAME OF FILER LD NUMBER Committee to, Elect Bob Kelley 1247989 e FULL NAME_ ,,STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER = OCCUPATION AND EMPLOYER a OUTSTANDING BALANCE b t�) AMOUNT PAID 'OUTSTANDING INTEREST ORIGINAL CUMULATIVE 3, OF LENDER (IF COMMITTEE. ALSO ENTER I.D. NUMBER) (IF SELF-EMPLOYED. ENTER BEGINNING THIS RECEIVED THIS PERIOD OR FORGIVEN BALANCEAT CLOSE OF THIS )'AID THIS AMOUNT OF CONTRIBUTIONS - NAME OF BUSINESS) THIS PERIOD PERIOD LOAN TO DATE Bob Kelley Realtor, Bob Kelley z [D PAID CALENDAR YEAR Realty $ 0 328.89 0 328.89 $ 328.89 $ % $ ❑ FORGIVEN PER ELECTION - RATE s 328.89 0 Demand $- 0 10/01/08 T2 IND ❑ COM '❑ OTH ❑ PTY ❑ SCC s $ s DATE DUE DATE INCURRED Bob Kelley Realtor Bob Kelley ❑ PAID CALENDAR YEAR Realty $- 0 $ 25346 0 % s 253.46 $ 253.46 FORGIVEN W_'=W RATE PER ELECTION s. 253.46 s 0 a` 0 Demand s_ 0 8/25/08 t2 IND ❑ COM ❑ 0TH ❑ PTY ,❑ SCC DATE INCURRED s DATE DUE ❑ PAID CALENDAR YEAR S 8 % g 5 ❑; FORGIVEN PER ELECTION RATE t❑ IND ❑ COM'❑.0TH. ❑ PTY ❑'.•SCC ' _ E $ S E- E _ DATE DUE DATE INCURRED SUBTOTALS $ 328.89$ 0 $, 582.35 $ 0 Schedule S Summary 1 Loans received this period' (Total Column (b) plus unitemized loans of less than -$1 W) 2. Loans paid or forgiven this,period (Total Column {c) plus loans under $100 paid or forgiven.) (Include loans paid by'a third party that are also itemized on Schedule A.) 3 Net change this period (Subtract Liner2 from Line 1 ) Enter the net here and on the Summary Page Column A,tLine 2 Amounts forgiven or g paid by another party alsof must be reported on Schedule A. If required. ;�1 (cmar lot on Schedule E, Line 3) 328.89 U NET $ 32889 (May Oe a negative number) tContributor Codes I N D — Individual COM — Recipient Committee (other than PTY or SCC) 0TH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK'FPPC (866/276.3772), I NAME AND ADDRESS:OF PAYEE (IF COMMITTEE. ALSO ENTER 1.0. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID Cross &;Oberlie LIT Schedule E' Type or print in ink. SCHEDULES Statement covers period � �a rnents;iVlade �, Amounts may be rounded CALIFORNIA , • to whole dollars. 10/1/2008 FORM from 10/18/2008 Fge6 6 INSTRUCTIONS' ON REVERSE h of throwSEE 9 - - NAME OF FILER LD 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. CMP campaign,paraphernalia/misc. MBR nmembercommunications 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 UT campaign literature and mailings PRTprint ads wEB information technology costs (internet, e-mail) I NAME AND ADDRESS:OF PAYEE (IF COMMITTEE. ALSO ENTER 1.0. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID Cross &;Oberlie LIT 328.89 " Payments that are contributions or Independent expenditures must also be summarized on Schedule D SUBTOTAL$ 328.89 Schedule E Summary 1 Itemized payments made this period (Include all Schedule E subtotals) $ 328.89 2 Unitemized payments made this period of under $100 $ 0 3 Total interest paid this,p6riod on loans (Enter am6,unt from Schedule B Part 1 Column (e)) $ 0 4 Total payments made this period(Add tines 1 2, and 3 Enter here and on the Summary Page Column A, Line 6 ). TOTAL $ 328.89 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275.3772) 11