HomeMy WebLinkAboutForm 460 Friends of Ellen Beraud 063009= Recipient Committee
Campaign Statement
Type or print in Ink.
Cover Page
'Government Code Sections 84200-84216.5)
Statement covers period
from 01Y01/2009
3EEINSTRUCTIONS ON REVERSE through 06/30/2009
1. Type of Recipient. Committee: All Committees — Complete Parts 1, 2,3, and 4.
{� Officehoider, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure
.Q `State Candidate Election Committee Committee
Q Recall Q Controlled
-fA10Complete Part 5) 0 Sponsored
(Also Complete Part 6)
❑ 'General Purpose Committee
Q Sponsored
Q Small Contributor Committee
Q Political Party/Central Committee
3. Committee Information
COMMITTEE -NAME (OR
Friends of Ellen Beraud
STREET ADDRESS (NO P.O. BOX)
❑ Primarily Formed Candidate/
Officeholder Committee
(Also Complete Part 7)
Date_ of_ election if applicable:
(Month, Day, Year)
Date Stamp
RECEIVED
JUL 3 0 2009
CITY OF AT
2. Type of Statement:
❑ Preelection Statement
® 'Semi-annual Statement
❑ Termination Statement
(Also file a Form 410 Termination)
[:]'Amendment (Explain below)
I.D. NUMBER Treasurers)
1266989
NO COMMITTEE) NAME OF TREASURER
Jim Dewing
MAILING ADDRESS
CITY
STATE
ZIP CODE AREA CODE/PHONE
Atascadero
CA
934222
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
Statement - Attach Form 495
CITY
STATE
ZIP CODE AREA'COD E/PHONE
Atascadero
CA
93422
wv�R rr�uc • „ ,
CALIFORNIA
FORM 460111�
Page 1 of 3
For Official Use Only
❑
Quarterly Statement
❑
Special Odd-Year?Report
❑
Supplemental Preelection
Statement - Attach Form 495
CITY STATE ZIP CODE AREA CODE/PHONE
Atascadero CA 93422
NAME OF ASSISTANT TREASURER, IF ANY
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX / E-MAIL ADDRESS OPTIONAL: FAX / E-MAIL ADDRESS
L Verification
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
under penalty of perjury under the laws of the` State of California that the foregoing is true and corre t.
Executed on >� By -
Date Signatur easur sistant Treasurer
Executed on By
Dille gnatu ontrolling Officeholder, Candidate, SlMe#Aasure Proponent or Responsible Officer of Sponsor
Executed on
Date "
By
Signature of Controlling Officeholder, Candidate, State Measure Proponent
Executed on By
Date Signature of Controlling Officeholder, Candidate, Slate Measure Proponent FPPC Form 460 (January/05)
FPPC Toll -Free -Helpline: 866/ASK-FPPC (866/275-3772)
State of California
Recipient COmmittee
Campaign Statement
Cover Page — Part 2
Type or print -in ink.
Officeholder'orCandidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE
Ellen -Beraud
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
Atascadero, City Council Member
RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE -ZIP
Atascadero CA 93422
Related Committees Not Included in this Statement: 11st'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 I.D. NUMBER
NAME OF TREASURER I CONTROLLED COMMITTEE?
YES ' ❑,.NO
COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX)
CITY STATE ZIP, CODE AREA CODE/PHONE
COMMITTEENAME I.D. NUMBER
NAME OF TREASURER I CONTROLLED COMMITTEE?
❑ YES ❑ NO
COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX)
COVER,PAGE - PART 2
•� , I
Page 2 of 3
t 6. Primarily formed Ballot Measure Committee
NAME OF BALLOT MEASURE
BALLOT NO.OR LETTER JURISDICTION ❑ 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(§) 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 CUDEWHONE Attach continuation sheets if necessary
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
State of California
'' a
� a
ampaign Disclosure Statement
0
Type or print in ink.
kimmary Page
amounts in Column A to the
corresponding amounts
Amounts may be rounded
_
0
to whole dollars.
;EE`INSTRUCTIONS ON REVERSE
report. Some amounts in
Column A maybe negative
'IAME00 FILER
;figures that should be
subtracted from previous
Friends of Ellen Beraud
period -amounts. If this is
the first report being filed
:ontributions Received
for this calendar year, only
carry over the amounts
from Lines 2, 7, and 9 (if
Column A
"TOTALTHISPERIOD
0
any).
`
(FROMATTACHED SCHEDULES)
Monetary Contributions ............................................
Schedule A, Line 3'
$ 0 $
•• Loans. Received......................................................
Schedule e, Line 3
0
4
I. SUBTOTAL CASH CONTRIBUTIONS .........................
e
Add lines 1'+ 2
$ 0 $
I. Nonmonetary Contributions ....................................
Schedule C, Line 3
0
i. TO TA�L:CONTRIBUTIONS RECEIVED ........................... Add Lines 3 + 4
$ 0 $
= ei,ddh lreb Made
�. Payments Made .......................................................
Schedule E, line 4_
$ 0 $
Loans Made.............................................................
Schedule H, Line 3
0
- SUBTOTAL CASH PAYMENTS ....................................
Add Lines 6 + 7
$ 0 $
I. Accrued Expenses (Unpaid Bills) ...............................
Schedule F Line 3
0
0. Nonmonetary Adjustment ..........................................
Schedule C, Line 3
0
1. TOTAL EXPENDITURES MADE ................................
Add lines a + s + 10
$ ° 0 $
'.urrent Cash Statement
2. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $
3. Cash Receipts ..........:........................................ Column A, Line 3 above
4. Miscellaneous Increases to Cash ........................... Schedule 1, Line 4
5. Cash Payments ........................ :......................... Column A, Line 6 above
6. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $
If this is a termination statement, Line 16 must be zero.
7. LOAN GUARANTEES RECEIVED ........................... Schedule 6„Part 2 $
:ash Equivalents and Outstanding Debts
18. Cash Equivalents ........................................ 'See instructions on reverse $
19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column Wabove $
kGE
Statement covers period
from 01/01/2009
through 06/30/2009 Page 3 of 3
Column B
CALENDAR YEAR
TOTALTO DATE
0
0
amounts in Column A to the
corresponding amounts
0
0
0
0-
0
0
0
0
0
1,578
To calculate Column B, add
0
amounts in Column A to the
corresponding amounts
0
from Column B of your last
0
report. Some amounts in
Column A maybe negative
1,578
;figures that should be
subtracted from previous
period -amounts. If this is
the first report being filed
0
for this calendar year, only
carry over the amounts
from Lines 2, 7, and 9 (if
0
any).
0
I.D. NUMBER
1266989
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 Limit)
Date of Election Total to Date
(mm/dd/yy)
—�_J $
'Amounts in this section may be different from amounts
reported in Column B.
FPPC Form -460 (January/05)
FPPC Toll -Free HelpNho:•866/ASK-FPPC (866/275-3772)