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HomeMy WebLinkAboutForm 460 Friends of Ellen Beraud 123109i Recipient Committee Campaign Statement Cover Page. Government Code Sections 84200-84216.5) Type or print In Ink. Statement covers period from 7/01/2009 Date of election If applicable: Month, Day, Year) COVER PAGE RECEIVE JAN 2 5 2010 Page of 4 z Fogy Official Use Only 3. Committeeanformation I.D. NUMBER 1266989 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Friends of Ellen Beraud STREET -ADDRESS (NO P.O. BOX) CITY OF ATASCAD RO SEE INSTRUCTIONS ON REVERSE 12/31/2009 through STATE CITY CLERK'S OFF CE Atascadero 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. 2. Type of Statement: MAILING, ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE/PHONE Atascadero CA 93423 OPTIONAL: FAX/ E-MAIL ADDRESS Treasurers) NAME OF TREASURER Jim Dewing MAILING ADDRESS 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 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of m knowledge t nformation contained herein and in the attached schedules is true and complete. I certify under penalty of perjury under the laws a State of California that the foregoing is true and co ct. Executed on 1117Z",16 By D - Signe asurerorA IstentTreasurer t 51 nExecutedon DataBy gnatureofControllingOfficeholder,Candidate, State Measure Proponent or Responsible OfoorofSponsor Executed on By Date Signature ofControling Officeholder, Candidate, State MeasureProponent Executed on Data By Signature ofControNng Officeholder, Candidate, State Measure Proponent FPPC Form,460; (January/05) FPPC Toll -Free Helpline: 8661ASK-FPPC.(8661275.3772) State of California Type or print In Ink. COVERPAGE-PART2 Recipient Committee CALIFORNIA Campaign Statement FORM 460 Cover Page — Part 2 6. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Ellen Beraud OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Atascadero City Council Member RESIDENTIA 1BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP Atascadero CA 93422 Related Committees Not Included In this Statement: Listany 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. COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? YES NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODEIPHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? YES NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) Page 2 of 4 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTERI 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(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 CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary P. FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 866/ASK-FPPC (86612763772) State of California I Campaign Disclosure Statement Type or print In Ink. Amounts may be rounded Summary Page to whole dollars. Statement covers period from 7/01/2009 SUMMARY PAGE L ' SEE INSTRUCTIONS ON REVERSE 6. Payments Made ....................................................... through 12/31/2009 Page 3 of 4 NAME OF FILER 0 8. SUBTOTALCASH PAYMENTS .................................... Add Lines s +7 $ 210 $ 9. Accrued Expenses (Unpaid Bills) ............................... I.D. NUMBER Friends of Ellen Beraud 10. Nonmonetary Adjustment .......................................... Schedule C, Line 3 0 11. TOTAL EXPENDITURES MADE ................................ Add Lines a + g + 10 $ 1266989 Current Cash Statement Column A Column B Calendar Year Summary for CandidatesContributionsReceived 1,578 TOTALTHISPERIOD CALENDAR YEAR ry andRunninginBoththeStatePrimary subtracted from previous If this is a termination statement, Line 16 must be zero. OMATTACHED SCHEDULES) TOTALTO DATE 9 the first report being filed General Elections 1. Monetary Contributions ........................................... Schedule A, Line 3 0 $ 0 Cash Equivalents and Outstanding Debts 18. Cash Equivalents ........................................ See instructions on reverse 0 0 1/1 through 6/30 7/1 to Date 2. Loans Received...................................................... Schedule B, Line 3 3. SUBTOTALCASH CONTRIBUTIONS ......................... Add Lines 1 +2 0$ 0 20. Contributions Received $ $ 4. Nonmonetary Contributions .................................... Schedule C, Line 3 0 0 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3+4 0 $ 0 Made $ $ Expenditures Made 6. Payments Made ....................................................... Schedule E, Line 4 $ 210 $ 7. Loans Made............................................................. Schedule H, Line 3 0 8. SUBTOTALCASH PAYMENTS .................................... Add Lines s +7 $ 210 $ 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F Line 3 0 10. Nonmonetary Adjustment .......................................... Schedule C, Line 3 0 11. TOTAL EXPENDITURES MADE ................................ Add Lines a + g + 10 $ 210 $ Current Cash Statement Column A may. be negative 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 1.368 1,578 210 0 210 0 0 210 12.,Beglnning Cash Balance ....................... Previous summary Page, Line 15 To calculate Column B, add 13. Cash Receipts ................................................... Column A, Line 3 above 0 amounts in Column A to the 0 corresponding amounts 14. Miscellaneous Increases to Cash ........................... Schedule /, Line 4 from Column B of your last 210 report. Some amounts in 15. Cash Payments .................................................. Column A, Line s above Column A may. be negative 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 1.368 figures that should be subtracted from previous If this is a termination statement, Line 16 must be zero. period amounts. If this is the first report being filed 17. LOAN GUARANTEES RECEIVED ........................... schedule B, Part 2 0 for this calendar year, only carry over the amounts any) Lines 2, 7, and 9 (if Cash Equivalents and Outstanding Debts 18. Cash Equivalents ........................................ See instructions on reverse 0 19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column B above 0 Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made" IN Subject to voluntary Expenditure Lim@) Date of Election Total to Date mm/dd/yy) Amounts in this section may be different from amounts reported in Column B. 47, P FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Friends of Ellen Beraud Type or print In Ink. Amounts may be rounded to whole dollars. Statement covers period from 7/01/2009 through 12/31/2009 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. Page 4 of 4 1266989 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 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 W 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 LR campaign literature and mailings PRT print ads WEB information technology costs (Internet, e-mail) NAME AND ADDRESS OF PAYEE IF COMMRTEE,ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Snap Shot Web 4000 Barranca Pkwy Ste. 250 Irvine, CA 92604 WEB 180 Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 180 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) ..•.......•... $ 180 2. Unitemized payments made this period of under $100 $ 30 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.) ............................. TOTAL $ 210 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/276-3772)