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)