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HomeMy WebLinkAboutForm 460 Committee to Elect Roberta Fonzi 123108 AmendmentRecipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statement covers period Iczr from / O through 1 Type of Recipient Committee All Committees – Complete Parts 1, 2, 3, and 4. Officeholder Candidate Controlled Committee El Primarily Formed Ballot Measure Q State Candidate Election Committee Committee Q Recall Q Controlled (Also Complete Part 5) 0 Sponsored ❑ General Purpose Committee (AtsoComplete Part 6) Q Sponsored ❑ Primarily Formed Candidate/ Q Small Contributor Committee Officeholder Committee Q Political Party/Central Committee (Also Complete Part 7) 3. Committee Information 4. COMMITTEE NAME (OP, CANDIDATE'S NAME IF NO COM C�� Date of election if applicable: (Month, Day, Year) >/-Y -off JAN 2 6 CITY OF ATASCAI CITY CLERK'S OF 2. Type of Statement: ❑ Preelection Statement ❑ Semi-annual Statement ❑ Termination Statement (Also file a Form 410 Termination) Amendment (Explain below) COVER PAGE Page of 3 For Oficial Use Only ERO CE ❑ Quarterly Statement ❑ Special Odd -Year Report ❑ Supplemental Preelection Statement - Attach Form 495 r 1i Gl 1��4 n I? LD,MBE $ Treasurer(s) NAME OF TREASURER 11 Ll STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE S'2Z. MAILING ADDRESS (IF -DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE/PHONE / V OPTIONAL. FAX / E-MAIL ADDRESS `/ CIT SCS NAME OF ASSISTANT TI /11 MAILING ADDRESS STATE ZIP CODE ( - Executed on g Dale y Signature of Controlling Oi6cehdder,Candidate, State Measure Proponent FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) State of California Type or print in ink. ent Committee Recip'l Campal9n Statement Cover pager Part 2 er or Candidate Controlled Committee 5, officeholder 4 OFFICEHOLDER OR CDATE NAME OF IF APPLICABLE) �e r LOCATION AND DISTRICT NUMBS OFFICE SOUGHT OR HELD 111SCLUD€ STATE �~ �] G ent: List any committees in this Statement formed to receive Committees Not Included you or are p Related behalf of your candidacy- not andidacy not included in this statement that are controlled y or make expenditures on I.D. NUMBER contributions COM I AME CONTROLLED C EE? YES 0 NO NAME OF TREASUR€R BOX) STREET ADDRESS (NO F.O. COMMITf EE ADDRESS AREA CODE! __. ZIP CODE Committee g, Prirnar►ly Formed Ballot Measure r,rF- OF BALLOT MEASURE CITY I.D. NUMBER COMMITTEE NAME -� CONTROLLEDCOMMMI EE. � YES NAME OF TREASURER BOX) STREET ADDRESS (NO P O. COMMITTEE ADDRESS AREA CODElPHONE STATE ZIP CODE JURISDICTION BALLOT NO.OR LETTER COVER PAGE PART 2— Of Page © SUPPORT OPPOSE to measure proponent, if any. or sta officeholder, candidate, Identify the controlling OR PROPONENT NAME OF OFFICEHOLDER• CANDIDAT€. IF ANY DISTRICT NO. OFFICE SOUGHT OR HELD List names of mittee ed. iceholder committee form Formed Candidate"* j 7 Primarily or candidates) for which this committee is p 0 SUPPORT OFFICE SOUGHT OR HELD oft hoider(sj 0 OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICEHOLDER OR CANDIDATE NAME OF NAME OF OFFICEHOLDER OR CANDIDATE NAME OF0 OLDER OR CANDIDATE SOUGHT OR HELD SUPPORT OFFICE Q OPPOSE OFFICE SOUGHT OR HELD11 SUPPORT OFFICE SOUGHT OR HELD 0 SUPPORT 0 OPPOSE continuation sheets if necessary Attach .0 (january,061 ree Helpline: B 6 ASK P C (California661al 377 } FPPC Toll -Free State of Campaign Disclosure Statement Summary Page SEE' INSTRUCTIONS ON REVERSE Type or print In ink. Amounts may be rounded to whole dollars. NAME OF FILER T 87 Contributions Received 1 Monetary Contributions Schedule A, Line 3 2. Loans Received Schedule B, Line 3 3. SUBTOTALCASH CONTRIBUTIONS Add Lines 1 +2 4. Nonmonetary Contributions Schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED Add Lines 3+4 Expenditures Made 6. Payments Made Schedule E, Line 4 7 Loans Made Schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS Add Lines 6 + 7 9. Accrued Expenses (Unpaid Bills) Schedule F, Line 3 10 Nonmonetary Adjustment Schedule C, Line 3 11 TOTAL EXPENDITURES MADE Add Lines 8 + 9 + 10 Current Cash Statement 12. Beginning Cash Balance 13. Cash Receipts 14 Miscellaneous Increases to Cash 15 Cash Payments Previous Summary Page, Line 16 Column A, Line 3 above Schedule 1, Line 4 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 Column A TOTALTHIS PERIOD. (FROM ATTACHED SCHEDULES) I7oo $ Zi® $ ZS7C . ZY Schedule B, Part 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 $ �� -S_6 2 SUMMARY PAGE Statement covers periodCALIFORNIA . � from / �� / 0` - through / Page of Column B CALENDAR YEAR TOTAL TO DATE $ /51,.Z`}! $ 17 7 1LRs-. a $ i7�5r�`f 9 %. 07 $ 372. I To calculate Column B, add amounts in Column A to the corresponding amounts from Column B of your last report. Some amounts in Column A may be negative figures that should be subtracted from previous period amounts. If this is the first report being filbd for this calendar year only carry over the amounts from Lines 2, 7 and 9 (if any) I.D NUMBER _-3-0y/s—Z 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' (K Subject to Voluntary Expenditure Limit) 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)