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Home My WebLink AboutForm 460 Committee to Elect Roberta Fonzi 101808 Amendmentti Recipient Committee COVERPAGE Type or print in ink. Date Stamp _ Campaign Statement RECEIVE .� Rof CoverPage(Government Code Sections 84200-84216.5) ArPage�- Statement covers period Date of election if applicable: AIV 2 6 2010 from 10—/ Q �;( (Month, Day, Year) For Official Use Only u i0 / $ — Q� %% — y _ �CITY OF ATASCADE 0 SEE INSTRUCTIONS ON REVERSE through CITY CLERK'S OFF(t 1 Type of Recipient Committee All Committees – Complete Parts 1, 2, 3, and 4. 2. Type of Statement: Officeholder Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑ Preelection Statement 0 State Candidate Election Committee Committee ❑ Semi-annual Statement 0 Recall 0 Controlled (Also Complete Part 5) Q Sponsored ❑ Termination Statement (Also CompletePaR6) `� (Also file a Form 410 Termination) ❑ General Purpose Committee 3CI Amendment (Explain below/ 0 Sponsored ❑ Primarily Formed Candidate/ 0 Small Contributor Committee Officeholder Committee 0 Political Party/Central Committee (Also Complete Part 7) 1 D N "BER ❑ Quarterly Statement ❑ Special Odd -Year Report ❑ Supplemental Preelection Statement -Attach Form 495 3. Committee Information J Treasurer(s) COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER] 1 v � ��, ,lam >, 9)') — �� MAILING ADDRESS STREET ADDRESS (NO P O. BOX) CITY STATE ZIP CODEREA MAILING ADDRESS (IF DIFFERENT) NO AND STREET OR P.O. BOX CITY / E-MAIL AD SS AREA CODE/PHONE v cfl?1-�lAe1� NAME OF ASSISTANT TafASURER, IF ANY /Lx17 Y��✓`\1 � �� MAILING ADDRESS CITY ` STATE ZIP CODE OPTIONAL. FAX / E-MAIL ADDRESS - 4. 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 c Executed on / i z6 1 o By Dal Jjj'rnaturif ol0easurerorAssistantTreasurer s Executed on ;z/ L By Date S. atureofContr Min of r, ndidate,St Mea reProponenlorResponsibleOffcerofSponsor Executed on By Date Signature of Controlling Officeholder, Candidate, State Measure Proponent Executed on By Date Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 8661ASK-FPPC (866/276-3772) State of California Recipient Committee Campaign Statement Cover Page — Part 2 Type or print in ink. 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) RESIDENTIAL/BUSINESS ADDRESS (NO ANO STREET) CITY STATE ZIP 93 41zZ Related Committees Not Included in this Statement: List 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. COMMITTEE NAME LD NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO PO. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/276-3772) State of California COVERPAGE PART2 I Page of I 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTERI JURISDICTION I ❑ SUPPORT ❑ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD I 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 Campaign Disclosure Statement Summary Page SFF INSTRUCTIONS ON REVERSE Type or print in ink. Amounts may be rounded to whole dollars. NAME OF FILER „�� C��,k-riI�'L % U SUMMARY PAGE Statement covers period CALIFORNIA from ^� ^�FORM • 1 through a ~/ (, _ Page of LD NUMBER Expenditures Made 6. Payments Made 7 Loans Made 8 SUBTOTAL CASH PAYMENTS 9. Accrued Expenses (Unpaid Bills) 10 Nonmonetary Adjustment 11 TOTAL EXPENDITURES MADE Schedule E, Line 4 $ • $ )_{91S_3 `S_3 Schedule H, Line 3 0' Add Lines 6 + 7 $ z�r�• $ �� `� �• Schedule F, Line 3 ] •0 'f Schedule C, Line 3 / V / 1:9— -1 Add Lines 8+9+10 $ c570.. C3 $ Y(43Lyn • t�� Current Cash Statement �'� 9 Z , 'd- 1 12. Beginning Cash Balance Previous Summary Page, Line 16 $ t 13. Cash Receipts Column A, Line 3 above 14 Miscellaneous Increases to Cash Schedule 1, Line 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, 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 $ 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 filed for this calendar year only carry over the amounts from Lines 2, 7 and 9 (if any) 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) $ 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) Column A Column B Calendar Year Summary for Candidates Contributions Received TOTALTHISPERIOD CALENDARYEAR 9 Primary Running in Both the State Prima and (FROM ATTACHED SCHEDULES) TOTALTODATE Elections CGeneral ') 5 � ��- ®% J Z 1 Monetary Contributions Schedule A, Line 3 $ v 6S-- 6. %5'�� $ C. 1/1 through 6/30 7/1 to Date 2. Loans Received Schedule B, Line vA•� 20 Contributions �� 3. SUBTOTAL CASH CONTRIBUTIONS Add Lines 1 + 2 $5� $-G� -�� + �- o� Received $ $ 4 Nonmonetary Contributions Schedule C, Line 3 + / $ Z �� o o 21 Expenditures Made $ $ 5. TOTAL CONTRIBUTIONS RECEIVED Add Lines 3 + 4 $ Expenditures Made 6. Payments Made 7 Loans Made 8 SUBTOTAL CASH PAYMENTS 9. Accrued Expenses (Unpaid Bills) 10 Nonmonetary Adjustment 11 TOTAL EXPENDITURES MADE Schedule E, Line 4 $ • $ )_{91S_3 `S_3 Schedule H, Line 3 0' Add Lines 6 + 7 $ z�r�• $ �� `� �• Schedule F, Line 3 ] •0 'f Schedule C, Line 3 / V / 1:9— -1 Add Lines 8+9+10 $ c570.. C3 $ Y(43Lyn • t�� Current Cash Statement �'� 9 Z , 'd- 1 12. Beginning Cash Balance Previous Summary Page, Line 16 $ t 13. Cash Receipts Column A, Line 3 above 14 Miscellaneous Increases to Cash Schedule 1, Line 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, 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 $ 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 filed for this calendar year only carry over the amounts from Lines 2, 7 and 9 (if any) 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) $ 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)