HomeMy WebLinkAboutForm 460 Atascadero Professional Firefighters 123109Recipient Committee
Campaign Statement
Cover Page
(Government Code Sections 8,t200 -8.21e.5)
Type or print in Ink.
SLatemant cov-rs period Oat- of -1--tion if appiicablo:
7/1/09 (Month, Day Year)
from _—
SEE INSTRUCTIONS ON REVERSE
' th r0 ugh 12/31/09
I Type of R@cipiant Committee: All commlttaas - —Plata Parts 2,3.— 4.
Q Officeholder Candidate Controlled Committee
Primarily Formed Ballot Measure
Q State Candidate Election Committee
Committee
Q Recall
Q Controlled
(A/so Comp/efa-1 S)
Q Sponsoretl
CITY STATE ZIP COOS
(A/so Cpnplafa PaR B)
® General Purpose Committee
Atascadero CA 93422
Q Sponsored
D Primarily Formed Candidate/
QOfficeholder
Small ContrtCommittee
Committee
ntral Committee
Q Political Party/Central
(A /so co npara Pact �)
3_ Committee Information
l.O. NUMBER
CITY STATE ZIP CODE AREA CODE/PHONE
1312619
COMMITTEE NAME (OR CANOInATE'S NAME IF NO COMMITTEE)
Atei-6 ro Professional Firefighters L3600
COVER PAGE
AUG - 4 2010 Page of _
For Official Usa Only
CITY OF ATAS CAC ERO
CITY CLERK'S OFEI 0-
2-
2_ Type of Statement:
Preelection Statement F-1 Quarterly Statement
® Semi-annual Statement Q Speciat Odd -Year Report
(] Termination Statement (] Supplemental Preelection
(Also file a Form 410 Termination) Statement Attach Form 495
Amendment (Explain below)
Treasu rer(s)
NAME OF TREASURER
Matt Vierra
MAILING AOOR ESS
STREET AOORESS (NO P.O BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
Atascadero CA 93422
CITY STATE ZIP COOS
AREA CODE/PHONE
NAME OF ASSISTANT TREASURER, IF ANY
Atascadero CA 93422
Bill White
MAILING AOOR E55 (IF OIFFERE NT) NO ANO STREET OR PO BOX
MAILING AOO RE55
CITY STATE ZIP CODE AREA CODE/PHONE
CITY STATE ZIP CODE
AREA CODE/PHONE
Atascadero CA 93422
OPTIONAL: FAX / E-MAIL AOORESS
OPTIONAL: FAX / E-MAIL AOO RE 55
4_ Verification
1 have used all reasonable diligence in preparing and reviewing this statement and to the best of my kno�th�conte"
d hereinnd in the attached schedules is true and complete. 1 certify
under penalty of perjuryunder the laws of the State of California that the foregoing is true andcorrec8/3/10/..
EXacutea on
By
Data
slgna �Tr¢aaurer or Aaamt Treaa..re.
--ts. On pate
By Sgna[ura niCon4o11ing OMcanddat Candltlata. stat-Measuta Ptoponan<nt Responsible OTBcat of 5ponaw
EXGCYted On
By
tJab
Signature of CorrtrOp�ng OfricandGar. Carv]Wata, State Maaaura Ptoponant
EXCCUtCC On
By
Oates
Signature of ontrol4t%j O(fiCandaaf. CandlCata, States Maastia Propottant
FPPGFo 460 (Jan )
R
F—Toll-Free Helpline: B66/ASK-FPPG (B66/2'r6-3772-772)
State of California
Campaign Disclosure Statement
Summary Page
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 7/1/09
SUMMARY PAGE
SEE INSTRUCTIONS ON REVERSE through 12/31/09 Page of
NAME OF FILER I.D. NUMBER
Atascadero Professional Firefighters L3600 1312619
ColumnA Column B Calendar Year Summary for Candidates
Contributions Received TOTALTHISPERIOD CALENDARYEAR RunningIn Both the State Prima and
(FROMATTACHEDSCHEDULES) TOTALTO DATE Primary
General Elections
1 Monetary Contributions Schedule A, Line 3 $ $
1/1 through 6/30 7/1 to Date
2. Loans Received Schedule B, Line 3
3. SUBTOTAL CASH CONTRIBUTIONS Add Lines /+2 $ $ 20. Contributions
Received $ $
4 Nonmonetary Contributions Schedule C, Line 3 21 Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED Add Lines 3+4 $ Zero $ Made $ $
Expenditures Made
6. Payments Made
7 Loans Made
8. SUBTOTALCASH PAYMENTS
9 Accrued Expenses (Unpaid Bills)
10 Nonmonetary Adjustment
11 TOTAL EXPENDITURES MADE
Schedule E, Line 4 $
Schedule H, Line 3
Add Lines 6 + 7 $
Schedule F Line 3
Schedule C, Line 3
Add Lines 8 + 9 + 10 $
Current Cash Statement
12. Beginning Cash Balance Previous Summary Page, Line 16 $
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 $
Zero $
60600
Zero
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'
(ff 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)