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HomeMy WebLinkAboutForm 460 063010 Atascadero Professional FirefightersRecipient Committee 'type ZIP —orz AREA CODE/PHONE Atascadero COVER PAGE Campaign Statement ur Print in Init. t Cover Page ZIP CODE AREA CODE/PHONE - (Government Code Sections 84200-84218.5) AUG - 4 2010 Statement covers period Oeste of election if applicable: Pages of 1/m1 /1O (Month, Day Year) For Official Use Only from CITY OF RTAS CAO RO 6/30/"10 CITY CLERK'S OFF CE SEE INSTRUCTIONS ON REVERSE through Type of Recipient Committee All committees -complete Parte z, 3, ane 4. 2_ Type of Statement= 0 Officeholder Candidate Controlled Committee 0 Primarily Formed Ballot Measure Q Preelection Statement F--] Quarterly Statement Q State Candidate Election Committee Committee Semi-annual Statement Special Odd -Year Report Q Recall (AI3p COmp/ara PBnS ) Q Controlled Q Sponsored Termination Statement Q Supplemental Preelection ( Also file a Form 41 O Termination Statement Attach Form 495 ® General Purpose Committee /�+/se compcve Part s) O Amendment Ex Iain below' ( p Q Sponsored r --J Primarily Formed Candidate/ Q Small Contributor Committee Officeholder Committee Q Political Party/Central Committee (Also compere Part v) 3_ Committee Information 1.0 NpMBER Treasurers) 1312619 COMMITTEE NAME (OR CANOIOAT E'S NAME IF NO COMMITTEE) NAME OF TREASURER .&A--cl— Professional Firefighters L3600 Matt Vierra STREET AOORESS (NO P.O BOX) CITY STATE ZIP —orz AREA CODE/PHONE Atascadero CA 93422 MAILING-no.ESS (IF DIFFERENT) NO ANO STREET OR P O BOX CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL' FAX / E-MAIL ADDRESS MAILING AOORESS CITY STATE ZIP COOE AREA COOE/PHONE Atascadero CA 93422 NAME OF ASSISTANT TREASURER. IF ANY Biu white MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE Atascadero CA 93422 OPTIONAL: FAX / E-MAIL AOn RE 55 4 Verification - - - -- 1 have used all reasonable diligence in preparing and reviewing this statement and to the best of my Know) he ' o ontain here" d 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 an correct. 8/3/10 F Executed on oaN Br Signa res d Traa¢urar or As¢istam Treasurer Exert,ted on 8/3/1 O Br Oates Signature of Controlling Orrlcehddaq Candi[Ya[a, State Measure Proponent or Ra¢pons�ble Orficar d Sponsor EseOu[ad On By Oates Signature of Controlling OMCenobar Cand�da[e. Sista Measure Proponent Exactaaa on By pate signature of convdnng ornoendeer Carw�uate, State Maasura Proponent FPPC Form 460 (January/06) FPPO Toll -Free HBlpllne: 866/ASK-FPPC (866/275-3772) SLata oT Calirorn is Campaign Disclosure Statement Type or print in Ink. Amounts may be rounded Summary Page to Whole dollars. SEE INSTRUCTIONS ON REVERSE Statement covers period from 1/11/10 through 6/30/10 SUMMARY PAGE Paoe of NAME OF FILER I.D. NUMBER Atascadero Professional Firefighters L3600 1312619 Column A Column B Calendar Year Summary for Candidates Contributions Received TOTALTHISPERIOD CALENDAR YEAR Running in Both the State Prima and (FROMATTACHED SCHEDULES) TOTALTO DATE 9 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 1 +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 SUBTOTAL CASH 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 t, 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 To calculate Column B, add amounts in Column A to the corresponding amounts from Column B of your last 5400 report. Some amounts in Column A may be negative figures that should be subtracted from previous 66000 period amounts. If this is the first report being filed Zero for this calendar year only carry over the amounts from Lines 2, 7 and 9 (if any) Zero 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/06) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)