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Home My WebLink AboutForm 460 063010 Committee to Elect Bob KelleyRecipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84215.5) Types or print in in COMMITTEE NAME (OR CAN OIOATE"S NAME IF NO COMMITTEE) Committee to Elect Bob Kelley STREET ADORES. (NO P.O. BOX) CITY STATE S tate mant covara period Atascadero Ca 1 l01 /20'1 0 MAILING AOp KESS (IF DIFFER ENTj NO ANO STREET OR P.O BOX from 0 CITY 6/30/2010 SEE INSTRUCTIONS ON REVERSE 0 through I Type of F2ecipiBnt Committee All --ft.— – Complete Parts 1 2, 3, and 4. ® Officeholder Candidate Controlled Committee Primarily Formed Ballot Measure Q State Candidate Election Committee Committee Q Recall Q Controlled (A/so comp/ara van s) Q Sponsored (A/so Comp/este Part 6) Q General Purpose Committee Q Sponsored 0 Primarily Formed Candidate/ Q Small Contributor Committee Officeholder Committee Q Political Party/Central Committee (A—Camp/ata Part J) 3. Committee Information .p 124479897989 COMMITTEE NAME (OR CAN OIOATE"S NAME IF NO COMMITTEE) Committee to Elect Bob Kelley STREET ADORES. (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE Atascadero Ca 93422 MAILING AOp KESS (IF DIFFER ENTj NO ANO STREET OR P.O BOX Semi-annual Statement 0 CITY STATE ZIP CODE AREA COpE/PHONE OPTIONAL: FAX / E-MAIL AOO RESS k, I Date Stamp Data of alaction it applicable: I J U L 3 0 2010 (Month, Day Year) COVER PAGE Pages 1 of 4 For Otticlal Usa Only 2. Type of Statement_ NAME OF TREASORER David P Bentz Preelection Statement Quarterly Statement Semi-annual Statement 0 Special Odd -Year Report ZIP COnE AREA CODE/PHONE 93422 Termination Statement 0 Supplemental Preelection MAILING AOORES6 (Also File a Form 41 O Termination) Statement Attach Form 495 r --j Amendment (Explain below) Traas u re r(s ) NAME OF TREASORER David P Bentz MAILING ADDRESS CITY Atascacl— STATE Ca ZIP COnE AREA CODE/PHONE 93422 NAME OF ASSISTANT TREASURER. IF ANY MAILING AOORES6 CITY STATE ZIP CODE AREA CODE/PHONE 4. Verification I have usetl 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_ 1 certify under penalty of perjury under the laws of the State of Ca llfornia that the foregoing is true and c t. Executed on 7/28/2010 By \ pate n B Tta nt Traasurar Executed pn 7/28/20'1 O / Data By Srgna[ura of C troll) ca oltlar. Cantlltla[a a assure Pmponant or Rasponarbla OTicar oT Sponsor Executed on Sv pate Slgnatura of Controlling O}TlcaM1obar Candraa[a. State Maasure Proponent E B zacutatl on para y Slgnatura oT Controlling Otflcancltlar Candidata. State Maasure Proponent FPPC Form 460 (Jan4la rp//OS) FPPC Toll -Free 1-lelplina: a66/A3 K-FPPC (666/276-3722) States of California Type or print in ink. Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Bob Kelley OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Atascadero City Council RESIDENTIAL/BUSINESS ADDRESS (NO AND STREET) CITY STATE ZIP Atascadero, Ca 93422 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 41.D NUMBER NAME OF TREASURER ONTROLLED COMMITTEE? ❑ YES ❑ NO COVERPAGE PART2 Page 2 of 4 6 Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO OR LETTERI JURISDICTION [E::]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. COMMITTEE ADDRESS STREETADDRESS (NO PO BOX) CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary 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 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/2753772) State of California Campaign Disclosure Statement To calculate Column B, add Type or print In ink. 6. Payments Made Schedule E, Line 4 $ SUMMARY PAGE 7 Loans Made Schedule H, Line 3 00 8 SUBTOTALCASH PAYMENTS Amounts may be rounded dollars. 00 $ Statement covers period ' CALIFORNIASummary Page Schedule C, Line 3 to Whole 11 TOTAL EXPENDITURES MADE Add Lines 8 + 9 + 10 $ 00 $ any) 911.24 from 1/01/2010 • through 6/30/2010 Page 3 of 4 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Committee to Elect Bob Kelley 1247989 Column Column B Calendar Year Summary for Candidates Contributions Received TOTALTHIS PERIOD CALENDAR YEAR Running in Both the State Prima and g Primary (FROM ATTACHED SCHEDULES) TOTALTO DATE General Elections 1 Monetary Contributions Schedule A, Line 3 $ 00 $ 00 1/1 through 6/30 7l1 to Date 00 911.24 2. Loans Received Schedule B, Line 3 00 $ 911.24 20 Contributions 3. SUBTOTALCASH CONTRIBUTIONS Add Lines 1 + 2 $ Received $ $ 00 00 4 Nonmonetar Contributions y Schedule C, Line 3 21 Expenditures 5 TOTAL CONTRIBUTIONS RECEIVED Add Lines 3 +4 $ 00 $ 00 Made $ $ Expenditures Made To calculate Column B, add 6. Payments Made Schedule E, Line 4 $ 00 $ 7 Loans Made Schedule H, Line 3 00 8 SUBTOTALCASH PAYMENTS Add Lines 6 + 7 $ 00 $ 9 Accrued Expenses (Unpaid Bills) Schedule F Line 3 00 10. Nonmonetary Adjustment Schedule C, Line 3 00 11 TOTAL EXPENDITURES MADE Add Lines 8 + 9 + 10 $ 00 $ 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 8above 16 ENDING CASH BALANCE Add Lines 12 + 13 + 14, then subtract Line 15 $ ff 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 $ 00 00 00 00 00 00 23568 To calculate Column B, add 00 amounts in Column A to the corresponding amounts 00 from Column B of your last report. Some amounts in Column A may be negative 00 23568 figures that should be subtracted from previous period amounts. If this is the first report being filed 00 for this calendar year only carry over the amounts from Lines 2, 7 and 9 (if any) 911.24 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) _I $ I_J $ "Amounts in this section may be different from amounts reported in Column B. IFPPC Form 460 (January/06) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) SCHEDULEB PART1 Schedule B — Part 1 'r- -1 r""b' '" "... Amounts may be rounded Statement covers period P CALIFORNIA 460 Loans Received to whole dollars. 1/01/2010 FORM from 4 4 6/30/2010 SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER I.D. NUMBER Committee to Elect Bob Kelley 1247989 FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER a OUTSTANDING (b) AMOUNT (c) AMOUNTPAID (d) OUTSTANDING (e) INTEREST (f) ORIGINAL (g) CUMULATIVE OF LENDER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER BALANCE BEGINNING THIS RECEIVED THIS OR FORGIVEN BALANCEAT CLOSE OF THIS PAID THIS AMOUNT OF CONTRIBUTIONS (IF COMMITTEE, ALSO ENTER I.D. NUMBER) NAME OF BUSINESS) R PERIOD THIS PERIOD* PERIOD LOAN TO DATE Bob Kelley Realtor, Bob Kelley ❑ PAID CALENDAR YEAR Realty $ 00 $ 328.89 0 % $ 328.89 $ 00 PER ELECTION- Atascadero, Ca 93422 ❑ FORGIVEN RATE 328.89 00 00 Demand $ 00 10/19/08 $ $ $ $ DATE DUE DATE INCURRED tz IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Bob Kelley Realtor, Bob Kelley ❑ PAID CALENDAR YEAR Realty $ 00 $ 32889 0 ,, $ 328.89 $ 00 PER ELECTION** Atascadero, a 93422 ❑ FORGIVEN RATE $ 32889 00 $ 00 Demand $ 00 10/01/08 $ $ DATE DUE DATE INCURRED t® IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Bob Kelle Realtor, Bob Kelley ❑ PAID CALENDAR YEAR Realty $ 00 $ 25346 0 % $ 25346 $ 00 FORGIVEN PER ELECTION*" Atascadero Ca 93422 RATE $ 25346 $ 00 $ 00 Demand $ 00 8/25/08 $ DATE DUE DATE INCURRED t® IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTALS $ 00$ 00 $ 911.24 $ 00 Schedule B Summary 1 Loans received this period (Total Column (b) plus unitemized loans of less than $100 ) 2. Loans paid or forgiven this period (Total Column (c) plus loans under $100 paid or forgiven ) (Include loans paid by a third party that are also itemized on Schedule A.) 3 Net change this period (Subtract Line 2 from Line 1 ) Enter the net here and on the Summary Page Column A, Line 2 *Amounts forgiven or paid by another party also must be reported on Schedule A. ** If required. is 1/ NET $ 00 (May be a negative number) (Enter (e) on Schedule E, Line 3) tContributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)