HomeMy WebLinkAboutForm 460 093010 Atascadero Professional FirefightersRecipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200-84216.5)
SEE INSTRUCTIONS ON REVERSE
Type or print in ink.
Statement covers period
from 10/2010
through
11/2010
1 Type of Recipient Committee All Committees — Complete Parts 1, 2, 3, and 4.
❑ Officeholder Candidate Controlled Committee ❑ Primarily Formed Ballot Measure
Q State Candidate Election Committee Committee
O Recall Q Controlled
(Also Complete Part 5) O Sponsored
(Also Complete Part 6)
® General Purpose Committee
Q Sponsored ❑ Primarily Formed Candidate/
Q Small Contributor Committee Officeholder Committee
Q Political Party/Central Committee (Also Complete Part 7)
3. Committee Information
COMMITTEE NAME
LD NUMBER
1312619
NAME IF NO COMMITTEE)
Atascadero Professional Firefighters Local 3600
STREET ADDRESS (NO PO BOX)
6005 Lewis Avenue
CITY STATE ZIP CODE AREA CODE/PHONE
Atascadero CA 93422
MAILING ADDRESS (IF DIFFERENT) NO AND STREET OR PO BOX
CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL. FAX / E-MAIL ADDRESS
Date of election if applicable:
(Month, Day Year)
COVER PAGE
fit CALIFORNIA FORM
' . 1
OPT T— F 2010 Page
For Official Use Only
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'CSF'ATASCADIE
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Type of Statement:
STATE
ZIP CODE AREA CODE/PHONE
❑
Preelection Statement
❑
Quarterly Statement
❑
Semi-annual Statement
❑
Special Odd -Year Report
❑
Termination Statement
❑
Supplemental Preelection
6005 Lewis Avenue
(Also file a Form 410 Termination)
Statement Attach Form 495
❑ Amendment (Explain below)
Treasurer(s)
NAME OF TREASURER
Matt Vierra
MAILING ADDRESS
6005 Lewis avenue
CITY
STATE
ZIP CODE AREA CODE/PHONE
Atascadero
ca
93422
NAME OF ASSISTANT TREASURER, IF ANY
Bill White
MAILING ADDRESS
6005 Lewis Avenue
CITY
STATE
ZIP CODE AREA CODE/PHONE
Atascadero
CA
93422
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 knowl g he' atio contat her 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 correct.- - rj
Executed on 10/6/2010 By
Date Signature of Treasurer or Assistant Treasurer
Executed on By
Date Signature of Controlling Officeholder, Candidate, State Measure Proponent or Responsible Officer of Sponsor
Executed on BY
Date Signature of Controlling Officeholder, Candidate, State Measure Proponent
Executed on By
Date Signature of Controlling Officeholder, Candidate,StateMeasure Proponent FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
State of California
Campaign Disclosure Statement
Type or print In ink.
SUMMARY PAGE
Summary Page
Amoto whole dollars may be rounded
Statement covers period
CALIFORNIA ,
•
10/2010
• -
from
11/2010
Z Z
SEE INSTRUCTIONS ON REVERSE
through
Page of
NAME OF FILER
LD NUMBER
Atascadero Professional Firefighters Local 3600
1312619
Contributions Received
Column A
Column B
Calendar Year Summary for Candidates
TOTALTHISPERIOD
(FROM ATTACHED SCHEDULES)
CALENDARYEAR
TOTALTO DATE
Running in Both the State Prima and
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. SUBTOTALCASH 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 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 $
1 00
661 00
Zero
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*
(If Subject to Voluntary Expenditure Limit)
Date of Election Total to Date
(mm/dd/yy)
J
Amounts in this section may be different from amounts
reported in Column B.
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)