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Home My WebLink AboutForm 460 093010 Committee to Re-Elect Joe Modica Treasurer 2010Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statement covers period from 01-01 10 through 09-30-10 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 Q Recall 0 Controlled (Also Complete Part 5) 0 Sponsored ❑ General Purpose Committee (Also complete Part 61 Q Sponsored ❑ Primarily Formed Candidate/ Q Small Contributor Committee Officeholder Committee C) Political Party/Central Committee (Also Complete Part 7) 3. Committee Information I I.D NUMBER COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Committee to re-elect Joe Modica City Treasurer 2010 STREET ADDRESS (NO P.O. BOX) STATE ZIP CODE AREA CODE/PHONE CITY CA 93422 STATE ZIP CODE AREA CODE/PHONE Atascadero CA 93422 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL. FAX / E-MAIL ADDRESS By Date of election if applicable: (Month, Day, Year) COVER PAGE OCT — 5 2010 Page _L_ of _4 For Official Use Only CITY OF ATASCADE RO 11-210 CITY CLERK'S OFFICE 2. Type of Statement: W Preelection Statement m Quarterly Statement ❑ Semi-annual Statement ❑ Special Odd -Year Report ❑ Termination Statement ❑ Supplemental Preelection (Also file a Form 410 Termination) Statement Attach Form 495 ❑ Amendment (Explain below) Treasurer(s) NAME OF TREASURER Joseph Modica Jr MAP tnlr_ ennrzccc CITY STATE ZIP CODE AREA CODE/PHONE Atascadero CA 93422 NAME OF ASSISTANT TREASURER, IF ANY ofTreasurerorAssis reasurer 21,,n,!1,2�,1C,n1r1ngSignature MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE By OPTIONAL. FAX / E-MAIL ADDRESS Date 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 correct. Executed on 10-04-10 B y Dale ofTreasurerorAssis reasurer 21,,n,!1,2�,1C,n1r1ngSignature ExecutedDate Officeholder, Candidate, State Measure Proponent or Responsible Officer of Sponsor Executed on By Date Signature of Controlling Officeholder, Candidate, Stale Measure Proponent Executed on By Data Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) State of Califomia Recipient Committee Type or print in ink. COVER PAGE PART2 Campaign Statement CAUFORNIA FORM 460 Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Joseph Modica Jr OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) City Treasurer RESIDENTIAUBUSINESS 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 I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEEADDRESS STREETADDRESS (NOP.O BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEENAME I.D. NUMBER Committee To Re-elect Joe Modica City Trea NAME OF TREASURER CONTROLLED COMMITTEE? Joseph Modica Jr ® YES ❑ NO COMMITTEEADDRESS STREET ADDRESS (NO P.O BOX) Page of 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO OR LETTERI JURISDICTION ❑ SUPPORT ❑ OPPOSE Identify the controlling officeholder candidate, or state measure proponent, if any NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY 7 Primarily Formed Candidate/Officeholder Committee List names of officeholder(s) or candidates) for which this committee is primarily formed, NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ® SUPPORT Joseph Modica Jr City Treasurer ❑ 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 CITY STATE ZIP CODE AREA CODEIPHONE Attach continuation sheets if necessary Atascadero CA 93422 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772) State of Califomia Campaign Disclosure Statement Type or print in ink. SUMMARYPAGE Amounts may be rounded Statement covers Summary Page to whole dollars. period CALIFORNIA from 01-01-10 eRM .1 SEE INSTRUCTIONS ON REVERSE through 09-30-10 page 3 Of NAME OF FILER I.D. NUMBER Joseph Modica Jr Contributions Received 1 Monetary Contributions 2. Loans Received 3. SUBTOTAL CASH CONTRIBUTIONS 4 Nonmonetary Contributions 5. TOTAL CONTRIBUTIONS RECEIVED Expenditures Made 6. Payments Made 7 Loans Made 8. SUBTOTAL CASH PAYMENTS 9 Accrued Expenses (Unpaid Bills) 10 Nonmonetary Adjustment 11 TOTAL EXPENDITURES MADE Column A 6 Column B TOTALTHIS PERIOD CALENDAR YEAR (FROMATTACHED SCHEDULES) TOTALTODATE 648 2,313 $ Schedule A, Line 3 $ $ 48 Schedule B, Line 3 1,665 1,665 Add Lines 1 +2 $ 2,313 $ 2,313 Schedule F, Line 3 Schedule C, Line 3 Schedule C, Line 3 Add Lines 3+4 $ 2,313 $ 2,313 1,665 $ Schedule E, Line 4 $ 1,665 $ 1 665 Schedule H, Line 3 Add Lines 6 + 7 $ 1 665 $ 1,665 Schedule F, Line 3 Schedule C, Line 3 Add Lines 8 + 9 + 10 $ 1,665 $ 1,665 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 subtractLine 15 $ /f 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 $ 648 1,665 1.017 1,017 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 cant' over the amounts from Lines 2, 7 and 9 (if any) Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 through 6/30 7/1 to Date 20 Contributions Received $ $ 21 Expenditures Made $ $ IExpenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made' (H Subject to Voluntary Expenditure Umit) Date of Election Total to Date (mm/dd/yy) 'Amounts in this section may be different from amounts reported in Column B. 1 665 1FPPC1 Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) Schedule A Type or print in ink. SCHEDULE A ...ay ua IVllueu Monetary on rI u IOnS Receiveduto whole dollars. Statement covers period 01-01-10 CALIFORNIA 460 from O. through 09-30-10 SEE INSTRUCTIONS ON REVERSE Page _14-4, — of NAME OF FILER LD NUMBER Joseph Modica Jr OATS FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR DEO CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED OFCOMMRTEE.ALSNDI.D.N CODE + OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 DEC. 31) (IF REQUIRED) OF BUSINESS) ®IND 09/22/2010 William Ausman ❑COM Attomey OTH 100 100 ❑ PTY ❑ SCC O IND 9!22/2010 Don Idler ❑COM Appliance Sales 100 100 ❑OTH ❑ PTY ❑ SCC ®IND 9/30/2010 Roberta Fonzi [-)COM Realtor 100 100 ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑IND [:]COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL$ 300 Schedule A Summary r -Contributor Codes 1 Amount received this period —itemized monetary contributions. (Include all Schedule A subtotals ) 2. Amount received this period — unitemized monetary contributions of less than $100 3 Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page Column A, Line 1 ) 300 TOTAL $ 300 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/06) FPPC Toll -Free Helpline: 8661ASK-FPPC (86612753772) Tvnta nr nrint in inir SCHEDULER PART 1 JVIICUU1t; 0—r-dIl i Amounts may be rounded Statement coversperiod Loans Received to whole dollars. Ol -01 10 e • ' • from • ' 5 09-30-10 SEE INSTRUCTIONS ON REVERSE through page of Co NAME OF FILER I.D. NUMBER Joseph Modica Jr FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER OUTSTANDING BALANCE AMOUNT O t`) AMOUNT PAID A OUTSTANDING (e) INTEREST (f) ORIGINAL (g) CUMULATIVE OF LENDER (IF COMMITTEE, ALSO EMERI.D.NUMBER) (IF SELF-EMPLOYED, ENTER BEGINNING THIS RECEIVED THIS OR FORGIVEN BALANCEAT CLOSE OF THIS PAID THIS AMOUNT OF CONTRIBUTIONS NAMEOFBUSINEss) EERIOD PERIOD THIS PERIOD PERIOD PERIOD LOAN TO DATE Joseph Modica Jr Financial Planner ❑ PAID CALENDARYEAR E $ % $ 1,665 E 1,665 ❑ FORGIVEN PER ELECTION"* RATE s 1,665 $ 1 665 E E 9/15/10 s t9 IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED C] PAID CALENDARYEAR FORGIVEN E] FORGIVEN PER ELECTION" tEl IND ❑ COM ❑ OTH ❑ PTY ❑ SCC s s s s s DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR E E % E E FORGIVEN E3 FORGIVEN PER ELECTION'"' ❑COM ❑ OTH ❑ PN ❑ SCC tEl INDs s s s s DATE DUE DATE INCURRED SUBTOTALS $ �� ( (s $ 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. (Enter (e) on schedule E, Line 3) $ 1665 NET $ 1 665 (May be a negative number) 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 (8661275-3772) Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Joseph Modica Jr Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 01-01-10 through 09-30-10 CODES If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. Page __L_ of I.D. NUMBER CMP campaign paraphemalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants WG meetings and appearances RFD returned contributions CTB contribution (explain honmonetary)* OFC office expenses SAL campaign workers' salaries CVC civic donations PEr petition circulating TEL t.v or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals hD independent expenditure supporting/opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE OF COMMITTEE. ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT Committee to Re-elect Joe Modica City Treasurer 2010 ADS, buttons, printing, and signs CMP * Payments that are contributions or independent expenditures must also be summarized on Schedule D, Schedule E Summary 1 Itemized payments made this period. (Include all Schedule E subtotals.) 2. Unitemized payments made this period of under $100 3 Total interest paid this period on loans (Enter amount from Schedule B Part 1 Column (e) ) 4 Total payments made this period. (Add Lines 1 2 and 3 Enter here and on the Summary Page Column A, Line 6 ) AMOUNT PAID 1 665 SUBTOTAL $ 1,665 $ 1665 TOTAL $ 1 665 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/2753772) E