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Home My WebLink AboutForm 460 101610 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 10-1 2010 through 10 #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 Q Recall Q Controlled (Also Complete Part 5) 0 Sponsored (Also Complete Part 6) ❑ General Purpose Committee Q Sponsored Q Small Contributor Committee Q Political Party/Central Committee ❑ Primarily Formed Candidate/ Officeholder 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 PO BOX) CITY STATE ZIP CODE AREA CODE/PHONE Atascadero CA 93422 F MAILING ADDRESS (IF DIFFERENT) NO AND STREET OR P.0 BOX CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL. FAX / E-MAIL ADDRESS Date of election if applicable - (Month, Day, Year) Date Stam RECEIVtD 0 CT 2 1 2010 COVER PAGE Page 1 of 6 For Official Use Only 11 22010 TY OF ATASCADEROI PITY CLERK'S OFFICE 2. Type of Statement: ® Preelection Statement ❑ 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 MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE Atascadero CA 93422 _ NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE 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 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 anSwrrect. - Executed on 10-20-2010 Date ,/� ,^ Executed of l D _ �y / V Date Executed on Date By By By Signature of Controlling Officeholder, Candidate, State Measure Proponent Executed on By Date Signature of Controlling Officeholder Candidate, State Measure Proponent FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) State of California Type or print in ink. COVERPAGE PART2 Recipient Committee CALIFORNIA Campaign Statement FORM _r • 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 LD NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P0. BOX) CITY STATE ZIP CODE AREA CODEIPHONE COMMITTEENAME LD NUMBER Committee To Re-elect Joe Modica City Trea NAME OF TREASURER CONTROLLED COMMITTEE? Joseph Modica Jr I ® YES ❑ No Page 2 of 6 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO OR LETTER 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 candidate(s) for which this committee is primarily formed. COMMITTEE ADDRESS STREETADDRESS (NO PO BOX) CITY STATE ZIP CODE AREA CODEIPHONE Attach continuation sheets if necessary Atascadero CA 93422 805-461 5903 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 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) State of California Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF FILER Joseph Modica Jr Contributions Received 1 Monetary Contributions 2. Loans Received 3 SUBTOTAL CASH CONTRIBUTIONS 4 Nonmonetary Contributions 5 TOTAL CONTRIBUTIONS RECEIVED Type or print in ink. Amounts may be rounded to whole dollars. Expenditures Made Column A 6 Payments Made TOTAL THIS PERIOD 7 Loans Made (FROM ATTACHED SCHEDULES) Schedule A, Line 3 $ 600 9 Accrued Expenses (Unpaid Bills) -663 Schedule B, Line 3 Schedule C, Linea Add Lines 1 + 2 $ -63 Schedule C, Line 3 Add Lines 3 + 4 $ -63 Expenditures Made 6 Payments Made Schedule E, Line 4 $ 7 Loans Made Schedule H, Line 3 8 SUBTOTAL CASH PAYMENTS Add Lines 6+7 $ 9 Accrued Expenses (Unpaid Bills) Schedule F Line 3 10 Nonmonetary Adjustment Schedule C, Linea 11 TOTAL EXPENDITURES MADE 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 I, 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. SUMMARY PAGE Statement covers period from 10-1 2010 through 1(r" 1& 2010 Page 3 of 6 I.D. NUMBER Column B CALENDAR YEAR TOTALTO DATE $ 1,248 1 665 $ 1,248 470 $ 4/u $ 1 017 -63 470 484 17 LOAN GUARANTEES RECEIVED Schedule B, Part 2 $ I Cash Equivalents and Outstanding Debts 18 Cash Equivalents See instructions on reverse $ 19 Outstanding Debts Add Line 2 + Line 9 in Column B above $ 484 1 002 1,248 2,135 2 135 2,135 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) 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 $ $ 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/05) FPPC Toll -Free Helpline- 866/ASK-FPPC (866/275-3772) Schedule A Type or print in ink. SCHEDULE A Amounts may be rounded Monetary Contributions Received to Whole dollars. Statement covers period • - , 10/1/2010 from ' • - • 4 6 10/t(�/2010 through page of SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Joseph Modica Jr DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER O AMOUNT RECEIVED HIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * (IF ELF -EMP OYYED,ENTERNAMER PERIOD (JAN. 1 DEC. 31) (IF REQUIRED) OF BUSINESS) ® IND 10/7/2010 Robert Jones ❑COM Attorney 100 100 ❑ OTH ❑ PTY ❑ SCC ❑ IND 10/12/2010 LBM PO Box 12801 ❑COM ®OTH 100 100 San Luis Obispo, CA 93406 ❑ PTY ❑ SCC ® IND Grace Taylor ❑COM Retired 100 100 10/12/2010 ❑ OTH Atascadero CA 93422 ❑ PTY ❑ ScC ®IND Jean Hawkins ❑coM Retired 100 100 10/13/2010 ❑ OTH Atascadero CA 93422 ❑ PTY ❑ SCC ®IND Larry Putnam ❑COM Retired 100 100 10/13/2010 ❑ OTH Atascadero CA 934« ❑ PTY ❑ SCC SUBTOTAL $ 500 r. ,.gT,_ N- ..,...:. .... Schedule A Summary 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 ) TOTAL $ *Contributor Codes IND—Individual 500 COM — Recipient Committee (other than PTY or SCC) 100 OTH — Other (e.g., business entity) PTY— Political Party SCC — Small Contributor Committee 600 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) SCHEDULEB PART1 Schedule B — Part 1 Amounts—may, be rounded Statement covers Period dollars. CALIFORNIA ' • Loans Received to Whole 10-1 2010 FORM from 5 6 1016 2010 SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER I.D NUMBER Joseph Modica Jr FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUALENTER , a OUTSTANDING (b) AMOUNTAMOUNT (c) PAID (d) OUTSTANDING (e) INTEREST M ORIGINAL (g) CUMULATIVE OF LENDER OCCUPATION AND EMPLOYER (IFSELF-EMPLOYED, ENTER BALANCE BEGINNING THIS RECEIVED THIS OR FORGIVEN BALANCE AT CLOSE OF THIS PAID THIS AMOUNT OF CONTRIBUTIONS (IF COMMITTEE. ALSO ENTER I.D. NUMBER) NAMEOFBUSINESS) PERIOD PERIOD THIS PERIOD RI PERIOD PERIOD LOAN TO DATE Joseph Modica Jr Financial Planner Wj PAID CALENDARYEAR E 663 E 1 002 1 665 E 1,665 % E ❑ FORGIVEN PER ELECTION— Atascadero LH ao422 RATE E 1665 E 0 E E 9/15/201 E DATE DUE DATE INCURRED %g IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ PAID CALENDAR YEAR ❑ FORGIVEN PER ELECTION'* RATE E E S E E DATE DUE DATE INCURRED t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ PAID CALENDAR YEAR ❑ FORGIVEN PER ELECTION"" RATE s E E E a DATE DUE DATE INCURRED tEl IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTALS $ 0 $ 663 $ 1 002 $ Schedule B Summary 1 Loans received this period $ 0 (Total Column (b) plus unitemized loans of less than $100 ) 2. Loans paid or forgiven this period $ 663 (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 ) NET $ -663 Enter the net here and on the Summary Page Column A, Line 2 (May be a negative number) Amounts forgiven or paid by another party also must be reported on Schedule A. " If required. (tnter (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) Schedule E Type or print in ink. Statement covers period Amounts may be rounded Payments Made to whole dollars. from 10-1 2010 SEE INSTRUCTIONS ON REVERSE NAME OF FILER Joseph Modica Jr through 1gtc.12010 I Page 6 of 6 CODES If one of the following codes accurately describes the payment, you may enter the code Otherwise describe the payment CMP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)' OFC office expenses SAL campaign workers' salaries CVC civic donations PET 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 IND 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 (IF COMMITTEE. ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Atascadero News Newspaper Ads 5660 EI Camino Real PRT 470 Atascadero CA 93422 " Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 470 Schedule E Summary 1 Itemized payments made this period. (Include all Schedule E subtotals.) $ 470 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) TOTAL $ 470 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)