HomeMy WebLinkAboutForms 460 12-31-2011 A Better AtascaderoRecipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200-84216.5)
Type or print in ink.
Statement covers period
from 7/1/2011
SEE INSTRUCTIONS ON REVERSE
Ithrough 12/31/2011
1. Type of Recipient Committee: All Committees—Complete Parts 1, 2, 3, and 4.
❑ Officeholder, Candidate Controlled Committee
❑ Primarily Formed Ballot Measure
0 State Candidate Election Committee
Committee
0 Recall
0 Controlled
(Arae Complete Pan s)
0 Sponsored
® General Purpose Committee
(Also Complete Part 6))
0 Sponsored
❑ Primarily Formed Candidate/
9 Small Contributor Committee
Officeholder Committee
0 Political Party/Central Committee
(Ara. complete Pan 7)
3. Committee Information I I.D. NUMBER
1304988
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
A Better Atascadero (ABA)
STREET ADDRESS (NO P.O. BOX)
7835 EI Camino Real
CITY
STATE ZIP CODE AREA CODE/PHONE
Atascadero CA 93422 (805) 466-2212
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
P.O. Box 2622
CITY STATE ZIP CODE AREA CODE/PHONE
Atascadero Ca 93422
OPTIONAL. FAX / E-MAIL ADDRESS
a betteratascad ero. com
R E-CEIVE
Date of election if applicable:' JANI
NI
(Month, Day, Year) I
COVERPAGE
Page _1 of 8
For Official Use Only
CITY OF ATASCADEjo
CITY CLERK:R nFFtr-
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
Donald Cross
MAILING ADDRESS
5185 Ardilla Ave.
CITY STATE ZIP CODE AREA CODE/PHONE
Atascadero CA 93422 (805) 466-2212
NAME OF ASSISTANT TREASURER, IF ANY
Madelyn McDaniel
9119 San Gabrial Rd.
CITY
STATE ZIP CODE AREA CODE/PHONE
Atascadero
CA 93422 (805) 461-1226
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 underthe laws of. the State of California that the foregoing is true and correct.
Y� xgf� � _
Executed on 7 B -
Feet y Slgnatureo[Tre ssisfant Treasurer
S
Executed on 4% By
Executed on �r r M ,A By
nate
Executed on /—/g—/ By
Date
rrrc rorm aeu tuanuaryme)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661276-3772)
State of California
Campaign Disclosure Statement
Summary Page
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 7/1/2011
SEE INSTRUCTIONS ON REVERSE through 12/31/2011 Page 2 of 8
NAME OF FILER
I.D. NUMBER
A Better Atascadero (ABA) 1304988
Contributions Received
1. Monetary Contributions ...........................................
Schedule A, Linea
2. Loans Received......................................................
Schedule e, Line 3
3. SUBTOTALCASH CONTRIBUTIONS .........................
Add Unes 1 +2
4. Nonmonetary Contributions ...................................
Schedule C, Linea
5, TOTAL CONTRIBUTIONS RECEIVED .. ..... ......... ...........
Add Lines 3+4
Expenditures Made
6. Payments Made .......................................................
schedule E, Line
7. Loans Made.. ........................... .....................
...... Schedule H, Linea
8. SUBTOTALCASH PAYMENTS ....................................
Add Lines 6+7
9. Accrued Expenses (Unpaid Bilis) ...............................
Schedule F, Linea
10. Nonmonetary Adjustment ..........................................
schedule C, Line 3
11. TOTAL EXPENDITURES MADE ................................
Add Lines e+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
15. Cash Payments .................................................. Column A, Line a 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.
Column Column6 Calendar Year Summary for Candidates
TA CKE Sclim TOTALT E Running in Both the State Primary and
(F0.0 OTALTHIS ER100 c
LEe) LEND avTYEA 9
$ 6076.00 $ 8390.00 General Elections
111 through 6130 7/1 to Date
$ 6076.00 $ 8390.00 20. Contributions
'1127.00 1127.00 Received $ $
21. Expenditures
$ 7203.00 $ 9517.00 Made $ $
$ 1977.00 $
2104.00
$ '1977.00 $ 2104.00
$
1127.00
3104.00
$ ;5888.00
(3076.00
'1977.00
9987.00
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 S above $
1127.00
$ 3231.00
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).
I Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made"
(if Subject to voluntary Expenditure Limit)
Date of Election Total to Date
(mmiddlyy)
Amounts in this section may be different from amounts
reported In Column B,
FPPC Form 460 (January/06)
FPPC Toll -Free Helpline: 886/ASK-FPPC (8661276-3772)
ScheduleA Type or print in ink. SCHEDULE A
Monetary Contributions Received Amounts may be rounded
to whole dollars.
Statement covers period I1
I CALIFORNIA
7/1/2011
from
• 60
12/31/2011
3 8
SEE INSTRUCTIONS ON REVERSE
through
Page Of
NAME OF FILER
1.0, NUMBER
A Better Atascadero (ABA)
1304988
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
RECEIVED
(IF COMMITTEE, ALSO ENTER Lo. NUMBER)
CODE*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
(IF SELF-EMPLUSMESS) ER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
7\3\11
Albert Fonzi
7880 Siniloa Ave[30TH
❑COFICO M
❑ OTH
Retired
160.00
259.00
Atascadro, CA 93422
r-1 PTY
❑SCC
®IND
7/4/11
AlexAlexiev
EI
Retired
240.00
339.00
P.O, Box 659
❑OTH
Templeton, CA 93465
7PTY
❑scc
®IND
7/4/11
Jamie Kirk
F-1 COM
Kirk Construction
600.00
699.00
8830 Morro Rd.
❑OTH
Atascadero, CA 93422
❑PTY
❑SCC
®IND
7/10/11
Doug Brown
6060 Linne Rd.
70TH
❑ OTH
Retired
160.00
160.00
Paso Robles, CA 93446
❑ PTY
❑ SCC
Ned Thompson
®IND
F+t Drilling
7/10/11
3110 Rio Vista Ln.
ooTH
180.00
279.00
Atascadero, Ca 93422
❑ PTY
❑SCC
SUBTOTAL$ 1340.00
Schedule A Summary
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.) ....................... TOTAL $
1845.00
4231.00
6076.00
*Contributor 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: 8661ASK-FPPC (8661276.3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
Type or print in ink. SCHEDULE A (CONT)
Amounts may be rounded Statement covers period .
to whole dollars. 7/1/2011 m • , •
from — -
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: 866/ASK-FPPC (8661276.3772)
through 12131/2011
Page 4 of 8
NAME OF FILER
I.D, NUMBER
A Better Atascadero (ABA)
1304988
DATE
ADDRESSO
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED THIS
CUMULATIVETO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
ESSANDZI,ALSO ENTER .D.NDE
OFco
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN.♦ -DEC. 31)
(IF REQUIRED)
OFeUSINESS)
®IND
Exceleron LLC
Excelleron LLC
7/10/11
3427 Miguelito Ct.
opTH
120.00
120.00
San Luis Obispo, CA 93401
❑PTY
❑ SCC
Wine Country Alliance
®IND
❑Com
Deanne Gonzales
7/12/11
530 10th St.
❑PTH
125.00
125.00
Paso Robles, CA 93446
❑PTY
❑SCC
7/15/11
Mark Ristow
ZIND
ooTH
Retired
160.00
160.00
8350 Capistrano
Atascadero, CA 93422
❑PTY
❑SCC
7/15/11
Bob Wilkins
®IND
❑CPM
Retired
100.00
199.00
p,0. Box 1064
❑ OTH
Atascadero, Ca 93423
El PTY
❑SCC
❑ IND
❑ COM
❑ OTH
❑ PTY
❑SCC
SUBTOTAL$ 505.00
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: 866/ASK-FPPC (8661276.3772)
Schedule C
Type or print in ink.
cnucni ii c r
NonmonetaryContributions Received n V'uau tovrholedolfars.
Statement cover--- rsperiod —
_
from 7/1/2011
cALIFe
• ,
page 5 of 8
SEE INSTRUCTIONS ON REVERSE
through 12/31/2011
NAME OF FILER
1,0, NUMBER
A Better Atascadero (ABA)
1304988
DATE
AND
FULL NAME, OF
ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
OCCUPATIONAND,ENTEREMPLOYER
DESCRIPTION OF
AMOUNT/
FAIR MARKET
CUMULATIVE TO
DATE
PER ELECTION
RECEIVED
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE*
(IF 6ELFE ENTER
GOODS OR SERVICES
VALUE
CALENDAR YEAR
TO DATE
(IF REQUIRED )
OF BUSINESS)
NAME Of 9U61NE66)
(JAN1-DEC 91)
7/8/11
Madelyn McDaniel
®IND COM
❑
Retired
Event Licence
9119 San Gabriel Rd.
00TH
100.00
100.00
Atascadero, CA 93422
❑PTY
❑SCG
7/15/11
Jade Vinyard & Winery
®IND
❑COM
Ran Messina
y
Mirror Wine
5620 Vinyard Dc
❑0TH
130.00
130.00
Paso Robles, CA 93446
El PTY
❑SCC
7/15/11
Pozo Valley Wines
®IND
DOOM
Joe Arnold
y
P. V. Wine
98 E, Pozo Rd.
225.00
225.00
Santa Margarita, CA 03453
❑PTH
❑PTY
❑SCC
7/15/11
Debbie Arnold
❑IND
❑COM
Retired
P. V, Wine
P.O. Box 575
330.00
330.00
[10TH
Santa Margarita, CA 03453
❑PTY
❑SCC
Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 785.00
Schedule C Summary
1. Amount received this period - itemized nonmonetary contributions.
(Include all Schedule C subtotals.)............................................................... ................................. $
$
2. Amount received this period - unitemized nonmonetary contributions of less than $100 .................................... $
3. Total nonmonetary contributions received this period.
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.) ...................... TOTAL $
785.00
'Contributor 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 (8661276-3772)
Schedule C Type or print in ink.
cruonl n =I
may nuw
Nonmonetary Contributions Received to whole dollars.
Statement covers period
from 7/1/2011
e,
FOLIFORNIARM 460
Page 5 Of $
SEE INSTRUCTIONS ON REVERSE
12/31/2011 h
through
NAME OF FILER
LO. NUMBER
A Better Atascadero (ABA)
1304988
DATE
FULL NAME, STREET ADDRESS AND
CONTRIBUTOR
IFAN INDIVIDUAL, ENTER
DESCRIPTION OF
AMOUNT/
CUMULATIVE TO
DATE
PER ELECTION
RECEIVED
ZIP CODE OF CONTRIBUTOR
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE *
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER
GOODS OR SERVICES
FAIR MARKET
VALUE
CALENDAR YEAR
IF TO DAT ED)
NAME OF BUSINESS)
(JAN i - DEC 31)
7/15/11
Donald Cross
®IND
❑COM
Airtech HVAC
$50 Event Ord...
5185 Ardilla Ave
200.00
200.00
❑OTH
Atascadero, CA 93422
❑PT.
$150 Sound - PA
❑SCC
®IND
❑COM
MOTH
❑ PTY
❑SCC
®IND
❑COM
MOTH
❑ PTY
[]SCC
❑IND
❑COM
❑ OTH
❑ PTY
❑ SCC
Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 200.00
Schedule G Summary
1. Amount received this period —itemized nonmonetary contributions. 985.00
(Include all Schedule C subtotals.)..................................................................................................................... $
2, Amount received this period — unitemized nonmonetary contributions of less than $100 .................................... $ 142.00
3. Total nonmonetary contributions received this period. 1127.00
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.) ...................... TOTAL $
*Contributor Codes --
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
FP PC Form 460 (January/06)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661276-3772)
Schedule E
Payments Made
SEE INSTRUCTIONS ON REVERSE
A Better Atascadero (ABA)
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 7/1/2011
through 12/31/2011
Page 7
W
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CHIP
campaign paraphernalia/misc.
MBR
member communications
RAD
radio airtime and production costs
CNS
campaign consultants
NTfG
meetings and appearances
RFD
returned contributions
CTB
contribution (explain nonmonetary)*
OFC
office expenses
SAL
campaign workers' salaries
CVC
dvic 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
stafftspouse travel, lodging, and meals
114)
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
IIF COMMITTEE, Auso ENTER I.D. NUMBER)
CODE OR DESCRIPTION OF PAYMENT
AMOUNT PAID
Albertsons
8675 EI Camino Real
FND
Keg beer
114.00
Atascadero, Ca 93422
Steve martin and Assoc.
375 L.P. Ranch Rd.
RAD
Web Site Management
150.00
Templeton, Ca 93465
* Payments that are contributions or Independent expenditures must also be summarized onSchedule D. SUBTOTAL$ 264.00
Schedule E Summary
1. Itemized payments made this period. (Include all Schedule E subtotals.).............................................................................................................. $ 1891.00
2. Unitemized payments made this period of under $100 ................................................................................,......,......,............................... $ 86.00
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 $ 197700
FPPC Form 460 (January/06)
FPPC Toll -Free Welpfine: 8661ASK-FPPC (866/276-3772)
Schedule E
CODE OR DESCRIPTION OF PAYMENT
AMOUNT PAID
Jerry Taft
SCHEDULEE(CONT)
(Continuation Sheet)
Type or print in ink.
Amounts may be rounded
Statement covers period
1.
Payments Made
Atascadero, Ca 93422
towholedollais,
7/1/2011
•
Food Supplies
from
FND
SEE INSTRUCTIONS ON REVERSE
San Luis Obispo, Ca 93405
through 12/31/2011
page 8 of 8
NAME OF FILER
Sirloine Beef
830 Capitilic Way
I.D. NUMBER
A Better Atascadero (ABA)
271.00
San Luis Obispo, Ca 93405
1304988
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CVP campaign paraphernalia/misc.
MBR
member communications
RAD
radio airtime and production costs
CNS campaign consultants
WIG
meetings and appearances
RFD
returned contributions
CTB contribution (explain nonmonetery)"
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
PFO
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
Lrr campaign literature and mailings
PRT
print ads
WEB
information technology costs (internet, e-mail)
NAMEANDADDRESS OF PAYEE
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE OR DESCRIPTION OF PAYMENT
AMOUNT PAID
Jerry Taft
Event Rental
10165 Santa Clara Rd.
FND
500.00
Atascadero, Ca 93422
Costco
Food Supplies
1540 Ranch Way
FND
98,00
San Luis Obispo, Ca 93405
Kaney Food Service
Sirloine Beef
830 Capitilic Way
FND
271.00
San Luis Obispo, Ca 93405
Taylor Rents
Table Settings
1545 Riverside
FND
374.00
Paso Robles, CA 93446
Costco
Food Aces sori as and deserts
1540 Ranch Way
FND
384,00
San Luis Obispo, Ca 93405
Payments thatare contributions or independent expenditures mustalso besummarized on Schedule D. SUBTOTAL$ 1627.00
FPPC Form 460 (January105)
FPPC Toll -Free Helpline: 866/ASK•FPPC (8661275.3772)