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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)