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Home My WebLink AboutForm 460 Sturtevant for Council 2012 123112 Recipient Committee COVER PAGE p Type or print in ink. REae€,1PVED CALIFORNIA Campaign Statement 460 FORM Cover Page JAN�t 8(Government Code Sections 84200-84216.5) JAN 2 8 2013 1 6 Statement covers period Date of election if applicable: Page of 7-1-12 (Month, Day, Year) For Official Use Only from CITY OF ATASCADEFO 12-31-12 NA CITY CLERK'S OFFICE SEE INSTRUCTIONS ON REVERSE through 1. Type of Recipient Committee: All Committees-Complete Parts 1,2,3,and 4. 2. Type of Statement: ® Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑ Preelection Statement ❑ Quarterly Statement Q State Candidate Election Committee Committee ® Semi-annual Statement ❑ Special Odd-Year Report Q Recall 0 Controlled Termination Statement (Also Complete Part 5) 0 Sponsored ❑ ❑ Supplemental Statement-A tack Form(Also file a Form 410 Termination) Statement-Attach Form 495 (Also Complete Part 6) ❑ General Purpose Committee ❑ Amendment(Explain below) Q Sponsored ❑ Primarily Formed Candidate/ Q Small Contributor Committee Officeholder Committee Q Political Party/Central Committee (Also Complete Part 7) 3. Committee Information 1 1330038 Treasurer(s) COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER Sturtevant For City Council 2010 Brian Sturtevant PAnflirorz erir1RFRS STPPPT ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE Atascadero CA 93422 CITY STATE ZIP CODE .ocn •nnP/PHONE NAME OF ASSISTANT TREASURER, IF ANY Atascadero CA 93422 Karyn Sturtevant MAILING ADDRESS (IF DIFFERENT) NO.AND STREET OR P.O. BOX MAILING ADDRESS NA . CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE NA Atascadero CA 93422 OPTIONAL: FAX/E-MAIL ADDRESS OPTIONAL: FAX/E-MAIL ADDRESS NA 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 ct. — ' 1-26-13 .__ .... Executed on By Date Signature ofTrea,s r-ror Assistant Treasurer 1-26-13 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,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. COVER PAGE-PART 2 Recipient Committee CALIFORNIA Campaign Statement FORM 460 Cover Page— Part 2 2 6 Page of 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE Brian Sturtevant OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO.OR LETTER JURISDICTION ❑ SUPPORT Atascadero City Council Member [1] OPPOSE RFSInFNTIAI/ROSINESS ADDRESS (NO.AND STREET) CITY STATE ZIP Atascadero CA 93422 Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER,CANDIDATE,OR PROPONENT 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 OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? 7. Primarily Formed Candidate/Officeholder Committee List names of officeholder(s) or candidate(s) for which this committee is primarily formed. ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O.BOX) NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE CITY STATE ZIP CODE AREA CODE/PHONE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE COMMITTEE NAME I.D. NUMBER NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF TREASURER CONTROLLED COMMITTEE? NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD El YES ❑ NO ❑ SUPPORT ❑ OPPOSE COMMITTEE ADDRESS STREET ADDRESS (NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary 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 Amounts may be rounded Summary Page to whole dollars. Statement covers period CALIFORNIA 460 7-1-12 FORM from 12-31-12 3 6 SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER I.D. NUMBER Sturtevant For City Council 2010 1330038 Column A Column B Calendar Year Summary for Candidates Contributions Received TOTAL THIS PERIOD CALENDAR YEAR Running in Both the State Primary and (FROM ATTACHED SCHEDULES) TOTAL TO DATE g ma ry 200 200 General Elections 1. Monetary Contributions Schedule A,Line 3 $ $ 0 1640.55 1/1 through 6/30 7/1 to Date 2. Loans Received Schedule B,Line 3 200 200 20. Contributions 3. SUBTOTAL CASH CONTRIBUTIONS Add Lines 1+2 $ $ 0 0 Received $ $ 4. Nonmonetary Contributions Schedule C,Line 3 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED Add Lines 3+4 $ 200 $ 200 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made Schedule E,Line 4 $ 10 $ 10 Candidates 7. Loans Made Schedule H,Line 3 0 0 10 10 22. Cumulative Expenditures Made* 8. SUBTOTAL CASH PAYMENTS Add Lines 6+7 $ $ (If Subject to Voluntary Expenditure Limit) Expenses (Unpaid Bills) Schedule F,Line 3 0 0 9. Accrued Ex P � p ) Date of Election Total to Date 10. Nonmonetary Adjustment Schedule C,Line 3 0 0 (mm/dd/yy) 11. TOTAL EXPENDITURES MADE Add Lines 8+9+10 $ 10 $ 10 / / $ Current Cash Statement / / $ 33.45 12. Beginning Cash Balance Previous Summary Page,Line 16 $ To calculate Column B,add 13.Cash Receipts Column A,Line 3 above 200 amounts in Column A to the 0 corresponding amounts *Amounts in this section may be different from amounts 14. Miscellaneous Increases to Cash Schedule I,Line 4 from Column B of your last reported in Column B. 15. Cash Payments Column A,Line 8 above 10 report. Some amounts in 223.45 Column A may be negative 16. ENDING CASH BALANCE Add Lines 12+13+14,then subtract Line 15 $ figures that should be subtracted from previous If this is a termination statement, Line 16 must be zero. period amounts. If this is the first report being filed 0 for this calendar year, only 17. LOAN GUARANTEES RECEIVED Schedule B,Part 2 $ carry over the amounts Equivalents and Outstanding Debts from Lines 2, 7, and 9(if Cash E q 9 0 any). 18. Cash Equivalents See instructions on reverse $ g 1640.55 FPPC Form 460 (January/05) 19. Outstandin Debts Add Line 2+Line 9 in Column 8 above $ FPPC Toll-Free Helpline: 866/ASK-FPPC(866/275-3772) Schedule A Type or print in ink. SCHEDULE A Monetary Contributions Received Amounts may be rounded Statement covers period �/ to whole dollars. 7-1-12 CALIFORNIA 460 from FORM 12-31-12 4 6 SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER I.D. NUMBER Sturtevant For City Council 2010 1330038 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IFCOMMITEE,ALSOENTERI.D.NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED,ENTER NAME PERIOD (JAN. 1 -DEC.31) (IF REQUIRED) OF BUSINESS) PG&E Corporation ❑IND Utility Corporation 11-2-12 77 Beale St., San Francisco CA 94105 ❑coM 200 200 ®OTH ❑PTY ❑SCC El IND ❑COM ❑OTH ❑PTY ❑SCC ❑IND ❑COivi ❑OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC SUBTOTAL$ 200 Schedule A Summary *Contributor Codes 1. Amount received this period-itemized monetary contributions. IND-Individual (Include all Schedule A subtotals.) $ 200 COM—RecipientCommittee 0 (other than PTY or SCC) OTH—Other(e.g., business entity) 2. Amount received this period-unitemized monetary contributions of less than$100 $ PTY—Political Party 3. Total monetary contributions received this period. 200 scC-Small Contributor Committee (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) TOTAL $ FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Schedule B— Part 1 Type or print in ink. Statement covers SCHEDULER-PART1 Amounts may be rounded period CALIFORNIA 460 Loans Received to whole dollars. from 7-1-12 FORM 12-31-12 5 6 SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER I.D. NUMBER Sturtevant For City Council 2010 1330038 IF AN INDIVIDUAL, ENTER (a) (b) (c) (d) (e) (f) (g) FULL NAME,STREET ADDRESS AND ZIP CODE OUTSTANDING AMOUNT AMOUNT PAID OUTSTANDING INTEREST ORIGINAL CUMULATIVE OF LENDER OCCUPATION AND EMPLOYER BALANCE BALANCE AT (IF SELF-EMPLOYED,ENTER BEGINNING THIS RECEIVED THIS OR FORGIVEN CLOSE OF THIS PAID THIS AMOUNT OF CONTRIBUTIONS (IF COMMITTEE,ALSO ENTER I.D.NUMBER) NAME OF BUSINESS PERIOD > PERIOD THIS PERIOD PERIOD PERIOD LOAN TO DATE Brian Sturtevant Supervisor for Tool ❑PAID CALENDAR YEAR Management Group @ 0 1640.55 0 2040.55 0 Atascadero, CA 93422 Diablo Canyon PP $ $ % $ $ Pacific Gas & Electric ❑ FORGIVEN RATE PER ELECTION Company $ 1640.55 $ 0 $ 0 NA $ 0 10-4-10 $ NA t[a IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED ❑PAID CALENDAR YEAR $ $ % $ $ ❑FORGIVEN RATE PER ELECTION** $ $ $ $ $ t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED ❑PAID CALENDAR YEAR $ $ % $ $ ❑FORGIVEN RATE PER ELECTION** $ $ $ $ $ t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED SUBTOTALS $ 0 $ 0 $ 1640.55 $ 0 Schedule B Summary E Lin(Enter ) Schedule E,Line 3 1. Loans received this period $ 0 (Total Column (b)plus unitemized loans of less than$100.) tContributor Codes IND-2. Loans paid or forgiven this period $ 0 COM I Recipient Committee (Total Column(c)plus loans under$100 paid or forgiven.) (other than PTY or SCC) (Include loans paid by a third party that are also itemized on Schedule A.) OTH-Other(e.g., business entity) PTY—Political Party 0 SCC—Small Contributor Committee 3. Net change this period. (Subtract Line 2 from Line 1.) NET $ Enter the net here and on the Summary Page, Column A, Line 2. (May beanegative number) *Amounts forgiven or paid by another party also must be reported on Schedule A. `**If required. FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) SCHEDULEE Schedule E Type or print in ink. Statement covers period 460 Payments Made Amounts may be rounded 7-1 12 CALIFORNIA y to whole dollars. from FORM 12-31-12 6 6 SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER I.D. NUMBER Sturtevant For City Council 2010 1330038 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 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 0 Schedule E Summary 0 1. Itemized payments made this period.(Include all Schedule E subtotals.) $ 10 2. Unitemized payments made this period of under$100 $ 0 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 $ 10 FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772)