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HomeMy WebLinkAboutBourbeau 460 102716Recipient Committee Campaign Statement Cover Page Statement covers period from 09/25/2016 SEE INSTRUCTIONS ON REVERSE I through 10/22/2016 1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4, Officeholder, Candidate Controlled Committee O State Candidate Election Committee O Recall (Also Complete Parr 5) ❑ General Purpose Committee 0 Sponsored 0 Small Contributor Committee Q Political Party /Central Committee 3. Committee Information ❑ Primarily Formed Ballot Measure Committee O Controlled O Sponsored (Also Compfefe Part 6) ❑ Primarily Formed Candidate/ Officeholder Committee (Also Ccmplelo Part I) 1.0, NUMBER 1386822 Committee to Elect Charles Bourbeau to the Atascadero City Council 2016 STREETADDRE5S NO P.O. BOX) CITY STATE ZIP CODE AREACODEIPHONE Atascadero CA 93422 CITY STATE ZIP CODE AREACODEIPHONE 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the certify under penalty of pedury under the laws of the State of California that the foregolin Executed an ��9L5 I j By our Vc i 2-r Z t5 Executed an By Date sl, w-. Xi]tI ;1WiTr N Treasurer(s) NAME OF TREASURER Thomas R. Zirk M S CITY STATE ZIP CODE AREA CODEIPHONE Atascadero CA 93422 NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODEIPHONE OPTIONAL' FAX I E--MAIL ADDRESS knowledge the Irtfa7=talned herein and in the attached schedules is true and complete. I correct. J or Executed on Data By Signature or Controlling Officeholder, Candidate, State Mansura Proponent Executed on Dole By signature or Controlling 01111wholder, Candidate, State Measure Proponent FPPC Form 460 (]an /2016) FPPC Advice: advice @fppc.ca.gov (666/275 -3772) www.fppc.ca.gov OCT 2 7 2016 Page 1 of Date of election if applicable: (Month, Day, Year) For OHiclal Use Only C+ri Y'10F .t ;1%SC_(sri Nov, 8, 2016 CtE'YCLEcttti: UFi -iC 2. Type of Statement: 0 Preelection Statement ❑ Quarterly Statement ❑ Semi - annual Statement ❑ Special Odd -Year Report ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) Treasurer(s) NAME OF TREASURER Thomas R. Zirk M S CITY STATE ZIP CODE AREA CODEIPHONE Atascadero CA 93422 NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODEIPHONE OPTIONAL' FAX I E--MAIL ADDRESS knowledge the Irtfa7=talned herein and in the attached schedules is true and complete. I correct. J or Executed on Data By Signature or Controlling Officeholder, Candidate, State Mansura Proponent Executed on Dole By signature or Controlling 01111wholder, Candidate, State Measure Proponent FPPC Form 460 (]an /2016) FPPC Advice: advice @fppc.ca.gov (666/275 -3772) www.fppc.ca.gov Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Charles Bourbeau OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) City Council, Atascadero City RES IDENTIALIBUS INESS ADDRESS (NO.ANDSTREEr) CITY STATE ZIP Atascadero, CA 93422 Related Committees Not Included In this Statement: Llstanycommittees 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. I.D. NUMBER NAME OF TREASURER ❑ YES ❑ NO COMMITTEE ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I.D. NUMBER STREETADDRESS (NO P.O. BOX) [:]YES ❑ NO CITY STATE ZIP CODE AREA CODEIPHONE COVER PAGE - PART 2 Page 2 of 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 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, 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 NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE Attach continuation sheets If necessary FPPC Form 460 (Jan /2016) FPPC Advice; advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov Campaign Disclosure Statement Amounts may be rounded Summary Page to whole dollars. Statement covers period from 09/25/2016 SUMMARY PAGE SEE INSTRUCTIONS ON REVERSE through 10/22/2016 Page 3 of NAME OF FILER I.D. NUMBER Committee to Elect Charles Bourbeau to the Atascadero City Council 2016 1386822 Contributions Received Column A Column B Calendar Year Summary for Candidates schedule E, Line 4 1 $ 3 „ I . TOTALTHIS PERIOD (FROM ATTACHED SCHEDULES) CALENDARYE4R TOTAL TO DATE Running in Both the State Primary and 1. Monetary Contributions .................... ............................... Schedule A, Line 3 $ �• Lf" _� $ General Elections 2. Loans Received ................. .. Schedule 8, Line 3 schedule F Line 3 - 4 , S-at) t 111 through 6130 711 to pate 3. SUBTOTAL CASH CONTRIBUTIONS ..................... .,....... Add Lines f + 2 $ 4— $ C) �3 — 20, Received Received $ $ 4. Nonmoneta Contributions ............................ ry ................ schedule C, Line 3 �' 3 D-1:61 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED .................................... Add Lines 3 + 4 $ `4a-4. - $ 1,51,- Made $ $ Expenditures Made �g 6. Payments Made ................................. ............................... schedule E, Line 4 1 $ 3 „ I . ! t 3�b 3. $ 7. Loans Made ........................................ ............................... Schedule H, Line 3 .� 8. SUBTOTAL CASH PAYMENTS ........... ............................... Add Lines 6 +7 $ 3 S $ 9. Accrued Expenses (Unpaid Bills) ..... schedule F Line 3 10. Nonmonetary Adjustment ......................................................... schedule C, Line 3 r ( 016 11. TOTAL EXPENDITURES MADE ......... ............................... Add Lines e + 9 + 10 $ _ _ _ ti $ Current Cash Statement 12. Beginning Cash Balance ............................ Previous summery Page, Line 16 $ 13. Cash Receipts ............................ ............................... Column A, Line 3 above aA 14, Miscellaneous Increases to Cash ... ............................... schedule t, Line 4 A 15, Cash Payments .......................... ............................... Column A, Line 8above 3 1ti+- 16. ENDING CASH BALANCE ..................Add Lines 12 + 13 + 14, then subtract Line 15 $ If this is a termination statement, Una 16 must be zero. 17. LOAN GUARANTEES RECEIVED . ............................... Schedule B, Part $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ................. ............................... see Instructions on reverse $ } 19. Outstanding Debts .............................. Add Line 2 + Line 9 I Column S above $ 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). Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made' lif eubtoct 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 (1an/2016) FPPC Advice, advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov Schedule A Amounts may be rounded SCHEDULE A to whole dollars. Monetary Contributions Received Statement covers period CALIFORNIA from 09/25/2016 - , 6 0 through 10/22/2016 Page 4 of SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Committee to Elect Charles Bourbeau to the Atascadero City Council 2016 1386822 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED CODE * (IF SELF. EMPLOYED, ENTER NAME OF BUSINESS) PERIOD (JAN. 1 - DEC, 31) (IF REQUIRED) To CL_t4 ❑COM n J``2v^ W1 7 OTH CIL A-10 �, ❑ PTY C"_o r -f C-0 v125 1 ❑scc (Z /k- S o tj t NID Q_ eT1 fLC tb -S COM ❑OTH U. S-NAIJ f tea. i O a ❑PTY ❑ scc , ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL $ Schedule A Summary '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.) ......................TOTAL $ 3 ©a I- 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 ()a n/2016) FPPC Advice: advice @fppc.ca,gov (866/275 -3772) www.fppc.ca.gov Amounts may be rounded SCHEDULE B - PART 1 Schedule B — Part 1 to whole dollars. Statement covers period Loans Received 09/25/2016 from through 10/22/2016 page - d SEE INSTRUCTIONS ON REVERSE of NAME OF FILER 1,13, NUMBER Committee to Elect Charles Bourbeau to the Atascadero City Council 2016 1386822 FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL. ENTER OCCUPATION AND EMPLOYER a OUTSTANDING BALANCE AMOUNT a AMOUNT PAID OUTSTANDING BALANCE AT INTEREST ORIGINAL CUMULATIVE OF LENDER (IF COMMITTEE,ALSO ENTER I.O. NUMBER) (IF SELF - EMPLOYED, ENTER NAME OF BUSINESS) BEGINNING THIS RECEIVED THIS PERIOD OR FORGIVEN PERIOD CLOSE OF THIS PAID THIS PERIOD AMOUNT OF LORAN CONTRIBUTIONS TO DATE PERIOD THIS PERIOD 'jA f G� �✓�y G' 4 �JJ E] PAID $ g / ��Yo �j CALENDAR YEAR ��- ❑ FORGIVEN RATE PER ELECTION" g g IND ❑ COM El OTH ❑ PTY El SCC �! J g g g DATE DUE DATE INCURRED ❑ PAID CALENDARYEAR g 5 9S S S ❑ FORGIVEN RATE PER ELECTION`* 5 S g $ S DATE DUE DATE INCURRED t ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ PAID CALENDAR YEAR g $ 94 $ S PER ELECTION" ❑ FORGIVEN RATE S S S S S DATE DUE t ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE INCURRED SUBTOTALS $ $ $ $ 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.) ............................... ............................... NET $ Enter the net here and on the Summary Page, Column A, Line 2. fi (May be a negative number) (Enter (a) an Schedule E, !!no 7) tContributor Codes IND — Individual COM — Reclplent Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee "Amounts forgiven or paid by another party also must be reported on Schedule A. FPPC Form 460 (Jan /2016) If required. FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE Amounts may he rounded to whole dollars. Committee to Elect Charles Hourbeau to the Atascadero City Council 2016 Statement covers period from 09/25/2016 through 10/22/2016 CODES: if one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. SCHEDULE E • s- 16 6 Page of I.D. NUMBER 1386822 CMP campaign paraphemalla /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 Lv. or cable airtime and production costs FIL candidate filing /ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundralsfng 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 candldate /sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (intemet, a -mall) + Payments that are contributions or Independent expenditures must also be summarized an Schedule D. SUBTOTAL $ Schedule E Summary 1, Itemized payments made this period. (Include all Schedule E subtotals.) .............................................................................. ............................... $ f f + s 2. Unitemized payments made this period of under $ 100 ........................................................................................................... ............................... $ .� 3. Total interest paid this period on loans. Enter amount from Schedule l3 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 $ 13 FPPC Form 460 (Jan /2016) FPPC Advice: advice @fppc,ca.gov (866/275 -3772) www.fppc.ca.gov