HomeMy WebLinkAboutForm 460 Funk 123119Recipient Committee COVER PAGE
Campaign Statement Dale Slump
Cover Page RECEIVED
(Government Code Sections 84204-84216.5)
SEE INSTRUCTIONS ON REVERSE
Statement covers period
from 07/01/2019
through 12/31/2019
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
(Also Complete Fara 5) 0 Sponsored
(Also Complete Pari 6)
❑ General Purpose Committee
0 Sponsored ❑ Primarily Formed Candidate/
0 Small Contributor Committee Officeholder Committee
0 Political Party/Central Committee (Also complete Pert r}
3. Committee Information I I.D. NUMBER
1402781
COMMITTEE NAME {OR CANDIDATES NAME IF NO COMMITTEE)
Funk for City Council 2018
STREET ADDRESS NO P.O. BOX
CITY
STATE ZIP CODE
Sacramento CA 95841
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
CITY STATE ZIP CODE AREA CODEIPHONE
4. Verification
I have used all reasonable diligence in preparing and reviewing this statement and to the best of my k
under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Executed on
01/21/2020
Date
Executed on
01/21/2020
Date
Executed on
Dale
Executed on
Date
www.netfife.com
8y
By
Date of election if applicable:
(Month, Day, Year)
'AN 2020
Page 1 of 6
For Oficial Use Only
CITY OF ATASCADER
CITY CLERKS OFFIC
2. Type of Statement:
❑ Preelection Statement ❑ Quarterly Statement
❑x Semi-annual Statement ❑ Special Odd -Year Report
D Termination Statement ❑ Supplemental Preelection
(Also file a Form 410 Termination) Statement - Attach Form 495
❑ Amendment (Explain below)
Treasurer(s)
NAME OF TREASURER
Denise Lewis
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE
Sacramento CA 95641
NAME OF ASSISTANT TREASURER IF ANY
MAILING ADDRESS
CITY STATE Z€P CODE AREA CODE/PHONE
OPTIONAL: FAX t E-MAIL ADDRESS
information contained herein and in the attached schedules is true and complete. i certify
C ` 'I1
or
By
Signature otControilirrg Officeholder, Gandidate, State Measure Proponent
By
Signature of Centrolling Off{cehelder, Candidate, State Measure Proponent
FPPC Form 460 (Jan12016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fppc.ca.gov
Recipient Committee
Campaign Statement
Cover Page --Part 2
5. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER -OR CANDIDATE
Susan E. Funk
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
City Council Member: City of Atascadero
RESIDENTIALBUSINESS 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.
COMMITTEENAME I.D. NUMBER
NAME OF TREASURER
CONTROLLED COMMITTEE?
❑ YES ❑ NO
COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODEIPHONE
COMMITTEE NAME
I.D. NUMBER
NAME OF TREASURER
CONTROLLED COMM ITTEE?
❑ YES ❑ NO
COMMITTEEADDRESS STREETADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
www.netfile.com
COVER PAGE- PART 2
Page 2 of 6
6. Primarilv 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 Listnamesof
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 (8661275-3772)
www.fppc.c-a.gov
Campaign Disclosure Statement
Summary Page
Amounts may be rounded Statement covers period
to whole dollars.
_ from 07/01/2019
SEE INSTRUCTIONS ON REVERSE through 12/31/2019 Page 3 of 6
NAME OF FILER I.D. NUMBER
Funk for City.Council 2018 1402781
Expenditures Made
6. Payments Made ...........................
7. Loans Made .................................
8. SUBTOTAL CASH PAYMENTS....
9. Accrued Expenses (Unpaid Bills)
10. Nonmonetary Adjustment ...........
11. TOTAL EXPENDITURES MADE ...
.............. Schedule E, Line 4
$ -
125. 35
Column
Column
Calendar Year Summary for Candidates
Contributions Received
125.35
.................. Schedule F, Line 3
TATTACMD
128.48
ALEND
CALENDA
. Primary
RunningIn Both the State Prima and
' -
...............Add Lines 6+9+f0
cm [
(FROMATTAG�DSCHEDUIES)
253,83
DATE
DAM
General Elections
1. Monetary Contributions ...........................................
Schedule A, Line 3
$
0.00
$
100 .00
1/1 through 6/30 7/1 to Date
2. Loans Received......................................................
Schedule e, Line
0.00
.' 1,800.00
3. SUBTOTAL CASH CONTRIBUTIONS .........................
Add Lines I+2
$
0000
$
1,900000
20. Contributions
Received $ $
4. Nonmonetary, Contributions ....................................
'Schedule C, Line 3 _
o. oo
- :
0A0 00
. 21. Expenditures
,�
5. TOTAL CONTRIBUTIONS RECEIVED ...........................
Add Lines 3+4
$
0.00
$
11900.00
Made $ $
Expenditures Made
6. Payments Made ...........................
7. Loans Made .................................
8. SUBTOTAL CASH PAYMENTS....
9. Accrued Expenses (Unpaid Bills)
10. Nonmonetary Adjustment ...........
11. TOTAL EXPENDITURES MADE ...
.............. Schedule E, Line 4
$ -
125. 35
.............. Schedule H, Line 3
253.83
0.00
.................. Add Lines 6+7
$
125.35
.................. Schedule F, Line 3
128.48
................. Schedule C, Line 3
0.00
...............Add Lines 6+9+f0
$
253,83
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 4
15. Cash Payments .................................................. Column ALine aabove
16. ENDING CASH BALANCE....:...... Add Lines 12 + 13 + 14, then sub/ract Line l5 $
If this is a termination statement, Line 16 must be zero.'
198.69
0,00
0.00
125.35
73.34
17. LOAN GUARANTEES RECEIVED ........................... Schedule 8, Part 2 $ 0.00
Cash Equivalents and Outstanding Debts
18. Cash �EquivalentS....:::................................ See instructions on reverse $
0.00
19. Outstanding Debts.... ..................... AddL1ne2+L1ne9m Columnaabove $ 2,053.83
www.netrte.com
$ 7,397.03
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made* -
(ItSublectio voluntary Expenditure Limit)
Date of Election Total to Date
(mm/dd/yy) ^
�� $
0.00
$ 71397.03
253.83
0.00
$ 7,650.86
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).
3
'Amounts in this section may be different from amounts
reported in Column B.
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275.3772)
www.fppc.ca.gov
SCHEDULE B - PART 1
Schedule B — Part 1 Amounts may be rounded
Statement covers period
Loans Received to whole dollars.
, •
from 07/01/2019
9.
SEE INSTRUCTIONS ON REVERSE
through 12/31/2019
page 4 of 6
NAME OF FILER
I.D. NUMBER
Funk for City Council 2018
1402781
FULL NAME, STREET ADDRESS AND ZIP CODE
IF AN INDIVIDUAL, ENTER
a
OUTSTANDING
111a)
AMOUNT
W
AMOUNT PAID
(dt
OUTSTANDING
(e)
INTEREST
M
ORIGINAL
le)
CUMULATIVE
OF LENDER
EMPLOYER
OCCUPATION ELF -EMP SELF-EMPLOYED,
BALANCE BEGINNING THIS
RECEIVED THIS
OR FORGIVEN
CLOSE OF THIS ALANCE AT
PAID THIS
AMOUNT OF
CONTRIBUTIONS
(IFCOMM(7TEE. ALSO ENTER LD. NUMBER)
NAMEOFEUSINESS)
PERI
PERIOD
THIS PERIOD`
PERI
PERIOD
LOAN
TO DATE
Susan Funk
Candidate
El
CALENDAR YEAR
Candidate
S 0.00
$ 1,800.00
0.00 %
$ 1,800.00
$ 0.00
❑ FORGIVEN
PER ELECTION"
RATE
$ 1,800.00
$ 0.00
$ 0.00
05/26/2019
E 0.00
12/28/2078
$02018 2,126.89
DATE DUE
DATE INCURRED
t® IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
F7 PAID
CALENDARYEAR
E
S
%
$
S
❑ FORGIVEN
PERELECTION-
RATE
a
E
$
$
$
DATE DUE
DATE INCURRED
TE] IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
❑ PAID
CALENDARYF_AR
S
$
%
E
S
FORGIVEN
PERELECTION"
RAIL
E
$
S
5
$
DATE DUE
DATE INCURRED
t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ $CC
SUBTOTALS $ 0.00$ 0.00$ 1,800.00$ 0.00
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.) .........................
Enter the net here and on the Summary Page, Column A, Line 2.
"Amounts forgiven or paid by another party also must be reported on Schedule A.
.. If required.
www.netfile.com
0.00
0.00
NET $ 0.00
(May be a negative number)
{Enter(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 (Jan12016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fppC.ca.goV
Schedule E,
Payments Made
Amounts may be rounded
to whole dollars.
Statement covers period
from 07/01/2019
SCHEDULE E'
SEE INSTRUCTIONS ON REVERSE through 12/31/2019 Page 5 of 6
NAME OF FILER I.D. NUMBER
Funk for City Council 2018 1402781
CODES: -If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CMP
campaign paraphemalialmisc.
MBFt
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 fllinglballot 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
PRI
print ads
WEB
information technology costs (Internet, e-mail)
NAME AND ADDRESS OF PAYEE
(IF COMMaTEE, ALSO ENTER 1.D, NUMBER)
River City Business Services
CODE OR DESCRIPTION OF PAYMENT
PRO
AMOUNT PAID
125.35
* Payments that are contributions or Independent expenditures must also be summarized on Schedule D. . I SUBTOTAL$ 125.35
Schedule E Summary
1. Itemized payments made this period. Include all Schedule E subtotals. ,. $ 125.35
2. Unitemi zied payments made this period of under $100 ........................................................................................................................................1. $ 0.00
3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e).)............................................................................... $ 0.00
4. Total payments made this period. Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6. ............ TOTAL $ 125 1. ..35
FPPC Form 460 (Jan/2016)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
www.fppc.ca.gov
www.netrile.com
e
Schedule F Amounts may be rounded Statement covers period
Accrued Expenses (Unpaid Bills) to whole dollars. from 07/01/2019
through 12/31/2019
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Funk for City Council 2018
SCHEDULEF
�ALIFORNIAA •
.'
Page 5 of 5
I.D. NUMBER
1402781
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CIvP
campaign paraphemalia/mist.
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
P r
petition circulating
TEL
t.v. or cable airtime and production costs
F[L
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 supportinglopposing others (explain)*
POS
postage, delivery and messenger services
TSF
transfer between committees of the same candidatelsponsor
LEG
legal defense
PRO
professional services (legal, accounting)
VOT
voter registration
LIT
campaign literature and mailings
PRT
print ads
WEB
information technology costs (intemet, e-mail)
* Payments that are contributions or independent expenditures must also be SUBTOTALS $ 125.35$ 253.83$ 125.35$ 253.83
summarized on Schedule D.
Schedule F Summary
1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for
accrued expenses of $100 or more, plus total unitemized accrued expenses under $100.) ......................
2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on
accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.)
3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and
on the Summary Page, Column A, Line 9.).......................................................
........................................
................ INCURRED TOTALS $
253.83
............................... PAID TOTALS $ 125.35
............................................... NET $ 128.48
May be a ne9 alive number
FPPC Form 460 (Jan/2016)
FPPC Toil -Free Helpline: 866/ASK-FPPC (8661275-3772)
www.netFile.com www.fppc.ca.gov
t
(
(c)
(
NAME AND ADDRESS OF CREDITOR
CODE OR
OUTSTAo NDING
AMOUNTIN CURRED
AMOUNT PAID
OUTSTANDING
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
DESCRIPTION OF PAYMENT
BALANCE BEGINNING
THIS PERIOD
THIS PER10D
BALANCE AT CLOSE
OF THIS PERIOD
(ALSO REPORT ON E)
OF THIS PERIOD
River City Business Services
PRO
125.35
0.00
125.35
0.00
River Cit Business Services
PRO
0.00
135.54
0.00
135.54
River Cit: Business Services
PRO
0.00
118.29
0.00
118.29
* Payments that are contributions or independent expenditures must also be SUBTOTALS $ 125.35$ 253.83$ 125.35$ 253.83
summarized on Schedule D.
Schedule F Summary
1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for
accrued expenses of $100 or more, plus total unitemized accrued expenses under $100.) ......................
2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on
accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.)
3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and
on the Summary Page, Column A, Line 9.).......................................................
........................................
................ INCURRED TOTALS $
253.83
............................... PAID TOTALS $ 125.35
............................................... NET $ 128.48
May be a ne9 alive number
FPPC Form 460 (Jan/2016)
FPPC Toil -Free Helpline: 866/ASK-FPPC (8661275-3772)
www.netFile.com www.fppc.ca.gov