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HomeMy WebLinkAboutForm 460 Mark Dariz 092420Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement covers period from 711/20 through 9119/20 1. Type of Recipient Committee: All Committees—Complete Parts 1, 2, 3, and 4. © Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure O State Candidate Election Committee Committee Q Recall Q Controlled IAiso Complete Pari 5] Q Sponsored (Mo Campiele Part 6) ❑ General Purpose Committee O Sponsored ❑ Primarily Formed Candidate/ O Small Contributor Committee Officeholder Committee 0 Political Party/Central Committee 'Also cam°rare Parr 7) 3. Committee Information I.D, NUMBER 1407272 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO Mark Dariz Committee to Elect for Atascadero City Council 2020 Crry STATE ZIP CODE AREACODE/PHONE Atascadero CA 93422 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREACODE/PHONE OPTIONAL: FAX/ E-MAIL ADDRESS COVER PAGE Date Stamp CALIFORNIA i • RECEIVEFORM Date of election if applicable: Page 1 of 3 l l� n (Month, Day, Year) Jr [ 4 2{�020 For Official Use Only CITY OF ATASCADE O November 3, 2020 CITY CLERK'S CFFi E 2. Type of Statement: W 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 Sue Dariz MAILING ADDRESS CITY STATE ZIP CODE AREA COD HONE Atascadero CA 93422 NAME OF ASS€STANTTREASURLR. IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CGDEPHONE OPTIONAL: FAX l E-MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. j, Executed on /24/20 Date Executed on 9/24/20 Date Executed on Dale Executed on By contained herein and in the attached schedules is true and complete. I or By Sgnature of Controlling Officeholder Candidate. Stale Measure Proponent By Signature of Conirolhng Officeholder Candidate, State Measure Proponent 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 Summary Page to whole dollars. Statement covers period/ 1150 from 7/1/20 e- 4 SEE INSTRUCTIONS ON REVERSE through 9/19/20 Page 2 Of 3 NAME OF FILER I.D. NUMBER Expenditures Made 6. Payments Made................................................................ Schedule E, Line 4 $ 7. Loans Made....................................................................... 1407272 Contributions Received Add Lines 6+7 $ Column A TOTAL THIS PERIOD Schedule F, Lim3 Column B Calendar Year Summary for Candidates 11. TOTAL EXPENDITURES MADE ........................................ AddLines8+g+10 $ (FROM ATTACHED SCHEWLES) CALENDAR YEAR TOTAL TO DATE Running in Both the State Primary and should be subtracted from previous period amounts. if this is the first report being General Elections 1. Monetary Contributions................................................... schedule A, Line 3 $ 1,488 $ D any). 1/1 through 6/30 7/1 to Deb 2. Loans Received................................................................ schedule e, Line 3 1, 466 20. Contributions 3. SUBTOTAL CASH CONTRIBUTIONS .............................. add Linesi+z $ $ Received $ $ 4. Nonmonetary Contributions ............................................ Schedule C, Line 3 21, Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED...._ .............................. Add Lines 3 + 4 $ 1,488 $ Made $ $ Expenditures Made 6. Payments Made................................................................ Schedule E, Line 4 $ 7. Loans Made....................................................................... schedule H. Line 3 8. SUBTOTAL CASH PAYMENTS .......................................... Add Lines 6+7 $ 9. Accrued Expenses (Unpaid Bills) ........ _._............... .............. Schedule F, Lim3 10. Nonmonetary Adjustment......................................................... Schedule c, Line 3 11. TOTAL EXPENDITURES MADE ........................................ AddLines8+g+10 $ Current Cash Statement 12. Beginning Cash Balance ............................ Previous summary Page, Line 16 $ 0 13. Cash Receipts........................................................... column A, Line 3above 1,488 14. Miscellaneous Increases to Cash .................................. schedule 1, Line 4 15. Cash Payments......................................................... column A, Lim 8above 16. ENDING CASH BALANCE ..................Add Lines 12 + 13 + 14, than subtract Line 15 $ 1,488 If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ................................ Schedules, Pad2 $ I Cash Equivalents and Outstanding Debts 16. Cash Equivalents ................................................ See instructions on reverse $ 19. Outstanding Debts .............................. AddLNe 2+Line s in Column a above $ 0 $ $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made" (s Subject to Voluntary Expenditure Limit) Date of Election Total to Date (mm/dd/yy) FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov To calculate Column B, add amounts in Column A to the corresponding Amounts in this section may be different from amounts amounts from Column B reported in 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). FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A Amounts may be rounded SCHEDULE A Monetary Contributions Received to whore dollars. Statement covers period CALIFORNIA 711120 from FORM • 9119120 3 3 SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER I.D. NUMBER 1407272 DATE FULL NAME, STR�E7AppRESSANp ZIP CODE OF CONTRIBUTOR (IF ET AD fEE SSA ENTER C NDE OF CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED CODE {IF sELF-EPAPLaveo, ENTER NAME PERIOD (,IAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS; [I IND 9120 Roberta Fonzi [I COM Real Estate Agent 100 100 ❑ OTH Atascadero, CA 9342 ❑ PTY ❑ SCC m IND 8110120 Kathleen Graham ❑COM Ketired 200 200 ❑ OTH Gridley, CA 95948 ❑ PTY ❑ SCC ❑ IND Lincoln Club of San Luis Obispo 0 COM 8128120 P.O. Box 2161 ❑ OTH 990 990 Avila Beach, CA 93424 ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ DTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL $ Schedule A Summary 1. Amount received this period — itemized monetary contributions. 1,290 Include all Schedule A subtotals.....................................................................................$ 2. Amount received this period — unitemized monetary contributions of less than $100 ...........................$ 198 3. Total monetary contributions received this period. 1,488 (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.)......................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 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov