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HomeMy WebLinkAboutForm 460 A Better Atascadero 063021Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement covers period from i ^) aCoZ through Ca-3)-aaD-r 'I. Type of Recipient Committee: All Committees – Complete Parts 1, z, 3, and 4. ❑ifioeholder, Candidate Controlled Committee State Candidate Election Committee 0 Recall (Also Complete Pad 5) gneral Purpose Committee Sponsored Small Contributor Committee Political Party/Central Committee 3. Committee Information 4. COMMITTEE NAME (OR CANDIDAT ❑ Primarily Formed Ballot Measure ommittee Controlled Sponsored (Also G-Plele Pad b) ❑ Primarily Formed Candidate/ Officeholder Committee (Ako Complete Pad 7) I.D. NUMBER 130 # fg564 -ee re) STATE ZIP CODE CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX/E-MAIL ADDRESS Date of election if applicable: (Month, Day, Year) Date Stamp RECEIVED JUL "12 2021 CITY OF ATASCADERO CITY CLERK'S OFFICE 2. Type of Statement: ❑ Preelection Statement Semi-annual Statement ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) COVER PAGE `4•1 FORM Page of ForOffidal Use Only ❑ Quarterly Statement ❑ Special Odd -Year Report 9 Treasurer(s) NAME OF TREASURER yvkadq 1yK M6 Z)Q'j, el +zgscq def -y C/-4- R3�1�a OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODElPHONE OPTIONAL: FAX / E-MAIL ADDRESS Verification 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 p-edury under the laws �of the State of California that the foregoing is true and correct. Executed on atei :,c!X.,T'rje"uor urer Executed on — .7-i2_���L, -ate lure ontrollinp cehoi(er. Candiae, tate Wasure Proponent or Responsiblecar oonsw Executed on Date Executed on Date By Signature of Contmiling Ofreeholder, CarxiWata. State Measure Proponerd By Stgnelure of Conlro ling OfficWiokier. 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 Summary Page Amounts may be rounded to whole dollars. NAME OF FILER �y !-, 13 e -�-k e,- R- i--! s ca ice f -v Contributions Received 1. Monetary Contributions................................................... schedule A. Line 3 2. Loans Received................................................................ Schedule s, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines l+2 4. Nonmonetary Contributions ............................................ Schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED ..... ........................... AddLines3+4 Expenditures Made 6, Payments Made ................................ 7. Loans Made ....................................... 8. SUBTOTAL CASH PAYMENTS.. 9. Accrued Expenses (Unpaid Bills).. 10. NonmonetaryAdjustment .................. 11. TOTAL EXPENDITURES MADE ............ Schedule E, Line 4 ............ Schedule H, Line 3 ................. Add Lines 6+7 ... Schedule F, Line 3 .. Schedule C, Line 3 Add Lines 9 + g + 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 4 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 A TOTALTHIS PERIOD (FROM ATTACHED SCHEDULES) $ $ $ 8 $ SUMMARY PAGE Statement covers period from /-/—o2Ga/ through & — 3 °" a c7);)-( I Page i of 3 Column B CALENDARYEAR TOTAL TO DATE $ (lg.Do $ (IQ.OD $ I 1 g -DD $ 11 '? -&z> $ I C 9 e as $ / I W. oy $ y 1 f? . 33 /12.06 $ 37?.t3,3 17. LOAN GUARANTEES RECEIVED ................................ Schedule e, Part 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ................................................ See inshuctions on reverse S 19. Outstanding Debts .............. _.............. Add Line 2 +Line 9 in Column a shove $ 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). 13 C) qc9 lig Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 111 through 6/30 7/1 to Date 20. Contributions Received $ $ 21. Expenditures Made $ $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made` (e Subject to Voluntary Expenditure urmq 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 (Jan/2016)) FPPC Advice: advice@fppc.m.gov (866/275-3772) www.fppc.ca.gov Schedule E Amounts may be rounded Payments Made to whole dollars' Statement covers period from i i — ; C'd- through 6,-30 -26A( I Page 3 of it ge--4 r � SC4 �P/I� 1.. ..D el'? �'g CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment CMP 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 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 candidatelsponsor 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 1.0. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (,Islas X05 /.�DK reH+al 118��0 Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ l 06 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) 2. Unitemized payments made this period of under $100 ................. ............................... $ ................................................................................................ $ 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 Summa Page, Column A, Line 6. P Y P ( Summary 9 )........................... TOTAL $ I C FPPC Form 460 (Jan/2016)) FPPC Advice: acWice@fppc.ca.gov (966/275-3772) www.fppc.ca.gov