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HomeMy WebLinkAboutForm 460 Donovan 012621Recipient Committee Campaign Statement Cover Page Statement covers period from 01/01/2021 SEE INSTRUCTIONS ON REVERSE l through 01/26/2021 1. Type of Recipient Committee: All Committees - Complete Parts 1,2,3, and 4. 0 Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot 0 State Candidate Election Committee Measure Committee 0 Recall 0 Controlled (Also Complete Part 5.) 0 Sponsored ❑ General Purpose Committee (Also Complete Part E ) 0 Sponsored ❑ Primary Formed Candidate/ 0 Small Contributor Committee Officeholder Committee 0 Political Party/Central Committee (Also complete Part 7 ) 3. Committee Information 1 D "UMBER 1429946 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Josh Donovan for Atascadero Mayor 2020 CITY Fresno STATE ZIP CODE AREA CODE/PHONE CA 93710 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX 1625 East Shaw Avenue Suite 130 CITY STATE ZIP CODE AREA CODE/PHONE Fresno CA 93710 OPTIONAL FAX/E-MAIL ADDRESS COVER PAGE Date Stamp CALIFORNIA 460 FORM V RECEIVED Date of election if applicable: Page 1 16 of (Month. Day, Year) FEB 03 2021 For Official Use Only CITY OF ATASCADER CITY CLERK'S OFRC 2. Type of Statement: ❑ Pre-election Statement ❑ Quarterly Statement ❑ Semi-annual Statement ❑ Special Odd -Year Report F71 Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) Treasurer(s) NAME OF TREASURER Varinder Bains, CPA CITY STATE ZIP CODE AREA CODE/PHONE Fresno CA 93710 NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL FAx/E-MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement andto e st of my knowledge the information contained herein and in the attached schedules is true and complete. €certify under penalty of perjury under the laws of e of California t at the foregoing is true and correct. Executed on 01/26/2021 By Varinder Bainst CPA DATE SIGNATURE OFT EASU ER OR TANT TREASURER Executed on 01/26/2021 By Josh Donovan DATE SIGNATURE OF CONTROLLING OFFICEHOLDER C /DATE, STA EASURE PROPONENT OR RESPONSIBLE OFFICER OF SPONSOR Executed on By DATE Executed on By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER. CANDIDATE. STATE MEASURE PROPONENT SIGNATURE OF CONTROLING OFFICEHOLDER, 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 Josh Donovan OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Sought: Mayor Mayor City City of Astacadero RESIDENTIALlBUSINESS 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 to make expenditures on behalf of your candidacy. COMMITTEE NAME I.D.NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODEIPHONE COMMITTEE NAME I.D,NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COVER PAGE - PART 2 CALIFORNIA �� FORM 2/6 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 HELD DISTRICT NO. IF ANY 7. Primarily Formed Candidate/Officeholder Committee List names of officeholder(&) 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 (Jan12016) FPPC Advice: advice@fppc.ca.gov (8661276-3772) www.fppc.ca.gov Campaign Disclosure Statement SUMMAKY FAIL Amounts may be rounded Statement covers period CALIFORNIA Summary Pa/� CO Page to whole dollars. from 20210101 FORM 46 SEE INSTRUCTIONS ON REVERSE through 20210126 3/6 NAME OF FILER I.D. NUMBER Josh Donovan for Atascadero Mayor 2020 1429946 Contributions Received 1. Monetary Contributions ................ 2. Loans Received ............................. Column A Column B Calendar Year Summary for Candidates TOTP THIS PERIOD CALENDAR YEAR Running in Both the State Primaryand (FROM ATTACHED SCHEDULES) TOTAL TO DATE 9 General Elections Schedule A, Line 3 $ 0.00 $ 0.00 Schedule B, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS ........................... Add Lines 1 + 2 $ 0.00 4. Nonmonetary Contributions ................................... Schedule C, Line 3 0.00 5. TOTAL CONTRIBUTIONS RECEIVED .......................... Add Lines 3 + 4 0.00 Expenditures Made 6. Payments Made ........................................................ Schedule E, Line 4 $ 5773.70 7. Loans Made.............................................................. Schedule H, Line 3 13. 0.00 8. SUBTOTAL CASH PAYMENTS .................................. Add Lines 6 + 7 $ 5773.70 9. Accrued Expenses (Unpaid Bills) ............................. Schedule F, Line 3 Column A, Line 8 above -55.00 10. Nonmonetary Adjustment ......................................... Schedule C, Line 3 0.00 11. TOTAL EXPENDITURES MADE ............................ Add Lines 8+9+ 10 $ 5718.70 Current Cash Statement 12. Beginning Cash Balance..................... Previous Summary Page, Line 16 $ 5773.70 13. Cash Receipts ................................................. Column A, Line 3 above 0.00 14. MISCehaneous Increases to Cash .................................... Schedule I, Line 4 0.00 Cash Payments ................................................. Column A, Line 8 above 5773.70 16. ENDING CASH BALANCE.... Add Lines 12 + 13 + 14, then subtract Line 15 $ 0.00 If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ........................... Schedule B, Part 2 $ 0.00 Cash Equivalents and Outstanding Debts 18. Cash Equivalents ........................................ See instructions on reverse $ 0.00 19. Outstanding Debts ....................... Add Line 2 + Line 9 in Column B above $ 0.00 0.00 Con 20. . 1/1 through 6/30 7/1 to Date iv dons $ Received $ 0.00 a 0.00 0.00 21. Expenditures $ 0.00 Made $ 0.00 $ 0.00 $ 5773.70 0.00 $ 5773.70 0.00 0.00 $ 5773.70 calculate Column B, add ounts in Column A to the responding amounts n Column B of your last on. Some amounts in lumn A may be negative Cres that should be nracted from previous tod amounts. If this is first report being filed this calendar year, only ry over the amounts n Lines 2, 7, and 9 (if Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made' (if Subject to voluntary Expenditure Limit) Date of Election Total to Date (mMdd/yy) Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (Jon/2016) FPPC Advice: advlce@fppc.n.gov (888/278-3772) www.fppc.ca.gov Schedule E Payments Made SEE [NSTRUCTIONS ON REVERSE Amounts may be rounded to whole dollars. Statement covers period from 20210101 through 20210126 CALIFORNIA A FORM 416 NAME OF FILER I.D- NUMBER Josh Donovan for Atascadero Mayor 2020 1429946 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernaliaimisc. CNS campaign consultants CTB contribution (explain nonmonetary)` CVG civic donations Flt candidate filing/ballot fees FND fundraising events IND independent expenditure supporting/opposing others (explain)` LEG legal defense LIT camDaian literature and madinas NA_ WAND ADDRESS OF PAYEE • pF COMMITTEE, ALSO ENTER I.U. NUMBER) MBR member commun+cations MTG meetings and appearances OFC office expenses PET petition circulating PHO phone banks POL polling and survey research POS postage, delivery and messenger services PRO professional services (legal, accounting) PRT Drini ads RAD radio airtime and production costs RFD returned contributions SAL campaign workers' salaries TEL t.v. or cable airtime and production costs TRC candidate travel, lodging, and meals TRS staff/spouse travel, lodging, and meals TSF transfer between committees of the same candidate/sponsor VOT voter registration WEB information technology costs (internet, email) CODE OR DESCRIPTION OF PAYMENT OFC J Online Disclosure Service OFC I Office Equipment CVC I Donation - Relief for Atascadero Businesses 'Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL. $ Schedule E Summary AMOUNT PAID 150.00 2230.06 2661.67 1. Itemized payments made this period. (Include all Schedule E subtotals.) ................................................................................... $ 5718.70 2. Unitemized payments made this period of under $100. ..... 55.00 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 $ 5773.70 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-37721 Schedule E Payments Made SEE fNSTRUCTIONS ON REVERSE Amounts may be rounded to whole dollars. Statement covers period from 20210101 SCHEDULE E CALIFORNIA FORM through 20210126 I 5/6 NAME OF FILER I.D. NUMBER Josh Donovan for Atascaderc Mayor 2020 1429946 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia/misc. CNS campaign consultants CTB contribution (explain nonmonetary)* CVG civic donations FIL candidate filing/ballot fees FND fundraising events IND independent expenditure supporting/opposing others (explain)` LEG legal defense I IT n lit—t-- A —ndi MBR member communications MTG meetings and appearances OFC office expenses PET petition circulating PHO phone banks POL polling and survey research POS postage, delivery and messenger services PRO professional services (legal, accounting) PRT —int arae RAD radio airtime and production costs RFD returned contributions SAL campaign workers' salaries TEL t.v. or cable airtime and production costs TRC candidate travel, lodging, and meals TRS staff/spouse travel, lodging, and meals TSF transfer between committees of the same candidate/sponsor VOT voter registration WEB information technoloov costs (internet. email) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID pF cOMMMEE, ALSO ENTER I.O. NLIMBERy PRO Campaign Accounting 676.97 Bains CPA, Inc *Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 5718.70 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 Summary Page, Column A, Line 6.) .......................... TOTAL $ FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) Payments that are contributions or independent expenditures must also be SUBTOTALS $ 0.00$ 0.00$ 0.00 $ 0.00 summarized on Schedule D. Schedule F Summary 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 onthe Summary Page, Column A, Line g.)....................................................................................................................................................... INCURRED TOTALS $ 0.00 PAID TOTALS $ 55.00 NET $ -55.00 May be a negative number. FPPC Form 460 (Jan/2076) FPPC Advice: advice@fppc.ca.gov (866/276-3772) (a) (b) (c) SCHEDULE Statement covers period from 20210101 CALIFORNIA 460 FORM Schedule F Amounts may be rounded Accrued Expenses (Unpaid Bills) to whole dollars. 6/6 AMOUNT PAID through 20210126 SEE INSTRUCTIONS ON REVERSE BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCEATCLOSE NAME OF FILER OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD I.D. NUMBER Josh Donovan for Atascadero Mayor 2020 1429946 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 supportinglopposing 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, email) Payments that are contributions or independent expenditures must also be SUBTOTALS $ 0.00$ 0.00$ 0.00 $ 0.00 summarized on Schedule D. Schedule F Summary 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 onthe Summary Page, Column A, Line g.)....................................................................................................................................................... INCURRED TOTALS $ 0.00 PAID TOTALS $ 55.00 NET $ -55.00 May be a negative number. FPPC Form 460 (Jan/2076) FPPC Advice: advice@fppc.ca.gov (866/276-3772) (a) (b) (c) (d) NAME AND ADDRESS OF CREDITOR CODE OR OUTSTANDING AMOUNT INCURRED AMOUNT PAID OUTSTANDING (IF OOMMITn:E, NbSO ENTER I.D. NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCEATCLOSE OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD Payments that are contributions or independent expenditures must also be SUBTOTALS $ 0.00$ 0.00$ 0.00 $ 0.00 summarized on Schedule D. Schedule F Summary 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 onthe Summary Page, Column A, Line g.)....................................................................................................................................................... INCURRED TOTALS $ 0.00 PAID TOTALS $ 55.00 NET $ -55.00 May be a negative number. FPPC Form 460 (Jan/2076) FPPC Advice: advice@fppc.ca.gov (866/276-3772)