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Home My WebLink AboutForm 460 A Better Atascadero 123121Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement covers period from -7 / _a Dry / through r '� " 3/ —,')- 0"� 1. Type of Recipient Committee: All committees - Complete Parts 1, 2, 3, and 4. ❑ ?ceholder, Candidate Controlled Committee V State Candidate Election Committee O Recall {Also Comprefa Part 5) rneral Purpose Committee Sponsored Small Contributor Committee O Political Party/Central Committee 3. Committee Information 4 COMMITTEE NAME (OR CANDIDA ❑ Primarily Formed Ballot Measure Committee O Controlled 0 Sponsored (Also complele Part 6) ❑ Primarily Formed Candidate/ Officeholder Committee (AW Complete Pad 7) I.D. NUMBER 130 y--7- 69 if3 &-f4er A +.q4 cadge r-, CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX IE -MAIL ADDRESS Date of election if applicable: (Month, Day, Year) Date Stamp REC E IVE D ,1M 0 4 ZUZZ TY OF ATASCADERO TY CL'ar%`,'S OFFICE 2. Type of Statement: ❑ Preelection Statement ® Semi-annual Statement ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) Treasurer(s) NAME OF TREASURER /'M'? /yJ2 /11 C��ne MAILfNG ADDRESS COVER MAGE Page �_ of �z.___ For Official Use Only ❑ Quarterly Statement ❑ Special Odd -Year Report MAILING ADDRESS CITY STATE ZIP CODE AREA CODEIPHONE OPTIONAL: FAX/ E-MAIL ADDRESS Verification I 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 perjury under the laws of the State of California that the foregoing is true and correct. Executed on ' Y o d a y Date� �.� ref Executed on / � g Dale y 0Wi.0'.'ur.erallira Officeholder, Cafididale, State Measure Proponent or Responsible Officer of Sponsor Executed on Dale Executed on Date By Signature of Controlling ONicehalder, Gandidale. Slate Measure Proponent By Signature of Controlling Officeholder, Candidata. 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 SEE INSTRUCTI NAME OF FILER '66, f- f&r k- a S&q d e d Contributions Received 1. Monetary Contributions................................................... Schedule A. une 3 2. Loans Received................................................................ Schedule 6, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines t +2 4. Nonmonetary Contributions ............................................ Schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED...............................Add Lines 3+4 Expenditures Made 6. Payments Made................................................................ Schedule F- Line 7. Loans Made....................................................................... schedule H, Line s 8. SUBTOTAL CASH PAYMENTS ....................................... Add Lines a+7 9. Accrued Expenses (Unpaid Bills) .......................................... Schedule F Line 3 10. Nonmonetary Adjustment......................................................... Schedule G Line 3 11. TOTAL EXPENDITURES MADE .................................... Add Lines a+g+ io 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 9 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. Amounts may be rounded to whole dollars. SUMMARY PAGE Statement covers period from 7 / -aD'2/ through � � �3 �- a6�� page —of Column A Column B TOTALTHIS PERIOD CALENDAR YEAR (FROM ATTACHED SCHEDULES) TOTALTO DATE $ / ;20D. � aD $ !.a aa. Da $ /,20D.pD $ IoZD� D. Db $ ,�o2DD,ab $ >2DD. Pd $ SDyp $ SD, VD $ 5,P, 03 $ SD. DD $ SD, OD $ 377,33 / ,ZDD. DO SD, Da $ 1, 5x9,33 i 17. LOAN GUARANTEES RECEIVED. .......................... .... Schedule e, Part 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ................................................ see instructions on reverse $ 19. Outstanding Debts ............................. Add Line2+Line gin Column Babove $ $ SD. to 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). /3a v'9 9� Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 through 6/30 711 to Date 20. Contributions Received $ $ 21. Expenditures Made $ $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (H Subjeal to Voluntary Expenditure Limit) Date of Election Total to Date (mm/dd/yy) I I $ $ "Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.m.gov (666/275-3772) wwwSppc.ca.gov Schedule A Amounts may be rounded SCHEDULE A Monetary Contributions Received to whole dollars. Statement covers period 4 , from ? -/ -a 0 )- 1 • through SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER DATE FULL NAME, STREETADDRESS AND ZIP CODE OF CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED CONTRIBUTOR CODE * OCCUPATION AND EMPLOYER ff SELF-EMPLOYED, ENTER NAME RECEIVED THiS CALENDAR YEAR TO GATE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) OF BUSINESS) PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) ' El COM E] OTH /J u -4-Pt rp 00. Vp /00, Do �oarE] PTY pQ�7D 4b1e,,,eA ❑SCC fury 1yn lmLt7on'el It IND ❑coM no -F Grri,�lay�d q� lflo,DD (I !ad-nz) ❑ OTH ❑ PTY ❑ SCC Fav Sem pact n e rg y El IND ❑ coM INOTH !0 rob By I�DDfl z7� l�Dao- Da a lI 5� n e -'j D CLF c7 c2lD / ❑ PTY n h� LiJrxa San , ❑SCC , a ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL $ b Schedule A Summary 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 $ ` ) 2 06 --DP "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 Schedule E Payments Made Amounts may be rounded to whole dollars. Statement covers period rmm -7-1�0L through ) a'3 r- 2-0;/ `f —w �} sccder� `,.3ac`l9 3d 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)' DEC 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 END 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 PRT print ads WEB information technology costs (intemet, e-mail) E NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID �> /r. -f, S eG r� -IT r y 4 F 5 �-� F e f 5,P 1, l) -'h 5 , Yqs 5gcrarxe-n4a CA ,4 �244J1 ' Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ IPJ, DD 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 B.) ........................... TOTAL $ 5D .OD FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov