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HomeMy WebLinkAboutForm 460 Committee to Elect Robert Fonzi 063009Recipient CommitteeType or'print'in I'nk.. .Campaign Statement - CoverPage (Government Code Sections 84200-84216.5) Statement covers `enol ' '. Date of election If applicable (Month, Day, Year) r COVER PAGE CALIFORNIA 4601 FORM J U L 17 2009 Page _>r— of -l-- For Official Use Only �1 QPTY-OF ATASCA61E 0 CITY CLERK'S OFFICIE 2. Type of Statement: ❑ -Preelection Statement Semi-annual Statement Termination Statement (Also file'a Form 410 Termination) ❑ Amendment (Explain below) Treasurer(s) ❑ Quarterly Statement ❑ Special Odd -Year Report ❑ Supplemental Preelection Statement -Attach Form 495 STREET ADDRESS (NO P.O. BOX) r A CITY STATE ZIP CODE AREA CQDE/PHONfi CITY � v ST�ATE �Z PCODE � AREA�ODE�HONE - _ NAM OF AS ����EA TREASURER, I�� �:�� 1 9 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX MAR IN', ADDRESS,- CITY DDRESS- CITY STATE ZIP CODE AREA CODE/PHONE CIT' STATE . ZIP CODE (AREA CODE/PHONE V A ���� OPTIONAL: FAX /,E-MAIL, ADDRESS _ - Y OPTIONAL: FAX /'E-MAIL ADDRESS a 4. Verification � , - .. _ •.. , i -.—. �' ,• ....... / �/ 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 arAv6kect. —7 Executed .on Date ,. •, l . �. _ S na of urer orAssistant Treasurer Executed on Data Signa of on 0 ho r, CWdidate. Measure Proponent or Responsible Officer ofSponsor a Executed on BY pate SignalureolconudlingOffiaFvIder, Candidate, State Measure Proponent Executed on BY Date " Signature olcontroiling Officeholder, Candidate, State Measure Proponent e FPPC=Form 460yJenuary105) FPPC Toll -Free Helpline: 866/ASK.FPPC (8661276.3772) State of California _,-%. ) from SEE INSTRUCTIONS ON REVERSE through 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. X Officeholder; Candidate Controlled Committee ❑ Primarily Formed Ballot Measure O State Candidate Election Committee Committee Q Recall Q Controlled (Also Complete Part 5) Q Sponsored (Also complete Part 6) General Purpose Committee Q Sponsored ❑ Primarily Formed Candidate/ ..::i:'.''. ;':': • . O Small Contributor Committee Officeholder Committee : .. , ... . Q Political Party/Central Committee (Also Complete Pert 3. Committee information LD. NUMBER" COMMITTEE NAME (OR CANDIDATE'S NAME IF NO OMMITTEE)- A" ' r COVER PAGE CALIFORNIA 4601 FORM J U L 17 2009 Page _>r— of -l-- For Official Use Only �1 QPTY-OF ATASCA61E 0 CITY CLERK'S OFFICIE 2. Type of Statement: ❑ -Preelection Statement Semi-annual Statement Termination Statement (Also file'a Form 410 Termination) ❑ Amendment (Explain below) Treasurer(s) ❑ Quarterly Statement ❑ Special Odd -Year Report ❑ Supplemental Preelection Statement -Attach Form 495 STREET ADDRESS (NO P.O. BOX) r A CITY STATE ZIP CODE AREA CQDE/PHONfi CITY � v ST�ATE �Z PCODE � AREA�ODE�HONE - _ NAM OF AS ����EA TREASURER, I�� �:�� 1 9 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX MAR IN', ADDRESS,- CITY DDRESS- CITY STATE ZIP CODE AREA CODE/PHONE CIT' STATE . ZIP CODE (AREA CODE/PHONE V A ���� OPTIONAL: FAX /,E-MAIL, ADDRESS _ - Y OPTIONAL: FAX /'E-MAIL ADDRESS a 4. Verification � , - .. _ •.. , i -.—. �' ,• ....... / �/ 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 arAv6kect. —7 Executed .on Date ,. •, l . �. _ S na of urer orAssistant Treasurer Executed on Data Signa of on 0 ho r, CWdidate. Measure Proponent or Responsible Officer ofSponsor a Executed on BY pate SignalureolconudlingOffiaFvIder, Candidate, State Measure Proponent Executed on BY Date " Signature olcontroiling Officeholder, Candidate, State Measure Proponent e FPPC=Form 460yJenuary105) FPPC Toll -Free Helpline: 866/ASK.FPPC (8661276.3772) State of California _,-%. ) Type or, print in Ink. Recipient Committee Campaign Statement ;Cover Page = Part 2 5: Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF, BALLOT MEASURE OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO. OR LETTER JURISDICTION COVER PAGE - PART 2 CALIFORNIA .• Page Z of ❑ SUPPORT ❑ OPPOSE RESIDENTIAUBUSINESS ADDRESS (NO. A STREET) CITY STATE ZIP', -' Identify thecontrolling officeholder, candidate, or state measure proponent, If any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT 3y`�Z 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 OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME I.D. NUMBER 7. Primarily Formed Candidate/Officeholder Committee .ustnames or NAME OF TREASURER CONTROLLED COMMITTEE? ofBceholder(s)`or candidates) for which this committee Is primarily formed. ❑ YES ❑ NO ' COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEENAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEEADDRESS STREETADDRESS (NO P.O. BOX) 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 CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets If necessary FPPC Form 460.(January105) FPPC Toll -Free Helpline: 866lASK-FPPC (86612763772) State of California • Campaign'Disclosure Statement SummaiyPage SEE INSTRUCTIONS ON REVERSE Type or print in Ink. _ "AmounWmay be rounded' 'to whole dollars. NAME OF FILER CA Column A Contributions Received TOTALTF11s PFit16D (FROM ATTACHED SCHEDULES) 1. Monetary Contributions ........................................... Schedule A, Line 3 $ 2. Loans Received ZC7'© „......................................................... Schedule B, Line 3, 3. SUBTOTAL CASH CONTRIBUTIONS ..................... Add Lines 1 + 2. •; $ - 4. Nonmonetary Contributions .................................... Schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3+4. $ ZO C7 Expenditures Made Calendar Year Summary for Candidates 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 Line 3 10. Nonmonetary Adjustment .......................................... Schedule C, Line. 3 11. TOTAL EXPENDITURES MADE ................................ Add Lines e+ 9 + io• $ A SUMMARY PAGE Statement covers period I CALIFORNIA —/ — 09•' from through r~ 09' Page of I.D. NUMBER /,3 O 4livs-Z Column B Calendar Year Summary for Candidates °'�DTEToo Running in Both the State Primary and 12. Beginning Cash Balance ....................... Previous Summary Page, 16y General Elections $ To calculate Column B, add -Z 1/1 through 6/30 7/1 to Date $ ZOO $ X00 $ $ $ Current Cash Statement 6ne 12. Beginning Cash Balance ....................... Previous Summary Page, 16y $ To calculate Column B, add 13. Cash Receipts ................................................... Column A, Line 3 above �' Z t�.0 amounts in. Column A to the corresponding amounts 14. Miscellaneous Increases to Cash ........................... schedule /, Line 4 from Column B of your last 15. Cash Payments ..................... ... Column A, Line 8 above """"""""""""" report. Some amounts in Column A may be negative 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $" - ` figures that should be, subtracted from previous If this is a termination statement, Line 16 must be zero. period amounts. If this is ¢he first report being filed 17. LOAN GUARANTEES RECEIVED ........................... Schedule s, Part 2; $.. form is cal year, only . a overenear carry,the amounts Cash Equivalents and Outstanding Debts •:. � ':•;" from Lines 2, 7, and 9 (ifany). 18, Cash Equivalents ........................................ See instructions on reverse $ 19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column B above $ `Z �S(� • / `y d r , 20. Contributions Received $ $ 21. Expenditures Made $ $ Expenditure Limit Summary for State Candidates 22. Cumulative, Expenditures Made' (If Subject to Voluntary Expenditure Limit) 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 (January/05) FPPC Toll -Free Helpline:-866/ASK-FPPC (866/275-3772) SCHEDULE B - PART I, . .Jrr� - r ..... ... ... - Sched.We'13 - Part 1 Amounts may be rounded' Statement covers period all Loans" to whole dollars. 'Received from Page SEE INSTRUCTIONS ON REVERSE through of NAME 0 . F FILER I.D. NUMBER <6 FULL NAME,' STREET ADDRESS AND ZIP CODE OF LENDER IF AN INDIVIDUAL , ENTER: OCCUPATION AND EMPLOYER SELF-EMPLOYED, ENTER (a) OUTSTANDING BALANCE 1b) AMOUNT RECEIVED THIS (c) AMOUNTPAID� OR FORGIVEN (d) OUTSTANDING BALANCEAT THIS le) INTEREST PAID THIS M ORIGINAL AMOUNTOF (g) CUMULATIVE CONTRIBUTIONS (IF COMMITTEE, ALSO ENTER I.D. NUMBER) (IF NAME OF BUSINESS) BEGINNING THIS PERIOD PERIOD THIS PERIOD C LOSE OF s PERIOD PERIOD LOAN TO DATE t_2 A PAID x 7- CALENDAR YEAR cc RATE S -Y 1H c-.40-vc) CA S 74ZZ s ;Z�a ❑ FORGIVEN PER ELECTION" $ IND ❑ COM 0 OTH ❑ PTY 0 SCC DATE INCURRED DATE DUE ❑ PAID CALENDAR YEAR ❑ FORGIVEN RATE PER ELECTION S DATE DUE t[:] IND 0 COM [I OTH [:1 PTY [I scc DATE INCURRED PAID CALENDAR YEAR $ 0 FORGIVEN RATE PER ELECTION tO IND El COM 0 OTH CI PTY C1 SCC S $ S $ DATE INCURRED DATE DUE SUBTOTALS $ $ $ 0', Schedule B tmer(e)cn Schedule E, Ln 3) Summary ...... 1. LO 6ins received this period .................................................................................................................... $ (Total Column (b) plus uniternized loans of less'tham$l 00 , 2-. Loans paid or forgiven this period..................................................................................................... $ (Total Column (c) plus loans under $,lMpaid orforgiven'.) (Include loans paid by a third party that are, also'itemizedon Schedule A.) 3. Net change this period. (Subtract Line 2:from Line 1;) ............................................................... NET $ r 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 -Enter the net here and on the Summary Page, Column A, Line 2. (Maybeanego number) _4 Amounts forgiven or paid by another party also must be reported on Schedule A. If required.- FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/276-3772)