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Home My WebLink AboutForm 460 Committee to Elect Tom O'Malley 063009Recipient Committee Campaign Statement Cover Page (Govemme'nt. Code Sections 84200-84216.5) Type or print in ink. Committee To Elect Tom O'Malley (CTETO) STREET ADDRESS (NO P.O. BOX) Statement covers period 1/1/2009' . STATE from Atascadero CA 6/3$/2009 SEE INSTRUCTIONS ON REVERSE through 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2;3, and 4. „® 'Officeholder, Candidate ControlledCommittee ❑ Primarily Formed Ballot Measure O State.Candidate Election Committee Committee O Recall O (Controlled (Abo Complete Part 5) O'Sponsored ` ❑ General Purpose Committee (Also complete Part 6) 0'4onsored ❑ Primadly,Formed Candidate/ O Small Contributor Committee Officeholder Committee O Pollticai Party/Central Committee (Also Comp/els Part 7) 3. Committee Information I.D. NUMBER 1245724 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Committee To Elect Tom O'Malley (CTETO) STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE Atascadero CA 93422 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE/PHONE Atascadero CA a 93423 _ OPTIONAL: FAX / E-MAIL ADDRESS COVER PAGE Date Stam REC9IVE Date of election if applicable: J U L 3 1 2009 Page 1 of 7 (Month, Day, Year) For Official Use Only CITY OF ATASCADEIRO CITY CLERK'S OFFIf E 2. Type of Statement: Preelection Statement ❑ Quarterly Statement JZ Semi-annual Statement ❑ Special Odd -Year Report ❑ Termination' Statement ❑ Supplemental Preelection (Also file a Form 410 Termination) Statement -Attach Form 495 ❑ 'Amendment (Explain below) Treasurer(s); NAME OF -TREASURER William D. Ausman MAILING ADDRESS CITY ti STATE ZIP CODE AREA CODE/PHONE Atascadero CA 93422 _ NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL:' FAX I E-MAIL ADDRESS 4. "Verification I'have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowle ge under penalty of perjury under thp laws of he State of Califomia that the foregoing Is true and re). Executed on r C) BY - Executed on r7)i To toBY ` Data I SlgnatLre of ControlOng Of Executed on Data Executed on Data a herein and in the attached schedules is true and complete. I certify Signature ofControllire holder, Candidate, State Measure Proponent SlgnatureofControlli g Of oeholOer, Candidate; State Measure Proponent FPPC Form 480 (Jenuaryl05) FPPC Toll -Free Helpline: 866/ASK�FPPC (866/2763772) 'State of California Recipient Committee Campaign Statement Cover Page— Part 2 Type or print in "ink: 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER'OR CANDIDATE Tom O'Malley OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)' Council, Member, City of Atascadero RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP Atascadero, CA 93422 Related Committees Not'Included in this Statement: "�L.Ist`anycomm/ttees r, not Included /n this statement that are controlled by, you or are primarllyyformed to receive contributions or make''expend/tures on behalf of your candidacy: COMMITTEENAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES " ❑ NO i. COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY _ STATE ZIP CODE AREA CODE/PHONE • I NAME OF TREASURER CONTROLLED COM M ITTEE? ❑ YES ❑ NO COMMITTEEADDRESS STREET ADDRESS _(NO 'PO. BOX) COVER PAGE - PART 2 ORM 460 460 Page 2 of 6. Primarily formed. Ballot Measure Committee NAME OF BALLOT MEASURE OR LETTER i JURISDICTION ❑ SUPPORT ❑ OPPOSE Identify -,the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD I DISTRICT NO. IF ANY 7. Primarily'Formed Candidate/Officeholder Committee usr names of ofl/ceholder(s) or, sand/date(s) for which this committee /s 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 CITY STATE ZIP CODE 'AREA CODE/PHONE Attach continuation sheets If necessary 480 J I06 FPPC Form (anuary ) FPPC Toll -Free Helpline: 8861ASK-FPPC (888/2763772) State of California Campaign Disclosure Statement Summary Page 'SEE INSTRUCTIONS ON REVERSE NAME OF FILER I CTETO Type or print in ink. Amounts may be rounded to whole dollars.. Statement covers period from 1/1/2009 through Expenditures Made column A column s Contributions Received 0 TOTAL THIS PERIOD CALENDAR YEAR 0 0 (FROMATTACHEDSCHEDULES) TOTAL TO DATE 1. Monetary Contributions schedule A, Line 3 $ 0 $ 0 2. Loans Received...................................................... schedule B, Line a 0 0 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines I+2 $ 0 $ 0 4. Nonmonetary Contributions .................................... Schedule C,Line 3 0 0 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add ,Lines 3+4 $ 0 $ 0 Expenditures Made 6. Payments Made ....................................................... schedule E, Line $ 0 $ 0 7. Loans Made............................................................. schedule H, Line 3 0 0 8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6+ 7 $ 0 $ 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F, Une3 0 0 10. Nonmonetary Adjustment .......................................... Schedule C, Line 0 0 11. TOTAL EXPENDITURES MADE ................................ Add Lines 8 + 9 + 10 $ 0 $ 0 Current Cash Statement 12. Beginning Cash Balance ....................... Previous summary Page, Line 16 $ "471.64 To calculate;Column B, add 13. Cash Receipts ................................................... CdumnA, Line 3above 0 amounts in Column A to the 0 corresponding amounts 14. Miscellaneous Increases to Cash ........................... Schedule 1, Line 4, from. Column B of your last 0 report. Some amounts in 15. Cash Payments ................................ CdumnA, line 8above Column may be: negative 16'. ENDING CASH BALANCE .......... Add Lines 12 + 134 14, then subtract. Line 15 $ -471.64 figures that should be subtracted from previous It this Is a termination statement, Llne• 16 must be aero. period amounts. It this is the first report being filed 17. LOAN GUARANTEES RECEIVED ............................ Schedule 8, Part 2 $ 0 for this calendar year, only carry over the amounts Cash 'Equivalents and Outstanding Debts arny> Lines 2, 7, and 9 (If 18. Cash Equivalents ........................................ See instructions on reverse $ ` 19, Outstanding Debts ......................... Add Line 2 + Line 9 in Column a above $ SUMMARY.PAGE f 6/30/2009 Page 3 of 7 I.D. NUMBER 1245724 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 through 6130 7H to Date 20. Contributions Received $ $ 21. Expenditures Made $ $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (H 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 (866/2753772) ° Srharh�lp � Type or print in ink. SCHEDULE, A Amounts maybe rounded Monetary Contributions Received Statement covers period • • to Whole dollars., , from 1/1/2009 s 6/30/2009 4` 7' through Page of SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER CTETO 1245724 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND;EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TODATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE • (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) _ ❑IND r ❑COM OTH ❑PTY ❑ SCC []IND ❑COM [30TH El PTY ❑ SCC []IND ❑COM ❑ OTH ❑ PTY SCC ❑IND [3COM 0TH [3 PTY [3scC ❑IND ❑ COM ❑ OTH ❑ PTY []SCC SUBTOTAL$ Schedule A Summary 1. Amount received this period —itemized monetary contributions. (Include all Schedule A subtotals.) ...............................•........••••• $ 0 eceived this period — unitemized monetary contributions of less than $100 ............................. $ 2. Amount,received 0 3. Total.monetary contributions received this period. 0 (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $ ` FPPc Form 460'(January/05)' FPP:C Toll -Free Helpline:;866/ASK-FPPC (866/2763772) , n - to SCHEDULE B - PART 1 Schedule B — Part 1 =Amounts may, be rounded Statement covers period FORNIA 460 LOaf1S Received to whole dollars, 1/1/2009M QM from b 6/30/2009 5 7 SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER I.D. NUMBER CTETO h 1245724 FULL NAME STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL; ENTER OUTSTANDING (bl AMOUNT, (F) AMOUNTPAID, OUTSTANDING INTEREST ORIGINAL 9 CUMULATIVE OF LENDER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED; ENTER • BALANCE BEGINNING THIS RECEIVED THIS OR FORGIVEN BALANCEAT CLOSE OF THIS PAID THIS AMOUNTOF CONTRIBUTIONS (IFCOMMITTEE,ALSOENTERI.D.NUMBEA) NAME OF BUSINESS) -P pinn PERIOD _ THIS'. PERIOD", PERIOD LOAN TO DATE Tom -O'Malley Retired ❑;PAID CALENDAR YEAR 6650'Portola,Road $ 0 s 21924.40 NA % s $ Atascadero, CA 93422 ❑;FORGIVEN RATE PER ELECTION— LECTION"$21924.40 0$ 0 $91924.40 s a S DATE DUE t® IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE INCURRED ` E:] PAID CALENDAR,YEAR FORGIVEN RATE PER ELECTION" S $' S' S S DATE DUE t❑ IND ❑ COM ❑ OTH ❑ PTY' ❑ SCC DATE INCURRED _ Q PA16 CALENDAR YEAR ❑ PORGIVEN RATE PER ELECTION"• S S S S S DATE DUE t❑ IND _ ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE INCURRED SUBTOTALS $ 0$ 0 $ 21924.40 $ (trner(e) on Schedule B Summary Schedule E. Line 3) 1. Loans received this period .......... .................................................................. $ 0 . . .. ....... _ (Total Column (b) plus unitemized loans of less than $100.) 2. Loans paid or forgiven this period ^........................:...... 0 ........................................................... (Total Column (c),plus loans under $9.00 paid oforgiven.)` (Include loans paid by a third party that are also itemized on Schedule A.) 3. Net change this period, (Subtract Line 2 from, Line 1:)............................................................... NET $ 0 Enter the net here and;on the Summary Page, Column A, Line 2. (May beenegative number) 'Amounts forgiven°onpaid by another party also must be reported on Schedule A. rtContrlbutor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC—Small Contributor Committee •• If required. FPPC Form 460 (January/05) FPPC TolWree Helpline: 866/ASK-FPPC (866/2753772) a Schedule C Type or print.in ink - SCHEDULE C Amounts mayme rounaea Nonmonetary'Contributions Received to whole dollars. Statement covers period CALIFORNIA 4601 from 1/11/2009 FORM 6/32009 6 7 through Page of SEE INSTRUCTIONS ON REVERSE' NAME OF FILER I.D. NUMBER CTETO 1245724 FULL NAME, STREET ADDRESS AND CONTRIBUTOR '' `IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER DESCRIPTION OF AMOUNT/ FAIR MARKET CUMULATIVE TO DATE PER ELECTION TO DATE DATE- RECEIVED ZIP CODE CONTRIBUTOR CODE * (IF SELF-EMPLOYED, ENTER GOODS OR SERVICES VALUE CALENDAR YEAR (IF REQUIRED) (IF COMMITTEE, ALSO ENTER LD. NUMBER) AL - x NAME OF BUSINESS) (JAN 1 - DEC 31 ❑IND ❑COM [-10TH ❑ PTY ❑SCC ❑IND t ❑COM [30TH ` ❑ PTY EISCC ❑IND pCOM' ❑ OTH ❑ PTY ❑ SCC _ ❑IND ❑COM r [:]07'H Q PTY ❑SCC` , Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 0 _ Schedule C Summary *Contributor Codes 1. Amount received this period - itemized nonmonetary contributions.0 IND—Individual (Include all Schedule C subtotals.) _ .................. $ COM — Recipient Committee r. 0 (other than PTY or SCC) 2. Amount received this period — unitemized nonmonetary contributions of less than $100 .................................... $ OTH - Other (e.g., business entity) PTY — Political Party 3. Total,nonmonetary contributions received this period. 0 SCC—Small Contributor Committee (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.) ...................... TOTAL $ FPPC Form 46o (Januaryill5) FPPCToll-Free Helpline: 866/ASK-FPPC (866/2753772), A Schedule E _ Payments Nade SEE INSTRUCTIO NAME OF FILER CTETO ON REVERSE Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 1/1/2009 through 6/30/2009 Page 7 of 7 I.D. NUMBER 1245724 CODES: If, one of the following codes accurately describes the payment, you may enter the code. Otherwise; describe the payment. CMP campaign paraphemalla/mise. 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 candidatefiling/ballot fees PHO phonebanks 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)' PCS postage, delivery and messengerservices TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mallings PRT print ads WEB Information technology costs (Internet, e-mail) NAME AND ADDRESS OF PAYEE (IFCOMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID � I " Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ Schedule •E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.).............................................................................................................. $ 2. Unitemized payments made this period of under $100 0 I 3. Total interest aid this period on loans. Enter amount from Schedule B Part 1 Column (e)) $ 0 4: Total payments made this period. Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6. TOTAL $ 0 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/2753772)