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Home My WebLink AboutForm 460 063010 Committee To ReElect Jerry ClayRecipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216 5) Type or print in ink. Statement covers p. lod Oats of election if applicable from 1/1/2010 (Month, Oay Year) SEE INSTRUCTIONS ON REVERSE through 6/30/2010 REOtt=-T 'YES J U L 1 3 2010 ITV OF ATAS CABER CITY CLERK'S OFFICE COVER PAGE Page of 3 For Official Use Only 3 Committee Information .ONUMBER Treasure r(s) 1308914 COMMITTEE NAME (OR GANOIOAT E'S NAME IF NO COMMITTEE) NAME OF TR EASVRER Committee to Re -Elect Jerry Ciay Sr N/A MAILING ADDRESS STREET ADORE 65 (NO PO BOX) CITV STATE ZIP COOS AREA CODE/PHONE TY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASV RE R. IF ANV CI 1 Type of Recipient Committee Au c.—rtes -complete Parts 2, 3, and 4. 93422 2_ Type of State m ante ® Officeholder Candidate Controlled Committee 0 Primarily Formad Ballot Measure F --j Preelection Statamant Q Ci--rly Statement Q State Candidate Election Committee Committee® CITY Semi annual Statement = Spacial Odd -Year Report Q Recall Q Controlled Termination Statement (] Supplemental Preelection (A/so Compfafa Part S) Q Sponsored OPTIONAL: FAX / E-MAIL ADDRESS (Also file a Form 410 Termination) Statamant Attach Form 495 Purpose Q General Com mittea (/J/so Comp/afa Pa(f 6) m Amendment (EXplain below) Q spo nsorad 0 Primarily Formad Candidate/ Believed committee had been terminated as of the 12/31 /08 460 Q ,mail Contributor Committee OfF ceholdar Committee C) Political Party/Central Committee (A/so Comp/afa Part 7f filing, however, form 410 had not been filed 3 Committee Information .ONUMBER Treasure r(s) 1308914 COMMITTEE NAME (OR GANOIOAT E'S NAME IF NO COMMITTEE) NAME OF TR EASVRER Committee to Re -Elect Jerry Ciay Sr N/A MAILING ADDRESS STREET ADORE 65 (NO PO BOX) CITV STATE ZIP COOS AREA CODE/PHONE TY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASV RE R. IF ANV CI Atascad ero CA 93422 MAILING An ORE55 (IF DIFFERENT) NO ANO STREET OR PO BOX MAILING AO nRESS CITY CITY STATE ZIP CODE AREA COC)E/PHONE OPTIONAL: FAX / E-MAIL ADDRESS OPTIONAL: FAX / E-MAIL ADDRESS STATE ZIP CODE AREA CODE/PHONE 4. Verification I have used all reasonable tlilige nee in preparing and reviewing this statement and to the best of my Knowledge the information contained herein and in the attached schedules is rue and complete. I certify under penalty of perjury under the laws of the State of Callforn is that the foregoing is true and correct. EX¢�.aaa on 7/13/10Lv ii 1 !C_._. oa l '- w.a of T.aas..r rant a ~ 7/13/10 V R U EXBCutOtl On Oates /` y f atura f G 11 aM1oldar Ca ta. Sta aasura P oponant or Reaponslbla Officer of Sponsor ExCcutOd On Cam y Signatuf¢ o(ControlL ORcandtlar Gandydata, States M¢asura Pmponant EXacutatl on pale By Slgna[ura of Gonbolling OTf�M1old¢r Candida[¢. S[ata Maasur¢Proponant FPPC Form 460 (January/OS) FPPC Toll -Fra¢ H¢Ipli— 666/ASK-FPPC (666/275-3772) Stat. of California Type or print in ink. COVERPAGE PART2 Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Jerry L. Clay Sr OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Atascadero City Council Member RESIDENTIAL/BUSINESS ADDRESS (NO AND STREET) CITY STATE ZIP Atascadero CA 9342 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 make expenditures on behalf of your candidacy COMMITTEE NAME 11.0 NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO PO BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME LD NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE Page 2 of 3 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO OR LETTER I JURISDICTION I ❑ 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(s) 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 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) State of California Campaign Disclosure Statement Type or print in ink. SUMMARY PAGE Page Amounts may be rounded Statement covers period - , Summary to whole dollars 1/1/2010 •' from page 3 of 3 through 6/30/2010 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I I.D NUMBER Committee to Re -Elect Jerry Clay Sr 1 1308914 Column A Column B Calendar Year Summary for Candidates Contributions Received TOTALTHISPERIOD CALENDAR YEAR g Primary Running in Both the State Prima and (FROM ATTACHED SCHEDULES) TOTALTODATE General Elections 1 Monetary Contributions Schedule A, Line 3 $ $ 1/1 through 6/30 7/1 to Date 2. Loans Received Schedule B, Line 3 20 Contributions 3 SUBTOTAL CASH CONTRIBUTIONS Add Lines 1 + 2 $ $ Received $ $ 4 Nonmonetary Contributions Schedule C, Line 3 21 Expenditures 5 TOTAL CONTRIBUTIONS RECEIVED Add Lines 3 + 4 $ $ 0 Made $ $ Expenditures Made Expenditure Limit Summary for State 6 Payments Made Schedule E, Line 4 $ $ Candidates 7 Loans Made Schedule H, Line 3 22. Cumulative Expenditures Made' 8 SUBTOTAL CASH PAYMENTS Add Lines 6 + 7 $ $ (If Subject to Voluntary Expenditure Limit) 9 Accrued Expenses (Unpaid Bills) Schedule F Line 3 Date of Election Total to Date (mm/dd/yy) 10 Nonmonetary Adjustment Schedule C, Line 3 11 TOTAL EXPENDITURES MADE Add Lines 8 + g + 10 $ $ 0 $ $ Current Cash Statement 12. Beginning Cash Balance Previous Summary Page, Line 16 $ To calculate Column B add 13 Cash Receipts Column A, Line 3 above amounts in Column A to the corresponding amounts Amounts in this section may be different from amounts 14 Miscellaneous Increases to Cash Schedule 1, Line 4 from Column B of your last reported in Column B report. Some amounts in 15 Cash Payments Column A, Line 8 above Column A may be negative 16 ENDING CASH BALANCE Add Lines 12 + 13 + 14, then subtract Line 15 $ 0 figures that should be subtracted from previous If this is a termination statement, Line 16 must be zero. period amounts. If this is the first report being filed $ for this calendar year only 17 LOAN GUARANTEES RECEIVED Schedule e, Part 2 carry over the amounts fro g) Lines 2, 7 and 9 (if Cash Equivalents and Outstanding Debts an 18 Cash Equivalents See instructions on reverse $ 19 Outstanding Debts Add Line 2 + Line 9 in Column B above $ FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)