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Home My WebLink AboutForm 460 093010 Committee to Elect Chuck WardRecipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statement covers period from 7/1/2010 through 9/30/2010 Typ,g of Recipient Committee All Committees —complete Parts 1 2, 3, and 4. Iceholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure Q State Candidate Election Committee Committee Q Recall Q Controlled (Also Complete Part 5) Q Sponsored (Also Complete Part 6) F-1General Purpose Committee Q Sponsored Primarily Formed Candidate/ Q Small Contributor Committee Officeholder Committee Q Political Party/Central Committee (Also complete Part 7) 3. Committee InformationI LD %3 R z COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Committee to Elect Chuck Ward for Council 2010 STREET ADDRESS (NO P.O BOX) CITY STATE ZIP CODE AREA CODE/PHONE Atascadero CA 93422 MAILING ADDRESS (IF DIFFERENT) NO AND STREET OR PO BOX CITY STATE ZIP CODE AREA CODE/PHONE Atascadero CA 93423 OPTIONAL. FAX / E-MAIL ADDRESS Date of election if applicable: (Month, Day, Year) Date Stamp RECEIVED OCT - 1 2010 1I COVER PAGE , Page I of For Official Use Only 11/2/2010 C1jrY OF ATASCADERO I ITY CLERK'S OFFICE 2. Type of Statement: Z Preelection Statement ❑ Quarterly Statement ❑ 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 David Frayer MAILING ADDRESS CITY STATE ZIP CODE AREA CODEIPHONE Atascadero CA 93422 NAME OF ASSISTANT TREASURER, IF ANY Chuck Ward MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE Atascadero CA 93422 OPTIONAL. FAX / E-MAIL ADDRESS 4. 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_--------,, 10/1/2010 Executed on By Date Signature of Treasurer or ssistant TNasurer 10/1/2010 I Executed on B� y Date Sig ureofCorxrollingOfficehdder,Candidate,Sta Measure Proponent or Responsible Officer of Sponsor Executed on By Date Signature of Controlling Officeptilder, Candidate, State Measure Proponent Executed on By Date Signature of Controlling Officeholder Candidate, State Measure Proponent FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) State of California Recipient Committee Type or print in ink. COVER PAGE PART 2 Campaign Statement� _ RRM 460 Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Chuck Ward OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Seeking position City Council RESIDENTIAUBUSINESS ADDRESS (NO AND STREET) CITY STATE ZIP Atascadero CA 93422 Related Committees Not Included in this Statement: Listanycommittees 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 I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO RESS 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 I 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION I 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/06) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) State of California Campaign Disclosure Statement Summary Page Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 7/1/2010 SUMMARY PAGE SEE INSTRUCTIONS ON REVERSE through 9/30/2010 Page 3 Of NAME OF FILER LD NUMBER CHUCK WARD 1331768 Contributions Received Column Column B Calendar Year Summary for Candidates TOTALTHISPERIOD (FROMATTACHED SCHEDULES) CALENDAR YEAR TOTALTO DATE Running in Both the State Primary and General Elections 1 Monetary Contributions Schedule A, Line 3 $ 1924 $ 1924 2. Loans Received Schedule B, Line 3 600 600 1/1 through 6/30 7/1 to Date 3. SUBTOTALCASH CONTRIBUTIONS Add Lines 1 +2 $ 2524 $ 2524 20 Contributions Received $ $ 4 Nonmonetary Contributions Schedule C, Line 3 21 Expenditures 5 TOTAL CONTRIBUTIONS RECEIVED Add Lines 3+4 $ 2524 $ 2524 Made $ $ Expenditures Made 6. Payments Made 7 Loans Made 8. SUBTOTAL CASH PAYMENTS 9 Accrued Expenses (Unpaid Bills) 10 Nonmonetary Adjustment 11 TOTAL EXPENDITURES MADE Schedule E, Line 4 $ Schedule H, Line 3 Add Lines 6 + 7 $ Schedule F, Line 3 Schedule C, Line 3 Add Lines 8 + g + 10 $ 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 8 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. 17 LOAN GUARANTEES RECEIVED Schedule B, Part 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents See instructions on reverse $ 19 Outstanding Debts Add Line 2 + Line 9 in Column B above $ 1865 $ 1865 $ 0 1865 $ 0 1924 600 1865 659 1865 1865 0 1865 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) Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (N 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 A Type or print in ink. SCHEDULE A monetary contributions Received "' ole dolof lars. Qy VW'""""G" to towhole Statement covers period 7/1/2010 CALIFORNIA • from FORM Page 4 of SEE INSTRUCTIONS ON REVERSE through 9/30/2010 NAME OF FILER I.D NUMBER CHUCK WARD 1331768 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE* OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 DEC. 31) (IF REQUIRED) OF BUSINESS) ®IND 8/4/2010 David Frayer ❑COM RETIRED ❑ OTH 100 100 ❑ PTY ❑ SCC ®IND 8/4/2010 Chuck Ward ❑conn RETIRED 100 100 ❑ OTH ❑ PTY ❑ SCC ®IND 8/11/2010 Richard Hathcock ❑COM RETIRED 500 500 ❑ OTH ❑ PTY ❑ SCC Jack Jones ®IND 8/27/2010 ❑COM RETIRED 200 200 ❑ OTH ❑ PTY ❑ SCC Jerry Clay ®IND 9/16/2010 EICOM �� 100 100 ❑OTH I l ❑ PTY ❑ SCC SUBTOTAL$ 1000 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 j $ 1,400 $ 524 TOTAL $ 1924 *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 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule A (Continuation Sheet) TvDe or orint in ink. SCHEDULE (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA ' to whole dollars. 7/1/2010 FORM from 9/30/2010 5 97 through Page of LD NUMBER NAME OF FILER 1331768 CHUCK WARD , STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR FULL NAME, CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 DEC. 31) (IF REQUIRED) OF BUSINESS) ®IND Ted Jacobson ❑COM Meridan Insurance 100 100 9/20/2010 E] OTH ❑ PTY ❑ SCC David Sanford a IND COM Sanford Stone Co Inc. 300 300 9/29/2010 ❑ OTH ❑ PTY ❑ SCC ❑IND ❑ COM [_]OTH ❑ PTY ❑ SCC ❑IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL b 400 w ' `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 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Tvnn — —Inf :n Onl. SCHFnI H F R PART 1 VVI1=UU1C 92 — rCll L I Amounts may be rounded Statement covers periodFftge___�_ Loans Received to whole dollars. 7/1/2010 _ • 1 from of SEE INSTRUCTIONS ON REVERSE through 9/30/2010 NAME OF FILER I.D NUMBER CHUCK WARD 1331768 FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OUT (b) AMOUNT (c) (d) OUTSTANDING (e) r) (g) OF LENDER OCCUPATION AND EMPLOYER BALANCE RECEIVED THIS AMOUNT PAID BALANCEAT INTEREST ORIGINAL CUMULATIVE (IFCOMMITTEE, ALSO ENTER I.D. NUMBER) (IF SELF-EMPLOYED, ENTER BEGINNING THIS PERIOD OR FORGIVEN CLOSE OF THIS PAID THIS AMOUNT OF CONTRIBUTIONS NAME OF BUSINESS) PERI THIS PERIOD* PERIOD PERIOD LOAN TO DATE Barbara Ward RETIRED ❑ PAID CALENDAR YEAR $ $ 500 % $ 500 $ 500 ❑ FORGIVEN PER ELECTION" RATE $ 0 $ 500 $ 11/2/2010 $ 0 9/24/10 $ 500 t® IND ❑COM ❑ OTH ❑PTY [-] SCC DATE DUE DATE INCURRED Chuck Ward RETIRED ❑ PAID CALENDARYEAR $ $ 100 % $ 100 $ 100 E] FORGIVEN FORGIVEN PER ELECTION "'• $ 0 $ 100 $ 11/2/2010 $ 0 9/24/10 $ 100 t IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR ❑ FORGIVEN PER ELECTION " RATE t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC $ $ $$ $ DATE DUE DATE INCURRED SUBTOTALS $ $ $ $ Schedule B Summary 1 Loans received this period (Total Column (b) plus unitemized loans of less than $100 ) 2. Loans paid or forgiven this period (Total Column (c) plus loans under $100 paid or forgiven.) (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 ) Enter the net here and on the Summary Page Column A, Line 2. *Amounts forgiven or paid by another party also must be reported on Schedule A. ** If required. $ (66V NET $ (May be a negative number) (inter (e) cn Schedule E, Line 3) 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 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule C Type or print in ink. SCHEDULE C Amounts may be rounded NonmonetM Contributions Received to Whole dollars. Statement covers period • - , 7/1/2010 FORM from 7 �- 9/30/2010 through Page of SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER CHUCK WARD 1331768 DATE 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 RECEIVED ZIP CODE OF CONTRIBUTOR CODE * (IF SELF-EMPLOYED, ENTER GOODS OR SERVICES VALUE CALENDAR YEAR (IF REQUIRED) (IF COMMITTEE, ALSO ENTER I.D. NUMBER) NAME OF BUSINESS) (JAN 1 DEC 31) ®IND David Fray er ❑COM RETIRED CREATE 500 500 8/4/2010 WEBSITE ❑OTH ❑ PTY [:]SCC ❑IND ❑COM ❑ OTH ❑ PTY ❑ SCC [-]IND ❑COM ❑ OTH ❑ PTY ❑ SCC ❑IND ❑COM ❑ OTH ❑ PTY ❑ SCC Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ .� ° _k 777 Schedule C Summary Amount received this period — itemized nonmonetary contributions. (Include all Schedule C subtotals.) 2. Amount received this period — unitemized nonmonetary contributions of less than $100 3. Total nonmonetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page Column A, Lines 4 and 10 ) TOTAL $ S42 Z) *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 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule E Type or print in ink. Statement covers period Amounts may be rounded Payments Made to whole dollars. from 7/1/2010 SEE INSTRUCTIONS ON REVERSE NAME OF FILER CHUCK WARD through 9/30/2010 CODES If one of the following codes accurately describes the payment, you may enter the code. Otherwise describe the payment. Page 8 of I.D. NUMBER 1331768 CWP campaign paraphemalia/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 FIND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals USD 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 (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Premium Graphicx Signs 5512 Mitchelldale CMP 382 Houston TX 77092 All Signs CMP Signs 658 2732 EI Camino Real Atascadero CA 93422 USPS Postage Atascadero CA 93422 POS 205 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 1,245 Schedule E Summary 1 Itemized payments made this period. (Include all Schedule E subtotals.) $ 1,573 2. Unitemized payments made this period of under $100 $ 292 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 $ 1,865 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule ESCHEDULEE(CONT.) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Wilkins Printing 6405 EI Camino Real Atascadero, CA 93422 LIT Brochures/Buttons (Continuation Sheet) Type or print in ink. Amounts may be roundedCALIFORNIA Statement covers period 460 Payments Made to whole dollars. 7/1/2010 FORM from SEE INSTRUCTIONS ON REVERSE through 9/30/2010 Page 9 Of NAME OF FILER I.D. NUMBER CHUCK WARD 1331768 CODES If one of the following codes accurately describes the payment, you may enter the code. Otherwise describe the payment. CNP campaign paraphemalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFU returned contributions CTB contribution (explain nonmonetary)' OFC office expenses SAL campaign workers' salaries CVC civic donations PEr 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 M 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 (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Wilkins Printing 6405 EI Camino Real Atascadero, CA 93422 LIT Brochures/Buttons 228 Colony Days Committee PO Box 1913 Atascadero CA 93423 CMP Booth for local Colony Days Celebration 100 " Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 328 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)