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HomeMy WebLinkAboutForm 460 101610 Sturtevant for City CouncilRecipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statement covers period Date of election if applicable from 10/1/2010 1 (Month, Day, Year) through 10/16/2010 1 Type of Recipient Committee: Ali Committees — Complete Parts 1 2, 3, and 4. ® Officeholder 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 s) ❑ General Purpose Committee Q Sponsored ❑ Primarily Formed Candidate/ Q Small Contributor Committee Officeholder Committee Q Political Party/Central Committee (Also Cor"aete Part 7) 3. Committee Information LD NUMBER 1330038 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO Sturtevant for City Council 2010 STREET ADDRESS (NO PO. BOX) CITY STATE ZIP CODE AREA CODE/PHONE Atascadero CA 93422 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX NA CITY STATE ZIP CODE AREA CODE/PHONE NA NA NA NA OPTIONAL. FAX / E-MAIL ADDRESS 111212010 2. Type of Statement: Date Stamp RECEIVED OCT 2 1 2010 CITY OF ATASCADER CITY CLERK'S OFFICE ® Preelection Statement ❑ Semi-annual Statement ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) Treasurer(s) NAME OF TREASURER Brian Sturtevant MAILING ADDRESS COVER PAGE Page 1 of 8 For Official Use Only ❑ Quarterly Statement ❑ Special Odd -Year Report ❑ Supplemental Preelection Statement - Attach Form 495 CITY STATE ZIP CODE AREA CODE/PHONE Atascadero CA 93422 NAME OF ASSISTANT TREASURER, IF ANY Karyn Sturtevant 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. Executed on 10/20/2010 Date Executed on 10/20/2010 Date Executed on Date Executed on Date By By By Signature of Controlling Officeholder, Candidate, State Measure Proponent By Signature of Controlling Officeholder Candidate, State Measure Proponent FPPC Form 460 (January/05) FPPC Toil -Free Helpline: 866/ASK-FPPC (866/275-3772) State of California Recipient Committee Type or print in ink. COVER PAGE PART2 Campaign Statement CALIFORNIA FORM 460 Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Brian Sturtevant 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 93422 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 I.D. NUMBER NAME OF TREASURER M7F1 OLLED COMMITTEE? ES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODEIPHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO RO BOX) CITY STATE ZIP CODE AREA CODE/PHONE Page 2 of 8 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER 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. 1F 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 Amounts may be rounded Statement covers periodW9yAJJI;[0JZJJJ Summary Pae to whole dollars. 0 , Page from 10/1 /2010 • 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+9+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 $ 3132.90 $ 0 3132.90 $ 0 684 3816.90 $ 5533.05 0 553305 0 684 621705 1048.85 To calculate Column B, add 2737.55 through 10/16/2010 Page 3 of 8 SEE INSTRUCTIONS ON REVERSE 3132.90 653.50 figures that should be subtracted from previous NAME OF FILER the first report being filed 0 I.D. NUMBER Sturtevant for City Council 2010 any). 0 11330038 Column A Column B Calendar Year Summary for Candidates Contributions Received TOTAL THIS PERIOD CALENDARYEAR Primary Runningin Both the State Prima and (FROMATTACHEDSCHEDULES) TOTALTO DATE General Elections 1 Monetary Contributions Schedule A, Line 3 $ 697 $ 4146 1/1 through 6/30 7/1 to Date 2040.55 2040.55 2. Loans Received Schedule a, Line 3 2737.55 $ 6186.55 20. Contributions 3. SUBTOTAL CASH CONTRIBUTIONS Add Lines 1 + 2 $ Received $ $ 684 684 4 Nonmonetary Contributions schedule C, Line 3 21 Expenditures $ 342155 $ 6870.55 Made $ $ 5. TOTAL CONTRIBUTIONS RECEIVED Add Lines 3 + 4 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+9+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 $ 3132.90 $ 0 3132.90 $ 0 684 3816.90 $ 5533.05 0 553305 0 684 621705 1048.85 To calculate Column B, add 2737.55 amounts in Column A to the corresponding amounts 0 from Column B of your last report. Some amounts in Column A may be negative 3132.90 653.50 figures that should be subtracted from previous period amounts. If this is the first report being filed 0 for this calendar year only carry over the amounts from Lines 2, 7 and 9 (if any). 0 2040.55 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) C..hnrl..ln A Type or print in ink. SCHEDULE A ""'""1--'� Amounts may be rounded Monetary Contributions Received to whole dollars. Statement covers period CALIFORNIA' from 10/1/2010 • - through 10/16/2010 page 4 of 8 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Sturtevant for City Council 2010 1330038 DATE ZIP FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR A RES CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED SAND IT I.D. NUMBER) (IF COMMITTEE, CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 DEC. 31) (IF REQUIRED) OF BUSINESS) Maria Morales OIND Business Owner/ 7-11 @ ❑COM corner of ECR and 100 100 10/15/2010 Atascadero, CA 93422 []OTH Curbaril El PTY ❑ SCC Sandv Silveira 01ND Retired [3Com 100 100 10/4/2010 Atascadero, CA 93422 ❑OTH ❑ PTY ❑ SCC Sandy Silveira Retired ❑OIND 100 200 10/5/2010 Atascadero, CA 93422 ❑ OTH ❑ PTY ❑ SCC [-]IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC 77 7 -777 SUBTOTAL $ 300 Schedule A Summary 1 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 $ C11 397 697 *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) 0% _ _ _. _ w w Tvna_ nr nrin4 in inir SCHFnl11 F R PART 1 % 1%W 1CUu1C D -- ra1 L 1 Amounts may be rounded Loans Received to whole dollars. Statement covers period from 10/1/2010 FOCALIFORNIARM 46 page 5 of 8 SEE INSTRUCTIONS ON REVERSE through 10/16/2010 NAME OF FILER I.D. NUMBER Sturtevant for City Council 2010 1330038 FULL NAME, STREET ADDRESS AND ZIP CODE OF LENDER (IF COMMITTEE, ALSO ENTER I.D. NUMBER) IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) OUTSTANDING BALANCE BEGINNING THIS PERIODPERIOD (b) AMOUNT RECEIVED THIS (c) AMOUNT PAID OR FORGIVEN THIS PERIOD" ) OUTSTANDING BALANCEAT CLOSE OF THIS PERIOD (e) INTEREST PAID THIS PERIOD ORIGINAL AMOUNTOF LOAN (9) CUMULATIVE CONTRIBUTIONS TO DATE Brian Sturtevant Atascadero CA 93422 Equipment Mechanic @ Diablo Canyon / Pacific Gas and Electric Co ❑ PAID $ 0 $ 2040.55 0 $ 2040 55 CALENDARYEAR $ 213955 ❑ FORGIVEN PERELECTION* RATE t® IND El COM El OTH [I PTY E] SCC $ $ 2040.55 $ 0 $ 0 10/4/10 DATE DUE DATE INCURRED $ ❑ PAID CALENDARYEAR ❑ FORGIVEN PER ELECTION ** RATE tEl IND ❑ COM ❑ OTH ❑ PTY ❑ SCC a s s $ DATE DUE DATE INCURRED $ ❑ PAID CALENDARYEAR ❑ FORGIVEN PER ELECTION RATE tEl IND ❑ COM$ ❑ OTH ❑ PTY ❑ SCC $ $ $ DATE DUE DATElNCURRED $ SUBTOTALS $ 2040 55 $ 0 $ 2040.55 $ 0gp On iR 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 parry also must be reported on Schedule A. ** If required. tmmer te! on Schedule E, Line 3) $ 204055 U NET $ 204055 (May be a negative number) 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 Nonmonetary Contributions Received to whole dollars.CALIFORNIA Statement covers period ,., from 10/1 /2010 • - through 10/16/2010 Page 6 of 8 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Sturtevant for City Council 2010 1330038 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 RECEIVEDZIP 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) Alfred Fonzi ®IND Retired Ad in the 10/12/10 ❑COM Atascadero News 348 647 Atascadero, CA 93422 ❑OTH ❑ PTY ❑ SCC Kerrie McNerlin ®IND General Manager @ Campaign Visors 10/12/10 ❑COM Wilkins Printing 336 336 Atascadero CA 93422 ❑OTH ❑ PTY ❑ SCC ❑ IND ❑COM ❑ OTH ❑ PTY ❑SCC ❑ IND ❑COM ❑ OTH ❑ PTY [-]SCC Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 684 ..ti,..x- Schedule C Summary 1 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 ) *Contributor Codes IND - Individual 684 COM - Recipient Committee (other than PTY or SCC) 0 OTH - Other (e.g., business entity) PTY- Political Party SCC - Small Contributor Committee TOTAL $ 684 FPPC Form 460 (January/05) FPPC Toll -Free Helpline- 866/ASK-FPPC (866/275-3772) Schedule E Payments Made Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 10/1/2010 SEE INSTRUCTIONS ON REVERSE through 10/16/2010 Page 7 of 8 NAME OF FILER LD NUMBER Sturtevant for City Council 2010 1330038 CODES. If one of the following codes accurately describes the payment, you may enter the code Otherwise describe the payment. CINE campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants k4TG meetings and appearances RFD 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 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 (Internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR 6550 EI Camino Real Atascadero, CA 93422 CMP WilKins vrintmg 6405 EI Camino Real Atascadero, CA 93422 CMP wuKlns t-nniing 6405 EI Camino Real Atascadero, CA 93422 LIT * Payments that are contributions or independent expenditures must also be summarized on Schedule D. Schedule E Summary 1 Itemized payments made this period (Include all Schedule E subtotals ) DESCRIPTION OF PAYMENT 2. Unitemized payments made this period of under $100 3 Total interest paid this period on loans. (Enter amount from Schedule B Part 1 Column (e) ) 4 Total payments made this period (Add Lines 1 2 and 3 Enter here and on the Summary Page Column A, Line 6 ) AMOUNT PAID m 62.24 289055 SUBTOTAL$ 3052.79 $ 3132.90 $ 0 $ 0 TOTAL $ 3132.90 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule E CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID All Signs 2732 EI Camino Real Atascadero, CA 93422 CMP Sign SCHEDULE E (CONT ) Type or print in ink. Statement ecovers period • - t (Continuation Sheet) Amounts may be rounded Payments Made to whole dollars. from 10/1/2010 FORM • SEE INSTRUCTIONS ON REVERSE through 10/16/2010 h Page g of g NAME OF FILER I.D. NUMBER Sturtevant for City Council 2010 1330038 CODES If one of the following codes accurately describes the payment, you may enter the code Otherwise, describe the payment. CMP 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 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 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) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID All Signs 2732 EI Camino Real Atascadero, CA 93422 CMP Sign 8011 * Payments that are contributions or independent expenditures must also be summarized on Schedule D SUBTOTAL $ 8011 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)