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Home My WebLink AboutForm 460 123110 Committee to Elect Roberta FonziRecipient 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 71-2010 (Month, Day, Year) through 12-31-2010 Type of Recipient Committee. All Committees — Complete Parts 1, 2, 3, and 4. ® Officeholder Candidate Controlled Committee ❑ Primarily Formed Ballot Measure Q State Candidate Election Committee Committee Q Recall O Controlled (Also Complete Part 5) O Sponsored ❑ General Purpose Committee (Also Complete Part 6) Q Sponsored ❑ Primarily Formed Candidate/ Q Small Contributor Committee Officeholder Committee Q Political Party/Central Committee (Also Complete Part 7) 3. Committee Information I.D. NUMBER 1308152 COMMITTEE NAME (OR CANDIDATE'$ NAME IF NO COMMITTEE) Committee To Elect Roberta Fonzi (C T E.R.F) STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE Atascadero CA 93422 805-E MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX NA CITY STATE ZIP CODE AREA CODE/PHONE NA OPTIONAL. FAX / E-MAIL ADDRESS 4. Verification Date Stamp RECEIVE COVER PAGE Page 1 of 4 For Official Use Only NAICITY OF ATASCADEf O 1",1T' f I FPI 2. Type of Statement: ❑ 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 Brian P Sturtevant MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE Atascadero CA 93422 805 - NAME OF ASSISTANT TREASURER, IF ANY Alfred J Fonzi II MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE Atascadero CA 93422 805 OPTIONAL. FAX / E-MAIL ADDRESS NA 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 periury under the laws of the State of California that the foreaoina is true and correct Executed on 1-22-2011 Date Executed on 1-22-2011 Date Executed on Date Executed on Date By r ignature Tr surer or Assistant Treasurer By By Signature of Controlling Officeholder, Candidate, State Measure Proponent By Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Toll -Free Helpline FPPC Form 460 (January/05) 866/ASK-FPPC (866/275-3772) State of California i Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee Type or print in ink. NAME OF OFFICEHOLDER OR CANDIDATE Roberta Fonzi OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Atascadero City Council Member RESIDENTIAUBUSINESS 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 LD NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO PO. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEENAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO 6. Primarily Formed Ballot Measure Cnmmiftpp COVER PAGE PART 2 Page 2 of 4 NAME OF BALLOT MEASURE BALLOT NO. OR LETTERJURISDICTION ❑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 CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-F13PC (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 $ 0 0 0 through 1231-2010 Page 3 of 4 NAME OF FILER 0 0 0 $ 0 LD NUMBER Committee To Elect Roberta Fonzi 0 for this calendar year only carry over the amounts from Lines 2, 7 and 9 (if 1308152 Contributions Received any) Column A Column B Calendar Year Summary for Candidates TOTALTHISPERIOD (FROM ATTACHED SCHEDULES) CALENDAR YEAR TOTALTO DATE Running in Both the State Primary and General Elections 1 Monetary Contributions Schedule A, Line 3 $ 0 $ 10 2. Loans Received Schedule 8, Line 3 255 2411 96 1/1 through 6/30 7/1 to Date 3. SUBTOTAL CASH CONTRIBUTIONS Add Lines 1 + 2 $ 255 $ 265 20. ContributionsReceived $ $ 4 Nonmonetary Contributions Schedule C, Line 3 0 0 21 Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED Add Lines 3+4 $ 255 $ 265 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 + 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 8, 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 $ 0 $ 0 0 0 0 $ 0 0 0 0 0 0 $ 0 5996 2411 96 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) To calculate Column B, add 255 amounts in Column A to the corresponding amounts from Column B of your last 0 0 report. Some amounts in Column A may be negative 31496 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) 2411 96 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) r Tuna nr nrin4 in in4 SCHEDULEB PART1 JGrleuule d — rari -1 Amounts may be rounded Statement covers period 1: Loans Received to whole dollars. CALIFORNIA from 7-1 2010 FORM page 4 of 4 SEE INSTRUCTIONS ON REVERSE through 12-31-2010 NAME OF FILER I.D. NUMBER Committee To Elect Roberta Fonzi 1308152 FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER OUTSTANDING BALANCE AMOUNT O (`) AMOUNT PAID A OUTSTANDING (e) INTEREST (r) ORIGINAL (g) CUMULATIVE OF LENDER (IF COMMITTEE, ALSO ENTER I.D. NUMBER) (IF SELF-EMPLOYED, ENTER BEGINNING THIS RECEIVED THIS PERIOD OR FORGIVEN BALANCEAT CLOSE OF THIS PAID THIS AMOUNTOF CONTRIBUTIONS NAME OF BUSINESS) PERIOD THIS PERIOD" PERIOD PERIOD LOAN TO DATE Roberta Fonzi Realtor @ Century 21 ❑ PAID CALENDARYEAR Hometown Atascadero, CA 93422 $ 0 s 2156. 96 0 � $ 65 6 96 a 0 ❑ FORGIVEN PER ELECTION" RATE $ 215696 $ 0 $ 0 NA $ 0 10-18-08 $ NA t� IND [I COM [_1 OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED Roberta Fonzi Realtor @ Century 21 ❑ PAID CALENDARYEAR Hometown $ 0 $ 130 0 130 $ 130 Atascadero, CA 93422 ,, $ ❑ FORGIVEN PER ELECTION** RATE $ $ 130 $ 0 NA $ 0 9-27-10 $ NA t® IND ❑ COM ❑ OTH ❑ PTY [I SCC DATE DUE DATE INCURRED Roberta Fonzi Realtor @ Century 21 ❑ PAID CALENDARYEAR Hometown Atascadero CA 93422 $ 0 $ 125 0 � $ 125 $ 255 E] FORGIVEN FORGIVEN PER ELECTION*" $ $ 125 $ 0 NA $ 0 9-30-10 $ NA t® IND ❑ COM ❑ OTH ❑ PTY ❑ SCC I DATE DUE DATE INCURRED SUBTOTALS $ 255$ 0$ 2411 96 $ 0�, -. 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. d 255 E NET $ 255 (May be a negative number) (trier ie) on 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)