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Home My WebLink AboutForm 460 123110 Committee to Re-elect Joe Modica City Treasurer 2010Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statement covers period from 10-1-2010 through 12-31-2010 Date of election if applicable - (Month, Day, Year) COVER PAGE RECMED JAN 3 1 2011 Page 1 of 5 For Official Use Only 11-02-2010 C[TY OF ATASCADERO ITY CLERK'S OFFICE 1 Type of Recipient Committee All Committees — Complete Parts 1 2, 3, and 4. 2. Type of Statement: ® Officeholder Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑ Preelection Statement ❑ Quarterly Statement Q State Candidate Election Committee Committee ❑ Semi-annual Statement ❑ Special Odd -Year Report Q Recall Q Controlled Termination Statement ❑ Supplemental Preelection (Also Complete Part 5) O Sponsored (Also file a Form 410 Termination) Statement Attach Form 495 F1 General Purpose Committee (Also Complete Part 6) ❑ Amendment (Explain below) Q Sponsored ❑ Primarily Formed Candidate/ Q Small Contributor Committee Officeholder Committee 0 Political Party/Central Committee (Also Complete Part 7) 3. Committee Information I LD NUMBER COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Committee to re-elect Joe Modica City Treasurer 2010 STREET ADDRESS (NO P.0 BOX) CITY STATE ZIP CODE AREA CODE/PHONE Atascadero CA 93422 805-461-5903 MAILING ADDRESS (IF DIFFERENT) NO AND STREET OR PO BOX CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL. FAX / E-MAIL ADDRESS Treasurer(s) NAME OF TREASURER Joseph Modica Jr MAILING ADDRESS CITY 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 / 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 01 27-2011 By Date Executed on 01-27-2011 By Date Executed on Date By Signature of Controlling Officeholder Candidate, State Measure Proponent Executed on Date BY Signature of Controlling Officeholder Candidate, State Measure Proponent FPPC form 460 (January/06) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/276-3772) State of California Recipient Committee Campaign Statement Cover Page — Part 2 5 Officeholder or Candidate Controlled Committee Type or print in ink. NAME OF OFFICEHOLDER OR CANDIDATE Joseph Modica Jr OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) City Treasurer 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 COMM(TTEENAME 1.0 NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NC PO BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I.D NUMBER Committee To Re-elect Joe Modica City Trea NAME OF TREASURER CONTROLLED COMMITTEE? Joseph Modica Jr ® YES ❑ NO 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE COVER PAGE PART 2 Page 2 of 5 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 IF ANY 7 Primarily Formed Candidate/Officeholder Committee Listnames of officeholder(s) or candidate(s) for which this committee is primarily formed. COMMITTEE ADDRESS STREETADDRESS (NOPO BOX) 8380 Morro Rd CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary Atascadero CA 93422 805-461-5903 NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ® SUPPORT Joseph Modica Jr City Treasurer ❑ 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 FPPC Form 460 (January/o5) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/276-3772) State of California Campaign Disclosure Statement Type or print in ink. Amounts may be rounded Summary Page to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER Joseph Modica Jr Statement covers period from 10-1-2010 through 12-31-2010 SUMMARY PAGE Page 3 of 5 LD NUMBER Expenditures Made 6 Payments Made 7 Loans Made 8 SUBTOTALCASH 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 S above $ 0 $ 0 0 $ 0 0 0 $ 1 665 1 665 1 665 -1 017 To calculate Column B, add ColumnA Column B Calendar Year Summary for Candidates Contributions Received TOTALTHIS PERIOD CALENDAR YEAR Primary Running in Both the State Prima and report. Some amounts in Column A may be negative figures that should be subtracted from previous 0 (FROMATTACHED SCHEDULES) TOTAL TO DATE 9 the first report being filed General Elections 1 Monetary Contributions Schedule A, Line 3 $ 0 $ 648 0 0 1 665 1/1 through 6/30 7/1 to Date 2. Loans Received Schedule 8, Line 3 0 2 313 20 Contributions 3 SUBTOTAL CASH CONTRIBUTIONS Add Lines 1 + 2 $ $ Received $ $ 4 Nonmonetary Contributions Schedule C, Line 3 0 21 Expenditures 5 TOTAL CONTRIBUTIONS RECEIVED Add Lines 3 +4 $ 0 $ 2 313 Made $ $ Expenditures Made 6 Payments Made 7 Loans Made 8 SUBTOTALCASH 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 S above $ 0 $ 0 0 $ 0 0 0 $ 1 665 1 665 1 665 -1 017 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 0 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 0 any) 0 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) ScheduleA Type or print in ink. SCHEDULE A Amounts may be rounded Monetary Contributions Received to dollars. Statement covers period CALIFORNIA, Whole 10-1-2010 ' • - from 12-31-2010 4 5 through Page of SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D NUMBER Joseph Modica Jr 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 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 ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL $ 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 ) TOTAL $ "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) SCHEDULEB PART1 Schedule B — Part 1 AmountsVmay be rounded Statement coversCALIFORNIA ' Loans Received to whole dollars. 10-1-2010 FORM from 5 12-31-2010 SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER I.D NUMBER Joseph Modica Jr FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OUTSTANDING (b) AMOUNT (o) AMOUNT PAID OUTSTANDING (e) INTEREST ORIGINAL (g) CUMULATIVE OF LENDER OCCUPATION AND EMPLOYER (IFSELF-EMPLOYED, ENTER BALANCE BEGINNING THIS RECEIVED THIS OR FORGIVEN BALANCEAT CLOSE OF THIS PATO THIS AMOUNT OF CONTRIBUTIONS (IF COMMITTEE, ALSO ENTER I.D.NUMBER) NAME OF BUSINESS) PERIOD PERIOD THISPERIOD' PERI PERIOD LOAN TO DATE ❑ PAID CALENDARYEAR Joseph Modica Jr Financial Planner $ $ 1,665 $ 648 % $ FORGIVEN PER ELECTION" Atascadero CA 93422 RATE $ 1665 $ 648 $ 1017 $ 09-15-10 $ DATE DUE DATE INCURRED tv IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ PAID CALENDAR YEAR ❑ FORGIVEN PER ELECTION *" RATE DATE DUE DATE INCURRED t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ PAID CALENDAR YEAR ❑ FORGIVEN PER ELECTION RATE DATE DUE DATE INCURRED t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTALS $ $ $ $ i (Enter (e) on Schedule B Summary Schedule E, Line 3) 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 orforgiven) (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. $ 1 017 NET $ -1,017 (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)