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HomeMy WebLinkAboutForm 460 123110 Friends of Ellen BeraudRecipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE fro Type or print In Ink. Statement covers period m July 1 2010 through Dec. 31, 2010 Type of Recipient Committee' All Committees — Complete Parts 1, 2, 3, and 4. ® Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure O State Candidate Election Committee Committee Q Recall Q Controlled (Also Complete Part 5) () Sponsored (Also CompWs Part s) ❑ General Purpose Committee Q Sponsored ❑ Primarily Formed Candidate/ Q Small Contributor Committee Officeholder Committee 0 Polftical Party/Central Commlttee (Also Complete Part7) 3. Committee Information LD NUMBER 1266989 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Friends of Ellen Beraud STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA r;nDE/PHONE Atascadero CA 93422 MAILING ADDRESS (IF DIFFERENT) NO AND STREET OR P.O. BOX MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE Atascadero CA 93423 OPTIONAL. FAX / E-MAIL ADDRESS Date of election if applicable f, Page 1 of 4 (Month, Day, Year) For Oficial Use Only CITY OF ATASCADERO n/a CITY CLERK'S OFFICE 2. Type of Statement: ❑ Preelection Statement ❑ Quarterly Statement ❑ Seml-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 Jim Dewing MAILING ADDRESS CITY STATE ZIP CODE AQrA 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 correc Executed on Jan. 20 2011 BY 7We / Slg ureo1T o ealatantTreasurer Executed on Date ! ( BY St of ControllingOMcehol , andldele,StateMeasureProponentorResponsibleOf erofSponsor Executed on Date BY SipnetureofCoMrollingOficetwldar, Cendldate, Slate Measure Proponent Executed on BY Date SlgnatureafCon(rouingOftkehol er,Carxddate,StateMeeaureProponent FPPC Form 480 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8681276.3772) State of California Type or print in Ink. COVER PAGE PART 2 Recipient Committee CALIFORNIA Campaign Statement FORM 460 Cover Page — Part 2 6. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Ellen Beraud 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 prlmadly formed to receive contributions or make expenditures on behalf of your candidacy. commI T'EENAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMfTTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (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 P.O. BOX) CITY STATE ZIP CODE AREA CODEIPHONE Page 2 of 4 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTERI JURISDICTION I ❑ SUPPORT ❑ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, K any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT 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 480 (January/06) FPPC Toll -Free Helpline: BBBIASK-FFPC (8881278-3772) State of California Campaign Disclosure Statement Type or print In Ink. Amounts may be rounded Summary Page to whole dollars, SEE INSTRUCTIONS ON SUMMARY PAGE Statement covers period CALIFORNIA, from July 1, 2010 • • e through Dec. 31, 2010 Page 3 of 4 NAME OF FILER 1368 Schedule H, Line 3 0 Add Lines 6 + 7 $ 1368 Schedule F Line 3 0 Schedule C, Line 3 O Add Lines 6 + g + 10 $ I.D. NUMBER Friends of Ellen Beraud 11266989 Contributions Received Column A Column 8 Calendar Year Summary for Candidates (FROM ATTACHED CHEOTALTHISEDDULES) CALENDAR TOTALTO DAT Running In Both the State Primary and General Elections 1 Monetary Contributions Schedule A,Line 3 $ 0 $ 0 2. Loans Received Schedule s, Line 3 O 0 1/1 through 6/30 711 to Date 3. SUBTOTAL CASH CONTRIBUTIONS Add Lines l+2 S 0 $ 0 20 Contributions Received $ $ n/a 4 Nonmonetary Contributions Schedule C, Line 3 0 30 21 Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED Add Lines 3+4 $ 0 $ 30 Made $ $ n/a 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 $ 1368 Schedule H, Line 3 0 Add Lines 6 + 7 $ 1368 Schedule F Line 3 0 Schedule C, Line 3 O Add Lines 6 + g + 10 $ 1368 Current Cash Statement 12. Beginning Cash Balance Previous Summary Page, Line 16 $ 1368 13. Cash Receipts Column A, Line 3 above 0 14 Miscellaneous Increases to Cash Schedule 1, Line 4 0 15. Cash Payments Column A, Line a above 1368 16, ENDING CASH BALANCE Add Lines 12 + 13 + 14, then subtract Line 15 $ 0 ff this is a termination statement, Lrne 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 9inColumn Babove $ F. n n $ 1398 A $ 1396 n U $ 1398 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* )tf eublect to Voluntary Expendlturs Limlt) Date of Election Total to Date (mm/dd/yy) $ n/a $ n/a 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 (868/276-3772) Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE Type or print In Ink. Amounts may be rounded to whole dollars. Statement covers period from July 1 2010 through Dec. 31, 2010 Page 4 of 4 NAME OF FILER I.D. NUMBER Friends of Ellen Beraud 1266989 CODES. If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CW campaign paraphemalta/misc. NtBR member communications RAD radio airtime and production costs CNS campaign consultants WrG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)" OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TE- t.v, or cable airtime and production costs FIL candidate fllinglballot 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 Lrr campaign literature and mailings PRT print ads WEB information technology costs (Internet, a -mall) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Atascadero Friends of the Library 6850 Morro Rd., PO Box 561 CVC 1,000 Atascadero, CA 93423 Trader Joe's 1111 Rossi Rd MTG 368 Templeton, CA 93465 " Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL: 1,368 Schedule E Summary 1 Itemized payments made this period (Include all Schedule E subtotals.) $ 1,368 2. Unitemized payments made this period of under $100 $ 0 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) $ 0 4 Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) TOTAL $ 1,368 FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/276-3772)