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Home My WebLink AboutForm 460 123110 Sturtevant for City Council 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 10-17-10 through 12-31-10 1 Type of Recipient Committee All Committees — Complete Parts 1, 2, 3, and 4. ® Officeholder Candidate Controlled Committee Q State Candidate Election Committee Q Recall (Also Complete Part 5) ❑ General Purpose Committee Q Sponsored Q Small Contributor Committee Q Political Party/Central Committee 3. Committee Information COMMITTEE NAME (OR CANDIOATE'S NAME Sturtevant For City Council 2010 STREET ADDRESS (NO PO BOX) ❑ Primarily Formed Ballot Measure Committee Q Controlled Q Sponsored (Also Complete Part 6) Date of election if applicable: (Month, Day, Year) 11-2-2010 COVER PAGE Date Stamp RECEIVED JAN 2 8 2011 Page 1 of 7 For Official Use Only ITY OF ATASCADER rlTv r `Pvi Q rFFIrrF 2. Type of Statement: ❑ Preelection Statement Semi-annual Statement ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) ❑ Quarterly Statement ❑ Special Odd -Year Report ❑ Supplemental Preelection Statement Attach Form 495 ❑ Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) I.D. NUMBER 1330038 Treasurer(s) COMMITTEE) NAME OF TREASURER Brian Sturtevant MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE Atascadero CA 93422 MAILING ADDRESS (IF DIFFERENT) NO AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE/PHONE Atascadero CA 93422 _ NAME OF ASSISTANT TREASURER, IF ANY Karyn Sturtevant MAILING ADDRESS NA CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE NA Atascadero CA 93422 OPTIONAL. FAX / E-MAIL ADDRESS OPTIONAL. FAX / E-MAIL ADDRESS NA 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 1-22-2011 Data Executed on 1-22-2011 Date Executed on Date Executed on Date By By or Responsible Officer By Signature of Controlling Officeholder, Candidate, State Measure Proponent By Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/2753772) State of California Type or print in ink. COVERPAGE PART2 Recipient Committee _ NIA Campaign Statement O CALIFO A RM • 1 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 CONTROLLED COMMITTEE? ❑ 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 CODE/PHONE Page 2 of 7 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, 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 E] 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. Amounts may be rounded Summary Page to whole dollars. Statement covers period from 10-17-10 SUMMARYPAGE SEE INSTRUCTIONS ON REVERSE To calculate Column B, add amounts in Column A to the corresponding amounts from Column B of your last 0 through 12-31-10 Page 3 of 7 NAME OF FILER period amounts. If this is the first report being filed I.D. NUMBER Sturtevant For City Council 2010 any). 1330038 Contributions Received Column A Column B Calendar Year Summary for Candidates TOTALTHISPERIOD (FROMATTACHEDSCHEDULES) CALENDARYEAR TOTALTO DATE Running in Both the State Primary and General Elections 1 Monetary Contributions Schedule A, Line 3 $ 299 $ 4445 2. Loans Received Schedule li, Line 3 -400 164055 1/1 through 6/30 7/1 to Date 3. SUBTOTAL CASH CONTRIBUTIONS Add Lines 1 + 2 $ -101 $ 6085.55 20. ContributionsReceived $ $ 4 Nonmonetary Contributions Schedule C, Line 3 0 684 21 Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED Add Lines 3+4 $ -101 $ 6769.55 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 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 $ 42405 $ 0 42405 $ 0 0 42405 $ 65350 401-YAWi, 0 595710 0 684 6641 10 -101 To calculate Column B, add amounts in Column A to the corresponding amounts from Column B of your last 0 42405 report. Some amounts in Column A may be negative figures that should be subtracted from previous 128.45 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). 164055 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) Schedule A Type or print in ink. SCHEDULE A MonetaryContributions Received Statement covers period to whole dollars. • - ' from 10-17-10 - , SEE INSTRUCTIONS ON REVERSE through 1231-10 Page 4 of 7 NAME OF FILER I.D. NUMBER Sturtevant For City Council 2010 1330038 DATEFULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IFCOMMITfEE,ALSOENTERI.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) Juanita Donnelly 01ND Teacher @ Kings 11-1-10 ❑COM ❑❑ Academy San Jose 100 100 San Jose, CA 95118 PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL $ 100 � a ; 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 $ 100 199 299 *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) Tuna nr nrin4 in ink SCHEDULEB PART1 C e U e 5 — Part 1 Amounts may be rounded Statement covers period Loans Received to whole dollars. 10-17-10 • from a. page 5 of 7 SEE INSTRUCTIONS ON REVERSE through 12-31-10 NAME OF FILER LD NUMBER Sturtevant For City Council 2010 1330038 FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER a OUTSTANDING BALANCE (b) AMOUNTOUTSTANDING (c) AMOUNTPAID (d) (e) INTEREST ( ) ORIGINAL (g) CUMULATIVE OF LENDER (IF COMMITTEE, ALSO ENTER I.D. NUMBER) (IF SELF-EMPLOYED, ENTER BEGINNING THIS RECEIVED THIS OR FORGIVEN* gALANCEAT CLOSE OF THIS PAID THIS AMOUNT OF CONTRIBUTIONS NAME OF BUSINESS) PERI D PERIOD THIS PERIOD PE IOD PERIOD LOAN TO DATE Brian Sturtevant Equipment Mechanic @ PAID CALENDAR YEAR Diablo Canyon / Pacific 4001640 55 0 2040.55 $ 213955 Atascadero, CA 93422 Gas and Electric Co $ ,� $ C] FORGIVEN PERELECTION** RATE $ 2040.55 $ 0 0 NA $ 0 10-4-10 $ NA tm IND ❑ COM ❑ OTH ❑ PTY ❑ SCC $ DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR ❑ FORGIVEN PER ELECTION** RATE $ $ $ $ $ DATE DUE DATE INCURRED t ❑ IND ❑COM ❑ OTH ❑PTY ❑SCC ❑ PAID CALENDAR YEAR ❑ FORGIVEN PERELECTION** RATE $ $ $ $ $ DATE DUE DATE INCURRED t❑ IND El COM ❑ OTH ❑ PTY ❑ SCC SUBTOTALS $ 0$ 400$ 1640.55 $ 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. $ (Enter (e) on Schedule E, Line 3) 0 tContributor Codes 400 NET $ -400 (May be a negative number) 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-F1PPC (866/275-3772) Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Sturtevant For City Council 2010 Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 10-17-10 through 12-31-10 CODES If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment Page 6 of 7 I.D. NUMBER 1330038 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 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 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 (intemet, e-mail) NAME AND ADDRESS OF PAYEE 42405 $ (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID Atascadero News 42405 Newspaper Ad 5660 EI Camino Real Atascadero, CA 93422 PRT 217.50 All Signs Campaign Signs 2732 EI Camino Real Atascadero CA 93422 CMP 13098 Atascadero MPO Stamps for Thank You Cards 9800 EI Camino Real Atascadero CA 93422 POS 15.84 " Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 364.32 Schedule E Summary 1 Itemized payments made this period (Include all Schedule E subtotals ) 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 ) $ 42405 $ 0 $ 0 TOTAL $ 42405 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) SCHEDULE E CONT Schedule E Type or print in ink. Statement covers period (CONT) (Continuation Sheet) Amounts may be rounded •' Payments Made to whole dollars. from 10-17-10 !.--- , tSEE INSTRUCTIONS ON REVERSE through 12-31-10 pa7 of 7NAME OF FILERLD NU 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. CNP campaign paraphernalia/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 FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals PD 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 Rite Aid 7025 EI Camino Real Atascadero, CA 93422 CMP Colony Days Float Decorations 1973 RaboBank 6950 EI Camino Real Atascadero, CA 93422 CMP Bank Checking Account Fees 40 * Payments that are contributions or independent expenditures must also be summarized on Schedule D SUBTOTAL $ 5973 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)