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Home My WebLink AboutForm 460 123110 Committee to Elect Tom OMalley to CC 2010Recipient 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 (Month, Day Year) ,[ V through \ J I _ 1\ /2_z]=oI0 Type of Recipient Committee All Committees - Complete Parts 1 2, .3, and 4. '�OfPcehoider, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure Q State Candidate Election Committee Committee Q Recall Q Controlled (Also Complete Part 5) O Sponsored (Also Complete Part 6) ❑ General Purpose Committee Q Sponsored ❑ Primarily Formed Candidate/ Q Small Contributor Committee Officeholder Committee Q Political Party/Central Committee (Also Complete Part 7) 3 Committee information _77 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) t r cTPPPT ADDRESS (NQ—PO BOXJ \\'z.Sc_,& . 4D C W C�� ' �S(J 1) Al CODE/PHONE5-7 OPTIONAL. IT COVERPAGE Page � of CITY OF ATASCAgERO eta CITY r`I h, If -F Type of Statement: ❑ ;Preelection Statement ❑ Semi-annual Statement ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amen`dment (Explain below) Treasurer(s) NAME OF TR ASURER W MAIL INC= AnnRFCC For Official Use Only ❑ Quarterly Statement ❑ Special Odd -Year Report ❑ Supplemental Preelection Statement Attach Form 495 CIT � r�tt �r vut rrtcr• wvc�r r, v.,c 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 tract. Executed on By rjSign , MawrerorAssisiantTreasurer I i Executed on By Date Signature of ControllingOfricsh tate Measure Proponent or Responsible Officer ofSponsor Executed on Date Executed on Date By Signature of Controlling Officeholder Candidate, Slate Measure Proponent By Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) State of California Type or print in ink. Recipient Committee Campaign Statement Cover Page -- Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD (INCLUDE LOCAT! N AND DISTRICT NUMB R IF APPLICABLE) RESIDENTIAUBUSINESS ADDRESS (NO. ANDSTREET) CITY J STATZIP , � 2:L��.�j\ 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 NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? O YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I.D. NUMBER - ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE 6 Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO OR LETTER COVERPAGE PART2 Page of 6 ❑ SUPPORT 0 OPPOSE A 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 officehoider(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 Toil -Free Helpline: 8661ASK•FPPC (8661275.3772) State of California Campaign Disclosure Statement Type or print In Ink. Amounts may be rounded Summary Page to whole dollars. Statement overs priGod from `' through `� ` D Page of NAME of FILER.; 6. Payments Made Schedule E, Line 4 7 Loans Made Schedule H. Line 3 I.D. NUMBER Add Lines 6+7 9 Accrued Expenses (Unpaid Bilis) Column A Column B Calendar Year Summary for Candidates Contributions Received Add Lines 8 + 9 + 10 TOTALTHISPERIOD CALENDAR YEAR Running in Both the State Prima and g Primary (FROM ATTACHED SCHEDULES) na.j � L., I TOTALTODATE General Elections 1 Monetary Contributions Schedule A, Line 3 $ —\ 0U U $ ^��o 1/1 through 6/30 7/1 to Dale 2 Loans Received Schedule 8, Line 3 _ — tJ % b 20 Contributions 3. SUBTOTAL CASH CONTRIBUTIONS Add Lines 1 + 2 $ $ Received $ $ 1—r-- 4 Nonmonetary Contributions Schedule c, Line 3 '— ` °�7 3 21 Expenditures Made $ $ 5. TOTAL CONTRIBUTIONS RECEIVED Add Lines 3 + 4 $ $ ( Expenditures Made 6. Payments Made Schedule E, Line 4 7 Loans Made Schedule H. Line 3 8. SUBTOTAL CASH PAYMENTS Add Lines 6+7 9 Accrued Expenses (Unpaid Bilis) Schedule F, Line 3 10 Nonmonetary Adjustment schedule C, Line 3 11 TOTAL EXPENDITURES MADE 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 t, Line 4 15. Cash Payments Column A. Line 8 above $ ,-10 ` 0 0 vv G 1 $ Ag,l 5„3 $ 3 5 16 ENDING CASH BALANCE Add Unes 12 + 13 + 14, then subtract Line 16 $ It this is a termil tion statement, Une 16 must be zero. Oq 17 LOAN GUARANTEES RECEIVED Schedule e, Part 2 $ C) Cash Equivalents and Outstanding Debts 18. Cash Equivalents See Instructions on reverse 19 Outstanding Debts Add Line 2+ Line 9 In Column 8 above $ 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" (If Subject to voluntary Expenditure Limit) Date of Election (mm/dd/yy) Total to Date 'Amounts In this section may be different from amounts reported in Column B. FPPC Form 460 (January/05) FPPC Toil -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule A Type or print in Ink. SCHEDULE A Moneta Contributions Received Amounts may be rounded Monetary to whole dollars. Statement covers period ' from 1� � • � �1� through l I f Page SEE INSTRUCTIONS ON REVERSE of NAME OF FILER 1 � I.D. NUMBER`_ DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTERI.D.NUMBER) CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 DEC. 31) (IF REQUIRED) OF BUSINESS) C ❑INDb�.—� ❑OTH k4 ej b t-1 y (��1Li Ste` " SCC 1� 17/10 ZIND ❑COM ❑OTH ❑ PTY ❑SCC ❑ IND [:]COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL$ c) c) 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 $ 9V-4 '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) SCHEDULE B PART 1 'rV V r - Schedule B —Part 1 Amounts may be rounded Statement covers period P � � . � � 1 Loans Received to Whole dollars. from n � � . •(f \14 ,3 '11,`v Page SEE INSTRUCTIONS ON REVERSE through of NAME OF FILER I.D. NUMBER FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER OUTSTANDING BALANCE (b) AMOUNT (c) AMOUNT PAID OUTSTANDING BALANCE AT e) INTEREST ORIGINAL g CUMULATIVE OF LENDER (IF SELF-EMPLOYED. ENTER BEGINNING THIS RECEIVED THIS OR FORGIVEN CLOSE OF THIS PAID THIS AMOUNT OF CONTRIBUTIONS (IF COMMITTEE, ALSO ENTER I.D. NUMBER) NAME OF BUSINESS) PERIOQ PERIOD THIS PERIOD` PERIOD PERIOD LOAN TO DATE CALENDAR YEAR V g i 1% $ $ ❑ FORGIVEN RATE PER ELECTION`* IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE INCURRED DATE DUE ❑ PAID CALENDAR YEAR $ S % E S PER ELECTION" ❑ FORGIVEN RATE 5 S S S S DATEDUE DATE INCURRED t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ PAID CALENDAR YEAR ❑ FORGIVEN PER ELECTION RATE S S S 1 S DATE DUE t ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE INCURRED SUBTOTALS $ $ \Ito, Ut,? $ 'LO t4'L4 Schedule B Summary x 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 tlru Hued ho reporte'd on Schedule A. If required. NET $ 1 ) 0 Q (May be a negative number) „o, .„ Schedule E, Lina 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 (8661275.3772) Schedule E Type or print in ink. Amounts may be rounded Statement covers period , , 460 Payments Made to whole dollars. l p �� 10 •' from -76 t� Page of SEE INSTRUCTIONS ON REVERSE through —L— NAME OF FILER I.D. NUMBER CODES If one of the following codes accurately describes the payment, you may enter the code. Otherwise describe the payment. CMP campaign paraphemalia/mise. 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 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 1 -76 " Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 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 ) $_ $ TOTAL $ �1 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) V