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HomeMy WebLinkAboutForm 460 063011 A Better AtascaderoRecipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) Type or print In ink. Statement covers periodI Date of election if applicable 1/1/2011 (Month, Day, Year) from J." COVER PAGE H CEI V •' J U L 2 1 201 Page 1 of 4 For Official Use Only STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE Atascadero CITY'OFATA SCA SEE INSTRUCTIONS ON REVERSE MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX 6/30/2011 through ERO CITY C!_FRK'S QFF C CITY 1. Type of Recipient Committee: All Committees -Complete Parts 1, 2, 3, and 4. 2. Type of Statement: Atascadero ❑ Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑ Preelection Statement ❑ Quarterly Statement O State Candidate Election Committee Committee [,% Semi-annual Statement ❑ Special Odd -Year Report O Recall Q Controlled ❑ Termination Statement ❑ Supplemental Preelection (Also CompletePart5) O Sponsored (Also file a Form 410 Termination) Statement -Attach Form 495 ® General Purpose Committee (Also Complete Part 6) E] Amendment (Explain below) Q Sponsored ❑ Primarily Formed Candidate/ Q Small Contributor Committee Officeholder Committee O Political Party/Central Committee (Also Complete Part 7) 3. Committee Information I.D. NUMBER 1304988 Treasurer(s) COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER A Better Atascadero (ABA) Donald Cross MAII INr AnnRFSS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE Atascadero Ca 93422 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX ve. CITY STATE ZIP CODE AREA CODE/PHONE Atascadero Ca 93422 OPTInNAI • FAX / E-MAIL ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE ca 93422 NAME OF ASSISTANT TREASURER, IF ANY MAn INr ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE Atascadero Ca 93422 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. 07 Executedon BY yaw ig ),p of Treasurer or s Executed on / BY17 Date I Signature of Controlling Officeholder, Candidate, State easureProponentorResponsibleOfficerofSponsor Executed on Date By Sign ontrolling Officeholder, Candidate, State Measure Proponent Executed on BY Date:,. Signature of Controlling Officeholder, Candidate, State Measure Proponent 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. SUMMARYPAGE Summary Page 6. Payments Made ....................................................... Amounts may be rounded to whole dollars. $ Statement covers period11 111 o / ' Schedule H, Line 3 0 0 8. S U BTOTAL CAS H PAYM E NTS .................................... 1/1/2011 101 - $127.00 $ $127.00 9. Accrued Expenses (Unpaid Bills Schedule F, Linea from 0 0 10. Nonmonetary Adjustment .......................................... Schedule C, Line 3 0 0 through 6/30/2011 Page 2 of 4 SEE INSTRUCTIONS ON REVERSE $ $127.00 Current Cash Statement NAME OF FILER Previous Summary Page, Line 16 $ $3,701.00 To calculate Column B, add I.D. NUMBER A Better Atascadero (ABA) $2,314.00 amounts in Column A to the 1304988 0 A B Calendar Year Summary for Candidates Contributions Received TDColumn D cColuDmn rl�� Running in Both the State Primaand $127.00 (FROMATTACHED SCHEDULES) TOTAL TO DATE g $ $5,888.00 figures that should be General Elections 1. Monetary Contributions ........................................... Schedule A, Line 3 $ $2,314.00 $ $2,314.00 period amounts. If this is 0 0 1/1 through 6/30 7/1 to Date 2. Loans Received...................................................... Schedule e, Line 3 17. LOAN GUARANTEES RECEIVED ........................... Schedule s, Part 2 3. SUBTOTALCASH CONTRIBUTIONS ......................... Add Lines 1+2 $ $2,314.00 $ $2,314.00 20. Contributions Received $ $2,314.00 $ 4. Nonmonetary Contributions .................................... Schedule C, Line 3 0 0 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED.........•.••.•.••••••••••• Add Lines 3+4 $2,314.00 $ $ $2,314.00 Made $ $127.00 $ See instructions on reverse Expenditures Made 6. Payments Made ....................................................... Schedule E, Line 4 $ $127.00 $ $127.00 7. Loans Made............................................................. Schedule H, Line 3 0 0 8. S U BTOTAL CAS H PAYM E NTS .................................... Add Lines 6+7 $ $127.00 $ $127.00 9. Accrued Expenses (Unpaid Bills Schedule F, Linea 0 0 10. Nonmonetary Adjustment .......................................... Schedule C, Line 3 0 0 11. TOTAL EXPENDITURES MADE ................................ Add Lines 8+s+10 $ $127.00 $ $127.00 Current Cash Statement 12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ $3,701.00 To calculate Column B, add 13. Cash Receipts................................................... Column A, Line 3 above $2,314.00 amounts in Column A to the 0 corresponding amounts 14. Miscellaneous Increases to Cash ........................... Schedule 1, Line 4 from Column B of your last 15. Cash Payments .................................................. Column A, Line 8 above $127.00 report. Some amounts in Column A may be negative 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ $5,888.00 figures that should be subtracted from previous If this is a termination statement, Line 16 must be zero. period amounts. If this is the first report being filed 17. LOAN GUARANTEES RECEIVED ........................... Schedule s, Part 2 $ for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if Cash Equivalents and Outstanding Debts any). 18. Cash Equivalents ........................................ See instructions on reverse $ 19. Outstanding Debts ......................... Add Line 2 +Line s in Column S above $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (H 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) Q^k^ s iIn A Type or print in Ink. SCHEDULE A Amounts may be rounded Monetary Contributions Received to whole dollars. Statement covers period ' ' 1/1/2011 from • • Page 3 of 4 through 6/30/2011 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER A Better Atascadero (ABA) 1304988 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 PERIODIF (JAN. 1 -DEC. 31) REQUIRED ( ) OF BUSINESS) W1 IND Mika Cole ❑COM Las Pollitas Res. LLC $320.00 6/23/11 ❑ OTH ❑ PTY ❑ SCC ®IND Doug Fillipponi ❑COM Fillipponi & Thompson $320.00 6/25/11 E] OTH Drilling Co. ❑ PTY Templet on, CA ❑ SCC ®IND Doris Hurd El COM Retired $160.00 6/28/11 - - ❑ OTH ❑ PTY ❑ SCC WJIND Edith Knight E] COM Retired $320.00 6/28/11 E] OTH ❑ PTY ❑ SCC ❑IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL$ $1,120.00 3 � 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 $ $1,120.00 $1,194.00 $2,314.00 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC —Small Contributor Committee FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 1/1/2011 through 6/30/2011 Page 4 of 4 NAME OF FILER I.D. NUMBER A Better Atascadero (ABA) 1304988 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CNP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)' OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals IND independent expenditure supporting/opposing others (explain)" POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration UT campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Alentus Corp. Annual Web Hosting Service 10909 Jasper Ave. #750 WEB 107.00 Edmonton, Canada T5J3L9 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ $107.00 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.)............................................... .............................................................. $ $107.00 2. Unitemized payments made this period of under $100.......................................................................................................................................... $ $20.00 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 $ $127.00 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)