HomeMy WebLinkAboutForm 460 123110 Atascadero FirefightersRecipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200-84216.5)
SEE INSTRUCTIONS ON REVERSE
Type or print in ink.
Statement covers period
from 11/20/2010
through 1/31/2011
1. Type of Recipient Committee: All Committees -Complete Parts t, 2, 3, and 4.
❑ Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure
0 State Candidate Election Committee Committee
0 Recall 0 Controlled
(Also Complete Part s) 0 Sponsored
(Also Complete Part 6)
0 General Purpose Committee
0 Sponsored
0 Small Contributor Committee
0 Political Party/Central Committee
❑ Primarily Formed Candidate/
Officeholder Committee
(Also Complete Part 7)
3. Committee InformationI I.D. NUMBER
1312619
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
Atascadero Professional Firefighters Local 3600
STREET ADDRESS (NO P.O. BOX)
6005 Lewis Avenue
CITY STATE ZIP CODE AREA CODE/PHONE
Atascadero CA 93422
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
CITY
NAL: FAX / E-MAIL ADDRESS
P CODE AREA CODE/PHONE
J
COVER PAGE
Ntlftt I V E
Date of election if applicable:
FEB 1 5 2011 Page of
(Month, Day, Year)
For Official Use Only
CITY OF ATASCA ERO
CITY CLERK'S OFF CE
2. Type of Statement:
❑ Preelection Statement
❑ Quarterly Statement
❑ Semi-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
Matt Vierra
MAILING ADDRESS
6005 Lewis Avenue
CITY
STATE ZIP CODE AREA CODE/PHONE
Atascadero
CA 93422
NAME OF ASSISTANT TREASURER, IF ANY
Bill White
MAILING ADDRESS
6005 Lewis Avenue
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'nfor ti contained her in 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 2/12/2011 By
Date Signature of Treasurer or Assistant Treasurer
Executed on By
Date Signature of Controlling Officeholder, Candidate, State Measure Proponent or Responsible Officer of Sponsor
Executed on By
Date Signature of Controlling Officeholder, Candidate, State Measure Proponent
Executed on By
Date Signature of Controlling Officeholder, Candidate, State Measure Proponent
FPPC Form 460 (January/OS)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
State of California
Campaign Disclosure Statement
Summary Page
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 11/20/2010
SUMMARY PAGE
Expenditures Made
6. Payments Made .......................................................
through
1/31/2011
page of
SEE INSTRUCTIONS ON REVERSE
Add Lines 6 + 7 $ $
9. Accrued Expenses (Unpaid Bills) ...............................
Schedule F Line 3
10. Nonmonetary Adjustment ..........................................
Schedule C, Line 3
NAME OF FILER
Add Lines 8+9+10 $ Zero $
I.D. NUMBER
1312619
Column
Column B
Calendar Year Summary for Candidates
Contributions Received
TOTALTHISPERIOD
CALENDAR YEAR
Running in Both the State Prima and
9 Primary
(FROM ATTACHED SCHEDULES)
TOTALTO DATE
General Elections
1. Monetary Contributions ...........................................
Schedule A, Line 3 $ $
1/1 through 6/30 7/1 to Date
2. Loans Received......................................................
Schedule B, Line 3
20. Contributions
3. SUBTOTAL CASH CONTRIBUTIONS .........................
Add Lines 1 +2 $ $
Received $ $
4. Nonmonetary Contributions ....................................
Schedule C, Line 3
21. Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED ••••.........••
•. . . ••Add Lines 3+4 $ Zero $
Made $ $
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 Bills) ...............................
Schedule F Line 3
10. Nonmonetary Adjustment ..........................................
Schedule C, Line 3
11. TOTAL EXPENDITURES MADE ................................
Add Lines 8+9+10 $ Zero $
Current Cash Statement
12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $
13. Cash Receipts ................................................... Column A, Line 3above
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 $
661.00
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 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)