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Home My WebLink AboutForms 460 12-31-2011 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 7-1-2011 through 12-31-2011 1. Type of Recipient Committee: All Committees — Complete Parts 1, 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 STATE (Also Complete Part B) ❑ General Purpose Committee Atascadero 0 Sponsored ❑ Primarily Formed Candidate/ 0 Small Contributor Committee Officeholder Committee 0 Political Party;Central Committee (Also Complete Pad 7) 3. Committee Information D. NUMBER 1330038 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Sturtevant For City Council 2010 STREET ADDRESS (NO P.O. BOX) 4250 Tampico Rd. CITY STATE ZIP CODE AREA CODE/PHONE Atascadero CA 93422 805-461-1334 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX NA CITY STATE ZIP CODE AREA CODE/PHONE NA OPTIONAL: FAX /E-MAIL ADDRESS - bsp1119me.com 4. Verification Date of election if applicable: (Month, Day, Year) NA Date Stamp RECEIVED JAN 3 0 2012 ITY OF ATASCADERO CITY C! FRF' OFFICE 2. Type of Statement: ❑ Preelection Statement ® Semi-annual Statement ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) COVERPAGE Page 1_ of 5 For Official Use Only ❑ Quarterly Statement ❑ Special Odd -Year Report ❑ Supplemental Preelection Statement - Attach Form 495 Treasurer(s) NAME OF TREASURER Brian Sturtevant MAILING ADDRESS 4250 Tampico Rd. CITY STATE ZIP CODE AREA CODE/PHONE Atascadero CA 93422 805-461-1334 NAME OF ASSISTANT TREASURER, IF ANY Karyn Sturtevant MAILING ADDRESS 4250 Tampico Rd. CITY STATE ZIP CODE AREA CODE/PHONE Atascadero CA 93422 805-461-1334 OPTIONAL: FAX / E-MAIL ADDRESS NA 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 1-29-2012 By Data 1-29-2012 Executed on _ By Executed on By Signature of Controlling Officeholder, Candidate, State Measure Proponent Executed on By Daie Signatun=. of Cantrolling OMcehddeq Candidate, Sfate Measure Proponent FPPC Form 466 (January/05) FPPC Tall -Free Helpline: 866/ASK-FPPC (8661275-3772) State of California Recipient Committee Type or print In ink. COVERPAGE-PART2 Campaign Statement ®' 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 4250 Tampico Rd. 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. COMMITTEENAME I.D. NUMBER NAME OF TREASURERI CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEENAME 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 5 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION ❑ SUPPORT ❑ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT 7. Primarily Formed Candidate/Officeholder Committee List names of officeholders) 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 ToI6Free Helpline: 866/ASK.FPPC (866/275-3772) State of Californla Campaign Disclosure Statement Summary Page Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period 7-1-2011 from SUMMARYPAGE Expenditures Made 6. Payments Made ....................................................... schedule E, Line 4 $ 7. Loans Made... ................................... ...................... Schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS ...... ............. 12-31-2011 3 5 SEE INSTRUCTIONS ON REVERSE _ 10. Nonmonetary Adjustment .._ ............... ................. Schedule C, Line 3 11. TOTAL EXPENDITURES MADE ............... ................. Add Lines 8+9+10 $ through Page of NAME OF FILER I.D. NUMBER Sturtevant For City Council 2010 1330038 Contributions Received ColumnA Column B Calendar Year Summary for Candidates TOTALTHiSPERIOD PROMATTACHED SCHEDULES) CALENDARYEAR TOTALTODATE Runningin Both the State Prima and Primary General Elections 1. Monetary Contributions ........................................... Schedule A, Line 3 $ 0 $ 25 0 1640.55 1/1 through 6/30 7/1 to Date 2. Loans Received.._ ................._....._._..._................ Schedule e,Line 3 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add tines 1 +z $ 0 $ 25 20. Contributions Received $ $ 4. Nonmonetary Contributions .................................... Schedule C, Line 3 0 0 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED_........................AddLines3+4 $ 0 $ 25 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 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 3above 14. Miscellaneous Increases to Cash__ .......... .......... . schedule /, 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. 60 $ 0 60 $ 0 0 60 $ 93.45 0 0 60 33.45 17. LOAN GUARANTEES RECEIVED ........................... Schedule B, Part 2 $ 0 1 Cash Equivalents and Outstanding Debts 18. Cash Equivalents....._ ................................. See instructions on reverse $ 19. Outstanding Debts ......................... Add Line 21 Line 9 in Column B above $ I 1640.55 120 0 120 0 0 120 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 riled 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 E.,rdlture 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 (8661275-3772) Type or print in ink. Amounts may be rounded Statement covers period Loans Received to whole dollars. � 1-2011 d from • SEE INSTRUCTIONS ON REVERSE 12-31-2011 4 5 h NAME OF FILER through Page of Sturtevant For City Council 2010 I.D. NUMBER 1330038 FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER e OUTSTANDING Ib1 IcJ Ed) e I) U OF LENDER (Ir'-COM£dq[TEE ALSO ENTER LD.NUMBER OCCUPATION AND EMPLOYER OF SELREMPi BALANCE BEGINNING THIS AMGUNT RECEIVED AMOUNT PAID OR FORGIVEN OUTSTANDING BALANCEAT INTEREST ORIGINAL U CUMULATIVE _ uYs N,WIE OF euslNEss) Ss) P"RIOD PERICD THIS PERIOD CLOSE OF'iH15 PAID THIS PERIOD AMOUNT OF CONTRIBUTIONS Brian Sturtevant Supervisor- Tool Group P RIO LOAN TO DATE 4250 Tampico Rd. P @Diablo Canyon / PAID CALENDAR YEAR Atascadero, CA 93422 Pacific Gas and Electric $ 0 s 1640.55 0 i 2040.55 $ 0 C] FORGIVEN C.O. RATE $ PER ELECTION*' 1640.55 0 0 NA t® IND ❑ COM ❑ OTH ❑ PTY ❑ SCC $ $ $ $ 0 10-4-10 NA DATEDUE DATE INCURRED $ PAID CALENDAR YEAR FORGIVEN FER ELECTION `" RATE 1❑ IND ❑ COM ❑ OTH I] PTY ❑ SCC $ $ $ $ DATE DUE DATE INCURRED $ CALENDARYEAR PAID (] FORGIVEN RATE PER ELECTION "* I ❑ IND 0 COM 0 OTH E] PTY ❑ SCC $ $ $ $ DATE DUE DATE INCURRED $ SUBTOTALS $ 0 $ 0 $ 1640.55 $ 0 v�nDV u1c V OMlillldly 1. Loans received this period........................................................................................................ (Total Column (b) plus un itemized 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. $ 0 ........ NET $ 0 (May be a nvgviive number) )ever(e) SrhedUle E, Line 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 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 ® . 7-1-2011 from Esim through 12-31-2011 Pae 5 9 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment 1330038 of 5 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 FIND 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 (internet, e-mail) NAME AND ADDRESS OF PAYEE pr COMMITTEE, ALSO ENTER ID, NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID Payments that are contributions or independent expenditures must also be summarized on Schedule 0. SUBTOTAL$ 0 Schedule E Summary 1. Itemized payments made this period. Include all Schedule E subtotals. 0 2. Unitemized payments made this period of under $100.......................................................................................................................................... $ 60 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 $ I .2 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)