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Home My WebLink AboutForm 460 063011 Atascadero Professional Fire FightersRecipientCommittee Type or prim in Ink. Campaign Statement Pnmanly Formed Candidate? Cover Page officeholder Committee (G rvemmant Code Sections 84200-84216 5) rMOOamvo,'.01) Statement covers period D D NUMBER JI 1312619 1!1111 from 6/30!11 SEE INSTRUCTIONS ON REVERSE through 1. Typeof Recipient Committee: AIICOMM s-comalaalvrot2•3.and4. Officeholder Candidate Comrelled Commmee ❑ PnmanlyFormed Ballot Measure Q State Candidate Election Committee Committee p Recall Q comucaa I lw.o co np mv.rtsl Q Sponsored Atascadero Professional Firefighters Local 3600 STREET ADDRESS (NO PO BOX) 6005 Lewis Avenue CITY STATE ZIP CODE AREA COOEIPHONE Atasoadero Ca 93422 MAILING ADDRESS (IF DIFFERENT) NO ANh STREET OR PO BOX CITY STATE ZIP COOS AREA CODE/PHONE OPTIONAL FAX / &MAL ADDRESS RECEIVEe SEP — 2 201, Page — of-- its of election If applicable: (Month, Day, Year) O 1 Sll For Gael Use Only �1ft'6F ATASC n n 2. Type of Statement: ❑ Preelection Statement ❑ Quarterly Statement a Semi-annual Statement ❑ Speaal Odd -Year Report ❑ Terminator, Statemem ❑ Supplemental Prealecirm (Also file a Form 410 Temimadon) Statement - Attach FORD 495 Amendment (Explain below) Treasurer(s) Matt Vierra MAILING ADDRESS 6005 Lewis Avenue CITY STATE ZIP CODE AREA CODE/PHONE Atasoadero CA 93422 NAME OF ASSISTANT TREASURER, IF ANY Bill White 6005 Lewis Avenue CITY STATE ZIP CODE AREA CODE/PHONE Atascadero CA 93422 OPTIONAL FAX / E-MAIL ADDRESS 4. Verification I have used a 11 reasonable diligence in prepanng and reviewing this statement and to pie best ofmy knowk her o ion cry.. Ici under penally of penury under the laws of the State of California that Ne bregoing Is true and Correct Fxendedon 9/1/11 By e,M, vAa+Is1aATMuxu executed On By ypendfn vXsNOavhrc1SCusrxv Sbie Meeenie PiopHaMaPea�nndegM1wrIXSPnsnr Dab Executed on Deb By B,rvvvG vxurggrMcller,CaAMeb BINe Meawn Pmpwsil Executed on MM By 3,en..vF bvrXOlA-1-- CaiCtlab,SWeMwweP nr FIRM Form 460(JanesviDS) FPPC Tog-FrN Helpilae: 86WASK-FPPPC�us 11M (811Ca 772) (.VwCvm Aida m Purpose CommYtee ❑ Pnmanly Formed Candidate? 0 Spo O Small Contributor Committee officeholder Committee Q Potdlcal ParlylCeMrelComrmnee rMOOamvo,'.01) 3. Committee Information D NUMBER JI 1312619 Atascadero Professional Firefighters Local 3600 STREET ADDRESS (NO PO BOX) 6005 Lewis Avenue CITY STATE ZIP CODE AREA COOEIPHONE Atasoadero Ca 93422 MAILING ADDRESS (IF DIFFERENT) NO ANh STREET OR PO BOX CITY STATE ZIP COOS AREA CODE/PHONE OPTIONAL FAX / &MAL ADDRESS RECEIVEe SEP — 2 201, Page — of-- its of election If applicable: (Month, Day, Year) O 1 Sll For Gael Use Only �1ft'6F ATASC n n 2. Type of Statement: ❑ Preelection Statement ❑ Quarterly Statement a Semi-annual Statement ❑ Speaal Odd -Year Report ❑ Terminator, Statemem ❑ Supplemental Prealecirm (Also file a Form 410 Temimadon) Statement - Attach FORD 495 Amendment (Explain below) Treasurer(s) Matt Vierra MAILING ADDRESS 6005 Lewis Avenue CITY STATE ZIP CODE AREA CODE/PHONE Atasoadero CA 93422 NAME OF ASSISTANT TREASURER, IF ANY Bill White 6005 Lewis Avenue CITY STATE ZIP CODE AREA CODE/PHONE Atascadero CA 93422 OPTIONAL FAX / E-MAIL ADDRESS 4. Verification I have used a 11 reasonable diligence in prepanng and reviewing this statement and to pie best ofmy knowk her o ion cry.. Ici under penally of penury under the laws of the State of California that Ne bregoing Is true and Correct Fxendedon 9/1/11 By e,M, vAa+Is1aATMuxu executed On By ypendfn vXsNOavhrc1SCusrxv Sbie Meeenie PiopHaMaPea�nndegM1wrIXSPnsnr Dab Executed on Deb By B,rvvvG vxurggrMcller,CaAMeb BINe Meawn Pmpwsil Executed on MM By 3,en..vF bvrXOlA-1-- CaiCtlab,SWeMwweP nr FIRM Form 460(JanesviDS) FPPC Tog-FrN Helpilae: 86WASK-FPPPC�us 11M (811Ca 772) Campaign Disclosure Statement Type or print In Ink. $ SUMMARYPAGE Summary Page Amounts may be rounded to whole dollars. NAME OF FILER Statement covers periodF—M, $ .. _ Scheavie F. tinea D NUMBER 1/1/11from ... AW byres 8 a 9+10 $ 1312619 ColumnA Column 6/30/11 Calendar Year Summary for Candidates O O SENrough TOTwTH�Spaaioo ^"� SEE INSTRU TI NS NREVER $ $ Schedule H, Use 3 NAME OF FILER $ $ .. _ Scheavie F. tinea D NUMBER Atascadero Professional Firefighters Local 3600 ... AW byres 8 a 9+10 $ 1312619 ColumnA Column Calendar Year Summary for Candidates Contributions Received TOTwTH�Spaaioo ^"� Running m Both the State Prima and g Primary eao�aATTAea-nsrrEoul�sl TOTe,To General Elections 1 Monetary Contributions. ._.... ... .. schedule A, Line 3 $ E 111 ProugM1 6130 7/5 to But, 2 Loans Received ....... ......... ... ._ ._ .. smwa/m e, Lots 20 Contributions 3. SUBTOTALCASH CONTRIBUTIONS .. Asa byres l+2 $ $ Received $ $ 4 Nonmonetary Contributions .. ... Schedule c. bM3 21 Expenditures 5 TOTAL CONTRIBUTIONS RECEIVED ................... Addbms 3+4 $ Zero $ Made E $ txpenalrures made 6 Payments Made ............................... 7 Loans Made .......................... -- 8 SUBTOTALCASH PAYMENTS... 9 Accrued Expenses (Unpaid Bills) 10. Nonmonetary, Adjustment -- 11 -11 TOTAL EXPENDITURES MADE.......... ... Schedule E. byre 4 $ $ Schedule H, Use 3 .............. Addbnes6+7 $ $ .. _ Scheavie F. tinea .. SNreaule C. tine 3 ... AW byres 8 a 9+10 $ Zero $ Current Cash Statement 12 Beginning Cash Balance .. PmRouo Summery Paw bnol6 $ 661.00 13. Cash Receipts . ... . - ColumoAbno Ssboia 14 Miscellaneous Increases to Cash... Schedule 1. bire4 15 Cash Payments. ............... Column A,Imeaabove 16 ENDNGCASH BALANCE Addbrea12+13+14thaombbactbner6 $ 66018 If this is a fermmahon statement, Line 16 must be zero 17 LOAN GUARANTEES RECEIVED ...... ....... schedwe B,Pad2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ... .._..... S.,rxmch.n n,vRx, $ 19. Outstanding Debts Add bits 2+ tine 9m Column a above $ Zero To ,almlate 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 subtractetl from previous period amounts If Mis is Ne first report being filed for this calendar year, only cant' over the amounts from Lines 2, 7, and 9 (if any). Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made' naub u. WIu., Ezpandaun Us i Date of Election Total to Date (mm/dd/yy) —J $ $ Amounts In this section may be different from amounts reponed in Column B FPPC Form 460 (JanuaryAM) FPPC Toll -Free Helpline: 8661ASK.FPPC (86612784772)