HomeMy WebLinkAboutCarter Form 460 Termination 01.31.13_Redacted (restored from website)�4
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Recipient 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 appli
from 10/21/12 (Month, Day, Year)
through 12/31/12
1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4.
® Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure
Q State Candidate Election Committee Committee
Q Recall () Controlled
(Also complete Parts) Q Sponsored
lAfso comDwe Part 87
❑ General Purpose Committee
Q Sponsored
Q Small Contributor Committee
O Political Party/Central Committee
3. Committee Information
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO
Carter for Mayor 2012
❑ Primarily Formed Candidatel
Officeholder Committee
(Also complete Part 7)
Date Stamp
ECEIVED
COVER PAGE
of 5
JAN D Z 2013 1 1 For Official Use Only
2. Type of Statement:
❑ Preelection Statement
❑ Semi-annual Statement
® Termination Statement
(Also file a Form 410 Termination)
❑ Amendment (Explain below)
.D. NUMBER IR
Treasurer(s)
TEE NAME OF TREASURER
Andrew Carter
MAILING ADDRESS
STREET ADDRESS (NO P.D. BOX)
CITY
STATE
ZIP CODE AREA CODEIPHONE
San Luis Obispo
CA
93401
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
CITY
STATE
ZIP CODE AREA CODEIPHONE
OPTIONAL: FAX 1 E-MAIL ADDRESS
ancarter@ao[.com
0
❑ Quarterly Statement
❑ Special Odd -Year Report
❑ Supplemental Preelection
Statement - Attach Form 495
CITY STATE ZIP CODE AREA CODEIPHONE
San Luis Obispo CA 93401
NAME OF ASSISTANT TREASURER, IF ANY
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODEIPHONE
OPTIONAL: FAX I E-MAIL ADDRESS
ancarter@aol.com
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 oertify
under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Executed on 12/31/12
Date
Executed on 12/31/12
Date
Executed on
Date
Executed on
Date
By
By
By
S€gnatureofControlling Officeholder, Candidate, State Measure Proponent
By
Signature ofConWing Officeholder, Candidate, State Measure Proponent FPPC Form 460 (January/OS)
FPPC Tall -Free Helpline, 866lASK-FPPC (866127"772)
State of California
Type or print in Ink. COVER PAGE - PART2
Recipient Committee
Campaign Statement � CALIFORNIA
RM � • �
Cover Page — Part 2
5. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE
Andrew Carter
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
Mayor, City of San Luis Obispo
RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP
San Luis Obispo, CA 93401
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.
COMMITTEE NAME I.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
❑ YES ❑ NO
COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
COMMITTEE NAME 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 I JURISDICTION I ❑ SUPPORT
❑ OPPOSE
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 Candid ate[Officeholder Committee Listnames of
officeholder(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 Toll -Free Helpline: 666tASK-FPPC (86612753772)
State of California
Campaign Disclosure Statement
Summary Page
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Carter for Mayor 2012
Type or print in ink.
Amounts may be rounded
to whole dollars.
PAGE
Statement covers period
from 10/21/12
through 12/31/12
Contributions Received
Column A
Column B
TOTALTHISPERIOD
CALENDARYEAR
(FROM ATTACHED SCHEDULES)
TOTALTODATE
1.
Monetary Contributions ................. .....
schedule A, Line a
$ 0,00 $
4499.00
2.
Loans Received ................. ....................
Schedule 8, Line 3
0.00
0.00
i 3.
SUBTOTALCASH CONTRIBUTIONS................
Add Lines 1 +2
$ 0.00 $
4499.00
4.
Nonmonetary Contributions ....................................
Schedule C, Line 3
0.00
0.00
5.
TOTAL CONTRIBUTIONS RECEIVED .......................... Add Lines 3+4
$ 0.00 $
4499.00
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 ..........................................
ScheduleC, Linea
11. TOTAL EXPENDITURES MADE ...........
... ..... ............ Add Lines a+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 1 Line 4
15. Cash Payments .................................................. Column A, Line 8above
16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $
1f 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 $
5.25
0.00
5.25
0.00
0.00
5.25
5.25
$ 4499.00
0.00
$ 4499,00
0.00
0.00
$ 4499.00
To calculate Column B, add
0.00
amounts in Column A to the
corresponding amounts
from Column B of your last
0.00
5.25
report. Some amounts in
Column A may be negative
0.00
figures that should be
subtracted from previous
period amounts. If this is
the first report being filed
0.00
for this calendar year, only
carry over the amounts
from Lines 2, 7, and 9 (if
0.00
any).
0.00
Page 3 of 5
I.D. NUMBER
Calendar Year Summary for Candidates
Running in Both the State Primary and
General Elections
Ill through 8130 711 to Date
20. Contributions
Received $ $
21, Expenditures
Made $ $
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made*
(ltSubiect to Voluntary Expenditure Limit)
Date of Election Total to Date
(mmiddtyy)
1� $
$
*Amounts in this section may be different from amounts
reported In Column B.
FPPC Form 460 (January105)
FPPC Toll -Free Heipline: 866tASK-FPPC (8661275-3772)
Schedule A Type or print in ink. SCHEDULE A
Moneta Contributions Received Mmounts may oe rounaea
Statement covers period
to whole dollars.
CALIFORNIA 460
from 10/21/12
_
SEE INSTRUCTIONS ON REVERSE
through 12/31/12
Page 4 of 5
NAME OF FILER
LD. NUMBER
Carter for Mayor 2012
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
RECEIVED
(IFCOMMITTEE,ALSOENTERI.D.NUMBER)
CODE*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
{IFSELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OFSUSINESS)
No contributions this time period.
❑IND
❑ COM
❑ OTH
❑ PTY
❑SCC
❑IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
❑IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
❑IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
❑IND
❑COM
❑ OTH
❑ PTY
❑ SCC
SUBTOTAL $
Schedule A Summary
1. Amount received this period — itemized monetary contributions.
(Include all Schedule A subtotals.)........................................................................................................ $
2. Amount received this period — unitem ized 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_ $
*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
WE
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule E Type or print in ink. Statement covers period
Pa menu Made Amounts may be rounded
y to whole dollars. from 10/21/12
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Carter for Mayor 2012
through 12/31/12
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
Page 5 of 5
I.D. NUMBER
CfVP
campaign paraphemalialmisc.
MBR
member communications
RAID
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 filinglballot 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 supportinglopposing others (explain)*
POS
postage, delivery and messenger services
TSF
transfer between committees of the same candidatelsponsor
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
(IF COMMrrFEE,ALSO ENTER I.O,NUMBER)
CODE OR DESCRIPTION OFPAYMENT
AMOUNTPAID
Salvation Arm
CTB
5.25
* Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 5.25
Schedule E Summary
1. Itemized payments made this period. (Include all Schedule E subtotals.) $ 5.25
2. Unitemized payments made this period of under $100 $ 0.00
3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e).) ............................................................. $ 0.00
4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) .............. TOTAL $ 5.25
FPPC Form 460 (January105)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/276-3772)