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HomeMy WebLinkAboutCarter Form 460 Termination 01.31.13_Redacted (restored from website)�4 r 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)