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Home My WebLink AboutDaniel Rivoire - Form 460 - 1st Pre-Election Statement - 10-06-14Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200 -84216 5) SEE INSTRUCTIONS ON REVERSE from Type or print in ink. Statement covers period Date of election if applicable: July 1, 2014 1 (Month, Day, Year) through _September 30, 2014 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. ® Officeholder, Candidate Controlled Committee ❑ Ballot Measure Committee Q State Candidate Election Committee Q Primarily Formed Q Recall Q Controlled (Also Complete Part 5) 0 Sponsored (Also Complete Part 6) ❑ General Purpose Committee ZIP CODE AREA CODE /PHONE Q Sponsored ❑ Primarily Formed Candidate/ Q Small Contributor Committee Officeholder Committee 0 Political Party /Central Committee (Also Complete Part 7) 3. Committee Information CITY I D NUMBER 1368559 4. COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Vote Rivoire for City Council 2014 STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE /PHONE San Luis Obispo CA 93401 MAILING ADDRESS (IF DIFFERENT) NO. AND 'STREET OR P.O. BOX Amendment (Explain below) CITY STATE ZIP CODE AREA CODE /PHONE San Luis Obispo CA 93401 OPTIONAL: FAX / E -MAIL ADDRESS CITY STATE November 4, 2014 2. Type of Statement: Preelection Statement ❑ Semi - annual Statement ❑ Termination Statement ❑ Amendment (Explain below) Date Stamp OCT 0 6 2014 COVER PAGE aue of 5 For Official Use Only Quarterly Statement ❑ Special Odd -Year Report ❑ Supplemental Preelection Statement - Attach Form 495 Treasurer(s) NAME OF TREASURER Michelle Shoresman MAILING ADDRESS CITY STATE ZIP CODE AREA CODE /PHONE San Luis Obispo CA 93401 NAME OF ASSISTANT TREASURER, IF ANY Mary Ellen Gibson MAILING ADDRESS CITY STATE ZIP CODE AREA CODE /PHONE San Luis Obispo CA 93401 OPTIONAL: FAX / E -MAIL ADDRESS 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 certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. i _ Executed on 10)(,0t )14 t By Executed on By Vale Executed on Date By Signature of Controlling Officeholder, Candidate, State Measure Proponent Executed on BY FPPC Form 460 (June/01) Date Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Toll -Free Helpline: 866 /ASK -FPPC State of California Type or print in ink. Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Dan Rivoire OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) San Luis Obispo City Council RESIDENTIAL /BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP 1266 Mill Street, 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 I CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY COMMITTEE NAME STATE ZIP CODE AREA CODEIPHONE ID NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) 6. Ballot Measure Committee NAME OF BALLOT MEASURE COVER PAGE - PART 2 Page 91-- of BALLOT NO OR LETTER JURISDICTION ❑ 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 Committee List names of officeholder(s) or candidate(s) for which this committee is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ® SUPPORT Dan Rivoire City Council ❑ 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 CITY STATE ZIP CODE AREA GUIDE /PHONE Attach continuation sheets if necessary FPPC Form 460 (June/01) FPPC Toll -Free Helpline: 866 /ASK -FPPC State of California Campaign Disclosure Statement Type or print in ink. Amounts may be rounded Summary Page to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER Vote Rivoire for City Council 2014 SUMMARY PAGE Statement covers period ! from July 1, 2014 FORM through September 30, 2014 Page 3 of I.D. NUMBER 1368559 Expenditures Made Column Column B Calendar Year Summary for Candidates Contributions Received .......... Schedule E, Line 4 TOTALTHISPERIOD CALENDAR YEAR Running in Both the State Primary and 7. Loans Made Schedule H Line 3 (FROM ATTACHED SCHEDULES) TOTALTODATE 0 8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6 + 7 $ 5044.46 General Elections 1. Monetary Contributions ............ ............................... schedule A, Line 3 00 $ 9800. $ 9800.00 0 10. Nonmonetary Adjustment ........... ............................... Schedule C, Line 3 0 0 1!1 through 6/30 7!1 to Date 2. Loans Received ....................... ............................... Schedule B, Line 3 $ 5044.46 $ 5044.46 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 + 2 $ 9800.00 $ 9800.00 20. Contributions 4. Nonmonetary Contributions ..... ............................... Schedule C, Line 3 0 0 Received $ $ 21 Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ........... ............... Add Lines 3 + 4 $ 9800.00 $ 9800.00 II Made $ _ $ Expenditures Made 6. Payments Made .. ................. .............. .......... Schedule E, Line 4 $ 5044.46 $ 5044.46 7. Loans Made Schedule H Line 3 0 0 8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6 + 7 $ 5044.46 $ 5044.46 9. Accrued Expenses (Unpaid Bills) .. Schedule F, Line 3 0 0 10. Nonmonetary Adjustment ........... ............................... Schedule C, Line 3 0 0 11. TOTAL EXPENDITURES MADE ................................ Add Lines s + 9 + 10 $ 5044.46 $ 5044.46 Current Cash Statement 12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ 0'- To calculate Column B, add 13. Cash Receipts .................. ............................... Column A, Line 3 above 9800.00 amounts in Column A to the 0 corresponding amounts 14. Miscellaneous Increases to Cash ........................... Schedule 1, Line 4 from Column B of your last 15. Cash Payments ................ Column A, Line 8 above 5044.46 report. Some amounts in Column A may be negative 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ 4755.54 figures that should be subtracted from previous If this is a termination statement Line 16 must be zero. period amounts. If this is the first report being filed 17. LOAN GUARANTEES RECEIVED...--. .... _-_ .... ..... Schedule B, Part 2 $ 0 for this calendar year, only carry over the amounts from 2, �, and 9 (if Cash Equivalents and Outstanding Debts 18. Cash Equivalents ......... ............................... See instructions on reverse $ 0 19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column B above $ 0 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) $ $ $ .._ Since January 1, 2001. Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (June /01) FPPC Toll -Free Helpline: 866 /ASK -FPPC ScheduleA Monetary Contributions Received Type or print in ink. SCHEDULE A Amounts may be rounded Statement covers period to whole dollars. CALIFORNIA r t from July 1, 2014 FORM through September 30, 2014 Page r of SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Vote Rivoire for City Council 2014 1368559 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT OCCUPATION AND EMPLOYER RECEIVED THIS CUMULATIVE TO DATE 4 PER ELECTION CALENDAR YEAR TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER ID NUMBER) CODE * (IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) ❑IND SEE ATTACHED CONTINUATION SHEET ❑COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC J _.__... ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL$ Schedule A Summary 1. Amount received this period — contributions of $100 or more. (Include all Schedule A subtotals.) ......................................................................... ............................... $ 2. Amount received this period — unitemized 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 $ 8925.00 875.00 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (June /01) FPPC Toll -Free Helpline: 866 /ASK -FPPC California Form 460 Statement Covers July 1, 2014 to September 30, 2014 Page 5 of 15, ID# 1368559 Schedule A (Continuation Sheet) Monetary Contributions Received Name of Filer: Vote Rivoire for City Council 2014 rate I act Name First Name Contrib. Zip ution Address Citv State Code Code: Amount This Received This Cumulative Election To Occupation €mDloyer Period To Date Date 7/17/2014` Rivoire Megan 1266 Mill Street San Luis Obispo CA. 93401 IND Creative Strategist Verdin $100.00 $100.00 $100.00 7117/2014, Gibson Mary Ellen 1251 Buchon San Luis Obispo CA 93401 IND Retired $300.00 $300.00 $300.00 7/17/2014 Lamb Stephan 1251 Buchon San Luis Obispo CA 93401 IND Retired $300.00 $300.00 $300.00 7/17/2014 Mastache Helen 1266 Mill Street San Luis Obispo CA 93401 IND. Unemployed $300.00 $300.04 $300.00 7/30/2014 Bloom Leslie 2691 Victoria Ave San Luis Obispo CA 93401 IND Marketing Specialist & Designer, Experts Exchange $300.00 $300.00 $300.00 8/1/2014 Lawler Brian 1329 Peach Street San Luis Obispo CA 93401 IND= Professor Cal Poly $300.00 $300.00 $300.00 811/2014 Lawler Ashala 1329 Peach Street San Luis Obispo CA 93401 IND Graphic Designer Seff $300.00 $300.00 $300.00 8/3/2014 Meyer Eric PO Box 16160 San Luis Obispo CA 93401 IND Retired n/a $300.00 ` $300.00 $300.00 81312014 Me er Cynthia PO Box 16160 San Luis Obispo CA 93401 IND Artist Self 300.00 $300.00 300.00 8/6/2014 McKinley Leslie A. 1174 Vista Del Lago San Luis Obispo CA 93405 IND funraiser United Way $100.00 100.00 5100.40 8/6/2014 Szentesi Whitney 1025 Southwood Dr., Apt C San Luis Obispo CA 93401 IND. Marketer Verdin $100.00 $100.00 $100.00 8/612014 Krieger- Maddalena Chenin, 953 Caudill St. San LuisObis_po_ CA 93401 IND. Engineer Cannon __$3013,L]0 $300.00 300.00 8/6/2014' Parker Timothy" 726 Johnson Ave San Luis Obispo CA 93401 - 2809; IND" _ Warehouse Manager Coalition of SLO _ County_ $300.00 $300.00 $300.00 8/7/2014 Blair Lauren 1690 Crestview Circle San Luis Obispo CA 93401 IND Student $100.00 $100.00 $100.00 9/712014 McAdams Brendan 1323 Mill St. San Luis Obispo_ CA 93401 IND Physician Self $100.00 $100.00 1017.00 8/7/2014 Roberts Jonathan 3242 Johnson Ave San Luis Obispo CA 93401 IND Photographer Bluephoto Photography $300.40 $300.00 $300. 00 8/8/2014 Mastache Charles T. 425 N. Locust St. Boise ID 83712- 7304 IND Retired $300.00 300.00 300.00 8 8 2014 Mastache Sonia M. 425 N. Locust St. Boise ID 83712- 7304 IND. Retired 300.00 $300.00 $300,001 818120141 Grossman Gary' PO Box 13 Pismo Beach CA 93448 IND'_ Developer., Community, Builders £ 5300.00 $300.00 $300.00 8 12 2014 Deardorff Karl 3047 Rockview Place San Luis Obispo_._ CA 93401 IND! Owner SLO Sail and Canvas $100.00 100.00 $100.00 8/21/2014: Hallin Stuart 2691 Victoria, San Luis Obispo CA 93401 INDI Sales Consultant Cormant Inc.` $150.00 $150Q0. $150.00 8/26/2014 Mastache Michaela' 010 SW Porter St. Apt. 309 Portland OR 97201, IND; Unemployed none: $300.00 $300.00 $300.00 8/28/2014 Marx Jan, . 265 Albert Drive San Luis Obispo CA 93405 IND' or City of San Luis. Obispo $100.00 $100.00 $100.[]0 California Form 460 Statement Covers July 1, 2014 to September 30, 2014 Page 6 of 15, ID# 1368559 Schedule A (Continuation Sheet) Monetary Contributions Received Name of Filer: Vote Rivoire for City Council 2014 9/1/2014 Lopes James` 1336 Sweet Bay Lane San Luis Obispo' CA 93401 INDI Retired, $100.00 $100.00 100.00 9/2/2014 Friends Of Adam Hill, County. Supervisor 2012, 165 Country Club Drive San Luis Obispo CA 93401 COM? County Supervisor SLO CountV $200.001 $200.00 200.00 9/3/2014 Diringer Joel 2475 Johnson Ave San Luis Obispo CA 93401 IND Consultant Diringer Associates $100.00 $100.00 $100.00 9/3/2014 Kenow Courtney 883 Vista Del Collados San Luis Obispo CA 93405 IND Marketing Director Carmel and Naccasha $100.0.0 $100.00 $100.00 9/S/2014; Verdin Mary_ 3580 Sacramento Drive #110 San Luis Obispo. CA 93401r BUS. Owner Verdin $100.00 5100.00 5100.00 9/5Z2014: Shanbrom Robert 364 Montrose Dr San Luis Obispo CA 93405: IND; Retired $300.00 $300.00 $300.00 9/10/2014 Stone Katie 2425 Teodoro Road NW Albuquerque NM 87107 IND Chief Financial Officer Stone Design $100.00 $100.00 $100.00 9/10/2014 Fukushima Adam 786 Peach Street Unit B San Luis Obispo CA 93401. IND Transportation Planner _ _ Caltrans $100.00 $100.00 $100.00 9/15/2014 Peters Francis 3018 Breakers Drive Corona del Mar CA 92625 IND Retired $100,00 $100.00 $100.00 9/15/2014 Bartlett Stacy 1335 A Palm Street San Luis Obispo CA 93401 IND Firm Adminsitrator Carmel and Naccasha $300.00 $300.00 $300.00 9/16/2014: Ewan John 1221 Sylvia Ct San Luis Obispo CA 93401 IND Owner, Pacific Energy Company - 5100.00 $100.00 100.00 9/18/2014 Mangano Andrew 5665 Edna Ranch Circle San Luis Obispo CA 93401 - 7957` IND; businessman Self, $300.00 $300.00 $300.00 9 18 2014 Mangano Laurie 5665 Edna Ranch Circle San Luis Obisoo CA 93401- 7957 IND, homemaker self $300.00 5300.00 300.00 9/19/2014 Democratic Pa 5429 Madison Avenue Sacramento, CA 95841 COM $200.00 $200.00 $200.00 9/21/2014 Peters Francis 3018 Breakers Drive Corona del Mar CA 92625 IND Retired $200.00 ' $200.00 $200.00 9/2112014 Peck Stephen 24_55 Greenwood Ave Morro Bay CA 93442 IND Self Planner $250.00 $250.00 S25U0 9 22 2014 Lisagor Kim 153 Broad St San Luis OUspp,_ CA 93405 IND Faculty Cuesta College $100.00 100.00 $100.00 9/22/20141 Hallin Stuart 2691 Victoria San Luis Obispo CA 934.01 IND Sales Consultant Cormant Inc. 150.00 - $300.00 $300.00 9/22/2014 Greenfield Amanda 1215 Peach 5t., Apt, B San Luis Obispo CA 93401 IND Tri Counties Service Coordinator Regional Center $175.00 $175.00 $175.00 9/2312014. DiCostanzo. Donald 3 Tiburon Bay Dr Corona del Mar CA 92625 IND, Chief Executive Officer Pedego Electric Bikes $300.00 $300.00 $300.00. TOTALi $8,925.00 Type or print in ink. _ SCHEDULEB -PART1 0 Dm r4 4 Mnwunw niay ve Ivunueu ----------- -- -- - - --- -- a 2:rNt'%IA ' Loans Received to whole dollars. July 1, 2014 FORM from .�� September 30, 2014 page SEE INSTRUCTIONS ON REVERSE through of NAME OF FILER I.D. NUMBER Vote Rivoire for City Council 2014 1368559 FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OUTSTANDING AMOUNT (c) AMOUNT PAID (a) OUTSTANDING (e) INTEREST IT) ORIGINAL Is} CUMULATIVE OF LENDER OCCUPATION AND EMPLOYER BALANCE RECEIVED THIS OR FORGIVEN BALANCEAT PAID THIS AMOUNT OF CONTRIBUTIONS (IF COMMITTEE, ALSO ENTER I. D NUMBER) (IF SELF - EMPLOYED, ENTER NAME OF BUSINESS) BEGINNING THIS p RI PERIOD THIS PERIOD" CLOSE OF THIS PERIOD PERIOD LOAN TO DATE ❑ PAID CALENDARYEAR ❑ FORGIVEN PERELECTION— RATE $ $ $ $ $ DATE DUE DATE INCURRED to IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ PAID CALENDARYEAR ❑ FORGIVEN PERELECTION— RATE $ $ $ x $ DATE DUE t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE INCURRED ❑ PAID CALENDARYEAR $ $ % $ S ❑ FORGIVEN PERELECTION- RATE S S $ S $ DATE DUE t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE INCURRED SUBTOTALS $ $ $ $ Schedule B Summary 1. Loans received this period ..................................................................................... ............................... $ (Total Column (b) plus unitemized loans less than $100.) 2. Loans paid or forgiven this period ...................................... ............................... (Total Column (c) plus loans u rider $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. (Enter (e) on Schedule E, Line 3) 0 m .... NET $ 0 (May be a negative number) t Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other PTY — Political Party SCC —Small Contributor Committee "Amounts forgiven or paid by another party also must be reported on Schedule A. ** If required. FPPC Form 460 (June /01) FPPC Toll -Free Helpline: 866 1ASK -FPPC Schedule C Type or print in ink. SCHPDLJLF C Amounts may oe rounaea Nonmonetary Contributions Received to whole dollars. Statement covers period CALIFORNIA ' July 1, 2014 FORM • from September 30, 2% C° f through Page of 3EE INSTRUCTIONS ON REVERSE NAME OF FILER I D NUMBER Vote Rivoire for City Council 2014 1368559 FULL NAME, STREET ADDRESS AND CONTRIBUTOR IF AN INDIVIDUAL, ENTER DESCRIPTION OF AMOUNT/ CUMULATIVE TO PER ELECTION DATE DATE RECEIVED ZIP CODE OF CONTRIBUTOR CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER GOODS OR SERVICES FAIR MARKET TO DATE CALENDAR YEAR VALUE ( IF REQUIRED) (IF COMMITTEE, ALSO ENTER I D NUMBER) NAME OF BUSINESS) (JAN 1 -DEC 31) ❑IND ❑ COM ❑ OTH ❑ PTY ❑SCC ❑IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑IND k ❑ COM ❑ OTH j ❑ PTY ❑SCC ❑IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Attach additional information on appropriately labeled continuation sheets. Schedule C Summary 1. Amount received this period — nonmonetary contributions of $100 or more. (Include all Schedule C subtotals.) ............................ ............................... SUBTOTAL $ .. ....— .......................... $ 2. Amount received this period — unitemized nonmonetary contributions of less than $100 ........................ $ 3. Total nonmonetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.) .................. TOTAL $ Q 2 0 'Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (June /01) FPPC Toll -Free Helpline: 866 /ASK -FPPC Schedule D :HFnl ll F n Summary of Expenditures Type or print in ink. Statement covers period Amounts may be rounded Su ortln /O osln Other dollars. pp g pP g maim to whole July 1, 2014 Candidates, Measures and Committees from September 30, 2% / 5 SEE INSTRUCTIONS ON REVERSE through Page of _ NAME OF FILER I.D. NUMBER Vote Rivoire for City Council 2014 1368559 DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR TYPE OF PAYMENT DESCRIPTION AMOUNTTHIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE LETTER MEASURE NUMBER OR LETTER AND JURISDICTION, (IF REQUIRED) PERIOD (JAN. 1 -DEC 31) (IF REQUIRED) OR TEE ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure ❑ Monetary I Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure SUBTOTAL $ Schedule D Summary 1. Contributions and independent expenditures made this period of $100 or more. (Include all Schedule D subtotals.) ............... ............................... $ 2. Unitemized contributions and independent expenditures made this period of under $100 .. ............................... 0 Q 3. Total contributions and independent expenditures made this period. Add Lines 1 and 2. Do not enter on the Summa Page.) TOTAL $ _ 0 P P P ( Summary 9 ) ............ . FPPC Form 460 (June/01) FPPC Toll -Free Helpline: 866 /ASK -FPPC E Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from July 1, 2014 through September 30, 210d page L' of J I D. NUMBER Vote Rivoire for City Council 2014 1368559 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia /misc. 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 PEF 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 FND 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 (IF COMMITTEE, ALSO ENTER I D NUMBER) SEE ATTACHED CONTINUATION SHEET CODE OR DESCRIPTION OF PAYMENT * Payments that are contributions or independent expenditures must also be summarized on Schedule D. Schedule E Summary 1. Payments made this period of $100 or more. (Include all Schedule E subtotals.) ........................ ............................... 2. Unitemized payments made this period of under $100 ................................................................ ............................... 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.) AMOUNTPAID SUBTOTAL $ ................... .I .............. $ 4702.34 ....................... $ 342.12 _.._ ._. . ..........................$ 0 .. .... TOTAL $ 5044.46 FPPC Form 460 (June /01) FPPC Toll -Free Helpline: 866 /ASK -FPPC California Form 460 Statement Covers Period July 1, 2014 to September 30, 2014 Page 11 of 15, ID# 1368559 Schedule E (Continuation Sheet) Payments Name of Filer: Vote Rivoire for City Council 2014 Name Address Code Description of Payment Amount Stri a 3180 18th Street, Suite 100, San Francisco, CA 94110 WEB Transaction Fees $100.31 Leslie Bloom 2691 Victoria, San Luis Obispo, CA 93401 CMP Printing Costs - Stickers /Stamp $119.24 UPS Store 3940 Broad St #7. San Luis Obispo, CA 93401 LIT Printing Costs $154.72 UPS Store 3940 Broad St #7, San Luis Obispo, CA 93401 LIT_ Printing Costs _ 1.20 UPS Store 3940 Broad St #7, San Luis Obispo, CA 93401 LIT Printing Costs .20 Got Print 7625 N_ San Fernando Rd, Burbank, CA 91505 LIT Printing Costs _ 3.62 127 San Luis Obispo Cit 990 Palm St San Luis Obispo, CA 93401 FIL Candidate Statement Filing Fee 0.00 San Luis Obispo Chamber of Commerce 895 Monterey St, San Luis Obispo, CA 93401 _ MTG Chamber Membershi $300.00 Got Print 7625 N. San Fernando Rd. Burbank, CA 91505 LIT Printing Costs $832.29 Costal Reprographics Services 880 Via Esteban, San Luis Obispo, CA 93401 LIT Signs 972.00 ASAP Reprographics 3121 S. Higuera Street #I7, San Luis Obispo, CA93401 LIT _Yard Yard Signs 1 457.76 REPORTING PERIOD 1 TOTAL $41702.34 Schedule F Type or print in ink. Amounts may be rounded Accrued Expenses (Unpaid Bills) to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER Vote Rivoire for City Council 2014 SCHEDULE F Statement covers period from July 1, 2014 through September 30, 2(6 Page of I I.D. NUMBER 1368559 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP 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 FND 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 CREDITOR CODE OR (A (IN (c) (A OUTSTANDING AMOUNTINCURRED AMOUNT PAID OUTSTANDING (IF COMMITTEE, ALSO ENTER I D NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD I I I * Payments that are contributions or independent expenditures must also be SUBTOTALS $ $ $ $ summarized on Schedule D. Schedule F Summary 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for 0 accrued expenses of $100 or more, plus total unitemized accrued expenses under $ 100.) ............. ............................... INCURRED TOTALS $ 2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on 0 accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.) ................................. PAID TOTALS $ 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and 0 on the Summary Page, Column A, Line 9.) ......................................................................................................... ............................... ... NET $ May be a negative number FPPC Form 460 (June /01) FPPC Toll -Free Helpline: 866 1ASK -FPPC Schedule G SCHEDULE G Type or print in ink. Statement covers period Payments Made by an Agent or Independent Amounts may be rounded • - , to whole dollars. July 1, 2014 FORM Contractor (on Behalf of This Committee) from / through September 30, 2� page 15 of /5 SEE INSTRUCTIONS ON REVERSE NAME OF FILER LD NUMBER Vote Rivoire for City Council 2014 1368559 NAME OF AGENT OR INDEPENDENT CONTRACTOR I I CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP 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 FND 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) ' Payments that are contributions or independent expenditures must also be summarized on Schedule D. NAME AND ADDRESS OF PAYEE OR CREDITOR CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALSO ENTER I D NUMBER) Attach additional information on appropriately labeled continuation sheets. TOTAL* $ 0. DO * Do not transfer to any other schedule or to the Summary Page. This total may not equal the amount paid to the agent or independent contractor as reported on Schedule E. FPPC Form 460 (June /01) FPPC Toll -Free Helpline: 866 /ASK -FPPC SCHEDl1LE H Schedule H Type or print in ink. Statement covers period - Amounts may be rounded Loans Made to Others* I July 1, 2014 ' • - to whole dollars. from September 30, 21d Page 14 of l SEE INSTRUCTIONS ON REVERSE through NAME OF FILER LD NUMBER Vote Rivoire for City Council 2014 1368559 FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER (a) OUTSTANDING (b) (c) j AMOUNT F REPAYMENT OR d OUTST DING (e) INTEREST (�l 19) ORIGINAL CUMULATIVE OF RECIPIENT OCCUPATION AND EMPLOYER (IF SELF - EMPLOYED, ENTER BALANCE BEGINNING THIS LOANED THIS FORGIVENESS BALANCE AT CLOSE OF THIS RECEIVED AMOUNT OF LOANS j' (IF COMMITTEE, ALSO ENTER I D NUMBER) NAME OF BUSINESS) PERIOD PERIOD THIS PERIOD PERIOD LOAN TO DATE PAID CALENDAR YEAR $ $ % $ $ ❑ FORGIVEN PER ELECTION— RATE $ $ $ DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR PER ELECTION— E] FORGIVEN RATE $ $ $ $ $ DATE DUE DATE INCURRED *Loans that are contributions to another candidate or committee must also be summarized on Schedule D. Loans forgiven must also be reported on Schedule E. SUBTOTALS $ $ $ $ Schedule H Summary 1. Loans made this period .................. ............................... (Total Column (b) plus unitemized loans less than $100.) 2. Payments received on loans .................... ............................... (Total Column (c) plus unitemized payments less than $100.) ................................................. ............................... $ 3. Net change this period. (Subtract Line 2 from Line 1.) ................... (Enter the net here and on the Summary Page, Column A, Line 7.) $ (triter (e) on Schedule I, Line 3) 0 0 ...... NET $ 0 (May -bea negative number) **If Required FPPC Form 460 (June /01) FPPC Toll -Free Helpline: 866 /ASK -FPPC Schedule I Miscellaneous Increases to Cash NAME OF FILER Vote Rivoire for City Council 2014 DATE FULL NAME AND ADDRESS OF SOURCE RECEIVED (IF COMMITTEE, ALSO ENTER I D. NUMBER) Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from July 1, 2014 through September 30, 2(d DESCRIPTION OF RECEIPT Page 15 of I D NUMBER 1368559 AMOUNT OF INCREASE TO CASH Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ Schedule I Summary 1. Increases to cash of $100 or more this period ............................................................................ ............................... $ 2. Unitemized increases to cash under $100 this period ................................................................ ............................... $ 3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).) .. ............................... $ 4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the SummaryPage, Line 14.) ............................................................................................ ............................... TOTAL $ 0 0 0 0 FPPC Form 460 (June /01) FPPC Toll -Free Helpline: 866 /ASK -FPPC