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HomeMy WebLinkAboutJan Marx - Form 460 - Termination - 12-21-2010Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200- 84216.5) SEE INSTRUCTIONS ON REVERSE PAGE Type or print in ink. Statement covers period from 10/17/10 through 12/31/10 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. V Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure Q State Candidate Election Committee Committee Q Recall Q Controlled (Also Complete Parts) Q Sponsored F-1 General Purpose Committee (Also Complete Parts) Q Sponsored ❑ Primarily Formed Candidate/ Q Small Contributor Committee Officeholder Committee Q Political Party/Central Committee (Also Complete Part 7) 3. Committee Information I.D. NUMBER 1327506 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Elect Jan Marx Mayor 2010 STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE /PHONE San Luis Obispo CA 93405 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE CITY STATE ZIP CODE AREA CODE /PHONE San Luis Obispo CA 93406 OPTIONAL: FAX / E -MAIL ADDRESS Jan Marx Date of election if applicable: (Month, Day, Year) Date Stamp ECEIVE DEC 21 2010 Page_ of For Official Use Only 11/2/2010 ISLO CITY CLEIIJ 2. Type of Statement: ❑ Preelection Statement ❑ Quarterly Statement V Semi - annual Statement ❑ Special Odd -Year Report [r�l-ermination Statement ❑ Supplemental Preelection (Also file a Form 410 Termination) Statement - Attach Form 495 ❑ Amendment (Explain below) Treasurer(s) NAME OF TREASURER Gregory Ty Griffin MAILING ADDRESS CITY STATE ZIP CODE AREA CODE /PHONE San Luis Obispo CA 93401 NAME OF ASSISTANT TREASURER, IF ANY Jan Marx MAILING ADDRESS CITY STATE ZIP CODE AREA CODE /PHONE San Luis Obispo CA 93405 OPTIONAL: FAX / E -MAIL ADDRESS jan @janmarx.com jan @janmarx.com 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contai ed 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 co /r /rss) Executed on 1Z y _2 L ` g Date y I' 2f ^ zol ° Executed on gy Date SignaW of Co rolling Officeholtler,Cantlitlate, State Measera Proponentorftesponsideofficerof Sponsor Executed on By Data SlgnatureofC Nml ing ORcehaider,C didate,Stak Measure PmpmeM Executed on By Date Signatureof Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 465 (January/08) FPPC Toll -Free Helpline: 866 1ASK-FPPC (8661275.3772) 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 Jan Marx OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Mayor of the Coty of San Luis Obispo RESIDENTIAL /BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP 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. CITY STATE ZIP CODE AREA CODE /PHONE COMMITTEENAME COMMITTEE ADDRESS I.D. NUMBER ❑ YES ❑ NO CITY STATE ZIP CODE AREA CODE /PHONE Page '�21 of 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION I ❑SUPPORT ❑ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT HELD DISTRICT NO, IF ANY 7. Primarily Formed Candidate /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: 866 /ASK -FPPC (8661276.3772) State of California Campaign Disclosure Statement Type or print in ink. Amounts may be rounded Summary Page to whole dollars. Statement covers period from 10 -17 -2010 SEE INSTRUCTIONS ON REVERSE through 12 -31 -2010 Page 3 of L� NAME OF FILER I.D. NUMBER Elect Jan Marx Mayor 2010 1327506 Expenditures Made olum oD Columns Calendar Year Summary for Candidates Contributions Received 7. Loans Made .............................. ............................... To E t0 Primary Running in Both the State Prima and Add Lines 6 +7 $ 7002 (FROMATTACHED SCHEDULES) TOTALTODATE 9 10. Nonmonetary Adjustment ........... ............................... Schedule c, Line 3 0 11. TOTAL EXPENDITURES MADE ................ ................ General Elections 1. Monetary Contributions ............ ............................... schedule A, Line 3 $ 3256 $ 22,698 -2000 2,000 1/1 through 6/30 711 to Date 2. Loans Received ....................... ............................... schedule e, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines I +2 $ 1256 $ 24,698 20, Contributions Received $ 4. Nonmonetary Contributions ..... ............................... Schedule c, Line 3 0 800 $ 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ........ .... ........... .... Add Lines 3 +a $ 1256 $ - 25,498 Made $ $ Expenditures Made 6. Payments Made ........................ ............................... schedule E, Line a $ 7002 7. Loans Made .............................. ............................... Schedule H, Line 3 t0 8. SUBTOTAL CASH PAYMENTS ..... ............................... Add Lines 6 +7 $ 7002 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F Line a D 10. Nonmonetary Adjustment ........... ............................... Schedule c, Line 3 0 11. TOTAL EXPENDITURES MADE ................ ................ Add Lines 8 +6 +io $ 7002 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 1, Line a 15. Cash Payments ................... ............................... Column A, Line 8above 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 if this is a termination statement, Line 16 must be zero. $ 3746 3256 00 7002 $ 0 17. LOAN GUARANTEES RECEIVED ........................... Schedule e, Part 2 $ Co Cash Equivalents and Outstanding Debts 18. Cash Equivalents ......... ............................... See instructions on reverse $ 19. Outstanding Debts ......................... Add Line 2 +L1ne9in Column B above $ y $ 25,498 b $ 25,498 O $ 25,498 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 filed 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 Sublectto Voluntary Expenditure Limit) Date of Election Total to Date (mm /dd /yy) I I $ E 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) Schedule A Type or print in ink. SCHEDULE A Monetary Contributions Received "" to rwhole dollars NDea Statement covers period CALIFORNIA ' from 10 -17 -1010 FORM • through 12 -31 -2010 SEE INSTRUCTIONS ON REVERSE Page of NAME OF FILER I.D. NUMBER Elect Jan Marx Mayor 2010 1327506 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE,ALSO ENTER I.D. NUMBER) CODE* OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE OF SELF-EMPLOYED, ENTER NAME PERIOD (JAN.1 -DEC. 31) (IF REQUIRED) OFBUSINESSI ❑IND See attached ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑IND ❑COM ❑ OTH ❑ PTY ❑SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑IND ❑COM ❑ OTH ❑ PTY ❑ SCC ❑IND ❑COM ❑ OTH ❑ PTY ❑SCC SUBTOTALS G;h €k,?r WF ;o:t.i`.. bcneauie A summary 1. Amount received this period - itemized monetary contributions. (Include all Schedule A subtotals.) ......................................................................... ............................... $ 2. Amount received this period - unitemized 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 $ 1801 1455 3256 '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 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275.3772) Schedule A (Continuation Sheet) Statement covers period California Form 460 Montary Contributions Received from 10/16/2010 Page s� of Name of filer: Jan Marx through 12/31/2010 I.D. Number: 1327 O6 Date Name and address Code Occupation & Employer $ Period $ YTD $ Election 20 -Oct Jeffrey Stulberg Ind Retired lool 200 200 Subtotal ($ Period): ) " I SCHEDULEB -PART1 Schedule B — Part 1 °"` _' Va ... ... ro"u". Amounts may be rounded Statement covers period P �. Loans Received to Whole dollars. 10/17/10 • from .. 12/31/10 115— SEE INSTRUCTIONS ON REVERSE through page of NAME OF FILER I.D. NU MBER Elect Jan Marx Mayor 2010 13275 06 FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER a OUTSTANDING (b) AMOUNT (e) AMOUNT PAID (tl) OUTSTANDING (e) INTEREST In ORIGINAL (g) CUMULATIVE OF LENDER OCCUPATION AND EMPLOYER (IF SELF - EMPLOYED, ENTER BALANCE BEGINNING THIS RECEIVED THIS OR FORGIVEN BALANCE-AT CLOSE OF THIS PAID THIS AMOUNTOF CONTRIBUTIONS prcoMMnTEeALSOENTeRI.o.NUIneER7 NAMEOF BUSINESS) PERIOD PERIOD THIS PERIOD' pE IOD PERIOD LOAN TO DATE Jan Marx Attorney, retired. ®PAID CALENDARYEAR Council Member Ej FORGIVEN RATE $ 2,000.00 $ 0 $ 0 $ 0 09/05/10 $ t2 IND I] COM ❑ OTH El PTV [ SCC DATE DUE DATE INCURRED PAID CALENDARYEAR I] FORGIVEN PERELECTION" RATE 8 8 8 8 E DATE DUE DATE INCURRED t❑ IND ] DOM [I OTH I] PTY ❑ SCC I] PAID CALENDARYEAR 8 $ _% S $ E] FORGIVEN PERELECTION" RATE t[] IND ❑ DOM ] OTH ❑ PTY ❑ SCC E $ $ $ $ DATE DUE DATE INCURRED SUBTOTALS $ $ Z,�JO $ $ ,Ii�..i3 v r�;, i� sr `I „�, R Ll �, Schedule B Summary 1. Loans received this period ..................................................................................... ............................... $ (Total Column (b) plus unitemized loans of less than $100.) 2. Loans paid orforgiven this period .......................................................................... ............................... $ (Total Column (c) plus loans under $100 paid orforgiven.) (Include loans paid by a third parry that are also itemized on Schedule A.) V 2,000.00 3. Net change this period. Subtract Line 2 from Line 1. - 2000.00 9 p ( ) ................................ ............................... NET $ Enter the net here and on the Summary Page, Column A, Line 2. (May be a negatrve number) "Amounts forgiven or paid by another party also must be reported on Schedule A. – If required. Lerner le)on Schedule 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 (866/275.3772) Schedule E Type or print in ink. (IF COMMITTEE, ALSO ENTER I.B. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID SCHEDUIT Statement covers period PayPal donations processing fee , , Amounts whole Payments Made mbr dollars. The Tribune Newspaper ( #1030) 10117/10 .• • ` Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL$,, Schedule E Summary 1. Itemized payments made this period. (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).) ................................................ ............................... $ OrJ'✓ 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summa Page, Column A, Line 6. Y Summary 9 ) ............................. TOTAL $ �%� 0 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772) Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE Elect Jan Marx Mayor 2010 Type or print in ink. Amounts may be rounded to whole dollars. covers period from 10/17/10 through 12/31/10 Page of _U57 I.D. NUMBER 1327506 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CK/P 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 PEr 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 VJEB information technology costs (Internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID Public Policy Solutions ( #1123) reimbursement for below items Radio advertising (KVEC & KKJL) pd by PPS radio advertising $950.00 Zaca Lane, San Luis Obispo CA 93401 red SLO County Clerk update of registered voter records ($41.00) * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ D Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) ..... 2. Unitemized payments made this period of under $100 .. ............................... ......................................................... ............................... $ —D 0 7/ ................................................................. ............................... $ 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1,, Column ( e).) ................................................ ............................... $ O 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ............................. TOTAL $ % 0 D Z FPPC Form 460 (January/05) FPPC Toll -Free Helpilne: 866 1ASK -FPPC (86612753772) Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE Elect Jan Marx Mayor 2010 Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 10/17/10 through 12/31/10 Page _q_ of I.D. NUMBER 1327506 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 fling /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 FRO 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) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID Bank Of America (VISA) ( #1124) payment for below items Got Print postcards ($403.40) gotprint.com (seeking physical address) Lit Fedex Office photocopying $5.87 ' Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 7Y-7-70 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) ..................... ............................... 2. Unitemized payments made this period of under $100 ................................................. ............................... ..........................$ —7ooy i .......................... $ a 3. Total interest paid this period on loans. Enter amount from Schedule B, Part 1, Column (e).) $ O 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ............................. TOTAL $ % 0 D Y FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 8661ASK -FPPC (86612753772) Schedule E Payments Made Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 10/17/10 SEE INSTRUCTIONS ON REVERSE through 12/31/10 Page L of J NAME OF FILER I.D. NUMBER Elect Jan Marx Mayor 2010 d 1327506 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CW campaign paraphemalia/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 candidatelsponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LET 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) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID Smart & Final ( #1122) food for campaign event Public Policy Solutions ( #1125) consultant's fee Fertile Minds ( #1126) graphic design 1318 Chorro web 243.75 " Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ �/ 24 Schedule E Summary 1. Itemized payments made this period. (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).) ................................................ ............................... $ OflZ 0 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ............................. TOTAL $ -70021— FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275.3772) Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE Elect Jan Marx Mayor 2010 Type or print in ink. Amounts may be rounded to whole dollars. Statement covers p from 10/17/10 through 12/31/10 Page /U__ of 1327506 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CUP 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 PEr 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 PRi print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE. ALSO EWER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID Steynberg Gallery ( #1127) payment of half bill (rent & Food) Steven Marx ( #1128) payment of half bill (rent & Food) Steynberg Gallery Staples ( #1129) storage boxes * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ ' —7 9 3 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) ............................................................................... ............................... $ '-7 D 9 Z 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.) ..... TOTAL $ -% D 0 7/ FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (86612753772) Schedule E \ Type or print in ink. Statement covers period Payments Made �FOi 000 \ \ \��� \ \\ Amounts whole dollars. rounded from 10/17/10 SEE INSTRUCTIONS ON REVERSE through 12/31/10 Page 1�:_ of I.D. NUMBER Elect Jan Marx Mayor 2010 1 1327506 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment CMP campaign paraphernalialmisc. 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 PFIO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS stafflspouse 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 Lrr 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) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID Jan Howell Marx ( #1130) repayment of $2,000 loan to this campaign committee Steven Marx ( #1132) reimbursement for candidate filing fee Big Sky Cafe ( #1131) campaign event ` Payments that are contributions or independent expenditures must also be .summarized on Schedule D. SUBTOTAL$ 2, / Schedule E Summary 1. Itemized payments made this period. Include all Schedule E subtotals. ........ ............................... $ 0 0 y 2. Unitemized payments made this period of under $100 ........................................................................................................... ............................... $ 3. Total interest paidthis 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 $ 7 y FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 8661ASK -FPPC (8661275 -3772) Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE Elect Jan Marx Mayor 2010 Type or print in ink. Statement covers period Amounts may be rounded to whole dollars. from 10/17/10 through 12/31/10 Page J_�_>_ of 1327506 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CNP campaign paraphernalialmisc. 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 filing /ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS TSF staff /spouse travel, lodging, and meals transfer between committees of the same candidate /sponsor IND independent expenditure supporting /opposing others (explain)' POS postage, delivery and messenger services LEG legal defense PRO professional services (legal, accounting) VOT WEB voter registration information technology costs (Internet, e-mail) LIT campaign literature and mailings PRT print ads NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT 'AMOUNTPAID (IF COMMnTEE, ALSO ENTER I.D. NUMBER) Bank Of America (VISA) ( #1135) payment for below items El Dorado Broadcasters radio ads $305.60 Zaca Lane RAD San Luis Obispo CA 93401 Tolosa Press ad $225.00 ' Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) $ �� v .................................... ............................... 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).) ................................................ ............................... $ O 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ............................. TOTAL $ 7, O O FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 8661ASK -FPPC (8661276.3772) Schedule E Payments Made SEE INSTRUCTIONS ON Elect Jan Marx Mayor 2010 Type or print in ink. Amounts may be rounded to whole dollars. w Statement covers period from 10/17/10 through 12/31/10 Page 1327506 of CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CIVIP campaign paraphernalia /misc. MBR member communications PAD 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 fling /ballot fees PFIO 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) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID Marie Howell ( #1133) reimbursement for Facebook Ads Steven Marx ( #1134) reimbursement for emails by createsend.com Steynberg Gallery ( #1136) campaign event * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 3 L Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) ............................................................................... ............................... $ O D - % 2. Unitemized payments made this period of under $100 ........................................................................................................... ............................... $ o 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column ( e).) ................................................ ............................... $ L9 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ............................. TOTAL $ —700 2 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 1ASK -FPP0 (8661276 -3772) Schedule E Type or print in Ink. Statement covers period Payments Made Amounts may be rounded P to whole dollars. from 10 -17 -1010 SEE INSTRUCTIONS ON REVERSE NAME OF FILER Elect Jan Marx Mayor 2010 through 12 -31 -2010 Page j5_ of I 1327506 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CUP CNS campaign paraphemalia /misc. campaign consultants MBR member communications RAD radio airtime and production costs CTB contribution (explain nonmonetary)" MTG OFC meetings and appearances office expenses RFD returned contributions CVC civic donations PEr petition circulating SAL TEL campaign workers' salaries t.v. or cable airtime and production costs FIL FND candidate filing /ballot fees fundraising events PHO phone banks TRC candidate travel, lodging, and meals IND independent expenditure supporting /opposing others (explain)* POL POS polling and survey research TRS staff /spouse travel, lodging, and meals LEG legal defense postage, delivery and messenger services TSF transfer between committees of the same candidate /sponsor LIT campaign literature and mailings PRO PRT professional services (legal, accounting) VOT voter registration print ads WEB information technology costs (Internet, e-mail) NAME AND ADDRESS OF PAYEE (IFCOMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID City of San Luis Obispo Open Space Fund CTB excess campaign contributions in bank acct. 152.60 e Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL$ Schedule E Summary 1. Itemized payments made this period. (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.) ............................. TOTAL $ 0V L C9 —700-2-1 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 8661ASK -FPPC (866/2753772)