Loading...
HomeMy WebLinkAboutAndrea Pease - Form 460 - 07-01-16 to 09-24-16Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement covers period from 7/01/16 through 9/24/16 Date of election if applicable: (Month, Day, Year) 11/8/16 ❑C SEP 28 2016 COVER PAGE •" 460 .- rp of For Official Use Only 1. Type of Recipient Committee: All committees - complete Parts 1, 2, 3, and 4. 2. Type of Statement: 0 Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure 0 Preelection Statement ❑ Quarterly Statement 0 State Candidate Election Committee Committee ❑ Semi-annual Statement ❑ Special Odd -Year Report 0 Recall 0 Controlled ❑ Termination Statement (Also Complete Pert 5) 0 Sponsored (Also file a form 410 Termination) (Also Complete Part 6) ElGeneral Purpose Committee ❑ Amendment (Explain below) 0 Sponsored ❑ Primarily Formed Candidate/ 0 Small Contributor Committee Officeholder Committee 0 Political Party/Central Committee (Also Complete Part 7) 3. Committee Information I.D. NUMBER 1383366 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Andy Pease for Council 2016 STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREACODE/PHONE San Luis Obispo CA 93401 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE/PHONE San Luis Obispo CA 93406 OPTIONAL: FAX/ E-MAIL ADDRESS 4. Verification Treasurer(s) NAME OF TREASURER Robert McCann MAILING ADDRESS CITY STATE ZIP CODE AREACODE/PHONE San Luis Obispo CA 93401 NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREACODE/PHONE OPTIONAL: FAX/ E-MAIL ADDRESS 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 pury un eQr the laws of the State of California that the foregoing Ra mn iW. n(fl—I N C-r Executed on Date Executed on Date By Signature of Controlling Officeholder, Candidate, State Measure Proponent By Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Andrea Pease OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) San Luis Obispo City Council RESIDENTIAUBUSINESS ADDRESS (NO.ANDSTREET) 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. CC"r MIT -1l EE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREACODE/PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRE (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COVER PAGE - PART 2 Page Z 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE of i Cl 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 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 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Campaign Disclosure Statement Amounts may be rounded to whole dollars. Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF FILER Andy Pease for Council 2016 Contributions Received 1. Monetary Contributions................................................... Schedule A, Line 3 $ 2. Loans Received................................................................ Schedule B, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 1 + 2 $ 4. Nonmonetary Contributions ............................................ Schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED ................................... Add Lines 3+4 $ Statement covers period from 7/1/16 through Column A Column B TOTAL THIS PERIOD CALENDAR YEAR (FROM ATTACHED SCHEDULES) TOTAL TO DATE 7,610 11,160 $ Add Lines 6+7 $ 0 2,000 7,610 13,160 $ Schedule C, Line 3 432 442 8,042 $ 13,602 Expenditures Made 6. Payments Made................................................................ Schedule e, Line 4 $ 5.792 $ 7. Loans Made............:....:..........:.........................i...:..:......... Schedule H, Line 3 0 8. SUBTOTAL CASH PAYMENTS .......................................... Add Lines 6+7 $ 5,792 $ 9. Accrued Expenses (Unpaid Bills) ........................................ schedule F Line 3 0 10. Nonmonetary Adjustment......................................................... Schedule C, Line 3 432 11. TOTAL EXPENDITURES MADE ........................................ Add Lines 8 + 9 + 10 $ 6,224 $ 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 I, Line 4 15. Cash Payments... ...................................................... Column A, Line 8 above 16. ENDING CASH BALANCE ..................Add Lines 12 + 13 + 14, then subtract Line 15 $ if 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 $ 4,205 7,610 0 5,792 6,023 2,000 7.137 0 7,137 0 442 7,579 To calculate Column B, add amounts in Column Ato 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). 9/24/16 SUMMARY PAGE Page 3 of 19 11383366 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 through 6130 7/1 to Date 20. Contributions Received $ $ 21. Expenditures Made $ $ 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) I $ *Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A Amounts may be rounded SCHEDULE A Monetary Contributions Received io wnoie sonars. Statement covers period CALIFORNIA ! fro7/1/16 m • • t 9/24/16 through page of SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Andy Pease for Council 2016 1383366 DATE FULL NAME, STREETADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR IFAN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) Samuel Papert IND El COM Business Consultant 9/716 El OTH Wormhole, LLC 100 100 Cambria, CA 93428 ❑ PTY ❑ SCC Diana Schmiett a IND Retired 8/3/16 El ElOOTH TH 60 60 San Luis Obispo, CA 93405 ❑ PTY ❑ SCC Thomas Norwood Ia IND ❑ COM Retired 8/3/16 EloTH 50 50 San Luis Obispo, CA 93405 ❑ PT, ❑ SCC Patricia Beck 0IND Retired 8/3/16 El COM 50 50 San Luis Obispo, CA 93405 ❑ OTH ❑ PTY ❑ SCC 9/16/16 Turko Semmes 0 IND ❑ COM Builder Semmes & Co. 100 I� 100 Atascadero, CA 93422 ❑ OTH ❑ PTY ❑ SCC SUBTOTAL 3 360 Schedule A Summary 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 $ 6,385 1,225 7,610 `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 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULEA (CONT.) Monetary contributionS Received to whole dollars. Statement covers period from ...7/1/16 • - through 9/24/16 Q Page of 1 1 NAME OF FILER I.D. NUMBER Andy Pease for Council 2016 1383366 DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR COMMITTEE, ALSO ENTER I D. CONTRIBUTOR * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE (IF NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) ® IND Judy Alter El COM Retired 8/24/16 ❑ OTH 50 50 San Luis Obispo, CA 93401 ❑ PTY j ❑ ScC ® IND Patricia Andreen El COM Attorney 8/3/16 [I OTH Law Office of Patricia 75 75 San Luis Obispo, CA 93405 ❑ PTY Andreen ❑ SCC Patrick Arnold ® IND ❑ COM Contractor 9/7/19 Covelo Inc. p 300 300 San Luis Obispo, CA 93406 p PTY ............ ❑ SCC John Ashbaugh � IND❑ COM Educator 9/16/16 El OTH Hancock College 50 50 San Luis Obispo, CA 93405 ❑ PTY ❑ SCC — ® IND Charles Ashley i El Engineer 7/23/16 El OTH Ashley &Vance 300 300 Atascadero, CA 93422 El PTY Engineering ❑ ScC SUBTOTAL$ 775 '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 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULEA (CONT.) monetary contrioutllonS Received to whole dollars. Statement covers period CA . LIFORNIA from 7/1/16 A60' FORM _r through 9/24/16 p Page (O of ( I NAME OF FILER I.D. NUMBER Andy Pease for Council 2016 1383366 DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE PER ELECTION CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) I ® IND Greg Baxley❑ coM Teacher 8/24/16 50 ❑ OTH Cuesta College 50 San Luis Obispo, CA 93401 ❑ PTY ❑ SCC ® IND 8/24/16 Lara Baxley ❑ COM Teacher Cuesta College g 50 50 San Luis Obispo, CA 93401 p pTy ❑ SCC John Belsher ® IND El COM Attorney 7/15/16 ❑ OTH JB Dev Co 100 100 San Luis Obispo, CA 93401 ❑ PTY ❑ SCC Sue Bonitz Q IND ❑ COM Attorney 8/20/16 ❑ OTH Susan Bonitz Attorney 150 150 San Luis Obispo, CA 93405 ❑ PTY SCC ® IND 8/24/161415 Carlyn Christianson ❑ COM Medical Practice ❑ OTH Administrator 100 100 San Luis Obispo, CA 93401 ❑ PTY Coastal Anesthesiology ❑ ScC SUBTOTAL$ 450 '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 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULEA (CONT.) monetary contributionS Received to whole dollars. Statement covers period from .__ 7/1/16 • - f 1 through 9/24/16 Lage-2--of t 9 NAME OF FILER I.D. NUMBER— Andy Pease for Council 2016 11383366 DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR COMMITTEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE (IF CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) --..... OF BUSINESS) i ®IND - Janet Clarke El COM Retired 8/27116 El OTH 50 50 San Luis Obispo, CA 93405 ❑ PTY ❑ SCC John Conner ® IND ❑ COM f Hotelier 9/7/16 ❑ OTH Petit Soleil 300 300 San Luis Obispo, CA 93401 ❑ PTY ❑ SCC Jan Durocher ® IND Retired 7/26/16 ❑ OTH San Luis Obispo, CA 93405 ❑ PTY ❑ SCC Q IND Kevin Ferguson g El COM200 Pathologist 8/27/16 ❑ oTH Diagnostics Pathology 200 Arroyo Grande, CA 93420 ❑ PTY Services ❑ SCC Thomas Fowler ® IND ❑ Professor 8/6/16COM ❑OTH Cal Poly St. Univ y 100 100 San Luis Obispo, CA 93401 [j PTY ❑ SCC SUBTOTAL$ 700 '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 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULEA (CONT.) Monetary Contributions Received to whole dollars. Statement covers period _ + • ' from 7/1/16 + - through 9/24/. Page `-' of. t { i NAME OF FILER I.D. NUMBER Andy Pease for Council 2016 1383366 DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR COMMITTEE, ALSO ENTER I.D. NUMBER)CODE CONTRIBUTOR * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE (IF (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) I� IND Heidi Gibson ❑ COM Architect 7/22/16 ❑ OTH studio2G Architects 300 300 San Luis Obispo, CA 3401 ❑ PTY ❑ SCC Adam Hill ® IND ❑ COM District Supervisor 8/24/16 OTH Count of San Luis 100 100 San Luis Obispo, CA 93401 p PTY Obispo P ❑ SCC ® IND El COMOTH Professor Chandrika Jaggia 7/24/16 Cal Poly St. Univ. y 100 100 San Luis Obispo, CA 93401 p P7Y _......._........... ❑ SCC .. IND .... ... ..................... Thomas Jess ElcoM Architect 7/21/16 El OTH Arris Studio Architects 300 300 San Luis Obispo, CA 93401 ❑ PTY ❑ SCC Sharon Junke ® IND El COM Community Volunteer 8/14/16 ❑ OTH 100 100 San Luis Obispo, CA 93405 ❑ PTY ❑ SCC SUBTOTAL$ 900 ! _.. �_ ....._. __.. E `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 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULEA (CONT.) Monetary Contributions Received to whole dollars. Statement coversperiod CALIFORNIA from 7/1/16 FORM through 9/24/16 Page of NAME OF FILER LL I.D. NUMBER Andy Pease for Council 2016 1383366 DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR COMMITTEE, ALSO ENTER CONTRIBUTOR * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE (IF LD NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD I (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) IND Michael Kaplanj ❑®coM ! Nonprofit Fund 7/25/16 E]OTH Development 100 100 San Luis Obispo, CA 93401 ❑ PTY Transitions -Mental Health ❑ scC Thomas Kolby ® IND El COM Retired 9/7/161392 ❑ OTH 50 50 San Luis Obispo, CA 93401 ❑ PTY .._......... El SCC Jill Lemieux ® ICOMND El Sales Director 9/7/16 OTH ElOOTH Chamber of Commerce 100 100 San Luis Obispo, CA 93405 ❑ P7Y ❑ SCC 10 IND Kimberly Lonsway [1 COM Research/Training 8/24/16 El OTH EVAWI 100 100 San Luis Obispo, CA 93401 ❑ PTY ❑ scC Melissa Lovett -Adair ® IND COM E]OTH Nurse 8/17/16 SLO County Public 100 100 San Luis Obispo, CA 93401 p PTY Health ❑ SCC SUBTOTAL$ 450 `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 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULE (CONT.) monetary ContributionS Received to whole dollars. Statement covers period from 7/1/16 • - through . 9..... page (® of t 9 NAME OF FILER I.D. NUMBER Andy Pease for Council 2016 1383366 DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I,D, NUMBER) CONTRIBUTOR CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) 2IND Eric Olsen El COM Professor 7/27/16 El Cal Poly St. Univ_ 200 200 San Luis Obispo, CA 93401 ❑ PTY ❑ SCC Ann Palmer IND ®COM ❑❑ Accountant 7/27/16 OTH Ann Palmer CPA 50 50 San Luis Obispo, CA 93401 ❑ PTY ❑ SCC Mary Parker IND ®COM Retired 8/4/16 L] OTH 100 100 San Luis Obispo, CA 93405 ❑PTY ❑ SCC Susan Piel io IND ❑ COM Retired 7/30/16 ❑ OTH 100 100 San Luis Obispo, CA 93401 ❑ PTY ❑ SCC John Smigelski ® IND COM Renewable Energy 7/25/16 p OTH Better World Energy Inc. 50 50 San Luis Obispo, CA 93405 ❑ PTY ❑ SCC SUBTOTAL$ 500 `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 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULEA (CONT.) Monetary Contributions Received to whole dollars. Statement covers period . from 7/1/16 • ............ '� through . 9/24/16 Page ' I of NAME OF FILER I.D. NUMBER Andy Pease for Council 2016 1383366 DATEFULL RECEIVED NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) IND Jan Marx p COM Mayor 7/18/16 100 ❑ OTH City of San Luis Obispo 100 San Luis Obispo, CA 93401 ❑ PTY ❑ sCC Eric Meyer ® IND Y ❑ COM Planning Commissioner 9/16/16 County of San Luis 300 300 San Luis Obispo, CA 93401 p PTY Obispo P ❑ SCC Linda Meyer ® IND COM Teacher 8/20/16 p OTH San Luis Coastal USD 50 50 San Luis Obispo, CA 93401 ❑ P7Y ❑ SCC El IND Dean Miller El COM Dentist 9/16/16 ❑ OTH Dean Miller DDS 50 50 San Luis Obispo, CA 93401 ❑ P -Y ❑ SCC ® IND El COM Community Volunteer Laura Mullen 7/27/16 ❑ OTH 50 50 San Luis Obispo, CA 93401 ❑ PTY n SCC SUBTOTAL$ 550 `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 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULE (CONT.) Monetary Contributions Received to wnole douars. Statement covers period CALIFORNIA 460 from 7/1/16 FORM through 9/24/16 Q page of L 1 NAME OF FILER I.D. NUMBER Andy Pease for Council 2016 1383366 DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR COMMITTEE, ALSO ENTER CONTRIBUTOR * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE (IF I.D. NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) ® IND Susan Stenovec ElCOM Retired 9/16/16 ❑ OTH 300 300 San Luis Obispo, CA 93401 ❑ PTY ❑ SCC Dale Sutliff ® IND El COM Retired 8/31/16 ❑ OTH 50 50 San Luis Obispo, CA 93401 ❑ PTY ❑ SCC Kent Taylor ® IND El COM _. ! Retired 8/3/16 ❑ OTH 100 150 San Luis Obispo, CA 93405 ❑ PTY ❑ SCC IND Candice Wong Architect 8/15/16 o�H El Candice Wong 200 200 San Luis Obispo, CA 93405 ❑ PTY ❑ SCC ® IND ❑ COM ............... Retired Janis Woolpert 9/7/16 ❑ OTH 100 100 San Luis Obispo, CA 93401 ❑ PTY ❑ SCC SUBTOTAL$ 750 '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 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Amounts be may rounded SCHEDULEA (CONT.) Monetary Contributions Received to whole dollars. Statement covers period a from 7/1/16 • - ``©© through 9/24/16 page l� Of NAME OF FILER I.D. NUMBER Andy Pease for Council 2016 1383366 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATEPER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED OF BUSINESS) ) ® IND Shannon Larrabee COM Director of Govt and 8/24/16 ❑ OTH Industrial Relations 100 100 Santa Maria, CA 93456 ❑ PTY Central Coast Distributing ❑ SCC IND ®COM 0CTH ❑ PN ❑ SCC 9/21/16 John Spatafore San Luis Obispo, CA 93401 Attorney Attorney at law 200 200 Charles Crotser 0 c D Architect 9/21/16 o OTH Cal Poly St. Univ. 200 200 San Luis Obispo, CA 93405 ❑ PTY ❑ scC Roger Longden V IND ElcoM Retired 7/27/16 ❑ OTH 100 100 San Luis Obispo, CA 93405 ❑ P7Y ......... ❑ SCC June Minikel IND ®M El CO Retired 8/3/16 [1CO 100 10 San Luis Obispo, CA 93401 ❑ PTY ❑ SCC SUBTOTAL$ 700 *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 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULEA (CONT.) Monetary Contributions Received to whole dollars. Statement covers perio� CALIFORNIAd from 7/1/16 FORM Page k LA of ( 1 through 9/24/16 NAME OF FILER I.D. NUMBER Andy Pease for Council 2016 1383366 DATE FULL NAME, STREETADDRESS AND ZIP CODE OF CONTRIBUTOR RECEIVED COMMITTEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR I CODE ' IFAN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE (IF (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN.1-DEC. 31) (IF REQUIRED) OF BUSINESS) JoAnne Miller OIND Investor 9/16/16 E3 COM [:1 OTH Brown Dog Partners 100 100 San Luis Obispo, CA 93401 ❑PTY I ❑ SCC Elie Axelroth IND Retired 7/27/16 ❑ COM i 100 100 San Luis Obispo, CA 93401 El OTH ❑ PTY ❑ SCC Robert Wolf la IND Retired 7/30/16 ❑ COM 50 50 San Luis Obispo, CA 93401 ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL$ 250 '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 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov SCHEDULE B - PART 1 scneauie rs — cart i to whole dollars.ji Statement covers period Loans Received CALIFORNIA 1 ' ' from 7/1/16 FORM 9/24/16 �5 t SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER I.D. NUMBER Andy Pease for Council 2016 1383366 FULL NAME, STREETADDRESS AND ZIP CODE OCIFAN INDIVIDUAL, ENTER CUPATION AND EMPLOYER a) OUTSTANDING (b) AMOUNT (c) AMOUNT PAID () OUTSTANDING (e) INTEREST ORIGINAL g CUMULATIVE OF LENDER (IF COMMITTEE, ALSO ENTER I.D. NUMBER (IF SELF-EMPLOYED, ENTER BALANCE BEGINNING THIS RECEIVED THIS OR FORGIVEN BALANCE AT CLOSE OF THIS PAID THIS AMOUNT OF CONTRIBUTIONS NAME OF BUSINESS) PERIOD PERIOD THIS PERIOD ` PERIOD PERIOD LOAN TO DATE Andrea Pease Architect E] PAID CALENDAR YEAR In Balance Green $ $ 2.000 0 % $ 2.000 $ 2,000 ❑ FORGIVEN PER ELECTION" San Luis Obispo, CA 93401 i Consulting RATE $ 2,000 $ 0 $ 11/8/16 $ 3/11/16 $ tLd IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR $ $ % $ $ FORGIVEN [:3 FORGIVEN PER ELECTION" ❑ IND El COM E] OTH ❑PTY [_1 SCC TE] $ $ $ $ $ DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR $ S % $ $ FORGIVEN E] FORGIVEN PER ELECTION - t[:] IND ❑ COM ❑ OTH ❑ PTY❑SCC DATE DUE DATE INCURRED SUBTOTALS $ 0 $ 0 $ 2,000 $ 0 Schedule B Summary 1. Loans received this period........................................................................... (Total Column (b) plus unitemized loans of less than $100.) 2. Loans paid or forgiven this period................................................................ (Total Column (c) plus loans under $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. 'Amounts forgiven or paid by another party also must be reported on Schedule A. '* If required. ............................... $ In NET $ (May be a negative number) 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 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule C Amounts may be rounded SCHEDULE C Nonmonetary Contributions Received Statement covers period . from 7/1/16 • '(, through 9/24/16 page /"' of SEE INSTRUCTIONS ON REVERSE —F�— NAME OF FILER I.D. NUMBER Andy Pease for Council 2016 1383366 DATE FULL NAME, STREETADDRESS AND CONTRIBUTOR IF AN INDIVIDUAL, ENTER DESCRIPTION OF AMOUNT/ CUMULATIVE TO DATE PER ELECTION RECEIVED ZIP CODE OF CONTRIBUTOR CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER GOODS OR SERVICES FAIR MARKET VALUE CALENDAR YEAR TO DATE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) NAME OF BUSINESS) (JAN 1 - DEC 31) (IF REQUIRED) [A IND Pierre Rademaker ❑ COM Designer Design services 8/15/16 E] OTH Pierre Rademaker 300 300 San Luis Obispo, CA 93401 ❑ PTY ❑ SCC � IND 8/20/16 Shannon Larrabee ❑ COM Director Govt & Drinks for ❑ OTH Industrial Relations fundraiser 110 110 Santa Maria, CA 93456 ❑ pN Central Coast ❑ SCC Distributing ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH t ❑ PTY ❑ SCC Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 410 Schedule C Summary 1. Amount received this period — itemized nonmonetary contributions. (Include all Schedule C subtotals.).................................................... 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 $ *Contributor Codes IND – Individual 410 COM – Recipient Committee (other than PTY or SCC) 22 OTH – Other (e.g., business entity) PTY – Political Party SCC – Small Contributor Committee 432 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE Andy Pease for Council 2016 Amounts may be rounded to whole dollars. Statement covers period from 7/1/16 through 9/24/16 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. 6011.141111g:111:1 Page I of 1383366 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 (intemet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT 1 AMOUNT PAID SLO Life Journal San Luis Obispo, CA 93401 PRT 800 SLO Journal Plus San Luis Obispo, CA 93401 PRT 550 1 SLO County Democratic Party Table and tickets for event San Luis Obispo, CA 100 " 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. 5,756 2. Unitemized payments made this period of under $100............................................................................................... --------------------- _------ $ 36 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).)... ........... $ 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 $ 5,792 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule EAmounts CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID City of San Luis Obispo SCHEDULE E (CONT.) (Continuation Sheet) may be rounded to whole dollars. Statement covers period - I ' 660 US Postmaster San Luis Obispo, CA 93406 Payments Made 62 from 7/1/16 IPag!e-�j San Luis Obispo, CA 93401 CMP 9/24/16 ( SEE INSTRUCTIONS ON REVERSE through CMP of 1 NAME OF FILER Left Coast T -Shirt San Luis Obispo, CA 93401 i CMP I.D. NUMBER Andy Pease for Council 2016 1383366 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 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 ADDRESSPAYEE (IF COMMITTEE, ALSO ENTER I D D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID City of San Luis Obispo San Luis Obispo, CA FIL 660 US Postmaster San Luis Obispo, CA 93406 POS 62 Coastal Reprographics San Luis Obispo, CA 93401 CMP 307 Graphics by Erick San Luis Obispo, CA 93403 CMP 103 Left Coast T -Shirt San Luis Obispo, CA 93401 i CMP 1,806 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 2,938 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Sign Outfitters SCHEDULE E (CONT.) (Continuation Sheet) Amounts may be rounded to whole dollars. Statement covers period • _ I , 257 Tolosa Press Payments Made San Luis Obispo, CA 93401 PRT from 7/1/16 • - New Times SEE INSTRUCTIONS ON REVERSE through 9/24/16 page � 9 of {� I.D. NUMBER NAME OF FILER 521 Andy Pease for Council 2016 Merchant fees 1383366 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 meats 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 AMOUNT PAID Sign Outfitters Wyandotte, MI 48192 CMP 257 Tolosa Press San Luis Obispo, CA 93401 PRT 360 New Times San Luis Obispo, CA 93401 PRT 521 Stripe Merchant fees 230 " Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 1,368 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov