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Home My WebLink AboutCarlyn Christianson 460 06.04.13_RedactedRecipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statement covers period from 05/04/2013 through 06/01 /2013 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 O Primarily Formed Q Recall Q Controlled (Also Complete Part5) Q Sponsored ❑ General Purpose Committee (Also Complete Part6) Q Sponsored ❑ Primarily Formed Candidate/ Q Small Contributor Committee Officeholder Committee Q Political Party/Central Committee (Also Complete Part7) 3. Committee Information I.D. NUMBER 1355988 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Carlyn Christianson for City Council 2013 STREET ADDRESS (NO P.O. BOX) Date of election if applicable: (Month, Day, Year) 06/18/2013 1 2. Type of Statement: ® Preelection Statement ❑ Semi-annual Statement ❑ Termination Statement ❑ Amendment (Explain below) Date Stamp F3ECF1V JUN 0 4 2013 COVER PAGE Page 1 of 9 For Official Use Only SLO CITY CLORK ❑ Quarterly Statement ❑ Special Odd -Year Report ❑ Supplemental Preelection Statement - Attach Form 495 this is the second preelection statement Treasurer(s) NAME OF TREASURER Jeri F Carroll MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE San Luis Obispo CA 93401 CITY STATE ZIP-cobE7 AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY San Luis Obispo CA 93401 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX I E-MAIL ADDRESS OPTIONAL: FAX / E-MAIL ADDRESS carlynpc@gmail.com jerj_carroll@att.net 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the in r{rlation containedlh�qrein 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 torn Executed on By C�Dwta — Executed on r By Dais CAioer W 5pcxuor Executed on By Date Signature of Controlling Officeholder, Candidate, State Measure Proponent Executed on BY Data Signature ofControlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (June/Of) FPPC Toll -Free Helpline: 866/ASK-FPPC State of California Type or print in ink. COVER PAGE - PART 2 Recipient Committee CALIFORNIA Campaign Statement FORM 4 • 1 Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Carlyn Christianson OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) City Council, San Luis Obispo RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP San Luis Obispo, CA 93401 Related Committees Not Included in this Statement: List any committees not included in this statement that are controlled by you or are primarily formed to receive contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE Page 2 of 9 6. Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER I JURISDICTION ❑ SUPPORT _ ❑ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD 1 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 ❑ 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 (Junei0l) FPPC Toll -Free Helpline: 866/ASK-FPPC State of California Campaign Disclosure Statement Type or print in ink. SUMMARY PAGE Amounts may be rounded Statement covers periodCALIFORNIASummary Page to whole dollars. / ' from 05/04/2013 FORM through 06/01/2013 Page 3 of 9 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Carlyn Christianson for City Council 2013 1355988 Contributions Received olum Column B Calendar Year Summary for Candidates TColumn ROD (FROM ATTACHED SCHEDULES) TOTALTODATE Running in Both the State Prima and g Primary General Elections 1. Monetary Contributions ........................................... schedule A, Line 3 00 827. $ 7,$ 16,714.99 2. Loans Received..............................................:.....,. schedule B, Line 3 760.00 1/1 through 6/30 7/1 to Date 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 + 2 $ 7,827.00 $ 17,474.99 20. Contributions 4. Nonmonetary Contributions ..................................,. Schedule C, Line 3 120.00 320.00 — Received $ $ 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED .................... ........ Add Lines 3+4 $ 7,947.00 $ 17,794.99 Made $__ $ Expenditures Made 6. Payments Made ....................................................... Schedule E, Line 4 $ 7. Loans Made............................................................... Schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6 + 7 $ 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F Line 3 10. Nonmonetary Adjustment ........................................... Schedule C, Line 3 11. TOTAL EXPENDITURES MADE ................................ Add Lines 6 + 9 + 10 $ 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 4 15. Cash Payments .................................................. Column A, Line 6 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 $ 7,398.13 $ 15,685.71 7,398.13 $ 15,685.71 7,398.13 $ 15,685.71 1,360.41 7,827.00 9,187.41 7,398.13 1.789.28 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 Subject to Voluntary Expenditure Limit) Date of Election Total to Date (mm/dd/yy) 1_. $ 1 $ *Since January 1, 2001. Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (Junel0l) FPPC Toll -Free Helpline: 8661ASK-FPPC Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Carlyn Christianson for City Council 2013 Type or print in ink. Amounts may be rounded to whole dollars. DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR RECEIVED(IFCOMMITTEE,ALSOENTERI.D.NUMBER) CODE * ❑IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND []COM ❑ OTH ❑ PTY ❑ SCC (see attached continuation sheets) ❑IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Statement covers period from 05/04/2013 through 06/01 /2013 1 Pa e 4 IF AN INDIVIDUAL, ENTER AMOUNT OCCUPATION AND EMPLOYER RECEIVED THIS (IFSELF-EMPLOYED, ENTERNAME PERIOD OFBUSINESS) ❑IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ 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............... I ................. ............ $ 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $ 5,400.00 2,427.00 7,827.00 g I.D NUMBER 1355988 SCHEDULE A Of CUMULATIVE TO DATE PER ELECTION CALENDAR YEAR TO DATE (JAN. 1 - DEC. 31) (IF REQUIRED) *Contributor Codes IND— Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (Junel01) FPPC Toll -Free Helpline: 8661ASK-FPPC Schedule A (Continuation Sheet) Statement covers period California Form 460 Monetary Contribution Received from 05/04/13 Page 5 of 9 Name of Filer: Carlyn Christianson for through 06/01/13 LID, Number 1355988 City Council 2013 Date Name and Address John T. Armstrong, Donald & Mary Smith, " " " " " ". - - - - " -- "-- Dean E. Miller, --- - Code Occupation Employer Period YTD Election 8-May IND R 100 100 100 8-May IND R 100 200 200 14-May IND R 50 100 100 -14-May, California Real Estate Political Action Committee, PTY Homemaker Self Employed 200 200 200 14-Ma Kenneth Andreen, ::_ _:._.._ __ __.. -_:_ _ :_ _ - IND R 200 200 200 14-May Jacquelyn Wheeler, IND R 200 200 200 14-May Kathryn Pratt Rogers, John Carsel, Susan Stenovei IND Screen Writer Self Employed 100 100 100 14-May IND Attorney Self Employed 100 100 100 14-May IND R 100 100 100 14-May Allan Cooper, David Brodie, Be Sander: IND R 200 200 200 14-May IND R 200 200 200 14-Ma IND Lawyer Self Employed 200 200 200 14-May Ray Mattison, Coleen Mattison,: Bruce Richard, Eric Meyer, IND Lawyer er Self Employed 200 200 200 14-May IND Homemaker Self Employed 200 200 200 14-May IND R 100 100 100 14-May. IND R 200 200 200 14-MayIDoug Hendry, IND Pension M mt Self Employed 200 200 200 14-MaylAngela McNulty, IND Attorney Self Employed 100 100 100 17-May Rhonda Ri ins-Pimentel, IND R 100 100 100 20-May Debra E. Broner, Patricia Harris,.' IND R 50 100 100 20-May IND R 100 200 200 20-May Jean Marie Mc Dill, IND R 100 100 100 20-May Barrie Cleveland, IND Consultant Self Employed 100 100 100 22-May Bruce Gibson, Sandra Sigurdson & Stephen McGrath, ( Lawrence Bolef, IND Supervisor SLO County 75 150 150 22-May IND Administrator SIO Chm & Port Sc200 200 200 22-May IND Com uter Progi Tranuion Interactivi 200 200 200 24-May, ShirleyClark Herbel, IND R 50 100 100 24-Mayl Robert vessely, IND Civil Engineer Self Employed 200 200 200 24-May Don Ernst, IND Attorney Ernst Law Group 200 200 200 24-May Lori Johnston, IND Homemaker Self Employed 200 200 200 28-May Bruce Loeffler, ' .lames Lopes, "- Nancy Bruno, IND Motivational Tra Self Employed 175 200 200 28-Ma IND R 200 200 200 28-May, IND R 100 200 200 31-MayIPG & E Corp, COM Calif Utili 2001 200 200 31-MaylWilliam Luffee, IND Sales Promotion Plus 200 .2001.200 Schedule A (Continuation Sheet) Statement covers period California Form 460 Monetary Contribution Received from 05/04/13 Page 6 of 9 Name of Filer: Carlyn Christianson for through 06/01/13 I.D. Number 1355988 City Council 2013 1 31-Mayl Roger De Laurier, I IND l Instructor I PCPA Theaterfest 1 2001 2001 2001 5400 Schedule C Nonmonetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Carlyn Christianson for City Council 2013 DATE FULL NAME, STREET ADDRESS AND RECEIVED ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 05/04/2013_ through CONTRIBUTOR IF AN INDIVIDUAL, ENTER DESCRIPTION OF AMOUNT/ CODE * OCCUPATION AND EMPLOYER GOODS OR SERVICES FAIR MARKET (IF SELF-EMPLOYED, ENTER VALUE NAME OF BUSINESS) I 5/28/2013 Laura Ward,, KIND ❑COD Self Employed Wine ❑ OTH ❑ PTY ❑SCC ❑IND ❑COM ❑ OTH ❑ PTY ❑ SCC FIND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑IND ❑COM ❑ OTH ❑ PTY ❑ SCC Attach additional information on appropriately labeled continuation sheets. 120.00 SUBTOTAL $ 120.00 Schedule C Summary 1. Amount received this period — nonmonetary contributions of $100 or more. (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 $ 120.00 Page I.D. NUMBER 1355988 CUMULATIVE TO DATE CALENDAR YEAR (JAN 1 - DEC 31) 120.00 of 9 PER ELECTION TO DATE (IF REQUIRED) *Contributor Codes IND— Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other PTY — Political Parry SCC — Small Contributor Committee FPPC Form 460 (June/01) FPPC Toll -Free Helpline: 866/ASK-FPPC Schedule E Type or print in ink. Statement covers period Payments Made Amounts may be rounded �/ to whole dollars. from 05/04/2013 SEE INSTRUCTIONS ON REVERSE NAME OF FILER Carlyn Christianson for City Council 2013 through _ 06/01/2013 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment Page 8. __ of I.D NUMBER 1355988 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 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) Baldwin & Sons C/O Steven Haase Name & Address Wells Fargo Visa Sub Vendeor 0 CODE OR DESCRIPTION OF PAYMENT USPS POS * Payments that are contributions or independent expenditures must also be summarized on Schedule D. AMOUNT PAID 4,271.53 368.00 SUBTOTAL$ 4,639.53 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.) TOTAL $ 7,308.40 89.73 7,398.13 FPPC Form 460 (Junel01) FPPC Toll -Free Helpline: 866/ASK-FPPC Schedule E (Continuation Sheet) Payments Made SEE INSTRUCTIONS ON REVERSE _ NAME OF FILER Carlyn Christianson for City Council 2013 Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 05/04/2013 through 06/01/2013 SCHEDULE E (CONT) Page 9 of 9 I.D. NUMBER 1355988 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 (intemet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER LID NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Susan Devine OFC 147.96 San Luis Obisp CA 93401 ID Custom Mailing C/O Verdin * POS 2,520.91 San Luis Obispo, CA 93401 p * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 2,668.87 FPPC Form 460 (June/01) FPPC Toll -Free Helpline: 866/ASK-FPPC