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SLO Citizens for Measure G - Form 460 - 1st Pre-Election Statement - 10-06-14
Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200- 84216.5) fro m Type or print in ink. Statement covers period Date of election if applicabl 07/01/2014 (Month, Day, Year) SEE INSTRUCTIONS ON REVERSE I through 09/30/2014 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 ® Primarily Formed Q Recall Q Controlled (Also Complete Part 5) Q Sponsored ❑ General Purpose Committee (Aiso Complete Part 6) Q Sponsored ❑ Primarily Formed Candidate/ Q Small Contributor Committee Officeholder Committee Q Political Party /Central Committee (Also Complete Part 7) 11/4/2014 COVERPAGE Date Stamp RECEIVED I age 1 of 29 OCT 0 9 2014 1 1 For Official Use Only I SLC CITY CLERK 2. Type of Statement: ® Preelection Statement ❑ Semi- annual Statement ❑ Termination Statement ❑ Amendment (Explain below) ❑ Quarterly Statement ❑ Special Odd -Year Report ❑ Supplemental Preelection Statement - Attach Form 495 3. Committee Information ID NUMBER 1368735 Treasurer(s) COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER SLO CITIZENS FOR MEASURE G HILLARY TROUT MAILING ADDRESS 1175 BUCHON STREET STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE /PHONE 1041 CHORRO STREET #230 SAN LUIS CA 93401 805- 541 -0839 CITY STATE ZIP CODE AREA CODE /PHONE NAME OF ASSISTANT TREASURER, IF ANY SAN LUIS CA 93401 805 - 544 -7774 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX MAILING ADDRESS PO BOX 15728 CITY STATE ZIP CODE AREA CODE /PHONE CITY STATE ZIP CODE AREA CODE /PHONE SAN LUIS CA 93401 805 - 544 -7774 OPTIONAL: FAX / E -MAIL ADDRESS OPTIONAL: FAX / E -MAIL ADDRESS INFO @CITIZENSFORG.COM INFO @CITIZENSFORG.COM 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein and in the attached schedules is true and complete certify under penalty of perjury under the laws of the State of California that the foregoing is true andmrtecL_ Executed on Executed on Executed on 10/5/2014 Date Date Date By By Signature of CantrWling OfficeFtolder, Candidate. Stare Measure Proponent.or Responsive Of icy: o` Spcn:rr By Signature of Controlling Officeholder, Candidate, State Measure Proponent Executed on Date ffice BY Signature of Ohd FPPC Form 460 June /01 � der, Candidate, State Measure Proponent ) 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 ' • Cover Page — Part 2 9 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) RESIDENTIAUBUSI NESS ADDRESS (NO. AND STREET) CITY STATE ZIP Related Committees Not Included in this Statement: Listany 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) Page 2 of 29 6. Ballot Measure Committee NAME OF BALLOT MEASURE ESSENTIAL SERVICES TRANSACTION (SALES) AND USE TAX BALLOT NO. OR LETTER JURISDICTION ® SUPPORT G -14 CITY OF SAN LUIS OBISPO ❑ 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 ❑ 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 CODE /PHONE Attach continuation sheets if necessary FPPC Form 460 (June /01) FPPC Toll -Free Helpline: 866 /ASK -FPPC State of California Campaign Disclosure Statement Summary Page Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 07/01/2014 SUMMARY PAGE Expenditures Made through 09/30/2014 Page 3 of 29 SEE INSTRUCTIONS ON REVERSE 6,413.86 $ 6,413.86 7. Loans Made .............................. ............................... Schedule H, Line 3 0.00 NAME OF FILER 8. SUBTOTAL CASH PAYMENTS ..... ............................... Add Lines 6 + 7 $ 6,413.86 I.D. NUMBER SLO CITIZENS FOR MEASURE G Schedule F, Line 3 0.00 0.00 1368735 Contributions Received Column A Column B Calendar Year Summary for Candidates Lines s + 9 + 10 $ TATTACHIS PERIOD CALENDAR YEAR Primary Running in Both the State Prima and (FROM ATTACHED SCHEDULES) TOTAL TO DATE 9 Previous Summary Page, Line 16 $ 0 To calculate Column B, add General Elections 1. Monetary Contributions ............ ............................... Schedule A, Line 3 20690.00 $ ,690.00 20,690.00 0.00 0.00 t/1 through 6130 71t to Date 2. Loans Received ....................... ............................... Schedule a, Line 3 from Column B of your last 15. Cash Payments ................... ............................... 3. SUBTOTAL CASH CONTRIBUTIONS Add Lines t + 2 20,690.00 $ $ 20,690.00 20. Contributions ......................... Column A may be negative Received $ $ 4. Nonmonetary Contributions ..... ............................... Schedule C. Line 3 323.29 323.29 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED •.••.•• •• ..................AddLines3 +4 $ 21,013.29 $ 21,013.29 Made $ $ Expenditures Made 6. Payments Made ........................ ............................... Schedule E. Line 4 $ 6,413.86 $ 6,413.86 7. Loans Made .............................. ............................... Schedule H, Line 3 0.00 0.00 8. SUBTOTAL CASH PAYMENTS ..... ............................... Add Lines 6 + 7 $ 6,413.86 $ 6,413.86 9. Accrued aid Expenses (Unpaid Bills p ( p � ............................... Schedule F, Line 3 0.00 0.00 10. Nonmonetary Adjustment ........... ............................... Schedule C, Line 3 323.29 323.29 11. TOTAL EXPENDITURES MADE .... ............................Add Lines s + 9 + 10 $ 6,737.15 $ 6,737.15 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 20,690.00 amounts in Column A to the 0.00 corresponding amounts 14. Miscellaneous Increases to Cash ........................... Schedule 1, Line a from Column B of your last 15. Cash Payments ................... ............................... Column A, Line s above 6,413.86 report. Some amounts in Column A may be negative 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line is $ 14,276.14 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 $ 0.00 for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if Cash Equivalents and Outstanding Debts 18. Cash Equivalents ......... ............................... See instructions on reverse $ 0.00 y 19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column B above $ 0.00 Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made' (it Subject to Voluntary Expenditure Limit) Date of Election Total to Date (mm /dd /yy) If $ "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 Schedule A Type or print in ink. SCHEDULE A Monetary Contributions Rived Amounts may be rounded ry on ons ece Statement covers period to whole dollars. from 07/01/2014 - through 09/30/2014 page 4 of 29 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER SLO CITIZENS FOR MEASURE G 1368735 DATE EET ADDRESS ZIP FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR DO CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF O NUMBER) CODE * (IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 07/07/14 ONCE UPON A TIME, LP ❑IND ❑COM N/A 1,000.00 1,000.00 750 PISMO STREET ®OTH SAN LUIS OBISPO, CA 93401 E] PTY ❑SCC 07/07/2014 PIERRE RADEMAKER ®IND ❑❑ COM DESIGNER 100.00 100.00 1333 MILL STREET OTH TH SELF- EMPLOYED SAN LUIS OBISPO CA, 93401 El PTY ❑ SCC 07/09/2014 ERIK P JUSTESEN ®IND ❑COM URBAN PLANNER 200.00 200.00 268 LAWRENCE ❑ OTH RRM DESIGN GROUP SAN LUIS OBISPO CA, 93401 El PTY ❑ SCC 07/08/2014 DAVID FUENTES ®IND ❑COM REALTOR 100.00 100.00 559 MARSH STREET ❑OTH SELF EMPLOYED SAN LUIS OBISPO, CA 93401 ❑PTY ❑ SCC 07/08/2014 KENNETH HAMPIAN ®IND ❑COM CONSULTANT 500.00 500.00 4143 POINSETTIA ❑OTH SELF EMPLOYED SAN LUIS OBISPO, CA 93401 ❑PTY ❑ SCC SUBTOTAL$ 1,900.00 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.) . $ 19,100.00 1,590.00 TOTAL $ 20,690.00 '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 Schedule A (Continuation Sheet) Type or print in ink. SCHEDULEA (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 07/01/2014 I ' FORM from through 09/30/2014 Page 5 of 29 NAME OF FILER I.D NUMBER SLO CITIZENS FOR MEASURE G 1368735 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (E COMMITTEE, DDRALSAND ZIP O NUMBER) CONTRIBUTOR IF AN 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 ©USINESS) 07/09/2014 CLINTON PEARCE KIND ❑COM REAL ESTATE 100.00 100.00 1177 FERNANDEZ ROAD ❑OTH MANAGER SAN LUIS OBISPO, CA 93401 ❑PTY MADONNA ❑SCC ENTERPRISES 07/09/2014 GERIANNE LACHANCE ®IND ❑COM PRESIDENT /CEO 500.00 500.00 969 JACQUELINE PLACE ❑OTH SESLOC FCU NIPOMO CA, 93444 ❑PTY ❑ SCC 07/09/2014 DAVID COX KIND ❑COM BUSINESS OWNER 200.00 200.00 1659 FARMBUESA DRIVE ❑oTH BARNET COX & SAN LUIS OBISPO CA, 93401 El PTY ASSOCIATES p SCC 07/09/2014 KERRY MORRIS ®IND ❑COM INSURANCE 500.00 500.00 1122 LAUREL LANE ❑ OTH MORRIS & GARRITANO SAN LUIS OBISPO, CA 93401 ❑PTY ❑ SCC 07/09/2014 DONNA LEWIS ®IND ❑COM BRANCH MANAGER 500.00 500.00 755 SANTA ROSA ST ❑OTH SIERRA PACIFIC SAN LUIS OBISPO, CA 93401 El PTY MORTGAGE ❑ SCc SUBTOTAL 3 1,800.00 '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 Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 07/01 /2014 I , • - from 9/30/2014 6 29 through Page of NAME OF FILER I.D. NUMBER SLO CITIZENS FOR MEASURE G 1368735 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR ZIP CODE O CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IFCOMMTTEE,ALSAND CODE * (IF SELF- EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 07/09/2014 GARRET OLSON KIND ❑COM FIRE CHIEF 250.00 250.00 896 BUCHON ST ❑OTH CITY OF SAN LUIS SAN LUIS OBISPO, CA 93401 El PTY OBISPO ❑ SCC 07/09/2014 CARL DUDLY KIND ❑COM VP /SR RELATIONSHIP 100.00 100.00 1001 MARSH STREET E] OTH MANAGER PACIFIC SAN LUIS OBISPO, CA 93401 L] PTY WESTERN BANK ❑ SCC 07/10/2014 JOSEPH VISCI KIND ❑COM SELF EMPLOYED 200.00 200.00 245 EL DORADO WAY ❑OTH VISCI CONSULTING SHELL BEACH, CA 93449 ❑PTY ❑SCC 07/10/2014 TIM WILLIAMS KIND ❑COM CEO 1,000.00 1,000.00 375 LEMON STREET ❑OTH DIGITAL WEST SAN LUIS OBISPO, CA 93405 E3 PTY NETWORKS ❑SCC 07/11/2014 CHRIS RICHARDSON KIND ❑COM REAL ESTATE BROKER 500.00 500.00 735 TANK FARM ROAD #130 ❑OTH RICHARDSON SAN LUIS OBISPO, CA 93401 ❑PTY PROPERTIES ❑ SCC SUBTOTALS 2,050.00 '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 Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. 07/01/2014 from F�_ 09/30/2014 7 through page of NAME OF FILER I.D. NUMBER SLID CITIZENS FOR MEASURE G 1368735 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR RALSAND ZIP CODE O CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE. CODE * (IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 07/11/2014 CHARLIE RICHARDSON ®IND ❑COM SENIOR PARTNER 500.00 500.00 735 TANK FARM ROAD, SUITE 130 ❑OTH RICHARDSON SAN LUIS OBISPO, CA 93401 El PTY PROPERTIES ❑SCC 07/14/2014 DAVID JUHNKE KIND ❑COM ATTORNEY 100.00 100.00 684 OAKRIDGE DRIVE ❑ OTH SJMS SAN LUIS OBISPO, CA 93405 E] PTY ❑ SCC 07/14/2014 HILLARY TROUT ®❑COD COO 200.00 200.00 1175 BUCHON STREET ❑OTH CONTINENTAL SAN LUIS OBISPO, CA 93401 El PTY VINEYARDS ❑ SCC 07/14/2014 CHERYL CUMING KIND ❑COM MARKETING 250.00 250.00 535 LE POINT ST ❑ OTH SELF - EMPLOYED ARROYO GRANDE, CA 93420 [j PTY ❑ SCC 07/16/2014 BRUCE K RICHARD KIND ❑COM RETIRED 250.00 250.00 130 ANACAPA CIRCLE ❑ OTH SAN LUIS OBISPO, CA 93405 El PTY ❑ SCC SUBTOTALS 1,300.00 "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 Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period _ to whole dollars. 07/01/2014 from 09/30/2014 8 29 through Page of NAME OF FILER LD_ NUMBER SLO CITIZENS FOR MEASURE G 1368735 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (WCOMMITTEE, ALSO ENTER IDNUMBER) CODE * (IFSELF- EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC 31) (IF REQUIRED) OF BUSINESS) 07/16/2014 JOHN EWAN KIND ❑ BUSINESS OWNER 100.00 369.10 1221 SYLVIA CT TH ❑OTH PACIFIC ENERGY CO SAN LUIS OBISPO, CA 93401 E) PTY ❑ SC C 07116/2014 DENNIS SCHNEIDER KIND ❑COM BIOMECHANICAL 100.00 100.00 835 AEROVISTA LN ❑OTH ENGINEER SAN LUIS OBISPO, CA 93401 []PTY BIOKENETIC ❑SCC ENGINEERING 07/17/2014 ELIZABETH KINSLEY KIND EDUCATION 250.00 250.00 4561 WAVERTREE ❑OTH ADMINISTRATOR CAL SAN LUIS OBISPO, CA 93401 ❑PTY POLY ❑ SCC 07/17/2014 THOMAS JONES KIND ❑COM ADMINISTRATOR 250.00 250.00 51 QUAIL RIDGE DRIVE L] OTH PG &E ATASCADERO, CA 93422 ❑ PTY ❑ SCC 07/18/2014 JEFFREY ARMSTRONG KIND ❑COM EDUCATOR CAL POLY 350.00 350.00 7 CAMPUS WAY ❑ OTH SAN LUIS OBISPO, CA 93407 ❑ PTY ❑ SCC SUBTOTAL$ 1,050.00 `Contributor Codes IND - Individual COM -Recipient Committee (other than PTY or SCC) OTH - Other PTY - Political Party SCC - Small Contributor Committee PPPC Form 460 (June/01) FPPC Toll -Free Helpline: 866 /ASK•FPPC Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 07/01/2014 I 1 FORM from 09/30/2014 9 29 through Page of NAME OF FILER I.D. NUMBER SLO CITIZENS FOR MEASURE G 1368735 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED QFCOMMITTEE,ALSND D NUMBER) CODE * (IF SELF - EMPLOYED. ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 07/19/2014 KEITH HUMPHREY KIND ❑COM VP STUDENT AFFAIRS 100.00 100.00 1750 LA LUNA CT ❑ OTH CAL POLY SAN LUIS OBISPO, CA 93405 El PTY ❑ SCC 07/20/2014 DAVE SMITH KIND ❑COM RETIRED 75.00 75.00 2864 FLORA ❑ OTH SAN LUIS OBISPO, CA 93401 ❑ PTY ❑ ScC 07/20/2014 JEFFREY JORGENSEN KIND ❑COM RETIRED 100.00 100.00 369 CHORRO STREET ❑OTH SAN LUIS OBISPO, CA 93401 E] PTY ❑ SCC 07/22/2014 ANDY PEASE KIND ARCHITECT IN 500.00 500.00 2410 LEONA AVE ❑OTH BALANCE GREEN SAN LUIS OBISPO, CA 93401 El PTY CONSULTING [:]SCC 07/22/2014 DEBBY NICKLAS KIND ❑COM ADMINISTRATOR 150.00 150.00 4619 SNAPDRAGON WAY ❑ OTH FRENCH HOSPITAL SAN LUIS OBISPO, CA 93401 El PTY FOUNDATION ❑ SCC SUBTOTALS 925.00 '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 Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 07/01/2014 I ' FORM from 09/30/2014 10 29 through Page of NAME OF FILER I.D. NUMBER SLO CITIZENS FOR MEASURE G 1368735 DATE FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSO ENTER I D NUMBER) CODE * (IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUST NESS) 07/22/2014 DAVID ROMERO ®IND ❑COM RETIRED 200.00 200.00 2057 SKYLARK LN ❑ OTH SAN LUIS OBISPO, CA 93401 ❑PTY ❑ ScC 07/23/2014 RON YUKELSON ®IND ❑COM HOSPITAL 150.00 150.00 1120 ISLAY ST ❑ OTH ADMINISTRATOR SAN LUIS OBISPO, CA 93401 El PTY SIERRA VISTA El SCC REGIONAL MEDICAL 07/25/2014 ROBERT WACKER MIND ❑COM FINANCIAL ADVISOR 125.00 125.00 973 HIGUERA ST ❑OTH RE WACKER WEALTH SAN LUIS OBISPO, CA 93401 ❑PTY PARTNERS ❑SCC 07/25/2014 DEBBIE WACKER ®IND ❑❑ CPA DEBBIE WACKER 125.00 125.00 973 HIGUERA ST TH O OTH CPA SAN LUIS OBISPO, CA 93401 ❑PTY ❑ SCC 07/3012014 DEBORAH LINDEN RIND ❑COM RETIRED 100.00 100.00 4309 EDENBURY DRIVE ❑ OTH SANTA MARIA, CA 93455 El PTY ❑ SCC SUBTOTAL 3 700.00 "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 Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 07/01/2014 I ' • - from 09/30/2014 11 29 through Page of NAME OF FILER I.D. NUMBER SLO CITIZENS FOR MEASURE G 1368735 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR EET ADDRESS ZIP CODE O CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF CODE * (IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 08/01/2014 ANDREW CARTER ®IND ❑COM CITY ADMINISTRATOR 75.00 75.00 1283 WOODSIDE DRIVE ❑ OTH CITY OF GUADALUPE SAN LUIS OBISPO, CA 93401 El PTY ❑SCC 08/06/2014 MICHAEL MULTARI ®IND ❑coM CONSULTANT 200.00 200.00 83 LA ENRADA ❑OTH SELF - EMPLOYED SAN LUIS OBISPO, CA 93405 ❑PTY ❑ SCC 08/08/2014 ELIZABETH KISER ®IND ❑COM RETIRED 100.00 100.00 5405 HUSANA RD ❑OTH ARROYO GRANDE, CA 93420 El PTY ❑ SCC 08/10/2014 MFI LIMITED ❑IND MOTH N/A 1,000.00 1,000.00 735 TANK FARM ROAD M oTH SAN LUIS OBISPO, CA 93401 F] PTY ❑ SCC 08/12/2014 ROBERT SCHIEBELHUT ®IND ❑COM WINERY OWNER 250.00 250.00 6235 ORCUTT ROAD ❑ oTH PHASE 2 CELLARS LLC SAN LUIS OBISPO, CA 93401 El PTY ❑ SCC SUBTOTAL $ 1,625.00 '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 Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period • to whole dollars. I ' from 07/01/2014 • - 09/30/2014 12 29 through page of NAME OF FILER I.D. NUMBER SLO CITIZENS FOR MEASURE G 1368735 DATE EET A FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR RALSAND ZIP DE O CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, I D NUMBER) CODE * (IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSI NESS) 08/12/2014 SCOTT STARKEY ®IND ❑COM 100.00 100.00 225 ALMOND ST ❑ OTH SAN LUIS OBISPO, CA 93401 El PTY ❑SCC 08/13/2014 PECK PLANNING AND DEVELOPMENT ❑IND DOOM N/A 250.00 250.00 2455 GREENWOOD MOTH MORRO BAY, CA 93402 El PTY ❑ SCC 08/14/2014 DAVID GARTH MIND DOOM RETIRED 100.00 100.00 2046 SAN LUIS DRIVE ❑ OTH SAN LUIS OBISPO, CA 93401 El PTY ❑ SCC 08/16/2014 JAMES GARDINER ®IND ❑COM RETIRED 250.00 250.00 320 TWIN RIDGE DR ❑oTH SAN LUIS OBISPO, CA 93405 ❑PTY ❑ SCC 08/20/2014 QUAGLINO PROPERTIES LLC ®IND DOOM N/A 500.00 500.00 815 FIERO LN ❑ OTH SAN LUIS OBISPO, CA 93401 El PTY D SCC SUBTOTALS 1,200.00 '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 Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period •_ to whole dollars. 07/01/2014 I t • - from 09/30/2014 13 29 through Page of NAME OF FILER I.D. NUMBER SLO CITIZENS FOR MEASURE G 1368735 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSND D NUMBER) CODE * (IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 08/21/2014 NEIL HAVLIK ®IND ❑COM RETIRED 150.00 150.00 672 SERRANO DR #11 ❑ OTH SAN LUIS OBISPO, CA 93405 El PTY ❑SCC 08/21/2014 JAN MARX 265 ©IND ❑COM MAYOR 150.00 150.00 ALBERT DRIVE ❑ OTH CITY OF SAN LUIS SAN LUIS OBISPO, CA 93401 ❑PTY OBISPO ❑ SCC 08/22/2014 CANNON CORPORATION ❑❑IOM N/A 1,000.00 1,000.00 1050 SOUTHWOOD DRIVE ROTH SAN LUIS OBISPO, CA 93401 El PTY ❑ SCC 08/24/2014 BILL AND MARY STATLER ®IND ❑❑ COM CONSULTANT 500.00 500.00 124 CERRO ROMAULDO AVE OTH TH SELF EMPLOYED SAN LUIS OBISPO, CA 93405 El PTY ❑ SCC 08/24/2014 MICHAEL GUNTHER ®IND ❑COM CONSULTANT 250.00 250.00 1190 BUCHON ST ❑OTH COLLABORATION SAN LUIS OBISPO, CA 93401 ❑PTY ❑ SCC SUBTOTALS 2,050.00 `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 Schedule A (Continuation Sheet) Type or print in ink. SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period • . to whole dollars. • 07/01/2414 from • - 09/30/2014 14 29 through Page of NAME OF FILER I.D NUMBER SLO CITIZENS FOR MEASURE G 1368735 DATE ZIP FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR O CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED OFeoMMi E€ aLSAND I o NLDE CODE * pr SELF - EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF8USINESS D8/25/2014 JOHN MANDEVILLE ®IND ❑COM RETIRED 100.00 100.00 2288 BUSHNELL ST ❑OTH SAN LUIS OBISPO, CA 93401 ❑PTY ❑ SCC 08/2512014 PEGGY MENEICE aI IND ❑COM PLANNER 100.00 100.00 2288 BUSHNELL ST ❑OTH CITY OF SAN LUIS SAN LUIS OBISPO, CA 93401 ❑PTY OBISPO ❑ SCC 08126/2014 JOHN FOWLER RIND ❑COM MANAGER PEOPLE'S 100.00 100.00 4224 MORNING GLORY WAY ❑ OTH SELF HELP HOUSING SAN LUIS OBISPO, CA 93401 ❑PTY ❑ SCC 08/26/2014 LAUREN RUDD ®IND ❑COM MANAGER RRM 100.00 100.00 1735 WELSH CT ❑OTH DESIGN GROUP SAN LUIS OBISPO, CA 93401 ❑PTY ❑ SCC 08/27/2014 JOEL NEEL ®IND ❑COM DIRECTOR CAL POLY 100.00 100.00 810 HACIENDA CIRCLE ❑OTH PASO ROBLES, CA 93446 F] PTY ❑ SCC SUBTOTAL$ 500.00 '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 Helpiine: 8661ASK -FPPC Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period �. to whole dollars. 07/01/2014 • from 09/30/2014 29 through Page of NAME OF FILER I.D. NUMBER SLID CITIZENS FOR MEASURE G 1368735 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IFCOMMIE,ALSND I.D NUMBER) CODE * (IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 08/28/2014 BRANDON RODGERS MIND ❑COM MECHANICAL 250.00 250.00 100 CROSS ST SUITE 204 ❑ OTH ENGINEER BMA SAN LUIS OBISPO, CA 93401 E] PTY ❑SCC 08/31/2014 LOUIS ROBINSON MIND ❑COM RETIRED 100.00 100.00 1152 BUCHON ST ❑OTH SAN LUIS OBISPO, CA 93401 El PTY ❑ SCC 09/01/2014 MARK LORANGER MIND ❑COM NONPROFIT 500.00 500.00 1938 WILDING LN ❑OTH EXECUTIVE SAN LUIS OBISPO, CA 93401 E] PTY CHRYSALIS ❑ SCC 09/02/2014 ALISON JANSEN MIND ❑COM 75.00 75.00 ❑ OTH ❑ PTY ❑ SCC 09/03/2014 BRIAN REES MIND ❑COM PHYSICIAN 100.00 100.00 1890 DIABLO E] OTH VA SAN LUIS OBISPO, CA 93405 ❑ PTY ❑ SCC SUBTOTAL $ 1,025.00 '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 Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period 0. to whole dollars. 07/01/2014 I ' • from 09/30/2014 29 through Page of NAME OF FILER I.D. NUMBER SLO CITIZENS FOR MEASURE G 1368735 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR A RE.ALSAND ZIP CODE O CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (EET IT CODE * (IF SELF - EMPLOYED. ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 09/09/2014 PETE JENNY ®IND ❑COM RETIRED 100.00 100.00 1395 ARALIA CT ❑ OTH SAN LUIS OBISPO, CA 93401 El PTY ❑ SCC 09/10/2014 ROBERT KITAMURA ®IND ❑COM REAL ESTATE ASSET 100.00 100.00 3030 JOHNSON AVE ❑ OTH MANAGER SELF SAN LUIS OBISPO, CA 93401 ❑PTY EMPLOYED ❑ SCC 09/11/2014 STEVE FRANKLIN ®IND ❑COM BRANCH MANAGER 75.00 75.00 1359 CORNUS CT ❑ OTH WELLS FARGO SAN LUIS OBISPO, CA 93401 ❑ PTY ❑ SCC 09/11/2014 RUSSEL LEAVENWAY ®❑IoM CEO TEKTEGRITY 100.00 100.00 1241 JOHNSON AVE #220 ❑OTH SAN LUIS OBISPO, CA 93401 ❑PTY ❑ SCC 09/15/2014 JON GOETZ ®IND ❑IOM ATTORNEY KRONICK 100.00 100.00 1995 REINA CT ❑ 0TH MASKOVITZ SAN LUIS OBISPO, CA 93401 ❑PTY TIEDEMANN ❑ SCC SUBTOTAL$ 475.00 `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 Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 07/01/2014 / ' FORM from 09/30/2014 17 29 through Page of NAME OF FILER I.D. NUMBER SLO CITIZENS FOR MEASURE G 1368735 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER D NUMBER) CODE * (IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 09/17/2014 CARLYN CHRISTIANSON ®IND ❑COM MEDICAL PRACTICE 100.00 100.00 1415 MORRO ST #16 ❑ OTH ADMINISTRATOR SAN LUIS OBISPO, CA 93401 El PTY COASTAL ❑SCC ANESTHESIOLOGY p 09/17/2014 MINDBODY INC ❑IND COM ❑®OTH N/A 1,000.00 1,000.00 4051 BROAD STREET TH SAN LUIS OBISPO, CA 93401 ❑PTY ❑ SCC 09/28/2014 MONICA IRONS ®IND ❑COM HR DIRECTOR CITY OF 200.00 200.00 598 SHASTA AVE ❑ OTH SAN LUIS OBISPO MORRO BAY, CA 93442 ❑ PTY ❑ SCC 09130/2014 WALLACE GROUP ❑IND MOTH N/A 1,200.00 1,200.00 612 CLARION CT Q OTH SAN LUIS OBISPO, CA 93401 El PTY ❑ SCC BLANK ❑IND ❑ COM ❑ OTH ❑ PTY ❑SCC SUBTOTAL$ 2,500.00 "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 SCHEDULE B - PART 1 Schedule B — Part 1 Amounts may be rounded Statement covers period _ dollars. Loans Received to Whole 07/01/2014 from 09/30/2014 18 29 SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER I.D. NUMBER SLO CITIZENS FOR MEASURE G 1368735 FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL ENTER , a OUTSTANDING (b) AMOUNT (c) AMOUNT PAID (d) OUTSTANDING (e) INTEREST O ORIGINAL (g) CUMULATIVE OF LENDER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, AND EMPLOYER ER BALANCE BEGINNING THIS RECEIVED THIS OR FORGIVEN gALANCEAT CLOSE C THIS PAID THIS AMOUNTOF CONTRIBUTIONS (IF COMMITTEE ALSO ENTERID NUMBER) NAME OF BUSINESS) PERIOD THIS PERIOD` PERIOD LOAN TO DATE NONE ❑ PAID CALENDAR YEAR ❑ FORGIVEN PERELECTION— RATE f S $ S f DATE DUE DATE INCURRED t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ PAID CALENDARYEAR FORGIVEN PER ELECTION" RATE b $ S $ S DATE DUE DATE INCURRED t❑ IND ❑ COM ❑ OTH [:1 PTY ❑ SCC ❑ PAID CALENDAR YEAR ❑ FORGIVEN PER ELECTION" RATE $ f f f f DATE DUE DATE INCURRED t❑ IND E:] COM ❑ OTH [I PTY El SCC 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 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. (Enter (e) on Schedule E. Line 3) $ 0.00 ................ $ =1 NET $ 0.00 (Maybe 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 /ASK -FPPC SCHEDULE B - PART 2 Schedule B — Part 2 Type or print in ink. Statement covers period - Amounts may be rounded ' Loan Guarantors to whole dollars. 07/01/2014 FORM • from 09/30/2014 19 29 SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER I.D. NUMBER SLO CITIZENS FOR MEASURE G 1368735 FULL NAME, STREET ADDRESS AND IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE BALANCE ZIP CODE OF GUARANTOR CONTRIBUTOR OCCUPATION AND EMPLOYER LOAN GUARANTEED OUTSTANDING (IF COMMITTEE. ALSO ENTER I.D. NUMBER) CODE (IF SELF - EMPLOYED, ENTER THIS PERIOD TO DATE TO DATE NAME OF BUSINESS NONE ❑IND LENDER CALENDAR YEAR ❑ COM $ DATE ❑ OTH PER ELECTION (IF REQUIRED) ❑ PTY ❑ SCC $ CALENDAR YEAR ❑ IND LENDER ❑ COM $ ❑ OTH PER ELECTION DATE (IF REQUIRED) ❑ PTY ❑ SCC $ CALENDARYEAR ❑IND LENDER ❑COM s 00TH PER ELECTION (IF REQUIRED) DATE ❑ PTY ❑ SCC s CALENDARYEAR ❑IND LENDER ❑ COM $ DATE ❑ OTH PER ELECTION (IF REQUIRED) ❑ PTY ❑ SCC s Enteral SUBTOTAL $ 0.00 Summary Page, Line 17 orgy FPPC Form 460 (June /01) FPPC Toll -Free Helpline: 866 /ASK -FPPC Schedule C Type or print in ink. SCHEDULE C a Nonmoneta Contributions Received Amounts may dollars. ry to whole dolof lars. Statement covers period p _ 07/01/2014 from - • 09/30/2014 20 29 SEE INSTRUCTIONS ON REVERSE through page of NAME OF FILER I.D. NUMBER SLID CITIZENS FOR MEASURE G 1368735 DATE FULL NAME, STREET ADDRESS AND CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER DESCRIPTION OF AMOUNT! FAIR MARKET CUMULATIVE TO DATE PER ELECTION TO DATE RECEIVED ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) GOODS OR SERVICES VALUE CALENDAR YEAR (JAN 1 -DEC, 31) (IF REQUIRED) ©IND 09/30/14 WHITNEY DIAZ ❑COM MARKETING SOCIAL MEDIA 54.19 54.19 ❑OTH CITY OF SAN LUIS ADVERTISING E] PTY OBISPO [-]SCC 09/15/14 JOHN EWAN MIND ❑COM BUSINESS OWNER MOBILE 269.10 369.10 ❑OTH PACIFIC ENERGY CAMPAIGN ❑PTY CO SIGNAGE ❑ SCC ❑IND ❑COM ❑OTH ❑ PTY ❑ SCC -- -- ❑IND ❑COM ❑ OTH ❑ PTY ❑SCC Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 323.29 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 $ 323.29 0.00 323.29 '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 SCHEDULED Summary OT txpenaitures Type or print in ink. Statement covers period Supporting/Opposing Other Amounts may be rounded CALIFORNIA • t to whole dollars. 07/01/2014 FORM Candidates, Measures and Committees from 09/30/2014 21 29 SEE INSTRUCTIONS ON REVERSE through 9 Page of 9 NAME OF FILER I.D NUMBER SLID CITIZENS FOR MEASURE G 1368735 DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR TYPE OF PAYMENT DESCRIPTION AMOUNT THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE MEASURE NUMBER OR LETTER AND JURISDICTION, (IF REQUIRED) PERIOD (JAN t- DEC 37) (IF REQUIRED) ORCOMMITTEE NONE ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure SUBTOTAL $ 0.00 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 3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.) $ 0.00 $ 0.00 ........ TOTAL $ 0.00 FPPC Form 460 (June /01) FPPC Toll -Free Helpline: 866 /ASK -FPPC Schedule D (Continuation Sheet) Type or print in ink. SCHEDLILED(CONT) Summary of Expenditures Amounts may be rounded Supporting /Opposing Other to whole dollars. Statement covers period from 07/01/2014 FOCALIFORNIA RM 460 Candidates, Measures and Committees through 09/30/2014 Page 22 of 29 NAME OF FILER I.D. NUMBER SLO CITIZENS FOR MEASURE G 1368735 DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT. OR MEASURE NUMBER OR LETTER AND JURISDICTION. OR COMMITTEE TYPE OF PAYMENT DESCRIPTION (IF REQUIRED) AMOUNTTHIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN 1 -DEC 31) PER ELECTION TO DATE (IF REQUIRED) NONE ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure SUBTOTAL $ 0.00 FPPC Form 460 (June/01) FPPC Toll -Free Helpline: 866 1ASK -FPPC E Schedule E Payments Made Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 07/01/2014 through 09/30/2014 Page 23 of 29 SEE INSTRUCTIONS ON REVERSE g g NAME OF FILER I.D. NUMBER SLO CITIZENS FOR MEASURE G 1368735 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 PI-10 phone banks TRC candidate travel, lodging, and meals FND fundraising events PC1L 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 UT campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID SAN 895 LUIS OEBI PO CHAMBER OF COMMERCE MTG I CHAMBER MEMBERSHIP DUES I 205.00 SAN LUIS OBISPO, CA 93401 BARNETT COX & ASSOCIATES YARD SIGNS 711 TANK FARM ROAD CMP 2,275.00 SAN LUIS OBISPO, CA 93401 BARNETT COX & ASSOCIATES DONATION ENVELOPES 711 TANK FARM ROAD LIT 540.38 SAN LUIS OBISPO, CA 93401 " Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 3,020.38 Schedule E Summary 1. Payments made this period of $100 or more. Include all Schedule E subtotals. 5,914.60 2. Unitemized payments made this period of under $100 ........................................................................................................... ............................... $ 499.26 3. Total interest paid this period on loans. Enter amount from Schedule B, Part 1, Column (e).) 0.00 4. Total payments made this period. Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6. TOTAL $ 6,413.86 FPPC Form 460 (June/01) FPPC Toll -Free Helpline: 8661ASK -FPPC Schedule E Type or print in ink. (Continuation Sheet) Amounts may be rounded Payments Made to whole dollars. Statement covers period from 07/01/2014 SCHEDULE E (CONT.) SEE INSTRUCTIONS ON REVERSE through 09/30/2014 Page 24 of 29 NAME OF FILER I.D. NUMBER SLO CITIZENS FOR MEASURE G 1368735 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CW 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 M 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 . NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID SAN LUIS OBISPO CHAMBER OF COMMERCE MAILING LIST 895 MONTEREY STREET LIT 150.00 SAN LUIS OBISPO, CA 93401 BARNETT COX & ASSOCIATES MAILERS 711 TANK FARM ROAD LIT 512.35 SAN LUIS OBISPO, CA 93401 BARNETT COX & ASSOCIATES MAILERS 711 TANK FARM ROAD LIT 2,231.87 SAN LUIS OBISPO, CA 93401 Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 2,894.22 FPPC Form 460 (June101) FPPC Toll -Free Helpline: 8661ASK -FPPC SCHEDULEF Schedule F Type or print in ink. Statement covers period CALIFORNIA Amounts may be rounded Accrued Expenses (Unpaid Bills) to whole dollars. from 07/01/2014 • - I , SEE INSTRUCTIONS ON REVERSE through 09/30/2014 Page 25 of 29 NAME OF FILER I.D.NUMBER SLO CITIZENS FOR MEASURE G 1368735 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CW 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 (IF COMMITTEE, ALSO ENTER I D NUMBER) CODE OR DESCRIPTION OF PAYMENT ( OUTSTAA NDING BALANCE BEGINNING OF THIS PERIOD ( AMOUNT IN NCURRED THIS PERIOD (c) AMOUNT PAID THIS PERIOD (ALSO REPORT ON E) (d) OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD NONE Payments that are contributions or independent expenditures must also be SUBTOTALS $ 0.00 $ 0.00 $ 0.00 $ 0.00 summarized on Schedule D. Schedule F Summary 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for accrued expenses of $100 or more, plus total unitemized accrued expenses under $ 100.) ... ............................... 2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.) ............ 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and on the Summary Page, Column A, Line 9.) ............................................................................ ............................... INCURRED TOTALS $ .... PAID TOTALS $ ra 1 W NET $ 0.00 May s a be a negative number FPPC Form 460 (June /01) FPPC Toll -Free Helpline: 866 /ASK -FPPC Schedule F Type or print in ink. SCHEDULE F (CONT.) Amounts may be rounded Statement covers period —r-CALIFORNIA (Continuation Sheet) to whole dollars. 07/01/2014 FORM 460 Accrued Expenses (Unpaid Bills) from through 09/30/2014 Page 26 of 29 NAME OF FILER I.D. NUMBER SLO CITIZENS FOR MEASURE G 1368735 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 CREDITOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT (a) OUTSTANDING BALANCE BEGINNING OF THIS PERIOD ( IN AMOUNT INCURRED THIS PERIOD (c) AMOUNT PAID THIS PERIOD (ALSO REPORT ON E) (d) OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD NONE SUBTOTALS $ 0.00 $ 0.00 $ 0.00 $ 0.00 FPPC Form 460 (June /01) FPPC Toll -Free Helpline: 866 /ASK -FPPC Schedule G CODE OR DESCRIPTION OF PAYMENT Type or print in ink. NONE SCHEDULE G Statement covers period Payments Made by an Agent or Independent Amounts may be rounded Contractor (on Behalf of This Committee) to whole dollars. from 07/01/2014 .. Uj through 09/30/2014 page 27 of 29 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER SLID CITIZENS FOR MEASURE G 1368735 NAME OF AGENT OR INDEPENDENT CONTRACTOR 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 PFK) phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff /spouse travel, lodging, and meals M 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 (interne(, e-mail) * Payments that are contributions or independent expenditures must also be summarized on Schedule D. NAME AND ADDRESS OF PAYEE OR CREDITOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID NONE Attach additional information on appropriately labeled continuation sheets. TOTAL* $ 0.00 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 SCHFDULF H Schedule H Type or print in ink. Statement covers period a. Amounts may be rounded Loans Made to Others* 07/01/2014 - , to whole dollars. from 09/30/2014 28 29 SEE INSTRUCTIONS ON REVERSE through Page Of NAME OF FILER I.D. NUMBER SLO CITIZENS FOR MEASURE G 1368735 FULL NAME. STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER (a) OUTSTANDING (b) AMOUNT (c) REPAYMENT OR (d OUTSTAMDING (e) INTEREST In ORIGINAL (g) CUMULATIVE OF RECIPIENT OCCUPATION AND EMPLOYER (IF SELF - EMPLOYED. ENTER BALANCE BEGINNING THIS LOANED THIS FORGIVENESS BALANCE AT CLOSE OF THIS RECEIVED AMOUNTOF LOANS IF COMMITTEE. ALSO ENTER I.D NUMBER ( 1 NAME OF BUSINESS) PERIOD PERIOD THIS PERIOD' PERIOD LOAN TO DATE NONE PAID CALENDAR YEAR FORGIVEN PER ELECTION- RATE S S S S $ DATE DUE DATE INCURRED PAID CALENDAR YEAR $ S % $ E FORGIVEN PER E LECTION- RATE E S E S S DATE DUE DATE INCURRED 'Loans that are contributions to another candidate or committee must also be summarized on Schedule D. Loans forgiven must 0.00 0.00 $ 0.00 $ 0.00 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.) (enter (e) on Schedule I, Line 3) 0.00 .............................. $ 0.00 0.00 NET $ Y s ) (Ma be a negative number "if Required FPPC Form 460 (June /01) FPPC Toll -Free Helpline: 866 /ASK -FPPC Schedule I T._ . ._ — SCHEDULE I ...... ......... Miscellaneous Increases to Cash Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 460 07/01/2014 FORM from 09/3012014 29 29 SEE INSTRUCTIONS ON REVERSE through page of NAME OF FILER I.D. NUMBER SLO CITIZENS FOR MEASURE G 1368735 DATE RECEIVED FULL NAME AND ADDRESS OF SOURCE (IF COMMITTEE, ALSO ENTER I D NUMBER) DESCRIPTION OF RECEIPT INCREASE TO CASH AMOUNTOF NONE Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 0.00 Schedule I Summary 1. Increases to cash of $100 or more this period ............................................................................ ............................... $ 0.00 2. Unitemized increases to cash under $100 this period ................................................................ ............................... $ 0.00 3. Total of all interest received this period on loans made to others. Schedule H, Column (e).) 0.00 4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the Summa Page, Line 14. .. ............................... TOTAL $ 0.00 FPPC Form 460 (June /01) FPPC Toll -Free Helpline: 866 /ASK -FPPC From: Hillary Trout [mailto :Hillary@brokenearthwinery.com] Sent: Tuesday, October 07, 2014 4:16 PM To: Mejia, Anthony Subject: RE: DUE TODAY: Campaign Disclosure Documents Anthony, We sent it by first class mail and it was post- marked yesterday. Thank you. Hillary 1� D aD x P5-7 246 Lt.s QpsP,=� CA c,9q 0(o nom{ 00 � I ► F.-1 P, C an G,6('L-,r- s,w Los NO' CA 93401