HomeMy WebLinkAboutSLO Citizens for Measure G - Form 460 - Termination - 02-02-15Statement of Organization
Recipient Committee
Statement Type ❑ Initial ❑ Amendment
Not yet qualified ❑ or
List I.D. number:
#1368735
Date qualified as committee Date qualified as committee
(IF applicable)
1. Committee
NAME OF COMMITTEE
SLO CITIZENS FOR MEASURE G
_ E= 8 2015
0 Termination — See Part 5
List I.D. number:
#1368735
01 /30 /2015
Date of Termination
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE /PHONE
SAN LUIS OBISPO CA 93401 (805)544 -7774
MAILING ADDRESS (IF DIFFERENT)
SAN LUIS OBISPO, CA 93406
FAX 1 E -MAIL ADDRESS
I NFO @CITIZENSFORG.COM
COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE 15 ACTIVE
SAN LUIS OBISPO SAN LUIS OBISPO
Attach additional information on appropriately labeled continuation sheets.
Date Stamp
FUX-0
in the office of the Secretary of State
of the State of Callfomla
FEB 0 2 2015
FE8 1 1 2015
TOMMY (GONG, (COUNTY CLERK
2. Treasurer and Other Principal Officers
NAME OF TREASURER
HILLARY TROUT
TY CLEW
STREET ADDRESS (NO P.O. BOX)
CITY STATE
SAN LUIS OBISPO CA
ZIP CODE
93401
AREA CODE /PHONE
(805)541 -0839
NAME OF ASSISTANT TREASURER, IF ANY
STREET ADDRESS (NO P.O BOX)
CITY STATE
ZIP CODE
AREA CODE /PHONE
NAME OF PRINCIPAL OFFICER(S)
SEE CONTINUATION SHEET
STREET ADDRESS (NO P.O BOX)
CITY STATE
ZIP CODE
AREA CODE /PHONE
3. Ueri 'cation .
I have used all reasonable diligence in preparing this statement and to the best of my knowledge the information contained herein is true and complete. I certify under
penalty of perjury under the laws of the State of Calif9qLraiqhat the toreggoainngiLtwe and correct.
Executed on 01/30/2015 By
DATE t. SIGNATURE OF TREASURER OR ASSISTANT TREASURER
Executed on
DATE
Executed on
DATE
Executed on
DATE
By
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
By
By
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 410 (Dec /2012)
FPPC Advice: advice @fppc.ca.gov (866/275 -3772)
www.fppc.ca.gov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
Page 2
COMMITTEE NAME
I.D. . NUMBER
SLO CITIZENS FOR MEASURE G 11368735
• All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION
COAST NATIONAL BANK
ADDRESS
AREA CODE /PHONE
(805)541 -0400
CITY
BANK ACCOUNT NUMBER
101023818
STATE ZIP CODE
500 MARSH STREET SAN LUIS OBISPO CA 93401
4. Type of Committee Complete the applicable sec. ops.
• List the name of each controlling officeholder, candidate, or state measure proponent. If candidate or officeholder controlled, also list the elective office sought or held, and
district number, if any, and the year of the election.
• List the political party with which each officeholder or candidate is affiliated or check "nonpartisan."
• If this committee acts jointly with another controlled committee, list the name and identification number of the other controlled committee.
NAME OF CANDIDATE /OFFICEHOLDER /STATE MEASURE PROPONENT
ELECTIVE OFFICE SOUGHT OR HELD
(INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PARTY
Primarily formed to support or oppose specific candidates or measures in a single election. List below:
CANDIDATE(S) NAME OR MEASURE(S) FULL TITLE (INCLUDE BALLOT NO. OR LETTER)
CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION
(INCLUDE DISTRICT NO. CITY OR COUNTY. AS APPI ICARI F)
MEASURE G -14 ESSENTIAL SERVICES
CITY OF SAN LUIS OBISPO
SUPPORT
71
OPPOSE
E]
TRASACTION (SALES) AND USE TAX
Su n
p
FPPC Form 410(Dec /2012)
FPPC Advice: advice @fppc.ca.gov (866/275 -3772)
www.fppc.ca.gov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
Page 3
COMMITTEE NAME I.D. NUMBER
SLO CITIZENS FOR MEASURE G 11368735
4. Type.of Committee (Continued)
Not formed to support or oppose specific candidates or measures in a single election. Check only one box:
❑ CITY Committee ❑ COUNTY Committee ❑ STATE Committee
PROVIDE BRIEF DESCRIPTION OF ACTIVITY
List additional sponsors on an attachment.
NAME OF SPONSOR
STREET ADDRESS NO. AND STREET
CITY
GROUP OR AFFILIATION OF SPONSOR
STATE ZIP CODE
r r r r r ❑
Date qualified
5. Termination, Requirem "ents a By 31gNhg3h� UpFiTic�tlmi'Yhe treasurer; a3slstai9t treaSUref.nd /o� 2andid�te; dfficeholde�, or proponent certify thaE all of the fol,loiNing condltidh5 have beeh mpt
• This committee has ceased to receive contributions and make expenditures;
• This committee does not anticipate receiving contributions or making expenditures in the future;
• This committee has eliminated or has no intention or ability to discharge all debts, loans received, and other obligations;
• This committee has no surplus funds; and
• This committee has filed all campaign statements required by the Political Reform Act disclosing all reportable transactions.
-- There are restrictions on the disposition of surplus campaign funds held by elected officers who are leaving office and by defeated candidates. Refer to Government
Code Section 89519.
-- Leftover funds of ballot measure committees may be used for political, legislative or governmental purposes under Government Code Sections 89511 - 89518, and are
subject to Elections Code Section 18680 and FPPC Regulation 18521.5.
FPPC Form 410(Dec /2012)
FPPC Advice: advice @fppc.ca.gov (866/275 -3772)
www.fppc.ca.gov
CALIFORNIA FORM 410
CONTINUATION SHEET
NAMES OF PRINCIPAL OFFICERS
PRINCIPAL OFFICER:
STREET ADDRESS:
CITY:
STATE:
ZIP CODE:
AREA CODE /PHONE:
PRINCIPAL OFFICER:
STREET ADDRESS:
CITY:
STATE:
ZIP CODE:
AREA CODE /PHONE:
PRINCIPAL OFFICER:
STREET ADDRESS:
CITY:
STATE:
ZIP CODE:
AREA CODE /PHONE:
END OF CONTINUATION SHEET
PIERRE RADEMAKER
1041 CHORRO STREET #230
SAN LUIS OBISPO
CA
93401
(805) 544 -7774
CLINT PEARCE
284 HIGUERA STREET
SAN LUIS OBISPO
CA
93401
(805) 748 -9097
ANDREA PEASE
2410 LEO NA AVENUE
SAN LUIS OBISPO
CA
93401
(805) 235 -6355
Statement of Organization
Recipient Committee
Statement Type ❑ Initial
Not yet qualified ❑ or
Date qualified as committee
1. Committee Information
NAME OF COMMITTEE
SLO CITIZENS FOR MEASURE G
STREET ADDRESS (NO P.O. BOX)
1041 CHORRO STREET #230
�E � , 8 2015
❑ Amendment is Termination — See Part 5
List I.D. number: List I.D. number:
# 1368735 # 1368735 in
01 /3��2015
Date qualified as committee Date of Termination
(If applicable)
CITY STATE ZIP CODE AREA CODE /PHONE
SAN LUIS OBISPO CA 93401 (805)544 -7774
MAILING ADDRESS (IF DIFFERENT)
PO BOX 15728, SAN LUIS OBISPO, CA 93406
FAX / E -MAIL ADDRESS
INFO @CITIZENSFORG.COM
COUNTY OF DOMICILE IURISDICTION WHERE COMMITTEE 15ACTIVE
SAN LUIS OBISPO SAN LUIS OBISPO
Attach additional information on appropriately labeled continuation sheets.
2. Treasurer and 4. 0e
NAME OF TREASURER
HILLARY TROUT
Date Stamp
X , -�,
FiL
ice of the Secretary of State
the State of Califomra
FEB 0 2 2015
STREET ADDRESS (NO P.O BOX)
1175 BUCHON STREET
FEB 1 1 2015
TOMMY GONG, COUNTY CLERK
CITY STATE ZIP CODE AREA CODE /PHONE
SAN LUIS OBISPO CA 93401 (805)541 -0839
NAME OF ASSISTANT TREASURER, IF ANY
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE /PHONE
NAME OF PRINCIPAL OFFICER(S)
SEE CONTINUATION SHEET
STREET ADDRESS (NO P.O BOX)
CITY
STATE ZIP CODE AREA CODE /PHONE
3. Verification
I have used all reasonable diligence in preparing this statement and to the best of my knowledge the information contained herein is true and complete. I certify under
penalty of perjury under the laws of the State of Califo ' at the foregai a and correct.
Executed on 01/30/2015 By
DATE SIGNATURE OF TREASURER OR ASSISTANT TREASURER
Executed on
DATE
Executed on
DATE
Executed on
DATE
By
By
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
By
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 410 (Dec /2012)
FPPC Advice: advice @fppc.ca.gov (8661275 -3772)
www.fppc.ca.gov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
Page 2
COMMITTEE NAME - - -
I,D.NUMBER
SLO CITIZENS FOR MEASURE G 11368735
• All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION
COAST NATIONAL BANK
ADDRESS
AREA CODE /PHONE
(805)541 -0400
CITY
BANK ACCOUNT NUMBER
101023818
STATE ZIP CODE
500 MARSH STREET SAN LUIS OBISPO CA 93401
4. Type of Committee Complete the,applicab €e sections.
.J
• List the name of each controlling officeholder, candidate, or state measure proponent. If candidate or officeholder controlled, also list the elective office sought or held, and
district number, if any, and the year of the election.
• List the political party with which each officeholder or candidate is affiliated or check "nonpartisan."
• If this committee acts jointly with another controlled committee, list the name and identification number of the other controlled committee.
NAME OF CANDIDATE /OFFICEHOLDER /STATE MEASURE PROPONENT
ELECTIVE OFFICE SOUGHT OR HELD
(INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION
PARTY
Primarily Formed Committee Primarily formed to support or oppose specific candidates or measures in a single election. List below:
CANDIDATE(S) NAME OR MEASURE(S) FULLTITLE (INCLUDE BALLOT NO. OR LETTER)
CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION
(INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE)
MEASURE G -14 ESSENTIAL SERVICES
CITY OF SAN LUIS OBISPO
SUPPORT
❑✓
OPPOSE
EL
TRASACTION (SALES) AND USE TAX
SU T
O
FPPCForm 410(Dec /2012)
FPPC Advice: advice @fppc.ca.gov (866/275 -3772)
www.fppc.ca.gov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
COMMITTEE NAME I D. NUMBER
SLO CITIZENS FOR MEASURE G 11368735
4. Type. of Committee Kontinuedi
General Purpose Committee Not formed to support or oppose specific candidates or measures in a single election. Check only one box:
❑ CITY Committee ❑ COUNTY Committee ❑ STATE Committee
PROVIDE BRIEF DESCRIPTION OF ACTIVITY
List additional sponsors on an attachment.
NAME OF SPONSOR
STREET ADDRESS NO. AND STREET
CITY
INDUSTRY GROUP OR AFFILIATION OF SPONSOR
STATE ZIP CODE
Date qualified
S. Termination Requirements By signing the verification, the treasurer, assistant treasurer bnd/or candidate, Wceholder, or proponent certify that all of the followiiigcondltions have been met:
• This committee has ceased to receive contributions and make expenditures;
• This committee does not anticipate receiving contributions or making expenditures in the future;
• This committee has eliminated or has no intention or ability to discharge all debts, loans received, and other obligations;
• This committee has no surplus funds; and
• This committee has filed all campaign statements required by the Political Reform Act disclosing all reportable transactions.
-- There are restrictions on the disposition of surplus campaign funds held by elected officers who are leaving office and by defeated candidates. Refer to Government
Code Section 89519.
-- Leftover funds of ballot measure committees may be used for political, legislative or governmental purposes under Government Code Sections 89511- 89518, and are
subject to Elections Code Section 18680 and FPPC Regulation 18521.5.
FPPC Form 410(Dec /2012)
FPPC Advice: advice @fppc.ca.gov (866/275 -3772)
www.fppc.ca.gov
CALIFORNIA FORM 410
CONTINUATION SHEET
NAMES OF PRINCIPAL OFFICERS
PRINCIPAL OFFICER:
STREET ADDRESS:
CITY:
STATE:
ZIP CODE:
AREA CODE /PHONE:
PRINCIPAL OFFICER:
STREET ADDRESS:
CITY:
STATE:
ZIP CODE:
AREA CODE /PHONE:
PRINCIPAL OFFICER:
STREET ADDRESS:
CITY:
STATE:
ZIP CODE:
AREA CODE /PHONE:
END OF CONTINUATION SHEET
PIERRE RADEMAKER
1041 CHORRO STREET #230
SAN LUIS OBISPO
CA
93401
(805) 544 -7774
CLINT PEARCE
284 HIGUERA STREET
SAN LUIS OBISPO
CA
93401
(805) 748 -9097
ANDREA PEASE
2410 LEONA AVENUE
SAN LUIS OBISPO
CA
93401
(805) 235 -6355
Statement of Organization
Recipient Committee
Statement Type ❑ Initial
Not yet qualified ❑ or
❑ Amendment
List I.D. number:
# 1368735
Date qualified as committee Date qualified as committee
(If applicable)
® Termination — See Part 5
List I.D. number:
# 1368735
01-30 2015
Date of Termination
1. Committee Information
NAME OF COMMITTEE
SLO CITIZENS FOR MEASURE G
STREET ADDRESS (NO P.O BOX)
1041 CHORRO STREET #230
CITY STATE ZIP CODE AREA CODE /PHONE
SAN LUIS OBISPO CA 93401 (805)544 -7774
MAILING ADDRESS (IF DIFFERENT)
PO BOX 15728, SAN LUIS OBISPO, CA 93406
FAX I E -MAIL ADDRESS
INFO @CITIZENSFORG.COM
COUNTY OF DOMICILE JIUR11DICTION WHERE COMMITTEE IS ACTIVE
SAN LUIS OBISPO SAN LUIS OBISPO
Attach additional information on appropriately labeled continuation sheets.
Date Stamp
For Official Use Only
FEB 0 2 2015
2. Treasurer and Other Principal Officers --
NAME OF TREASURER
HILLARY TROUT
STREET ADDRESS (NO P.O BOX)
1175 BUCHON STREET
CITY STATE ZIP CODE
SAN LUIS OBISPO CA 93401
AREA CODE /PHONE
(805)541 -0839
NAME OF ASSISTANT TREASURER, IF ANY
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE
AREA CODE /PHONE
NAME OF PRINCIPAL OFFICER(S)
SEE CONTINUATION SHEET
STREET ADDRESS (NO P.O- BOX)
CITY STATE ZIP CODE
AREA CODE /PHONE
3. Verification
I have used all reasonable diligence in preparing this statement and to the best of my knowledge the information contained herein is true and complete. I certify under
penalty of perjury under the laws of the State of Ca—UoLri.La th e foregoing is true and correct.
Executed on 01/30/2015 B
Executed on
Executed on
Executed on
DATE
DATE
DATE
DATE
By
SIGNATURE OF TREASURER OR ASSISTANT TREASURER
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
By
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
By
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 410(Dec /2012)
FPPC Advice: advice @fppc.ca.gov (866/275 -3772)
www.fppc.ca.gov
Statement of Organization CALIFOW11A
Recipient Committee t
INSTRUCTIONS ON REVERSE
CITY OF SAN LUIS OBISPO
Page 2
COMMITTEE NAME
- ... -..
TRASACTION (SALES) AND USE TAX
I D. NUMBER
SLO CITIZENS FOR MEASURE G
1368735
• All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION
COAST NATIONAL BANK
ADDRESS
AREA CODE /PHONE
(805)541 -0400
CITY
BANK ACCOUNT NUMBER
101023818
STATE ZIP CODE
500 MARSH STREET SAN LUIS OBISPO CA 93401
4. Type of Committee Complete the applicable sections.
• List the name of each controlling officeholder, candidate, or state measure proponent. If candidate or officeholder controlled, also list the elective office sought or held, and
district number, if any, and the year of the election.
• List the political party with which each officeholder or candidate is affiliated or check "nonpartisan."
• If this committee acts jointly with another controlled committee, list the name and identification number of the other controlled committee.
NAME OF CAN MEASURE PROPONENT
ELECTIVE OFFICE SOUGHT OR HELD
(INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION
PARTY
Primarily formed to support or oppose specific candidates or measures in a single election. List below:
CANDIDATE(S) NAME OR MEASURE(S) FULLTITLE (INCLUDE BALLOT NO. OR LETTER)
CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION
(INCLUDE DISTRICT NO.. CITY OR COUNTY. AS APPLICABLE)
rucrr nNc
MEASURE G -14 ESSENTIAL SERVICES
CITY OF SAN LUIS OBISPO
SUPPORT
0
OPPOSE
❑
- ... -..
TRASACTION (SALES) AND USE TAX
- -
SUPT
ORME
EL
FPPC Form 410(Dec /2012)
FPPC Advice: advice @fppc.ca.gov (866/275 -3772)
www.fppc.ca.gov
Statement of Organization ' - ' , 1
Recipient Committee FORM
INSTRUCTIONS ON REVERSE
Page 3
COMMMEE NAME
LD. NUMBER
SLO CITIZENS FOR MEASURE G
11368735
4. Type of Committee (Continued)
Not formed to support or oppose specific candidates or measures in a single election. Check only one box:
❑ CITY Committee ❑ COUNTY Committee ❑ STATE Committee
PROVIDE BRIEF DESCRIPTION OF ACTIVITY
List additional sponsors on an attachment.
NAME OF SPONSOR
GROUP OR AFFILIATION OF SPONSOR
STREET ADDRESS NO. AND STREET CITY STATE ZIP CODE
Date qualified
5. Termination Requirements By signing the verification, the treasurer, assistant treasurer and /or candidate, officeholder, or proponent certify that all of the following conditions have been met:
• This committee has ceased to receive contributions and make expenditures;
• This committee does not anticipate receiving contributions or making expenditures in the future;
• This committee has eliminated or has no intention or ability to discharge all debts, loans received, and other obligations;
• This committee has no surplus funds; and
• This committee has filed all campaign statements required by the Political Reform Act disclosing all reportable transactions.
-- There are restrictions on the disposition of surplus campaign funds held by elected officers who are leaving office and by defeated candidates. Refer to Government
Code Section 89519.
-- Leftover funds of ballot measure committees may be used for political, legislative or governmental purposes under Government Code Sections 89511- 89518, and are
subject to Elections Code Section 18680 and FPPC Regulation 18521.5.
FPPC Form 410(Dec /2012)
FPPC Advice: advice @fppc.ca.gov (866/275 -3772)
www.fppc.ca.gov
CALIFORNIA FORM 410
CONTINUATION SHEET
NAMES OF PRINCIPAL OFFICERS
PRINCIPAL OFFICER:
STREET ADDRESS:
CITY:
STATE:
ZIP CODE:
AREA CODE /PHONE:
PIERRE RADEMAKER
1041 CHORRO STREET #230
SAN LUIS OBISPO
CA
93401
(805) 544 -7774
PRINCIPAL OFFICER:
CLINT PEARCE
STREET ADDRESS:
284 HIGUERA STREET
CITY:
SAN LUIS OBISPO
STATE:
CA
ZIP CODE:
93401
AREA CODE /PHONE:
(805) 748 -9097
PRINCIPAL OFFICER:
STREET ADDRESS:
CITY:
STATE:
ZIP CODE:
AREA CODE /PHONE:
END OF CONTINUATION SHEET
ANDREA PEASE
2410 LEONA AVENUE
SAN LUIS OBISPO
CA
93401
(805) 235 -6355
Recipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200 - 84216.5)
SEE INSTRUCTIONS ON REVERSE
Type or print in ink.
Statement covers period
from 10/19/2014
through 01/30/2015
1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4.
❑ Officeholder, Candidate Controlled Committee ® Primarily Formed Ballot Measure
Q State Candidate Election Committee Committee
Q Recall Q Controlled
(Also Complete Part 5) O Sponsored
(Also Complete Part 6)
❑ General Purpose Committee
Q Sponsored
Q Small Contributor Committee
Q Political Party /Central Committee
❑ Primarily Formed Candidate/
Officeholder Committee
(Also Complete Part 7)
3. Committee Information I I.D. NUMBER
1368735
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
4.
SLO CITIZENS FOR MEASURE G
STREET ADDRESS (NO P.O. BOX)
1041 CHORRO STREET #230
CITY STATE ZIP CODE AREA CODE /PHONE
SAN LUIS OBISPO CA 93401 805 - 544 -7774
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
PO BOX 15728
CITY STATE ZIP CODE AREA CODE /PHONE
SAN LUIS OBISPO CA 93401 805 - 544 -7774
OPTIONAL: FAX / E -MAIL ADDRESS
INFO @CITIZENSFORG.COM
COVER PAGE
Date Stamp
Date of election if applicable: - Page 1 of 17
(Month, Day, Year) For Official Use Only
FEB 0 2 2015
11/4/2014
2. Type of Statement:
❑ Preelection Statement ❑ Quarterly Statement
❑ Semi - annual Statement ❑ Special Odd -Year Report
Termination Statement ❑ Supplemental Preelection
(Also file a Form 410 Termination) Statement - Attach Form 495
❑ Amendment (Explain below)
Treasurer(s)
NAME OF TREASURER
HILLARY TROUT
MAILING ADDRESS
1175 BUCHON STREET
CITY STATE ZIP CODE AREA CODE /PHONE
SAN LUIS OBISPO CA 93401 805 - 541 -0839
NAME OF ASSISTANT TREASURER, IF ANY
MAILING ADDRESS
CITY
OPTIONAL: FAX / E -MAIL ADDRESS
INFO @CITIZENSFORG.COM
STATE ZIP CODE AREA CODE /PHONE
Verification
I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein and in the attached schedules is true and complete. I certify
under penalty of perjury and
7 the laws of the State of California that the foregoing is true and correct.
t.
Executed on By Dale Sittnaturea firrasurerorAssistantTreasurer
Executed on
Date
Executed on
Date
Executed on
Date
By
Signature of Controlling Officeholder, Candidate, State Measure Proponent or Responsible Officer of Sponsor
By
Signature of Controlling Officeholder, Candidate, State Measure Proponent
By
Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (January/OS)
FPPC Toll -Free Helpline: 866 1ASK -FPPC (8661276 -3772)
State of California
Type or print in ink.
Recipient Committee
Campaign Statement
Cover Page — Part 2
5. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
RESIDENTIAL /BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP
Related Committees Not Included in this Statement: List any committees
not included in this statement that are controlled by you or are primarily formed to receive
contributions or make expenditures on behalf of your candidacy.
COMMITTEE NAME I.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
❑ YES ❑ NO
COMMITTEE ADDRESS STREETADDRESS (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 STREETADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE /PHONE
COVER PAGE - PART 2
IPage 2 of 17
6. Primarily Formed Ballot Measure Committee II
NAME OF BALLOT MEASURE
ESSENTIAL SERVICES TRASACTION (SALES) AND USE TAX
BALLOT NO. OR LETTER JURISDICTION m SUPPORT
G -14 CITY OF SAN LUIS OBISP ❑ 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 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 (January/OS)
FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/2753772)
State of California
Campaign Disclosure Statement Type or print in ink.
Amounts may be rounded
Summary Page to whole dollars.
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
SLO CITIZENS FOR MEASURE G
Statement covers period
from 10/19/2014
through
01/30/2015
SUMMARY PAGE
0_ •
Page 3 of 17
I.D. NUMBER
1368735
Contributions Received
A
Column B
Calendar Year Summary for Candidates
8,187.62
13. Cash Receipts .................... ............................... Column A, Line 3 above
rColumn
D
(FROM ATTACHED SCHEDULES)
TOTALTO DATE
Running in Both the State Primary and
g ma rY
0.00
15. Cash Payments ................... ............................... Column A, Line 8above
General Elections
1. Monetary Contributions ............ ...............................
Schedule A, Line 3
$ 1,200.00 $
25,890.00
17. LOAN GUARANTEES RECEIVED ........................... Schedule B, Part 2
0.00
0.00
1/1 through 6/30 7/1 to Date
2. Loans Received ....................... ...............................
schedule a, Line 3
18. Cash Equivalents ................ ............. See instructions on reverse
$
0.00
3. SUBTOTAL CASH CONTRIBUTIONS .........................
Add Lines 1 +2
$ 1,200.00 $
25,890.00
20. Contributions
Received $ $
4. Nonmonetary Contributions ..... ...............................
Schedule C, Line 3
9,135.00
10,958.29
21. Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED ...........................
Add Lines 3 +4
$ 10,335.00 $
36,848.29
Made $ $
Expenditures Made
6. Payments Made .................... Schedule E, Line 4 $ 9,387.62
7. Loans Made .............................. ............................... Schedule H, Line 3 0.00
8. SUBTOTALCASH PAYMENTS .......... .... ... ......... .--------- Add Lines 6 +7 $ 9,387.62
9. Accrued Expenses (Unpaid Bills ............ Schedule F, Line 3 0.00
10. Nonmonetary Adjustment ........... ---------- - - - - -- Schedule C, Line 3 9,135.00
11. TOTAL EXPENDITURES MADE ....... ......................... Add Lines 8 +9 +10 $ 18,522.62
Current Cash Statement
12. Beginning Cash Balance ....................... Previous Summary Page, Line 16
$
8,187.62
13. Cash Receipts .................... ............................... Column A, Line 3 above
1,200.00
14. Miscellaneous Increases to Cash ........................... Schedule 1, Line 4
0.00
15. Cash Payments ................... ............................... Column A, Line 8above
9,387.62
16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15
$
0.00
If this is a termination statement, Line 16 must be zero.
17. LOAN GUARANTEES RECEIVED ........................... Schedule B, Part 2
$
0.00
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ................ ............. See instructions on reverse
$
0.00
19. Outstanding Debts ............. . ........... Add Line 2 + Line 9 in Column B above
$
0.00
$ 25,890.00
0.00
$ 25,890.00
0.00
10, 958.29
$ 36,848.29
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)
$
-/ $
Amounts in this section may be different from amounts
reported in Column B.
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772)
Schedule A Type or print in ink. SCHEDULE A
Monetary Contributions Received Amounts may rounded
to dollars. lars.
Statement covers period
CALIFORNIA
whole
460
from 10/19/2014 FORM
01/30/2015 4 17
SEE INSTRUCTIONS ON REVERSE
i 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 CUMULATIVE TO DATE
RECEIVED THIS CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(IF COMMITTEE, ALSO ENTERID- NUMBER)
CODE*
(IF SELF - EMPLOYED, ENTER NAME
PERIOD (JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
BIND
STEPHEN GESELL
10/20/14 STEPHEN HEN GE
❑COM
POLICE CHIEF
250.00 250.00
LANE
E] OTH
CITY OF SAN LUIS
ATASCADERO, CA 93422
❑ PTY
OBISPO
❑ SCC
®wD
MARY VERDIN
10/21/14
❑COM
MARKETING
100.00 100.00
3580 SACRAMENTO DR #110
E] OTH
VERDIN MARKETING
SAN LUIS OBISPO, CA 93401
El PTY
❑ SCC
®IND
10/23/14 BROOKE LANGLE
❑COM
Founding Principal, Terra
100.00 100.00
672 SERRANO DRIVE #4
E] OTH
Verde Environmental
SAN LUIS OBISPO, CA 93405
❑ PTY
Consulting
❑ SCC
❑IND
10/26/14
TENET
1400 SOUTH DOUGLASS SUITE 250
❑COM
6fl OTH
NA
500.00 500.00
ANAHEIM, CA 92806
❑ PTY
DAVID LOUGHRAN
❑ SCC
❑IND
❑COM
PRESIDENT
10/31/14
PO BOX 1919
❑ OTH
D -KALE ENGINEERING
100.00 100.00
SAN LUIS OBISPO, CA 93401
❑ PTY
❑ SCC
SUBTOTAL$ 1,050.00
Schedule A Summary
1. Amount received this period — itemized monetary contributions.
(Include all Schedule A subtotals.) $ 1,050.00
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.) .......
...... ... ..... ... .... .. $
....1... TOTAL $
150.00
1,200.00
'Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772)
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.
CALIFORNIA
460
10/19/2014
from
FOR M
01/30/2015
5 17
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
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
RECEIVED
( IFCOMMITfEE, ALSO ENTER ID.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
NONE
❑ COM
❑ OTH
❑ PTY
❑SCC
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
❑ IND
❑COM
[]OTH
❑ PTY
❑ SCC
❑IND
❑COM
❑ OTH
❑ PTY
❑ SCC
❑ IND
. .......... _W. .... -
❑ COM
❑ OTH
❑ PTY
❑ SCC
'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
SUBTOTAL $ 0.00
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772)
�Yy :lg bill 8Q 13M1 461
Schedule B — Part 1 Amou"n- t �m' a"y b' ro u...n nded
Statement covers P eriod
Loans Received to whole dollars.
10/19/2014
CALIFORNIA
460
from
FORM
01/30/2015
6 17
SEE INSTRUCTIONS ON REVERSE
through
Page of
NAME OF FILER
L.D. NUMBER
SLID CITIZENS FOR MEASURE G
1368735
FULL NAME, STREET ADDRESS AND ZIP CODE
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
tat
OUTSTANDING
(b)
AMOUNT
(c)
AMOUNT PAID
(a)
OUTSTANDING
(e)
INTEREST
(t)
ORIGINAL
(g)
CUMULATIVE
LENDER
(IFSELF- EMPLOYED, ENTER
BALANCE
BEGINNING THIS
RECEIVED THIS
OR FORGIVEN
BALANCEAT
CLOSE OF THIS
PAID THIS
AMOUNT OF
CONTRIBUTIONS
(IF COMMITTEE,ALSO ENTERI.D NUMBER)
E,
NAMEOFBUSINESS)
p Rt
PERIOD
THIS PERIOD'
PERIOD
PERIOD
LOAN
TO DATE
NONE
❑ PAID
CALENDARYEAR
$
s
%
$
$
❑ FORGIVEN
RATE
PER ELECTION-
to IND El COM [-I OTH El PTY F-1 SCC
$
$
$
$
DATE INCURRED
$
DATE DUE
❑ PAID
CALENDARYEAR
❑ FORGIVEN
PER ELECTION"*
RATE
DATE DUE
tEl IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
DATE INCURRED
❑ PAID
CALENDARYEAR
$
$
%
$
$
❑ FORGIVEN
RATE
PERELECTION-
t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
$
$
$
$
$
DATE DUE
DATE INCURRED
SUBTOTALS $ $ $ $
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.) ................................ ............................... NET $
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.
=1
(May be a negative number)
(Enter (e) on
Schedule E, Line 3)
tContributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772)
Schedule B — Part 2 Type or print in ink. _ _ SCHEDULEB -PART2
Amounts may be rounded Statement covers period CALIFORNIA
Loan Guarantors to whole dollars. from 10/19/2014 FORM t
through 01/30/2015 7 17
SEE INSTRUCTIONS ON REVERSE 9 Page of
NAME OF FILER
I.D. NUMBER
SLO CITIZENS FOR MEASURE G
1368735
FULL NAME, STREET ADDRESS AND
ZIP CODE OF GUARANTOR
(IF COMMITTEE, ALSO ENTER I. D NUMBER)
CONTRIBUTOR
CODE
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF - EMPLOYED, ENTER
NAME OF BUSINESS)
LOAN
AMOUNT
GUARANTEED
THIS PERIOD
CUMULATIVE
TO DATE
BALANCE
OUTSTANDING
TO DATE
NONE
❑IND
LENDER
CALENDARYEAR
❑ COM
$
DATE
❑ OTH
❑ PTY
PER ELECTION
(IF REQUIRED)
❑ SCC
s
CALENDARYEAR
❑ IND
LENDER
❑ COM
$
❑ OTH
PER ELECTION
(IF REQUIRED)
DATE
❑ PTY
❑ SCC
$
CALENDARYEAR
❑ IND
LENDER
❑ COM
$
❑ OTH
F-1 PTY
PER ELECTION
(IF REQUIRED)
DATE
❑ SCC
__
$
❑ IND
LENDER
CALENDARYEAR
❑ COM
$
DATE
❑ OTH
PER ELECTION
(IF REQUIRED)
❑ PTY
❑ SCC
$
nlsr on
SUBTOTAL a 0.00 S ;-- ary Page,
Line 17-dy.
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772)
Schedule C Type or print in ink. g1rHFnill F C
rkmounis may oe rounaea
Nonmoneta Contributions Received
�/ to whole dollars.
"`
Statement covers period
CALIFORNIA
10/19/2014
• - � 6 '
from
01/30/2015
8 17
SEE INSTRUCTIONS ON REVERSE_
through
Page of
NAME OF FILER
I.D. NUMBER
SLO CITIZENS FOR MEASURE G
1368735
DATE
FULL NAME, STREET ADDRESS 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)
— ...........
E] IND
BARNETT COX & ASSOCIATES
N/A N/A DESIGN
11/2/14
711 TANK FARM ROAD
®OTH
SERVICES 9,135.00
10,635.00
SAN LUIS OBISPO, CA 93401
❑PTY
-
--
❑SCC
I
❑IND
❑COM
❑ OTH
❑ PTY
❑ SCC
❑IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
❑ IND
❑COM
❑ OTH
❑ PTY
❑ SCC
Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 9,135.00 1 `
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 ..... ............................... $
9,135.00
1 11
3. Total nonmonetary contributions received this period. 9,135.00
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.) ...................... TOTAL $
*Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772)
Schedule D
cw,Hp ,t 11 F n
bumma OT tX enanures Type or print in ink.
Amounts may be rounded
Supporting /Opposing Other to whole dollars.
Candidates, Measures and Committees
Statement covers period
10/19/2014
from
_ J
. - • '
SEE INSTRUCTIONS ON REVERSE
through 01/30/2015
Page 9 of 17
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,
ORCOMMITTEE
NONE
TYPE OF PAYMENT
DESCRIPTION
(IF REQUIRED)
AMOUNT THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN.1 -DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
❑ 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 $
Schedule D Summary
1. Itemized contributions and independent expenditures made this period. (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.) ............ TOTAL $
=
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866 1ASK -FPPC (8661275 -3772)
Schedule D
(Continuation Sheet)
Type or print in ink.
SCHEDULED (CONT.)
Summary of Expenditures Amounts may be rounded Statement covers period _
to whole dollars. i '
Supporting /Opposing Other 10/19/2014 FORM
from
Candidates, Measures and Committees
01/30/201.5 10 17
through � ........ ... .. _. _ _ Page of
NAME OF FILER I.D. NUMBER
SLO CITIZENS FOR MEASURE G 1368735
DATE
NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR
TYPE OF PAYMENT
DESCRIPTION
AMOUNTTHIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
MEASURE NUMBER OR LETTER AND JURISDICTION,
(IF REQUIRED)
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OR COMMITTEE
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
4
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866 1ASK -FPPC (866/275 -3772)
Schedule E
Payments Made
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
SLO CITIZENS FOR MEASURE G
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 10/19/2014
through 01/30/2015
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment
Page 11 of 17
I.D. NUMBER
1368735
CMP
campaign paraphernalia /misc.
MBR
member communications
RAD
radio airtime and production costs
CNS
campaign consultants
MTG
meetings and appearances
RFD
returned contributions
CTB
contribution (explain nonmonetary)'
OFC
office expenses
SAL
campaign workers' salaries
CVC
civic donations
PET
petition circulating
TEL
t.v. or cable airtime and production costs
FIL
candidate filing /ballot fees
PHO
phone banks
TRC
candidate travel, lodging, and meals
FND
fundraising events
POL
polling and survey research
TRS
staff /spouse travel, lodging, and meals
IND
independent expenditure supporting /opposing others (explain)`
POS
postage, delivery and messenger services
TSF
transfer between committees of the same candidate /sponsor
LEG
legal defense
PRO
professional services (legal, accounting)
VOT
voter registration
LIT
campaign literature and mailings
PRT
print ads
WEB
information technology costs (internet, e-mail)
NAME AND ADDRESS OF PAYEE
(IF COMMITTEE, ALSO ENTER I D NUMBER) I CODE OR DESCRIPTION OF PAYMENT
AMOUNTPAID
BARNETT COX & ASSOCIATES DIRECT MAILER
711 TANK FARM ROAD LIT
5,784.13
SAN LUIS OBISPO, CA 93401
BARNETT COX & ASSOCIATES
NEWSPAPER ADVERTISEMENT
711 TANK FARM ROAD
PRT
948.62
SAN LUIS OBISPO, CA 93401
BARNETT COX & ASSOCIATES
PHONE & WALKING LISTS
711 TANK FARM ROAD
CMP
256.92
SAN LUIS OBISPO, CA 93401
* Payments that are contributions or independent expenditures must also be summarized on Schedule D.
SUBTOTAL$ 6,989.67
Schedule E Summary
1. Itemized payments made this period. Include all Schedule E subtotals.
$
9,148.52
2. Unitemized payments made this period of under $100 ........................................................................................................... ...............................
$
239.10
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 $ _
9,387.62
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772)
Schedule E Type or print in ink.
(Continuation Sheet) Amounts may be rounded
Payments Made to whole dollars.
Statement covers period
from 10/19/2014
SCHEDULE E (CONT.)
through 01/30/2015 Page 12 of 17
SEE INSTRUCTIONS ON REVERSE 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
PHO
phone banks
TRC
candidate travel, lodging, and meals
FIND
fundraising events
POL
polling and survey research
TRS
staff /spouse travel, lodging, and meals
IND
independent expenditure supporting /opposing others (explain)*
POS
postage, delivery and messenger services
TSF
transfer between committees of the same candidate /sponsor
LEG
legal defense
PRO
professional services (legal, accounting)
VOT
voter registration
Lrr
campaign literature and mailings
PRT
print ads
WEB
information technology costs (internet, e-mail)
NAME AND ADDRESS OF PAYEE
(IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT
AMOUNT PAID
BARNETT COX & ASSOCIATES FLYER & MAILER
711 TANK FARM ROAD LIT
464.40
SAN LUIS OBISPO, CA 93401
SAN LUIS OBISPO CHAMBER OF COMMERCE
BUTTONS
895 MONTEREY STREET
CMP
147.28
SAN LUIS OBISPO, CA 93401
SAN LUIS OBISPO CHAMBER OF COMMERCE
PAPER & MAILING SUPPLIES
895 MONTEREY STREET
OFC
144.33
SAN LUIS OBISPO, CA 93401
SAN LUIS OBISPO CHAMBER OF COMMERCE
MAILING TO CHAMBER LISTS
895 MONTEREY STREET
LIT
204.17
SAN LUIS OBISPO, CA 93401
COMMUNITY FOUNDATION SLO COUNTY
DONATION TO OPEN SPACE PRESERVATION
550 DANA STREET
CVC FUND
1,198.67
SAN LUIS OBISPO, CA 93401
* Payments that are contributions or independent expenditures must also be summarized on Schedule D.
SUBTOTAL $ 2,158.85
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772)
Schedule F
Accrued Expenses (Unpaid Bills)
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
SLO CITIZENS FOR MEASURE G
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 10/19/2014
through
01/30/2015
SCHEDULEF
Page 13 of 17
I.D. NUMBER
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 surrey 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 NUMBER)
CODE OR
DESCRIPTION OF PAYMENT
(
OUTSTAA NDING
BALANCE BEGINNING
OF THIS PERIOD
(
AMOUNTIN CURRED
THIS PERIOD
(c)
AMOUNT PAID
THIS PERIOD
(ALSO REPORT ON E)
(
OUTSTANDING
BALANCE AT CLOSE
OF THIS PERIOD
NONE
* Payments that are contributions or independent expenditures must also be SUBTOTALS $
summarized on Schedule D.
Schedule F Summary
1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for
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 $
NET $ _- 0.00
May De a negative number
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772)
Schedule F
(Continuation Sheet)
Accrued Expenses (Unpaid Bills)
SLO CITIZENS FOR MEASURE G
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 10/19/2014
through 01/30/2015
SCHEDULE F (CONT)
Page 14 of 17
I.D. NUMBER
1368735
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CMP
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
WD
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 CODE OR
(IF COMMITTEE, ALSO ENTER I.D. NUMBER) DESCRIPTION OF PAYMENT
(
OUTSTAA NDING
BALANCE BEGINNING
OF THIS PERIOD
(
AMOUNTIN CURRED
THIS PERIOD
(c)
AMOUNT PAID
THIS PERIOD
(ALSO REPORT ON E)
(
OUTSTANDING
BALANCE AT CLOSE
OF THIS PERIOD
NONE
I
SUBTOTALS $ $ $ $ 0.00
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866 1ASK -FPPC (8661275 -3772)
Schedule G
CODE OR DESCRIPTION OF PAYMENT
Type or print in ink.
NONE
SCHEDULE G
,
Payments Made by an Agent or Independent Amounts may be rounded
Statement covers period
Contractor (on Behalf of This Committee)
to whole dollars.
from 10/19/2014
•
through 01/30/2015
Page 15 of 17
SEE INSTRUCTIONS ON REVERSE
!
NAME OF FILER
I.D. NUMBER
SLO 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.
CUP campaign paraphernalia/misc.
MBR
member communications
RAID
radio airtime and production costs
CNS campaign consultants
MTG
meetings and appearances
RFD
returned contributions
CTB contribution (explain nonmonetary)*
OFC
office expenses
SAL
campaign workers' salaries
CVC civic donations
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
14D independent expenditure supporting /opposing others (explain)*
POS
postage, delivery and messenger services
TSF
transfer between committees of the same candidate /sponsor
LEG legal defense
PRO
professional services (legal, accounting)
VOT
voter registration
LIT campaign literature and mailings
PRT
print ads
WEB
information technology costs (internet, e-mail)
* Payments that are contributions or independent expenditures must also be summarized
on Schedule D.
NAME AND ADDRESS OF PAYEE OR CREDITOR
(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 (January/05)
FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772)
SCHEDULEH
Schedule H Type or print in ink. Statement covers period
Amounts may be rounded 10/19/2014
Loans Made to Others *
'
• ki
to whole dollars. from
01/30/2015
16 17
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
(
OUTSTANDING
(e)
INTEREST
ORIGINAL
CUMULATIVE
OF RECIPIENT
OCCUPATION AND EMPLOYER
(IF SELF - EMPLOYED, ENTER
BALANCE
BEGINNING THIS
LOANED THIS
FORGIVENESS
BALANCE AT
CLOSE OF THIS
RECEIVED
AMOUNT OF
LOANS
(IF COMMITTEE, ALSO ENTER I.D- NUMBER)
NAME OF BUSINESS)
PERIOD
PERIOD
THIS PERIOD"
PERIOD
I LOAN
TO DATE
NONE
9
PAID
CALENDAR YEAR
FORGIVEN
PER ELECTION—
RATE
DATE DUE
DATE INCURRED
PAID
CALENDAR YEAR
FORGIVEN
PER ELECTION—
RATE
DATE DUE
DATE INCURRED
*Loans that are contributions to another candidate or committee
must also be summarized on Schedule D. Loans forgiven must
also be reported on Schedule E. SUBTOTALS
$ $
$
$
(Enter (e) on
Schedule I, Line 3)
Schedule H Summary
1. Loans made this period ........................................................................................................... ...................... ... ... . .. .. . .. $
(Total Column (b) plus unitemized loans of less than $100.)
2. Payments received on loans ............................................................................................................ ........... .................... $
(Total Column (c) plus unitemized payments of less than $100.)
3. Net change this period. Subtract Line 2 from Line 1. , NET $ 0.00
(Enter the net here and on the Summary Page, Column A, Line 7.) (May be a negative number)
"If Required
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772)
Schedule I Type or print in ink.
Miscellaneous Increases to Cash Amounts may be rounded
to whole dollars.
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
SLO CITIZENS FOR MEASURE G
DATE FULL NAME AND ADDRESS OF SOURCE
RECEIVED (IF COMMITTEE, ALSO ENTER I D NUMBER)
NONE
Statement covers period
from 10/19/2014
through 01/30/2015
DESCRIPTION OF RECEIPT
Me
Page 17 of 17
I.D. NUMBER
1368735
AMOUNTOF
INCREASE TO CASH
Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $
Schedule I Summary
1. Itemized increases to cash this period ............................... .......... $
2. Unitemized increases to cash of under $100 this period ................................ ............................... $
3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).) .. ............................... $
4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the
Page, Line 14. 0.00
Summary 9 ) ............................................................................................ ............................... TOTAL $
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866 1ASK -FPPC (8661275 -3772)