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HomeMy WebLinkAboutJohn Ashbaugh - Form 460 - Preelection Amendment 2 - 10-28-2012Recipient 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 -01 -12 through Date Stamp of election If applicable: I 19 Page 1 of 20 (Month, Day, Year) - OCT 2 91W IL or Official Use Only 10 -20 -12 1 11/06/2012 1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4. ® Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure State Candidate Election Committee Committee { ; Recall , Controlled (Also Complete Part S) " Sponsored (A)so COmple(e Parte) ❑ General Purpose Committee Sponsored ❑ Primarily Formed Candidate/ Small Contributor Committee Officeholder Committee „Political Party/Central Committee (Also Complete Parf ]) 3. Committee Information 171 Committee to Re -Elect Councilman Ashbaugh 2012 STREET ADDRESS (NO P.O. 80X) 193 Los Cerros Drive (Dr.) CITY STATE ZIP CODE AREA CODEIPHONE San Luis Obispo (S.L.O.) CA 93405 -1228 93405 -1228 MAILING ADDRESS (IF DIFFERENT) NO, AND STREET OR P.O. BOX 2. Type of Statement: ® Preelection Statement L] Quarterly Statement Lj Semi - annual Statement LJ Special Odd -Year Report ❑ Termination Statement ❑ Supplemental Preelection (Also file a Form 410 Termination) Statement - Attach Form 495 la Amendment (Explain below) City Filing Schedule Provided to Candidate Gave Incorrect Covering Period; Corrections Made to Various Entries to Correspond Treasurer(s) NAME OF TREASURER Dr. Zafar Igbal MAILING ADDRESS 6080 Lewis Lane (Ln.) CITY STATE ZIP CODE AREA CODEIPHONE San Luis Obispo (S.L.O.) CA 93401 -8233 (805) 547 -1993 NAME OF ASSISTANT TREASURER, IF ANY Clint Weirick MAILING ADDRESS Not Applicable (N /A) 380 Saratoga Avenue (Ave.) CITY STATE ZIP CODE AREA CODEIPHONE CITY STATE ZIP CODE AREA CODE /PHONE Not Applicable (N /A) N/A N/A Grover Beach CA 93433 -1545 (805) 286 -6959 OPTIONAL: FAX I E -MAIL ADDRESS OPTIONAL: FAX / E -MAIL ADDRESS john @johnashbaugh.com zigbal @calpoly.edu 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed on 10 -28 -12 Data Executed on 10 -28 -12 Executed on Not Applicable (N /A) Dote Executed on Not Applicable (N /A) Dale By By By�- SiOnalumofConlmllingOMf eh ldeq Candidate,Slate Measure Pmponenl schedules is true and complete. I certify By Signature et COntrolliny OttknM1Older, CanJWate, Slate Measure Proponent FPPC Form 460 (January/OS) FPPC Toll -Free Helpline: 866 1ASK -FPPC (8661275 -3772) State of California Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE John B.Ashbaugh OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Type or print in ink. San Luis Obispo City Council (2012 -2016 Term) RESIDENTIAUBUSINESS ADDRESS (NO.ANDSTREET) CITY STATE ZIP 193 Los Carlos Drive (Dr.) San Luis Obispo, CA 93405 -1228 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. Not Applicable (N /A) 1.D. NUMBER Not Applicable (N /A) NAME OF TREASURER CONTROLLED COMMITTEE? Not Applicable (N /A) 1 ❑ YES I I No Not Applicable (NIA) CITY STATE ZIP CODE AREA CODEIPHONE Not Applicable (N /A) N/A N/A COMMITTEE NAME Not Applicable (N /A) I.D. NUMBER Not Applicable (N /A) NAME OF TREASURER CONTROLLED COMMITTEE? Not Applicable (N /A) I YES I I NO COMMITTEEADDRESS STREEfADDRESS (NO P.O. BOX) Not Applicable (N /A) CITY STATE ZIP CODE AREA CODE /PHONE Not Applicable (N/A) N/A N/A Page 2 of 20 S. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE Not Applicable (N /A) BALLOT NO. OR LETTER JURISDICTION SUPPORT Not, (N /A) Not Applicable (N /A) OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT Not Applicable (N /A) HELD Not Applicable (N /A) DISTRICT NO. IF Not Applicable (N /A) 7. Primarily Formed Candidate /Officeholder Committee List names of officeholders) or candidate(s) for which this committee is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD SUPPORT Not Applicable (N /A) Not Applicable (N /A) OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT Not Applicable (N /A) Not Applicable (N /A) IJ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD I SUPPORT Not Applicable (N /A) Not Applicable (N /A) OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD SUPPORT Not Applicable (N /A) Not Applicable (NIA) OPPOSE Attach continuation sheets if necessary FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 666 /ASK -FPPC (866/275 -3772) State of California Campaign Disclosure Statement Type or print in Ink. Amounts may be rounded Summary Page to whole dollars. Statement covers period from 10 -01 -12 SEE INSTRUCTIONS ON REVERSE through 10 -20 -12 Page 3 of 20 NAME OF FILER I.D. NUMBER Committee to Re -Elect Councilman Ashbaugh 2012 1348329 Contributions Received ColumnA Column B Calendar Year Summary for Candidates Schedule H,, Line 3 B. SUBTOTAL CASH PAYMENTS ..... ............................... TOTALTHIS PERIOD (FROMATTACHED SCHEDULES) CALENDARYEAR TOTALTD DATE Running in Both the State Primary and 10, Nonmonetary Adjustment ........... ............................... Schedule C, Line 3 11. TOTAL EXPENDITURES MADE .... ............................Add Lines 8.9 + 10 General Elections 1. Monetary Contributions ............ ............................... Schedule A, Lines $ 4,599.00 $ 13,037.00 2. Loans Received ....................... ............................... schedule B, tine s 0.00 6,552.96 111 through 6/30 7/1 to Date 3. SUBTOTALCASH CONTRIBUTIONS ......................... Add Lines I,2 $ 4,599.00 $ 19,589.96 20. Contributions N/A N/A Received $ $ 4. Nonmonetary Contributions ..... ............................... Schedule c, Line 9 $1,200.00 $1,230.00 21. Expenditures S. TOTAL CONTRIBUTIONS RECEIVED ....... . ...... .............AddLines3 +a $ 5,799.00 $ 20,819.96 Made $ N/A $ N/A Expenditures Made 6. Payments Made ........................ ............................... Schedule E, Line a 7. Loans Made .............................. ............................... Schedule H,, Line 3 B. SUBTOTAL CASH PAYMENTS ..... ............................... Add Lines 6 +7 9. Accrued Expenses (Unpaid Bills) ............................... schedule F, Linea 10, Nonmonetary Adjustment ........... ............................... Schedule C, Line 3 11. TOTAL EXPENDITURES MADE .... ............................Add Lines 8.9 + 10 Current Cash Statement 12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 13. Cash Receipts .................... ............................... Column A, Line 3above 14. Miscellaneous Increases to Cash ........................... Schedule 1, Line 15. Cash Payments ................... ............................... Column A, Line 6 above 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 If this is a termination statement, Line 16 must be zero. $ 2,437.86 $ 9,830.20 0.00 0.00 $ 2,437.86 $ 9,830.20 <1,67718> 61.00 0.00 30.00 $ $760.58 $ 11,643.14 7,503.06 4,599.00 0.00 2,437.86 $ 9,664.20 17. LOAN GUARANTEES RECEIVED ........................... Schedule B, Part 2 $ 1 rt 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 $ 6,613.96 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' lif Subjectto voluntary Expenditure Limit) Date of Election Total to Date (mmldd/yy) -- f -- I $ N/A I I $ N/A "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 (8561275-3772) Schedule A Type or print in ink. SCHEDULE A Amounts may be rounded Monetary Contributions Received to whole dollars. Statement covers period ' from 10 -01 -12 FORM ' SEE INSTRUCTIONS ON REVERSE through 10 -20 -12 Page 4 of 20 NAME OF FILER I.D. NUMBER Committee to Re -Elect Councilman Ashbaugh 2012 1348329 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE n�so ENTER I, 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, EWER NAME PERIOD (JAN.1 -DEC. 31) (IF REQUIRED) OF BUSINESS) OIND 10101/2012 Leslie Mosson, 468 Blume Street (St.), MCOM MOTH Librarian, $100.00 $100.00 Not Applicable Allan Hancock College (N /A) Nipomo, 93444 -8950 I IPTY I I SCC 10/0112012 Lee Surgunder, 111 Twin Ridge Drive (Dr.), ICON I IorH Professor, $100.00 $100.00 Not Applicable DP California Polytechnic (N /A) San Luis Obispo (S.L.O.), 93405 -1076 L] PTY State University - S.L.O. L Scc BIND 10/03/2012 Prisila and Rich Johnson, I ICOM Retired, $150.00 $150.00 Not Applicable 1809 Garden Street (St.), MOTH None San Luis Obispo (S.L.O.), 93401 -4422 LJPTY (N /A) I scC BIND 10/04/2012 James Maguire, 4080 West W. Pozo Road Rd. , ( ) ( ) McOM MOTH Attorney, y Maguire and Ashbaugh $200.00 $200.00 Not Applicable Santa Margarita, 93453 Fl PTY Attorneys At Law (N /A) I Iscc Donald and Mary Smith, ®IND MOTH Retired, 10/08/2012 1111 Vista del Lago, Mores None $200.00 $200.00 Not Applicable San Luis Obispo (S.L.O.), 93405 -4832 Fl PTY (N /A) I ISCC SUBTOTAL$ 750.00 Schedule A Summary 1. Amount received this period - itemized monetary contributions. (Include all Schedule Asubtotals.) ......................................................................... ............................... $ 2. Amount received this period - unitemized monetary contributions of less than $100 ............................. $ 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $ 3,150.00 1,449.00 4,599.00 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 8661ASK -FPPC (866/275 -3772) "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 Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. 10 - 01 -12 from through 10 -20 -12 20 7NUMaER NAME OF FILER Committee to Re -Elect Councilman Ashbaugh 2012 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IFCOMMITiEE, ALSO ENrERI,o. NUMBER) CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVETO DATE CALENDAR YEAR PER ELECTION TODATE RECEIVED CODE * IFSEI.F- EMPLOYED, ENTERNAME PERIOD (JAN.1 -DEC. 31) (IF REQUIRED) OFBUSINESS) RIND Bill and Mary Ann Statist, COM Consultant, W.C. Statler, 10111/2012 124 Cerro Romualdo, 11OTH Municipal Finance $200.00 $200.00 Not Applicable San Luis Obispo (S.L.O.), 93405 1 IPTY Consulting and Training (N /A) nscc Phil and Christina Bailey, OIND COM Dean of Science and 10/16/2012 1628 Royal Way (Wy.), I FOTH Mathematics, California $100.00 $100.00 Not Applicable San Luis Obispo (S.L.O.), 93405 -6334 L PTY Polytechnic- S.L.O. (N /A) SCC Jim Smith, ZIND Business Owner, 10/16/2012 940 Pasatiempo Drive (Dr.), LOTH Smith Lending Group $100.00 $100.00 Not Applicable San Luis Obispo (S.L.O.), 93405 -1083 PTY (N /A) SCC John and Jody Belsher, )aIND Attorne 10/12/2012 2606 EI Cerrito Street (St.), I OTH Belshe , Becker and $120.00 $120.00 Not Applicable San Luis Obispo (S.L.O.), 93401 -4670 1 PTY Roberts Attorneys at Law (N /A) F_ SCC Bill and Sandra Rumbler, OIND Retired, 10/12/2012 226 Los Cerros Drive (Dr.), LOTH None San Luis Obispo (S.L.O.), 93405 -1270 1 PTY (N /A) 1 SCC SUBTOTAL$ 640.00 *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) FPPCToll -Free Helpline: 8661ASK -FPPC (8661275 -3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. 10 -01 -12 CALIFORNIA ' from FO1.1.1 through 10 -20 -12 Page 6 of 20 NAME OF FILER I.D. NUMBER Committee to Re -Elect Councilman Ashbaugh 2012 1348329 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVETO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED OF COMMITfEEAISOEMER I.D. NUMBER) COOS * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OFBUSINESS) BIND Russ Brown, Com Retired, 10/12/2012 1188 Lexington Court (CL), OTH norH None $120.00 $120.00 Not Applicable San Luis Obispo (S.L.O.), 93405 1 1PITY (N /A) ❑SCC 10/12/2012 Melanie Cleveland, BIND I COM Writer, $120.00 $120.00 Not Applicable 1650 Harmony Way (Wy.), i—OTH Melanie Cleveland (N/A) San Luis Obispo (S.L.O.), 93401 -6063 L PTY scC Alex and Anne Gough, IWIND Business Owner, 10/12/2012 964 Chorro Street (St.), LOTH Adobe Realty $120.00 $145.00 Not Applicable San Luis Obispo (S.L.O.), 93401 -3202 1 PITY (N /A) 1 SCC Dave and Gina Hafemeister, WIND Retired, 10/12/2012 553 Serrano Drive (Dr.), COM 1 OTH None $120.00 $120.00 Not Applicable San Luis Obispo (S.L.O.), 93405 -1758 1 PTY (N /A) 7 $cc Claudia Harmon, WIND coM Interior Designer, 10112/2012 2730 Bareelona, LOT Inter Ian Design g $120.00 $120.00 Not Applicable Pismo Beach, 93447 1 (N /A) SCC SUBTOTAL$ 600.00 '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 (CONT.) Monetary Contributions Received Amounts maybe rounded Statement covers period a . to whole dollars. 10 -01 -12 • t from • through 10 -20 -12 Page 7 of 20 NAME OF FILER I.D. NUMBER Committee to Re -Elect Councilman Ashbaugh 2012 1348329 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 COMMITrEE.ALSO ENTER I.D. NUMBER) CODE * (IFSELF- EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OFBUSINESS) RIND Michael Jencks, COM Attorney, 10/12/2012 846 Higuera Street (St.), Unit #10, OTH M. Jencks Law Office $120.00 $120.00 Not Applicable San Luis Obispo (S.L.O.), 93401 -3691 1 IPTY (N /A) ❑SCC 10/12/2012 Christine Maguire, IOCOM Dairyist, $120.00 $120.00 Not Applicable 4080 West (W.) Pozo Road (Rd.), F_ OTH Rinconad Dairy Company (N /A) Santa Margarita, 93453 F_ PTY (Co.) SCC David and Marsha Ogren, IZCOM Attorney, 10/1212012 1016 Willow Circle (Cir.), F OTH Santa Barbara County $120.00 $120.00 Not Applicable San Luis Obispo (S.L.O.), 93401 -7177 1 PTV Public Defender's Office (N /A) I SCC Kathryn Rogers and Randy Rogers, BIND ODM Board Member, 10/12/2012 1749 San Luis Drive (Dr.), I I OTH San Luis Coastal Unified $120.00 $170.00 Not Applicable San Luis Obispo (S.L.O.), 93401 -3016 1 PTY School District (NIA) F SCC Joe St. Clair, OIND I CO Retired, 10/12/2012 1710 Southwood Drive (Dr.), tMt None $120.00 $120.00 Not Applicable San Luis Obispo (S.L.O.), 93401 -6032 1 PTY (N /A) I SCC SUBTOTAL$ 600.00 "Contributor Codes IND — Individual COM — Recipient Committee (other than PTV or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC —Small Contributor Committee FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 8661ASK -FPPC (8661275 -3772) 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. 10 -01 -12 FORM 460 from through 10 -20 -12 Page 8 of 20 NAME OF FILER I.D. NUMBER Committee to Re -Elect Councilman Ashbaugh 2012 1348329 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVETO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IFCOMMITTEE. ALSO ENTERI.D. NUMBER) CODE pFSELF- EMPLOYED, ENTER NAME PERIOD (JAN.1 -DEC, 31) (IF REQUIRED) OFBUSINESS) IZIND 10/12/2012 Jane Theobald, 5401 Lennox Avenue (Ave.), Apartment (Apt.) COM LOTH Project Manager, Wandscape $120.00 $130.00 Not Applicable 60 -F, Bakersfield, 93309 -7433 1 IPTY Development, Inc. (N /A) nscC 10/12/2012 Bonnie and Greg Thomas, OIND I COM Physician, $120.00 $120.00 Not Applicable 116 Cerro Romauldo Avenue (Ave.), r OTH California Polytechnic (N/A) San Luis Obispo (S.L.O.), 93405 -1273 r PTY State University - S.L.O. I SCC 10/20/2012 Troy Spindler, 1959 Fixlini Street (St.) ®IOM Architect, Greenhouse $100.00 $100.00 Not Applicable 7OTH (N /A) San Luis Obispo (S.L.O.), 93401 -3030 1 PTY I SOC 10/20/2012 Cathy Lindquist, OCOM Sales Associate, $100.00 $100.00 Not Appli(N 3050 South (S.) Broad Street (St.), Suite (Ste.) I OTH Philips Floor Covering /A) 129, San Luis Obispo (S.L.O.) 93401 1 PTY F- SCC 10/09/2012 Paul Ogren, 1055 Capistrano Court (Cl.), ZIND Manufacturer, From War to Peace $100.00 $100.00 Not Applicable LOTH (N /A) San Luis Obispo (S.L.O.), 93405 1 PTY I SCC SUBTOTAL$ 540.00 '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 (8661275.3772) 1. "" SCHEDULEB -PART1 Schedule B — Part 1 Amounts . 'y be'...un Amounts may be rounded Statement covers period Loans Received to whole dollars. 10 -01 -12 0 from , . 10 -20 -12 9 20 SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER I.D. NUMBER Committee to Re -Elect Councilman Ashbaugh 2012 1348329 FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER a OUTSTANDING (b) AMOUNT (�) AMOUNTPAID a OUTSTANDING (e INTEREST r ORIGINAL Ig) CUMULATIVE OF LENDER (IF COMMITTEE,AL50 ENTER LD.NUMBER) (IF SELF-EMPLOYED, ENTER BALANCE BEGINNING THIS RECEIVED THIS OR FORGIVEN BALANCEAT CLOSE OF THIS PAID THIS AMOUNT OF CONTRIBUTIONS NAME OrauslNESSI pp PERIOD THIS PERIOD ` pp PERIOD LOAN TO DATE John Ashbaugh, Educator, 1 PAID CALENDARYEAR 193 Los Cerros Drive (Dr.) Allan Hancock College $ 0.00 $ 6,552.96 0 % $ 6000.00 $ 6,552.96 _1 FORGIVEN PER ELECTION' San Luis Obispo (S.L.O.), 93405 -1228 RATE $ 6,552.96 $ 0.00 $ 0.00 11/07/12 $ 0.00 06/20/12 $ 6,552.96 tl, IND 11 COM 11 OTH 11 PTY 1 SCC DATEDUE DATE INCURRED Not Applicable (NIA) Not Applicable (N /A) 1 PAID CALENDARYEAR $ N/A $ NIA N/A NIA $ N/A $ 1 FORGIVEN PER ELECTION"' RATE $ N/A $ N/A $ N/A N/A $ N/A N/A $ N/A DATEDUE DATE INCURRED t1 IND 1 COM 11 OTH 1 PTY 11 SCC Not Applicable (N /A) Not Applicable (N /A) 1 PAID CALENDARYEAR $ N/A $ N/A N/A N/A $ N/A % $ 1 FORGIVEN PERELECTION' RATE $ N/A $ N/A $ N/A N/A $ NIA N/A $ NIA t1 IND 1 COM 11 OTH 1 PTY 11 SCC DATEDUE DATE INCURRED SUBTOTALS $ 0,00$ 0.00 $ 0.00 $ 0.00.' Schedule B Summary 1. Loans received this period ..................................................................................... ............................... $ 0.00 (Total Column (b) plus unitemized loans of less than $100.) 2. Loans paid or forgiven this period .......................................................................... ............................... $ 0.00 (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. 0.00 9 P ( ) ................................ ............................... NET $ Enter the net here and on the Summary Page, Column A, Line 2. (May be a n.,Wenumb.,) "Amounts forgiven or paid by another party also must be reported on Schedule A. "" If required. rcmer la) an 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 (January105) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) SCHEDULE B -PART 2 Schedule B —Part 2 Type or print In Ink. Statement covers period Amounts may be rounded Loan Guarantors CALIFORNIA 460 to whole dollars. 10 -01 -12 FORM from 10 -20 -12 10 20 SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER I.D. NUMBER Committee to Re -Elect Councilman Ashbaugh 2012 1348329 FULL NAME, STREETADDRESS AND ZIP CODE OF GUARANTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER LOAN AMOUNT GUARANTEED CUMULATIVE BALANCE OUTSTANDING (JFCOMMITTEE. ALSO ENTER D. NUMBER) CODE (IF SELF - EMPLOYED, ENTER NAMEOFBUSINESS THIS PERIOb TO DATE TO DATE Not Applicable (N /A) JINO Not Applicable (N /A) LENDER CALENDARYEAR 7 COM Not Applicable (N /A) N/A $ N/A N/A DATE J OTH PER ELECTION J PTV Not Applicable IN/A) (IF REQUIRED) Jscc N/A $ CALENDARYEAR Not Applicable (N/A) TIND Not Applicable (N/A) LENDER N/A COM Not Applicable (NIA) NIA $ N/A 0TH PER ELECTION DATE (IF REQUIRED) PTV Not Applicable (N /A) 7SCC N/A $ CALENDARYEAR Not Applicable (N /A) ]IND Not Applicable (N /A) LENDER N/A _1cOM Not Applicable (N/A) NIA $ N/A _10TH PER ELECTION (IF REQUIRED) PTY DATE Not Applicable (N /A) -1 scc $ N/A CALENDARYEAR Not Applicable (NIA) ]IND Not Applicable (N /A) LENDER N/A COM Not Applicable (N /A) N/A s N/A —1 OTH DATE PERELECTION (IF REQUIRED) PTY Not Applicable (N /A) -1SCC NIA $ Enleron SUBTOTAL $ 0.00 Summary Page, Line 17 only. FPPC Form 460 (January/05( FPPC Toll -Free Helpline: 8661ASK -FPPC (866/275.3772) Schedule C Type or print In Ink. A h SCHEDULE mounts may a rounded Nonmonetary Contributions Received to whole dollars. Statement covers period �. 10 -01 -12 from - • SEE INSTRUCTIONS ON REVERSE through 10 -20 -12 g page 11 of 20 NAME OF FILER - - I.D.NUMBER Committee to Re -Elect Councilman Ashbaugh 2012 1348329 DATE FULL NAME, STREET ADDRESS AND CONTRIBUTOR IFAN INDIVIDUAL, ENTER DESCRIPTION OF AMOUNT/ CUMULATIVE TO DATE PER ELECTION RECEIVED ZIP CODE OF CONTRIBUTOR CODE * OCCUPATIONAND EMPLOYER (IF SELF-EMPLOYED, ENTER GOODS OR SERVICES FAIR MARKET VALUE CALENDAR YEAR TO DATE [IF UUMMITTEE, ALSO ENTER I.D. NUMBER) BUSINESS) NAME OF BUSINESS) (JAN 7 -DEC 31) (IF REQUIRED) 10/12/12 John Ashbaugh, ❑COM Educator, Fundraising $1,200.00 $1,200.00 Not Applicable 193 Los Cerros Drive (Dr.) ROTH Allan Hancock College Event Pizza, San Luis Obispo (S.L.O.), 93405 -1228 ❑PTY Wine, and Beer (N /A) nscc ❑CND N/A Not Applicable (N /A) ❑ COM Not A Applicable pp (NIA) o Applicable Not A pp (N /A) N/A N/A Not Applicable ❑OTH (N /A) ❑PTY nSCC N/A Not Applicable (N /A) ❑IND Not Applicable (N /A) Not Applicable (N /A) N/A N/A Not Applicable ❑OTH (NIA) ❑PTY ❑SCC Not Applicable (N /A) ❑IND ❑COM Not Applicable (N/A) Applicable Not Applicable ❑OTH (N /A) N/A N/A (N /A) ❑ PTY ❑SCC Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 0.00 Schedule C Summary 1. Amount received this period — itemized nonmonetary contributions. (Include all Schedule C subtotals.) ...................................................................................... ............................... $ 2. Amount received this period — unitemized nonmonetary contributions of less than $100 ..... ............................... $ 3. Total nonmonetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.) ...................... TOTAL $ $1,200.00 1 $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: 8661ASK -FPPC (8661275 -3772) Schedule D c- Taelyamyi Summary oT txpenaitures Type or print In ink. Statement covers period Supporting/Opposing Other Amounts may rounded ' of to whole dollars. Candidates, Measures and Committees 10 -01 -12 from �• 10 -20 -12 12 20 SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER I.D. NUMBER Committee to Re -Elect Councilman Ashbaugh 2012 1348329 DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR TYPE OF PAYMENT DESCRIPTION AMOUNTTHIS CUMULATIVETO DATE CALENDAR YEAR PER ELECTION TO DATE MEASURE NUMBER OR LETTER AMC) JURISDICTION, (IF REDUIREO) PERIOD (JAN.I -DEG . 31) (IF REQUIRED) OR COMMITTEE Not Applicable (N /A) ] Monetary Not Applicable (N /A) N/A Contribution N/A N/A Not Applicable ] Nonmonetary (N /A) Contribution ] Independent ❑ Support ❑ Oppose Expenditure Not Applicable (N /A) ❑ Monetary Not Applicable (N /A) N/A contribution N/A N /AN /A Not Applicable ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure Not Applicable (N /A) 1] Monetary Not Applicable (N /A) N/A Contribution N/A N/A Not Applicable n Nonmonetary (NIA) Contribution F1 Independent 171 Support ] Oppose Expenditure SUBTOTAL $ 0.00 Schedule D Summary 1. Itemized contributions and independent expenditures made this period. Include all Schedule D subtotals. 0.00 2. Unitemized contributions and independent expenditures made this period of under $100 ...................................................... ............................... $ r rr 3. Total contributions and independent expenditures made this period. Add Lines 1 and 2. Do not enter on the Summa Page.) 0.00 P P P ( ry 9) ............ TOTAL $ FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 666 /ASK -FPPC (6661275 -3772( Schedule D (Continuation Sheet) Type or print In ink. SCHEDULE WCONT) Summary of Expenditures Amounts may be rounded Statement covers period a to whole dollars. Supporting /Opposing Other 10 -01 -12 Candidates, Measures and Committees from 10 -20 -12 13 20 through Page of NAME OF FILER I.D. NUMBER Committee to Re -Elect Councilman Ashbaugh 2012 1348329 DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR rypE OF PAYMENT DESCRIPTION CRIPTIO AMOUNTTHIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE MEASURE NUMBER OR LETTER AND JURISDICTION, pE PERIOD (JAN. I - DEC. 31) (IF REQUIRED) OR COMMITTEE Not Applicable (N /A) ❑ Monetary Not Applicable (N /A) N/A Contribution N/A N/A Not Applicable ❑ Nonmonetary (N /A) Contribution ❑ Independent ] Support ] Oppose Expenditure Not Applicable (N /A) ❑ Monetary Not Applicable (N /A) N/A Contribution N/A N/A Not Applicable ❑ Nonmonetary (N /A) Contribution ❑ Independent ] Support ❑ Oppose Expenditure Not Applicable (N /A) ] Monetary Not Applicable (N /A) N/A Contribution N/A N/A Not Applicable ] Nonmonetary (N /A) Contribution ] Independent �] Support Oppose Expenditure Not Applicable (N /A) n Monetary Not Applicable (N /A) N/A Contribution NIA N/A Not Applicable ❑ Nonmonetary (N /A) Contribution ❑ Independent .Fl Support j-I Oppose Expenditure SUBTOTAL $ 0.00 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772) Schedule E Type or print in ink. Statement covers period Amounts may be rounded • Payments Made to whole dollars. from 10 -01 -12 s throu h 10 -20 -12 Pee 9 14 of 20 SEE INSTRUCTIONS ON REVERSE 9 Committee to Re -Elect Councilman Ashbaugh 2012 1 1348329 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment CkIP campaign paraphernalialmisc. MBR member communications RAID radio airtime and production costs CNB campaign consultants MRS 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 IPD independent expenditure supporting /opposing others (explain)" POS postage, delivery and messenger services TSF transfer between committees of the same candidatelsponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) NAMEAND ADDRESS OF PAYEE (IF COMMITTEE,ALEO ENTERID. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID San Luis Print and Copy, Flyers 265 South (S.) Street (St.), Sutie (Ste.) E LIT $85.93 San Luis Obispo (S.L.O.), California (CA) 93401 San Luis Print and Copy, Flyers 265 South (S.) Street (St.), Sutie (Ste.) E LIT $125.73 San Luis Obispo (S.L.O.), California (CA) 93401 Promotions Plus, CMP Yard Signs and Frames $905.36 4104 Vachell Lane (Ln.), San Luis Obispo (S.L.O.), 93401 -8113 * Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 1,117.02 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) ............................................................................... ............................... $ 2. Unitemized payments made this period of under $100 ........................................................................................................... ............................... $ 2,421.52 16.34 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 $ 2,437.86 FPPC Form 468 (January/85) FPPC Toll -Free Helpline: 8661ASK -FPPC (8661275 -3772) Schedule E CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID San Luis Obispo Little Theatre, Theatre Tickets SCHEDULE E (CONT.) (Continuation Sheet) type or print In Ink. Amounts may be rounded Statement covers period CALIFORNIA , Payments Made to whole dollars. San Luis Obispo Chamber of Commerce from 10 -01 -12 •' • 1039 Chorro Street (St.) MTG $100.00 through 10 -20 -12 Page 15 of 20 g SEE INSTRUCTIONS ON REVERSE John Ashbaugh, Campaign Filing Fees 193 Los Cerros Drive (Dr.) NAME OF FILER $389.00 San Luis Obispo (S.L.O.), California (CA) 93405 -1228 I.D. NUMBER Committee to Re -Elect Councilman Ashbaugh 2012 FedEx Office Campaign Flyers 1348329 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CVP 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 Lv. 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, ALSD ENTER C. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID San Luis Obispo Little Theatre, Theatre Tickets 888 Morro Street (St.) FND $500.00 San Luis Obispo (S.L.O.), California (CA) 93401 San Luis Obispo Chamber of Commerce Good Morning SLO- Soapbox 1039 Chorro Street (St.) MTG $100.00 San Luis Obispo (S.L.O.), California (CA) 93401 John Ashbaugh, Campaign Filing Fees 193 Los Cerros Drive (Dr.) FIL $389.00 San Luis Obispo (S.L.O.), California (CA) 93405 -1228 FedEx Office Campaign Flyers 1127 Chorro Street (St.), LIT $215.50 San Luis Obispo (S.L.O.), California (CA) 93401 Betty Sanders, Refund Over Campaign Limit 1811 Chorro Street (St.), N/A $100.00 San Luis Obispo (S.L.O.), 934014410 * Payments that are contributions or independent expenditures must also be summarbuidon Schedule D. SUBTOTAL$ 1,304.50 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275.3772) Schedule F Accrued Expenses (Unpaid Bills) Type or print in Ink. Amounts may be rounded to whole dollars. Statement covers period from 10 -01 -12 through 10 -20 -12 SCHEDULEF Page 16 of 20 NAME OF FILER I.D.NUMBER Committee to Re -Elect Councilman Ashbaugh 2012 1348329 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia /mist. 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 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 SUBTOTALS $ 989.00 $ 0.00 $ 989.00 $ 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.) ............. ............................... INCURRED TOTALS $ 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.) ...... ...........................PAID TOTALS $ 61.00 1,738.28 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and <1,677.28> on the Summary Page, Column A, Line 9.) ............................................................................................................ ............................... NET $ ay be a nel� patw. number FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 8661ASK -FPPC (866/275.3772) (a) ( (c) (d) NAME AND ADDRESS OF CREDITOR CODEOR OUTSTANDING IN AMOUNT INCURRED AMOUNT PAID OUTSTANDING (IF COMMITTEE , ALSO ENTER LO, NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCEAT CLOSE OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD San Luis Obispo Little Theatre, FIND 888 Morro Street (St.) Theatre Tickets $500.00 0.00 $500.00 0.00 San Luis Obispo (S.L.O.), California (CA) 93401 San Luis Obispo Chamber of Commerce MTG (Good Morning 1039 Chorro Street (St.) SLO- Soapbox) $100.00 0.00 $100.00 0.00 San Luis Obispo (S.L.O.), California (CA) 93401 John Ashbaugh, FIL 193 Los Cerros Drive (Dr.) Campaign Filing Fees $389.00 0.00 $389.00 0.00 San Luis Obispo (S.L.O.), California (CA) 93405 -1228 ^ Payments that are contributions or Independent expenditures must also be SUBTOTALS $ 989.00 $ 0.00 $ 989.00 $ 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.) ............. ............................... INCURRED TOTALS $ 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.) ...... ...........................PAID TOTALS $ 61.00 1,738.28 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and <1,677.28> on the Summary Page, Column A, Line 9.) ............................................................................................................ ............................... NET $ ay be a nel� patw. number FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 8661ASK -FPPC (866/275.3772) Schedule F Type or print in ink. (IN (c) (d) SCHEDULE F(CONT) CODE OR Statement covers period 1 • Amounts may be rounded (Continuation Sheet) to dollars. OUTSTANDING (IF COMMITTEE, ALSO ENTER I.O. NUMBER) whole BALANCE BEGINNING THIS PERIOD 10 -01 -12 • - IM Accrued Expenses (Unpaid Bills) OFTHISPERIOD from OF THIS PERIOD FedEx Office LIT through 10 -20 -12 17 20 Page of NAME OF FILER Campaign Flyers $215.50 $0.00 $215.50 I.D. NUMBER Committee to Re -Elect Councilman Ashbaugh 2012 1348329 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia /mist. 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 fling /ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff /spouse travel, lodging, and meals IND independent expenditure supporting /opposing others (explain)" POS postage, delivery and messenger services - TSF transfer between committees of the same candidate /sponsor LEG legal defense 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. SUBTOTALS $ $315.50 $ $0.00 $ $315.50 $ $0.00 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 1ASK -FPPC (8661275 -3772) (a) (IN (c) (d) NAME AND ADDRESS OF CREDITOR CODE OR OUTSTANDING AMOUNT INCURRED AMOPERIOD OUTSTANDING (IF COMMITTEE, ALSO ENTER I.O. NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE OFTHISPERIOD (ALSO REPORT ON E) OF THIS PERIOD FedEx Office LIT 1127 Chorro Street (St.), Campaign Flyers $215.50 $0.00 $215.50 $0.00 San Luis Obispo (S.L.O.), California (CA) 93401 Betty Sanders, 1811 Chorro Street (St.), Refund Over $100.00 $0.00 $100.00 $0.00 San Luis Obispo (S.L.O.), 93401 -4410 Campaign Limit Not Applicable (N /A) Not Applicable (N /A) N/A N/A N/A N/A Not Applicable (N /A) Not Applicable (N /A) N/A N/A N/A N/A SUBTOTALS $ $315.50 $ $0.00 $ $315.50 $ $0.00 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 1ASK -FPPC (8661275 -3772) Schedule G Payments Made by an Agent or Independent Contractor (on Behalf of This Committee) Type or print in Ink. Amounts may be rounded Statement covers pe to whole dollars. from 10 -01 -12 throu h 10 -20 -12 9 Page 18 of 20 Committee to Re -Elect Councilman Ashbaugh 2012 11348329 NAME OF AGENT OR INDEPENDENT CONTRACTOR Not Applicable (N /A) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Not Applicable (N /A) CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CNP 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 Lv. or cable airtime and production costs FIL candidate filing /ballot fees PHO phone banks TRC candidate travel, lodging, and meals FIND fundraising events POL polling and survey research TRS staff /spouse travel, lodging, and meals IND independent expenditure supporting /opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidate /sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads 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 ID. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Not Applicable (N /A) Not Applicable (N /A) N/A N/A Not Applicable (N /A) Not Applicable (N /A) N/A N/A Not Applicable (N /A) Not Applicable (N /A) NIA N/A Not Applicable (N /A) Not Applicable (N /A) N/A N/A 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: 8661ASK -FPPC (8661275 -3772) RCHFnI 11 F H Schedule H Type or print In Ink. Statement covers period * Amounts may be rounded Loans Made to Others 10 -01 -1 2 to whole dollars. from 10 -20 -12 20 7—D—N SEE INSTRUCTIONS ON REVERSE through NAME OF FILER Committee to Re -Elect Councilman Ashbaugh 2012 FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER Ia) OUTSTANDING (b) AMOUNT (a) REPAYMENTOR ftll OUTSTANDING (e) INTEREST IQ ORIGINAL (N CUMULATIVE OF RECIPIENT OCCUPATION AND EMPLOYER Or sEiF.EOF ENTER BALANCE BEGINNING THIS LOANED THIS FORGIVENESS BALANCE AT CLOSE OF THIS RECEIVED AMOUNT OF LOANS (IF COMMITTEE, aLSO ENTER I.D. NUMBER) BUSINESS) NAME DE 6uslNESS) PERIOD PERIOD THIS PERIOD* PERIOD LOAN TO DATE Not Applicable (N /A) Not Applicable (N /A) n PAID CALENDAR YEAR $ N/A $ N/A N/A N/A $ N/A % $ J FORGIVEN PER ELECTION** RA'-` $ N/A $ N/A $ N/A N/A $ N/A N/A $ N/A DATE DUE DATE INCURRED Not Applicable (N /A) Not Applicable (N /A) -1 PAID CALENDAR YEAR $ N/A $ N/A N/A N/A $ N/A % $ FORGIVEN PER ELECTION* RATE $ N/A $ N/A $ IN N/A $ N/A N/A $ N/A DATE DUE DATE INCURRED *Loans that are contributions to another candidate or committee must also be summarized on Schedule D. Loans forgiven must SUBTOTALS $ 0.00 $ 0.00 $ 0.00 $ 0.00 also be reported on Schedule E. (cmer lei on SO.Jul. 1, Lin. 3) Schedule H Summary 1. Loans made this period ................................................................................................................ ............................... $ 0.00 (Total Column (b) plus unitemized loans of less than $10D.) If Required 2. Payments received on loans ................ ................................................. ............................... ............ ............................... $ 0.00 (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 me,afive number) FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275.3772) Scharlula I ROHFOI ILP I Miscellaneous Increases to Cash Amounts may be rounded Statement covers period . to whole dollars. 10 -01 -12 • ' J ' from through 10 -20 -12 page 20 of 20 BEE INSTRUCTIONS ON REVERSE NAME OF FILER to NUMBER Committee to Re -Elect Councilman Ashbaugh 2012 1349329 DATE RECEIVED FULL NAME AND ADDRESS OF SOURCE (IF COMMITTEE, ALSO ENTER I.O. NUMBER) DESCRIPTION OF RECEIPT AMOUNT OF INCREASE TO CASH Not Applicable (N /A) Not Applicable (N /A) N/A Not Applicable (N /A) Not Applicable (N /A) Not Applicable (N /A) N/A Not Applicable (N /A) Not Applicable (N /A) Not Applicable (N /A) N/A Not Applicable (N /A) Not Applicable (N /A) Not Applicable (N /A) N/A Not Applicable (N /A) Not Applicable (NIA) Not Applicable (N /A) N/A Not Applicable (N /A) Attach additional information on appropriately labeled continuation sheets. 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 SummaryPage, Line 14.) ............................................................................................ ............................... TOTAL $ SUBTOTAL $ 0.00 =I ,me t tt FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275.3772)