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HomeMy WebLinkAboutJohn Ashbaugh - Form 460 - Semi-Annual Statement - 08-01-2012Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200 - 84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statement covers period Date of election if applicable: �^ jZ (Month, Day, Year) from through �3 ©�%%fZ �1 �(Z_ Type of Recipient Committee: All Committees - Complete Pants 1, 2, 3, and 4. US, Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure 0 State Candidate Election Committee Committee - 0 Recall 0 Controlled (Also Complete Part 5) Q Sponsored (A Complete Part6) ❑ General Purpose Committee SignatureofCO der. Can - te, Measure Proponent or Responelble mioerof Sponsor 0 Sponsored ❑ Primarily Formed Candidate/ O Small Contributor Committee Officeholder Committee O Political Party /Central Committee (Also Complele Pad 7) 3. Committee Information am COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) ' Ce + ({Pe- IZ' -Sfer Cow Q 4"t� STREET ADDRESS (NO P.O. BOX) ZIP CODE AREA CODEIPHONE (IF DIFFERENT) NO. AND STREET OR P.O. CITY STATE ZIP CODE AREA CODE /PHONE rl'-,�('b ' , C"./{—'—'• 9:r- 4. Verification Date Stamp AUG 03.2012 2. Type of Statement: ❑ Preelection Statement [� Semi-annual Statement ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) Treasurer(s) COVERPAGE I of ❑ Quarterly Statement ❑ Special Odd -Year Report ❑ Supplemental Preelection Statement -Attach Form 495 C0 300' t,,, t �, A L)e._ MAILING ADDRESS Sq, C1 Z3 Ob i CITY SC ZIQ o� AREA CODE /PHONE NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODE /PHONE OPTIONAL: FAX / E -MAIL ADDRESS I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the inf�ma1ioq contained her.in and in the attached schedules is true and complete. I certify under penalty of perjury underthe laws of the State of California thatthe foregoing is true and correct. � �� // Executed on a By / SignaWre reasurerorASSisWntTreasurer Date Executed on �� l 4&6/7 - By Dale SignatureofCO der. Can - te, Measure Proponent or Responelble mioerof Sponsor Executed on Date By - Sgnature of COntrollirg Ofriceholtler, Candidate, State Measure Proponent Executed on By Date SignaNre ofCOntrollirg Officeholder, Candidate, State Measure Proponent FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 1ASK -FPPC (866/275-3772) State of California Type or print in ink. COVERPAGE -PART2 Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME�F OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP CA- 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. COMMITTEENAME II.D. NUMBER NAME OF TREASURER I CONTROLLED COMMITTEE? ❑ YES ❑ NO CITY COMMITTEE NAME STREETADDRESS (NO P.O. BOX) STATE ZIP CODE AREA CODE/PHONE I.D.NUMBER NAME OF TREASURER I CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEEADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE Page Z of 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION I ❑ SUPPORT ❑ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT DISTRICT NO. IF ANY 7. Primarily Formed Candidate /Officeholder Committee List names of officeholder(s) or candidates) 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/05) FPPC Toll -Free Heipline: 866 /ASK -FPPC (8661275J772) State of California Campaign Disclosure Statement Type or print in ink. Amounts may be rounded Summary Page to whole dollars. Statement covers period from SEE INSTRUCTIONS ON REVERSE through C2 Zc% – wa 3 I ( Z' Page--3— of NAME OF FILER CO3 O $ 1. D. NUMBER I3v ca 1--t (, C� 8. SUBTOTALCASH PAYMENTS ..... ............................... Add Lines 6 +7 -° 0 $ 0 9. Accrued Expenses (Unpaid Bills Schedule F, Line 3 Co'16mnA Column B Calendar Year Summary for Candidates Contributions Received Schedule C, Linea TOTALTHISPERIOD CALENDARYEAR Running Both the Sta and 11. TOTAL EXPENDITURES MADE ................................ (FROMATTACHEDSCHEDULES) TOTALTO DACE n $ C7 Gein General Elections � 11 1. Monetary Contributions ............ ............................... Schedule A, Line 3 $ � $ C'p "c 2. Loans Received ....................... ............................... Schedule B, Line 3 (" ,, © ©CD vt throw sBO to Date 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines l +z $ $ Cp DoO 20. Contributions CD QReceived $ 4. Nonmonetary Contributions ..... ............................... Schedule C Line 3 21. Expenditures - 5. TOTAL CONTRIBUTIONS RECEIVED ... .. ................Add Lines 3 +4 $ $ �01�� Made $ $ Expenditures Made 6. Payments Made ........................ ............................... Schedule E, Line 4 $ O $ 7. Loans Made ------------- ............... . ............................... Schedule H, Line 3 0 C� 8. SUBTOTALCASH PAYMENTS ..... ............................... Add Lines 6 +7 $ 0 $ 0 9. Accrued Expenses (Unpaid Bills Schedule F, Line 3 Q 10. Nonmonetary Adjustment ........... ............................... Schedule C, Linea U 11. TOTAL EXPENDITURES MADE ................................ AddLines8,9 +10 $ n $ C7 Current Cash Statement 12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ 13. Cash Receipts .................... ............................... Column A, Line 3above = 14. Miscellaneous Increases to Cash ........................... Schedule 1, Line 4 15. Cash Payments ................... ............................... Column A, Line a above 16. ENDING CASH BALANCE .......... Add Lines 12 + 13+ 14, then subtract Line 15 $ i coo If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ........................... Schedule e, Part 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ......... ............................... See instructions on reverse $ 19. Outstanding Debts ......................... Add Line 2 +Line 9 m Column B above $ 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 P/n 22. Cumulative Expenditures Made' (It Subject to Voluntary Expenditure Limit) Date of Election Total to Date (mm/dd /yy) I $ 'Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK -FPPC (8661275 -3772) Schedule A Type or print in ink. SCHEDULE A Monetary Contributions Received Amounts may be rounded ry to whole dollars. statement covers period _ from / �1 r r ' • through 6��r`�� Page Of SEE INSTRUCTIONS ON REVERSE NAME OF FIL/E� I.D. NUMBER ♦. DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE ALSO ENTER 10. NUMBER) CODE* (IF SELF - EMPLOYED, ENrER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OFSUSINESS) [-]IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑SCC ❑IND ❑COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑IND ❑ COM ❑ OTH ❑ PTY ❑SCC SUBTOTAL$ 3' I(H "(EA�1 kY'taj$i'i1j pe2l,g,'i1i (' f it �lrll?ll Schedule A Summary 1. Amount received this period — itemized monetary contributions. (Include all Schedule A subtotals.) ............. ............................... ........... ............................... $ 2. Amount received this period— unitemized monetary contributions of less than $100 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ...... .... $ TOTAL $ 'Contributor Codes IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Parry SCC -Small Contributor Committee FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772) SCHEDULEB -PART1 Schedule — Part I Amounts may be rounded Statement covers period Loans Received to Whole dollars. from �Z�117 CALIFORNIA FORM • i through �',��2- Page -.5J of SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER /3z/13 32-9 FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OCCUPATIONAND EMPLOYER a OUTSTANDING BALANCE (b) AMOUNT (c) AMOUNTPAID Id) OUTSTANDING BALANCEAT (e INTEREST ORIGINAL (g) CUMULATIVE OF LENDER (IFCOMMDTEE,ALSO ENTER I.D.NUMBER) (IFSELF- EMPLOYED,ENrER BEGINNING THIS RECEIVED THIS PERIOD OR FORGIVEN CLOSE OF THIS PAID THIS PERIOD AMOUNTOF CONTRIBUTIONS TO DATE NAMEOFBUSINESS) PERIOD THIS PERIOD' PERIOD LOAN ( PAID CALENDARYEAR 1 ag co// -� �✓�, r. �� ��, --��,i $ --4;i_ $ 000 �% $ LCX�O � $ �,_�_ Set va QLc�nv) p,� FORGIVEN RATE PERELECTION- (, llll $ $ OOO S /D g $� D /E t ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE INCURRED PAID CALENDARYEAR S $ _% S $ FORGIVEN PER ELECTION *" RATE $ $ $ S $ DATE DUE DATE INCURRED t ❑ IND ❑ COM ❑ OTH El El PAID CALENDARYEAR FORGIVEN PERELECTION" RATE tEl IND ❑ COM ❑ OTH ❑ PTY ❑ SCC $ $ $ $ $ DATEDUE 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.) ............................. 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. .. $ dCo ..$ In .. ............................... NET $ ©� (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 (866/2753772)