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HomeMy WebLinkAboutKevin Rice - Form 460 - Preelection Amendment 1 - 10-29-2012Recipient 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: 10 -01 -2012 (Month, Day, Year) from through 10 -20 -2012 1. Type of Recipient Committee: All committees - Complete Parts 1, 2, 3, and 4. 171 Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure 0 State Candidate Election Committee Committee 0 Recall 0 Controlled (Also Complete Part 5) 0 Sponsored STATE (Also Complete Par6) ❑ General Purpose Committee San Luis Obispo 0 Sponsored ❑ Primarily Formed Candidate/ 0 Small Contributor Committee Officeholder Committee 0 Political Party /Central Committee (Also Complete Part ]) 3. Committee Information I I.D. NUMBER 1351201 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Kevin Rice for City Council 2012 STREET ADDRESS (NO P.O. BOX) 333 Luneta Or CITY STATE ZIP CODE AREA CODEIPHONE San Luis Obispo CA 93405 -1521 (805) 602 -2616 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX PO Box 14107 CITY STATE ZIP CODE AREA CODE /PHONE San Luis Obispo CA 93406 -4107 (805) 602 -2616 OPTIONAL: FAX / E -MAIL ADDRESS 11 -06 -2012 2. Type of Statement: Date Stamp ® Preelection Statement ❑ Semi - annual Statement ❑ Termination Statement (Also file a Form 410 Termination) COVER PAGE Pag I of OCT 2 8 2012 For Official Use Only 0 CITY CL ❑ Quarterly Statement ❑ Special Odd-Year Report ❑ Supplemental Preelection Statement - Attach Form 495 ® Amendment (Explain below) Corrected reporting period, no change in disclosed amounts ($.00). Carried down total on page 3. Treasurer(s) NAME OF TREASURER Kevin Rice MAILING ADDRESS PO Box 14107 CITY STATE ZIP CODE AREA CODE /PHONE San Luis Obispo CA 93406 -4107 (805) 602 -2616 NAME OF ASSISTANT TREASURER. IF ANY MAILING CITY STATE ZIP CODE AREA CODE /PHONE OPTIONAL: FAX / E -MAIL ADDRESS kevin@rice20l2.com 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein and in the attached schedules is true and complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. I / Executed on October 29, 2012 Data Executed on October 29, 2012 Dale Executed on Date By By By Signatureof Controlling OfFceholtler, Candidate, Slate Measure Proponent Executed on BY Data Signature ofCOnholling ORCeholtler, Candidate, Stale Measure Proponent FPPC Form 460 (January/05) FPPC Toll -Free Helpfine: 8661ASK -FPPC (8661275 -3772) State of California Type or print in ink. COVERPAGE -PART2 Recipient Committee CALIFORNIA Campaign Statement FORM 460 Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Kevin Rice OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Council Member, City of San Luis Obispo, seeking RESIDENTIAL /BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP 333 Luneta Dr San Luis Obispo CA 93405 -1521 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 COMMITTEENAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE /PHONE Page 2 of 6 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER I JURISDICTION I ❑ SUPPORT ❑ 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/05) FPPC Toll -Free Helpline: 866 1ASK -FPPC (8661275 -3772) State of California Campaign Disclosure Statement Type or print in ink. SUMMARYPAGE Statement covers period CALIFORNIA ' Amounts may be rounded Summary Page to whole dollars. 10 -01 -2012 •' from through 10 -20 -2012 Page 3 of 6 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Kevin Rice for City Council 2012 1351201 ColumnA Column B Calendar Year Summary for Candidates Contributions Received TOTALTHISPERIOD CALENDARYEAR g Primary Running in Both the State Prima and (FROM ATTACHED SCHEDULES) TOTALTODATE General Elections 1. Monetary Contributions ............ ............................... Schedule A, Line 3 $ 50.00 $ 750.00 00 3,000 00 1/1 through 6/30 711 to Date Z. Loans Received ....................... ............................... Schedule a, Line 3 50. 00 $ 3,750.00 20. Contributions 3. SUBTOTALCASH CONTRIBUTIONS ... ..................... Add Lines i +2 $ Received $ $ 4. Nonmonetary Contributions ..... ............................... Schedule C, Line a .00 .00 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ........ . ........ Add Lines 3 +4 $ 50.00 $ 3,750.00 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made .......................... Schedule e, Line $ 481.42 $ 2,855.17 Candidates 7. Loans Made .............................. ............................... Schedule H, Line .00 .00 22. Cumulative Expenditures Made* 8. SUBTOTAL CASH PAYMENTS ..... ............................... Add Lines 6 +7 $ 481.42 $ 2,855.17 (if Subject to Voluntary Expenditure Limit) 9. Accrued Expenses (Unpaid Bills Schedule F Line 3 .00 .00 Date of Election Total to Date 10. Nonmonetary Adjustment ........... ............................... Schedule C, Line 3 .00 .00 (mm /dd /yy) 11. TOTAL EXPENDITURES MADE ............................. .. Add Lines 8,9 +10 $ 481.42 $ 2,855.17 ) $ $ Current Cash Statement 12. Beginning Cash Balance ................... Previous summary Page, Line 16 $ 1,326.25 To calculate Column B, add 13. Cash Receipts .................... ............................... Column A, Line 3 above 50.00 amounts in Column A to the corresponding amounts *Amounts in this section may be different from amounts 14. Miscellaneous Increases to Cash ........................... Schedule 1, Line 4 .00 from Column B of your last reported in Column B. 481 A2 report. Some amounts in 15. Cash Payments ................... ............................... Column A, Line 8above Column A may be negative 16. ENDING CASH BALANCE ......._ _ Add Lines 12 + 13 + 14, then subtract Line 15 $ 894.83 figures that should be subtracted from previous If this is a termination statement, Line 16 must be zero. period amounts. If this is the first report being fled 17. LOAN GUARANTEES RECEIVED ........................... Schedule e, Pad 2 $ .00 for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if Cash Equivalents and Outstanding Debts 18. Cash Equivalents ......... ............................... See instructions on reverse $ QO anv) 19. Outstanding Debts ......................... Add Line 2+ Line 9 in Column a above $ 3,000.00 FPPC Form 460(January105) 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 dollars. Statement covers period . whole ' from 10 -01 -2012 - 10 -20 -2012 4 6 through Page of SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Kevin Rice for City Council 2012 1351201 DATE S ND ZIP CODE O 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 OF COMMITTEE, ALSO CODE * (IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OFBUSINESS) ❑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$ .00 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 $ 11 50.00 r 1 11 '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) SCHEDULEB -PART1 type or print in mrt. Schedule B — Part 1 Amounts may be rounded Statement covers period CALIFORNIA Loans Received to whole dollars. 10 -01 -2012 .. I • ' from 10 -20 -2012 5 6 through Page of SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Kevin Rice for City Council 2012 1351201 FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER W OUTSTANDING BALANCE (b) AMOUNT le) AMOUNT PAID fa) OUTSTANDING BALANCE Ni) INTEREST (f) ORIGINAL le) CUMULATIVE CONTRIBUTIONS LENDER (IF SELF - EMPLOYED, ENTER BEGINNING THIS RECEIVED THIS OR FORGIVEN CLOSE OF THIS PAID THIS PERIOD AMOUNT OF LOAN TO DATE gFCOMMiTTEe ALSO ENTEmA. NUMBER) NAME OF BUSINESS) PERIOD PERIOD THIS PERIOD' PERIOD t] PAID CALENDARYEAR Kevin Rice Firefighter $ $ 2,000.00 0.00 2,000 $ 3,000.00 333 Luneta Dr Consolidated Fire , $ FORGIVEN PERELECTION— San Luis Obispo CA 93405 -1521 Protection District of Los RATE Angeles County 2,000.00 $ 00 $ $ .00 08 -30 -12 $ 3,000.00 $ DATE DUE DATE INCURRED to IND [] COM ❑ OTH ❑ PTY I] SCC PAID CALENDARYEAR Kevin Rice Firefighter $ 100000 $ , . 0.00 , 1000 , $ 3,000.00 333 Luneta Dr Consolidated Fire $ San Luis Obispo CA 93405 -1521 Protection District of Los ❑ FORGIVEN RATE PER ELECTION -* Angeles County $ 1,000.00 $ .00 $ $ .00 09 -14 -12 $ 3,000.00 DATE DUE DATE INCURRED to IND I] COM ❑ OTH ❑ PTY ❑ SCC PAID CALENDARYEAR $ $ % $ $ FORGIVEN PER ELECTION** HATE DATE DUE DATE INCURRED t❑ IND ❑ COM I] OTH ❑ PTY ❑ SCC SUBTOTALS $ .00$ 00 $ 3,000.00 $ .00 j Plpli'j,illl 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. Lr 1m ... NET $ AO (May be a negative number) (Enter (a)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 *Amounts forgiven or paid by another party also must be reported on Schedule A. ** If required. FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 8661ASK -FPPC (8661275 -3772) Schedule E Type or print in ink. Statement covers per Payments Made Amounts may be rounded y to whole dollars. from 10 -01 -2012 Page 6 of 10 -20 -2012 h Pa 6 SEE INSTRUCTIONS ON REVERSE through g NAME OF FILER I.D. NUMBER Kevin Rice for City Council 2012 1351201 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 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 PEr 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 UT campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE (IR COMMITTEE, ALSO ENTER I.O. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID PrintGlobe, Inc. 5812 Trade Center Dr Ste 100 CMP 254.06 Austin TX 78744 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 254.06 Schedule E Summary 1. Itemized payments made this period. Include all Schedule E subtotals. 254.06 2. Unitemized payments made this period of under $100 ........................................................................................................... ............................... $ 227.36 3. Total interest paid this period on loans. Enter amount from Schedule B, Part 1, Column (e).)... .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 $ 481.42 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 1ASK -FPPC (866/275 -3772)