The URL can be used to link to this page

Home My WebLink AboutJan Marx - Form 460 - Amendment - 10-29-2012Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200 - 84216.5) SEE INSTRUCTIONS ON REVERSE fro Type or print in ink. Date Stamp IVED Statement covers period Date of election if a lice e: m 7/1/2012 (Month, Day, Year) I I OCT 2 9 2012 through 9/30/2012 I 11/6/2012 1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4. ® Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure 0 State Candidate Election Committee Committee 0 Recall 0 Controlled (Also Complete Part 5) 0 Sponsored Statement - Attach Form 495 (Also Complete Part 6) ❑ General Purpose Committee correction of clerical error (listing contributions of two individuals on 0 Sponsored ❑ Primarily Formed Candidate/ 0 Small Contributor Committee Officeholder Committee 0 Political Party/Central Committee (Also Complete Part 7) 3. Committee Information I.D. NUMBER 1347247 COMMITTEE NAME (OR Jan Marx for Mayor 2012 STREET ADDRESS (NO P.0 BOX) 265 Albert Drive CITY STATE ZIP CODE AREA CODE /PHONE San Luis Obispo CA 93405 805 541 -2716 MAILING ADDRESS (IF DIFFERENT) NO AND STREET OR P0. BOX CITY STATE ZIP CODE AREA CODE /PHONE OPTIONAL: FAX / E -MAIL ADDRESS COVER PAGE Page - of __L. For Official Use Only N 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) correction of clerical error (listing contributions of two individuals on one line instead of on two lines) Treasurer(s) NAME OF TREASURER Gregory Ty Griffin MAILING ADDRESS 2075 Hutton CITY STATE ZIP CODE AREA CODE /PHONE San Luis Obispo CA 93401 805 543 -2679 NAME OF ASSISTANT TREASURER, IF ANY Jan Marx MAILING ADDRESS 265 Albert Drive CITY STATE ZIP CODE AREA CODE /PHONE San Luis Obispo CA 93405 805 541 -2716 OPTIONAL: FAX / E -MAIL ADDRESS 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 correcttn A - Executed on 10/29/2012 Date Executed on Date Executed on 10/29/2012 Date Executed on Date By By By By ... Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (January/OS) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) State of California Recipient Committee Type or print in ink. COVERPAGE -PART2 Campaign Statement 1 � O R LNIA � • 1 Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Jan Marx OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Mayor, San Luis Obispo RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP 265 Albert Drive San Luis Obispo, CA 93405 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 COMMITTEEADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODEIPHONE COMMITTEENAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO Page y of G 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION ❑ 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. COMWTTEEADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODEIPHONE Attach continuation sheets if necessary 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 FPPC Form 460 (January/05) FPPC Toll -Free Helpilne: 8661ASK-FPPC (6661275 -3772) State of California Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF FILER Jan Marx for Mayor 2012 Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 07/01/2012 through Contributions Received Column A Column B TOTALTHSPERIOD (FROM ATTACHED SCHEDULES) CALENDAR YEAR TOTALTODATE 1. Monetary Contributions ........................................... schedule A, Line 3 $ 8,816 $ It 0610. 00 2. Loans Received .................................................... .. Schedule e, Line 3 2,000 90 9 J 3. SUBTOTAL CASH CONTRIBUTIONS_ ....................... Add Lines 1 +2 $ 11,816 $ 4. Nonmonetary Contributions .................................... schedule C, Line 3 0 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Adel Lines 3 +4 $ 11,816 $ 14966( AV Expenditures Made 6. Payments Made. ...................................................... Schedule E, Line 4 $ 13 I 'O 7. Loans Made ....... ....................... Schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS ..... ............................... Add Lines 6 +7 $ -7 3 �► t . 0�i 9. Accrued Expenses (Unpaid Bills) ............................... schedule F Line 3 _ a s q!." 10. Nonmonetary Adjustment ........... ............................... Schedule C, Line a — 7) 11. TOTAL EXPENDITURES MADE ................................ Add Lines 8 +s +lo $ 2- Current Cash Statement 12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ 13. Cash Receipts .................... ............................... Column A, Line 3above f 1 rl , 14. Miscellaneous Increases to Cash ........................... Schedule i, Line 4 15. Cash Payments ................... ............................... Column A, Line 8above 2 361 16. ENDING CASH BALANCE .......... Add Lines 12 +13 + 14, then subtract Line 15 $ lra Dog, If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ... .......... ___ ....... . Schedule s, Part 2 $ - 0 - Cash Equivalents and Outstanding Debts � � r 18. Cash Equivalents ......... ............................... See instructions on reverse $ 19. Outstanding Debts ..................... Add Line 2 +Line 9 in Column B above $ $ o { _ 0'7 - p $ $ 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). SUMMARYPAGE 09/30/2012 Page; of 13 I.D. NUMBER 1347247 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 20. Contributions Received $ 21. Expenditures Made $ 111 through 6130 711 to Date $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (If Subject to Voluntary Expenditure Limit) Date of Election Total to Date (mm/ddlyy) I . _ __ 1�J $ I $ Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (January105) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275 -3772) �i Schedule A Monetary Contributions Received Type or print in ink. SCHEDULE A Amounts may be rounded Statement covers period to whole dollars. i ■ from 07/01/2012 a - ■ 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 $ 6,875 2,941 9,816 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -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 09/30/2012 4 f3 SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER I.D. NUMBER Jan Marx for Mayor 2012 1347247 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION REC�WED (IF COMMI TEE, ALSO ENTER I.D. 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 ❑ COM ❑ OTH ❑ PTY ❑SCC ❑IND *" see attached continuation sheet *"" ❑COM ❑ OTH ❑ SC ' ❑ - ❑ IND - ❑ COM ❑ OTH ❑ PTY i ❑ SCC ❑IND j ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑IND ❑ COM ❑ OTH ❑ PTY { ❑ SCC SUBTOTAL$ 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 $ 6,875 2,941 9,816 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -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) Statement covers period California Form 460 Monetary Contributions Received from 711/12 Page -5 — of ) 3 Name of filer: Jan Marx for Mayor 2012 through 9/30/12 I.D. Number: 1347247 Date Name and address Code Occupation & EmMover S Period S YTD S Electio_ n 918 Lynne Landwehr, 2644 Flora St., SLO, CA 93401 IND Retired 150 150 150 7/1 Craig & Cheryl McCollum, 1139 Iris St., SLO, CA 93401 IND Mediator, Self 100 100 100 9123 Sara E. McEre, 687 Islay #5, SLO; CA 93401 IND Retired 125 125 125 7/20 Allyson Nakasone, 2647 Lawton St., SLO, CA 93401 IND lAgent, Coldwell Banker 100 100 100 9126 Holly Navlor. 1199 Laurel Lane. SLO. CA 93401 IND Teacher, SLOUSD 100 100 100 9/28 James Patterson, 9312 N_ Santa Margarita Rd., Atascadero, CA 93422 IND Supervisor, SLO County 100 100 100 9117 Planned Parenthood of SB et al, 518 Garden St_, SB, CA 93101 OTH n/a 200 200 200 7/20 Richard Racouillat, 511 Serrano, SLO, CA 93405 IND Attornev, Self 100 Z.1 100 I U 100 715 Ernest Roide, 88 Buena Vista Ave., SLO, CA 93405 IND Manager, Promotions Plus l 914 Richard Root, 1383 Fairway Dr., SLO, CA 93405 IND Retired 100 100 100 9127 Sandra Rowley, 3107 Flora St., SLO, CA 93401 IND Retired 100 100 100 7/20 Carla Saunders, 660 Oakridge, SLO, CA 93405 IND Retired 200 200 200 7110 Julie & John Schutz, 471 Hill St., SLO, CA 93405 IND Retired 200 200 200 8/20 Cynthia Semel, 1429 Osos St., SLO, CA 93401 IND Retired 100 100 100 9121 Allen Settle, 1244 Drake Circle, SLO, CA 93405 IND Professor, Cal Poly 100 100 100 9120 SLO Democratic Club, 1406 Broad St., SLO, CA 93401 PTY n/a 100 100 100 715 Carolyn & Steven Smith, 1568 Cucaracha Ct., SLO, CA 93405 IND Retired 100 100 100 7/20 John Snetsin.qer, 510 Serrano Dr., SLO, CA 93405 IND Retired 100 100 100 7/10 John Spatafcre, 753 Pacific St., SLO, CA 93401 IND Attornev. Self 100 100 100 7/9 Eugene Spruill, 370 Islay St., SLO, CA 93401 IND Handyman, Self 100 100 100 9111 Mary Stallard, 239 Piney Way, Morro Bay, CA 93442 IND Retired 100 100 100 7110 Stephen T. Weinstein, 1222 San Carlos Dr., SLO, CA 93401 IND Retired 100 100 100 914 Mary L. Wilhelm, 1383 Fairway Dr.; SLO, CA 93405 IND Refired 100 100 100 711 ICal Wilvert, 603 Al Hil Dr., SLO, CA 93405 IND Retired 100 100 100 7/20 Rosemary Wilvert, 603 AI -Hil Dr., SLO, CA 93406 IND Retired 100 100 100 9126J Ellyn Winslow, 405 Jaycee Dr., SLO, CA 93405 IND Nurse, French Hospital 200 200 200 T4-me, O3q a t Subtotal ($ Period): Its I. ZS' t 2s- Schedule A (Continuation Sheet) Statement covers period Califomia Form 460 Monetary Contributions Received from 7/1/12 Page (a of Name of filer: Jan Marx for Mayor 2012 through 9/30/12 I.D. Number 1347247 Hate Name and address Code Occuaation & Emolover $ Period $ YTD $ Election 7 /20'Pattv Andreen, 190 First St., Avila Beach, CA 93424 IND Attorney, Losano Law Firm 200 200 200 8131 Lucienne Aroesty, 3266 Inglewood Blvd., Los Angeles, CA 90066 IND Travel agent, Self 100 100 100 9/12 John Ashbauqh, 193 Los Cerros Dr., SLO, CA 93405 IND Educator, Hancock College 100 100 100 7/6 Odile Ayral, 300 Ferrini , SLO, CA 93405 IND Retired 100 100 100 7120 Kristin Bridgeford, 301 Broad St., SLO, CA 93405 IND Administrator, Cal Poly 200 200 200 7126 David Brodie, 873 Chorro St., SLO, CA 93401 IND Retired 100 100 100 8125 Nancy Bruno, 528 Mason Way, SLO, CA 93401 IND Retired 100 100 100 7115 Howard Butts, 69873 Summerville Rd., Summerville, OR 97876 IND Retired 100 100 100 917 John Carsel, 3285 Shearer Ave., Cavucos, CA 93430 IND Attorney, Self 100 100 100 816 ,Geraldine Champion, 182 S_ Tenth St., Grover Beach, CA 93433 IND Attoney, Self 200 200 200 7/6 Allan Cooper, 756 Broad St., SLO, CA 93401 IND Retired 100 100 100 716 Virginia & Ernie Crook, 1347 Avalon St., SLO, CA 93405 IND Retired 100 100 100 9121 James Cushing, 1510 -A Broad St., SLO, CA 93401 IND Professor, Cal Polv 100 100 100 9128 Susan Devine, 1745 Garden St., SLO, CA 93401 IND Retired 100 100 100 7/1 Don & Ellen Dollar, 2357 Banderola Ct., SLO, CA 93401 IND Retired 100 100 100 917 John Evans, 271 Lonqview Lane, SLO, CA 93405 IND Retired 100 100 100 8/20 Friends of Adam Hill, PO Box 1248, Grover Beach, CA 93483 COM n/a 200 200 200' 8131 Dave Garth, 2046 San Luis Dr., SLO, CA 93401 IND Retired 100 100 100 7/1 David & Gina Hafemeister, 553 Serrano Dr., SLO, CA 93405 IND Teacher, Cal Poly 100 100 100 7112 Linda Haliskv, 34 Los Verdes Dr., SLO, CA 93401 IND Professor, Cal Polv 200 200 200 715 Dave Hannings, 624 Monterey, SLO, CA 93401 IND Retired 100 100 100 719 Mary Kay Harrington, 1318 Pacific, SLO, CA 93401 IND Retired 200 200 200 8/25 Michael Heyl, 1867 Fixlini St_, SLO, CA 93401 IND Teacher, GUSD 100 100 100 7/20 Robert Inchausti, 1218 Sawleaf Ct., SLO, CA 93401 IND Professor, Cal Poly 200 200 200 9/15 Mark Johnson, 581 Dana St., SLO, CA 93401 IND Manager_, SRI 100 100 100 7/20 Leslie Krinsk, 2325 Upper Lopez Cyn., Arroyo Grande, CA 93420 IND Retired 100 100 100 7/20 Sandra Lakeman, 1677 Foreman Ct., SLO, CA 93405 IND Retired 1 200 2001 200 8/20 AI Landwehr, 2644 Flora St., SLO, CA 93401 IND Retired 1 150 150 150 Subtotal ($ Period): 3 `�� 1:4�ne w n.4-4 --1, SCHEDULEB -PARTt ocneoule t5 — M'al'i "1 Amounts may be rounded Statement covers period Loans Received to whole dollars. 7/1/2092 CAUFORNIA from e 9130/2012 r1 r SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER I.D_ NUMBER Jan Marx for Mayor 2012 1347247 FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OCCUPAT]ONANDEMPLOYER OUTSTANDING BALANCE (b) AMOUNT (c) AMOUNT PAID {a) (e) OUTSTANDING INTEREST (r) ORIGINAL (g} CUMULATIVE OF LENDER QFCOMMRTEE, ALSO ENTER I.D. NUMBER) (IFSELF- EMPLOYED,EMER BEGINNING THIS RECEIVED THIS OR FORGIVEN BALANCEAT PAID THIS CLOSE OF THIS AMOUNTOF CONTRIBUTIONS NAMEOFBUSINESS) PPRI PERIOD THIS PERIOD* PE I D I PERIOD V LOAN TO DATE Jan Marx Mayor, City of San Luis ❑ PAID CALENDAR YEAR 265 Albert Drive Obispo, 990 Palm St s 0 s 3,000.00 San Luis Obispo San Luis Obispo CA ❑ FORGIVEN RATE. PER ELECTION"` CA 93405 93401 $ 1000.00 s 2000.00 0 12/1/1012 0 s t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC $ $ DATE DUE DATE INCURRED []PAID CALENDAR YEAR S S 76 I $ S ❑ FORGIVEN RATE PER ELECTION" t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC a s $ DATE DUE s DATE INCURRED $ ❑ PAID CALENDAR YEAR S $ % S S ❑ FORGIVEN PER ELECTION" RATE t❑ IND ❑ COM E—) OTH [j PTY ❑SCC S S S $ DATE INCURRED 5 DATE DUE SUBTOTALS $ $ $ $ Schedule B Summary 1. Loans received this period ........................... . $ 00 O (Total Column (b) plus unitemized loans of less than $100.) 2. Loans paid or forgiven this period $ 0 (Total Column (c) plus loans under $100 paid orforgiven.) (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. req uired. NET $ 2 ODa (May Ve a mgs" nuroer) (crner(e)on Schedule E. Lime 3) tCont ibutor 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 E Type or print in ink. Statement covers period Pa menu Made Amounts may be rounded y to whole dollars. 7/1/2012 fro SEE INSTRUCTIONS ON REVERSE through 9/30/2012 1 Page --.?L of NAME OF FILER I.D. NUMBER l Jan Marx for Mayor 2012 1347247 E� CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CIVP 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 FET 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 staffispouse travel, lodging, and meals IND independent expenditure supportingtopposing others (explain)' POS postage, delivery and messenger services TSF transfer between committees of the same candidateisponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (intemet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I D NUMBER) Bank of America VISA ( #1004) Box 982235 El Paso Texas 79998 -2235 CODE OR DESCRIPTION OF PAYMENT business cards AMOUNT PAID 83.60 Fertile Minds ( #1003) graphic design 1318 Chorro St LIT 712.50 San Luis Obispo CA 93401 Bank of America VISA ( #1006) Box 982235 El Paso Texas 79998 -2235 Lit postcards, yard signs 824.08 " Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 1 b o l Schedule E Summary 1 _ itemized payments made this period. (Include all Schedule E subtotals.) ........................ $ 3 4 � , 17 �] 2. Unitemized payments made this period of under $100 .......................................................................... ............................... .................- .......... $ 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) ._.... . .............................. . ......................................... $ 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summa ry Page, Column A, Line 6. ) - I I I .......... ...... . TOTAL $ FPPC Form 460 (January105) FPPCToll -Free Helpline: 866 /ASK -FPPC (8661275 -3772) Schedule E Type or print in Ink. " Pa menu Made Amounts may be rounded from Statement covers period CALIFORNIA . t Payments to whole dollars. 7/1/2012 ORM SEE INSTRUCTIONS ON REVERSE through 9/30/2012 page __q_ of NAME OF FILER I.D. NUMBER Jan Marx for Mayor 2012 1347247 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CA/P campaign paraphernalia /misc. IVER member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)• OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff /spouse travel, lodging, and meals M independent expenditure supporting /apposing 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 (intemet, e-mail) NAME AND ADDRESS OF PAYEE ff COMMITTEE, ALSO ENTER I.D. NUMBER) Steynberg Gallery ( #1005) 1531 Monterey San Luis Obispo CA 93401 PRP ( #1007) 2224 Beebee San Luis Obispo CA 93401 Fertile Minds ( #1008) 1318 Chorro St San Luis Obispo CA 93401 CODE OR FND POS brochure LIT DESCRIPTION OF PAYMENT AMOUNT PAID 150.00 63.03 522.50 — * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) ...................................................... ..........---................. ....... ........ ........ .. $ 2. Unitemized payments made this period of under $100............ ........ .... ..... ........................ ............... ......................... ............................... ..... $ 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column ( e).) ................................... ... .... ..-... ....................... ....... $ 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ...... ..................... TOTAL $ FPPC Form 460 (January105) FPPC Toll -Free Helpline: 8661ASK -FPPC (8661275 -3772) 1 Schedule E Type or print in ink. Statement covers period E Payments Made Amounts may be rounded • ' Y to whole dollars. from 7/1/2012 W1 " SEE INSTRUCTIONS ON REVERSE through 9/30/2012 Page Q of —6— NAME OF FILER S.D. NUMBER Jan Marx for Mayor 2012 1347247 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CIVP campaign paraphernalia /misc. MBR member communications RAID radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTS 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 filinglballot 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 supportinglopposing 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-maiq NAME AND ADDRESS OF PAYEE (IF COMMITTEE. ALSO ENTER ID NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID PPS (##1009) PO Box 1254 CNS 1500.00 San Luis Obispo CA 93406 SLO County Democratic Party ( #1010) labor day picnic 1406 Broad Street FND 250.00 San Luis Obispo CA 93401 Bank of America (VISA) ( #1011) stickers, mailing PO Box 982235 LIT 341.70 El Paso Texas 79998 -2235 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) ............................................................................... ............................... $ 2. Unitemized payments made this period of under $ 100 ........................................................................................................... ............................... $ 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) ........ ........................................ ........_...................... $ 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) .....,_ ..................... TOTAL $ FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 8561ASK -FPPC (8661275 -3772) JlAS1JULL C Schedule E Type or print In ink Statement covers perlod . Amounts may be rounded Payments Made to whole dollars. from 7/1/2012 • - 1 SEE INSTRUCTIONS ON REVERSE ; through 9/30/2012 Page �� of I NAME OF FILER I.D_ NUMBER Jan Marx for Mayor 2012 1347247 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CIVP 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 pefition circulafing TEL t.v. or cable airtime and production costs RL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals M independent expenditure supporting /opposing others (explain)' POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE (IFCOMMRTEE.ALSO ENTER ID.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID San Luis Obispo Chamber of Commerce of Commerce (1012) speaking opportunity 1039 Chorro Street MBR 100.00 San Luis Obispo CA 93401 PRP (1013) absentee voter mailing 2224 Beebee POS 2219.91 San Luis Obispo CA 93401 Fertile Minds (1014) brochure, website 1318 Chorro LIT 593.75 San Luis Obispo CA 93401 : Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 2-9 0 . b� Schedule E Summary 1. Itemized payments made this period. (include all Schedule E subtotals.) .............................................................................. ............................... $ 2. Unitemized payments made this period of under $100 ... . ......... .... .................................. ................................................. . ............. :........................ $ 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column ( e).) ................................................ ............................... $ 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ....... ...................... TOTAL $ FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866IASK -FPPC (66612763772) Schedule F Accrued Expenses (Unpaid Bills) Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 7/1/2012 SCHEDULEF through 9130!2012 SEE INSTRUCTIONS ON REVERSE Page —pz— of NAME OF FILER I.D. NUMBER Jan Marx for Mayor 2012 1347247 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. GVVIP campaign paraphemalia/misc. MER member communications RAID radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nnnmonetary)` OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs F)L candidate filingtballot 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 ND independent expenditure supportinglopposing 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 (ntemet, a -maiq • Payments that are contributions or independent expenditures must also be SUBTOTALS $ $ 001 $ $ summarized on Schedule D. Schedule F Summary 1. Total accrued expenses incurred this period. (include all Schedule F, Column (b) subtotals for qe 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 $ _ 3. Net change this period. (Subtract Line 2 from Line 1 _ Enter the difference here and on the Summary Page, Column A, Line 9.) ................................................................................................................. ............................... NET $ Z� may oe a neq=yc rx0n)Yer FPPC Form 460 (January/05) FPPC Toil -Free Helpline: 866/ASK -FPPC (8661276.3772) (a) (b) (c) (d) NAME AND ADDRESS OF CREDITOR CODE OR OUTSTANDING AMOUNTINCURRED AMOUNT PAID OUTSTANDING (IF OOMMrTTEE, ALSO ENTER I.D. NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE OFTHISPERIOD (ALSO REPORT ON E) OFTHISPERIOD Jan Marx Chamber Membership i 265 Albert Drive 0 245.00 0 245.00 San Luis Obispo CA 93405 I Bank of America VISA _ PO Box 982235 WEB, LIT 0 1295.95 ; 0 1295.95 Ell Paso Texas 79998 -2235 SLO Life Magazine PRT 4251 S. Higuera Street, Ste 800 0 350.00 0 350.00 San Luis Obispo CA 93401 • Payments that are contributions or independent expenditures must also be SUBTOTALS $ $ 001 $ $ summarized on Schedule D. Schedule F Summary 1. Total accrued expenses incurred this period. (include all Schedule F, Column (b) subtotals for qe 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 $ _ 3. Net change this period. (Subtract Line 2 from Line 1 _ Enter the difference here and on the Summary Page, Column A, Line 9.) ................................................................................................................. ............................... NET $ Z� may oe a neq=yc rx0n)Yer FPPC Form 460 (January/05) FPPC Toil -Free Helpline: 866/ASK -FPPC (8661276.3772) Schedule F Accrued Expenses (Unpaid Bills) SEE INSTRUCTI NAME OF FILER oC1 rC [7 C. Jan Marx for Mayor 2012 Type or print in Ink Amounts may be rounded to whole dollars. CODES: If one of the following codes accurately describes the payment, you may enter the code. CNP campaign paraphemalia/misc. MBR member communications CNS campaign consultants MTG meetings and appearances CTB contribution (explain nonmonetary)` OFC office expenses CVC civic donations PET - petition circulating FlL candidate tiling/ballot fees PHO phone banks FND fundraising events POL polling and survey research HAD independent expenditure supporting /opposing others (explain)` POS postage, delivery and messenger services LEG legal defense PRO professional services (legal, accounting) LIT campaign literature and mailings PRT print ads Statement covers period from 7!1!2012 through 9/30/2012 Otherwise, describe the payment. SCHEDULE F Page —AL of I.D. NUMBER 1347247 RAD radio airtime and production costs RFD returned contributions SAL campaign workers' salaries TEL t.v. or cable airtime and production costs TRC candidate travel, lodging, and meals TRS staff /spouse travel, lodging, and meals TSF transfer between committees of the same candidatelsponsor VOT voter registration WEB information technology costs (Internet, e-mail) NAME AND ADDRESS OF CREDITOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT (a) (b) OUTSTANDING AMOUNTINCURRED 1 BALANCE BEGINNING THIS PERIOD OF THIS PERIOD ' (c) AMOUNTPAID THIS PERIOD (ALSO REPORT ON E) (d) OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD NOVO restaurant FND 0 150.00 0 150.00 726 Higuera Street San Luis Obispo CA 93401 0 0 0 0 Payments that are contributions or independent expenditures must also be SUBTOTALS $ $ $ $ I`-' D 16 D 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.) ......................... I .................. 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 $ 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and onthe Summary Page, Column A, Line 9.) .......................................................................................................:......... ......I........................ NET $ "beaMobvenuF FPPC Form 460 (January /05) FPPC Toll-Free Helpl)ne: 8661ASK -FPPC (8661275 -3772)