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Home My WebLink AboutJohn Ashbaugh - Form 460 - Termination - 01-30-2009Recipient Committee Campaign Statement , Cover Page (Government Code Sections 84200 - 84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statement covers period from 10/19/08 through 2/2/09 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. V Officeholder, Candidate Controlled Committee 0 State Candidate Election Committee 0 Recall (Also Complete Part 5) ❑ General Purpose Committee 0 Sponsored 0 Small Contributor Committee 0 Political Party /Central Committee ❑ Primarily Formed Ballot Measure Committee 0 Controlled 0 Sponsored (Also Complete Part 6) ❑ Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) 3. Committee Information I I.D. NUMBER 1310426 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) John Ashbaugh for SLO STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE /PHONE San Luis Obispo CA 93405 805 - 550 -7713 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE /PHONE OPTIONAL: FAX / E -MAIL ADDRESS Date of election if applicable: (Month, Day, Year) Date Stamp RECEIVED F E 8 0 ? H5,169 SLO CITY CLER 11/4/08 i- 2. Type of Statement: ❑ Preelection Statement [1—Semi- annual Statement Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) Treasurer(s) NAME OF TREASURER Mike Radakovich MAILING ADDRESS COVERPAGE 1 of 8 For Official Use Only ❑ Quarterly Statement ❑ Special Odd -Year Report ❑ Supplemental Preelection Statement - Attach Form 495 CITY STATE ZIP CODE AREA CODE /PHONE San Luis Obispo CA 93401 805 - 544 -1557 NAME OF ASSISTANT TREASURER, IF ANY Kyle Goetz MAILING ADDRESS CITY STATE ZIP CODE AREA CODE /PHONE San Luis Obispo CA 93401 805 - 544 -1557 OPTIONAL: FAX / E -MAIL ADDRESS 4. Verification have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed on �~ By Dale Executed on r , By Date Signakire Executed on By Date Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) State of California Campaign Disclosure Statement Summary Page Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period frnm 10/19/08 SUMMARY PAGE SEE INSTRUCTIONS ON REVERSE through 2/2/09 Page 2 of 8 NAME OF FILER 7. Loans Made .............................. ............................... Schedule H, Line 3 0 0 I.D. NUMBER John Ashbaugh for SLO 6885.72 $ 18632.12 9. Accrued Expenses (Unpaid Bills ... Schedule F Line 3 1310426 0 10. Nonmonetary Adjustment ........... ............................... Column A Column B Calendar Year Summary for Candidates Contributions Received ............. ............. Add Lines 6 +9 +10 $ TOTALTHs PERIOD CALENDAR YEAR Running In Both the State Primary and (FROMATTACHED SCHEDULES) TQTaLT OOATE General Elections 3684.12 $ 18632.12 1. Monetary Contributions ..................... ...................... Schedule A, Line 3 $ 1/1 through 6130 711 to Date -500 0 2. Loans Received ....................... ............................... Schedule 6, Line 3 3184.12 18632.12 20. Contributions 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 +2 $ $ Received $ $ 0 150 4. Nonmonetary Contributions ..... ............................... Schedule C, Line 3 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ......• • ...................AddLilies3 +4 $ 3184.12 $ 18782.12 Made $ -. $ Expenditures Made 6. Payments Made ........................ ............................... Schedule E, Line 4 $ 6885.72 g 18632.12 7. Loans Made .............................. ............................... Schedule H, Line 3 0 0 8. SUBTOTAL CASH PAYMENTS .............. ... Add Lines 6 +7 $ 6885.72 $ 18632.12 9. Accrued Expenses (Unpaid Bills ... Schedule F Line 3 - 467.10 0 10. Nonmonetary Adjustment ........... ............................... Schedule C, Line 3 0 0 11. TOTAL EXPENDITURES MADE ...... ............. ............. Add Lines 6 +9 +10 $ 6418.62 $ 18632.12 Current Cash Statement 12. Beginning Cash Balance ....................... Previous summary Page, Line 16 $ 13. Cash Receipts .................... ............................... column A, Line 3 above 14. Miscellaneous Increases to Cash ........................... Schedule 1, Line 4 15. Cash Payments ................... ............................... column A, Line 8above 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ If this is a termination statement, Line 16 must be zero. 3701.60 3184.12 0 6885.72 0 17. LOAN GUARANTEES RECEIVED ........................... Schedule e, Part 2 $ 0 Cash Equivalents and Outstanding Debts 18. Cash Equivalents ......... ............................... See instructions on reverse $ 19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column B above $ 0 To calculate Column B, add amounts in Column A to the corresponding amounts from Column B of your last report. Some amounts in Column A may be negative figures that should be subtracted from previous period amounts. If this is the first report being filed for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if any). Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made" (If Subject to Voluntary Expenditure Limit) Date of Election Total to Date (mm /dd /yy) AmOLints in this section may be different from amounts reported in Column B. FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 1ASK -FPPC (8661275 -3772) Schedule A Moneta Contributions Received Type or print in ink. SCHEDULE A Amounts may be rounded Statement covers period ry OW o e o 1 10/19/08 -' from SEE INSTRUCTIONS ON REVERSE through 2/2/09 Page 3 of 8 NAME OF FILER I.D. NUMBER John Ashbaugh for SLO 1310426 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CU MULATIVETO DATE PER ELECTION RECEIVED (E COMMITTEE, RALSAND ZIP I.D. ODEER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IFSELF- EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OFBUSINESS) W1 IND 10/21/08 Kathryn Bay ❑COM Retired 125 150 ❑OTH San Luis Obispo, CA 93401 ❑ PTY ❑SCC MIND 10/22/08 Gail Jacobson []COM Retired nOTH 100 100 San Luis Obispo, CA 93405 D PT' SCC ®IND 10/24/08 Jeffery Stulberg ❑coM Attorney. Self employed 100 100 ❑OTH with no other name San Luis Obispo, CA 93401 ❑ PTY ❑ SCC RIND David and Margaret Cox 10/24/08 g ❑coM Barnett and Cox - Public 100 100 ❑OTH Relations San Luis Obispo, CA 93405 ❑ PTY ❑ SCC VIIND CO James Patterson D 10/24/08 coM SLO County Residents - 100 100 17 OTH Co. Supervisor Atascadero, CA 93422 ❑ PTY ❑SCC Schedule A Summary Amount received this period — itemized monetary contributions. (Include all Schedule A subtotals.) ............. ............................... 2. Amount received this period — unitemized monetary contributions of less than $100 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ...... SUBTOTAL$ 525 $ 1879.12 $ 1805 TOTAL $ 3684.12 '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 Summary Amount received this period — itemized monetary contributions. (Include all Schedule A subtotals.) ............. ............................... 2. Amount received this period — unitemized monetary contributions of less than $100 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ...... SUBTOTAL$ 525 $ 1879.12 $ 1805 TOTAL $ 3684.12 '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) Monetary Contributions Received NAME OF FILER John Ashbaugh for SLO Type or print in ink. Amounts may be rounded to whole dollars. DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER RECEIVED (IF COMMITTEE, ALSO ENTER I D. NUMBER) CODE * (IFSELF- EMPLOYED, ENTER NAME 100 OFBUSINESS) 854.12 IND John Schutz OCoM Retired 10/24/08 ❑OTH San Luis Obispo, CA 93405 ❑ PTY ❑SCC Paul Ogren V❑COM Health Systems Manager 10/24/08 ❑oTH - Self Employed with no San Luis Obispo, CA 93405 ❑ PTY other name ❑Scc _. Diana Gould BIND Associate Planner - City 10/24/08 ❑IND ❑oTH of Grover Beach Pismo Beach, CA 93449 ❑ PTY ❑ SCC Susan Piel ZOOM Artist - Self employed 10/27/08 ❑oTH with no other name San Luis Obispo, CA 93401 ❑ PTY ❑ SCC John Ashbaugh C]COM Alan Hancock College - 10/27/08 [] OTH Educator San Luis Obispo, CA 93401 [} PTY []SCC `Contributor Codes IND— Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee SCHEDULE A (CONT.) Statement covers period frnm 10/19/08 through 2/2/09 Page 4 of 8 AMOUNT RECEIVED THIS PERIOD I.D. NUMBER 1310426 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) 100 1 100 200 1 200 100 100 100 i 100 854.12 854.12 SUBTOTAL$ 1354.12 PER ELECTION TO DATE (IF REQUIRED) FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772) SCHEDULEB -PART1 Iypu VI PIIIIL 111 IIIM. Schedule B — Part 1 Amounts may be rounded Statement covers period CALIFORNIA Loans Received to whole dollars. 10/19/08 FORM from 2/2/09 5 8 through Page of SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER John Ashbaugh for SLO 1310426 FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OUTSTANDING (b) AMOUNT (o) AMOUNTPAID OUTSTANDING (e) INTEREST (f) ORIGINAL (g) CUMULATIVE OF LENDER OCCUPATIONANDEMPLOYER (IF SELF - EMPLOYED, ENTER BALANCE BEGINNING THIS RECEIVED THIS OR FORGIVEN BALANCEAT CLOSE OF THIS PAID THIS AMOUNT OF CONTRIBUTIONS (IF COMMITTEE, ALSO ENTER LD.NUMBER) NAME OF BUSINESS) I D PERIOD THIS PERIOD" PERIOD PERIOD LOAN TO DATE ® PAID CALENDAR YEAR John Ashbaugh Educator - Alan Hancock College $ 228.12 $ 0 , $ 500 $ 1081.74 10 FORGIVEN PER ELECTION" San Luis Obispo, CA 93405 RATE $ 500 $ 581.74 8X3.62 $ $ $ DATE DUE DATE INCURRED t2 IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ PAID CALENDARYEAR ❑ FORGIVEN PER ELECTION'* RATE 5 $ $ $ DATE DUE DATE INCURRED t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ PAID CALENDARYEAR ❑ FORGIVEN PER ELECTION "* RATE DATE DUE t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE INCURRED SUBTOTALS $ 581.74$ 1081.74 $ 0 $ 0 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. 581.74 1081.74 ............ NET $ -500 (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 1ASK -FPPC (866/275 -3772) Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER John Ashbaugh for SLO Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 10/19/08 through 2/2/09 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment SCr: DU._E E GAl OVRRNI'°' _W ID.NUMBER 1310426 CMP campaign paraphernalia /misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing /ballot fees PHO phone banks TRC candidate travel, lodging, and meals FIND fundraising events POL polling and survey research TRS staff /spouse travel, lodging, and meals IND independent expenditure supporting /opposing others (explain)' POS postage, delivery and messenger services TSF transfer between committees of the same candidate /sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I. D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID Poor Richard's Flyers and Postcards PRT 573.77 San Luis Obispo, CA 93405 New Times Putting ads in the Newspaper PRT 738 San Luis Obispo, CA 93405 Tom Jones and Associates Radio Ads RAD 1207 San Luis Obispo, CA 93401 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 2518.77 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 $ 6649.04 236.68 0 6885.72 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 1ASK -FPPC (8661275 -3772) Schedule E Type or print in ink. — _ -__ -- SCHEDULE E (CONT) (Continuation Sheet) Amounts may be rounded Statement covers period CALIFORNIA 460 Payments Made to whole dollars. from 10/19108 FORM _. SEE INSTRUCTIONS ON REVERSE through NAME OF FILER John Ashbaugh for SLO 2/2/09 Page 7 of 8 I.D. NUMBER 1310426 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment, CMP campaign paraphernalia /misc. MBR member communications 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) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT I AMOUNT PAID (IF COMMITTEE, ALSO ENTER LID, NUMBER) Tribune (SLO County Newspapers) Print Ads in the Tribune PRT Los Angeles, CA 90004 -1670 Schoolyard Communications Flyers and Envelopes PRT San Luis Obispo, CA 93405 Pat Harris (The Graduate) Victory Party MTG San Luis Obispo, CA 93401 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. 3636.64 293.63 200.00 SUBTOTAL $ 4130.27 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) Schedule F Type or print in ink. Amounts may be rounded Accrued Expenses (Unpaid Bills) to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER John Ashbaugh for SLO SCHEDULE F Statement covers period • ' from 10/19/08 • " through 2/2/09 Page 8 of $ LID, NUMBER 1310426 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia /misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing /ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and 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 CREDITOR CODE OR ( OUTSTAA NDING ( AMOUNTIN CURRED (c) AMOUNT PAID ( OUTSTANDING (IF COMMITTEE, ALSO ENTER LID, NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD Poor Richard's PRT 467.10 106.67 573.77 0 San Luis Obispo, CA 93405 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTALS $ 467.10 $ 106.67 $ 573.77 $ 0 Schedule F Summary 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for accrued expenses of $100 or more, plus total unitemized accrued expenses under $100.) ....................... 2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.) . 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and on the Summary Page, Column A, Line 9.) ................................................................. ............................... ........ INCURRED TOTALS $ 106.67 PAID TOTALS $ .�__ 573.77 - 467.10 NET $ May be a negative number FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772)