HomeMy WebLinkAboutDan Carpenter - Form 460 - Amendment - 10-07-2008Recipient 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 applical
U ADC? (Month. Day. Year)
from{► D /j % p
through • L+IV a
1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4.
(Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure
�1 �� State Candidate Election Committee Committee
Q Recall O Controlled
(Also Complete Part 5) O Sponsored
❑ General Purpose Committee (Also Complete Part 6)
Q Sponsored ❑ Primarily Formed Candidate/
Q Small Contributor Committee Officeholder Committee
O Political Party /Central Committee (Also Complete Part 7)
3. Committee Information I I.D. NUMBE
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
cc.-/
ADDRESS (IF DIFFERENT)
F
CITY STATE ZIP CODE AREA CODEIPHONE
COVER PAGE
Date Stamp J
RECEIVED _
LI�Ut� Page of G
""I Ltl For Official Use Only
SLO CITY CLERK
2. Type of Statement:
❑ Preelection Statement
❑ Semi - annual Statement
❑ Termination Statement
(Also file a Form 410 Termination)
Amendment (Explain below)
Treasurer(s)
4. Verification I
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
Executed on /() By
Executed on By
5
Executed on By
Date
❑ Quarterly Statement
❑ Special Odd -Year Report
Supplemental Preelection
Statement - Attach Form 495
114,
on contained herein and in the attached schedules is true and complete. I certify
Executed on By
Date Signature of Controlling Officeholder, Candidate, State Measure Proponent
FP.PC Form 460 (January/OS)
FPPC Toll -Free Helpline: 8661ASK -FPPC (8661275.3772)
State of California
Instructions for
Recipient Committee
Campaign Statement —Cover Page
Period Covered by a Statement:
The "period covered" by a campaign statement
begins the day after the closing date of the last
campaign statement you filed. For example, if the
closing date of the last statement was September
30, the beginning date of the next statement will be
October 1.
If this is the committee's first campaign statement
begin with January 1 of the current calendar year.
The closing date of the statement depends on the
type of statement you are filing.
Date of Election:
If you are filing this statement as a preelection
statement in connection with an election, enter the
date of the election.
Type of Recipient Committee:
Check one box to indicate the type of committee
filing the statement. General descriptions are
provided on the cover sheet to this form, or contact
your filing officer or the FPPC for assistance.
Following are some additional guidelines:
Controlled Committee
A controlled committee is one that is controlled
by a candidate, officeholder or, in the case of a
state ballot measure committee, by the proponent
of the measure. A committee is "controlled" if the
candidate, officeholder, or proponent, his or her
agent, or any other committee he or she controls,
has a significant influence on the actions or
decisions of the committee.
Sponsored Committees
A sponsored committee is one that has a
sponsor —a business entity, organization, union,
or other entity —that meets certain criteria.
Sponsored ballot measure committees and
general purpose committees must include the
name of the sponsor in the name of the
committee.
Small Contributor Committees
• This term is significant only if the committee
makes contributions to candidates running for
elective state office.
Type of Statement:
Check the appropriate box(es) to indicate the type of
statement you are filing (or amending).
Amendments: If you are filing an amendment to a
previously filed statement, give a brief explanation of
the amendment and list the schedules being
amended. Include an amended summary page, if
applicable. Be sure to enter the period covered of
the statement you are amending.
Termination: A committee must continue filing
campaign statements each year until it is eligible to
terminate and files a Form 410 Termination.
Most officeholders must continue filing campaign
statements until they have terminated all controlled
committees and have left office.
Committee Lb. Number:
If the committee has not yet received an
identification number from the Secretary of State,
enter "Not Yet Received." File Form 410 to obtain an
I.D. Number.
Verification:
The statement must be signed by the committee
treasurer or the assistant treasurer named on the
committee's Statement of Organization (Form 410).
An officeholder, candidate, or state measure
proponent who controls the committee must also
sign the statement. If two or three officeholders,
candidates, or proponents control the committee,
each must sign the statement. If more than three
control the committee, one may sign on behalf of the
others.
Under certain circumstances, the responsible officer
of a sponsoring organization must sign the
statement.
Additional Important Information:
Refer to the FPPC Campaign Disclosure Manual for
your type of committee for information about:
• When, where, and what type of statements the
committee is required to file.
• Closing date,-of campaign statements.
• Sponsored committee criteria.
• Termination criteria.
• Recordkeeping requirements and prohibitions.
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772)
Campaign Disclosure Statement
Summary Page
SEE INSTRUCTIONS ON REVEF
NAME OF FI
Contributions Received
1. Monetary Contributions ............ ............................... schedule A, Line 3
2. Loans Received ....................... ............................... Schedule B, Line 3
3. SUBTOTALCASH CONTRIBUTIONS ......................... Add Lines 1 +2
4. Nonmonetary Contributions ..... ............................... Schedule C, Line 3
5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 +4
Expenditures Made
6. Payments Made ........................ ...............................
Schedule E, Line 4
7. Loans Made .............................. ...............................
Schedule H, Line 3
8. SUBTOTAL CASH PAYMENTS ..... ...............................
Add Lines 6 +7
9. Accrued Expenses (Unpaid Bills) ...............................
Schedule F Line 3
10. Nonmonetary Adjustment ........... ...............................
Schedule C, Linea
11. TOTAL EXPENDITURES MADE ................................
Add Lines 8 +9 +10
Current Cash Statement
Type or print in ink. SUMMARYPAGE
Amounts may be rounded Statement covers period .
to whole dollars. • '
from ZED e
through 36 Page of
NUMBER
Column A Column B Calendar Year Summary for Candidates
TOTALTHIS PERIOD CALENDAR YEAR
(FROM ATTACHED SCHEDULES) TOTALTODATE Running in Both the State Primary and
$ � c 1�E7_ $ �t�i 0
General Elections
1H through 6/30 711 to Date
$- $ �Q 20. Contributions
Received $ $
21. Expenditures
$ 7 $ g7,voin Made $ $
i # • 4 r � l r.
I
12. Beginning Cash Balance ....................... Previous summary Page, Line 16 $
13. Cash Receipts .................... ............................... column A, Line 3 above -2, ` ,
14. Miscellaneous Increases to Cash ...................... Schedule 1, Line 4 p
15. Cash Payments ................... ............................... Column A, Line s above C)
16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ !
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 in Column B above $
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made*
(If Subjectto Voluntary ExpendRum Limlt)
Date of Election Total to Date
(mm /dd /yy)
/ ___J $
To calculate Column B, add
amounts in Column A to the
corresponding amounts
from Column B of your last
*Amounts in this section may be different from amounts
report. Some amounts in
reported in Column B.
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).
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772)