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HomeMy WebLinkAboutBERTRAM SEMIANN12(2)Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200- 84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statement covers period from 07/01/2012 through 12/31/2012 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. ® Officeholder, Candidate Controlled Committee ❑ Ballot Measure Committee Q State Candidate Election Committee Q Primarily Formed Q Recall Q Controlled (Also Complete Part 5) O Sponsored (Also Complete Part 6) ❑ General Purpose Committee Q Sponsored ❑ Primarily Formed Candidate/ Q Small Contributor Committee Officeholder Committee Q Political Party /Central Committee (Also Complete Part 7) 3. Committee Information I.D. NUMBER 1329622 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Martin Bertram for City Council 2010 STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE /PHONE MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE /PHONE OPTIONAL: FAX / E -MAIL ADDRESS Date Stamp Date of election if a t>"8 AM 10: 10 (Month, Day, Year) t-A [: - _' ' 11 Y L E R K 2. Type of Statement: ❑ Preelection Statement ® Semi- annual Statement ❑ Termination Statement ❑ Amendment (Explain below) COVER PAGE Page of — For Official Use Only ❑ Quarterly Statement ❑ Special Odd -Year Report ❑ Supplemental Preelection Statement - Attach Form 495 Treasurer(s) NAME OF TREASURER MAILING ADDRESS CITY STATE ZIP CODE AREA CODE /PHONE NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODE /PHONE 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 Correct. Executed on 1/26/2013 By ,/h Date A --� - of I urer or ASSISMI'll ireAsurer Executed on 1 /26/2013 By 0/ �� i ing ,Caddate,SteMeasue Date Proponent Executed on Date By Sgnahne at Controlling Officehdder, Candidate, State Measure Proponent Executed on BY FPPC Form 460 (June/01) Date Signature Of Controlirg Officehdder. Candidate. State Measure Proponent FPPC Toll-Free Helpline: 866/ASK-FPPC State of California Type or print in ink. COVER PAGE - PART 2 Recipient Committee , Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Mar-�,-AM ,r--4t n iy� OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) C& COL/4c- ') lenavk o f & kfonn f fld Wora 7 RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY Related Committees Not Included in this Statement: ustanycommittees 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. COMMITfEENAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) Page of 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 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 CITY STATE ZIP CODE AREA CODEIPHONE Attach continuation sheets if necessary FPPC Form 160 (January105) FPPC Toll -Free Helpline: 8661ASK -FPPC (86612753772) State of California Campaign Disclosure Statement Type or print in ink. Pa� Amounts may be rounded Summary Page to whole dollars. ¢cc 1MCT97"rT1nMC nM RFVFRRF NAME OF FILER Statement covers period from 0 7 /0 1 /} 011 through 12 131 /10/:Z Page of I.D. NUMBER PAGE Expenditures Made 6. Payments Made ........................ ............................... Schedule B, Line 4 $ V 7. Loans Made .............................. ............................... Schedule H, Line 3 (7 8. SUBTOTAL CASH PAYMENTS ..... ............................... Add tines 6 + 7 $ O 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F Line 3 10. Nonmonetary Adjustment ........... ............................... schedule C, Line 3 0 11. TOTAL EXPENDITURES MADE . ............................... Add Lines 8 + 9 + 10 $ n Current Cash Statement 12. Beginning Cash Balance ....................... Previous summary Page, Line 16 $ x'25. 3S O 13. Cash Receipts .................... ............................... Column A, Line 3 above 0 14. Miscellaneous Increases to Cash ........................... Schedule 1, Line 4 15. Cash Payments .................. ............................... Column A, Line 8 above 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ o1S, 3S 1f this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ........................... Schedule B, Part 2 $ u Cash Equivalents and Outstanding Debts 18. Cash Equivalents ............ ............................ See instructions on reverse $ 19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column B above $ S8 S3 6 $ -7a.ao O _ $ 7 -.�b 0 0 $ oZ• -D o 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* M Subject to VoIw"y ExPencW— Limit) Date of Election Total to Date (mm /dd /yy) I —J— I $ Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (JanuaryMS) FPPC Toll -Free Helpline: 8661ASK -FPPC (8661275-3772) Column A Column B Calendar Year Summary for Candidates Contributions Received TOTALTHISPERIOD CALEWARYEAR Runninf7 in Both the State Primary and 9 (FR OMATTAWED SCHEDULES) TOTALTO DATE General Elections 1. Monetary Contributions ............ ............................... Scnedule A, Line 3 $ O $ 111 through 6130 7!1 to Date � 2. Loans Received ....................... ............................... Schedule s, Line 3 U 0 20. Contributions 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 + 2 $ $ Received $ $ b 0 4. Nonmonetary Contributions ..... ............................... Schedule C, Line 3 21. Expenditures 4 $ d $ Made $ $ 5. TOTAL CONTRIBUTIONS RECEIVED ........................••• Add Lines 3 + Expenditures Made 6. Payments Made ........................ ............................... Schedule B, Line 4 $ V 7. Loans Made .............................. ............................... Schedule H, Line 3 (7 8. SUBTOTAL CASH PAYMENTS ..... ............................... Add tines 6 + 7 $ O 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F Line 3 10. Nonmonetary Adjustment ........... ............................... schedule C, Line 3 0 11. TOTAL EXPENDITURES MADE . ............................... Add Lines 8 + 9 + 10 $ n Current Cash Statement 12. Beginning Cash Balance ....................... Previous summary Page, Line 16 $ x'25. 3S O 13. Cash Receipts .................... ............................... Column A, Line 3 above 0 14. Miscellaneous Increases to Cash ........................... Schedule 1, Line 4 15. Cash Payments .................. ............................... Column A, Line 8 above 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ o1S, 3S 1f this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ........................... Schedule B, Part 2 $ u Cash Equivalents and Outstanding Debts 18. Cash Equivalents ............ ............................ See instructions on reverse $ 19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column B above $ S8 S3 6 $ -7a.ao O _ $ 7 -.�b 0 0 $ oZ• -D o 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* M Subject to VoIw"y ExPencW— Limit) Date of Election Total to Date (mm /dd /yy) I —J— I $ Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (JanuaryMS) FPPC Toll -Free Helpline: 8661ASK -FPPC (8661275-3772) SCHEDULE F Schedule F Type or print in ink. Statement covem period Amounts may be rounded 0710 (� Accrued Expenses (Unpaid Bills) to whole dollars. from through t / 3' /� D , page of SEE INSTRUCTIONS ON REVERSE I.D. NUMBER NAME OF FILER CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. cw campaign paraphemalia /misc. NW member communications RAD RFD radio airtime and production costs returned contributions CNS campaign consultants M[TG meetings and appearances SAL campaign workers' salaries CTB contribution (explain nonmonetaryr OFC PEr office expenses petition circulating TEL t.v. or cable airtime and production costs CVC civic donations PHO phone banks TRC candidate travel, lodging, and meals FIL candidate filing/ballot fees POL polling and survey research TRS staff /spouse travel, lodging, and meals FND M fundraising events 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 DOT professional services flegal, accounting) -ri„r -4a VOT WEB voter registration information technology costs (intemet, e-mail) U I k,01 ayn nio.ow.Q a.......�.....y.. (a) (b) Ic) (d) NAME AND ADDRESS OF CREDITOR (IF COMMITTEE. ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT OUTSTANDING BALANCE BEGINNING AMOUNT INCURRED THIS PERIOD AMOUNT PAID THIS PERIOD OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD v/'V C QS S-935-3.6"6- O 1pCS76rr )/+ - Payments that are contributions or independent expenditures must also be SUBTOTALS $ 5 U s - 6� $ $ 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 .) ............................ 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 $ PAID TOTALS $ $ 5 p3 s3. 66' Lei A .... ............................... NET $ r O be a negative number FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 866/ASK -FPPC (8661275-3772)