HomeMy WebLinkAboutBERTRAM SEMIANN10(2)AMENDMENTRecipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200-84216.5)
SEE INSTRUCTIONS ON REVERSE
Type or print in ink.
Statement covers period
from 10/1/2010
through 10/16/2010
1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4.
® Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure
Q State Candidate Election Committee Committee
Q Recall Q Controlled
(Also Complete Part 5) O Sponsored
❑ General Purpose Committee (Also Complete Parr 6)
Q Sponsored ❑ Primarily Formed Candidate/
Q Small Contributor Committee Officeholder Committee
Q Political Party/Central Committee (Also Complete Part 7)
3. Committee Information I I.D. NUMBER
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
Martin Bertram for City Council 2010
STREET ADDRESS (NO P.O. BOX)
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
OPTIONAL: FAX / E-MAIL ADDRESS
Treasurer(s)
NAME OF TREASURER
Tom Nelson
MAILING ADDRESS
NAME OF ASSISTANT TREASURER, IF ANY
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE
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 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.
~j+~~-~
Executed on By
Date ature ofTreasurer or Assistant Treasurer
Executed on 0 ill By 01
Date Signature of Controlling Officeholder, Candidate, State Measure Proponent or Responsible Officer of Sponsor
Executed on By Date Signature of Controlling Officeholder, Candidate, State Measure Proponent
Executed on By Date Signature of Controlling Officehokler, Candidate, State Measure Proponent
FPPC Form 460 (January/05)
FPPC Toll-Free Helpline: 8661ASK-FPPC (8661275-3772)
State of California
Date of election if applicable:
(Month, Day, Year)
II-2--10
2. Type of Statement:
Date Stamp
COVER PAGE
Page of
261 1 Ai K 42 9:1 9 For Official Use Only
❑ 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)
Added sub vendors to Schedule G
Recipient Committee
Campaign Statement
Cover Page - Part 2
Type or print in ink.
5. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE
Martin Bertram
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
Seeking City Council 7th Ward
RESIDENTIAUBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP
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
COMMITTEE NAME
I.D. NUMBER
NAME OF TREASURER I CONTROLLED COMMITTEE?
❑ YES ❑ NO
COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX)
6. Primarily Formed Ballot Measure Committee
NAME OF BALLOT MEASURE
COVER PAGE - PART 2
Page
of
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
W I 1 OWL ur L uut MKLM UUUUMUrvt Attach continuation sheets if necessary
FPPC Form 460 (January/06)
FPPC Toll-Free Helpline: 8661ASK-FPPC (8661275-3772)
State of Califomia
Schedule G
Payments Made by an Agent or Independent
Contractor (on Behalf of This Committee)
Type or print in ink.
Amounts may be rounded
to whole dollars.
from 10/1/2010
through 10/16/2010
G
Page 3 of
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Martin Bertram
I.D. NUMBER
NAME OF AGENT OR INDEPENDENT CONTRACTOR
Western Pacific Research
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CMP campaign paraphemalia/misc.
MBR
member communications
RAID
radio airtime and production costs
CNS campaign consultants
IMTG
meetings and appearances
RFD
returned contributions
'
CTB contribution (explain nonmonetary)*
OFC
office expenses
SAL
salaries
campaign workers
CVC civic donations
PET
petition circulating
TEL
t.v. or cable airtime and production costs
FIL candidate filing/ballot fees
PHD
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
VVEB
information technology costs (internet, e-mail)
* Payments that are contributions or independent expenditures must also be summarized on Schedule D.
NAME AND ADDRESS OF PAYEE OR CREDITOR
CODE OR DESCRIPTION OF PAYMENT
AMOUNT PAID
(IF COMMnTEE, ALSO ENTER I.D. NUMBER)
The Adart Company
Campaign Signs
6930.00
Reel Musicians Pro
Radio Ad
1000.00
Buckley Radio
Radio Air Time
5333.75
Post Road Communications
Post cards
5900.08
Attach additional information on appropriately labeled continuation sheets.
TOTAL* $ 19163.83
* Do not transfer to any other schedule or to the Summary Page. This total may not equal the amount paid to the agent or
independent contractor as reported on Schedule E. FPPC Form 460 )
FPPC Toll-Free Helpline: 8661ASK-FPPC (8661275-3772)