HomeMy WebLinkAboutBERTRAM SEMIANN10 AMENDMENTRecipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200-84216.5)
SEE INSTRUCTIONS ON REVERSE
Type or print in ink.
from
Statement covers period
1 n/17/7ni n
through
Date Stamp
Date of election if applicable:
(Month, Day, Year) Z ii {I h i i~ 'PR % C 2 >r e; 39
12/31/2010 I 1 - Z' 1.
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) 0 Sponsored
(Also Complete Part 6)
❑ General Purpose Committee
O 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
CITY
STATE
ZIP CODE AREA CODE/PHONE
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
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
Executed on ° Z r
Date
Executed on
Date
By
By
2. Type of Statement:
COVER PAGE
Page I_ of
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
Executed on BY
Date Signature of Controlling Officeholder, Candidate. State Measure Proponent FPPC Form 460 (January/05)
FPPC Toll-Free Helpline: 8661ASK-FPPC (86612753772)
State of California
By
Signature of Controlling Officeholder, Candidate, State Measure Proponent
Schedule G
Type or print in ink.
-3
'~"tL,ULt
Payments Made by an Agent or Independent
Amounts may be rounded
1 riod
Statement covers pe
CALIFORNIA
460
Contractor (on Behalf of This Committee)
to whole dollars.
from 10/17/2010
FORM
12/31/2010
Z
~
through
page
of
SEE INSTRUCTIONS ON REVERSE
I.D. NUMBER
NAME OF FILER
Martin Bertram for City Council 2010
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 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
salaries
SAL campaign workers
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 (intemet, e-mail)
* Payments that are contributions or independent expenditures must also be su
mmarized on Schedule D.
NAME AND ADDRESS OF PAYEE OR CREDITOR
CODE OR DESCRIPTION OF PAYMENT
AMOUNT PAID
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
USPS
POS
2798.19
Political Data Inc.
POL
1096.40
Parker Davis Co.
CMP
728.34
Enterprise Rent A Car
Truck rental to place signs
1681.90
Attach additional information on appropriately labeled continuation sheets.
TOTAL* $ 6304.83
* 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 (January/05)
FPPC TolWree Helpline: 8661ASK-FPPC (8661275-3772)
Schedule G
Type or print in ink.
SCHEDULE G
Payments Made by an Agent or Independent
Amounts may be rounded
Statement covers period
CALIFORNIA , • '
Contractor (on Behalf of This Committee)
to whole dollars.
from 10/17/2010
FORM
12/31/2010
3
through
- of 4
Page-
SEE INSTRUCTIONS ON REVERSE
I.D. NUMBER
NAME OF FILER
Martin Bertram for City Council 2010
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.
CNP campaign paraphemalia/misc.
MBR
member communications
RAD radio airtime and production costs
CNS campaign consultants
MFG
meetings and appearances
RFD returned contributions
'
CTB contribution (explain nonmonetary)*
OFC
office expenses
salaries
SAL campaign workers
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 (intemet, e-mail)
" Payments that are contributions or independent expenditures must also be su
mmarized on Schedule D.
NAME AND ADDRESS OF PAYEE OR CREDITOR
CODE OR DESCRIPTION OF PAYMENT
AMOUNT PAID
(IF COMMITTEE, ALSO ENTER I.O. NUMBER)
USPS
POS
1447.60
Buck Owens Productions
3553
00
,
RAD
.
Attach additional information on appropriately labeled continuation sheets. TOTAL* $ S000.60
* 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: 866/ASK-FPPC (8661275-3772)
Schedule G
Payments Made by an Agent or Independent
Contractor (on Behalf of This Committee)
Type or print in ink. S
Amounts may be rounded
to whole dollars. Ffrom
tatement covers penoa
10/17/2010
LE G
through 12/31/2010 Page _~L of
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER I.D. NUMBER
Martin Bertram for City Council 2010
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.
CNP
campaign paraphemalia/misc.
NIBR
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
salaries
campaign workers
CVC
civic donations
PEr
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
ID
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 (intemet, e-mail)
* Pnvma_nts that are contributions or indenendent expenditures must also be summarized on Schedule D.
NAME AND ADDRESS OF PAYEE OR CREDITOR
CODE OR DESCRIPTION OF PAYMENT
AMOUNT PAID
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
Lee's Printing
PRT
2968.33
Swanson and Odell
LEG
2500.00
NYFotography
This person does not have a street address for
PRT
Their business. They work from home
637.50
Post Road Communications
60
952
PRT
.
Attach additional information on appropriately labeled continuation sheets.
TOTAL* $ 7058.43
* 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 (January/05)
FPPC Toll-Free Helpline: 866/ASK-FPPC (8661275-3772)