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)