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Home My WebLink AboutForm 460 1-1-2012 to 6-31-2012COVER PAGE Recipient Committee Type or print in ink. Date Stamp Campaign Statement Date By • Cover Page July 24, 2012 � r O T M Executed on (Government Code Sections 84200 - 84216.5) BY --Signature of Controlling Officeholder, Candidate, to Measur opc entor Responsible Officer of Sponsor Executed on Page 1 of 4 By Signature of Controlling Officeholder, Candidate, State Measure Proponent Statement covers period Date of election if applicable 2 7 2052 Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (January/OS) For Official Use Only January 1, 2012 (Month, Day, Year) LJUL from June 30, 2012 November 2, 2010 SEE INSTRUCTIONS ON REVERSE through 1. Type of Recipient Committee: All committees — Complete Parts 1, 2, 3, and 4. 2. Type of Statement: ® Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑ Preelection Statement ❑ Quarterly Statement Q State Candidate Election Committee Committee 2 Semi - annual Statement ❑ Special Odd -Year Report Q Recall Q Controlled ❑ Termination Statement ❑ Supplemental Preelection (Also Complete Part 5) Q Sponsored (Also file a Form 410 Termination) Statement - Attach Form 495 ❑ General Purpose Committee (Also Complete Part 6) E] Amendment (Explain below) 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 1226215 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Chuck Page for City Council 2010 STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE /PHONE Saratoga CA 95070 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 Chuck Page CITY STATE ZIP CODE AREA CODE /PHONE Saratoga CA 95070 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 informati co tained 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 corre FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772) State of California July 24, 2012 Executed on Date By ature ofTrea urer As ' to Treasurer July 24, 2012 Executed on Date BY --Signature of Controlling Officeholder, Candidate, to Measur opc entor Responsible Officer of Sponsor Executed on Date By Signature of Controlling Officeholder, Candidate, State Measure Proponent Executed on Date BY Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (January/OS) FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772) State of California Type or print in ink. Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Chuck Page OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) City Council Member, City of Saratoga, CA RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP Saratoga CA 95070 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 I.D. NUMBER NAME OF TREASURER I 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) CITY STATE ZIP CODE AREA CODE /PHONE 6. Primarily Formed Ballot Measure Committee COVER PAGE - PART 2 Page 2 of 4 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 Attach continuation sheets if necessary FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772) State of California Campaign Disclosure Statement Type or print in ink. be SUMMARY PAGE Amounts may rounded Statement covers period CALIFORNIA 460: Summary Page to Whole dollars. January 1, 2012 FOR M from through June 30, 2012 page 3 of 4 SEE INSTRUCTIONS ON REVERSE I.D. NUMBER NAME OF FILER Chuck Page for Saratoga City Council 2010 1226215 Column A Column B Calendar Year Summary for Candidates Contributions Received TOTALTHIS PERIOD CALENDARYEAR Running in Both the State Primary and g (FROMATTACHED SCHEDULES) TOTALTO DATE General Elections 1. Monetary Contributions ............ ............................... schedule A, Line 3 $ 0.00 $ 1/1 through 6/30 7/1 to Date O.00 2. Loans Received ....................... ............................... Schedule B, Line 3 0.00 20. Contributions 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 +2 $ $ Received $ $ 0.00 4. Nonmonetary Contributions ..... ............................... Schedule C, Line 3 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ...••.. ••...•••.•••••.••••• Add Lines 3 +4 $ 0.00 $ 0.00 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made ........................ ............................... schedule E, Line 4 $ 123.95 $ 123.95 Candidates ............................... 7. Loans Made ........................... Schedule H, Line 3 0.00 22. Cumulative Expenditures Made 8. SUBTOTALCASH PAYMENTS ..... ............................... Add Lines 6 +7 $ 123.95 $ 123.95 (if Subject to Voluntary Expenditure Limit) 9. Accrued Expenses (Unpaid Bills Schedule F, Line 3 0.00 Date of Election Total to Date 0.00 (mm /dd /yy) 10. Nonmonetary Adjustment ........... ............................... Schedule C, Linea 11. TOTAL EXPENDITURES MADE ................................ Add Lines 8 +9 +10 $ 123.95 $ 123.95 -J_ -J $ --� $ Current Cash Statement 12. Beginning Cash Balance ....................... Previous summary Page, Line 16 $ 1581.04 To calculate Column B, add 13. Cash Receipts .................... ............................... Column A, Line 3above 0.00 amounts in Column Ato the 0.00 corresponding amounts "Amounts in this section may be different from amounts 14. Miscellaneous Increases to Cash ........................... Schedule 1, Line 4 from Column B of your last reported in Column B. 123.95 report. Some amounts in 15. Cash Payments ................... ............................... Column A, Line 6 above Column A may be negative 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ 1457.09 figures that should be subtracted from previous If this is a termination statement, Line 16 must be zero. period amounts. If this is the first report being filed 0.00 for this calendar year, only 17. LOAN GUARANTEES RECEIVED ........................... Schedule B, Part 2 $ carry over the amounts any) Lines 2, 7, and 9 (if Cash Equivalents and Outstanding Debts 18. Cash Equivalents ......... ............................... See instructions on reverse $ o.00 19. Outstanding Debts ......................... Add Line 2 +Line 9 in Column B above $ 0.00 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) Schedule E Payments Made CFF INSTRI IOTIONS ON REVERSE NAME OF FILER Chuck Page for Saratoga City Council 2010 Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from January 1, 2012 through June 30, 2012 Page 4 of 4 I.D. NUMBER 1226215 E 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 RAID radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries 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 surrey 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 (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID USPS overnight mail of documents to Franchise Tax Board Fruitvale Ave POS to respond to audit 18.95 Saratoga, CA 95070 USPS 1 -year maintenance of Post Office Box Fruitvale Ave POS 91.00 Saratoga, CA 95070 Bank of America Monthly Bank Account Maintenance Fees 14.00 Big Basin Way OFC June, 2012 Saratoga, CA 95070 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 123.95 Schedule E Summary 1. Itemized payments made this period. Include all Schedule E subtotals. $ 123.95 2. Unitemized payments made this period of under $100 ........................................................................................................... ............................... $ 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) ................................................ ............................... $ 4. Total payments made this period. Add Lines 1, 2, and 3. Enter here and on the Summa Page, Column A, Line 6. TOTAL $ 123.95 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772)