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Home My WebLink AboutCappello - Form 460 - 2nd Pre Election StatementRecipient Committee Campaign Statement Cover Page (Government Code Sections 84200 - 84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statement covers period from Oct 1, 2012 through Oct 20, 2012 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. (� Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure 0 State Candidate Election Committee Committee 0 Recall 0 Controlled (Also Complete Part 5) 0 Sponsored (Also Complete Part 6) ❑ General Purpose Committee 0 Sponsored ❑ Primarily Formed Candidate/ 0 Small Contributor Committee Officeholder Committee 0 Political Party /Central Committee (Also Complete Part 7) 3. Committee Information I I.D. NUMBER 1348661 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Manny Cappello for City Council 2012 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 Date of election if applicable (Month, Day, Year) Date Stamp OCT 2 3 2012 Nov 6, 2012 B1 y, 2. Type of Statement: Preelection Statement ❑ Semi - annual Statement ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) COVER PAGE 1 of 4 For Official Use Only ❑ Quarterly Statement ❑ Special Odd -Year Report ❑ Supplemental Preelection Statement - Attach Form 495 Treasurer(s) NAME OF TREASURER Amy Cappello 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 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 Oct 23, 2012 Date Executed on Oct 23, 2012 Date Executed on Date By By By Signature of Controlling Officeholder, Candidate, State Measure Proponent Executed on BY Date Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -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 Manny Cappello OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Saratoga City Council 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.D. NUMBER COVER PAGE - PART 2 Page 2 of 4 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 CONTROLLED COMMITTEE? 7• Primarily Formed Candidate /Officeholder Committee List names of NAME OF TREASURER officeholder(s) or candidate(s) for which this committee is primarily formed. ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE /PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO STREETADDRESS (NO PO BOX) 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 COMMITTEEADDRESS CITY STATE ZIP CODE AREA CODE /PHONE Attach continuation sheets if necessary FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772) State of California Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Manny Cappello Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from Oct 1, 2012 through Oct 20, 2012 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. Page 3 of 4 1.D. NUMBER 1348661 CUP 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 fling /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 (internet, e-mail) * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ Schedule E Summary 1. Itemized payments made this period. Include all Schedule E subtotals. $ 0 2. Unitemized payments made this period of under $100 ........................................................................................................... ............................... $ 40.00 3. Total interest paid this period on loans. Enter amount from Schedule B, Part 1, Column (e).) $ 0 4. Total payments made this period. Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6. TOTAL $ 40.00 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) Campaign Disclosure Statement Summary Page Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from Oct 1, 2012 SUMMARY PAGE Expenditures Made To calculate Column B, add 0 throw h g Oct 20, 2012 Page 4 of 4 SEE INSTRUCTIONS ON REVERSE 7. Loans Made .............................. ............................... Schedule H, Line 3 0 0 8. SUBTOTALCASH PAYMENTS ............... Add Lines 6 +7 $ NAME OF FILER 394.07 9. Accrued Expenses (Unpaid Bills Schedule F, Line 0 I.D. NUMBER Manny Cappello Schedule C, Line 3 0 0 11. TOTAL EXPENDITURES MADE .... ............................Add 1348661 40.00 $ 394.07 Column A Column B Calendar Year Summary for Candidates Contributions Received TOTALTHIS PERIOD CALENDAR YEAR Running in Both the State Primary and (FROM ATTACHED SCHEDULES) TOTALTODATE General Elections 1. Monetary Contributions ............ ............................... Schedule A, Line 3 $ 0 $ 5085 0 1000 1/1 through 6/30 7/1 to Date 2. Loans Received ....................... ............................... Schedule e, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines t +z $ 0 $ 6085 Contributions 20. Received $ $ 0 0 4. Nonmonetary Contributions ..... ............................... Schedule C, Line 3 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 +4 $ 0 $ 6085 Made $ $ Expenditures Made To calculate Column B, add 0 6. Payments Made ........................ ............................... Schedule E. Line 4 $ 40.00 $ 394.07 7. Loans Made .............................. ............................... Schedule H, Line 3 0 0 8. SUBTOTALCASH PAYMENTS ............... Add Lines 6 +7 $ 40.00 $ 394.07 9. Accrued Expenses (Unpaid Bills Schedule F, Line 0 0 10. Nonmonetary Adjustment ........... ............................... Schedule C, Line 3 0 0 11. TOTAL EXPENDITURES MADE .... ............................Add Lines 6 +9 + 10 $ 40.00 $ 394.07 Current Cash Statement 12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ 13. Cash Receipts .................... ............................... Column A, Line 3 above 14. Miscellaneous Increases to Cash ........................... Schedule 1, Line 4 15. Cash Payments ................... ............................... Column A, Line 6 above 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ........................... Schedule e, Part 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ......... ............................... See instructions on reverse $ 19. Outstanding Debts ......................... Add Line 2 +Line 9 in Column 8 above $ 5730.93 To calculate Column B, add 0 amounts in Column A to the corresponding amounts 0 from Column B of your last report. Some amounts in Column A may be negative 40.00 5690.93 figures that should be subtracted from previous period amounts. If this is the first report being filed 0 for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if any). 1000 Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made" Ill' Subject to Voluntary Expenditure Limit) Date of Election Total to Date (mm /dd /yy) $ 'Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772)