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Home My WebLink AboutCappello - Form 460 - Pre Election Statement 1Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200 - 84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statement covers period from July 1, 2012 through Sept 30, 2012 1. Type of Recipient Committee: All Committees— Complete Parts 1, 2, 3, and 4. Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure O State Candidate Election Committee Committee O Recall Q Controlled (Also Complete Part 5) O Sponsored (Also Complete Part 6) ❑ General Purpose Committee Q Sponsored ❑ Primarily Formed Candidate/ C) Small Contributor Committee Officeholder Committee O Political Party /Central Committee (Also Complete Part 7) 3. Committee Information 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 Date of election if applicable: (Month, Day, Year) Date Stamp 1M6MOd OCT 3 2012 Nov 6, 2012 I By� 2. Type of Statement: Preelection Statement ❑ Semi - annual Statement ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) Treasurer(s) COVER PAGE of A0 For Official Use Only ❑ Quarterly Statement ❑ Special Odd -Year Report ❑ Supplemental Preelection Statement - Attach Form 495 NAME OF TREASURER Amy Cappello MAILING ADDRESS 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 CITY OPTIONAL: FAX / E -MAIL ADDRESS OPTIONAL: FAX / E -MAIL ADDRESS STATE ZIP CODE AREA CODE /PHONE manny.cappello @att.net 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. n /1—r(� Executed on Oct 2, 2012 Date Executed on Oct 2, 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: 8661ASK -FPPC (8661275 -3772) State of California 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) BALLOT NO. OR LETTER JURISDICTION ❑ SUPPORT Saratoga City Council I ❑ OPPOSE RESIDENTIAL /BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP Saratoga, CA 95070 Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT 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 OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? 7• Primarily Formed Candidate /Officeholder Committee List names of 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 COMMITTEEADDRESS STREET ADDRESS (NO P.O. BOX) Type or print in ink. COVER PAGE - PART 2 Page 2 of Ay 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE 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 CODE /PHONE Attach continuation sheets if necessary FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 8661ASK -FPPC (866/275 -3772) State of California A TVDe or print in ink. SCHEDULE A Amounts may be rounded Monetary Contributions Received to Whole dollars. Statement covers period • ' ' July 1, 2012 • - from Sept 30, 2012 3 through Page of!�� SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Manny Cappello 1348661 DATE FULL NAME STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR , CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE* (IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) ® IND Romolo Cappello, ❑COM Retired 5000 5000 7/23/12 CA, 94304 ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL$ 5000 I 1 Schedule A Summary 1. Amount received this period — itemized monetary contributions. 5000 (Include all Schedule A subtotals.) ......................................................................... ............................... $ 2. Amount received this period — unitemized monetary contributions of less than $100 ............................. $ 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $ 85 5085 *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772) SCHEDULEB -PART1 type or ay b u� inn. Schedule B — Part 1 Amounts may be rounded Statement covers period � ' ' Loans Received to Whole dollars. July 1, 2012 . • • from Sept 30, 2012 y Ab through page of SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Manny Cappello 1348661 FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER OUTSTANDING BALANCE AMOUNT IN AMOUNT PAID OUTSTANDING BALANCEAT INTEREST ORIGINAL CUMULATIVE CONTRIBUTIONS OF LENDER (IF SELF - EMPLOYED, ENTER BEGINNING THIS RECEIVED THIS OR FORGIVEN CLOSE OF THIS PAID THIS PERIOD AMOUNT OF LOAN TO DATE (IF COMMITTEE, ALSO ENTER I.D.NUMBER) NAME OF BUSINESS) PERIOD PERIOD THIS PERIOD* PERIOD ❑ PAID CALENDAR YEAR Manny Cappello COAL Hospitality LLC $ $ 1000 1000 $ 1000 $ ❑ FORGIVEN PER ELECTION ** RATE 1000 $ $ 7/24/12 $ $ $ DATE DUE DATE INCURRED tZ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ PAID CALENDARYEAR ❑ FORGIVEN PER ELECTION ** RATE DATE DUE DATE INCURRED t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ PAID CALENDARYEAR ❑ FORGIVEN PER ELECTION ** RATE DATE DUE DATE INCURRED t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTALS $ $ $ 1000 $ (Enter (e) on Schedule B Summary Schedule E, Line 3) 1. Loans received this period ..................................................................................... ............................... $ (Total Column (b) plus unitemized loans of less than $100.) 2. Loans paid or forgiven this period .......................................................................... ............................... $ (Total Column (c) plus loans under $100 paid or forgiven.) (Include loans paid by a third party that are also itemized on Schedule A.) 1000 3. Net change this period. Subtract Line 2 from Line 1. NET $ 1000 g p (Subtract ................................ ............................... (May be a negative number) Enter the net here and on the Summary Page, Column A, Line 2. tContributor Codes IND— Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY —Political Party SCC — Small Contributor Committee *Amounts forgiven or paid by another party also must be reported on Schedule A. ** If required. J FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) Schedule E Payments Made SFF INSTRUCTIONS ON REVERSE NAME OF FILER Manny Cappello Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from July 1, 2012 through Sept 30, 2012 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment SCHEDULE Page 5 of N0 I.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 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 (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Big Daddy's Signs, 1319 Green Forest Ct, Ste 409, Winter Garden FL Campaign Signs and Wire Stands 34787 CMP 313.14 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 313.14 Schedule E Summary 1. Itemized payments made this period. Include all Schedule E subtotals. $ 313.14 P Y P ( ) ............................................................................... ............................... 40.93 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 Summary Page, Column A, Line 6. TOTAL $ 354.07 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) Campaign Disclosure Statement Type or print in ink. Amounts may be rounded Summary Page to whole dollars. Statement covers period from July 1, 2012 SUMMARY PAGE Expenditures Made Sept 30, 2012 Page b of $ 354.07 $ 7. Loans Made .............................. ............................... through g 0 SEE INSTRUCTIONS ON REVERSE 354.07 $ 8. SUBTOTALCASH PAYMENTS ..... ............................... NAME OF FILER $ 9. Accrued Expenses (Unpaid Bills I.D. NUMBER Manny Cappello 0 10. Nonmonetary Adjustment ........... ............................... Schedule C, Line 1348661 0 Column A Column B Calendar Year Summary for Candidates Contributions Received $ C) TOTALTHISPERIOD CALENDAR YEAR Runnin g ma in Both the State Primary and rY (FROMATTACHED SCHEDULES) TOTALTODATE General Elections 0 A, Line 3 $ 5085 $ SosS 1. Monetary Contributions ............ ............................... Schedule 1/1 through 6130 7/1 to Date 0 corresponding amounts 1000 1010 10 2. Loans Received ....................... ............................... Schedule a, Line 3 354.07 report. Some amounts in 6085 6C)SS 20. Contributions 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 +2 $ $ Lines 12 + 13 + 14, then subtract Line 15 Received $ $ 5730.93 figures that should be 0 4. Nonmonetary Contributions ..... ............................... Schedule C, Line 3 If this is a termination statement, Line 16 must be zero. 21. Expenditures period amounts. If this is 6085 $ (p0 8S Made $ $ 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 +4 $ 17. LOAN GUARANTEES RECEIVED ........................... Schedule e, Part 2 Expenditures Made 6. Payments Made ........................ ............................... Schedule E, Line 4 $ 354.07 $ 7. Loans Made .............................. ............................... Schedule H, Line 3 0 354.07 $ 8. SUBTOTALCASH PAYMENTS ..... ............................... Add Lines 6 + 7 $ 9. Accrued Expenses (Unpaid Bills Schedule F, Line 0 10. Nonmonetary Adjustment ........... ............................... Schedule C, Line 0 11. TOTAL EXPENDITURES MADE .... ............................Add Lines s +s + 10 $ 354.07 $ C) Current Cash Statement 12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ 0 To calculate Column B, add 13. Cash Receipts .................... ............................... Column A, Line 3 above 6085 amounts in Column A to the 0 corresponding amounts 14. Miscellaneous Increases to Cash ........................... Schedule I, Line 4 from Column B of your last 354.07 report. Some amounts in 15. Cash Payments .................. ............................... Column A, Line s above Column A may be negative 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ 5730.93 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 for this calendar year, only 0 17. LOAN GUARANTEES RECEIVED ........................... Schedule e, Part 2 $ carry over the amounts from Lines 2, 7, and 9 (if any). Cash Equivalents and Outstanding Debts 18. Cash Equivalents ......... ............................... See instructions on reverse $ 0 o00 19. Outstanding Debts ......................... Add Line 2 +Lme 9 in Column B above $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (If Subject to Voluntary Expenditure Limit) Date of Election Total to Date (mm /dd /yy) —�— J $ 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)