HomeMy WebLinkAbout2009 Recipient Committee COVER PAGE
Campaign Statement Type or print in ink. Date Stamp CALIFORNIA 46 ` 0
Cover Page RE `o FORM VV
(Government Code Sections 84200 - 84216.5) _ 1 LA 1 5
Statement covers period Date of election If applicable: JAN 1 2 ? .o Page of
07 -01 -2009 (Month, Day, Year) For Official Use Only
from :11? CLERKS t%S ®EPT•
SEE INSTRUCTIONS ON REVERSE through 12-31 -2009 11 -07 -2006
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 ® Semi - annual Statement
Termination Statement ❑ Special Odd-Year Report
Q Recall 0 Controlled
❑ ❑ Supplemental -A Attach (Also cComplete Part s) 0 Sponsored (Also file a Form 410 Termination) ) Statement ment -Attach ack Form 495
(Also Complete Part 6)
❑ General Purpose Committee ❑ Amendment (Explain below)
Q Sponsored ❑ Primarily Formed Candidate/
Q Small Contributor Committee Officeholder Committee
O Political Party /Central Committee Also complete Part 7)
3. Committee Information .D NUMBER Treasurer(s)
1229403
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER
Committee To Re -elect Ron Roberts Jeanne Roberts
MAILING ADDRESS
41140 Avenida Verde
STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE /PHONE
41140 Avenida Verde - Temecula - Ca 92591 (951) 676 -2004
CITY STATE ZIP CODE AREA CODE /PHONE NAME OF ASSISTANT TREASURER, IF ANY
Temecula Ca 92591 (951) 676-2004
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE /PHONE CITY STATE ZIP CODE AREA CODE /PHONE
OPTIONAL: FAX / E -MAIL ADDRESS 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 Califomia that the foregoing is true and correct. `` /? /
Executed on ./—/ J' / d B y �,,.t., • ) ti t ei ( `.fvl"
/) / V Date gna eof Treasurer or Assistant Treasurer
Executed on V �O y`
By \
Dale Signature of Controlling Officeholder, Candidate, State Measure Proponent or Responsible Officer of Sponsor
Executed on .
Del° 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 Helpllne: 6661ASKFPPC (66612753772)
State of California J
Type or print in ink. COVER PAGE -PART2
Recipient Committee
Campaign Statement CALIFORNIA 460
Cover Page Part 2
Page 2 of 5
5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee
NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE
Ron Roberts
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO. OR LETTER JURISDICTION SUPPORT
City Council Temecula OPPOSE
RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP
41140 Avenida Verde Temecula Ca. 92591 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
r
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
officeholders) or candidate(s) for which this committee is primarily formed.
YES NO
COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD SUPPORT
OPPOSE
CITY STATE ZIP CODE AREA CODE/PHONE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
SUPPORT
OPPOSE
COMMITTEE NAME I.D. NUMBER
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD SUPPORT
OPPOSE
NAME OF TREASURER CONTROLLED COMMITTEE? NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
YES DI NO
SUPPORT
OPPOSE
COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/2754772)
State of California
Campaign Disclosure Statement Type or print in ink. SUMMARY PAGE
Amounts may be rounded Statement covers period CALIFORNIA A 60
Summary Page to whole dollars. �F\J
from 07 -01 -2009 FORM
throw h 12 -31 -2009 Page 3 of 5
SEE INSTRUCTIONS ON REVERSE 9
NAME OF FILER I.D. NUMBER
Committee To Re -elect Ron Roberts 1229403
ColumnA ColumnB Calendar Year Summary for Candidates
Contributions Received TOTALTHISPERIOD CALENDAR YEAR Running in Both the State Primary and
(FROM ATTACHED SCHEDULES) TOTALTO DATE 9 rY
General Elections
1. Monetary Contributions Schedule A, Line 3 0 0
0 0 1/1 through 6/30 7/1 to Date
2. Loans Received schedule 8, Line 3
3. SUBTOTAL CASH CONTRIBUTIONS Add Lines f +z 0 0 20 Contributions Received
4. Nonmonetary Contributions schedule c. Line 3 0 0
21. Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED AddLines3 +4 0 0 Made
Expenditures Made Expenditure Limit Summary for State
6. Payments Made Schedule E, Line 4 $350.00 $9713.00 Candidates
7. Loans Made schedule H, Line 3 0 0
8. SUBTOTALCASH PAYMENTS Add Lines 6 +7 $350.00 $9713.00 22 Cumulative Expenditures Made
(e Subjxtto Voluntary Expenditure Omit)
9. Accrued Expenses (Unpaid Bills) Schedule F Line 3 0 0 Date of Election Total to Date
10. Nonmonetary Adjustment Schedule C, Line3 0 0 (mm/dd/yy)
11. TOTAL EXPENDITURES MADE Add Lines 8 9 10 $350.00 $9713.00
Current Cash Statement _1 J
12. Beginning Cash Balance Previous Summary Page, Line 16 $2134
To calculate Column B, add
13. Cash Receipts Column A, Line 3 above 0 amounts in Column A to the
0 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.
15. Cash Payments Column A, Line 8 above $350.00 report. Some amounts in
Column A may be negative
16. ENDING CASH BALANCE Add Lines 12 13 14, then subtract Line 15 $1784.71 figures that should be
subtracted from previous
If this is a termination statement, Line 16 must be zero. period amounts. Itthis is
the first report being filed
17. LOAN GUARANTEES RECEIVED Schedule B, Part 2 0 for this calendar year, only
carry over the amounts
from Lines 2, 7, and 9 Of
Cash Equivalents and Outstanding Debts any).
18. Cash Equivalents See instructions on reverse 0
19. Outstanding Debts Add Line 2 Line 9 in Column B above 0 FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772)
Schedule D
SCHEDULED
T ype or print in ink.
Summary of Expenditures Statement covers period
Su ortin /O osin Other Amounts may be rounded CALIFORNIA 460
pp g pp g to whole dollars. 07 -01 -2009 FORM
Candidates, Measures and Committees from
12 -31 -2009 4 5
SEE INSTRUCTIONS ON REVERSE through Page of
NAME OF FILER I.D. NUMBER
Committee To Re -elect Ron Roberts 1229403
NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR DESCRIPTION CUMULATIVE TO DATE PER ELECTION
DATE MEASURE NUMBER OR LETTER AND JURISDICTION, TYPE OF PAYMENT (IF REQUIRED) AMOUNT THIS CALENDAR YEAR TO DATE
PERIOD (JAN.1 DEC. 31) (IF REQUIRED)
OR COMMITTEE
Rod Pacheco for District Attorney Monetary
10 -02 -2009 I.D. #1267041 Contribution $100.00 $100.00
Nonmonetary
Contribution
Independent
Support Oppose Expenditure
Bob Buster for Supervisor Monetary
p
10 -02 -2009 Contribution
I.D. #1308117 Nonmonetary $150.00 $150.00
Contribution
Independent
Support Oppose Expenditure
Monetary
Contribution
Nonmonetary
Contribution
Independent
Support Oppose Expenditure
SUBTOTAL $250.00
Schedule D Summary
1. Itemized contributions and independent expenditures made this period. (Include all Schedule D subtotals.) $250.00
2. Unitemized contributions and independent expenditures made this period of under $100
3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.) TOTAL $250.00
FPPC Form 460 (January /05)
FPPC Toll -Free Helpline: 866/ASK -FPPC (866/275 -3772)
SCHEDULE
Schedule E Type or print in Ink. Statement covers period CALIFORNIA 460
O
Amounts may be rounded
Payments Made to whole dollars. from 07 -01 -2009 FORM
12-31 -2009 5 5
SEE INSTRUCTIONS ON REVERSE
through Page of
NAME OF FILER I.D. NUMBER
Committee To Re -elect Ron Roberts 1229403
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CA/1 campaign paraphernalia /misc. rvBR member communications RAD radio airtime and production costs
CMS campaign consultants MiG meetings and appearances RFD returned contributions
CTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries
CVC civic donations FET petition circulating TEL t.v. or cable airtime and production costs
FIL candidate filing/ballot fees PHD phone banks TRC candidate travel, lodging, and meals
RC 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 WZr print ads WEB information technology costs (Internet, e-mail)
NAME AND ADDRESS OF PAYEE
OF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
Habitat for Humanity
42579 Winchester Rd CVC $100.00
Temecula. Ca. 92590
Rod Pacheco for District Attorney
I.D. #1267041 CTB $100.00
Bob Buster for Supervisor
I.D. #1308117 CTB $150.00
Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL$ $350.00
Schedule E Summary
1. Itemized payments made this period. (Include all Schedule E subtotals.) $350.00
2. Unitemized payments made this period of under $100 0
3. Total interest paid this period on loans. (Enter amount from Schedule 8, 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 $350.00
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275.3772)
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