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Terri Aulman - Form 460 - 2012/01/01 - 2012/09/30 - Amendment (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 Date of election if applicable: from January 1, 2012 (Month, Day, Year) through September 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) Q Sponsored (Also Complete Part 6) ❑ General Purpose Committee O Sponsored O Small Contributor Committee Q Political Party /Central Committee ❑ Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) 3. Committee Information I.D. NUMBER 1348250 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) 4. TERRI AULMAN FOR GILROY CITY COUNCIL 2012 STREET ADDRESS (NO P.O. BOX) CA 95020 408 - 391 -6268 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX 777 FIRST STREET PMB #200 CITY STATE ZIP CODE AREA CODE /PHONE GILROY CA 95020 SAME OPTIONAL: FAX / E -MAIL ADDRESS November 6, 2012 2. Type of Statement: Date Stamp ��yOV�2012 .. COVER PAGE of 4 For Official Use Only F ❑ Preelection Statement ❑ Quarterly Statement ❑ Semi - annual Statement ❑ Special Odd -Year Report ❑ Termination Statement ❑ Supplemental Preelection (Also file a Form 410 Termination) Statement - Attach Form 495 Amendment (Explain below) Amend the Summary Page to reflect the correct calendar year total to date of loans received for the period. Treasurer(s) NAME OF TREASURER DENISE BROLIN MAILING ADDRESS NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODE /PHONE OPTIONAL: FAX / E -MAIL ADDRESS 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 or Responsible Officer of Sponsor Executed on Date 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 Campaign Disclosure Statement Type or print in ink. SUMMARYPAGE Summary Page Amounts may be rounded to Whole dollars. Statement covers period - I , January 1, 2012 - from through September 30, 2012 Page 2 of 4 SEE INSTRUCTIONS ON REVERSE I NAME OF FILER I.D. NUMBER TERRI AULMAN FOR GILROY CITY COUNCIL 2012 1348250 Contributions Received Column A Column B Calendar Year Summary for Candidates TOTALTHISPERIOD (FROMATTACHED SCHEDULES) CALENDAR YEAR TOTALTO DATE g mar r Running In Both the State Primary and General Elections 1. Monetary Contributions ............ ............................... Schedule A, Line 3 $ 3558.00 $ 3558.00 2. Loans Received ....................... ............................... Schedule B, Line 3 612.00 3112.00 1/1 through 6/30 7/1 to Date 3. SUBTOTALCASH CONTRIBUTIONS ......................... Add Lines 1 +2 $ 4170.00 $ 6670.00 20. Contributions Received $ $ 4. Nonmonetary Contributions ..... ............................... Schedule C, Line 3 0.00 0.00 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 +4 $ 4170.00 $ 6670.00 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made ........................ ............................... Schedule E, Line 4 $ 3427.00 $ 5927.00 Candidates 7. Loans Made .............................. ............................... Schedule H, Line 3 0.00 0.00 8. SUBTOTALCASH PAYMENTS ..... ............................... Add Lines 6 +7 $ 3427.00 $ 5927.00 22• Cumulative Expenditures Made* ) IfSubjectto Voluntary Expenditure Limit) 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F, Line 3 0.00 0.00 Date of Election Total to Date 10. Nonmonetary Adjustment ........... ............................... Schedule C, Line 3 0.00 0.00 (mm /dd /yy) 11. TOTAL EXPENDITURES MADE .... ............................Add Lines 6 + 9 + 10 $ 3427.00 $ 5927.00 J $ $ Current Cash Statement 12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ 0.00 To calculate Column B, add 13. Cash Receipts .................... ............................... Column A, Line 3 above 4170.00 amounts in Column A to the 14. Miscellaneous Increases to Cash ........................... Schedule 1, Line 4 0.00 corresponding amounts from Column B of your last *Amounts in this section may be different from amounts reported in Column B. 15. Cash Payments ................... ............................... Column A, Line 8 above 3427.00 report. Some amounts in Column A may be negative 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ 743.00 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 17. LOAN GUARANTEES RECEIVED ........................... Schedule B, Part 2 $ 0.00 for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if Cash Equivalents and Outstanding Debts any). 18. Cash Equivalents ......... ............................... See instructions on reverse $ 0.00 19. Outstanding Debts ......................... Add Line 2 +Line 9 in Column B above $ 612.00 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) Schedule E Payments Made Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from January 1, 2012 201 SEE INSTRUCTIONS ON REVERSE through September 30, Page 3 of 4 NAME OF FILER I.D. NUMBER TERRI AULMAN FOR GILROY CITY COUNCIL 2012 1348250 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment CNP 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 AMOUNTPAID CITY OF GILROY 7351 ROSANNA STREET FIL 950.00 GILROY, CA 95020 ABD PROMOTIONS / GILROY PROMO PRODUCTS P.O. BOX 2688 CMP 1853.00 GILROY, CA 95021 PRINTPAPA 1920 LAFAYETTE STREET CMP 172.00 SANTA CLARA, CA 95050 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 2975.00 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) ............................................................................... ............................... $ 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 $ 5624.00 303.00 0.00 5927.00 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 1ASK -FPPC (866/275 -3772) Schedule E SCHEDULE E (CONT.) Type or print in ink. (Continuation Sheet) Amounts may be rounded Statement covers period CALIFORNIA • ' Payments Made to whole dollars. from January 1, 2012 FORM SEE INSTRUCTIONS ON REVERSE through September 30, 201 Page 4 of 4 NAME OF FILER I.D. NUMBER TERRI AULMAN FOR GILROY CITY COUNCIL 2012 1348250 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 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 PIRT 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 DALEY PROFESSIONAL WEB SOLUTIONS P.O. BOX 402 MONTGOMERY, NY 12549 WEB 149.00 TERRI AULMAN 1512 BIANCA WAY GILROY, CA 95020 REPAYMENT OF LOAN 2500.00 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 2649.00 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772)