RAY RUSSOM, CAREN - FORM 460 - SEMI-ANNUAL 2019-01-01 to 2019-06-30 COVER PAGE
Recipient Committee Date Stamp
CALIFORNIA460
Campaign Statement
RECEIVED
Cover Page
RECEIVED FORM
Statement covers period Date of election if applicable: JUL U 2 2019 Page__I___ of 5
from
01/01/2019 (Month,Day,Year) For Official Use Only
CITY CLERK'S OFFICE
SEE INSTRUCTIONS ON REVERSE through 06/30/2019 11/06/2019 C111/OF ARROYO GRANDE
1. Type of Recipient Committee: All Committees-Complete Parts 1,2,3,and 4. 2. Type of Statement:
O Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑ Preelection Statement ❑ Quarterly Statement
0 State Candidate Election Committee Committee ® Semi-annual Statement 0 Special Odd-Year Report
0 Recall 0 Controlled
0 Termination Statement
(Also Complete Part 5)
0 Sponsored (Also file a Form 410 Termination)
(Also Complete Part 6)
O General Purpose Committee ❑ Amendment(Explain below)
O Sponsored 0 Primarily Formed Candidate/
O Small Contributor Committee Officeholder Committee
0 Political Party/Central Committee (Also Complete Part 7)
3. Committee Information I.D.NUMBER Treasurer(s)
1406391
COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER
Caren Ray for Mayor 2018 Caren Ray
MAILING ADDRESS
STREET ADDRESS(NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE
Arroyo Grande CA 93420
CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER,IF ANY
Arroyo Grande CA 93420
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 California that the foregoing is true
Treasurer
`III 1_rI • •
Executed on By
Date Signature of Controlling• ,4 Icier,Candidate,State Measure Proponent or Responsible Officer of Sponsor
Executed on By
Date Signature of Controlling Officeholder,Candidate,State Measure Proponent
Executed on By
Date Signature of Controlling Officeholder,Candidate,State Measure Proponent
FPPC Form 460(Jan/2016)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov
COVER PAGE-PART 2
Recipient Committee CALIFORNIA
Campaign Statement FORM 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
Caren Ray
OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO.OR LETTER JURISDICTION
0 SUPPORT
Arroyo Grande Mayor 0 OPPOSE
RESIDENTIAUBUSINESS ADDRESS (NO.AND STREET) CITY STATE ZIP
Identify the controlling officeholder,candidate,or state measure proponent,if any.
Arroyo Grande, CA 93420
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
CA
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 0 NO
COMMITTEE ADDRESS STREET ADDRESS (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
El 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
0 YES 0 NO ID SUPPORT
COMMITTEE ADDRESS STREET ADDRESS (NO P.O.BOX) ❑ OPPOSE
CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary
FPPC Form 460(Jan/2016)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov
Campaign Disclosure Statement Amounts may be rounded SUMMARY PAGE
Summary Page to whole dollars. Statement covers period CALIFORNIA
from 01/01/2019 FORM 460
SEE INSTRUCTIONS ON REVERSE through 06/30/2019 Page 3 of �'
NAME OF FILER I.D.NUMBER
Caren Ray for Mayor 2018 1406391
Column A Column B Calendar Year Summary for Candidates
Contributions Received TOTAL THIS PERIOD CALENDAR YEAR
(FROM ATTACHED SCHEDULES) TOTAL TO DATE Running in Both the State Primary and
General Elections
1. Monetary Contributions Schedule A,Line 3 $ 40 $ 40 1/1 through 6/30 7/1 to Date
2. Loans Received Schedule B,Line 3 0 0
20. Contributions
3. SUBTOTAL CASH CONTRIBUTIONS Add lines 1+2 $ 40 $ 40 Received $ $
4. Nonmonetary Contributions Schedule C,Line 3 0 0 21. Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED Add Lines 3+4 $ 40 $ 40 Made $ $
Expenditures Made Expenditure Limit Summary for State
6. Payments Made Schedule E,Line 4 $ 100 $ 100 Candidates
7. Loans Made Schedule H,Line 3 0 0
8. SUBTOTAL CASH PAYMENTS Add Lines 6+7 $ 100 $ 100 22. Cumulative
s b� tExpenditures Made'
Voluntary
Expenditure Limit)
9. Accrued Expenses(Unpaid Bills) Schedule F Line 3 0 0 Date of Election Total to Date
10. Nonmonetary Adjustment Schedule C,Line 3 0 0 (mm/dd/yy)
11. TOTAL EXPENDITURES MADE Add Lines 8+9+10 $ 100 $ 100
______/____/ $
Current Cash Statement __/___/ $
12. Beginning Cash Balance Previous Summary Page,Line 16 $ 3872
To calculate Column B,
13. Cash Receipts Column A,Line 3 above 40 add amounts in Column
0 A to the corresponding *Amounts in this section may be different from amounts
14. Miscellaneous Increases to Cash Schedule I,Line 4 amounts from Column B reported in Column B.
15.Cash Payments Column A,Line 8 above 100 of your last report. Some
3812 amounts in Column A may
16.ENDING CASH BALANCE Add Lines 12+13+14,then subtract Line 15 $ be negative figures that
should be subtracted from
If this is a termination statement,Line 16 must be zero. previous period amounts. If
this is the first report being
17.LOAN GUARANTEES RECEIVED Schedule B,Part 2 $ 0 filed for this calendar year,
only carry over the amounts
Cash Equivalents and Outstanding Debts from Lines 2,7,and 9(if
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(Jan/2016)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov
' Schedule A Amounts may be rounded SCHEDULE A
to whole dollars. Statement covers period 460 6 0
Monetary Contributions Received CALIFORNIA
from 01/01/2019 FORM
through 06/30/2019 Page A- of S
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER I.D.NUMBER
Caren Ray for Mayor 2018 1406391
DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL,ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION
(IF COMMITTEE,ALSO ENTER I.D.NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE
RECEIVED CODE * (IF SELF-EMPLOYED,ENTER NAME PERIOD (JAN.1-DEC.31) (IF REQUIRED)
OF BUSINESS)
❑IND
❑COM
❑OTH
❑PTY
❑SCC
❑IND
❑COM
❑OTH
❑PTY
❑SCC
Cl IND
❑COM
❑OTH
❑PTY
❑SCC
❑IND
❑COM
❑OTH
❑PTY
❑SCC
❑IND
❑COM
❑OTH
❑PTY
❑SCC
SUBTOTAL$
Schedule A Summary *Contributor Codes
1. Amount received this period—itemized monetary contributions. IND-Individual
(Include all Schedule A subtotals.) $ 0 COM-Recipient Committee
(other than PTY or SCC)
2. Amount received this period—unitemized monetary contributions of less than $100 $ 40 OTH-Other(e.g.,business entity)
PTY-Political Party
3. Total monetary contributions received this period. SCC-Small Contributor Committee
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) TOTAL $ 40
FPPC Form 460(Jan/2016)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov
Schedule E Amounts may be rounded SCHEDULE E
to whole dollars. Statement covers period CALIFORNIA /�6O
Payments Made 01/01/2019 FORM 'T
from
throu h 06/30/2019 Pae S of 5
SEE INSTRUCTIONS ON REVERSE _ 9 9
NAME OF FILER I.D.NUMBER
Caren Ray for Mayor 2018 1406391
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 RAD 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
*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 $ 100
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 $ 100
FPPC Form 460(Jan/2016)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov