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BARNEICH, KRISTEN - FORM 460 - SEMI-ANNUAL 2020-01-01 to 2020-06-30Recipient Committee Campaign Statement Cover Page Statement covers period from 1/1/2020 SEE INSTRUCTIONS ON REVERSE through 6/30/2020 1. Type of Recipient Committee: All Committees -Complete Parts 1, 2, 3, and 4. Ill Officeholder, Candidate Controlled Committee D Primarily Formed Ballot Measure 0 State Candidate Election Committee Committee 0 Recall O Controlled (Also Complete Part 5) 0 Sponsored (Also Complete Part 6) D General Purpose Committee 0 Sponsored 0 Small Contributor Committee D Primarily Formed Candidate/ Officeholder Committee 0 Political Party/Central Committee 3. Committee Information (Also Complete Part 7) I.D. NUMBER 1426688 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Committee to reelect Kristen Bameich Arroyo Grande City Council 2020 STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE Arroyo Grande CA 93420 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY Arroyo Grande OPTIONAL: FAX/ E-MAIL ADDRESS 4. Verification STATE ZIP CODE CA 93420 AREA CODE/PHONE AREA CODE/PHONE COVER Pf-l.GE . Date of election if applicable: (Month, Day, Year) JUL 2 9 2020 Page _l_._· __ of_8 __ _ 11/3/2020 CITY CLERK'S OFFICE ITY OF 'ARROYO GRAN E For Official Use Only 2. Type of Statement: D Preelection Statement Ill Semi-annual Statement D Termination Statement (Also file a Form 410 Termination) D Amendment (Explain below) Treasurer(s) NAME OF TREASURER Brittany Coates Bersbach MAILING ADDRESS CITY Arroyo Grande NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY OPTIONAL: FAX/ E-MAIL ADDRESS D Quarterly Statement D Special Odd-Year Report STATE ZIP CODE AREA CODE/PHONE CA 93420 STATE ZIP CODE AREA CODE/PHONE 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. Executed on -----..,, 0 ,-at,-e _____ _ Executed on ----"---=o,-at,-e _____ _ BY--------,,,--.,..---.,,,-.,,..,,,-,=--.--.~-=--=-.:-.,.,.-,,-,-,,-----,.,..,==-,,.------Signature of Controlling Officeholder, Candidate, State Measure Proponent BY-----....,,.=,---,-,....,,,.,.,,,.--,,,,,,,.,,=,,--===-=-.:-:-=.,,,,,-:===:-----..---Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) Recipient Committee Campaign Statement Cover Page -Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Kristen Bameich OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Arroyo Grande City Council RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP Arroyo Gran CA 93420 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 NAME OF TREASURER COMMITTEE ADDRESS CITY COMMITTEE NAME NAME OF TREASURER COMMITTEE ADDRESS CITY 1.D. NUMBER CONTROLLED COMMITTEE? 0 YES 0 NO STREET ADDRESS (NO P.O. BOX) STATE ZIP CODE AREA CODE/PHONE I.D. NUMBER CONTROLLED COMMITTEE? 0 YES STREET ADDRESS (NO P.O. BOX) STATE ZIP CODE AREA CODE/PHONE COVl;:RPAGE-. PART 2 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION 0 SUPPORT 0 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 7. Primarily Formed Candidate/Officeholder Committee List names of offlceholder(s) or candidate(s) for which this committee is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 0 SUPPORT 0 OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 0 SUPPORT 0 OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 0 SUPPORT 0 OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 0 SUPPORT 0 OPPOSE 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 Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF FILER Committee to reelect Kristen Barneich Arroyo Grande City Council 2020 Contributions Received Amounts may be rounded to whole dollars. Column A TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) 1. Monetary Contributions................................................... Schedule A, Line 3 $ _3_3_4_7 _____ _ 2. Loans Received................................................................ Schedule B, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 1 + 2 $ 3347 4. Non monetary Contributions............................................ Schedule c, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED ................................ AddLines3+4 $ 3347 Expenditures Made 6. Payments Made................................................................ Schedule E, Line 4 $ _5_6_2 _____ _ 7. Loans Made....................................................................... Schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS ....................................... AddLines6+7 $ _5_6_2 ____ _ 9. Accrued Expenses (Unpaid Bills) .......................................... Schedule F, Line 3 10. Nonmonetary Adjustment... ...................................................... Schedule c, Line 3 11. TOTAL EXPENDITURES MADE .................................... AddLinesB+9+10 $ _5_6_2 _____ _ 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 I, Line 4 15. Cash Payments......................................................... Column A, Line a 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 8, Part2 · Cash Equivalents and Outstanding Debts $ _o _____ _ 3347 562 $ 2785 $ _--____ _ 18. Cash Equivalents................................................ See instructions on· reverse $ · 19. Outstanding Debts.............................. Add Line 2 + Line 9 in Column B above $ SUMMARY PAGE Statement covers period from 1/1/2020 through 6/30/2020 Page _3 ___ of 8 Column B CALENDAR YEAR TOTAL TO DATE $ 3347 $ 3347 $ 3347 $ 562 $ 562 $ 562 To calculate Column B, add amounts in Column A to the corresponding amounts from Column B of your last report. Some amounts in Column A may be negative figures that should be subtracted from previous period amounts. If this is the first report being filed for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if any). I.D. NUMBER 1426688 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 111 through. 6130 711 to Date 20. Contributions Received $ _____ _ $ ____ _ 21. Expenditures Made $ _____ _ $ ____ _ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (If Subject to Voluntary Expenditure Limit) Date of Election (mm/dd/yy) Total to Date *Amounts in this section may be different from amounts reported in Column B. . FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) · · www.fppc.ca.gov Schedule A SCHEDULE A Monetary Contributions Received Amctirrts-may be rounded to whole dollars. -Statement covers period from 1/1/2020 SEE INSTRUCTIONS ON REVERSE through 6/30/2020 Page _4 __ ot_8 __ NAME OF FILER Committee to reelect Kristen Barneich Arroyo Grande City Council 2020 DATE RECEIVED 5/15/2020 6/5/2020 6/11/2020 6/11/2020 6/11/2020 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Charles Fellows Arroyo Grande, CA 93420 Janis Scott Arroyo Grande, CA 93420 Eileen Costello Arroyo Grande, CA 93420 Paul Worsham Arroyo Grande, CA 93420 Thomas Goss Arroyo Grande, CA 93420 Schedule A Summary CONTRIBUTOR CODE* ill IND □COM DOTH □PTY □sec ill IND □COM 00TH □PTY □sec ill IND □COM DOTH □PTY □sec ilJ IND □COM 00TH □PTY □sec ill IND □COM DOTH □PTY □sec IF AN INDIVIDUAL, ENTER AMOUNT OCCUPATION AND EMPLOYER RECEIVED THIS (IF SELF-EMPLOYED, ENTER NAME PERIOD Self employed, Canyon Way $100 Cottage and Arroyo Grande Antiques Retired $100 Retired $100 Retired $100 Retired $100 SUBTOTAL$ 500 1. Amount received this period -itemized monetary contributions. 2500 _ {Include all Schedule A subtotals.) ......................................................................................................... $ _____ _ 2. Amount received this period-unitemized monetary contributions of less than $100 ........................... $ _84_7 _____ _ I.D. NUMBER 1426688 CUMULATIVE TO DATE PER ELECTION CALENDAR YEAR TO DATE (JAN. 1 -DEC. 31) (IF REQUIRED) $100 $100 $100 $100 $100 *Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee . 3. Total ~onetary contributions received this period. · . 3347 (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lme 1.) ...................... TOTAL $ ______ FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) ......... ~-------·· Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER Amounts may be rounded to whole dollars. Committee to reelect Kristen Barneich Arroyo Grande City Council 2020 DATE RECEIVED 6/11/2020 6/24/2020 6/24/2020 6/24/2020 6/24/2020 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Manetta Bennett Arroyo Grande, CA 93420 Scott Dowlan Arroyo Grande, CA 93420 Shirley Gibson Halcyon, CA 93421 James Guthrie Arroyo Grande, CA 93420 Sandy Lubin Arroyo Grande, CA 93420 CONTRIBUTOR IF AN INDIVIDUAL, ENTER * OCCUPATION AND EMPLOYER CODE (IF SELF-EMPLOYED, ENTER NAME) ill IND Retired □COM DOTH □PTY □sec ill IND CalTrans, Landscape □COM Architect DOTH □PTY □sec ill IND Board Member, Oceano □COM Community Services 00TH □PTY District □sec ill IND Retired □COM DOTH □PTY □sec ill IND Retired □COM DOTH □PTY sec SCHEDULE A (CONT.) Statement covers period from 1/1/2020 CALIFORNIFA ·45· 0 FORM through 6/30/2020 AMOUNT RECEIVED THIS PERIOD $100 $100 $100 $100 $100 Page _5 ___ of 8 I.D. NUMBER 1426688 CUMULATIVE TO DATE PER ELECTION CALENDAR YEAR TO DATE (JAN. 1 -DEC. 31) (IF REQUIRED) $100 $100 $100 $100 $100 SUBTOTAL $ 500 *Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party . sec -Small Contributor Committee . FPP~ Form 460 (Jan/2016)) FPPC Advice: advice@fppc;ca.gov (866/275-3772) www.fppc.ca.gov Schedu!e A (Continuation Sheet) Monetary Contributions Received NAME OF FILER Amounts may be rounded to whole dollars. Committee to reelect Kristen Barneich Arroyo Grande City Council 2020 DATE RECEIVED 6/24/2020 6/24/2020 6/30/2020 6/11/2020 6/24/2020 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Russell Haynes Arroyo Grande, CA 93420 Karin Groteluschen Arroyo Grande, CA 93420 Carrol Pruett Arroyo Grande, CA 93420 Shari McCarthy Arroyo Grande, CA 93420 Kenneth Levine Arroyo Grande, CA 93420 CONTRIBUTOR IF AN INDIVIDUAL, ENTER * OCCUPATION AND EMPLOYER CODE (IF SELF-EMPLOYED, ENTER NAME) ill IND □COM Retired DOTH OPTY □sec ill IND Retired □COM DOTH □PTY □sec ill IND Retired □COM 00TH OPTY □sec ill IND Retired □COM 00TH OPTY □sec ill IND Retired □COM 00TH OPTY sec SCHEDULE A (CONT.) Statement covers period from l/ l/2020 through 6/30/2020 AMOUNT RECEIVED THIS PERIOD $100 $100 $100 $100 $200 Page _6 ___ of 8 I.D. NUMBER 1426688 CUMULATIVE TO DATE PER ELECTION CALENDAR YEAR TO DATE (JAN. 1 -DEC. 31) (IF REQUIRED) $100 $100 $100 $100 $200 SUBTOTAL$ 600 *Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC). 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee FPPC Form 460 (Jan/2016)) · · FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER Amounts may be rounded to whole dollars. Committee to reelect Kristen Bameich Arroyo Grande City Council 2020 DATE RECEIVED 6/11/2020 6/30/2020 6/30/2020 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Steven Hollister Arroyo Grande, CA 93420 Noreen Martin Arroyo Grande, CA 93420 Thorv Hessellund Arroyo Grande, CA 93420 CONTRIBUTOR * CODE ill IND □COM DOTH OPTY · □sec ill IND □COM DOTH □PTY □sec Ill IND □COM 00TH OPTY □sec □IND □COM 00TH □PTY □sec □IND □COM 00TH □PTY sec IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME) Rocking Spade LLC, Farmer Martin Resorts, CEO/President SCORE, Mentor SCHEDULE A (CONT.) Statement covers period from 1/1/2020 through 6/30/2020 AMOUNT RECEIVED THIS PERIOD $250 $250 $400 Page _7 ___ of 8 I.D. NUMBER 1426688 CUMULATIVE TO DATE PER ELECTION CALENDAR YEAR TO DATE (JAN. 1 -DEC. 31) (IF REQUIRED) $250 $250 $400 SUBTOTAL$ 900 *Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -PoliticalParty SCC -Small Contributor Committee FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) · · www.fppc.ca.gov Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Amounts may be rounded_ · to whole dollars. Committee to reelect Kristen Barneich Arroyo Grande City Council 2020 Statement covers period f 1/1/2020 rom ________ _ through 6/30/2020 SCHEDULE E Page 8 of _8 __ I.D. NUMBER 1426688 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP CNS CTB eve FIL FND IND LEG LIT campaign paraphernalia/misc. campaign consultants contribution (explain nonmonetary)* civic donations ca·ndidate filing/ballot fees fundraising events independent expenditure supporting/opposing others (explain)* legal defense campaign literature and mailings NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) ASAP Reprographics San Luis Obispo, CA 93401 MBR MTG OFC PET PHO POL POS PRO PRT member communications meetings and appearances office expenses petition circulating phone banks polling and survey research postage, delivery and messenger services professional services (legal, accounting) print ads CODE OR RAD radio airtime and production costs RFD returned contributions SAL campaign workers' salaries TEL t.v. or cable airtime and production costs TRC candidate travel, lodging, and meals TRS staff/spouse travel, lodging, and meals TSF transfer between committees of the same candidate/sponsor VOT voter registration WEB information technology costs (internet, e-mail) DESCRIPTION OF PAYMENT AMOUNT PAID Print campaign stickers $439 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 439 Schedule E Summary 439 1. Itemized payments made this period. (Include all Schedule E subtotals.) ............................................................................................................. $ _____ _ 123 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 $ _5_62--=----- . FPPC Form 46~ (Jan/2016)) FPPC Advice:_ advice@fppc.ca.gov (866/275~3772) www.fppc.ca.gov