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RAY RUSSOM, CAREN - FORM 460 - SEMI-ANNUAL 2020-01-01 to 2020-06-30Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement covers period from 0 1/01/2020 through 06/30/2020 1. Type of Recipient Committee: All Committees-Complete Parts 1, 2,-3, and 4. IZ] Officeholder, Candidate Controlled Committee 0 State Candidate Election Committee D Primarily Formed Ballot Measure Committee 0 Controlled 0 Recall (Also Complete P81t 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 (Also Complete Part 7) 3. Committee Information I.D, NUMBER 1406391 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Caren Ray for Mayor 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 OPTIONAL: FAX / E-MAIL ADDRESS caren.russom@gmail.com 4. Verification STATE ZIP CODE AREA CODE/PHONE AREA CODE/PHONE Date of election if applicable: (Month, Day, Year) Date Stamp RECEIVED JUL 3 0 2020 11/03/2020 CITY CLERK'S OFFICE C TY OF ARROYO GRAND 2. Type of Statement: COVER PAGE CALIFORNIA 460 FORM Page_._l _ of G"" For Official Use Only D Preelection Statement IZl Semi-annual Statement D Termination Statement D Quarterly Statement D Special Odd-Year Report (Also file a Form 410 Termination) D Amendment (Explain below) Treasurer(s) NAME OF TREASURER Caren Ray Russom MAILING ADDRESS CITY Arroyo Grande NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY OPTIONAL: FAX/ E-MAIL ADDRESS caren.russom@gmail.com STATE ZIP CODE Ca 93420 STATE ZIP CODE AREA CODE/PHONE AREA CODE/PHONE I have used all reasonable diligence in preparing and reviewing this statement and to the best of my kn wledge the information contained herein and in the attached schedules is true and complete. certify under penalty of perjury undlr the laws of the State of California that the foregoing is ==~======::::--------- Executed on ___ 1~/.;..:l..:__,{H7:,-. 1 c}O~----- ' Dl!te Executed on ------. 0 ,- 8 .,.. 1 e _____ _ Executed on------. 0 ,- 8 .,,_ 18 _____ _ 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) www.fppc.ca.gov Recipient Committee Campaign Statement Cover Page -Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Caren Rav Russom OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Arroyo Grande Mavor RESIDENTIAUBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP Arrovo Grari6e-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 I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? 0 YES 0 NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? 0 YES 0 NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COVER PAGE -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 candldate(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 Caren Ray Russom for Mayor 2020 Contributions Received 1. Monetary Contributions .... ... .......... ........ .... .......... ........ .... Schedule A, Line 3 2. Loans Received ................................................................ Schedule B, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS.............................. Add Lines 1 + 2 4. Nonmonetary Contributions............................................ Schedule c, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED ............................... Addlines3+4 Expenditures Made 6. Payments Made .............. :................................................. Schedule E, Line 4 7. Loans Made....................................................................... Schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS ....................................... Addlines6+7 9. Accrued Expenses (Unpaid Bills) .......................................... Schedule F. Line 3 10. Non monetary Adjustment... ...................................................... Schedule c, Line 3 11. TOTAL EXPENDITURES MADE .................................... Add Lines a+ 9 + 10 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 1, Line 4 15. Cash Payments ......................................................... Column A, Line B 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. $ $ $ Amounts may be rounded to whole dollars. Column A TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) 3450 0 3450 0 3450 $ 324 0 $ 324 0 0 $ 324 $ 3505 3450 0 324 $ 6631 SUMMARY PAGE Statement covers period from 01/01/2020 CALIFORNIA 460 FORM through 06/30/2020 Page _3 __ of 6 Column B CALENDAR YEAR TOTAL TO DATE $ 3450 0 $ 3450 0 $ 3450 $ 324 0 $ 324 0 0 $ 324 To calculate Column 8, add amounts in Column A to the corresponding amounts from Column 8 of your last report. Some amounts in Column A may be negative figures that should be subtracted from previous period amounts. If I.D. NUMBER 1406391 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 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 8. -------------------------------------1 this is the first report being 17. LOAN GUARANTEES RECEIVED ................................ ScheduleB,Part2 $ _o _____ _ Cash Equivalents and Outstanding Debts 18. Cash Equivalents................................................ See instructions on reverse $ _o _____ _ 19. Outstanding Debts.............................. Add Line 2 + Line 9 in Column B above $ _O ______ _ filed for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if any). FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A Amounts may be rounded to whole dollars. SCHEDULE A '..Mo'r1etary Contributions Received Statement covers period from 01/01/2020 CALIFORNIA 460 FORM SEE INSTRUCTIONS ON REVERSE through 06/30/2020 Page _4 __ of 5" NAME OF FILER Caren Ray Russom for Mayor 2020 DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE,ALSO ENTER I.D. NUMBER) 04/19/2020 IBEW Local Union 639, PAC Ed Fund 52-2257109 900 Seventh Street NW Washington DC, 20001 04/10/2020 Laborers Local 220 PAC, #1237406 555 Capitol Mall, Suite 400 Sacramento, CA 95814 Schedule A Summary CONTRIBUTOR CODE* □IND □COM Ill 0TH □PTY □sec. □IND □COM Ill 0TH □PTY □sec □IND □coM DOTH □PTY □sec □IND □COM DOTH □PTY □sec □IND □COM 00TH □PTY □sec IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF•EMPLOYED, ENTER NAME SUBTOTAL$ AMOUNT RECEIVED THIS PERIOD 950 2500 1. Amount received this period -itemized monetary contributions. 3450 (Include all Schedule A subtotals.) ......................................................................................................... $ _____ _ 2. Amount received this period-unitemized monetary contributions of less than $100 ........................... $ ______ _ I.D. NUMBER 1406391 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 950 2500 *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 monetary contributions received this period. 3450 (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ...................... TOTAL $ ______ FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov I SCHEDULE E Schedule E Payments Made Amounts may be rounded to whole dollars. Statement covers period from 01/01/2020 CALIFORNIA 460 FORM SEE INSTRUCTIONS ON REVERSE through 06/30/2020 NAME OF FILER Caren Ray Russom for Mayor 2020 s s Page ___ of __ _ I.D.NUMBER 1406391 CODES: If on~ 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 CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) South County Chambers of Commerce annual membership 150 800A West Branch Street Arrovo Grande, CA 93420 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ Schedule E Summary 150 1. Itemized payments made this period. (Include all Schedule E subtotals.) ........................................................................................................... ,.$ _____ _ 174 2. Unitemized payments made this period of under $100 .......................................................................................................................................... $ _____ _ 3. Total interest paid this period on loans. (Enter amount frorrt 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 $ _3_2_4 ____ _ FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov