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HomeMy WebLinkAboutdocument (29)FPPC Form 460 (January/05)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)State of California4. VerificationI 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 certifyunder penalty of perjury under the laws of the State of California that the foregoing is true and correct.BySignature of Treasurer or Assistant TreasurerBySignature of Controlling Officeholder, Candidate, State Measure Proponent or Responsible Officer of SponsorBySignature of Controlling Officeholder, Candidate, State Measure ProponentBySignature of Controlling Officeholder, Candidate, State Measure ProponentExecuted on DateExecuted on DateExecuted on DateExecuted on DateType or print in ink.SEE INSTRUCTIONS ON REVERSEDate of election if applicable:(Month, Day, Year)Recipient CommitteeCampaign StatementCover PageFor Official Use OnlyPage of COVER PAGECALIFORNIA FORMDate Stamp3. Committee InformationCOMMITTEE NAME (OR CANDIDATE’S NAME IF NO COMMITTEE)MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOXStatement covers periodfromthrough(Government Code Sections 84200-84216.5)1. Type of Recipient Committee: All Committees – Complete Parts 1, 2, 3, and 4.STREET ADDRESS (NO P.O. BOX)CITY STATE ZIP CODE AREA CODE/PHONETreasurer(s)NAME OF TREASURERNAME OF ASSISTANT TREASURER, IF ANYMAILING ADDRESSCITY STATE ZIP CODE AREA CODE/PHONE460CITY STATE ZIP CODE AREA CODE/PHONEOPTIONAL: FAX / E-MAIL ADDRESSMAILING ADDRESSCITY STATE ZIP CODE AREA CODE/PHONEOPTIONAL: FAX / E-MAIL ADDRESSI.D. NUMBER2. Type of Statement:Preelection StatementSemi-annual StatementTermination Statement(Also file a Form 410 Termination)Amendment (Explain below)Quarterly StatementSpecial Odd-Year ReportSupplemental PreelectionPrimarily Formed Ballot MeasureCommitteeControlledSponsored(Also Complete Part 6)Officeholder, Candidate Controlled Committee State Candidate Election Committee Recall(Also Complete Part 5)Primarily Formed Candidate/Officeholder Committee(Also Complete Part 7)General Purpose CommitteeSponsoredSmall Contributor CommitteePolitical Party/Central CommitteeStatement - Attach Form 495www.netfile.com1301/01/201506/30/2015XX1362334Barrios for City Council 2013San BernardinoCA92404Benito Barrios - TreasurerSan BernardinoCA9240409/29/2015Benito Barrios - Treasurer09/29/2015Benito BarriosE-Filed09/29/201510:13:13Filing ID:157348961 Page of COVER PAGE - PART 2CALIFORNIAFORMRecipient CommitteeCampaign StatementCover Page — Part 2Type or print in ink.4605. Officeholder or Candidate Controlled CommitteeNAME OF OFFICEHOLDER OR CANDIDATERelated Committees Not Included in this Statement:List any committeesnot included in this statement that are controlled by you or are primarily formed to receivecontributions or make expenditures on behalf of your candidacy.NAME OF TREASURERCOMMITTEE NAMEYESNOI.D. NUMBERCONTROLLED COMMITTEE?COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX)CITY STATE ZIP CODE AREA CODE/PHONEOFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIPNAME OF TREASURERCOMMITTEE NAMEYESNOI.D. NUMBERCONTROLLED COMMITTEE?COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX)CITY STATE ZIP CODE AREA CODE/PHONE6. Primarily Formed Ballot Measure CommitteeNAME OF BALLOT MEASUREDISTRICT NO. IF ANYIdentify the controlling officeholder, candidate, or state measure proponent, if any.NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENTOFFICE SOUGHT OR HELDJURISDICTIONSUPPORTOPPOSEBALLOT NO. OR LETTER7. Primarily Formed Candidate/Officeholder Committee List names ofofficeholder(s) or candidate(s) for which this committee is primarily formed.NAME OF OFFICEHOLDER OR CANDIDATENAME OF OFFICEHOLDER OR CANDIDATEOFFICE SOUGHT OR HELDOFFICE SOUGHT OR HELDSUPPORTOPPOSESUPPORTOPPOSENAME OF OFFICEHOLDER OR CANDIDATEOFFICE SOUGHT OR HELDSUPPORTOPPOSEAttach continuation sheets if necessaryNAME OF OFFICEHOLDER OR CANDIDATEOFFICE SOUGHT OR HELDSUPPORTOPPOSEFPPC Form 460 (January/05)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)State of Californiawww.netfile.com23Benito BarriosCity Council Member: City of San Bernardino District 2San BernardinoCA92404 SEE INSTRUCTIONS ON REVERSENAME OF FILERCampaign Disclosure StatementSummary PagePage of Type or print in ink.Amounts may be roundedto whole dollars.I.D. NUMBERCurrent Cash Statement12. Beginning Cash Balance ....................... Previous Summary Page, Line 16$13. Cash Receipts................................................... Column A, Line 3 above14. Miscellaneous Increases to Cash ........................... Schedule I, Line 415. Cash Payments.................................................. Column A, Line 8 above16.ENDING CASH BALANCE..........Add Lines 12 + 13 + 14, then subtract Line 15$If this is a termination statement, Line 16 must be zero.CALIFORNIAFORMSUMMARY PAGEExpenditures Made6. Payments Made....................................................... Schedule E, Line 4$$7. Loans Made............................................................. Schedule H, Line 38. SUBTOTAL CASH PAYMENTS.................................... Add Lines 6 + 7$$9. Accrued Expenses (Unpaid Bills) ...............................Schedule F, Line 310. Nonmonetary Adjustment..........................................Schedule C, Line 311. TOTAL EXPENDITURES MADE................................Add Lines 8 + 9 + 10$$17. LOAN GUARANTEES RECEIVED........................... Schedule B, Part 2$Cash Equivalents and Outstanding Debts18. Cash Equivalents........................................ See instructions on reverse$19. Outstanding Debts......................... Add Line 2 + Line 9 in Column B above$Contributions Received1. Monetary Contributions ........................................... Schedule A, Line 3$$2. Loans Received ...................................................... Schedule B, Line 33. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 + 2$$4. Nonmonetary Contributions.................................... Schedule C, Line 35. TOTAL CONTRIBUTIONS RECEIVED...........................Add Lines 3 + 4$$460Statement covers periodfromthroughColumn BCALENDAR YEARTOTAL TO DATEColumn ATOTAL THIS PERIOD(FROM ATTACHED SCHEDULES)Calendar Year Summary for CandidatesRunning in Both the State Primary andGeneral Elections1/1 through 6/30 7/1 to Date20. ContributionsReceived $ $21. ExpendituresMade $ $Expenditure Limit Summary for StateCandidates*Amounts in this section may be different from amountsreported in Column B.Date of Election(mm/dd/yy)Total to Date22. Cumulative Expenditures Made*(If Subject to Voluntary Expenditure Limit)FPPC Form 460 (January/05)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)To calculate Column B, addamounts in Column A to thecorresponding amountsfrom Column B of your lastreport. Some amounts inColumn A may be negativefigures that should besubtracted from previousperiod amounts. If this isthe first report being filedfor this calendar year, onlycarry over the amountsfrom Lines 2, 7, and 9 (ifany).////$$www.netfile.com3301/01/201506/30/2015Barrios for City Council 201313623340.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.00