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COVER PAGE <br />Recipient Committee Date Stamp <br />Campaign Statement CALIFORNIA460FORM <br />Cover Page <br />Statement covers period Date of election if applicable: <br />RECEIVED Page 1 of 4 <br />from 1-1-2023 Month,Day,Year)For Official Use Only <br />JAW a 0 2024 <br />SEE INSTRUCTIONS ON REVERSE through 6-30-2023 OFFICE OF THE <br />1. Type of Recipient Committee: All Committees—Complete Parts 1,2,3,and 4. 2. Type of Statement: error VLtKK <br />m Officeholder,Candidate Controlled Committee Primarily Formed Ballot Measure Preelection Statement Quarterly Statement <br />O State Candidate Election Committee Committee m Semi-annual Statement Special Odd-Year Report <br />O Recall Q Controlled El Termination Statement <br />Also Complete Part 6) CJ Sponsored Also file a Form 410 Termination) <br />Also Complete Part6) IZ Amendment(Explain below) <br />0 eneral Purpose Committee <br />Sponsored <br />Entered incorrect amounts in ending balance and loan amount0PrimarilyFormedCandidate/ <br />Small Contributor Committee Officeholder Committee <br />Political Party/Central Committee Also Complete Part 7) <br />3. Committee Information <br />I.D.NUMBER Treasurer(s) <br />1456333 <br />COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE)NAME OF TREASURER <br />Kelly Chastain for Colton Council 2022 Kelly Chastain <br />MAILING ADDRESS <br />STREET ADDRESS(NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE <br />CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER,IF ANY <br />Marlon Chastain <br />MAILING ADDRESS(IF DIFFERENT)NO.AND STREET OR P.O.BOX MAILING ADDRESS <br />CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE <br />OPTIONAL: FAX/E-MAIL ADDRESS OPTIONAL: FAX/E-MAIL ADDRESS <br />4. Verification <br />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 <br />certify under penalty of perjury under the laws of the State of California that the forego' • is tru:and correct. <br />Executed on ---3° <br />DateBy Signatu of Treasurer or Assistant Treasurer <br />Executed on <br />l_. 30"- A V By II, / ` <br />Date Signature of•ontr (ling Officeholder,Candidate,State Measure Proponent or Responsible Officer of Sponsor <br />Executed on By <br />Date Signature of Controlling Officeholder,Candidate,State Measure Proponent <br />Executed on <br />Date <br />By Signature of Controlling Officeholder,Candidate,State Measure Proponent <br />FPPC Form 460(Jan/2016)) <br />FPPC Advice:advice@fppc.ca.gov(866/275-3772) <br />www.fppc.ca.gov