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HomeMy WebLinkAboutSULLIVAN SEMIANN11(1) AMENDRecipient Committee Campaign Statement Cover Page (Government Code Sections 84200- 84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statement covers; period from Z-6�� through 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. Officeholder, Candidate Controlled Committee ❑ Ballot Measure Committee 0 State Candidate Election Committee 0 Primarily Formed 0 Recall 0 Controlled (A/so Compete Part s) 0 Sponsored ❑ General Purpose Committee (Also Compete Part 6) 0 Sponsored ❑ Primarily Formed Candidate/ 0 Small Contributor Committee Officeholder Committee 0 Political Party/Central Committee (Also Complete Part 7) 3. Committee Information I.D. NUMBER COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Jar✓cl�, � St�t1 ;��,� �� C.;� Co�,t�;I COVER PAGE Date Stamp Date of election if appiicablet ° ^ , (Month, Day, Year) `� r ° ^ 3 �:'� 2: !� � Page of �" For Official Use Only CITY STATE ZIP CODE AREA CODE /PHONE OPTIONAL: FAX / E -MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best certify under penalty of perjury under the 1 of the State of California that the foregoin Executed on By Executed on By Sig i Pan Executed on Date 2. Type of Statement: ❑ Preelection Statement ❑ Quarterly Statement ❑ Semi- annual Statement ❑ Special Odd -Year Report ❑ Termination Statement ❑ Supplemental Preelection Amendment (Explain below) Statement - Attach Form 495 r'rtin� Treasurer(s) 70, C4 [AI R-1 "�L"AV;Nc- n MAILING ADDRESS CITY STATE ZIP CODE AREA CODE /PHONE OPTIONAL: FAX / E -MAIL ADDRESS herein and in the attached schedules is true and complete. I By Signets otContoirg OtTiceholder, Cardidste, State Measure Proponent Executed on Data By SoiaMe ofC-* dkgOrtiaftkler .Camkiate.StawMwourePr Wwd FPPC Form 460 (JurW01) FPPC Toll -Free Helpline: 866)ASK -FPPC State of California Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee Type or print in ink. NAME OF OFFICEHOLDER OR CANDIDATE - ae�r-4 t",%t.' OFFICE SOUGW OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) C1�24 C0nc,,\ V \ 6 RESIDENTIAII USINESS ADDRESS (NO. AND STREET) Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD I DISTRICT NO. IF ANY COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? 7. Primarily Formed Committee List names of officeho /der(s) or candidates) for E] F-1 NO which this committee is primarily formed. YES 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? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD [-]SUPPORT ❑ OPPOSE CITY STATE ZIP CODE AREA CODEIPHONE Attach continuation sheets if necessary FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC State of Calftmia Campaign Disclosure Statement Summary Page Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from SUMMARY PAGE SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER � LD. NUMBER Contributions Received ColumnA Column B Calendar Year Summary for Candidates TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) CALENDAR YEAR TOTALTO DATE Running In Both the State Prima and 9 Primary N '6 O.O o General Elections 1. Monetary Contributions ............ ............................... schedule A, Line 3 $ $ 2. Loans Received ....................... ............................... schedule B. Line 3 ` 1/1 through 6/30 7/1 to Date 3. SUBTOTAL CASH CONTRIBUTIONS ..................... "" Add Lines 1 + 2 $ $ - 20. Contributions Received $ $ 4. Nonmonetary Contributions .............. ...................... Schedule C, Line 3 (� " l -J b • 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add tines 3 + 4 $ $ 3 a o . o Made $ $ Expenditures Made (([---///��� _ 6. Payments Made ........................ ............................... Schedule E, Line 4 $ $ �� S 7. Loans Made .............................. ............................... Schedule H, Line 3 V �C 8. SUBTOTAL CASH PAYMENTS ..... ............................... Add Lines 6 + 7 $ O • $ K-O . J 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F Line 3 • 7 t1R. 1 10. Nonmonetary Adjustment ........... ............................... Schedule C, tine 3 0.0 11. TOTAL EXPENDITURES MADE ................................ Add Lines 8 +9 +10 $ �i_� S +l� $ El o -7 Current Cash Statement 12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ O To calculate Column B, add 13. Cash Receipts .......................... ......................... Column A, Line 3 above amounts in Column A to the corresponding amounts 14. Miscellaneous Increases to Cash ........................... Schedule 1, Line 4 v from Column B of your last Q15. Cash Payments ......................... ......................... Column A, Line s above report. Some amounts in �— Column A may be negative 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ J figures that should be subtracted from previous If this is a termination statement, Line 16 must be zero, period amounts. If this is the first report being filed 17. LOAN GUARANTEES RECEIVED ........................... schedule B, Pan 2 $ for this calendar year, only cant' over the amounts Cash Equivalents and Outstanding Debts from Lines 2, 7, and 9 (if any). 18. Cash Equivalents ......... ............................... See instructions on reverse $ 19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column B above $ T, Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* M Subject to voluntary Expenditure Limit) Date of Election Total to Date (mm /dd /yy) I $ I $ I $ IJ $ I $ Since January 1, 2001. Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (Junei01) FPPC Toll -Free Helpline: 86WASK -FPPC T.. -- -- SCHFDLJLF R- PART 1 %icneauie is — rart i Amounts may be rounded Statement covers period _ Loans Received to whole dollars. e I • ' from e SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER I.D. NUMBER FULL NAME, STREET ADDRESS AND ZIP CODE OF LENDER IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER OUTSTANDING BALANCE AMOUNT (e) AMOUNT PAID OUTSTANDING OUTSTANDING INTEREST ORIGINAL CUMULATIVE OF COMMITTEE, ALSO ENTER I.D. NUMBER) (IF SELF - EMPLOYED, ENTER BEGINNING THIS RECEIVED THIS PERIOD OR FORGIVEN CLOSE OF THIS PAID THIS AMOUNT OF CONTRIBUTIONS NAMEOFBUSINESS) RI OD THIS PERIOD' D PERIOD LOAN TO DATE ` ` ` , A 1 ^ ,` (�\� \vQ ❑ PAID 136 b �% '�_ NDARYEAR 3a b 0 (_� es 0 0 RATE ZIA t&JIND ❑ COM ❑ OTH ❑ PTY ❑ SCC \61 DATE DUE DA IN URRED ❑ PAID CALENDAR YEAR ❑ FORGIVEN PER ELECTION ** RATE tEl IND ❑ COM ❑ OTH ❑ PTY ❑ SCC S S S S $ DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR ❑ FORGIVEN PERELECTION"y' RATE tEl IND ❑ COM ❑ OTH ❑ PTY ❑ SCC S S $ S $ DATE DUE DATE INCURRED SUBTOTALS $ $ $ $ 7- Schedule B Summary 1. Loans received this period ..................................................................................... ............................... $ (Total Column (b) plus unitemized loans less than $100.) 2. Loans paid or forgiven this period .......................................................................... ............................... $ (Total Column (c) plus loans under $100 paid or forgiven.) (Include loans paid by a third party that are also itemized on Schedule A.) 3. Net change this period. (Subtract Line 2 from Line 1.) ................................ ............................... NET $ 0 Enter the net here and on the Summary Page, Column A, Line 2. (May be a negative number) t Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other PTY— Political Party SCC — Small Contributor Committee (Enter (e) on Schedule E, Line 3) 'Amounts forgiven or paid by another party also must be reported on Schedule A. — If required. FPPC Form 460 (June /01) FPPC Toll-Free Helpline: 8661ASK -FPPC Schedule E Payments Made Type or print In ink. Amounts may be rounded to whole dollars. Statement covers period from 69041 Vile SEE INSTRUCTIONS ON REVERSE CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID through I Page of NAME OF FILER I.D. NUMBER CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CWP campaign paraphemalia/misc. lVBR member communications RAD radio airtime and production costs CNS campaign consultants MfG 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 W independent expenditure supportingiopposing 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 AMOUNTPAID w * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ �-V , J 0 Schedule E Summary 1. Payments made this period of $100 or more. (Include all Schedule E subtotals.) ................................................................... ............................... $ 2. Unitemized payments made this period of under $100 ........................................................................................................... ............................... $ d ' 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 Summa Page, Column A, Line 6. P Y P ( ►Y 9 ) ............................. TOTAL S FPPC Form 460 (June/01) FPPC Toll -Free Helpline: 866/ASK -FPPC Schedule F Accrued Expenses (Unpaid Bills) SEE INSTRUCTIONS ON REVERSE NAME OF FILER Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from through SCHEDULEF Page of I.D. NUMBER CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. Clue campaign paraphemalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MM meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries CVC civic donations PEf petition circulating TEL t.v. or cable airtime and production costs RL candidate filing /ballot fees PWD phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff /spouse travel, lodging, and meals M 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 (intemet, e-mail) NAME AND ADDRESS OF CREDITOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT (OUTSTANDING BALANCE BEGINNING S AMOUNT IN NCURRED THIS PERIOD (c) AMOUNT PAID THIS PERIOD ( OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD �e She!' n �ac ►�, c... s��.�GF'� ��-'� ��� 7 �b Z� ��.�:•� R��� iv. e!ts" 6S�13 =�y� `Cv `•lDV O,VO . � * Payments that are contributions or independent expenditures must also be SUBTOTALS $ $ 1 -Lb�, (66 $ 6 $ summarized on Schedule D. �C Schedule F Summary 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for accrued expenses of $100 or more, plus total unitemized accrued expenses under $ 100.) ............. ............................... INCURRED TOTALS $ �Q 2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on (� ' accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.) .. ............................... PAID TOTALS $ 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and n � (—\ onthe Summary Page, Column A, Line 9.) ................................................................................................................. ............................... NET $ MWmaenu F- FPPC Form 460 (June /01) FPPC Toll -Free Helpline: 866/ASK -FPPC