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Home My WebLink AboutSULLIVAN SEMIANN13(1) AMENDRdcipient Committee Campaign Statement Cover Page (Government Code Sections 84200- 84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Date Stamp COVER PAGE St7.1 t cov rs period Date of election If applicable: 6 l `� 2 (Month, Day, Year) ` - Page of _ from �J For Official Use Only through 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. PQ Officeholder, Candidate Controlled Committee ❑ Q State Candidate Election Committee Q Recall (Also Complete Part 5) ❑ General Purpose Committee Q Sponsored Q Small Contributor Committee Q Political Party /Central Committee 3. Committee Information COMMITTEE NAME (OR CANDIDATE'S Ballot Measure Committee Q Primarily Formed Q Controlled Q Sponsored (Also Complete Pad 6) ❑ Primarily Formed Candidate/ Officeholder Committee (Al- Complete Pad 7) I.D. NUMBEF) S- 0 COMMITTEE) CITY STATE ZIP CODE AREA CODE /PHONE OPTIONAL: FAX / E -MAIL ADDRESS 2. Type of Statement: ❑ Preelection Statement ❑ Semi - annual Statement ❑ Termination Statement Amendment (Explain below) Treasurer(s) NAME OF TREASURER MAILING ADDRESS ❑ Quarterly Statement ❑ Special Odd -Year Report ❑ Supplemental Preelection Statement - Attach Form 495 CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS 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 th eSt my knowledge the information ntained herein and in the attached schedules is true and complete. I certify under penalty of p' under the laws of the State of California that the fo oing i e and rrect. 1 Executed on By � 3 �' SigrnahxeofTpeas<xeror Executed on By 6e 3 or ,Cmxkkft. SM ProporbrKOrResoorrelhMOns : r sew Executed on D B � ale y Sgnekxe orConhWkg ofrieelwMar, Carddele, Stales Maastne Proponent Executed on By Dale Sig vk" arcontroav OMD&OMer, cWadde, Shft Measure RwwleM FPPC Form 460 (June/01) FPPC Toll-Free Helplins: ti661ASK -FPPC State of California 01 Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidafa Cnnfrnuseri r.......,s+se NAME OF OFFICEHOLDER OR CANDIDATE OFF E SOUC�1 OR HELD ELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Type or print in ink. 6. Ballot Measure Committee NAME OF BALLOT MEASURE COVER PAGE - PART 2 Page of BALLOT NO. OR LETTER I JURISDICTION ❑ SUPPORT ❑ OPPOSE RESIDENTIAL/BUSINESS ADDRES (NO. AND STREET) Identify the controlling officeholder, candidate, or state measure , if an Y• onent ro NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT P P Related Committees Not Included in this Statement: ust 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? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODEIPHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY 7. Primarily Formed Committee Ust names of otrrceholder(s) or candidates) for which this committee is primarily formed. 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 Attach continuation sheets if necessary FPPC Form 460 (June/01) FPPC Toll -Free Helpifne: 866/ASK-FPPC State of Califomia Campaign Disclosure Statement Summary Page Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period SUMMARY Current Cash Statement 12. Beginning Cash Balance ....................... Previous summary Page, Line 16 $ 13. Cash Receipts .................... ............................... Column A, Line 3above 14. Miscellaneous Increases to Cash ........................... schedule 1, Line 4 15. Cash Payments ................... ............................... column A, Line 8 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 B, Part 2 $ 1 Cash Equivalents and Outstanding Debts (� 18. Cash Equivalents ......... ............................... see instructions on reverse $ V� 19. Outstanding Outstanding Debts ......................... Add Line 2 + Line 9 in Column B above $ � (` 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 $ 1 1 $ 'Since January 1, 2001- Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (June /01) FPPC Toll -Free Helpline: 86WASK -FPPC from SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FlLER I.D. NUMBER Contributions Received ColumnA Column B Calendar Year Summary for Candidates TOTAL THS PMOD (FROM ATTACHM SCHEDULES) CALENDAR YEAR TOTALTODATE Running in Both the State Primary and 1. Monetary Contributions w 6.00 General Elections ............ ............................... 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 4. Nonmonetary Contributions ..... ............................... schedule C, Line 3 Received $ $ 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 + 4 $ $ 6 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made ........................ ............................... schedule E, Line 4 $ $ O Candidates 7. Loans Made .............................. ............................... schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS ..... ............................... Add Lines 6 + 7 $ O $ Cumulative umulative Expenditures Made" (It Subjedto Volwdary Expendlture Umlt) 9. Accrued Expenses (Unpaid Bills) ............................... schedule F, Line 3 10. Nonmonetary Adjustment ........... ............................... schedule C, Line 3 b • Date of Election Total to Date (mm /dd/yy) 11. TOTAL EXPENDITURES MADE . ............................... Add Lines 8 + 9 + 10 $ 11110 $ s Z : J_ 1 $ Current Cash Statement 12. Beginning Cash Balance ....................... Previous summary Page, Line 16 $ 13. Cash Receipts .................... ............................... Column A, Line 3above 14. Miscellaneous Increases to Cash ........................... schedule 1, Line 4 15. Cash Payments ................... ............................... column A, Line 8 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 B, Part 2 $ 1 Cash Equivalents and Outstanding Debts (� 18. Cash Equivalents ......... ............................... see instructions on reverse $ V� 19. Outstanding Outstanding Debts ......................... Add Line 2 + Line 9 in Column B above $ � (` 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 $ 1 1 $ 'Since January 1, 2001- Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (June /01) FPPC Toll -Free Helpline: 86WASK -FPPC Tv w w& .w 1..1. SCHFDtIt F R _ PART 1 oulICQU1C a — Part 1 Amounts may be rounded Statement covers period Loans Received to whole dollars. e ' from • ' 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 (b) AMOUNT (�) AMOUNT PAID OUTSTANDING BALANCE AT ' INTEREST ORIGINAL 9 CUMULATIVE OF COMMITTEE, ALSO ENTER I.D. NUMBER) OF SELF - EMPLOYED, ENTER BEGINNING THIS RECEIVED THIS PERIOD OR FORGIVEN CLOSE OF THIS PAID THIS AMOUNT OF CONTRIBUTIONS NAME OF BUSINESS) RI D THIS PERIOD* p PERIOD LOAN TO DATE ` ❑ PAID $ / $ ' $ �v CALENDARYEAR S ❑ FORGIVEN PERELECTION� ❑ OTH ❑ PTY ❑ SCC DA I RRED ❑ PAID CALENDARYEAR ❑ FORGIVEN PER ELECTION'• RATE tEl IND ❑ COM ❑ OTH ❑ PTY ❑ SCC $ s : S : DATE DUE DATE INCURRED ❑ PAID CALENDARYEAR ❑ FORGIVEN PERELECTION" RATE t ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC s s s S S DATE DUE DATE INCURRED SUBTOTALS $ $ $ $ (ERter(e)on Schedule B Summary Schedule E,Une3) 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 $ 6,61) Enter the net here and on the Summary Page, Column A, Line 2. (May be a r-jobve number) t Contributor Codes IND-individual COM - Recipient Committee (other than PTY or SCC) OTH - Other PTY- Political Party SCC - Small Contributor Committee '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 SEE INSTRUCTIONS ON REVERSE 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. WBR 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 PEr petition circulating TB- t.v. or cable airtime and production costs RL 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 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 (internal, e-mail) NAME AND ADDRESS OF PAYEE OF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID MFG * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ b O n /L 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 ........................................................................................................... ............................... $ 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 $ FPPC Form 460 (June/01) FPPC Toll -Free Helpline: 8661ASK -FPPC Schedule F Accrued Expenses (Unpaid Bills) Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from SCHEDULE F SEE INSTRUCTIONS ON REVERSE CODE OR DESCRIPTION OF PAYMENT ( OUTSTAA NDING BALANCE BEGINNING through Page of NAME OF FILER OF THIS PERIOD 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. 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 1RC 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 (intemet, e-mail) NAME AND ADDRESS OF CREDITOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT ( OUTSTAA NDING BALANCE BEGINNING ( AMOUNTIN CURRED THIS PERIOD (e) AMOUNT PAID THIS PERIOD (d) OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD %V) ✓Icb� ` �a •�' Q 37 �� 2-, i . Payments that are contributions or Independent expenditures must also be SUBTOTALS $ summarized on Schedule D. s s s Schedule F Summary 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for � �1accrued expenses of $100 or more, plus total unitemized accrued expenses under $ 100.) ............. ............................... INCURRED TOTALS $ � 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 ; IT 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and qrn .�Ij onthe Summary Page, Column A, Line 9.) ................................................................................................................. ............................... NET $ bo May be a number FPPC Form 460 (June /01) FPPC Toll -Free Helpline: 866/ASK -FPPC •