Loading...
HomeMy WebLinkAboutSULLIVAN SEMIANN12(1) AMEND.teient Committee Campaign Statement .Cover Page (Government Code Sections 84200- 84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statement covers period from _11 L LV L I �Or2 through �W� �Jv O I. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4. Officeholder, Candidate Controlled Committee ❑ Ballot Measure Committee Q State Candidate Election Committee O Primarily Formed Q Recall Q Controlled (Also Complete Part 5) Q Sponsored General Purpose ❑ rpose Committee (Also Complete Peft 6) Q Sponsored ❑ Primarily Formed Candidate/ Q Small Contributor Committee Officeholder Committee Q Political Parry /Central Committee (Al- Complete Part 7) 3. Committee Information I.D. NUMBER COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) IlS,, CITY STATE ZIP CODE AREA CODE /PHONE OPTIONAL: FAX / E -MAIL ADDRESS 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 the st o y knowledge the information con ined herein and in the attached schedules is true and complete. I certify under penalty of perjury under the laws of the State of California that the fore Ing is a and correct. Executed on —q I ' 4 — By j SignaWreofTxeawreror T Executed on ` By r- c�.evs.— e.Y_---'-- ^- -- -- -- -- Executed on (/ Dale By SWmh—of Cord -W g ORicetx M Canddate, State Meea me Propabnt Executed on Date BY Signeh+ oorCorAroiigOmoelwMar .Candda6e,SteleMeasxneProponerd FPPC Form 460 (June/01) FPPC Toll-Free Helplins: 66WASK -FPPC State of California 61 I Recipient Committee Campaign Statement Cover Page — Part 2 S. Officeholder or Candidate [_nnfr.,uea r• ........:...... NAMES\ OF OFFICEHOLDER OR CANDIDATE y�CJ [,, It— SGA 'UG`✓1 OFFICE SOUGLWOR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT Related Committees Not Included in this Statement: ust any commmees not Included in this statement that are controlled by you or are primarily formed to receive OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? 7. Primarily Formed Committee List names of officeho /der(s) or candidates) for El YES r-1 NO which this committee Is Primarily formed. COMMITTEEADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODEIPHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO GUMMn I EE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODEIPHONE Attach continuation sheets if necessary NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT E] OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑SUPPORT ❑ OPPOSE FPPC Form 460 (June/01) FPPC Toll -Free Helpllne: 66WASK -FPPC State of California Jam,. Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF FILER Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from through SUMMARY PAGE Page of I.D. NUMBER Column A Column B Calendar Year Summary for Candidates Contributions Received TOTALTM8PERM CALENDARYEAR Running in Both the State Prima and (FROM ATTACHED SCHEDULES) TOTALTO DATE 9 Primary 71 , 6 � 1. Monetary Contributions ............ ............................... schedule A, Line 3 $ D $ General Elections h 1! 1/1 through 6/30 7/1 to Date 2. Loans Received ....................... ............................... schedule B, Line 3 V U 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 + 2 $ $ b 20. Contributions Received $ $ 4. Nonmonetary Contributions ..... ............................... schedule c, Line 3 6 . 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 +4 $ O� $ \ �� V Made $ $ Expenditures Made _ 6. Payments Made ........................ ............................... schedule E, Line 4 $ l�1 00 7. Loans Made .............................. ............................... schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS ..... ............................... Add Lines 6 + 7 $ 6 0 9. Accrued Expenses (Unpaid Bills) ............................... schedule F Line 3 10. Nonmonetary Adjustment ........... ............................... schedule c, Line 3 11. TOTAL EXPENDITURES MADE .... ............................Add tines 8 + s + 10 $ . C% Current Cash Statement 12. Beginning Cash Balance ....................... Previous summary Page, Line 16 $ 'AR I , _'SS� 13. Cash Receipts .................... ............................... Column A, Line 3 above 14. Miscellaneous Increases to Cash ........................... schedule 1, Line 4 15. Cash Payments ................... ............................... Column A, Line 8 above v 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 $ V ' 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 $ W 1 •a r ► 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). Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (If Subiectto Voluntary Expendkuro Umin Date of Election Total to Date (mm /dd/yy) I $ $ I —�� $ —1 —J $ I . $ I $ *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 T-- w w.4-4 Iw L..16 Rr.WnH II F R _ PART 1 %A%V I=uu1a o —1-41 L 1 Amounts may be rounded Statement covers period 'Loans Received to whole dollars. CALIFORNIA • ' 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 Ib► AMOUNT (�) AMOUNT PAID OUTST DING BALANCEAT INTEREST ORIGINAL 9 CUMULATIVE OF COMMnTEE, ALSO ENTER I.D. NUMBER) QFSELF- EMPLOYED,ENTER NAMEOFBUSINESS) BEGINNING THIS RECEIVED THIS PERIOD OR FORGIVEN CLOSE OF THIS PAID THIS AMOUNT OF CONTRIBUTIONS PERIOD THIS PERIOD' PERIOD LOAN TO DATE JAC��/ ❑ SCC —� $ DATE DUE ❑ PAID CALENDARYEAR ❑ FORGIVEN PER ELECTION*' RATE t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC S S S S S DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR ❑ FORGIVEN PER ELECTION" RATE t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC S S S S DATE DUE DATE INCURRED SUBTOTALS $ $ $ $ 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 $ 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 ctnter (e) on Schadde 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: 866/ASK.FPPC Schedule E Type or print in ink. Statement covers period . Payments Made Amounts may be rounded to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER from through Page __s_— of 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• NBR member communications RAD radio airtime and production costs CNS CTB campaign consultants contribution (explain nonmonetary)' MTG OFC meetings and appearances office expenses RFD returned contributions CVC civic donations PEr petition circulating SAL TEL campaign workers' salaries t.v. or cable airtime and production costs FL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND IND fundraising events independent expenditure supporting/opposing others (explain)' POL POS polling and survey research postage, delivery and messenger services TRS TSF staff /spouse travel, lodging, and meals 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 PAYEE OFCOMMRTEE. ALSO ENTER I.D.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID {r �j rtdc4� llt�- %C.AVI- o�! L 1(C,d\ v\ Gv) : n t✓� Sel` � V-1e-,e-,s " Payments that are contributions or independent expenditures must also be summarized on Schedule D. Schedule E Summary SUBTOTAL $ -,\ 0 6 Payments made this period of $100 or more. (Include all Schedule E subtotals.) ................................................................... ............................... $ 111W I OD 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 $ ob FPPC Form 460 (June/01) FPPC Toll -Free Helpline: 8661ASK -FPPC SCHEDULE F Schedule F Type or print in Ink. Statement covers period Amounts may be rounded CALIFORNIA 460 Accrued Expenses (Unpaid Bills) to whole dollars. from • - SEE INSTRUCTIONS ON REVERSE through Page --b— of (0 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. MR 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 PEr 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 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 CREDITOR (IF COMMrrTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT (a) OUTSTANDING BALANCE BEGINNING (b) AMOUNT INCURRED THIS PERIOD (c) AMOUNT PAID THIS PERIOD (d) OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD * Payments that are contributions or independent expenditures must also be SUBTOTALS $ $ $ $ summarized on Schedule 0. Schedule F Summary 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for D ('� c) accrued expenses of $100 or more, plus total unitemized accrued expenses under $ 100.) ............. ............................... INCURRED TOTALS $ V�� 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 $ y 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and onthe Summary Page, Column A, Line 9.) ................................................................................................................. ............................... NET $ �V V May be a negative number FPPC Form 460 (June/01) FPPC Toll -Free Helpline: 8661ASK -FPPC