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HomeMy WebLinkAboutSULLIVAN SEMIANN14(1) AMENDRgcipient Committee Campaign Statement Cover Page (Government Code Sections 84200- 84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Sta%teem nt c e'r�s (period from V� through ZO'� 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. [� Officeholder, Candidate Controlled Committee 0 State Candidate Election Committee 0 Recall (Also Complete Part 6) ❑ General Purpose Committee 0 Sponsored 0 Small Contributor Committee 0 Political Party /Central Committee 3. Committee Information ❑ Ballot Measure Committee 0 Primarily Formed 0 Controlled 0 Sponsored (Also Complete Part 6) ❑ Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) I.D. NUMBEn<�- 03 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) -� C'�LA - z ( "k1► V1, 6'C C\ W Date of election if applicable: (Month, Day, Year) ' Date Stamp FEB -Z PM 4: 06 2. Type of Statement: ❑ Preelection Statement ❑ Semi - annual Statement ❑ Termination Statement 1] Amendment (Explain below) Treasurers) NAME OF TREASURER G, 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 b99 certify under penalty of perjury under the laws of the State of California that the fore is Executed on By Executed on 4 By t _ Dade srs ki. b G1 1Y COVER PAGE Page of For Official Use Only ❑ 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 knowledge the information contained herein and in the attached schedules is true and complete. I )0 correct. Executed on By Dam swokm ofcoraaarg Olficehdder. Carddeie. Stet Meesue proponent Executed on Dae By Sgned. edCarmoormOMwhdder ,Carddab,stateMea "Raporbrd FPPC Form 460 (June/01) FPPC Toll Free Heipline: $MASK -FPPC Stall of California Recipient Committee Type or print in ink. COVER PAGE - PART 2 Campaign Statement e' Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUWiT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) 6. Ballot Measure Committee NAME OF BALLOT MEASURE Related Committees Not Included in this Statement: List 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 I.D. NUMBER NAME OF TREASURER C CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEEADDRESS STREET ADDRESS (NO P.O. BOK) CITY STATE ZIP CODE AREA CODEIPHONE COMMITTEE NAME I I.D. NUMBER NAME OF TREASURER C CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE Z Page of BALLOT NO. OR LETTER I JURISDICTION ❑ SUPPORT ❑ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY 7. Primarily Formed Committee List names of officeholder(s) or candidate(s) 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 DE REA CODE/PHONE Attach continuation sheets ff necessary FPPC Form 460 (June/01) FPPC Toll-Free Helpiine: 866/ASK -FPPC State of California DE REA CODE/PHONE Attach continuation sheets ff necessary FPPC Form 460 (June/01) FPPC Toll-Free Helpiine: 866/ASK -FPPC State of California Ctimpaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE hvwmr Ur nLr-M 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 a Calendar Year Summa for Candidates Contributions Received TOTALTMPERIOD CALENDARYW ry "OM ATTACHED SCHEDULES) TOWTO DATE Running In Both the State Primary and Z �Q V t? Z -- fi General Elections 1. Monetary Contributions ............ ............................... schedule A, Line 3 $ � $ � ` J b , lJ 2. Loans Received .................. ............................... 1/1 through 6130 7/1 to Date ..... Schedule 8, Line r 3. SUBTOTAL CASH CONTRIBUTIONS ..................... Add Lines 1 + 2 $ ` $ Z:S 20. Contributions Received $ $ 4, Nonmonetary Contributions ..... ............................... schedule C, Line 3 • 0 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 + 4 $ • $ Made $ $ Expenditures Made (Qj Expenditure Limit Summary for State 6. Payments Made ........................ ............................... Schedule E Line 4 $ $ Candidates 7. Loans Made .............................. ............................... Schedule H, Line 3 V 8. SUBTOTAL CASH PAYMENTS ..... ............................... Add Lines 6 + 7 $ $ Ll , 0 22. Cumulative Expenditures Made' 0rsubt.atovwum.ryExpenaiwr.umtq 9. Accrued Expenses (Unpaid Bills) ............................... schedule F, Line 3 • 4 Date of Election Total to Date 10. Nonmonetary Adjustment schedule C, Line 3 (mmldd /yy) 11. TOTAL EXPENDITURES MADE ................................ Add Lines 8 + 9 + 10 $ �Z -��.. �� $ Current Cash Statement _II $ 12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ , To calculate Column B, add 13. Cash Receipts ................................................... Column A. Line 3 above amounts in Column A to the —J —J $ O 14. Miscellaneous Increases to Cash ........................... Schedule ►, Line 4 corresponding amounts from Column B of your last -lJ $ 15. Cash Payments ................... ............................... Column A, Line 8 above report. Some amounts in ZZ — Column A may be negative 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ 'J S figures that should be - -� —J $ subtracted from previous If this is a termination statement Line 16 must be zero. period amounts. If this is —J —J $ the first report being filed 17. LOAN GUARANTEES RECEIVED ........................... Schedule e, Part 2 $ for this calendar year, only carry over the amounts 'Since January 1, 2001. Amounts in this section may be Cash Equivalents and Outstanding Debts from Lines 2, 7, and 9 (if different from amounts reported in Column B. � 18. Cash Equivalents ......... ............................... see instructions on reverse $ any). 19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column a above $ WT(AIX FPPC Form 460 (June /01) FPPC Toll -Free Helpline: 866/ASK -FPPC scheduleA __ _ w�Type or print In ink. SCHEDULE A monetary contributions Received "��� to " -Ie of "'�`��e� to whole dollars. Statement covers period CALIFORNIA � ' from • FORM SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER I.D. NUMBER DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR OF COMMITME, ALSO ENTER I.D. NUMBER) CONTRIBUTOR CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE OF SELF - EMPLOYED, ENTER NAME OF BUSINESS) PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) oCoH b 06 6Q�Q 6 ❑SCC ❑ IND El PTY ❑S C ❑ w�cr ❑ PTY p SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC FIND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL; Schedule A Summary 1. Amount received this period — contributions of $100 or more. (Include all Schedule A subtotals.) ......................................................................... ............................... $ 2. Amount received this period — unitemized contributions of less than $100 .............. ............................... $ 3 (Add monetary Lines and t l d 2 contributions En ere received nd on the Summary Page, Column A, Line 1.) ....................... TOTAL *Contributor Codes IND— Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other PTY — Political Party SCC— Small Contributor Committee FPPC Form 460 (June /01) FPPC Toll -Free Helpline: 86WASK -FPPC Ce- tL —J -_a— rs ■%• A Tvnn nr nrint in ink SCHFnIII FR_PARTI .+v■.`•.a.■` .+ — ■ w. a ■ Amounts may be rounded Loans Received to whole dollars. Statement covers period from • ' SEE INSTRUCTIONS ON REVERSE through page of NAME OF FILER I.D. NUMBER FULL NAME, STREET ADDRESS AND ZIP CODE OF LENDER OF COMMITTEE, ALSO ENTERI.D. NUMBER) t[� IND ❑ COM ❑ OTH ❑PTY ❑SCC IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER OF SELF-EMPLOYEE), ENTER NAME OF BUSINESS) OUTSTANDING BALANCE BEGINNING THIS P I D (�) AMOUNT RECEIVED THIS PERIOD } °) AMOUNT PAID OR FORGIVEN THIS PERIO PAID s' OUTS DING BALANCEAT CLOSE OF THIS $ 1 O Gn INTEREST PAID THIS PERIOD % RATE s ORIGINAL AMOUNTOF LOAN :_ "Qt (9) CUMULATIVE CONTRIBUTIONS TO DATE CALENDARYEAR $ —''/ *FORGIvtp0 / — PER ELECTION s DATE DUE ❑ PAID CALENDARYEAR $ s % RATE $ $ ❑ FORGIVEN PER ELECTION'S tEl IND ❑ COM ❑ OTH ❑ PTY p SCC S S S S DATE DUE DATE INCURRED ❑ PAID CALENDARYEAR RATE ❑ FORGIVEN PER ELECTION " t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC S S $ S $ DATE DUE DATE INCURRED SUBTOTALS $ $ $ _ Schedule B Summary 1. Loans received this period ..................................................................................... ............................... $ (Total Colu (b) plus unitemized loans less than $100.) 2. Loans paid or iven 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.) I Net change this period. (Subtract Line 2 from Line 1.) ................................ ............................... NET $ Enter the net here and on the Summary Page, Column A, Line 2. (Maybe eregafi erwmbo t Contributor Codes IND— Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other PTY— Political Party SCC —Small Contributor Committee SdmUe E, LMe 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: 86WASK -FPPC Schedule E CODE OR DESCRIPTION OF PAYMENT Type or print in ink. SCHEDULEI Statement covers period e ' ' Payments Made Amounts may rounded COQ CIA " Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ ! L r Schedule E Summary j tin 1. Payments made this period of $100 or more. (Include all Schedule E subtotals.) ................................................................... ............................... $ Y v 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).) ................................................ ............................... $ c1 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ............................. TOTAL $ 1 Z FPPC Form 460 (June/01) FPPC Toll -Free Helpline: 86WASK -FPPC Schedule F Accrued Expenses (Unpaid Bills) NAME OF FILER Type or print in ink. Amounts may be rounded to whole dollars. Statement covert period from through Page _ I.D. NUMBER SCHEDULE F Of CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP 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 nonmonetaryp 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 14D 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 OF COMMITTEE. 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 e.Se:�� * Payments that are contributions or Independent expenditures must also be SUBTOTALS $ summarized on Schedule D. 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; , 2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on ( h accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.) .. ............................... PAID TOTALS $ 4 v 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and onthe Summary Page, Column A, Line 9.) ................................................................................................................. ............................... NET $I m(1se'(`, FPPC Form 460 (June/01) FPPC Toll -Free Helplins: 8661ASK -FPPC