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HomeMy WebLinkAboutSULLIVAN SEMIANN13(2) AMENDRecipient Committee Chmpaign Statement Cover Page (Government Code Sections 84200- 84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statement coves period from / Z through (� 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. Officeholder, Candidate Controlled Committee ❑ Ballot Measure Committee O State Candidate Election Committee O Primarily Formed O Recall O Controlled (Also Complete Part 5) O Sponsored ❑ General Purpose Also CompletePart6) rpose Committee O Sponsored ❑ Primarily Formed Candidate/ O Small Contributor Committee Officeholder Committee O Political Party/Central Committee (Also Complete Part 7) 3. Committee Information ( I.D. NUMBER COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) 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 b my knowledge the information contained 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 g ' g i true and ct. - Executed on 1/1311 By -a /-- T Wer i SignatureofTreastxer AssisteM Executed on By SkmaftraWortroffi- noOlrdighokimr Executed on By Date SW-re orC« bafty ORmhaaer. Ceram, State Meastme Proponent Executed on By Dam swakreofca* orrg011fcehdder Candidale,StakeMaammproponent FPPC Form 460 (June/01) FPPC Toil -Free Heipline: ti66/ASK -FPPC State of California Recipient Committee Campaign Statement Cover Page — Part 2 Type or print in ink. COVER PAGE - PART 2 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 7. Primarily Formed Committee List names of oiflceholder(s) or candidates) for which this committee is primarily formed. COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOA CITY STATE ZIP CODE AREA CODEIPHONE Attach continuation sheets if necessary NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT I Page of I 5. Officeholder or Candidate Controlled Committee 6. Ballot Measure Committee OFFICE SOUGHT OR HELD NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE ❑ SUPPORT 6 k1k e, &.,1\ �Vc. rl ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE ( Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT Related Committees Not Included in this Statement: test any committees 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? ❑ 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 7. Primarily Formed Committee List names of oiflceholder(s) or candidates) for which this committee is primarily formed. COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOA 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 ❑ 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 Helpline: 866/ASK -FPPC State of Calmfomia Campaign Disclosure Statement Type or print in ink. Amounts may be rounded Summary Page to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER Contributions Received 1. Monetary Contributions ............ ............................... Schedule A, Line 3 $ 2. Loans Received ....................... ............................... schedule s, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 + 2 $ 4. Nonmonetary Contributions ..... ............................... Schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 + 4 $ Expenditures Made 6. Payments Made ........................ ............................... Schedule E, Line 4 $ 7. Loans Made .............................. ............................... Schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS ..... ............................... Add Lines 6 + 7 $ 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F Line 3 10. Nonmonetary Adjustment ........... ............................... Schedule c, Line 3 11. TOTAL EXPENDITURES MADE .... ............................Add Lines 8 + 9 + 10 $ Column A TOTALTM PERIOD Statement covers period from through Column B MENDAR YEAR TOTALTODATE $ 6 ,00 AM= l)o Current Cash Statement 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 corresponding amounts 14. Miscellaneous Increases to Cash ........................... schedule 1, Line 4 from Column B of your last 15. Cash Payments ................... ............................... Column A, Line 8 above report. Some amounts in Column A may be negative 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ At ' 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 e, Part 2 $ �-0 for this calendar year, only cant' over the amounts from Lines 2, 7, and 9 (if Cash Equivalents and Outstanding Debts bo any). 18. Cash Equivalents ......... ............................... See instructions on reverse $ 19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column B above $ Z Page of I.D. NUMBER Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 through 6/30 7/1 to Date 20. Contributions Received $ $ . 21. Expenditures Made $ $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* Of subject to Voluntary Expendlboe UmR) Date of Election Total to Date (mm /dd /yy) 1 1 $ $ I- $ 1J1 $ 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: 866/ASK -FPPC IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DA I URRED ❑ PAID CALENDARYEAR ❑ FORGIVEN PER ELECTION RATE S S S s S DATE DUE DATE INCURRED t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC PAID CALENDARYEAR S $ % $ S ❑ FORGIVEN PERELECTION" RATE t❑ IND El COM El OTH El 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 ) (Enter (e) on Sd*dtle E, Una 3) $ ©' 2. Loans paid or forgiven this period .... ............................... $ 0•00 ....................................... ............................... (Total Column (c) plus loans under $100 paid or forgiven.) (Include loans paid by a third party that are also itemized on Schedule A.) 6,06 3. Net chan a this eriod. Subtract Line 2 from Line 1. NET Enter the net here and on the Summary Page, Column A, Line 2. (May °'a negative rvxnbr) 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: 866/ASK -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. CIbP campaign paraphemalia/misc. fuBR member communications RAD radio airtime and production costs CNS campaign consultants ING meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TB_ 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 nD 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 Lrr campaign literature and mailings PRT print ads WEB information technology costs (Internet, e-mail) _ NAME AND ADDRESS OF PAYEE OFCOMMRTEE, ALSO ENTER I.D.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID u� * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ D 6,6 Schedule E Summary 1. Payments made this period of $100 or more. (Include all Schedule E subtotals.) ................................................................... ............................... $ — ' O 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: 866JASK -FPPC Schedule F Type or print in ink. Amounts may be rounded Accrued Expenses (Unpaid Bills) to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER Statement covers period from through SCHEDULE F 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. 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 nonmonetary)* OFC office expenses SAL campaign workers' salaries CVC civic donations PEr petition circulating TB- U. or cable airtime and production costs FIL candidate filing /ballot fees PHO phone banks TRC candidate travel, lodging, and meals FIND fundraising events POL polling and survey research TRS staff /spouse travel, lodging, and meals I D 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 COMMnTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT ( OUTSTAA NDING BALANCE BEGINNING OF THIS PERIOD ( AMOUNTIN CURRED THIS PERIOD (c) AMOUNT PAID THIS PERIOD (ALSO REPORT ON E) (d) OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD * 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 $ 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 y 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and 4 onthe Summary Page, Column A, Line 9.) ................................................................................................................. ............................... NET $ May be a negative num FPPC Form 460 (June/01) FPPC Toll -Free Helpline: 8661ASK -FPPC