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HomeMy WebLinkAboutSULLIVAN SEMIANN19(2)Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement covers period from through fes— %�U 1. Type of Recipient Committee: All committees – Complete Parts 1, 2, 3, and 4. ❑ Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure O State Candidate Election Committee Committee O Recall O Controlled (Also Complete Ped 5) O Sponsored (Also Complete Part 6) ❑ General Purpose Committee O Sponsored ❑ Primarily Formed Candidate/ O Small Contributor Committee Officeholder Committee O Political Party/Central Committee (Also Complete Pad 7) 3. Commi!teF Information I.D. NUMBEE COMM) E AME (OR CANDIDATE'S NAME NO C A EE) STREETADDRESS (NO P.O. BOX) ASSISTANT TREASURER, IF ANY 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of 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 foregoing is tru and correct. Executed on By Date Signature of survAssistanVLirer Q Executed on Date Executed on Date Executed on Date By Signature of Controlling Officeholder, Candidate, State Measure Proponent — . 4. - FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Jacquie Sulllvan OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) City Council, City of Bakersfield Related Committees Not Included in this Statement: List anycommltteas not Included In thfs statement that are controlled by you or are primarily formed to receive contributions or make expenditures on behalf of your candidacy_ COMMITTEE NAME I LD. NUMBER NAME OF TREASURER ADDRESS ` ❑ YES ❑ NO BOX) CITY STATE ZIP CODE AREACODEIPHONE COMMITTEE NAME I I.O. NUMBER NAME OF TREASURER wn i nv'�cv ti.vmmi i cc c El YES El NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) PAGE - PAIN 2 SPIN .' Page 2 of 3 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION ❑ SUPPORT [:)OPPOSE Identify the controlling officeholder, candidate, or -state measure proponent, if arty. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR DISTRICT 7. Primarily Formed Candidate/Officeholder COMM lttee Listnamesof ofHceholder(sJ or candidate(s) for which this commktee 1s primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELP El SUPPORT i ❑ 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 El SUPPORT ❑ OPPOSE CITY STATE ZIP CODE AREA CODEIPHONE Attach coolnuatlon sheets if necessary FPPC Form 460 (Jan/2036) FPPC Advice; adv)ce@fppc.ca.gov (866/275-3772) viww.fppC.ca.sov Campaign Disclosure Statement Amounts may be rounded to whole dollars. Summary Page NAME OF FILER Jacquie Sullivan for City Council 2016 Contributions Received 1. Monetary Contributions................................................... Schedure A. Line 3 $ 2. Loans Received................................................................ Schedufe 0, Ulna 3 3_ SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines i+2 $ 4. Nonmonetary Contributions ............................................ schedule C, Line 3 5, TOTAL CONTRIBUTIONS RECEIVED...................................Add Lines +4 $ Column A TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) 0 0 $ 0 - $ 0 0 $ Expenditures Made 6. Payments Made ................. ...... Schedule E, Line 4 $ 7. Loans Made....................................................................... Schedule H. Line 3 8_ SUBTOTAL CASH PAYMENTS ................. . Add Lines s + 7 $ 9. Accrued Expenses (Unpaid Bilis).......................................... Schedule 6 Line 3 0 0 10. Nonmonetary Adjustment......................................................... Schedule C. une a 11. TOTAL EXPENDITURES MADE ........................................ Add Lines 8 + 9 + 10 $ 0 Current Cash Statement 12. Beginning Cash Balance ............................. Previous summery rage, Line 16 $ 13. Cash Receipts........................................................... Column A, Line 3 above 14. Miscellaneous Increases to Cash .......... :....................... Schedule L Line 4 15. Cash Payments......................................................... Cofumn A. Line 8 above 16. ENDING CASH BALANCE .......:..........Add Lines 17+ 13 +14, then subtract Line 15 $ If this is a termination statement. Line 16 must be zero. 3568.31 0 0 0 3566.31 17. LOAN GUARANTEES RECEIVED ...............................: Schedule A Pett 2 $ 0 Cash Equivalents and Outstanding Debts 18_ Cash Equivalents ................. See IrWrucfions on reverse $ Q 19. Outstanding Debts .............................. Add L ne 2 Line 9In Column B &bow $ $ Statement covens period from _ through Column B CALENDAR YEAR TOTAL TO DATE 0 0 0 0 0 0 . 0 To calculate Column B, add amounts In Column A tgthe 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 Mad for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if any). SUMMARY PAGE Page 3 of 3 I.O. NUMBER 950347 Calendar Year Summary for Candidates Running. in Both the State Primary and General Elections 111 through 6130 711 to Date 20: Contributions Received $ $ 21. Expenditures Made $ $, Expenditure Limit Summary for State Candidates 22. cumulative Expenditures Made' pf Subject to voluntary EkpencMue UmN) Date of Election Total to Date (mmlddfyy) $ Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (Jan/2016) FPPC Advice: advicet9fppc.c3.9ov (866/275-3772) www fppc.ca.gov