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HomeMy WebLinkAboutKC EMPLOYEES PAC SEMIANN99(1)Recipient Committee Type or print in ink. Campaign Statement -- tldllj. Fir~H 2:26 (Government Code Sections 84200~84216.5) BAKERSFiELD CITY CLERK SEE INSTRUCTIONS ON REVERSE Chect one of the following boxes to indicate the type of statement being filed: ['1 Pre-e!ection Statement l~Semi-annual Statement [] Special Odd-year Campaign Report [] SuPPlemental Pre-election Statement (Attach a completed Form 495 to this Statement.) E] lermination Statement (Attach a comp|eted Form 415 to this statement.) Date of election if applicable: (Month, Day, Year) Date Stamp COVER PAGE - LONG FORM For Official Use Only III Committee Information ] I.O. NUMBER PERMANENT ADDRESS OF TREASURER (NO. ANO STREET) CIIY STATE ZIP CODE AREA CODE/DAYTIME PHONE (Check Boxes) See definitions and important information on reverse, Is this a sponsored committee? .................. D Yes ~ No IS this a broad based political committee? ......... ~ Yes [] No Verification II Primarily Formed Committee (See definition on reverse.) List names of officeholder(s or candidate(s) for which this committee is primarily ~)ormed. CHECK ONE SOUGHT OR HELD SUPI~ORTOPPOSE NAME OF CANDIDATE(S) OR OFFICEHOLDER(S) OFFICE Attach additional information on appropriately labeled continuation sheets. I have used all reasonable diligence in preparing this statement, I have reviewed the statement and to the best of my knowledge the information contained perjut under the laws ftheSta of California that the foregoing is true DATE CITY AND $TA~E ' SIGNATURE ~ Executed on At By DATE CITY AND STATE SIGNATURE Of RESPON$11LE OFFICER Olz SPONSOR, IF REQUIRED FOR INFORMATION REQUIRED TO mE PROVIDED TO YOU PURSUANT TO THE INFORMATION PRACTICES ACT OF liFT, SEE I_N__FO~RRMA_T._K/N~ MANUAL ~ CAMPAIGN DISCI OSURF PROVISIONS OF THE POLITICAL REFORM ACT Recipient Committee' Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF COMMITTEE Contributions Received 1. Monetary Contributions ....................... 2. Loans Received ......................................... 3. SUBTOTAL CASH CONTRIBUTION5 ..: ................... 4. Non-monetary Contributions ......................... 5. SUBTOTAL CONTRIBUTIONS (Exclude Enforceable Promises) 6. Enforceable Promises (Exclude loan Guarantees, Line 18 below) ................... 7. TOTAL CONTRIBUTIONS RECEIVED ..................... Schedule A, Line 3 Schedule B, line 7 Add Lines I., 2 Schedule C LIne 3 AddLines3 · 4 $ Schedule D, Line 7 Add Lines S .~ 6 $ Expenditures Made 8, Cash Payments (Other than Loans Made) ............ Schedule E, Line 9- Loans Made ............................................. Schedule H, Line 10. SUBTOTAL CASH PAYMENTS ...................... AddLInes8 + 11. Accrued Expenses (Unpaid Bills) ........................Schedule F, Line 12. TOTAL EXPENDITURES MADE ..................... AddLines 10 + I Current Cash Statement 13. Beginning Cash Balance .................. Previous Summary Page, Line 17 14. Cash Receipts ...................................... Column A, Line 3 above 15. Miscellaneous Increases to Cash ........................Schedule I, Line 16. Cash Payments .................................... ColumnA, Eine lOabove 17. ENDING CASH BALANCE ..... Add Lines 13 · 14 · 15, then subtract Line 16 ff this is a termina lion sta ternant, Line 17 must be zero.' 18. LOAN GUARANTEES RECEIVED .............. Schedule B, Part l, Column (b) $ Cash Equivalents and Outstanding Debts 19. Cash Equivalents ................................see instructions on reverse$ 20. Outstantlinn r')phtz .allHer,, ~ , f:~, ,, ~_r^f .... r ,k .... Type or print in Ink. Amounts may be rounded to whole dollars. Column A TOTAL THIt, leE NOD (FROM AI'rACHED SCHEDULES) -.~,~- It5~7. It b~'7, s 7--tIN , ENDING CASH IAtANCE SHOULD HOT B~ A NEGATIVE AMOUNT SUMMARY PAGE Column B* Column C TOTAL PREVIOUS PEN(X) TOTAL TO DATE (SE£ NOTE BELOW} (ADO COLUMNS A * B) s' I~ s ..../.~ s I I~"l. s ~ll~. s Zit~, · From previous Statement Summary Page, Column C. However, if this is the first report filed for the calendar year, Column B should be blank except for Loans Received (Line 2), Enforceable Promises (Line 6), Loans Made (Line 9), and Accrued Expenses (Line 11 ). Summary for Non-Controlled Committees Primarily Formed to Support or Oppose Candidates in Both June and November Elections 111 through 6/30 711 to Date 1. Contrib tions Recelve~ .... $ 22. Ex "'nditures MaPc~er ....... s Recipient Committee Allocation Page SEE INSTRUCTIONS ON REVERSE NAME OF COMMITTEE Type or print In ink. AmOunts may be rounded to whole dollars, - ,hro..;, (O/:.::3 ALLOCATION PAGE I,D. NUMBER List contributions and independent expenditures that total $100 or more made to support or oppose officeholders, candidates, ballot measures, or committees. DATE NAME OF OFFICE HOLDER OR CANDIDATE AND OFFICE, OR NAME OF CUMULATIVE TO DATE MEASURE AND BALLOT NUMBER OR LETTER, OR NAME OF COMMITTEE CHECK ONE IND. AMOUNT THIS EXP.* PERIOD CALENDAR YEAR IF OTHER THAN OFFICEHOLDER, CANDIDATE, OR MEASURE COMMITTEE SUPPORT OPPOSE (JAN. 1 - DEC. 3 1) *See reverse regarding independent expenditures. Allocation Summary 1. Contributions and independent expenditures of $100 or more made this period. (Include all Allocation Page subtotals.) ...................................................................... $ CUMULATIVE TO DATE OTHER (IF APPLICABLE) 2. Contributions and independent expenditures under $100 made this period, (Do not itemize.) ......................................................................................... $ 3. Total contributions and independent expenditures made this period. (Do not carry this to the Summary Page.) ............................................................ TOTAL $ SUBTOTAL $ (-~, i : . :: ' ': Attach additional information on appropriately labeled continua tion sheets. Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF COMMITTEE FULL NAME AND ADDRESS OF CONTRIBUTOR DATE 0F COMMITTEE, IN ADDITION TO COMMITTEE'S NAME AND AOOI~$$, ENTER I.D. NUMBER RECEIVED oil IF NO I D. NUMIER HAS BEEN ASSIGNED, ENTER TREASUKER'S NAME AND ADDRESS) Ir zi c lqR C~ C~f~ ( Cen~d C~f~ Associat~ ( ~bl~ E~ ~ Monetary Contributions Summary 1. Amount received this period -- contributions of $100 or more, Type or print In Ink, Amounts may be rounded to whole dollars, OCCUPATION AND EMPLOYER {If $[LF-EMPLOYEDo ENTER NAME Of IUSiNE$$) Statement covers period ,,o, i/, SCHEDULE A AMOUNT CUMULATIVE TO DATE RECEIVED THIS CALENDAR YEAR PERIOD (JAN. 1 - DEC. 31) II.D. NUMBER I CUMULATIVE TO DATE OTHER (IF APPLICABLE) '737_. (Include all Schedule A subtotals.) ............................................................................ $ 2. Amount received this period --contributions of less than $100. (Do not itemize.) ................................................................................... ~ .........$ 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1 .) .............................. TOTAL $ Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF COMMITTEE DATE RECEIVED FULL NAME AND ADDRESS OF CONTRIBUTOR (IF COMMII'rE[, IN ADDITION TO COMMITTEE.e· NAME AND ADORESS, ENTER I.D NUMBER OR, If NO I D NUMBER HAS BEEN ASSIGNED, iNTER TREASURER'$ NAME AND ADDRESS) . Central California ~ Association of Pgblic ~ Association of Public Employees Ce,t,,~l Califol,da q' As.!:;~,-ic .... . ,..Public Employee8 ! ~! Cen trd Ca~fornia Association of Pubtlc 93301 Central Caafornia Association of Public 93301 Type or print in ink. Amounts may be rounded to whole dollars. OCCUPATION AND EMPLOYER (IF SELF-IMPrOVED0 ENTER NAME OF IU$1NESS) Statement covers period SCHEDULE A (cont.) Page, r~ of t I'D'(~M;Eb c": C AMOUNT CUMULATIVE TO DATE RECEIVED THIS CALENDAR YEAR PERIOD (JAN. 1 - DEC. 31) %35, '7';i' ~q7. ~%~ Z z. E. se. ee. CUMULATIVE TO DATE OTHER (IF APPLICABLE} Schedule E Payments and Contributions (Other Than Loans) Made SEE INSTRUCTIONS ON REVERSE NAME OF COMMITTEE Type or print in ink. Amounts may be rounded to whole dollars, CODES FOR CLASSIFYING EXPENDITURES Statement covers period f,om / I / q through ~'?/---~Q~ C,~ SCHEDULE E '. :~,,~:.,'.~:c:;d!.-,> '~:~.,-,: · ......... ; ::.: ~" .... ' I.D. NUMBER If one of the following codes accurately describes the expenditure, ou may enter the code and leave the "Description of Payment' column blank. Refer to the back of Schedule E-Continuation Sheet for detailed explanations otY~ach category. 'C' - MONETARY AND IN-KIND (NON-MONETARY) °B' - CONTRIBUTIONS TO OTHER CANDIDATES "N' - AND COMMITTEES *t' - INDEPENDENT EXPENDITURES 'S° - "L°- LITERATURE 'F'- BROADCAST ADVERTISING NEWSPAPER AND PERIODICAL ADVERTISING OUTSIDE ADVERTISING SURVEYS, SIGNATURE GATHERING, DOOR-TO-DOOR SOLICITATIONS FUNDRAISING EVENTS *G' - GENERAL OPERATIONS AND OVERHEAD 'T' - TRAVEL:ACCOMMODATIONS AND MEALS (MUST BE DESCRIBED) 'P° - PROFESSIONAL MANAGEMENT AND CONSULTING SERVICES NAME AND ADDRESS OF PAYEE, CREDITOR, OR RECIPIENT OF CONTRIBUTION ¢IF COMMI1TE E, IN ADDITION TO COMMITTEE'S NAME AND ADDRESS, ENTER I.D. NUMRER OR, W NO I.D. NUMBER HAS BEEN ASSIGNED, ENI'ER TREASURERS NAME AND ADDRESS} CODE IMPORTANT: DO NOT ITEMIZE THE PAYMENT OF ACCRUED EXPENSES ON SCHEDULE E. REPORT ONLY THE LUMP SUM OF SUCH PAYMENTS ON LINE & OF THE SUMMARY SECTION BELOW. OR DESCRIPTION OF PAYMENT AMOUNT PAID Important: Contributions and expenditures made out of campai n funds to or on behalf of officeholders, candidates, committees, or ballot measures must also be entere~Porn the Allocation Page. Payments and Contributions Made Summary 1. Payments made this period of $100 or more. (Include all Schedule E subtotals.) ...................................................... 2. Payments made this period of under $100. (Do not itemize.) ....................................................................... 3. Total interest paid this period on outstanding loans. (Enter amount from Schedule B, Part II, Column (d).) ....,: .......................... 4. Total accrued expenses paid this period. (Do not itemize. Enter amount from Schedule F, Line 4.) ...................................... 5. Total payments made this period. (AddLines l, 2,3, and4. EnterhereandontheSummaryPage, ColumnA, Line8.) ........... TOTAL SUBTOTAL