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Home My WebLink AboutCOUCH SEMIANN02(2)Recipient Committee Campaign Statement Cover Page Type or print in ink. (Government Code Sections 84200-84216.5) Statement. cover~/~eriod 03JAN30 PH rom /~/';/,~'~ ~,~- BAKERSFIELD ~-IIY C SEE INSTRUCTIONS ON REVERSE ugh / ~ i (~ ~ 1. Type of Recipient Committee: All Committees - Complete Parts 1,2, 3, and 4. Date of election if applicable: (Month, Day, Year) i ~//5/> 03 JAI a?H AKERSFIELD CI1Y COVER PAGE For Official Use Only ~, Officeholder, Candidate Controlled Committee State Candidate Election Committee Recall [] GeneraIPurpose Committee O Sponsored (~) Small Contributor Committee (~) Political Patty/Central Committee [] Ballot Measure Committee (~) Primarily Formed (~ ControJled (~) Sponsored (Also Complete Pall 6) [] Primarily Formed Candidate/ Officeholder Committee (Also Ccmplele Pa~I 7) 2. Type of Statement: [] Preelection Statement [] Semi-annual Statement [] Termination Statement [] Amendment (Explain below) [] Quaderly Statement [] Special Odd-Year Report [] Supplemental Preelection Statement - Attach Form 495 3. Committee Information COMMITTEE NAME (OR CANDIDATE'S NAME iF NO COMMITTEE) / ~,/*:14.,?--' ~-:'/- STREET OPTIONAL: FAX / E-MAIL ADDRESS Treasurer(s) NAME OF TRS_AS~DRER NAME MAILING ADDRESS CiTY STATE ZIP CODE AREA CODE/PHONS OPTIONAL: FAX / E-MAIL ADDRESS 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 truJ~e'd'd-~rrect. Executed Executed o ree Helpllne: 86~ASK-FPPC State of C~llfornla ecipient Committee Campaign Statement Cover Page-- Part 2 Type or print in ink, COVERPAGE-PART2 Page ~' of ¢ 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBE~ IF APPLICABLE) RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) Cl~ ~A~ ZiP Related Committees Not Included in this Statement: List any committees COMMI~FEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMI~FEE? [] YES [] NO COMMITTEE ADDRESS STREET ADDRESS (NO FO, BOX CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME LD, NUMBER [] YES [] NO CONTROLLED COMMFCfEE? NAME OF TREASURER COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CI~Y STATE ZIP CODE AREA CODE/PHONE 6. Ballot Measure Committee NAMEOFBALLOTMEASURE BALLOT NO OR LETTER JURISDICTION E~SUPPORT EJOPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFF CEHOLDER, 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 NAME OF OFFICEHOLDER OB CANDIDATE NAME OF OFFICEHOLDER OR CANDIDATE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD OFFICE SOUGHT OR HELD OFFICE SOUGHT OR HELD OFFICE SOUGHT OR HELD ! E~SUPPORT E]OPPOSE E~SUPPORT [~OPPOSE E~SUPPORT F~OPPOSE O SUPPORT r~OPPOSE Attach continuation sheets if necessary FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC State of Calltornia Campaign Disclosure Statement Type or print in ink, Summary Page Amounts may be rounded SUMMARYPAGF to whole dollars. Statement covers period from through Page -'~ of__% SEE INSTRUCTIONS ON REVERSE NAME OF FILER Contributions Received 1. Monetary Contributions ........................................... Schedule A, Line 3 2. Loans Received ...................................................... Schedule B, Line 7 3. SUBTOTAL CASH CONTRIBUTIONS ......................... AddLines I + 2 4. Nonmonetary Contributions .................................... Schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED ........................... AddLines3+4 Column A TOTAL THIS pER~OO {FROM ATTACHED SCHEDULESI Expenditures Made 6. Payments Made ....................................................... ScheduleE, Line4 7. Loans Made ............................................................. Schedule H, Line 8. SUBTOTAL CASH PAYMENTS .................................... AddLine$6+7 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F, Line 1 0. Nonmonetary Adjustment .......................................... Schedule C, Line 11. TOTAL EXPENDITURES MADE ................................ AddL/nesS+9+ 10 Current Cash Statement 12. Beginning Cash Balance ....................... Previou$SummaryPage, Line 16 13. Cash Receipts ................................................... ColurnnA, Line3above 14. Miscellaneous increases to Cash ........................... Schedule I, L/ne 4 15. Cash Payments .................................................. ColumnA, LineSabove 1 6. 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 S, Part 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ........................................ See instructions on reverse $ '---" 19. Outstanding Debts ......................... AddLine2+LineginColumnBabove $ ~ Column B CALENDAR YEAR TOTAL TO DATE $ ~ To calculate Column B, add amounts in Column A to the corresponding amounts from Column B of your last reporL 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). 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 .~ ~_~f~, ~, '~, Made $ $ ..¢~.~ ~,¢~ Expenditure Limit Summary for State Candidates 22, Cumulative Expenditures Made* (If Subject to Voluntary Expenditure Limit) Date of Election Total to Date (mm/dd/yy) / / $ --/___L__ $ --I- L__ $ / / _ $ __/__1 $ · / / $ *Since January t, 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 Schedule A Type or print in ink Amounts be rounded SCHEDULE A Iwone[ary ~orllrlDUtlOnS Heceivecl to whole dollars, i Statement covers period NAMESEE INSTRUCTIONSoF FILER ON REVERSE through I Page I L~,NUMBER IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IFCOMMITF/E'AL$OENTERI'D'NUMBER) CODE ~' (IFSELF EMPLOYED,ENTERNAME PERIOD (IF REQUIRED) OFBUSiNESS/ JAN. 1 - DEC. 31) ~scc ~IND ~COM DOT~ ~ PTY ~scc OlND DCOM ~OTH ~ PTY Dscc ~IND ~COM ~ OTH ~ PTY Dscc ~IND D COM ~OTH ~scc SUBTOTALS 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. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and 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 Commitlee FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule D Summary of Expenditures Supporting/Opposing Other Candidates, Measures and Committees SEE INSTRUCTIONS ON REVERSE NAME OF FILER Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from through SCHEDULER DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR MEASURE NUMBER OR LETTER AND JURISDICTION, ' OR COMMI'fTEE TYPE OF PAYMENT Support [] Oppose Monetary Contribution Nonmonetary Contribution Independent Expenditure /A.~[/~ ~l'-~/~ ~ Monetary Contribution ~'..~--./2'/' / ---/- ~ B Nonmonetary Contribution 0 Independent Oppose Expenditure ~ Monetary Contribution [] Nonmonetary Contribution [] Independent Expenditure CUMULATIVE TO DATi DESCRIPTION AMOUNT TH~S CALENDAR YEAR (IF REQUIRED) PERIOD I JAN 1 - DEC ~_ Support [] Oppose SUBTOTAL PER ELECTION TO DATE (IF REQUIREDI Schedule D Summary 1. Contributions and independent expenditures made this period of $100 or more. (include all Schedule D subtotals.) .............................................. 2. Unitemized contributions and independent expenditures made this period of under $100 ...................................................................................... 3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.) .............. TOTAL FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule D (Continuation Sheet) Type or print in ink. ry p Amounts may be rounded Summa_ of Ex_endituresOther Statement covers period RUnnOrtinn/t3nnoslnn to whole dollars, i Candidates,- -- --- =-... UMeasures and CommiEees from through /C~ ~? C°ntdbuti°n ~ Independent ~ Suppo~ ~ Oppose Expenditure Contribution ~:~ ~ Nonmonetary gontdbution ~ ~(~ ~ Independent ~ Suppo~ ~ Oppose Expenditure ~ Monetary Contribution ~ Nonmonetary Contribution ~ Independent ~ Suppo~ ~ Oppose Expenditure ~ Monetary Contdbutiofl ~ Nonmonetary Cont~bution ~ ~ndependent D Suppo~ ~ Oppose Expenditure SUBTOTAL FPPC Form 460 (June/01) FPPC Tol~-Free Helpline: 866/ASK-FPPC Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from SCHEDULE [- through Page 7 of ~"/ I,D, NUMBER CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. Q'VP campaign paraphernalia/misc. Mt3R membercommunicatfons RAD radio aidime and production costs CNS campaign consultants CTB contribution (explain nonmonetary)* CVC civic donations FIL candidate filing/ballot fees FND fundraising events IND independent expenditure suppoding/opposing others (explain)* LEG legal defense MTG meetings and appearances OFC office expenses PET petition circulating phone banks POL polling and survey research POS .postage, delivery and messenger services PRO professional services (legal, accounting) returned contributions SAL campaign workers' salaries TEL t.v. or cable aidime and production costs TRC candidate travel, lodging, and meals TRS staff/spouse travel, lodging, and meals TSF transfer between committees of the same candidate/sponsor VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE' ALSO ENTER I'D NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID yments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTALS /// ~_¢~ Schedule E Summary 1. Payments made this period of $100 or more. (include all Schedule E subtotals.) .................................................................................................. $ _ 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 Hetpline: 866/ASK-FPPC -~ h ri I~,,., ,...,-c"e-u'eI=_~.~ .. Type or print in ink. SCHEDULE E (CONT.) [~,onL,nua[,on =neei) Amounts may be rounded Statement covers period Payments Made to whole dollars. from SEE INSTRUCTIONS ON REVERSE through 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. C~v'P campaign paraphernalia/misc. MBR membercommunications RAD radio aidime and production costs CNS campaign consultants contribution (explain nonmonetary)* CVC civic donations F]L candidate filing/ballot fees FND fundraising events IND independent expenditure supporting/opposing others (explain)* LEG legal defense MTG meetings and appearances RFD returned contributions DFC office expenses SAL campaign workers' salaries FET petition circulating TEL t.v, or cable airtime and production costs Pi-E) phone banks TRC candidate travel, lodging, and meals POL polling and survey research TRS staff/spouse travel, lodging, and meals POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor PRO professional services (legal, accounting) VOT voter registration LIT campa~gn~iterature and mailings PRT print ads WEB information te~ NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I D NUMeER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID 1'] ' /~ /:-'/-.¢, ¢' (P USt also be summarized on Schedule D. SUBTOTAL $ Schedule I Miscellaneous Increases to Cash Type or print in ink, Amounts may be rounded to whole dollars. Statement covers period from through SCHEDULEI SEE INSTRUCTIONS ON REVERSE Page NAME OF FILER i.D. NUMBER DATE FULL NAME AND ADDRESS OF SOURCE AMOUNT OF RECEIVED (~F COMMIttEE, ALSO ENTER i.D. NUMBER) DESCRIPTION OF RECEIPT iNCREASE TO CASH '~' /~ / l~ ~ ~ ~.~ -, , ~ :: ~''~ Attach additional info~ation on appropriately labeled continuation sheets· SUBTOTAL $ ~/ Schedule I Summary 1, Increases to cash of $100 or more this period ........................................................................................................... 2. Unitemized increases to cash under $100 this period ............................................................................................... 3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).) ................................. 4, Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Line 14.) ........................................................................................................................... TOTAL ~i~, *- FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC