HomeMy WebLinkAboutSULLIVAN AMEND SEMIANN02(1) ~cipient Committee
CCmpaign Statement
Cover Page
(Government Code Sections 84200-84216 5)
SEE d,iSTRUCTIONS ON REVERSE
Type. or print in ink.
Statement covers period
Date of election if applicable:
(Month, Day, Year)
COVER Pt, SE
1. Type of Recipient Committee; All Committees - Complete Parts 1, 2, 3, and 4.
Officehdder, Candidate Controlled Committee
O State Candidate Election Committee
O Recall
[] General Purpose Committee O Sponsored
O Small Contributor Committee
O Pditfcal Party/Central Commiitee
[] Ballot Measure Committee O Primarily Formed
O Controlled
O Sponsored
Primarily Formed Candidate/
· Officeholder Committee
2. Type of Statement: [] Preelection Statement
[] Semi-annual Statement
[] Termination Statement
[~ Amendment (Explain below)
:.i
[] Quarterly Statement
[] Special Odd-Year Repot1
[] Supplemental Preelection
Statement - Attach Form 495
3. Committee Information
Treasurer(s)
NAME OF TREASURER
MAILrNG
NAME OF ASS~STAN~'TREASU~ER IF ANY
STREET ADDRESS (NO PO. BOX/
CITY STATE ZIP CODE
MAILfNG ADDRE~,~ (fF DIFFERENT) NO. AND STREE~ OR PO BOX MAILING 4DDRESS
CiTY STATE ZIP CODE AREA CODE,PHONE CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FzX / E-MAIL ADDRESS OPTiC:HAL: FAX / E M,~IL ADDRESS
4. Verification
I have used all reas~)nable 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 penalt~o¢ pejd,ury under the laws of the State of California that the fore~cping iS, t~e and corral. ~ ' ,, , ~
~" - ] Si ~a[ure Of Treasurer ~r ~sta¢,l Treas r
~ ~ ~te Si~re ¢ Comroll~g ~eho}der, Can~te, State Measure P ro~nent or Respo~¢ble Officer d Sponsor
Executed on By
Date Signature of Controlling ~iceholder Candidate. SEato Moas ure Pro. Bent
Executed on By
ecip;ent Committee
Campaign Statemertt
Cover Page--- Part 2
5. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDrDATE
OFFICE~'OUG~T OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLrCABLE)
RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STA]q_ ZIP
Related Committees Not Included in this Statement: ListcnycommiCtees
not included in this statemenf that are controlled by you or are primarily formed to receive
contributions or make expenditures on behalf of your candidacy.
COMMII~EENAME ID NUMBER
NAME OF TREASURER CONTROLLED COMMI~EE?
[] YEs [] NO
COMM[%FEEADDRESS STREETADDRESS (NO PO BOX)
CITY STATE ZIP CODE AREa CODE,PHONE
COMMITTEE NAME ID NUMBER
NAME OF TREASURER
COMMI~I'EE ADDRESS
CONTROLLED COMMITTEE?
[] YES [] NO
STREETADDRESS (NO PO BO>
Type or print in ink,
COVER PAGE- PART 2
6. Ballot Measure Committee
BALLOTNQ OR LETTER JIJRISDICTION [] SUPPORT
OPPOSE
Identify the controlling officeholder, candidate, or state measure proponent, if any.
NAME OF OFFICEHOLDER CANDIDATE. OR PROPONENT
7, Primarily Formed Committee List names of officeholder(s) or candidate(s) for
which this committee is primarily formed.
N~,ME OF OFFICEHOL. DER OR CANDIDATE
NAtIE OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
SUPPORT
bi OPPOSE
OFFICE SODGHT OR HELD
OFF~CE SOLIGHT OR HELD
~SUPPORT
~OPPOSE
[]SUPPORT
[]OPPOSE
[] SUPPORT
[]OPPOSE
CITY STATE ZiP CODE AREA CODE/PHONE
Attach continuation sheets if necessary
FPPC Form 460 (June/01)
FPPC Toil-Free Helpline: 866/ASK-FPPC
State of California
Campaign Disclosure Statement SUMMARY PAGE
Summary Page
SEE INSTRUCTIONS ON R£VERSE
NAME OF FILER
Contribution~ Received
31 SUBTOTAL CASH CON1 RIBU HeNS ........ ,~od Lines ~ ~' ~
5, TOTAL CONTRIBUTIONS RECE!VED ........
Expenditures Made
6 Payments Made ~h~ule J: Lir~ 4
8 SUBTOTALCASHPAYMENTS m~d£~s6, ?
9. Accrued Expenses (Unpaid Bfib) .................... s~u~6 A L,~ J
11. TOTAL EXPENDITURES MADE .................. ,~ ~ ~es ~ - .o, ;o
Type or print in ink
Amounts may be rounded Statemenf covers period
to whole dollars,
Current Cash Statement
12 Beginning Cash Balance ............... ~e~,~ous 5ummaryFage, Line !6
15. ENDfNG CASH ~ALANCE ......... ~dd Lines 12 · ¢3 + t~, then subtra¢ L~ne 15
Column A
1 7. LOAN GUARANTEES RECEIVED .................... Schedule e, Part
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ......................................
To calculate Column B, add
Co~urnn A may be ~egaflve
figures fh&t should be
period amounts. If Ibis is
the fi~sf t~porl being filed
for this calenda~ year only
from Lines 2, 7. and 9 (d
any~.
_ o!_ _~_~
Il 9~" 57'7 ....
Calendar Year Summary for Candidates
Running in Both the State Primary and
General Elections
Made
Expenditure Limit Summary for State
Candidates
22, Cumulative Expenditures Made*
(mm/dd/yyi
/
/
Total to Date
*Since January 1,200! Arnc~mis in O'~s secfior~ may be
FFPC Form 460 (June/~l)
FPPC Toll-Free Helpline: 6661ASK-I=PPC