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Home My WebLink AboutSULLIVAN AMEND 7/1/01-9/30/01Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statement covers period through ~1 /~0 /0 ( 1. Type of Recipient Committee: A. Committees - Complete Parts t, 2, 3, and 4. j~"'Officeholder, Candidate Controlled Committee 0 State Candidate Election Committee O Recall [] Ballot Measure Committee 0 Pfimadly Formed 0 Controlled 0 Sponsored Primarily Formed Candidate/ Officeholder Committee [] General Purpose Committee O Sponsored O Small Contributor Committee O Political Par[y/Central Committee Date Stamp COVER PAGF Date of election if applicable: (Month, Day, Year) For Ofricia~ Use Only 2. Type of Statement: [] Preelection Statement [] Semi-annual Statement [] Termination Statement ~ Amendment (Explain below) [] Quarterly Statement [] Special Odd-Year Repor~ [] Supplemental Preelection Statement - Attach Form 495 Treasurer(s) NAME OF TREASURER MAILING ADDR~? ~ ,'¢/ IiD NUMBER 3. Committee Information ~7~~ 5¥'? COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMI~EE) AREA CODE/RHONE MAILING ADDRESS CITY STATE zrp CODE AREA CODE/PHONE CiTY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS OPTrONAL: FAX / E-MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best~ my know edge the Jnforma on contained herein and in the attached schedules is true and corn let cert~yunderpenafty~fp¢rju~yu~derthe~aws~ftheState~f~a~if~rniathatthef~reg~i~1~tr,ueandc~rre``~`~ ~ ' ~ ~'- 7' /' , ! * p e. I ecipient Committee Campaign Statement Cover Page -- Part 2 Type or print in ink. COVER PAGE - PART 2 Page ,7~ of. ~'~ 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE OFFICE//~OUC~cTOR HELD INCLUDE LOCATION AND DISTRICT NUMBER rFAPPLCABLE) Related Committees Not Included in this Statement: List any committees [] yes [] No CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME ID NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? [] YES [] NO COMMITTEE ADDRESS STREET ADDRESS (NO RD. BOX) CITY STATE ZIP CODE AREA CODE/PHONE 6. Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO OR LETTER JURISDICTrON [] SUPPORT OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, 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 NAM~F O~FICEH~L~I', OF~ CANDID?~IE OFFICE SOUGHT OR HELD j SUPPORT L~ OPPOSE OFFICE SQUDET OR HELD ~FI SUPPORT OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD I'~ SUPPORT OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD SUPPORT OPPOSE Attach continuation sheets if necessary FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC State of California Campaign Disclosure Statement Summary Page SEE INSTCIUCTiONS ON REV£RS~ Contributions Received 3 SUBTOTALCASH CONTRIBUTIONS ..................... AdOLines 5, TOTAL CONTRIBUTIONS REOEIVED ........................ ,~ddt~nes 3 ~- ,~ Expenditures Made 6. Payments Made .............................................. scapula E, L~ne 4 7. Loans Made .......................................................... Sch.dd~e H, Ltne 7 8. SUBTOTALCASHPAYMENTS ............................. .~ddL~.es6. z 9. Accrued Expenses (Unpaid Bills) ........................... S~hedu~eF, L,~,~ t 0. Nonmonetaq/ Adjustment .............................. S~heduie C. U~e,'~ 11. TOTAL EXPENDITURES MADE ............................. Add L,ne$ 8 + 9 * 10 Current Cash Statement 12. Beginning Cash Balance ...................... P~evious Summa~yPage, L~ne ~6 ~3. Cash Receipts .......................................... Column.~, L~ne3a~ow 14. Miscellaneous Increases to Cash ........................ $cheOttteI, L~ne4 15 Cash Payments ........................................... Colu,~nA, z~e,~t~w 16. ENDING CASH BALANCE ......... Add L#~es 12 + 13 * 14 then subtract Line 15 If th~s is a tem~natfo~ statement, Line 16 must be ze[o 17 LOAN GUARANTEES RECE VED .......................... sc~dd~e I~, ~'art ~ S Cash Equivalents and Outstanding Debts t8, Cash Equivalents ....................................... See instn~crk~ns on reverse $ tg. Outstanding Debts ......................... A~tL~e.2.L~egmC~u~,~eabove $ Statement COVerS period J To calculate Column ~, add amounts in Column A to the corresponding amounts from Column E~ of your last report. Some arr,3unls in Column A may be negative figures that should be subtracted from previous period amounts. It this is .*he first raped being filed for this calendar year. o~ly ca~ry over the amounts from Lines 2, 7, and 9 (if a!~y) SUMMARYPAGE Calendar Year Summary for Candidates Running in Both th~ State Prima~ an6 General Elections 20 Contributions Received 21 Expenditures Ma~e Expenditure Limit Summary for State Candidates 22. Cumutative Expenditures Made* Date of Election Total fo Date (mm/dd/yy) / / .... $ ! /~ $_ ___J /___ $ / /~ .... $ ___L __/___ $ ___J____l___ $ 'Since January 1. 2001 Amounts in this section may be different from amounts rep,3rted in Colurm~ B 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. SEE INSTRUCTIONS ON REVERSE NAME OF FILER Statement covers period through t/ 2'/~ SCHEDULE F Page Z¢ of ~- IDNUMBER CODES: Cfv~ campaign paraphernalia/misc. CNS campaign consultants CTB contribution (explain nonmonetary)* CVC civic donations FIL candidate filing/ballot fees FND fundraising events IND independent expenditure supporting/opposing others (explain)* LEG legal defense LIT campaign literature and mailings If (~t~e of the following codes accurately describes ('he payment, you may enter the code. Otherwise, describe the payment. MBR member communications MTG meetings and appearances OFC office expenses PET petition circulating PHO phone banks POL polling and survey research POS postage, delivery and messenger services PRO professional services (legal, accounting) PRT pdnt ads RAD radio airtime and production costs RFD returned contributions SAL campaign workers' salaries TEL t.v. or cable airtime and production costs TRC candidate travel, lodging, and meals 'FRS staff/spouse travel lodging, and meals TSF transfer between committees of the same candidate/sponsor VOT voter registration WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF FAYEE (IF COMMITTEE ALSO ENTER I 8 NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT FAID * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL 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 Helpline: 866/ASK-FPPC Schedule E (Continuation Sheet) Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF E4~ Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period ;/ from ~/ / ~ / SCHEDULE E (CONT) Page ~ of ~- ID NUMBER CODES: following codes acc~ y ~s the CUP campaign paraphernalia/misc. MBR CNS campaign consultants MTG CTB contribution (explain nonmonetary)* CFC CVC civic donations PET FIL candidate filing/ballot fees PHC FND fundraising events POL IND independent expenditure supporting/opposing others (explain)* POS LEG legat defense PRO payment, you may enter the code. Otherwise, describe the payment. member communications meetings and appearances office expenses petition circulating phone banks polling and survey research postage, delivery and messenger services professional services (legal, accounting) RAD radio airtime and production costs RFD returned contributions SAL campaign workers' salaries TEL t.v. or cable aJrtime and production costs TRC candidate travel, lodging, and meals TRS staff/spouse travel, lodging, and meals TSF transfer between committees or the same candidate/sponsor rOT voter registration LIT campaign Jiterature and mailings PRT print ads WEB information technolo~ NAME AND ADDRESS OF FAYEE (IF COMMITTEE ALSO ENTER i D NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID ependentexpendituresmustalsobesummarizedonScheduleD. SUBTOTAL ! /',,~ ~. FPPC Form 460 {June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC