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HomeMy WebLinkAboutCOUCH PREELEC02(2)R~,cipient Committee Campaign Statement Cover Page (Govemrnent Code Sections 84200-84216,5) SEEINSTRUCTIONS ON REVERSE Type or print in ink. Statement covers period from /' through 1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4. .Officeholder, Candidate Controlled Committee C) State Candidate Election Committee O Recall [] Ballot Measure Committee 0 Pdmadly Formed 0 Controlled O Sponsored [] Pdmadly Formed Candidate/ Officeholder Committee [] General Purpose Committee (~ Sponsored O Small Contributor Committee C) Political Party/Central Committee 3, Committee information I I.D. NUMDER COMMITTEE NAME (OR CANDIOATE*S NAME IF NO COMMITTEE) STREET Date of election if applicable: (Month, Day, Year) 2. Typ,,.e of Statement: ~ Preelection Statement [] Semi-annual Statement [] Termination Statement [] Amendment (Explain below) BAKERSFIELD COVER PAGE Page,/ of '-I/ For Official Use Only [] Quarterly Statement [] Special Odd-Year Report [] Supplernental Preelection Statement - Attach Form 495 Treasurer(s) NAME OF TREASURER z. '~ MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE 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. certify under penalty of perjury under th:laws of the State of California that the foregoing is true an~ce~. Executed on. By FPPC Toll-Free Helpline: 86~ASK-FPPC State of Cllttornla Recipient Committee Campaign Statement Cover Page-- Part 2 Type or print in ink. COVER PAGE- PART 2 Page ~ of ~ 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Related Commi~ees Not Included in this Statement: Lmtanycommi~s not included In this statement that am controll~ by you or a~ primarily formed to receive contributions or make ex~nditu~s on behalf of your candidacy. D ~s Q .o COMMI~EEADDRESS STREETADDRESS (NO P.O. BOX) CiTY STA]E Z~P CODE AREA CODE/PHONE COMMITTEE NAME I.D. NUMBER NAMEOFTREASURER COMMITTEE ADDRESS CONTROLLED COMMITTEE? [] YES [] NO STREET ADDRESS (NO P.O. BO) 6. Ballot Measure Committee NAMEOFBALLOTMEASURE BALLOT NO. OR LETTER JURISDICTION [] SUPPORT [] OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, Jf any. NAME OF OFF CEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD DISTRICT NO. ~F 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 OR CANDIDATE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD OFFICE SOUGHT OR HELD OFFICE SOUGHT OR HELD E~SUPPORT []OPPOSE []SUPPORT E~OPPOSE ~]SUPPORT r--~OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD []SUPPORT []OPPOSE CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASKoFPPC State of California Campaign Disclosure Statement Summary Page Type or print in ink. Amounts may be rounded to whole dollars. SEEINSTRUCTIONS ON REVERSE NAME OF FILER 1 Contributions Received 1. Monetary Contributions ........................................... ScheduleA, Line 3 2. Loans Received ...................................................... Schedule B, Line 7 3. SUBTOTAL CASH CONTRIBUTIONS ......................... AddLines1+2 $ '~- 4. Nonmonetary Contributions .................................... ScheduleC, Line3 5. TOTALCONTRIBUTIONS RECEIVED ................. ; ......... AddLines3+4 $ ~ Column A TOTAL TH IS PERIOD Expenditures Made 6. Payments Made ....................................................... ScheduleE, Line4 7. Loans Made ............................................................. Schedule H, Line 7 8. SUBTOTAL CASH PAYMENTS .................................... AddLines6+7 $ 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F, Line 3 1 0. Nonmonetary Adjustment .......................................... Schedule C, Line 3 11. TOTAL EXPENDITURES MADE ................................ AddLines8+S+ 10 $ Current Cash Statement 12. Beginning Cash Balance ....................... PreviousSumrnaq/Page, Une 16 13. Cash Receipts ................................................... ColumnA, Line3above 14. Miscellaneous Increases to Cash ........................... ScheduleI, Line4 15. Cash Payments .................................................. ColurnnA. Une8above 16. ENDING CASH BALANCE .......... Add Unes 12+ 13+ 14, then subtract Line 15 If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ........................... Schedule B, PaR 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ........................................ See instructions on reverse $ ~ 19. Outstanding Debts ......................... AddUne2+UneSInColumnBabove $ Statement covers period Column B CALENDAR YEAR TOTALTO DATE To calculate Column B, add amounts in Column A to the 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 filed for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if any). SUMMARY PAGE Page '~ of z/ I,D. NUMBER Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 through 6~30 7/t to Date 20. Contributions Received $ .~gc~C~ $ _~5~(.~ 21. Expenditures ~.~ ].~ ,) /~..~.~, Made $ $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* Date of Election Total to Date (mm/dd/yy) / / $ __J / $ / / $ __J / $ / / $ __J / $ *Since January 1, 2001. Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (June/01) FPPC Toll-Free Helpllne: 8661ASK-FPPC Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE Type or print in ink. Amounts may be rounded to whole dollars. NAME OF FILER Statement covers period through_/d/~'~P ~'~ Page CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. Ctv~ carnpaignparaphemalia/misc. MBR membercommunications MTG meetings and appearances OFC office expenses PET petition circulating RiO phone banks POL polling and survey research POS postage, deliver/and messenger services PRO professional services (legal, accounting) PRT print ads CNS campaign consultants C3'B contribution (explain nonmonetary)* CVC civic donations RL candidate filing/ballot fees F-ND fundreising events ll',O independent expenditure supporting/opposing others (explain)* LEG legal defense UT campaign literature and mailings I.D. NUMBER RAD radio airtime and production costs FV'=D retumed contributions SAL campaign workers' salaries TEL t.v. or cable airtime and production costs TRC candidate trevel, todging, and meals TRS staff/spouse travel, lodging, and meals TSF trar~fer between committees of the same candidate/sponsor VOT voter registration WEB information technology costs (intemet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITREE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID * Payments 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 pedod 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