Loading...
HomeMy WebLinkAboutMAGGARD SEMIANN99(1) fficeholder, Candidate, ~ype o, p.nt ~. and Controlled Committee Campaign Statement -- Long Form (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Check one of the following boxes to indicate the type of statement being filed: [] Pre-election Statement [] Supplemental Pre-election Statement (Attach a completed FOrm 495 to this statement Termination Statement (Attach a cam plated Form 415 to th~s statement.) I ~fficeholder Candidate. and Controlled Committee Included in tills Statement O~FI(:E SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMIER If APPLICAILE) RESIDENTIAL OR IUStNESS ADDRESS (NO AND STREET) ZIP CODE COMMITTEE NAME C~MI~IE ADDRESS ( . AND STATE ZIP COD[ ~[FFIANEFFI ADDRESS ~ TREASURER (NO. ANO STREET) CffY STALE ZIP CODE AREA CODE/DAYTIME PHONE ID NUMBER Statement covers period Date Stamp ,,ore I- through ~o-~- 8%~ 99JL27 PH 16 Date of election if applicable: (Month, Day, Year) BAKEI~ SFIELD CiTY CLERK II AREA CODE/DAYTIME PHONE III Verification AREA CODE/DAYTIME PHONE COVER PAGE - LONG FORM For Official Use Only Other Committees ~]ot Included in thi~; Statement: u, ,ny ot~er committees not included In this consolidated statement that are controlled by you and any committees of which you have knowledge that are primarily formed to receive contributions or to make expenditures on behalf of your candidacy, NAME ~ T~ASURER CONTROLLED C~MITTI! I C~M~E[ ADDISS (NO, AND STREET) CITY STATE ZIP COO[ AI~A CODE/DAYTIME PHONE COMMR1[E NAME I I D. NUMI[R NAME ~ TREASURER (ON~IOLL[D C~M~!! t COMMITTEE ADDRESS (NO. AND STREET) CITY STATE ZIP CODE AREA COO E/OAYTIME PHONE Attach additional Information on appropriately labeled Continuation sheets. I have used all reasonable diligence in preparing this statement. 1 have reviewed the statement and to the best of m owled · the information co ained herein and in the attached schedules is ~' ZE r ';' CITY AND STATE f SIGNATURE Of TArASURER An officeholder or candidate who controls a committee must also verify the campaign statement t have used all reasonable diligence and to the ben of my k now!edge the treasurer has used all reasonable diligence in preparing this statement. I have reviewed the statement and to the best of my knowledge the information contained herein and in the attached schedules s true and complete, I certify under penalty of perjury under the laws of the State of California that the foregoing Is true end correct. Executed On ~') -'1..-'1 -¢t,~ At t'~( -.'~. girt tat ~ ~ By DATE CRY AND STATE Executed on At By DATE CITy AND STARE Executed on AT By DAlE CITY AND 51AI[ SIGNATURE or CANDIDAT~HOt DER SIGNATUR[ Of CANDIDAI[IOIF~C[IIOtDER FOR INFORMATION R[0UIR[D 10 B[ PROVIDED TO YOU PURSUANT TO THE INFORMATION PRACTICES ACT Of 19~7. SEE ?NE_OR~M_AFI_ON MAN_VAL_9H (AMPA!GN DISCS astiR| PROVI~ION~, OF TH~ POt!T!CAI RE FOR,M~ ACT ,! Campaign Disclosure Statement Summary Page Type or print in ink. Amounts may be rounded to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE Contributions Received I. Monetary Contributions ............................... Schedule A, LIne 3 2. Loans Received ......................................... Schedule B, Line 7 3. SUBTOTAL CASH CONTRIBUTIONS ..................... AddUnes f , 2 4. Non-monetary Contributions .................... schedule C, Line 3 5. SUBTOTAL CONTRIBUTIONS (Exclude Enforceable Promises) Add Lines 3 ,~ 4 6. Enforceable Promises (Exclude Loin Guarantees, Line 18 below) ................... Schedule D, Line 7 7. TOTAL CONTRIBUTIONS RECEIVED .................... AddUnesS + S Column A TOIAL THIS I~RiOD 0tROM ArlACHED ,SCHEDULES) s I~ Expenditures Made 8. Cash Payments (Other than Loans Made) ............ Schedule E, Line S 9. Loans Made ............................................. Schedule H, Une 7 10. SUBTOTAL CASH PAYMENTS ............................ AddLines8 + 9 11. Accrued Expenses (Unpaid Bills) ...................... Schedule F, Une 5 12. TOTAL EXPENDITURES MADE ........................ Add Lines 10 · 11 Current Cash Statement 13. Beginning Cash Balance ................. Prevloussumman/Page, Line 17 14. Cash Races pts ................................ column A, Line 3 above 15. Miscellaneous Increases to Cash ~. . .E~7. .U.~. .D. . ~.~.~. .t.~. ~ . .F.O~S Schedule I, Line 4 16. Cash PaymentS ....................................Column A, Line I0 above 17. ENDING CASH BALANCE ..... AddLines 13 , 14 , fS, then subtract Line 16 ff this Lf a termination statement, Line 17 must be zero. 18. LOAN GUARANTEES RECEIVED .............. Schedule e, Part I, Column Cash Equivalents and Outstanding Debts 19. Cash Equivalents ................................ See instrudlons on reverie 20. Outstanding Debts ................. AddLine 2 · Line 11inColumnCabove ENDIhI~ CASH IACANC[ SHOULD NOT IE A NEGATIVE AMOUN~ Statement covers period from Column B* TOTAL PREVIOUS PERIOD (SEE NOTE IELONV} SUMMARY PAGE I,D, NUMBER Column C 1ORAL 10 DATE (ADO COLUMNS A · $ $ $ $ * From previous Statement Summary Page, Column C. However, if this is the first reiDorS filed for the calendar year, Column B should be blink except for Loans Received (Line 2), Enforcelble Promises (Line 6), Loans Made (Line 9), and Accrued Expenses (Line 11). Summary for Candidates in Both June and November Elections 1/I through 6/30 7/1 to Dale 22. ~/~ap~e?d!!.u.r.e! S Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE FULL NAME AND ADDRESS OF CONTRIBUTOR DATE (IF COMMITTEE, IN ADDITION TO COMMII'FEE'S NAME AND ADDRESS, ENTER I,D NUMBER RECEIVED o~ IF NO I D, NUMBER HAS IEEN ASSIGNED, ENTER TREASURER'S NAME AND ADDRESS) Type or print in ink. Amounts may be rounded to whole dollars. OCCUPATION AND EMPLOYER (IF SELF-EMPtOYED, ENTER NAME OF IUSIN~$S) from Statement covers period through AMOUNT RECEIVED THIS PERIOD SCHEDULE A CUMULATIVE TO DATE CALENDAR YEAR (JAN, 1 - DEC. 31) CUMULATIVE TO DATE OTHER (iF APPLiCABLE) SUeTOTAL Monetary Contributions Summary 1. Amount received this period -- contributions of $100 or more, (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 53 s /q , 5 Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE FULL NAME AND ADDRESS OF CONTRIBUTOR DATE (iF COMMITTEE, IN ADDITION 10 COMMInEE'S NAME AND ADDRESS, ENTER I D NUMIER RECEIVED oR. IF NO ID NUMIER HAS BEEN ASSIGNED, ENTER TREASURER'S NAME AND ADDRESS) Type or print in ink. Amounts may be rounded to whole dollars, OCCUPATION AND EMPLOYER (tf SELf-EMPLOYED, [NIER NAME Of IU$1NE$$) O\k_ SUBTOTAL from Statement covers period through AMOUNT RECEIVED THIS PERIOD J DO SCHEDULE A (cont.) -,, ::::.,:.:, : :,;!:{:.!'.i:!,,!,:.:.:,:!· ::,., I:D NUMBER CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC, 31) CUMULATIVE TO DATE OTHER (IF APPLICABLE) iiqoo Schedule A (Continuation Sheet) Monetary Contributions Received Type or print In Ink, Amounts may be rounded to whole dollars, NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE FULL NAME AND ADDRESS OF CONTRIBUTOR OCCUPATION AND EMPLOYER DATE {i; COMMIT1[!, IN ADDITION 10 (,DMMITIEE'$ NAMI AND ADDRESS, ENIIR I D NUMB/R(15 $i[! -i MPLOYED, ENSER RECEIVE D OR, tT NO I O NUMIIER HAS I[EN ASSIGNED, iNTER TREASURER'S NAMIE AND ADDRESS)NAMiE Of IUSINi$S) SUBTOTAL Statement covers period SCHEDULE A (cont,) AMOUNT CUMULATIVE TO DATE RECEIVED THIS CALENDAR YEAR PERIOD (JAN. 1 - DEC, 31) I.D, NUMBER CUMULATIVE TO DATE OTHER (IF APPLICABLE) Schedule A (Continuation Sheet) Monetary Contributions Received Type or print in Ink. Amounts may be iounded to whole dollars. NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE FULL NAME AND ADDRESS OF CONTRIBUTOR DATE {1t COMMITIE[, IN ADDIT~N 10 (OMMITIEE'S NAME AND ADDRESS, ENIER I O NUMIIR RECEIVED O~ If NO I.D NUMBER HAS lIEN ASSIGNED, INIER IREASURIR'S NAME AND ADDRESS) OCCUPATION AND EMPLOYER ItF SIll -EMPLOYED. ENIIER NAME Of IUSINESS) SUBTOTAL Statement covers period SCHEDULE A (conS.) I.I] NUMBER AMOUNT CUMULATIVE TO DATE RECEIVED THIS CALENDAR YEAR PERIOD (JAN. 1 - DEC, 31) I DO CUMULATIVE TO DATE OTHER (IF APPLICABLE) Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE FULL NAME AND ADDRESS OF CONTRIBUTOR DATE (e; COMMITIER IN ADDITION 10 (0MMIITEE'$ NAME AND ADDRES~ INTER I D NUMIIIR RECEIVE D oR. it NO I D NUMBER HAS lIEN ASSIGNtO. ENIER IREASURER'$ NAME AND ADDRESs,) Type or print in Ink, Amounts may be rounded to whole dollars. OCCUPATION AND EMPLOYER (11 SErF-IMPrOVED. INIER NAME Of 9U$1N[$S) SUBTOTAL $ Statement covers pertcxJ P.... "~ d \q I,D, NUMBER AMOUNT CUMULATIVE TO DATE RECEIVED THIS CALENDAR YEAR PERIOD (JAN, 1 - DEC, 31) CUMULATIVE TO DATE OTHER (IF APPLICABLE) Schedule A (Continuation Sheet) Monetary Contributions Received Type or print in ink. Amounts may b~ rounded to whole dollars. NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE FULL NAME AND ADDRESS OF CONTRIBUTOR DATE Ilit COMMIrTE[, IN ADDIIlON 10 COMMITTE('$ NAME AND ADDRESS. [NIER I,D NUMIER RECEIVED Oa. tlt NO I O NUMBER HAS IEEN ASSIGNt. O, ENTER TREASURER'S NAME AND ADDRESS) (----%'>L_,,ta OCCUPATION AND EMPLOYER Ill SEEit -EMPLOYED. EN1ER NAME Off IUSINrSS) 0 PTD~,&,oTvL ~ s ,i" SUBTOTAL $ Statement covers period fEom AMOUNT RECEIVED THIS PERIOD \ t SCHEDULE A (cont,) CUMULAIIVE TO DATE CALENDAR YEAR (JAN, 1 - DEC. 31) CUMULATIVE TO DATE OTHER (IF APPLICABLE) Schedule A (Continuation Sheet) Monetary Contributions Received Type or print in ink. Amounts may be rounded to whole dollars. NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE FULL NAME AND ADDRESS OF CONTRIBUTOR DATE lit COMMIttEE, IN ADDIf ION IO (OMMII1E['S NAME AND ADDRESS, INFER I D NUMB! R RECEIVE D O~, II NO ID NUMBER HAS lee N ASSIGNED, INTER fREASURER'$ NAME AND ADDRESS) OCCUPATION AND EMPLOYER IIF $tIF-IMPEOYED, ENIER NAME Of IU$1NES$) SUBTOTAL Statement covers period ' ' ,h,o.0h G- 3 ~ q I AMOUNT CUMULATIVE TO DATE RECEIVED THIS CALENDAR YEAR PERIOD (JAN. 1 - DEC. 31) ,.s CUMULATIVE TO DATE OTHER (IF APPLICABLE) Schedule A (Continuation Sheet) Monetary Contributions Received Type or print In ink, Amounts may be rounded to whole dollars, NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE /nl n4' b r, C., FULL NAME AND ADDRESS OF CONTRIBUTOR DATE IlF COMMIll[[, IN ADDITION 10 (OMMIE~![ '$ NAME AND ADDRE ~, INTER I D NUMRER RECEIVED oR, IF NO I.D. NUMBER HAS I[EN ASSIGNED, [NIER TRIASURIER'S NAME AND ADDRESS) n,--/(, I7-n ~ ~ t uJ~ts ot_~ 4~ O, &/; '-- OCCUPATION AND EMPLOYER (If $Itf-IMPtOYID, ENIIR NAMi Of IUSlNISS) . ( SUBTOTAL Statement covers period ,,ore t-t J~z!_ SCHEDULE A (cont.) I.D. AMOUNT CUMULATIVE TO DATE RECEIVED THIS CALENDAR YEAR PERIOD (JAN. 1 - DEC 31) CUMULATIVE TO DATE OTHER (IF APPLICABLE) Schedule A (Continuation Sheet) Monetary Contributions Received Type or print in Ink. Amounts may be rounded to whole dollars. NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE FULL NAME AND ADDRESS OF CONTRIBUTOR / DATE 41; COMMfI1EE, IN ADDI11ON 10 COMMITTEE'S NAME AND ADDRE SS, INFER I 0 NUMIER RECEIVED oR, tF NO i.D NUMIER HAS IEEN ASSIGNED, ENTER IREASURER'S NAME AND ADDRESS) OCCUPATION AND EMPLOYER Ill sIlt-EMPLOYED. IN1ER NAME O1 RU$INESS) Statement covers period from ~ ' ~ q~ ,h, o.0h(a ' :)O -- ~fi AMOUNT RECEIVED THIS PERIOD SCHEDULE A (cont.) CUMULATIVE TO DATE CUMULATIVE TO DATE CALENDAR YEAR OTHER (JAN. 1 -DEC. 31) (IF APPLICABLE) SUBTOTAL Schedule E Payments and Contributions (Other Than Loans) Made Type o~ print in ink. Amounts may be rounded to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE CODES FOR CLASSIFYING EXPENDITURES SCHEDULE E Statement covers period ' " ': ' ~ *' ::' ~ ~ ~ I ~ !' through L ' ~C>- (~;'~ ] Pa~ %~ d i~ ... I.D. NUMBER If one of the following codes accurately def~ribes 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 o~Y;ach category. 'C' - MONETARY AND IN-KIND (NON-MONETARY) 'B' - CONTRIBUTIONS TO OTHE R CANDIDATES ' N" - AND COMMII'rEES "0' - '1' - INDEPENDENT EXPENDITURES 'S* - °L'- LITERATURE 'F"- NAME AND ADDRESS OF PAYEE, CREDITOR, OR RECIPIENT OF CONTRIBUTION (IF COMMITTEE. IN ADDITION TO CO MMITTE['$ NAME AND AIDOIE$$, INI'IR I.D. NUMIER OR, IF NO I.D: NUMIER HAS lIEN ASSIGNED, INTER TREASURER'$ NAME AND ADORE$$) BROADCAST ADVERTISING 'G' - NEWSPAPER AND PERIODICAL ADVERTISING 'T° - OUTSIDE ADVERTISING SURVEYS. SIGNATURE GATHERING, DOOR-TO-DOOR SOLICITATIONS · P· ' FUNDRAISING EVENTS CODE OR GENERAL OPERATIONS AND OVERHEAD TRAVEL, ACCOMMODATIONS AND MEALS (MUST BE DE SCRIBED) PROFESSIONAL MANAGEMENT AND CONSULTING SERVICES IMPORTANT: DO NOT ITEMIZE THE PAYMENT OF ACCRUED EXPENSES ON SCHEDULE E. REPORT ONLY THE LUMP SUM OF SUCH PAYMENTS ON LINE 4 OF THE SUMMARY SECTION BELOW, DESCRIPTION OF PAtMENT AMOUNT PAID P committees, or ballot measures must ;~:o be entered on the A/location Page, Pad I. 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.) ............................... ~ .....$ S. Total payments made this period. (Add Lines 1, 2, 3, and 4. Enter here and on the Summary Page, Column A, Line 8-) ........... TOTAL $ SUBTOTAL Schedule E (Continuation Sheet) Payments and Contributions (Other Than Loans) Made SEE INSTRUCTIONS ON REVERSE NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE 'C' - MONETARY AND IN-KIND (NON-MONETARY) CONTRIBUTIONS TO OTHER CANDIDATES AND COMMITTEES '1' - INDEPENDENT EXPENDITURES °L"- LITERATURE NAME AND ADDRESS OF PAYEE. CREDITOR, OR RECIPIENT OF CONTRIBUTION 0i CO&tMrI~EE, IN ADOITION TO COMMrrr!E't It&ME ANO ADDRIS$, ENTER I.D. NUMIER O~ W NO LD. NUMBER HAS ll!N Ai$1GNED, iNfER TIt~ASURER'S NAME AND ADDRESS) /\,;% \- .,A%,VL (' 'c'~ ,.-4 .', ,,._ Type or print In ink. Amounts may be rounded to whole dollars. Statement covers period through CLASSIFYING EXPENDITURES °B° - BROADCAST ADVERTISING "N" - NEWSPAPER AND PERIODICAL ADVERTISING °O° - OUTSIDE ADVERTISING 'S'- SURVEYS, SIGNATURE GATHERING, DOOR-TO-DOOR SOLICtTATIONS "F° - FUNDRAISING EVENTS CODE OR F SCHEDULE E (cont.) "G' - GENERAL OPERATIONS AND OVERHEAD "T" - TRAVEL, ACCOMMODATIONS AND MEALS (MUST BE DESCRIBED) "P' - PROFESSIONAL MANAGEMENT AND CONSULTING SERVICES DESCRIPTION OF PAYMENT AMOUNT PAID I Hq ,q ~ SUBTOTAL Schedule E (Continuation Sheet) Payments and Contributions (Other Than Loans) Made SEE INSTRUCTIONS ON REVERSE NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE 'C' - MONETARY AND IN-KIND (NON-MONETARY) CONTRIBUTIONS TO OTHER CANDIDATES AND COMMII'rEES '1' - INDEPENDENT EXPENDITURES *L'- LITERATURE NAME AND ADDRESS OF PAYEE. CREDITOR, OR RECIPIENT OF CONTRIBUTION lie COMMITTEE, IN ADOITION TO COMMITT!!I NAME ANO ADDRESS, INTER I.D. NUMIER 0R, IF NO I.O. NUMIER HAS IEEN ASSIGNED, IN+!R TRIASURER'$ NAME AND ADDRESS) Type or print In Ink. Amounts rely be rounded to whole dollars. Statement covers period CODES FOR CLASSIFYING EXPENDITURES 'B° - BROADCAST ADVERTISING 'N' - NEWSPAPER AND PERIODICAL ADVERTISING 'O' - OUTSIDE ADVERTISING 'S° - SURVEYS, SIGNATURE GATHERING, DOOR-TO-DOOR SOLICITATIONS 'F' - FUNDRAISING EVENTS CODE OR SCHEDULE E (cont.) ::'i' ~:.L'ii:!; < '~' ~;:~ ~ ~ ~;':: Page 1"4~ of I.D. NUMBER 'G' - GENERAL OPERATIONS AND OVERHEAD *T' - TRAVEL, ACCOMMODATIONS AND MEALS (MUST IE DE SCRIBED) 'P° - PROFESSIONAL MANAGEMENT AND CONSULTING SERVICES , DESCRIPTION OF PAYMENT AMOUNT PAID SUBTOTAL