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