HomeMy WebLinkAboutSULLIVAN SEMIANN99(1) fficeholder, Candidate,
and Controlled Committee
Campaign Statement - Long Form
(Government Cede Sections 84200-84216.5)
SEE INSTRUCTIONS ON REVERSE
Ched one el the following boxes to indicate the type of statement being flied:
Type or prim In ink.
pre-electtonStatement
Supplemental Pre-election Statement (Attach a completed Form 495 to this statement.)
SpecidOdd-YeerCampaignReport
Semi-annual Statement
Termination Statement (Attach a completed Form 41S to this statement-)
I v~fficeholder Candidate, and Controlled Committee
Included in :~is Statement
COMMITTEE NAME
Iil
COVER PAGE - LONG FORM
For Official Use Only
Fc nn
II
Other Committees ~ot Included in this Statement: ust,-yomer
co,,b/dl teel not ~ in ~ c~t~ ~ate~ ~t are c~ ~ ~ a~ ~
c~e~ of ~ ~ ~ve k~ ~t aN ~m~ ~ to recei~
~mmake e~NNI ~ ~ff of~ ca~aq.
HAldE
STATE Z~ COOE
COIdldlTTEE ADDRESS (NO. AND STI~ET)
ARF, A COIrgal)AYTIME FHCN[
LO. NUNIIIR
CONTR0tLED COMMITTEE
CTrY STATE Z/' CO01 AREA COO[~AYTIM! PHONE
AtUda add/t/anal/nformatfon on aRora/>Hate/y/abeted continuation sheets.
Verification * , '
An offkehoMer or (andklata wIN) eatrob · committee must also verify the campaign statement. I have used all reasonable diligence and to the ~ knowledge the treasurer has used all
Executed On At By
DATE CITY ANO STATE S~NATUR( 0~ c/4NOJOAIE/QFFK:IHOtDIR
Executed on At By
DATE CITY ANO STAll $1GNAIURE Ot CANOIOArE~OfFICEHOtO(R
FOR IN/ORMATION I~QUI~D TO Ii FROVlOED TO YOU I~!~UANlr 10 THE IN/ORMATI~N FRACIlCE$ At10~ I!r/. ~E IN/ORMATION MANUAl, ON CAMPAIGN OI~CLOSURE FROVlgON$ Of THE POUIICAt REFORM
State of Callfro'nil Fair Political Fractkes Commission
Campaign Disclosure Statement
Summary Page
SEE INSTRUCTIONS ON REVERSE
· NA~..OF OF~D~D CONTROLLEDS MMITT~.A,~.~
~on~trutions Received ~ ~/
1. Monetary Contributions ............................... Schedule A, Line 3 $
2. Loans Received ......................................... Schedule e, L!r,e 7
3. SUBTOTAL CASH CONTRIBUTIONS ...................... AddUnesl
4. Non-monetary Contributions ......................... Schedule C, Une 3
5. SUBTOTAL CONTRIBUTtONS!(Exdude Enforceable Promises) Add Une$ 3 + 4
6. Enforceable Promises
(Exclude Loan GuarlnteeS, Une I8 below) ................... Schedule D, Une 7
7, TOTAL CONTRIBUTIONS RECEIVED ..................... AddLin~sS, 6 S
Expenditures Made
8. Cash Payments (Other than Loans Made) ............
9. Loans Made .............................................
10. SUBTOTAL CASH PAYMENTS ............................
~chedule E, Une S
Schedule H, Une 7
Add Unes 8 + 9
11. Accrued Expenses (Unpaid Bills) ........................ Schedule F, Une S
12. TOTAL EXPENDITURES MADE ......................... AddLines I0 ~, I~
Current Cash Statement
13. Beginning Cash Balance .................. Prevlous Summanl Page, Line 17
14. Cash Receipts ............... ~ ...............: ...... ColumnA, Une.tabove
15. Miscellaneous Increases to Cash ........................ Schedule f, Line 4
16. Cash Payments .................................... Column A, Line 10 above
17. ENDING CASH BALANCE ..... AddLines I3 · 14 ~ I5, thensubtractUne I6
fi this is a termination rtatement, Une I7 musl be zero.
18. LOAN GUARANTEES RECEIVED .............. ScheduleB, PartI, ColurnnCo) $
Cash Equivalents and Outstanding Debts
t9. Cash Equivalents ................................ See instructions on reverse
Type or print in ink.
Amounts may be rounded
to whole dollars.
Column A
TOTAL THIS IP[NOD
0cROM ATIACHED SCHEDULES)
S /, , /
s ~21. ~/~
ENDIN~ r, ASH BALANCE SHOULD
NOT l[ A NEGATIVE AMO~
SUMMARY PAGE
' ! ,.,.
Column B* Column C
TOTAL PREV1OU$ PERIOD TOTAL TO DATE
(SEE NOTE IELCY~ (ADD COLUMNS A · l)
$ S
S
S
$
21. Contrib tions
Recelve~ ....
22. Ex nditures
M~c~er .......
* From previous Statement Summary Page. Column C. However. if
this is the first report filed for the calendar year. Column li should be
blank except for .Loam Received (Line 2). Enforceable Promises (Line
6), Loans Made (Lme g), and Accrued Expenses (Line 11 ). '
Summary for Candidates in Both June and
November Elections
1/1 through 6/30 711 to Date
$
' .... '~diRq P.~'*~ A~'fLln: * '[ne I,* rnColumnC~bove $ _
Schedule E
Payments and Contributions
(Other Than Loans) Made
Type or print in ink.
Amounts may be rounded
to whole dollars,
SEE INSTRUCTIONS ON REVERSE
NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE
CODES ;/OR CLASSIFYING EXPENDITURES
Statement covers period
,,ore
SCHEDULE E
:: .:,,::: .:, ~ .~.
Page ,~. of
I.D. NUMBER
If one of the following codes accurately describes the expenditure, ou may enter the code and leave the "Description of Payment' co|umn blank. Refer to the
back of Schedule E-Continuation Sheet for detailed explanations otY;ach category.
°C'-
MONETARY AND IN-KIND (NON-MONETARY)
CONTRIBUTIONS TO OTHER CANDIDATES
AND COMMITTEES
INDEPENDENT EXPENDITURES
LITERATURE
'B'- BROADCASTADVERTISING 'G"-
'N'- NEWSPAPERANDPERIODICALADVERTISING
°O* - OUTSIDE ADVERTISING
"S° - SURVEYS. SIGNATURE GATHERING. DOOR-TO-DOOR SOLICITATIONS 'P' '
'F" - FUNDRAISING EVENTS
CODE OR
NAME AND ADDRESS OF PAYEE, CREDITOR. OR RECIPIENT OF CONTRIBUTION
tlf COMMITTEE, ffl AOOfflON TO COMMITTE['S HAM[ AND AOORE$S, !:NTER LD, NUMIER OR, ff NO LD:
NUMIIR HAS BEEN ASSIGNED, ENTER TREASUI~Ir$ NAME AND AI)DR[SS)
GENERAL OPERATIONS AND OVERHEAD,
TRAVEL. ACCOMMODATIONS AND MEALS
(MUST BE DESCRIBED)
PROFESSIONAL MANAGEMENT AND CONSULTING
SERVICES
Im rtant: Contributions and expenditures made out of campaign funds to or on behalf of other
on ~f~'c;holde~s, candidates, comm#ttees, or ballot measures must also be entered on the Allocation Page, Part I,
Payments and Contributions Made Summary
IMPORTANT: DO NOT ITEMIZE THE PAYMENT OF ACCRUED EXPENSES ON SCHEDULE E.
REPORT ONLY THE LUMP SUM OF SUCH PAYMENTS ON UNE 4 OF THE SUMMARY SECTION BELOW.
DESCRIPTION OF PAYMENT AMOUNT PAID
1. Payments made this period of $100 or more. (Include all Schedule E subtotals.) ............................ : ......................... $ ~ C), H r-/
2. Payments made this period of under $100. (Do not itemize.) ....................................................................... $ . .,-'~/, CLC2
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.) ..................................... $
5. Total payments made this period. (Add Lines 1, 2, 3, and 4, Enter here and on the Summary Page, Column A, Line 8.) ........... TOTAL $ .~ / ' ~/7
Schedule E
(Continuation Sheet)
Payments and Contributions
(Other Than Loans) Made
SEE INSTRUCTIONS ON REVERSE
NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE
Type or print in ink.
Amounts may be rounded
to whole dollars.
'C'-
~ ~CDES ~
FOR CLASSIFYING EXPENDITURES
Statement covers period
,,ore
MONETARY AND !N-KIND (NON-MONETARY) "B" -
CONTRIBUTIONS TO OTHER CANDIDATES 'N' '-
AND COMMITTEES 'O' -
INDEPENDENT EXPENDITURES 'S' -
LITERATURE 'F' -
I
BROADCAST ADVERTISING 'G" '-
NEWSPAPER AND PERIODICAL ADVERT!S!NG 'T' -
OUTSIDE ADVERTISING
-p~ _
SURVEYS, SIGNATURE GATHERING, DOOR-TO-DOOR SOLICITATIONS
FUNDRAISING EVENTS
NAME AND ADDRESS OF PAYEE, CREDITOR, OR RECIPIENT OF CONTRIBUTION
(IF COMMII"rEE, IN ADDITION TO COMMr'FTEE'$ NAME AND ADDRESS, ENTER I.D NUMBER OIL IF NO LD
NUMBER HAS BEEN ASSIGNED, ENTER TREASURER*$ NAME AND ADDRESS)
CODE OR
SCHEDULE E (cont.)
GENERAL OPERATIONS AND OVERHEAD
TRAVEL, ACCOMMODATIONS AND MEALS
(MUST BE DESCRIBED)
PROFESSIONAL MANAGEMENT AND CONSULTING
SERVICES
DESCRIPTION OF PAYMENT
AMOUNT PAID
SUBTOTAL $/,~ ~. ~ 9
~_- -~__ ....... - .........................._-.-.. ........--~ ...................
~'~ Bakersfield City Clerks Office
~ ................................................................................................. : .........................................1501 Truxtun Ave
~ Bakersfieid, CA 93301
~ .........
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