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HomeMy WebLinkAboutBPPAC PREELEC00(1) dcipient Committee Campaign Statement (Govemmeat Code SeclJons 84200-84216,5) Type or print in ink. Statement 7~vera period SEEINSTRUCTIONSONREVERSE I through J --,~. -~O 1. Type of Recipient Committee: ~, Commi.--- Complete Parts 1, 2, 3, and 7. [] Officeholder, Candidate Controlled Committee (Also Complete Part 4.) [] Ballot Measure Committee O Primarily Formed O Controlled O Sponsored (Also complete Part 5.) [] Primarily Formed Candidate/ Officeholder Committee (AI~ CorRplete Part 6.) [] General Purpose Committee Date of election if epplk~e~- [ (Mon~, Day, Year) ~ ~'--~ 2. Type of Statement: ,~ Pre-election Statement [] Semi-annual Statement [] Termination Statement Date Stamp Sponsored Broad Based -7 AH 9:11 [] Amendment (Explain below) COVER PAGE Page f of '~ [] Quarterly Statement [] Special Odd-Year Report [] Supplemental Pm-election Statement - Attach Form 495 3. Committee Information COMMII-I~E NAME STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP COOE AREA CODE~HONE MAILING ADORESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP COOE AREA CODF~PHONE Treasurer(s) NAME OF TREASURER MAILING ADDRESS / CITY STATE ZIP COOE NAME OF ASSISTANT TREASURER, IF ANY AREA CODE/PHONE MAILING ADDRESS CITY STATE ZIP CODE AREA COOE~PHONE OPTIONAL: FAX / E-MAIL ADORESS FPPC Form 4S0 (~) For Technic. al Assl~teace: 916/'3~2~660 State of California Recipient Committee Campaign Statement Cover Page -- Part 2 Type or print in lek. COVER PAGE-PART2 Page .2.~ of ~'/ 4. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE 5. Ballot Measure Committee NAME OF SALLOT MEASURE OFFICE SOUGHT O~ HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) RESIOENTIAUBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZiP BALLOT NO. OR LETTER JURISDICTION I [] SUPPORT I [] OPPOSE Identify the controlling officeholder, cmldidete, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE. OR PROPONENT Related Committees Not Included in this Statement: Llstanycommlttees not Included In this consolidated statement that are controlled by you or which are primarily formed to receive contributions or to make expenditures on behaff of your candidacy. COMMITTEE NAME NAME OF TREASURER COMMITTEE ADDRESS I.D. NUMBER I-1 YES [] NO CITY STATE Z;P COCIE AREA CODE/PHONE OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY 6. Primarily Formed Committee '/,~,,me, of officeholder(s) orcendldat,(,) for which this committee Is prlnmrfly formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD NAME OF OFFICEHOLDER OR CANDIDATE NAME OF OFFICEHOLDER OR CANDIDATE [] SUPPORT [] OPPOSE OFFICE SOUGHT OR HELD [] SUPPOR'F [] OPPOSE OFFICE SOUGHT OR HELD [] OPPOSE Attach conbhua~ion sheets if necessaly 7. 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. I certify under penalty of perjury under the laws of the Stats of California that the foregoing is true and correct. Executedon .,~[-~- ~O DATE Executedon ~.. ~-OO By DATE Executed on By Executed on By FPPC Form 460 (8/99) For Technical Assistance: 916/322-5660 State of California Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE Type or print in Ink. Amounts may be rounded to whole dollars. through NAME OF FILER Contributions Received 1. Monetary Contributions ...................................................... ScheduleA, Line 3 2. Loans Received ................................................................... Schedule B, Line 7 3. SUBTOTAL CASH CONTRIBUTIONS ................................... Add Lines I + 2 4. Nonmonetary Contributions ............................................... Schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED .................................... Add Lines 3 + 4 Expenditures Made 6. Payments Made .................................................................... Schedule E, Line 4 7. Loans Made .......................................................................... Schedule H, Line 7 8. SUBTOTAL CASH PAYMENTS ................................................ Add Lines 6 + 7 9. AccnJed Expenses (Unpaid Bills) ............................................ Schedule F, Line 3 10. Nonmonetary Adjustment ....................................................... $cheduleC. Line3 11. TOTAL EXPENDITURES MADE ......................................... Add LInes 8 + 9 + 10 Column A $ p. oo SUMMARY PAGE I.D. NUMBER Column B* Column C TOTAL PREVIOUS PEF~OO TOTAL TO OATE $ $ ~ $. ~ $ S ~ Current Cash Statement 12. Beginning Cash Balance ................................ Previous Summary Page, Line 16 13. Cash Receipts .............................................................. Column A, Line 3 above 14. Miscellaneous Increases to Cash ....................................... Schedule I, Line 4 15. Cash Payments ............................................................ Column A, Line 8 above 16. ENDING CASH BALANCE .............. Add Lines 12 + 13 + 14, then subtract Line 15 If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ................... Schedule B, Pa~11, Column (b) Cash Equivalents and Outstanding Debts 18. Cash Equivalents ..................................................... See instructions on reverse 19. Outstanding Debts ................................... Add Line 2 + Line 9 in Column C above * From previous statement Summary Page, Cofomn C. However. if this is the first re)od flied for the calendar year, Column B should be blank except for Loans Received (Une 2). Loans Made (Line 7), and Accrued Expenses (Une 9). Summary for Candidates in Both June and November Elections 1/1 through 6/30 7/1 to Date 20. Contributions Received ............$ 21. Expenditures Made .................. $ FPPC Form 460 (8/99) For Technloal Assistance: 916/322-5660 Schedule A Ty~, or print in ink. SCHEDULE A Amounts may =e rounoeo S:-~,,,~,,;. covers r,~ ;;,-,'" I Contributions Receivedto whole dollars, from i ~ I ~ ~ ¢~) ii ~'LO~iEr ~lS ON REVERSE through / ' ~' ~'' .--O O IF AN INDMDUAL, ENTER AMOUNT CUMULATIVE TO DATE CUMULATIVE TO DATE FULL NAME, MAILING ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR OTHER (IF COMMI3'i'EE, ALSO ENTER I.D. NUMBER) CODE * (IF SELF-EMPlOY ED, ENTER N~ME PERIOD (JAN. 1 - DEC. 31 ) (IF APPLICABLE) OF ~USINESS) ASSOCIATION OF [] COM / ~ O / ~ ~) BAKERSFIELD POLICE OFFICERS [] •TH P.O. BOX 2501 ASSOOIATION OF BAKERSFIELD POLICE OFFICERS [] OTH P.O, Box 2501 Bakers~ie ~. r, ~ ~'~qg3 [] IND [] COM [] OTH I'q IND [] COM [] OTH F-lIND [] COM [] OTH Monetary S NAME OF FILER BATE RECEIVED /-7 SU~TOYAL$ Schedule A Summary 1. Amount received this period - contributions of $100 or more. (Include all Schedule A subtotals.) ....................................................................................................... 2. Amount received this period - unitemized contributions of less than $100 ......................................... 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ................... TOTAL 'Contributor Codes IN• - Individual COM - Recipient Committee •TH - Other FPPC Form 460 (8/99) For Technical Assistance: 916/322-5660