HomeMy WebLinkAboutSULLIVAN PREELEC04(1)
COVER ffiGE
Date Stamp
Type or print in mk.
Date of election if applicable:
(Month, Day, Year)
Statement covers period
Recipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200-84216.5)
I.;
f'~i
0410CT -')
07/01/2004
from
,:,K
'-
11/02/2004
09/30/2004
through
SEE INSTRUCTIONS ON REVERSE
Quarterly Statement
Special Odd-Year Report
Supplemental Preelection
Statement - Attach Form 495
o
o
o
Statement:
Preelection Statement
Semi-annual Statement
Termination Statement
Amendment
Type of
rx:J
o
o
o
2.
All Committees - Complete Parts 1, 2, 3, and 4.
Ballot Measure Committee
o Primarily Formed
o Controlled
o Sponsored
(AlSO Complete Part 6)
o
Committee:
IKI Officeholder, Candidate Controlled Committee
o State Candidate Election Committee
o Recall
(Also Complete
Recipient
Type of
1
(Explain below)
Primarily Formed Candidate,
Officeholder Committee
(Also Complete Part 7)
o
5)
o General Purpose Committee
o Sponsored
o Small Contributor Committee
o Political Party/Central Committee
p,,"
Treasurer(s)
.0 NUMBER
950347
Committee Information
3.
NAME OF TREASURER
(OR CANDIDATE'S NAME IF NO COMMITTEE)
COMMITTEE NAME
Sull i van
Myriam Rivas-Laguardla
MAILING ADDRESS
Jacquie
STREET ADDRESS (NO PO. BOX)
4.
ponsor
trOilingOfficeholder
Signature 01
By
Date
Executed on
FPPC Form 460 (JuneI01)
FPPC Toll-Free Helpline: 866fA$K.FPPC
State of California
Proponent
,tate Measure I-'roponent
Officeh~der, Candidate, State Measure
anaidate,
ceholder,
SignatureofCOIllrolling
www.netfile.com
COVER ffiGE - PARr 2
.
~ '
,
_ of~
o SUPPORT
o OPPOSE
Type or print in ink.
Recipient Committee
Campaign Statement
Cover Page - Part 2
Identify the controlling officeholder, candidate, or state measure proponent. if any.
NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT
OFFICE SOUGHT OR HELD
F ANY
DISTRICT NO.
6. Ballot Measure Committee
-
NAME OF BALLOT MEASURE
BALLOT NO. OR LETTER JURISDICTION
Primarily Formed Committee List names of officeholder(s) or candjdate(s) for
which this committee is primarily formed.
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD o SUPPORT
o OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
o SUPPORT
o OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD o SUPPORT
o OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD o SUPPORT
o OPPOSE
Attach continuation sheets if necessary
FPPC Form 460 (JuneJ01)
FPPC TolI.Free Helpline: 866/ASK-FPPC
State of California
7.
5. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE
Jacquie Sullivan
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
City Council Member
Ward 6
RESIDENTIALlBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP
Related Committees Not Included in this Statement: List any committees
not included in this statement that are controlled by you or are primarily formed to receive
contributions or make expenditures on behalf of your candidacy.
COMMITTEE NAME 1.0. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
DYES o NO
COMMITTEE ADDRESS STREET ADDRESS (NO PO. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
COMMITTEE NAME 1.0. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
DYES o NO
COMMITTEE ADDRESS STREET ADDRESS (NO PO. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
www.netfi/e.com
SUMMAR( ffiGE
covers period
07/01/2004
Statement
Type or print in ink.
Amounts may be rounded
to whole dollars.
Campaign Disclosure Statement
Summary Page
22
of
3
.D. NUMBER
950347
Page
09/30/2004
from
through
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Jacquie Sullivan
Calendar Year Summary for Candidates
Running in Both the State Primary and
General Elections
Column B
CALENDAR YEAR
rffiALTOOATE
Column A
Contributions Received
25,B01.00
1,000.00
$
(FROM ATTACHED SCHEDULES)
00
00
B01
500
24
$
Schedule A Line 3
Schedule B Line 3
Monetary Contributions
Loans Received
Date
to
7/
through 6/30
2.
$
$
20. Contributions
Received
Expenditures
Made
21
00
0.00
26,801.00
26,801
$
25,301.00
0.00
25,301.00
$
+2
Schedule C. Line 3
Add Lmes
SUBTOTAL CASH CONTRIBUTIONS
3.
4. Nonmonetary Contributions
5. TOTAL CONTRIBUTIONS RECEIVED
State
$
Expenditure Limit Summary for
Candidates
$
$
$
Add Lmes 3 + 4
Expenditures Made
6. Payments Made
3,246.52
0.00
$
4B
0.00
1,324
$
Schedule E. Lme 4
Schedule H, Line 3
Loans Made
7.
22. Cumulative Expenditures Made*
(If Subject to Voluntary Expenditure Limit)
52
3,246
$
4B
1,324
$
Add Lines 6 + 7
SUBTOTAL CASH PAYMENTS
8.
Total to Date
Date of Election
(mm/dd/yy)
00
00
Q
o
0.00
0.00
Schedule F. Line 3
Unpaid Bills)
Accrued Expenses
9
$
$
$
$
$
/-----1_
1-----1_
1-----1_
1-----1_
1-----1_
1-----1_
Schedule C, Line 3
Nonmonetary Adjustment
TOTAL EXPENDITURES MADE
o.
$
*Since January 1, 2001. Amounts in this section may be
different from amounts reported in Column B.
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).
3,246.52
$
4B
99
00
00
4B
53
-2B
301
o
324
947
1,324
$
$
......Add Lines 8 + 9 + 10
Previous Summary Page, Line 16
Cash Statement
Beginning Cash Balance
Cash Receipts
11
Current
2.
25
Column A. Line 3 above
3
1
23
$
Line 4
Column A. Line 8 above
Add Lmes 12 + 13 + 14, then subtract Line 15
Schedule
4. Miscellaneous Increases to Cash
Cash Payments
CASH BALANCE
ENDING
5.
6
00
o
$
Schedule B, Part 2
Cash Equivalents and Outstanding Debts
8. Cash Equivalents
16 must be zero.
If this is a termination statement, Line
7. LOAN GUARANTEES RECEIVED
FPPC Form 460 (June/Ol)
FPPC Toll-Free Helpline: 8661ASK-FPPC
0.00
1,000.00
$
$
~Vlstructions on reverse
Add Line 2 + Line 9 In Column B above
9. Outstanding Debts
www.netfile.com
SCI-flJULE A
Statement covers period
Type or print in ink.
Amounts may be rounded
to whole dollars.
Schedule A
Monetary Contributions Received
22
of
4
.0. NUMBER
950347
Page
07/01/2004
09/30/2004
from
through
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Jacquie Sullivan
PER ELECTION
TO DATE
IF REQUIRED)
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 - DEC. 31)
AMOUNT
RECEIVED THIS
PERIOD
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
{IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
CONTRIBUTOR
CODE *
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
(IF COMMITTEE, ALSO ENTER 1.0 NUMBER)
DATE
RECEIVED
000.00
1
G 04
1,000.00
1,000.00
100.00
04
G
100.00
100.00
500.00
04
G
500.00
00
500
Estate
Real
75.00
04
G
00
75
75.00
00
000
1
G 04
1,000.00
00
1,000
011\[)
o COM
IJOOTH
o PlY
OSCC
rx:JIND
o COM
OOTH
o PlY
OSCC
IJOIND
o COM
OOTH
o PlY
OSCC
IJO IND
o COM
OOTH
o PlY
OSCC
OIND
o COM
1iI0TH
o PlY
OSCC
BIPAC
07/28/2004
Kenneth Vetter
Mr
09/02/2004
Lawton Powers
Mr
09/14/2004
Oscar Rudnick
Mr
09/14/2004
Certified Auto Renta & Leasing
2004
15
09
"Contributor Codes
INO - Individual
COM - Recipient Committee
(other than PlY or SCC)
OTH - Other
PlY - Political Party
SCC - Small Contributor
675.00
2
SUBTOTAL $
more.
Schedule A Summary
Amount received this period - contributions of $100 or
Include all Schedule A subtotals.)
B01.00
0.00
24
$
$
2. Amount received this period - unitemized contributions of less than $100
Committee
FPPC Form 460 (June/Ol)
FPPC Toll-Free Helpline: 8661ASK-FPPC
00
24,801
TOTAL $
Column A, Line
received this period.
here and on the Summary Page,
Total monetary contributions
(Add Lines and 2. Enter
www.netfile.com
3.
SCHEDULE A
Statement covers period
Type or print in ink.
Amounts may be rounded
to whole dollars.
Schedule A (Continuation Sheet)
Monetary Contributions Received
22
of
5
.0. NUMBER
950347
Page
07/01/2004
09/30/2004
from
through
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Jacquie Sullivan
PER ELECTION
TO DATE
IF REQUIRED)
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 - DEC. 31)
AMOUNT
RECEIVED THIS
PERIOD
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
Attorney
CONTRIBUTOR
CODE *
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
(IF COMMITTEE, ALSO ENTER 1.0. NUMBER)
75.00
G 04
00
75
75.00
Self
300.00
G 04
300.00
300.00
1,000.00
G 04
1,000.00
1,000.00
Kem Refuse Disp::>sal
Incorporated
500.00
G 04
500.00
500.00
Farrrer
Self
300.00
G 04
00
300
300.00
4<lIND
o COM
OOTI-i
o PlY
OSCC
Ga IND
o COM
OOTI-i
o PlY
osee
OIND
o COM
GaOTI-i
o PlY
OSCC
Ga IND
o COM
OOTI-i
o PlY
osee
(]JIND
o COM
OOTI-i
o PlY
OSCC
DATE
RECEIVED
Darling
Mr. CUrtis
09/15/2004
Gutierrez
Mr. Dewalt
09/15/2004
Mr. Larry fYbxley
Mr. Gordon [Owns
09/16/2004
E. W. Haddad
2,425.00
SUBTOTAL $
FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 8661ASK-FPPC
www.netfile.com
SCl-EDULE A
Statement covers period
Type or print in ink.
Amounts may be rounded
to whole dollars.
Schedule A (Continuation Sheet)
Monetary Contributions Received
2~
of
,;
.0. NUMBER
950347
Page
07/01/2004
30/2004
09
from
through
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Jacquie Sullivan
PER ELECTION
TO DATE
IF REQUIRED)
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 - DEC. 31)
AMOUNT
RECEIVED THIS
PERIOD
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED. ENTER NAME
OF BUSINESS)
CONTRIBUTOR
CODE *
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
(IF COMMITTEE, ALSO ENTER 10 NUMBER)
DATE
RECEIVED
1,000.00
G 04
1,000.00
1,000.00
100.00
G 04
100.00
00
100
150.00
G 04
150.00
150.00
00
150
G 04
150.00
Planner
150.00
PrO] ect Design
Consultants
500.00
G 04
500.00
500.00
Fanner
LLC
Nickel Family,
OIND
o COM
uaOTH
OPTY
Osee
QIND
o COM
OOTH
OPTY
OSCC
OIND
o COM
QOTH
OPTY
Osee
OIND
o COM
uaOTH
OPTY
osee
ualJll)
o COM
OOTH
OPTY
OSCC
Inco:q:orated
Service
Ambulance
Hall
09/16/2004
Design Consultants
proj ect
L. Nickel
500.00
G 04
500.00
500.00
PRES/CEO
H. M. Holloway,
Incorporated
QgiND
o COM
OOTH
OPTY
osee
Mr. Arnold Johansen
09/17/2004
2,400.00
SUBTOTAL $
FPPC Form 460 (June/Ol)
FPPC Toll-Free Helpline: 8661ASK-FPPC
www.netfi/e.com
Statement covers period
Type or print in ink.
Amounts may be rounded
to whole dollars.
Schedule A (Continuation Sheet)
Monetary Contributions Received
22
of
7
.0. NUMBER
950347
Page
07/01/2004
09tJ012004
from
through
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Jacquie Sullivan
PER ELECTION
TO DATE
IF REQUIRED)
CUMULATIVE TO DATE
CALENDAR YEAR
{JAN. 1 - DEC. 31)
AMOUNT
RECEIVED THIS
PERIOD
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR
(IF COMMITTEE, ALSO ENTER 10 NUMBER) CODE *
FULL NAME
DATE
RECEIVED
1,000.00
G 04
1,000.00
1,000.00
500.00
G 04
500.00
500.00
Carriage Hanes
500.00
G 04
500.00
500.00
100.00
G 04
100.00
00
100
500.00
G 04
500.00
500.00
Self
QiND
o COM
OOTH
OPTY
OSCC
011\0
o COM
[j<JOTH
OPTY
OSCC
[iJIND
o COM
OOTH
o PlY
OSCC
[iJ IND
o COM
OOTH
OPTY
OSCC
[j<JIND
o COM
OOTH
OPTY
osee
John Kind
Mr
09/17/2004
Ridenour
Paul
Mr
09/17/2004
Shell
Mary
Ms
09/17/2004
Steinert
Mr. Marvin
09/17/2004
00
1,000
G 04
1,000.00
1,000.00
OIND
o COM
[iJOTH
o PlY
OSCC
rue
Stonecreek Partners
Mr
09/17/2004
3,600.00
SUBTOTAL $
FPPC Form 460 (June/Ol1
FPPC Toll-Free Helpline: 866/ASK-FPPC
www.netfile.com
SCHEDULE A
Statement covers period
Type or print in ink.
Amounts may be rounded
to whole dollars.
Schedule A (Continuation Sheet)
Monetary Contributions Received
22
of
~
.0. NUMBER
950347
Page
01/2004
09/30140Q4
07
from
through
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Jacquie Sullivan
PER ELECTION
TO DATE
(IF REQUIRED)
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 - DEC. 31)
AMOUNT
RECEIVED THIS
PERIOD
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
CONTRIBUTOR
CODE *
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
{IF COMMITTEE, ALSO ENTER I D. NUMBER)
DATE
RECEIVED
1,000.00
G 04
1,000.00
00
1,000
Stonecreek Partners
Incorporated
100.00
G 04
100.00
100.00
200.00
G 04
200.00
200.00
CPA/Consultant
30.00
G 04
30.00
30.00
1,000.00
G 04
1,000.00
00
1,000
own
Fams
Bolthouse
QIND
o COM
OOTH
OPTY
Osee
GINO
o COM
OOTH
OPTY
OSCC
GINO
o COM
OOTH
OPTY
OSCC
GINO
o COM
OOTH
OPTY
osee
~INO
o COM
OOTH
OPTY
OSCC
Turman
Plank
Lloyd
Mr
09/18/2004
Barbich
Mr. Louis
09/19/2004
Capili
150.00
G 04
00
150
150.00
Gilt\!)
o COM
OOTH
OPTY
OSCC
James Marino
2,480.00
SUBTOTAL $
FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 8661ASK-FPPC
www.netfile.com
SCH3JULE A
Statement covers period
Type or print in ink.
Amounts may be rounded
to whole dollars.
Schedule A (Continuation Sheet)
Monetary Contributions Received
~2
of
~
.0. NUMBER
950347
Page
07/01/2004
~O/2004
from
through
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Jacquie SUllivan
PER ELECTION
TO DATE
IF REQUIRED)
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 - DEC. 31)
AMOUNT
RECEIVED THIS
PERIOD
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF.EMPLOYED, ENTER NAME
OF BUSINESS)
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR
(IF COMMITTEE. ALSO ENTER 1.0. NUMBER) CODE *
250.00
G 04
250.00
250.00
500.00
G 04
500.00
500.00
75.00
04
G
75.00
75.00
EState
Real
Self
00
50
G 04
50.00
50.00
150.00
04
G
150.00
150.00
Developer
Adarco
OiND
o COM
[iOOTH
o PlY
OSCC
OIND
o COM
[iOOTH
OPTY
osee
QINO
o COM
OOTH
o PlY
OSCC
QIND
o COM
OOTH
OPTY
osee
[]jINO
o COM
OOTH
o PlY
OSCC
IncorpJrated
New Concept
Richard Watson
Mr
09/20/2004
Mr. Warren Coats
09/21/2004
Mr. Arthur Davis
200.00
G 04
200.00
200.00
[BU\ID
o COM
OOTH
OPTY
OSCC
Dr. James Fillbrandt
09/21/2004
1,225.00
SUBTOTAL $
FPPC Form 460 (JuneI01)
FPPC Toll-Free Helpline: 8661ASK.FPPC
www.netfile.com
A
SCl-EDULE
Statement covers period
Type or print in ink.
Amounts may be rounded
to whole dollars.
Schedule A (Continuation Sheet)
Monetary Contributions Received
22
of
10
.0. NUMBER
950347
Page
07/01/2004
09/30/2004
from
through
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Jacquie SUllivan
PER ELECTION
TO DATE
(IF REQUIRED)
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 - DEC. 31)
AMOUNT
RECEIVED THIS
PERIOD
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESSj
CONTRIBUTOR
CODE *
FULL NAME, STREET ADDRESS AND liP CODE OF CONTRIBUTOR
(IF COMMITTEE, ALSO ENTER 10. NUMBER)
DATE
RECEIVED
150 . 00
G 04
150.00
150.00
Self
season
Bakersfield All
window Cleaning
1,000.00
G 04
1,000.00
00
1,000
Self
75.00
G 04
75.00
00
75
Manager
Elk Hills
Occl.dental of
Ine
Realtor
500.00
G 04
500.00
00
500
Karpe Real Estate Center
00
225
G 04
225.00
00
225
QIND
o COM
OOll-i
o PlY
OSCC
OIND
o COM
[iJOll-i
o PlY
OSCC
[iJiND
o COM
OOll-i
OPTY
osee
OW
o COM
[iJOll-i
o PlY
OSCC
OIND
o COM
[iJOll-i
o PlY
osee
09/21/2004
Gay
Company
Fnlit
giumarra Bros
09/21/2004
Mr. Harey pinson
Mr. Ray Ray & Lisa
09/21/2004
Karpe
Incorporated
00
15
G 04
15.00
15.00
miND
o COM
OOll-i
OPTY
OSCC
09/22/2004
1,965.00
SUBTOTAL $
FPPC Form 460 (June/Ol)
FPPC Toll-Free Helpline: 8661ASK-FPPC
www.netfile.com
A
SCl-EDULE
Statement covers period
Type or print in ink.
Amounts may be rounded
to whole dollars.
Schedule A (Continuation Sheet)
Monetary Contributions Received
22
of
11
.0. NUMBER
950347
Page
07/01/2004
30/200.4
09
from
through
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Jacquie Sullivan
PER ELECTION
TO DATE
(IF REQUIRED)
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 - DEC. 31)
AMOU NT
RECEIVED THIS
PERIOD
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SElF.EMPLOYED, ENTER NAME
OF BUSINESS)
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR
(IF COMMITTEE, ALSO ENTER I,D NUMBER) CODE *
DATE
RECEIVED
00
500
G 04
500.00
500.00
Retired
00
150
G 04
150.00
150.00
75.00
G 04
75.00
75.00
1,000.00
G 04
1,000.00
1,000.00
-E>Tplayed
Self
Sanitatlon
00
150
G 04
150.00
150.00
GlIND
o COM
OOTH
o PlY
OSCC
QIND
o COM
OOTH
o PlY
osee
QIND
o COM
OOTH
o PlY
OSCC
Qlt\[)
o COM
OOTH
o PlY
OSCC
miND
o COM
OOTH
o PlY
osee
Mr. Ray Dezember
09/22/2004
Duncan
Jeff Green
Mr
09/22/2004
Mr. Bob Hampton
09/22/2004
Warren Netleton
Mr
09/22/2004
500.00
G 04
500.00
500.00
General Contractor
miND
o COM
OOTH
o PlY
OSCC
Anderson
Steven Steven C.
Mr
09/22/2004
S. C. Anderson,
Incorporated
2,375.00
SUBTOTAL $
FPPC Form 460 (June/Ol)
FPPC Toll-Free Helpline: 8661ASK.FPPC
www.netfi/e.com
A
SCf-E[)ULE
Statement covers period
Type or print in ink.
Amounts may be rounded
to whole dollars.
Schedule A (Continuation Sheet)
Monetary Contributions Received
22
of
12
.0. NUMBER
950347
Page
07/01/2004
09/30/2004
from
through
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Jacquie Sullivan
PER ELECTION
TO DATE
IF REQUIRED
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 - DEC. 31)
AMOUNT
RECEIVED THIS
PERIOD
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF.EMPLOYED. ENTER NAME
OF BUSINESSj
FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR
(IF COMMITTEE, ALSO ENTER 10. NUMBER) CODE *
DATE
RECEIVED
00
75
G 04
75.00
75.00
00
00
26.00
G 04
00
26
26.00
50.00
G 04
50.00
00
50
G1IND
o COM
OOTH
OPTY
osee
011liJ
o COM
[j<JOTH
OPTY
OSCC
OIND
o COM
[j<JOTH
OPTY
osee
011liJ
o COM
[j<JOTH
OPTY
OSCC
OIND
o COM
[j<JOTH
OPTY
osee
wright
09/23/2004
09/23/2004
09/23/2004
09/23/2004
30.00
G 04
30.00
30.00
mIND
o COM
OOTH
OPTY
OSCC
Mr. Gene Arche
09/23/2004
316.00
SUBTOTAL $
FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 8661ASK-FPPC
www.netfile.com
SCl-EDULE A
Statement covers period
Type or print in ink.
Amounts may be rounded
to whole dollars.
Schedule A (Continuation Sheet)
Monetary Contributions Received
22
of
n
.0. NUMBER
950347
Page
01/2004
30nJ104
07
09
from
through
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Jacquie Sullivan
PER ELECTION
TO DATE
IF REQUIRED)
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 - DEC. 31}
AMOUNT
RECEIVED THIS
PERIOD
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(If SELf-EMPLOYED, ENTER NAME
OF BUSINESS)
CONTRIBUTOR
CODE *
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
(IF COMMITTEE, ALSO ENTER 10 NUMBER)
DATE
RECEIVED
00
50
G 04
00
50
50.00
00
100
G 04
100.00
00
100
Real Estate
150.00
G 04
150.00
150.00
Dow~ng Developnent
300.00
G 04
300.00
300.00
00
no
G 04
110.00
30.00
QIND
o COM
oOTl-l
o PlY
oSCC
olND
o COM
[iJOTl-l
o PlY
osee
olND
o COM
[iJOTl-l
o PlY
osee
olND
o COM
[iJOTl-l
o PLY
oSCC
[jJ IND
o COM
oOTl-l
o PlY
osee
Richard Bo::ien
Mr
09/23/2004
Incorporated
Charles Dawson,
'I'hom3.s Downing Developm2nt
Ms. Deborah Goble
110.00
G 04
110.00
80.00
[]gIND
o COM
oOTl-l
o PlY
oSCC
Deborah Goble
710.00
SUBTOTAl $
FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 8661ASK.FPPC
www.netfile.com
A
SCI-EllULE
Statement covers period
Type or print in ink.
Amounts may be rounded
to whole dollars.
Schedule A (Continuation Sheet)
Monetary Contributions Received
22
of
Ii
.0. NUMBER
950347
Page
07/01/2004
09/3014_QQ4
from
through
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Jacquie SUllivan
PER ELECTION
TO DATE
IF REQUIRED)
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 - DEC. 31)
AMOUNT
RECEIVED THIS
PERIOD
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF.EMPLOYED, ENTER NAME
OFSUSINESS)
CONTRIBUTOR
CODE *
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
DATE
RECEIVED
00
100
G 04
100.00
00
100
00
500
G 04
500.00
500.00
Gregory Bynum &
Associates, Inc
00
1,000
G 04
1,000.00
1,000.00
100.00
G 04
100.00
00
100
100.00
G 04
100.00
100_00
Qlt>[)
o COM
OOTH
o PlY
OSCC
OIND
o COM
[iJOTH
o PlY
OSCC
[iJ IND
o COM
OOTH
o PlY
osee
[iJ1t>[)
o COM
OOTH
o PlY
OSCC
rn IND
o COM
OOTH
o PlY
osee
Stanley Godges
Bynum & Associate,
T. J. Jamieson
Mr
09/23/2004
Le Louis
c.
E
Mr
09/23/2004
Lecain
Francis
Mr
09/23/2004
500.00
G 04
500.00
00
500
rnlN[)
o COM
OOTH
o PlY
OSCC
Deborah Petrini
Michael Michael &
Mr
09/23/2004
2,300.00
SUBTOTAL $
FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 8661ASK-FPPC
www.netfile.com
SCHEDULE A
Statement covers period
Type or print in ink.
Amounts may be rounded
to whole dollars.
Schedule A (Continuation Sheet)
Monetary Contributions Received
22
of
15
.0. NUMBER
950347
Page
07/01/2004
09/30/20Q4
from
through
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Jacquie Sullivan
PER ELECTION
TO DATE
IF REQUIRED)
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 - DEC. 31)
AMOUNT
RECEIVED THIS
PERIOD
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED. ENTER NAME
OF BUSINESS)
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR
{IF COMMITTEE, ALSO ENTER 1.0. NUMBER) CODE *
DATE
RECEIVED
00
100
G 04
100.00
100.00
Physician
Self
100.00
G 04
100.00
100.00
30.00
G 04
00
30
30.00
Retired
60.00
G 04
60.00
60.00
75.00
G 04
75.00
75.00
QIND
o COM
0011-1
OPTY
osee
G1INll
o COM
0011-1
OPTY
OSCC
GI IND
o COM
0011-1
OPTY
osee
G1IND
o COM
0011-1
OPTY
OSCC
[]I INll
o COM
0011-1
o PlY
OSCC
Jasmine Moim
Dr
09/23/2004
Shakir
09/23/2004
David Slagle
Mr
09/23/2004
Mr. Larry Sowell
09/23/2004
00
75
G 04
00
75
75.00
OIND
o COM
G1011-l
OPTY
osee
Taylor Tire & Brake
09/23/2004
Taylor & Tire Brake
440.00
SUBTOTAL $
FPPC Form 460 (June/Ol1
FPPC Toll-Free Helpline: 8661ASK-FPPC
www.netfile.com
SCtflJULE A
Statement covers period
Type or print in ink.
Amounts may be rounded
to whole dollars.
Schedule A (Continuation Sheet)
Monetary Contributions Received
22
of
10
.0. NUMBER
950347
Page
07/01/2004
30/2004
0"
from
through
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Jacquie Sullivan
PER ELECTION
TO DATE
IF REQUIRED)
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 - DEC. 31)
AMOUNT
RECEIVED THIS
PERIOD
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF.EMPLOYED, ENTER NAME
OF BUSINESS)
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR 1 CONTRIBUTOR
(IF COMMITTEE, ALSO ENTER 1.0. NUMBER) CODE *
DATE
RECEIVED
150.00
G 04
150.00
150.00
60.00
04
G
60.00
60.00
30.00
G 04
30.00
30.00
OIND
o COM
1]1011-1
OPTY
osee
Ga IND
o COM
0011-1
OPTY
osee
Ga 1t'V
o COM
0011-1
o PlY
OSCC
Bill Walmart
Mr
09/23/2004
Mr. Dwight Wi9Jins
Andrew Ballweg
100.00
G 04
100.00
100.00
OIND
o COM
[la011-l
OPTY
OSCC
Publication
&
Print
Dayna Castle
DO
250
04
G
250.00
250.00
[laIND
o COM
0011-1
OPTY
osee
Mr. Joe Colanbo
09/24/2004
Dr. Steve Dr
Incoq;::orated
1,090.00
SUBTOTAL $
FPPC Form 460 (June/Ol)
FPPC Toll-Free Helpline: 8661ASK-FPPC
www.netfile.com
A
Statement covers period
Type or print in ink.
Amounts may be rounded
to whole dollars.
Schedule A (Continuation Sheet)
Monetary Contributions Received
22
of
17
,0. NUMBER
950347
Page
07/01/2004
09/30/2004
from
through
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Jacquie Sullivan
PER ELECTION
TO DATE
IF REQUiRED)
CUMULATIVE TO DATE
CALENDAR YEAR
{JAN. 1 - DEC. 31)
AMOUNT
RECEIVED THIS
PERIOD
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR
{IF COMMITTEE. ALSO ENTER ID NUMBER) CODE *
DATE
RECEIVED
50.00
G 04
50.00
50.00
200.00
G 04
200.00
200.00
150.00
G 04
00
150
150.00
250.00
G 04
250.00
250.00
Tel-Tee Security
Systems, Incorporated
150.00
G 04
150.00
150.00
llomem3ker
for Rent
[;;III\()
o COM
OOTH
o PlY
OSCC
[iJIND
o COM
OOTH
o PlY
OSCC
[iJ IND
o COM
OOTH
OPTY
osee
[iJIND
o COM
OOTH
OPTY
OSCC
mil\()
o COM
OOTH
o PlY
OSCC
'Ihanas McGirmis
Padgett
Earl
Mr
09/24/2004
Intosh
Me
Mr. Reger
09/26/2004
Mr. Morgan Clayton
09/28/2004
Rain
John Lake
800.00
SUBTOTAL $
FPPC Form 460 (June/Ol)
FPPC Toll-Free Helpline: 8661ASK-FPPC
www.netfile.com
SCHEDULE B - PART
ORNIA 46
RM
Page ~ of --==-
1.0. NUMBER
950347
9
ORIGINAL CUMULATIVE
AMOUNT OF CONTRIBUTIONS
LOAN TO DATE
-
CALENDAR YEAR
500.00 500.00
$ $
PER ELECTIQN-
Statement covers period
from_ 07/01/2004
through 09/30/2004
Type or print in ink.
Amounts may be rounded
to whole dollars.
1
Schedule B - Part
Loans Received
SEE INSTRUCTIONS ON REVERSE
NAME OF FI LER
Jacquie Sullivan
-I
INTEREST
PAID THIS
PERIOD
OUTSTANDING
BALANCE AT
CLOSE OF THIS
PERIOD
1'1
AMOUNT PAID
OR FORGIVEN
THIS PERIOD *
-I
OUTSTANDING
BALANCE I RECEIVED THIS
BEGINNING THIS PERiOD
PERIOD
Ib)
AMOUNT
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
STREET ADDRESS AND ZIP CODE
OF LENDER
F COMMITTEE, ALSO ENTER 1.0. NUMBER)
FULL NAME,
FSELF.EMPLOYED ENTER
NAME OF BUSINESS)
_0/0
R'rE
0.00 I , 500.00
08/04/2004 I $
DATE INCURRED
PER ELECTION **
$
DATE INCURRED
CALENDAR YEAR
$ $
PER ELECTiON**"
$
DATE INCURRED
*Amounts forgiven or paid by
another party also must be
reported on Schedule A.
** If required.
. $
= =
SUBTOTALS $
-
.........
.........
Scheduie A.
CAlENDAR YEAR
$
o PAID
0.00 500.00
$ L -
o FORGIVEN
00 I 500.00 00
$- $ - $
DATE DUE
$
_0/0
R"E
$
DATE DUE
-
$ _0/0
>WE
$
DATE DUE
-
500.00 $ 0.00
(Enter (e) on
SctieduleE.l.Jne 3)
500.00
-
0.00
$
$
.
$
Ms. Jacquie Sullivan
tl[) IND o COM o OTH o PTY o SCC
to IND o COM o OTH o PTY o SCC
to INO o COM o QTH o PTY o scc
Schedule B Summary
Loans received this period ................
(Total Column (b) plus unitemized loans less than $100.
2. Loans paid or forgiven this period
Total Column (c) plus loans under $100 paid or forgiven.)
Include loans paid by a third party that are also itemized on
NET $ 500.00
- (MaYbeanegativ~
Net change this period. (Subtract Line 2 from Line 1.)
Enter the net here and on the Summary Page, Column
3.
FPPC Form 460 (June/at)
FPPC Toll-Free Helpline: 866/ASK.FPPC
A, Line 2.
t Contributor Codes
IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH-Other PTY - Political Party see - Small Contributor Committee
www.netfile.com
sa-tEDULE E
Statement covers period
Type or print in ink.
Amounts may be rounded
to whole dollars.
Schedule E
Payments Made
22
-
Page ~ of
I.D.NUMBER
950347
07/01/2004
09/30/2004
from
through
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Jacquie Sullivan
candidate/sponsor
descri be
radio airtime and production
returned contributions
campaign workers' salaries
t.v. or cable airtime and production costs
candidate travel, lodging, and meals
staff/spouse travel, lodging, and meals
transfer between committees of the same
voter registration
information technology
costs
the payment.
Otherwise,
RAD
RFD
SAL
1EL
lRC
TRS
TSF
VOT
WEB
the payment, you may enter
member communications
meetings and appearances
office expenses
petition circulating
phone banks
polling and survey research
postage, delivery and messenger services
professional services (legal, accounting)
print ads
the code.
MBR
MTG
OFC
FEr
PHO
POl
POS
PRO
PRT
accurately describes
(explain)"'
If one of the
campaign paraphernalia/misc.
campaign consultants
contribution (explain nonmonetary)
civic donations
candidate filing/ballot fees
fundraising events
independent expenditure supporting/opposing others
legal defense
campaign literature and mailings
following codes
CODES
CMP
CNS
ClB
CVC
RL
FND
If\[)
LEG
UT
e-mai
NAME AND ADDRESS OF ~YEE
(IF COMMITTEE. ALSO ENTER 1.0 NUMBER) CODE OR DESCRIPTION OF ~YMENT AMOUNT PAID
Wells Fargo Bank 22.00
Wells Fargo Bank 12.00
City of Bakersfield FlL 807.00
(internet,
costs
SUBTOTAL $ 841.00
-
uuu. u $_ 1,324.48
uu...u. $_ 0.00
..u.u... $_ 0.00
TOTAL $_ 1,324.48
FPPC Form 460 (JuneIOl)
FPPC Toll-Free Helpline: 8661ASK-FPPC
* Payments that are contributions or independent expenditures must also be summarized on Schedule D.
Schedule E Summary
1. Payments made this period of $100 or more. (Include all Schedule E subtotals.) uu...u.uuu.......u
2. Unitemized payments made this period of under $100 u........u...uu.u.u.u.u.u.uu......uu..uu..uuu
3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) .
4. Total payments made this period. (Add Lines 2, and 3. Enter here and on the Summary Page, Column A, Line 6
www.netfile.com
Statement covers period
Type or print in ink.
Amounts may be rounded
to whole dollars.
Schedule E (Continuation Sheet)
Payments Made
22
-
of
Page~
.0. NUMBER
07/01/2004
09/30/2004
from
through
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Jacquie
950347
Sullivan
describe the
RAD radio airtime and production
RFD returned contributions
SAL campaign workers' salaries
1EL t.v. or cable airtime and production costs
me candidate travel, lodging, and meals
TRS staff/spouse travel, lodging, and meals
TSF transfer between committees of the same candidate/sponsor
VOT
WEB
costs
payment.
Otherwise,
you
member communications
meetings and appearances
office expenses
petition circulating
phone banks
polling and survey research
postage, delivery and messenger services
professional services (legal, accounting)
print ads
the code.
may enter
the payment,
MBR
MTG
OFC
PET
PHO
POL
POS
PRO
PRf
following codes accurately describes
(explain)*
If one of the
campaign paraphernalia/misc.
campaign consultants
contribution (explain nonmonetary)*
civic donations
candidate filing/ballot fees
fundraising events
independent expenditure supporting/opposing others
legal defense
campaign literature and mailings
CODES
CMP
en;
CTB
CVC
RL
FND
INO
LEG
UT
e-mai
NAME AND ADDRESS OF FAYEE
(IF COMMITTEE. ALSO ENTER 1.0. NUMBER) CODE OR DESCRIPTION OF A:\YMENT AMOUNT PAID
Kern County Fighters Union 1301 eve 45.00
SENECA Network, Incorporated MER 30_00
Citicard 112 . 88
Wells Fargo Bank 12.00
Golden Empire Gleaners eve 50.00
(internet,
voter registration
information technology costs
249.88
FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 8661ASK-FPPC
SUBTOTAL $
* Payments that are contributions orindependent expenditures must also be summarized on Schedule D.
www.netfile.com
Statement covers period
Type or print in ink.
Amounts may be rounded
to whole dollars.
Schedule E (Continuation Sheet)
Payments Made
22
-
Page ~ of
.0. NUMBER
07/01/2004
09/30/2004
from
through
SEE INSTRUCTIONS ON REVERSE
NAME OF FI LER
Jacquie
950347
Sull i van
describe
radio airtime and production costs
returned contributions
campaign workers' salaries
t.v. or cable airtime and production costs
candidate travel, lodging, and meals
staff/spouse travel, lodging, and meals
transfer between committees of the same candidate/sponsor
voter registration
information technology costs (internet,
the payment
Otherwise,
RAD
RFD
SAL
TEL
rnc
TRS
TSF
VOT
WEB
you
member communications
meetings and appearances
office expenses
petition circulating
phone banks
polling and survey research
postage, delivery and messenger services
professional services (legal, accounting)
print ads
the code.
may enter
the payment,
MBR
MTG
OFC
PEr
PHO
POl
POS
PRO
PRT
accurately describes
(explain)*
If one of the
campaign paraphernalia/misc.
campaign consultants
contribution (explain nonmonetary)*
civic donations
candidate filing/ballot fees
fund raising events
independent expenditure supporting/opposing others
legal defense
campaign literature and mailings
following codes
CODES
CMP
CNS
CTB
CVC
RL
FND
IND
LEG
LIT
e.mai
NAME AND ADDRESS OF A1.YEE
(IF COMMITTEE. ALSO ENTER LD. NUMBER) CODE OR DESCRIPTION OF A1.YMENT AMOUNT PAID
Citicard 26.60
CEWAR Ke Chapter eve 25.00
Kern Law Enforcement Association eve 45.00
Link to LIfe eve 30.00
wells Fargo Bank 12.00
138.60
FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 866/ASK-FPPC
SUBTOTAL $
* Payments that are contributions or independent expenditures must also be summarized on SChedule D.
www.netfile.com
Statement covers period
Type or print in ink.
Amounts may be rounded
to whole dollars.
Schedule E (Continuation Sheet)
Payments Made
22
-
Page ~ of
.0. NUMBER
07/01/2004
09/30/2004
from
through
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Jacquie Sullivan
950347
describe
RAD radio airtime and production costs
returned contributions
campaign workers' salaries
t.v. or cable airtime and production costs
candidate travel, lodging, and meals
staff/spouse travel, lodging, and meals
transfer between committees of the same candidate/sponsor
voter registration
information technology costs
the payment.
Otherwise,
RFD
SAL
lEL
lRC
lRS
TSF
VOT
WEB
you may
member communications
meetings and appearances
office expenses
petition circulating
phone banks
polling and survey research
postage, delivery and messenger services
professional services (legal, accounting)
print ads
the code.
enter
the payment,
MBR
MTG
OFC
PEr
PH(}
POL
POS
PRO
PRT
accurately describes
(explain)'
If one of the
campaign paraphernalia/misc.
campaign consultants
contribution (explain nonmonetary)*
civic donations
candidate filing/ballot fees
fundraising events
independent expenditure supporting/opposing others
legal defense
campaign literature and mailings
following codes
CODES
CMP
O\IS
CTB
CVC
RL
FND
IN!)
LEG
LIT
e-mai
NAME AND ADDRESS OF ~YEE
(IF COMMITTEE, ALSO ENTER 1.0 NUMBER) CODE OR DESCRIPTION OF ~YMENT AMOUNT PAID
Mr. Chris Tuckett FND 50.00
Bakersfield Congress of Republicans MTG 45.00
4900 C
(internet,
SUBTOTAL $ 95.00
-
FPPC Form 460 (June/Ol)
FPPC Toll-Free Helpline: 8661ASK.FPPC
* Payments that are contributions orindependentexpenditures must also be summarized on Schedule O.
www.netfile.com
I
I
!
i
I
I