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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