HomeMy WebLinkAboutMAXWELL SEMIANN04(2)Recipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200-842165)
05
Type or print in ink.
[frDIft, 10/17/2004
SEE INSTRUCTIONS ON REVERSE /through 12/31/2004
1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4.
Date of election if applicable:
(Month, Day, Year)
11/2/2004
Date Stamp
COVER PAGE
1 8
Page of
[] Officeholder, Candidate Controlled Committee O State Candidate Election Committee
O Recall
[] General Purpose Committee O Sponsored
O Small Contributor Committee
C) Political Pady/Central Committee
[] Baltot Measure Committee O Primarily Formed
O Controlled
O Sponsored
[] Primarily Formed Candidate/
Officeholder Committee
2. Type of Statement:
[] Preelection Statement
[] Semi-annual Statement
[] Termination Statement
[] Amendment (Explain below)
For Official Use Only
[] Quarterly Statement
[] Special Odd Year Report
~ Supplemental Preelection
Statement Attach Form 495
3. Committee Information
COMMI~EE NAME {OR CANDIDATE'S NAME IF NO COMMITTEE)
Committee to Elect Terry Maxwell
STREET ADDRESS (NO PO BOX)
MAILING ADDRESS (IF DIFFERENT) NO AND STREET OR PO BOX
CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL FAX / E-MAIL ADDRESS
Treasurer(s)
NAME OF TREASURER
Anthony Ansolabehere
MAILING ADDRESS
NAME OF ASSISTANT TREASURER, IF ANY
MAiLING ADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX / E-MAIL ADDRESS
4. Verification
~ 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 State of California that the foregoing is~[~ue and correct. ~..;-- ~ - .<~
Recipient Committee
Campaign Statement
Cover Page -- Part 2
Type or print in ink.
5. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE
Terry Maxwell
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
Bakersfield City Council Ward 2
RESIDENTIAL/BUSINESS 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,
COMM[%I EE NAME ID NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
[] YES [] NO
COMMITFEEADDRESS STREETADDRESS (NO PO BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
COMMIIq'EE NAME ID NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
[] YES [] NO
COMMITFEEADDRESS STREETADDRESS (NO PO BOX)
CITY STATE ZIP CODE AREA CODE/PRONE
COVER PAGE - PART 2
6. Ballot Measure Committee
2
Page__
of 8
NAME OF BALLOT MEASURE
BALLOT NO OR LETTER JURISDICTION
[~SUPPORT
[]OPPOSE
Identify the controlling officeholder, candidate, or state measure proponent, if any,
NAME OF OFFICEHOLDER CANDIDATE OR PROPONENT
OFFICE SOUGHT OR HELD DISTR~CT NO IF ANY
7. Primarily Formed Committee List names of officeholder(s) or candidate(s) for
which this committee is primarily formed.
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
D SUPPORT
[] OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD [] SUPPORT
[] OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
[] SUPPORT
[] OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD [] SUPPORT
[] OPPOSE
A~tach continuation sheets if necessary
FPRC Form 4410 (JunelOl)
FPPC Toll-Free Nelpline: 8661ASK-FPPC
State of California
Campaign Disclosure Statement Type or print in ink, SUMMARYPAGE
Amounts may be rounded Statement covers period
Summary Page to whole dollars.
from 10/17/2004
SEE INSTRUCTIONS ON REVERSE
through 12/31/2004 Page 3 of 6
NAME OF FILER
Committee to Elect Terry Maxwell
Contributions Received
3 SUBTOTAL CASH CONTRIBUTIONS ....... Add Lines f + s
5 TOTAL CONTRIBUTIONS RECEIVED Add Lines 3 + 4
Expenditures Made
6 Payments Made Schedole E Line 4 $
7 Loans Made Schedule H, Line 3
8 SUBTOTAL CASH PAYMENTS AddLines 6 + 7
9 Accrued Expenses (Unpaid Bills) Schedule E Line 3
10 Nonmonetary Adjustment Schedule C Line 3
11 TOTAL EXPENDITURES MADE AddLiness+9+lO $
Current Cash Statement
12 Beginning Cash Balance PreviousSummao/PageLmef5
13. Cash Receipts ColumnA Lme3above
14 Miscellaneous Increases to Cash Schedulel. Line4
15 Cash Payments Column A, Line S above
16 ENDING CASH BALANCE ....... AddDne$ 12+ 13+ f4, then subtract Line 15
If this ~s a termination statement, Line 16 must be zero
17. LOAN GUARANTEES RECEIVED ....................... Schedule e. Petf 2
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ................................... Seeinstruct/on$onrever~e
19 Outstanding Debts ................... AddUne2+LineginOolumnBabove
ColumnA
$ 3175
Column B
CALENDAR yEAR
TOTAL TO DATE
$ 14295
s 3175 s 14295
278
3175 $ 14573
668.00
0
668.00
11,916.46
0
12,584.46
6944.39
3175.00
0
668.00
9451.39
0
0
0
$ 4843.61
$ 4843.61
11,916.46
278.00
$ 17,038.07
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 repod being filed
for this calendar year, only
carry over the amounts
from Lines 2, 7, and 9 (if
any).
I D NUMBER
1267810
Calendar Year Summary for Candidates
Running in Both the State Primary and
General Elections
20. Contributions
Received
21. Expenditures
Made
1/1 through 6/30 7/1 to Date
$
$ $
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made*
fir Subject to Voluntary Expenditure Umifi
Date of Election Total to Date
(mm/dd/yy)
__/ / $
__1 /__ $
_ / / $
/ /__ $
/~ $
/ / $
*Since January 1. 2001. Amounts in this section may be
different from amounts repoded in Column B.
FPPC Form 460 (June/01)
FPPC Toll-Free Helptine: fi66/ASK-FPPC
ScheduleA
Monetary Contributions Received
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Type or print in ink.
Amounts may be rounded
to whole dollars.
Committee to Elect Terry Maxwell
Statement covers period
from 10/17/2004
through 12/31/2004
SCHEDULE A
4 8
Page __ of __
ID NUMBER
1267810
IF AN INDIVIDUALr ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION
DATE FULL NAME STREET ADDRESS AND ZiP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER RECEWED THIS CALENDAR YF~AR TO DATE
RECEIVED (IFCOMMITrEE ALSOENTERI D NUMBER) CODE ~' (IFSELF-EMpLOYEDrENTERNAME PERIOD (JAN I - DEC 31) (IF REQUIRED)
10/27/2004 Gregory L. Petrini E~COM Owner 500 500 500
~ PTY
~scc
~IND ~
10/28/2004 Project Design Consultants ~COM 150 150 150
~PTY
u ~SCC
~IND
10/28/2004 Global Investment & Development LLC ~COM ~ 500
~PTY
u ~SCC
~lN~
10/24/2004 Jerry Seydel ~COM Physician 250 250
~ PTY
u ~SCC
~INB
10/28/2004 Anthony G. Ansolabehere ~COM Appraiser 200 200 200
~PTY
~scc
SUBTOTALS 1600
Schedule A Summary
1. Amount received this period - contributions of $100 or more.
(Include all Schedule A subtotals.) ........................................................................................................ $
2. Amount received this period - un/tern/zed 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 $
3100
75
3
SCC - Small Contributor Committee
FPPC Form 460 {June/01)
FPPC Toll-Free Helpline: $661ASK-FPPC
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONTi
~one[ary ~ontrlDUtlOnS I~ecelvecl Amountsmayberounded Statementcovers period ~ ~r
to whole dollars.~o
from 10/17/2004
through 12/31/2004 f 8
NAME OF FILER
Committee to Elect Terry Maxwell
IF AN INDIVIDUAL ENTER I AMOUNT CUMULATIVE TO DATE PER ELECTRON
DATE FULL NAME STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE
-- I
10/19/2004 I Vincent Calaustro [~COM Owner 100 100 100
[~PTY Wine Productions
D [~scc
E~iND
10/18/2004 TVP Asset Inc. [~COM 150 150
EZ]PTY
E~scc
[~IND
10/19/2004 Mr. Tuxedo 200 200
[]PTY
u [~SCC
10/15/2004 Nickel Family LLC []IND
500 500
[]PTY
~ E~SCC
[~]IND
10/21/2004 Patrick L.Clark 250
[]PTY
E3scc
SUBTOTALS 1200
*Contdbutor Codes
IND - Individual
COM- Recipient Committee
(other than PTY or SCC)
OTH - Other
PTY- Political Party
,SCC- Small Contributor Commitlee
FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 8661ASK-FPPC
Schedule A (Continuation Sheet) Typ. or print in ink. SCHEDULE A (CONT~
to whole dollars.
! from 10/18/2004
through 12/31/2004 r page_ 6 of 8
~]AME OF FILERIDNLID NUMBER
Committee to Elect Terry Maxwell 1126781
0
I IF AN INDIVIDUAL ENTER AMOUNT CUMULATIVETO DATE PER ELECT]ON
DATE FULL NAME STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR, CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE
RECEIVED (IFCOMMITTEE AL$OENTERI B NUMBER) CODE * (IFSELF-EMPLOYED ENTERNAME PERIOD (JAN I - DEC 31) (IF REQUIRED)
12/17/2004 Randall G. Steinert [~IND
[]COM Real Estate Agent 200 1320 1320
[~PTY
i
~]iND
[]eOM Retired 100 100 100
[~ PTY
E~scc
~]IND
I E~COM
I E~]OTH
[] PTY
[~SCC
~]IND
[]COM
[] OTH
[]PTY
[]scc
~]IND
[]COM
[] OTH
[] PTY
E]scc
SUBTOTALS 300
*Contributor Codes
IND- Individual
COM- Recipient Committee
(other than PTY or SCC)
OTH - Other
PTY - Political Pady
SCC- Small Contributor Committee
FPPC Form 460 (Junel01)
FPPC Toll-Free Helpline: 8661ASK-FPPC
Schedule E
Payments Made
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Committee to Elect Terry Maxwell
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 10/17/2004
12/31/2004
through
7 8
Page__ of__
tD NUMBER
1267810
SCHEDULE E
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
campaign paraphernalia/misc
CNS campaign consultants
CTB contribution (explain nonmonetary)*
CVC civic donations
FIL candidate filing/ballot fees
FND fundraising events
independent expenditure supporting/opposing others (explain)'
LEG legal defense
LIT campaign literature and mailings
MBR member communications
MTG meetings and appearances
QFC office expenses
PET petition circulating
PHO phone banks
POL polling and survey research
POS postage, delivery and messenger services
PRO professional services (legal, accounting)
PRT print ads
PAD radio air[ime and production costs
RFD returned contributions
SAL campaign workers' salaries
TEL tv or cable airtime and production costs
~T~C candidate travel, lodging, and meals
TRS staff/spouse travel, lodging, and meals
TSF transfer between committees of the same candidate/sponsor
VOT voter registration
WEB information technology costs (internet, e-mail)
NAME AND ADDRESS OF PAYEE
(IF 6OMMI 1TEE ALSO ENTER ~ D ',~UMSERI CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
JM Publication Slate Mailer
LIT 660.10
* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTALS 660.10
Schedule E Summary
1. Payments made this period of $100 or more. (Include all Schedule E subtotals.) .................................................................................................. $ 660.10
2. Unitemized payments made this period of under $100 .......................................................................................................................................... $ 7.90
3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) ............................................................................... $ 0
4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ............................. TOTAL $ 668.00
FPPC Form 460 (Junel01)
FPPC Toll-Free Helpline: 866/ASK-FPPC
Schedule F
Accrued Expenses (Unpaid Bills)
SEE INSTRUCTIONS ON REVERSE
Type or print in ink.
Amounts may be rounded
to whole dollars,
from f 0/1 7/2004
12/31/2004
through
NAME OF FILER
Committee to Elect Terry Maxwell
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment
C;[v~ campaign paraphernalia/misc
CNS campaign consultants
CTB contribution (explain nonmonetary)*
CVC civic donations
RL candidate filing/ballot fees
FND fundraising events
Ihl~ independent expenditure supporting/opposing others (explain)*
LEG legal defense
LIT campaign literature and mailings
MBR member communicafions
MTG meetings and appearances
OFC office expenses
PET petition circulating
FI-In phone banks
POL polling and survey research
POS postage, delivery and messenger services
PRO professional services (legal, accounting)
PRT print ads
SCHEDULEF
Page__8 of 8
ID NUMBER
1267810
RAD radio airtime and production costs
RFD returned contributions
SAL campaign workers' salaries
TEL tv. or cable airtime and production costs
TRC candidate travel, lodging, and meals
TRS staff/spouse travel, lodging, and meals
TSF transfer betwee~ committees of the same candidate/sponsor
VOT voter registration
WEB information technology costs (internet, e mail)
(a) (b) (c)
NAME AND ADDRESS OF CREDITOR CODE OR OUTSTANDING AMOUNT INCURRED AMOUNT PAID OUTSTANDING
(IF COMMI~EE ALSO ENTER ID NUMBERI DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE
nting Co.
* Payments that are contributions or independent expenditures must also be
summarized on Schedule D, SUBTOTALS $ $ $ $ 11,916.46
Schedule F Summary
1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for
accrued expenses of $100 or more, plus total unitemized accrued expenses under $100.) ............................................ INCURRED TOTALS $ 11,916.46
2. Total accrued expenses paid this period. (Include afl Schedule F, Column (c) subtotals for payments on
accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.) ................................ PAID TOTALS $ 0
3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and
on the Summary Page, Column A, Line 9.) ......................................................................................................................................... NET $ 11,916.46
Ma)' be a negative number
C