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HomeMy WebLinkAboutSULLIVAN SEMIANN04(2)Recipient Committee Campaign Statement Cover Page (Govemment Code Sections 84200-64216.5) SEEINSTRUCTIONS ON REVERSE Type or print in ink. Statement covers period Date of election if appl (Month, from 10/17/2004 through 12/31/2004 11/02/2004 Date Stamp =age 1 of 8 For Official Use Only COVER PAGE 1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4. [] Officeholder, Candidate Controlled Committee O State Candidate Election Committee O Recall [] General Purpose Committee O Sponsored O Small Con~butor Committee O Political Party/Central Committee [] Ballot Measure Committee 0 Pdmadly Formed O Controlled O Sponsored [] Primarily Formed Candidate/ Officeholder Committee 2. Type of Statement: [] PmelectJon Statement [] Semi-annual Statement [] Termination Statement [] Amendment(Explain below) [] Quarterly Statement [] Special Odd-Year Report [] Supplemental Preelection Statement - Attach Form 495 3. Committee Information COMMITTEE NAME(OR CANDID~E'S NAMEIF NO COMMITTEE) Jacquie Sullivan STREET ADDRESS (NO RO BOX) Treasurer(s) NAME OF TREASURER Myriam Eivas Laguardia MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX/E MAIL ADDRESS I have used all reasonable diligence in preparing and reviewing this statement and to the best o,t~my knowledge the information contained herein and in the attached schedules is true and complete. I certi~ under penalty of perjury under the laws of the State of California that the foregoin_gis ~u~ and correct. Executed on By ~ L (~--~'.~'~'~ Recipient Committee Campaign Statement Cover Page -- Part 2 Type or print in ink. 5. Officeholder or Candidate Controlled Committee OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE} Related Committees Not Included in this Statement: List any committees contributions or make expenditures on behalf of your candidacy. [] YES [] NO COMMITTEE ADDRESS STREET ADDRESS (NO PO BOX) NAME OF TREASURER CONTROLLED COMMITTEE? [] Yes [] NO COMMITTEE ADDRESS STREET ADDRESS (NO RD BOX) COVER PAGE - PARf 2 6. Ballot Measure Committee Page 2 of S 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 DISTRICT NO IF ANY 7. Primarily Formed Committee Listnames of officeholder(s) orcandidate(s) for which this committee is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD [] SUPPORT O OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD [] SUPPORT [] OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE ~FFICE SOUGHT OR HELD [] SUPPORT [] OPPOSE NAME OF OPF~CEHOLDER OR CANDIDATE ~FFICE SOUGHT OR HELD [] SUPPORT [] OPPOSE Attach continuation sheets if necessary FPPC Form 460 (June/Of) FPPC Toll-Free Helpline: 8661ASK-FPPC www. netfile, com State of California Campaign Disclosure Statement Summary Page Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 10/17/2004 SEEINSTRUCTIONS ON REVERSE through 12/31/2004 NAME OF FILER Jacquie Sullivan Contributions Received SUMMARY FACE Page 3 of s IDNUMSER 950347 1 Monetary Contributions ....................... Schedule A Line 3 2. Loans Received Schedule B. Line 3 3 SUBTOTAL CASH CONTRIBUTIONS Add Lines 1 + 2 4. Nonmonetary Contributions Schedule C Line 3 5. TOTAL CONTRIBUTIONS REC LIVED AddLinesS*~ Column A Column B TOTAL P~IS PERIOD CALENDAR yEAR $ 4,023.00 $ 33,353.00 500.00 $ 4,023.00 $ 33,853.00 0.00 0.00 $ 4,023,00 $ 33,853.00 Expenditures Made 6. Payments Made Schedule E. Line 7 Loans Made Schedule H Line 8 SUBTOTAL CASH PAYMENTS Add Lines 8 + 9. Accrued Expenses (Unpaid Bills) Sc~edme F Line 10. Nonmonetary Adjustment ....................................... Schedule C Line 11. TOTAL EXPENDITURES MADE ............................. Add Li,es 8 + ~ + 10 $ 31,120.11 $ 34,424.63 0.00 0,00 0.00 0.00 0.00 0.00 Current Cash Statement 12. Beginning Cash Balance ...................... Previous Summary Page. Line 18 13. Cash Receipts Column A Line 3 a~ove 14. Miscellaneous Increases to Cash ......................... Schedule I. Line 4 1 5. Cash Payments .............................................. Column A. Line 8 above 1 6. ENDING CASH BALANCE ........ Add Dnes 12 + 13 + 14 then subtract Line 15 If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ........................... Schedule [~, Part 2 27,418.53 4,023.00 0.00 $ 321.42 $ 0.00 Cash Equivalents and Outstanding Debts 18. Cash Equivalents ....................................... E~e.~structlon$ on reverse 1 9. Outstanding Debts ...................... Add Line 2 * Line 9 in Column B above www. netfile, com $ 0.00 $ 500.00 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 pedod amounts, ffthis is the first report being filed for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if any). Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 20. Con~bufions Received 21. Expenditums Made through 6/30 7/1 to Date $ $ $. Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made" Date of Election Total to Date (mm/dd/yy) __J___L__ $ __J___J __ $ /___L__ $ I___L__ $. L__J___ $ --J.--J $ *Since January 1,2001. Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (Junel01) FPPC Toll-Free Helpline: 8661ASK-FPPC Schedule A Type or print in ink. SCHEDULE A ............ Amounts may be rounded Statement covers period Monetary Contributions Received to whole dollars. [] COM Dscc [] COM [] SCC I~ OTH [] SCC [] OM r~ SCc I--I COrn [] SCC SUBTOTAL 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 pedod. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ..................... TOTAL $ www. netfile, com 3~250.00 773.00 4,023.00 *Con~butor Codes IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other PrY - Political Par~y SCC - Small Contributor Committee FPPC Form 460 (Junel01) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A [] COM [] SeC [] COM [] COM [] SCC [] COM [] SCC [] COM [] SCC [] IND [] COM [] OTH SUBTOTALS L,400.00 J FPPC Form 460 (Junel01) www. netfile, com FPPC Toll-Free Helpline: 8661ASK-FPPC Schedule B - Part 1 Loans Received SEE INSTRUCTIONS ON REVERSE FULL NAME STREET ADDRESS AND ZIP CODE OF LENDER Ms. Jacquie Sullivan TJ[] IND [] COM [] OTH I'q PTY [--I SCC tl~ IND F-] COM [-'] OTH [] PTY [] SCC IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (iF SELF-EMPLOYED, ENTER Type or print in ink. Amounts may be rounded to whole dollars. OUTSTANDING AMOUNT BALANCE RECEIVED THiS BEGINNING THIS PERIOD PERIOD 500.00 0.00 $. $ $ $ $ $ Statement covers period from i0/17/2004 through 12/31/2004 AMOUNT PAiD OR FORGIVEN THIS PERIOD ~ [] FORGIVEN [] pAJD $ [] FORGiVEN $ OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD 500.00 $ DAIE DUE D/~rE DUE iNTEREST PAiD THIS PERIOD 0.00 % $ t[~ IND [] COM [] OTH [] PTY [] SCC D/Q-EDUE SUBTOTALS $ o.oo $ o.oo $ 5oo,oo $ o.oo Schedule B Summary Page SCHEDULE B - PART 1 6 of 8 NUMBER 950347 ORIGINAL CUMULATIVE AMOUNT OF CONTRIBUTIONS LOAN TO DATE 08/04/2004 $ $ 1. Loans received this period ............................................................................................................ $ (Total Column (b) plus unitemized loans less than $100.) 2. Loans paid or forgiven this pedod .................................................................................................. $ (Total Column (c) plus loans under $100 paid or forgiven.) (Include loans paid by a third party that are also itemized on Schedule A.) 3. Net change this period. (Subtract Line 2 from Line 1.) ........................................................... NET $ Enter the net here and on the Summary Page, Column A, Line 2. 0.00 0.00 0.00 It Contributor Codes IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other PTY - Political Party SCC - Small Conthbutor Committe< www. neffile, cnm *Amounts forgiven or paid by another party also must be reported on Schedule A. '* If required. FPPC Form 460 (Junol01) FPPC Toll-Free Helpline: 8661ASK-FPPC Schedule E Payments Made SEEINSTRUCTIONS ON REVERSE Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period through 12/31/2004 Page 7 SCHEDULE E IDNUMBER 950347 CODES: CMP campaign paraphemalia/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 If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. IvlTG mee*Jngs and appearances O~C office expenses PET petition circulating PHC) phone banks POL polling and survey research POS postage, delivery and messenger services PRO pmfessional services (legal, acx:.ou nting) PRT pdnt ads nAD radio ainJme and production Costs RFD returned contributions SAL campaign workers' salaries t.v. or cable aiCdme and production costs 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 (interact, e-mail) NAME AND ADDRESSOFRAYEE (iFCOMM¢~FEE~SOENTERiD NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Western Pacific Research CNS various campaign expenditures paid 25,947.00 for by consultant 4900 California Avenue, 135 A Bakersfield CA 93309 Cisicard 232.19 Kern County Republican Party FND 25.00 4900 California Avenue, 135 A Bakersfield CA 93309 * Payments that are contributions or independent expenditures must also be summarized on Schedule D, SUBTOTAL $ 26, 204 . 19 Schedule E Summary 1. Payments made this period of $100 or more. (Include all Schedule E subtotals.) ........................................................................................... $ 30, ~?s. 1~ 2. Unitemized payments made this pedod of under $100 ................................................................................................................................. $ ~45. co 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) ......................................................................... $. o. co 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ........................... TOTAL $ 31,120. Il FPPC Form 460 (Junel0t) www. netfile, com FPPC Toll-Free Helpline: 8661ASK-FPPC Schedule E (Continuation Sheet) Payments Made Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from ~0/17/2004 through 12/31/2004 SEE INSTRUCTIONS ON REVERSE NAME OF FILER Jacquie Sullivan CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia/misc. CNS campaign consultants CTB contribution (explain nonmonetary)* CVC civic donations FIL candidate filing/ballot fees FND fundraising events IND independent expenditure supporting/opposing others (explain)* LEG legal defense LIT campaign literature and mailings MBR member communications MTG meetings and appearances DFC office expenses FEi' petition drculating PHC phone banks PUL polling and survey research POS postage, delivery and messenger services PRO professional services (legal, accounting) F'Rq' pdnt ads RAD radio airtime and production costs P, FD retumed contributions SAL campaign workers' salaries ~_L tv. or cable ai~me and production costs 'IRC candidate travel, lodging, and meals TRS staff/spouse travel, lodging, and meals TSF transfer bet~veen committees of the same candidate/sponsor VDT voter registration V~cB information technology costs (intemet, e-mail) NAME AND ADDRESS OF~YEE (iFCOMMiTTEEAL$OENTER1o NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID Western Pacific Research CNS 4,000.00 Mrs. Wilma Abbott 500.00 Ci[icard 133.92 Kern County Young Republicans Voter Guide FND 125.00 Wells Fargo Bank 12.0( *Paymen~thatarecon~ibutionsorindependentexpenditumsmustaiso besummarized onSchedule D. SUBTOTAL $ 4,770 .92 FPPC Form 460 (Junel01) ww FPPC ToLl-Free Helpline: 8661ASK.FPPC