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