HomeMy WebLinkAboutMAXWELL SEMIANN05(1)
COVER PAGE
PH
Date Stamp
2005 JUL 28
in ink.
Type or print
Recipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200·84216.5)
5
of
Page
l
l,
"
~'
,
"
of election if applicable:
(Month, Day, Year)
Date
Statement covers period
1/1/2005
Official Use Only
For
11/2/2004
from
Quarterly Statement
Special Odd-Year Report
Supplemental Preelection
Statement - Attach Form 495
o
o
o
2. Type of Statement:
Preelection Statement
Semi-annual Statement
Termination Statement
Amendment (Explain below)
o
IXI
o
o
6/30/2005
and 4,
All Committees - Complete Parts 1, 2, 3,
Ballot.Measure Committee
o Primarily Formed
o Controlled
o Sponsored
(AlsoCompJetePart6J
through
o
SEE INSTRUCTIONS ON REVERSE
Type of Recipient Committee
00 Officeholder, Candidate Controlled Committee
o State Candidate Election Committee
o Recall
(Also Complete Part 5)
1
Primarily Formed Candidatel
Officeholder Committee
(Also Complete Part 7)
o
o General Purpose Committee
o Sponsored
o Small Contributor Committee
o Political Party/Central Committee
Treasurer(s}
NAME OF TREASURER
Anthony Ansolabehere
MAILING ADDRESS
,d. NUMBER
1267810
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
Committee to Elect Terry Maxwel
Committee Information
3.
Bakersfield
NAME OF ASSISTANT TREASURER, IF ANY
MAILING ADDRESS (IF DIFFERENT) NO. AND S"T'REET
BOX)
P,O,
MAILING ADDRESS
AREA CODE/PHONE
ZIP CODE
STATE
CITY
AREA CODE/PHONE
ZIP CODE
STATE
E-MAil ADDRESS
CITY
the attached schedules is true and complete.
FAX
the information contained herein and in
t·~4?
OPTIONAL:
Verification
I have used al1 reasonable diligence in preparing and reviewing this statement and to the best of my knowledge
certify under penalty of perjury under the laws of the State of California that the foregoing is tr~~a(1d correct.
c:.
E-MAIL ADDRESS
FAX
OPTIONAL'
4.
)
StateMeasureProponentorResponSlbleÕfficerofSponsor
iJrer
By
By
~-
(.'-,
Executed on
Executed on
FPPC Form 460 (JuneI01)
FPPC TolI·Free Helpline: 866/ASK-FPPC
State of California
Signature ofControllir.gOffiœhokler, Candidate, Slate Measure proponent
SignatureofcontroUingÕffiœholder,Candidate, State Measure Proponent
By
By
0..
-
Executed on
Executed on
Type or print in ink. COVER PAGE - PART 2
Recipient Committee
Campaign Statement
Cover Page - Part 2
- -
5. Officeholder or Candidate Controlled Committee 6. Ballot Measure Committee
-
NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE
Terry Maxwell
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO. OR LETTER JURISDICTION D SUPPORT
Bakersfield City Council Ward 2 o OPPOSE
RESIDENTIAUBUSINESS ADDRESS (NO, AND STREET) CITY STATE ZIP
Identify the controlling officeholder, candidate, or state measure proponent, if any.
NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT
IF ANY
DISTRICT NO
OFFICE SOUGHT OR HELD
for
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD D SUPPORT
o OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
D SUPPORT
o OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD o SUPPORT
D OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD o SUPPORT
o OPPOSE
if necessary
Attach continuation sheets
Related Committees Not Included in this Statement: Lis< any committees
not included in this statement that are controlled by you or are primarily formed to receive
contributions or make expenditures on beha" of your candidacy.
COMMITTEE NAME 1.0. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
DYES o NO
COMMITTEE ADDRESS STREET ADDRESS (NO P,O. BOX)
CITY grATE ZIP CODE AREA CODE/PHONE
COMMITTEE NAME 1.0. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
DYES o NO
COMMITTEE ADDRESS STREET ADDRESS (NO P.o. BOX)
CITY grATE ZIP CODE AREA CODE/PHONE
or candidate(s
7. Primarily Formed Committee Listnamesofofflceholder(s)
which this committee is primarily formed,
FPPC Fonn 460 (Juoe/01)
FPPC Toll-Free Helpline: 866/ASK-FPPC
State of California
SUMMARY PAGE
Statement covers period
1 1/112005
rom
Type or print In Ink.
Amounts may be rounded
to whole dollars.
Campaign Disclosure Statement
Summary Page
5
01
3
-
LD. NUMBER
1267810
Page
6/30/2005
through
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Committee to Elect Terry Maxwei
Calendar Year Summary for Candidates
Running in Both the State Primary and
General Elections
Column B
CALENDAR YEAR
TOTAL TO DATE
to Date
71
through 8/30
1
o
3,000.00
3,000.00
o
$
$
$
$
20. Contributions
Received
ExpendItures
Made
21
Column A
TOTAL THIS PERIOD
(FROM ATTACHED SCHEDUlES)
o
3,000.00
3,000.00
o
Contributions Received
$
$
Schedule A, Line 3
Schðdu/e B, Une 3
+2
Schedule C, Line 3
Add Unes
Loans Received
SUBTOTAL CASH CONTRIBUTIONS
Nonmonetary Contributions ..............
TOTAL CONTRIBUTIONS RECEIVED
Monetary Contributions
2.
3.
4.
5.
$
Summary for State
$
Expenditure Limit
Candidates
3,000.00
$
3,000.00
$
AddUnes 3 + 4
22. Cumulative Expenditures Made·
IlrSubjlc:tto Volumry ExpendltUNI.lmH:1
11.936.42
o
11,936.42
o
$
$
11,936.42
o
11,936.42
o
$
$
Schedule E, Une 4
Schedule H, Line 3
AddUnes6+ 7
Loans Made
SUBTOTAL CASH PAYMENTS
Accrued Expenses (Unpaid Biils)
Nonmonetary Adjustment
TOTAL EXPENDITURES
Expenditures Made
6. Payments Made
7.
8.
9.
Total to Date
Date of Election
(mm/dd/yy)
o
11,936.42
o
11.936.42
Schedule F, Une 3
Schedule C, Line 3
O.
11
$
$
$
$
----1----1_
----1----1_
----1----1_
$
$
·Since January 1. 2001. Amounts in this section may be
different from amounts reported in Column B.
To calculate Column 8, add
amounts In Column A to the
corresponding amounts
from Column 8 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).
$
9,451.39
3,000.00
-
o
-
,936.42
514.97
11
$
$
Add Lines 8+ 9+ 10
Previous Summs/}' Page, Une 16
Schedule
Co/umn A. Une 3 above
Une4
Column A. Line 8 above
to Cash
MADE
Current Cash Statement
2. Beginning Cash Balance
Cash Receipts .......".....
Miscellaneous Increases
Cash Payments .........
ENDING CASH BALANCE
13.
4.
5.
$
then subtract Une 15
12+ 13+ 14,
Add Unes
6.
o
$
Schedule B. Part 2
Cash Equivalents and Outstanding Debts
18, Cash Equivalents See Instructions on reverse
Outstanding
Une 16 must be zero.
7. LOAN GUARANTEES RECEIVED
f this ;s a termination statement,
FPPC Form 460 (June/01)
FPPC TolI~Free Helpline: 866/ASK-FPPC
o
o
$
$
Add Line 2 + Une 9 in Column B above
Debts
9
SCHEDULE B - PART
Statement covers period
1/1/2005
Type or print in ink.
Amounts may be rounded
to whole dollars.
Sched ule B - Part 1
Loans Received
from
5
of
4
Page ~
,D. NUMBER
6/30/2005
through
191
CUMULATIVE
CONTRIBUTIONS
TO DATE
1267810
m
OR!GINAL
AMOUNT OF
LOAN
'(ej
INTEREST
PAID THIS
PERIOD
fdj
OUTSTANDING
BALANCE AT
CLOSE OF THIS
E.EBJ.QQ.
1'1
AMOUNT PAID
OR FORGIVEN
THIS PERIOD *
a' (bJ
OUTSTANDING AMOUNT
BALANCE I RECEIVED THIS
BEGINNING THIS PERIOD
PEEl'
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER
NAME OF 8USINESS)
SEE INSTRUCTIONS ON REVERSE
NAME OF FilER
Committee to Elect Terry Maxwel
FULL NAME. STREET ADDRESS AND ZIP CODE
OF LENDER
(IF COMMITTEE. ALSO ENTER 1.0
CALENDAR YEAR
3.000
3,000
_%
RATE
3.000
o PAID
Owner
Maxwell's Restaurant
NUMBER)
Terry Maxwel
PER ELECTION
FORGIVEN
o
6/16/05
OATE INCURRED
DATE DUE
3.000
o
CALENDAR YEAR
-'
RATE
PAID
o
osee
OP1Y
o QTH
o COM
INo
t[]
PER ELECTION"
DATE INCURRED
DATE DUE
FORGIVEN
o
CALENDAR YEAR
-,
RATE
PAID
o
o sec
o P1Y
o OTH
o COM
INo
to
PER ELECTION **
FORGIVEN
o
DATE INCURRED
DATE OUE
o sec
o P1Y
o OTH
o COM
INo
to
$
(Enter (e) on
SchedWeE,Une3)
$
$
SUBTOTALS $
*Amounts forgiven or paid by
another party also must be
reported on Schedule A.
3,000
$
Schedule B Summary
Loans received this period
(Total Column (b) plus unitemized loans less than $100.)
required,
o
$
Loans paid or forgiven this period
(Total Column (c) plus loans under $100 paid or forgiven.)
(Include ioans paid by a third party that are also itemized on Schedule A.
2.
3,000
(Maybe anegalì\le number)
$
NET
Net change this period. (Subtract Line 2 from Line 1.)
Enter the net here and on the Summary Page, Column A, Line 2.
3.
FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 866/ASK-FPPC
SCC - Small Contributor Committee
PTY - Political Party
OTH - Other
or SCC)
t Contributor Codes
IND -Individual COM - Recipient Committee (other than PTY
SCHEDULE E
covers period
Statement
Type or print in ink.
Amounts may be rounded
to whole dollars.
Schedule E
Payments Made
5
of
5
Page _
,D. NUMBER
1/1/2005
6/30/2005
from
through
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
1267810
Committee to Elect Terry Maxwel
describe
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 candidatefsponso
voter registration
information technology costs
costs
the payment.
Otherwise.
RAD
RFD
SAL
TEL
mc
ms
TSF
VaT
'MOB
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
may enter the code.
the payment
MBR
MTG
OFC
PEr
P\-()
POL
POS
PRO
PRT
following codes accurately describes
(explain)
CODES If one of the
campaign paraphernalia/mise,
campaign consultants
contribution (explain nonmonetary)'"
civic donations
candidate filinglballot fees
fundraising events
independent expenditure supporting/opposing others
legal defense
campaign literature and mailings
eM'
CNS
cm
cve
FIL
FW
N)
LEG
LIT
e-mai
NAME AND ADDRESS OF PAYEE
(IF COMMITTËE,ALSO ENTER I.D, NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
Bakersfield Envelope and Printing Co.
(internet,
I
I
I
I
1
SUBTOTAL $ 11,916.46
.... $- 11.916.46
..... $- 19.96
...... $- 0
TOTAL $ _ 11.936.42
FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 866/ASK-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 ail Schedule E subtotals.) ...... .......
2. Unitemized payments made this period of under $1 00 ......... ..... ................ ......
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.)