HomeMy WebLinkAboutSCRIVNER SEMIANN05(1)
COVER f\l\GE
Date Stamp
Type or print in ink.
Recipien{ Committee
Campaign Statement
Cover Page
(Government Code Sections 84200·84216.5)
6
of
1
Page
34
"
Hi
WG -2
Date of election if applica
(Montb. Day, Year) .
"
Statement covers period
Official Use Only
For
Lc.
c
~
,
01(01(2005
from
11/02/2004
06/30/2005
through
SEE INSTRUCTIONS ON REVERSE
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 Statemen!
(Also file a Form 410 Termination)
Amendment (Explain below)
Primarily Formed Candidate!
Officeholder Committee
(Also Complete Part 7)
o
o General Purpose Committee
o Sponsored
o Small Contributor Committee
o Pol"ieal Party/Central Committee
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¡¡¡:¡
o
o
Committees - Complete Parts 1,2,3, and 4.
o Primarily Formed Ballot Measure
Committee
o Controlled
o Sponsored
(AIsoComp/elePart6)
Committee:
[K] Officeholder. Candidate Controlled Committee
o State Candidate Election Committee
o Reeall
(Also Complete Part 5)
AI
Type of Recipient
1
Treasurer(s)
NAME OF TREASURER
.D. NUMBER
1271t
Committee Information
3.
l2
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
A
4.
certify
Signature ofConlrolling OffIceholder, Candidate, Slate Measure Proponent FPPC Form 460 (January/05)
FPPC Toll-Free Helpline: 866/ASK·FPPC (866/215-3112)
State of California
or Assistant Treasurer
roponenlor Responsible Officer of SportSO(
Slate MeaslR Proponent
Can
Type or print in ink. COVER PAGE· PART 2
Recipient Committee ORNIA 460
Campaign Statement RM
Cover Page - Part 2
of 6
- -
5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee
NAME OF OFFICEHOLDER OR CANDIDATE -
NAME OF BALLOT MEASURE
ZACK SCRIVNER
OFFICE SOUGHT OR HElD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) - BALLOT NO. OR LETTER I JURISDICTION
o SUPPORT
City Council Member o OPPOSE
WåstlricU Number: 7
RESIDENTlAUBUStNESS ADDRESS (NO. AND STREET) CITY STATE ZIP
Identify the controlling officeholder, candidate, or state measure proponent, if any.
NAME OF OFFICEHOLDER. CANDIDATE, OR PROPONENT
DISTRICT NO. IF ANY
OFFICE SOUGHT OR HElD
7. Primarily Formed Candidate/Officeholder 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 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 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
State of California
Related Committees Not Included in this Statement: L/stanycommittees
not included in this atatement that are controlled by you or are primarily formed to receive
contributions or make expenditures on behalf of your candidacy.
COMMITTEE NAME J.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
DYES o NO
COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
COMMmEENAME I.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
DYES o NO
COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
SUMMARY PAGE
Statement covers period
Type or print in ink.
Amounts may be rounded
to whole dollars.
Campaign Disclosure Statement
Summary Page
6
of
3
D. NUMBER
1270512
Page
I
01/01/2005
06/30/2005
from
through
SEE INSTRUCTIONS ON REVERSE
NAME OF FilER
ZACK SCRIVNER
Calendar Year Summary for Candidates
Running in Both the State Primary and
General Elections
Column B
CALENDAR YEAR
TOTAL TO DATE
Column A
TOTAL THIS PERIOD
(FRQMATTACHED SCHEDULES)
COUNCIL
Contributions Received
CITY
for
170.00
0.00
3
$
170.00
0,00
3
$
Schedule A, Line 3
Monetary Contributions
Received
1
2.
Date
10
7/
through 6/30
,
Schedule B, Line 3
Loans
$
$
20, Contributions
Received
Expenditures
Made
21
170.00
00
00
o
170
3
$
00
00
00
3,170
o
3,170
$
+2
Schedule C, Line 3
Add Lines
SUBTOTAL CASH CONTRIBUTIONS
Nonmonetary Contributions
TOTAL CONTRIBUTIONS RECEIVED
3.
4.
5.
$
Expenditure Limit Summary for State
Candidates
00
00
00
22. Cumulative Expenditures Made·
(IfSubjeçt 10 Voluntary Expenditure LImit)
$
2
$
AddUnes6+ 7
SUBTOTAL CASH PAYMENTS
8.
Total to Date
Date of Election
(mmldd/yy)
97
00
21 178
Q
178_97
0.00
21
Schedule F, Une 3
Expenses (Unpaid Bills)
Accrued
9.
Schedule C, Line 3
O. Nonmonetary Adjustment
TOTAL EXPENDITURES MADE
11
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).
$
$
----1----1_
----1----1_
627,97
2;>
$
97
*Amounts in this section may be different from amounts
reported in Column 8,
165.63
170.00
---º..:...Q.Q
449.00
886,63
627
23
l
3
$
3
$
$
Add Lines 3 + 4
Expenditures Made
6. Payments Made
2,449
o
2,449
$
$
$
449.00
0.00
449.00
Add Lines 8+ 9+ 10
Previous Summary Page, Line 16
2
$
Schedule E. Line 4
Schedule H, Line 3
Current Cash Statement
2. Beginning Cash Balance
Cash
Loans Made
7.
Column A. Line 3 above
Receipts
3.
~
1
Line 4
Line 8 above
/.
Schedule
Column A,
4. Miscellaneous Increases to Cash
15. Cash Payments
16. ENDING CASH BALANCE
$
then subtract Line 15
Add Lines 12 + 13 + 14,
16 must be zero.
If this is a termination statement, Line
00
o
$
Schedule e, Part 2
Cash Equivalents and Outstanding Debts
18. Cash Equivalents See instructions on reverse
7. LOAN GUARANTEES RECEIVED
FPPC Form 460 (January/05)
FPPC Tol~Free Helpline, 866/ASK-FPPC (866/275--3772)
0.00
97
21,178
$
$
Add Line 2 + Line 9 in Column e above
Outstanding Debts
19
SCHEDULE A
Statement covers period
Type or print in ink.
Amounts may be rounded
to whole dollars.
Schedule A
Monetary Contributions Received
6
of
4
D. NUMBER
1270512
Page
01/01/2005
06/30/2005
from
through
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
ZACK SCRIVNER
PER ELECTION
TO DATE
(IF REQUIRED)
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 . DEC. 31)
AMOUNT
RECEIVED THIS
PERIOD
IF AN INDNlDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
COUNCIL
NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR
(IF COMMITTEE, AL$O ENTER I.D. NUMBER} CODE *
CITY
for
FULL
DATE
RECEIVED
125,00
00
125
1,000,00
1,000,00
OIND
OCOM
IKIOTH
OPTY
OScc
OIND
IKICOM
OOTH
OPTY
OSCC
South Kern Machinery
02/16/2005
2006
for Assembly
03/22/2005
000.00
1
G 04
00
1,000
1,000.00
OIND
OCOM
IKIOTH
OPTY
OScc
INC
CASTLE & COOKE CALIFORNIA
03/31/2005
00
1,000
G 04
1,000.00
1,000,00
OIND
OCOM
IKIOTH
OPTY
OScc
Kern County
BIPAC of
04/01/2005
00
FPPC Form 460 (January/OS)
FPPC TolI·Free Helpline: 866IASK·FPPC (866/275·3772)
*Contributor Codes
IND -Ind;y;dual
COM - Recipient Committee
(other tban PTY or SCC)
OTH - Otber (e.g., bus;ness entity)
PTY - Political Party
sec - Small Contributor Committee
00
125
3
SUBTOTAL $
Amount received this period - itemized monetary contributions.
(Include all Schedule A subtotals.
Schedule A Summary
1
00
00
125
45
3
$
170
3
$
TOTAL $
Amount received this period - un itemized monetary contributions of less than $100
)
1
Line
this period.
the Summary Page, Column A,
Total monetary contributions received
(Add Lines 1 and 2. Enter here and on
2
3
Statement covers period
Type or print in ink.
Amounts may be rounded
to whole dollars.
Schedule E
Payments Made
6
of
Page ~
1.0. NUMBER
1270512
01/01/2005
06/30/2005
from
through
SEE INSTRUCTIONS ON REVERSE
NAME OF FilER
ZACK SCRIVNER
describe the payment
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 candidate/sponsor
voter registration
information technology costs
costs
Otherwise.
RAD
RfD
SAL
TI3..
TRC
TRS
TSF
VOT
Il'ÆB
the payment. you may enter the code.
rvBR. member communications
MTG meetings and appearances
OFC office expenses
PET petition circulating
PH.) phone banks
POL polling and survey research
POS postage, delivery and messenger services
PRO professional services (legal, accounting)
PRT print ads
CITY COUNCIL
following codes accurately describes
(expla;n)'
for
CODES 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
eM'
CNS
CTB
evc
FIL
F/I[)
N.)
LEG
UT
e-mai
NAME AND ADDRESS OF PAYEE
(IF COMMITTEE, ALSO ENTER tD. NUMBER) COOE OR DESCRIPTION OF PAYMENT AMOUNT PAID
California 22 Inaugaral Committee CTB 300,00
BLACK REPUBLICANS IN THE COUNTY OF KERN evc 500.00
WESTERN PACIFIC RESEARCH 1,500.00
* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 2,300.00
Schedule E Summary
1. Itemized payments made this period. (Include all Schedule E subtotals.) ....... ................................ ..........$- 2,300.00
2. Unitemized payments made this period of under$100 ......................................................"............ """"" $- 149.00
3. Total interest paid this period on loans. (Enter amountfrom Schedule B, Part 1. Column (e).) ......... ...........$- 0.00
4. Total payments made this period. (Add Lines 2, and 3. Enter here and on the Summary Page. Column A, Line 6.) .... TOTAL $_ 2,449.00
FPPC Fonn 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK·FPPC (866/275--3772)
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(internet,
SCHEDULE F
m
Page~ of~
D. NUMBER
1270512
Statement covers period
from_ 01/01/2005
through 06/30/2005
Type or print In ink.
Amounts may be rounded
to whole dollars.
Schedule F
Accrued Expenses (Unpaid Bills)
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
ZACK SCRIVNER for CITY COUNCIL
candidate/sponsor
Otherwise. describe the payment.
RAD radio airtime and production costs
RFD returned contributions
SAL campaign workers' salaries
TB. t.v, or cable airtime and production costs
TRC candidate travel, lodging, and meals
lRS staff/spouse travel, lodging, and meals
lSF transfer between committees of the same
VOT voter registration
VVEB information technology costs (internet
payment, you may enter the code.
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
WBR
MTG
DFC
PET
PH:)
POL
POS
PRO
PRT
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
eM'
CNS
CTB
CVC
AL
FNJ
N)
LEG
L1T
e-mai
(0) (b) (e) (0)
NAME AND ADDRESS OF CREDITOR COOE OR OUTSTANDING AMOUNT INCURRED AMOUNT PAID OUTSTANDING
(IF COMMITTEE, ALSO ENTER 1.0. NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE
OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD
WESTERN PACIFIC RESEARCH CNS Campaign Expenses 0.00 2,052.50 0,00 2,052.50
WESTERN PACIFIC RESEARCH CNS Campaign Expenses 0.00 19,126_47 0.00 19,126.47
21,178,97 $ 0.00$ 21,178.97
-
.. INCURRED TOTALS $ _ 21.178,97
.......... PAID TOTALS $ _ 0.00
............................. NET $ 21.178.97
May be a negative number
FPPC Fonn 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
¡
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$
0.00
SUBTOTALS $
Total accrued expenses incurred this period. (Include all Schedule F. Column (b) subtotals for
accrued expenses of $100 or more. plus total un itemized accrued expenses under $100.)
. Payments that are contributions or independent expendttures must also be
summarized on Schedule D.
Schedule F Summary
1
Total accrued expenses paid this period. (Include all Schedule F. Column (c) subtotals for payments on
accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.)
Line 2
2.
3.
Enter the difference here and
Line
from
Line 9
(Subtract
Column A,
Net change this period.
on