HomeMy WebLinkAboutSULLIVAN SEMIANN05(1)
COVER PAGE
Date Stamp
Type or print in ink.
Recipient Committee
Campaign Statement
,Cover Page
(Government Code Sections 84200-84216.5)
6
of
1
Page
34
At
r -2
r.
¡;
¡
lOQ
of election if applicable:
(Monlh, Day, ~¡Î{:K U,:
Date
Statement covers period
For Official Use Only
t~L £
(
I,.
01/01/2005
from
Quarterly Statement
Special Odd-Year Report
Supplemental Preelection
Statement - Attach Form 495
o
o
o
11/02/2004
2. Type of Statement:
Preelection Statement
Semi-annual Statement
Termination Statement
(Also file a Form 410 Termination)
Amendment (Explain below)
o
IX]
o
o
06/30/2005
2, 3, and 4.
Primarily Formed Ballot Measure
Committee
o Controlled
o Sponsored
(Also Complete Part
1.
through
Type of Recipient Committee: All Committees - Complete Parts
lRJ Officeholder, Candidate Controlled Committee D
o State Candidate Election Committee
o Recall
(Also Complete Part 5)
SEE INSTRUCTIONS ON REVERSE
1.
'i
Primarily Formed Candidate,
Officeholder Committee
(Also Complete Part 7)
o
D General Purpose Committee
o Sponsored
o Small Contributor Committee
o Political Party/Central Committee
Treasurer(s)
NAME OF TREASURER
NUMBER
95034.7
.0.
Committee Information
3.
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
Mvriam Rivas-Laquardia
MAILING ADDRESS
Jacquie Sullivan
AREA CODE/PHONE
ZIP CODE
STATE
STREET ADDRESS (NO P.O. BOX)
NAME OF ASSISTANT TREASURER, IF ANY
By
4.
Dote
Signature of ControUing OffICeholder, Candidate, State Measure Proponent or Responsible OffICer of Sponsor
By
Dote
Executed on
Signature of Controlling OffICeholder, Candidate, Slate Measure Proponent
Signature of Controlling Offk:eholder, Candidate, State Measure Proponent 460 (J
FPPC Form anuaryf05)
FPPC Toll-Free Helpline: 866fASK-FPPC (866/275-3772)
State of California
By
Executed on
Type or print in ink. COVER PAGE· PART 2
Recipient Committee IRNIA 460
Campaign Statement RM
Cover Page - Part 2
ot 6
- -
5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee
-
NAME OF OFFICEHOLOER OR CANOIOATE NAME OF BALLOT MEASURE
Jacquie Sullivan
- BALLOT NO. OR LETTER I JURISDICTION
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) o SUPPORT
City Council Member o OPPOSE
Ward 6
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
Related Committees Not Included in this Statement: List any committees
not included in this statement that are controlled by you or lire primarily fonned to receive OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY
contributions or make expenditures on beha" of your candidacy.
7. Primarily Formed Candidate/Officeholder Committee List names of
offlceholder(s) or candidate(s) for which this committee is primarily fonned.
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
FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (8661275-3772)
State of California
Attach continuation sheets if necessary
D. NUMBER
CONTROLLED COMMITTEE?
DYES o NO
STREET ADDRESS (NO P.O. BOX)
STATE ZIP CODE AREA CODE/PHONE
1.0, NUMBER
CONTROLLED COMMITTEE?
DYES o NO
STREET ADDRESS (NO PO. BOX)
STATE ZIP CODE AREA CODE/PHONE
COMMITTEE NAME
NAME OF TREASURER
COMMITTEE ADDRESS
CITY
COMMITTEE NAME
NAME OF TREASURER
COMMITTEE ADDRESS
CITY
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
.0. NUMBER
950347
Page
01/01/2005
06/30/2005
from
through
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Jacquie sullivan
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
(FROM ATTACHED SCHEDULES)
Contributions Received
0.00
500.00
$
00
00
o
o
$
Schedule A, Line 3
Schedule B, Line 3
Monetary Contributions
Received
to Date
7/
through 6/30
1
Loans
2.
$
$
20. Contributions
Received
Expenditures
Made
21
00
0,00
500,00
500
$
00
00
00
o
o
o
$
+2
Schedule C, Line 3
Add Lines
SUBTOTAL CASH CONTRIBUTIONS
Nonmonetary Contributions
TOTAL CONTRIBUTIONS RECEIVED
3.
4.
5.
$
Expenditure Limit Summary for State
Candidates
$
$
$
Add Lines 3 + 4
Expenditures Made
6. Payments Made
52
0.00
354.52
354
$
52
00
52
354
º-
354
$
Schedule E, Line 4
Schedule H, Line 3
Loans Made
7.
22. Cumulative Expenditures Made*
(If Subject to Voluntary Expenditure Limit)
$
$
Add Lines 6 + 7
SUBTOTAL CASH PAYMENTS
8.
Total to Date
Date of Election
(mmldd/yy)
29.055,12
0.00
055.12
0.00
29
Schedule F, Line 3
Expenses (Unpaid Bills)
Accrued
9.
Schedule C, Line 3
Nonmonetary Adjustment
TOTAL EXPENDITURES MADE
10.
$
$
1----1_
1----1_
64
29,409
$
64
409
22
$
Add Lines 8 + 9+ 10
11
*Amounts in this section may be different from amounts
reported in Column B.
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 report being filed
for this calendar year, only
carry over the amounts
from Lines 2, 7, and 9 (if
any).
441.42
----º-.:....QQ
---º.:..QQ
354.52
86.90
$
Previous Summary Page, Line 16
Column A, Line 3 above
Current Cash Statement
2. Beginning Cash Balance
3. Cash Receipts
Line 4
Column A, Line 8 above
Schedule
4. Miscellaneous Increases to Cash
15. Cash Payments
16. ENDfNGCASHBALANCE
$
Add Lines 12 + 13 + 14, then subtract Line 15
16 must be zero.
If this ;s a tennination statement, Line
0.00
$
Schedule S, Part 2
Cash Equivalents and Outstanding Debts
18. Cash Equivalents See instructions on reve~e
7. LOAN GUARANTEES RECEIVED
FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/27S-3772)
00
12
o
29,555
$
$
Add Line 2 + Line 9 in Column B above
Outstanding Debts
19.
SCHEDULE B . PART
,..-- ,,~. ~".., :RNIA 461
from _ 01/01/2005 _ M
through 06/30/2005 _ Page ~ of ~
.0, NUMBER
950347
Type or print in ink.
Amounts may be rounded
to whole dollars.
Schedule B - Part 1
Loans Received
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Jacquie Sullivan
1.)
CUMULATIVE
CONTRIBUTIONS
TO DATE
If
ORIGINAL
AMOUNT OF
LOAN
('1
INTEREST
PAID THIS
PERIOD
(0)
OUTStl\NDING
BALANCEAT
CLOSE OF THIS
PEl
(.)
AMOUNT PAID
OR FORGIVEN
THIS PERIOD"
a] (bl
OUTSTANDING AMOUNT
BALANCE I RECEIVED THIS
BEGINNING THIS PERIOD
!'ER
IF AN INDIVIDUAL, ENTER
OCCUPATIONANO EMPLOYER
(IF SELF-EMPLOYED, ENTER
NAME OF BUSINESS)
NAME, STREET ADDRESS AND ZIP CODE
OF LENDER
(IF COMMITTEE, ALSO ENTER I,D, NUMBER)
Jacquie Sullivan
FULL
CALENDAR YEAR
00
Ms
PER ELECTlON-
GO' 500,00
08/04/2004 I
DATE INCURRED
CALENDAR YEAR
I I
PER ELECTION **
I
DATE INCURRED
CALENDAR YEAR
I
PER ELECTION-
DATE INCURRED
500.00
500.00
DPAJD
0.00
I
o FORGIVEN
0,00 0,00
_%
Rm
o eOM
o eOM
IND
IND
IND
tl![]
to
to
(Enter (e) on
Schedule E, Line 3)
$
SUBTOTALS
0.00
$
Schedule B Summary
Loans received this period
(Total Column (b) plus un itemized loans of less than $100
1
tContributor Codes
IND -Individual
COM - Recipient Committee
(otber than PTY or SCC)
OTH - Otber (e.g., business ent;ty)
PTY - Pol;t;cal Party
SCC - Small Contributor Committee
00
$
2. Loans paid or forgiven this period
(Total Column (c) plus loans under$100 paid or forgiven.)
(Include loans paid by a third party that are also itemized on Schedule A
0.00
(May be a negative 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 (January/OS)
FPPC Toll-Free HelpUne: 866/ASK-FPPC (866/275·3772)
be reported on Schedule A.
also mus
"Amounts forgiven or paid by another party
f required,
SCHEDULE E
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
950347
01/01/2005
06/30/2005
from
through
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Jacquie Sullivan
describe
radio airtime and production costs
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 (internet, e-maii
the payment
Otherwise.
RAD
RFD
SAL
TEL
1RC
lRS
TSF
VOT
II'ÆB
NAME AND ADDRESS OF PAYEE
(IFCQMMITTEE, ALSO ENTER I.D, NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
Citicard 125,52
I
!
¡
I
I
I
I
i
I
i
I
1
the payment. you may enter the code
~ member communications
MTG meetings and appearances
OFC office expenses
F£T petition circulating
pt-() phone banks
POL polling and survey research
POS postage, delivery and messenger services
PRO professional services (legal, accounting)
PRT print ads
following codes accurately describes
(explain)"
CODES If one of the
campaign paraphernalia/mise,
campaign consultants
contribution (explain nonmonetary)·
civic donations
candidate filing/ballot fees
fund raising events
independent expenditure supporting/opposing others
legal defense
campaign literature and mailings
eM'
CNS
CTB
CVC
AL
F/IÐ
NJ
LEG
UT
* Payments that are contributions or independent expenditures must also be summarized on Schedule D SUBTOTAL $ 125.52
-
Schedule E Summary
1. Itemized payments made this period. (Include all Schedule E subtotals.) ....................................... ..........$- 125.52
2. Unitemized payments made this period ofunder$100 ................................................................... ...........$- 229.00
3. Total interest paid this period on loans. (Enter amountfrom Schedule 8, Part 1, Column (e).) ........ ...........$- 0.00
4. Total payments made this period. (Add Lines 1. 2, and 3. Enter here and on the Summary Page, ColumnA, Line 6.) .... TOTAL $_ 354.52
FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
SCHEDULE F
Statement covers period , 1m
from_ 01/01/2005 -
through 06/30/2005 - Page~ of-L-
1.0. NUMBER
950347
Type or print in ink.
Amounts may be rounded
to whole dollars.
Schedule F
Accrued Expenses (Unpaid Bills)
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Jacquie Sullivan
Otherwise. describe the payment
RAD radio airtime and production costs
RFD returned contributions
SAL campaign workers' salaries
TEL t. v, or cable airtime and production costs
TRC candidate travel, lodging, and meals
TRS staff/spouse travel. lodging, and meals
TSF transfer between committees of the same candidate/sponsor
VOT voter registration
\f'ÆB tol ti tech
the payment. you may enter the code.
member communications
meetings and appearances
office expenses
petition circulating
phone banks
polling and survey research
postage, delivery and messenger services
professional services (legal, accounting)
print ads
following codes accurately describes
WBR
MTG
OFC
PEr
PKJ
POL
POS
PRO
PRT
(explaint
If one of the
campaign paraphernalia/misc.
campaign consultants
contribution (explain nonmonetary)*
civic donations
candidate filing/ballot fees
fund raising events
independent expenditure supporting/opposing others
legal defense
campaign literature and mailings
CODES
eM'
CNS
CTB
evc
FIL
FKJ
tv
LEG
UT
(a) (b) (e) (d)
NAME AND ADDRESS OF CREDITOR CODE OR OUTSTANDING AMOUNT INCURRED AMOUNT PAID OUTSTANDING
(IF COMMITTEE, ALSO ENTER I.D, NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE
OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD
Western Pacific Research CNS Campaign Expenses 0.00 29,055.12 0,00 29,055.12
... _____~ _L ~ L._ 0.00$
0.00 $ 29, (
29,055.12$ 0.00$ 29,055.12
-
.. INCURRED TOTALS $ _ 29.055.12
.............PAID TOTALS $_ 0.00
,..... ............. ..... NET $ _ 29,055.12
May be a negative number
FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
$
0.00
for
SUBTOTALS $
Total accrued expenses incurred this period. (Include all Schedule F. Column (b) subtotals
accrued expenses of$100 or more. plus total unitemized accrued expenses under $100.)
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.
2.
3.
Enter the difference here and
1
Net change this period. (Subtract Line 2 from Line
on the Summary Page. Column A. Line 9.