HomeMy WebLinkAboutSCRIVNER SEMIANN05(1) AMEND
COVER PAGE
460
CALIFORNIA
2001102
FORM
p
Date Stamp
ZOOS OCT - 4
Type or print in ink.
Date of election if applicable:
(Month, Day, Year)
Statement covers period
Recipient Committee
Campaign Statement
.Cover Page
(Government Code Sections 84200-84216.5)
o
-
For Official
',f
"
.~ I ~:
~L ....
.
01j01/2005
from
Quarterly Statement
Special Odd-Year Report
Supplemental Preelection
Statement - Attach Form 495
o
o
o
11/02/2004
of Statement:
Preelection Statemen'
Semi-annual Statement
Termination Statement
(Also file a Form 410 Termination)
Type
o
IX]
o
2.
06/30/2005
Committees - Complete Parts 1, 2, 3. and 4.
o Primarily Formed Ballot Measure
Committee
o Controlled
o Sponsored
(AJsoCompJetePart6;
through
SEE INSTRUCTIONS ON REVERSE
Committee: All
IKJ Officeholder, Candidate Controlled Committee
o State Candidate Election Committee
o Recall
(Also CompJetePart5)
Recipient
Type of
1
Primarily Formed Candidatel
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
.0. NUMBER
1270512
Committee Information
3.
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
ANDY STANLEY
MAILING ADDRESS
for CITY COUNCIL
ZACK SCRIVNER
STREET ADDRESS (NO P.O. BOX)
IF ANY
Verification
I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein and in the attached schedules is true and complete.
under penalty ofpe~ury under the Jaws of the state of California that the foregoing is true and.çoaect.
Executed on
Executed on
istantTreasurer
ñãture of Controlling Offtceholder, Cardidale, Stale Measure Proponen
.
¿"
'eofControl
S.~
By
By
'7 - DS-
QaIe ,-
'1. _'oJ t~
õãiã
õãiã
L
-/
4.
Signature of Controlling Officeholder. Candidate, State Measure Proponent FPPC Form 460 (Januaryf05)
FPPC TolI·Free Helpline: 866/ASK-FPPC (8661275-3772)
State of California
By
By
QaI
Type or print In ink. COVER PAGE - PART 2
Recipient Committee ORNIA 460
Campaign Statement RM
Cover Page - Part 2
of 7
- -
5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee
-
NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE
ZACK SCRIVNER
- BALLOT NO. OR LETTER JURISDICTION
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) o SUPPORT
City Council Member o OPPOSE
wåwtlricu Number; 7
RESIDENTIAUBUSINESS ADDRESS (NO. AND STREET) CITY SlATE 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
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
if necessary
Attach continuation sheets
Related Committees Not Included in this Statement: List any committees
not included in this statement that are controlled by you or are primarily formed to receive
contributions or make expenditures on behalf 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 STATE ZIP CODE AREA CODE/PHONE
COMMITTEE NAME 1.0. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
DYES o NO
COMMITTEEADORESS STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
FPPC Form 460 (January/05)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
State of California
SUMMARY PAGE
Statement covers period
Type or print in ink.
Amounts may be rounded
to whole dollars.
Campaign Disclosure Statement
Summary Page
01/01/200S
from
7
of
3
D. NUMBER
1270512
Page
I.
06/30/2005
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
TOTALTODATE
ColumnA
TOTAL THIS PERIOD
(FROM ATTACHED SCHEDUlES)
for CITY COUNCIL
Contributions Received
to Date
71
through 6130
,
170.00
o. º-º-
3
$
3,170.00
0.00
$
Schedule A. Line 3
Schedule 8, Line 3
Loans
SUBTOTAL CASH CONTRIBUTIONS
Monetary Contributions
Received
2.
3.
$
$
20. Contributions
Received
Expenditures
Made
21
170.00
00
00
o
170
3
$
170.00
0.00
3,170.00
3
$
+2
Schedule C, Line 3
Add Lines
Nonmonetary Contributions
TOTAL CONTRIBUTIONS RECEIVED
4.
5.
$
Summary for State
$
Expenditure Limit
Candidates
3
$
$
Add Lines 3 + 4
Expenditures Made
6. Made
2,449.00
00
00
o
2,449
$
2,449.00
0.00
449.00
$
Schedule E, Line 4
Schedule H, Line 3
Payments
Made
Loans
7.
22. Cumulative Expenditures Made*
(If Subject to Voluntary Expenditure limit)
$
2
$
Add Lines 6 + 7
SUBTOTAL CASH PAYMENTS
8.
Total to Date
Date of Election
(mmldd/yy)
21 178.97
º---,-OO
178.97
0.00
21
Sçhedule F, Line 3
Expenses (Unpaid Bills)
Accrued
9.
Sçhedule C, Line 3
O. Nonmonetary Adjustment
EXPENDITURES MADE
$
$
----1 I
----1----1_
627.97
2:1
$
$
'27
627
23
AddLines8+9+1O
TOTAL
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).
165.63
170.00
0.00
l
3
$
Previous Summary Page, Line 16
Column A, Line 3 above
Cash Statement
Balance
Beginning Cash
Cash
Receipts
Current
12.
13
Line 4
Sçhedule
14. Miscellaneous Increases 10 Cash
2,449.00
1,886.63
Column A Line 8 above
15. Cash Payments
6. ENDING CASH BALANCE
$
15
14, then subtraçt Line
Add Lines 12+ 13+
must be zero.
16
" this is a tennination statement, Line
0.00
$
Sçhedule B, Part 2
7. LOAN GUARANTEES RECEIVED
Cash Equivalents and Outstanding Debts
18. Cash Equivalents See instruçtions on reverse
FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
0.00
21,178.97
$
$
Add Line 2 + Line 9 in Column B above
9. Outstanding Debts
SCHEDULE A
Statement covers period
Type or print in ink.
Amounts may be rounded
to whole dollars
Schedule A
Monetary Contributions Received
7
of
4
.0. 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'
CUMULATIVETO DATE
CALENDAR YEAR
(JAN. 1 - DEC 31)
AMOUNT
RECEIVED THIS
PERIOD
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
CITY COUNCIL
NAME, STREET ADDRESS ANO ZIP COOE OF CONTRIBUTOR I CONTRIBUTOR
(IFCOMMITTEE,ALSOENTER I.D. NUMBER) CODE *
for
FULL
DATE
RECEIVED
125.00
00
125
1,000.00
1,000.00
OIND
o COM
Œ]OTH
OPTY
OSCC
OIND
Œ]COM
OOTH
OPTY
OSCC
South Kern Machinery
02/16/2005
2006
for Assembly
Friends of
(#1272521)
03/22/2005
1,000.00
G 04
1,000.00
1,000.00
OIND
o COM
Œ]OTH
OPTY
OSCC
!NC
CASTLE & COOKE CALIFORNIA
03/31/2005
1,000.00
G 04
1,000.00
1,000.00
170.00
FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 8661ASK-FPPC (866/275-3772)
·Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC - Small Contributor Committee
3,125.00
SUBTOTAL $
OIND
OCOM
Œ]OTH
OPTY
OSCC
OIND
OCOM
OOTH
OPTY
OSCC
Kern County
BIPAC of
04/01/2005
Amount received this period - itemized monetary contributions.
(Include all Schedule A subtotals.
Schedule A Summary
1
125.00
45.00
3
$
3
$
TOTAL $
2. Amount received this period - unitemized monetary contributions of less than $100
)
1
3. Total monetary contributions received this period.
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A. Line
SCHEDULE E
covers period
Statement
Type or print in ink.
Amounts may be rounded
to whole dollars.
Schedule E
Payments Made
01/01/2005
from
7
Page ~ of
I.D. NUMBER
1270512
06/30/2005
through
SEE INSTRUCTIONS ON REVERSE
NAME OF FilER
ZACK SCRIVNER
candidate/sponsor
describe
radio airtime and production costs
returned contributions
campaign workers' salaries
t.v. Of cable airtime and production costs
candidate travel, lodging, and meals
staff/spouse travel, lodging, and meals
transfer between committees of the same
voter registration
information technology
the payment.
Otherwise,
RAD
RFD
SAL
113..
lRC
1RS
TSF
VOT
V'ÆB
member camm.
meetings and appearances
office expenses
petition circulating
phone banks
polling and survey research
postage, delivery and messenger services
professional services (legal, accounting)
print ads
you may enter the code
'Jnications
the payment,
WBR
MIG
OFC
PEr
PI-O
POL
POS
PRO
PRT
COUNCIL
following codes accurately describes
(explain)"
for CITY
CODES If one of the
campaign paraphernalia/misc.
campaign consultants
contribution (explain nonmonetary)·
civic donations
candidate filinglballot fees
fundraising events
independent expenditure supporting/opposing others
legal defense
campaign literature and mailings
cr,.p
CNS
CTB
CVC
FIL
Fi'V
N>
LEG
UT
e-mai
NAME AND ADDRESS OF PAYEE
(IF COMMITTEE, ALSO ENTER LD. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
California 22 Inaugaral Committee eTB 300.00
BLACK REPUBLICANS IN THE COUNTY OF KERN eve 500.00
WESTERN PACIFIC RESEARCH LIT PRINTING 1,500.00
ENVELOPES,LABELS,LETTERS,MISC
(internet,
costs
. 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 ofunder$100 .................................................................. ...........$- 149.00
3. Total interest paid this period on loans. (Enter amountfrom Schedule ß, 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. Column A, Line 6.) .... TOTAL $_ 2,449.00
FPPC Form 460 (January/OS)
FPPC Tol~Free Helpline: 866/ASK-FPPC (a66/27S-3772)
SCHEDULE F
Statement covers period . m
frorn_ 01/01/2005 -
through 06/30/2005 - Page~ of~
t.D. NUMBER
1270512
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
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
lRS staff/spouse travel, lodging, and meals
TSF transfer between committees of the same candidate/sponsor
VOT voter registration
WEB . Ie
the code.
the payment, you may enter
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
!Æ!R
MTG
OFC
PEr
PH)
POl
POS
PRO
PRT
COUNCIL
If one of the following codes accurately describes
campaign paraphernalia/misc.
campaign consultants
contribution (explain nonmonetary)·
civic donations
candidate filing/ballot fees
fundraising events
independent expenditure supporting/opposing
legal defense
campaign literature and mailings
CITY
for
CODES
eM'
CNS
ClB
evc
FIL
FN:J
K>
LEG
UT
(explain)"
others
(a) (b) (e) (d)
NAME AND ADDRESS OF CREDITOR CODE 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
EXPENSES INCURRED FOR 2004 GENERAL ELECTION
* Payments that are contributions or independent expenditures must also be SUBTOTALS $ 0.00 $ 21,178.97 $ 0.00$ 21,178.97
summarized on Schedule D.
21,178.97
0.00$
178.97$
21
$
SUBTOTALS $
INCURRED TOTALS $ 21.178.97
..........PAID TOTALS $ 0.00
...... ......... ......... NET $ _ 21,178.97
May be a negative number
FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
0.00
for
ule D.
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.)
Schedule F Summary
1
(Include all Schedule F, Column (c) subtotals for payments on
total unitemized payments on accrued expenses under $100
2. Total accrued expenses paid this period
accrued expenses of $1 0
Net change this period. (Subtract Line 2 from Line
on the Summary Page, Colu
SCHEDULE G
Statement covers period
Type or print in ink.
Amounts may be rounded
to whole dollars.
Schedule G
Payments Made by an Agent or Independent
Contractor (on Behalf ofThis Committee)
01/0l12005
from
7
of
7
Page
I.D. NUMBER
1270512
06[30/2005
through
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
ZACK SCRIVNER
for CITY COUNCIL
candidate/sponsor
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
voter registration
information technology costs
the payment.
Otherwise,
RAD
RFD
SAL
1B.
1RC
lRS
TSF
VOT
\llÆB
the code.
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 payment,
M3R
MTG
OFC
PET
PI-K)
POL
POS
PRO
PRr
NAME OF AGENT OR INDEPENDENT CONTRACTOR
WESTERN PACIFIC RESEARCH
following codes accurately describes
(explain)"
CODES If one of the
campaign paraphernalia/misc.
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
CTI!
CVC
AL
FNJ
t>D
LEG
UT
e-mai
(internet,
NAME AND ADDRESS OF PAYEE OR CREDITOR COOE OR DESCRIPTION OF PAYMENT AMOUNT PAID
(IF COMMITTEE, ALSO ENTER 1.0. NUMBER)
CINGULAR WIRELESS MOBILE PHONE EXPENSE 1,293.11
Tony Siciliani LIT 13,1l4.02
U S P S POS STAMPS 3,746.56
. Payments that are contributions or independent expenditures must also be summarized on Schedule D.
TOTAL" $ lB. 153.69
FPPC FORn 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Attach additional information on appropriately labeled continuation sheets.
* Do not transfer to any other schedule or to the Summary Page. This total may not equal the amount paid to the agent or
independent contractor as reported on Schedule E.