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Home My WebLink AboutSULLIVAN AMEND01/01/05-06/30/05 COVER PAGE Page 9 of 1 3 Date Stamp 4 ~ r C~T - 4 ¿nO" uuJ Date of election if appJítábffi: (Month, Day, Year) or print in ink. Statement covers period Type Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) Official Use Only For 01/01L2005 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 Statemen' Semi-annual Statement Terrnination Statement (Also file a Form 410 Termination) o IX] o All Committees - Complete Parts 1, 2, 3, and 4. o Primarily Formed Ballot Measure Committee o Controlled o Sponsored (AJso Complete Part 6) Committee [KJ Officeholder, Candidate ControUed Committee o State Candidate Election Committee o Recall (Also Complete Part 5) Recipient Type of 1 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 950347 D I Committee Information 3. COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) ardia Mvriam Rivas-La, MAILING ADDRESS Jacquie Sullivan AREA CODE/PHONE ZIP CODE STATE CiTY STREET ADDRESS (NO P.O. BOX) NAME OF ASSISTANT TREASURER, IF ANY Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my under penalty of perjury under the laws of the state of California that the foregoing is true and rre, J "'. I ~ ~ () J Executed on Executed 0 n 4. Signature ofControJling Officeholder. Candidate. State Measure Proponent Sigoature of Controlling Qffœho1der, Candidate. State Measure Proponent FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) State of California By By 0"'"' Dale Executed on Executed on Type or print in ink. COVER PAGE - PART 2 Recipient Committee ORNIA 460 Campaign Statement RM Cover Page - Part 2 ot 9 - - 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee - NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE Jacquie Sullivan - BALLOT NO. OR LETTER JURISDICTION OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) o SUPPORT City Council Member o OPPOSE ward 6 Identity 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 are primarily fanned to receive OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY contriÞutions or make expenditures on Þeha" of your candidacy. 7. Primarily Formed CandidatelOfficeholder Committee List names of officeholder(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 Attach continuation sheets if necessary FPPC Form 460 (JanuaryfOS) FPPC Toll-Free Helpline: 866fASK-FPPC (866f27S-3772) State of California o. 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 P.O. 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 9 of 3 .D. 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 TODATE ColumnA TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) Contributions Received 0.00 .5.00.00 $ 0.00 0.00 $ Schedule A, Line 3 Monetary Contributions Received to Date 7/ through 6{30 1 Schedule B, Line 3 Loans 2. $ $ 20. Contributions Received Expenditures Made 21 500.00 0.00 500.00 $ 0.00 0.00 0.00 $ +2 Schedule C, Line 3 Add Lines SUBTOTAL CASH CONTRIBUTIONS Nonmonetary Contributions TOTAL CONTRIBUTIONS RECEIVED 3. 4. 5. $ Summary for State $ Expenditure Limit Candidates $ $ Add Lines 3 + 4 Expenditures Made 6. Made 52 00 52 354 o 354 $ 52 0.00 354.52 354 $ Schedule E, Line 4 Schedule H, Line 3 Payments 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) 12 00 29.055 o 055.12 0.00 29 Schedule F. Line 3 (Unpaid Bills) Nonmonetary Adjustment ....... EXPENDITURES MADE Accrued Expenses 9. Schedule C, Line 3 10 11 $ $ -----1 I 29,409.64 $ 64 29,409 $ AddLines8+ 9+ 10 TOTAL *Amounts in this section may be different from amounts reported in Column e. To calculate Column e, 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 Cash Statement Balance Beginning Cash Cash Current 2. Column A, Line 3 above Receipts 3. Line 4 /, Schedule 4. Miscellaneous Increases to Cash Column A, Line 8 above Payments ENDING CASH BALANCE Cash 5. 16 $ Add Lines 12 + 13 + 14, then subtract Line 15 If this is a termination statement, Line 16 must be zero. 0.00 $ Schedule B. Part 2 Cash Equivalents and Outstanding Debts 18. Cash Equivalents See instructions on reverse 17. LOAN GUARANTEES RECEIVED FPPC Form 460 (January/OS) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) 0.00 29,555.12 $ $ Add Line 2 + Line 9 in Column B above Outstanding Debts 19 SCHEDULE B - PART '".~"' ,,~. ~"~, :~NIA 46 I from _ 01/01/2005 _ through 06/30/2005 _ Page ~ of ~ .0. NUMBER 950347 Type or print in ink. Amounts may be rounded to whole dollars. IF AN INDIVIDUAL, ENTER .J (01 1'1 ,!dl . If (.1 OCCUPATION AND EMPLOYER OUTSTANDING AMOUNT AMOUNT PAID OUTS ANDING INTEREST ORIGINAL CUMULATIVE BALANCE BALANCEAT (IF SELF-éMPLQYED, ENTER BEGINNING THIS RECEIVED THIS OR FORGIVEN CLOSE OF THIS PAID THIS AMOUNT OF CONTRIBUTIONS NAME OF BUSINESS) PERIOD THIS PERIOD· PERIOD LOAN TO DATE o PAID CALENDAR YEAR 0.00 500.00 500.00 · _% S . 0.00 o FORGIVEN RATE PER ELECTION- 500.00 0.00 0.00 0.00 "'" 500.00 . - · . )8/04/2004 S DATE DUE DATE INCURRED o PAID CAlENDAR YEAR · _% . . D FORGIVEN RATE PER ELECTION- . - · . S DATE DUE DATE INCURRED o PAID CALENDAR YEAR I _% I D FORGIVEN RATE PER ELECTION- I - - '- - DATE DUE DATE INCURRED - - 0.00 K SUBTOTALS $ 0.00 $ 0.00 $ 500.00 $ Schedule B - Part 1 Loans Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Jacquie Sullivan FULL NAME. STREET ADDRESS AND ZIP CODE OF LENDER (IF COMMITTEE, ALSO ENTER LD. NUMBER) Ms. Jacquie Sullivan t!(j JND o COM o OTH o PTY o sce to JND o COM o OTH o PTY osee to IND o eOM o OTH o PTY o sce Schedule B Summary (Enter (e) on Sd1edu1e E, Line 3) 0.00 $ Loans received this period (Total Column (b) plus unitemized loans of less than $100. 1 tContributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee 0.00 $ Loans paid or forgiven this period (Total Column (C) plus loans under$100 paid orforgiven.) (Include loans paid by a third party that are also itemized on Schedule A. 2. 0.00 (May be a negative number) $ NET Net change this period. (Subtract Line 2 from Line ) Enter the net here and on the Summary Page, Column A, Line 2. 3. FPPC Form 460 (January/OS) FPPC Toll-Free Helpline: 866/ASK·FPPC (866/275-3772) *Amounts forgiven or paid by another party also must be reported on Schedule A. If required. SCHEDULE E Statement covers period Type or print in ink. Amounts may be rounded to whole dollars. Schedule E Payments Made 9 Page ~ of tD. NUMBER 950347 01/01/2005 06/30/2005 from through SEE INSTRUCTIONS ON REVERSE NAME OF FilER Jacquie Sullivan candidate/sponsor 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 voter registration information technology costs costs the payment. Otherwise, RAD RFD SAL TEL lRC lRS TSF VOT IfoÆB the payment, you may enter Po.IER. member communications MTG meetings and appearances OFC office expenses ÆT petition circulating PI-K) phone banks POL polling and survey research POS postage, delivery and messenger selVices PRO professional services (legal, accounting) PRY print ads the code the following codes accurately describes (explain)" CODES: If one of 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 C1l3 eve AL fN) N) LEG UT e-mai NAME AND ADDRESS OF PAYEE (IFCOMMtTTEE,Al5Q ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Citicard 125.52 (internet, * 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. Un itemized payments made this period of under$100 .................... ............................................... .........$- 229.00 3. Total interest paid this period on loans. (Enter amounlfrom Schedule B, 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 m Page --L- of~ D. NUMBER 950347 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 Jacquie Sullivan CODES If one of the following codes accurately describes Otherwise, describe the payment. RAD radio airtime and production costs RFD returned contributions SAL campaign workers' salaries TB... t.v. or cabæ 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 IJ'IÆ:B information technology costs (internet, e-mail the code. the payment, you may enter ftIBR member communications MTG meetings and appearances OFC office expenses ÆT petition circutating pt..() phone banks POL polling and survey research POS postage, delivery and messenger services PRO professional services (legal, accounting) PRT print ads CJ¡P campaign paraphernalia/misc. CNS campaign consultants CTB contribution (explain nonmonetary)"" CVC civic donations Al candidate filing/ballot fees FN) fund raising events NJ independent expenditure supporting/opposing others (explain)"" LEG legal defense liT campaign literature and mailings (.) (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 Cable TV 0.00 8,044.00 0.00 8,044.00 Advertising Western Pacific Research CNS Sign Crews Labor 0.00 2,025.89 0.00 2,025.89 & Expenses Western Pacific Research CNS TV Adverstising 0.00 14,006.05 0.00 14,006.05 & Mailers & Misc , I I i , I I I I I 24,075.94 $ 0.00$ 24,075.94 - .. INCURRED TOTALS $ _ 29 055.12 .......... .. PAID TOTALS $ _ 0.00 ................. ....... NET $ _ 29.055.12 May be a negative number FPPC Form 460 (JanuaryIOS) FPPC Toll-Free Helpline: 866/ASK-FPPC (8661275-3772) $ 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 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. Schedule F Summa ls for payments on total unitemized payments on accrued expenses under $100. Enter the d this period. accrued expenses of $100 or more, plus Line Net change this period. (Subtract SCHEDULE F (CONT.) Statement covers period Type or print in ink. Amounts may be rounded to whole dollars. Schedule F (Continuation Sheet) Accrued Expenses (Unpaid Bills) 01/2005 01 from ~ of Page~ D. NUMBER 950347 06/30/2005 through NAME OF FilER candidate/sponsor describe radio airtime and production returned contributions campaign workers' salaries t.v. or cable airtime and production costs candidate travel, lodging, and meals staff/spouse travel, lodging, and meals transfer between committees of the same voter registration information technology costs (internet, the payment. costs Otherwise, RAD RFD SAL TEL 1RC lRS TSF VOT VIoEB the code. you member communications meetings and appearances office expenses petition circulating phone banks polling and survey research postage, delivery and messenger services professional services (legal, accounting) print ads may enter the payment, !II3R MIG OFC PEr f'K) POL POS PRO PRT following codes accurately describes (explain)' Jacquie Sullivan If one of the campaign paraphernalia/misc. campaign consultants contribution (explain nonmonetary)* civic donations candidate filing/ballot fees fundraising events independent expenditure supporting/opposing others legal defense campaign literature and mailings Payments that are contributions or CODES eM' CNS CTI! CVC F1L FW N) LEG UT . e-mai independent expenditures must also be summarized on Schedule D. (0) (b) (e) (d) NAME AND ADDRESS OF CREOITOR CODE OR OUTSTANDING AMOUNT INCURRED AMOUNT PAID OUTSTANDING (IF COMMITTEE. ALSO ENTER LD. NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD Western Pacific Research CNS Postage 0.00 4,979.18 0.00 4,979.18 i t I I j I , 4,979.18$ 0.00$ 4,979.18 - FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 8661ASK-FPPC (866/275-3772) $ 0.00 SUBTOTALS $ SCHEDULE G 9 of Page~ .D. NUMBER 950347 Statement covers period 01(º-!.L200S 06{30/200S from through 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) SEE INSTRUCTIONS ON REVERSE NAME OF FILER Jacquie Sullivan NAME OF AGENT OR INDEPENDENT CONTRACTOR Western Pacific Research CODES If one of the following codes accurately describes 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 (internet, the payment Otherwise, RAD RFD SAL 1B. 1RC lRS TSF VOT \NEB the payment, you may enter the code. tIBR 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 campaign paraphernalia/misc. campaign consultants contribution (explain nonmonetary)* civic donations candidate filinglballot fees fund raising events independent expenditure supporting/opposing others (explain)* legal defense campaign literature and mailings eM' CNS ClB CVC F1L FN:J NJ LEG UT e-mai * Payments that are contributions or independent expenditures must also be summarized on Schedule D. NAME AND ADDRESS OF PAYEE OR CREDITOR CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE. ALSO ENTER 1.0. NUMBER) Brighthouse Networks TEL Cable TV Ads 8,044.00 KERO TV CHANNEL 23 TEL TV Avertising 3,947.00 TONY SICILIANI LIT Mailers 6,274.60 U. S. Post Office POS Bulk Postage for Mailers 1,640.00 I I I ! I t , I I I I ! I ¡ , ¡ I TOTAL" $ 19,905.60 FPPC Form 460 (January/OS) FPPC Tol~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. 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 of This Committee) 01/01L2005 from 9 of 9 Page .0. NUMBER 950347 2005 30 OG 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-mai: the payment. Otherwise, RAD RFD SAL ll3.. 1RC lRS TSF VOT VIoEB 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 the code the fvI3R MTG OFC Ær PKJ POL POS PRO PRT NAME OF AGENT OR INDEPENDENT CONTRACTOR Western Pacific Research 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 that are contributions or eM' CNS C11! CVC FIL FNJ NJ LEG UT NAME AND ADDRESS OF PAYEE OR CREDITOR CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALSO ENTER LD_ NUMBER) U. S. Post Office POS Bulk Postage for Mailers 1,900.00 u. s. Post Office pos stamps for mailers 4,979.18 TOTAL· $ G,879.18 FPPC Form 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. independent expenditures must also be summarized on Schedule D. * Payments , I ì i ¡ I I I i I I I I ,