HomeMy WebLinkAboutSULLIVAN SEMIANN98(2)DF ffi~e!~older, Candidate,
'and Controlled Committee
Campaign Statement -- Long Form
Type OF print in ink.
(Government Code Sections 84200-84216.5)
SEE INSTRUCTIONS ON REVERSE
Check one of the following boxes to indicate the type of statement being flied:
[3 Pre-election Statement
I"1 Supplemental pre-election Statement (Attach a completed Form 495 to this statement.)
'1 Special Odd-Year Campaign Report
'1 Semi-annual Statement
Termination Statement (Attach a completed Form 415 to this statement.)
I '30fficeholder Candidate, and Controlled Committee Included in tl~is Statement
NAME OF OFFICEHOLDER OR CANDIDATE
O~FICE:SOUGHT ~H~ELD (INCLUDE L, OCA~ION AND DISTR.I~T NUMBER IF APPtI~IL/)
RESlDENT~Z OR IUSlNESS ADDRESS ' (NO. ANDST~
I.D. NUMIER
AREA COOEtDAVTIME P~ONE
NA/ME OF EASU?
TREAS PER ' ( '~D STREET)
~e~[jf~ ~-'~'~ STILE ZIP CODE AREA CODfjOAYTIME PHONE
III
Statement covers period
from 7 ' /" ~ Y
through//~2 '__~" (Z; ~l;'
Date Stamp
COVER PAGE - LONG FORM
For Official Use Only
II Other Committees ~ot Included in this Statement: ust,.r ot~e,
cOmmittees nOt included In this comolida ted sta tamant that are controlled by you and any
cOma/trees of which you have knowledge that are pHmar//y formed to receive contributions
Or to make expenditures on behalf of your candidacy.
SLATE ZI~ COD[ AREA COD[/OAYIlME PHONE
:: :,,..,-:,.;t:,d,
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An officeholder ~ clndidlte who controls I comma//must Illo verify the clmplign i~temlnt. I have u~d 111 reason ~iligence and ~ ~ of my kn~l~ge the treilurer has used all
' F:. '::'T
DATE ' ~ ' ~ CffY AND STA~: ~~ SIGNATURE ~ CAN~FKE~R
Execut~ on At By
DATE CFFY A~ STATE SlGNATU~ ~ ~NOIDATE~FF~E~DER
ExecUted on At By
- DATE CFFY AND STATE S~NATURE ~ CAN~DATE~f~E~NR
FOR INF~MAT~N ~IREO TO BE PROVIDED TO YOU ~UA~ TO THE INFORMAT~ N~E$ A~ ~ lg77. SEE INFORMAT~N MANUAL ~ ~MPklGN DISCLOSURE PROVISOS ~ THE ~ff~At REFORM A~
Campaign Disclosure Statement
Summary Page
SEE INSTRUCTIONS ON REVERSE
NA OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE
C ibu ns Received
1. Monetary Contributions ............................... Schedule A, Line
2. Loans Received ......................................... schedule a, Line
3. SUBTOTAL CASH CONTRIBUTIONS ...................... AddUnes; ,,
4. Non-monetary Contributions ......................... Schedule C Une
5. SUBTOTAL CONTRIBUTIONS.(Exdude Enforceable Promises) Add Unes 3 +
6. Enforceable Promises
(Exclude Loan Guarlntees, Line 18 below) ................... Schedule D, Une
7. TOTAL CONTRIBUTIONS RECEIVED ..................... AddUnesS +
Expenditures Made
8. Cash Payments (Other than Loans Made) ............ schedule E, Une 5 $
9. Loans Made ............................................. Schedule H, Une 7
10. SUBTOTAL CASH PAYMENTS ............................ AddUnes8 · 9 $
11. Accrued Expenses (Unpaid Bills) ........................ Schedule F, Une S
12. TOTAL EXPENDITURES MADE ......................... AddUnes 10 · ~1 $
Current Cash Statement
13. Beginning Cash Balance .................. Previous Summary Page, Line 17
14. Cash Receipts ......................................ColumnA, Line3above
15. Miscellaneous Increases to Cash ........................Schedule ;, Line 4
16. Cash Payments ....................................Column A, Une 10 above
17. ENDING CASH BALANCE ..... Add LineS 13 · 14 ,* 1~, thensubtract Une 16 S
ff this Lf a termination statement, Une 17 must be zero.
18. LOAN GUARANTEES RECEIVE D .............. Schedule B, Part I, Column (b) $
Cash Equivalents and Outstanding Debts
19. Cash Equivalents ................................ $ee instructions on reverse $
Type or print in ink.
Amounts may be rounded
to whole dollars.
through
TOTAL THIS FENO0
(/ROM ArIACriED S434EDULE$)
S
NONIG CASH I~LANG ~HOUtD
NOT I( A N~GATIVE AMOUNT
Statement covers period
,,o. ¢
SUMMARY PAGE
~ ~ ~ .::
Column B* Column C
TOTAL FIREVIOUS I~RIO0 TOTAL TO DATE
{SEE NOTE IELOW) (ADO COtUMN$ A , B)
t
* From previous Statement Summary Page, Column C. However, if
this is the first re0Ort filed for the calendar year, Column B should be
blank except for Loam Received (Line 2), Enforceable Promises (Line
6), Loans Made (Line 9), and Accrued Expenses (Line 11).
Summary for Candidates in Both June and
November Elections
111 through 6/30 711 to Date
21 ontrib tions
22. Ex nditures :-~ .""
M~oqer ....... S
20. Outstanding Debts ................. Add Line 2 · Line It in Column C above $
Schedule E
Payments and Contributions
(Other Than Loans) Made
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from / ~
through j~"'-~/' ~""'~/
SEE INSTRUCTIONS ON REVERSE
CODES FOR LA;SIFYI~IG EXPENDITURES
SCHEDULE E
' I Page --~ of
I.D. NUMBER
If One of the following codes accurately describes the expenditure, ou may enter the code and leave the "Description of Payment' column blank. Refer to the
back of Schedule E-Continuation Sheet for detailed explanations otY;ach category.
'c' - MONETARY AND IN-KIND (NON-MONETARY)
CONTRIBUTIONS TO OTHER CANDIDATES
AND COMMITTEES
'1' - INDEPENDENT EXPENDITURES
°L'- LITERATURE
NAME AND ADDRESS OF PAYEE, CREDITOR, OR RECIPIENT OF CONTRIBUTION
(IF COMMITTEE, IN ADOITION TO COMMITTEE'$ NAME AND ADDRESS, ENTER I.D. NUMIER OR,, IF NO I.O.
NUMIER HAS IEEN ASSIGNED, ENTER TREASURER'S N&ME AND ADDRESS)
'B'- BROADCASTADVERTISING 'G'-
'N' - NEWSPAPER AND PERIODICAL ADVERTISING 'T' -
°O' - OUTSIDE ADVERTISING
'S" - SURVEYS, SIGNATURE GATHERING, DOOR-TO-DOOR SOLICITATIONS "P' '
'F' - FUNDRAISING EVENTS
GENERAL OPERATIONS AND OVERHEAD
TRAVEL, ACCOMMODATIONS AND MEALS
(MUST BE DESCRIBED)
PROFESSIONAL MANAGEMENT AND CONSULTING
SERVICES
CODE OR
IMPORTANT: DO NOT ITEMIZE THE PAYMENT OF ACCRUED EXPENSES ON SCHEDULE E.
REPORT ONLY THE LUMP SUM OF SUCH PAYMENTS ON LINE 4 OF THE SUMMARY iECTION BELOW.
DESCRIPTION OF PA'I'MENT
I
AMOUNT PAID
Important: Contributions and expenditures made out of campaign funds to or on behalf of other SU BTOTAL $
officeholders, candidates, committees, or ballot measures must also be entered on the Allocation Page, Part L :
Payments and Contributions Made Summary
1. Payments made this period of $100 or more. (Include all Schedule E subtotals.) ............................ : ......................... $
2. Payments made this period of under $100. (Do not itemize.) ................................... : ............ .$ "
3. T{~tal interest paid this period on outstanding loans. (Enter amount from Schedule B, Part II, Column (d).) .............................. $.
.,~
4. Total accrued expenses paid this period. (Do not itemize. Enter amount from Schedule F, Line 4.) ..................................... $
5. Total payments made this period. (Add Lines 1, 2, 3, and 4. Enter here and on the Summary Page, Column A, Line 8) ........... TOTAL $
~,~ll~qqF iELE},_Cll '( CLERK
'~?\ELO~
Bakersfield City Clerks Office
1501 Truxtun Ave
Bakersfield, CA 93301