HomeMy WebLinkAboutSHIPMAN PREELECT10(1)Recipient Committee
Campaign Statement
Cover Page
(Government Code Sections 134200-84216.5)
SEE INSTRUCTIONS ON REVERSE
Type or print in ink.
Statement covers period
from 07/23/2010
through 10/01/2010
1. Type of Recipient Committee: AN Committees -Complete Parts 1, 2, 3, and 4.
® Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure
0 State Candidate Election Committee Committee
0 Recall 0 Controlled
(Also complete Parr s/ 0 Sponsored
(Also Complete Pen 6)
❑ General Purpose Committee
0 Sponsored ❑ Primarily Formed Candidate/
0 Small Contributor Committee Officeholder Committee
0 Political Party/Central Committee (Also Comp/atePW7)
3. Committee Information
I.D. NUMBER
1329144
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
SHIPMAN FOR COUNCIL 2010
STREET ADDRESS (NO P.O. BOX)
CITY
STATE
ZIP CODE
AREA CODE/PHONE
CITY
STATE
ZIP CODE
AREA CODE/PHONE
OPTIONAL: FAX / E-MAIL ADDRESS
Treasurer(s)
NAME OF TREASURER
BERNARD ANTHONY
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE
NAME OF ASSISTANT TREASURER, IF ANY
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX / E-MAIL ADDRESS
4. Verification
rein and in the attached schedules is true and complete. I certify
I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contai
VIM
under penalty of perjury under the laws of the State of California that the foregoing is true an rect.
i
Executed on ~U ~Daoe BY
or reaumor Treastrer
Executed on _T Data , carxlidete, state or Responside Officer of Sponsor
Executed on Date BY Signature of Contra" Officeholder, Candidate, State Measure Proponent
Executed on Date BY Signature of Controlling Olfl alwlder, Canddate, State Measure Proponent
FPPC Form 460 (January/05)
FPPC Toll Free Helpline: 8661ASK-FPPC (866/2753772)
State of California
Date Stamp
COVER PAGE
cU 1 Q OCT -1 ge 1 of 8
Date of election If applicable: N
(Month, Day, Year) For Official Use Only
11/02/2010
2. Type of Statement:
❑ Preelection Statement ❑ Quarterly Statement
❑ Semi-annual Statement ❑ Special Odd-Year Report
❑ Termination Statement ❑ Supplemental Preelection
(Also file a Form 410 Termination) Statement - Attach Form 495
❑ Amendment (Explain below)
Recipient Committee Type or print in ink. COVER PAGE-PART2 CALIFORNIA
Campaign Statement FORM •
Cover Page - Part 2
Page 2 of 8
5. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE
JERRY M. SHIPMAN
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
WARD 1 CITY COUNCIL MEMBER
RESIDENTIAUBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP
,
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 I.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
❑ YES ❑ NO
COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
COMMITTEE NAME I.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
❑ YES ❑ NO
COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
6. Primarily Formed Ballot Measure Committee
NAME OF BALLOT MEASURE
BALLOT NO. OR LETTER ( JURISDICTION
❑ SUPPORT
❑ OPPOSE
Identify the controlling officeholder, candidate, or state measure proponent, if any.
NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT
OFFICE SOUGHT OR HELD
DISTRICT NO. IF ANY
7. Primarily Formed Candidate/Officeholder Committee List names of
officeholderfs) or candidate(s) for which this committee is primarily formed.
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
❑ SUPPORT
❑ OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
❑ SUPPORT
❑ OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
❑ SUPPORT
❑ OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
❑ SUPPORT
❑ OPPOSE
Attach continuation sheets H necessary
FPPC Form 460 (January/06)
FPPC Toll-Free Helpline: 866/ASK-FPPC (8661276-1772)
state of California
Campaign Disclosure Statement Type or print in ink.
Amounts may be rounded
Summary Page to whole dollars.
SEE INSTRUCTIONS ON REVERSE
SUMMARY PAGE
Statement covers period CALIFORNIA A
07/23/2010 FORM
from
through 10/01/2010 page 3 of 8
NAME OF FILER
JERRY M. SHIPMAN
ColumnA
Contributions Received
TOTALTHIS PERIOD
"OMATTACHED SCHEDULES)
1.
Monetary Contributions
Schedule A, Line 3
$ 2349 $
2.
Loans Received
Schedule B, Line 3
4114.
3.
SUBTOTAL CASH CONTRIBUTIONS
Add lines 1 + 2
$ 6563 $
4.
Nonmonetary Contributions
schedule C, Line 3
5.
TOTAL CONTRIBUTIONS RECEIVED
AddLines 3+4
$ 6563 $
I.D. NUMBER
1329144
Calendar Year Summary for Candidates
Running in Both the State Primary and
General Elections
1/1 through 6/30 7/1 to Date
20. Contributions 6563.
Received $ $
21. Expenditures 3795.64
Made $ $
Expenditures Made
6. Payments Made
Schedule E, Line 4 $
7. Loans Made
Schedule H, Line 3
8. SUBTOTALCASH PAYMENTS
Add Lines 6 + 7 $
9. Accrued Expenses (Unpaid Bills)
Schedule F Line 3
10. Nonmonetary Adjustment
Schedule C, Line 3
11. TOTAL EXPENDITURES MADE
AddLines a+9+10 $
3795.64 $
3795.64 $
3795.64 $
Column B
CALENDAR YEAR
TOTALTO DATE
2349
4114.
6563
6563
3795.64
3795.64
3795.64
Current Cash Statement
12. Beginning Cash Balance Previous Summary Page, Line 16 $
13. Cash Receipts Column A, Line 3 above
14. Miscellaneous Increases to Cash schedule 1, Line 4
15. Cash Payments Column A, Line a above
16. EIJDlNG CASH BALANCE Add Lines 12 + 13 + 14, then subtract Line 15 $
K this is a termination statement Line 16 must be zero.
0
6563.
3795.64
2767.36
17. LOAN GUARANTEES RECEIVED Schedule B, Part 2 $
Cash Equivalents and Outstanding Debts
18. Cash Equivalents See instructions on reverse $
19. Outstanding Debts Add Line 2 + Line 9 in column a above $
2767.36
0
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).
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made'
(n &dod to YbWa" EM-dit- LJn*)
Date of Election Total to Date
(mm/dd/yy)
$
Amounts in this section may be different from amounts
reported in Column B.
FPPC Form 460 (January/05)
FPPC Toll-Free Helpline: 866/ASK-FPPC (8661276-3772)
I
I
Schedule A
Type or print in ink.
SCHEDULE A
Monetary Contributions Received Amounts may be rounded
to whole dollars
Statement covers period
,
.
07/23/2010
from
~ - •
through 10/01/2010
Page 4 of 8
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
I.D. NUMBER
JERRY M. SHIPMAN
1329144
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
ET A
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
COMMITTEE, ALSO ENTER I.D. NUMBER)
(
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
®IND
8/9/10
BILL PERRY
❑
C
O
RETIRED
200.
200.
❑
O
TH
❑ PTY
❑SCC
m IND
8/9/10
BERNARD ANTHONY
❑COM
RETIRED
100
100
❑OTH
❑ PTY
❑SCC
❑IND
9/1/10
S C ANDERSON INC
❑coM
CONSTRUCTION CO
1000.00
1000.
®OTH
❑ PTY
❑ SCC
®IND
9/9/10
JOHN T. YOUNG
❑COM
DOCTOR
100.
100.
❑ OTH
❑ PTY
❑ SCC
®IND
9/15/10
JIM ANTT
❑o~
ASSC MANAGER
250
250
❑oTH
.
.
❑ PTY
❑ SCC
SUBTOTAL$ 1650.
Schedule A Summary
1. Amount received this period - itemized monetary contributions.
(Include all Schedule A subtotals.) $
2. Amount received this period- unitemized monetary contributions of less than $100 $
3. Total monetary contributions received this period.
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) TOTAL $
2250
'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
2250
FPPC Form 460 (January/05)
FPPC Toil-Free Helpline: 866/ASK-FPPC (866/2753772)
I
I
Schedule A (Continuation Sheet)
Type or print in ink.
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars'
07/23/2010
FORM 460
from
10/01/2010
8
5
through
of
Page
NAME OF FILER
I.D. NUMBER
JERRY M. SHIPMAN
1329144
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
ET ADDRESS ZI
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
I.D. NUMBER)
(
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
RAY DECEMBER
JOC~
RETIRED
9/24/10
❑OTH
500
500
❑PTY
❑ SCC
BERNITA JENKINS
BIND
❑
SEIU REP
7/27/10
❑o~
100.
100.
❑ PTY
❑ SCC
❑IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
SUBTOTALS 600
"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
FPPC Form 460 (January/05)
FPPC Toll-Free Helpline: 86WASK-FPPC (866/2754772)
SCHEDULE B - PART 1
Schedule B - Part 1 Amountt '"s mary"" be"' "'n'rounded
Statement covers period
Loans Received to whole dollars.
07/23/2010
CALIFORNIA
• ,
from
FORM
10/01/2010
6
8
SEE INSTRUCTIONS ON REVERSE
through
of
Page
NAME OF FILER
I.D. NUMBER
JERRY M. SHIPMAN
1329144
FULL NAME, STREET ADDRESS AND ZIP CODE
IF AN INDIVIDUAL, ENTER
OUTSTANDING
AMOUNT
10
AMOUNT PAID
OUTS ANDING
DIN
UTS
INTEREST
ORIGINAL
CUM
(9)
OF LENDER
OCCUPATION AND EMPLOYER
pFSELF EMPLOYED, ENTER
BALANCE
BEGINNING THIS
RECEIVED THIS
OR FORGIVEN
A
CLOSE 4C THIS
PAID THIS
AMOUNT OF
CONTRIBUTIONS
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
NAMEOFBUSINESS)
PERIOD
PERIOD
THIS PERIOD'
PERIOD
LOAN
TO DATE
JERRY M. SHIPMAN
RETIRED
❑ PAID
CALENDAR YEAR
$
$ 4114
%
$ 4114
$
❑ FORGIVEN
RATE
PER ELECTION"
4114.
s
s
s
s
$
t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
DATE DUE
DATE INCURRED
❑ PAID
CALENDAR YEAR
S
S
%
S
S
❑ FORGIVEN
RATE
PER ELECTION"
S
S
S
S
S
t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
DATE DUE
DATE INCURRED
❑ PAID
CALENDAR YEAR
S
i
%
S
S
❑ FORGIVEN
RATE
PER ELECTION"
S
S
S
S
t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
DATE DUE
DATE INCURRED
SUBTOTALS $ 4114.00 $ $ $
Schedule B Summary
1. Loans received this period $
(Total Column (b) plus unitemized loans of less than $100.)
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.)
3. Net change this period. (Subtract Line 2 from Line 1.)
Enter the net here and on the Summary Page, Column A, Line 2.
'Amounts forgiven or paid by another party also must be reported on Schedule A.
- If required.
(tamer (e) on
Sdie" E, LW* 3)
4114.00
4114.
WT $ (May be a negative number)
tcontributor Codes l
IND - Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC - Small Contributor Committee
FPPC Form 460 (January/05)
FPPC Toll-Free Helpline: 866/ASK-FPPC (86612753772)
Schedule E
Payments Made
Type or print in ink.
Amounts may be rounded
to whole dollars.
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
JERRY M. SHIPMAN
Statement covers period
from 07/23/2010
through
10/01/2010
Page 7 of 8
I.D. NUMBER
1329144
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CNP
campaign paraphemalia/misc.
NW
member communications
RAD
radio airtime and production costs
CNS
campaign consultants
MTG
meetings and appearances
RFD
returned contributions
CTB
contribution (explain nonmonetary)"
OFC
office expenses
SAL
campaign workers' salaries
CVC
civic donations
PEr
petition circulating
TB-
t.v. or cable airtime and production costs
FIL
candidate filing/ballot fees
PHO
phone banks
TRC
candidate travel, lodging, and meals
FND
fundraising events
POL
polling and survey research
TRS
staff/spouse travel, lodging, and meals
I ND
independent expenditure supporting/opposing others (explain)'
POS
postage, delivery and messenger services
TSF
transfer between committees of the same candidate/sponsor
LEG
legal defense
PRO
professional services (legal, accounting)
VOT
voter registration
Lrr
campaign literature and mailings
PRT
print ads
VVEB
information technology costs (intemet, e-mail)
NAME AND ADDRESS OF PAYEE
(IF COMMrrTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
KERN COUNTY CLERK VOTER FILE
41.50
CITY OF BAKERSFIELD FILING FEES/CANDIDATE STATEMENT
FIL 717.00
SINGERS ASSOCIATION I RAD I RADIO ADVERTISING I 250.
* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 1008.50
Schedule E Summary
1. Itemized payments made this period. Include all Schedule E subtotals. $ 3795.84
2. Unitemized payments made this period of under $100 $
3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) $
4. Total payments made this period. Add Lines 1, 2, and 3. Enter here and on the Summa Page, Column A, Line 6. TOTAL $ 3795.84
FPPC Form 460 (January105)
FPPC Toll-Free Helpline: 866/ASK-FPPC (8661275-3772)
Schedule E
SCHEDULE E (CONT.)
(Continuation Sheet)
Type or print in ink.
Amounts may be rounded
Statement covers period
CALIFORNIA
460
Payments Made
to whole dollars.
from
07/23/2010 FORM
through 10/01/2010 Page 8 of g
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
I.D. NUMBER
JERRY M. SHIPMAN
1329144
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CW campaign paraphemalia/misc.
MBR
member communications
RAD
radio airtime and production costs
CNS campaign consultants
MTG
meetings and appearances
RFD
returned contributions
CTB contribution (explain nonmonetary)*
OFC
office expenses
SAL
campaign workers' salaries
CVC civic donations
PET
petition circulating
TEL
t.v. or cable airtime and production costs
FIL candidate filing/ballot fees
PHO
phone banks
TRC
candidate travel, lodging, and meals
FTD fundraising events
POL
polling and survey research
TRS
staff/spouse travel, lodging, and meals
IND independent expenditure supporting/opposing others (explain)*
POS
postage, delivery and messenger services
TSF
transfer between committees of the same candidate/sponsor
LEG legal defense
FRO
professional services (legal, accounting)
VOT
voter registration
LIT campaign literature and mailings
FRT
print ads
WEB
information technology costs (intemet, e-mail)
NAME AND ADDRESS OF PAYEE
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE OR DESCRIPTION OF PAYMENT
AMOUNT PAID
CHASE BANK
BANK CHARGES
146.00
OFFICE DEPOT
FLYERS, CARDS, CAMPAIGN LITERATUR
FIA/COLBY POSTTER PRINTING
BILLBOARD SIGNS
IRMA CARSON
THE SIGN ALIGN/ BANNERS AND PRINTED
POSTERS
140.73
HOME DEPOT
POST
38.75
* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 2787.14
FPPC Form 460 (January/05)
FPPC Toll-Free Helpline: 866/ASK-FPPC (8661275-3772)