HomeMy WebLinkAboutSCRIVNER SEMIANN10(4) AMENDMENTRecipient Committee
I ;1 NN`•
Campaign Statement
Cover Page ,
q 2008414.6) i-"
(Government Code SectionsZ_
Type or print in ink. KERR f% kTY EL T
BY
Statement covers period Date of election if agjyj 19 PM 2: 02
7/1/10 (Month, Day, Y t ,,}jAA 7
I from
9/30/10
SEE INSTRUCTIONS ON REVERSE through
1. Type of Recipient Committee: All Committees - complete Parts 1, 2, 3, and 4.
® Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure
Q State Candidate Election Committee C tr
Controlled
O Recall
(Also compere parr 5) Q Sponsored
(Also complete part 6)
❑ General Purpose Committee
O Sponsored
Q Small Contributor Committee
O Political Party/Central Committee
3. Committee Information
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO
Scrivner for Supervisor 2010
❑ Primarily Formed Candidate/
Officeholder Committee
(Also Complete part 7)
I.D. NUMBER
1323114
4. Verification
I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the info ation contained herein and in the attached schedules is true and complete. 1 certify
under penalty of perjury under the 1 ws of the State of California that the foregoing is true and correct
Executed on 2- 01. ' BY o reasxuer tTreasurer
on ' DBy S ofC holder .StaMMeawsePropon lLo Respon&bIeOffcerofSponsor
Executed on By Signalise afConW WV Officeholder. Canute. St-le Measure Propp,em
Dace
Executed on By S'gnatureotConWGng06rslo, kW; Carxidate,StateMwss°°PMPMSM FPPC Form 460 (January/OS)
~re FPPC Toll-Free Helpline: 8661ASK-FPPC (8661275-3772)
State of California
Recipient Committee
Campaign Statement
Cover Page - Part 2
5. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE
Zack Scrivner
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
Kern County Supervisor, 2nd District
RESIDENTIAIJBUSINESS 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.
COMMITTEENAME I.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
❑ YES ❑ NO
COMMITTEE ADDRESS STREET ADDRESS (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
Type or print in ink.
COVER PAGE - PART 2
Page 2 of 25
6. Primarily Formed Ballot Measure Committee
NAME OF BALLOT MEASURE
BALLOTNO.ORLETTER JURISDICTION ❑ SUPPORT
E] OPPOSE
Identify the controlling officeholder, candidate, or state measure proponent, if any.
NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT
OFFICE SOUGHT OR HELD 7::] DISTRICT NO. IF ANY
7. Primarily Formed Candidate/Officeholder Committee List names of
officeholder(s) 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 if necessary
FPPC Form 460 (January/05)
FPPC Toll-Free Helpline: 866/ASK-FPPC (8661275-3772)
State of California
Campaign Disclosure Statement
Summary Page
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers Period
7/1/10
from
9/30/10
through
NAME OF FILER
Scrivner Tor z2upervisui w a
Column A
Column g
Contributions Received
WMLTMPBWD
A~ex+~
~ o
79,794.00 $
160,413.00
1. Monetary Contributions
Schedule A, Line 3 S
25,000.40
25,000.00
Loans Received
2
Schedule B. Line 3
104.794.00 S
185,413.00
.
SUBTOTALCASH CONTRIBUTIONS
Add Lines 1 + 2 $
0.00.
0.00
3.
Nonmonetary Contributions
4
Schedule G Line
104,794A0 i
185,413.00
.
TOTALCONTRIBUTIONS RECEIVED
S
Add Lb" 3+4
5.
Expenditures Made
S
74,027.74 $
187,643.33
Schedule Line 4
00
0
6. Payments Made
0.00
.
Loans Made
7
Schedule H. Line 3
74,027.74 S
187,643.33
.
8. SUBTOTALCASH PAYMENTS
Add Lines 6 + 7 $
0.00
0.00
9. Accrued Expenses (Unpaid Bills)
schedule F Line 3
0.00
0.00
schedule C Line 3
Nonmonetary Adjustment
10
74,027.74 t
74
187,643.33
.
ENOITURESMADE
. Add Lines a+o+10 $
11. TOTAL E)CP
Page 3 of 25
I.D. NUMBER
1323114
Calendar Year Summary for Candidates
Running in Both the State Primary and
General Elections
1H through 8/30 711 to Oate
20. Conhftuiions S
Received S
21. Expenditures S S
Made
Expenditure Umit Summary for State
Candidates
2L Cumulative Expenditures Mad**
Date of Election
(mm'dilft)
Tolal to Date
Current Cash Statement Line 15 S 4,699.74
12. Beginning Previous Summaly Page,
Cash. Balance . Column A. Line 3 above
13. 104.794.00
Cash Receipts
14. Miscellaneous Increases to Cash Schedule 1, Line 4 0.00
74,027.74
15. Cash Payments cownnn A. Line 8 above 35,466.04
16. ENDING CASH BALANCE Add Lines 12 + 13 + 14, then subtract Line 15 S
of this is a termination statement Line 16 must be zeM.
O.Ou
-17 LnAN GUARANTEES RECEIVED schedule e. Pad 2 $
Cash Equivalents and Outstanding Debts 0.00
see instruction an reverse E
18. Cash Equivalents 25,000.00
19. Outstanding Debts Add Line 2 + Line 9 in Column a above $
To calculate COlumn B, add
amounts in Cokaen A to the
corresponding amounts
from column B of your last
report. Sane amounts in
column A maY be negative
figures that should be
subtracted from previous
dw 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). .
I -Amounts in this section may be d'dferent from amounts
reported in Columm B.
FPPC Form 460 Wanusi C
FPPC Toil-Free Helpilne: OtilitASK-FPPC
Schedule A
Type or print In lnb1
SCHEM LE
Nlo metiny COnUMMOOM Received
to ~ ~
Period / • ,
stsbnwnt covers
7/1/10
no
through 9/30/'10 Pulp 4 of 25
SEE NBTROCTIONS ON REVERSE
I.D. NUMBER
NAME OF FILER
1323114
Scrivner for Supervisor 2010
FULL NAME. STREET ADORESS AND ZIP CODE OF CONTIMUTOR
CONTRIBUTOR IF N
TO DA
PER
BV® THIS CALENO YEAR I' ELECTION
(IF REQUIRED)
31
RECEIVED
pFeoyrrrsEAulOENTBUawLarsEaO
CODE-: (Fag.F 3MOr®.9A6tNAME
)
PERIOD (JML I -DEC.
aFMIBME0s)
Brian Richards
❑COM President.
500.00 500.00
7/210
O~
ABC PAC (Associated Builders and
ocam NIA
1,500.00. 3,000.00 1,500.01
7/30/10
Contractors)
❑cffm
ID# 1222327
0~
INo
Louis and Sheryl Barbic:h
pcaul CPA
500.00 500.00
7/30/10
.
O~ Dill
IMC
William Bezdek. M.D.
Physician
200.00 200.00
7/30/10
❑ PTM
❑SCC
ow
David Windlberg
ocoM Puwch A rTQ
125.00 125.00
7/30/10
❑ PTY Aera Energy
❑8cc
SUBTOrTAL$ 2.825.00
Schedule A Summary
*Conblk"w Codas
NO-Iniftiftall
1. Amount received this period-itemized monetary contributions.
M-RedpisntConnliwa
. 79, 540.00 CO
Ondude al Schedule A subb AWs.) $
(atlmr 9W PTY or SCC)
254.00 aTH - other (eA« bluntness enili
2. Amount received this period - unitemized monetary contributions of less than $100 $
PTY-PariralPerty
3. Total monetary Contributions received this period.
79'794.00 8CC-8nw1lContributor Caeelt =
(Add Lines 1 and 2. Enter hem and on the Summary Page, Column A, Line 1.) TOTAL $
FPiPC Fors 4W (ray
FPPC T+os-Fe.e r+ swwsoFPPC (SNrrrsl
Schedule A
(Continuation Sheet)
Monetary Contributions Received
Statement Covers Period
from 7/1/10
through 9/30/10
Page 5 of 25
NAME OF FILER: Scrivner for Supervisor 2010
I.D. NUMBER
1323114
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
CODE
OCCUPATION
EMPLOYER/
BUSINESS
AMOUNT
RECEIVED
THIS PERIOD
CUMULATIVE
TO DATE
PER ELECTION
TO DATE
8127/10
Raybum and Joan Dezember
IND
Consultant
Self Employed
125.00
125.00
Subtotal $ 4,625.00
Schedule A
Statement Covers Period
from 7/1/10
0
Moneta Contributions Received through 9/30/1
(Continuation Sheet)
Page 6 of 25
ry
NUMBER 1323114
D
I
.
.
NAME OF FI
LER: Scrivner for Supervisor 2010
AMOUNT
DATE
F CONTRIBUTOR
CONTRIBUTOR
CODE
OCCUPATION
EMPLOYER/
BUSINESS
RECEIVED
THIS PERIOD
CUMULATIVE
TO DATE
PER ELECTION
TO DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE O
Subtotal $ 9,595.00
Schedule A Statement Covers Period
(Continuation Sheet) from 7/1/10
through 9 30 10
Monetary Contributions Received
Page 7 of 25
I.D. NUMBER 1323114
NAME OF F
DATE
RECEIVED
ILER: Scrivner for Supervisor 2010
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
CODE
OCCUPATION
EMPLOYER/
BUSINESS
AMOUNT
RECEIVED
THIS PERIOD
CUMULATIVE PER ELECTION
TO DATE TO DATE
8/18/10
Kim Andreatta
IND
Business Owner Bakersfield Auto Body
250.00
750.00 250.00
8/18/10
Thomas Anton
IND
Attorney
Law Office of TJA, Inc.
100.00
100.00
8118/10
Frank Arciero, Jr.
IND
Developer
Arciero & Sons, Inc.
250.00
500.00
8/18/10
Conni Brunni
IND
Notary Public
Self Employed
250.00
250.00
Michael and Dona Chertok
W
IND
Retired
N/A
125.00
250.00
8/18110
.
Jeffrey Crowley, M.D. and Sarah Crowley
IND
Physician
Bakersfield
Dermatology
250.00
250.00
8118/10
,
8/18/10
Marvin and Myrna Denny
IND
Principal
Global Investments
150.00
150.00
Subtotal $ 31550.00
Schedule A
(Continuation Sheet)
Monetary Contributions Received
Statement Covers Period
from 7/1/10
through 9130/10
Page " of 25
I
NUMBER
D
1323114
rvisor 2010
S
f
i
.
.
NAME OF FI
upe
or
vner
LER: Scr
AMOUNT
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
CODE
OCCUPATION
EMPLOYER/
BUSINESS
RECEIVED
THIS PERIOD
CUMULATIVE
TO DATE
PER ELECTION
TO DATE
8/14/10
Fred Zullo I
ND
Retired
N/A
1,000.00 •
1,000.00
500.00
Stan and Kathleen Antongiovanni
Subtotal $ 8,875.00
Schedule A
(Continuation Sheet)
Monetary Contributions Received
Statement Covers Period
from 7/1/10
through 9130/10
Page 9 of 25
I
NUMBER
D
1323114
isor 2010
S
f
.
.
NAME OF FI
uperv
or
LER: Scrivner
AMOUNT
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
CODE
OCCUPATION
EMPLOYER/
BUSINESS
RECEIVED
THIS PERIOD
CUMULATIVE
TO DATE
PER ELECTION
TO DATE
8/23/10
Pat and Lori Marchbanks
IND
Physician
Self Employed
500.00
500.00
8/23/10
8/23/10
Robert Severs
IND
Retired
N/A
250.00
350.00
8/23/10
Bart and Tracey Tipton
IND
Engineer
Aecom
125.00
125.00
8/25/10
A.S.A.P. Loan Docs Inc.
OTH
N/A
N/A
250.00
250.00
Ag-wise Enterprises, Inc.
8125/10
Brooke Antonioni
IND
Executive
Banks Pest Control, Inc
. 200.00
200.00
Subtotal $ 4,700.00
Schedule
Statement Covers Period
from 7/1/10
Monetary Contributions Received through 9/30/10
(Continuation Sheet)
Page 10 of 25
I
NUMBER
D
1323114
2010
.
.
NAME OF FI
LER: Scrivner for Supervisor
AMOUNT
DATE
ODE OF CONTRIBUTOR
CONTRIBUTOR
CODE
OCCUPATION
EMPLOYER/
BUSINESS
RECEIVED
THIS PERIOD
CUMULATIVE
TO DATE
PER ELECTION
TO DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP C
OTH
N/A
N!A
250.00
250.00
8125/10
Brite Canyon Resource Recovery
Gregory and Mary Bynum
IND
Co-Owner
Gregory D. Bynum &
Assoc.
1,000.00
1,500.00
500.00
8/25/10
Subtotal $ 5,375.00
Schedule A
(Continuation Sheet)
Monetary Contributions Received
Statement Covers Period
from 7/1/10
through 9/30/10
Page 11 of 25
NAME OF FILER: Scrivner for Supervisor 2010 I.D. NUMBER
1323114
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
CODE
OCCUPATION
EMPLOYER/
BUSINESS
AMOUNT
RECEIVED
THIS PERIOD
CUMULATIVE
TO DATE
PER ELECTION
TO DATE
8/25/10
Russell and Jeannie Fuller
IND
Owner
Heamco, Inc.
250.00
250.00
8/25/10
Heritage Professional Management and Real
OTH
N/A
N/A
500.00
500.00
500.00
8/25/10
Terri Jamieson
IND
Owner
Jaco Oil
1,000.00
1,000.00
500.00
8/25/10
Khalsa
G
IND
County Counsel
County of Kern
125.00
375.00
.
8/25/10
KV Farms
IIND lAttomey Clifford & Brown 100.00 100.00
6,100.00
Subtotal $
Schedule A
(Continuation Sheet)
Monetary Contributions Received
Statement Covers Period
from 7/1/10
through 9/30/10
Page 12 of 25
NUMBER
1323114
NAME OF F
ILER: Scrivner for Supervisor 2010
I
AMOUNT
.D.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
CODE
OCCUPATION
EMPLOYER/
BUSINESS
RECEIVED
THIS PERIOD
CUMULATIVE
TO DATE
PER ELECTION
TO DATE
8/25/10
Randy and Kay Parker
IND
Physician
Self Employed
500.00
500.00
8/25/10
Marty Pay
IND
Co-Owner
Derrel's Mini Storage
500.00
1,000.00
500.00
8/25/10
Andrew and C. Jeanette Rogers
IND
Attorney
Klein Denatale Goldner
500.00
1,000.00
500.00
8/25110
Neil and Carla Sawyer
OTH
N/A
N/A
250.00
250.00
250.00
8/25/10
Senator Bob Dutton for Assembly 2012
ID# 1314664
COM
N/A
N/A
500.00
500.00
8/25/10
Bonnie Shea
IND
Farmer
H. Spitzer & Sons, Inc.
125.00
125.00
8/25/10
John and Janice Stovall
IOTH
N/A
N/A
1125.00
125.00
S
ubtotal $ 3,7
25.00
Schedule A
(Continuation Sheet)
Monetary Contributions Received
Statement Covers Period
from 7/1/10
through 9/30/10
Page 13 of 25
NAME OF FILER: Scrivner for Supervisor 2010
I.D. NUMBER 1323114
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
CODE
OCCUPATION
EMPLOYER/
BUSINESS
AMOUNT
RECEIVED
THIS PERIOD
CUMULATIVE
TO DATE
PER ELECTION
TO DATE
8/25/10
Lori Michele Tobin
OTH
NIA
N/A
500.00
500.00
8/25/10
Wegis & Young Property Management, LLC
OTH
N/A
N/A
125.00
125.00
8/25/10
Leland and Susan Jane Yeoman
IND
Agent
Walter Mortensen
Insurance
125.00
250.00
8127/10
J. Edward and Beverly Duggan
IND
Partner
Oak Creek Energy
500.00
500.00
8/27/10
James Joslyn
IND
Business Owner
Enterprise Drilling
Fluids, In
250.00
250.00
8/27/10
Law Offices of Borton Petrini, LP
OTH
N/A
N/A
500.00
500.00
8/27/10
George and Linda Martin
IND
Retired
N/A
250.00
750.00
250.00
8/27/10
Progressive Ambulance Inc Liberty Ambulance
OTH
N/A
N/A
500.00
500.00
8/27/10
Serban Sound Systems
OTH
N/A
N/A
500.00
500.00
500.00
8/27/10
Shah Hitesh
IND
Pres/CEO
Aera Energy
500.00
1,000.00
6,250.00
Subtotal $
Schedule A
(Continuation Sheet)
Monetary Contributions Received
Statement Covers Period
from 7/1110
through 9/30/10
Page 14 of 25
I
NUMBER 1323114
D
.
.
NAME OF FI
LER: Scrivner for Supervisor 2010
AMOUNT
DATE
F CONTRIBUTOR
CONTRIBUTOR
CODE
OCCUPATION
EMPLOYER/
BUSINESS
RECEIVED
THIS PERIOD
CUMULATIVE
TO DATE
PER ELECTION
TO DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE O
CA 93311-3738 I
field
k
B
Castle & Cooke California, Inc. David H. Murdock/Dole Food Company, Inc.
CA 93311
OTH
WA
N/A
500.00
1,000.00
500.00
9/1/10
Bakersfield,
IND
Produce Shipper
Kern Ridge Growers
500.00
1,000.00
9/1/10
Bob and Jeanne Giragosian Arvin,CA 93203
NV 89511-6735
CA 93302-0887
sfield
k
Jasmine Moini, M.D., Ph.D. Bakersfield, CA
IND
Physician
Self Employed
500.00
800.00
300.00
9/1/10
93311-9506
IND
Farmer
Self Employed
500.00
500.00
9/1/10
Pete Pankey Arvin, CA 93203
San Joaquin Facilities Management, Inc.
OTH
N/A
N/A
1,000.00
1,000.00
500.00
9/1/10
Bakersfield, CA 93309
017
OTH
N/A
N/A
125.00
125.00
9/1/10
Sempra Energy San Diego, CA 92101-3
CA 93304
ld
IND
Attorney
Self Employed
100.00
100.00
9/1/10
,
Errol Shaw Bakersfie
IND
Administrator
KCSS Office
100.00
100.00
9/7/10
James Varley Bakersfield, CA 93304
IND
Executive
Bakersfield Pipe Supply
125.00
125.00
9/13/10
Dwight Byrum Bakersfield, CA 93302
IND
Retired
N/A
500.00
700.00
0
500.0
9/13/10
Ophelia Franks CA 93210
CA 93308
Bakersfield
i
IND
Developer
Self Employed
1,000.00
2,000.00
1,000.00
9/13/10
,
r
Michael Jr. and Melissa Ha
9
IND
Land Investor
Self Employed
500.00
500.00
9/13/10
Barry Hibbard Bakersfield, CA 9330
Subtotal $ 6,800.00
Schedule A
(Continuation Sheet)
Monetary Contributions Received
Statement Covers Period
from 7/1/10
through 9/30/10
Page 15 of 25
NAME OF F
ILER: Scrivner for Supervisor 2010
I.D. NUMBER
1323114
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
CODE
OCCUPATION
EMPLOYER/
BUSINESS
AMOUNT
RECEIVED
THIS PERIOD
CUMULATIVE
TO DATE
PER ELECTION
TO DATE
9/13/10
James Houck
IND
Editor
Visalia Times
1,000.00
1,000.00
500.00
9/13/10
Paramount Farming Company
OTH
NIA
N/A
500.00
500.00
9/13/10
Linda Pavletich
IND
Retired
N/A
125.00
125.00
9/27/10
Scott and Joyce Anderson
OTH
N/A
N/A
500.00
1,000.00
500.00
9/27/10
Stephen and Michelle Coslik
IND
Real Estate
Developer
Woodmont Company
500.00
1,000.00
9/27/10
Delcid, Tim
IND
Real Estate
Strata Equity Group
250.00
250.00
9/27/10
Gregg and Fran Gunner
IND
Gen. Sales
Manager
Jim Burke Ford
200.00
200.00
Subtotal $ 4,950.00
Scheri`ule A
(Continuation Sheet)
Monetary Contributions Received
Statement Covers Period
from 7/1/10
through 9/30/10
Page 16 of 25
NAME OF FILER: Scrivner for Supervisor 2010
I.D. NUMBER
1323114
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
CODE
OCCUPATION
EMPLOYER/
BUSINESS
AMOUNT
RECEIVED
THIS PERIOD
CUMULATIVE
TO DATE
PER ELECTION
TO DATE
9/27/10
Roger and Beverly McIntosh
IND
Cardiologist
Comprehensive
Cardiovascular
1,000.00
1,000.00
9/27/10
Mesonika Piecuch
IND
Executive
Petrotherm
100.00
100.00
9/27/10
Dan and Constance Shobe
OTH
N/A
N/A
500.00
1,000.00
500.00
9/29/10
Carole Bahmann
IND
Attorney
Gibson, Dunn &
Crutcher, LLP
1,000.00
1,000.00
9/29/10
Chris and Christine Payne
IND
Manager
NSI
125.00
125.00
9/29/10
Rita Serban
OTH
N/A
N/A
11,000.00
1,000.00
500.00
Subtotal $ 7,295.00
Schedule A Statement Covers Period
(Continuation Sheet)
from 711/10
Monetary Contributions Received
through 9/30/10
NAME OF FILER: Scrivner for Supervisor 2010
DATE
CONTRIBUTOR
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CODE
OCCUPATION
9/30/10
Sikander Jassar
IIND
CEO
Page 17 of 25
I.D. NUMBER
1323114
EMPLOYER/
BUSINESS
AMOUNT
RECEIVED
THIS PERIOD
CUMULATIVE
TO DATE
PER ELECTION
TO DATE
Jassar Farms Inc.
1,000.00
1,000.00
500.00
D.J. Food Mart
1,000.00
1,200.00
200.00
Self Employed
800.00
800.00
Highgrove Medical
Group 1
500.00 1
500.00
N/A 125.00 125.00
Self Employed 250.00 250.00
Chase Merritt 1,000.00 1,000.00
Subtotal $ 4,875.00
Schedule B - Part 1
Loans Received
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 7/1/10
through
9/30/10
SCHEDULEB-PART1
Page 18 of 25
SEE INSTRUCTIONS ON REVERSE
I.D. NUMBER
NAME OF FILER
1323114
Scrivner for Supervisor 2010
1a)
1b)
10
(dl
(e)
(f)
(9)
FULL NAME, STREET ADDRESS AND ZIP CODE
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
OUTSTANDING
BALANCE
AMOUNT
D THIS
AMOUNT PAID
OUTSTANDING
BALANCEAT
INTEREST
PAID THIS
ORIGINAL
AMOUNT OF
CUMULATIVE
CONTRIBUTIONS
OF LENDER
OF SELF-EMPLOYED,
BEGINNING THIS
RECEIVE
PERIOD
OR FORGIVEN
THIS PERIOD"
CLOSE OF THIS
RI
PERIOD
LOAN
TO DATE
(IF COMMn7EE, ALSO ENTER I.D. NUMBER)
BUSINESS)
NAME OF BUSINESS)
PERIOD
CALENDARYEAR
C] PAID
Zachary and Christina Scrivner
District Director
00
0
000.
25
0
$ 25,000.
$ 25,000.
Jean Fuller
❑ FORGIVEN
,
00
0
000.
25
00
0
0.00
8/3/10
$ 25,000.
.
s
,
s
.
$
DATE DUE
$
DATE INCURRED
t
PTY El SCC
V IND El COM El OTH El
CALENDAR YEAR
❑ PAID
s
s
%
a
s
RATE
PER ELECTION
❑ FORGIVEN
s
s
s
s
f
DATE DUE
DATE INCURRED
PTY ❑ SCC
t
❑ IND ❑ COM ❑ OTH ❑
CALENDARYEAR
PAID
s
s
%
s
s
RATE
PER ELECTION"'
❑ FORGIVEN
s
s
s
s
s
DATE DUE
DATE INCURRED
t
IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
❑
SUBTOTALS $ 25,000.00 $ 0.00 $ 25,000.00
$ 0.00
Schedule B Summary
25,000.00
1. Loans received this period $
(Total Column (b) plus unitemized loans of less than $100.)
0.00
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.)
25,000.00
3. Net change this period. (Subtract Line 2 from Line 1.) NET $ (May beaneg number)
Enter the net here and on the Summary Page, Column A, Line 2.
t--' ,c, -
Schedule E. Une 3)
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
'Amounts forgiven or paid by another party also must be reported on Schedule A. FPPC Form 460 (January/05)
" If required. FPPC Toll-Free Helpline: 8661ASK-FPPC (866/275-3772)
Schedule E
Payments Made
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Scrivner for Supervisor 2010
Type or print in Ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 7/1/10
through
9/30/10
Page 19 of 25
I.D. NUMBER
1323114
f the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
t
If
COD
one o
ES:
RAD
s
radio airtime and production cos
C
campaign paraphernalia/misc.
N1 BR
MTG
member communications
meetings and appearances
RFD
returned contributions
'
NIS
CN
CTB
campaign consultants
contribution (explain nonmonetary)*
OFC
office expenses
SAL
TEL
salaries
campaign workers
t.v. or cable airtime and production costs
CVC
civic donations
p~
PHO
petition circulating
hone banks
TRC
candidate travel, lodging, and meals
l
F
candidate filing/ballot fees
POL
p
potting and survey research
TRS
s
staff/spouse travel, lodging, and mea
mittees of the same candidate/sponsor
FNNID
QED
fundraising events
independent expenditure supporting/opposing others (explain)*
POS
postage, delivery and messenger services
accounting)
ional services (legal
f
TSF
VOT
transfer between com
voter registration
LEG
legal defense
PRO
,
ess
pro
WEB
information technology costs (intemet, e-mail)
LrT
I rr
campaign literature and mailings
FRT
print ads
NAME AND ADDRESS OF PAYEE
(IF cOMMrrTEE, ALSO ENTER I.D. NUMBER)
Kawanis Club of Tehachapi
Auditor Controller County Clerk
Minuteman Press
CODE OR DESCRIPTION OF PAYMENT
CTB
FIL
FND
* Payments that are contributions or independent expenditures must also be summarized on Schedule D.
SUBTOTAL$
Schedule E Summary
1. Itemized payments made this period. (Include all Schedule E subtotals.) $
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 Summary Page, Column A, Line 6.) TOTAL $
AMOUNT PAID
150.00
1,770.00
1,602.98
3,522.98
73,992.04
35.70
0.00
74,027.74
FPPC Form 460 (January/05)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
SCHEDULE E (CONT.)
Schedule E
(Continuation Sheet)
Payments Made
qPE
Type or print in ink.
Amounts may be rounded
to whole dollars.
ME OF FILER
Scrivner for Supervisor 2010
Statement covers period
from 7/1/10
through
9/30/10
Page 20 of 25
I.D. NUMBER
1323114
f the following codes accurately describes the payment, you may enter the code. Otherwise,
If
describe the payment.
t
COD
one o
ES:
MBR
member communications
RAD
s
radio airtime and production cos
CNP
CNS
campaign paraphemalia/misc.
campaign consultants
MTG
meetings and appearances
RFD
SAL
returned contributions
campaign workers' salaries
CTB
contribution (explain nonmonetary)'
OFC
PET
office expenses
etition circulating
TEL
t.v. or cable airtime and production costs
l
CVC
civic donations
f
PHO
p
phone banks
TRC
s
candidate travel, lodging, and mea
and meals
lodging
ouse travel
ff/
t
FIL
FND
ees
candidate filing/ballot
fundraising events
POL
polling and survey research
rvices
TRS
TSF
,
,
sp
s
a
r between committees of the same candidate/sponsor
trans
IND
independent expenditure supporting/opposing others (explain)'
POS
postage, delivery and messenger se
accounting)
nal services (legal
i
f
OT
registration
LEG
legal defense
PRO
,
ess
o
pro
~
information technology costs (intemet, e-mail)
UT
campaign literature and mailings
PRT
print ads
NAME AND ADDRESS OF PAYEE
CODE OR
DESCRIPTION OF PAYMENT AMOUNT PAID
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
Catering Affairs FND 3,897.00
Walker - Lewis Rents FND 1,405.44
Reimburse Bryan Williams FND 488.05
Subvendor: Smart & Final $479.41
15 District Legionnaire PRT 175.00
N35 Dues 300.00
SUBTOTAL $ 6,265.49
* Payments that are contributions or independent expenditures must also be summarized on Schedule D.
FPPC Form 460 (January/05)
FPPC Toll-Free Helpline: 866/ASK-FPPC (8661275-3772)
SCHEDULE E (CONT.)
Schedule E Type or print in ink. Statement covers period
Amounts may be rounded 7/1/10 FORM
(Continuation Sheet) CALIFORNIA 46U
to whole dollars. from
Payments Made through 9/30/10 21 25 SEE INSTRUCTIONS ON REVERSE Page of
NAME OF FILER I.D.NUMBER
1323114
Scrivner for Supervisor 2010
ne of the following codes accurately describes the payment, you may enter the code.
If
Otherwise,
RAD
describe the payment.
radio airtime and production costs
o
CODES:
MBR
member communications
RFD
returned contributions
C W campaign paraphernalia/misc.
MrG
meetings and appearances
SAL
campaign workers' salaries
CNS campaign consultants
CTB contribution (explain nonmonetary)'
OFC
PET T
E
office expenses
petition circulating
TEL
t.v. or cable airtime and production costs
lodging, and meals
didate travel
CVC civic donations
FIL candidate filing/ballot fees
P
POL
phone banks
polling and survey research
TRC
TRS
,
can
staff/spouse travel, lodging, and meals
fer between committees of the same candidate/sponsor
t
FND fundraising events
LE independent expenditure supporting/opposing others (explain)'
PRO
FRO
postage, delivery and messenger services
professional services (legal, accounting)
TSF
VOT
rans
voter registration costs (Internet, e-mail)
tion technology
LEG legal defense
PRT
print ads
WEB
informa
LIT campaign literature and mailings
-
DESCRIPTIO
AMOUNT PAID
N OF PAYMENT
NAME AND ADDRESS OF PAYEE
7
CODE OR
(IF COMMITTEE, ALSO ENTER I.D. NUMBEM
1
710.99
Minuteman Press
LIT
Richmond Properties, LLC
Headquarters Rent/Utilities 2,000.00
Mojave Desert News PRT
Western Pacific Research, Inc. SAL
Western Pacific Research, Inc. OFC
' Payments that are contributions or independent expenditures must also be summarized on Schedule D.
410.00
376.30
159.06
SUBTOTAL $ 3,656.35
FPPC Form 460 (January/05)
FPPC Toll-Free Helpline: 8661ASK-FPPC (8661275-3772)
Schedule E
(Continuation Sheet)
Payments Made
ME OF FILER
Scrivner for Supervisor 2010
Type or print in ink.
Amounts may be rounded
to whole dollars.
statement covens period
from 7/1110
through 9/30/10
SCHEDULE E (CONT.)
page--22- of 25
I.D. NUMBER
1323114
of the following codes accurately describes the payment, you may enter the code. Otherwise,
If
DES
describe the payment.
CO
one
:
AIBR
member communications
RAD
radio airtime and production costs
CUP
CNS
campaign paraphernalia/misc.
campaign consultants
MTG
meetings and appearances
RFD
SAL
returned contributions
campaign workers' salaries
CTB
contribution (explain nonmonetary)*
OFC
PET
office expenses
petition circulating
TEL
Lv: or cable airtime and production costs
l
CVC
FL
civic donations
candidate filing/ballot fees
PHO
phone banks
TIC
TRS
s
candidate travel, lodging, and mea
stafdspourse travel, lodging, and meals
FAD
IND
fundraising events
enditure supporting/opposing others (explain)*
ndent ex
i
d
POL
POS
polling and survey research
postage, delivery and messenger services
TSF
VOT
transfer between committees of the same candidate/sponsor
istration
voter re
LEG
p
epe
n
legal defense
PRO
professional services (legal, accounting)
MEB
g
httormation technology costs (Internet, e-mail)
LIT
campaign literature and mailings
PRT
print ads
NAME AND ADDRESS OF PAYEE
OF corarRTEE. AM FABER LD. MINIM
Western Pacific Research, Inc.
Subvendor. The Battin Group $11,116.00
Western Pacific Research, Inc.
Subvendor: The Bakerfield Californian $1,133.20
Subvendor. Mojave Desert News $1,309.20
CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
RAD I I 11,116.00
PRT I I 2'442.96
* Payments that are contributions or Independent expenditures must also be summa. Faad on Schedule D. SUBTOTALS 13. 558.96
FPPC Form 460 (January/05)
FPPC Top-Free Helplins: 866/ASK-FPPC (86612754772)
SCHEDULE E (CONT.)
Schedule E
Type or prirrtin Ink.
d
d
. ,
Statement covers period CALIFORNIA
(Continuation Sheet)
e
Amounts may be roun
to whole dollars.
711 /10 e
from
Payments Made
9130/10 page 23 of` -
through
I.D. NUMBER
SEE INSTRUCTIONS ON REVERSE
1323114
NAME OF FILER
Scrivner for Supervisor 2010
ou may enter the code. Othe
t
describe the payment.
rwi
e,
en
CODES: If one of the following codes accurately describes the paym, y
s
ti
i
s
radio airtime and production costs
R
on
ca
NBR member commun
D returned contributions
emalia/misc.
campaign
CLIP
WM meetings and appearances
SAL campaign workers' salaries
CNS
campaignconsul consultants
NS
CT13 contribution (explain nonmonetary)'
OFC office expenses PET petition circulating
TEL t.v. or cable airtime and production cos
lodging, and meals
didate travel
CVC civic donations
candidate file llot fees
F
PHO phone banks
POL polling and survey research
,
TRC can
TRS staff/spouse travel, lodging, and meals
committees of the same candidate/sponsor
ansfer be
TSF tr
wee
N
~ fundraising events
expenditure supporting/opposing others (explain)'
independent
IND
postage, delivery and messenger services
PPRO Professional services (legal, accounting)
n
t
voter
~ VOT information technology costs (intemet, e-mail)
LEG legal
defense
LEG
campaign literature and mailings
L
PRT print ads
AMOUNT PAID
NAME AND ADDRESS OF PAYEE
CODE OR DESCRIPTION OF PAYMENT
(IF COMMITTEE. ALSO ENTER I.D. NUMBEM
300.00
Western Pacific Research, Inc.
FND
Sign Expense
360.00
Western Pacific Research, Inc.
311.00
Western Pacific Research, Inc.
MTG
61.99
Western Pacific Research, Inc.
WEB
Telephone
31.28
Western Pacific Research, Inc.
SUBTOTALS 1,064.27
* payments that are contributions or independent expenditures must also be summarized on Schedule D.
FppC Form 460 (January/05)
FPPC Toll-Free Helpline: 8661ASK-FPPC (8661275-3772)
Schedule E
(Continuation Sheet)
Payments Made
Scrivner for Supervisor 2010
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 7/1/10
through 9/30110
SCHEDULE E (CONT.)
--ALIFORNIA
FORM •
Page 24 of 25
I.D. NUMBER
1323114
CODES: If one of the following codes accurately describes the payment, you may enter the code. OthervAse, describe the payment.
od cti n sts
CLIP
campaign paraphemalia/misc.
NBR
member communications
RAD
RFD
radio antrme and pr u o c
returned contributions
CNS
campaign consultants
'
WIG
OFC
meetings and appearances
office expenses
SAL
campaign workers' salaries
CTB
contribution (explain nonmonetary)
PET
petition circulating
TEL
t.v. or cable airtime and production costs
CVC
civic donations
PHO
phone banks
WC
candidate travel, lodging, and meals
FL
FND
candidate filing/ballot fees
fundraising events
POL
polling and survey research
TRS
TSF
staff/spouse travel, lodging, and meals
transfer between committees of the same candidate/sponsor
IND
independent expenditure supporting/opposing others (explain)'
POS
PRO
postage, delivery and messenger services
professional services (legal, accounting)
VOT
voter registration
LEG
legal defense
PRT
print ads
WEB
information technology costs (ntemet, e-mail)
Lrr
campaign literature and mailings
o
NAME AND ADDRESS OF PAYEE
(IF coumn- EE. ALSO ENTER LD. NUNBEr)
Western Pacific Research, Inc.
Subvendor: Post Road Communications $ 16,118.70
Western Pacific Research, Inc.
Subvendor: The Battin Group $16,890.00
Western Pacific Research, Inc.
CODE OR DESCRIPTION OF PAYMENT I AMOUNT PAID
LIT I I 16,118.70
TEL 1 I 16,890.00
POS 1 I 449.54
*Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTALS 33,458.24
FPPC Form 460 (January/05)
FPPC Toll-Free Helpline: 86WASK-FPPC (8661275-3772)
SCHEDULE E (CONT.)
Schedule E
Type or print in Ink.
d
Statement covers period CALIFORNIA
4601
(Continuation Sheet)
Amounts may be rounde
to whole dollars.
from
7/1 /10 e
Payments Made
9130/10 P
25 of 25
throu
age
gh
W. NUMBER
SEE INSTRUCTIONS ON REVERSE
1323114
NAME OF FILER
Scrivner for Supervisor 2010
enter the code.
ou may
t
Otherwise,
describe the payment.
, y
If one of the following codes accurately describes the paymen
ti
RAD
radio airtime and production costs
ons
NIBR member communica
RFD
returned contributions
CI VP paraphernalia/misc.
MfG meetings and appearances
SAL
campaign workers' salaries
CNS campaign consultants
'
OFC office expenses
TEL
or cable airtime and production cos
v
t
CTB contribution (explain nonmonetary)
PET petition circulating
TRC
.
.
candidate travel, lodging, and meals
CTC civic donations
fees
fil
FIL candidate
PHO phone banks
L polling and survey research
PO
TRS
F
staff/spouse travel, lodging, and meals
nsfer between committees of the same candidate sponsor
t
e
fundraising events vents
FND
W independent expenditure supporting/opposing others (explain)'
service
and
POS
PRO prof~essionallservices (egaleaccou t ng) s
TS
TOT
B
ra
voter registration
formation technology costs (intemet, e-mail)
i
LEG legal defense
PRr print ads
WE
n
LIT campaign literature and mailings
DESCRIPTIO
AMOUNT PAID
N OF PAYMENT
NAME AND ADDRESS OF PAYEE
CODE OR
(IF COMMITTEE. ALSO ENTER I.D. NUMBER)
12,465.75
Western Pacific Research, Inc. PHO
Subvendor: Election Mall Technologies, Inc. $12,465.75
:_~____ae..• nw%onditureS must also be summarized on Schedule D.
SUBTOTAL $ 12,465.75
rnnr c-- Agri 1-12nuarv/051
FPPC Toll-Free Helpline: 8661ASK-FPPC (866/275-3772)