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Home My WebLink AboutSULLIVAN SEMIANN11(1)Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) fro Type or print in ink. Statement covers period I Date of election if applicable: 1/1/2011 (Month, Day, Year) m Date Stamp COVER PAGE 1011 AUG -I AM Wjs 1 of 8 A K E I? S r! y L 0 L I I r C _ 6o~r Official Use Only SEE INSTRUCTIONS ON REVERSE through 0630/2011 1. Type of Recipient Committee: All Committees-Complete Parts 1, 2, 3, and 4. 2. Type of Statement: ® Officeholder, Candidate Controlled Committee ❑ Ballot Measure Committee ❑ Preelection Statement ❑ Quarterly Statement 0 State Candidate Election Committee O Primarily Formed ® Semi-annual Statement ❑ Special Odd-Year Report O Recall Q Controlled ❑ Termination Statement ❑ Supplemental Preelection (Also Complete Part S) Sponsored W Amendment (Explain below) Statement - Attach Form 495 (Also Complete Part 6) ❑ General Purpose Committee The campaign account was charged a double finance charge in the Q Sponsored ❑ Primarily Formed Candidate/ Q Small Contributor Committee Officeholder Committee last statement so that was corrected on schedule F 0 Political Party/Central Committee (Also Complete Part 7) 3. Committee Information 1 I.D. NUMBER 950347 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Jacquie Sullivan for City Council STREET ADDRESS (NO P.O. BOX) MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS Treasurer(s) NAME OF TREASURER Tracy Mitchell-Reynolds MAILING ADDRESS NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS 4. 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 certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. J r+ i Executed on I By are gnature of Wfturer s ; nt asurer Executed on By Date Executed on By Date Signature of Controlling Officeholder, Candidate, State Measure Proponent is true and complete. I Executed on By FPPC Form 460 (June/01) Date Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Toll-Free Helpline: 8661ASK-FPPC State of Califomia Recipient Committee Campaign Statement Cover Page - Part 2 5. Officeholder or Candidate Controlled Committee Type or print in ink. NAME OF OFFICEHOLDER OR CANDIDATE Jacquie Sullivan OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) City Council Ward 6 RESIDENTIAUBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP Related Committees Not Included in this Statement: Listanycommittees 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 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 STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE 6. Ballot Measure Committee COVER PAGE - PART 2 Page 2 of 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 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 (Juno/01) FPPC Toll-Free Helpline: 866/ASK-FPPC State of California Campaign Disclosure Statement Summary Page Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 1/1/2011 SUMMARY PAGE 0630/2011 P f SEE INSTRUCTIONS ON REVERSE through age o NAME OF FILER I.D. NUMBER Jacquie Sullivan 950347 Contributions Received Column A Column B Calendar Year Summary for Candidates TOTTACFE PERIOD (FROM ATTACF~D SCHEDULES) CALENDAR YEAR TOTAlTOALTOD DATTE Running in Both the State Primary and General Elections 1. Monetary Contributions Schedule A, Line 3 $ 0 $ 0 1/1 through 6/30 7/1 to Date 2. Loans Received Schedule B, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS Add Lines 1 +2 $ 0 $ 20. Contributions Received $ $ 4. Nonmonetary Contributions Schedule C Line 3 , 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED Add Lines 3 + 4 $ 0 $ Made $ $ Expenditures Made 6. Payments Made Schedule E, Line 4 $ 7. Loans Made Schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS Add Lines 6+7 $ 9. Accrued Expenses (Unpaid Bills) Schedule F, Line 3 10. Nonmonetary Adjustment Schedule C, Linea 11. TOTAL EXPENDITURES MADE Add Lines e + 9 + 10 $ 1255.10 $ Current Cash Statement 12. Beginning Cash Balance Previous Summary Page, Line 16 $ 591.85 To calculate Column B, add 13. Cash Receipts Column A, Line 3 above 0 amounts in Column A to the 0 corresponding amounts 14. Miscellaneous Increases to Cash Schedule 1, Line 4 from Column B of your last 15. Cash Payments Column A Line s above 50.50 report. Some amounts in Column A may be negative 16. ENDING CASH BALANCE Add Lines 12 + 13 + 14, then subtract Line 15 $ 541.85 figures that should be subtracted from previous If this is a termination statement, Line 16 must be zero. period amounts. If this is the first report being filed 17. LOAN GUARANTEES RECEIVED Schedule e, Part 2 $ 0 for this calendar year, only carry over the amounts Cash Equivalents and Outstanding Debts arom Lines 2, 7, and 9 (if 0 y) 18. Cash Equivalents See instructions on reverse $ 19. Outstanding Debts Add Line 2 +Line 9 in Column B above $ 36708.14 50.50 $ 0 50.50 $ 1204.60 0 Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made' (If Subject to Voluntary Expenditure Limit) Date of Election Total to Date (mm/dd/yy) $ If $ If $ Since January 1, 2001. Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC SCHEDULEB-PART1 Schedule B - Part 1 Amounts may be rounded Statement covers period CALIFO I Loans Received to whole dollars. 1/1/2011 R N A ' • , from FORM h 6/30/2011 h p f SEE INSTRUCTIONS ON REVERSE roug t age o NAME OF FILER I.D. NUMBER Jacquie Sullivan for City Council 950347 FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OUTSTANDING AMOUNT (c) AMOUNT PAID OUTSTANDING INTEREST ORIGINAL CUMULATIVE OF LENDER OCCUPATION AND EMPLOYER (IF SELF EMPLOYED, ENTER BALANCE BEGINNING THIS RECEIVED THIS OR FORGIVEN BALANCEAT CLOSE OF THIS PAID THIS AMOUNTOF CONTRIBUTIONS (IF COMMITTEE, ALSO ENTER I.D.NUMBER) NAME OF BUSINESS) PE IOD PERIOD THIS PERIOD' PERIOD PERIOD LOAN TO GATE Jacquie Sullivan ❑ PAID CALENDAR YEAR ❑ FORGIVEN RATE PERELECTION- $ 1300 s $ $ 8/19/2010 = t® IND ❑ COM [_1 OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR S S % S 5 ❑ FORGIVEN RATE PER ELECTION" S 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 SUBTOTALS $ $ $ 1300 $ 0 Schedule B Summary 1. Loans received this period $ (Total Column (b) plus unitemized loans 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.) NET $ Enter the net here and on the Summary Page, Column A, Line 2. (Enter (e)on Scti"A E, Line 3) 0 - `Amounts forgiven or paid by another party also must be 0 reported on Schedule A. If required. 0 (May be a negative number) t Contributor Codes 11D - In(L* dL01 COM - RHt4l-Int CR p Iltt}}{ (RthM tton PTY RjSCC) OTH - OtttV PTY - Pj41cDI PDjy SCC - S pDll ORn({ELrkj CR p FIL" FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule E Payments Made Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 1/1/2011 SEE INSTRUCTIONS ON REVERSE through 0630/2011 Page of NAME OF FILER I.D. NUMBER Jacquie Sullivan 950347 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CIVP campaign paraphemalia/misc. MBR member communications RAID radio airtime and production costs CNS campaign consultants WrG 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 FND 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 PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (intemet, e-mail) Schedule E Summary 1. Payments made this period of $100 or more. Include all Schedule E subtotals. 0 2. Unitemized payments made this period of under $100 $ 50.50 3. Total interest aid this period on loans. Enter amount from Schedule B, Part 1, Column e . 0 4. Total payments made this period. Add Lines 1, 2, and 3. Enter here and on the Summa Page, Column A, Line 6. TOTAL $ 50.50 FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ Schedule F Type or print in ink. lars rounded Accrued Expenses (Unpaid Bills) t Amoo wholeybdolllars. . to whol SEE INSTRUCTIONS ON REVERSE Statement covers period from 1/1/2011 through 6/30/2011 SCHEDULE F Page of NAME OF FILER I.D. NUMBER Jacquie Sullivan for City Council 1950347 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. Wn campaign paraphemalid misc. MBR member communications RAD radio airtime and production costs CkS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)* FC office expenses SAL FDnS[Ign vRAq-Ls' sDpyi-Is C sC civic donations ITET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filingballot fees nH I phone banks TRC candidate travel, lodging, and meals FkD fundraising events m L polling and survey research TRS stafCspouse travel, lodging, and meals IkD independent expenditure supporfin4-opposing others (explain)* m IS postage, delivery and messenger services TSF transfer between committees of the same candidatd_sponsor LEG legal defense HIR I professional services (legal, accounting) s IT voter registration UT campaign literature and mailings nRT print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF CREDITOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT (OUTSTANDING (NDING BALANCE BEGINNING ( AMOUNTIN CURRED THIS PERIOD (c) AMOUNT PAID THIS PERIOD ( OUTSTA ANDING BALANCE AT CLOSE OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD Western Pacific Research LIT PRO RAD Interest on unpaid expenses 35503.64 1204.60 0 36708.24 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTALS $ 35503.64 = 1204.60 $ $ 36708.24 . Schedule F Summary 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for accrued expenses of $100 or more, plus total unitemized accrued expenses under $100.) INCURRED TOTALS $ 2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.) PAID TOTALS $ 1204.60 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and 1204.60 on the Summary Page, Column A, Line 9.) NET $ May be a negative number FPPC Form 460 (June/01) FPPC Toil-Free Helpline: 866/ASK-FPPC