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Home My WebLink AboutMAXWELL PREELECT12(1)M l Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200 - 84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statement covers period from 7 -1 -12 through 9-30 -12 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 Committee Q Recall Q Controlled (Also Complete Part 5) Q Sponsored (Also Complete Part 6) ❑ General Purpose Committee Q Sponsored ❑ Primarily Formed Candidate/ Q Small Contributor Committee Officeholder Committee Q Political Party /Central Committee (Also Complete Part 7) 3. Committee Information I.D. NUMBER 1350691 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Maxwell for City Council Ward 2 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 Date of election if appli (Month, Day, Year) Date Stamp OCT -5 AM 11: 39 11 -6 -12 BAK[KSFIILD (;I i Y CLER 2. Type of Statement: ® Preelection Statement ❑ Semi- annual Statement ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) COVER PAGE Page 1 of 8 For Official Use Only ❑ Quarterly Statement ❑ Special Odd -Year Report ❑ Supplemental Preelection Statement - Attach Form 495 Treasurers) NAME OF TREASURER Anthony Ansolabehere MAILING ADDRESS NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODE /PHONE OPTIONAL: FAX I 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 attached schedules is true and complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed on /O _ I By D nature of Treasurer orASSi reas r ate Executed on _ -5 J By Date Signature of Cantollifig Officeholder, Cand lWalle, State Measure Proponent or Responsible Officer of Sponsor Executed on Date Executed on Date By Signature of Controlling Officeholder, Candidate, State Measure Proponent By Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 8661ASK -FPPC (8661275 -3772) State of California Campaign Disclosure Statement Type or print in ink. SUMMARY PAGE Amounts may be rounded Statement covers period - Summary Page to whole dollars. ' 7 -1 -12 from - Expenditures Made To calculate Column B, add 8390.00 amounts in Column A to the corresponding amounts through 9 -30 -12 Page 2 of 8 SEE INSTRUCTIONS ON REVERSE Schedule H, Line 3 0 0 8. SUBTOTAL CASH PAYMENTS ..... ............................... Add Lines 6 + 7 $ 1810.25 $ NAME OF FILER 9. Accrued Expenses (Unpaid Bills Schedule F, Line 3 1620.15 1620.15 I.D. NUMBER Maxwell for City Council Ward 2 0 0 11. TOTAL EXPENDITURES MADE . ............................... Add Lines 8 + g + 10 $ 3430.40 $ 1350691 Column B Calendar Year Summary for Candidates Contributions Received TOColumnA TALTHISPERIOD CALENDAR YEAR g Primary Running in Both the State Prima and (FROMATTACHED SCHEDULES) TOTALTO DATE General Elections 7550.00 $ $ 7550.00 1. Monetary Contributions ............ ............................... Schedule A, Line 3 1/1 through 6/30 711 to Date 840.00 840.00 2. Loans Received ....................... ............................... schedule e, Line 3 8390.00 $ 8390.00 20. Contributions 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 + 2 $ Received $ $ 0 0 4. Nonmonetary Contributions ..... ............................... schedule C, Line 3 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 +4 $ 8390.00 $ 8390.00 Made $ $ Expenditures Made To calculate Column B, add 8390.00 amounts in Column A to the corresponding amounts 6. Payments Made ........................ ............................... schedule E, Line 4 $ 1810.25 $ 1810.25 7. Loans Made .............................. ............................... Schedule H, Line 3 0 0 8. SUBTOTAL CASH PAYMENTS ..... ............................... Add Lines 6 + 7 $ 1810.25 $ 1810.25 9. Accrued Expenses (Unpaid Bills Schedule F, Line 3 1620.15 1620.15 10. Nonmonetary Adjustment ........... ............................... schedule c, Line 3 0 0 11. TOTAL EXPENDITURES MADE . ............................... Add Lines 8 + g + 10 $ 3430.40 $ 3430.40 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 8 above 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ If this is a termination statement, Line 16 must be zero. 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 gin Column B above $ I Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made' (H Subject to voluntary Expenditure Limit) 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 (866/275 -3772) To calculate Column B, add 8390.00 amounts in Column A to the corresponding amounts 0 from Column B of your last report. Some amounts in Column A may be negative 1810.25 6579.75 figures that should be subtracted from previous period amounts. If this is the first report being filed 0 for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if any). I Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made' (H Subject to voluntary Expenditure Limit) 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 (866/275 -3772) Qd-himrir rlo 0 Type or print in ink. SCHEDULE A - - - �- Amounts may be rounded Monetary Contributions Received to whole dollars. Statement covers period CALIFORNIA 7-1 -12 ' from FORM 9-30 -12 3 8 through Page of SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Maxwell for City Council Ward 2 1350691 DATE DE O FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR ZIP CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * (IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) James Marino ZIND ❑COM Marino Associates 250.00 250.00 8 -22 -12 ❑ PT. ❑ SCC Derrel's Mini Storage ❑IND ❑COM 8 -24 -12 ❑ PTY ❑ SCC Globe Loan Jewlery ❑IND ❑COM 8 -23 -12 ❑ PTY ❑ SCC Randall Steinert FIND EICO Realtor 9 -21 -12 ❑PTY Realtors ❑ SCC LM Surgery Centers ❑IND 9 -16 -12 E] PTY ❑ ScC SUBTOTAL $ 6850.00 Schedule A Summary 1. Amount received this period — itemized monetary contributions. (Include all Schedule A subtotals.) ......................................................................... ............................... $ 7550.00 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 $ I 7550.00 '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: 866 /ASK -FPPC (8661275 -3772) Schedule A (Continuation Sheet) Type or print in Ink. SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded to whole dollars. Statement covers period CALIFORNIA ' 7 -1 -12 • from 4 8 9 -30 -12 through Page of NAME OF FILER I.D. NUMBER Maxwell for City Council Ward 2 1350691 DATE ZIP DE O FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR RE, CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMIT ALSO ENTER I.D. NUMBER) CODE * (IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) Anthony Ansolabehere ®❑IoM Appraiser 9 -23 -12 ❑ PTY ❑SCC Daniel Coyle 01ND Sacred Heart Church 8 -21 -12 ❑OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC '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 SUBTOTAL$ 700.00 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) SCHEDULEB -PART1 Schedule B — Part 1 ' "c -, ey""b' ' " "urn Amounts may be rounded Statement covers eriod p CALIFORNIA 460 Loans Received to whole dollars. 7 -1 -12 FORM from 9 -30 -12 5 8 SEE INSTRUCTIONS ON REVERSE through page of NAME OF FILER I.D. NUMBER Maxwell for City Council Ward 2 1350691 FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER a OUTSTANDING (b) AMOUNT (c) AMOUNTPAID (d) OUTSTANDING (e) INTEREST M ORIGINAL (g) CUMULATIVE OF LENDER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER BALANCE RECEIVED THIS OR FORGIVEN gALANCEAT OF THIS PAID THIS AMOUNT OF CONTRIBUTIONS (IF COMMITTEE, ALSO ENTER I.D. NUMBER) NAME OF BUSINESS) BEGINNING THIS PERIOD PERIOD THIS PERIOD"' CLOSE PERIOD PERIOD LOAN TO DATE Terry Maxwell Resturant Owner ❑ PAID CALENDARYEAR , RATE $ E] FORGIVEN PER ELECTION" $ 0 $ 840.00 $ $ 8 -15 -12 $ DATE DUE DATE INCURRED tRj IND ❑ COM ❑ OTH ❑ PTY p SCC ❑ PAID CALENDARYEAR ❑ FORGIVEN PER ELECTION *" RATE S S $ S $ DATEDUE DATE INCURRED tEl IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ PAID CALENDARYEAR ❑ FORGIVEN PER ELECTION'S RATE s s $ s s DATE DUE DATE INCURRED t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTALS $ 840.00$ $ 840.00 $ 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.) 840.00 V 3. Net change this period. Subtract Line 2 from Line 1. 840.00 9 P ( ) ................................ ............................... NET S Enter the net here and on the Summary Page, Column A, Line 2. (May be a negative number) "Amounts forgiven or paid by another party also must be reported on Schedule A. " If required. (Enter (e) on Schedule E, Line 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 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275J772) Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Maxwell for City Council Ward 2 Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 7 -1 -12 through 9 -30 -12 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. Page 6 of 8 I.D. NUMBER 1350691 E CMP campaign paraphernalia /misc. WOR member communications RAD radio airtime and production costs CNS campaign consultants IMTG 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 IPD 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 (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE. ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID City of Bakersfield Brian Todd California Voter Guide * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 1350.00 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 $ 1738.00 72.25 1810.25 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 1ASK -FPPC (8661275 -3772) Schedule E (Continuation Sheet) Payments Made C.P.I NAME OF Maxwell for City Council Ward 2 Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 7 -1 -12 through 9-30 -12 wut5: If one of the following codes accurately describes the payment, Cfvp campaign paraphernalia /misc. you may enter the code. Otherwise, CNS campaign consultants MBR member communications RAID CTB contribution (explain nonmonetary)' MTG meetings and appearances RFD CVC civic donations OFC office expenses SAL FIL candidate filing /ballot fees PET petition circulating TEL FND fundraising events PHO phone banks TRC nD independent expenditure supporting /opposing others (explain)" � polling and survey research TRS LEG legal defense postage, delivery and messenger services TSF LIT campaign literature and mailings PRO professional services (legal, accounting) VOT PFtT print ads WEB NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Budget Watchdogs Newsletter SCHEDULE E (CONT.) Page 7 of 8 I.D. NUMBER 1350691 describe the payment. 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-mail) CODE OR DESCRIPTION OF PAYMENT LIT ` Payments that are contributions or independent expenditures must also be summarized on Schedule D. AMOUNT PAID 388.00 SUBTOTAL $ 388.00 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772) Schedule F (Continuation Sheet) Accrued Expenses (Unpaid Bills) NAME OF FILER Maxwell for City Council Ward 2 Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 7 -1 -12 through 9 -30 -12 SCHEDULE F (CONT.) Page 8 of 8 I.D. NUMBER 1350691 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia /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 FND fundraising events POL polling and survey research TRS staff /spouse travel, lodging, and meals I D 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 (internet, e-mail) ` Payments that are contributions or independent expenditures must also be summarized on Schedule D. NAME AND ADDRESS OF CREDITOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT (a) OUTSTANDING BALANCE BEGINNING OF THIS PERIOD (b) AMOUNTINCURRED THIS PERIOD (c) AMOUNTPAID THIS PERIOD (ALSO REPORT ON E) (d) OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD California Taxpayer Protection Capitol Promotions Inc. DB and Company SUBTOTALS $ 0 $ 1620.15 $ 0 $ 1620.15 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772)