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Home My WebLink AboutSULLIVAN SEMIANN12(2)Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200- 84216.5) SEE INSTRUCTIONS ON REVERSE COVER PAGE Type or print in ink. Date Stamp N _ , Statement covers period Date of election if applicable: re 1 of from 4 07/31/2012 (Month, Day, Year) 13 JAN 31 r ,.F Official Use Only through 12/31/2012 November 6th, 2012 3 r� K E` " L 1. � � ti ,► I L E tt 1. Type of Recipient Committee: All committees — complete Parts 1, 2, 3, and 4. ® Officeholder, Candidate Controlled Committee ❑ Ballot Measure Committee Q State Candidate Election Committee O Primarily Formed O Recall O Controlled (Also Complete Part 5) O Sponsored ❑ General Purpose Committee (Also Complete Part 6) Q Sponsored ❑ Primarily Formed Candidate/ Q Small Contributor Committee Officeholder Committee 0 Political Party/Central Committee (Also Complete Part 7) 3. Committee Information I.D. NUMBER 950347 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Jacquie Sullivan for City Council STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE /PHONE OPTIONAL: FAX / E -MAIL ADDRESS 2. Type of Statement: ❑ Preelection Statement ® Semi - annual Statement ❑ Termination Statement ❑ Amendment (Explain below) Treasurer(s) NAME OF TREASURER Tracey - 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 attached schedules is true and complete. I certify under penalty of perjury under the laws of the State of California that the foregoin is rue and c rrect. ` Executed on By D s Signature ofT urer ntTreasurer o I j ,� Executed on By Dad S of ling Officeholder, Candidate, State Measure Proponent or Responsible Officer of Sponsor Executed on By Date Executed on % Date FPPC Form 480 (June /01) FPPC Toll -Free Helpline: 888 1ASKf PC State of Callfomia T Type or print in ink. Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Jacquie Sullivan OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) City Council Ward 6 RESIDENTIALIBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP Related Committees Not Included in this Statement: Listany 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 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 6. Ballot Measure Committee NAME OF BALLOT MEASURE COVER PAGE - PART 2 Page 2 of BALLOT NO. OR LETTER JURISDICTION rE., SU PPORT 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. COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary 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 FPPC Form 460 (June /01) FPPC Toll -Free Helpline: 866 /ASK -FPPC State of Califomia Campaign Disclosure Statement Type or print in ink. Amounts may be rounded Statement covers period Summary Page to Whole dollars. from SEE INSTRUCTIONS ON REVERSE through NAME OF FILER SUMMARY PAGE FORM � • Page of I.D. NUMBER Expenditures Made To calculate Column B, add amounts in Column A to the corresponding amounts from Column B of your last Column A Column B Calendar Year Summary for Candidates Contributions Received 60.00 $ TOTAL THIS PERIOD CALENDARYEAR Primary Running in Both the State Prima and 0 0 (FROM ATTACHED SCHEDULES) TOTALTODATE 9 60.00 9. Accrued Expenses (Unpaid Bills Schedule F, Line 3 0 General Elections 10. Nonmonetary Adjustment ........... ............................... Schedule C, Line 3 0 0 11. TOTAL EXPENDITURES MADE . ............................... 1. Monetary Contributions ............ ............................... Schedule A, Line 3 $ $ 0 0 111 through 6/30 7l1 to Date 2. Loans Received ....................... ............................... Schedule B, Line 3 0 0 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 $ 0 $ 0 Made $ $ Expenditures Made To calculate Column B, add amounts in Column A to the corresponding amounts from Column B of your last 0.00 6. Payments Made ........................ ............................... Schedule E, Line 4 $ 60.00 $ 60.00 7. Loans Made .............................. ............................... Schedule H, Line 3 0 0 8. SUBTOTAL CASH PAYMENTS ..... ............................... Add Lines 6 + 7 $ 60.00 $ 60.00 9. Accrued Expenses (Unpaid Bills Schedule F, Line 3 0 0 10. Nonmonetary Adjustment ........... ............................... Schedule C, Line 3 0 0 11. TOTAL EXPENDITURES MADE . ............................... Add Lines 8 + 9 + 10 $ 60.00 $ 60.00 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 9 in Column B above $ 261.85 0.00 To calculate Column B, add amounts in Column A to the corresponding amounts from Column B of your last 0.00 60.00 report. Some amounts in Column A may be negative figures that should be subtracted from previous 201.65 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). 41029.35 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) -� $ *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 "' "'� Amounts ma be rounded Statement covers period CALIF � Loans Received to whole dollars. October 1 st, 2012 . - • from through October 20th, 2012 page of SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OUTSTANDING (b) AMOUNT (c) AMOUNT PAID OUTSTANDING a INTEREST ORIGINAL UL CUMULATIVE OF LENDER OCCUPATION AND EMPLOYER EMPLOYED, ENTER BALANCE THIS RECEIVED THIS OR FORGIVEN BALANCE AT CLOSE OF THIS PAID THIS AMOUNT OF CONTRIBUTIONS (IF COMMITTEE, ALSO ENTER I.D. NUMBER) (IF SELF - NAMEOFBUSINESS) BEGINNING P RIOD PERIOD THIS PERIOD" PERIOD PERIOD LOAN TO DATE ❑ PAID CALENDARYEAR $ $41,029.35 $ $ q $ ❑ FORGIVEN PER ELECTION '� RATE $ $ $ E E DATE DUE DATE INCURRED t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ PAID CALENDARYEAR ❑ FORGIVEN PER ELECTION'"* RATE $ E $ $ $ DATE DUE DATE INCURRED t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ PAID CALENDAR YEAR ❑ FORGIVEN PER ELECTION*° RATE DATE DUE DATE INCURRED t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTALS $ $ $ $ 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. (May6eanegativenumber) t Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other PTY — Political Party SCC — Small Contributor Committee (Enter (e) on Schedule E, Line 3) 'Amounts forgiven or paid by another party also must be reported on Schedule A. " If required. FPPC Form 460 (June /01) FPPC Toll -Free Helpline: 866 /ASK -FPPC Schedule F Accrued Expenses (Unpaid Bills) E INSTRUCTIONS ON REVE NAME OF FILER Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period • from October 1st, 2012 • through October 20th, 2012 pa e — 9 I.D. NUMBER SCHEDULEF Of CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. OVP campaign paraphernalia/misc. MBR member communications RAID 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 M 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 camoaian literature and mailinqs PRT print ads WEB information technology costs (intemet, e-mail) NAME AND ADDRESS OF CREDITOR CODE OR (a) OUTSTANDING (b) AMOUNT INCURRED (c) AMOUNT PAID (d) OUTSTANDING (IF COMMITTEE. ALSO ENTER I.D. NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD Western Pacific Research 40580.02 449.33 41029.35 • Payments that are contributions or independent expenditures must also be SUBTOTALS $ $ $ $ summarized on Schedule D. 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 $ 449.33 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and 449.33 on the Summary Page, Column A, Line 9.) ................................................................................................................. ............................... NET May be a negative number FPPC Form 460 (June /01) FPPC Toll -Free Helpline: 866 /ASK -FPPC