HomeMy WebLinkAboutCOUCH PREELEC02(2)R~,cipient Committee
Campaign Statement
Cover Page
(Govemrnent Code Sections 84200-84216,5)
SEEINSTRUCTIONS ON REVERSE
Type or print in ink.
Statement covers period
from /'
through
1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4.
.Officeholder, Candidate Controlled Committee
C) State Candidate Election Committee
O Recall
[] Ballot Measure Committee 0 Pdmadly Formed
0 Controlled
O Sponsored
[] Pdmadly Formed Candidate/
Officeholder Committee
[] General Purpose Committee (~ Sponsored
O Small Contributor Committee
C) Political Party/Central Committee
3, Committee information I I.D. NUMDER
COMMITTEE NAME (OR CANDIOATE*S NAME IF NO COMMITTEE)
STREET
Date of election if applicable:
(Month, Day, Year)
2. Typ,,.e of Statement: ~ Preelection Statement
[] Semi-annual Statement
[] Termination Statement
[] Amendment (Explain below)
BAKERSFIELD
COVER PAGE
Page,/ of '-I/
For Official Use Only
[] Quarterly Statement
[] Special Odd-Year Report
[] Supplernental Preelection
Statement - Attach Form 495
Treasurer(s)
NAME OF TREASURER
z.
'~
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.
certify under penalty of perjury under th:laws of the State of California that the foregoing is true an~ce~.
Executed on. By
FPPC Toll-Free Helpline: 86~ASK-FPPC
State of Cllttornla
Recipient Committee
Campaign Statement
Cover Page-- Part 2
Type or print in ink.
COVER PAGE- PART 2
Page ~ of ~
5. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE
Related Commi~ees Not Included in this Statement: Lmtanycommi~s
not included In this statement that am controll~ by you or a~ primarily formed to receive
contributions or make ex~nditu~s on behalf of your candidacy.
D ~s Q .o
COMMI~EEADDRESS STREETADDRESS (NO P.O. BOX)
CiTY STA]E Z~P CODE AREA CODE/PHONE
COMMITTEE NAME I.D. NUMBER
NAMEOFTREASURER
COMMITTEE ADDRESS
CONTROLLED COMMITTEE?
[] YES [] NO
STREET ADDRESS (NO P.O. BO)
6. Ballot Measure Committee
NAMEOFBALLOTMEASURE
BALLOT NO. OR LETTER JURISDICTION [] SUPPORT
[] OPPOSE
Identify the controlling officeholder, candidate, or state measure proponent, Jf any.
NAME OF OFF CEHOLDER, CANDIDATE, OR PROPONENT
OFFICE SOUGHT OR HELD
DISTRICT NO. ~F 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
NAME OF OFFICEHOLDER OR CANDIDATE
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
OFFICE SOUGHT OR HELD
OFFICE SOUGHT OR HELD
E~SUPPORT
[]OPPOSE
[]SUPPORT
E~OPPOSE
~]SUPPORT
r--~OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD []SUPPORT
[]OPPOSE
CITY STATE ZIP CODE AREA CODE/PHONE
Attach continuation sheets if necessary
FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 866/ASKoFPPC
State of California
Campaign Disclosure Statement
Summary Page
Type or print in ink.
Amounts may be rounded
to whole dollars.
SEEINSTRUCTIONS ON REVERSE
NAME OF FILER
1
Contributions Received
1. Monetary Contributions ........................................... ScheduleA, Line 3
2. Loans Received ...................................................... Schedule B, Line 7
3. SUBTOTAL CASH CONTRIBUTIONS ......................... AddLines1+2 $ '~-
4. Nonmonetary Contributions .................................... ScheduleC, Line3
5. TOTALCONTRIBUTIONS RECEIVED ................. ; ......... AddLines3+4 $ ~
Column A
TOTAL TH IS PERIOD
Expenditures Made
6. Payments Made ....................................................... ScheduleE, Line4
7. Loans Made ............................................................. Schedule H, Line 7
8. SUBTOTAL CASH PAYMENTS .................................... AddLines6+7 $
9. Accrued Expenses (Unpaid Bills) ............................... Schedule F, Line 3
1 0. Nonmonetary Adjustment .......................................... Schedule C, Line 3
11. TOTAL EXPENDITURES MADE ................................ AddLines8+S+ 10 $
Current Cash Statement
12. Beginning Cash Balance ....................... PreviousSumrnaq/Page, Une 16
13. Cash Receipts ................................................... ColumnA, Line3above
14. Miscellaneous Increases to Cash ........................... ScheduleI, Line4
15. Cash Payments .................................................. ColurnnA. Une8above
16. ENDING CASH BALANCE .......... Add Unes 12+ 13+ 14, then subtract Line 15
If this is a termination statement, Line 16 must be zero.
17. LOAN GUARANTEES RECEIVED ........................... Schedule B, PaR 2 $
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ........................................ See instructions on reverse $ ~
19. Outstanding Debts ......................... AddUne2+UneSInColumnBabove $
Statement covers period
Column B
CALENDAR YEAR
TOTALTO DATE
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).
SUMMARY PAGE
Page '~ of z/
I,D. NUMBER
Calendar Year Summary for Candidates
Running in Both the State Primary and
General Elections
1/1 through 6~30 7/t to Date
20. Contributions
Received $ .~gc~C~ $ _~5~(.~
21. Expenditures ~.~ ].~ ,) /~..~.~,
Made $ $
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made*
Date of Election Total to Date
(mm/dd/yy)
/ / $
__J / $
/ / $
__J / $
/ / $
__J / $
*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 Helpllne: 8661ASK-FPPC
Schedule E
Payments Made
SEE INSTRUCTIONS ON REVERSE
Type or print in ink.
Amounts may be rounded
to whole dollars.
NAME OF FILER
Statement covers period
through_/d/~'~P ~'~ Page
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
Ctv~ carnpaignparaphemalia/misc. MBR membercommunications
MTG meetings and appearances
OFC office expenses
PET petition circulating
RiO phone banks
POL polling and survey research
POS postage, deliver/and messenger services
PRO professional services (legal, accounting)
PRT print ads
CNS campaign consultants
C3'B contribution (explain nonmonetary)*
CVC civic donations
RL candidate filing/ballot fees
F-ND fundreising events
ll',O independent expenditure supporting/opposing others (explain)*
LEG legal defense
UT campaign literature and mailings
I.D. NUMBER
RAD radio airtime and production costs
FV'=D retumed contributions
SAL campaign workers' salaries
TEL t.v. or cable airtime and production costs
TRC candidate trevel, todging, and meals
TRS staff/spouse travel, lodging, and meals
TSF trar~fer between committees of the same candidate/sponsor
VOT voter registration
WEB information technology costs (intemet, e-mail)
NAME AND ADDRESS OF PAYEE
(IF COMMITREE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTALS
Schedule E Summary
1. Payments made this period of $100 or more. (Include all Schedule E subtotals.) ..................................................................................................
2. Unitemized payments made this period of under $100 ..........................................................................................................................................
3. Total interest paid this pedod 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
FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 866/ASK-FPPC