HomeMy WebLinkAboutMCDERMOTT SEMIANN99(1)Officeholder, Candidate,
and Controlled Committee
Campaign Statement -- Long Form
Type or print in ink.
(Government Code Sections 84200-84216.5)
SEE INSTRUCTIONS ON REVERSE
Check one of the following boxes to indicate the type of statement being filed: Pre-election Statement
Supplemental Pre-eledion Statement (Attach a completed Form 495 to this statement )
/~,,Special Odd-Year Campaign Report
Semi-annual Statement
Termination Statement (Attach a completed Form 415 to this statement.)
I lfficeholder Candidate, and Controlled Committee t is Statement
R[SlDEm~GIL
ADDRESS
PERMANEN1 ADDRESS ~ IREASU~R
III Verification
Statement covers period
f,om-- q
through L~
Date of election ff applicable:
(Month, Day, Year)
II
Date Stamp
COVER PAGE - LONG FORM
':-:: ~ ,~i.,"<: :( ....j :~ ~: '-
For Official Use Only
ro rn
Other Committees ~lot Included in this Statement: Listen;other
committees nOt included in this consolidated statement that are controlled by you and any
committee/of which you have knowledge that are primarily formed to receive contributions
or to make expenditures on behalf of your cand/dacy.
COMMITTEE NAME
IO, NUMIER
CONTROLLED COMMITTEE T
NAME 0f TREASURER
COMMITTEE ADDRESS (NO AND STI~ET)
CITY STATE
ZIP CODE AREA CODE/DAYTIME PHONE
ArtKh additional information on approprla tely labeled continua tlon she · is.
I have used all reasonable diligence in prep s
::::: ,., ,.. ,,,,..
DAZ CITY AND STATE
An officeholder or candidate who controls I committee must also verify the campaign statement I have used all reasonable diligence and to ~e:st of my k nowledge the treasurer has used all
reasonable dihgen(.e in preparing this statement, I have reviewed the statement and to the best of my knowledge the information contained herein and in the attached schedules ~s true and
,o.,.,.,..
DATE CffY ~ND 5T~E Y ' '~' SIGNATURE OF CANDIDA~E/Ot f ICEHOt D[R
Executed on At By
DATE CITY AND STATE SlGNAIUR[ Of CANDIDAIE~OI
Executed on At By
DATE CiTY AND SLATE 51GNAt
FOR INFORMATION RE~iREO TO 9[ PROVIDED TO YOU PURSUANT 10 THE INFORMATION P~!C[5 An OF 1977, 5[[ INFORMATION MAN~AL Q~/~ Dl~tO~[~ROy~
~tatt~ nf rallfnrni~ Fair Philfir ~i pr ~rtir/>( ('rimraN,h.
Campaign Disclosure Statement
Summary Page
Type or print in ink.
Amounts may be rounded
to whole dollars.
SEE INSTRUCTIONS ON REVERSE
Contributions R~ceive~
1. Monetary Contributions ............................... Schedule A, LIne 3
2. Loans Received ......................................... Schedule e, Line 7
3. SUBTOTAL CASH CONTRIBUTIONS ...................... AddUnes I , 2
4. Non-monetary Contributions ......................... schedule c, Line 3
5. SUBTOTAL CONTRIBUTIONS:(Exclude Enforceable Promises) Add UneS 3 ~. 4
6. Enforceable Promises
(Exclude Loan Guarantees, Line 18 below) ................... Schedule D, Une 7
7, TOTAL CONTRIBUTIONS RECEIVED ..................... AddUnesS · 6
Column
IOIAL THIs !(RiOD
ffROM ATIACHED S43'IEOULES)
s o
s G
Expenditures Made
8. Cash Payments (Other than Loans Made) ............Schedule [, Une S
9. Loans Made .............................................Schedule H, Une 7
10. SUBTOTALCASH PAYMENTS ...........................AddLtnes8 + 9
11. Accrued Expenses (Unpaid Bills) ....................Schedule F, Une S
12. TOTAL EXPENDITURES MADE ................ Add Lines I0 · 11
Current Cash Statement
13. Beginning Cash Balance .................. Previous Summary Page, tlne 17
14. Cash Receipts ......................................ColumnA, Line3above
15. Miscellaneous Increases to Cash ........................Schedu/e I, Line 4
16. Cash Payments ....................................column A, Line I0 above
17. ENDING CASH BALANCE ..... Add Lines 13 + I4 · I5, lhensubtredUne 16
If this is · termination s~etement, Line 17 must be zero.
18. LOAN GUARANTEES RECEIVED .............. Schedulee, Parit, Column(b)
Cash Equivalents and Outstanding Debts
19. Cash Equivalents ................................See instrudlons on reverse
20. Outstanding Debts ................. AddLine 2 · Line If inColumnCabove
s ~q 2_ s
s 533
.~
$
NOT II A NEGATIVE AMOUNT
SUMMARY PAGE
,,o-, , _ \ci ~i':~: .!!2;~
.. ......
,.'D. ,uM,R _
Column B* Column C
TOTAL PREVTO US PERIOD TOIAL TO DATE
(SEE NOTE IELOVV) (ADD COLUMNS A · l)
s
/\
· From previous Statement Summary Page, Column C. However, if
this is the first reDorS filed for the calendar year. Column B should be
blank except for Loans Received (Line 2), Enforceable Promises (Line
6). Loans Made (Line 9), end Accrued Expenses (Line 11).
Summary for Candidates in Both June and
November Elections
1/1 through 6/30 711 to Date
21. ontrib tions
22. ~v~ga~d!!.u.r~e! S
Schedule E
Payments and Contributions
(Other Than Loans) Made
Type or print in ink.
Amounts may be rounded
to whole dollars.
SEE INSTRUCTIONS ON REVERSE
NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE
CODES FOR CLASSIFYING EXPENDITURES
Statement covers period
SCHEDULE E
__
_ ~ Page
I.D, NUMBER
If one of the following codes accurately describes the expenditure, ou may enter the code and leave the "Description of Payment' column blank. Refer to the
back of Schedule E-Continuation Sheet for detailed explanations otY~ach category.
'c'-
MONETARY AND IN-KIND (NON-MONETARY) ' B' -
CONTRIBUTIONS TO OTHER CANDIDATES 'N" -
AND COMMITTEES 'O' -
INDEPENDENT EXPENDITURES 'S" ~
LITERATURE ' F ' -
BROADCAST ADVERTISING 'G' -
NEWSPAPER AND PERIODICAL ADVERTISING 'T' -
OUTSIDE ADVERTISING
SURVEYS, SIGNATURE GATHERING, DOOR-TO-DOOR SOLICITATIONS 'P' '
FUNDRAISING EVENTS
NAME AND ADDRESS OF PAYEE, CREDITOR, OR RECIPIENT OF CONTRIBUTION
(IF COMMITTEE, IN ADDITION TO COMMrrTIEE'5 NAME AND ADDRESS, EN!'ER I.D. NUMIER O1~ IF NO I.D,
NUMIER HAS I~EN ASeJ4~NEO, ENqrlER TREASURIR~, NAME AND ADDRESS)
GENERAL OPERATIONS AND OVERHEAD
TRAVEL, ACCOMMODATIONS AND MEALS
(MUST BE DESCRIBED)
PROFESSIONAL MANAGEMENT AND CONSULTING
SERVICES
IMPORTANT: DO NOT ITEMIZE THE PAYMENT OF ACCRUED EXPENSES ON SCHEDULE E.
REPORT ONLY THE LUMP SUM OF SUCH PAYMENTS ON LINE 4 OF THE SUMMARY SECTION BELOW.
CODE OR
DESCRIPTION OF PAtMENT
Im rtant: Contributions and ex ,F~. nditures made out of cam/a/n funds to or on behalf of other
on ~f~'c;holders, cand/dates, comm;ttees, or ballot measures must ;~:o be entered on the Allocation Page, Part I. : SUBTOTAL
Payments and Contributions Made Summary
1. Payments made this period of $100 or more. (Include all Schedule E subtotals.) ............................ : .........................
2. Payments made this period of under $100. (Do not itemize.) .......................................................................
3. Total interest paid this period on outstanding loans. (Enter amount from Schedule B, Part II, Column (d).) ..............................
4. Total accrued expenses paid this period. (Do not itemize. Enter amount from Schedule F. Line 4.) .....................................
5. Total payments made this period. (Add Lines !, 2, 3. and 4. Enter here and on the Summary Page, Column A, Line 8.) ........... TOTAL
AMOUNT PAID
Schedule I
Miscellaneous Increases to Cash
Type o~ print M ink.
Amounts may be rounded
to whole dollars.
SEE INSTRUCTIONS ON REVERSE
NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE
DATE FULL NAME AND ADDRESS OF SOURCE
RECEIVED 0F COMMn~Ek, ~ AOOrr~ TO COMMrnEE~, e~ME AND ADDRESS. ENTER i.D. NUMBER
OR, If NO I.D. NU~41ER HAS MEN ASSIGNED, ElffiR TREASUR[R'$ NAME AND ADDRESS)
Statement covers period
,,, - -
through '/~ ' ~ C2, 1 -
DESCRIPTION OF RECEIPT
Attach additional information on appropriately labeled continuation sheets,
Miscellaneous Increases to Cash Summary
1, Increases to cash of $100 or more this period ............................................................. $
2. Increases to cash under $100 this period, (Do not itemize,) ................................................. $
3, Total of all interest received this period on loans made to others, (Schedule H, Part II (b),) .................... $
4, Total miscellaneous increases to cash this period, (Add Lines 1, 2, and 3, Enter here and on the
%mmary Page, Line 15,) ....................................................................... TOTAL $
SUBTOTAL
SCHEDULE I
I.D. NUMBER
AMOUNT OF
INCREASE TO CASH
$ O
Bakersfield City Clerks Office
! 501 Truxtun Ave
Ba/~ersfield. CA 9330~