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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~