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HomeMy WebLinkAboutDICKERSON SEMIANN05(1) (2) -:. I- Recipient Committee .' Campaign Statement 'Cover Page (Government Code SectIons 84200-84216.5) Type or print In Ink. from SEE INSTRUCTIONS ON REVERSE through 1. Typ Recipient Committee: All c-aa... - CompIeIe Parts 1,2. 3, and 4. OtrIceholder. Candidate Controlled CommIttee 0 Primarily Formed Ballot Measure o State Canclldate Electlon Committee CommIItee o Recall 0 Controlled (AIIo~PM5J o Sponsored (A/ID CclrrflIIIC8 PM 0) o General Purpose CommIttee o Sponsored. o Smaa ContrIbutor Committee o Political P8'tylCentral Committee o Primarily FOI'I1'ft!d Candldatel OffIceholder Committee : (A/Io~PIllf7) 3. Committee Information ~~~SNa~)\ CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAl: FAX / E-MAIL ADDRESS COVER PAGE Dele Stamp Date of election If applicable: (~r; 8:' D::~F~[ll~ C~~y8:[5[ 'h 2. Type of Statement: o P~StaternM ~nualStatement o Term/nationStatemert (Also file 8 Form 410 Tennlnatian) o Amendment (Explain below) o Quarterly Statement o SpecfaI Odd-Year Report o Supplemental Preelection Statement . Attach Form 495 Treasurer(s) NAME OF TR~~R ,""", J I _ I M~~Ut::~N MAILING2. MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX E-MAIL ADDRESS 4. Vertficatlon I have used all re8$OO8b1e dil~ In preparing and reviewing this statement and to the best of my knowIecI.I6 Wlder penaly of P8l:Iury under of the Stateof California that the foregoing is true and correct. ExecutecI on SlpIanafCannllng ".'I;...'~ By ExecutecI on By ExeaMd on 8y 0IIIa EIC8QIted on By ___afCalldrvQlcohabW.~,.........Pnlpann 0IIIa herein and in the attached schedules Is true and complete. I certify .......l'IapaMnlotRllpariilliliOlllclrd Spcnot ~afConllllllrvOllclhaldlr. CIndIIWt..........Pnlpann FPf'C F_"'~ FPPC ToII-F... .........: IMIASK-FPPC (llll27W772) Staet of CaIfomII Type or print In Ink. .' Recipient Committee . Campaign Statement Cover Page - Part 2 5. Officeholder or Candidate Controlled Committee NAMEV;Q~~~C}N ~/12..f OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) RESIDENTIAUBUSINESS ADDRESS (NO. AND STREET) CITY STATE - ~, COMMITTEE NAME 1.0. NUMBER NAME OF TREASURER CONTROLlED COMMITTEE? DYES ONO STREET ADDRESS (NO P.O. BOX) COMMITTEE ADDRESS CITY STATE ZIP CODE AREA COOEJPHONE COMMITTEE NAME LD. NUMBER NAME OF TREASURER CONTROUEDCOMMITTEE? DYES ONO STREET ADDRESS (NO P.O. BOX) COMMlTTEEADDRESS CITY STAlE ZIP CODE AREA COOEIPHONf COVER PAGE - PART 2 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALlOT NO. OR LETTER I JURISDICTION 18=T Identify the controlling offtceholder, candidate, or state measure proponent, If any. NAME OF OFFICEHOLDER, CANDIDATE. OR PROPONENT OFFICE SOUGHT OR HELD I DISmlCT. NO. IF "" 7. Primarily Formed Candidate/Officeholder Committee LIst nemes 01 offIcehoIdet(s} or candldatela} foI wItIch this comm/ttM Is ptlmerlIy fwmed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD D SUPPORT o OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD D SUPPORT D OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD o SUPPORT D OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD D SUPPORT o OPPOSE Attach continuation sheets H INCUHI)' FPPC,..... (~ FPPC Tou.F... HeIpIIna: aeetAaK.fIiJt (lIIII27W772) ..... oI~ .' Campaign Disclosure Statement ,Summary Page SEE INSTRUCTIONS ON REvERSE NAME OF FLER 'TYpe or print In Ink. Amounts may be rounded to whole dollar.. ~ '\)\LkdL~ Contributions Received 1. Monetary Contributions ........................................... Schedule A, Une 3 S 2. Loans Received ...................................................... Schedu/f/ B. Une 3 3. SUBTOTAL CASH CONTRIBUTIONS ......................... AddLirJq1,;t2. $ .', 4. Nonmonetary Contributions .................................... Schedule c, Une 3 5. TOTAl CONTRIBUTIONS RECEIVED ........................... Add Lines 3 + 4 S Expenditures Made 6. Payments Made ....................................................... Schedule E. Une 4 S 7. Loans Made ............................................................. Schedule H. Une 3 8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6 + 7 S 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F. Une 3 10. Nonmonetary Adjustment .......................................... Schedule C. Une 3 11. TOTAl EXPENOITURES MADE ................................Add Una 8 + 9 + 10 $ Current Cash Statement 12. Beginning Cash Balance ....................... PtevIousSunm8l)'Page. Une 16 $ 13. Cash Receipts ................................................... Coh.rnn A. Line 3 above 14. Miscelaneous Increases to Cash ........................... Schedule I. Line 4 15. Cash Payments .................................................. CoIcnIn A. Line 8 above 16. ENDING CASH BALANCE .......... Add Lines 12 "'13 + 14. then subtract line 15 $ If this Is a tennlneOOn statemett, Une 16 must be zetO. 17. LOAN GUARANTEES RECEIVED ........................... Schedule B. Patt 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ........................................ See 1natvcfJofJs on ~ $ 19. Outstanding Debts ......................... Add UIe 2 + U. IIi! CcIUm B eo.. $ ColumnA TOTAl. THIS PERIOD (FROMATTAOlEDSCHEDULESI ~ ..G- ,-8- ~ 0- G ~ --9- -e- --e- -Q- ~4'1C from through GNM1'"V Column B CALEN:lAA YEAR TOTAl. TOllATE s $ $ $ $ $ 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 Slj)tracted from previous period amounts. If this Is the tlrat report being filed for this calendar year, only any CMtl' the amounts fnxn LNs 2, 7. and 9 (If any). SUMMARY PAGE CALIFORNIA 460 FORM page!.3 Of-1 I.D.NUMBER 2 Calendar Year Summary for Candidates Running In Both the State Primary and General Elections 1/1 through 6130 7/1 to Dale 20. Contributions -8- -6- Received $ $ 21. Expenditures -0 ~ Made $ $ expenditure Limit Summary for State Candidates 22. Cumulative Expenditure. Made- C1fllubJectto VDIunllIry ~ LImit) Date of E1ection ( I'I)I11/ddJyy) ----1----1_ ----1----1_ Total to Date $ $ *Amounts In this section may be different from amounts reported In Column B. FPPC Form 480 (JanuaryIOS) FPPC ToR-F,.. HelplIne: 888IASK-FPPe(8861275-3772) . . .' Schedule B - Part 1 , Loans Received Type or print In Ink. Amounts may be rounded to whole dollars. Statamant c SCHEDULE B-PART 1 from CALIFORNIA 460 FORM FULL NAME. STREET ADDRESS AND ZIP CODE OF LENDER (FCXlINTTEE. AUlO ENTER 1.0. NUMIlER) I AN INDIVIDUAL. ENTER OCCUPATION AND EMPLOYER (IF SEI.F-aFLOYED. ENTER NAME OF lIUSINESS) OUT ~NG (II) (e) OUT BALANCE AMOUNT AMOUNT PAID BALANCEAT BEGINNING THIS RECEIVED THIS OR FORGIVEN CLOSE OF THIS PERIOD THIS PERIOD · . INTEREST PAID THIS PERIOD 1.0. NUMBER ~Il?-I . ORIGINAL CUMUlATIVE AMOUNT OF CONTRIBUTIONS LOAN TOCAlE CALENDAR YEAR S S PER ELEC11ClH" ~~ .:&- $ CALENOARYEAR $ PER El.ECTIOH" S DATE INCURRED SEE INSTRUCTIONS ON REVERSE NAME OF FUR N Rsf2,~.\) \ through (({j;t~ {;:..~ (c.N~v'V\ ,\""(WE- t-J.-aLN ~~ f\lUi~ ~.flS~~a ~.. AC ~~~ ?~'-FEZ t~ DOOM oOTH 0 PTY 0 scc o PAlO to lNO 0 COM 0 OTH 0 PTY 0 see $ S $ _'l o FORGIVEN RATE e- $ -e- S:W;Z- -e- s $ DATE DUE o PAID S S _% o FORGIVEN RATE S DATE DUe o PAlO S OFORGlVEH CALENDAR YEAR s "_% RATE s s PER El.ECTIOH" to IND 0 COM 0 OTH 0 PTY 0 SCC s s s $ s DATE DUE DATE INCURRED SUBTOTALS $ $ $ 32.;4'12..$ 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 Schedute A.) 3. Net change this period. (Subtract Une 2 from Line 1.) ............................................................... NET $ Enterthe net here and on the Summary Page, Column A, Line 2. ( ~~ or peId by another party 11Io ...... be reported on Sc:heduIe A. ] (Enter (.)on SchedlHE. u.3) .:e-- tContrlbutor Codes INO -individual COM - RecIpIent Committee (other Ihan PTY or SCC) OTH - Other (e.g.. business entity) PTY - PollicaI party see - SmaI Conlributor CommIttee ~ ,..e- (Mar ...........-> FPPC F';. (.Janu.yI05) FPPC ToIl-Free Helpline: IIIIASK-FPPC (lMl27W~) August 10, 2005 City of Bakersfield City Clerk 1501 Truxtun Ave. Bakersfield, CA 93301 Dear City Clerk, THE LAw OFFICES OF MARK DICKERSON SANTA CLARITA I VALENCIA OFFICE . .' The report is late as a result of myself being out of state at the time the report was due. Very truU/l Mark Dickerson Mmd/ead l