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HomeMy WebLinkAboutSULLIVAN 01/01/01 - 06/30/01Recipient Committee Campaign Statement (Government Code Sections 84200-84216.5) Type or print In Ink. SEE INSTRUCTIONS ON REVERSE Date of election if applicable: COVERPAGE Paue ! of~ O~ ForOfflcialUseOnN 1. Type of Recipient Committee: All Committees- Complete Paris 1, 2, 3, and 7. [] Officeholder, Candidate Controlled Committee (Also Complele Par~ 4.) [] Ballot Measure Committee C) Primarily Formed O Controlled C) Sponsored (Also Complete Pa~l 5.) [] Primarily Formed Candidate/ Officeholder Committee (Also Complete Pad 6.) [] General Purpose- 50.1mittee O Sponsored O Broad Based 2. Type of Statement:~-- [] Pre-election Statement ~ Semi-annuat Statement [] Termination Statement [] Amendment (Explain below) ~ Quarterly Statement [] Special Odd-Year Report [] Supplemental Pre-election Statement - Attach Form 495 3. Committee Information MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR RO. BOX Treasurer(s) MAILING ADDRESS CIT'( STA~ ZIP CODE AREA CODE/PHONE OPTIONAL: FAX I E-MAIL ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS FPPC Form 460 (8~99) For Technical Assistance: 916/322-5660 State of California Recipient Committee Campaign Statement Cover Page -- Part 2 Type ~ pCmt RI ink. COVER PAGE - PART 2 Page 4, Officeholder or Candidate Controlled Committee OF HELD INCh L ,TION I~ICT NUMBER IF APPLICABLE) Related Committees Not Included in this Statement: nof lncluded ln thls ~n~#ldated W btM am ge~,~l~d by you or whk~ are ~rlmadly C~MITTEE NAME L. · · ~., I LD.~BER 5. Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER ~ JURISDICTION ~ I'--I SUPPORT I Id~ttlfy th~ coatroNthg officeholder, c~, m' m memm~ prop~ If any. OFFICE SOUGHT OR HELD IBSTalCT NO. iF ANY I 6. Primarily Formed Committee L,,t.~m. o~om~o~.) ~,'.~d~.(.) NA~ OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD [] SUPPORT OFFICE SOUGHT OR HELD NAME OF OFFICEHOLDER OR CANDIDATE [] OPPOSE [:] [~ SUPPORT . .CI {;~OSE. Verification . .. I have used all reasonable diligence in preparing and reviewing this statement ~nd t~e best of my knowledge the information contained herein and in the attached schedules is true and complete. I codify under penalty of perjury under the laws of the State,~f ~l~alifomia that the,~egoing is ~e and correct. Executed on By S~NA~t..'~ OF CONT;OLUN~ O~F~CEHOCr)~R, CANOIOATE, grAzE MEASURE Executed m~ By DATE FPPC Form 460 (I/9G) For T~nlcst AsstaMnco: ~Ie~322.S~Q Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE Contributions Received Type or print in Ink, Amounts may be rounded to whole dollars. 1. Monetary Contributions ...................................................... Schedule A, Line 3 2. Loans Received ...................................................... ~ ............ Schedule B, Li~e 7 3. SUBTOTAL ~ASH CONTRIBUTIONS ................................... AddLInes I + 2 4. Nonmonetary Contributions ............................................... Schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED .................................... Add Lines 3 + 4 Column A Column B* TOTAL pREViOUS PERIOD (SEE NOTE BELOW) $ LD. NUMBER Column C TOTAL TO ~ATE SUMMARY PAGE Expe.nditures Made -- 6. Payments Made ....................... ~ ......................................... .;. 'Sche'du'l~E, Line4 7. Loans Made .......................................................................... Schedule H, Line 7 8. SUBTOTAL CASH PAYMENTS ................................................ Add Lines 6 + 7 9. Accrued Expenses (Unpaid Bills) ............................................Schedule F, Line 3 10. Nonmonetary Adjustment ....... :..., ........... ................................ Schedule C, Line 3 11..TOTAL EXPENDITURES MADE =.~..:. .................................. Add Line~ 8 + 9 + 10 $ $ $ $ $ $ * From previous statement Summary Page, Column C. However, if this is the first report filed for the calendar year, Column B should be blank except for Loans Received (Line 2), Loans Made (Line 7), and Accr, Jed Expenses (Line 9). 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 I. Line 4 15. Cash Payments ............................................................ ColumnA, LineSabove 16. ENDING CASH BALANCE .............. Add Lines t2 + 13 + 14. then subtract Line 15 If this is a termination statement, Line 16 must be zero, 17. LOAN GUARANTEES RECEIVED ................... Schedule B, Part 1, Column (b) Cash Equivalents and Outstanding Debts 18. Cash Equivalents ..................................................... See instructions on reverse 19. Outstanding Debts ................................... AddLine2+LineginColumnCebove Summary for Candidates in Both June and November Elections 111 through 6/30 711 to Date 20. Contributions Received ............ $ 21. Expenditures Made .................. $ FPPC Form 460 (6/99) For Technical Assistance: 9161322-6660 Schedule A Type or print in ink. SCHEDULE A Amounts may be rounded S~;,,i~,,,,~ covers period Contributions Received towholedollars, from~l~ I ,~)Q~, ~[1~ ~ IF AN INDIVIDUAL, ENTER ~OUNT CUMU~TIVE TO DATE CUMU~TIVE TO DATE FULL NAME, MAILING ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR ~CUPATION ~D EMPLOYER RECEIVED THIS ~ENDAR Y~R OTHER <,~ c~.~. ~=o ~.~.,.~ ...~.~ coo~ * <~ =~;~..~ .~.,oo (:~. ~- o~c. ~) (,~ I ~ OTH Monetary SEE INSTRUCTIONS ON REVERSE NAME O F.~I.~0~ DATE RECEIVED su~,u,^, SI Obi> · Schedule A Summary 1. Amount received this period - contributions of $100 or more. (Include ali Schedule A subtotals.) ....................................................................................................... 2. Amount received this period - unitemized contributions of less than $100 ......................................... 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ................... TOTAL I*Contributor Codes IND - Individual COM - Recipient Commiltee OTH - Other FPPC Form 460 (8~99) For Technical Assistance: 9161322-5660 Schedule A (Continuation Sheet) Type or print in Ink. SCHEDULE A (CONT.) Monetary Contributions Received Amountsmayberounded ~.,~.,,~covo,...~,~ ' '" ' ~t ~ I ' IF AN INDIVIDUAL, ENTER AMOUNT CUMU~TIVE TO DATE CUMU~TIVE TO DATE DATE FULL NAME, MAILING ADDRESS ~D ZIP CODE OF CONTRIBUTOR CONTRIBUTOR ~CUPATION ~D EMPLOYER RECEIVED THIS C~END~ Y~R OTHER RECEIVED (IFC~MI~EE,~ENTER I D NUMBER) CODE * (~SELF'~O~D'ENTER~E PERIOD (J~ 1 - DEC 31) (IF~PLIC~LE) O. ~ ~ OTH ~ ~IND ~ COM ~ OTH ~IND · D COM ~O~H ~ IND D COM ~ OTH ~ IND D coM ~ OTH SUBTOTALS *Contributor Codes IND - Individual COM- Recipient Commiitee OTH - Other , FPPC Form 460 (8/99) For Technical Assistance: 916/322-5660 Schedule E Payments Made SCHEDULE E CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign pmal~aiia/misc. CNS campaign1 c,a~sulla~ts CTB conln'bu~)n (explain nonmonela ~/)* CVC civic donatk~s FND fundralsing events 1ND ind~ expenditure suppoding/opposk~ olhe~s (ex~ain)* LIT campaign literature and mailings MTG meelings end ali~3earances PHO ph<me banks POL poling aad suwey msemch POS peslage, delivew and messenger se~ices PRO pro~ sen~ (legal. ac~ing) PRT pdt4 ads ~ radi~ airlime and production costs RFD renu meal co¢~lbcY, io~s SAL campaign worke~ salades TEL t.v. of calve airlJme and production costs TRC candldale travel, lodging and me~s (expla~) TRS slafflspouse trav~. Iodg~g and mea~s (explain) TSF rOT votsf ~ wee 1. Payments made this pedod of $100 or more. (Include all Schedule E subtotals.) ............................................................................................... $ 2. Unitemizod payments made this pedod of under $100 ........................................................................................................................................ $ ~.~" 3. Total interest paid this period on outstanding loans. (Enter amount from Schedule B, Part 2, Column (d).) ....................................................... 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 Fm'm 4~ (8/90) For Technical AssiMance: 11~322-S~Q Schedule E (Continuation Sheet) Payments Made Type or print In Ink. Amounts may be rounded to whole dollars. SEE INSTRUCTIONS ON REVERSE CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, descdbe the payment. CMP campaign paraphemalieJmisc. CNS campaign consultants CTB con~bution (explain nonmonetary)* CVC civic donations FND fundraising events IND independent expenditure suppoSing/opposing others (explain)* LIT campaign literature and mailings MTG meelJngs and appaarancss OFC omce expenses PET petition circulating PHO phone banks POL polling and survey research POS postage, detivery and messenger servk:es PRO professiona~ services (legal, accounting) PRT print ads PAD radio airtime and production costs SCHEDULE E (CONT.) I.D. NUMBER RFD returned contributions SAL campaign workers salaries TEL t.v. or cable airtime and production costs ' TRC candidate travel, Indging and meals (explain) TRS stall/spouse travel, lodging and meals (explain) TSF transfer between committees of the same candidate/sponsor VOT voter registragon WEB information technology costs (intemet, e-mail) NAME AND ADDRESS OF PAYEE OR CREDITOR CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID FPPC Form 460 (8/99) For Technical Assistsnce: 9161322-5660 · Sch lule E (Continuation Sheet) Payments Made SCHEDULE E (CON'r.) CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. OFC olfice eq)enses PET pel~km cin:ula~ng POi. pM~g and s~Jn~y msea~h POS pestage, d~y and messeng~ senses PRO pfo~esstmal sewices (legal, accoun~ng) PRT pffnl ads PAD ladio a~me and ixoduct~n co~s RFD returned co~tribu'i(~s SAL c~algn w~ce~s s~es TEL I.v. or c~b~e MFdme ~md production costs TRC candld~e trav~, k~ and rneals (e~aln) TRS stalf/spouse trove, lodging and me~s (explain) TSF banslef belween com~ttees of Ifle same can<~a~/spo~eo~ VOT v~ef reglstmlion WEB in~ technok)gy rests ('~t smet. e-mail) NAME ANO ADDRES~ OF PAYEE OR CREDITOR COOE OR DESCRIPTION OF PAYMENT AMOUNT PAIO · Peyment~ th~ ~e ~omflb~tlo~ M lad,l~adem .3~millm~ .mm ~ I=e -umm~rlz~l on S~,hed~de O. SUBTOTAL FPPC Form 460 FM Technical A~.btan~:. Jacquie Sullivan for City Council