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HomeMy WebLinkAboutSULLIVAN 07/01/01 - 09/30/01Ret:ipient Committee Campaign Statement (Govemrnent Code Sec~ons 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Stat~lmenj covers pedod Date of election if applical~.'J (Mon~, Day, Year) Dale Stamp ICT I0 F~t t,: t,'/ c~-~:~: C':TY J_£ COVER PAGE Page f of-,.~ 1. Type of Recipient Committee: AII Committees - Complete Parts l, 2,3, and7. [] Officeholder, Candidate Controlled Committee (Also Complete Part 4.) [] Ballot Measure Committee O Primarily Formed O Controlled O Sponsored (Also Complete Part 5.) [] Primarily Formed Candidate/ Officeholder Committee (Also conlplete Part 6.) [] General Purpose Committee O Sponsored O Broad Based 2. Type of Statement: [] Pre-election Statement [] Semi-annual Statement [] Termination Statement [] Amendment (Explain below) ~'"'~ Quarterly Statement [] Special Odd-Year Report [] Supplemental Pre-election Statement - Attach Form 495 3. Committee Information STREET ADDRESS (~9~ BOX) MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR RD. SOX CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS Treasurer(s) NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CtTY STATE ZIP CODE AREA CODE/PHONE OPTIONAL; FAX / E-MAlL ADDRESS FPPC Form 460 (8/99) For Technical Assistance: 916/3~2-5660 Recipient Committee Campldgn Statement Cover Page -- Part 2 4. Officeholder or Candidate Controlled, Committee , 5. BBNot MeBsur. Committee Related CommONs Not Included in thl~ Sta~ment: rm..x,m~*m,. ~J ~'~i ~ F~GLLED COMI~ I m=; COMMI'I'IEE ~ STREET AI:~IE~ RO. BOX) 6. Pfimadly Fcm'ned Commiltee u~-s-~.,* ~OUGHT O~ HEU) OFFICE ~OUGHT OR HEU) C~:f:'K:E SOUGHT OR HELD O SUPI'QRT SUPPORT 7. Verification I h~ve used all reasmmble dil~ence I~ preparing ~md mvlMng thb Malement and ~ ~ ~1 of ~ ~ ~ In~ ~ heroin ~ In the ~d ~ ~ ~ · Campaign Disclosure Statement Summary Page NAME OF F Contributions Received 1. Monetary Contributions ...................................................... Schedule A, Line 3 $ 2. Loans Received ................................................................... Schedule B, Line 7 3. SUBTOTAL CASH CONTRIBUTIONS ................................... Add Lines ! + 2 $ 4. Nonmonetary Contributions ............................................... Schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED .................................... Add Lines 3 + 4 $ Expenditures Made 6. Payments Made .................................................................... Schedule E, Line 4 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 ....................................................... ScheduleC, Line3 11. TOTAL EXPENDITURES MADE ......................................... Add Lines 8 + 9 + 10 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 ............................................................ Column A. Line 8 above 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 ................................... Add Line 2 + Line 9 in Column C above Type or print In ink. Amounts may be rounded to whole dollars. from 71/ / :; Column A Column B* TOTAL THiS PERIOD TOTAL PREVIOUS PERIOO (FROM ATTACHED SCHEDULES) (SEE NOTE BELOW) ~GE Page (.~ of ~' Column C TOTAL TO DATE s/o , $ / · From previous statement Summmy Page, Column C. However, if this is the flint report filed for the calendar year, Column B should be blank except for Loans Received (Une 2), Loans Made (Line 7), and Accrued Expenses (line 9). Summary for Candidates in Both June and November Elections 1/1 through 6/30 711 to Date 20. Contributions Received ............ $ 21, Expenditures Made .................. FPPC Form 460 (~/99) For Technical Assistance: 916/322-5660 Schedule E Payments Made SCHEDULE E I.D. NUMBER CODES: If one of the tollowing codes accurately describes the payment, you may enter the code. Othe~vise, describe the payment. DFC office expenses PET petilie~ cimulating PHO phene I~anks POS postage, delivery end maeaenger ~cas PRO prof~ services (legal, accounE~g) PRT I~int ads RAD radio ainime and production costs RFD returned conldbu~s SAL campaig~ welkins salmies TEL t.v. ~ cable Bi.me and production costs TRC candidate Iravet, Iodg~g and meals (explain) TR5 staWspouse Iravel, kxte~i~g am:l meals (explain) TSF transfer belween commtfees of Ihe same c.a~date/sponsor VDT voter re~istralfen WEB informa~ technology cosfe (i~temet, e-mail) NAME AND ADDRESS OF PAYEE OR CREDITOR IIF COMMITI'~E. At. SO ENTER I.D. ~R~ CODE OR DE.RIP'ON OF PAYME~ A~U~ PAID *p~ymentst~m'~c~n"~bu~m'~ndepend~tt~p~nd~tu~mu~t~fe~b~summar~ed~`~$¢~du~ SUBTOTALS V~)C:~, '~ 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 ........................................................................................................................................ $ ~',~ f, ~'~' 3. Tolal 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 Summaly Page, Column A, Line 6.) ......................... TOTAL $ For Technical ~sfetince: 916~22-e~660 Sl:~Klule E