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Home My WebLink AboutCOUCH 410 TERM 12/28/11Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Date Stamp COVER PAGE Statement covers period Date of election if applicable: Page of ! v D (Month, Day, Year) ' I DEC 28 PM 28 For Official Use only from 1/~ h a 2 (J f f~ p'] /Y v 1' I~Of,D 81"Ki hi Ji it_~. ~r ti 1. Ll~ through Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4. Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure 0 State Candidate Election Committee Committee 0 Recall Q Controlled (Also Complete Part 5) O Sponsored (Also Complete Part 6) ❑ General Purpose Committee Q Sponsored Q Small Contributor Committee Q Political Party/Central Committee ❑ Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) 3. Committee Information I I.D. NUMBER COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) VIf STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS 2. Type of Statement: ❑ Preelection Statement ❑ Quarterly Statement Semi-annual Statement ❑ Special Odd-Year Report Termination Statement ❑ Supplemental Preelection (Also file a Form 410 Termination) Statement -Attach Form 495 ❑ Amendment (Explain below) Treasurer(s) ~Ia~Ly.~.. ~otac~ MAILING ADDRESS CITY FAX / E-MAIL ADDRESS STATE ZIP CODE AREA CODE/PHONE 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein and in the attached schedules is true and complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed on I.-A7, kh/ ey Dat Executed on By Yft?*Air~ling OfficehoMeroCandidate, State Measure Proponent or Responsible Officer at Sponsor Executed on Date Executed on Date By Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (January/OS) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) State of California By Signature of Controlling Officeholder, Candidate, State Measure Proponent } Type or print in ink. COVERPAGE-PART2 Recipient Committee CALIFORNIA Campaign Statement FORM 460 Cover Page -Part 2 Page egn of 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE OFFICE SOUGHT OR HELD (INCLUDE LOCATION AN DI TRICT NUMBER IF APPLICABLE) cou~vcic. - w , e-17, Ad'i T sF/oG. D RESIDENTI USINESS ADDRESS (NO. AND STREET) CITY STATE ZIP / Related Committees Not Included in this Statement: Lisranycommittees not included in this statement that are controlled by you or are primarily formed to receive contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) BALLOT NO. OR LETTER I JURISDICTION I El SUPPORT ❑ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY 7. Primarily Formed Candidate/Officeholder Committee List names of officeholder(s) or candidate(s) for which this committee is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 8661ASK-FPPC (866/275-3772) State of California Campaign Disclosure Statement Type or print in ink. Amounts may be rounded Summary Page to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER z,> cokcw Contributions Received 1. Monetary Contributions Schedule A, Line 3 $ 2. Loans Received Schedule a, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS Add Lines 1 +2 $ 4. Nonmonetary Contributions Schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED Add Lines 3 + 4 $ Column A TOTALTHS PERIOD (FROMATTACHED SCHEDULES) Expenditures Made 6. Payments Made schedule E, Line 4 $ 09049 7. Loans Made Schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS Add Lines 6 + 7 $ O B 9. Accrued Expenses (Unpaid Bills) schedule F Line 3 10. Nonmonetary Adjustment schedule C, Line 3 11. TOTAL EXPENDITURES MADE ................................Add lines 6 + g + 10 $ Q Current Cash Statement ~j 12. Beginning Cash Balance Previous Summary Page, Line 16 $ 13. Cash Receipts Column A, Line 3 above 14. Miscellaneous Increases to Cash schedule 1, Line 4-Q~ 15. Cash Payments Column A, Line 6 above I 16. ENDING CASH BALANCE Add Lines 12 + 13 + 14, then subtract Line 15 $ if this is a termination statement Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED Schedule a, Part 2 $ Cash Equivalents and Outstanding Debts -0• 18. Cash Equivalents See instructions on reverse $ 19. Outstanding Debts Add Line 2 + Line s in Column s above $ SUMMARY PAGE Statement covers period CALIFORNIA FORM 46 from 7 I e I through Page of I.D. NUMBER 98Ar9o Column B Calendar Year Summary for Candidates CALENDAR YEAR TOTALTODATE Running in Both the State Primary and „b General Elections 1/1 through 6/30 7/1 to Date $ 20. Contributions -10- Received $ $ $ 21. Made Expenditures $ - J 6/ $ Q S Expenditure Limit Summary for State $ Candidates 22. Cumulative Expenditures Made` $ (it Subjed to voluntary Expenditure Limit) Date of Election Total to Date (mm/dd/yy) To calculate Column B, add amounts in Column A to the corresponding amounts 'Amounts in this section may be different from amounts from Column B of your last reported in Column B. report. Some amounts in Column A may be negative figures that should be subtracted from previous period amounts. If this is the first report being filed for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if any). FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 8661ASK-FPPC (8661275-3772) Schedule E Payments Made Type or print In ink. Amounts may be rounded to whole dollars. from SCHEDULEE Statement covers period SEE INSTRUCTIONS ON REVERSE through Page -Y- of -iL NAME OF FILER I.D. NUMBER 'P,4vi D G ouc,q 940% / 90 CODES: If one of the following codes accurately describes the payment you may enter the code Otherwise describe the payment CMP campaign paraphemalia/misc. NW member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)' OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees PFID phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals IND independent expenditure supporting/opposing others (explain)' POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (intemet, e-mail) Schedule E Summary Itemized payments made this period. (Include all Schedule E subtotals.) $ 2. Unitemized payments made this period of under $100 $ 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) $ 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 Form 460 (January/05) FPPC Toll-Free Helpline: 866/ASK-FPPC (8661275-3772) * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTALS • B A K E R S F I E L D C A L I F O R N I A /y December 28, 2011 CITY COUNCIL Roberta Gafford Harve> L. Hall City Clerk, City of Bakersfield 1fgw,r 1600 Truxtun Avenue David Couch Bakersfield, CA 93301 lice-R1nPur liiird4 Re: Transmittal of Form 410 Termination - Friends of David Couch Rudy Salas, Jr. Hiurl 1 To Whom It May Concern: Susan M. Benham Mm12 I recently discovered that I had not filed a closing Form 410 and a closing Form 460 for the committee named "Friends of David Ken Weir Couch". II'rn•d 3 Harold NV. Hanson These two forms (the closing 410 and the closing 460) should If4rd, have been filed on January 30, 2011. Only the Form 410 needs to be forwarded to the Secretary of State. Jacquie Sullivan 11iird0 1 apologize for any inconvenience this may have caused. Russell Johnson Iliad , Thank you for your assistance. Best Re r s, ouch, Councilmember, Ward 4 S TounciMETTERS\COUCH\Late 410 and 460.doc 1600 "I RMLIn Avenue • Bakersfield, Califtxnia 93301 • (661) 326-3767 • Fax (661) 323-3780