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HomeMy WebLinkAboutKIRSCHENMANN PREELECT12(2) AMEND 10/26/12Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200 - 84216.5) Type or print in ink. Statement covers period Date of election if applicable: from �U��l 1Z (Month, Day, Year) 12 O T26 SEE INSTRUCTIONS ON REVERSE I through `V 120 zo a 1. T pe of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure Q State Candidate Election Committee Committee Q Recall Q Controlled (Also Complete Part 5) Q Sponsored (Also Complete Part 6) ❑ General Purpose Committee ❑ Primarily Formed Candidate! Q Sponsored O Q Small Contributor Committee Officeholder Committee Q Political Party /Central Committee (Also Complete Part 7) I.D. NUM R 3. Committee Information 3 (V0Z COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) y, R- SC.�ftwtj F:00, CouNCic. 2012 STREET ADDRESS (NO P.O. BOX) OPTIONAL: FAX / E -MAIL ADDRESS Zo 1V Kc:1 2. Type of Statement: 4preelection Statement ❑ Semi - annual Statement COVER PAGE Date Stamp Page �_ of q_ PM 3: 07 For Official Use Only ❑ Quarterly Statement ❑ Special Odd -Year Report ❑ Termination Statement ❑ Supplemental Preelection (Also file a Form 410 Termination) Statement - Attach Form 495 (Amendment (Explain below) Co 44ZtM Q J C'Olv'� t✓t $UT lU N Treasurer(s) NAME OF TREASURER 6LUO- r tAg_S(- �ANON MAILING ADDRESS MAILING ADDRESS CITY STATE ZIP CODE AREA CODE /PHONE OPTIONAL: FAX / E -MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the y knowledge the in f ation co ined he 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 a an IT Executed on � y��� `� By Date S o rer or Assistant Treasurer Executed on 1,/7.�c�Z012- By "` r__ . �� a ' Officeholder, Candidate, State Measure Proponent or Responsible Officer of Sponsor Executed on Date Executed on Date By Signature of Contmllrxl Officeholder, Candidate, State Measure Proponent 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 Type or print in ink. Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE eLL.tOTr P fZAOC -H&Vft NN OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) RESIDENTIAL/BUS NESS ADDRESS (NO. AND STREET) CITY STATE ZIP Related Committees Not Included in this Statement: List any committees 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 STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEENAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE COVER PAGE - PART 2 Page 2 of 01 BALLOT NO. OR LETTER JURISDICTION ❑ 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 officeholders) 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: 866/ASK-FPPC (8661275 -3772) State of California Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF FILER QMANJN f:_0R- C Type or print in ink. Amounts may be rounded to whole dollars. Contributions Received Column TOTALTHIS PERIOD Schedule E, Line 4 7. Loans Made .............................. ............................... (FROM ATTACHED SCHEDULES) 1. Monetary Contributions ............ ............................... Schedule A, Line 3 $ lO� L Sy Schedule F Line 3 2. Loans Received ....................... ............................... Schedule e, Line 3 U 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 + 2 $ 4. Nonmonetary Contributions ..... ............................... Schedule C, Line 3 SUU 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 +4 $ Expenditures Made 6. Payments Made ........................ ............................... Schedule E, Line 4 7. Loans Made .............................. ............................... Schedule H, Line 3 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 Lines 8 + 9 + 10 SUMMARY PAGE Statement covers period CALIFORNIA from .I - D /��-Z - Q through �d! �1 BIZ Page. of ` I.D. NUMBER Column B CALENDAR YEAR TOTALTO DATE $ 4s, U4SW M' CL� $ — 7R, q.4S SFgZI.2S $ $ l 079 -?A $ Uo, 2 L-R.- $ [('04-J-2.3 .Z9 $ z&'TA2• -Z(o v G U $ L40, 07g. 29 $ -LFo, Zzt2•Z1v Current Cash Statement 12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ (at,-7 $l. S?j 13. Cash Receipts .................... ............................... Column A, Line 3above (�iISU 14. Miscellaneous Increases to Cash ........................... schedule I, Line 4 1 (o, Q-79. -2A 15. Cash Payments ................... ............................... Column A, Line 8 above 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ 5-1 .1 24 If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ........................... Schedule e, Part 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ......... ............................... See instructions on reverse $ 19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column B above $ 34,900 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 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). 1341e(ob 2 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 through 6/30 7/1 to Date 20. Contributions Received $ $ 21. Expenditures Made $ $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (H Subject to Voluntary Expenditure Limit) Date of Election (mm/dd /yy) I I $ I $ Total to Date Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK -FPPC (866/275 -3772) Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Type or print in ink. SCHEDULE A Amounts may be rounded Statement covers period CALIFORNIA ' , to whole dollars. LO/ t ) ZQ( Z FORM from q through L0` Z01�(Z Page of 01 p�R&N A4,,* to Fo 9- CoUNU., 2-01Z- IF AN INDIVIDUAL, ENTER AMOUNT FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS DATE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * (IF SELF - EMPLOYED, ENTER NAME PERIOD RECEIVED I I OF BUSINESS) V)t_rL 5&-e!7 ,q-JTAC YII ^ ❑IND ❑ COM ❑ OTH ❑ PTY ❑SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Schedule A Summary 1. Amount received this period — itemized monetary contributions. (Include all Schedule A subtotals.) .................................................. ............................... 2. Amount received this period — unitemized monetary 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.) ............. SUBTOTAL $ I.D. NUMBER t3gda(ooZ CUMULATIVETODATE PER ELECTION CALENDAR YEAR TO DATE (JAN. 1 - DEC. 31) (IF REQUIRED) El' lidua s ommittee $ — PTY or SCC) ., business entity) .................... $ ty butor Committee ....... TOTAL $ W- ( FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK -FPPC (866/275 -3772) Statement Attached to Schedule W, California Form 460 Monetary Contributions Recieved Name of Filer: Elliott Kirschenmann for Council 2012 For the Period of October 1, 2012 through October 20, 2012 57 OR- -t Amount Cumulative To Contributor Received This Date Calendar Date Received First Name Last Name Occupation Employer Address city St. Z71P Code Period Year 10/1/2012 David Eastman Business owner Self Employed IND 500 500 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 Schedule A.) 3. Net change this period. (Subtract Line 2 from Line 1.) ....... ............................... Enter the net here and on the Summary Page, Column A, Line 2. 'Amounts forgiven or paid by another party also must be reported on Schedule A. If required. .. ............................... $ d G .. ............................... $ ........................ NET $ (May ) Ma be abve number (tnter (e) on schedule E, Line 3) tContributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772) SCHEDULE B - PART 1 Schedule B — Part 1 Amounts Type or print in ink. may be rounded Statement covers period 460, Loans Received to whole dollars. from 6 I7A IZ FORM through �� �� BIZ Page Q of ` SEE INSTRUCTIONS ON REVERSE I.D. NUMBER NAME OF FILER l3�}lald��- L ANN 110-SL I n� FUYL- �t uL' 2J<J IZ (,�► FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER OUTSTANDING AMOUNT BALANCE RECEIVED THIS e (�) OUTSTANDING INTEREST AMOUNT PAID BALANCEAT PAID THIS ORIGINAL AMOUNTOF CUMULATIVE CONTRIBUTIONS OF LENDER (IF SELF - EMPLOYED, ENTER BEGINNING THIS PERIOD OR FORGIVEN* CLOSE OF THIS PERIOD THIS PERIOD PERIOD LOAN TO DATE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) NAME OF BUSINESS) ❑ PAID CALENDARYEAR ELUfair W 0�sL} ed1' owl"Q A55oUl d 3q, zWU U % $ C1t400 $ r `too a U (Q Z01 7— $ 3j ,4t'X) $ DATE DUE DATE INCURRED tEl IND E] COM E] OTH [:1 PTY ❑SCC CALENDAR YEAR ❑ PAID ❑ FORGIVEN RATE PER ELECTION ** $ $ $ $ DATE DUE $ DATE INCURRED tEl IND ❑ COM ❑ OTH ❑ PTY ❑ SCC CALENDAR YEAR ❑ PAID ❑ FORGIVEN RATE PER ELECTION" $ $ $ $ DATE DUE $ DATE INCURRED tEl IND E] COM E] OTH El PTY El SCC SUBTOTALS $ S $ $ 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 Schedule A.) 3. Net change this period. (Subtract Line 2 from Line 1.) ....... ............................... Enter the net here and on the Summary Page, Column A, Line 2. 'Amounts forgiven or paid by another party also must be reported on Schedule A. If required. .. ............................... $ d G .. ............................... $ ........................ NET $ (May ) Ma be abve number (tnter (e) on schedule E, Line 3) tContributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772) Schedule C Type or print in ink. SCHEDULE C Amounts may oe rounaea Nonmonetary Contributions Received to whole dollars. Statement covers period • - from L0/1/` 1_olZ FORM 460 through Z Page —]— Of �{ SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER lL1A&- MjgUtj F04- '(SLAW I IZP IZ 134&G(_)-2- DATE FULL NAME, STREET ADDRESS AND CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER DESCRIPTION OF AMOUNT/ FAIR MARKET CUMULATIVE TO DATE PER ELECTION TO DATE RECEIVED ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * (IF SELF - EMPLOYED, ENTER NAME OF BUSINESS) GOODS OR SERVICES VALUE CALENDAR YEAR (JAN 1 - DEC 31) (IF REQUIRED) iM,4N C .5y =06 ❑IND ❑COM C�FfifC.� `� Sou �Vl(�`�) ❑ PTY [-]SCC ❑ IND ❑COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑COM ❑OTH ❑ PTY ❑ SCC Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ SUo Schedule C Summary 1. Amount received this period — itemized nonmonetary contributions. (Include all Schedule C subtotals.) ...................................................................................... ............................... $ 2. Amount received this period — unitemized nonmonetary contributions of less than $100 ..... ............................... $ 0 3. Total nonmonetary contributions received this period. �—av (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.) ...................... TOTAL $ 'Contributor Codes IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC -Small Contributor Committee FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 1ASK -FPPC (8661275 -3772) Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER V-1 R- SLAD.)►I►q wiQ Type or print in ink. Amounts may be rounded to whole dollars. L.. 'Z o tZ Statement covers period from [0 /t/2PIZ through CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. Page " of I.D. NUMBER 13 4l &0-Z, CW campaign paraphernalialmisc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MfG 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 RL candidate filing /ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff /spouse travel, lodging, and meals PD 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 LfT campaign literature and mailings PRT print ads WEB information technology costs (intemet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID 515e; /O." oir I f1 &,0 -7-1 .Oct * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ Lta O'7c[.2_q Schedule E Summary 1. Itemized payments made this period. Include all Schedule E subtotals. .. $ v 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).) ................................................ ............................... $ U 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ............................. TOTAL $ lb,071 ZI FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 8661ASK-FPPC (866/275 -3772) Name of Payee Fluxar Studios Ryan Shultz American Legion ICON Printing Bakersfield Californian KNZR KUZZ great valley services temp sery See Attached to Schedule 'E', California Form 460 Payments Made Name of Filer: Elliott Kirschenmann for Council 2012 Statment Covers Period from October 1, 2012 through October 20, 2012 01 Address of Payee City State Zip Amount Paid Description 518 Voter Outreach