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