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Home My WebLink AboutSMITH 460 SEMIANN12(2)Recipient Committee Campaign Statement C over Page (Government Code Sections 84200321, _2 SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statement covers period 10/21/2012 through 12/31/2012 1. Type of Recipient Committee: AN commateea - 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 C- WW& Pad 5) O Sponsored (AWCoMO- Pot e) ❑ General Purpose Committee Executed on Q Sponsored ❑ Primarily Formed Candidate/ Q Small Contributor Committee Officeholder Committee O Political Party/Central Committee (AW CO/n *b Part 7) 3. Committee Information I.D. NUMBER 1348852 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Bob Smith for Council 2012 STREET ADDRESS (NO P.O. BOX) MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODEIPHONE OPTIONAL: FAX / E-MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and under penalty of perjury under the laws of the State of California that the foregoing Executed on Dal Executed on Dab ExmAed on Dab Executed on Dab By By Date Stamp Date of eleb4bdfi��PPP bIo: (Month, Day, Year' P 3: 38 t3AKE-kSF i i 11/6/2012 i 1 'J' ('1 t-n 2. Type of Statement: ❑ Preelection Statement Semi - annual Statement ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) COVERPAGE Page of — For Ofrroial Use Only ❑ Quarterly Statement ❑ Special Odd -Year Report ❑ Supplemental Preelection Statement -Attach Forth 495 Treasurers) NAME OF TREASURER Debbie Camp MAILING ADDRESS NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODE /PHONE OPTIONAL: FAX / E -MAIL ADDRESS best oNv kpQledoe the in0rrjation contained herein gnd in the attached schedules is true and complete. I certify BY Sip VA" of CorftbV 011whoMer, Cerrddab, Stake Measure Propwwd BY Sowkae of Conkafrg Oftwhotler, Candideb. Stake Menaure Pmponont FPPC Form 180 (.Iankrvyl06) FPPC T*11 Free Helpline: WWASK4FPPC (8661276.1772) Stab of cowarnis Recipient Committee .. Type or print in Ink. COVER PAGE -PART 2 Campaign Statement FORM • 90 0 Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Bob Smith OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Bakersfield City Council, Wand 4 RESIDENTIALIBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP Related Committees Not Included in this Statement: List any commitess not Included In this statemw# that are contr~ by you or are primartly formed to receive contributions or make expenditures an behalf of your candidacy. I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMTTTEEADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODEIPHONE COMMITTEENAME I.D. NUMBER NAME OF TREASURER I CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE Page of 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION ❑ SUPPORT ❑ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, H any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY T. Primarily Formed Candidate /Officeholder Committee ust names of onksholdWs) or candid8te(s) for which this committee Is primarily famed. 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 Attach continuation sheets H necessary FPPC Form 460 (January/" FPPC To1FFree Helpilne: 8661ASK•FPPC (8661276-3772) State of camfnmia Campaign Disclosure Statement Type or print in ink. SUMMARY PAGE Amounts may be rounded Statement covers period - 'Summary Page to whole dollars. I , 10/21/2012 •• Expenditures Made To calculate Column B, add 6. Payments Made ........................ ............................... from 12,165.63 7. Loans Made .............................. ............................... schedule H, Line 3 0 8. SUBTOTALCASH PAYMENTS ..... ............................... Add Lines 6 + 7 $ 12,165.63 through 12/31/2012 Page of SEE INSTRUCTIONS ON REVERSE schedule C, Line 3 0 11. TOTAL EXPENDITURES MADE . ............................... Add Lines a +9 + 10 $ 12,165.63 NAME OF FILER carry over the amounts from Lines 2, 7, and 9 (if I.D. NUMBER Bob Smith for Council 2012 FPPC Forth 460 (January/05) 1348852 Column A Column B Calendar Year Summary for Candidates Contributions Received TOTALTMPMM CALENDAR YEAR TOTALTODATE Running in Both the State Primary and "GMATTACHEDSCHEDULES) General Elections 1. Monetary Contributions ............ ............................... schedule A, Line 3 2,325 $ $ 43,635 0 7,800 1l1 through 6/30 7l1 to Date 2. Loans Received ....................... ............................... schedule e, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 +2 $ 2,325 $ 50,475 20. Contributions Received $ $ 4. Nonmonetary Contributions ..... ............................... Schedule C, Line 3 0 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ..•..•• ................••.•AddLines3 +4 $ 2,325 $ Made $ $ Expenditures Made To calculate Column B, add 6. Payments Made ........................ ............................... schedule E, Line 4 $ 12,165.63 7. Loans Made .............................. ............................... schedule H, Line 3 0 8. SUBTOTALCASH PAYMENTS ..... ............................... Add Lines 6 + 7 $ 12,165.63 9. Accrued Expenses (Unpaid Bills ) ............................... schedule F, Line 3 0 10. Nonmonetary Adjustment ........... ............................... schedule C, Line 3 0 11. TOTAL EXPENDITURES MADE . ............................... Add Lines a +9 + 10 $ 12,165.63 Current Cash Statement 12. Beginning Cash Balance ....................... Previous summary Page, Line 16 $ 18,746.41 13. Cash Receipts .................... ............................... Column A, Line 3 above 2,325 14. Miscellaneous Increases to Cash ........................... schedule 1, Line 4 0 15. Cash Payments ................... ............................... Column A, Line a above 12,165.63 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ 8,905.37 If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ........................... schedule B, Part 2 $ 12,200 Cash Equivalents and Outstanding Debts 18. Cash Equivalents ......... ............................... see instructions on reverse $ 19. Outstanding Debts ......................... Add Line 2 + Line s in Column 8 above $ 7,800 $ 42,569.22 0 $ 42,569.22 0 0 $ 42,569.22 Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (If Subject to MuMUry E>penmture Umt) Date of Election Total to Date (mm /dd /yy) I J $ 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 Forth 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) Sr_hpciule A Type or print In Ink. SCHEDULE A Monetary Contributions Received Amounts may be rounded ry to whole dollars. Statement covers period CALIFORNIA 10/21/2012 from • • through 12/31/2012 Page of SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Bob Smith for Council 2012 1348852 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED ( IFCOMMITTEE , ALSO ENTER I.D.NUMBER) CODE* (IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) ❑IND VAR See Attachment ❑COM 2,325 ❑ 0TH ❑ PTY ❑ SCC ❑IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑IND [3Com ❑ 0TH ❑ PTY ❑ SCC SUBTOTALS 2,325 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. (Orlri I inac 1 nnrl 9 Fnfar harp 2nrl nn tha IQiimm:%ry Pomp (,nhimn A I ina 1 1 TnTAI 2,325 0 2,325 `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 Bob SMith for Council 2012 Attachment to Schedule'A' Statement covers period from 10/21/2012 through 12/31/2012 Date Received First Last Occupation Address City State Zip Contributor Code Amount Received this period Total Received to date 11/7/2012 Nancy Cosyns Homemaker JOTH I 1,000 1,000 (Total I 2325j SCHEDULE B - PART 1 T N t I I k. ype or p n n n ,Schedule B — Part 1 Amounts may be rounded Statement Covell period CALIFORNIA 460, to whole dollars. Loans Received 10/21/2012 from •' through 12/31/2012 Page of SEE INSTRUCTIONS ON REVERSE I.D. NUMBER NAME OF FILER Bob Smith for Council 2012 1348852 FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER OUTSTANDING BALANCE AMOUNT RECEIVED THIS kl AMOUNT PAID OUT ANDING BALANCEAT INTEREST PAID THIS ORIGINAL AMOUNT OF s CUMULATIVE CONTRIBUTIONS OF LENDER (IF COMMITTEE ALSO ENTER LD. NUMBER) OF SELF - EMPLOYED, ENTER NAMEOFeUW4ESS) BEGINNING THIS PERIOD OR FORGIVEN THIS PERIOD" CLOSE OF THIS PERIOD LOAN TO DATE [3 PAID CALENDARVEAR Bob Smith Civil Engineer, s 0 s 7,800 0 20,000 20,000 Business Owner % $ s ® FORGIVEN RATE PER ELECTION" 20,000 0 $ 12,200 12/2014 0 07/2012 s 20,000 to IND ❑ COM ❑ OTH ❑ PTY ❑ SCC $ s $ DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR $ 3 % $ = ❑ FORGIVEN RATE PER ELECTION" S $ s s s DATE DUE DATE INCURRED t[:] IND [] COM C] OTH El PTY ❑ SCC ❑ PAID CALENDAR YEAR ❑ FORGIVEN RATE PER ELECTION*" t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC s s s DATE DUE DATE INCURRED SUBTOTALS $ $ $ $ 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 12,200 (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.) 12,200 .................. NET S (Mey � e n Enter the net here and on the Summary Page, Column A, Line 2. (Enter (e) - Sdedre 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 — Smal Contributor Committee 'Amounts forgiven or paid by another party also must be reported on Schedule A. required. FPPC Form 480 (Janwry/08i If FPPC Toll-Free Hslpiha: 666/ASK -FPPC (86612783772) Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE Type or print In ink. Statement covers period CALIFORNIA Amounts may be rounded to whole dollars. from 10/1/2012 FORM through 10/20/2012 paw of NAME OF FILER �.U. numeeR Bob Smith for Council 2012 1348852 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CNP campaign paraphemalia/misc. NM 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 FL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL poling and survey research TRS staff/spouse travel, lodging, and meals W 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 LTr campaign literature and mailings PRT print ads WEB information technology costs (Internet, e-mail) * Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 12,368.45 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) ..... ............................... ........................................... ............................... $ 12,368.45 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 $ 0 0 12,386.45 FPPC Form 450 (January105) FPPC Toll-Free Wpline: 555/ASK-FPPC (585/275.3772) ATFAc4ffievr To s699M65 `5 IohahaZ - kzjw/ -x tz Name of Payee Payee Address city State Zip Description Amount 2,500-00 Ryan Shultz Voter Outreach Labor 504.00 ' Total i 46