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HomeMy WebLinkAboutKIRSCHENMANN SEMIANN12(2)Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200- 84216.5) SEE INSTRUCTIONS ON REVERSE COVER PAGE Type or print in Ink. Date Stamp CALIFORNIA FORM / t Cg. 3 of Statement covers period Date of election If applicable: 3 FEB — I P41 4: a g (Month, Day, Year) n For Official Use Only from =t1;f�i ur i1'.'t C �i i ,t i 1 (,1 ERK through 1. Type 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 (Ar= Complete Parts) Q Sponsored (AISD Can*b Pad 6) ❑ General Purpose Committee 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) NAME OF TREASURER NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODElPHONE OPTIONAL: FAX / E -MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowled th rmatio air( fined herein and in the attached schedules is true and complete. I certify under penalty of perjury under the laws is of the State of California that the foregoing i Executed on ' — By Data S a. re sLTr nt Treasurer Executed on — _ By Dete WgrarureeCi5itrdling , Candidate, State Measure Proponent or Respombie, Officer of Sponsor Executed on By Date Signature of Contrdt+ng Olficehdder, Candidate, State AAeasureProporten! Executed on By Data SigtaWre of CoMroWing OfRCehdder, Candidate, State Measure Proponent FPPC Form 480 (Januaryl(18} FPPC Toll -Free Helpline: 8661ASK -FPPC (8661278 -5772) 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 I.D. NUMBER v CONTROLLED COMMITTEE? ❑ YES ❑ NO OFFICE SOUGHT OR HELD (INCLUDE LOCATION LOCATION AND DISTRICT NUMBER IF APPLICABLE) CITY STATE ZIP CODE AREA CODEIPHONE COMMITTEE NAME RESIDENTIALIBUSINESS ADDRESS (`NO.. AND STREET) CITY STATE ZIP CONTROLLED COMMITTEE? 'i] YES ❑ NO COMM ITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) 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 CODEIPHONE COMMITTEE NAME LD. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? 'i] YES ❑ NO COMM ITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA COOEfPHONE 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE COVER PAGE - PART 2 Page of 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 officeholder(s) or candidate(s) for which this committee is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD Q SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD Q SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT Q OPPOSE Attach continuation sheets if necessary FPPC Form 460 (January/05) FPPC Toll-Free Helpfine: 8661ASK.FPPC (86W276.3772) State of California Campaign Disclosure Statement Summary Page Type or print in ink. Amounts may be rounded to whole dollars. SUMMARYPAGE 6. Payments Made ........................ ............................... Statement covers period from `� - e SEE INSTRUCTIONS ON REVERSE 7. Loans Made ......................... .... schedule H, Line 3 through €� ' �� Page of NAME OF FILERr� $ SSj is # 9. Accrued Expenses (Unpaid Bills) ............................... schedule F Line 3 I.D, NgU�MBEER•, f � y�y h Hi-:; N rr A?V'i .,1; i t t 6 i C)lr,��..'�'� 11. TOTAL EXPENDITURES MADE ................................ - Contributions Received 1. Monetary Contributions ............ ............................... Schedule A, Line 3 2. Loans Received ....................... ............................... Schedule B, li ne 3 3. SUBTOTALCASH CONTRIBUTIONS ......................... Add Lines t +2 4. Nonmonetary Contributions ..... ............................... Schedule C, Line 3+ 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 +4 Column A TOTALT45PERIOD (FROMATTACHEDSCHEDULES) S ZA Z5 $ Column B CALENDAR YEAR TOTALTODATE — V t4 ?0 :.° Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 111 through 6130 711 to Date 20. Contributions Received $ $ 21. Expenditures Made $ $ qOQ ` 47'4-.70 — $ " � 47S $ t �, i ,� $ w '32, _. $ Expenditures Made 6. Payments Made ........................ ............................... Schedule E. Line a $ ? i . �`a $ 43 4% i . s 7. Loans Made ......................... .... schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS ..... ............................... add Lines 6 +7 $ t :/fift#•C, $ SSj is # 9. Accrued Expenses (Unpaid Bills) ............................... schedule F Line 3 10. Nonmonetary Adjustment ............................. . ............ Schedule C, Line 3 11. TOTAL EXPENDITURES MADE ................................ Add Lines 8+ s+ to S ) S °�s��`�s • ' Current Cash Statement 12. Beginning Cash Balance ...................... Previous summary Pape, Line 16 $ ,`65 7 . 13. Cash Receipts ..................... Column A Line 3 above -%2,4-75- 14. Miscellaneous Increases to Cash ........................... schedule 1, Line 4 ) 15. Cash Payments ................... ............................... Column A, Line s above = ,111.O 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 B. Part 2 S 53'1ti Cash Equivalents and Outstanding Debts 18. Cash Equivalents ......... ............................... See instructions on reverse $ 19. Outstanding Debts ......................... Addune2 +Line9inCo1umn8ab0ve $ 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). Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made' IN Subject to Voluntary Expendture Umlt) Date of Election Total to Date (mm1dd/yy) __I_ —1 $ J� $ '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 (8661275 -3772) Q^11%eAm sIn A Type or print in ink. SCHEDULE A Monetary Contributions Received Amototwhole dollars. rounded Statement covers period i CALIFORNIA 460 from ?' FORM through Page of SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER DgTE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT f RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED IIFCOMMiTTEE ,ALSOENTERi.D.NUMBER) CODE * (IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31 ) EF REQUIRED ( ) i OF BUSINESS) ❑IND C' _ , :. y� y o! �'- 1 r ❑ COM ROTH , ❑ PTY I LJ ❑ Scc I i ❑IND ❑ COM []OTH ❑ PTY ❑SCC ❑IND ❑COM [:]OTH ❑ PTY j ❑ SCC ❑IND i ❑COM ❑ OTH ❑ PTY ❑ SCC IND ❑ COM ❑ OTH [] PTY ❑ SCC SUBTOTAL $ '_ r G 5- Schedule A Summary *Contributor Codes 1. Amount received this period - itemized monetary contributions_ IND - individual Include all Schedule A subtotals. ........... _ COM- Recipient than PTY or SCC) 2. Amount received this period - unitemized monetary contributions of less than $100 .................... ` OTH - Other l Par, business entity) P rY •••••••••� �""� PTY - PoliGcalParty 3. Total monetary contributions received this period. SCC -Small Contributor Committee (Add Lines 1 and 2- Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $ t FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 866IASK -FPPC (3661275-3772) Statement Attached t0 Schedule 'A', California Form 460 Monetary Contributions Received Name of Filer: Elliott Kirschenmann for Council 2012 For the Period of October 21, 2012 through Decembe13l j 2012 Amount CumulativeTo Contributor Received This Date Calendar Date Received first Name 10ccupation Employer Address C St. t Code Period 500 Year 500 10/24/2012 Gason Farmer Self Em ed IND 25 25 10/28/2012 Vince Buisness Owner _... SCHEDULE B - PART 1 Schedule B — Part 1 type or pnm m mn- Amounts may be rounded Statement covers period CALIFORNIA t Loans Received to whole dollars. �- from • (�`"li 00 "1 Page of through 9 SEE INSTRUCTIONS ON REVERSE I.D. NUMBER NAME OF FILERS .� �.... (B FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OCCUPA710NANDEMPLOYER OUTS ANDING AMOUNT BALANCE (�) AMOUNTPAID OUTSTANDING INTEREST BALANCEAT PAID THIS ORIGINAL AMOUNT OF CUMULATIVE CONTRIBUTIONS OF LENDER (IF SELF-EMPLOYED. RECEIVED THIS BEGINNING THIS PERIOD OR FORGIVEN CLOSE OF THIS PERIOD LOAN 7O DATE (f F COMMITTEE.ALSO ENTER to. NUMBER) NAME OF BUSINESS) P THIS PERIOD` p RI CALENDARYEAR ri /t/hCI'7I'L­ RATE S © FORGIVEN PERELECTION'* +�`t a �, s' F_ T U x, L $ DATE DUE It DATE INCURRED t. IND ❑ COM ❑ OTH ❑PTY ❑SCC CALENDARYEAR C] PAID S S S ❑ FORGIVEN $ PERELECTiON- RATE 1111 $ S DATE DUE DATE INCURRED t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ PAIQ CALENDARYEAR 5 $ % I s s ❑ FORGIVEN R E °" PER ELECTION" S S S $ 1 S DATE DUE ! DATE INCURRED t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTALS $ $ $ $ (Enter(e)on Schedule E, Una 3) Schedule B Summary 1. Loans received this period...... •••••••••-•...""""'$ ....................................................... ............................... (Total Column (b) plus unitemized loans of less than $100.) tCo- Individ Codes �. �� IND—Individual 2. Loans paid or forgiven this period .......................................................................... ............................... $ COM - Recipient Committee (other than PTY or SCC) (Total Column (c) plus loans under $100 paid or forgiven.) OTH —Other (e.g., business entity) (Include loans paid by a third party that are also itemized on Schedule A.) PTY— Political Party SCC —Small Contributor Committee 3. Net change this period_ (Subtract Line 2 from Line 1.) .................... ................................. ......... NETS (Mry be a negabvG number} 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. FPPC Form 460 (January106) •' If required. FPPC Toll -Free Helpline: 8661ASK -FPPC (8661276 -3772) Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Type or print in Ink. Amounts may be rounded to whole dollars. statement covers period ` "Z£iIZ_ G' from through LL", /;61 1,zvi Page of CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CNP campaign paraphernalia /misc. NBR member communications RAD RFD radio airtime and production costs returned contributions CNS CTB campaign consultants contribution (explain nonmonetary)" MTG OFC meetings and appearances office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL TRC t.v. or cable airtime and production costs candidate travel, lodging, and meals FL candidate filing/ballot fees PHO POL phone banks polling and survey research TRS staff /spouse travel, lodging, and meals FND INC; fundraising events independent expenditure supportinglopposing 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 MB voter registration information technology costs (intemet, e-mail) LIT campaign literature and mailings PRT print ads NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT i AMOUNT PAID (IF COMMfTTEE, ALSO ENTER I.O. NUMBER) I * Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL$ _ _Z; -1 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) ............................................................................... ............................... $ 2. Unitemized payments made this period of under $100 ........................... $�1 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 Forth 460 (January/05) FPPC Toll -Free Helpline: 866/ASK -FPPC (8661275.3772) See Attached to Schedule 'E', California Form 460 Payments Made Name of Filer: Elliott Kirschenmann for Council 2012 s— '6- Statment Covers Period from October 21, 2012 through Decembe134 , 2012 Name of Payee Address of Payee City State Zip Amount Paid Description USPS 2094.471 Campaign Event