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HomeMy WebLinkAboutCOPE SEMIANN02(2)Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) SEEINSTRUCTIONS ON REVERSE Type or print in ink, Statement covers period ,rom r/_ I-o through Date of election if a (Month, Day, Year) Date Stamp 03FEB-3 PM I: BAKERSFIELD Cli 'f covEF~ PAGE For Official Use Only ERK 1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4. [] Officeholder, Candidate Controlled Committee O State Candidate Election Committee O Recall (Also Como/ere Part 5) General Purpose Committee (~ Sponsored O Small Contributor Committee O Political Party/Central Committee [] Ballot Measure Committee O Primarily Formed O Controlled O Sponsored [ALSO Complete Part E) [] PrimadlyFormedCandidate/ Officeholder Committee (Also Cemp~te Part 7) 2. Type of Statement: [] Preelection Statement [~ Semi-annual Statement [] Termination Statement [] Amendment (Explain below) [] Quaderly Statement [] Special Odd-Year Report [] Supplemental Preelection Statement - Attach Form 495 3. Committee Information COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Treasurer(s} N E OF TREASURER NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS (IFDIFFERENT) NO. AND STREET OR PO BOX MAILING ADDRESS C~TY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS 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 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 toregoing is true and correct U' D~ ] - Signature of Treasurer or Assistant Trea surer Executed on Date SJ~atu[~ of Controlkng Officeholder, Candidale Stale Measure Proponenl or Responsibie OflicRr ol Sponsor Executed on By Signalure of Controlling Officeholder, Candidate Slale Measure Proponenl Executed on By Dale FPPC Form 460 {June~01} FPPC Toll-Free Helpllne: 866/ASK-FPPC State of California Recipient Committee Campaign Statement Cover Page -- Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Type or print in ink. COVER PAGE- PART 2 6, Ballot Measure Committee Page ~,~ of L~ NAME OF BALLOT MEASURE OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP Related Committees Not Included in this Statement: List any cornmittees 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, COMMITfEENAME I D NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? [] YES [] ['40 COMMITTEE ADDRESS STREET ADDRESS (NO PO. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I I D~UMBER CONTROLLED COMMIFfEE? YES ~] NO NAME OF TREASURER COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STAll-2 ZIP CODE AREA CODE/PHONE BALLOT NO OR LETTER JURISDICTION [~SUPPORT E]OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFfCEHOLDER. CANDIDATE. OR PROPONENT 7. Primarily Formed Committee List names of officeholder(s) or candidate(s) fc)r which this committee is primarily formed, NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOLJGltT OR HELD E] OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGllr OR HELD NAME OF OFFICEHOLDER OR CANDIDATE Attach continuation sheets if necessary Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE Type or print in ink. Amounts may be rounded to whole dollars, Statement covers period SUMMARY PAGE Contributions Received 1. Monetary Contributions ........................................... Schedule A, One 3 2. Loans Received ...................................................... Schedule B, Line 7 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines ~ + 2 4. Nonmonetary Contributions ....................................Schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED ........................... AddLines3*4 Column A rOI 0.00 lOI. 0 O0 lOI.r/ o Expenditures Made 6. Payments Made ....................................................... Schedule E, Line 4 7. Loans Made ............................................................. Schedule H, Line 7 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 S + S * 10 , 0.00 0.00 D. oo 0.00 Current Cash Statement 12. Beginning Cash Balance ....................... PreviousSumma,TPage. Line,6 $ I,~..~r'~l, q~ 13. Cash Receipts ................................................... Column A. Une3above '1 0 I, rio 14. Miscellaneous Increases to Cash ........................... Schedule t, Line 4 O . 0 0 15. Cash Payments .................................................. ColumnA, LineSabove O' O0 16. ENDINGOASHBALANCE .......... AddLines,2+,,+ 14. then subtract Line l, $ k b q.3.~)~ It this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ........................... Schedule B, Part 2 O. O0 Cash Equivalents and Outstanding Debts 18. Cash Equivalents ........................................ See instructions on reverse 19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column e above O, O0 Column B O ,00 O.O0 0,00_ To calculate Column 9. add amounts ip Column A to the corresponding amounts from Column B of your last repod. Some amounts in Column A may be negative figures that should be subtracted from previous period amounts If this is the first report being flied for this calendar year. only carry over the amounts from Lines 2.7. and 9 (if any) Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 20. Contributions Received 21. Expenditures Made 1/1 through 6~30 7/1 to Date $ $ $ $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (il Subject to Voluntary ExlNandilure Limit) Date of Election Total to Date (mm/dd/yy) / / $ __/ / $ / / __/_ / $ __/ / $ __1 / $ *Since January 1, 2001. Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (June/01} FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule A Type or print in ink. SCHEDULE A to w,o,. do,ars. ,roan .~g'- 0_.~ ~ i ~l~l~l~ O1ND COM ~OTH PTY ~scc ~COM ~OTH sec OIND ~cou QO~H ~PTY ~soc COM OTH PTY ~scc OlND COM ~OT, PTY ~scc SUBTOTALS Schedule A Summary 1. Amount received this period - contributions of $100 or more. (Include all Schedule A subtotals.) ........................................................................................................ $ 2. Amount received this period - unitemized contributions of less than $100 ............................................. $ L ~,,/[. ',,/~::2 3. Total monetary contributions received this period. 1'7/ (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) .................... TOTAL $ /C// /~_~ *Contributor Codes COM Recipient Committee (other than PTY or SCC) OTH - Other PTY Political Party FPPC Form 460 {Junn/01) FPPC FolI-Fr¢e Helpline: 8B{;/ASK-FPPC Schedule B - Part 1 Loans Received SEEiNSTRUCTIONS ON REVERSE NAME OF FILER FULL NAME, STREET ADDRESS AND ZIP CODE OF LENDER (IF COMMITTEE, ALSO ENTER iD NUMBER) l'r~ [] COM [] OTH [] PT"/ [] SCC t[] IND [] COM [] OTH [] PTY [] SCC tel IN• [] COM [] OTH [] PTY [] SCC Type or print in ink. Amounts may be rounded to whole dollars. OUTSTANDING AMOUNT BALANCE RECEIVED THE BEGINNING THR PERIOD PERIOD $ $ to) AMOUNT PAID OR FORGIVEN THIS PERIOD * Statement covers period from 7-1-0~)., through IQ -~,~\--0~ [] PAID $ •FORGIVEN $ []PAID $ $ []PAID $ []FORGIVEN (d) OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD $ DATE DUE DATEDUE DATEDUE SUBTOTALS $ $ $ $ INTEREST PAID THIS PERIOD SCHEDULE B - PART Page ~ of ~'_'~ I.D. NUMBER (f) (g) ORIGINAL CUMULATIVE AMOUNT OF CONTRIBUTIE)MS LOAN TO DATE $ $ $ $ Schedule B Summary 1. Loans received this period .................................................................................................................... $ (Total Column (b) plus unitemized loans 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.) ............................................................... NET $ Enter the net here and on the Summary Page, Column A, Line 2. ' Contributor Codes ~ IND-individual COM - Recipient Committee (other than PTY or SCC) OTH - Other PTY - Politica~ Party SCC - Small Contributor Commitlee (Enter (e) on Schedule E Une 3) 'Amounts forgiven or paid bi *' If required. FPPC Form 460 (June/01j FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule B - SCHEDULE B- PA~T 2 'EE,.STRUCTIONSO. REVERSE '".DUg" l&-&/-~ ".ge ~ O' /.3 ~AME OF FILER ID. NUMBER FULL NAME, STREET ADDRESS AND IF AN INDIVIDUAL, ENTER AMOUNt BALANCE NAME OF BUSINESS~ THIS PERIO0 TO DATE ~IND LENDER CALENDAR YEAR ~COM s / ~ OTH DATE PER ELECTION ~ PTY (IF REQUIRED) ~ scc CALENDAR YEAR ~IND LENDER ~COM OTH ~ PTY ~scc ~IND LENDER ~COM ~ ~ OTH pE~ ~LEC~rON ~qF REOUtRED) ~ PTY DAT[ ~scc ~IND LENDER ~ DATE (l~ REQUIRED) Q PTY ~scc SUBTOTAL $ Summa~ Page, * Line 17 o~¥ FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule C Nonmonetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I D NUMBER) CONTRIBUTOR CODE * []IND []COM []OTH E~PTY [~scc []IND E~COM L~OTH [] PTY Ejscc Attach additional information on appropriately labeled from 7-FOK ,brough IF AN INDIVIDUAL ENTER OCCUPATION AND EMPLOYER (IF SELF EMPLOYED. ENTER DESCRIPTION OF GOODS OR SERVICES AMDUNT/ FAIRMARKET VALUE SCHEDULE C pa§e 7 of /'~ I D NUMBER CUMULATIVE TO DATE PER ELECTION TODATE CALENDAR YEAR (JAN I DEC 31) (IF REOUIRED) conh'nuation sheets. SUBTOTAL Schedule C Summary 1. Amount received this period - nonmonelary contributioDs of $100 or more. (include all Schedule C subtotals.) ................................................................................................................ $ 2. Amount received this period - unitemized nonmonetary contributions of less than $100 3. Total nonmonetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Columr) A, IJnes 4 aRd 10 ) ............. TOTALS Schedule D Summary of Expenditures Supporting/Opposing Other Candidates, Measures and Committees SEEINSTRUCTIONS ON REVERSE Type or print in ink. Statement covers period ,rom 7- t _--0_9_ ,.roug. l a_-S\-_ Amounts may be rounded to whole dollars. SCHEDULE D [] Monetary Contribution ///~)~r~.~_.. [] No,monetary [] Support [] Oppose Expenditure [] Monetary [] Support [] Oppose Expenditure [] Monetary [] Suppod [] Oppose Expenditure SUBTOTAL Schedule D Summary 1. Contributions and independent expenditures made this period of $100 or more. (Include all Schedule D subtotals.) .............................................. 2. Unitemized contributions and independent expenditures made this period of under $100 ...................................................................................... $ 3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.) ............ TOTAL $ FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC 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 ,rom 7- thro.gh SCHEDULEE Page q of !.~ IDNUMSER CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. Ctvl:' campaign paraphernalia/misc, CNS campaign consultants CTB contribution (explain nonmonetary)* CVC civic donations FIL candidate filing/ballot fees F'ND fundraising events IND independent expenditure supporiing/opposing others (explain)' LEG legal defense UT campaign literature and mailings MBR member communications MTG meetings and appearances OFC office expenses PET petition circulating PHO phone banks POL polling and survey research POS postage, delivery and messenger services PRO professional services (legal, accounting) F~T print ads RAD radio aidime and production costs RFD returned contributions SAL campaign workers' salaries TEL bv, or cable airtime and production costs TRC candidate travel, lodging, and meats TRS staff/spouse travel, lodging, and meals TSF transfer between committees of the same candidate/sponsor VeT voter registration WEB information technology costs (inlernet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR * Payments that are contributions or independent expenditures must also be summarized on Schedule D. Schedule E Summary 1. Payments made this period of $100 or more. (Include all Schedule E subtotals.) $ 2. Unitemized payments made this period of under $100 ..................................................................................................................................... S 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) ............................................................................... $ 4. Totalpayments madethis period. (Add Lines 1,2, and3. Enter here and on tho Summary Page. Coh,nn A, tine 6) TOTAL S SUBTOTAL $ Schedule F Accrued Expenses (Unpaid 9ills) SEE INSTRUCTIONS ON REVERSE NAME OF FILER CODES: If one of the following codes accurately describes the Q¥'P campaign paraphernalia/misc. MBR Type or print in ink, Amounts may be rounded to whole dollars. Statement covers period ,,om SCHEDULE F CNS campaign consultants CTB contribution (explain nonmonetary)* CVC civic donations FIL candidate filing/ba~lot fees FND fundraising events IND independent expenditure supporting/opposing others (explain)' LEG legal defense I D NUMBER payment, you may enter the code. Otherwise, describe the payment. membercommunications RAD radio airtirne and production costs RFD returned contributions SAL campaign workers' salaries TEL t,v, or cable aidime and production costs TRC candidate travel, lodging, and meals TRS staff/spouse travel, Iodging, and meals TSF transfer between committees of the same candidate/sponsor VDT voter registration MTG meetings and appearances DFC office expenses petition circulating PHO phone banks POL polling and survey research POS postage, delivery and messenger services PRO professional services (legal, accounting) UT campaign literature and mailings PRT print ads WEB information technology costs (internet, e mail) (a) (b) (c) (d) NAME AND ADDRESS OF CREDITOR CODE OR OUTSTANDING AMOUNT INCURRED AMOUNT PAID OUTSTANDING (IF COMMITTEE, ALSO SNTER ID NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE OF THiS PERIOD IALSO REPORT ON E) OF THIS PERIOD · Payments that are contributions or Independent expenditures must aisc be summarized on Schedule D, SUBTOTALS $ $ $ $ Schedule F Summary 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for accrued expenses of $100 or more, plus total unitemized accrued expenses under $100.) ............................................ INCURRED TOTALS $ 2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.) ................................. PAID TOTALS $ 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and on the Summary Page, Column A, Line 9.) ................................................................................................................................................ NET $ FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule G Payments Made by an Agent or Independent Contractor (on Behalf of This Committee) SEE INSTRUCTIONS ON REVERSE NAME OF AGENT OR INDEPENDENT CONTRACTOR Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period SCHEDULE G ,brough I -O\-OD- Page I!-- o, I-'% IDNUMBER CODES: If one of the following codes accurately describes the QVP campaign paraphemeliaJmisc. MBR CNS campaign consultants CTB contribution (explain nonmonetary)* CVC civic donations FIL candidate filing/ballot fees F'ND fundraising events IND independent expenditure supporting/opposing others (explain)* LEG legal defense UT campaign literature and mailings payment, you may enter the code. Otherwise, describe the payment. member communications MTG meetings and appearances OFC office expenses PET petition circulafing PHO phone banks POL polling and survey research POS postage, delivery and messenger services PRO professional services (legal, accounting) PR1' print ads RAD radio airtime and production costs RFD returned contributions SAL campaign workers' salaries TEL tv. or cable aidime and production costs TRC candidate travel, lodging, and meals TRS staff/spouse travel, lodging, and meals TSF transfer between commitlees of the same candidate/sponsor VOT voter registration WEB information technology costs (intemet, e-mail) Payments that are contr/buhons or Independent expenditures must also be summer zed on Schedule D. NAME AND ADDRESS OF PAYEE OR CREDITOR CODE OR Attach additional information on appropriately labeled continuation sheets. independent contractor as reported on Schedule E. TOTAL* $ FPPC Form 460 (June/E1) FPPC Toll-Free Helpline: 866/ASK FPPC Schedule H Loans Made to Others* SEE ~NSTRUCTIONS ON REVERSE NAME OF FILER Type or print in ink. Amounts may be rounded to whole dollars, Statement covers period from _ through FULL NAME, STREET ADDRESS AND ZIP CODE OF RECIPIENT (IF COMMITTEE, ALSO ENTER I.D. NUMBER) IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED. ENTER (a) OUTSTANDING BALANCE BEGINNING THIS AMOUNT LOANED THIS (c) REPAYMENT OR FORGIVENESS THIS PERIOD* [] PAID $ [] FORGIVEN $ BALANCE AT CLOSE OF THIS PERIOD INTEREST RECEIVED NAME OF BUSINESS) PERIOD PERIOD [] PAID $ [] FORGIVEN $ DATE DUE SCHEDULE H ID NUMBER (I) (g) ORIGINAL CUMULATIVE AMOUNT OF LQANS LOAN TO DATE CALENDAR YEAR DATE ~NCURRED CALENDAR YEAR DATE ~NCURRED $ DATE DUE *Loans that are contributions to another candidate or committee ~ : ' , I must also be summarized on Schedule D. Loans forgiven must also be reported on Schedule E. SUBTOTALS $ $ $ $ Schedule H Summary 1. Loans made this period .................................................................................................................................................. $ (Total Column (bi plus unitemized loans less than $100.) 2. Payments received on loans ........................................................................................................................................... $ (Total Column (c) plus unitemized payments less than $100.) 3. Net change this period. (Subtract Line 2 from Line t.) ........................................................................................NET $ (Enter the net here and on the Summary Page, Column A, Line 7.) *'If Required FPPC Form 460 (June/01) FPPC ToD-Free Helpline: 866/ASK-FPPC Schedule I Type or print in ink. SCHEDULE ~/liscellaneous Increases to Cash Amo~ntsm'ayberounded Statementcovers period 'O whole dollars, from ?__ 1_ ~)~. ~EE INST.uono.$ ON .EVE.SE through [ ~ --OA Page ~ of ~AME OF FILER LD. NUMBER Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ Schedule I Summary 1. Increases to cash of $100 or more this period ........................................................................................................... $ 2. Unitemized increases to cash under $100 this period ............................................................................................... $ 3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).) ................................. $ 4. Total miscellaneous increases to cash this period. (Add Lines 1,2, and 3. Enter here and on the Summary Page, Line 14.) ........................................................................................................................... TOTAL $. FPPC Form 460 (June/0t) FPPC Toll-Free Helpline: 866/ASK-FPPC