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HomeMy WebLinkAboutFirefighters for Bal. Budg. Preelect10(1)Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statement covers period Date of election if appl from 07/01/2010 (Month, Day, Year) through 09/30/2010 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 (Also Complete Part 5) Q Sponsored (Also Complete Part 6) x❑ General Purpose Committee ® Sponsored Q Small Contributor Committee Q Political Party/Central Committee 3. Committee Information ❑ Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) I.D. NUMBER COMMITTEE NAME (OR CANDIDATE'S NAME COMMITTEE) Firefighters for Balanced Budgets and a Safe Bakersfield STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS Date Stamp COVER PAGE ;A0 OCT -8 AN 9: 24 Page 1 of 4 r C l For Official Use Only 2. Type of Statement: ® Preelection Statement ❑ Semi-annual Statement ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) ❑ Quarterly Statement ❑ Special Odd-Year Report ❑ Supplemental Preelection Statement - Attach Form 495 Treasurer(s) NAME OF TREASURER Shawnda Deane MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE ( NAME OF ASSISTANT TREASURER, IF ANY 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 _t he f m knowledge the info mation c ntal ed herein and in the attached schedules is true and complete. 1 certify under penalty of perjury under the laws of thhe,State of California that the foregoing and corr t. Executed on v BY t, ign reofTreasurerorPssistant reasurer !r Executed on BY Date Signature of Controlling Officeholder, Candidate, State Measure Proponent or Responsible Officer of Sponsor Executed on BY Date Signature of Controlling Officeholder, Candidate, State Measure Proponent Executed on BY Dale Signature of Controlling Officeholder,Candidate, State Measure Proponent FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 866/ASK-FPPC (8661275-3772) State of California Recipient Committee Campaign Statement Cover Page - Part 2 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE Page 2 of -4 5. Officeholder or Candidate Controlled Committee Type or print in ink. NAME OF OFFICEHOLDER OR CANDIDATE 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 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 STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) BALLOT NO. OR LETTER I JURISDICTION I ❑ SUPPORT ❑ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD COVER PAGE - PART 2 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 ❑ 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 (86612753772) State of California Campaign Disclosure Statement Type or print in ink. SUMMARY PAGE Amounts may be rounded Statement covers period CALIFORNIA Summary Page to whole dollars. ' from 07/01/2010 through 09/30/2010 Page 3 of 4 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Firefighters for Balanced Budgets and a Safe Bakersfield 1331674 Column A Column B Calendar Year Summary for Candidates Contributions Received TOTALTHISPERIOD CALENDARYEAR and in Both the State Primar nin R (FROM ATTACHED SCHEDULES) TOTALTODATE y un g General Elections 1. Monetary Contributions Schedule A, Line 3 $ 40, 000.00 $ 40, 000.00 1/1 through 6130 7/1 to Date 2. Loans Received Schedule B,Line 3 0.00 0.00 SUBTOTAL CASH CONTRIBUTIONS 3 Add Lines 1 +2 $ 40,000.00 $ 40,000.00 20. Contributions . Received $ $ Contributions 4 Nonmonetar Line 3 Schedule C 0.00 0.00 . y , 21. Expenditures TOTAL CONTRIBUTIONS RECEIVED 5 AddLines3+4 • $ 40,000.00 $ 40,000.00 Made $ $ . Expenditures Made Payments Made. 6 Schedule E, Line 4 $ 0.00 . Loans Made 7 Schedule H, Line 3 0.00 . SUBTOTAL CASH PAYMENTS 8 Add Lines 6+7 $ 0.00 . Accrued Expenses (Unpaid Bills) 9 Schedule F Line 3 0.00 . Nonmonetary Adjustment 10 Schedule C, Line3 0.00 . TOTAL EXPENDITURES MADE 11 AddLines 8+9+10 $ 0.00 . $ 0.00 0.00 $ 0.00 0.00 0.00 $ 0.00 Current Cash Statement 12. Beginning Cash Balance Previous Summary Page, Line 16 $ 13. Cash Receipts Column A, Line 3 above 14. Miscellaneous Increases to Cash Schedule 1, Line 4 15. Cash Payments Column A, Line a above 16. ENDING CASH BALANCE Add Lines 12 + 13 + 14, then subtract Line 15 $ If this is a termination statement, Line 16 must be zero. 40,000.00 0.00 0.00 40,000.00 17. LOAN GUARANTEES RECEIVED Schedule B, Part 2 $ 0.00 Cash Equivalents and Outstanding Debts 18. Cash Equivalents See instructions on reverse $ J0 19. Outstanding Debts Add Line 2 + Line 9 in Column S above $ 0.00 0. 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 Subjedto Voluntary Expenditure Urnit) Date of Election Total to Date (mm/dd/yy) _-I $ 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) 0. lft~A. Je A Type or print in ink. SCHEDULE A v%11lwmulc r. Amounts may be rounded y i d R ti t C ib Statement covers period CALIFORNIA ' to whole dollars. ve ece ons u on Monetary r from 07/01/2010 through 09/30/2010 page 4 of 4 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Firefighters for Balanced Budgets and a Safe Bakersfield 1331674 ENTER IF AN INDIVIDUAL AMOUNT CUMULATIVE TO DATE PER ELECTION DATE CONTRIBUTOR FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR , OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 09/20/2010 Bakersfield Firefighters Legislative Action Group ❑IND 40,000.00 40,000.00 ❑ COM ❑SCC ❑IND ❑COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL$ 40, 000.00 Schedule A Summary 1. Amount received this period - itemized monetary contributions. (Include all ScheduleA subtotals.) $ 40,000-00 2. Amount received this period - unitemized monetary contributions of less than $100 $ 0.00 ,0 3. Total monetary contributions received this period. A L' 1 TOTAL It 40, 000.00 *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 (Add Lines 1 and 2. Enter here and on the Summary Page, Column , Ine FPPC Form 460 (January105) FPPC Toll-Free Helpline: 866/ASK-FPPC (8661275-3772)