HomeMy WebLinkAboutSMITH PREELECT 12(2) AMEND 01/14/14Recipient Committee
Campaign Statement
Cover Page
(Government Code Sections 64200- 84216.5)
SEE INSTRUCTIONS ON REVERSE
Type or print in ink.
Statement covers period
from 10/1/2012
through 10120/2012
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)
❑ General Purpose Committee
Q Sponsored
Q Small Contributor Committee
Q Political Party/Central Committee
❑ Primarily Formed Candidate)
Officeholder Committee
(Also complete Part 7)
3. Committee Information I.D. NUMBER
1348552
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
Bob Smith for City Council 2012
CITY STATE ZIP CODE AREA CODE /PHONE
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 to the best
under penalty of perjury under the laws of the State of California that the foregoing is true anc�
\ l
Executed on By �J
Date Executed on By L
Data Sic
COVER PAGE
Date Stamp
Date of election if applicable: Page 1 of 7
(Month, Day, Year) For Official Use Only
11/6/2012
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)
Monetary contributions and payments made were reported incorrectly
See amended Schedules A and E
Treasurer(s)
NAME OF TREASURER
Debbie Camp
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE /PHONE
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE /PHONE
OPTIONAL: FAX I E -MAIL ADDRESS
the infim}ation contained herein and in the attached schedules is true and complete. I certify
Executed on Data By SignaWre ofCont raingOficehoider , Candidate, State MeasureProponent
Executed on Date By Signmrs of Cmbx*irg oMeeholder. Candidate. State Mea%m Proponent
FPPC Form 460 (January/05)
FPPC Toll-Free Helpline: 666/ASK-FPPC (6661276 -3772)
State of California
Type or print In Ink. COVER PAGE - PART 2
Recipient Committee CALIFORNIA
Campaign Statement FORM 460
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)
Ward 4, Bakersfield City Council
RESIDENTIAUBUSINESS 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 STREETADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
Page 2 of 7
6. Primarily Formed Ballot Measure Committee
NAME OF BALLOT MEASURE
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 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
Attach continuation sheets if necessary
FPPC Form 460 (Januwy/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (6661275 -3772)
State of California
Campaign Disclosure Statement Type or print in ink.
Amounts may be rounded
Summary Page to whole dollars.
Statement covers period
from 10/1/2012
SLIMMARYPAGE
SEE INSTRUCTIONS ON REVERSE
through
10/20/2012
Page 3 of 7
30,373.59
NAME OF FILER
schedule H, Line 3
8. SUBTOTAL CASH PAYMENTS ..... ...............................
I.D. NUMBER
Bob Smith for City Council 2012
30, 373.59
9. Accrued Expenses (Unpaid Bills) ...............................
Schedule F Line 3
1348552
Contributions Received
schedule C, Line 3
500.00
622.64
Calendar Year Summary for Candidates
Add Lines 8 + 9 + 10 $
12,868.45 $
TOTAL TH[St�oo
(FROMArTACHED SCHEDULES)
CALENDAR YEAR
TOTALTODAM
Running in Both the State Primary and
General Elections
1. Monetary Contributions ............ ...............................
schedule A, Line 3
$ 2,050.00 $
29,400.00
2. Loans Received ....................... ...............................
schedule e, Line 3
20,000.00
1/1 through 6/30 7/1 to Date
3. SUBTOTAL CASH CONTRIBUTIONS .........................
Add Lines 1 + 2
$ 2,050.00 $
49, 400.
20 . Contributions
Received $ $
4. Nonmonetary Contributions ..... ...............................
Schedule C, Line 3
500.00
622.64
21. Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED ...........................
Add Lines 3 + 4
$ 2,550.00 $
50,022.64
Made $ $
Expenditures Made
6. Payments Made ........................ ...............................
Schedule E, Line 4 $
12,368.45 $
30,373.59
7. Loans Made .............................. ...............................
schedule H, Line 3
8. SUBTOTAL CASH PAYMENTS ..... ...............................
Add Lines 6 + 7 $
12, 368.45 $
30, 373.59
9. Accrued Expenses (Unpaid Bills) ...............................
Schedule F Line 3
10. Nonmonetary Adjustment ........... ...............................
schedule C, Line 3
500.00
622.64
11. TOTAL EXPENDITURES MADE . ...............................
Add Lines 8 + 9 + 10 $
12,868.45 $
30,996.23
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 8 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.
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 $
29,344.86
2,050.00
12,368.45
19,026.41
20,000.00
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
cant' over the amounts
from Lines 2, 7, and 9 (if
any).
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made*
(If Subject to voluntary Expenditure Limit)
Date of Election Total to Date
(mm /dd /yy)
I $
$
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 (86612753772)
Schadulp A Type or print In Ink. SCHEDULE A
Monetary Contributions Received to o twhole dollars.
Statement covers period
CALIFORNIA ,
10/1/2012
from
•
10/20/2012
4 7
through
Page of
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
I.D. NUMBER
Bob Smith for City Council 2012
1348552
DATE
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
OF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE *
(IF SELF -EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
See attachment
❑IND
Var
❑CoM
2,050.00
31,200.00
❑ OTH
❑ PTY
❑ SCC
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
SUBTOTAL$
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.) ....................... TOTAL $
2,050.00
2,050.00
*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
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275 -3772)
BOB SMITH FOR CITY COUNCIL 2012
I.D. NUMBER 1348552
MONETARY CONTRIBUTIONS RECEIVED - ATTACHMENT TO SCHEDULE A
101112012 TO 10120/2012
Page 5 of 7
Amount
Total
Date
First
Last
Contribution
Received
Received
Received
Name
Name
Occupation
Address
State
Zip Code
Code
This Period
To Date
10/3/12
Guinn Construction
IND
250.00
250.00
2,050.00
Schedule E
Payments Made
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Bob Smith for City Council 2012
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 10/1/2012
through
10/20/2012
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
Page 6 of 7
I.D. NUMBER
1348552
Clue
campaign paraphemalia /misc.
MIBR
member communications
RAID
radio airtime and production costs
CNS
campaign consultants
WG
meetings and appearances
RFD
returned contributions
CTB
contribution (explain nonmonetary)*
OFC
office expenses
SAL
campaign workers' salaries
CVC
civic donations
FEr
petition circulating
TI3
t.v. or cable airtime and production costs
FIL
candidate filing/ballot fees
FFIO
phone banks
TRC
candidate travel, lodging, and meals
FND
fundraising events
POL
polling and survey research
TRS
staff /spouse travel, lodging, and meals
IND
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
LIT
campaign literature and mailings
PRT
print ads
WEB
information technology costs (intemet, e-mail)
* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$
Schedule E Summary
1. Itemized payments made this period. (Include all Schedule E subtotals.) ............................................................................... ............................... $
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 $
12,368.45
12.368.45
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 86WASK -FPPC (86612753772)
BOB SMITH FOR CITY COUNCIL 2012
I.D. NUMBER 1348552
PAYMENTS MADE - ATTACHMENT TO SCHEDULE E
10/112012 TO 10/20/2012
Page 7 of 7
Name of Payee
Payee Address
C_yd
State
Zip Code
Description
Amount
Ryan Shultz
Voter outreach labor
504.00
Total
12,368.45