HomeMy WebLinkAboutSMITH PREELECT14(1) 10/02/14Recipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200 - 84216.5)
SEE INSTRUCTIONS ON REVERSE
Type or print in ink.
Statement covers period
from 7/1/2014
through
9/30/2014
1. Type of Recipient Committee: AN Committees — Complete Parts 1, 2, 3, and 4.
® Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure
0 State Candidate Election Committee Committee
0 Recall 0 Controlled
(Also CompletePart5) 0 Sponsored
(Also CwwADb Part 6)
❑ General Purpose Committee
0 Sponsored
0 Small Contributor Committee
0 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 2014
STREET ADDRESS (NO P.O. BOX)
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
SAME
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 to best of m
under penalty of perjury under he la7 of the State of California that the foregoing is u and correct.
Executed on By
Executed on G .. By
Date nn�ure of
COVER PAGE
Date Stamp
Date of election if applicable: g
l4 OCT
Page 1 of 10
(Month, Day, Year) -3 W�1 � ° ' ' For Official Use Only
11/4/2014
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)
Treasurers)
NAME OF TREASURER
DEBBIE CAMP
MAILING ADDRESS
NAME OF ASSISTANT TREASURER, IF ANY
NONE
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE /PHONE
OPTIONAL: FAX / E-MAIL ADDRESS
the inform ^n contained herein and in the attached schedules is true and complete. I certify
or
Executed on By
Dale Signature of Controing Olriceholder, Candidate, State Measure Proponent
Executed on By
Dam Signature of Controing Officeholder, Candidate, State Measure Proponent
FPPC Form 460 (January/05)
FPPC Ta"ree Helpline: 8661ASK -FPPC (8661276 -3M)
State of California
Type or print in ink. COVER PAGE -PART2
Recipient Committee RNIA
Campaign Statement O CALIFORM 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)
BAKERSFIELD CITY COUNCIL WARD 4
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 I.D. NUMBER
NAME OF TREASURER I CONTROLLED COMMITTEE?
❑ YES ❑ NO
COMMITTEEADDRESS STREETADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODEIPHONE
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
Page 2 of 10
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
offlceholder(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 (Januaryio5)
FPPc Toll-Free Helpline: 86WASK -FPPC (8661275 -3772)
State of California
Campaign Disclosure Statement
Type or print in ink.
SUMMARY PAGE
Summary Page
$
Amounts may be rounded
to whole dollars.
$ 12,573.17
Statement covers period
CALIFORNIA �
0.00
0.00
8. SUBTOTALCASH PAYMENTS ..... ............................... Add Lines 6 +7
$
•
$ 12 573.17
22• Cumulative Expenditures Made"
IN Subject to Voluntary ExpenditureUrnit)
9. Accrued Expenses (Unpaid Bills) ............................... schedule F Line 3
from
7/1/2014
• -
10. Nonmonetary Adjustment ........... ............................... schedule C, Line 3
SEE INSTRUCTIONS ON REVERSE
0.00
0.00
(mm /dd /yy)
through
9/30/2014
Page 3 of 10
$ 12,573.17
NAME OF FILER
Current Cash Statement
12. Beginning Cash Balance ....................... Previous summary Page, Line 16
$
I.D. NUMBER
BOB SMITH FOR CITY COUNCIL 2014
13. Cash Receipts .................... ............................... Column A, Line 3 above
6,340.00
1348552
Contributions Received
14. Miscellaneous Increases to Cash ........................... schedule /, Line 4
ColumnA
Column
Calendar Year Summary for Candidates
*Amounts in this section may be different from amounts
TOTALTHIS PERM
(FROMATTACHEDSCHEDULES)
CALENDAR YEAR
TOTALTO DATE
Running n Both the State Primary
g I and
reported in Column B.
15. Cash Payments ................... ............................... Column A, Line 8 above
12, 573. 17
General Elections
1
1. Monetary Contributions ............ ...............................
schedule A, Line 3
$ 6,340.00 $
6,340.00
Column A may be
y negative
2. Loans Received ....................... ...............................
schedule B, Line 3
0.00
17,800.00
111 through 6/30 7/1 to Date
3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add tines 1 +2
$ 6,340.00 $
24,140.00
20. Contributions
subtracted from previous
period amounts. If this is
the first report being filed
17. LOAN GUARANTEES RECEIVED ........................... Schedule B, Part 2
Received $ $
4. Nonmonetary Contributions ..... ...............................
Schedule C, Line 3
0.00
0.00
21. Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED ...........................
Add Lines 3 +4
$ 6,340.00 $
24,140.00
Made $ $
Expenditures Made
Expenditure Limit Summary for State
6. Payments Made ........................ ............................... schedule E, Line 4
$
12,573.17
$ 12,573.17
Candidates
7. Loans Made .............................. ............................... schedule H, Line 3
0.00
0.00
8. SUBTOTALCASH PAYMENTS ..... ............................... Add Lines 6 +7
$
12,573.17
$ 12 573.17
22• Cumulative Expenditures Made"
IN Subject to Voluntary ExpenditureUrnit)
9. Accrued Expenses (Unpaid Bills) ............................... schedule F Line 3
0.00
0.00
Date of Election Total to Date
10. Nonmonetary Adjustment ........... ............................... schedule C, Line 3
0.00
0.00
(mm /dd /yy)
11. TOTAL EXPENDITURES MADE . ............................... Add Lines 8 + 9 + 10
$
12,573.17
$ 12,573.17
J $
-J $
Current Cash Statement
12. Beginning Cash Balance ....................... Previous summary Page, Line 16
$
15,269.87
To calculate Column B, add
13. Cash Receipts .................... ............................... Column A, Line 3 above
6,340.00
amounts in Column A to the
14. Miscellaneous Increases to Cash ........................... schedule /, Line 4
0. 00
corresponding amounts
from Column B of your last
*Amounts in this section may be different from amounts
reported in Column B.
15. Cash Payments ................... ............................... Column A, Line 8 above
12, 573. 17
report. Some amounts in
Column A may be
y negative
16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15
$
9,036.70
figures that should be
If this is a termination statement, Line 16 must be zero.
subtracted from previous
period amounts. If this is
the first report being filed
17. LOAN GUARANTEES RECEIVED ........................... Schedule B, Part 2
$
0.00
for this calendar year, only
carry over the amounts
from Lines 2, 7, and 9 (if
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ......... ............................... see instructions on reverse
$
0.00
any).
19. Outstanding Debts ......................... Add Line 2 +Line 9 in Column B above
$
17,800.00
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772)
Schedule A Type or print in ink.
Moneta Contributions Received Amounts may rounded
ry to whole dollars.
lars.
Statement covers period
from 7/1/2014
SCHEDULE A
SEE INSTRUCTIONS ON REVERSE through 9/30/2014 page 4 Of 10
NAME OF FILER I.D. NUMBER
BOB SMITH FOR CITY COUNCIL 2014 1348552
��
ADDRE,ALSAND ZIP
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
DE O
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
RECEIVED
(IFW I.D. NUMBER)
CODE *
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OFBUSINESS)
❑IND
S.C. ANDERSON, BUILDER
❑COM
9/3/14
❑ PTY
❑SCC
IZl IND
9/3/14
PAULA AND ADAM SEVIER
❑COM
SECRETARY-
100.00
100.00
❑OTH
RAMSGATE ENG.
❑PTY
OWNER/REVIER SOLID
❑ SCC
❑ IND
WESTSIDE WASTE MANAGEMENT CO, INC.
❑COM
9/3/14
®OTH
200.00
200.00
❑ PTY
❑SCC
KERN REFUSE DISPOSAL, INC.
❑IND
❑ COM
9/3/14
❑ PTY
❑ SCC
RUSSELL JOHNSON FOR CITY COUNCIL
❑IND
®COM
9/3/14
FOR 2010
❑ OTH
300.00
300.00
❑ PTY
❑SCC
SUBTOTAL $ 3,100.00
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 $
6,300.00
40.00
6 340 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 (866/275.3772)
Scbedule A (Continuation Sheet) Type or print in ink SCHEDULE A (CONT.)
Monetary Contributions Receive Amounts may be rounded
Statementeovers period
•
to whole dollars.
7/1/2014
.� � • 1
from
Page 5 of 10
through 9/30/2014
NAME OF FILER
I.D. NUMBER
BOB SMITH FOR CITY COUNCIL 2014
1348552
DATE
ZIP DE O
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
OCCUPATIONAND EMPLOYER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
UFCOMMfDRE ALSO ENTER .D.N
CODE *
QFSELF -EMPLOYED, ENTER NAME
PERIOD
(JAN.1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
❑IND
MANAGED CARE SYSTEMS, LLC
❑COM
9/17/14
❑ PTY
❑ ScC
GENE TACKETT CONSULTING
❑IND
COM
❑W]
9/17/14
TH
OTH
600.00
600.00
❑ PTY
❑ ScC
JAMES AND BETTY BARKS
MIND
[3Com
OWNER - JAMES C.
9/23/14
7 0TH
BARKS CLU /INS.
100.00
100.00
❑PTY
SEMI - RETIRED
❑ SCC
KERN RIVER PARTNERS, LLC
❑IND
❑COM
9/23/14
m OTH
500.00
500.00
❑ PTY
❑ ScC
HARVEY HALL
FIND
❑COM
OWNER - HALL
9/23/14
7 PTY
MAYOR OF BKSFLD.
❑ ScC
SUBTOTALS 2,200.00
*Contributor Codes
IND — Individual
CO M — 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: 8661ASK -FPPC (866/275-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT.)
Monetary Contributions Received Amounts may be rounded
Statementeovers period
to whole dollars.
7/1/2014
from
-
through 9/30/2014
Page 6 of 10
NAME OF FILER
I.D. NUMBER
BOB SMITH FOR CITY COUNCIL 2014
1348552
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
RECEIVED
( IFCOMMITTEE , ALSO ENTER I.D.NUMBER)
CODE *
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
(F SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OFBUSINESS)
❑IND
HALL AMBULANCE SERVICE, INC.
❑COM
9/23/14
® OTH
500.00
500.00
❑ PTY
❑ SCC
TOM CAROSELLA RENTAL ACCOUNT
❑IND
9/23/14
❑COM
®OTH
500.00
500.00
❑ PTY
❑ SCC
❑ IND
❑COM
❑ OTH
❑ PTY
❑ SCC
❑ IND
❑COM
❑ OTH
❑ PTY
❑ SCC
❑ IND
❑COM
❑ OTH
❑ PTY
❑ SCC
SUBTOTAL$ 1,000.00
*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
FPPC Form 460 (January /05)
FPPC Toll -Free Helpline: 866/ASK -FPPC (8661275-3772)
SCHEDULE B - PART 1
Schedule B — Part 1 Amounts may "b* rounded
Statement covers period
• 1
Loans Received to whole dollars.
7/1/2014
from
9/30/2014
7 10
SEE INSTRUCTIONS ON REVERSE
through
Page of
NAME OF FILER
I.D. NUMBER
BOB SMITH FOR CITY COUNCIL 2014
1348552
FULL NAME, STREET ADDRESS AND ZIP CODE
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
OUTSTANDING
BALANCE
Ibl
AMOUNT
ICI
AMOUNTPAID
OUTS ANDING
BALANCEAT
e
INTEREST
(
ORIGINAL
9
CUMULATIVE
OF LENDER
(FCOMMMEE, ALSO ENTER I.D. NUMBER)
(IF SELF-EMPLOYED, ENTER
BEGINNING THIS
RECEIVED THIS
PERIOD
OR FORGIVEN
CLOSE OF THIS
PAID THIS
PERIOD
AMOUNT OF
LOAN
CONTRIBUTIONS
TO DATE
NAMEOFBUSINESS)
PERIOD
THIS PERIOD'
PERIOD
BOB SMITH
CIVIL ENGINEER
❑ PAID
CALENDAR YEAR
INC.
RATE
PER ELECTION""
17,800
$ 0
$
12/2014
$ 0.00
7/2012
$
$
DATE DUE
t® IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
DATE INCURRED
❑ PAID
CALENDAR YEAR
E] FORGIVEN FORGIVEN
PER ELECTION*'
S
S
S
S
S
DATE DUE
DATE INCURRED
t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
❑ PAID
CALENDAR YEAR
❑ FORGIVEN
PER ELECTION"
RATE
S
S
S
S
S
DATE DUE
DATE INCURRED
t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
SUBTOTALS $ 0.00$ 0.00 $ 17,800.00 $ 0.00
Schedule B Summary
1. Loans received this period ..................................................................................... ............................... $
(Total Column (b) plus unitemized loans of less than $100.)
Wu
2. Loans paid or forgiven this period ......................................................... ............................... .......... $ 0.00
(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 $ 0.00
Enter the net here and on the Summary Page, Column A, Line 2, (May be anegatHenumber)
'Amounts forgiven or paid by another party also must be reported on Schedule A.
" If required.
(Enter (a) on
Schedule E, Lire 3)
tContributor 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 (86612753772)
Schedule E
Payments Made
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
BOB SMITH FOR CITY COUNCIL 2014
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 7/1/2014
through 9/30/2014
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
Page 8 of 10
I.D. NUMBER
1348552
E
CNP
campaign paraphernalia /misc.
MBR
member communications
RAO
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
polling and survey research
TRS
staff /spouse travel, lodging, and meals
nID
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 (internet, e-mail)
* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 12,573.17
Schedule E Summary
1. Itemized payments made this period. Include all Schedule E subtotals. $ 12,573.17
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 $
12,573.17
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK -FPPC (866/275.3772)
BOB SMITH FOR CITY COUNCIL 2014
I.D. NUMBER 1348552
PAYMENTS MADE - ATTACHMENT TO SCHEDULE E
71112014 TO 9/30/2014
PAGE 9 OF 10
Payee
Payee Address
city
State
Zi
Description
Amount
County of Kern
Reimbursement - Print shack (signs)
$5,536.25
Total
1$12,573,171
Schedule G
Payments Made by an Agent or Independent
Contractor (on Behalf of This Committee)
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers pe
from 7/1/2014
through 9/30/2014 Page 10 Of 10
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER I.D. NUMBER
BOB SMITH FOR CITY COUNCIL 2014 1348552
NAME OF AGENT OR INDEPENDENT CONTRACTOR
THOMAS JUDGE
IV
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CMP
campaign paraphernalia /misc.
MBR
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
Fill-
candidate filing/ballot fees
PHO
phone banks
TRC
candidate travel, lodging, and meals
FND
fundraising events
POL
polling 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
LIT
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.
NAME AND ADDRESS OF PAYEE OR CREDITOR
CODE OR DESCRIPTION OF PAYMENT
AMOUNT PAID
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
PRINT SHACK
CMP
510.63
CITY NEON
CMP
524.06
PRINT SHACK
Attach additional information on appropriately labeled continuation sheets. TOTAL* $ 6,570.94
* Do not transfer to any other schedule or to the Summary Page. This total may not equal the amount paid to the agent or
independent contractor as reported on Schedule E. FPPC Form 460 66IZ75 (January/05)
FPPC Tait-Free Helpline: 866/ASK-FPPC (866t275-3772)