HomeMy WebLinkAboutSMITH SEMIANN15(1)Recipient Committee
Campaign Statement
Cover Page
(Government Code Sections 8420M4216.5)
Type or print in ink.
Statement covets period
from 01/01/2015
of election R applicable:
(Month, Day, Year)
ISJUL28 rnn:
Page i of 6
For Official Use Cox
SEE INSTRUCTIONS ON REVERSE
through 06/30/2015
SAME
CITY
STATE
ZIP CODE
AREA CODEIPHONE
OPTIONAL: FAA IE-MAIL ADDRESS
4. Verification
I have used all reasonable diligence in preparing and reviewing this statement
under penally of perjury un erthe la ofthe State of California that the forego
Executed on 7/2-7
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Executed on
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Executed on
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BY
By
Treasurir(s)
DEBBIE CAMP
CITY STATE ZIP CODE
NAME OF ASSISTANT TREASURER. IF ANY
NONE
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODEIPHONE
OPTIONAL. FAX I E -MAIL ADDRESS
contained herein and in the attached schedules is true and complete. 1 ci
By ebnAnieo(LOMrtfm �d6x, CanNM1e,Saft. nPmPoren1
By
SbndunolCOmbFaOFm6ma c-ddne slMe Maaure Pm{orem FPPC Form Wa lJenueM68I
ni Toll-Free NelpSne: 8661ASK.FPPC I8661VS47T2)
Sheaf Calttornia
4
Type or print in ink. COVER PAGE - PART 2
Recipient Committee
Campaign Statement
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
11421 QUEENSBURY DRIVE BAKERSFIELD, CA 93312
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 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 6
6. Primarily Formed Ballot Measure Committee
NAME OF BALLOT MEASURE
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
❑ 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 (January105)
FPPC Toll -Free Helpline: 8661ASK -FPPC (8661275 -3772)
State of California
Campaign Disclosure Statement
Summary Page
Type or print In ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01/2015
SUMMARY PAGE
Expenditures Made
6. Payments Made ........................ ...............................
Schedule E, Line 4 $
through
06/30/2015
page 3 of 6
SEE INSTRUCTIONS ON REVERSE
9. Accrued Expenses (Unpaid Bills) ...............................
Schedule F Line 3
10. Nonmonetary Adjustment ........... ...............................
Schedule C, Line 3
11. TOTAL EXPENDITURES MADE ................................
Add Lines 8 +9 +10 $
NAME OF FILER
I.D. NUMBER
BOB SMITH FOR CITY COUNCIL 2014
1348552
Column B
Calendar Year Summary for Candidates
Contributions Received
TOColumnA
TALTHISPERIOD
CALENDARYEAR
g Primary
Running n Both the State Prima and
(FROMATTACHEDSCHEWLES)
TOTALTO DATE
General Elections
1. Monetary Contributions ............ ...............................
schedule A, Line 3
800.00
$ 53 $
53 800.00
(52,800.00)
5,000.00
1/1 through 6/30 7/1 to Date
2. Loans Received ....................... ...............................
schedule B, Line 3
3. SUBTOTAL CASH CONTRIBUTIONS .........................
Add Lines 1 +2
$ 1,000.00 $
58,800.00
20. Contributions
Received $ $
4. Nonmonetary Contributions ..... ...............................
Schedule C, Line 3
21. Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 +4
$ 1,000.00 $
58,800.00
Made $ $
Expenditures Made
6. Payments Made ........................ ...............................
Schedule E, Line 4 $
7. Loans Made .............................. ...............................
Schedule H, Line 3
8. SUBTOTALCASH 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 8 +9 +10 $
354.82 $
354.82 $
354.82 $
Current Cash Statement
12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ 7,268.68
13. Cash Receipts Column A, Line 3 above 1,000.00
14. Miscellaneous Increases to Cash ........................... schedule 1, Line 4
15. Cash Payments Column A, Line 8 above 354.82
16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ 7,913.86
If this is a termination statement, Line 16 must be zero.
17. LOAN GUARANTEES RECEIVED ........................... Schedule B, 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 $ 5,000.00
354.82
354.82
354.82
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 Expenditure Llm@)
Date of Election Total to Date
(mm /dd /yy)
I
I -J $
'Amounts in this section may be different from amounts
reported in Column B.
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866 1ASK -FPPC (86612753772)
t
Schedule A
Type or print in ink.
SCHEDULE A
Amounts may oe rounaeo
Monetary Contributions Received to whole dollars.
Statement covers eriod
p
CALIFORNIA
01/01/2015
from
•
• -
SEE INSTRUCTIONS ON REVERSE
06/30/2015 h
through
Page 4 Of 6
NAME OF FILER
I.D. NUMBER
BOB SMITH FOR CITY COUNCIL 2014
1348552
DATE
ZIP
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
DE O
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
RECEIVED
(IF COADDRE,ALSAND
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)
OF BUSINESS)
❑IND
CRIMSON RESOURCE MANAGEMENT CORP
❑COM
1/28/15
410 17TH ST STE 1010
®OTH
1,000.00
1,000.00
DENVER, CO 80202
❑ PTY
❑SCC
BIND
4/30/15
BOB SMITH
11421 QUEENSBURY DRIVE
❑COM
❑OTH
CIVIL ENGINEER
17,800.00
17,800.00
SMITH TECH USA, INC.
BAKERSFIELD, CA 93301
❑PTY
❑ SCC
IZIND
6/30/15
BOB SMITH
11421 QUEENSBURY DRIVE
❑COM
❑OTH
CIVIL ENGINEER
35,000.00
52,800.00
SMITH TECH USA, INC.
BAKERSFIELD, CA 93301
❑ PTY
[:]SCC
❑ IND
❑COM
❑ OTH
❑ PTY
❑SCC
❑ IND
❑COM
❑ OTH
❑ PTY
❑SCC
SUBTOTAL$ 53,800.00
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 $
53,800.00
53,800.00
*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 (866/2753772)
SCHEDULEB -PART1
Schedule B —Part 1 '' "` �' " "'
Amounts may be rounded
Statement covers eriod
P
CALIFORNIA
Loans Received to whole dollars.
01/01/2015
•
from
FORM
06/30/2015
5 6
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
OUTS ANDING
BALANCE
tb)
AMOUNT
(�)
AMOUNT PAID
OUTS ANDING
gALANCEAT
e
INTEREST
ORIGINAL
0
CUMULATIVE
OF LENDER
(IFCOMMITTEE, ALSO ENTER I.D. NUMBER)
(IF SELF -EMPLOYED, ENTER
BEGINNING THIS
RECEIVED THIS
PERIOD
OR FORGIVEN
CLOSE OF THIS
PAID THIS
PERIOD
AMOUNT OF
CONTRIBUTIONS
TO DATE
NAMEOFBUSINESS)
PER
THIS PERIOD*
p
LOAN
BOB SMITH
CIVIL ENGINEER
❑ PAID
CALENDARYEAR
11421 QUEENSBURY DRIVE
SMITH TECH USA,
$
$ 0
0 %
$ 20,000
$ 0.00
PER ELECTION**
BAKERSFIELD, CA 93312
INC.
® FORGIVEN
RATE
17,800
$ 0.00
17,800
12/2015
7/2012
to IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
$
$
$
$
DATE DUE
DATE INCURRED
BOB SMITH
CIVIL ENGINEER
❑ PAID
CALENDARYEAR
11421 QUEENSBURY DRIVE
SMITH TECH USA,
$
$ 5,000
0 %
$ 40,000
$ 0.00
® FORGIVEN
BAKERSFIELD, CA 93312
INC.
RATE
PER ELECTION
40,000
$ 0.00
35,000
12/2015
10/2014
$
$
$
$
DATE DUE
DATE INCURRED
t® IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
❑ PAID
CALENDAR YEAR
PERELECTION **
❑ FORGIVEN
RATE
S
S
S
S
S
I DATE DUE
DATE INCURRED
t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
SUBTOTALS $ 0.00 $ 52,800.00 $ 5,000.00 $ 0.001' 00
'
Schedule B Summary
1. Loans received this period ............................................. ............................... 0.00
(Total Column (b) plus unitemized loans of 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.)
52,800.00
3. Net change this period. (Subtract Line 2 from Line 1.) ................ (52,800.00)
.. .............. ............................... NET $
Enter the net here and on the Summary Page, Column A, Line 2. (May be a negative number)
*Amounts forgiven or paid by another party also must be reported on Schedule A.
** If required.
timer te) on
Schedule E, Line 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 (866/2753772)
.... .
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 01/01/2015
through
06/30/2015
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
Page 6 of 6
I.D. NUMBER
1348552
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
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
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
UT
campaign literature and mailings
PRT
print ads
WEB
information technology costs (internet, e-mail)
NAME AND ADDRESS OF PAYEE
(IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID
SMITH TECH USA, INC.
1424 17TH STREET LIT 304.82
BAKERSFIELD, CA 93301
* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 304.82
Schedule E Summary
1. Itemized payments made this period. (Include all Schedule E subtotals.) ............... ............................... $ 304.82
2. Unitemized payments made this period of under $100 $ 50.00
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 Summa Page, Column A, Line 6. 354.82
P Y P ( fY g ) ............................. TOTAL $
FPPC Form 460 (January /05)
FPPC TolWree Helpline: 866/ASK -FPPC (866/275 -3772)