HomeMy WebLinkAboutKERN CITIZENS FOR PATIENT RIGHTS SEMMIANN17(2)Recipient Committee
Campaign Statement
Cover Page
SEE INSTRUCTIONS ON REVERSE
Statement moven perledI Date of election if
from 7101/2017 (Month, Day,
12/312017
1. Type of Recipient Committee: All Demureness - Compete Pam 1. 2.3, am 4.
2. Type of Statement:
❑ Officeholder, Candidate Controlled! Committee
❑ Primarily Formed Ballot Measure
❑ Preelection Statement ❑ Quarterly Statement
O State Candidate Election Committee
Committee
® Semi-annual Statement ❑ Special Odd -Year Report
0Pon000a•a*9
Controlled
mnt
❑ Termination Statee
O Clponsored
(Also file a Form 410 Temdnabon)
® General Purpose Committee
µHempen Pne
❑ Amendment (Explain be"
O Sponsored
❑ Pdmadty Formed Candidate/
O Small Contributor Committee
O Political Party/Central Committee
Officeholder Committee
tw —v
3. Committee Information
KERN CITIZENS FOR PATIENT RIGHTS
STREETADDRESS(NOP.O.BOX)
CITY STATE MPCOOE ARFA CODFRHOIE
M UNGAOONESSPmFFEREN NO.ANOSTREETORP.O.60x
CITY STATE AP CODE AREACODEPHONE
Treasureris)
LAWRENCE R. HIESTAND
MNUNGADDRESS
CITY STATE MPCOOE PAEACOOE/PHONE
NMIE OF ASSISTAm TREPSIIRER I F PNY
CITY STATE ZIP CODE AREACOOF/PHONE
OPTIONAL: FA%/E-MNLApORESS OPTIONAL FAX/E-MNLADORESS
Verification
I have used all reasonable diligence in preparing and reviewing Item statement and to the best of my lar"edge the information contain and in Me attached schedules is true and complete. I
certify under penalty of perjury under the Taws of the State Of California that the foregoing is true and con
Exeautad on 1/302018 Br
pyg Sgnal IN M' uer
Executed on Cam BY EaeNe.5taleMmave RepreeMw RnpaHhAeq! Nsgnxw
Executed on OY
m 9u4rteIXGxYmn,g Olfmlw rLaVM6m. eMMMea¢va PrtyweM
E—utul on WN BY SkpMu,ed CCNmAIn90firelnMter. CwtlW1e. surem.."P eorr
FPPC Form 460(Jan/2016)
FPPC Advice: advicePtppc.w.gov (866/275-3772)
www.firpC.ca.gm
Recipient Committee
Campaign Statement
Cover Page — Part 2
6. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD (INCLUDE LOCATIONAND DISTRICT NUMBER IFAPPUCABLE)
RESIDENTIAUSUSINESSADDRESS (NO.ANDSTREET) CITY STATE LP
Related Committees Not Included in this Statement: Listany Committees
not lncludolm Me statement Mat are conhnlledbyyou orarepnmanly/ got to receive
cone/bueonswmakeexpenMtureeonbehaeofyowc &n cy.
COMMITTEE NAME I.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
❑ YES ❑ NO
COMMITTEEADDRESS STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREACODIPHONE
COMMITTEE NAME I.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
❑ YES ❑ NO
COMMITTEEADDRESS STREETADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODEPHONE
COVER PAGE - PART 2
Page ti of -1
6. Primarily Formed Ballot Measure Committee
BALLOT NO, OR LETTER I JURISDICTION
L.,SUPPORT
❑ OPPOSE
Iden0ly the controlling oificaholdw, candaate, or slate measure proporren( N any.
NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT
OFFICE SOUGHT OR HELD DISTRICT NO. WAVY
7. Primarily Formed Candidate/Officeholder Committee List names of
oMcahofdar(s) or Candfdaft M) her Which this cnmmldH is prumnly formed.
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
❑ SUPPORT
❑ OPPOSE
NAMEOFOFPGEHOLDERORCANDIDATE
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 confinuafion sheets if necessary
FPPC Form 960 ()an/2016)
FPPC Advice: advice@hNn,ca.gov (966/275-3772)
www.fppc.ca.gov
Campaign Disclosure Statement
Summary Page
NME OF FILER
KERN CITIZENS FOR PATIENT RIGHTS
Amounts may be rounded
to Whole dollars.
Expenditures Made
ummA
Contributions ReceivedColtraaxn
6. Payments Made..........._........_........._............_
rcos-�Is PERIOD
$
3,013
cxeouresr
7. Loans Made .................................................................
Soedi H, Lines
1,200
1. Monetary Contributions ...................................................
Souders A, ansa
S
$
2. Loans Received ....................... ........................... ............
Soindsee B. tyres
9. Accrued Expenses (Unpaid Bills) ..........................._.............schedule
F, Lines
1,200
3. SUBTOTAL CASH CONTRIBUTIONS ..............................
Add Line. I . 2
$
4. Nonmonetary Contributions ............. ................. .
........... senesese C, Lines
—
S. TOTAL CONTRIBUTIONS RECEIVED......._. -_....._
............. w Lrrss3-4
S 1,200
Expenditures Made
12. Beginning Cash ..................... Prowous summer, Fags, Leis 16 $ —
3,585
6. Payments Made..........._........_........._............_
................ sander, E. Lim, 4
$
3,013
15+ Cash Payments......................................................... CabonA Leis saboeo
7. Loans Made .................................................................
Soedi H, Lines
1,772
—
8. SUBTOTAL CASH PAYMENTS ..........................................
AsWUni s+7
$
3,013
9. Accrued Expenses (Unpaid Bills) ..........................._.............schedule
F, Lines
—
10. Nonmonetary Adjustment
Soxi C. Uns 3
—
11. TOTAL EXPENDITURES MADE.
$
3,013
Uurrent '.;ash Statement
12. Beginning Cash ..................... Prowous summer, Fags, Leis 16 $ —
3,585
13. Cash Receipts........................................................... Cox nviA,tese3above
1,200
14. Miscellaneous Increases to Cash .................................. Sdeotohe 1. Line 4
74
15+ Cash Payments......................................................... CabonA Leis saboeo
3,087
16. ENDING CASH BALANCEAVIlers, 12+1s+14, men subtsixfLins 15 $ —
1,772
ff this is a termination statement, Line 16 must be rem.
17. LOAN GUARANTEES RECEIVED ................................ Ssxxu*saPs,t2 $
18. Cash Equivalents................................................ seeimrmxtvnsoros,bse $
19. Outstanding Debts........_ .................... Addle,02+1butgeOWUMBa $
Statement Bowra padod
from 7/01/2017
through 1213112017
Column B
cioseseeneve
Toro TO MTE
$ 2,100
$ 2,100
2,100
$ 3,438
$ 3,438
$ 3,438
To calculate Column B,
add amounts in Column
Ato the corresponding
amounts from Column B
ofyourlastri Some
amounts in Column A may
this negative figures that
should be sobtauted from
previous pendul amounts. If
Live is the Imi report being
filed for this calendar yees
only carry over the amounts
from Lines 2,7. and 9 (if
any).
,.e. G,- , --7
11340602
Calendar Year Summary for Candidates
Running in Both the State Primary and
General Elections
IJI through 630 711 . Date
20. Corm"ons
Received $ $
21. &,pendlitures,
Made $ $
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made -
IN suets. . W.,
Data of Election Total to Date
(mWddiyy)
I t, — $—
'Announts, in this section may be different from amounts
reported in Column B.
FPPC Form 460 (Jan/2016)
FPPC Advice: adVice@fppc.o.gov (866/275-3772)
..fpph.C..g.
Campaign Disclosure Statement Amounts may be rounded SUMMARY PACE.
to vTole dollars. statement covers period MR 11;
Summary Page 7/01/2017 .:1 a 1
ON REVERSE
NAME OF FILER
KERN CITIZENS FOR PATIENT RIGHTS
Contributions Received
Expenditures Made
12. Beginning Cash Balance ______............. Praab summary Pape. lire is If
1,200
1. Monetary Contributions ............... _..................................
seedwe A, 3
$
3.013
15. Cash Payments CownerA Dee s wove
2. Loans Received ................................... ........... .....
_......... so edrb a tme 3
1,772
8. SUBTOTAL CASH PAYMENTS ..........................................
Addlmec6.7
$
1,200
3. SUBTOTAL CASH CONTRIBUTIONS._ ...........................
AddUnx l+2
$
4. Nonmonetary Contributions ............................................
sdedwe C. Lice 3
_.......... sdedae C. tme a
5. TOTAL CONTRIBUTIONS RECEIVED_.................................Add
Laes3+4
$
1,200
3,013
Expenditures Made
12. Beginning Cash Balance ______............. Praab summary Pape. lire is If
3,585
6. Payments Made................................................................
schedule E, tine a
$
3.013
15. Cash Payments CownerA Dee s wove
7. Loam Made.......................................................................
sesame R. tinea
1,772
8. SUBTOTAL CASH PAYMENTS ..........................................
Addlmec6.7
$
3.013
9. Accrued Expenses (Unpaid Bills)._ ..................
_...... _.......... saedvie I, urea
10. Nonmonetary Adjustment.... ....................... ..................
_.......... sdedae C. tme a
11. TOTAL EXPENDITURES MADE _..____..._..........
_......... AdJlires5+40.10
$
3,013
Current Cash Statement
12. Beginning Cash Balance ______............. Praab summary Pape. lire is If
3,585
13. Cash Receipts ................ ............ ._........................... Cahmm A. une3emve
1,200
14. Miscellaneous Increases to Cash .................................. schedae 1. Une4
74
15. Cash Payments CownerA Dee s wove
3.067
16, ENDING CASH BALANCE ......._......._Admires 12+13+ fa, men subbed line 15 $
1,772
gNis is a termmation statement line 16 must be zero
17. LOAN GUARANTEES RECEIVED ............... ---- ... .__. schadme e, Pert $
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ......................... seeinsaaeonewmeese $
19. Outstanding Debts .............................. Addtme z+line40in uwmnawo.e $
Column B
me1CPRYEM
TorAtmeATE
$ 2,100
$ 2,100
$ 2,100
$ 3,438
$ 3.438
$ 3.438
To calculate Column B.
add accounts in Column
A the comesponding
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
"a is the first repod being
filed for this calendar year,
only carry over the amrents
from Lines 2, 7, and 9 I
any).
12/31/2017
Page of -1
11340602
Calendar Year Summary for Candidates
Running in Both the State Primary and
General Elections
III gmugh Van ]It W Day
20. Contributions
Received E 8
21. Expenditures
Made E $
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made'
Ir subled mvolunmy EVendbure umxl
Date of Election Total to Dale
(mm/ddlyy)
_J_J $
1 1 $
'Amounts in We section may be different from amounts
reported in Column B.
FPPC Form 060 (Jan/2016)
FPPC Advice: advice@fppc.ca.gw (866/275-3772)
www.fppc.ca.gw
Schedule A Amounts may be rounded SCHEDULE A
to whole dollars.
Monetary Contributions Received
$b(9m9nl COV6r3 period
,iromthrough
7/012017 •
12/312017
—
SEE INSTRUCTIONS ON REVERSENAME
OF FILER
731)
KERN CITIZENS FOR PATIENT RIGHTS
DATE
NLL NAME, STREETADDRESSAND ZIP DDDE OF CONTRIBUTOR
CONTRIBUTOR
IFAN INDMOUAL. EWER
AMOUNT
REP
ARTo
CUMULATNETTIONRECENEO
YR(JAN.I-DECIRED)
TO DATE
11.NdTEE.am0rmexio.NUxe[m
CODE•
'.'.Tp umerr,urrMPmL.R
ROOD
(im.CAUE
orNwx ss
❑IND
CANNABLES
OCom
300
300
920/2017
❑prY
❑ SCc
❑IND
GOLDEN STATE COOPERATIVE
300
300
9202017
❑PTY
❑SCC
El IND
GOOD PATIENT ALTERNATIVE
❑Com
300
300
9202017
❑PTY
❑ SCC
❑IND
MIND, BODY 8 SOUL HEALING COLLECTIVE
❑COM
300
300
9202017221
opw
❑scc
❑IND
❑COM
❑ OTH
❑ptV
❑SCC
SUBTOTAL$ 1,200
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. 1,200
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.)......................TOTAL $
'Contributor Codes
IND—IndMdual
COM — Redpient Commidee
(other than PTV or SCC)
OTH—Other (e.g., business; entity)
PTY—Political Party
SCC—Small Contributor Committee
FPPC Form 060 (tan/2016)
FPPC Advice: advice@fppI,...g. (866/27S-3772)
www.fppc.ca.gov
Schedule Amounts may be roundedstatement covers par
to whole dollars.
Payments Made ,v 7)0112017
REVERSEthrough 12!31/2017 I page G
KERN CITIZENS FOR PATIENT RIGHTS
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment
1340602
CMP
campaign pamphemaliahniec.
MBR
member communications
RAD
radio Ruh .and production costs
CNS
campaign consultants
MTG
meetings and appearances
RFD
returned contributions
CTB
contribution (explain nonmonetaryr-
DEC
office expenses
SAL
campaign workers'salades
CVC
civic donations
PET
petition circulating
TEL
t s. or cable amme and production costs
FIL
candidate filiretballot fees
PHO
phare banks
TRC
candidate travel, lodging, and meals
END
fundraising events
POL
polling and survey research
TRS
staf ispouse travel, lodging, and meals
IND
laleperdent expenditure supporting/opposing others (explain)'
POS
Postage, delivery and messenger essences
TSF
transfer beMeen committees ofthe same candidatersponsor
LEG
legal defense
PRO
professional services (legal, accounting)
VOT
voter registration
LIT
campaign literature and mailings
PRT
print ads
WEB
Information technology costs (interned, e-mail)
NAME AND ADDRESS OF PAYEE
aF<CRNm E.Aran ERFER1o.NUNaag
CODE OR DESCRIPTION OF PAYMENT
AMOUNT PAID
KIM SCHAEFER
CNS
3,000
MS OFFICE
DEC
87
`Peynlents filet are contributions or independent expendguns must also be summarized on Shcedule D. SUBTOTAL $ 3,G87
Schedule E Summary
1. Itemized payments made this period. (Include all Schedule E subtotals.)............................................................................................................. $ 3,087
2. Unitemized payments made this period of under $100.......................................................................................................................................... $
3. Total interest paid this period on bans. (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 $ 3,087
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule 1
SCHEDULEI
Miscellaneous Increases to Cash lowholedaYam
sfatunaldfAval:f;er7I.C=ETO..
7/012017tleolgh
tram
12/312017SEE
INSTRUCTIONS ON REVERSENAME
OF FlLERKERN
CITIZENS FOR PATIENT RIGHTS
DATE
RECEIVED
FULL NAME AND ADDRESS OF SOURCE
DESCRIPTION OF RECEIPT
PFCCMMIME. EWMU0 M WE
WELLS FARGO BANK
REFUND OF FEES CHARGED
10/102017
74
Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 74
Schedule 1 Summary
1. Itemized increases to Cash this period...........................................................................................
2. Unitemized increases to Cash of under $100 this period................................................................
3. Total of all interest received this period on bans 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
SummaryPage, Line 14.)..............................................................................................................
TOTAL $ 74
FPPC Form 460 (tam/2036)
FPPC Advice: advice&fWc.cs.gw (866/275-3772)
www.fp'.ra.gw