HomeMy WebLinkAboutDICKERSON SEMIANN21JRectrAent Committee
Campaign Statement
Cover Page
from
Statement/coders period
SEE INSTRUCTIONS ON REVERSE
z
I
through
1. Type of Recipient Committee: All Committees
J
— Complete Parts 1, 2, 3, and 4.
ly Officeholder, Candidate Controlled Committee
1 -0 State Candidate
❑ Primarily Formed Ballot Measure
Election Committee
O Recall
Committee
O Controlled
(Also Complete Pail5)
O Sponsored
ElGeneral Purpose Committee
(Also Complete Part 6)
O Sponsored
O Small Contributor Committee
❑ Primarily Formed Candidate/
O Political Party/Central Committee
Officeholder Committee
(Also Complete Part7)
3. Committee Information
COVER PAGE
Date Stamp
Date of election iLapplicabte: Page —— of
(Month, ay
LL f" CU I PM 2• 1 For Official Use Only
ERSFIE G' CI i Y CLERK
2. Type of Statement:
❑e Preelection Statement Y'r
® Semi-annual Statement ❑ Quarterly Statement
�❑ Termination Statement ! ❑ Special Odd Year Report
(Also file a Form 410 Termination)
❑ Amendment (Explain below)
I.D. NUMBE
" Treasurer(s)
—w-11 i i cc rvrinit tUlt UANUIUATE'S NAME IF NO CO MITTEE)
STREETADDRESS (NO P.O. BOX)
CITY ' ! i i(i;ii ii "d STATE,rI ZIPCODE AREACODEIPHONE
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
CITY -STATE - ,.IZIP CODE AREA CODE/PHONE
OPTIONAL: FAX/E-MAILADDRESS
MAILING ADDRESS, -
CITY STATE ZIP CODE AREA CODE/PHONE
NAME OFASSISTANT TREASURER, IF ANY
MAILINGADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAXIE-MAIL ADDRESS
I have used all reasonable diligence in filrl&zz
paring and reviewing this statement and to the best of my knowledge the iArorAssistan
certify under penalty of perjury
u der thws offthe State of California that the foregoing is true and correct.
Executed on `�
ate By
{ �7 SignatuTr
Executed on i I lJ C/2By Signature of Controlling Officeholder, Canate,State Measure Proponent or
ed schedules is true and complete. I
Executed on -
Dale By Executed on Signature of Controlling Officeholder, Candidate, State Measure Proponent
Date By
Signature of Controlling Officeholder, Candidate, State Measure Proponent
FPPC Form 460 (Jan/2016))
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Recipient Committee
Campaign Statement
Cover Page — Part 2
5. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE -�
RESIDENTIAL/BUSINESS ADDRESS (NO.ANDSTREET) 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.
rvrarviE
I.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
❑ YES ❑ NO
COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE- AREACODE/PHONE
COVER PAGE - PART 2
Page -z_ of
1
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
1
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.
�jNAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
SUPPORT
OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE I OFFICE SOUGHT OR HELD
COMMITTEE NAME I.D. NUMBER
NAME OF OFFICEHOLDER OR CANDIDATE I OFFICE SOUGHT OR HELD
NAME OF
NAME-OF-OFFICEHOLDER-OItCAATDIDATE -OFFICE SOUGHT OR I
❑ YES ❑ NO
COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
Attach continuation sheets if necessary
❑ SUPPORT
❑ OPPOSE
❑ SUPPORT
❑ OPPOSE
❑ SUPPORT
❑ OPPOSE
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Campaign Disclosure Statement
Summary Page
Amounts may be rounded
to whole dollars.
from _
period
SUMMARY PAGE
2)
Page.
SEE INSTRUCTIONS ON REVERSE
through'
of
NAME OF FILER
C'�l ® M e
NA Ii 1' 1 �1_.
I.D. NUMBER
��
Contributions Received
Column A
TOTAL THIS PERIOD
Column B
CALENDAR YEAR
i
Calendar Year Summary for Candidates
(FROM ATTACHED SCHEDULES)
TOTAL TO DATE
Running in Both the
State Primary and
1. Monetary Contributions................................................... Schedule A, Linea
$ $
--
` 6c)
General Elections
1/1 through 6130 7/1 to Date
2. Loans Received................................................................ Schedule B, Line 3'
3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 1 + 2
$ ` ` % $
r
20. Contributions
Received $
�-' $
4. Nonmonetary Contributions ............................................ Schedule C, Line 3
T�
�—
'
21. Expenditures
Made $
'--`
$
5. TOTAL CONTRIBUTIONS RECEIVED........................:.......Add Lines 3+4
$ - $
e �'
Expenditures Made
6. Payments Made................................................................ Schedule E, Line 4 - $ 1Z,
7. Loans Made....................................................................... Schedule H, Line 3
8. SUBTOTAL CASH 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....................................Ad $
Add �
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
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 B, Part2 $ --G"
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ................................................ See instructions on reverse $
19. Outstanding Debts .............................. Add Line 2 + Line 9 in Column B above $
i
To calculate Column B,
add amounts in Column
A to the corresponding
amounts from Column B
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*
(If Subject to Voluntary Expenditure Limit)
Date of Election Total to Date
(mm/dd/yy)
—�— 1 $
*Amounts in this section may be different from amounts
reported in Column B.
FPPC Form 460 (Jan/2016))
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A
Amounts may be rounded
SCHEDULE A
Monetary Contributions Received V y �V 4 ,
temen co ers period
StaRNIA
� •
A
from I-
Tti
MV •
•
through �` v
SEE INSTRUCTIONS ON REVERSE
Page of
NAME OF FILER +^ _, _ `' �� ��/` t n n 1 f�' (� (�
d�(n b�\(�. �YrfV1(�_
W-t-i�� �It ®°`° ' A" 1 1 6 1 •�L�—
I.D
)
DATE
_
FULL NAME, STREETADDRESS AND ZIP CODE OF
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
I
CUMULATIVE TO DATE
PER ELECTION
RECEIVED
CONTRIBUTOR
*
CODE
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
RECE II ED THIS
CALENDAR YEAR
TO DATE
(IF COMMITTEE, ALSO ENTER II..D. NUMBER))
OF BUSINESS)
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
^� f
FINDCOM
(
%OTH
---.
❑ PTY
❑ SCC
❑ IND
❑ COM
y
❑ OTH
i
❑ PTY
❑ SCC
El IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
❑ IND
El COM
❑ OTH
❑ PTY
❑ SCC
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
SUBTOTAL $
Schedule A Summary
1. Amount received this period — itemized monetary contributions. r---�
(Include all Schedule A subtotals.) $ '
2. Amount received this period — unitemized monetary contributions of less than $100 ...........................$
1
3. Total monetary contributions received this period. ) ®�J Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1. TOTAL $ -
`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 (Jan/2016))
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule B — Part 1
Loans Received
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
'�1
FULL NAME, STREET ADDRESS AND ZIP CODE
OF LENDER
(IF COMMITTEE, ALSO E I
ER I.D. NUMBER)
yq
7. '1C, .'
t ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
Amounts may be rounded
to whole dollars.
Staternerif cov rs periio�c
from I -7
throuah 1Z 0.;1"
/� t
coo
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
OUTSTANDING
BALANCE
AMOUNT
AMOUNT PAID
C
(IF SELF-EMPLOYED, ENTER
BEGINNING THIS
RECEIVED THIS
PERIOD
OR FORGIVEN
THIS PERIOD-
C
NAME OF BUSINESS)
PERIOD
A
❑PAID
$�
❑ FORGIVEN
]`�j �%y7
I IT7
'TANDING INTEREST
ANCEAT PAID THIS
E OF THIS PERIOD
SCHEDULE B - PART 1
Page of
I.D. NUMBER
��
ORIGINAL CUMULATIf
AMOUNT OF Tct
NTRIBUTII
LOAN TO DATE
RATE
PER ELECTION"
$ $
ATE DUE DATE INCURRED
LJ PAID CALENDAR YEAR
$ $% $ $
RATE
❑ FORGIVEN PER ELECTION-
$ I $
t ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC $ $ DATE DUE $ DATE INCURRED
tEl IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
CALENDAR YEAR
$ % $ $
RATE
PER ELECTION`
DATE DUE DATE INCURRED
SUBTOTALS $ �_ $ $4I}`9Z`-�
Schedule B Summary
/ (Enter (e) an Schedule E, Line 3)
�
I
1. Loans received this period ..................................... . .............................................................................$�
(Total -Column (b)-p(us-unitemized-(oans of-tess than $100.)
2. Loans paid or forgiven this period .........................tContributor CodesIND -Individual................................................................................$
(Total Column (c) plus loans under $100 paid or forgiven.) IND -Recipient committee
(Include loans paid by a third party that are also itemized on Schedule A.) COM (other than PTY or SCC)
3. Net change this period. (Subtract Line 2 from Line 1.).............................................................. NET $ OTH - Other (e.g., business entity)
Enter the net here and on the Summary Page, Column A, Line 2. r PTY- Political Party
SCC — Small Contributor Committee
(Me b
b
PAID
❑ FORGIVEN
e
i hv
"Amounts forgiven or paid by another party also must be reported on Schedule A. y a nege num er)
If required. I FPPC Form 460 (Jan/2016))
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule E
Payments trade
SEE INSTRUCTIONS ON
NAME OF FILER
Amounts may be rounded
to whole dollars.
IStatemeV co. ers period
from t3l
th lough +' %'
SCHEDULEE
Page of V
CODES: If one of the following codes accurately describes the
payment, you may enter the code.
Otherwise, describe the payment.
CMP
CNS
campaign paraphernalia/misc.
campaign consultants
MBR
member communications
RAD
radio airtime and production costs
CTB
contribution (explain nonmonetary)•
MTG
OFC
meetings and appearances
office expenses
RFD
returned contributions
CVC.
FIL
civic donations
candidate filing/ballot fees
PET
petition circulating
SAL
TEL
campaign workers' salaries
t.v. or cable airtime and production costs
FND
fundraising events
PHO
POL
phone banks
polling and survey research
TRC
candidate travel, lodging, and meals
IND
independent expenditure supporting/opposing others (explain)'
POS
postage, delivery and messenger services
TRS
TSF
staff/spouse travel, lodging, and meals
LEG
LIT
legal defense
campaign literature
PRO
professional services (legal, accounting)
transfer between committees of the same candidate/sponsor
VOTI voter registration
and mailings
PRT
print ads
WEBS information technology costs (internet, e-mail)
NAME AND ADDRESS OF PAYEE
)
(IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT
CL
* Payments that are contributions or independent expenditures must also be summarized on Schedule D.
Schedule E Summary
SUBTOTAL $
AMOUNT PAID
1. Itemized payments made this period. (Include all Schedule E subtotals.)................................................................ I.
2. Unitemized payments made this period of under$100.........................................................................
3.
payments
y P period ( amount from Schedule B, Part 1, Column (e).)......... -—
Total interest aid this eriod on loans. Enter amou
4. Total a ments made this period. Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.)........................... TOTAL $
FPPC Form 460 (Jan/2016))
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Mark Dickerson
February 10, 2022
Bakersfield City Clerk
1600 Truxtun Avenue
Bakersfield, CA 93301
RE: Semi
Dear City Clerk,
Please excuse the t,-
appropriate form to
Your anticipated cc
concerns regarding
listed below.
Very Truly
Mark Dickerson
(
MMD/jad
Campaign Statement #
diness of this report. It's tardiness is a result of the delay in receiving the
:ile from the City Clerk's Office.
;sy and cooperation is most appreciated. If you have any questions or
submitted campaign forms, do not hesitate to call my office at the number