HomeMy WebLinkAboutBFLAG SEMIANN00(1) ecipient Committee
Campaign Statement
(Government Code Sections 84200-84216.5)
SEE INSTRUCTIONS ON REVERSE
Type or print in ink.
through
Date of electio n if applicable:
(Month, Day, Year)
B/
Date Slamp
9 JUL 28 ANII: bi
',ERSFIELD CITY CLER
COVER PAGE
page I of___~_
For OIf~clal Use On~y
1. Type of Recipient Committee: A, Committee~- Complete Parts 1, 2, 3, and 7.
[] Officeholder, Candidate
Controlled Committee
(Also Complete Part 4J
[] Ballot Measure Committee
O Primarily Formed
O Controlled
0 Sponsored
(Also Complete Part
[] Primarily Formed Candidate/
Officeholder Committee
(Also Complete Pall 6.)
~ General Purpose Commiltee
0 Sponsored
~' Broad Based
2. Type of Statement:
[] Pre-election Statement
~ Semi-annual Statement
[] Termination Statement
[] Amendment (Explain below)
[] Quarterly Statement
[] Special Odd-Year Report
[] Supplemental Pre-election
Statement - Attach Form 495
3. Committee Information
COMMFFrEE NAME
STREET ADDRESS (NO P.O. BOX) ~'
MAILING ADDRESS {IF DIFFERENI) NO. AND STREET OFt P,O. BOX
Treasurer(s)
NAME OF TREASURER
MAILING ADDRESS
CITY
STATE ZIP CODE AREA CODF-/PHONE
NAME OF ASSISTANT TREASURER, IF ANY
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODEJPHONE
OPTIONAL: FAX / E-MAIL ADDRESS
CITY STATE ZIP CODE AREA CODFJPHONE
OPTIONAL: FAX / E-MAIL ADDRESS
FPPC Form 460 (8/99)
For Technical Assistance: 9~6/3~2-5660
State of California
Recipient Committee
Campaign Statement
Cover Page -- Part 2
Type or print in ink.
COVER PAGE - PART 2
4. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE
5. Ballot Measure Committee
NAME OF BALLOT MEASURE
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
RESlDENTIAL~USlNESS ADDRESS (NO. AND STREET) CITY STATE ZIP
Related Committees Not Included in this Statement: Listenycommltrees
not Included In this c onsollda red statement the t are controlled by you or which are primarily
formed re receive contributions or to make expenditures on behalf of your candidacy.
COMMITTEE NAME I.D. NUMBER
NAME OF TREASURER CONTROLLED COMM~CrEE?
[] YEa [] NO
COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
BALLOT NO. OR LETTER JURISDICTION
}'-l SUPPORT
~'-]OPPOSE
Identify the conb-olling officeholder, candidate, or state measure proponent, if any.
NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT
OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY
6. Primarily Formed Committee Llstnamesofofflceholder(s)orcandldare(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 r~ SUPPORT
[] OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
[:]SUPPORT
[]OPPOSE
Attach conD~uation sheets if necessa/y
7. Verification
t have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowtedge the information contained herein and in the attached schedules
is trUeExecuted onand complete,_'71 certify/~_7.under/o~.~penalty of perjury under the laWSBy.~~--~°f the State of California~.~t ~3t~e~,~ ~-'-~f°reg°ing is true and corr ect~...__~_~
DATE SIGNATURE OF TREASURER OR ASSISTANT TREASURER
Executedon By,
DATE
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT OR RESPONSISLE OFFICER OF SPONSOR
Executedon By
DATE
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT
Executedon By
DATE
SIGNATURE OF CONTROLLIN~ OFFICEHOLDER. CANDIDATE, STATE MEASURE PROPONENT
FPPC Form 460 (8/99)
For Technical AssistaRCe: 916/322-5660
State of California
schedule A Typa or print in ink. SCHEDULE A
I
Amounts may De rounoeu Statement covers period
~oneta~ Contributions Received towhole dollars, from__~_~___~._~ ~'-~ ~'~I I~l~l
~EE {NSIRUCTIONS ON REVERSE through ~ · of
~AME OF FILER I.D. NUMBER
IF AN iNDIVIDUAL, ENTER AMOUNT CUMU~TIVE TO DATE CUMU~TIVE TO DATE
DATE FULL NAME, MAILING ADDRESS AND ZiP CODE OF CON~IB~OR CONTRIBUTOR ~CUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR OTHER
RECEIVED 0F CO~i~EE, ALSO ENTER I0. NUMBER) CODE * 0F SE~-EM~OYEO, ENTER N~E PERIOD (JAN. 1 - DEC, 31 ) (IF APPLICABLE)
OF ~USINESS)
DOOM
DOTH
{ ~ DOTH
D IND
~ OOM
DOTH
D IND
DOOM
DOTH
SUBTOTAL
Schedule A Summary
1, Amount received this period - contributions of $100 or more.
(Include all Schedule A subtotals.) .......................................................................................................
2. Amount received this period - unitemized 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
*Contributor Codes
IND - Individual
COM - Recipient Committee
OTH - Other
FPPC Form 460 (8~9)
For Technical Assistance: 916~22-5660
Schedule E Type or print in ink.
Payments Made Amountsmayberounded
to whole dollars.
Statement covers period
,,om_
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CMP campaign paraphemalia/misc,
CNS campaign consultants
CTB contribution (explain nonmonetmy)*
C¥C civic donations
FND ~.ndraJsingevenis
IND indapendentexpenditurosuppor~ng/opposingothers{explain).
LIT campaign literature and mailings
MTG meetings and appearances
OFC office expenses
PET petition cimulating
PHO phone banks
POL POtting and survey reseamh
POS Posiage, detive~yandmessengerservices
PRO professJonalservices(legat, accounting)
PRT print ada
RAD radio airtime and production costs
NAME AND ADDRESS OF PAYEE OR CREOITOR
IIF COMMITTEE, ALSO ENTER I.D. NUMBER)
* Payments that are contributions or independent expenditures must also he Summarized on Schedule D.
CODE OR
Schedule E Summary
RFD returned contributions
SAL campaign workers salaries
TEL t.v. or cable airtime and production costs
TRC candidate travel, lodging and meals (explainI
TRS siaff/spousetravel, lodgingandmeals(explain)
TSF transferbelweencommriteesofthesamecandidate/sponsor
VOT voter registration
WEB information technology costs (intemet, e.mafl)
DESCRIPTION OF PAYMENT
AMOUNT PAID
SUBTOTALS ~, ~,~.,~ , C(~
1. Payments made this period of $100 or more. (Include all Schedule E subtota s ) $ ~'~-7 _ .
2. Unitemized payments made this period of under $100 ...............................................* ........................................................................ $ _ ~, ~_O
3. Total interest paid this period on outstanding loans. (Enter amount from Schedule B, Part 2, Column (d).) ....................................................... $ . C~
4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ......................... TOTAL $ ___~__~,'~_C)
FPPC Form 460 (8/99)
For Technical Assistance: 916~322-5660
Schedule E
(Continuation Sheet)
Payments Made
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CMP campaignparaphsmalia/mi,=~. OFC office expanses RFD returnedcontributions
CNS campaign consutiants
CTB contrib~ion (exCaln nonmonetary)*
CVC civlc donations
FND fundraising events
IND independent expenditure supporting/opposing others (explain)*
LIT campaign literature and mailings
PET petition circulating
PHO phone banks
POL polling and survey reseamh
POS postage, delivery and messenger services
PRO professional services (legal, accounting)
PRT print ads
SCHEDULE E (CONT.
MTG meefingsandappearances RAD radioaidimeandproductioncosts
I.D. NUMBER
SAL campaign workers salaries
TEL t.v. or cable airtime and production costs
TRC candidate trevel, lodging aod meals (explain)
TRS staff/spouse t ravel, lodging and meals (explain)
TSF transfer between committees of the same candidate/sponsor
VOT voter registration
3n Schedule D, SUBTOTAL
NAME AND ADDRESS OF PAYEE OR CREDITOR
{IF COMMITTEE, ALSO ENTER LO. NUMBERI CODE OR DESCRIPTIO,N OF PAYMENT AMOUNT PAID
FPPC Form 460 (8/99)
For Technical Assistance: 9'/6~322-5660
campaign Disclosure Statement
Summary Page
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Type or print in ink.
Amounts may be rounded
to whole dollars.
from
Contributions Received
1. Monetary Contributions ...................................................... Schedule A, Line 3
2. Loans Received ................................................................... Schedule B, Line 7
3. SUBTOTAL CASH CONTRIBUTIONS ................................... Add Lines I + 2
4. Nonmonetary Contributions ............................................... Schedule C, L/ne 3
5. TOTAL CONTRIBUTIONS RECEIVED .................................... AddLines3+4
SUMMARY PAGF
I.D, NUMBER
Column A Column B* Column C
mT^L THiS PERIOD TOTAL PSEVIOUS PERIOD TOTAL TO DATE
Expenditures Made
6. Payments Made .................................................................... $cheduleE, Line4 $ 4C) b~'~'l r~
7. Loans Made .......................................................................... Schedule H, Line 7 ~
8. SUBTOTALCASHPAYMENT$ ................................................ AddLines6+7 $ ~'~< ~
9. Accrued Expenses (Unpaid Bills) ............................................ Schedule F, Line 3 ~
10. Nonmonetary Adjustment ....................................................... ScheduleC, Line3 ~-~
11. TOTAL EXPENDITURES MADE ......................................... AddLInes8+9+10 $ ~0 ~.~'~( '~0
Current Cash Statement
12. Beginning Cash Balance ................................ Previous Summary Page, Line 16
13. Cash ~eceipts .............................................................. ColumnA,
14. Miscellaneous Increases to Cash ....................................... Schedule I, 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 iea termination statement, Line 16 must be zero.
17. LOAN GUARANTEES RECEIVED ................... Schedule B, Part I, Column (bi
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ..................................................... See instructions on reverse
19. Outstanding Debts ................................... Add Line 2 + Line 9 in Column C above
$ 8wz: , S"7
$_q 8' go
$ 0
$
$ 0
* From previous statement Summary Page, Column C. However, If this
is the first report filed for the calendar year, Column B should be blank
except for Loans Received (Line 2), Loans Made (Line 7}, and Accrded
Expenses (Line 9).
Summary for Candidates in Both June and
November Elections
1/1 Ihrough 6/30 7/1 to Oate
20. Contributions
Received ............ $
2t. Expenditures
Made .................. $
FPPC Form 460 {8/99)
For Technical Assistance: 916/~22-5660
, Schedule D
Summary of Expenditures
Supporting/Opposing Other
Candidates, Measures and Committees
SEE INSTRUCTIONS ON REVERSE
Type or print in ink.
Amounts may be rounded
to whole dollars.
NAME OF FILER
SCHEDULED
Page ~1~ of "7
I.D. NUMBER
DATE
CANDIDATE AN D OFFICE,
MEASURE AND JURISDICTION. OR COMMITrEE
~ Suppod [] Oppose
[] Support [] Oppose
[] Suppod [] Oppose
TYPE OF PAYMENT
[~ Monetary
Contribution
[] Non-Monetary
Contribution
[] ~ndependent
Expenditure
[] Monetary
Contribution
[] Non-Monetary
Contribution
[] Independent
Expenditure
[] Monetary
Contribution
[] Non-Monetary
Contribution
[] Independent
Expenditure
DESCRIPTION OF NONMONETARY
CONTRIBUTION
(IF REQUIRED)
AMOUNT THIS PERIOD
CUMULATIVEAMOUNT
Calendar Year
Other
Calendar Year
Other
Calendar Year
Other
SUBTOTAL
Schedule D Summary
1. Contributions and independent expenditures made this period of $100 or more. (Include all Schedule D subtotals.) ........................................ $
2. Unitemized contributions and independent expenditures made this period of under $100 .................................................................................. $
3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.) ........ TOTAL $
FPPC Form 460 (8~39)
For Technical Assistance: 916/~22-5660