HomeMy WebLinkAboutBPPAC SEMIANN00(1) ecipient Committee
Campaign Statement
(Government Code Sections 84200-84216.5)
Type or print In ink.
SEEINSTRUCT~NSONREVERSE
Ifrom
rou°h
1. Type of Recipient Committee: All Committees- Complete Parts 1, 2, 3, and 7.
[] Officeholder, Candidate
Controlled Committee
(Also Complete Part 4J
[] Ballot Measure Committee
O Primarily Formed
O Contmited
O Sponsomd
(Also Complele Pad 5.)
[] Primarily Formed Candidate/
Officeholder Committee
(Also Complete Part S.)
~ General Purpose Committee
~0 Sponsomd
Broad Based
3. Committee Information
COMMII~'EE NAME
STREET ADDRESS (NO RO. BOX)
CITY STATE ZIP COOE
STATE ZIP C~E
OPTIONAL: FAX / E-MAIL ADDRESS
AREACODE~*HONE
AREA CODE/PHONE
Date of election if applicable:
(Month, Day, Year)
D~eSlamp
30 JUL 26 Pi112:1
,KERSFIELO CITY CLI~
2. Type of Statement:
[] Pm-election Statement
· ~. Semi-annual Statement
[] Termination Statement
[] Amendment (Explain below)
Treasurer(s)
NAME OF TREASURER
MAILING ADDRESS ~'
CITY STATE
NAME OF ASSISTANT TREASURER, IF AN'(
COVER PAGE
For official Use Only
[] Quarterly Statement
[] Special Odd-Year Report
[] Supplemental Pre-election
Statement ~ Attach Form 495
ZIP CCOE
ADDRESS
FPPC Form 450 (8/99)
For Technical Aeeletance: 916/3~2o$650
State of California
Recipient Committee
Campaign Statement
Cover Page -- Part 2
4. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDAr E
Type or prlntln ink.
5. Ballot Measure Committee
NAME OF BALLOT MEASURE
COVER PAGE-PART2
Page '~ of ~
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
RESIDENTIAL~USINESS ADDRESS (NO. AND STREET) CITY STARE ZIP
Related Committees Not Included in this Statement: Llstanycommlttee9
not Included In thl9 consolidated statement the t are controlled by you or which are primarily
formed to receive contributions or to make expenditures on beheff of your candidacy.
COMMrFrEE NAME I.D. NUMBER
NAME O~ TREASURER CONTROl_LED COMMITTEE?
[] y~s [] NO
COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
BALLOT NO. OR LET[ER I JURISDICTION
[]SUPPORT
i-]OPPOSE
Identify the conbolling 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 Llstnamesofofficeholder(s)orcendldate(;)
for which this committee Is primarily formed,
NAME OF OFFICEHOLDER OR CAND!OATE
NAME OF OFFICEHOLDER OR CANDIDATE
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
OFFICE SOUGHT OR HELD
OFFICE SOUGHT OR HELD
F-IsuPPOHT
[]OPPOSE
[]SUPPORT
[]OPPOSE
[:]SUPPORT
[]OPPOSE
Affach con#nua#on sheets ff necsssary
7. Verification
I have used ali reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein and in the attached schedules
is true and complete. I certify under penalty of perjuly under the laws of the State of California that the foregoing is true and correct.
DATE ~ / ~ /' SIGNATU'-I~EOFI~EASURERORASSlSTANTII~EASURER
DATE SIGNATURE OF CON?ROLU~3 OFFICEHOLDER, CANOI DATE,~rA~ MEASURE PROPONENT OR RESPONSIBLE OFFICER OF SPONSOR
By ~
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT ~
By
Executed on
Executed on
Executedon
Executed on
OATE
DATE
FPPC Form 460 (8/99)
For Technical Assistance: 916/322-5560
State of Catifornla
Campaign Disclosure Statement
Summary Page
SEE INSTRUCTIONS ON REVERSE
Type or print In Ink,
Amounts may be rounded
to whole dollars.
NAME OF FILER
Contributions Received
1. Monetary Contributions ...................................................... ScheduleA, Line 3
2. Loans Received ................................................................... Schedule B, Line 7
3. SUBTOTAL CASH CONTRIBUTIONS ................................... ,~ddLInes t +2
4. Nonmonetary Contributions ............................................... Schedule C, Line 3
5, TOTAL CONTRIBUTIONS RECEIVED .................................... AddLInes 3 + 4
Column A
TOTAL ~cHIS PERIOD
(F.o~ ^rr^cHED SCHEDULES)
Page
I.D. NUMBER
SUMMARY PAGE
Column B* Column C
TOTAL PREV/CUS PERIOD TOTAL TO DATE
Expenditures Made
6. Payments Made .................................................................... Schedule E, Line 4 $
7. Loans Made .......................................................................... Schedule H, Line 7
8. SUBTOTAL CASH PAYMENTS ................................................ ,~ddLInes6+? $
9. Accrued Expenses (Unpaid Bills) ............................................ Schedule F, Line 3
10. Nonmonetary Adjustment ....................................................... Schedule C, Line 3
11. TOTAL EXPENDITURES MADE ......................................... AddLIneeS+9+10 $
Current Cash Statement
t 2. Beginning Cash Balance ................................ Previous Summery Page, Line 16
13. Cash Receipts .............................................................. Column A, Line 3 above
14. Miscellaneous Increases to Cash ....................................... Schedule I, Line 4
1 5. Cash Payments ............................................................ Column A, Line 8 above
16. ENDING CASH BALANCE .............. Add Llnes 12+ 13+ 14, then subtract LIne 15
If this is a termination statement, Line 16 must be zero.
17. LOAN GUARANTEES RECEIVED ................... Schedule a, Part I, Column (b) $
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ..................................................... see instructions on reverse $
19. Ouistanding Debts ................................... Add Line 2 + Line 9 in Column C above $
$
· 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 Accrued
Expenses (Line 9).
Summary for Candidatesjn Both June and
November Elections
111 through 6/30 7/1 to Da~e
20. Contributions
Received ............$ ~. .:~
21.' Expenditures
Made: ................. $
FPPC Form 460 (8/99)
For Technlcal Assistance: 916/~22-$660
Schedule A Type or print In ink. SCHEDULE A
Amouma may ne rounee. Sta;,~en; covia period I
Moneta~ Contributions Received towholedollars.
IF AN INDIVIDUAL. ENTER AMOUNT CUMU~TIVE~O DATE CUMU~TIVE TO DATE
DATE FULL NAME, MAILING ADDRESS AND ZIP CODE OF CON~IB~OR CONTRIB~OR ~CUPATION AND EMPLOYER RECEIVED ~IS CALENDAR YEAR O~ER
RECEIVED (IF C~I~EE, A~O ENTER LO. NUMBER) CODE * (IF SE~.~M~OYEO, ENTER N~E PERIOD (JAN. 1 - DEC. 31} (IF APPLICABLE)
OF BUSINE~)
~ IND e o
o / o o
D nTH
~ IND ~ ~
D nTH
~ OTH
~IND
~-~- ~e D cou
D ~ND
~ OTH
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 pedod.
(Add Lines I and 2. Enter here and on the Summary Page, Column A, Line 1.) ................... TOTAL
IND- Individual
COM - Recipient Committee
nTH - Other
FPPC Form 460 (8/99)
For Technical Assistance: 916/~22-5660
' Schedule A (Continuation Sheet) Typecrprlntlnlnk: SCHEDULEA (CONT.)
Monetary Contributions Received Amounts may De rounDeD Statement covers period
to whole dollars, from '~2-e/~0~ j j~l
NAME OF FILER UM
IF AN INDIVIDUAL, ENTER AMOUNT CUMU~TIVE T~ D~E CUMU~TIVE TO DATE
DATE FULL NAME. MAILING AODRESS AND ZIP CODE OF CONTRIB~OR CONTRIB~OR ~CUPATION AND EMPLOYER RECEIVED ~IS CALENDAR YEAR OTHER
RECEIVED (IFCO~i~EE. AGOE~ERI.O.N~[R) CODE e (IFS~LF-EM~OYED. ENTERN~E PERIOD (JAN ~ - DEC 31) (IFAPPLICABLE)
OF ~USINESS)
~IND
~IND
~ IND
I IlO&
D IND
~ COM
~ OTH
D IND
~ COM
~ OTH
~ IND
~ COM
~ OTH . ' ~
SUBTOTAL
'Contributor Codes
IND -Individual J
COM - Recipient Committee
J
OTH- Other I
FPPC Form 460 (8/99)
For Technical Assistance: 916~322-5660
Schedule I
Miscellaneous Increases to Cash
Type or print in ink.
Amounts may be rounded
to whole dollars.
SEE INSTRUCTIONS ON REVERSE
Statement covers period
from ~'~/~Z-~f~)
SCHEDULEI
Page ,~ of '~
NAME OF FILER I.D. NUMEER
AMOUNT OF
DATE FULL NAME AND ADDRESS OF SOURCE DESCRIPTION OF RECEIPT
RECEIVED (iF COMMITTEE. ALSO ENTER I.O. N~"MBER) INCREASE TO CASH
Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ ~. ~ 7,~'"'
Schedule I Summary "
1. Increases to cash of $100 or more this period ........................................................................................................... $~,
2. Unitemized increases to cash under $100 this pedod ............................................................................................... $
3. Total of all interest received this period on loans made to others. (Schedule H, Part 2 (b).) .................... ; ............ $
4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the
Summar~ Page, Line 14.) ........................................................................................................................... TOTAL
FPPC Form 460 (8/99)
For Technical Assistance: 916/322-5660