HomeMy WebLinkAboutDICKERSON SEMIANN05(1) (2)
-:. I-
Recipient Committee
.' Campaign Statement
'Cover Page
(Government Code SectIons 84200-84216.5)
Type or print In Ink.
from
SEE INSTRUCTIONS ON REVERSE
through
1. Typ Recipient Committee: All c-aa... - CompIeIe Parts 1,2. 3, and 4.
OtrIceholder. Candidate Controlled CommIttee 0 Primarily Formed Ballot Measure
o State Canclldate Electlon Committee CommIItee
o Recall 0 Controlled
(AIIo~PM5J o Sponsored
(A/ID CclrrflIIIC8 PM 0)
o General Purpose CommIttee
o Sponsored.
o Smaa ContrIbutor Committee
o Political P8'tylCentral Committee
o Primarily FOI'I1'ft!d Candldatel
OffIceholder Committee :
(A/Io~PIllf7)
3. Committee Information
~~~SNa~)\
CITY
STATE ZIP CODE
AREA CODE/PHONE
OPTIONAl: FAX / E-MAIL ADDRESS
COVER PAGE
Dele Stamp
Date of election If applicable:
(~r; 8:' D::~F~[ll~ C~~y8:[5[ 'h
2. Type of Statement:
o P~StaternM
~nualStatement
o Term/nationStatemert
(Also file 8 Form 410 Tennlnatian)
o Amendment (Explain below)
o Quarterly Statement
o SpecfaI Odd-Year Report
o Supplemental Preelection
Statement . Attach Form 495
Treasurer(s)
NAME OF TR~~R ,""", J I _ I
M~~Ut::~N
MAILING2.
MAILING ADDRESS
CITY
STATE ZIP CODE
AREA CODE/PHONE
OPTIONAL: FAX E-MAIL ADDRESS
4. Vertficatlon
I have used all re8$OO8b1e dil~ In preparing and reviewing this statement and to the best of my knowIecI.I6
Wlder penaly of P8l:Iury under of the Stateof California that the foregoing is true and correct.
ExecutecI on
SlpIanafCannllng
".'I;...'~
By
ExecutecI on
By
ExeaMd on
8y
0IIIa
EIC8QIted on
By
___afCalldrvQlcohabW.~,.........Pnlpann
0IIIa
herein and in the attached schedules Is true and complete. I certify
.......l'IapaMnlotRllpariilliliOlllclrd Spcnot
~afConllllllrvOllclhaldlr. CIndIIWt..........Pnlpann
FPf'C F_"'~
FPPC ToII-F... .........: IMIASK-FPPC (llll27W772)
Staet of CaIfomII
Type or print In Ink.
.' Recipient Committee
. Campaign Statement
Cover Page - Part 2
5. Officeholder or Candidate Controlled Committee
NAMEV;Q~~~C}N ~/12..f
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
RESIDENTIAUBUSINESS ADDRESS (NO. AND STREET) CITY STATE
-
~,
COMMITTEE NAME
1.0. NUMBER
NAME OF TREASURER
CONTROLlED COMMITTEE?
DYES ONO
STREET ADDRESS (NO P.O. BOX)
COMMITTEE ADDRESS
CITY
STATE
ZIP CODE
AREA COOEJPHONE
COMMITTEE NAME
LD. NUMBER
NAME OF TREASURER
CONTROUEDCOMMITTEE?
DYES ONO
STREET ADDRESS (NO P.O. BOX)
COMMlTTEEADDRESS
CITY
STAlE
ZIP CODE
AREA COOEIPHONf
COVER PAGE - PART 2
6. Primarily Formed Ballot Measure Committee
NAME OF BALLOT MEASURE
BALlOT NO. OR LETTER
I JURISDICTION
18=T
Identify the controlling offtceholder, candidate, or state measure proponent, If any.
NAME OF OFFICEHOLDER, CANDIDATE. OR PROPONENT
OFFICE SOUGHT OR HELD
I DISmlCT. NO. IF ""
7. Primarily Formed Candidate/Officeholder Committee LIst nemes 01
offIcehoIdet(s} or candldatela} foI wItIch this comm/ttM Is ptlmerlIy fwmed.
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD D SUPPORT
o OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD D SUPPORT
D OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD o SUPPORT
D OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD D SUPPORT
o OPPOSE
Attach continuation sheets H INCUHI)'
FPPC,..... (~
FPPC Tou.F... HeIpIIna: aeetAaK.fIiJt (lIIII27W772)
..... oI~
.' Campaign Disclosure Statement
,Summary Page
SEE INSTRUCTIONS ON REvERSE
NAME OF FLER
'TYpe or print In Ink.
Amounts may be rounded
to whole dollar..
~ '\)\LkdL~
Contributions Received
1. Monetary Contributions ........................................... Schedule A, Une 3 S
2. Loans Received ...................................................... Schedu/f/ B. Une 3
3. SUBTOTAL CASH CONTRIBUTIONS ......................... AddLirJq1,;t2. $ .',
4. Nonmonetary Contributions .................................... Schedule c, Une 3
5. TOTAl CONTRIBUTIONS RECEIVED ........................... Add Lines 3 + 4 S
Expenditures Made
6. Payments Made ....................................................... Schedule E. Une 4 S
7. Loans Made ............................................................. Schedule H. Une 3
8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6 + 7 S
9. Accrued Expenses (Unpaid Bills) ............................... Schedule F. Une 3
10. Nonmonetary Adjustment .......................................... Schedule C. Une 3
11. TOTAl EXPENOITURES MADE ................................Add Una 8 + 9 + 10 $
Current Cash Statement
12. Beginning Cash Balance ....................... PtevIousSunm8l)'Page. Une 16 $
13. Cash Receipts ................................................... Coh.rnn A. Line 3 above
14. Miscelaneous Increases to Cash ........................... Schedule I. Line 4
15. Cash Payments .................................................. CoIcnIn A. Line 8 above
16. ENDING CASH BALANCE .......... Add Lines 12 "'13 + 14. then subtract line 15 $
If this Is a tennlneOOn statemett, Une 16 must be zetO.
17. LOAN GUARANTEES RECEIVED ........................... Schedule B. Patt 2 $
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ........................................ See 1natvcfJofJs on ~ $
19. Outstanding Debts ......................... Add UIe 2 + U. IIi! CcIUm B eo.. $
ColumnA
TOTAl. THIS PERIOD
(FROMATTAOlEDSCHEDULESI
~
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,-8-
~
0-
G
~
--9-
-e-
--e-
-Q-
~4'1C
from
through
GNM1'"V
Column B
CALEN:lAA YEAR
TOTAl. TOllATE
s
$
$
$
$
$
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
Slj)tracted from previous
period amounts. If this Is
the tlrat report being filed
for this calendar year, only
any CMtl' the amounts
fnxn LNs 2, 7. and 9 (If
any).
SUMMARY PAGE
CALIFORNIA 460
FORM
page!.3 Of-1
I.D.NUMBER
2
Calendar Year Summary for Candidates
Running In Both the State Primary and
General Elections
1/1 through 6130 7/1 to Dale
20. Contributions -8- -6-
Received $ $
21. Expenditures -0 ~
Made $ $
expenditure Limit Summary for State
Candidates
22. Cumulative Expenditure. Made-
C1fllubJectto VDIunllIry ~ LImit)
Date of E1ection
( I'I)I11/ddJyy)
----1----1_
----1----1_
Total to Date
$
$
*Amounts In this section may be different from amounts
reported In Column B.
FPPC Form 480 (JanuaryIOS)
FPPC ToR-F,.. HelplIne: 888IASK-FPPe(8861275-3772)
. .
.' Schedule B - Part 1
, Loans Received
Type or print In Ink.
Amounts may be rounded
to whole dollars.
Statamant c
SCHEDULE B-PART 1
from
CALIFORNIA 460
FORM
FULL NAME. STREET ADDRESS AND ZIP CODE
OF LENDER
(FCXlINTTEE. AUlO ENTER 1.0. NUMIlER)
I AN INDIVIDUAL. ENTER
OCCUPATION AND EMPLOYER
(IF SEI.F-aFLOYED. ENTER
NAME OF lIUSINESS)
OUT ~NG (II) (e) OUT
BALANCE AMOUNT AMOUNT PAID BALANCEAT
BEGINNING THIS RECEIVED THIS OR FORGIVEN CLOSE OF THIS
PERIOD THIS PERIOD ·
.
INTEREST
PAID THIS
PERIOD
1.0. NUMBER
~Il?-I
.
ORIGINAL CUMUlATIVE
AMOUNT OF CONTRIBUTIONS
LOAN TOCAlE
CALENDAR YEAR
S S
PER ELEC11ClH"
~~ .:&-
$
CALENOARYEAR
$
PER El.ECTIOH"
S
DATE INCURRED
SEE INSTRUCTIONS ON REVERSE
NAME OF FUR
N Rsf2,~.\) \
through
(({j;t~ {;:..~
(c.N~v'V\ ,\""(WE-
t-J.-aLN ~~ f\lUi~
~.flS~~a ~.. AC
~~~ ?~'-FEZ
t~ DOOM oOTH 0 PTY 0 scc
o PAlO
to lNO 0 COM 0 OTH 0 PTY 0 see
$
S $ _'l
o FORGIVEN RATE
e- $ -e- S:W;Z- -e-
s $
DATE DUE
o PAID
S S _%
o FORGIVEN RATE
S
DATE DUe
o PAlO
S
OFORGlVEH
CALENDAR YEAR
s
"_%
RATE
s
s
PER El.ECTIOH"
to IND 0 COM 0 OTH 0 PTY 0 SCC
s
s
s
$
s
DATE DUE
DATE INCURRED
SUBTOTALS $
$
$ 32.;4'12..$
Schedule B Summary
1. Loans received this period ....................... ............... ................................................ .............................. $
(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 Schedute A.)
3. Net change this period. (Subtract Une 2 from Line 1.) ............................................................... NET $
Enterthe net here and on the Summary Page, Column A, Line 2.
( ~~ or peId by another party 11Io ...... be reported on Sc:heduIe A. ]
(Enter (.)on
SchedlHE. u.3)
.:e--
tContrlbutor Codes
INO -individual
COM - RecIpIent Committee
(other Ihan PTY or SCC)
OTH - Other (e.g.. business entity)
PTY - PollicaI party
see - SmaI Conlributor CommIttee
~
,..e-
(Mar ...........->
FPPC F';. (.Janu.yI05)
FPPC ToIl-Free Helpline: IIIIASK-FPPC (lMl27W~)
August 10, 2005
City of Bakersfield
City Clerk
1501 Truxtun Ave.
Bakersfield, CA 93301
Dear City Clerk,
THE LAw OFFICES OF
MARK DICKERSON
SANTA CLARITA I VALENCIA OFFICE
.
.'
The report is late as a result of myself being out of state at the time the report was due.
Very truU/l
Mark Dickerson
Mmd/ead
l