HomeMy WebLinkAboutSMITH 460 SEMIANN12(2)Recipient Committee
Campaign Statement
C over Page
(Government Code Sections 84200321, _2
SEE INSTRUCTIONS ON REVERSE
Type or print in ink.
Statement covers period
10/21/2012
through
12/31/2012
1. Type of Recipient Committee: AN commateea - complete Parts 1, 2, 3, and 4.
® Officeholder, Candidate Controlled Committee
❑ Primarily Formed Ballot Measure
Q State Candidate Election Committee
Committee
Q Recall
Q Controlled
(Also C- WW& Pad 5)
O Sponsored
(AWCoMO- Pot e)
❑ General Purpose Committee
Executed on
Q Sponsored
❑ Primarily Formed Candidate/
Q Small Contributor Committee
Officeholder Committee
O Political Party/Central Committee
(AW CO/n *b Part 7)
3. Committee Information
I.D. NUMBER
1348852
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
Bob Smith for Council 2012
STREET ADDRESS (NO P.O. BOX)
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
CITY STATE ZIP CODE AREA CODEIPHONE
OPTIONAL: FAX / E-MAIL ADDRESS
4. Verification
I have used all reasonable diligence in preparing and reviewing this statement and
under penalty of perjury under the laws of the State of California that the foregoing
Executed on
Dal
Executed on
Dab
ExmAed on
Dab
Executed on
Dab
By
By
Date Stamp
Date of eleb4bdfi��PPP bIo:
(Month, Day, Year' P 3: 38
t3AKE-kSF i i
11/6/2012 i 1 'J' ('1 t-n
2. Type of Statement:
❑ Preelection Statement
Semi - annual Statement
❑ Termination Statement
(Also file a Form 410 Termination)
❑ Amendment (Explain below)
COVERPAGE
Page of —
For Ofrroial Use Only
❑ Quarterly Statement
❑ Special Odd -Year Report
❑ Supplemental Preelection
Statement -Attach Forth 495
Treasurers)
NAME OF TREASURER
Debbie Camp
MAILING ADDRESS
NAME OF ASSISTANT TREASURER, IF ANY
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE /PHONE
OPTIONAL: FAX / E -MAIL ADDRESS
best oNv kpQledoe the in0rrjation contained herein gnd in the attached schedules is true and complete. I certify
BY Sip VA" of CorftbV 011whoMer, Cerrddab, Stake Measure Propwwd
BY Sowkae of Conkafrg Oftwhotler, Candideb. Stake Menaure Pmponont
FPPC Form 180 (.Iankrvyl06)
FPPC T*11 Free Helpline: WWASK4FPPC (8661276.1772)
Stab of cowarnis
Recipient Committee .. Type or print in Ink. COVER PAGE -PART 2
Campaign Statement FORM • 90 0
Cover Page — Part 2
5. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE
Bob Smith
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
Bakersfield City Council, Wand 4
RESIDENTIALIBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP
Related Committees Not Included in this Statement: List any commitess
not Included In this statemw# that are contr~ by you or are primartly formed to receive
contributions or make expenditures an behalf of your candidacy.
I.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
❑ YES ❑ NO
COMMTTTEEADDRESS STREETADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODEIPHONE
COMMITTEENAME
I.D. NUMBER
NAME OF TREASURER I CONTROLLED COMMITTEE?
❑ YES ❑ NO
COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
Page of
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, H any.
NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT
OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY
T. Primarily Formed Candidate /Officeholder Committee ust names of
onksholdWs) or candid8te(s) for which this committee Is primarily famed.
NAME OF OFFICEHOLDER OR CANDIDATE
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
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
❑ SUPPORT
❑ OPPOSE
Attach continuation sheets H necessary
FPPC Form 460 (January/"
FPPC To1FFree Helpilne: 8661ASK•FPPC (8661276-3772)
State of camfnmia
Campaign Disclosure Statement Type or print in ink. SUMMARY PAGE
Amounts may be rounded Statement covers period -
'Summary Page to whole dollars. I ,
10/21/2012 ••
Expenditures Made
To calculate Column B, add
6. Payments Made ........................ ...............................
from
12,165.63
7. Loans Made .............................. ...............................
schedule H, Line 3
0
8. SUBTOTALCASH PAYMENTS ..... ...............................
Add Lines 6 + 7 $
12,165.63
through
12/31/2012
Page of
SEE INSTRUCTIONS ON REVERSE
schedule C, Line 3
0
11. TOTAL EXPENDITURES MADE . ...............................
Add Lines a +9 + 10 $
12,165.63
NAME OF FILER
carry over the amounts
from Lines 2, 7, and 9 (if
I.D. NUMBER
Bob Smith for Council 2012
FPPC Forth 460 (January/05)
1348852
Column A
Column B
Calendar Year Summary for Candidates
Contributions Received
TOTALTMPMM
CALENDAR YEAR
TOTALTODATE
Running in Both the State Primary and
"GMATTACHEDSCHEDULES)
General Elections
1. Monetary Contributions ............ ...............................
schedule A, Line 3
2,325
$ $
43,635
0
7,800
1l1 through 6/30 7l1 to Date
2. Loans Received ....................... ...............................
schedule e, Line 3
3. SUBTOTAL CASH CONTRIBUTIONS .........................
Add Lines 1 +2
$ 2,325 $
50,475
20. Contributions
Received $ $
4. Nonmonetary Contributions ..... ...............................
Schedule C, Line 3
0
21. Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED ..•..•• ................••.•AddLines3
+4
$ 2,325 $
Made $ $
Expenditures Made
To calculate Column B, add
6. Payments Made ........................ ...............................
schedule E, Line 4 $
12,165.63
7. Loans Made .............................. ...............................
schedule H, Line 3
0
8. SUBTOTALCASH PAYMENTS ..... ...............................
Add Lines 6 + 7 $
12,165.63
9. Accrued Expenses (Unpaid Bills ) ...............................
schedule F, Line 3
0
10. Nonmonetary Adjustment ........... ...............................
schedule C, Line 3
0
11. TOTAL EXPENDITURES MADE . ...............................
Add Lines a +9 + 10 $
12,165.63
Current Cash Statement
12. Beginning Cash Balance ....................... Previous summary Page, Line 16 $ 18,746.41
13. Cash Receipts .................... ............................... Column A, Line 3 above 2,325
14. Miscellaneous Increases to Cash ........................... schedule 1, Line 4 0
15. Cash Payments ................... ............................... Column A, Line a above 12,165.63
16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ 8,905.37
If this is a termination statement, Line 16 must be zero.
17. LOAN GUARANTEES RECEIVED ........................... schedule B, Part 2 $ 12,200
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ......... ............................... see instructions on reverse $
19. Outstanding Debts ......................... Add Line 2 + Line s in Column 8 above $
7,800
$
42,569.22
0
$ 42,569.22
0
0
$ 42,569.22
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made*
(If Subject to MuMUry E>penmture Umt)
Date of Election Total to Date
(mm /dd /yy)
I J $
To calculate Column B, add
amounts in Column A to the
corresponding amounts
Amounts in this section may be different from amounts
from Column B of your last
reported in Column B.
report. Some 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).
FPPC Forth 460 (January/05)
FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772)
Sr_hpciule A Type or print In Ink. SCHEDULE A
Monetary Contributions Received Amounts may be rounded
ry to whole dollars.
Statement covers period
CALIFORNIA
10/21/2012
from
•
•
through 12/31/2012
Page of
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
I.D. NUMBER
Bob Smith for Council 2012
1348852
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
( IFCOMMITTEE , ALSO ENTER I.D.NUMBER)
CODE*
(IF SELF - EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
❑IND
VAR
See Attachment
❑COM
2,325
❑ 0TH
❑ PTY
❑ SCC
❑IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
❑IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
❑IND
[3Com
❑ 0TH
❑ PTY
❑ SCC
SUBTOTALS 2,325
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.
(Orlri I inac 1 nnrl 9 Fnfar harp 2nrl nn tha IQiimm:%ry Pomp (,nhimn A I ina 1 1 TnTAI
2,325
0
2,325
`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
Bob SMith for Council 2012
Attachment to Schedule'A'
Statement covers period from 10/21/2012 through 12/31/2012
Date Received
First
Last
Occupation
Address
City
State
Zip
Contributor
Code
Amount Received
this period
Total Received to
date
11/7/2012
Nancy
Cosyns
Homemaker
JOTH
I 1,000
1,000
(Total I 2325j
SCHEDULE B - PART 1
T N t I I k.
ype or p n n n
,Schedule B — Part 1 Amounts may be rounded
Statement Covell period
CALIFORNIA
460,
to whole dollars.
Loans Received
10/21/2012
from
•'
through 12/31/2012
Page of
SEE INSTRUCTIONS ON REVERSE
I.D. NUMBER
NAME OF FILER
Bob Smith for Council 2012
1348852
FULL NAME, STREET ADDRESS AND ZIP CODE
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
OUTSTANDING
BALANCE
AMOUNT
RECEIVED THIS
kl
AMOUNT PAID
OUT ANDING
BALANCEAT
INTEREST
PAID THIS
ORIGINAL
AMOUNT OF
s
CUMULATIVE
CONTRIBUTIONS
OF LENDER
(IF COMMITTEE ALSO ENTER LD. NUMBER)
OF SELF - EMPLOYED, ENTER
NAMEOFeUW4ESS)
BEGINNING THIS
PERIOD
OR FORGIVEN
THIS PERIOD"
CLOSE OF THIS
PERIOD
LOAN
TO DATE
[3 PAID
CALENDARVEAR
Bob Smith
Civil Engineer,
s 0
s 7,800
0
20,000
20,000
Business Owner
%
$
s
® FORGIVEN
RATE
PER ELECTION"
20,000
0
$ 12,200
12/2014
0
07/2012
s 20,000
to IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
$
s
$
DATE DUE
DATE INCURRED
❑ PAID
CALENDAR YEAR
$
3
%
$
=
❑ FORGIVEN
RATE
PER ELECTION"
S
$
s
s
s
DATE DUE
DATE INCURRED
t[:] IND [] COM C] OTH El PTY ❑ SCC
❑ PAID
CALENDAR YEAR
❑ FORGIVEN
RATE
PER ELECTION*"
t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
s
s
s
DATE DUE
DATE INCURRED
SUBTOTALS $ $ $ $
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 12,200
(Total Column (c) plus loans under $100 paid or forgiven.)
(Include loans paid by a third party that are also itemized on Schedule A.)
3. Net change this period. (Subtract Line 2 from Line 1.) 12,200
.................. NET S
(Mey � e n
Enter the net here and on the Summary Page, Column A, Line 2.
(Enter (e) -
Sdedre E, Line 3)
tContributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Smal Contributor Committee
'Amounts forgiven or paid by another party also must be reported on Schedule A.
required. FPPC Form 480 (Janwry/08i
If
FPPC Toll-Free Hslpiha: 666/ASK -FPPC (86612783772)
Schedule E
Payments Made
SEE INSTRUCTIONS ON REVERSE
Type or print In ink. Statement covers period CALIFORNIA
Amounts may be rounded
to whole dollars. from 10/1/2012 FORM
through 10/20/2012 paw of
NAME OF FILER �.U. numeeR
Bob Smith for Council 2012 1348852
CODES: If one of the following codes accurately describes the payment, you may enter the code.
Otherwise, describe the payment.
CNP
campaign paraphemalia/misc.
NM
member communications
RAD
radio airtime and production costs
CNS
campaign consultants
MTG
meetings and appearances
RFD
returned contributions
CTB
contribution (explain nonmonetary)*
OFC
office expenses
SAL
campaign workers' salaries
CVC
civic donations
PET
petition circulating
TEL
t.v. or cable airtime and production costs
FL
candidate filing/ballot fees
PHO
phone banks
TRC
candidate travel, lodging, and meals
FND
fundraising events
POL
poling and survey research
TRS
staff/spouse travel, lodging, and meals
W
independent expenditure supporting/opposing others (explain)*
POS
postage, delivery and messenger services TSF
transfer between committees of the same candidate/sponsor
LEG
legal defense
PRO
professional services (legal, accounting)
VOT
voter registration
LTr
campaign literature and mailings
PRT
print ads
WEB
information technology costs (Internet, e-mail)
* Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 12,368.45
Schedule E Summary
1. Itemized payments made this period. (Include all Schedule E subtotals.) ..... ............................... ........................................... ............................... $ 12,368.45
2. Unitemized payments made this period of under $100 ........................................................................................................... ............................... $
3. Total interest paid this period on loans. (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 $
0
0
12,386.45
FPPC Form 450 (January105)
FPPC Toll-Free Wpline: 555/ASK-FPPC (585/275.3772)
ATFAc4ffievr To s699M65 `5
IohahaZ - kzjw/ -x tz
Name of Payee
Payee Address
city
State
Zip
Description
Amount
2,500-00
Ryan Shultz
Voter Outreach Labor
504.00
'
Total
i 46