HomeMy WebLinkAboutSMITH SEMIANN13(1)t R
Recipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200- 84216.5)
SEE INSTRUCTIONS ON REVERSE
Type or print in ink.
Date Stamp
Statement covers period Date of election if applicable: I '
from 1/1/2013 1 (Month, Day, Year J iJj f t I 19: 3
through 6/30 /2013
1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4.
® Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure
Q State Candidate Election Committee Committee
0 Recap 0 Controlled
(Al- Comp/atePart5) O Sponsored
(Also Complete Pert 6)
❑ General Purpose Committee
Q Sponsored ❑ Primarily Formed Candidate/
Q Small Contributor Committee Officeholder Committee
Q Political Party/Central Committee (Al- CornpletePart 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 CODE /PHONE
OPTIONAL: FAX / E -MAIL ADDRESS
4. Verification
I have used all reasonable diligence in preparing and reviewing this statement and to
under penalty of perjury undei the laws of the State of California that the foregoing is I
Executed on _3 J By
Executed on
Data
Executed on
Date
Executed on
Data
By
1
COVER PAGE
Page 1 of 4
For Official Use Only
2. Type of Statement:
❑ Preelection Statement ❑ Quarterly Statement
m Semi - annual Statement ❑ Special Odd -Year Report
❑ Termination Statement ❑ Supplemental Preelection
(Also file a Form 410 Termination) Statement - Attach Form 495
❑ Amendment (Explain below)
Treasurer(s)
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
contained he+ein and in the attached schedules is true and complete. I certify
By
Signature of CmlroXing OficehoMer, Candidate, State Measure Proponent
By
Signature of ControkV Oficetnaer, Candidate, State Measure Proponent FPPC Fort 460 (January/05)
FPPC Toll -Free "piing: 866/ASK -FPPC (66612753772)
State of Callfomis
Recipient Committee
Campaign Statement
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) BALLOT NO. OR LETTER I JURISDICTION I ❑ SUPPORT
Bakersfield City Council, Ward 4 ❑OPPOSE
RESIDENTIAUBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP
Identify the controlling officeholder, candidate, or state measure proponent, if any.
NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT
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 OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY
contributions or make expenditures on behalf of your candidacy.
COMMITTEE NAME I.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE? 7- Primarily Formed Candidate /Officeholder Committee List names of
ofFceholder(s) or candidates) for which this committee is primarily formed.
❑ YES ❑ NO
COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
COMMITTEE NAME I.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
❑ YES ❑ NO
COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX)
Type or print in ink.
COVER PAGE - PART 2
IPage 2 of 4
6. Primarily Formed Ballot Measure Committee
NAME OF BALLOT MEASURE
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
CITY STATE ZIP CODE AREA CODEIPHONE Attach continuation sheets if necessary
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275 -3772)
State of California
Campaign Disclosure Statement Type or print in ink.
Amounts may be rounded
Summary Page to whole dollars.
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Bob Smith for Council 2012
SUMMARY PAGE
Statement covers period -
FORM � 6 1
from 1/1/2013
through 6/30/2013 Page_ of 4
I.D. NUMBER
1348852
Column A
Column B
Calendar Year Summary for Candidates
Contributions Received
TOTALTHISPERIOD
CALENDAR YEAR
Primary
Running in Both the State Prima and
(FROM ATTACHED SCHEDULES)
TOTALTO DATE
D
General Elections
1. Monetary Contributions ............ ............................... Schedule A, Line 3
$
0
$ 0
1/1 through 6/30 7/1 to Date
2. Loans Received ....................... ............................... Schedule B, Line 3
0
7800
3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add tines 1 + 2
$
0-
$ 7800
20. Contributions
Received $ $
4. Nonmonetary Contributions ..... ............................... schedule c, Line 3
21. Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED ......• ••••• .............••AddLines3 +4
$
0
$ 7800
Made $ $
Expenditures Made
Expenditure Limit Summary for State
6. Payments Made ........................ ............................... Schedule e, Line 4
$
0
$ 0
Candidates
7. Loans Made .............................. ............................... Schedule H, Line 3
0
0
22. Cumulative Expenditures Made'
8. SUBTOTAL CASH PAYMENTS ..... ............................... Add Lines 6 +7
$
$ 0
(H Subject to voluntary Expendtture Limit)
9. Accrued Expenses (Unpaid Bills) ............................... Schedule F Line 3
0
0
Date of Election Total to Date
0
0
(mm /dd /yy)
10. Nonmonetary Adjustment ........... ............................... Schedule c, Line 3
11. TOTAL EXPENDITURES MADE .... ............................Add Lines 8 + 9 + 10
$
0
$ 0
$
$
Current Cash Statement
8905-37
12. Beginning Cash Balance ....................... Previous Summary Page, Line 16
9 9
$
To calculate Column B, add
13. Cash Receipts .................... ............................... Column A, Line 3 above
0
amounts in Column A to the
0
corresponding amounts
*/Mounts in this section may be different from amounts
14. Miscellaneous Increases to Cash ........................... schedule 1, Line 4
from Column B of your last
reported in Column B.
15. Cash Payments ................... ............................... Column A, Line 8 above
0
report. Some amounts in
Column A may be negative
16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15
$
8905-37
figures that should be
subtracted from previous
If this is a termination statement, Line 16 must be zero,
period amounts. If this is
the first report being filed
17. LOAN GUARANTEES RECEIVED ........................... Schedule B, Part 2
$
for this calendar year, only
carry over the amounts
from Lines 2, 7, and 9 (if
Equivalents and Outstanding Debts
Cash E
4 9
any).
18. Cash Equivalents ......... ............................... See instructions on reverse
$
0
19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column B above
$
7,800
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275-3772)
SCHEDULEB -PART1
Schedule B - Part 1 punt �m may b ��� u
Amounts may be rounded
Statement covers period
0
Loans Received to whole dollars.
1/1/2013
• - M
from
6/30/2013
4 4
SEE INSTRUCTIONS ON REVERSE
through
page of
NAME OF FILER
I.D. NUMBER
Bob Smith for Council 2012
1348852
FULL NAME, STREET ADDRESS AND ZIP CODE
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
OUTSTANDING
BALANCE
AMOUNT
AMOUNT PAID
OUTSTANDING
BALANCE AT
INTEREST
ORIGINAL
CUMULATIVE
CONTRIBUTIONS
OF LENDER
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
(IF SELF - EMPLOYED, ENTER
BEGINNING THIS
RECEIVED THIS
PERIOD
OR FORGIVEN
CLOSE OF THIS
PAID THIS
PERIOD
AMOUNT OF
LOAN
TO DATE
NAME OF BUSINESS)
THIS PERIOD'
❑ PAID
CALENDARYEAR
Bob Smith
Civil Engineer;
$ 0
$ 7,800
0
$ 0
❑FORGIVEN
PER ELECTION"
$ 7,800
$ 0
$ 0
12/2014
$ 0
07/2012
$20,000
tN IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
DATE DUE
DATE INCURRED
❑ PAID
CALENDARYEAR
❑ FORGIVEN
PER ELECTION+s
RATE
s
$
$
s
$
DATE DUE
DATE INCURRED
t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
❑ PAID
CALENDAR YEAR
❑ FORGIVEN
PERELECTION-
RATE
$
$
$
$
$
I
I
I DATE DUE
t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
I
I
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 .......................................................................... ............................... $
(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.) ................................ ............................... NET $
Enter the net here and on the Summary Page, Column A, Line 2.
'Amounts forgiven or paid by another party also must be reported on Schedule A.
If required.
I
U
(May be a negative number)
(cmer Iel un
Schedule 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 —Small Contributor Committee
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK -FPPC (866/275 -3772)