HomeMy WebLinkAboutSULLIVAN SEMIANN11(1) AMENDRecipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200- 84216.5)
SEE INSTRUCTIONS ON REVERSE
Type or print in ink.
Statement covers; period
from Z-6��
through
1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4.
Officeholder, Candidate Controlled Committee
❑ Ballot Measure Committee
0 State Candidate Election Committee
0 Primarily Formed
0 Recall
0 Controlled
(A/so Compete Part s)
0 Sponsored
❑ General Purpose Committee
(Also Compete Part 6)
0 Sponsored
❑ Primarily Formed Candidate/
0 Small Contributor Committee
Officeholder Committee
0 Political Party/Central Committee
(Also Complete Part 7)
3. Committee Information
I.D. NUMBER
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
Jar✓cl�, � St�t1 ;��,� �� C.;� Co�,t�;I
COVER PAGE
Date Stamp
Date of election if appiicablet ° ^ ,
(Month, Day, Year) `� r ° ^ 3 �:'� 2: !� � Page of
�"
For Official Use Only
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 the best
certify under penalty of perjury under the 1 of the State of California that the foregoin
Executed on By
Executed on By Sig i Pan
Executed on
Date
2. Type of Statement:
❑ Preelection Statement ❑ Quarterly Statement
❑ Semi- annual Statement ❑ Special Odd -Year Report
❑ Termination Statement ❑ Supplemental Preelection
Amendment (Explain below) Statement - Attach Form 495
r'rtin�
Treasurer(s)
70, C4 [AI R-1 "�L"AV;Nc- n
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE /PHONE
OPTIONAL: FAX / E -MAIL ADDRESS
herein and in the attached schedules is true and complete. I
By
Signets otContoirg OtTiceholder, Cardidste, State Measure Proponent
Executed on Data By SoiaMe ofC-* dkgOrtiaftkler .Camkiate.StawMwourePr Wwd FPPC Form 460 (JurW01)
FPPC Toll -Free Helpline: 866)ASK -FPPC
State of California
Recipient Committee
Campaign Statement
Cover Page — Part 2
5. Officeholder or Candidate Controlled Committee
Type or print in ink.
NAME OF OFFICEHOLDER OR CANDIDATE
- ae�r-4 t",%t.'
OFFICE SOUGW OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
C1�24 C0nc,,\ V \ 6
RESIDENTIAII USINESS ADDRESS (NO. AND STREET)
Identify the controlling officeholder, candidate, or state measure proponent, if any.
NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT
OFFICE SOUGHT OR HELD I DISTRICT NO. IF ANY
COMMITTEE NAME I.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE? 7. Primarily Formed Committee List names of officeho /der(s) or candidates) for
E] F-1 NO
which this committee is primarily formed.
YES
COMMITTEE ADDRESS STREET ADDRESS (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 STREET ADDRESS (NO P.O. BOX)
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 (June/01)
FPPC Toll-Free Helpline: 866/ASK-FPPC
State of Calftmia
Campaign Disclosure Statement
Summary Page
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from
SUMMARY PAGE
SEE INSTRUCTIONS ON REVERSE through Page of
NAME OF FILER
� LD. NUMBER
Contributions Received
ColumnA
Column B
Calendar Year Summary for Candidates
TOTAL THIS PERIOD
(FROM ATTACHED SCHEDULES)
CALENDAR YEAR
TOTALTO DATE
Running In Both the State Prima and
9 Primary
N '6
O.O o
General Elections
1. Monetary Contributions ............ ...............................
schedule A, Line 3
$
$
2. Loans Received ....................... ...............................
schedule B. Line 3
`
1/1 through 6/30 7/1 to Date
3. SUBTOTAL CASH CONTRIBUTIONS ..................... "" Add Lines 1 + 2
$
$ -
20. Contributions
Received $ $
4. Nonmonetary Contributions .............. ......................
Schedule C, Line 3
(�
" l -J b
•
21. Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED ...........................
Add tines 3 + 4
$
$ 3 a o . o
Made $ $
Expenditures Made (([---///��� _
6. Payments Made ........................ ............................... Schedule E, Line 4 $ $ �� S
7. Loans Made .............................. ............................... Schedule H, Line 3 V �C
8. SUBTOTAL CASH PAYMENTS ..... ............................... Add Lines 6 + 7 $ O • $ K-O . J
9. Accrued Expenses (Unpaid Bills) ............................... Schedule F Line 3 • 7 t1R. 1
10. Nonmonetary Adjustment ........... ............................... Schedule C, tine 3 0.0
11. TOTAL EXPENDITURES MADE ................................ Add Lines 8 +9 +10 $ �i_� S +l� $ El o -7
Current Cash Statement
12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ O To calculate Column B, add
13. Cash Receipts .......................... ......................... Column A, Line 3 above amounts in Column A to the
corresponding amounts
14. Miscellaneous Increases to Cash ........................... Schedule 1, Line 4 v from Column B of your last
Q15. Cash Payments ......................... ......................... Column A, Line s above report. Some amounts in
�— Column A may be negative
16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ J 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, Pan 2 $ for this calendar year, only
cant' over the amounts
Cash Equivalents and Outstanding Debts from Lines 2, 7, and 9 (if
any).
18. Cash Equivalents ......... ............................... See instructions on reverse $
19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column B above $ T,
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made*
M Subject to voluntary Expenditure Limit)
Date of Election Total to Date
(mm /dd /yy)
I $
I $
I $
IJ $
I $
Since January 1, 2001. Amounts in this section may be
different from amounts reported in Column B.
FPPC Form 460 (Junei01)
FPPC Toll -Free Helpline: 86WASK -FPPC
T.. -- --
SCHFDLJLF R- PART 1
%icneauie is — rart i Amounts may be rounded
Statement covers period
_
Loans Received to whole dollars.
e I • '
from
e
SEE INSTRUCTIONS ON REVERSE
through
Page of
NAME OF FILER
I.D. NUMBER
FULL NAME, STREET ADDRESS AND ZIP CODE
OF LENDER
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
OUTSTANDING
BALANCE
AMOUNT
(e)
AMOUNT PAID
OUTSTANDING
OUTSTANDING
INTEREST
ORIGINAL
CUMULATIVE
OF COMMITTEE, ALSO ENTER I.D. NUMBER)
(IF SELF - EMPLOYED, ENTER
BEGINNING THIS
RECEIVED THIS
PERIOD
OR FORGIVEN
CLOSE OF THIS
PAID THIS
AMOUNT OF
CONTRIBUTIONS
NAMEOFBUSINESS)
RI OD
THIS PERIOD'
D
PERIOD
LOAN
TO DATE
`
` ` , A 1 ^ ,`
(�\�
\vQ
❑ PAID
136 b
�%
'�_
NDARYEAR
3a b 0
(_� es
0 0
RATE
ZIA
t&JIND ❑ COM ❑ OTH ❑ PTY ❑ SCC
\61
DATE DUE
DA
IN
URRED
❑ PAID
CALENDAR YEAR
❑ FORGIVEN
PER ELECTION **
RATE
tEl IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
S
S
S
S
$
DATE DUE
DATE INCURRED
❑ PAID
CALENDAR YEAR
❑ FORGIVEN
PERELECTION"y'
RATE
tEl IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
S
S
$
S
$
DATE DUE
DATE INCURRED
SUBTOTALS $ $ $ $ 7-
Schedule B Summary
1. Loans received this period ..................................................................................... ............................... $
(Total Column (b) plus unitemized loans 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 $ 0
Enter the net here and on the Summary Page, Column A, Line 2. (May be a negative number)
t Contributor Codes
IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other PTY— Political Party SCC — Small Contributor Committee
(Enter (e) on
Schedule E, Line 3)
'Amounts forgiven or paid by
another party also must be
reported on Schedule A.
— If required.
FPPC Form 460 (June /01)
FPPC Toll-Free Helpline: 8661ASK -FPPC
Schedule E
Payments Made
Type or print In ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from
69041 Vile
SEE INSTRUCTIONS ON REVERSE
CODE OR DESCRIPTION OF PAYMENT
AMOUNTPAID
through
I Page of
NAME OF FILER
I.D. NUMBER
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CWP
campaign paraphemalia/misc.
lVBR
member communications
RAD radio airtime and production costs
CNS
campaign consultants
MfG
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
FIL
candidate filing /ballot fees
PHO
phone banks
TRC candidate travel, lodging, and meals
FND
fundraising events
POL
polling and survey research
TRS staff /spouse travel, lodging, and meals
W
independent expenditure supportingiopposing 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
LIT
campaign literature and mailings
PRT
print ads
WEB information technology costs (internet, e-mail)
NAME AND ADDRESS OF PAYEE
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE OR DESCRIPTION OF PAYMENT
AMOUNTPAID
w
* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ �-V , J 0
Schedule E Summary
1. Payments made this period of $100 or more. (Include all Schedule E subtotals.) ................................................................... ............................... $
2. Unitemized payments made this period of under $100 ........................................................................................................... ............................... $ d '
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 Summa Page, Column A, Line 6.
P Y P ( ►Y 9 ) ............................. TOTAL S
FPPC Form 460 (June/01)
FPPC Toll -Free Helpline: 866/ASK -FPPC
Schedule F
Accrued Expenses (Unpaid Bills)
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from
through
SCHEDULEF
Page of
I.D. NUMBER
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
Clue
campaign paraphemalia/misc.
MBR
member communications
RAD
radio airtime and production costs
CNS
campaign consultants
MM
meetings and appearances
RFD
returned contributions
CTB
contribution (explain nonmonetary)*
OFC
office expenses
SAL
campaign workers' salaries
CVC
civic donations
PEf
petition circulating
TEL
t.v. or cable airtime and production costs
RL
candidate filing /ballot fees
PWD
phone banks
TRC
candidate travel, lodging, and meals
FND
fundraising events
POL
polling and survey research
TRS
staff /spouse travel, lodging, and meals
M
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
LIT
campaign literature and mailings
PRT
print ads
WEB
information technology costs (intemet, e-mail)
NAME AND ADDRESS OF CREDITOR
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE OR
DESCRIPTION OF PAYMENT
(OUTSTANDING
BALANCE BEGINNING
S
AMOUNT IN NCURRED
THIS PERIOD
(c)
AMOUNT PAID
THIS PERIOD
(
OUTSTANDING
BALANCE AT CLOSE
OF THIS PERIOD
(ALSO REPORT ON E)
OF THIS PERIOD
�e She!' n �ac ►�, c... s��.�GF'�
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7 �b Z�
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6S�13 =�y�
`Cv `•lDV
O,VO
.
�
* Payments that are contributions or independent expenditures must also be SUBTOTALS $ $ 1 -Lb�, (66 $ 6 $
summarized on Schedule D. �C
Schedule F Summary
1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for
accrued expenses of $100 or more, plus total unitemized accrued expenses under $ 100.) ............. ............................... INCURRED TOTALS $ �Q
2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on (� '
accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.) .. ............................... PAID TOTALS $
3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and n � (—\
onthe Summary Page, Column A, Line 9.) ................................................................................................................. ............................... NET $ MWmaenu F-
FPPC Form 460 (June /01)
FPPC Toll -Free Helpline: 866/ASK -FPPC