HomeMy WebLinkAboutSULLIVAN SEMIANN12(1) AMEND.teient Committee
Campaign Statement
.Cover Page
(Government Code Sections 84200- 84216.5)
SEE INSTRUCTIONS ON REVERSE
Type or print in ink.
Statement covers period
from _11 L LV L I �Or2
through �W� �Jv O
I. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4.
Officeholder, Candidate Controlled Committee ❑
Ballot Measure Committee
Q State Candidate Election Committee
O Primarily Formed
Q Recall
Q Controlled
(Also Complete Part 5)
Q Sponsored
General Purpose
❑ rpose Committee
(Also Complete Peft 6)
Q Sponsored ❑
Primarily Formed Candidate/
Q Small Contributor Committee
Officeholder Committee
Q Political Parry /Central Committee
(Al- Complete Part 7)
3. Committee Information
I.D. NUMBER
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
IlS,,
CITY STATE ZIP CODE AREA CODE /PHONE
OPTIONAL: FAX / E -MAIL ADDRESS
MAILING ADDRESS
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 st o y knowledge the information con ined herein and in the attached schedules is true and complete. I
certify under penalty of perjury under the laws of the State of California that the fore Ing is a and correct.
Executed on —q I ' 4 —
By
j SignaWreofTxeawreror T
Executed on ` By
r- c�.evs.— e.Y_---'-- ^- -- -- -- --
Executed on (/
Dale By SWmh—of Cord -W g ORicetx M Canddate, State Meea me Propabnt
Executed on
Date BY
Signeh+ oorCorAroiigOmoelwMar .Candda6e,SteleMeasxneProponerd FPPC Form 460 (June/01)
FPPC Toll-Free Helplins: 66WASK -FPPC
State of California
61
I
Recipient Committee
Campaign Statement
Cover Page — Part 2
S. Officeholder or Candidate [_nnfr.,uea r• ........:......
NAMES\ OF OFFICEHOLDER OR CANDIDATE
y�CJ [,, It— SGA 'UG`✓1
OFFICE SOUGLWOR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
Identify the controlling officeholder, candidate, or state measure proponent, if any.
NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT
Related Committees Not Included in this Statement: ust any commmees
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 Committee List names of officeho /der(s) or candidates) for
El YES r-1 NO
which this committee Is Primarily formed.
COMMITTEEADDRESS STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODEIPHONE
COMMITTEE NAME I.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
❑ YES ❑ NO
GUMMn I EE ADDRESS STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODEIPHONE
Attach continuation sheets if necessary
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
❑ SUPPORT
❑ OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
❑ SUPPORT
E] OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
❑ SUPPORT
❑ OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
❑SUPPORT
❑ OPPOSE
FPPC Form 460 (June/01)
FPPC Toll -Free Helpllne: 66WASK -FPPC
State of California
Jam,.
Campaign Disclosure Statement
Summary Page
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from
through
SUMMARY PAGE
Page of
I.D. NUMBER
Column A Column B Calendar Year Summary for Candidates
Contributions Received TOTALTM8PERM CALENDARYEAR Running in Both the State Prima and
(FROM ATTACHED SCHEDULES) TOTALTO DATE 9 Primary
71 , 6 �
1. Monetary Contributions ............ ............................... schedule A, Line 3 $ D $ General Elections
h 1! 1/1 through 6/30 7/1 to Date
2. Loans Received ....................... ............................... schedule B, Line 3 V U
3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 + 2 $ $ b 20. Contributions
Received $ $
4. Nonmonetary Contributions ..... ............................... schedule c, Line 3 6 . 21. Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 +4 $ O� $ \ �� V Made $ $
Expenditures Made _
6. Payments Made ........................ ............................... schedule E, Line 4 $ l�1 00
7. Loans Made .............................. ............................... schedule H, Line 3
8. SUBTOTAL CASH PAYMENTS ..... ............................... Add Lines 6 + 7 $ 6 0
9. Accrued Expenses (Unpaid Bills) ............................... schedule F Line 3
10. Nonmonetary Adjustment ........... ............................... schedule c, Line 3
11. TOTAL EXPENDITURES MADE .... ............................Add tines 8 + s + 10 $ . C%
Current Cash Statement
12. Beginning Cash Balance ....................... Previous summary Page, Line 16
$
'AR I , _'SS�
13. Cash Receipts .................... ............................... Column A, Line 3 above
14. Miscellaneous Increases to Cash ........................... schedule 1, Line 4
15. Cash Payments ................... ............................... Column A, Line 8 above
v
16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15
$
-
If this is a termination statement Line 16 must be zero.
17. LOAN GUARANTEES RECEIVED ........................... Schedule B, Part 2
$
V '
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ......... ............................... See instructions on reverse
$
O�
19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column B above
$
W
1 •a
r ►
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
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).
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made*
(If Subiectto Voluntary Expendkuro Umin
Date of Election Total to Date
(mm /dd/yy)
I $
$
I —�� $
—1 —J $
I . $
I $
*Since January 1, 2001. Amounts in this section may be
different from amounts reported in Column B.
FPPC Form 460 (June /01)
FPPC Toll -Free Helpline: 86WASK -FPPC
T-- w w.4-4 Iw L..16
Rr.WnH II F R _ PART 1
%A%V I=uu1a o —1-41 L 1 Amounts may be rounded
Statement covers period
'Loans Received to whole dollars.
CALIFORNIA • '
from
• '
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
Ib►
AMOUNT
(�)
AMOUNT PAID
OUTST DING
BALANCEAT
INTEREST
ORIGINAL
9
CUMULATIVE
OF COMMnTEE, ALSO ENTER I.D. NUMBER)
QFSELF- EMPLOYED,ENTER
NAMEOFBUSINESS)
BEGINNING THIS
RECEIVED THIS
PERIOD
OR FORGIVEN
CLOSE OF THIS
PAID THIS
AMOUNT OF
CONTRIBUTIONS
PERIOD
THIS PERIOD'
PERIOD
LOAN
TO DATE
JAC��/
❑ SCC
—�
$
DATE DUE
❑ PAID
CALENDARYEAR
❑ FORGIVEN
PER ELECTION*'
RATE
t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
S
S
S
S
S
DATE DUE
DATE INCURRED
❑ PAID
CALENDAR YEAR
❑ FORGIVEN
PER ELECTION"
RATE
t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
S
S
S
S
DATE DUE
DATE INCURRED
SUBTOTALS $ $ $ $
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 $
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
ctnter (e) on
Schadde 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: 866/ASK.FPPC
Schedule E Type or print in ink. Statement covers period
. Payments Made Amounts may be rounded
to whole dollars.
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
from
through
Page __s_— of
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•
NBR
member communications
RAD
radio airtime and production costs
CNS
CTB
campaign consultants
contribution (explain nonmonetary)'
MTG
OFC
meetings and appearances
office expenses
RFD
returned contributions
CVC
civic donations
PEr
petition circulating
SAL
TEL
campaign workers' salaries
t.v. or cable airtime and production costs
FL
candidate filing/ballot fees
PHO
phone banks
TRC
candidate travel, lodging, and meals
FND
IND
fundraising events
independent expenditure supporting/opposing others (explain)'
POL
POS
polling and survey research
postage, delivery and messenger services
TRS
TSF
staff /spouse travel, lodging, and meals
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 PAYEE
OFCOMMRTEE. ALSO ENTER I.D.NUMBER)
CODE OR DESCRIPTION OF PAYMENT
AMOUNT PAID
{r �j rtdc4� llt�- %C.AVI- o�!
L 1(C,d\ v\ Gv) : n t✓� Sel`
� V-1e-,e-,s
" Payments that are contributions or independent expenditures must also be summarized on Schedule D.
Schedule E Summary
SUBTOTAL $ -,\ 0 6
Payments made this period of $100 or more. (Include all Schedule E subtotals.) ................................................................... ............................... $
111W I OD
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 $ ob
FPPC Form 460 (June/01)
FPPC Toll -Free Helpline: 8661ASK -FPPC
SCHEDULE F
Schedule F Type or print in Ink. Statement covers period
Amounts may be rounded CALIFORNIA 460
Accrued Expenses (Unpaid Bills) to whole dollars. from • -
SEE INSTRUCTIONS ON REVERSE through Page --b— of (0
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.
MR
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
PEr
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 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 (Internet, e-mail)
NAME AND ADDRESS OF CREDITOR
(IF COMMrrTEE, ALSO ENTER I.D. NUMBER)
CODE OR
DESCRIPTION OF PAYMENT
(a)
OUTSTANDING
BALANCE BEGINNING
(b)
AMOUNT INCURRED
THIS PERIOD
(c)
AMOUNT PAID
THIS PERIOD
(d)
OUTSTANDING
BALANCE AT CLOSE
OF THIS PERIOD
(ALSO REPORT ON E)
OF THIS PERIOD
* Payments that are contributions or independent expenditures must also be SUBTOTALS $ $ $ $
summarized on Schedule 0.
Schedule F Summary
1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for D ('� c)
accrued expenses of $100 or more, plus total unitemized accrued expenses under $ 100.) ............. ............................... INCURRED TOTALS $ V��
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 $ y
3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and
onthe Summary Page, Column A, Line 9.) ................................................................................................................. ............................... NET $ �V V
May be a negative number
FPPC Form 460 (June/01)
FPPC Toll -Free Helpline: 8661ASK -FPPC