HomeMy WebLinkAboutSULLIVAN SEMIANN14(2)Re04pient Committee
ampaign Statement
Cover Page
(Government Code Sections 84200 - 84216.5)
from
SEE INSTRUCTIONS ON REVERSE I through
Type or print in ink
covers period
1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and a.
V- Officeholder, Candidate Controlled Committee ❑
Q State Candidate Election Committee
Q Recall
(Also complete Pert s)
❑ General Purpose Committee
Q Sponsored
Q Small Contributor Committee
Q Political Party /Central Committee
3. Committee Information
Ballot Measure Committee
Q Primarily Formed
Q Controlled
O Sponsored
(Also complete Part 6)
❑ Primarily Formed Candidate/
Officeholder Committee
(Al- Complete Part n
I.D. NUMBER
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
��(- - u►c. GLA -Nom. -C6 C Ccjt,' �,c;,
CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX / E -MAIL ADDRESS
Date of election if applicable:
(Month, Day, Year) 15
2. Type of Statement:
❑ Preelection Statement
- annual Statement
Termination Statement
❑ Amendment (Explain below)
Date Stamp
-2 PM 4: 06
COVER PAGE
Page of _
For Official Use Only
❑ Quarterly Statement
❑ Special Odd -Year Report
❑ Supplemental Preelection
Statement - Attach Form 495
Treasurer(s)
NAME OF TREASURER
MAILING ADWIESS .�
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 best ;'�knowledge the information contained in and in the attached schedules is true and complete. I
certify under penalty of pe 'ury un er1 the laws of the State of California that the foregoin and correct.
Executed on l " I v `!
By
Sipnabra of Treasurer reesurer
Executed on t ` By
r LT Signabae of Conhu" OM-holder, Cardkiaie, Slate Meastae Proponentor Resporesible Olrrcerof Sponsor
Executed on By Dais Sombre of Conboig OMmhokler, Cerddate, Stste Mesm" ProponeM
Executed on By Dais Sig Wk-of CorAoWq Off1 -hMer, Cardidsie, Stam meew" Proponent FPPC Form 460 (June/01)
FPPC Toll -Free Helpiins: 666/ASK -FPPC
State of California
1
c Type or print in ink. COVER PAGE - PART 2
Recipient Committee
Campaign Statement CALIFORNIA
Cover Page — Part 2 FORM 46%
S. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE
zal cw L"VR . &'V11 r1-
OFFICE SOU OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
Related Committees Not Included in this Statement: ust any committees
not included in this statement that are controlled by you or are primarily formed to receive
contributions or make expenditures on behalf of your candidacy.
COMMITTEE NAME I.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
❑ YES ❑ NO
COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODEIPHONE
COMMITTEE NAME I.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
❑ YES ❑ NO
COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODEIPHONE
Page of
6. Ballot Measure Committee
NAME OF BALLOT MEASURE
BALLOT NO. OR LETTER I JURISDICTION ❑ SUPPORT
❑ OPPOSE
Identify the controlling officeholder, candidate, or state measure proponent, if any.
OF OFFICEHOLDER, CANDIDATE, OR PROPONENT
OFFICE SOUGHT OR HELD
DISTRICT NO. IF ANY
7. Primarily Formed Committee Ust names of otHcehoider(s) or candidate(s) for
which this committee is primarily funned.
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 if necessary
FPPC Form 460 (June/01)
FPPC Toll-Free Helpline. 866/ASK -FPPC
State of Califomia
. 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
SUMMARYPAGE
Page of
I.D. NUMBER
Contributions Received Column A Column B Calendar Year Summary for Candidates
TOTAL THIS PERIOD CALENDAR YEAR
(FROMATTACHEDSCHEDULES) TOTALTODATE Running in Both the State Primary and
1
1. Monetary Contributions ............ ............................... schedule A, Line 3 $ .66 $ l ZS 0.()() General Elections
b 1/1 through 6/30 7/1 to Date
2. Loans Received ....................... ............................... schedule B, Line 3 ` `b Z'3 U V
3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add tines 1 + 2 $ WAN 6 . � $ � 20. Contributions
Received $ $
4. Nonmonetary Contributions ..... ............................... schedule C, tine 3 r y y 21. Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add tines 3 + 4 $ V $ Made $ $
Expenditures Made
6. Payments Made ........................ ...............................
schedule E Line 4 $
7. Loans Made .............................. ...............................
schedule H Line 3
8. SUBTOTAL CASH PAYMENTS ..... ............................... Add tines 6 + 7 $
9. Accrued Expenses (Unpaid Bills) ...............................
schedule F tine 3
10. Nonmonetary Adjustment ........... ...............................
schedule C, Line 3
11. TOTAL EXPENDITURES MADE . ...............................
Add tines 8 + 9 + 10 $
Current Cash Statement
12. Beginning Cash Balance ....................... Previous summary Page, tine 16 $ (q-7-3
13. Cash Receipts .................... ............................... Column A, Line 3above u 0 0'
14. Miscellaneous Increases to Cash ........................... Schedule 1, Line 4 t
15. Cash Payments ................... ............................... Column A, Line 8 above 6 2-
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 $ I
Cash Equivalents and Outstanding Debts r�
18. Cash Equivalents ......... ............................... See instructions on reverse $ O ` O v
19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column B above $ A
$
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
cant' over the amounts
from Lines 2, 7, and 9 (if
any).
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made*
(If llubjauto Voluntary Expendlture Llmlt)
Date of Election Total to Date
(mm /ddtyy)
—JI $
I —J $
— I $
$
H
'Since January 1, 2001. Amounts in this section may be
iifferent from amounts reported in Column B.
FPPC Form 460 (June/01)
FPPC Toll -Free Helpline: 866/ASK -FPPC
SCHFnLII F R _ PART 1
ticneouie t3 — cart i Amounts may be rounded
Statement covers period
Loans Received to whole dollars,
from
e
FPa
SEE INSTRUCTIONS ON REVERSE
through
of —F
NAME OF FILER
I.D. NUMBER
FULL NAME, STREET ADDRESS AND ZIP CODE
OF LENDER
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
e
OUTSTANDING
BALANCE
AMOUR
(�)
AMOUNT PAID
OUTSTANDING
BALANCE AT
INTEREST
ORIGINAL
9
CUMULATIVE
QF COMMITTEE, ALSO ENTER I.D. NUMBER)
OF SELF-EMPLOYED, ENTER
BEGINNING THIS
RECEIVED ER OD HIS
OR FORGIVEN*
CLOSE OF THIS
PAID THIS
AMOUNT OF
CONTRIBUTIONS
NAMEOFBUSINESS)
PERIOD
THIS PERIOD
PE IOD
PERIOD
LOAN
TO DATE
//+� ► /
�
� PAID
6
CALENDAR YE AR
�
t IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
DATE DUE
DATE INCURRED
❑ PAID
CALENDARYEAR
❑ FORGIVEN
PER ELECTION"
RATE
t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
S
S
S
S
S
DATE DUE
DATE INCURRED
❑ PAID
CALENDARYEAR
❑ FORGIVEN
PER ELECTION*"
RATE
tEl IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
S
S
S
S
S
DATEDUE
DATE INCURRED
SUBTOTALS $ $ $ $
Schedule B Summary f� /� SSE Line
1. Loans received this period .................. ............................... $ v V V
.................................... ...............................
(Total Column (b) plus unitemized loans less than $100.)
2. Loans paid or forgiven this period $ v v�
.......................................................................... ...............................
(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 $ V tJ
................................ ...............................
Enter the net here and on the Summary Page, Column A, Line 2. (Mernaannu�narl
t Contributor Codes
IND— Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other PTY— Political Party SCC — Small Contributor Committee
'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
SEE INSTRUCTIONS ON REVERSE
CODE OR DESCRIPTION OF PAYMENT
AMOUNT PAID
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.
CIVP
campaign paraphemalia/misc.
WIBR
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
PFIO
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 N
LIT
campaign literature and mailings
PRT
print ads
WEB information technology costs (intemet, e-mail)
NAME AND ADDRESS OF PAYEE
QFCOMMrTTEE, ALSO ENTER I.D. NUMBER)
CODE OR DESCRIPTION OF PAYMENT
AMOUNT PAID
Gil
-- �n-�
* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$
Schedule E Summary /� /t
1. Payments made this period of $100 or more. (Include all Schedule E subtotals.) $ 16 -7 Z . yL)
2. Unitemized payments made this period of under $100 ........................................................................................................... ............................... $ o-60
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 $ t077 2_ a
FPPC Form 460 (June/01)
FPPC Toll -Free Helpline: 86WASK -FPPC
Schedule F Type or print in ink.
Accrued Expenses (Unpaid Bills)
Amounts mayb Mars. rounded
to whole dollars.
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
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.
CWP
campaign paraphemalialmisc.
WBR
member communications
RAD
radio airtime and production costs
CNS
campaign consultants
WfrG
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
ND
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
(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 am contributions or independent expenditures must also be SUBTOTALS $ $ $ $
summarized on Schedule D.
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 $ V 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 $ 1 V V
3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and I o
on the Summary Page, Column A, Line 9.) ................................................................................................................. ............................... NET $ 6
May be a negative number
FPPC Form 460 (June/01)
FPPC Toll -Free Helpline: 8661ASK -FPPC
31