HomeMy WebLinkAboutSULLIVAN SEMIANN14(1) AMENDRgcipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200- 84216.5)
SEE INSTRUCTIONS ON REVERSE
Type or print in ink.
Sta%teem nt c e'r�s (period
from V�
through ZO'�
1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4.
[� Officeholder, Candidate Controlled Committee
0 State Candidate Election Committee
0 Recall
(Also Complete Part 6)
❑ General Purpose Committee
0 Sponsored
0 Small Contributor Committee
0 Political Party /Central Committee
3. Committee Information
❑ Ballot Measure Committee
0 Primarily Formed
0 Controlled
0 Sponsored
(Also Complete Part 6)
❑ Primarily Formed Candidate/
Officeholder Committee
(Also Complete Part 7)
I.D. NUMBEn<�- 03
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
-� C'�LA - z ( "k1► V1, 6'C C\
W
Date of election if applicable:
(Month, Day, Year) '
Date Stamp
FEB -Z PM 4: 06
2. Type of Statement:
❑ Preelection Statement
❑ Semi - annual Statement
❑ Termination Statement
1] Amendment (Explain below)
Treasurers)
NAME OF TREASURER
G, 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 b99
certify under penalty of perjury under the laws of the State of California that the fore is
Executed on By
Executed on 4 By t _
Dade srs
ki. b G1 1Y
COVER PAGE
Page of
For Official Use Only
❑ Quarterly Statement
❑ Special Odd -Year Report
❑ Supplemental Preelection
Statement - Attach Form 495
CITY STATE ZIP CODE AREA CODE/PHONE
NAME OF ASSISTANT TREASURER, IF ANY
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX / E -MAIL ADDRESS
knowledge the information contained herein and in the attached schedules is true and complete. I
)0 correct.
Executed on By Dam swokm ofcoraaarg Olficehdder. Carddeie. Stet Meesue proponent
Executed on Dae By
Sgned. edCarmoormOMwhdder ,Carddab,stateMea "Raporbrd FPPC Form 460 (June/01)
FPPC Toll Free Heipline: $MASK -FPPC
Stall of California
Recipient Committee Type or print in ink. COVER PAGE - PART 2
Campaign Statement e'
Cover Page — Part 2
5. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUWiT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
6. Ballot Measure Committee
NAME OF BALLOT MEASURE
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
contributions or make expenditures on behalf of your candidacy.
COMMITTEE NAME I
I.D. NUMBER
NAME OF TREASURER C
CONTROLLED COMMITTEE?
❑ YES ❑ NO
COMMITTEEADDRESS STREET ADDRESS (NO P.O. BOK)
CITY STATE ZIP CODE AREA CODEIPHONE
COMMITTEE NAME I
I.D. NUMBER
NAME OF TREASURER C
CONTROLLED COMMITTEE?
❑ YES ❑ NO
COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX)
CITY STATE Z
Page of
BALLOT NO. OR LETTER I JURISDICTION ❑ SUPPORT
❑ OPPOSE
Identify the controlling officeholder, candidate, or state measure proponent, if any.
NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT
OFFICE SOUGHT OR HELD
DISTRICT NO. IF ANY
7. Primarily Formed Committee List names of officeholder(s) or candidate(s) for
which this committee is primarily formed.
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
DE REA CODE/PHONE Attach continuation sheets ff necessary
FPPC Form 460 (June/01)
FPPC Toll-Free Helpiine: 866/ASK -FPPC
State of California
DE REA CODE/PHONE Attach continuation sheets ff necessary
FPPC Form 460 (June/01)
FPPC Toll-Free Helpiine: 866/ASK -FPPC
State of California
Ctimpaign Disclosure Statement
Summary Page
SEE INSTRUCTIONS ON REVERSE
hvwmr Ur nLr-M
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 a Calendar Year Summa for Candidates
Contributions Received TOTALTMPERIOD CALENDARYW ry
"OM ATTACHED SCHEDULES) TOWTO DATE Running In Both the State Primary and
Z �Q V t? Z -- fi General Elections
1. Monetary Contributions ............ ............................... schedule A, Line 3 $ � $ � ` J b , lJ
2. Loans Received .................. ............................... 1/1 through 6130 7/1 to Date
..... Schedule 8, Line r
3. SUBTOTAL CASH CONTRIBUTIONS ..................... Add Lines 1 + 2 $ ` $ Z:S 20. Contributions
Received $ $
4, Nonmonetary Contributions ..... ............................... schedule C, Line 3 • 0 21. Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 + 4 $ • $ Made $ $
Expenditures Made (Qj Expenditure Limit Summary for State
6. Payments Made ........................ ............................... Schedule E Line 4 $ $ Candidates
7. Loans Made .............................. ............................... Schedule H, Line 3 V
8. SUBTOTAL CASH PAYMENTS ..... ............................... Add Lines 6 + 7 $ $ Ll , 0 22. Cumulative Expenditures Made' 0rsubt.atovwum.ryExpenaiwr.umtq
9. Accrued Expenses (Unpaid Bills) ............................... schedule F, Line 3 • 4 Date of Election Total to Date
10. Nonmonetary Adjustment schedule C, Line 3 (mmldd /yy)
11. TOTAL EXPENDITURES MADE ................................ Add Lines 8 + 9 + 10 $ �Z -��.. �� $
Current Cash Statement _II $
12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ , To calculate Column B, add
13. Cash Receipts ................................................... Column A. Line 3 above amounts in Column A to the —J —J $
O
14. Miscellaneous Increases to Cash ........................... Schedule ►, Line 4 corresponding amounts from Column B of your last -lJ $
15. Cash Payments ................... ............................... Column A, Line 8 above report. Some amounts in
ZZ — Column A may be negative
16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ 'J S figures that should be - -� —J $
subtracted from previous
If this is a termination statement Line 16 must be zero. period amounts. If this is —J —J $
the first report being filed
17. LOAN GUARANTEES RECEIVED ........................... Schedule e, Part 2 $ for this calendar year, only
carry over the amounts 'Since January 1, 2001. Amounts in this section may be
Cash Equivalents and Outstanding Debts
from Lines 2, 7, and 9 (if different from amounts reported in Column B.
�
18. Cash Equivalents ......... ............................... see instructions on reverse $ any).
19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column a above $ WT(AIX FPPC Form 460 (June /01)
FPPC Toll -Free Helpline: 866/ASK -FPPC
scheduleA __ _ w�Type or print In ink. SCHEDULE A
monetary contributions Received "��� to " -Ie of "'�`��e�
to whole dollars.
Statement covers period
CALIFORNIA � '
from
•
FORM
SEE INSTRUCTIONS ON REVERSE
through
Page of
NAME OF FILER
I.D. NUMBER
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
OF COMMITME, ALSO ENTER I.D. NUMBER)
CONTRIBUTOR
CODE *
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
OF SELF - EMPLOYED, ENTER NAME
OF BUSINESS)
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
oCoH
b 06
6Q�Q 6
❑SCC
❑ IND
El PTY
❑S C
❑
w�cr
❑ PTY
p SCC
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
FIND
❑ COM
❑ OTH
❑ PTY
❑ SCC
SUBTOTAL;
Schedule A Summary
1. Amount received this period — contributions of $100 or more.
(Include all Schedule A subtotals.) ......................................................................... ............................... $
2. Amount received this period — unitemized contributions of less than $100 .............. ............................... $
3 (Add monetary
Lines and t
l d 2 contributions En ere received
nd on the Summary Page, Column A, Line 1.) ....................... TOTAL
*Contributor Codes
IND— Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other
PTY — Political Party
SCC— Small Contributor Committee
FPPC Form 460 (June /01)
FPPC Toll -Free Helpline: 86WASK -FPPC
Ce- tL —J -_a— rs ■%• A
Tvnn nr nrint in ink
SCHFnIII FR_PARTI
.+v■.`•.a.■` .+ — ■ w. a ■ Amounts may be rounded
Loans Received to whole dollars.
Statement covers period
from
• '
SEE INSTRUCTIONS ON REVERSE
through
page of
NAME OF FILER
I.D. NUMBER
FULL NAME, STREET ADDRESS AND ZIP CODE
OF LENDER
OF COMMITTEE, ALSO ENTERI.D. NUMBER)
t[� IND ❑ COM ❑ OTH ❑PTY ❑SCC
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
OF SELF-EMPLOYEE), ENTER
NAME OF BUSINESS)
OUTSTANDING
BALANCE
BEGINNING THIS
P I D
(�)
AMOUNT
RECEIVED THIS
PERIOD
} °)
AMOUNT PAID
OR FORGIVEN
THIS PERIO
PAID
s'
OUTS DING
BALANCEAT
CLOSE OF THIS
$ 1 O Gn
INTEREST
PAID THIS
PERIOD
%
RATE
s
ORIGINAL
AMOUNTOF
LOAN
:_
"Qt
(9)
CUMULATIVE
CONTRIBUTIONS
TO DATE
CALENDARYEAR
$
—''/
*FORGIvtp0
/
—
PER ELECTION
s
DATE DUE
❑ PAID
CALENDARYEAR
$
s
%
RATE
$
$
❑ FORGIVEN
PER ELECTION'S
tEl IND ❑ COM ❑ OTH ❑ PTY p SCC
S
S
S
S
DATE DUE
DATE INCURRED
❑ PAID
CALENDARYEAR
RATE
❑ FORGIVEN
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 Colu (b) plus unitemized loans less than $100.)
2. Loans paid or iven 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.)
I Net change this period. (Subtract Line 2 from Line 1.) ................................ ............................... NET $
Enter the net here and on the Summary Page, Column A, Line 2. (Maybe eregafi erwmbo
t Contributor Codes
IND— Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other PTY— Political Party SCC —Small Contributor Committee
SdmUe E, LMe 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: 86WASK -FPPC
Schedule E
CODE OR DESCRIPTION OF PAYMENT
Type or print in ink.
SCHEDULEI
Statement covers period e ' '
Payments Made Amounts may rounded
COQ
CIA
" Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ ! L
r
Schedule E Summary j tin
1. Payments made this period of $100 or more. (Include all Schedule E subtotals.) ................................................................... ............................... $ Y v
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).) ................................................ ............................... $ c1
4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ............................. TOTAL $ 1 Z
FPPC Form 460 (June/01)
FPPC Toll -Free Helpline: 86WASK -FPPC
Schedule F
Accrued Expenses (Unpaid Bills)
NAME OF FILER
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covert period
from
through
Page _
I.D. NUMBER
SCHEDULE F
Of
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CMP
campaign paraphemalia/misc.
MBR
member communications
RAD
radio airtime and production costs
CNS
campaign consultants
MTG
meetings and appearances
RFD
returned contributions
CTB
contribution (explain nonmonetaryp
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
14D
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
OF 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
e.Se:��
* Payments that are 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; ,
2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on ( h
accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.) .. ............................... PAID TOTALS $ 4 v
3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and
onthe Summary Page, Column A, Line 9.) ................................................................................................................. ............................... NET $I m(1se'(`,
FPPC Form 460 (June/01)
FPPC Toll -Free Helplins: 8661ASK -FPPC