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Home My WebLink AboutKERN CITIZENS FOR PATIENT RIGHTS SEMMIANN17(2)Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement moven perledI Date of election if from 7101/2017 (Month, Day, 12/312017 1. Type of Recipient Committee: All Demureness - Compete Pam 1. 2.3, am 4. 2. Type of Statement: ❑ Officeholder, Candidate Controlled! Committee ❑ Primarily Formed Ballot Measure ❑ Preelection Statement ❑ Quarterly Statement O State Candidate Election Committee Committee ® Semi-annual Statement ❑ Special Odd -Year Report 0Pon000a•a*9 Controlled mnt ❑ Termination Statee O Clponsored (Also file a Form 410 Temdnabon) ® General Purpose Committee µHempen Pne ❑ Amendment (Explain be" O Sponsored ❑ Pdmadty Formed Candidate/ O Small Contributor Committee O Political Party/Central Committee Officeholder Committee tw —v 3. Committee Information KERN CITIZENS FOR PATIENT RIGHTS STREETADDRESS(NOP.O.BOX) CITY STATE MPCOOE ARFA CODFRHOIE M UNGAOONESSPmFFEREN NO.ANOSTREETORP.O.60x CITY STATE AP CODE AREACODEPHONE Treasureris) LAWRENCE R. HIESTAND MNUNGADDRESS CITY STATE MPCOOE PAEACOOE/PHONE NMIE OF ASSISTAm TREPSIIRER I F PNY CITY STATE ZIP CODE AREACOOF/PHONE OPTIONAL: FA%/E-MNLApORESS OPTIONAL FAX/E-MNLADORESS Verification I have used all reasonable diligence in preparing and reviewing Item statement and to the best of my lar"edge the information contain and in Me attached schedules is true and complete. I certify under penalty of perjury under the Taws of the State Of California that the foregoing is true and con Exeautad on 1/302018 Br pyg Sgnal IN M' uer Executed on Cam BY EaeNe.5taleMmave RepreeMw RnpaHhAeq! Nsgnxw Executed on OY m 9u4rteIXGxYmn,g Olfmlw rLaVM6m. eMMMea¢va PrtyweM E—utul on WN BY SkpMu,ed CCNmAIn90firelnMter. CwtlW1e. surem.."P eorr FPPC Form 460(Jan/2016) FPPC Advice: advicePtppc.w.gov (866/275-3772) www.firpC.ca.gm Recipient Committee Campaign Statement Cover Page — Part 2 6. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD (INCLUDE LOCATIONAND DISTRICT NUMBER IFAPPUCABLE) RESIDENTIAUSUSINESSADDRESS (NO.ANDSTREET) CITY STATE LP Related Committees Not Included in this Statement: Listany Committees not lncludolm Me statement Mat are conhnlledbyyou orarepnmanly/ got to receive cone/bueonswmakeexpenMtureeonbehaeofyowc &n cy. COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEEADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREACODIPHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEEADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODEPHONE COVER PAGE - PART 2 Page ti of -1 6. Primarily Formed Ballot Measure Committee BALLOT NO, OR LETTER I JURISDICTION L.,SUPPORT ❑ OPPOSE Iden0ly the controlling oificaholdw, candaate, or slate measure proporren( N any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD DISTRICT NO. WAVY 7. Primarily Formed Candidate/Officeholder Committee List names of oMcahofdar(s) or Candfdaft M) her Which this cnmmldH is prumnly formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAMEOFOFPGEHOLDERORCANDIDATE 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 confinuafion sheets if necessary FPPC Form 960 ()an/2016) FPPC Advice: advice@hNn,ca.gov (966/275-3772) www.fppc.ca.gov Campaign Disclosure Statement Summary Page NME OF FILER KERN CITIZENS FOR PATIENT RIGHTS Amounts may be rounded to Whole dollars. Expenditures Made ummA Contributions ReceivedColtraaxn 6. Payments Made..........._........_........._............_ rcos-�Is PERIOD $ 3,013 cxeouresr 7. Loans Made ................................................................. Soedi H, Lines 1,200 1. Monetary Contributions ................................................... Souders A, ansa S $ 2. Loans Received ....................... ........................... ............ Soindsee B. tyres 9. Accrued Expenses (Unpaid Bills) ..........................._.............schedule F, Lines 1,200 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Line. I . 2 $ 4. Nonmonetary Contributions ............. ................. . ........... senesese C, Lines — S. TOTAL CONTRIBUTIONS RECEIVED......._. -_....._ ............. w Lrrss3-4 S 1,200 Expenditures Made 12. Beginning Cash ..................... Prowous summer, Fags, Leis 16 $ — 3,585 6. Payments Made..........._........_........._............_ ................ sander, E. Lim, 4 $ 3,013 15+ Cash Payments......................................................... CabonA Leis saboeo 7. Loans Made ................................................................. Soedi H, Lines 1,772 — 8. SUBTOTAL CASH PAYMENTS .......................................... AsWUni s+7 $ 3,013 9. Accrued Expenses (Unpaid Bills) ..........................._.............schedule F, Lines — 10. Nonmonetary Adjustment Soxi C. Uns 3 — 11. TOTAL EXPENDITURES MADE. $ 3,013 Uurrent '.;ash Statement 12. Beginning Cash ..................... Prowous summer, Fags, Leis 16 $ — 3,585 13. Cash Receipts........................................................... Cox nviA,tese3above 1,200 14. Miscellaneous Increases to Cash .................................. Sdeotohe 1. Line 4 74 15+ Cash Payments......................................................... CabonA Leis saboeo 3,087 16. ENDING CASH BALANCEAVIlers, 12+1s+14, men subtsixfLins 15 $ — 1,772 ff this is a termination statement, Line 16 must be rem. 17. LOAN GUARANTEES RECEIVED ................................ Ssxxu*saPs,t2 $ 18. Cash Equivalents................................................ seeimrmxtvnsoros,bse $ 19. Outstanding Debts........_ .................... Addle,02+1butgeOWUMBa $ Statement Bowra padod from 7/01/2017 through 1213112017 Column B cioseseeneve Toro TO MTE $ 2,100 $ 2,100 2,100 $ 3,438 $ 3,438 $ 3,438 To calculate Column B, add amounts in Column Ato the corresponding amounts from Column B ofyourlastri Some amounts in Column A may this negative figures that should be sobtauted from previous pendul amounts. If Live is the Imi report being filed for this calendar yees only carry over the amounts from Lines 2,7. and 9 (if any). ,.e. G,- , --7 11340602 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections IJI through 630 711 . Date 20. Corm"ons Received $ $ 21. &,pendlitures, Made $ $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made - IN suets. . W., Data of Election Total to Date (mWddiyy) I t, — $— 'Announts, in this section may be different from amounts reported in Column B. FPPC Form 460 (Jan/2016) FPPC Advice: adVice@fppc.o.gov (866/275-3772) ..fpph.C..g. Campaign Disclosure Statement Amounts may be rounded SUMMARY PACE. to vTole dollars. statement covers period MR 11; Summary Page 7/01/2017 .:1 a 1 ON REVERSE NAME OF FILER KERN CITIZENS FOR PATIENT RIGHTS Contributions Received Expenditures Made 12. Beginning Cash Balance ______............. Praab summary Pape. lire is If 1,200 1. Monetary Contributions ............... _.................................. seedwe A, 3 $ 3.013 15. Cash Payments CownerA Dee s wove 2. Loans Received ................................... ........... ..... _......... so edrb a tme 3 1,772 8. SUBTOTAL CASH PAYMENTS .......................................... Addlmec6.7 $ 1,200 3. SUBTOTAL CASH CONTRIBUTIONS._ ........................... AddUnx l+2 $ 4. Nonmonetary Contributions ............................................ sdedwe C. Lice 3 _.......... sdedae C. tme a 5. TOTAL CONTRIBUTIONS RECEIVED_.................................Add Laes3+4 $ 1,200 3,013 Expenditures Made 12. Beginning Cash Balance ______............. Praab summary Pape. lire is If 3,585 6. Payments Made................................................................ schedule E, tine a $ 3.013 15. Cash Payments CownerA Dee s wove 7. Loam Made....................................................................... sesame R. tinea 1,772 8. SUBTOTAL CASH PAYMENTS .......................................... Addlmec6.7 $ 3.013 9. Accrued Expenses (Unpaid Bills)._ .................. _...... _.......... saedvie I, urea 10. Nonmonetary Adjustment.... ....................... .................. _.......... sdedae C. tme a 11. TOTAL EXPENDITURES MADE _..____..._.......... _......... AdJlires5+40.10 $ 3,013 Current Cash Statement 12. Beginning Cash Balance ______............. Praab summary Pape. lire is If 3,585 13. Cash Receipts ................ ............ ._........................... Cahmm A. une3emve 1,200 14. Miscellaneous Increases to Cash .................................. schedae 1. Une4 74 15. Cash Payments CownerA Dee s wove 3.067 16, ENDING CASH BALANCE ......._......._Admires 12+13+ fa, men subbed line 15 $ 1,772 gNis is a termmation statement line 16 must be zero 17. LOAN GUARANTEES RECEIVED ............... ---- ... .__. schadme e, Pert $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ......................... seeinsaaeonewmeese $ 19. Outstanding Debts .............................. Addtme z+line40in uwmnawo.e $ Column B me1CPRYEM TorAtmeATE $ 2,100 $ 2,100 $ 2,100 $ 3,438 $ 3.438 $ 3.438 To calculate Column B. add accounts in Column A the comesponding 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 "a is the first repod being filed for this calendar year, only carry over the amrents from Lines 2, 7, and 9 I any). 12/31/2017 Page of -1 11340602 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections III gmugh Van ]It W Day 20. Contributions Received E 8 21. Expenditures Made E $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made' Ir subled mvolunmy EVendbure umxl Date of Election Total to Dale (mm/ddlyy) _J_J $ 1 1 $ 'Amounts in We section may be different from amounts reported in Column B. FPPC Form 060 (Jan/2016) FPPC Advice: advice@fppc.ca.gw (866/275-3772) www.fppc.ca.gw Schedule A Amounts may be rounded SCHEDULE A to whole dollars. Monetary Contributions Received $b(9m9nl COV6r3 period ,iromthrough 7/012017 • 12/312017 — SEE INSTRUCTIONS ON REVERSENAME OF FILER 731) KERN CITIZENS FOR PATIENT RIGHTS DATE NLL NAME, STREETADDRESSAND ZIP DDDE OF CONTRIBUTOR CONTRIBUTOR IFAN INDMOUAL. EWER AMOUNT REP ARTo CUMULATNETTIONRECENEO YR(JAN.I-DECIRED) TO DATE 11.NdTEE.am0rmexio.NUxe[m CODE• '.'.Tp umerr,urrMPmL.R ROOD (im.CAUE orNwx ss ❑IND CANNABLES OCom 300 300 920/2017 ❑prY ❑ SCc ❑IND GOLDEN STATE COOPERATIVE 300 300 9202017 ❑PTY ❑SCC El IND GOOD PATIENT ALTERNATIVE ❑Com 300 300 9202017 ❑PTY ❑ SCC ❑IND MIND, BODY 8 SOUL HEALING COLLECTIVE ❑COM 300 300 9202017221 opw ❑scc ❑IND ❑COM ❑ OTH ❑ptV ❑SCC SUBTOTAL$ 1,200 Schedule A Summary 1. Amount received this period — itemized monetary contributions. (Include all Schedule A subtotals.)............................................................................. 2. Amount received this period—unitemized monetary contributions of less than $100 3. Total monetary contributions received this period. 1,200 (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.)......................TOTAL $ 'Contributor Codes IND—IndMdual COM — Redpient Commidee (other than PTV or SCC) OTH—Other (e.g., business; entity) PTY—Political Party SCC—Small Contributor Committee FPPC Form 060 (tan/2016) FPPC Advice: advice@fppI,...g. (866/27S-3772) www.fppc.ca.gov Schedule Amounts may be roundedstatement covers par to whole dollars. Payments Made ,v 7)0112017 REVERSEthrough 12!31/2017 I page G KERN CITIZENS FOR PATIENT RIGHTS CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment 1340602 CMP campaign pamphemaliahniec. MBR member communications RAD radio Ruh .and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetaryr- DEC office expenses SAL campaign workers'salades CVC civic donations PET petition circulating TEL t s. or cable amme and production costs FIL candidate filiretballot fees PHO phare banks TRC candidate travel, lodging, and meals END fundraising events POL polling and survey research TRS staf ispouse travel, lodging, and meals IND laleperdent expenditure supporting/opposing others (explain)' POS Postage, delivery and messenger essences TSF transfer beMeen committees ofthe same candidatersponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB Information technology costs (interned, e-mail) NAME AND ADDRESS OF PAYEE aF<CRNm E.Aran ERFER1o.NUNaag CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID KIM SCHAEFER CNS 3,000 MS OFFICE DEC 87 `Peynlents filet are contributions or independent expendguns must also be summarized on Shcedule D. SUBTOTAL $ 3,G87 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.)............................................................................................................. $ 3,087 2. Unitemized payments made this period of under $100.......................................................................................................................................... $ 3. Total interest paid this period on bans. (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 $ 3,087 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule 1 SCHEDULEI Miscellaneous Increases to Cash lowholedaYam sfatunaldfAval:f;er7I.C=ETO.. 7/012017tleolgh tram 12/312017SEE INSTRUCTIONS ON REVERSENAME OF FlLERKERN CITIZENS FOR PATIENT RIGHTS DATE RECEIVED FULL NAME AND ADDRESS OF SOURCE DESCRIPTION OF RECEIPT PFCCMMIME. EWMU0 M WE WELLS FARGO BANK REFUND OF FEES CHARGED 10/102017 74 Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 74 Schedule 1 Summary 1. Itemized increases to Cash this period........................................................................................... 2. Unitemized increases to Cash of under $100 this period................................................................ 3. Total of all interest received this period on bans made to others. (Schedule H. Column (e).) ...... 4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the SummaryPage, Line 14.).............................................................................................................. TOTAL $ 74 FPPC Form 460 (tam/2036) FPPC Advice: advice&fWc.cs.gw (866/275-3772) www.fp'.ra.gw