HomeMy WebLinkAboutCOUCH SEMIANN02(2)Recipient Committee
Campaign Statement
Cover Page
Type or print in ink.
(Government Code Sections 84200-84216.5)
Statement. cover~/~eriod
03JAN30 PH rom /~/';/,~'~ ~,~-
BAKERSFIELD ~-IIY C
SEE INSTRUCTIONS ON REVERSE ugh / ~ i (~ ~
1. Type of Recipient Committee: All Committees - Complete Parts 1,2, 3, and 4.
Date of election if applicable:
(Month, Day, Year)
i ~//5/>
03 JAI a?H
AKERSFIELD CI1Y
COVER PAGE
For Official Use Only
~, Officeholder, Candidate Controlled Committee
State Candidate Election Committee
Recall
[] GeneraIPurpose Committee O Sponsored
(~) Small Contributor Committee
(~) Political Patty/Central Committee
[] Ballot Measure Committee
(~) Primarily Formed
(~ ControJled
(~) Sponsored
(Also Complete Pall 6)
[] Primarily Formed Candidate/
Officeholder Committee
(Also Ccmplele Pa~I 7)
2. Type of Statement: [] Preelection Statement
[] Semi-annual Statement
[] Termination Statement
[] Amendment (Explain below)
[] Quaderly Statement
[] Special Odd-Year Report
[] Supplemental Preelection
Statement - Attach Form 495
3. Committee Information
COMMITTEE NAME (OR CANDIDATE'S NAME iF NO COMMITTEE)
/ ~,/*:14.,?--' ~-:'/-
STREET
OPTIONAL: FAX / E-MAIL ADDRESS
Treasurer(s)
NAME OF TRS_AS~DRER
NAME
MAILING ADDRESS
CiTY STATE ZIP CODE AREA CODE/PHONS
OPTIONAL: FAX / E-MAIL ADDRESS
4, Verification
I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained 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 foregoing is truJ~e'd'd-~rrect.
Executed
Executed o
ree Helpllne: 86~ASK-FPPC
State of C~llfornla
ecipient Committee
Campaign Statement
Cover Page-- Part 2
Type or print in ink,
COVERPAGE-PART2
Page ~' of ¢
5. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBE~ IF APPLICABLE)
RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) Cl~ ~A~ ZiP
Related Committees Not Included in this Statement: List any committees
COMMI~FEE NAME I.D. NUMBER
NAME OF TREASURER CONTROLLED COMMI~FEE?
[] YES [] NO
COMMITTEE ADDRESS STREET ADDRESS (NO FO, BOX
CITY STATE ZIP CODE AREA CODE/PHONE
COMMITTEE NAME LD, NUMBER
[] YES [] NO
CONTROLLED COMMFCfEE?
NAME OF TREASURER
COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX)
CI~Y STATE ZIP CODE AREA CODE/PHONE
6. Ballot Measure Committee
NAMEOFBALLOTMEASURE
BALLOT NO OR LETTER JURISDICTION
E~SUPPORT
EJOPPOSE
Identify the controlling officeholder, candidate, or state measure proponent, if any.
NAME OF OFF CEHOLDER, 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
NAME OF OFFICEHOLDER OB CANDIDATE
NAME OF OFFICEHOLDER OR CANDIDATE
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
OFFICE SOUGHT OR HELD
OFFICE SOUGHT OR HELD
OFFICE SOUGHT OR HELD
! E~SUPPORT
E]OPPOSE
E~SUPPORT
[~OPPOSE
E~SUPPORT
F~OPPOSE
O SUPPORT
r~OPPOSE
Attach continuation sheets if necessary
FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 866/ASK-FPPC
State of Calltornia
Campaign Disclosure Statement Type or print in ink,
Summary Page Amounts may be rounded SUMMARYPAGF
to whole dollars.
Statement covers period
from
through
Page -'~ of__%
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Contributions Received
1. Monetary Contributions ........................................... Schedule A, Line 3
2. Loans Received ...................................................... Schedule B, Line 7
3. SUBTOTAL CASH CONTRIBUTIONS ......................... AddLines I + 2
4. Nonmonetary Contributions .................................... Schedule C, Line 3
5. TOTAL CONTRIBUTIONS RECEIVED ........................... AddLines3+4
Column A
TOTAL THIS pER~OO
{FROM ATTACHED SCHEDULESI
Expenditures Made
6. Payments Made ....................................................... ScheduleE, Line4
7. Loans Made ............................................................. Schedule H, Line
8. SUBTOTAL CASH PAYMENTS .................................... AddLine$6+7
9. Accrued Expenses (Unpaid Bills) ............................... Schedule F, Line
1 0. Nonmonetary Adjustment .......................................... Schedule C, Line
11. TOTAL EXPENDITURES MADE ................................ AddL/nesS+9+ 10
Current Cash Statement
12. Beginning Cash Balance ....................... Previou$SummaryPage, Line 16
13. Cash Receipts ................................................... ColurnnA, Line3above
14. Miscellaneous increases to Cash ........................... Schedule I, L/ne 4
15. Cash Payments .................................................. ColumnA, LineSabove
1 6. 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 S, Part 2 $
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ........................................ See instructions on reverse $ '---"
19. Outstanding Debts ......................... AddLine2+LineginColumnBabove $ ~
Column B
CALENDAR YEAR
TOTAL TO DATE
$ ~
To calculate Column B, add
amounts in Column A to the
corresponding amounts
from Column B of your last
reporL 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).
I.D. NUMBER
Calendar Year Summary for Candidates
Running in Both the State Primary and
General Elections
1/1 through 6/30 7/1 to Date
20. Contributions ¢~ ~,..¢, _~ ¢,.]~.,~ ~
Received $ $
21. Expenditures .~ ~_~f~, ~, '~,
Made $ $ ..¢~.~ ~,¢~
Expenditure Limit Summary for State
Candidates
22, Cumulative Expenditures Made*
(If Subject to Voluntary Expenditure Limit)
Date of Election Total to Date
(mm/dd/yy)
/ / $
--/___L__ $
--I- L__ $
/ / _ $
__/__1 $
· / / $
*Since January t, 2001, Amounts in this section may be
different from amounts reported in Column B.
FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 866/ASK-FPPC
Schedule A Type or print in ink
Amounts be rounded SCHEDULE A
Iwone[ary ~orllrlDUtlOnS Heceivecl to whole dollars, i Statement covers period
NAMESEE INSTRUCTIONSoF FILER ON REVERSE through I Page
I L~,NUMBER
IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION
DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE
RECEIVED (IFCOMMITF/E'AL$OENTERI'D'NUMBER) CODE ~' (IFSELF EMPLOYED,ENTERNAME PERIOD (IF REQUIRED)
OFBUSiNESS/ JAN. 1 - DEC. 31)
~scc
~IND
~COM
DOT~
~ PTY
~scc
OlND
DCOM
~OTH
~ PTY
Dscc
~IND
~COM
~ OTH
~ PTY
Dscc
~IND
D COM
~OTH
~scc
SUBTOTALS
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. Total monetary contributions received this period.
(Add Lines 1 and 2. Enter here and 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 Commitlee
FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 866/ASK-FPPC
Schedule D
Summary of Expenditures
Supporting/Opposing Other
Candidates, Measures and Committees
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from
through
SCHEDULER
DATE
NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR
MEASURE NUMBER OR LETTER AND JURISDICTION, '
OR COMMI'fTEE
TYPE OF PAYMENT
Support [] Oppose
Monetary
Contribution
Nonmonetary
Contribution
Independent
Expenditure
/A.~[/~ ~l'-~/~ ~ Monetary
Contribution
~'..~--./2'/' / ---/- ~ B Nonmonetary
Contribution
0 Independent
Oppose Expenditure
~ Monetary
Contribution
[] Nonmonetary
Contribution
[] Independent
Expenditure
CUMULATIVE TO DATi
DESCRIPTION AMOUNT TH~S CALENDAR YEAR
(IF REQUIRED) PERIOD I JAN 1 - DEC
~_ Support [] Oppose
SUBTOTAL
PER ELECTION
TO DATE
(IF REQUIREDI
Schedule D Summary
1. Contributions and independent expenditures made this period of $100 or more. (include all Schedule D subtotals.) ..............................................
2. Unitemized contributions and independent expenditures made this period of under $100 ......................................................................................
3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.) .............. TOTAL
FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 866/ASK-FPPC
Schedule D
(Continuation Sheet) Type or print in ink.
ry p
Amounts may be rounded
Summa_ of Ex_endituresOther Statement covers period
RUnnOrtinn/t3nnoslnn to whole dollars, i
Candidates,- -- --- =-... UMeasures and CommiEees from
through
/C~ ~? C°ntdbuti°n
~ Independent
~ Suppo~ ~ Oppose Expenditure
Contribution
~:~ ~ Nonmonetary
gontdbution ~ ~(~
~ Independent
~ Suppo~ ~ Oppose Expenditure
~ Monetary
Contribution
~ Nonmonetary
Contribution
~ Independent
~ Suppo~ ~ Oppose Expenditure
~ Monetary
Contdbutiofl
~ Nonmonetary
Cont~bution
~ ~ndependent
D Suppo~ ~ Oppose Expenditure
SUBTOTAL
FPPC Form 460 (June/01)
FPPC Tol~-Free Helpline: 866/ASK-FPPC
Schedule E
Payments Made
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from
SCHEDULE [-
through Page 7 of ~"/
I,D, NUMBER
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
Q'VP campaign paraphernalia/misc. Mt3R membercommunicatfons RAD radio aidime and production costs
CNS campaign consultants
CTB contribution (explain nonmonetary)*
CVC civic donations
FIL candidate filing/ballot fees
FND fundraising events
IND independent expenditure suppoding/opposing others (explain)*
LEG legal defense
MTG meetings and appearances
OFC office expenses
PET petition circulating
phone banks
POL polling and survey research
POS .postage, delivery and messenger services
PRO professional services (legal, accounting)
returned contributions
SAL campaign workers' salaries
TEL t.v. or cable aidime and production costs
TRC candidate travel, lodging, and meals
TRS staff/spouse travel, lodging, and meals
TSF transfer between committees of the same candidate/sponsor
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 AMOUNT PAID
yments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTALS /// ~_¢~
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
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 $
FPPC Form 460 (June/01)
FPPC Toll-Free Hetpline: 866/ASK-FPPC
-~ h ri I~,,., ,...,-c"e-u'eI=_~.~ .. Type or print in ink. SCHEDULE E (CONT.)
[~,onL,nua[,on =neei) Amounts may be rounded Statement covers period
Payments Made to whole dollars.
from
SEE INSTRUCTIONS ON REVERSE through
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.
C~v'P campaign paraphernalia/misc. MBR membercommunications RAD radio aidime and production costs
CNS campaign consultants
contribution (explain nonmonetary)*
CVC civic donations
F]L candidate filing/ballot fees
FND fundraising events
IND independent expenditure supporting/opposing others (explain)*
LEG legal defense
MTG meetings and appearances RFD returned contributions
DFC office expenses SAL campaign workers' salaries
FET petition circulating TEL t.v, or cable airtime and production costs
Pi-E) phone banks TRC candidate travel, lodging, and meals
POL polling and survey research TRS staff/spouse travel, lodging, and meals
POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor
PRO professional services (legal, accounting) VOT voter registration
LIT campa~gn~iterature and mailings PRT print ads WEB information te~
NAME AND ADDRESS OF PAYEE
(IF COMMITTEE, ALSO ENTER I D NUMeER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
1'] ' /~ /:-'/-.¢, ¢'
(P USt also be summarized on Schedule D. SUBTOTAL $
Schedule I
Miscellaneous Increases to Cash
Type or print in ink,
Amounts may be rounded
to whole dollars.
Statement covers period
from
through
SCHEDULEI
SEE INSTRUCTIONS ON REVERSE Page
NAME OF FILER
i.D. NUMBER
DATE FULL NAME AND ADDRESS OF SOURCE AMOUNT OF
RECEIVED (~F COMMIttEE, ALSO ENTER i.D. NUMBER) DESCRIPTION OF RECEIPT
iNCREASE TO CASH
'~' /~ / l~ ~ ~ ~.~ -, , ~ :: ~''~
Attach additional info~ation on appropriately labeled continuation sheets· SUBTOTAL $ ~/
Schedule I Summary
1, Increases to cash of $100 or more this period ...........................................................................................................
2. Unitemized increases to cash under $100 this period ...............................................................................................
3. Total of all interest received this period on loans 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
Summary Page, Line 14.) ........................................................................................................................... TOTAL
~i~, *-
FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 866/ASK-FPPC