HomeMy WebLinkAboutSULLIVAN AMEND 7/1/01-9/30/01Recipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200-84216.5)
SEE INSTRUCTIONS ON REVERSE
Type or print in ink.
Statement covers period
through ~1 /~0 /0 (
1. Type of Recipient Committee: A. Committees - Complete Parts t, 2, 3, and 4.
j~"'Officeholder, Candidate Controlled Committee 0 State Candidate Election Committee
O Recall
[] Ballot Measure Committee 0 Pfimadly Formed
0 Controlled
0 Sponsored
Primarily Formed Candidate/
Officeholder Committee
[] General Purpose Committee O Sponsored
O Small Contributor Committee
O Political Par[y/Central Committee
Date Stamp
COVER PAGF
Date of election if applicable:
(Month, Day, Year)
For Ofricia~ Use Only
2. Type of Statement: [] Preelection Statement
[] Semi-annual Statement
[] Termination Statement
~ Amendment (Explain below)
[] Quarterly Statement
[] Special Odd-Year Repor~
[] Supplemental Preelection
Statement - Attach Form 495
Treasurer(s)
NAME OF TREASURER
MAILING ADDR~? ~
,'¢/
IiD NUMBER
3. Committee Information ~7~~ 5¥'?
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMI~EE)
AREA CODE/RHONE
MAILING ADDRESS
CITY STATE zrp CODE AREA CODE/PHONE CiTY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX / E-MAIL ADDRESS OPTrONAL: FAX / E-MAIL ADDRESS
4. Verification
I have used all reasonable diligence in preparing and reviewing this statement and to the best~ my know edge the Jnforma on contained herein and in the attached schedules is true and corn let
cert~yunderpenafty~fp¢rju~yu~derthe~aws~ftheState~f~a~if~rniathatthef~reg~i~1~tr,ueandc~rre``~`~ ~ ' ~ ~'- 7' /' , ! * p e. I
ecipient Committee
Campaign Statement
Cover Page -- Part 2
Type or print in ink.
COVER PAGE - PART 2
Page ,7~ of. ~'~
5. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE//~OUC~cTOR HELD INCLUDE LOCATION AND DISTRICT NUMBER rFAPPLCABLE)
Related Committees Not Included in this Statement: List any committees
[] yes [] No
CITY STATE ZIP CODE AREA CODE/PHONE
COMMITTEE NAME ID NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
[] YES [] NO
COMMITTEE ADDRESS STREET ADDRESS (NO RD. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
6. Ballot Measure Committee
NAME OF BALLOT MEASURE
BALLOT NO OR LETTER JURISDICTrON [] 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
NAM~F O~FICEH~L~I', OF~ CANDID?~IE
OFFICE SOUGHT OR HELD
j SUPPORT
L~ OPPOSE
OFFICE SQUDET OR HELD
~FI SUPPORT
OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD I'~ 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 California
Campaign Disclosure Statement
Summary Page
SEE INSTCIUCTiONS ON REV£RS~
Contributions Received
3 SUBTOTALCASH CONTRIBUTIONS ..................... AdOLines
5, TOTAL CONTRIBUTIONS REOEIVED ........................ ,~ddt~nes 3 ~- ,~
Expenditures Made
6. Payments Made .............................................. scapula E, L~ne 4
7. Loans Made .......................................................... Sch.dd~e H, Ltne 7
8. SUBTOTALCASHPAYMENTS ............................. .~ddL~.es6. z
9. Accrued Expenses (Unpaid Bills) ........................... S~hedu~eF, L,~,~
t 0. Nonmonetaq/ Adjustment .............................. S~heduie C. U~e,'~
11. TOTAL EXPENDITURES MADE ............................. Add L,ne$ 8 + 9 * 10
Current Cash Statement
12. Beginning Cash Balance ...................... P~evious Summa~yPage, L~ne ~6
~3. Cash Receipts .......................................... Column.~, L~ne3a~ow
14. Miscellaneous Increases to Cash ........................ $cheOttteI, L~ne4
15 Cash Payments ........................................... Colu,~nA, z~e,~t~w
16. ENDING CASH BALANCE ......... Add L#~es 12 + 13 * 14 then subtract Line 15
If th~s is a tem~natfo~ statement, Line 16 must be ze[o
17 LOAN GUARANTEES RECE VED .......................... sc~dd~e I~, ~'art ~ S
Cash Equivalents and Outstanding Debts
t8, Cash Equivalents ....................................... See instn~crk~ns on reverse $
tg. Outstanding Debts ......................... A~tL~e.2.L~egmC~u~,~eabove $
Statement COVerS period
J
To calculate Column ~, add
amounts in Column A to the
corresponding amounts
from Column E~ of your last
report. Some arr,3unls in
Column A may be negative
figures that should be
subtracted from previous
period amounts. It this is
.*he first raped being filed
for this calendar year. o~ly
ca~ry over the amounts
from Lines 2, 7, and 9 (if
a!~y)
SUMMARYPAGE
Calendar Year Summary for Candidates
Running in Both th~ State Prima~ an6
General Elections
20 Contributions
Received
21 Expenditures
Ma~e
Expenditure Limit Summary for State
Candidates
22. Cumutative Expenditures Made*
Date of Election Total fo Date
(mm/dd/yy)
/ / .... $
! /~ $_
___J /___ $
/ /~ .... $
___L __/___ $
___J____l___ $
'Since January 1. 2001 Amounts in this section may be
different from amounts rep,3rted in Colurm~ B
FPPC Form 460 {June/01)
FPPC Toll-Free Helpline: 866/ASK-FPPC
Schedule E
Payments Made
Type or print in ink.
Amounts may be rounded
to whole dollars.
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Statement covers period
through t/ 2'/~
SCHEDULE F
Page Z¢ of ~-
IDNUMBER
CODES:
Cfv~ campaign paraphernalia/misc.
CNS campaign consultants
CTB contribution (explain nonmonetary)*
CVC civic donations
FIL candidate filing/ballot fees
FND fundraising events
IND independent expenditure supporting/opposing others (explain)*
LEG legal defense
LIT campaign literature and mailings
If (~t~e of the following codes accurately describes ('he payment, you may enter the code. Otherwise, describe the payment.
MBR member communications
MTG meetings and appearances
OFC office expenses
PET petition circulating
PHO phone banks
POL polling and survey research
POS postage, delivery and messenger services
PRO professional services (legal, accounting)
PRT pdnt ads
RAD radio airtime and production costs
RFD returned contributions
SAL campaign workers' salaries
TEL t.v. or cable airtime and production costs
TRC candidate travel, lodging, and meals
'FRS staff/spouse travel lodging, and meals
TSF transfer between committees of the same candidate/sponsor
VOT voter registration
WEB information technology costs (internet, e-mail)
NAME AND ADDRESS OF FAYEE
(IF COMMITTEE ALSO ENTER I 8 NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT FAID
* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL
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 Helpline: 866/ASK-FPPC
Schedule E
(Continuation Sheet)
Payments Made
SEE INSTRUCTIONS ON REVERSE
NAME OF E4~
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
;/
from ~/ / ~ /
SCHEDULE E (CONT)
Page ~ of ~-
ID NUMBER
CODES: following codes acc~ y ~s the
CUP campaign paraphernalia/misc. MBR
CNS campaign consultants MTG
CTB contribution (explain nonmonetary)* CFC
CVC civic donations PET
FIL candidate filing/ballot fees PHC
FND fundraising events POL
IND independent expenditure supporting/opposing others (explain)* POS
LEG legat defense PRO
payment, you may enter the code. Otherwise, describe the payment.
member communications
meetings and appearances
office expenses
petition circulating
phone banks
polling and survey research
postage, delivery and messenger services
professional services (legal, accounting)
RAD radio airtime and production costs
RFD returned contributions
SAL campaign workers' salaries
TEL t.v. or cable aJrtime and production costs
TRC candidate travel, lodging, and meals
TRS staff/spouse travel, lodging, and meals
TSF transfer between committees or the same candidate/sponsor
rOT voter registration
LIT campaign Jiterature and mailings PRT print ads WEB information technolo~
NAME AND ADDRESS OF FAYEE
(IF COMMITTEE ALSO ENTER i D NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
ependentexpendituresmustalsobesummarizedonScheduleD. SUBTOTAL ! /',,~ ~.
FPPC Form 460 {June/01)
FPPC Toll-Free Helpline: 866/ASK-FPPC