HomeMy WebLinkAboutSULLIVAN AMEND 1/1/01-3/31/01Recipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200-84216.5)
SEEINSTRUCTIONS ON REVERSE
Type or print in ink.
Statement covers period
from
Date Stamp
1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4.
/,Officeholder, Candidate Controlled Committee
0 State Candidate Election Commit[ee
O Recall
[] General Purpose Committee O Sponsored
0 Small Contributor Committee
0 Political Party/Central Committee
[] Ballot Measure Comm~ee 0 Pdmadly Formed
0 Controlled
0 Sponsored
Date of election
(Month, Day, Year) ,,~ ,',, c , r-~, j;: ~ ~ Page / of_~
i , ~ : ~' For Official Use Only
Primarily Fom~ed Candidate/
Officeholder Committee
(Aisc Comi~ete Part 7~
[] Quadedy Statement
[] Special Odd-Year Report
[] Supplemental Preelection
Statement - Attach Form 495
2. Type of Statement:
[] Preelecdon Statement
[] Semi-annual Statement
[] Termination Statement
i~] Amendment (Explain below)
COVER FAGE
3. Committee Information
COMMITTEE NAME fOR CANDIDATE'S NAME IF NO COMMITTEE)
NUMEER
~ ~ Treasurer(s)
NAME OF TREASURER
MAILING ADDRESS /
/
STREET ADDRESS (NO RO BOX) CI~ '
MAILINGADDRE~ (IFDIFEERENT) NO AND STREETORPO BOX MAILING ADDRESS
CI~ STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX / E-MAIL ADDRESS OPTIONAL: FAX / E-MAIL ADDRESS
4. Verification
~ have used all reasonable diligence in preparing and reviewing this statement and to the best o~f~y knowledge the information contained he e n and in the attached schedules is true and complete. I
certifyunderpena~ty~fper~uryund¢rthe~aws~ftheState~f~a~if~rniathat~hef~r-e~t~u~dc~r(e~ ~//,4 / ; /~ ~
Executed on
Recipient Committee
Campaign Statement
Cover Page -- Part 2
Type or print in ink.
COVER PAGE - PART 2
Page ~.~ of '~
5. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE ~.O'UGH~.OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
RESIDENTIAI~/BUSINESSADDRESS (NO AND STREET)
CITY STATE ZIP
6. Ballot Measure Committee
NAME OF BALLOT MEASURE
BALLOT NO OR LETTER JURISDICTION
D SUPPORT
D 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
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 ot~ behalf of your candidacy.
COMMITTEE NAME ~D NUMBER
NAME OF TREASURER CONTROLLED COMMIT~EE~
[] YBS [] NO
COMMITTEE ADDRESS STRSET ADDRESS (NO RD. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
COMMI~FEENAME lID NUMBER
I
NAME OF TREASURER
CONTROLLED COMMITTEE?
[] YES [] NO
COMMITTEE ADDRESS STREET ADDRESS (NORD BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
7. Primarily Formed Committee Listnames of officeholder(s) orcandidate($) for
which this committee is primarily formed.
NAME OF OFFICEHOLDER OR CANDIDATE
N~IE O~ (~FFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
OFFICE SOUGHT OR HELD
[]OPPOSE
[]SUPPORT
[]OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD r~ ~Hpp~T
[]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: 8661ASK-FPPC
State of California
Campaign Disclosure Statement
Summary Page
Amounts may bT rounded
to who~e doltars.
INSTRUCTIONS ON REVERS£
NAM[: OF FI(ER
Contributions Received
1 Monelary Contt-ibutions ............................... ~chedule A, L~ne 3
2. Loans Received ......................................... ~hedute B. Line 7
3, SUBTOTAL CASH CONTRIBUTIONS ............... Ad~ L~nes r + 2
4, Nonmonetary Contributions ................................ $cheOute C Line $
5 TOTAL CONTRIBUTIONS RECEIVED ..........................
Expenditures Made
6. Payments Made ............................................... Schedule E, L~ne 4
?. Loans Made .................................................. ,Sche~e ~, L~ne z
8. SUBTOTAL CASH PAYMENTS ...........................
9. Acceded ,C~penses (Unpaid Bills) ........................ Scnedu/e F. ~.~e 3
10. Nonmoneta~' Adjustment ................................. ScheduleC Lines
11. TOTAL EXPENDITURES MAD E ............................ ,~,J ones 8 * o * 10
Current Cash Statement
12. Beginning Cash Balance ...................... Pr~ous summary Page, Line 16
13. Cash Receipts ............................................. ColurnnA, Line3above
14 Miscellaneous Increases to Cash ........................Schedule ~, Line ~
1 5. Cash Payments Co/urr~ A. Line 8 above
16. ENDING CASH BALANCE ......... ~dd t_~nes 12+ 13 ~ t 4, then subtract L,ne t5
it this iS ~ termination statement, Line 16 must be zero
17. LOAN GUARANTEES RECEIVED .......................... Schedule e, Pa~ 2
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ................................... See~nsttuctionsonrever~e
19. Outstanding Debts ........................ A~lL~a,e£+L~e9~nC~urnnBaoove
Column A Column B
Cotumn A may be negative
figures thal should be
subtracted from pre~ous
the first report being flied
from Lines 2, 7, snd 9 (if
any).
'7o 7 '7 ~/
Calendar Year Summary for Candidates
Running in Both the State Primary and
General Elections
1/1 through 6/30 7/t to Date
20 Contributions
Received $ $
21 Expenditures
Mad~ $ $
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made*
Date of Elecfion
(mmldd/yy)
_~___ _J__. $
---/--__J____ $
t ___~_ __ $
___J / $
__.1_ J $
Total lo Dale
'Since January 1,2001 Amounts in this section may be
different horn amounts repoded in Column B.
FPPC Form 460 (dune~l)
FPPC Toll-Free Helpline: 866/ASK-FPPC
SUMMARYPAGE
Schedule E
Payments Made
Type er print in Jnlc r sratem~t cover& ~Hod
Amounls may be rounded ~
one ct the following codes accurately ~escnbes the payment, you may enter the code. Otherwise, descdbe the payment,
ca~g;q pa;apt~sc. MBR member communications
MTG meel~ngs and appearances
office expenses
phone t~a*~ks
po~liog ~r~-~ sbrvey ~esearch
pos[age, delivery and messenger sar.aces
profess~(~r~al so,wens (legal, aCCounting)
C(30E OR
* Payments that are contributlone or independe~., expenditures must also be summarized on Schedule D.
SCHEDUI. E£
L Page ._._c~_. of _. ~/
RA~ radio aJrtime and peod~cbcm cosL~
mlumed con~s
SAL ~ ~mers' sa~nes
t.v. ~ cable ~mme aha p~, costs
rOT voter registration
DE$CRIP~ON OF PAYMENT
SUBTOTALS
Schedule E Summary
!. Payments made this period of $1CO or more~ (include all Schedule E subtctaJs.) ..................................................................................................
2. Unitemized payments made this pedod ot under $100 .......................................................................................................................................
3. TotaJ interest paid this penod on loans. (Enter amount from Schedule 8, Part 1, Column (e),) .............................................. : ..............................
4. Total payments made this period, (Add Lines !, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ............................ TOTAL
F'PPC Form 460 {~une/01)
FPPC ToJPFree qefpl~e~ 866/ASK-FPPC