HomeMy WebLinkAboutSULLIVAN SEMIANN00(1) OH ecipient Committee
Campaign Statement
(Government Code Sections 84200-84216.5)
SEE iNSTRUCTiONS ON REVERSE
Type or p~nt In Ink.
Statement corem period
1. Type of Recipient Committee: All Committees- Complete parta t, 2, 3, and 7.
[~ Officeholder, Candidate
· 'Controlled Committee
(Also Complete Pa~t 4.)
E] Ballot Measure Committee
O Primarily Formed
O Controlled
O Sponsored
(Also Cornp~ete Part 5.)
[] Primarily Formed CandKiatel
Ofiicehoider Committue
(Also complete Part
I--i General Purpose Committee
O Sponsored
O Bwad Based
COMMIT'FEE NAME
I.D. NUMBER
ClTf' STATE ZiP CODE ,~REA CODE/PHONE
OPTIONAL: FAX I E-MAIL ADDRESS
Data of election if I
(Mon~, Day. Year)
COVER PAGE
Da~Stemp
L,, / o,
2. Type of Statement:
I--1 Pre-election Statement
[] Semi-annual Ot~]tulll~ollt
[] Termination Statement
[] Amendment (Explain below)
[] Quarterly Statement
[] Supplemental Pre-election
Statement o Attach Form 495
Treasurer(s)
NAME OF TREASURER
MAILING ADDRESS
AREA CODE/PHONE
MAILING ADDRESS
CiTY STATE ZIpCODE AREA CODE/PHONE
OPTIONAL: FAX I E-MAIL ADDRESS
FPPC Fern1460
Fm'te~hnlcel A$~ietan~e: 9t6/322.5660
State of California
Recipient Committee
Campaign Statement
Cover Page -- Part 2
~pe or p~nt In Ink.
COVER PAGE - PART 2
Page of__
4. Officeholder or Candidate Controlled Committee
OFFICE sOIJGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
Rel~ed Commi~ees Not Included Im this Stateme.t: Lf~anye~i~s
not InGlud~ In this consolldaf~ stateme~ that a~ con~lled by you or which am p~mad~
fo~ to r~Mve contributions or to make e~ndltuMs on ~ha~ of your ~ndlda~.
COMMI~EE NAME I,D,NUMBER
COMMI~EE ~DRESS S~REET ADD'SS (NO P.O. BOX)
NAME OF OFFICEHOLDER OR CANDIDATE
ARa~ con§nua~;o~ sheets ffrrece,sse~
6. Primarily Formed Committee Llsfnamesofofficehelder(s)orcandldate(a)
for which this committee Is primarily formed.
NAME OF OFFICEHOLDER OR ~;ANDIDATE OFFICE SOUGHT OR HELD [] SUPPORT
[] OPPOSE
es
is true and complete. I cerliF/under penalty of perjury under the laws of the State of California that the foregoi? is true and correct.
Executed ~n By
FPPC Fomt 460 (e/~)
For Technical Assistance: 916/'322-5e60
State of California"
Campaign Disclosure Statement
Summary Page
Type or pdnt In Ink.
Amounts may be rounded
to wflole dollarl.
SEE iNSTRUCTIONS ON REVERSE
NAME OF FILER
Contributions Received
1. Monetary Contributions ..................................................... ScheduleA, Line
2. Loans Received ................................................................... Schedule B, Line
3. SUBTOTAL CASH CONTRIBUTIONS ................................... AddLines I +
4. Nonmonetary Contributions ............................................... Schedule C, Line
5. TOTAL CONTRIBUTIONS RECEIVED .................................... Add Lines 3 ~
Expenditures Made
6. Payments Made .................................................................... Schedule E, Line 4 $
7. LoanR Made .......................................................................... Schedule H, Line 7
8. SUBTOTAL CASH PAYMENTS ................................................ Add Lines 6 + 7
9. Accrued Expenses (Unpaid Bills) ............................................ Schedule F, Line 3
10. NonmonetarY Adjustment ....................................................... Schedule C, Line 3
11. TOTAL EXPENDITURES MADE ......................................... Add Lines 8 + 9 + ro $
Current Cash Statement
12, Beginning Cash Balance ................................ Previous Summary Page, Line 16
13. Cash Receipts .............................................................. Column A. Line 3 above
14, Miscellaneous Increases to Cash ....................................... Schedule L Line 4
15. Cash Payments ............................................................ ColumnA, Line6above
16. ENDING CASH BALANCE .............. Add Lines 12 + t3 + 14. then subtract Line 15
If this is a termination statement, Line 16 must be zero.
17, LOAN GUARANTEES RECEIVED ................... Schedule B, Part l, Column
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ..................................................... See instructions on reveree
19. Outstanding Debts ...................................Add Line 2 + Line 9 in Column C above
Column A
from
through
Column
$ $.
SUMMARY PAGE
Column C
$ $
· From previous statement Summary Page, Column C. However, if this
is the first report filed for the calendar year, Column B should be blank
except fo~ Loa~s Received (Une 2). Loans Made (Line 7). and Accrued
Exponsen (Line 9).
Summary for Candidates in Both June and
November Elections
20, ContribuUons
Received ............ $
21. Expenditures
Made .................. $
FPPC Form 460 (8/99)
ForTerJmlcal Assistance: 9t6/322-5669.
Schedule E
Payments Made
Type or print in Ink,
Amounts may be rounded
Io whole do)lam.
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
through
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
Page
CMP campaign par aphemalia/misc.
CN$ campaign consultants
CTI~ conbibutlon (expiain nonmonetary)-'
CVC civic donations
FND fundraising events
IND indepe~lent expar~Rum suppo~ling/opposln g othem (explain) *
LIT campaign literalum at~d mailing s
MTG mee~ngsa~dappeara~ces
OFC office expenses
PET pati~ clmulaflng
POL potlh~g and survey research
POS postage, deliveq, and r~,~,senger se~*lce$
PRO profess~al service$ (legal, aocou~flng)
PRT print a~s
raUJo aidJme and production cos~
I.D. NUMBER
of
8CHEDULEE
RFD retumed conln~bufions
SAt. campaignwo~ers~alades
TF[ !.w ~x cable ai~me a~l.m~lucSon costs
TRC candidate flavel, lodging and meals (explain)
TRS stalflspouse travel, lodging and meals (explain)
TSF ~a~erbetweencomm~eesoflhesamecand~ate/sponsor
VOT voter reglsbatton
WEB info~matio~ tedtnolo~y cosls (intemet, e-mail)
NAME AND ADDRESS OF PAYEE OR CREOITOR
* Payments that are contributions or Independent expenditures must also be aummarl=ed on eohedule 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 outstanding loans. (Enter amount from Schedule B, Part 2, Column (d).) ....................................................... $
4, Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Uno 6.) ......................... TOTAL $
FPP~ Form 460 (8/99)
For T~chnlcal A~slstance: 9t6~3oo.56G0
dacquie Sullivan for
C,~i t~ ~ounc i I
City of Bakersfield
City Clerk's Office
1501 Truxtun Ave.
Bakersfield, CA 93301