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Home My WebLink AboutBFLAG SEMIANN00(1) ecipient Committee Campaign Statement (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. through Date of electio n if applicable: (Month, Day, Year) B/ Date Slamp 9 JUL 28 ANII: bi ',ERSFIELD CITY CLER COVER PAGE page I of___~_ For OIf~clal Use On~y 1. Type of Recipient Committee: A, Committee~- Complete Parts 1, 2, 3, and 7. [] Officeholder, Candidate Controlled Committee (Also Complete Part 4J [] Ballot Measure Committee O Primarily Formed O Controlled 0 Sponsored (Also Complete Part [] Primarily Formed Candidate/ Officeholder Committee (Also Complete Pall 6.) ~ General Purpose Commiltee 0 Sponsored ~' Broad Based 2. Type of Statement: [] Pre-election Statement ~ Semi-annual Statement [] Termination Statement [] Amendment (Explain below) [] Quarterly Statement [] Special Odd-Year Report [] Supplemental Pre-election Statement - Attach Form 495 3. Committee Information COMMFFrEE NAME STREET ADDRESS (NO P.O. BOX) ~' MAILING ADDRESS {IF DIFFERENI) NO. AND STREET OFt P,O. BOX Treasurer(s) NAME OF TREASURER MAILING ADDRESS CITY STATE ZIP CODE AREA CODF-/PHONE NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODEJPHONE OPTIONAL: FAX / E-MAIL ADDRESS CITY STATE ZIP CODE AREA CODFJPHONE OPTIONAL: FAX / E-MAIL ADDRESS FPPC Form 460 (8/99) For Technical Assistance: 9~6/3~2-5660 State of California Recipient Committee Campaign Statement Cover Page -- Part 2 Type or print in ink. COVER PAGE - PART 2 4. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE 5. Ballot Measure Committee NAME OF BALLOT MEASURE OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) RESlDENTIAL~USlNESS ADDRESS (NO. AND STREET) CITY STATE ZIP Related Committees Not Included in this Statement: Listenycommltrees not Included In this c onsollda red statement the t are controlled by you or which are primarily formed re receive contributions or to make expenditures on behalf of your candidacy. COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMM~CrEE? [] YEa [] NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE BALLOT NO. OR LETTER JURISDICTION }'-l SUPPORT ~'-]OPPOSE Identify the conb-olling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY 6. Primarily Formed Committee Llstnamesofofflceholder(s)orcandldare(s) for which this committee is primarily formed, NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD [] SUPPORT [] OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD r~ SUPPORT [] OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD [:]SUPPORT []OPPOSE Attach conD~uation sheets if necessa/y 7. Verification t have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowtedge the information contained herein and in the attached schedules is trUeExecuted onand complete,_'71 certify/~_7.under/o~.~penalty of perjury under the laWSBy.~~--~°f the State of California~.~t ~3t~e~,~ ~-'-~f°reg°ing is true and corr ect~...__~_~ DATE SIGNATURE OF TREASURER OR ASSISTANT TREASURER Executedon By, DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT OR RESPONSISLE OFFICER OF SPONSOR Executedon By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT Executedon By DATE SIGNATURE OF CONTROLLIN~ OFFICEHOLDER. CANDIDATE, STATE MEASURE PROPONENT FPPC Form 460 (8/99) For Technical AssistaRCe: 916/322-5660 State of California schedule A Typa or print in ink. SCHEDULE A I Amounts may De rounoeu Statement covers period ~oneta~ Contributions Received towhole dollars, from__~_~___~._~ ~'-~ ~'~I I~l~l ~EE {NSIRUCTIONS ON REVERSE through ~ · of ~AME OF FILER I.D. NUMBER IF AN iNDIVIDUAL, ENTER AMOUNT CUMU~TIVE TO DATE CUMU~TIVE TO DATE DATE FULL NAME, MAILING ADDRESS AND ZiP CODE OF CON~IB~OR CONTRIBUTOR ~CUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR OTHER RECEIVED 0F CO~i~EE, ALSO ENTER I0. NUMBER) CODE * 0F SE~-EM~OYEO, ENTER N~E PERIOD (JAN. 1 - DEC, 31 ) (IF APPLICABLE) OF ~USINESS) DOOM DOTH { ~ DOTH D IND ~ OOM DOTH D IND DOOM DOTH SUBTOTAL 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 OTH - Other FPPC Form 460 (8~9) For Technical Assistance: 916~22-5660 Schedule E Type or print in ink. Payments Made Amountsmayberounded to whole dollars. Statement covers period ,,om_ CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphemalia/misc, CNS campaign consultants CTB contribution (explain nonmonetmy)* C¥C civic donations FND ~.ndraJsingevenis IND indapendentexpenditurosuppor~ng/opposingothers{explain). LIT campaign literature and mailings MTG meetings and appearances OFC office expenses PET petition cimulating PHO phone banks POL POtting and survey reseamh POS Posiage, detive~yandmessengerservices PRO professJonalservices(legat, accounting) PRT print ada RAD radio airtime and production costs NAME AND ADDRESS OF PAYEE OR CREOITOR IIF COMMITTEE, ALSO ENTER I.D. NUMBER) * Payments that are contributions or independent expenditures must also he Summarized on Schedule D. CODE OR Schedule E Summary RFD returned contributions SAL campaign workers salaries TEL t.v. or cable airtime and production costs TRC candidate travel, lodging and meals (explainI TRS siaff/spousetravel, lodgingandmeals(explain) TSF transferbelweencommriteesofthesamecandidate/sponsor VOT voter registration WEB information technology costs (intemet, e.mafl) DESCRIPTION OF PAYMENT AMOUNT PAID SUBTOTALS ~, ~,~.,~ , C(~ 1. Payments made this period of $100 or more. (Include all Schedule E subtota s ) $ ~'~-7 _ . 2. Unitemized payments made this period of under $100 ...............................................* ........................................................................ $ _ ~, ~_O 3. Total interest paid this period on outstanding loans. (Enter amount from Schedule B, Part 2, Column (d).) ....................................................... $ . C~ 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ......................... TOTAL $ ___~__~,'~_C) FPPC Form 460 (8/99) For Technical Assistance: 916~322-5660 Schedule E (Continuation Sheet) Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaignparaphsmalia/mi,=~. OFC office expanses RFD returnedcontributions CNS campaign consutiants CTB contrib~ion (exCaln nonmonetary)* CVC civlc donations FND fundraising events IND independent expenditure supporting/opposing others (explain)* LIT campaign literature and mailings PET petition circulating PHO phone banks POL polling and survey reseamh POS postage, delivery and messenger services PRO professional services (legal, accounting) PRT print ads SCHEDULE E (CONT. MTG meefingsandappearances RAD radioaidimeandproductioncosts I.D. NUMBER SAL campaign workers salaries TEL t.v. or cable airtime and production costs TRC candidate trevel, lodging aod meals (explain) TRS staff/spouse t ravel, lodging and meals (explain) TSF transfer between committees of the same candidate/sponsor VOT voter registration 3n Schedule D, SUBTOTAL NAME AND ADDRESS OF PAYEE OR CREDITOR {IF COMMITTEE, ALSO ENTER LO. NUMBERI CODE OR DESCRIPTIO,N OF PAYMENT AMOUNT PAID FPPC Form 460 (8/99) For Technical Assistance: 9'/6~322-5660 campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF FILER Type or print in ink. Amounts may be rounded to whole dollars. from Contributions Received 1. Monetary Contributions ...................................................... Schedule A, Line 3 2. Loans Received ................................................................... Schedule B, Line 7 3. SUBTOTAL CASH CONTRIBUTIONS ................................... Add Lines I + 2 4. Nonmonetary Contributions ............................................... Schedule C, L/ne 3 5. TOTAL CONTRIBUTIONS RECEIVED .................................... AddLines3+4 SUMMARY PAGF I.D, NUMBER Column A Column B* Column C mT^L THiS PERIOD TOTAL PSEVIOUS PERIOD TOTAL TO DATE Expenditures Made 6. Payments Made .................................................................... $cheduleE, Line4 $ 4C) b~'~'l r~ 7. Loans Made .......................................................................... Schedule H, Line 7 ~ 8. SUBTOTALCASHPAYMENT$ ................................................ AddLines6+7 $ ~'~< ~ 9. Accrued Expenses (Unpaid Bills) ............................................ Schedule F, Line 3 ~ 10. Nonmonetary Adjustment ....................................................... ScheduleC, Line3 ~-~ 11. TOTAL EXPENDITURES MADE ......................................... AddLInes8+9+10 $ ~0 ~.~'~( '~0 Current Cash Statement 12. Beginning Cash Balance ................................ Previous Summary Page, Line 16 13. Cash ~eceipts .............................................................. ColumnA, 14. Miscellaneous Increases to Cash ....................................... Schedule I, Line 4 15. Cash Payments ............................................................ Column A, Line 8 above 16. ENDING CASH BALANCE .............. Add Lines 12 + 13 + 14, then subtract Line 15 If this iea termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ................... Schedule B, Part I, Column (bi Cash Equivalents and Outstanding Debts 18. Cash Equivalents ..................................................... See instructions on reverse 19. Outstanding Debts ................................... Add Line 2 + Line 9 in Column C above $ 8wz: , S"7 $_q 8' go $ 0 $ $ 0 * 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 for Loans Received (Line 2), Loans Made (Line 7}, and Accrded Expenses (Line 9). Summary for Candidates in Both June and November Elections 1/1 Ihrough 6/30 7/1 to Oate 20. Contributions Received ............ $ 2t. Expenditures Made .................. $ FPPC Form 460 {8/99) For Technical Assistance: 916/~22-5660 , Schedule D Summary of Expenditures Supporting/Opposing Other Candidates, Measures and Committees SEE INSTRUCTIONS ON REVERSE Type or print in ink. Amounts may be rounded to whole dollars. NAME OF FILER SCHEDULED Page ~1~ of "7 I.D. NUMBER DATE CANDIDATE AN D OFFICE, MEASURE AND JURISDICTION. OR COMMITrEE ~ Suppod [] Oppose [] Support [] Oppose [] Suppod [] Oppose TYPE OF PAYMENT [~ Monetary Contribution [] Non-Monetary Contribution [] ~ndependent Expenditure [] Monetary Contribution [] Non-Monetary Contribution [] Independent Expenditure [] Monetary Contribution [] Non-Monetary Contribution [] Independent Expenditure DESCRIPTION OF NONMONETARY CONTRIBUTION (IF REQUIRED) AMOUNT THIS PERIOD CUMULATIVEAMOUNT Calendar Year Other Calendar Year Other Calendar Year Other SUBTOTAL 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 (8~39) For Technical Assistance: 916/~22-5660