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HomeMy WebLinkAboutBPPAC SEMIANN00(1) ecipient Committee Campaign Statement (Government Code Sections 84200-84216.5) Type or print In ink. SEEINSTRUCT~NSONREVERSE Ifrom rou°h 1. Type of Recipient Committee: All Committees- Complete Parts 1, 2, 3, and 7. [] Officeholder, Candidate Controlled Committee (Also Complete Part 4J [] Ballot Measure Committee O Primarily Formed O Contmited O Sponsomd (Also Complele Pad 5.) [] Primarily Formed Candidate/ Officeholder Committee (Also Complete Part S.) ~ General Purpose Committee ~0 Sponsomd Broad Based 3. Committee Information COMMII~'EE NAME STREET ADDRESS (NO RO. BOX) CITY STATE ZIP COOE STATE ZIP C~E OPTIONAL: FAX / E-MAIL ADDRESS AREACODE~*HONE AREA CODE/PHONE Date of election if applicable: (Month, Day, Year) D~eSlamp 30 JUL 26 Pi112:1 ,KERSFIELO CITY CLI~ 2. Type of Statement: [] Pm-election Statement · ~. Semi-annual Statement [] Termination Statement [] Amendment (Explain below) Treasurer(s) NAME OF TREASURER MAILING ADDRESS ~' CITY STATE NAME OF ASSISTANT TREASURER, IF AN'( COVER PAGE For official Use Only [] Quarterly Statement [] Special Odd-Year Report [] Supplemental Pre-election Statement ~ Attach Form 495 ZIP CCOE ADDRESS FPPC Form 450 (8/99) For Technical Aeeletance: 916/3~2o$650 State of California Recipient Committee Campaign Statement Cover Page -- Part 2 4. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDAr E Type or prlntln ink. 5. Ballot Measure Committee NAME OF BALLOT MEASURE COVER PAGE-PART2 Page '~ of ~ OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) RESIDENTIAL~USINESS ADDRESS (NO. AND STREET) CITY STARE ZIP Related Committees Not Included in this Statement: Llstanycommlttee9 not Included In thl9 consolidated statement the t are controlled by you or which are primarily formed to receive contributions or to make expenditures on beheff of your candidacy. COMMrFrEE NAME I.D. NUMBER NAME O~ TREASURER CONTROl_LED COMMITTEE? [] y~s [] NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE BALLOT NO. OR LET[ER I JURISDICTION []SUPPORT i-]OPPOSE Identify the conbolling 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 Llstnamesofofficeholder(s)orcendldate(;) for which this committee Is primarily formed, NAME OF OFFICEHOLDER OR CAND!OATE NAME OF OFFICEHOLDER OR CANDIDATE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD OFFICE SOUGHT OR HELD OFFICE SOUGHT OR HELD F-IsuPPOHT []OPPOSE []SUPPORT []OPPOSE [:]SUPPORT []OPPOSE Affach con#nua#on sheets ff necsssary 7. Verification I have used ali 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 perjuly under the laws of the State of California that the foregoing is true and correct. DATE ~ / ~ /' SIGNATU'-I~EOFI~EASURERORASSlSTANTII~EASURER DATE SIGNATURE OF CON?ROLU~3 OFFICEHOLDER, CANOI DATE,~rA~ MEASURE PROPONENT OR RESPONSIBLE OFFICER OF SPONSOR By ~ SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT ~ By Executed on Executed on Executedon Executed on OATE DATE FPPC Form 460 (8/99) For Technical Assistance: 916/322-5560 State of Catifornla Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE Type or print In Ink, Amounts may be rounded to whole dollars. NAME OF FILER Contributions Received 1. Monetary Contributions ...................................................... ScheduleA, Line 3 2. Loans Received ................................................................... Schedule B, Line 7 3. SUBTOTAL CASH CONTRIBUTIONS ................................... ,~ddLInes t +2 4. Nonmonetary Contributions ............................................... Schedule C, Line 3 5, TOTAL CONTRIBUTIONS RECEIVED .................................... AddLInes 3 + 4 Column A TOTAL ~cHIS PERIOD (F.o~ ^rr^cHED SCHEDULES) Page I.D. NUMBER SUMMARY PAGE Column B* Column C TOTAL PREV/CUS PERIOD TOTAL TO DATE Expenditures Made 6. Payments Made .................................................................... Schedule E, Line 4 $ 7. Loans Made .......................................................................... Schedule H, Line 7 8. SUBTOTAL CASH PAYMENTS ................................................ ,~ddLInes6+? $ 9. Accrued Expenses (Unpaid Bills) ............................................ Schedule F, Line 3 10. Nonmonetary Adjustment ....................................................... Schedule C, Line 3 11. TOTAL EXPENDITURES MADE ......................................... AddLIneeS+9+10 $ Current Cash Statement t 2. Beginning Cash Balance ................................ Previous Summery Page, Line 16 13. Cash Receipts .............................................................. Column A, Line 3 above 14. Miscellaneous Increases to Cash ....................................... Schedule I, Line 4 1 5. Cash Payments ............................................................ Column A, Line 8 above 16. ENDING CASH BALANCE .............. Add Llnes 12+ 13+ 14, then subtract LIne 15 If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ................... Schedule a, Part I, Column (b) $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ..................................................... see instructions on reverse $ 19. Ouistanding Debts ................................... Add Line 2 + Line 9 in Column C above $ $ · 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 Accrued Expenses (Line 9). Summary for Candidatesjn Both June and November Elections 111 through 6/30 7/1 to Da~e 20. Contributions Received ............$ ~. .:~ 21.' Expenditures Made: ................. $ FPPC Form 460 (8/99) For Technlcal Assistance: 916/~22-$660 Schedule A Type or print In ink. SCHEDULE A Amouma may ne rounee. Sta;,~en; covia period I Moneta~ Contributions Received towholedollars. IF AN INDIVIDUAL. ENTER AMOUNT CUMU~TIVE~O DATE CUMU~TIVE TO DATE DATE FULL NAME, MAILING ADDRESS AND ZIP CODE OF CON~IB~OR CONTRIB~OR ~CUPATION AND EMPLOYER RECEIVED ~IS CALENDAR YEAR O~ER RECEIVED (IF C~I~EE, A~O ENTER LO. NUMBER) CODE * (IF SE~.~M~OYEO, ENTER N~E PERIOD (JAN. 1 - DEC. 31} (IF APPLICABLE) OF BUSINE~)  ~ IND e o o / o o D nTH ~ IND ~ ~ D nTH ~ OTH ~IND ~-~- ~e D cou D ~ND ~ OTH 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 pedod. (Add Lines I and 2. Enter here and on the Summary Page, Column A, Line 1.) ................... TOTAL IND- Individual COM - Recipient Committee nTH - Other FPPC Form 460 (8/99) For Technical Assistance: 916/~22-5660 ' Schedule A (Continuation Sheet) Typecrprlntlnlnk: SCHEDULEA (CONT.) Monetary Contributions Received Amounts may De rounDeD Statement covers period to whole dollars, from '~2-e/~0~ j j~l NAME OF FILER UM IF AN INDIVIDUAL, ENTER AMOUNT CUMU~TIVE T~ D~E CUMU~TIVE TO DATE DATE FULL NAME. MAILING AODRESS AND ZIP CODE OF CONTRIB~OR CONTRIB~OR ~CUPATION AND EMPLOYER RECEIVED ~IS CALENDAR YEAR OTHER RECEIVED (IFCO~i~EE. AGOE~ERI.O.N~[R) CODE e (IFS~LF-EM~OYED. ENTERN~E PERIOD (JAN ~ - DEC 31) (IFAPPLICABLE) OF ~USINESS) ~IND ~IND ~ IND I IlO& D IND ~ COM ~ OTH D IND ~ COM ~ OTH ~ IND ~ COM ~ OTH . ' ~ SUBTOTAL 'Contributor Codes IND -Individual J COM - Recipient Committee J OTH- Other I FPPC Form 460 (8/99) For Technical Assistance: 916~322-5660 Schedule I Miscellaneous Increases to Cash Type or print in ink. Amounts may be rounded to whole dollars. SEE INSTRUCTIONS ON REVERSE Statement covers period from ~'~/~Z-~f~) SCHEDULEI Page ,~ of '~ NAME OF FILER I.D. NUMEER AMOUNT OF DATE FULL NAME AND ADDRESS OF SOURCE DESCRIPTION OF RECEIPT RECEIVED (iF COMMITTEE. ALSO ENTER I.O. N~"MBER) INCREASE TO CASH Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ ~. ~ 7,~'"' Schedule I Summary " 1. Increases to cash of $100 or more this period ........................................................................................................... $~, 2. Unitemized increases to cash under $100 this pedod ............................................................................................... $ 3. Total of all interest received this period on loans made to others. (Schedule H, Part 2 (b).) .................... ; ............ $ 4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the Summar~ Page, Line 14.) ........................................................................................................................... TOTAL FPPC Form 460 (8/99) For Technical Assistance: 916/322-5660