HomeMy WebLinkAboutSULLIVAN AMEND01/01/05-06/30/05
COVER PAGE
Page
9
of
1
3
Date Stamp
4
~
r
C~T - 4
¿nO"
uuJ
Date of election if appJítábffi:
(Month, Day, Year)
or print in ink.
Statement covers period
Type
Recipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200-84216.5)
Official Use Only
For
01/01L2005
from
11/02/2004
06/30/2005
through
SEE INSTRUCTIONS ON REVERSE
Quarterly Statement
Special Odd-Year Report
Supplemental Preelection
Statement - Attach Form 495
o
o
o
2. Type of Statement:
Preelection Statemen'
Semi-annual Statement
Terrnination Statement
(Also file a Form 410 Termination)
o
IX]
o
All Committees - Complete Parts 1, 2, 3, and 4.
o Primarily Formed Ballot Measure
Committee
o Controlled
o Sponsored
(AJso Complete Part 6)
Committee
[KJ Officeholder, Candidate ControUed Committee
o State Candidate Election Committee
o Recall
(Also Complete Part 5)
Recipient
Type of
1
Primarily Formed Candidate,
Officeholder Committee
(Also Complete Part 7)
o
D General Purpose Committee
o Sponsored
o Small Contributor Committee
o Political Party/Central Committee
Treasurer(s)
NAME OF TREASURER
NUMBER
950347
D
I
Committee Information
3.
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
ardia
Mvriam Rivas-La,
MAILING ADDRESS
Jacquie Sullivan
AREA CODE/PHONE
ZIP CODE
STATE
CiTY
STREET ADDRESS (NO P.O. BOX)
NAME OF ASSISTANT TREASURER, IF ANY
Verification
I have used all reasonable diligence in preparing and reviewing this statement and to the best of my
under penalty of perjury under the laws of the state of California that the foregoing is true and rre,
J "'. I
~ ~
()
J
Executed on
Executed 0 n
4.
Signature ofControJling Officeholder. Candidate. State Measure Proponent
Sigoature of Controlling Qffœho1der, Candidate. State Measure Proponent FPPC Form 460 (January/05)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
State of California
By
By
0"'"'
Dale
Executed on
Executed on
Type or print in ink. COVER PAGE - PART 2
Recipient Committee ORNIA 460
Campaign Statement RM
Cover Page - Part 2
ot 9
- -
5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee
-
NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE
Jacquie Sullivan
- BALLOT NO. OR LETTER JURISDICTION
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) o SUPPORT
City Council Member o OPPOSE
ward 6
Identity the controlling officeholder, candidate, or state measure proponent, if any.
NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT
Related Committees Not Included in this Statement: List any committees
not included in this statement that are controlled by you or are primarily fanned to receive OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY
contriÞutions or make expenditures on Þeha" of your candidacy.
7. Primarily Formed CandidatelOfficeholder Committee List names of
officeholder(s) or candidate(s) for which this committee is primarily fonned.
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD o SUPPORT
o OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
o SUPPORT
o OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD o SUPPORT
o OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD o SUPPORT
o OPPOSE
Attach continuation sheets if necessary
FPPC Form 460 (JanuaryfOS)
FPPC Toll-Free Helpline: 866fASK-FPPC (866f27S-3772)
State of California
o. NUMBER
CONTROLLED COMMITTEE?
DYES o NO
STREET ADDRESS (NO P.O. BOX)
STATE ZIP CODE AREA CODE/PHONE
1.0. NUMBER
CONTROLLED COMMITTEE?
DYES o NO
STREET ADDRESS (NO P.O. BOX)
STATE ZIP CODE AREA CODE/PHONE
COMMITTEE NAME
NAME OF TREASURER
COMMITTEE ADDRESS
CITY
COMMITTEE NAME
NAME OF TREASURER
COMMITTEE ADDRESS
CITY
SUMMARY PAGE
Statement covers period
Type or print in ink.
Amounts may be rounded
to whole dollars.
Campaign Disclosure Statement
Summary Page
9
of
3
.D. NUMBER
950347
Page
01/01/2005
06/30/2005
from
through
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Jacquie Sullivan
Calendar Year Summary for Candidates
Running in Both the State Primary and
General Elections
Column B
CALENDAR YEAR
TOTAL TODATE
ColumnA
TOTAL THIS PERIOD
(FROM ATTACHED SCHEDULES)
Contributions Received
0.00
.5.00.00
$
0.00
0.00
$
Schedule A, Line 3
Monetary Contributions
Received
to Date
7/
through 6{30
1
Schedule B, Line 3
Loans
2.
$
$
20. Contributions
Received
Expenditures
Made
21
500.00
0.00
500.00
$
0.00
0.00
0.00
$
+2
Schedule C, Line 3
Add Lines
SUBTOTAL CASH CONTRIBUTIONS
Nonmonetary Contributions
TOTAL CONTRIBUTIONS RECEIVED
3.
4.
5.
$
Summary for State
$
Expenditure Limit
Candidates
$
$
Add Lines 3 + 4
Expenditures Made
6. Made
52
00
52
354
o
354
$
52
0.00
354.52
354
$
Schedule E, Line 4
Schedule H, Line 3
Payments
Loans Made
7.
22. Cumulative Expenditures Made*
(If Subject to Voluntary Expenditure Limit)
$
$
Add Lines 6 + 7
SUBTOTAL CASH PAYMENTS
8.
Total to Date
Date of Election
(mmldd/yy)
12
00
29.055
o
055.12
0.00
29
Schedule F. Line 3
(Unpaid Bills)
Nonmonetary Adjustment .......
EXPENDITURES MADE
Accrued Expenses
9.
Schedule C, Line 3
10
11
$
$
-----1 I
29,409.64
$
64
29,409
$
AddLines8+ 9+ 10
TOTAL
*Amounts in this section may be different from amounts
reported in Column e.
To calculate Column e, add
amounts in Column A to the
corresponding amounts
from Column B of your last
report. Some amounts in
Column A may be negative
figures that should be
subtracted from previous
period amounts. If this is
the first report being filed
for this calendar year, only
carry over the amounts
from Lines 2, 7, and 9 (if
any).
441.42
----º..:...QQ
----º..:...QQ
354.52
86.90
$
Previous Summary Page. Line 16
Cash Statement
Balance
Beginning Cash
Cash
Current
2.
Column A, Line 3 above
Receipts
3.
Line 4
/,
Schedule
4. Miscellaneous Increases to Cash
Column A, Line 8 above
Payments
ENDING CASH BALANCE
Cash
5.
16
$
Add Lines 12 + 13 + 14, then subtract Line 15
If this is a termination statement, Line 16 must be zero.
0.00
$
Schedule B. Part 2
Cash Equivalents and Outstanding Debts
18. Cash Equivalents See instructions on reverse
17. LOAN GUARANTEES RECEIVED
FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
0.00
29,555.12
$
$
Add Line 2 + Line 9 in Column B above
Outstanding Debts
19
SCHEDULE B - PART
'".~"' ,,~. ~"~, :~NIA 46 I
from _ 01/01/2005 _
through 06/30/2005 _ Page ~ of ~
.0. NUMBER
950347
Type or print in ink.
Amounts may be rounded
to whole dollars.
IF AN INDIVIDUAL, ENTER .J (01 1'1 ,!dl . If (.1
OCCUPATION AND EMPLOYER OUTSTANDING AMOUNT AMOUNT PAID OUTS ANDING INTEREST ORIGINAL CUMULATIVE
BALANCE BALANCEAT
(IF SELF-éMPLQYED, ENTER BEGINNING THIS RECEIVED THIS OR FORGIVEN CLOSE OF THIS PAID THIS AMOUNT OF CONTRIBUTIONS
NAME OF BUSINESS) PERIOD THIS PERIOD· PERIOD LOAN TO DATE
o PAID CALENDAR YEAR
0.00 500.00 500.00
· _% S . 0.00
o FORGIVEN RATE PER ELECTION-
500.00 0.00 0.00 0.00 "'" 500.00
. - · . )8/04/2004 S
DATE DUE DATE INCURRED
o PAID CAlENDAR YEAR
· _% . .
D FORGIVEN RATE
PER ELECTION-
. - · . S
DATE DUE DATE INCURRED
o PAID CALENDAR YEAR
I _% I
D FORGIVEN RATE
PER ELECTION-
I - - '-
-
DATE DUE DATE INCURRED
- - 0.00 K
SUBTOTALS $ 0.00 $ 0.00 $ 500.00 $
Schedule B - Part 1
Loans Received
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Jacquie Sullivan
FULL NAME. STREET ADDRESS AND ZIP CODE
OF LENDER
(IF COMMITTEE, ALSO ENTER LD. NUMBER)
Ms. Jacquie Sullivan
t!(j JND o COM o OTH o PTY o sce
to JND o COM o OTH o PTY osee
to IND o eOM o OTH o PTY o sce
Schedule B Summary
(Enter (e) on
Sd1edu1e E, Line 3)
0.00
$
Loans received this period
(Total Column (b) plus unitemized loans of less than $100.
1
tContributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC - Small Contributor Committee
0.00
$
Loans paid or forgiven this period
(Total Column (C) plus loans under$100 paid orforgiven.)
(Include loans paid by a third party that are also itemized on Schedule A.
2.
0.00
(May be a negative number)
$
NET
Net change this period. (Subtract Line 2 from Line )
Enter the net here and on the Summary Page, Column A, Line 2.
3.
FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK·FPPC (866/275-3772)
*Amounts forgiven or paid by another party also must be reported on Schedule A.
If required.
SCHEDULE E
Statement covers period
Type or print in ink.
Amounts may be rounded
to whole dollars.
Schedule E
Payments Made
9
Page ~ of
tD. NUMBER
950347
01/01/2005
06/30/2005
from
through
SEE INSTRUCTIONS ON REVERSE
NAME OF FilER
Jacquie Sullivan
candidate/sponsor
describe
radio airtime and production
returned contributions
campaign workers' salaries
t.v. or cable airtime and production costs
candidate travel, lodging, and meals
staff/spouse travel, lodging, and meals
transfer between committees of the same
voter registration
information technology costs
costs
the payment.
Otherwise,
RAD
RFD
SAL
TEL
lRC
lRS
TSF
VOT
IfoÆB
the payment, you may enter
Po.IER. member communications
MTG meetings and appearances
OFC office expenses
ÆT petition circulating
PI-K) phone banks
POL polling and survey research
POS postage, delivery and messenger selVices
PRO professional services (legal, accounting)
PRY print ads
the code
the following codes accurately describes
(explain)"
CODES: If one of
campaign paraphernalia/misc.
campaign consultants
contribution (explain nonmonetary)*
civic donations
candidate filinglballot fees
fundraising events
independent expenditure supporting/opposing others
legal defense
campaign literature and mailings
eM'
CNS
C1l3
eve
AL
fN)
N)
LEG
UT
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NAME AND ADDRESS OF PAYEE
(IFCOMMtTTEE,Al5Q ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
Citicard 125.52
(internet,
* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 125.52
-
Schedule E Summary
1. Itemized payments made this period. (Include all Schedule E subtotals.) .................. ..................... .........$- 125.52
2. Un itemized payments made this period of under$100 .................... ............................................... .........$- 229.00
3. Total interest paid this period on loans. (Enter amounlfrom Schedule B, Part 1, Column (e).) ......... .........$- 0.00
4. Total payments made this period. (Add Lines 1. 2, and 3. Enter here and on the Summary Page, ColumnA, Line 6.) .... TOTAL $_ 354.52
FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
SCHEDULE F
m
Page --L- of~
D. NUMBER
950347
Statement covers period
from_ 01/01/2005
through 06/30/2005
Type or print in ink.
Amounts may be rounded
to whole dollars.
Schedule F
Accrued Expenses (Unpaid Bills)
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Jacquie Sullivan
CODES If one of the following codes accurately describes
Otherwise, describe the payment.
RAD radio airtime and production costs
RFD returned contributions
SAL campaign workers' salaries
TB... t.v. or cabæ airtime and production costs
TRC candidate travel, lodging, and meals
TRS staff/spouse travel, lodging, and meals
TSF transfer between committees of the same candidate/sponsor
VOT voter registration
IJ'IÆ:B information technology costs (internet, e-mail
the code.
the payment, you may enter
ftIBR member communications
MTG meetings and appearances
OFC office expenses
ÆT petition circutating
pt..() phone banks
POL polling and survey research
POS postage, delivery and messenger services
PRO professional services (legal, accounting)
PRT print ads
CJ¡P campaign paraphernalia/misc.
CNS campaign consultants
CTB contribution (explain nonmonetary)""
CVC civic donations
Al candidate filing/ballot fees
FN) fund raising events
NJ independent expenditure supporting/opposing others (explain)""
LEG legal defense
liT campaign literature and mailings
(.) (b) (e) (d)
NAME AND ADDRESS OF CREDITOR CODE OR OUTSTANDING AMOUNT INCURRED AMOUNT PAID OUTSTANDING
(IF COMMITTEE, ALSO ENTER 1.0. NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE
OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD
Western Pacific Research CNS Cable TV 0.00 8,044.00 0.00 8,044.00
Advertising
Western Pacific Research CNS Sign Crews Labor 0.00 2,025.89 0.00 2,025.89
& Expenses
Western Pacific Research CNS TV Adverstising 0.00 14,006.05 0.00 14,006.05
& Mailers & Misc
,
I
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,
I
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I
I
24,075.94 $ 0.00$ 24,075.94
-
.. INCURRED TOTALS $ _ 29 055.12
.......... .. PAID TOTALS $ _ 0.00
................. ....... NET $ _ 29.055.12
May be a negative number
FPPC Form 460 (JanuaryIOS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (8661275-3772)
$
0.00
for
SUBTOTALS $
Total accrued expenses Incurred this period. (Include all Schedule F, Column (b) subtotals
accrued expenses of $100 or more, plus total unitemized accrued expenses under $100
* Payments that are contributions or independent expenditures must also be
summarized on Schedule D.
Schedule F Summa
ls for payments on
total unitemized payments on accrued expenses under $100.
Enter the d
this period.
accrued expenses of $100 or more, plus
Line
Net change this period. (Subtract
SCHEDULE F (CONT.)
Statement covers period
Type or print in ink.
Amounts may be rounded
to whole dollars.
Schedule F
(Continuation Sheet)
Accrued Expenses (Unpaid Bills)
01/2005
01
from
~
of
Page~
D. NUMBER
950347
06/30/2005
through
NAME OF FilER
candidate/sponsor
describe
radio airtime and production
returned contributions
campaign workers' salaries
t.v. or cable airtime and production costs
candidate travel, lodging, and meals
staff/spouse travel, lodging, and meals
transfer between committees of the same
voter registration
information technology costs (internet,
the payment.
costs
Otherwise,
RAD
RFD
SAL
TEL
1RC
lRS
TSF
VOT
VIoEB
the code.
you
member communications
meetings and appearances
office expenses
petition circulating
phone banks
polling and survey research
postage, delivery and messenger services
professional services (legal, accounting)
print ads
may enter
the payment,
!II3R
MIG
OFC
PEr
f'K)
POL
POS
PRO
PRT
following codes accurately describes
(explain)'
Jacquie Sullivan
If one of the
campaign paraphernalia/misc.
campaign consultants
contribution (explain nonmonetary)*
civic donations
candidate filing/ballot fees
fundraising events
independent expenditure supporting/opposing others
legal defense
campaign literature and mailings
Payments that are contributions or
CODES
eM'
CNS
CTI!
CVC
F1L
FW
N)
LEG
UT
.
e-mai
independent expenditures must also be summarized on Schedule D.
(0) (b) (e) (d)
NAME AND ADDRESS OF CREOITOR CODE OR OUTSTANDING AMOUNT INCURRED AMOUNT PAID OUTSTANDING
(IF COMMITTEE. ALSO ENTER LD. NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE
OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD
Western Pacific Research CNS Postage 0.00 4,979.18 0.00 4,979.18
i
t
I
I
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I
,
4,979.18$ 0.00$ 4,979.18
-
FPPC Form 460 (January/05)
FPPC Toll-Free Helpline: 8661ASK-FPPC (866/275-3772)
$
0.00
SUBTOTALS $
SCHEDULE G
9
of
Page~
.D. NUMBER
950347
Statement covers period
01(º-!.L200S
06{30/200S
from
through
Type or print in ink.
Amounts may be rounded
to whole dollars.
Schedule G
Payments Made by an Agent or Independent
Contractor (on Behalf ofThis Committee)
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Jacquie Sullivan
NAME OF AGENT OR INDEPENDENT CONTRACTOR
Western Pacific Research
CODES If one of the following codes accurately describes
candidate/sponsor
describe
radio airtime and production costs
returned contributions
campaign workers' salaries
t.v. or cable airtime and production costs
candidate travel, lodging, and meals
staff/spouse travel, lodging, and meals
transfer between committees of the same
voter registration
information technology costs (internet,
the payment
Otherwise,
RAD
RFD
SAL
1B.
1RC
lRS
TSF
VOT
\NEB
the payment, you may enter the code.
tIBR member communications
MTG meetings and appearances
OFC office expenses
PET petition circulating
PH) phone banks
POL polling and survey research
POS postage, delivery and messenger services
PRO professional services (legal, accounting)
PRT print ads
campaign paraphernalia/misc.
campaign consultants
contribution (explain nonmonetary)*
civic donations
candidate filinglballot fees
fund raising events
independent expenditure supporting/opposing others (explain)*
legal defense
campaign literature and mailings
eM'
CNS
ClB
CVC
F1L
FN:J
NJ
LEG
UT
e-mai
* Payments that are contributions or independent expenditures must also be summarized on Schedule D.
NAME AND ADDRESS OF PAYEE OR CREDITOR CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
(IF COMMITTEE. ALSO ENTER 1.0. NUMBER)
Brighthouse Networks TEL Cable TV Ads 8,044.00
KERO TV CHANNEL 23 TEL TV Avertising 3,947.00
TONY SICILIANI LIT Mailers 6,274.60
U. S. Post Office POS Bulk Postage for Mailers 1,640.00
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TOTAL" $ 19,905.60
FPPC Form 460 (January/OS)
FPPC Tol~Free Helpline: 866/ASK-FPPC (866/275-3772)
Attach additional information on appropriately labeled continuation sheets.
* Do not transfer to any other schedule or to the Summary Page. This total may not equal the amount paid to the agent or
independent contractor as reported on Schedule E.
Statement covers period
Type or print in ink.
Amounts may be rounded
to whole dollars.
Schedule G
Payments Made by an Agent or Independent
Contractor (on Behalf of This Committee)
01/01L2005
from
9
of
9
Page
.0. NUMBER
950347
2005
30
OG
through
SEE INSTRUCTIONS ON REVERSE
NAME OF FilER
Jacquie Sullivan
describe
radio airtime and production costs
returned contributions
campaign workers' salaries
t.v. or cable airtime and production costs
candidate travel, lodging, and meals
staff/spouse travel, lodging, and meals
transfer between committees of the same candidate/sponsor
voter registration
information technology costs (internet, e-mai:
the payment.
Otherwise,
RAD
RFD
SAL
ll3..
1RC
lRS
TSF
VOT
VIoEB
payment, you may enter
member communications
meetings and appearances
office expenses
petition circulating
phone banks
polling and survey research
postage, delivery and messenger services
professional services (legal, accounting)
print ads
the code
the
fvI3R
MTG
OFC
Ær
PKJ
POL
POS
PRO
PRT
NAME OF AGENT OR INDEPENDENT CONTRACTOR
Western Pacific Research
following codes accurately describes
(explain)'
CODES: If one of the
campaign paraphernalia/mise
campaign consultants
contribution (explain nonmonetary)'"
civic donations
candidate filing/ballot fees
fund raising events
independent expenditure supporting/opposing others
legal defense
campaign literature and mailings
that are contributions or
eM'
CNS
C11!
CVC
FIL
FNJ
NJ
LEG
UT
NAME AND ADDRESS OF PAYEE OR CREDITOR CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
(IF COMMITTEE, ALSO ENTER LD_ NUMBER)
U. S. Post Office POS Bulk Postage for Mailers 1,900.00
u. s. Post Office pos stamps for mailers 4,979.18
TOTAL· $ G,879.18
FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Attach additional information on appropriately labeled continuation sheets.
* Do not transfer to any other schedule or to the Summary Page. This total may not equal the amount paid to the agent or
independent contractor as reported on Schedule E.
independent expenditures must also be summarized on Schedule D.
* Payments
,
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