HomeMy WebLinkAboutSULLIVAN 01/01/01 - 06/30/01Recipient Committee
Campaign Statement
(Government Code Sections 84200-84216.5)
Type or print In Ink.
SEE INSTRUCTIONS ON REVERSE
Date of election if applicable:
COVERPAGE
Paue ! of~
O~ ForOfflcialUseOnN
1. Type of Recipient Committee: All Committees- Complete Paris 1, 2, 3, and 7.
[] Officeholder, Candidate
Controlled Committee
(Also Complele Par~ 4.)
[] Ballot Measure Committee
C) Primarily Formed
O Controlled
C) Sponsored
(Also Complete Pa~l 5.)
[] Primarily Formed Candidate/
Officeholder Committee
(Also Complete Pad 6.)
[] General Purpose- 50.1mittee
O Sponsored
O Broad Based
2. Type of Statement:~--
[] Pre-election Statement
~ Semi-annuat Statement
[] Termination Statement
[] Amendment (Explain below)
~ Quarterly Statement
[] Special Odd-Year Report
[] Supplemental Pre-election
Statement - Attach Form 495
3. Committee Information
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR RO. BOX
Treasurer(s)
MAILING ADDRESS
CIT'( STA~ ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX I E-MAIL ADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX / E-MAIL ADDRESS
FPPC Form 460 (8~99)
For Technical Assistance: 916/322-5660
State of California
Recipient Committee
Campaign Statement
Cover Page -- Part 2
Type ~ pCmt RI ink.
COVER PAGE - PART 2
Page
4, Officeholder or Candidate Controlled Committee
OF HELD INCh L ,TION I~ICT NUMBER IF APPLICABLE)
Related Committees Not Included in this Statement:
nof lncluded ln thls ~n~#ldated W btM am ge~,~l~d by you or whk~ are ~rlmadly
C~MITTEE NAME L. · · ~.,
I LD.~BER
5. Ballot Measure Committee
NAME OF BALLOT MEASURE
BALLOT NO. OR LETTER ~ JURISDICTION ~ I'--I SUPPORT
I
Id~ttlfy th~ coatroNthg officeholder, c~, m' m memm~ prop~ If any.
OFFICE SOUGHT OR HELD IBSTalCT NO. iF ANY
I
6. Primarily Formed Committee L,,t.~m. o~om~o~.) ~,'.~d~.(.)
NA~ OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD [] SUPPORT
OFFICE SOUGHT OR HELD
NAME OF OFFICEHOLDER OR CANDIDATE
[] OPPOSE
[:]
[~ SUPPORT
. .CI {;~OSE.
Verification . ..
I have used all reasonable diligence in preparing and reviewing this statement ~nd t~e best of my knowledge the information contained herein and in the attached schedules
is true and complete. I codify under penalty of perjury under the laws of the State,~f ~l~alifomia that the,~egoing is ~e and correct.
Executed on By
S~NA~t..'~ OF CONT;OLUN~ O~F~CEHOCr)~R, CANOIOATE, grAzE MEASURE
Executed m~ By
DATE
FPPC Form 460 (I/9G)
For T~nlcst AsstaMnco: ~Ie~322.S~Q
Campaign Disclosure Statement
Summary Page
SEE INSTRUCTIONS ON REVERSE
Contributions Received
Type or print in Ink,
Amounts may be rounded
to whole dollars.
1. Monetary Contributions ...................................................... Schedule A, Line 3
2. Loans Received ...................................................... ~ ............ Schedule B, Li~e 7
3. SUBTOTAL ~ASH CONTRIBUTIONS ................................... AddLInes I + 2
4. Nonmonetary Contributions ............................................... Schedule C, Line 3
5. TOTAL CONTRIBUTIONS RECEIVED .................................... Add Lines 3 + 4
Column A
Column B*
TOTAL pREViOUS PERIOD
(SEE NOTE BELOW)
$
LD. NUMBER
Column C
TOTAL TO ~ATE
SUMMARY PAGE
Expe.nditures Made --
6. Payments Made ....................... ~ ......................................... .;. 'Sche'du'l~E, Line4
7. Loans 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 Line~ 8 + 9 + 10
$ $
$ $
$ $
* 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 Accr, Jed
Expenses (Line 9).
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 I. Line 4
15. Cash Payments ............................................................ ColumnA, LineSabove
16. ENDING CASH BALANCE .............. Add Lines t2 + 13 + 14. then subtract Line 15
If this is a termination statement, Line 16 must be zero,
17. LOAN GUARANTEES RECEIVED ................... Schedule B, Part 1, Column (b)
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ..................................................... See instructions on reverse
19. Outstanding Debts ................................... AddLine2+LineginColumnCebove
Summary for Candidates in Both June and
November Elections
111 through 6/30 711 to Date
20. Contributions
Received ............ $
21. Expenditures
Made .................. $
FPPC Form 460 (6/99)
For Technical Assistance: 9161322-6660
Schedule A Type or print in ink. SCHEDULE A
Amounts may be rounded S~;,,i~,,,,~ covers period
Contributions Received towholedollars, from~l~ I ,~)Q~, ~[1~ ~
IF AN INDIVIDUAL, ENTER ~OUNT CUMU~TIVE TO DATE CUMU~TIVE TO DATE
FULL NAME, MAILING ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR ~CUPATION ~D EMPLOYER RECEIVED THIS ~ENDAR Y~R OTHER
<,~ c~.~. ~=o ~.~.,.~ ...~.~ coo~ * <~ =~;~..~ .~.,oo (:~. ~- o~c. ~) (,~
I
~ OTH
Monetary
SEE INSTRUCTIONS ON REVERSE
NAME O F.~I.~0~
DATE
RECEIVED
su~,u,^, SI Obi> ·
Schedule A Summary
1. Amount received this period - contributions of $100 or more.
(Include ali 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
I*Contributor Codes
IND - Individual
COM - Recipient Commiltee
OTH - Other
FPPC Form 460 (8~99)
For Technical Assistance: 9161322-5660
Schedule A (Continuation Sheet) Type or print in Ink. SCHEDULE A (CONT.)
Monetary Contributions Received Amountsmayberounded ~.,~.,,~covo,...~,~ ' '" ' ~t ~
I '
IF AN INDIVIDUAL, ENTER AMOUNT CUMU~TIVE TO DATE CUMU~TIVE TO DATE
DATE FULL NAME, MAILING ADDRESS ~D ZIP CODE OF CONTRIBUTOR CONTRIBUTOR ~CUPATION ~D EMPLOYER RECEIVED THIS C~END~ Y~R OTHER
RECEIVED (IFC~MI~EE,~ENTER I D NUMBER) CODE * (~SELF'~O~D'ENTER~E PERIOD (J~ 1 - DEC 31) (IF~PLIC~LE)
O.
~ ~ OTH
~ ~IND
~ COM
~ OTH
~IND
· D COM
~O~H
~ IND
D COM
~ OTH
~ IND
D coM
~ OTH
SUBTOTALS
*Contributor Codes
IND - Individual
COM- Recipient Commiitee
OTH - Other ,
FPPC Form 460 (8/99)
For Technical Assistance: 916/322-5660
Schedule E
Payments Made
SCHEDULE E
CODES:
If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CMP campaign pmal~aiia/misc.
CNS campaign1 c,a~sulla~ts
CTB conln'bu~)n (explain nonmonela ~/)*
CVC civic donatk~s
FND fundralsing events
1ND ind~ expenditure suppoding/opposk~ olhe~s (ex~ain)*
LIT campaign literature and mailings
MTG meelings end ali~3earances
PHO ph<me banks
POL poling aad suwey msemch
POS peslage, delivew and messenger se~ices
PRO pro~ sen~ (legal. ac~ing)
PRT pdt4 ads
~ radi~ airlime and production costs
RFD renu meal co¢~lbcY, io~s
SAL campaign worke~ salades
TEL t.v. of calve airlJme and production costs
TRC candldale travel, lodging and me~s (expla~)
TRS slafflspouse trav~. Iodg~g and mea~s (explain)
TSF
rOT votsf ~
wee
1. Payments made this pedod of $100 or more. (Include all Schedule E subtotals.) ............................................................................................... $
2. Unitemizod payments made this pedod 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, Line 6.) ......................... TOTAL
FPPC Fm'm 4~ (8/90)
For Technical AssiMance: 11~322-S~Q
Schedule E
(Continuation Sheet)
Payments Made
Type or print In Ink.
Amounts may be rounded
to whole dollars.
SEE INSTRUCTIONS ON REVERSE
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, descdbe the payment.
CMP campaign paraphemalieJmisc.
CNS campaign consultants
CTB con~bution (explain nonmonetary)*
CVC civic donations
FND fundraising events
IND independent expenditure suppoSing/opposing others (explain)*
LIT campaign literature and mailings
MTG meelJngs and appaarancss
OFC omce expenses
PET petition circulating
PHO phone banks
POL polling and survey research
POS postage, detivery and messenger servk:es
PRO professiona~ services (legal, accounting)
PRT print ads
PAD radio airtime and production costs
SCHEDULE E (CONT.)
I.D. NUMBER
RFD returned contributions
SAL campaign workers salaries
TEL t.v. or cable airtime and production costs '
TRC candidate travel, Indging and meals (explain)
TRS stall/spouse travel, lodging and meals (explain)
TSF transfer between committees of the same candidate/sponsor
VOT voter registragon
WEB information technology costs (intemet, e-mail)
NAME AND ADDRESS OF PAYEE OR CREDITOR CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
FPPC Form 460 (8/99)
For Technical Assistsnce: 9161322-5660
· Sch lule E
(Continuation Sheet)
Payments Made
SCHEDULE E (CON'r.)
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
OFC olfice eq)enses
PET pel~km cin:ula~ng
POi. pM~g and s~Jn~y msea~h
POS pestage, d~y and messeng~ senses
PRO pfo~esstmal sewices (legal, accoun~ng)
PRT pffnl ads
PAD ladio a~me and ixoduct~n co~s
RFD returned co~tribu'i(~s
SAL c~algn w~ce~s s~es
TEL I.v. or c~b~e MFdme ~md production costs
TRC candld~e trav~, k~ and rneals (e~aln)
TRS stalf/spouse trove, lodging and me~s (explain)
TSF banslef belween com~ttees of Ifle same can<~a~/spo~eo~
VOT v~ef reglstmlion
WEB in~ technok)gy rests ('~t smet. e-mail)
NAME ANO ADDRES~ OF PAYEE OR CREDITOR COOE OR DESCRIPTION OF PAYMENT AMOUNT PAIO
· Peyment~ th~ ~e ~omflb~tlo~ M lad,l~adem .3~millm~ .mm ~ I=e -umm~rlz~l on S~,hed~de O. SUBTOTAL
FPPC Form 460
FM Technical A~.btan~:.
Jacquie
Sullivan
for City Council