HomeMy WebLinkAboutSULLIVAN SEMIANN98(2) fficeholder, Candidate,
and Controlled Committee
Campaign Statement - Long Form
(Government Code Sections 84200-84216.5)
SEE INSTRUCTIONS ON REVERSE
Check one of the following boxes to indicate the type of statement being filed:
[] Pre-election Statement
Type or print in ink.
Supplemental Pre-election Statement (Attach a completed Form 495 to this statement.)
Special Odd-Year Campaign Report
from State/~TT'n~';:ve~cl Date Stamp
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through/'>~/' ~/' ~/~/'
OateofelectionifapplR~,l~,b~iF~~' _9 ~'~, ~: ~
(M~th, Day, Yea~ ~ ~ ~* '
COVER PAGE - LONG FORM
Page / of ~
For Official Use Only
OFFICE SOUGI~OR H~I.D (INCLUDE LOCATION AND DISTRICT NUMBER IF APPL,ICA)ILE)
CITY,._ -. ~ . , STA~, - ZIP CODE AREA CODEfDAYTIME PHONE
COMMITTEE NAME~ t I.D, NUMaER
' : ' {"$~ ZIP CODE A~A C~E~AYTIME PH~E
C~Y ~, ~ $TAT[ , ZIP COD[ A~A C~AYTIME PH~E
Semi-annual Statement
Termination
cmmiffees ~t i~l~d in this coreDtide ted ~a ternant that ire controlled by you e~ eny
cmm~ees of whkh you have knowle~e that are prlmerily f~med to receive contrl~iom
b~, ZIP CODE AREA CODE~AYTIME PHONE
II1'~erification '
e used all reasonable diligence in preparing this statement. i have reviewed the statement and to the best of m k I / '~h:inf . x; . ,,-. . . =.
An officeholder or candidate who controls a committee must also verify the campaign statement. I have used all reasona diligence and to ~st of my knowledge the treasurer has used alt
I hay'~By /S GNATURE OF CANDIDATE/OFFICEH(X
reasonable diligence in preparing this statement. I have reviewed the statement and to the best of my knowledge the' rmation contained herein and i the attached schedules is true and
complete. I carte under penalty of perjury unde ~the 14aws of the State of Cal' nia that the foregoing is true an~
Executed on7' ~} ~" 9 ~'~At: CL ~'' ~
,..,,,.,0.:::: ., ..,::::: .,
SIGNATURE OF CANDIDATE/OFFICEHOt0ER
E xec uted on At By
DATE CITY AND STATE
SIGNAIUR[ OF CANDIDATE/OFFICEHOLDER
FOR INFORMATION REQ~IIRED TO BE PROVIDED TO YOU PURSUANT TO THE INFORMATION PRACTICES ACT Of 1977, SEE INFORMATION MANUAL ON CAM?AIGN DIS~C_L_OSURE__P_R__Q_VISIONS OF THE POLIIlCAL R[FORM ACT
Campaign Disclosure Statement
Summary Page
SEE INSTRUCTIONS ON REVERSE
NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE
Contributions Received
1. Monetary Contri butions ............................... Schedule A, Line
2. Loans Recei red ......................................... Schedule a, Line
3 SUBTOTAL CASH CONTRIBUTIONS ...................... AddUnes I +
4. Non-monetary Contributions ......................... schedule c, Line
5. SUBTOTAL CONTRIBUTIONS.(ExdudeEnforceable promises) AddUnes3 +
6. Enforceable Promises
(Exclude Loan Guarantees, Line I8 below) ................... Schedule D, Une
7. TOTAL CONTRIBUTIONS RECEIVED ..................... AddUnesS,
Expenditures Made
8. Cash Payments (Other than Loans Made) ............ Schedule E, Une 5 $
9. LOans Made ............................................. Schedule H, Une 7
10. SUBTOTAL CASH PAYMENTS ............................ AddLines8 + 9 $
11. Accrued Expenses(Unpaid Bills) ....................... ScheduleF, UneS
12. TOTAL EXPENDITURES MADE ......................... AddLines 10 ~ I1 $
Current Cash Statement
13. Beginning Cash Balance .................. Previous Summary page, Line 17 $
14. Cash Receipts ...................................... ColumnA, Line3above
15. Miscellaneous Increases to Cash ........................ schedule I, Line 4
16. Cash Payments .................................... ColumnA, Une lOabove
17. ENDING CASH BALANCE ..... AddLines!3 , 14 ~ fS, thensubtractUnel6 $
ff th/s b a term/net/on statement, Line 17 must be zero.
18. LOAN GUARANTEES RECEIVED .............. Schedule a, Parts, Column(b) S
Cash Equivalents and Outstanding Debts
19. Cash Equivalents ................................$eeinstrucfionsonreverse $
20. Outstanding Debts ................. AddLine2 + Line 11 inColumnCabove $
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from
SUMMARY PAGE
through I Pair '~ of ~
I,D. NUMBER
Column A Column B* Column C
TOTAL THIS FfR~OD TOTAL PREVIOUS PERIOD TOTAL TO DATE
(FROM ATIACH~D SCHEDULES) (SEE NOTE IELOW) (ADD C0tUMNS A + l)
/ c/~-.. cC~
in -,t
S $
S $
$ S
$ $
s )qL,%. s /_57q.
' From previous Statement Summary Pair, Column C. However, if
this is the first report filed for the calendar year, Column B should be
blank e,cept for Loam Received {Line 2), Enforceable Promises (Line
6), Loam Made (Line 9), and Accrued Expenses (Line 11).
Summary for Candidates in Both June and
November Elections
111 through 6/30 711 to Date
21. ontrib tions
22. Ex nditures
M~ofer ....... S
Schedule E
Payments and Contributions
(Other Than Loans) Made
Type or print in ink.
Amounts may be rounded
to whole dollars.
SEE INSTRUCTIONS ON REVERSE
NAMJ~ OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE
~ ~ //~
-/
2 "'/~ ' / 2. ~ ,';"--,,.-. ,-:. ( ~ _:
' C.,' CODES FOR CLASSIFYING EXPENDITURES
Statement covers period
from
through
SCHEDULE E
I I
Page ~.__ of -3
I.D. NUMBER
If one of the following codes accurately describes the expenditure, ou may enter the code and leave the "Description of Payment" column blank. Refer to the
back of Schedule E-Continuation Sheet for detailed explanations otY~ach category.
MONETARY AND IN-KIND (NON-MONETARY) 'B" -
CONTRIBUTIONS TO OTHER CANDIDATES °N' -
AND COMMITTEES =0" -
INDEPENDENT EXPENDITURES "S" -
LITE RATU RE '* F" -
BROADCAST ADVERTISING 'G' '-
NEWSPAPER AND PERIODICAL ADVERTISING 'T" -
OUTSIDE ADVERTISING
SURVEYS. SIGNATURE GATHERING, DOOR-TO-DOOR SOLICITATIONS "P" '
FUNDRAISING EVENTS
NAME AND ADDRESS OF PAYEE, CREDITOR, OR RECIPIENT OF CONTRIBUTION
(IF COMMITrEE, IN ADDITION TO COMMITTEE'f, NAME AND ADDRESf,. ENTER I.D. NUMIER O1~ If NO LD.
NUMIE R HAl, BEEN Af,f,IGNED. ENTER TREA~,URER'f, NAME AND ADDRE
GENERAL OPERATIONS AND OVERHEAD
TRAVEL, ACCOMMODATIONS AND MEALS
(MUST BE DESCRIBED)
PROFESSIONAL MANAGEMENT AND CONSULTING
SERVICES
IMPORTANT: DO NOT ITEMIZE THE PAYMENT OF ACCRUED EXPENSES ON SCHEDULE E.
REPORT ONLY THE LUMP SUM OF SUCH PAYMENTS ON LINE 4 OF THE SUMMARY SECTION BELOW.
CODE OR DESCRIPTION OF PAtMENT AMOUNT PAID
committees, or ballot measures must also be entered on the Allocation Page, Part I. SUBTOTAL $
Payments and Contributions Made Summary
1. Payments made this period of $100 or more. (Include all Schedule E subtotals.) ......................................................
2. Payments made this period of under $100. (Do not itemize.) .......................................................................
3. Total interest paid this period on outstanding loans. (Enter amount from Schedule B, Part II, Column (d).) ..............................
4. Total accrued expenses paid this period. (Do not itemize. Enter amount from Schedule F, Line 4.) .....................................
5. Total payments made this period. (Add Lines 1, 2, 3, and 4. Enter here and on the Summary Page, Column A, Line 8) ........... TOTAL
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CIT'Y CLE'RK' "' 5~'\ELo '
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Bakersfield City Clerks Office
1501 Truxtun Ave
Bakersfield, CA 93301