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Home My WebLink AboutSHIPMAN PREELECT10(1)Recipient Committee Campaign Statement Cover Page (Government Code Sections 134200-84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statement covers period from 07/23/2010 through 10/01/2010 1. Type of Recipient Committee: AN Committees -Complete Parts 1, 2, 3, and 4. ® Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure 0 State Candidate Election Committee Committee 0 Recall 0 Controlled (Also complete Parr s/ 0 Sponsored (Also Complete Pen 6) ❑ General Purpose Committee 0 Sponsored ❑ Primarily Formed Candidate/ 0 Small Contributor Committee Officeholder Committee 0 Political Party/Central Committee (Also Comp/atePW7) 3. Committee Information I.D. NUMBER 1329144 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) SHIPMAN FOR COUNCIL 2010 STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS Treasurer(s) NAME OF TREASURER BERNARD ANTHONY MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS 4. Verification rein and in the attached schedules is true and complete. I certify I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contai VIM under penalty of perjury under the laws of the State of California that the foregoing is true an rect. i Executed on ~U ~Daoe BY or reaumor Treastrer Executed on _T Data , carxlidete, state or Responside Officer of Sponsor Executed on Date BY Signature of Contra" Officeholder, Candidate, State Measure Proponent Executed on Date BY Signature of Controlling Olfl alwlder, Canddate, State Measure Proponent FPPC Form 460 (January/05) FPPC Toll Free Helpline: 8661ASK-FPPC (866/2753772) State of California Date Stamp COVER PAGE cU 1 Q OCT -1 ge 1 of 8 Date of election If applicable: N (Month, Day, Year) For Official Use Only 11/02/2010 2. Type of Statement: ❑ Preelection Statement ❑ Quarterly Statement ❑ Semi-annual Statement ❑ Special Odd-Year Report ❑ Termination Statement ❑ Supplemental Preelection (Also file a Form 410 Termination) Statement - Attach Form 495 ❑ Amendment (Explain below) Recipient Committee Type or print in ink. COVER PAGE-PART2 CALIFORNIA Campaign Statement FORM • Cover Page - Part 2 Page 2 of 8 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE JERRY M. SHIPMAN OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) WARD 1 CITY COUNCIL MEMBER RESIDENTIAUBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP , Related Committees Not Included in this Statement: List any committees not included in this statement that are controlled by you or are primarily formed to receive contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER ( JURISDICTION ❑ SUPPORT ❑ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY 7. Primarily Formed Candidate/Officeholder Committee List names of officeholderfs) or candidate(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 ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE Attach continuation sheets H necessary FPPC Form 460 (January/06) FPPC Toll-Free Helpline: 866/ASK-FPPC (8661276-1772) state of California Campaign Disclosure Statement Type or print in ink. Amounts may be rounded Summary Page to whole dollars. SEE INSTRUCTIONS ON REVERSE SUMMARY PAGE Statement covers period CALIFORNIA A 07/23/2010 FORM from through 10/01/2010 page 3 of 8 NAME OF FILER JERRY M. SHIPMAN ColumnA Contributions Received TOTALTHIS PERIOD "OMATTACHED SCHEDULES) 1. Monetary Contributions Schedule A, Line 3 $ 2349 $ 2. Loans Received Schedule B, Line 3 4114. 3. SUBTOTAL CASH CONTRIBUTIONS Add lines 1 + 2 $ 6563 $ 4. Nonmonetary Contributions schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED AddLines 3+4 $ 6563 $ I.D. NUMBER 1329144 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 through 6/30 7/1 to Date 20. Contributions 6563. Received $ $ 21. Expenditures 3795.64 Made $ $ Expenditures Made 6. Payments Made Schedule E, Line 4 $ 7. Loans Made Schedule H, Line 3 8. SUBTOTALCASH 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 AddLines a+9+10 $ 3795.64 $ 3795.64 $ 3795.64 $ Column B CALENDAR YEAR TOTALTO DATE 2349 4114. 6563 6563 3795.64 3795.64 3795.64 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 1, Line 4 15. Cash Payments Column A, Line a above 16. EIJDlNG CASH BALANCE Add Lines 12 + 13 + 14, then subtract Line 15 $ K this is a termination statement Line 16 must be zero. 0 6563. 3795.64 2767.36 17. LOAN GUARANTEES RECEIVED Schedule B, Part 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents See instructions on reverse $ 19. Outstanding Debts Add Line 2 + Line 9 in column a above $ 2767.36 0 To calculate Column B, 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). Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made' (n &dod to YbWa" EM-dit- LJn*) Date of Election Total to Date (mm/dd/yy) $ Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 866/ASK-FPPC (8661276-3772) I I Schedule A Type or print in ink. SCHEDULE A Monetary Contributions Received Amounts may be rounded to whole dollars Statement covers period , . 07/23/2010 from ~ - • through 10/01/2010 Page 4 of 8 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER JERRY M. SHIPMAN 1329144 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR ET A CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED COMMITTEE, ALSO ENTER I.D. NUMBER) ( CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) ®IND 8/9/10 BILL PERRY ❑ C O RETIRED 200. 200. ❑ O TH ❑ PTY ❑SCC m IND 8/9/10 BERNARD ANTHONY ❑COM RETIRED 100 100 ❑OTH ❑ PTY ❑SCC ❑IND 9/1/10 S C ANDERSON INC ❑coM CONSTRUCTION CO 1000.00 1000. ®OTH ❑ PTY ❑ SCC ®IND 9/9/10 JOHN T. YOUNG ❑COM DOCTOR 100. 100. ❑ OTH ❑ PTY ❑ SCC ®IND 9/15/10 JIM ANTT ❑o~ ASSC MANAGER 250 250 ❑oTH . . ❑ PTY ❑ SCC SUBTOTAL$ 1650. Schedule A Summary 1. Amount received this period - itemized monetary contributions. (Include all Schedule A subtotals.) $ 2. Amount received this period- unitemized monetary 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 $ 2250 'Contributor Codes IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee 2250 FPPC Form 460 (January/05) FPPC Toil-Free Helpline: 866/ASK-FPPC (866/2753772) I I Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars' 07/23/2010 FORM 460 from 10/01/2010 8 5 through of Page NAME OF FILER I.D. NUMBER JERRY M. SHIPMAN 1329144 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR ET ADDRESS ZI CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED I.D. NUMBER) ( CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) RAY DECEMBER JOC~ RETIRED 9/24/10 ❑OTH 500 500 ❑PTY ❑ SCC BERNITA JENKINS BIND ❑ SEIU REP 7/27/10 ❑o~ 100. 100. ❑ PTY ❑ SCC ❑IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTALS 600 "Contributor Codes IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 86WASK-FPPC (866/2754772) SCHEDULE B - PART 1 Schedule B - Part 1 Amountt '"s mary"" be"' "'n'rounded Statement covers period Loans Received to whole dollars. 07/23/2010 CALIFORNIA • , from FORM 10/01/2010 6 8 SEE INSTRUCTIONS ON REVERSE through of Page NAME OF FILER I.D. NUMBER JERRY M. SHIPMAN 1329144 FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OUTSTANDING AMOUNT 10 AMOUNT PAID OUTS ANDING DIN UTS INTEREST ORIGINAL CUM (9) OF LENDER OCCUPATION AND EMPLOYER pFSELF EMPLOYED, ENTER BALANCE BEGINNING THIS RECEIVED THIS OR FORGIVEN A CLOSE 4C THIS PAID THIS AMOUNT OF CONTRIBUTIONS (IF COMMITTEE, ALSO ENTER I.D. NUMBER) NAMEOFBUSINESS) PERIOD PERIOD THIS PERIOD' PERIOD LOAN TO DATE JERRY M. SHIPMAN RETIRED ❑ PAID CALENDAR YEAR $ $ 4114 % $ 4114 $ ❑ FORGIVEN RATE PER ELECTION" 4114. s s s s $ t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR S S % S S ❑ FORGIVEN RATE PER ELECTION" S S S S S t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR S i % S S ❑ FORGIVEN RATE PER ELECTION" S S S S t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED SUBTOTALS $ 4114.00 $ $ $ Schedule B Summary 1. Loans received this period $ (Total Column (b) plus unitemized loans of less than $100.) 2. Loans paid or forgiven this period $ (Total Column (c) plus loans under $100 paid or forgiven.) (Include loans paid by a third party that are also itemized on Schedule A.) 3. Net change this period. (Subtract Line 2 from Line 1.) Enter the net here and on the Summary Page, Column A, Line 2. 'Amounts forgiven or paid by another party also must be reported on Schedule A. - If required. (tamer (e) on Sdie" E, LW* 3) 4114.00 4114. WT $ (May be a negative number) tcontributor Codes l IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 866/ASK-FPPC (86612753772) Schedule E Payments Made Type or print in ink. Amounts may be rounded to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER JERRY M. SHIPMAN Statement covers period from 07/23/2010 through 10/01/2010 Page 7 of 8 I.D. NUMBER 1329144 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CNP campaign paraphemalia/misc. NW member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)" OFC office expenses SAL campaign workers' salaries CVC civic donations PEr petition circulating TB- t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals I ND independent expenditure supporting/opposing others (explain)' POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration Lrr campaign literature and mailings PRT print ads VVEB information technology costs (intemet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMrrTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID KERN COUNTY CLERK VOTER FILE 41.50 CITY OF BAKERSFIELD FILING FEES/CANDIDATE STATEMENT FIL 717.00 SINGERS ASSOCIATION I RAD I RADIO ADVERTISING I 250. * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 1008.50 Schedule E Summary 1. Itemized payments made this period. Include all Schedule E subtotals. $ 3795.84 2. Unitemized payments made this period of under $100 $ 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) $ 4. Total payments made this period. Add Lines 1, 2, and 3. Enter here and on the Summa Page, Column A, Line 6. TOTAL $ 3795.84 FPPC Form 460 (January105) FPPC Toll-Free Helpline: 866/ASK-FPPC (8661275-3772) Schedule E SCHEDULE E (CONT.) (Continuation Sheet) Type or print in ink. Amounts may be rounded Statement covers period CALIFORNIA 460 Payments Made to whole dollars. from 07/23/2010 FORM through 10/01/2010 Page 8 of g SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER JERRY M. SHIPMAN 1329144 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CW campaign paraphemalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FTD fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals IND independent expenditure supporting/opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense FRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings FRT print ads WEB information technology costs (intemet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID CHASE BANK BANK CHARGES 146.00 OFFICE DEPOT FLYERS, CARDS, CAMPAIGN LITERATUR FIA/COLBY POSTTER PRINTING BILLBOARD SIGNS IRMA CARSON THE SIGN ALIGN/ BANNERS AND PRINTED POSTERS 140.73 HOME DEPOT POST 38.75 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 2787.14 FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 866/ASK-FPPC (8661275-3772)