HomeMy WebLinkAboutSULLIVAN SEMIANN10(2)Recipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200-84216.5)
SEE INSTRUCTIONS ON REVERSE
Type or print in ink.
Statement covers period
from 7.1.10
through 12.31.10
1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4.
® Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure
Q State Candidate Election Committee Committee
Q Recall Q Controlled
(Also Complete Part 5) 0 Sponsored
(Also Complete Part 6)
❑ General Purpose Committee
Q Sponsored
0 Small Contributor Committee
Q Political Party/Central Committee
❑ Primarily Formed Candidate/
Officeholder Committee
(Also Complete Part 7)
3. Committee Information 1 I.D. NUMBER
950347
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
Jacquie Sullivan for City Council
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX / E-MAIL ADDRESS
By
4. Verification
1 have used all 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 perjury under the laws of the State of California that the foregoing is true and correct. n A i
Executed on
Date
Executed on
41 Date
Executed on
Date
Executed on
Date
By
Date of election if applicable:
(Month, Day, Year)
Date Stamp
011 JAW 31 PH 3: 3
2. Type of Statement:
❑ Preelection Statement
® Semi-annual Statement
❑ Termination Statement
(Also file a Form 410 Termination)
❑ Amendment (Explain below)
COVER PAGE
Page_ of L
For Official Use Only
❑ Quarterly Statement
❑ Special Odd-Year Report
❑ Supplemental Preelection
Statement -Attach Form 495
Treasurer(s)
NAME OF TREASURER
Tracey Mitchell-Reynolds
MAILING ADDRESS
NAME OF ASSISTANT TREASURER, IF ANY
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX / E-MAIL ADDRESS
By
Signature of Controlling Officeholder, Candidate, State Measure Proponent
By
Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (January/05)
FPPC Toll-Free Helpline: 8661ASK-FPPC (866/2754772)
State of California
• Recipient Committee Type or print in ink. COVER PAGE -PART 2
Campaign Statement • CALIFORNIA 460
Cover Page - Part 2
Page 2 of _
5. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE
Jl~~ullivan
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
City Council Ward 6
RESIDENTIAUBUSINESS
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)
6. Primarily Formed Ballot Measure Committee
NAME OF BALLOT MEASURE
BALLOT NO. OR LETTER I JURISDICTION I ❑ 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
officeholder(s) 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
'.A I i JIHIC Llr UuUt HKLA UUUL1VHUNL Attach continuation sheets if necessary
FPPC Form 460 (January/05)
FPPC Toll-Free Helpline: 8661ASK-FPPC (8661275.3772)
State of California
SCHEDULE B- PART 1
5chedule B - Part 1 Amouunt nts may be
e rounded
Statement covers period
Loans Received to whole dollars.
7
1
10
• • '
.
.
from
h 12.31.10
h
P
f
SEE INSTRUCTIONS ON REVERSE
t
roug
age o
NAME OF FILER
I.D. NUMBER
Ja Sullivan
950347
FULL NAME, STREET ADDRESS AND ZIP CODE
IF AN INDIVIDUAL, ENTER
a
OUTSTANDING
(b)
AMOUNT
(c)
AMOUNT PAID
(d)
OUTSTANDING
(e)
INTEREST
V)
ORIGINAL
(9)
CUMULATIVE
OF LENDER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED
ENTER
BALANCE
BEGINNING THIS
RECEIVED THIS
OR FORGIVEN
BALANCEAT
CLOSE OF THIS
PAID THIS
AMOUNTOF
CONTRIBUTIONS
(If COMMITTEE, ALSO ENTER I.D. NUMBER)
,
NAMEOFBUSINESS)
PERIOD
PERIOD
THIS PERIOD*
PERT
PERIOD
LOAN
TO DATE
Jackie Sullivan
Self
❑ PAID
CALENDARYEAR
Real Estate
❑ FORGIVEN
RATE
PERELECTION**
1300
0
8/19/08
$
$
$
$
$
to IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
DATE DUE
DATE INCURRED
❑ PAID
CALENDARYEAR
❑ FORGIVEN
RATE
PER ELECTION
a
a
$
$
$
t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
DATE DUE
DATE INCURRED
❑ PAID
CALENDARYEAR
$
$
%
$
$
❑ FORGIVEN
RATE
PER ELECTION
$
$
8
S
S
t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
DATE DUE
DATE INCURRED
SUBTOTALS $ $ $ $
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.
$
$
NET $
0
0
0
(May be a negabve number)
(tmer (e) on
Schedule E, Lune 3)
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
FPPC Form 460 (January/05)
FPPC Toll-Free Helpline: 8661ASK-FPPC (8661275-3772)
Schedule F Type or print in ink.
Amounts may be rounded
Accrued Expenses (Unpaid Bills) to whole dollars.
SFF INS TRHrTIONS ON REVERSE
Statement covers period
from 7.1.10
SCHEDULE F
through 12.31.10 I Page of q
NAME OF FILER I.D. NUMBER
Jackie Sullivan 950347
CODES: If one of the following codes accurately describes the payment, you may enter the code.
Otherwise, describe the payment.
CNP
campaign paraphernalia/misc.
NUR
member communications
RAD
radio airtime and production costs
CNS
campaign consultants
WG
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
FND
fundraising events
POL
polling and survey research
TRS
staff/spouse travel, lodging, and meals
PD
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
WEB
information technology costs (internet, e-mail)
NAME AND ADDRESS OF CREDITOR
CODEOR
(a)
OUTSTANDING
(b)
AMOUNT INCURRED
(c)
AMOUNT PAID
(d)
OUTSTANDING
(IF COMMITTEE, ALSO ENTER I.D. 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
LIT,PRO,RAD,SAK
34155.53
6424.49
0
40580.02
1
1
* Payments that are contributions or independent expenditures must also be SUBTOTALS $ 34155.53 $ 6424.49 $ 0 $ 40580.02
summarized on Schedule D.
Schedule F Summary
1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for
accrued expenses of $100 or more, plus total unitemized accrued expenses under $100.)
2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on
accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.)
3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and
on the Summary Page, Column A, Line 9.)
INCURRED TOTALS $
PAID TOTALS $
6424.49
0
NET $ 6424.49
May be a negative number
FPPC Form 460 (January/05)
FPPC Toll-Free Helpline: 8661ASK-FPPC (8661275-3772)