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Home My WebLink AboutSCRIVNER SEMIANN10(2)AMENDMENTRecipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.15) Type or print in ink. BY Statement covers period Date of election if applicable:) 2011 JAN 19 3/18/10 (Month, Day, Year) from Y 'E COVER PAGE Q- of 13 For Official Use Only 5/22/10 6/8/10 RECEIVED SEE INSTRUCTIONS ON REVERSE through 1. Type of Recipient Committee: All Committees -Complete Parts 1, 2, 3, and 4. 2. Type of Statement: FILED ® Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑ Preelection Statement ❑ Quarterly Statement Q State Candidate Election Committee Committee ❑ Semi-annual Statement ❑ Special Odd-Year Report Q Recall Q Controlled ❑ Termination Statement ❑ Supplemental Preelection (Also Complete Part 5) Q Sponsored (Also file a Form 410 Termination) Statement -Attach Form 495 (Also Complete Part 6) ® Amendment (Explain below) F-1 General Purpose Committee Q Sponsored ❑ Primarily Formed Candidate/ Amended to include sub vendor detail on Schedule E Q Small Contributor Committee Officeholder Committee Q Political Party/Central Committee (Also Complete Part 7) 13. Committee Information I.D. NUMBER 1323114 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Scrivner for Supervisor 2010 STREET ADDRESS (NO P.O. BOX) 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the hPCt 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 Executed on Zj t By Daift Executed on - / By Date Executed on By Date Executed on Data By Signature ofControlingOflo-trier,Candidate, State Measure Proponent FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 8661ASK-FPPC (8661275-3772) State of California Recipient Committee Campaign Statement Cover Page - Part 2 5. Officeholder or Candidate Controlled Committee Type or print in ink. NAME OF OFFICEHOLDER OR CANDIDATE Zack Scrivner OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Kern County Supervisor, 2nd District 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. COMMITTEENAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEENAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COVERPAGE-PART2 Page 2 of 13 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER ❑ 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 Attach continuation sheets if necessary FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 8661ASK-FPPC (8661275-3772) State of Califomia Type or print in ink. Campaign Disclosure Statement Amounts may be rounded to whole dollars. Summary Page Column A rRow $ 15,769.00 SEE INSTRUCTIONS ON REVERSE NAME OF FILER ~,..:.-v s - Q2 inssnrienr 2010 Contributions Received 1. Monetary Contributions Schedule A, Una 3 2. Loans Received S`nedure B, Una 3 3. SUBTOTAL CASH CONTRIBUTIONS Add ones 1 +2 4. Nonmonetery Contributions Sdredde C, Une 3 5. TOTAL CONTRIBUTIONS RECEIVED Add Lines3+4 Expenditures Made 6. Payments Made schedr4e E, Una 4 7. Loans Made schedule H, Una 3 8. SUBTOTALCASH PAYMENTS Add Lines 6 + 7 9. Accrued Expenses (Unpaid Bills) Schedule F. Una 3 10. Nonmonetary Adjustment SdXW% ° C. Lure 3 11. TOTAL EXPENDITURES MADE Add tines a + 9 + 10 $ 65,383.05 $ $ 65,383.05 s $ 65,383.05 $ Current Cash Statement 16 a 61,662.41 12. Beginning Cash Balance Pre1fOuss""""ery ~e, Line 15,769.00 13. Cash Receipts Column A Line 3 above 14. Miscellaneous Increases to Cash Schedule tine 4 65,383.05 15. Cash Payments Col msr A Line a above 12 048.36 16. EM M CASH BALANCE Add Lines 12 + 13 + 14. then subbed Line 15 S If this is a termination statement. Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED Sdredde B, Pert 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents see inshucums on ieverse $ 19. Outstanding Debts Add Line 2 + tine 9 in Cdunm a above $ t,orumn o CM EWARYEAR TOTALTO WE $ 66,144.00 statement covers period from 3/18/10 5/22/10 through 15,769.00 $ 66,144.00 $ $ 15,769.00 $ 66,144.00 91,751.97 91,751.97 Page 3 of 13 I.D. NUMBER 1323114 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 111 through W30 711 to Deft 2o. Contributions Received $ $ enditures 21. ~e s S Expenditure Limit summary for ,5121,00 Candidates 22. Cumulative F-xpenditures Made* Date of Election (mmiddNy) 91.751.97 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). Total to Date $ Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 66WASK-FPPC (86612753772) SCHEDULE A Type or print in ink. Amounts may be rounded Statement covers Period CALIFOR NIA 4601 Schedule A Monetary Contributions Received to whole dollars. FORM from 3/18/10 5/22/10 Page 4 of 13 through I.D. NUMBER SEE INSTRUCTIONS ON REVERSE 1323114 NAME OF FILER Scrivner for Supervisor 2010 AMOUNT CUMULATIVETD DATE pER ELECTION TO DATE RESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL. ENTER OCCUPATION AND EMPLOYER YEAR RECEIVED THIS CALENDAR PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) DATE FULL NAME. STREET ADD (IFCouArry E. A= ENTER LD. NUNBEN) CODE + OF ENTERNAME OFMODAMM RECEIVED [3IND 1,500.00 000 500 1 1,500.00 ABC PAC ID# 1222327 WICOM N/A . , 5/22/10 0SCC OIND [3Com Manager 250.00 250.00 250.00 Jeff Affonso 00TH Guinn Construction 4120/10 []SCC ®IND 450.00 00 250 450.00 John Allen [3Com [30TH Farmer John Allen Farms, Inc. . 4/30/10 [3SCC ®IND [3Com President 125.00 125.00 125.00 Jim and Brenda Baldwin [301-H BARC 4/20/10 pscC OIND 500.00 250.00 500.00 Scott and Jennifer Barnett ocom Advance Beverage Co. 4/20/10 0SCC SUBTOTAL$ 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. TOTAL $ (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Une 1.) 2,375.00 tor codes ual IND-Iremici 15,450.00 F eaPlent Committee Ulan Pl Y or SCC) other 00 319 Other (e.g., business entity) . owai Party mall Contributor Committee 15,769.00 ry FpPC Form 460 (Janua 3 FPPC T-11114-10 Helpline: SWASK-FPPC (tfAW~772) Schedule A (Continuation Sheet) Monetary Contributions Received Statement covers period from 3/18/10 through 5/22/10 Page 5 of 13 I.D. Number 1323114 NAME OF FILER: Scrivner for Supervisor 2010 DATE FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR RECEIVED 5122/10 Kevin Andrew 5122/10 Ben and Gayle Be" 5122/10 Mary Bynum Castle b Cooke California, Inc. David H. 9u le Food Company. Inc. 4120110 4120110 James and Card Chilko Real Estate produce Sh Growers 100.00 1100:00 100.00 6,000-00 Subtotal schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER: Scrivner for Supervisor 2010 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR F ECEIVED Statement covers period from 3/18/10 through 5/22/10 Christopher and Jean Hansen OTH 0 HM Holloway Inc. IND 10 William Lauedni, Jr. INC 10 Lynx Realty and Management LLC IOT 10 10 Mission Oil Co. J INI HO asm 110 Ir 110 L10 Lloyd Plank t Servk:es UMULATIVE C IF AN INDIVIDUAL- ENTER AMOUNT DATE PER ELECTION CONTRIBUTOR IF AN INDIVIDUAL. ENTER EMPLOYER OR BUSINESS RECEIVED CALENDAR TO DATE CODE OCCUPATION NAME THIS PERIOD YEAR 175_n0' 125.00 125.00 375.00 WA WA Page 6 of 13 I.D. Number 1323114 300.00 am Director Estate Consultant of Kam 100.00 1125 00 1125.00 125.00 Partners Subtotal 5,225.00 Page 7 of 13 ScheduleA Statement COverS Period I.D. Number 1323114 (Continuation Sheet) from 3/18/10 Monetary Contributions Received through 5/22110 NAME OF FILER: Scrivner for Supervisor 2010 DATE FULL NAME, STREEr ADDRESS AND 21P CODE OF CONTRIBUTOR RECEIVED Diane Sandidge OTl Financial Consultant DTS Advisors DW.UU Refired NIA 100.00 Real Estate Broker Self Employed 250.00 Go Live Strom LLC 1125.00 100.00 125.00 Subtotal 1,850.00 Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER C-ivncr fnr Ri inPfviSOr 2010 Statement covers period from 3/18/10 5/22110 I Page 8 of 3 through 1323114 describe you may enter the code. Otherwise ibes the payment ts d COD escr ES: If one of the following codes accurately , RAD airtime and production cos radio CNP campaign emalia/misc. NBR MTG member communications meetings and appearances RA SAL returned contributions aign workers' salaries cam ~ CTB campaign consultants contribution (explain nonmonetary)' OFC PET office expenses petition circulating TEL p t.v. or cable airtime and production costs lodging, and meals didate travel CVC F civic donations fees candidate fi PHO POL phone banks polling and survey research TRC TRS , can staff/spouse travel, lodging, and meals nsfer between committees of the same candidate/sponsor t FND LE events fundraising events independent expenditure supporting/opposing others (explain)' POS !'RD Postage, delivery and messenger services professional services (legal, accounting) TSF VOT VdEB ra voter registration information technology costs (internal, e-mail) LEG LIT al defense leg campaign literature and mailings PRr print ads AMOUNT PAID NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT pFcorrurrrM AsoENIER .o. NUMBER) Kem County Young Republicans ID #801804 CTB 200.00 Reimbursement 407.72 Bryan Williams FND 839.66 Minuteman Press FND SUBTOTALS 1,447.38 * aavments that are contributions or independent expenditures must also be summarized on Schedule D. Schedule E Summary 65,275.50 $ 107.55 1. Itemized payments made this period. (Include all Schedule E subtotals.) 2. Unitemized payments made this period of under $100 $ 65,383.05 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 Summary Page, Column A, Line 6.) TOTAL $ FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 666/ASK-FPPC (866/275.3772) Type or print in ink. Amounts may be rounded to whole dollars. SCHEDULE E (CONT.) Schedule E (Continuation Sheet) Payments Made SEE INSTRUCTIONS ON Type or print in ink. Amounts may be rounded to whole dollars. NAME OF FILER Scrivner for Supervisor 2010 Statement covers period from 3/18/10 5/22/10 through Page 9 of 33 I.D. NUMBER 1323114 CODES: If one of the following codes accurately describes the payment, you may enter the code. CMP campaign paraphemalia/misc. MBR MTG member communications meetings and appearances CNS CTB campaign consultants contribution (explain nonmonetary)* OFC office expenses CVC civic donations PET PHO petition circulating phone banks FIL candidate filing/ballot fees POL polling and survey research FND IND fundraising events independent expenditure supporting/opposing others (explain)* POS postage, delivery and messenger services accounting) nal services (legal i f LEG LIT legal defense campaign literature and mailings PRO PRT , ess o pro print ads NAME AND ADDRESS OF PAYEE (IF COMMITTEE. ALSO ENTER I.D. NUMBER) NYFotography Western Pacific Research, Inc. Subvendor: The Battin Group $11,431.00 Subvendor: Jeff Cole Productions $7,875.00 Western Pacific Research, Inc. Otherwise, describe the payment: RAID radio airtime and production costs RFD returned contributions SAL campaign workers' salaries TEL t.v. or cable 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 WEB voter registration information technology costs (intemet, e-mail) CODE OR DESCRIPTION OF PAYMENT PRT RAD WEB AMOUNT PAID 2,431.70 19,306.00 167.80 SUBTOTAL $ 21,905.50 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 8661ASK-FPPC (8661275-3772) SCHEDULE E (CONT.) Schedule E (Continuation Sheet) Payments Made SEE INSTRUCTIONS ON NAME OF FILER Scrivner for Supervisor 2010 Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 3/18/10 5/22/10 through Page 10 of 13 I.D. NUMBER 1323114 codes accurately describes the payment, you may enter the code. Otherwise, f the followin If describe the payment. COD g one o ES: MBR member communications RAID radio airtime and production costs CN campaign emalia/misc. MTG meetings and appearances RFD returned contributions s ' CTS S CTB campaign c consulonsultants contribution (explain nonmonetary)' OFC office expenses SAL TEL salarie campaign workers t.v. or cable airtime and production costs CVC civic donations PET petition circulating TRC candidate travel, lodging, and meals FIL candidate filing/ballot fees PHO POL phone banks polling and survey research TRS staff/spouse travel, lodging, and meals committees of the same candidate/sponsor FND M fundraising events independent expenditure supporting/opposing others (explain)' POS postage, delivery and messenger services accounting) sional services (legal f TSF TOT transfer b tram voter a is LEG legal defense PRO , es pro ~ technology costs (intemet, e-mail) information LIT campaign literature and mailings PRT print ads NAME AND ADDRESS OF PAYEE CODE OR ~il DESCRIPTIO N OF PAYMENT AMOUNT PAID I (IF COMMITTEE. ALSO ENTER I.O. NUMBER) Western Pacific Research, Inc. Telephone 63.66 Western Pacific Research, Inc. TEL 31,433.00 Subvendor: The Battin Group $23,558.00 Subvendor: Jeff Cole Productions $7,875.00 Western Pacific Research, Inc. SAL 1,339.00 SUBTOTAL $ 32,835.66 " Payments that are contributions or independent expenditures must also be summarized on Schedule D. FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 8661ASK-FPPC (8661275-3772) Schedule E (Continuation Sheet) Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Scrivner for Supervisor 2010 SCHEDULE E (CONT.) Statement covers period from 3/18/10 through 5/22/10 Page 11 of 13 I.D. NUMBER 1323114 of the following codes accurately describes the payment, you may enter the code. Otherwise, If CODES describe the payment. one : MBR member communications RAID radio airtime and production costs CMP campaign paraphemalia/misc. MTG meetings and appearances RFD returned contributions ' CTS CT8 campaign consultants contribution (explain nonmonetary)* OFC office expenses SAL TEL salaries campaign workers or cable airtime and production costs v t CVC civic donations PET PHO petition circulating phone banks TRC . . candidate travel, lodging, and meals FIL FND candidate filing/ballot fees fundraising events POL polling and survey research i TRS TSF staff/spouse travel, lodging, and meals transfer between committees of the same candidate/sponsor t\D independent expenditure supporting/opposing others (explain)* POS ces postage, delivery and messenger serv accounting) nal services (legal i f V T reg voter i t LEG legal defense PRO PRT , o pro ess print ads VO B technology costs (intemet, a mail) n reform at D UT campaign literature and mailings NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Western Pacific Research, Inc. OFC 1.60 Western Pacific Research, Inc. MTG 1,370.98 Subvendor: The Bakersfield Business Conference $700.00 Western Pacific Research, Inc. 292.83 Western Pacific Research, Inc. Sign Expense 107.70 SUBTOTAL $ 1,773.11 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. FPPC Form 460 (January/05) Type or print in ink. Amounts may be rounded to whole dollars. FPPC Toll-Free Helpline: 8661ASK-FPPC (8661275-3772) SCHEDULE E (CONT.) Schedule E (Continuation Sheet) Payments Made SEE Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period - 3/18/10 from through 5/22/10 OF Page 12 of 13 I.D. NUMBER 1323114 Scrivner for Supervisor 2010 codes accurately describes the payment, you may enter the code. win f ll Otherwise, payment cribe ction costs d a d di COD g o o ES: If one of the A1BR member communications u nd p o o airtime ra CW campaign paraphemalia/misc. MTG meetings and appearances RA SAL returned contributions campaign workers' salaries ca CNS CTB campaign consultants contribution (explain nonmonetary)' OFC PET office expenses petition circulating TEL EL or cable airtime and production costs lodging, and meals ndidate travel ate tr nd CVC FIL civic donations candidate filing/ballot fees PHO POL phone banks polling and survey research T TRS , ca travel, lodging, and meals s ca ommittees of the same candidate/sponsor FND PD fundraising events independent expenditure supporting/opposing others (explain)' POS PRO postage, delivery and messenger services professional services (legal, accounting) TSF VOT ~te etween c costs (intemet, e-mail) hnolo t LEG legal defense PRr print ads ~ gy ec information LIT campaign literature and mailings AMOUNT PAID NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Western Pacific Research, Inc. FND 5,177.56 Subvendor: Country Rose Tea Room $3,175.23 Subvendor: Minuteman Press $747.65 Western Pacific Research, Inc. PRT 1,775.00 Subvendor: California Voter Guide $1,500.00 SUBTOTALS 6,952.56 'Payments that are contributions or independent expenditures must also be summarized on Schedule D. FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 866/ASK-FPPC (8661275-3772) Schedule E Type or print in ink. (Continuation Sheet) Amounts may be rounded to whole dollars. Payments Made NAME OF FILER . rivner for Supervisor 2010 Statement covers period from 3/18/10 5/22/10 through Page 13 of 13 I.D. NUMBER 1323114 f the following codes accurately describes the payment, you may enter the code. If Otherwise, describe the payment. t i COD one o ES: RAD s on cos radio airtime and product CN campaign emalia/misc. l t l MBR MTG member communications meetings and appearances RFD SAL returned contributions aign workers' salaries cam CNS CTB campaign c consu tan s onsu contribution (explain nonmonetary)' OFC office expenses TEL p t.v. or cable airtime and production costs CVC civic donations f PET PHO petition circulating phone banks TRC RS candidate travel, lodging, and meals and meals lodging ouse travel ff/ t FIL FND ees candidate filing/ballot fundraising events POL polling and survey research r services T TSF , , sp s a committees of the same candidate/sponsor transf W independent expenditure supporting/opposing others (explain)' POS PRO postage, delivery and messenge professional services (legal, accounting) T O WEB voter registration information technology costs (internet, e-mail) LEG Lrf legal defense campaign literature and mailings PRT print ads NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Western Pacific Research, Inc. TRS 361.29 SCHEDULE E (CONT.) SUBTOTAL $ 361.29 Payments that are contributions or independent expenditures must also be summarized on Schedule D. " FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 8661ASK-FPPC (866/275-3772)