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Home My WebLink AboutSCRIVNER SEMIANN10(3)AMENDMENTRecipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) I? d ! 11! 1 ) ~ i i SEE INSTRUCTIONS ON REVERSE Type or print in ink. 5 Statement covers period from 5/23/10 through 6/30/10 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 Q Small Contributor Committee O Political Party/Central Committee 3. Committee Information :OMMITTEE NAME (OR CANDIDATE'S ~ Scrivner for Supervisor 2010 ❑ Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) I.D. NUMBER 1323114 IF NO COMMITTEE) STREET ADDRESS (NO P.O. BOX) OPTIONAL: FAX / E-MAIL ADDRESS OPTIONAL: FAX / E-MAIL ADDRESS 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 h Executed on ) IZ / By to / D f/ Executed on By ~Sjgn"of Controling Offilleholder, CandidaW7State Measure Proponent or Responsible Officer of Sponsor Executed on Date By Executed on Dam By Signature ofControOing Otficetwkier, Candidate, State Measure Proponent FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 866/ASK-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. COMMITTEE NAME 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 COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) COVER PAGE -PART 2 Page 2 of 10 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER 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 officehoider(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 CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary FPPC Form 460 (January105) FPPC Toll-Free Helpline: 8661ASK-FPPC (8661275-3772) State of California Campaign Disclosure Statement SummaryPage Type or print in ink. Amounts may be rounded to whole dollars. Statement coven period from 5/23/10 through 6/30110 Page 3 of 10 I.D. NUMBER 1323114 NAME OF FILER ~_s.- f- Q, mm vienr 201 O Contributions Received 1. Monetary Contributions schedule A. Une 3 2. Loans Received Sdmdide B Line 3 3. SUBTOTALCASH CONTRIBUTIONS Add Lams 1 + 2 4. Nonmonetary Contributions Sdmdule C, Una 3 5. TOTAL CONTRIBUTIONS RECEIVED Add Lhms 3 + 4 Column A Golumn ms MVEM FWMATTACHMSCHEMLM CAMX rcrALroO 14,475.00 $ 80,619.00 s 14,475.00 $ 80,619.00 s 14,475.00 $ 80,619.00 $ Expenditures Made 6. Payments Made Sdmdule F- Uric 4 7. Loans Made Schedule H. line 3 8. SUBTOTAL CASH PAYMENTS Add Linea 6 + 7 9. Accrued Expenses (Unpaid Bills) Sdm kdoF Una 3 10. Nonmonetary Adjustment sdhadu►e C. Line 3 11. TOTAL EXPENDITURES MADE Add ones a + 9 + 10 21,863.62 $ 113,615.59 s $ 21,863.62 $ 113,615.59 $ 21,863.62 s 113,615.59 Current Cash Statement 12,048.36 12. Beginning Cash Balance PrevianSummmyPeM Line 16 $ 14,475.00 13. Cash Receipts Cdtam A, one 3 above 40.00 14. Miscellaneous Increases to Cash Sdmdule 1, Line 4 21,863.62 15. Cash Payments Comm A. Urm s above 4,699.74 16. ENDING CASH BALANCE Add Lines 12 + 13 + 14, Bmn subhad Line 15 $ If this is a termination statement; Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED SCh&W* B. Part 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents see insftmuom on reve►se $ 19. Outstanding Debts Add Line 2 + Una 9 in Codwnn a above $ Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 through 6130 711 to Date 20. Contributions $ Received $ 21. Expenditures Linda S S e Limit Summary for State nditur ates F=Id 22. Cumulative rMade Date of Election (mmlddtyy) Total to Date 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 amourrts. 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). I *Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 8661ASK-FPPC (8661275.3772) SCHEDULE A Schedule A Type or print in Ink. Amount may be rounded Statement covers period CALIFORN • ' IA Monetary Contributions Received to whole dollars. from B/ 23/10 FORM 6/30110 Page 4 of 10 through SEE INSTRUCTIONS ON REVERSE I.D. NUMBER 1323114 NAME OF FILER Scrivner for Supervisor 2010 MOUNT PER ELECTION CUMULATNETO DATE E STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION IF AN INDMDUAL, ENTER AND EMPLOYER A RECEIVED THIS PERIOD TO DATE CALENDAR YEAR IF REQUIRED) (JAN. 1 - DEC. 31) DATE FULL NAM ~coMrtrusoENTER tO.ww~Rf CODE* 0saFOrrLa"~o.~rre+t~uE tss) OFe ~ RECEIVED Agwise Enterprises, Inc. ❑ IND o M ❑ N/A 500.00 500.00 500.00 6/14/10 ❑SCC OIND ❑COM VP and General Counsel 250.00 500.00 500-00 617/10 Teri Bjorn ❑ SCC Creek Energy Operating Co., LLC pIND .pcoM N/A 500.00 500.00 500.00 6/14/10 Bonanza ❑ SCC Phil and Linda Bradford ®nNID ❑CoM Partner 500.00 500.00 500.00 6130/10 O PTY ❑SCC John and Mary Braun ®iND Partner `~000 500.00 500.00 6/30/10 0 , pscc I~IIe FSliirit.2~NY~ , DETti~ SUBTOTALS 2,250.00 1 W, . 11, 11 11 FND_ tributor Codes Schedule A Summary trb torC 475.00 ReciplentCommittee -itemized monetary contributions. than PTY or SCC) 1. Amount received this period $ (other (Include all Schedule A subtotals.) $ - Other (e.g., bus iness entity) -Political l Party 2. Amount received this period - unitemized monetary contributions of less than $100 SCC-Smati Partyutor Committee 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A. Line 1.) TOTAL $ 14,475.00 FPPC Form 460 (Jlanuary/0+5) FPPC Toll-Free Helpline: BGWASK-FPPC (1161IMS 3772) Schedule A (Continuation Sheet) Monetary Contributions Received Statement Covers Period from 5/23/10 through 6 30 10 Page 5 of 10 I.D. Number 1323114 NAME OF FI LER: Scrivner for Supervisor 2010 CUMULATIVE DATE CONTRIBUTOR CONTRIBUTOR CODE IF AN INDIVIDUAL, ENTER OCCUPATION IF AN INDIVIDUAL, ENTER EMPLOYER OR BUSINESS NAME AMOUNT RECEIVED THIS PERIOD TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF OTH WA N/A 200.00 200.00 200.00 6/7/10 1ND Retired N/A 200.00 200.00 500.00 6/9/10 Ophelia Franks Friends of Mimi Walters for Senate 2012 ID 1314311 1 COM N/A N/A 500.00 500.00 500.00 6/7/10 Greater Bakersfield Chamber of Commerce PAC ID 991619 COM N/A N/A 1,500.00 1,500.00 1,500.00 6/7/10 Subtotal ,t 6.300-00 Page b of Iv Schedule A Statement Covers Period from S/23/10 I.D. Number 1323114 '(Continuation Sheet) Monetary Contributions Received 10 through §L310 NAME OF FI LER: Scrivner for Supervisor 2010 CUMULATIVE DATE RIBUTOR CONTRIBUTO CODE =11NDIVIDUAL, ER IF AN INDIVIDUAL, ENTER EMPLOYER OR BUS INESS NAME AMOUNT RECEIVED THIS PERIOD TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CON Subtotal $ 5 1,925.00 Schedule E Payments Made RFF INSTRI ICTIr1NS nN REVERSE Type or print in ink. Amounts may be rounded to whole dollars. NAME OF FILER Scrivner for Supervisor 2014 Statement covers period from 5/23/10 through 6/30/10 E Page 7 of 10 I.D. NUMBER 1323114 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CNP campaign paraphemalia/misc. RIBR member communications RAD radio airtime and production costs CNS campaign consultants IVTG meetings and appearances RFD SAL returned contributions campaign workers' salaries CTB contribution (explain nonmonetary)' OFC PEr office expenses petition circulating TEL t.v. or cable airtime and production costs CVC FIL civic donations candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events in ' l th i POL POS polling and survey research delivery and messenger services ostage TRS TSF staff/spouse travel, lodging, and meals transfer between committees of the same candidate/sponsor IND ) ers (exp a ng o independent expenditure supporting/oppos PRO , p professional services (legal, accounting) VOT voter registration LEG LIT legal defense campaign literature and mailings PRT print ads VVEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE I CODE OR OF COMMnTEE, ALSO ENTER I.D. NUMBER) Western Pacific Research, Inc. Subvendor: Post Road Communications $18,476.17 Western Pacific Research, Inc. FND * Payments that are contributions or independent expenditures must also be summarized on Schedule D. Schedule E Summary AMOUNT PAID 18,496.23 361.11 SUBTOTAL$ 18,857.34 1. Itemized payments made this period. (Include all Schedule E subtotals.) $ 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 Summary Page, Column A, Line 6.) TOTAL $ DESCRIPTION OF PAYMENT 21,863.62 0.00 0.00 21,863.62 FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 8661ASK-FPPC (8661275-3772) Schedule E (Continuation Sheet) Payments Made SEE INSTRUCTIONS ON REVERSE Type or print in ink. Amounts may be rounded to whole dollars. Scrivner for Supervisor 2014 Statement covers period from 5/23/10 through 6/30/10 SCHEDULE E (CONT) Page 8 of 10 I.D. NUMBER 1323114 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphemalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions ' CTB V contribution (explain nonmonetary)* i i i OFC PET office expenses petition circulating SAL TEL salaries campaign workers t.v. or cable airtime and production costs C C FIL v c donat ons c 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 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 PRO professional services (legal, accounting) VOT voter registration e-mail) t i t t rr 1;#_ . f.._ -A -;r- PRT nrint ads WEB eme , n s ( information technology cos NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Western Pacific Research, Inc. Database Purchase 272.00 1 , Subvendor: Political Data, Inc. $1,272.00 Western Pacific Research, Inc. 86 328 Western Pacific Research, Inc. 14 724 TRS . Western Pacific Research, Inc. 00 150 " Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 2,475.00 FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 8661ASK-FPPC (8661275-3772) SCHEDULE E (CONT.) Schedule E (Continuation Sheet) Payments Made ON Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 5/23/10 through 6/30/10 ME OF FILER Scrivner for Supervisor 2014 Page 9 of 10 I.D. NUMBER 1323114 f the following codes accurately describes the payment, you may enter the code. Otherwise, If describe the payment. COD one o ES: MBR member communications RAD radio airtime and production costs CINP CNS campaign paraphemalia/misc. campaign consultants MTG meetings and appearances RFD SAL returned contributions campaign workers' salaries CTI3 contribution (explain nonmonetary)* OFC PET office expenses petition circulating TEL t.v. or cable airtime and production costs l CVC FIL civic donations candidate filing/ballot fees PH O phone banks TRC TRS s candidate travel, lodging, and mea stafUspouse travel, lodging, and meals FND fundraising events porting/opposing others (explain)* enditure su t d POL POS polling and survey research postage, delivery and messenger services TSF T VVO transfer between committees of the same candidate/sponsor voter t i W LEG p exp en indepen legal defense PRO professional services (legal, accounting) OT technology costs (intemet, a mail) s format g re LIT 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. ABC (Associated Builders and Contractors Central CA Chapter) RFD Telephone 1 31.28 500.00 SUBTOTAL$ 531.28 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) Schedule 1 Miscellaneous Increases to Cash WE OF FILER Scrivner for Supervisor 2010 DATE RECEIVED FULL NAME AND ADDRESS OF SOURCE pF comuff TEE ALSO Ewrm ID. mLmK I ertar4T additional information an aPPrDpriately labeled continuation sheets. Typo or print in ink. statement covers period Amounts may be rounded to whole dollars. 5/23110 from 6/30/10 through DESCRIPTION OF RECEIPT Page 10 of 10 I.D. NUMBER 1323114 AMOUNT OF INCREASETO CASH SUBTOTAL $ Schedule I Summary 1. Itemized increases to cash this period $ 40.00 $ 2. Unitemized increases to cash of under $100 this period. 3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).) 4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the TOTAL $ 40.00 Janus Summary Page, Line 14.) FPPC Form 160 ( ryFPPC Toll-Free Heipliine: 8661ASK-FPPC (8661275-3712)