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Home My WebLink AboutSCRIVNER SEMIANN10(4) AMENDMENTRecipient Committee I ;1 NN`• Campaign Statement Cover Page , q 2008414.6) i-" (Government Code SectionsZ_ Type or print in ink. KERR f% kTY EL T BY Statement covers period Date of election if agjyj 19 PM 2: 02 7/1/10 (Month, Day, Y t ,,}jAA 7 I from 9/30/10 SEE INSTRUCTIONS ON REVERSE through 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 C tr Controlled O Recall (Also compere parr 5) Q Sponsored (Also complete part 6) ❑ General Purpose Committee O Sponsored Q Small Contributor Committee O Political Party/Central Committee 3. Committee Information COMMITTEE NAME (OR CANDIDATE'S NAME IF NO Scrivner for Supervisor 2010 ❑ Primarily Formed Candidate/ Officeholder Committee (Also Complete part 7) I.D. NUMBER 1323114 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the info ation contained herein and in the attached schedules is true and complete. 1 certify under penalty of perjury under the 1 ws of the State of California that the foregoing is true and correct Executed on 2- 01. ' BY o reasxuer tTreasurer on ' DBy S ofC holder .StaMMeawsePropon lLo Respon&bIeOffcerofSponsor Executed on By Signalise afConW WV Officeholder. Canute. St-le Measure Propp,em Dace Executed on By S'gnatureotConWGng06rslo, kW; Carxidate,StateMwss°°PMPMSM FPPC Form 460 (January/OS) ~re 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 NAME OF OFFICEHOLDER OR CANDIDATE Zack Scrivner OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Kern County Supervisor, 2nd District RESIDENTIAIJBUSINESS 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 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 Type or print in ink. COVER PAGE - PART 2 Page 2 of 25 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOTNO.ORLETTER JURISDICTION ❑ SUPPORT E] OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD 7::] 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: 866/ASK-FPPC (8661275-3772) State of California Campaign Disclosure Statement Summary Page Type or print in ink. Amounts may be rounded to whole dollars. Statement covers Period 7/1/10 from 9/30/10 through NAME OF FILER Scrivner Tor z2upervisui w a Column A Column g Contributions Received WMLTMPBWD A~ex+~ ~ o 79,794.00 $ 160,413.00 1. Monetary Contributions Schedule A, Line 3 S 25,000.40 25,000.00 Loans Received 2 Schedule B. Line 3 104.794.00 S 185,413.00 . SUBTOTALCASH CONTRIBUTIONS Add Lines 1 + 2 $ 0.00. 0.00 3. Nonmonetary Contributions 4 Schedule G Line 104,794A0 i 185,413.00 . TOTALCONTRIBUTIONS RECEIVED S Add Lb" 3+4 5. Expenditures Made S 74,027.74 $ 187,643.33 Schedule Line 4 00 0 6. Payments Made 0.00 . Loans Made 7 Schedule H. Line 3 74,027.74 S 187,643.33 . 8. SUBTOTALCASH PAYMENTS Add Lines 6 + 7 $ 0.00 0.00 9. Accrued Expenses (Unpaid Bills) schedule F Line 3 0.00 0.00 schedule C Line 3 Nonmonetary Adjustment 10 74,027.74 t 74 187,643.33 . ENOITURESMADE . Add Lines a+o+10 $ 11. TOTAL E)CP Page 3 of 25 I.D. NUMBER 1323114 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1H through 8/30 711 to Oate 20. Conhftuiions S Received S 21. Expenditures S S Made Expenditure Umit Summary for State Candidates 2L Cumulative Expenditures Mad** Date of Election (mm'dilft) Tolal to Date Current Cash Statement Line 15 S 4,699.74 12. Beginning Previous Summaly Page, Cash. Balance . Column A. Line 3 above 13. 104.794.00 Cash Receipts 14. Miscellaneous Increases to Cash Schedule 1, Line 4 0.00 74,027.74 15. Cash Payments cownnn A. Line 8 above 35,466.04 16. ENDING CASH BALANCE Add Lines 12 + 13 + 14, then subtract Line 15 S of this is a termination statement Line 16 must be zeM. O.Ou -17 LnAN GUARANTEES RECEIVED schedule e. Pad 2 $ Cash Equivalents and Outstanding Debts 0.00 see instruction an reverse E 18. Cash Equivalents 25,000.00 19. Outstanding Debts Add Line 2 + Line 9 in Column a above $ To calculate COlumn B, add amounts in Cokaen A to the corresponding amounts from column B of your last report. Sane amounts in column A maY be negative figures that should be subtracted from previous dw 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). . I -Amounts in this section may be d'dferent from amounts reported in Columm B. FPPC Form 460 Wanusi C FPPC Toil-Free Helpilne: OtilitASK-FPPC Schedule A Type or print In lnb1 SCHEM LE Nlo metiny COnUMMOOM Received to ~ ~ Period / • , stsbnwnt covers 7/1/10 no through 9/30/'10 Pulp 4 of 25 SEE NBTROCTIONS ON REVERSE I.D. NUMBER NAME OF FILER 1323114 Scrivner for Supervisor 2010 FULL NAME. STREET ADORESS AND ZIP CODE OF CONTIMUTOR CONTRIBUTOR IF N TO DA PER BV® THIS CALENO YEAR I' ELECTION (IF REQUIRED) 31 RECEIVED pFeoyrrrsEAulOENTBUawLarsEaO CODE-: (Fag.F 3MOr®.9A6tNAME ) PERIOD (JML I -DEC. aFMIBME0s) Brian Richards ❑COM President. 500.00 500.00 7/210 O~ ABC PAC (Associated Builders and ocam NIA 1,500.00. 3,000.00 1,500.01 7/30/10 Contractors) ❑cffm ID# 1222327 0~ INo Louis and Sheryl Barbic:h pcaul CPA 500.00 500.00 7/30/10 . O~ Dill IMC William Bezdek. M.D. Physician 200.00 200.00 7/30/10 ❑ PTM ❑SCC ow David Windlberg ocoM Puwch A rTQ 125.00 125.00 7/30/10 ❑ PTY Aera Energy ❑8cc SUBTOrTAL$ 2.825.00 Schedule A Summary *Conblk"w Codas NO-Iniftiftall 1. Amount received this period-itemized monetary contributions. M-RedpisntConnliwa . 79, 540.00 CO Ondude al Schedule A subb AWs.) $ (atlmr 9W PTY or SCC) 254.00 aTH - other (eA« bluntness enili 2. Amount received this period - unitemized monetary contributions of less than $100 $ PTY-PariralPerty 3. Total monetary Contributions received this period. 79'794.00 8CC-8nw1lContributor Caeelt = (Add Lines 1 and 2. Enter hem and on the Summary Page, Column A, Line 1.) TOTAL $ FPiPC Fors 4W (ray FPPC T+os-Fe.e r+ swwsoFPPC (SNrrrsl Schedule A (Continuation Sheet) Monetary Contributions Received Statement Covers Period from 7/1/10 through 9/30/10 Page 5 of 25 NAME OF FILER: Scrivner for Supervisor 2010 I.D. NUMBER 1323114 DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR CODE OCCUPATION EMPLOYER/ BUSINESS AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE PER ELECTION TO DATE 8127/10 Raybum and Joan Dezember IND Consultant Self Employed 125.00 125.00 Subtotal $ 4,625.00 Schedule A Statement Covers Period from 7/1/10 0 Moneta Contributions Received through 9/30/1 (Continuation Sheet) Page 6 of 25 ry NUMBER 1323114 D I . . NAME OF FI LER: Scrivner for Supervisor 2010 AMOUNT DATE F CONTRIBUTOR CONTRIBUTOR CODE OCCUPATION EMPLOYER/ BUSINESS RECEIVED THIS PERIOD CUMULATIVE TO DATE PER ELECTION TO DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE O Subtotal $ 9,595.00 Schedule A Statement Covers Period (Continuation Sheet) from 7/1/10 through 9 30 10 Monetary Contributions Received Page 7 of 25 I.D. NUMBER 1323114 NAME OF F DATE RECEIVED ILER: Scrivner for Supervisor 2010 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR CODE OCCUPATION EMPLOYER/ BUSINESS AMOUNT RECEIVED THIS PERIOD CUMULATIVE PER ELECTION TO DATE TO DATE 8/18/10 Kim Andreatta IND Business Owner Bakersfield Auto Body 250.00 750.00 250.00 8/18/10 Thomas Anton IND Attorney Law Office of TJA, Inc. 100.00 100.00 8118/10 Frank Arciero, Jr. IND Developer Arciero & Sons, Inc. 250.00 500.00 8/18/10 Conni Brunni IND Notary Public Self Employed 250.00 250.00 Michael and Dona Chertok W IND Retired N/A 125.00 250.00 8/18110 . Jeffrey Crowley, M.D. and Sarah Crowley IND Physician Bakersfield Dermatology 250.00 250.00 8118/10 , 8/18/10 Marvin and Myrna Denny IND Principal Global Investments 150.00 150.00 Subtotal $ 31550.00 Schedule A (Continuation Sheet) Monetary Contributions Received Statement Covers Period from 7/1/10 through 9130/10 Page " of 25 I NUMBER D 1323114 rvisor 2010 S f i . . NAME OF FI upe or vner LER: Scr AMOUNT DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR CODE OCCUPATION EMPLOYER/ BUSINESS RECEIVED THIS PERIOD CUMULATIVE TO DATE PER ELECTION TO DATE 8/14/10 Fred Zullo I ND Retired N/A 1,000.00 • 1,000.00 500.00 Stan and Kathleen Antongiovanni Subtotal $ 8,875.00 Schedule A (Continuation Sheet) Monetary Contributions Received Statement Covers Period from 7/1/10 through 9130/10 Page 9 of 25 I NUMBER D 1323114 isor 2010 S f . . NAME OF FI uperv or LER: Scrivner AMOUNT DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR CODE OCCUPATION EMPLOYER/ BUSINESS RECEIVED THIS PERIOD CUMULATIVE TO DATE PER ELECTION TO DATE 8/23/10 Pat and Lori Marchbanks IND Physician Self Employed 500.00 500.00 8/23/10 8/23/10 Robert Severs IND Retired N/A 250.00 350.00 8/23/10 Bart and Tracey Tipton IND Engineer Aecom 125.00 125.00 8/25/10 A.S.A.P. Loan Docs Inc. OTH N/A N/A 250.00 250.00 Ag-wise Enterprises, Inc. 8125/10 Brooke Antonioni IND Executive Banks Pest Control, Inc . 200.00 200.00 Subtotal $ 4,700.00 Schedule Statement Covers Period from 7/1/10 Monetary Contributions Received through 9/30/10 (Continuation Sheet) Page 10 of 25 I NUMBER D 1323114 2010 . . NAME OF FI LER: Scrivner for Supervisor AMOUNT DATE ODE OF CONTRIBUTOR CONTRIBUTOR CODE OCCUPATION EMPLOYER/ BUSINESS RECEIVED THIS PERIOD CUMULATIVE TO DATE PER ELECTION TO DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP C OTH N/A N!A 250.00 250.00 8125/10 Brite Canyon Resource Recovery Gregory and Mary Bynum IND Co-Owner Gregory D. Bynum & Assoc. 1,000.00 1,500.00 500.00 8/25/10 Subtotal $ 5,375.00 Schedule A (Continuation Sheet) Monetary Contributions Received Statement Covers Period from 7/1/10 through 9/30/10 Page 11 of 25 NAME OF FILER: Scrivner for Supervisor 2010 I.D. NUMBER 1323114 DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR CODE OCCUPATION EMPLOYER/ BUSINESS AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE PER ELECTION TO DATE 8/25/10 Russell and Jeannie Fuller IND Owner Heamco, Inc. 250.00 250.00 8/25/10 Heritage Professional Management and Real OTH N/A N/A 500.00 500.00 500.00 8/25/10 Terri Jamieson IND Owner Jaco Oil 1,000.00 1,000.00 500.00 8/25/10 Khalsa G IND County Counsel County of Kern 125.00 375.00 . 8/25/10 KV Farms IIND lAttomey Clifford & Brown 100.00 100.00 6,100.00 Subtotal $ Schedule A (Continuation Sheet) Monetary Contributions Received Statement Covers Period from 7/1/10 through 9/30/10 Page 12 of 25 NUMBER 1323114 NAME OF F ILER: Scrivner for Supervisor 2010 I AMOUNT .D. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR CODE OCCUPATION EMPLOYER/ BUSINESS RECEIVED THIS PERIOD CUMULATIVE TO DATE PER ELECTION TO DATE 8/25/10 Randy and Kay Parker IND Physician Self Employed 500.00 500.00 8/25/10 Marty Pay IND Co-Owner Derrel's Mini Storage 500.00 1,000.00 500.00 8/25/10 Andrew and C. Jeanette Rogers IND Attorney Klein Denatale Goldner 500.00 1,000.00 500.00 8/25110 Neil and Carla Sawyer OTH N/A N/A 250.00 250.00 250.00 8/25/10 Senator Bob Dutton for Assembly 2012 ID# 1314664 COM N/A N/A 500.00 500.00 8/25/10 Bonnie Shea IND Farmer H. Spitzer & Sons, Inc. 125.00 125.00 8/25/10 John and Janice Stovall IOTH N/A N/A 1125.00 125.00 S ubtotal $ 3,7 25.00 Schedule A (Continuation Sheet) Monetary Contributions Received Statement Covers Period from 7/1/10 through 9/30/10 Page 13 of 25 NAME OF FILER: Scrivner for Supervisor 2010 I.D. NUMBER 1323114 DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR CODE OCCUPATION EMPLOYER/ BUSINESS AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE PER ELECTION TO DATE 8/25/10 Lori Michele Tobin OTH NIA N/A 500.00 500.00 8/25/10 Wegis & Young Property Management, LLC OTH N/A N/A 125.00 125.00 8/25/10 Leland and Susan Jane Yeoman IND Agent Walter Mortensen Insurance 125.00 250.00 8127/10 J. Edward and Beverly Duggan IND Partner Oak Creek Energy 500.00 500.00 8/27/10 James Joslyn IND Business Owner Enterprise Drilling Fluids, In 250.00 250.00 8/27/10 Law Offices of Borton Petrini, LP OTH N/A N/A 500.00 500.00 8/27/10 George and Linda Martin IND Retired N/A 250.00 750.00 250.00 8/27/10 Progressive Ambulance Inc Liberty Ambulance OTH N/A N/A 500.00 500.00 8/27/10 Serban Sound Systems OTH N/A N/A 500.00 500.00 500.00 8/27/10 Shah Hitesh IND Pres/CEO Aera Energy 500.00 1,000.00 6,250.00 Subtotal $ Schedule A (Continuation Sheet) Monetary Contributions Received Statement Covers Period from 7/1110 through 9/30/10 Page 14 of 25 I NUMBER 1323114 D . . NAME OF FI LER: Scrivner for Supervisor 2010 AMOUNT DATE F CONTRIBUTOR CONTRIBUTOR CODE OCCUPATION EMPLOYER/ BUSINESS RECEIVED THIS PERIOD CUMULATIVE TO DATE PER ELECTION TO DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE O CA 93311-3738 I field k B Castle & Cooke California, Inc. David H. Murdock/Dole Food Company, Inc. CA 93311 OTH WA N/A 500.00 1,000.00 500.00 9/1/10 Bakersfield, IND Produce Shipper Kern Ridge Growers 500.00 1,000.00 9/1/10 Bob and Jeanne Giragosian Arvin,CA 93203 NV 89511-6735 CA 93302-0887 sfield k Jasmine Moini, M.D., Ph.D. Bakersfield, CA IND Physician Self Employed 500.00 800.00 300.00 9/1/10 93311-9506 IND Farmer Self Employed 500.00 500.00 9/1/10 Pete Pankey Arvin, CA 93203 San Joaquin Facilities Management, Inc. OTH N/A N/A 1,000.00 1,000.00 500.00 9/1/10 Bakersfield, CA 93309 017 OTH N/A N/A 125.00 125.00 9/1/10 Sempra Energy San Diego, CA 92101-3 CA 93304 ld IND Attorney Self Employed 100.00 100.00 9/1/10 , Errol Shaw Bakersfie IND Administrator KCSS Office 100.00 100.00 9/7/10 James Varley Bakersfield, CA 93304 IND Executive Bakersfield Pipe Supply 125.00 125.00 9/13/10 Dwight Byrum Bakersfield, CA 93302 IND Retired N/A 500.00 700.00 0 500.0 9/13/10 Ophelia Franks CA 93210 CA 93308 Bakersfield i IND Developer Self Employed 1,000.00 2,000.00 1,000.00 9/13/10 , r Michael Jr. and Melissa Ha 9 IND Land Investor Self Employed 500.00 500.00 9/13/10 Barry Hibbard Bakersfield, CA 9330 Subtotal $ 6,800.00 Schedule A (Continuation Sheet) Monetary Contributions Received Statement Covers Period from 7/1/10 through 9/30/10 Page 15 of 25 NAME OF F ILER: Scrivner for Supervisor 2010 I.D. NUMBER 1323114 DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR CODE OCCUPATION EMPLOYER/ BUSINESS AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE PER ELECTION TO DATE 9/13/10 James Houck IND Editor Visalia Times 1,000.00 1,000.00 500.00 9/13/10 Paramount Farming Company OTH NIA N/A 500.00 500.00 9/13/10 Linda Pavletich IND Retired N/A 125.00 125.00 9/27/10 Scott and Joyce Anderson OTH N/A N/A 500.00 1,000.00 500.00 9/27/10 Stephen and Michelle Coslik IND Real Estate Developer Woodmont Company 500.00 1,000.00 9/27/10 Delcid, Tim IND Real Estate Strata Equity Group 250.00 250.00 9/27/10 Gregg and Fran Gunner IND Gen. Sales Manager Jim Burke Ford 200.00 200.00 Subtotal $ 4,950.00 Scheri`ule A (Continuation Sheet) Monetary Contributions Received Statement Covers Period from 7/1/10 through 9/30/10 Page 16 of 25 NAME OF FILER: Scrivner for Supervisor 2010 I.D. NUMBER 1323114 DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR CODE OCCUPATION EMPLOYER/ BUSINESS AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE PER ELECTION TO DATE 9/27/10 Roger and Beverly McIntosh IND Cardiologist Comprehensive Cardiovascular 1,000.00 1,000.00 9/27/10 Mesonika Piecuch IND Executive Petrotherm 100.00 100.00 9/27/10 Dan and Constance Shobe OTH N/A N/A 500.00 1,000.00 500.00 9/29/10 Carole Bahmann IND Attorney Gibson, Dunn & Crutcher, LLP 1,000.00 1,000.00 9/29/10 Chris and Christine Payne IND Manager NSI 125.00 125.00 9/29/10 Rita Serban OTH N/A N/A 11,000.00 1,000.00 500.00 Subtotal $ 7,295.00 Schedule A Statement Covers Period (Continuation Sheet) from 711/10 Monetary Contributions Received through 9/30/10 NAME OF FILER: Scrivner for Supervisor 2010 DATE CONTRIBUTOR RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CODE OCCUPATION 9/30/10 Sikander Jassar IIND CEO Page 17 of 25 I.D. NUMBER 1323114 EMPLOYER/ BUSINESS AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE PER ELECTION TO DATE Jassar Farms Inc. 1,000.00 1,000.00 500.00 D.J. Food Mart 1,000.00 1,200.00 200.00 Self Employed 800.00 800.00 Highgrove Medical Group 1 500.00 1 500.00 N/A 125.00 125.00 Self Employed 250.00 250.00 Chase Merritt 1,000.00 1,000.00 Subtotal $ 4,875.00 Schedule B - Part 1 Loans Received Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 7/1/10 through 9/30/10 SCHEDULEB-PART1 Page 18 of 25 SEE INSTRUCTIONS ON REVERSE I.D. NUMBER NAME OF FILER 1323114 Scrivner for Supervisor 2010 1a) 1b) 10 (dl (e) (f) (9) FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER OUTSTANDING BALANCE AMOUNT D THIS AMOUNT PAID OUTSTANDING BALANCEAT INTEREST PAID THIS ORIGINAL AMOUNT OF CUMULATIVE CONTRIBUTIONS OF LENDER OF SELF-EMPLOYED, BEGINNING THIS RECEIVE PERIOD OR FORGIVEN THIS PERIOD" CLOSE OF THIS RI PERIOD LOAN TO DATE (IF COMMn7EE, ALSO ENTER I.D. NUMBER) BUSINESS) NAME OF BUSINESS) PERIOD CALENDARYEAR C] PAID Zachary and Christina Scrivner District Director 00 0 000. 25 0 $ 25,000. $ 25,000. Jean Fuller ❑ FORGIVEN , 00 0 000. 25 00 0 0.00 8/3/10 $ 25,000. . s , s . $ DATE DUE $ DATE INCURRED t PTY El SCC V IND El COM El OTH El CALENDAR YEAR ❑ PAID s s % a s RATE PER ELECTION ❑ FORGIVEN s s s s f DATE DUE DATE INCURRED PTY ❑ SCC t ❑ IND ❑ COM ❑ OTH ❑ CALENDARYEAR PAID s s % s s RATE PER ELECTION"' ❑ FORGIVEN s s s s s DATE DUE DATE INCURRED t IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ SUBTOTALS $ 25,000.00 $ 0.00 $ 25,000.00 $ 0.00 Schedule B Summary 25,000.00 1. Loans received this period $ (Total Column (b) plus unitemized loans of less than $100.) 0.00 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.) 25,000.00 3. Net change this period. (Subtract Line 2 from Line 1.) NET $ (May beaneg number) Enter the net here and on the Summary Page, Column A, Line 2. t--' ,c, - Schedule E. Une 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 'Amounts forgiven or paid by another party also must be reported on Schedule A. FPPC Form 460 (January/05) " If required. FPPC Toll-Free Helpline: 8661ASK-FPPC (866/275-3772) Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Scrivner for Supervisor 2010 Type or print in Ink. Amounts may be rounded to whole dollars. Statement covers period from 7/1/10 through 9/30/10 Page 19 of 25 I.D. NUMBER 1323114 f the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. t If COD one o ES: RAD s radio airtime and production cos C campaign paraphernalia/misc. N1 BR MTG member communications meetings and appearances RFD returned contributions ' NIS CN CTB campaign consultants contribution (explain nonmonetary)* OFC office expenses SAL TEL salaries campaign workers t.v. or cable airtime and production costs CVC civic donations p~ PHO petition circulating hone banks TRC candidate travel, lodging, and meals l F candidate filing/ballot fees POL p potting and survey research TRS s staff/spouse travel, lodging, and mea mittees of the same candidate/sponsor FNNID QED fundraising events independent expenditure supporting/opposing others (explain)* POS postage, delivery and messenger services accounting) ional services (legal f TSF VOT transfer between com voter registration LEG legal defense PRO , ess pro WEB information technology costs (intemet, e-mail) LrT I rr campaign literature and mailings FRT print ads NAME AND ADDRESS OF PAYEE (IF cOMMrrTEE, ALSO ENTER I.D. NUMBER) Kawanis Club of Tehachapi Auditor Controller County Clerk Minuteman Press CODE OR DESCRIPTION OF PAYMENT CTB FIL FND * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ Schedule E Summary 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 $ AMOUNT PAID 150.00 1,770.00 1,602.98 3,522.98 73,992.04 35.70 0.00 74,027.74 FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) SCHEDULE E (CONT.) Schedule E (Continuation Sheet) Payments Made qPE Type or print in ink. Amounts may be rounded to whole dollars. ME OF FILER Scrivner for Supervisor 2010 Statement covers period from 7/1/10 through 9/30/10 Page 20 of 25 I.D. NUMBER 1323114 f the following codes accurately describes the payment, you may enter the code. Otherwise, If describe the payment. t COD one o ES: MBR member communications RAD s radio airtime and production cos CNP CNS campaign paraphemalia/misc. campaign consultants MTG meetings and appearances RFD SAL returned contributions campaign workers' salaries CTB contribution (explain nonmonetary)' OFC PET office expenses etition circulating TEL t.v. or cable airtime and production costs l CVC civic donations f PHO p phone banks TRC s candidate travel, lodging, and mea and meals lodging ouse travel ff/ t FIL FND ees candidate filing/ballot fundraising events POL polling and survey research rvices TRS TSF , , sp s a r between committees of the same candidate/sponsor trans IND independent expenditure supporting/opposing others (explain)' POS postage, delivery and messenger se accounting) nal services (legal i f OT registration LEG legal defense PRO , ess o pro ~ information technology costs (intemet, e-mail) UT 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) Catering Affairs FND 3,897.00 Walker - Lewis Rents FND 1,405.44 Reimburse Bryan Williams FND 488.05 Subvendor: Smart & Final $479.41 15 District Legionnaire PRT 175.00 N35 Dues 300.00 SUBTOTAL $ 6,265.49 * 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 (CONT.) Schedule E Type or print in ink. Statement covers period Amounts may be rounded 7/1/10 FORM (Continuation Sheet) CALIFORNIA 46U to whole dollars. from Payments Made through 9/30/10 21 25 SEE INSTRUCTIONS ON REVERSE Page of NAME OF FILER I.D.NUMBER 1323114 Scrivner for Supervisor 2010 ne of the following codes accurately describes the payment, you may enter the code. If Otherwise, RAD describe the payment. radio airtime and production costs o CODES: MBR member communications RFD returned contributions C W campaign paraphernalia/misc. MrG meetings and appearances SAL campaign workers' salaries CNS campaign consultants CTB contribution (explain nonmonetary)' OFC PET T E office expenses petition circulating TEL t.v. or cable airtime and production costs lodging, and meals didate travel CVC civic donations FIL candidate filing/ballot fees P POL phone banks polling and survey research TRC TRS , can staff/spouse travel, lodging, and meals fer between committees of the same candidate/sponsor t FND fundraising events LE independent expenditure supporting/opposing others (explain)' PRO FRO postage, delivery and messenger services professional services (legal, accounting) TSF VOT rans voter registration costs (Internet, e-mail) tion technology LEG legal defense PRT print ads WEB informa LIT campaign literature and mailings - DESCRIPTIO AMOUNT PAID N OF PAYMENT NAME AND ADDRESS OF PAYEE 7 CODE OR (IF COMMITTEE, ALSO ENTER I.D. NUMBEM 1 710.99 Minuteman Press LIT Richmond Properties, LLC Headquarters Rent/Utilities 2,000.00 Mojave Desert News PRT Western Pacific Research, Inc. SAL Western Pacific Research, Inc. OFC ' Payments that are contributions or independent expenditures must also be summarized on Schedule D. 410.00 376.30 159.06 SUBTOTAL $ 3,656.35 FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 8661ASK-FPPC (8661275-3772) Schedule E (Continuation Sheet) Payments Made ME OF FILER Scrivner for Supervisor 2010 Type or print in ink. Amounts may be rounded to whole dollars. statement covens period from 7/1110 through 9/30/10 SCHEDULE E (CONT.) page--22- of 25 I.D. NUMBER 1323114 of the following codes accurately describes the payment, you may enter the code. Otherwise, If DES describe the payment. CO one : AIBR member communications RAD radio airtime and production costs CUP CNS campaign paraphernalia/misc. campaign consultants MTG meetings and appearances RFD SAL returned contributions campaign workers' salaries CTB contribution (explain nonmonetary)* OFC PET office expenses petition circulating TEL Lv: or cable airtime and production costs l CVC FL civic donations candidate filing/ballot fees PHO phone banks TIC TRS s candidate travel, lodging, and mea stafdspourse travel, lodging, and meals FAD IND fundraising events enditure supporting/opposing others (explain)* ndent ex i d POL POS polling and survey research postage, delivery and messenger services TSF VOT transfer between committees of the same candidate/sponsor istration voter re LEG p epe n legal defense PRO professional services (legal, accounting) MEB g httormation technology costs (Internet, e-mail) LIT campaign literature and mailings PRT print ads NAME AND ADDRESS OF PAYEE OF corarRTEE. AM FABER LD. MINIM Western Pacific Research, Inc. Subvendor. The Battin Group $11,116.00 Western Pacific Research, Inc. Subvendor: The Bakerfield Californian $1,133.20 Subvendor. Mojave Desert News $1,309.20 CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID RAD I I 11,116.00 PRT I I 2'442.96 * Payments that are contributions or Independent expenditures must also be summa. Faad on Schedule D. SUBTOTALS 13. 558.96 FPPC Form 460 (January/05) FPPC Top-Free Helplins: 866/ASK-FPPC (86612754772) SCHEDULE E (CONT.) Schedule E Type or prirrtin Ink. d d . , Statement covers period CALIFORNIA (Continuation Sheet) e Amounts may be roun to whole dollars. 711 /10 e from Payments Made 9130/10 page 23 of` - through I.D. NUMBER SEE INSTRUCTIONS ON REVERSE 1323114 NAME OF FILER Scrivner for Supervisor 2010 ou may enter the code. Othe t describe the payment. rwi e, en CODES: If one of the following codes accurately describes the paym, y s ti i s radio airtime and production costs R on ca NBR member commun D returned contributions emalia/misc. campaign CLIP WM meetings and appearances SAL campaign workers' salaries CNS campaignconsul consultants NS CT13 contribution (explain nonmonetary)' OFC office expenses PET petition circulating TEL t.v. or cable airtime and production cos lodging, and meals didate travel CVC civic donations candidate file llot fees F PHO phone banks POL polling and survey research , TRC can TRS staff/spouse travel, lodging, and meals committees of the same candidate/sponsor ansfer be TSF tr wee N ~ fundraising events expenditure supporting/opposing others (explain)' independent IND postage, delivery and messenger services PPRO Professional services (legal, accounting) n t voter ~ VOT information technology costs (intemet, e-mail) LEG legal defense LEG campaign literature and mailings L PRT print ads AMOUNT PAID NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT (IF COMMITTEE. ALSO ENTER I.D. NUMBEM 300.00 Western Pacific Research, Inc. FND Sign Expense 360.00 Western Pacific Research, Inc. 311.00 Western Pacific Research, Inc. MTG 61.99 Western Pacific Research, Inc. WEB Telephone 31.28 Western Pacific Research, Inc. SUBTOTALS 1,064.27 * 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 Scrivner for Supervisor 2010 Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 7/1/10 through 9/30110 SCHEDULE E (CONT.) --ALIFORNIA FORM • Page 24 of 25 I.D. NUMBER 1323114 CODES: If one of the following codes accurately describes the payment, you may enter the code. OthervAse, describe the payment. od cti n sts CLIP campaign paraphemalia/misc. NBR member communications RAD RFD radio antrme and pr u o c returned contributions CNS campaign consultants ' WIG OFC meetings and appearances office expenses SAL campaign workers' salaries CTB contribution (explain nonmonetary) PET petition circulating TEL t.v. or cable airtime and production costs CVC civic donations PHO phone banks WC candidate travel, lodging, and meals FL FND candidate filing/ballot fees fundraising events POL polling and survey research TRS TSF staff/spouse travel, lodging, and meals transfer between committees of the same candidate/sponsor IND independent expenditure supporting/opposing others (explain)' POS PRO postage, delivery and messenger services professional services (legal, accounting) VOT voter registration LEG legal defense PRT print ads WEB information technology costs (ntemet, e-mail) Lrr campaign literature and mailings o NAME AND ADDRESS OF PAYEE (IF coumn- EE. ALSO ENTER LD. NUNBEr) Western Pacific Research, Inc. Subvendor: Post Road Communications $ 16,118.70 Western Pacific Research, Inc. Subvendor: The Battin Group $16,890.00 Western Pacific Research, Inc. CODE OR DESCRIPTION OF PAYMENT I AMOUNT PAID LIT I I 16,118.70 TEL 1 I 16,890.00 POS 1 I 449.54 *Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTALS 33,458.24 FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 86WASK-FPPC (8661275-3772) SCHEDULE E (CONT.) Schedule E Type or print in Ink. d Statement covers period CALIFORNIA 4601 (Continuation Sheet) Amounts may be rounde to whole dollars. from 7/1 /10 e Payments Made 9130/10 P 25 of 25 throu age gh W. NUMBER SEE INSTRUCTIONS ON REVERSE 1323114 NAME OF FILER Scrivner for Supervisor 2010 enter the code. ou may t Otherwise, describe the payment. , y If one of the following codes accurately describes the paymen ti RAD radio airtime and production costs ons NIBR member communica RFD returned contributions CI VP paraphernalia/misc. MfG meetings and appearances SAL campaign workers' salaries CNS campaign consultants ' OFC office expenses TEL or cable airtime and production cos v t CTB contribution (explain nonmonetary) PET petition circulating TRC . . candidate travel, lodging, and meals CTC civic donations fees fil FIL candidate PHO phone banks L polling and survey research PO TRS F staff/spouse travel, lodging, and meals nsfer between committees of the same candidate sponsor t e fundraising events vents FND W independent expenditure supporting/opposing others (explain)' service and POS PRO prof~essionallservices (egaleaccou t ng) s TS TOT B ra voter registration formation technology costs (intemet, e-mail) i LEG legal defense PRr print ads WE n LIT campaign literature and mailings DESCRIPTIO AMOUNT PAID N OF PAYMENT NAME AND ADDRESS OF PAYEE CODE OR (IF COMMITTEE. ALSO ENTER I.D. NUMBER) 12,465.75 Western Pacific Research, Inc. PHO Subvendor: Election Mall Technologies, Inc. $12,465.75 :_~____ae..• nw%onditureS must also be summarized on Schedule D. SUBTOTAL $ 12,465.75 rnnr c-- Agri 1-12nuarv/051 FPPC Toll-Free Helpline: 8661ASK-FPPC (866/275-3772)