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Home My WebLink AboutSCRIVNER SEMIANN10(5)COVER PAGE Recipient Committee Campaign Statement Cover Page (Government Code Sections 64200-84216.5) SEE INSTRUCTIONS ON REVERSE Date Stamp Type or print in ink. Statement covers period Date o(M n8 i Day, ff app Year)i2~ ~i~ (I v Lt 10/17/10 ti from 11/2110 t. 12131110 through 1. Type of Recipient Committee:. All Committees - Complete Parts 1, 2, s, and a. ® Officeholder, Candidate Controlled Committee Primarily Formed Ballot Measure ~ Committee 0 State Candidate Election Committee C C Controlled 0 Recall 0 Sponsored (Also Complete Part (quo Compete Part 6) ❑ General Purpose Committee 0 Sponsored 0 Small Contributor committee 0 Political Party/Central committee 3. Committee Information ;OMMITTEE NAME (OR CANUtuAI c a n Scrivner for Supervisor 2010 OPTIONAL: FAX / E-MAIL ADDRESS Treasurer(s) NAME OF TREASURER Shawn P. Kelly, CPA NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS STATE ZIP CODE AREA CODE/PHONE CITY OPTIONAL: FAX ! E-MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge under penalty of perjury under the 1 11 of the State of California that the foregoing is true an ct• l~ Executed on BY Date Executed on Date Executed on Dale Executed on Date r-1 Primarily Formed Candidate/ Officeholder committee (Also Compete Part 7) 2. Type of Statement:. E] Preelection Statement JZ Semi-annual Statement E] Termination Statement (Also file a Form 410 Termination) M Amendment (Explain below) Page 1 of 16 For Official Use Only Quarterly Statement Special Odd-Year Report Supplemental Preelection Statement -Attach Form 495 I.D. NUMBER 1323114 herein and in the attached schedules is true and complete. I certify BY S1eofCo„ngOtfimtwmer,candHtae,sta~eMeau+ePlort FPPC Form 460 (January/05) FPPC TOR-Free Helpiine: 8661ASK-FPPC~f 8oflCalifo California By SlgwwreofContro6ngOlficetwlder,Candidate, Side Meas~seProP°na^torResponsbleOffKwofSponsor By Sgnewre o(bol(alg )f(Keholder. Car date, state Measlxa Proponent Type or print In ink. Recipient Committee Campaign Statement Cover Page - Part 2 S. 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 sTATE ZIP RESIDENTIAUBUSINESS ADDRESS (NO. AND STREET) CITY Bakersfield CA 93313 Bakers 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. I.D. NUMBER ME COMMIT;TREAS CONTROLLED COMMITTEE? NAME OURER YE S NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) STgTE ZIP CODE AREA CODEIPHONE CITY I.D. NUMBER COMMI7TREASU CONTROLLED COMMITTEE? NAME OF RER F1 YESNO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) ~qTE ZIP CODE AREA CODEIPHONE CITY OFFICE SOUGHT OR HELD E] SUPPORT OPPOSE OFFICE SOUGHT OR HELD SUPPORT OPPOSE OFFICE SOUGHT OR HELD C] SUPPORT ❑ OPPOSE OFFICE SOUGHT OR HELD SUPPORT OPPOSE Attach continuation sheets if necessary COVER PAGE -PART 2 Page 2 of 16 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO.OR LETTER E] SUPPORT OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONFSIT SOUGHT OK "LLU DISTRICT NO. IF ANY formed. names of 7. oP~ceholder(s) Formed or candidatena orr whicch this hommeittee is Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF OFFICEHOLDER OR CANDIDATE NAME OF OFFICEHOLDER OR CANDIDATE NAME OF OFFICEHOLDER OR CANDIDATE FpPC Form 460 (January105) 2) FPPC Toll-Free HelPline: 8661ASK-FPSCC(866 1California Campaign Disclosure Statement Type or print in ink. Amounts may be rounded Summary Page to whole dollars. SEE INSTRUGI IUNS U. rc.....,. NAME OF FILER c r:.,r er fnr Sh inprvinnr 2010 SUMMARY PAGE Statement covers period CALIFORIIIA 1 10/17/10 FORM from through :::1:2:/3:11:/10 page 3 of 16 I.D. NUMBER 1323114 Contributions Received 1. Monetary Contributions . Schedule A, Line 3 2. Loans Received . Schedule B, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS Add lines 1 +2 4. Nonmonetary Contributions schedule C. Line 3 5. TOTAL CONTRIBUTIONS RECEIVED Add Lines 3 + 4 Expenditures Made 42,292.48 6. Payments Made schedule e, Line 4 $ .00 7. Loans Made Schedule H, Line 3 0 42,292. 0 8. SUBTOTAL CASH PAYMENTS Add Lines 6+7 $ 0.00 Schedule F, Line 3 9. Accrued Expenses (Unpaid Bills) 0.00 10. Nonmonetary Adjustment Schedule C, Line 3 42,292.48 11. TOTAL EXPENDITURES MADE Add Lines 8 + 9 + 10 $ $ 264,897.61 0.00 $ 264,897.61 0.00 0.00 $ 264,897.61 Current Cash Statement 20,578.20 12. Beginning Cash Balance Previous Summary Page, Line 16 $ 36,244 00 Cash Receipts Column A, Line 3 above 13 0.00 0 . 14. Miscellaneous Increases to Cash Schedule 1, Line 4 42,282. 15. Cash Payments Column A, Line 8 above 14,529.72 16. ENDING CASH BALANCE Add Lines 12 + 13 + 14, then subtract Line 15 $ If this is a termination statement, Line 16 must be zero. 0.00 17. LOAN GUARANTEES RECEIVED Schedule B, Part 2 $ Cash Equivalents and Outstanding Debts 0.00 18. Cash Equivalents See instructions on reverse $ 25,000.00 19. Outstanding Debts Add line 2 +Line 9 in Column B above $ Column A TOTALTHIS PERIOD (MoL1AT7AcHM SCHEDULES) $ 36,244.00 0.00 $ 36,244.00 0.00 $ 36,244.00 Volumn o CALENDARYEAR TOTALTo DATE $ 216,731.00 25,000.00 $ 241,731.00 0.00 $ 241,731.00 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 Received $ $ 21. Expenditures Made $ $ 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- IV Subject to Voluntary Expenditure Limit) Date of Election (mm/dd/yy) Total to Date 'Amounts in this section may be different from amounts reported in Column B. FPPC Fond 460 (January/05) FPPC Toll-Free Helpline: 866/ASK-FPPC (8661275-3772) Type or print in ink. SCHEDULE A , Schedule A Amounts may be rounded Statement covers period CALIFORNIA Monetary Contributions Received to whole dollars. • from 10/17/10 FORM SEE INSTRUCTIONS ON REVERSE Scrivner for Supervisor 2010 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR DATE (IF coMMITTEE. ALSO ENTER I.D. NUMBER) CODE RECEIVED ®I-ND Robert and Mary Amos ❑COM 10119/10 T ❑SCC Mary Cunningham 10/19/10 T ® Charles Daubenberger ❑CoM 10/19/10 ❑ PTM ❑ SCC 93 t and Penelope Faintich Herber M 10/19/10 7 MSC C ® IND Robert and Melissa Sutton ❑COM 10/19/10 PTY ❑ CC pS IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Owner Wine and Cheese Cellar 500.00 1 600.00 Retired 100.00 I 100.00 Land Investor I 500.00 I 500.00 Self Employed Retired 100.00 I 100.00 Land Investor 500.00 I 500.00 Self Employed SUBTOTAL$ 1,700.00 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 $ through 12/31/10 Page 4 I.D. NUMBER 1323114 of 16 AMOUNT CUMULATIVETO DATE PER ELECTION RECEIVED THIS CALENDAR YEAR TO DATE PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) 35,650.00 594.00 244 00 -Contributor Codes IND-Individual COM - Recipient Committee (other than PTY or SCC) LOTH Other e.g., business entity) Political Party Small Contributor committee 36, FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 8661ASK-FPPC (866/275-3772) Statement Covers Period Page 5 of 16 Schedule A (Continuation Sheet) Monetary Contributions Received from 10 17 10 through 12 31 10 DATE RECEIVED ULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR CODE OCCUPATION EMPLOYER/BUSINESS AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE PER ELECTION TO DATE 10/21/10 Simin and Gaurdie Banister IND PreslCEO Aera Energy 500.00 1,500.00 500.00 10121/10 Dwight Byrum IND Executive Bakersfield Pipe Supply 100.00 225.00 10121/10 Carlos Echeverria & Sons Dairy IND Builder Self Employed 1,000.00 1,000.00 10/21/10 Jagdish Dillon 35301 Jagdipak, Heer IND Teacher PBVUSD 250.00 250.00 10/21/10 The Jordan Companies IND Richard E C Attorney County of Kem ry 125.00 625.00 10!26!10 Marie B05 IND Retired WA 100.00 100.00 10/26/10 The Lincoln Club of Orange State PAC PAC ID #970861 COM N/A N/A 3,000.00 3,000.00 1,500.00 subtotal; 7, 850.00 Schedule A (Continuation Sheet) Monetary Contributions Received DATE CONTRIBUTOR CODE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR American Promotional Events West I d ND A 10/28110 oquy Arnold and Kim Anchor Greater Bakersfield Chamber of Commerce PAC ID 991619 OTH n 10128110 IND 10/28/10 . Doug and Katie Varner Statement Covers Period from 10/17/10 through 12/31/10 tomey Young-Wooldridge 250.00 250.00 A WA 1,500.00 3,000.00 1,500.00 wner Baseball Enterprises, LLC 100.00 100.00 /A NIA 1,000.00 1,000.00 500.00 etired WA 250.00 1,000.00 500.00 11A N/A 250.00 500.00 luilder/Developer Soper Homes, Inc. 125.00 125.00 I/A N/A 100.00 100.00 tetired N/A 125.00 125.00 =ducation Consultan t Self Employed 150.00 150.00 oice President Excalibur Well Services 250.00 250.00 Attorney Arrache, Clark & Potter 100.00 350.00 Executive Director Tehachapi Area Assoc. of Realtors 100.00 100.00 Registered Nurse Kaiser Permanente 300.00 420.00 Page f; - of -16- AMOUNT RECEIVED CUMULATIVE TO PER ELECTION EMPLOYERIBUSINESS THIS PERIOD DATE DATE OCCUPATION A N/A 250.00 250.00 Subtotal $ 4.850.00 Schedule A (Continuation Sheet) Monetary Contributions Received Statement Covers Period from 10 17 10 through 12 31 10 CONTRIBUTOR DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CODE 1111/10 Howard Ahmanson Jr. IND 11110/10 Stephen Steinhoffer IND OTH 11/15/10 11/15/10 James and Francine Stubblefield IND Page 7 of L AMOUNT RECEIVED CUMULATIVE TO I PER ELECTION Y-USINESS THIS PERIOD DATE OCCUPATION EMPLO Seff Employed Fieldstead & Company 1,000.00 1,000.00 C. Anderson, Inc. S 1,000.00 1,000.00 Owner . Construction Self Employed 200.00 450.00 Retired NIA 250.00 1,000.00 N/A 500.00 500.00 N/A Planner Self Employed 300.00 300.00 Retired N/A 100.00 300.00 Retired WA 100.00 100.00 David R. Doig Insurancy Owner Agency 125.00 250.00 Retired N/A 100.00 100.00 McKee Electric Co. 1,000.00 1,000.00 President Benz Sanitation, Inc. 1,000.00 1,000.00 Executive Benz Sanitation, Inc. 1,000.00 1,000.00 Executive Benz Sanitation, Inc. 1,000.00 1,000.00 Executive Westside Waste Mngt _,e r ..,...,d1 CO.. Inc. 500.00 1,000.00 500.00 500.00 1500.00 Subtotal $ 8,175.00 Page 8 of 16 Statement Covers Period Schedule A from 10 17 10 (Continuation Sheet) through 12 31 10 Monetary Contributions Received CONTRIBUTOR DATE RECEIVED FULL NAME, STREET ADDRESS AND LP CODE OF CONTRIBUTOR CODE Jarrod and Heidi McNaughton IND 12/7110 1217/10 Dan and Sally Panero IND Keown IND OCCUPATION Ace President Executive Partner Broker EMPLOYERISUSINESS n Joaquin Hospital lmer & Sons, Inc. inerior Sanitation Bros. Bros. Price RUNT RECEIVEDI CUMULATIVE TO I PER ELECTION THIS PERIOD DATE 1,000.00 1,000.00 Mortensen Ins. 100.00 for Sanitation 1,000.00 Disposal 500.00 sposal TI & Sons, InPower 500.00 Power 11,000.00 000.00 1, 1,000.00 500.00 500.00 500.00 100.00 1,000.00 500.00 1,000.00 1,000.00 1,000.00 373.00 500.00 1,000.00 Subtotal $ 10r275,00 Schedule A (Continuation Sheet) Monetary Contributions Received Statement Covers Period from 10 17 10 through 12 31 10 DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR 12/14110 David Kaspereit 12/14/10 12/14/10 Ken and Christina Wagner CONTRIBUTOR CODE TION dD eveloper JD t E VD Developer ND r, Page 9 of 16 TO PER ELDEACT ON TO AMOUNT RECENED CUMULATIVE EMPLOYER/BUSINESS THIS PERIOD DATE rra-Gen Power 500.00 500.00 Title 100.00 -Gen Power 1,000.00 i-Gen Power 200.00 I-Gen Power 1,000.0( 100.00 1,000.00 200.00 1,000.00 Subtotal $ 2.800.00 SCHEDULEB-PART1 Schedule B - Part 1 Loans Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Scrivner for Supervisor 2010 Type or print in ink. Amounts may be rounded to whole dollars. FULL NAME, STREET ADDRESS AND ZIP CODE OF LENDER OF COMMITTEE. ALSO ENTER I.D. NUMBER) Zachary and Christina Scrivner t2 IND ❑ COM ❑ OTH ❑ PTY ❑ SCC t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Statement covers period 10/17/10 from 12/31/10 through Page 10 of 16 I.D. NUMBER 1323114 IF AN INDIVIDUAL, ENTER a OUTSTANDING lbl AMOUNT k1 AMOUNT PAID OUTSTANDING gpLpNCEAT I-) INTEREST pA)pTHIS ORIGINAL AMOUNTOF CUMULATIVE CONTRIBUTIONS OCCUPATION AND EMPLOYER BALANCE RECEIVED THIS OR FORGIVEN CLOSE OF THIS PERIOD LOAN TO DATE (IF SELF4311PLOYED. ENTER BEGINNING THIS T D PERIOD THIS PERIOD ENDARYEAR NAMEOFBUSNESS) PER CAL District Director E] PAID 0.00 25,000. 0 X s 25,000. O.OO s Assemblymember s s RATE PER ELECTION" Jean Fuller ❑ FORGNEN 00 0 8/3/10 $ 0.00 000. 25 O.OO O.OO . s RED , $ $ $ DATE DUE DATEINCUR CALENDAR YEAR ❑ PAID S S X RATE S S PER ELECTION" ❑ FORGIVEN I S I= I DATE DUE I '-I DATEINCURRED S S 3- SUBTOTALS $ CALENDAR YEAR ❑ PAID % S = $ S RATE DER ELECTION" ❑ FORGNEN S $ S DATE DUE S DATE INCURRED 0.00 $ 0.00 $ 25,000. $ 0.00 IEMer(e) on Sdredub E. Une 3) 0.00 Schedule B Summary FND-_ ributor Codes 1. Loans received this period (Total Column (b) plus unitemized loans of less than $100.) 0.00 WDIndividual Recipient Committee $ (other than PTY or SCC) 2. Loans paid or forgiven this period - Other (e.g., business entity) (Total Column (c) plus loans under $100 paid orforgiven.) Political Party (Include loans paid by a third party that are also itemized on Schedule A.) 0.00 SCC-S .t"I Contributor Committee 3. Net change this period. (Subtract Line 2 from Line 1.) NEr $ may be a negat ve number) Enter the net here and on the Summary Page, Column A, Line 2. F*Amounts forgiven or paid by another party also must be reported on Schedule A. FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 8661ASK-FPPC (8661275-3772) If required. • Al,ncuvu Type or print in ink. Statement covers period , e - J • ' Schedule E Amounts may be rounded 10/17/10 - Payments Made to whole dollars. from through 12/31/10 Page 11 of 16 l.D. NUMBER SEE INSTRUCTIONS ON REVERSE NAME OF FILER 1323114 Grivnar fnr Supervisor 2010 pay CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe t ent. r communications b s uction cos RAD radio airtime and p i paraphernalia/misc. campaign CN e MBR mem MrG meetings and appearances ons returned contribut RFD D campaign workers' salaries SAL S campaign consultants CN C contribution (explain nonmonetary)' PET OFC office petition expenses circulating - t.v. or cable airtime and production costs TB lodging, and meals didate travel CV C; civic donations llot fees FIL candidate fil PHO phone banks POL polling and survey research , TRC can TRS staff/spouse travel, lodging, and meals sfer between committees of the same candidate/sponsor t event FND W fundraising events independent expenditure supporting/opposing others (explain)' P Postage, delivery and messenger services O rofessional services (legal, accounting) PRO ran TSF VOT voter registration chnology costs (intemet, e-mail) t ti LEG LE legal defense p pRT print ads e on WEB informa LIT campaign literature and mailings NAME AND ADDRESS OF PAYEE CODE OR AMOUNT PAID DESCRIPTION OF PAYMENT OF COMMMME. ALSO ENTER LD. NUMBER) 14 .25 2,723 Printing 1,710.70 Minuteman Press LIT 1,863.63 Mojave Desert News PRT SUBTOTALS 6,297.58 that are contributions or independent expenditures t ' must also be summarized on Schedule D. s Paymen Schedule E Summary $ 41,892.78 hedul ll S e E subtotals.) 399.70 c 1. Itemized payments made this period. (Include a $ made this period of under $10 t $ 0.00 s 2. Unitemized paymen (Enter amount from Schedule B, Part 1, Column (e).) ns l 42,292.48 . oa 3. Total interest paid this period on Col Summary Page th $ _ TOTA umn A, Line 6.) made this period. (Add Lines 1, 2, and 3. t , e Enter here and on s 4. Total paymen FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 8661ASK-FPPC (866/275772) SCHEDULE E (CONT.) Schedule E (Continuation Sheet) Payments Made SEE INSTRUCTIONS ON Type or print in ink. Amounts may be rounded to whole dollars. Statement covens period 10/17/10 from through 12/31/10 Page 12 of 16 I.D. NUMBER 1323114 Scrivner for Supervisor 2010 ter en u ma t , describe se Otherv)n the code. y , yo If one of the following codes accurately describes the paymen i D radio airtime and production costs RA pup campaign paraphemalia/misc. MR M(TG ons member communicat meetings and appearances D returned contributions SAL campaign workers' salaries CNS campaign consultants CTB contribution (explain nonmonetary)* OFC OF C PET office expenses circulating petition TEL t.v. or cable airtime and production costs lodging, and meals didate travel CVC civic donations fees fil candidate FIN POL phone banks polling and survey research , TRC can TRS staff/spouse travel, lodging, and meals sfer between committees of the same candidate sponsor t F e fundraising events vents FIND D rD independent expenditure supporting/opposing others (explain)* ~ ran service and VOT voter registration professionallservices (legaleaccount ng) s TS technology costs (intemet, e-mail) ti LEG legal defense PRT print ads on WEB informa UT campaign literature and mailings AMOUNT PAID DESCRIPTION OF PAYMENT NAME AND ADDRESS OF PAYEE CODE OR (IF COMMITTEE. ALSO ENTER I.D. NUMBER) Campaign Workers' Gas 745.62 Bank of America Campaign Workers' Meals 599.09 Bank of America Phone Charges 60.00 Bank of America 150.00 Bank of America PRT 314.36 Bank of America OFC SUBTOTALS 1,869.07 * Payments that are contributions or independent expenditures mus t also be summarized on Schedule D. FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 8661ASK-FPPC (866/275-3772) SCHEDULE E (CONT.) Schedule E (Continuation Sheet) Payments Made Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period 10/17/10 from through 12/31/10 Page 13 of 16 I.D. NUMBER 1323114 Scrivner for Supervisor 2010 ou may enter the code. t e Otherwi me a d o aiR n CODES: If one of the following codes accurately describes the payme, y ns i ti s nd production costs , NBR o p membercommun RFD returned contributions CLIP campaign paraphemalia/misc. MTG meetings and appearances L SAL campaign workers' salaries ca CNS campaign consultants * OFC office expenses EL cable airtime and production costs or CTB contribution (explain nonmonetary) PET petition circulating T candidate travel, lodging, and meals CVC civic donations filing/ballot fees candidate pHp POL phone banks polling and survey research TRS TSF staff/spouse travel, lodging, and meals committees of the same candidate sponsor transfer bet wee FND iND fundraising events osin others (explain)* independent expenditure supporting/oPP g POS PRo postage, delivery and messenger services professional services (legal, accounting) WVOT EB t ration regi or information technology costs (intemet, e-mail) LEG LIT legal defense campaign literature and mailings PRr print ads AMOUNT PAID ~77 NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTIO N OF PAYMENT (IF COMMrrIEE, ALSO ENTER I.D. NUMBER) Transfer to new checking account 100.00 Scrivner for Supervisor 2014 Western Pacific Research, Inc. PRT Subvendor: Hitlltop Publishers $560.00 Western Pacific Research, Inc. PHO 560.00 11,692.00 Subvendor: Election Mall Technologies, Inc. $11,692.00 I -L - SUBTOTAL $ 12,352.00 * 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 (86612753772) SCHEDULE E (CONT.) Schedule E Type or print in ink. ounded Amounts may be rounded to whole dollars. (Continuation Sheet) A ntsbe r Payments Made SEE Scrivner for Supervisor 2010 CODES: If one of the following codes accurately describes the payment, you may enter the code. LBR member communications cw campaign paraphemalia/misc. M TG meetings and appearances CNS CTB campaign consultants contribution (explain nonmonetary)' OFC PET office expenses petition circulating CVC FL civic donations candidate filing/ballot fees pHD POL phone banks polling and survey research FND W fundraising events explain)' endent expenditure supporting/opposing others ( inde POS PRO postage, delivery and messenger services rofessional services (legal, accounting) LEG p legal defense PRT p print ads Lrr campaign literature and mailings NAME AND ADDRESS OF PAYEE CODE OR (IF COMMUTEE. ALSO ENTER I.D. NUMBER) Western Pacific Research, Inc. POL Subvendor: American View Point $6,500.00 Western Pacific Research, Inc. POS Subvendor: U.S. Postal Service $1,300.00 Western Pacific Research, Inc. RAD * o-...nnte that are contributions or independent expenditures must also be summarized on Schedule D. Statement covers period 10/17/10 from through 12/31/10 Page 14 of 16 I.D. NUMBER 1323114 Othervrise, describe the payment. RAD radio airtime and production costs RFD returned contributions SAL campaign workers' salaries ble airtime and production costs TEL -T,C t.v. or ca candidate travel, lodging, and meals TRS staffispouse travel, lodging, and meals nsfer between committees of the same candidate/sponsor t TSF VOT WEB ra voter registration costs (Internet, e-maiq information technology DESCRIPTION OF PAYMENT AMOUNT PAID 6,500.00 1,300.00 4,658.00 SUBTOTAL $12,458.00 FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 8661ASK-FPPC (8661275-3772) SCHEDULE E (CONT.) Schedule E (Continuation Sheet) Payments Made Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period 10117/10 from 12/31/10 through I.D. NUMBER 1323114 Scrivner for Supervisor 2010 de bansnter the co th ne of the following codes accurately describes e paym m If e~~mmu o CODES: n he ca n b nala/misc. C campaign MTG meetings and appearances onsul CNS campaign c consultants CTB contribution (explain nonmonetary)' OFC PET office expenses petition circulating CVC civic donations FL candidate fie fees PHO POL phone banks poling and survey research nd messenger services Fim fundraising events vents dent expenditure supporting/opposing others (explain)' d ~ , delivery a roosesesional services (legal, accounting) epen LE in LEG legal defense PRT p print ads UT campaign literature and mailings NAME AND ADDRESS OF PAYEE CODE OR (IF colamnTEE. Am ENTER IA. NUMBER) Subvendor: KNZR Radio $2,482.00 Subvendor: Kem 1180 $1,020.00 Subvendor. KERI 1410 AM $510.00 Subvendor. KGFM $510.00 Western Pacific Research, Inc. TRS ___a_... e,.. nditures must also be summarized on Schedule D. Otherwise, describe the payment. RAD radio airtime and production costs RFD returned contributions SAL campaign workers' salariepduction costs ble airtime and pr TB. TRC t v. or ca candidate travel. lodging, and meals .IRS stafr/spouse travel. lodging, and meals nsfer between committees of the same candidate/sponsor t TSF VOT WEB ra voter registration costs (irltemet e-mail information technology - DESCRIPTION OF PAYMENT AMOUNT PAID 154.56 Page 15 of SUBTOTAL $ 154.56 FPPC Form 460 (January105) " Payments that are contrtouuons ur 11--r- FPPC Ton-Free Helpline: 86WASK-FPPC (86WZ-r5-af IAJ SCHEDULE E (CONT.) Type or print in Ink. • , NIA Statement covers period CALIFOR Schedule E Amounts may be rounded FORM 10/17/10 (Continuation Sheet) to whole dollars. from 6 Payments Made 12/31/10 16 of 1 Page through I.D. NUMBER SEE INSTRUCTIONS ON REVERSE 1323114 NAME OF FILER Scrivner for Supervisor 2010 u may enter the code. t payment. Otherwise, describe the pay , yo codes accurately describes the paymen f the following ns ti RAD radio airtime and production costs CODES: If one o o NBR member communica eturned contributions RFD s lmisc. CLIP campaign WG meetings and appearances nses campaign workers' salaries SAL ble airtime and production costs S ca consultant CNS campaign consultants ibution (explain nonmonetary)' t OFC office expe PET petition circulating or ca L ~ candidate travel, lodging, and meals andidate travel, c r CTB con donations CTC civic llot fees ndidate fil PHO phone banks POL polling and survey research i travel, lodging, and meals staffispouse TRS TSF transfer between committees t and the same candidatelsponsor he s event FL ca fundraising event s explain)' enditure supporting/opposing others ( ex t d ~ ces POS postage, delivery and messenger serv PRO professional services (legal, accounting) TOT voter registration e-mail) ~ information technology costs (int p en IND LEG legal indepen defense LE LIT campaign literature and mailings PRr print ads DESCRIPTION OF PAYMENT AMOUNT PAID BODE OR NAME AND ADDRESS OF PAYFe (IF COMMITTEE. Also ENTER I.D. NUMBER) Western Pacific Research, Inc. SAL 291.32 8,470.25 Western Pacific Research, Inc. Subvendor: KGET 17 $8,470.25 TEL SUBTOTAL $ 8,761.57 .Aitures must also be summarized on Schedule D. FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 8661ASK-FPPC (866121 a-'s r 1 cl