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Home My WebLink AboutSCRIVNER SEMIANN10(5)AMENDMENTRecipient Committee Campaign Statement Cover Page (Government Code Section~OJJO~a~4 lf '1'i ~l5 II 11~rJJ SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statement covers period from 10/1/10 through 10/16/10 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) Q Sponsored (Also Complete Part 6) ❑ General Purpose Committee Q Sponsored Q Small Contributor Committee 0 Political Party/Central Committee F-1 Primarily Formed Candidate/ Officeholder Committee (Also Complete Part n Date of election if applicable: (Month, Day, Year) K SY 2011 JAN 19 PM 11/2/10 I RECEN 2. Type of Statement: FIL COVER PAGE of 11 For Official Use Only ❑ Preelection Statement ❑ Quarterly Statement ❑ Semi-annual Statement ❑ Special Odd-Year Report ❑ Termination Statement ❑ Supplemental Preelection (Also file a Form 410 Termination) Statement - Attach Form 495 ® Amendment (Explain below) Amended to include sub vendor detail on Schedule E 3. Committee Information COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Scrivner for Supervisor 2010 STREET ADDRESS (NO P.O. BOX) OPTIONAL: FAX / E-MAIL ADDRESS 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 the information contained herein and in the attached schedules is true and complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and c Executed on VIZ' 1 l By IL Si a ofT as rAssistant Treasurer I Ebbs Executed on 11171/1 By / Date tureOfCo 16 Otficehokler, CWWdate, State Measure Proponent or Responsible Officer of Sponsor Executed on Date By ignatureofControWngOificehokler,Car"clate,State Measure Proponent Executed on Date By Signature ofControBingOificehakler,Carrdidate,State Measure Proponent FppC Form 460 (January105) I.D. NUMBER 1323114 FPPC Toll-Free Helpline: 8661ASK-FPPC (8661275-3772) State of California Type or print in Ink. 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 RESIDENTIALIBUSINESS 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 CODEIPHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEEADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COVER PAGE -PART 2 11 Page 2 of 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 NAME OF OFFICEHOLDER OR CANDIDATE NAME OF OFFICEHOLDER OR CANDIDATE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE 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 California Type or print In ink. Campaign Disclosure Statement Amounts may be rounded statement 1covers 0/1110 period Summary Page to whole dollars. from NAME OF FILER crYhmer for Sunervisor 2010 through 10/16110 pow 3 of-. 11 LD. NUMBER 1323114 Column A Contributions Received " ,rTOULT"S ~ 20.074.00 1. Monetary Contributions sd,adub A. L&W 3 $ 0.00 2. Loans Received sdredute a, Lino 20,074.00 3. SUBTOTALCASH CONTRIBUTIONS Add urea 1 + 2 $ . 0.00 4. Nonmonetary Contributions . fthe le C Line 3 20,074.00 5. TOTALCONTRIBUTIONS RECEIVED Add L nes 3 +4 S Column o CMMMARVEM MULMME s 180,487.00 25,000.00 s 205,487.00 0.00 s 205,487.00 Expenditures Made 3g,9s1.e0 6. Payrnerds Made sldbeahsle It -Line 3 s 0.00 7. Loans Made 34,961.80 8. SUBTOTALCASH PAYMENTS Add Lines a + 7 $ 9. Accrued Expenses (Unpaid Bills) Sdodrde F. Line 3 0.00 10. Nonmonetary Adjustment sdodUb G Line 3 0.00 S - 11. TOTAL EXPENDITURES MADE ................................Add Linea a + a + 1o 34,961.80 5 222,605.13 0.00 $ 222,605.13 0.00 0.00 s 222,605.13 Current Cash Statement 35,466.00 12. Beginning Cash Balance PmviionsurrrrnaryPaOe, Lha 16 S Labe 3 alww 20,074.00 13. Cash Receipts. Comm A 0.00 14. Miscellaneous Increases to Cash SdbedL* 1 Lkw 4 34,961.80 15. Cash Payments column A. Line a above 20,578.20 16. EMM CASH BALANCE Add Linea 12 + 13 + 14, shoo suWad Lhe 15 ti K alts is a hwrr*md1m slefornent Line 16 must be zenx sdNmW . A Prt 2 s 0.00 17. LOAN GUARANTEES RECEIVED Cash Equivalents and Outstanding Debts 0.00 18. Cash Equivalents see Ln muearmm on sewrm s 25,000.00 19. Outstanding Debts Add the 2 + Line 9 in Carson B allow s To cakull a Cokum 8, add amouds in Column A fa the conesponding amounts from Coi u n B of your least report. some amounts In Cokum A may be nagatiw gpcum that should be subbaetsd *am previous period arrsorads. B this is the first report being filed for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if any). Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1M throWh 8130 711 to Data 20. Contributions s Rec alw d S 21. Expandaures S i M.a. s Expenditure Limit Summary for State Candidates 22. Cumulative s * ttv f UMA Date of Elsc don Total to Date (mmkWft) $ I -Amounts in this section may be different from amounts reported in Cokum B. FPPC Form 460 (Januaryll FPPC TOIWFM Fblpena- SWAaK-FPPC pe=754r, gpHEpULE A Schedule A Monetary contributions Received iyps or print in ink. Amounts maY tls rounded to whole dollars. g~sment covers pons 10/1/10 from 10/16/10 through 4 11 Pope of SEE INSTRUCTMS ON REVERSE I.D. NUMBER 1323114 IE OF FILER ner for Supervisor 2010 S i NTER PER ELECTION AMOUNT cUMUWTNETO DATE TO DATE ENDAR YEA v cr ND ZIP CODE OF CONTRIBUTOR: CONTRIBUTOR IF AN INDIVIOL E RECEIVED THIS TM EMPLOYER OCCUPA AND PERIOD CAL R OF REQUIRED) (JAN 7 'DEC. ) FULL NAME. STREET ADDRESS A M r MAL5OMMLOLWA IM OFUMMM DATE (WCO RECEIVED WD 500.00 500.00 Progress Ag Services, Inc. peal ia~ WA 10/1/10 0SCC 500.0( pCOIA WA 1.000.00 1.000.00 Progressive Associates Group O 10/1/10 0SCC ONO 250.00 500.00 Michael and Alice Abril 0~COM TH ,~~y ttor a 10/5/10 0SCC Q~ Manager 500.00 1,500.00 500.1 James and Carol Chilko 0~ Self ErnPiPoyed 10/5110 0 SCC and Joan Dezember b ORM Retired 500.00 1.000.00. urn Ray 10/5110 i]SCC SUU=AL$ 2,750.00 *cofobulor codes pJD-Ind'Midual CO"~-~0~ o s Schedule A Summary ized monetary contributio it ns. $ 19.825.00 cc) *An (0dw business Wt h (e em rind - 1. Amount received this period u~ A subtota ) (Include all Schad is. $ 249.00 er oTrl - ot y PTY _sc«+awconwow than $100 of less itemized monetary contributions scc 2. Amount received this period - un period. this received received Total monetary contributions P e 3 olumn A,1-ir TOTALS e 1.) 20.074.00 FPPC Form 40 pants emaHoWm: BWASK-FPPC(mss , ag . Summary the on and (Add tines 1 and 2. Enter here FPPCT Schedule A Statement Covers Period from 10/1/10 (Continuation Sheet) through 10 16 10 Monetary Contributions Received JM,C v~ RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR IND 10/5/10 Edwards Hoppie Bakersfield Association of Realtors INI 1018/10 10/8/10 1018110 Charles III and Maxine Comfort Page 5 of 1 4PERIODTO t ELE CTION DATE stired N/A 500.00 5uu.uu Oak Creek Energy 500.00 500.00 artner Friends of president Jawbone 500.00 500.00 , VA N/A 500.00 500.00 Rancher Self Employed 125.00 125.00 TRC Operating Co. 500.00 500.00 500.00 Dwner Retired WA 250.00 750.00 BCSD 125.00 625.00 125.00 Trustee Retired WA 100.00 100.00 Retired NIA 125.00 125.00 Business Advisor Aem Energy 125.00 125.00 3,800.00 Subtotal $ Statement Covers Period page 6 of 11 Schedule A (Continuation Sheet) from 10/1/10 Monetary Contributions Received through 10/16/10 A MOUNT DATE C AND ZIP CODE OF CONTRIBUTOR C ONTRIBUTOR ODE O E CCUPATION B MPLOYER/ R USINESS T ECEIVED C HIS PERIOD T UMULATIVE P O DATE T ER ELECTION O DATE RECEIVED FULL NAME, STREET ADDRESS IND Realtor Karpe Realty 125.00 125.00 10/15/10 Gayle Stewart 10/16110 80 Acres Paladin, LLC IND Real Estate So Ca Sunbelt Invests' Developers. inc. 500.00 500.00 Su btotal $ 5.5 25.00 Schedule A Statement Covers Period 0 (Continuation Sheet) from 10/1/1 Monetary Contributions Received through 10/16/10 Page Of DATE RECEIVED ULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR [ODE OCCUPATION EMPLOYER/ BUSINESS AMOUNT RECEIVED THIS PERIOD CUMULATIVE PER F LECTION TO DATE TO DATE 10/16/10 John Bidart IND Retired WA 125.00 425.00 10/16/10 Terry English IND CEO Rain for Rent 500.00 750.00 10116/10 Law Offices of Young Wooldridge OTH WA WA 500.00 1 500.00 Green & Clean 10116/10 Sean Lorenzana IND 125.00 Business Owner Renewable Energy 125.00 sulrtota1 S 4,850.00 Schedule A (Continuation Sheet) Monetary Contributions Received Statement Covers Period from 10 1 10 through 10 1-611-0 Page -!-of " I ELECTION DATE CONTRIBUTOR CODE _ , OCCUPATION BUSINESS THIS PERIOD TO DATE MATE EIM REC ADDWW AND =IP CODE OF CONTieetlrOR FULL NAME. . Monitor Irdergrated = Healthcare i 500.00 500.00 10116110 Gerry d IND 1 x16110 . e Tim and Kathleen War r 900.00 2 subtotal $ s- Schedule B - Part 1 Loans Received Type or pria in ink. Amounts may be rounded to whoa dollars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER Scrivner for Supervisor 2010 FULL NAME. STREET ADDRESS AND ZIP CODE OF LENDER 0FC0mWMAL5GEHML1LHL1W Zachary and Christina SCrivner TIM IND ❑ COM ❑ OTH 0 PTY ❑ SEE IND coM ❑ OTH ❑ PTY I IF AN INDIVIDUAL. ENTER OCC N AND PFill EMPLOYER ~ District Director Assemblymember Jean Fuller statement Covers period 1011/10 from 1 0/16 10 Pw~ 9 or 11 through LDNUMBER 132;3 114 b 46) AT O • WTEREST AMOR CUMULATNE ONS TO D T AMOUNt AMOUNTPMD BALANCE RECENED THIS OR FORGIVEN ~ BALANCEE CLOSE OF THIS PA ID TI*S PERIOD LOAN A O T E piNWG THIS PERIOD THIS PER10D CM.ENDARVEAR ❑ PAID 000. 25 0 x s 25,000. s 0.00 , 0.00 s . s--0- w,TE PERe=m ❑ FDA 0'~~ X 0.00 s 0.00 s 0.00 000. 25 m s &R UWD , s s rive CNMxMVEAR : f RM % PERELECr10N" S = DATE or-URRED ! DATEOUE cALENOARYEM SCC ❑ PAD s % s S = IU1TE PERB.ECTIDN' (3FORGNEN s s s DUE oATE sever - - r-, rym n PTY ❑ SCC U Wu u 0.00 S 251000.00 S 0.00 SueTO ALS $ o.oo s • •n r ~LELkWM 0.00 $ Schedule B Summary 1. Loam received this period oa ..ns ....of. less th an $100.) 0.00 loans (Total column (b) plus unitemlzed 2. Loans paid or forgiven this period (Total column (c) plus bans under $ am or iorg'Nen.) m also itemized on Schedule A:) (include bans paid by a third party that Q.00 NET S /,~,,,,,.,...,w,.mh.l e this period. (Subtract Line 2 from line 1 Line tchan =a r~u6o Codro 11M-kldisidud lent COM than pTY or SCC)- (cow ani - 0dw to g•. business end ply-PolIk al Party SCC-SmdCo CDm^~ 3. Ne 9 Page. Column A, Enter the net here and on the Summary FpPC Form 460 td 6- 7an*mw Help ine: WWASKrFpPC (essm alao ~g be Wafted ms Wafted on Shcedule a •Aewunls forgwen or paid by another Party « K reQuNed. Schedule E Type or print in ink. Statement covers period Amounts may be rounded 10/1110 Payments Made to whole dollars. from tic - DM/CDCC NAME OF FILER Scrivner for Supervisor 2010 through 10/16/10 Page 10 of 11 I.D. NUMBER 1323114 f the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. If ES COD one o : W18R member communications RAD radio airtime and production costs CN campaign paraphernalia/misc. MrG meetings and appearances RFD returned contributions ' CTS 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 PET PHO petition circulating phone banks TRC candidate travel, lodging, and meals l FIL candidate filing/ballot fees POL polling and survey research TRS s staff/spouse travel, lodging, and mea mmittees of the same candidate sponsor FND 6•D fundraising events endent expenditure supporting/opposing others (explain)' inde POS postage, delivery and messenger services OTSF T between transf voterregi traton co LEG p legal defense PRO professional services (legal, accounting) WEB information technology costs (intemet, e-mail) LT campaign literature and mailings PIRT print ads NAME AND ADDRESS OF PAYEE OF COMMnTEE. ALSO ENTER I.D. NUMBER) Western Pacific Research, Inc. CODE OR LIT Subvendor: Post Road Communications $14,387.74 Rotary Club of Bakersfield, West Dues * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ Schedule E Summary 1. Itemized payments made this period. (Includd 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 AMOUNT PAID 14,387.74 275.00 14,662.74 34,93374 28.06 0.00 34,961.80 FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 8661ASK-FPPC (8661275-3772) Schedule E (Continuation Sheet) Payments Made ME OF FILER S ivner for Supervisor 2010 Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period 10/1/10 from 10/16/10 through 175.00 cr you may enter the code. ribes the payment d Otherwise, describe the payment. COD esc ES: If one of the following codes accurately , RAID radio airtime and production costs CI VIP ernalialmisc. MBR MTG member communications meetings and appearances RFD SAL returned contributions campaign workers' salaries ca CNS CTB campaign c consulonsultants contribution (explain nonmonetary)* OFC PEf office expenses petition circulating SA or cable airtime and production costs lodging, and meals didate travel CVC civic donations PHO phone banks TRC TRS , can staff/spouse travel, lodging, and meals FIL candidate filing/ballot fees POL polling and survey research TSF transfer between committees of the same candidate/sponsor FND IND fundraising events independent expenditure supporting/opposing others (explain)* P PRO Postage, delivery and messenger services rofessional services (legal, accounting) VOT voter registration e-mail) osts (intemet l LEG legal defense pRT p print ads WEB , ogy c information techno LIT campaign literature and mailings AMOUNT PAID NAME AND ADDRESS OF PAVES CODE OR DESCRIPTION OF PAYMENT (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Western Pacific Research, Inc. RAD 19,596.00 Subvendor: The Battin Group $19,596.00 The Fence Post PRT 500.00 Country Rose Tea Room FND *Payments that are contributions or independent expenditures must also be summarized on Schedule D. SCHEDULE E (CONT.) Page 11 of 11 I.D. NUMBER 1323114 SUBTOTALS 20,271.00 FPPC Forth 460 (January/05) FPPC Toll-Free Helpline: 8661ASK-FPPC (8661275-3772)