HomeMy WebLinkAboutSULLIVAN SEMIANN11(1)Recipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200-84216.5)
fro
Type or print in ink.
Statement covers period I Date of election if applicable:
1/1/2011 (Month, Day, Year)
m
Date Stamp
COVER PAGE
1011 AUG -I AM Wjs 1 of
8 A K E I? S r! y L 0 L I I r C _ 6o~r Official Use Only
SEE INSTRUCTIONS ON REVERSE through 0630/2011
1. Type of Recipient Committee: All Committees-Complete Parts 1, 2, 3, and 4. 2. Type of Statement:
® Officeholder, Candidate Controlled Committee ❑ Ballot Measure Committee ❑ Preelection Statement ❑ Quarterly Statement
0 State Candidate Election Committee O Primarily Formed ® Semi-annual Statement ❑ Special Odd-Year Report
O Recall Q Controlled ❑ Termination Statement
❑ Supplemental Preelection
(Also Complete Part S) Sponsored W Amendment (Explain below) Statement - Attach Form 495
(Also Complete Part 6)
❑ General Purpose Committee The campaign account was charged a double finance charge in the
Q Sponsored ❑ Primarily Formed Candidate/
Q Small Contributor Committee Officeholder Committee last statement so that was corrected on schedule F
0 Political Party/Central Committee (Also Complete Part 7)
3. Committee Information 1 I.D. NUMBER
950347
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
Jacquie Sullivan for City Council
STREET ADDRESS (NO P.O. BOX)
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX / E-MAIL ADDRESS
Treasurer(s)
NAME OF TREASURER
Tracy Mitchell-Reynolds
MAILING ADDRESS
NAME OF ASSISTANT TREASURER, IF ANY
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE
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
certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. J
r+ i
Executed on I By
are gnature of Wfturer s ; nt asurer
Executed on By
Date
Executed on By
Date Signature of Controlling Officeholder, Candidate, State Measure Proponent
is true and complete. I
Executed on By FPPC Form 460 (June/01)
Date Signature of Controlling Officeholder, Candidate, State Measure Proponent
FPPC Toll-Free Helpline: 8661ASK-FPPC
State of Califomia
Recipient Committee
Campaign Statement
Cover Page - Part 2
5. Officeholder or Candidate Controlled Committee
Type or print in ink.
NAME OF OFFICEHOLDER OR CANDIDATE
Jacquie Sullivan
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
City Council Ward 6
RESIDENTIAUBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP
Related Committees Not Included in this Statement: Listanycommittees
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)
CITY STATE ZIP CODE AREA CODE/PHONE
6. Ballot Measure Committee
COVER PAGE - PART 2
Page 2 of
NAME OF BALLOT MEASURE
BALLOT NO. OR LETTER JURISDICTION ❑ 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 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 (Juno/01)
FPPC Toll-Free Helpline: 866/ASK-FPPC
State of California
Campaign Disclosure Statement
Summary Page
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 1/1/2011
SUMMARY PAGE
0630/2011
P
f
SEE INSTRUCTIONS ON REVERSE
through
age o
NAME OF FILER
I.D. NUMBER
Jacquie Sullivan
950347
Contributions Received
Column A
Column B
Calendar Year Summary for Candidates
TOTTACFE PERIOD
(FROM ATTACF~D SCHEDULES)
CALENDAR YEAR
TOTAlTOALTOD DATTE
Running in Both the State Primary and
General Elections
1. Monetary Contributions
Schedule A, Line 3
$ 0 $
0
1/1 through 6/30 7/1 to Date
2. Loans Received
Schedule B, Line 3
3. SUBTOTAL CASH CONTRIBUTIONS
Add Lines 1 +2
$ 0 $
20. Contributions
Received $ $
4. Nonmonetary Contributions
Schedule C
Line 3
,
21. Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED
Add Lines 3 + 4
$ 0 $
Made $ $
Expenditures Made
6. Payments Made
Schedule E, Line 4 $
7. Loans Made
Schedule H, Line 3
8. SUBTOTAL CASH PAYMENTS
Add Lines 6+7 $
9. Accrued Expenses (Unpaid Bills)
Schedule F, Line 3
10. Nonmonetary Adjustment
Schedule C, Linea
11. TOTAL EXPENDITURES MADE
Add Lines e + 9 + 10 $
1255.10 $
Current Cash Statement
12. Beginning Cash Balance Previous Summary Page, Line 16
$
591.85
To calculate Column B, add
13. Cash Receipts Column A, Line 3 above
0
amounts in Column A to the
0
corresponding amounts
14. Miscellaneous Increases to Cash Schedule 1, Line 4
from Column B of your last
15. Cash Payments Column A Line s above
50.50
report. Some amounts in
Column A may be negative
16. ENDING CASH BALANCE Add Lines 12 + 13 + 14, then subtract Line 15
$
541.85
figures that should be
subtracted from previous
If this is a termination statement, Line 16 must be zero.
period amounts. If this is
the first report being filed
17. LOAN GUARANTEES RECEIVED Schedule e, Part 2
$
0
for this calendar year, only
carry over the amounts
Cash Equivalents and Outstanding Debts
arom Lines 2, 7, and 9 (if
0
y)
18. Cash Equivalents See instructions on reverse
$
19. Outstanding Debts Add Line 2 +Line 9 in Column B above
$
36708.14
50.50 $
0
50.50 $
1204.60
0
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made'
(If Subject to Voluntary Expenditure Limit)
Date of Election Total to Date
(mm/dd/yy)
$
If $
If $
Since January 1, 2001. Amounts in this section may be
different from amounts reported in Column B.
FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 866/ASK-FPPC
SCHEDULEB-PART1
Schedule B - Part 1 Amounts may be rounded
Statement covers period
CALIFO
I
Loans Received to whole dollars.
1/1/2011
R N
A
' • ,
from
FORM
h 6/30/2011
h
p
f
SEE INSTRUCTIONS ON REVERSE
roug
t
age o
NAME OF FILER
I.D. NUMBER
Jacquie Sullivan for City Council
950347
FULL NAME, STREET ADDRESS AND ZIP CODE
IF AN INDIVIDUAL, ENTER
OUTSTANDING
AMOUNT
(c)
AMOUNT PAID
OUTSTANDING
INTEREST
ORIGINAL
CUMULATIVE
OF LENDER
OCCUPATION AND EMPLOYER
(IF SELF EMPLOYED, ENTER
BALANCE
BEGINNING THIS
RECEIVED THIS
OR FORGIVEN
BALANCEAT
CLOSE OF THIS
PAID THIS
AMOUNTOF
CONTRIBUTIONS
(IF COMMITTEE, ALSO ENTER I.D.NUMBER)
NAME OF BUSINESS)
PE IOD
PERIOD
THIS PERIOD'
PERIOD
PERIOD
LOAN
TO GATE
Jacquie Sullivan
❑ PAID
CALENDAR YEAR
❑ FORGIVEN
RATE
PERELECTION-
$ 1300
s
$
$
8/19/2010
=
t® IND ❑ COM [_1 OTH
❑ PTY ❑ SCC
DATE DUE
DATE INCURRED
❑ PAID
CALENDAR YEAR
S
S
%
S
5
❑ FORGIVEN
RATE
PER ELECTION"
S
S
S
S
S
t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
DATE DUE
DATE INCURRED
❑ PAID
CALENDAR YEAR
S
S
%
S
S
❑ FORGIVEN
RATE
PER ELECTION`
S
S
S
S
S
t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
DATE DUE
DATE INCURRED
SUBTOTALS $ $ $ 1300 $ 0
Schedule B Summary
1. Loans received this period $
(Total Column (b) plus unitemized loans less than $100.)
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.)
3. Net change this period. (Subtract Line 2 from Line 1.) NET $
Enter the net here and on the Summary Page, Column A, Line 2.
(Enter (e)on
Scti"A E, Line 3)
0
- `Amounts forgiven or paid by
another party also must be
0 reported on Schedule A.
If required.
0
(May be a negative number)
t Contributor Codes
11D - In(L* dL01 COM - RHt4l-Int CR p Iltt}}{ (RthM tton PTY RjSCC) OTH - OtttV PTY - Pj41cDI PDjy SCC - S pDll ORn({ELrkj CR p FIL"
FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 866/ASK-FPPC
Schedule E
Payments Made
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 1/1/2011
SEE INSTRUCTIONS ON REVERSE through 0630/2011 Page of
NAME OF FILER I.D. NUMBER
Jacquie Sullivan 950347
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CIVP
campaign paraphemalia/misc.
MBR
member communications
RAID
radio airtime and production costs
CNS
campaign consultants
WrG
meetings and appearances
RFD
returned contributions
CTB
contribution (explain nonmonetary)*
OFC
office expenses
SAL
campaign workers' salaries
CVC
civic donations
PET
petition circulating
TEL
t.v. or cable airtime and production costs
FIL
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
LIT
campaign literature and mailings
PRT
print ads
WEB
information technology costs (intemet, e-mail)
Schedule E Summary
1. Payments made this period of $100 or more. Include all Schedule E subtotals. 0
2. Unitemized payments made this period of under $100 $ 50.50
3. Total interest aid this period on loans. Enter amount from Schedule B, Part 1, Column e . 0
4. Total payments made this period. Add Lines 1, 2, and 3. Enter here and on the Summa Page, Column A, Line 6. TOTAL $ 50.50
FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 866/ASK-FPPC
* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$
Schedule F Type or print in ink.
lars rounded
Accrued Expenses (Unpaid Bills) t Amoo wholeybdolllars. .
to whol
SEE INSTRUCTIONS ON REVERSE
Statement covers period
from 1/1/2011
through 6/30/2011
SCHEDULE F
Page of
NAME OF FILER
I.D. NUMBER
Jacquie Sullivan for City Council 1950347
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
Wn
campaign paraphemalid misc.
MBR
member communications
RAD
radio airtime and production costs
CkS
campaign consultants
MTG
meetings and appearances
RFD
returned contributions
CTB
contribution (explain nonmonetary)*
FC
office expenses
SAL
FDnS[Ign vRAq-Ls' sDpyi-Is
C sC
civic donations
ITET
petition circulating
TEL
t.v. or cable airtime and production costs
FIL
candidate filingballot fees
nH I
phone banks
TRC
candidate travel, lodging, and meals
FkD
fundraising events
m L
polling and survey research
TRS
stafCspouse travel, lodging, and meals
IkD
independent expenditure supporfin4-opposing others (explain)*
m IS
postage, delivery and messenger services
TSF
transfer between committees of the same candidatd_sponsor
LEG
legal defense
HIR I
professional services (legal, accounting)
s IT
voter registration
UT
campaign literature and mailings
nRT
print ads
WEB
information technology costs (internet, e-mail)
NAME AND ADDRESS OF CREDITOR
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE OR
DESCRIPTION OF PAYMENT
(OUTSTANDING (NDING
BALANCE BEGINNING
(
AMOUNTIN CURRED
THIS PERIOD
(c)
AMOUNT PAID
THIS PERIOD
(
OUTSTA
ANDING
BALANCE AT CLOSE
OF THIS PERIOD
(ALSO REPORT ON E)
OF THIS PERIOD
Western Pacific Research
LIT PRO RAD Interest
on unpaid expenses
35503.64
1204.60
0
36708.24
* Payments that are contributions or independent expenditures must also be
summarized on Schedule D. SUBTOTALS $ 35503.64 = 1204.60 $ $ 36708.24
.
Schedule F Summary
1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for
accrued expenses of $100 or more, plus total unitemized accrued expenses under $100.) INCURRED TOTALS $
2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on
accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.) PAID TOTALS $
1204.60
3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and 1204.60
on the Summary Page, Column A, Line 9.) NET $ May be a negative number
FPPC Form 460 (June/01)
FPPC Toil-Free Helpline: 866/ASK-FPPC