HomeMy WebLinkAboutSULLIVAN SEMIANN12(2)Recipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200- 84216.5)
SEE INSTRUCTIONS ON REVERSE
COVER PAGE
Type or print in ink. Date Stamp N _ ,
Statement covers period Date of election if applicable: re 1 of
from 4
07/31/2012 (Month, Day, Year) 13 JAN 31 r
,.F Official Use Only
through 12/31/2012
November 6th, 2012 3 r� K E` " L 1. � � ti ,► I L E tt
1. Type of Recipient Committee: All committees — complete Parts 1, 2, 3, and 4.
® Officeholder, Candidate Controlled Committee
❑ Ballot Measure Committee
Q State Candidate Election Committee
O Primarily Formed
O Recall
O Controlled
(Also Complete Part 5)
O Sponsored
❑ General Purpose Committee
(Also Complete Part 6)
Q Sponsored
❑ Primarily Formed Candidate/
Q Small Contributor Committee
Officeholder Committee
0 Political Party/Central Committee
(Also Complete Part 7)
3. Committee Information I.D. NUMBER
950347
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
Jacquie Sullivan for City Council
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE /PHONE
OPTIONAL: FAX / E -MAIL ADDRESS
2. Type of Statement:
❑ Preelection Statement
® Semi - annual Statement
❑ Termination Statement
❑ Amendment (Explain below)
Treasurer(s)
NAME OF TREASURER
Tracey - 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 attached schedules is true and complete. I
certify under penalty of perjury under the laws of the State of California that the foregoin is rue and c rrect.
`
Executed on By
D s Signature ofT urer ntTreasurer
o I j ,�
Executed on By
Dad S of ling Officeholder, Candidate, State Measure Proponent or Responsible Officer of Sponsor
Executed on By
Date
Executed on %
Date
FPPC Form 480 (June /01)
FPPC Toll -Free Helpline: 888 1ASKf PC
State of Callfomia
T
Type or print in ink.
Recipient Committee
Campaign Statement
Cover Page — Part 2
5. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE
Jacquie Sullivan
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
City Council Ward 6
RESIDENTIALIBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP
Related Committees Not Included in this Statement: Listany 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
6. Ballot Measure Committee
NAME OF BALLOT MEASURE
COVER PAGE - PART 2
Page 2 of
BALLOT NO. OR LETTER JURISDICTION rE., SU PPORT
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.
COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary
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
FPPC Form 460 (June /01)
FPPC Toll -Free Helpline: 866 /ASK -FPPC
State of Califomia
Campaign Disclosure Statement Type or print in ink.
Amounts may be rounded Statement covers period
Summary Page to Whole dollars.
from
SEE INSTRUCTIONS ON REVERSE through
NAME OF FILER
SUMMARY PAGE
FORM � •
Page of
I.D. NUMBER
Expenditures Made
To calculate Column B, add
amounts in Column A to the
corresponding amounts
from Column B of your last
Column A
Column B
Calendar Year Summary for Candidates
Contributions Received
60.00 $
TOTAL THIS PERIOD
CALENDARYEAR
Primary
Running in Both the State Prima and
0
0
(FROM ATTACHED SCHEDULES)
TOTALTODATE
9
60.00
9. Accrued Expenses (Unpaid Bills
Schedule F, Line 3
0
General Elections
10. Nonmonetary Adjustment ........... ...............................
Schedule C, Line 3
0
0
11. TOTAL EXPENDITURES MADE . ...............................
1. Monetary Contributions ............ ...............................
Schedule A, Line 3
$ $
0
0
111 through 6/30 7l1 to Date
2. Loans Received ....................... ...............................
Schedule B, Line 3
0
0
20. Contributions
3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 + 2
$ $
Received $ $
0
0
4. Nonmonetary Contributions ..... ...............................
Schedule C, Line 3
21. Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED ........................••• Add Lines 3 + 4
$ 0 $
0
Made $ $
Expenditures Made
To calculate Column B, add
amounts in Column A to the
corresponding amounts
from Column B of your last
0.00
6. Payments Made ........................ ...............................
Schedule E, Line 4 $
60.00 $
60.00
7. Loans Made .............................. ...............................
Schedule H, Line 3
0
0
8. SUBTOTAL CASH PAYMENTS ..... ...............................
Add Lines 6 + 7 $
60.00 $
60.00
9. Accrued Expenses (Unpaid Bills
Schedule F, Line 3
0
0
10. Nonmonetary Adjustment ........... ...............................
Schedule C, Line 3
0
0
11. TOTAL EXPENDITURES MADE . ...............................
Add Lines 8 + 9 + 10 $
60.00 $
60.00
Current Cash Statement
12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $
13. Cash Receipts .................... ............................... Column A, Line 3 above
14. Miscellaneous Increases to Cash ........................... Schedule 1, Line 4
15. Cash Payments ................... ............................... Column A, Line 8 above
16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $
If this is a termination statement, Line 16 must be zero.
17. LOAN GUARANTEES RECEIVED ........................... Schedule B, Part 2 $
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ......... ............................... See instructions on reverse $
19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column B above $
261.85
0.00
To calculate Column B, add
amounts in Column A to the
corresponding amounts
from Column B of your last
0.00
60.00
report. Some amounts in
Column A may be negative
figures that should be
subtracted from previous
201.65
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).
41029.35
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)
-� $
*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 "' "'� Amounts ma be rounded
Statement covers period
CALIF �
Loans Received to whole dollars.
October 1 st, 2012
. - •
from
through October 20th, 2012
page of
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
I.D. NUMBER
FULL NAME, STREET ADDRESS AND ZIP CODE
IF AN INDIVIDUAL, ENTER
OUTSTANDING
(b)
AMOUNT
(c)
AMOUNT PAID
OUTSTANDING
a
INTEREST
ORIGINAL
UL
CUMULATIVE
OF LENDER
OCCUPATION AND EMPLOYER
EMPLOYED, ENTER
BALANCE
THIS
RECEIVED THIS
OR FORGIVEN
BALANCE AT
CLOSE OF THIS
PAID THIS
AMOUNT OF
CONTRIBUTIONS
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
(IF SELF -
NAMEOFBUSINESS)
BEGINNING
P RIOD
PERIOD
THIS PERIOD"
PERIOD
PERIOD
LOAN
TO DATE
❑ PAID
CALENDARYEAR
$
$41,029.35
$
$
q
$
❑ FORGIVEN
PER ELECTION '�
RATE
$
$
$
E
E
DATE DUE
DATE INCURRED
t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
❑ PAID
CALENDARYEAR
❑ FORGIVEN
PER ELECTION'"*
RATE
$
E
$
$
$
DATE DUE
DATE INCURRED
t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
❑ PAID
CALENDAR YEAR
❑ FORGIVEN
PER ELECTION*°
RATE
DATE DUE
DATE INCURRED
t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
SUBTOTALS $ $ $ $
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. (May6eanegativenumber)
t Contributor Codes
IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other PTY — Political Party SCC — Small Contributor Committee
(Enter (e) on
Schedule E, Line 3)
'Amounts forgiven or paid by
another party also must be
reported on Schedule A.
" If required.
FPPC Form 460 (June /01)
FPPC Toll -Free Helpline: 866 /ASK -FPPC
Schedule F
Accrued Expenses (Unpaid Bills)
E INSTRUCTIONS ON REVE
NAME OF FILER
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period •
from October 1st, 2012 •
through October 20th, 2012 pa e —
9
I.D. NUMBER
SCHEDULEF
Of
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
OVP
campaign paraphernalia/misc.
MBR
member communications
RAID
radio airtime and production costs
CNS
campaign consultants
MTG
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
M
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
camoaian literature and mailinqs
PRT
print ads
WEB
information technology costs (intemet, e-mail)
NAME AND ADDRESS OF CREDITOR
CODE OR
(a)
OUTSTANDING
(b)
AMOUNT INCURRED
(c)
AMOUNT PAID
(d)
OUTSTANDING
(IF COMMITTEE. ALSO ENTER I.D. NUMBER)
DESCRIPTION OF PAYMENT
BALANCE BEGINNING
THIS PERIOD
THIS PERIOD
BALANCE AT CLOSE
OF THIS PERIOD
(ALSO REPORT ON E)
OF THIS PERIOD
Western Pacific Research
40580.02
449.33
41029.35
• Payments that are contributions or independent expenditures must also be SUBTOTALS $ $ $ $
summarized on Schedule D.
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 $
449.33
3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and 449.33
on the Summary Page, Column A, Line 9.) ................................................................................................................. ............................... NET
May be a negative number
FPPC Form 460 (June /01)
FPPC Toll -Free Helpline: 866 /ASK -FPPC