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Home My WebLink AboutCAMPBELL PREELCT13(2) 05/23/13Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200 - 84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statement covers period Date of election if applicable: from �l , j Ae & (Month, Day, Year) through aJ June 4, 2013 ci 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. ® Officeholder, Candidate Controlled Committee ❑ Q State Candidate Election Committee 0 Recall (Also complete Part 5) ❑ General Purpose Committee 0 Sponsored 0 Small Contributor Committee 0 Political Party/Central Committee Ballot Measure Committee 0 Primarily Formed Q Controlled O Sponsored (Also Complete Part 6) ❑ Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) 3. Committee Information I.D. NUMBER Pending COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Committee to Elect Stephanie Campbell for City Council 2013 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE /PHONE OPTIONAL: FAX / E-MAIL ADDRESS Date Stamp MAY 23 PI1 4: 53 Type of Statement: ® Preelection Statement ❑ Semi- annual Statement ❑ Termination Statement ❑ Amendment (Explain below) Treasurer(s) COVER PAGE Page —/— Of—/ For Official Use Only ❑ Quarterly Statement ❑ Special Odd -Year Report ❑ Supplemental Preelection Statement - Attach Form 495 NAME OF TREASURER Rachelle Hill MAILING ADDRESS CITY STATE ZIP CODE AREA CODE /PHONE 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 herei and in the'attached /schedules is true and complete. I certify under penalty of perjury under the laws of the State of California that ttle_foregoing I true and cpgect. May 23 2013 t Executed on By C Date �SignatuqreofTreasurerorA Treasurer Executed on May 23, 2013 By Dates;,..m,�.e.,r.,�...., c..,.,...___..�o_--- - - -- -` - - - -- Executed on By Date Signature of Controlling Officeholder, Carxlidate, State Measure Proponent Executed on By Date Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (June /01) FPPC Toll -Free Helpline: 866 /ASK -FPPC State of California Recipient Committee Type or print in ink. COVERPAGE -PART2 Campaign Statement CALIFORNIA FORM Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Stephanie Campbell OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Bakersfield City Council Ward 1 2013 RESIDENTIAUBUSINESS 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 CODE/PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) Page ';� of / r 6. Ballot Measure Committee 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 candidates) for which this committee is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ® SUPPORT Stephanie Campbell City Council ❑ 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 (June /01) FPPC Toll -Free Helpline: 866 /ASK -FPPC State of California Campaign Disclosure Statement Type or print in ink. SUMMARY PAGE Statement covers period p • 1 SummaSummaPage Amounts may be rounded ry 9 to whole dollars. .y . from ,� 11,5 � through r / Page of r SEE INSTRUCTIONS ON REVERSE —3— NAME OF FILER I.D. NUMBER Committee to Elect Stephanie City Council Ward 12013 5/20/13 Pending Contributions Received Column A Column B Calendar Year Summary for Candidates TATACHDSCHED (FROM ATTACHED SCHEDULES) TOTALTODATE CTOTALT DATE Running In Both the State Primary and 9 •� 1. Monetary Contributions ............ ............................... Schedule A, Line 3 $ 9, 00 650. $ 16,050.00 General Elections 2. Loans Received ....................... ............................... Schedule B, Line 3 0 0 111 through 6/30 7/1 to Date 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 + 2 $ 9,650.00 $ 16,050.00 20. Contributions 4. Nonmonetary Contributions ..... ............................... Schedule C, Line 3 2,075.00 4,075.00 Received $ $ 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 + 4 $ 11,725.00 $ 20,125.00 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made ........................ ............................... Schedule E, Line 4 $ 9,650.00 $ 15,450.00 Candidates 7. Loans Made .............................. ............................... Schedule H, Line 3 0 0 8. SUBTOTAL CASH PAYMENTS ..... ............................... Add Lines 6 +7 $ 9,650.00 $ 15,450.00 22• Cumulative Expenditures Made* (B Subject to voluntary ExpenditureUrnit) 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F Line 3 2,510.00 3,010.00 Date of Election Total to Date 10. Nonmonetary Adjustment ........... ............................... Schedule C, Line 3 2,075.00 4,075.00 (mMdd /yy) 11. TOTAL EXPENDITURES MADE .... ............................Add Lines 8 + 9 + 10 $ 14,235.00 $ 22,535.00 $ $ Current Cash Statement) 12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ 100.00 To calculate Column B, add 13. Cash Receipts .................... ............................... Column A, Line 3 above 9,650.00 amounts in Column A to the $ 14. Miscellaneous Increases to Cash ........................... Schedule /, Line 4 0 corresponding amounts from Column B of your last) $ 15. Cash Payments ................... ............................... column A, Line 8 above 9,750.00 report. Some amounts in Column A may be negative $ 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ (100.00) figures that should be If this is a termination statement, Line 16 must be zero. subtracted from previous period amounts. If this is the first report being filed $ 17. LOAN GUARANTEES RECEIVED ........................... Schedule B, Part 2 $ 0 for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if 'Since January 1, 2001. Amounts in this section may be different from amounts reported in Column B. Cash Equivalents and Outstanding Debts any). 18. Cash Equivalents ......... ............................... See instructions on reverse $ 19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column B above $ 2,510.00 FPPC Form 460 (June /01) FPPC Toll -Free Helpline: 866 /ASK -FPPC Schedule A Type or print in ink. SCHEDULE A Monetary Contributions Received Amounts may oe rounaea rY Statement covers period p to whole dollars. ALIFORNIA 460 from FORM through l o Page SEE INSTRUCTIONS ON REVERSE Of NAME OF FILER I.D. NUMBER Committee to Elect Stephanie City Council Ward 1 2013 5/20/13 Pending DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR EET ADDRESS ZIP DE O CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF I.D. NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 5/20/13 Erma J. Hill ®❑IoM None 1,000.00 1,500.00 ❑OTH ❑ PTY ❑ SCC 5/20/13 Conroy Hill ®❑IoM None 500.00 700.00 ❑OTH ❑ PTY ❑ SCC 5/20/13 Stephanie Campbell ®IND ❑ COM Candidate 3,000.00 6,000.00 ❑OTH ❑ PTY ❑ SCC 5/21/13 Eric Leathers ®❑cam Sangera Auto 250.00 450.00 ❑OTH 5600 Gasoline Alley ❑ PTY Bakersfield, CA ❑ SCC 5/21/13 Rachelle Hill k]COM None 3,000.00 3,500.00 ❑OTH ❑ PTY ❑ SCC SUBTOTAL $ 7,750.00 Schedule A Summary 1. Amount received this period — contributions of $100 or more. (Include all Schedule A subtotals.) .................................... ............................... 2. Amount received this period — unitemized 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 $ 9,650.00 2,075.00 11,620.00 'Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (June /01) FPPC Toll -Free Helpline: 866 /ASK -FPPC Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT.) Monetary COntrilbutlonS Received Amounts may be rounded state en covers 'od CALIFORNIA to whole dollars. i3 , ' from • Q through U Page of NAME OF FILER I.D. NUMBER Committee to Elect Stephanie City Council Ward 12013 5/20/13 Pending DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IFCOMMITTEE, ALSO ENTER I.D. NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 5/21/13 Elmira Williams ®IND ❑ COM Retired /None 300.00 500.00 ❑ OTH ❑ PTY ❑ ScC 5/22/13 Jerrod Campbell OCR Campbells Moving 500.00 700.00 ❑OTH Company ❑ PTY 1408 Virginia Avenue ❑scc Bakersfield, CA 93307 5/22/13 Marlon J. Flowers MIND None 700.00 900.00 ❑OTH ❑ PTY ❑ SCC 5/22/13 Shontelle & Wesley Crawford ®❑IOM None 200.00 700.00 ❑OTH ❑ PTY ❑ ScC 5/20/13 Jade Pouncy Campbell RJCOM None 200.00 200.00 ❑OTH ❑ PTY ❑ ScC 'Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other PTY — Political Party SCC — Small Contributor Committee SUBTOTAL $ 1,900.00 FPPC Form 460 (June /01) FPPC Toll -Free Helpline: 866 /ASK -FPPC SCHEDULE B - PART 1 Schedule — Part 1 Amounts may be rounded Statement covers period _ Loans Received to whole dollars. from 11r..19-1 13 0. • 1 I Air 4!F • v Page SEE INSTRUCTIONS ON REVERSE through __�2_ of NAME OF FILER I.D. NUMBER Committee to Elect Stephanie City Council Ward 12013 5/20/13 Pending FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL ENTER , a OUTSTANDING (b) AMOUNT (c) AMOUNT PAID (d) OUTSTANDING (e) INTEREST (f) ORIGINAL (g) CUMULATIVE OF LENDER OCCUPATION AND EMPLOYER (IF SELF - EMPLOYED, ENTER BALANCE BEGINNING THIS RECEIVED THIS OR FORGIVEN CLOSE BALANC C EAT THIS PAID THIS AMOUNTOF CONTRIBUTIONS (IF COMMITTEE, ALSO ENTER I.D. NUMBER) NAMEOFBUSINESS) PER D PERIOD THIS PERIOD* PER D PERIOD LOAN TO DATE ❑ PAID CALENDARYEAR ❑ FORGIVEN PERELECTION** RATE $ $ $ $ $ DATE DUE DATE INCURRED t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ PAID CALENDARYEAR ❑ FORGIVEN PER ELECTION*" RATE DATE DUE DATE INCURRED tEl IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ PAID CALENDARYEAR ❑ FORGIVEN PER ELECTION** RATE DATE DUE DATE INCURRED t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTALS $ None $ $ $ 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.) ..... ............................... Enter the net here and on the Summary Page, Column A, Line 2. (Enter (e) on Schedule E, Line 3) .......................... $ None *Amounts forgiven or paid by another party also must be None reported on Schedule A. ** If required. ................ NET $ None (May be a negative number) t Contributor Codes IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other PTY - Political Party SCC - Small Contributor Committee FPPC Form 460 (June /01) FPPC Toll -Free Helpline: 866 1ASK -FPPC SCHEDULEB -PART2 Schedule B — Part 2 Type or print In Ink. Statement covers period Loan Guarantors Amounts may be rounded 11-5 CALIFORNIA � • ' to whole dollars. from FORM through Page SEE INSTRUCTIONS ON REVERSE of NAME OF FILER I.D. NUMBER Committee to Elect Stephanie City Council Ward 12013 5/20/13 Pending FULL NAME, STREET ADDRESS AND IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE BALANCE ZIP CODE OF GUARANTOR CONTRIBUTOR OCCUPATION AND EMPLOYER LOAN GUARANTEED OUTSTANDING (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE (IF SELF- EMPLOYED, ENTER THIS PERIOD TO DATE TO DATE NAME OF BUSINESS) LENDER CALENDAR YEAR ❑ IND ❑ COM $ DATE ❑ OTH PER ELECTION (IF REQUIRED) ❑ PTY ❑ SCC a CALENDARYEAR ❑ IND LENDER ❑ COM $ ❑ OTH PER ELECTION DATE (IF REQUIRED) ❑ PTY ❑ SCC $ CALENDAR YEAR ❑ IND LENDER ❑ COM $ ❑ OTH PER ELECTION (IF REQUIRED) ❑ PTY DATE ❑ SCC $ CALENDAR YEAR ❑ IND LENDER ❑ COM $ DATE ❑ OTH PER ELECTION (IF REQUIRED) ❑ PTY ❑ SCC $ Enter on SUBTOTAL $ None Summary Page, j Line 17 any. FPPC Form 460 (June /01) FPPC Toll -Free Helpline: 866 /ASK -FPPC Schedule C Type or print in ink. SCHFDLll F C wmvunts may oe ruunueu Nonmonetary Contributions Received to whole dollars. Statem ri overs en l� CALIFORNIA 460 from - �j /� through ✓ 1113 Page— SEE INSTRUCTIONS ON REVERSE of NAME OF FILER I.D. NUMBER Committee to Elect Stephanie City Council Ward 1 2013 5/20/13 Pending DATE FULL NAME, STREET ADDRESS AND CONTRIBUTOR IF AN INDIVIDUAL, ENTER DESCRIPTION OF AMOUNT/ CUMULATIVE TO DATE PER ELECTION RECEIVED ZIP CODE OF CONTRIBUTOR COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF - EMPLOYED, ENTER GOODS OR SERVICES FAIR MARKET VALUE CALENDAR YEAR TO DATE (IF REQUIRED) (IF NAME OF BUSINESS) (JAN 1 - DEC 31) KIND 5/18/13 Grubbs & Ellis Owner Office Space 2,000.00 4,000.00 ❑OTH El PTY ❑SCC ❑IND ❑COM ❑ OTH ❑ PTY ❑ SCC ❑IND ❑COM ❑OTH ❑ PTY ❑ SCC ❑IND ❑COM ❑ OTH ❑ PTY ❑ SCC Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 2,000.00 ; =y Schedule C Summary 'Contributor Codes 1. Amount received this period — nonmonetary contributions of $100 or more. IND - Individual (include all Schedule C subtotals.) 2,000.00 COM— RecipientCommittee ..................................................................................... ............................... $ (other than PTY or SCC) 75.00 OTH —Other 2. Amount received this period — unitemized nonmonetary contributions of less than $100 ..... ............................... $ PTY — Political Party 3. Total nonmonetary contributions received this period. SCC -Small contributor committee Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10. TOTAL $ 2,075.00 FPPC Form 460 (June /01) FPPC Toll -Free Helpline: 866 1ASK -FPPC Schedule D L'TW:1 :I 81Uv3_', Summary of Expenditures Type or print in ink. Stateme vets eriod • - Supporting/Opposing Other Amounts may be rounded to whole dollars. �/ �� • - 1 from Candidates, Measures and Committees % r Page / 17 SEE INSTRUCTIONS ON REVERSE through of NAME OF FILER I.D. NUMBER Committee to Elect Stephanie City Council Ward 1 2013 5/20/13 Pending DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR TYPE OF PAYMENT DESCRIPTION AMOUNTTHIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE MEASURE NUMBER OR LETTER AND JURISDICTION, (IF REQUIRED) PERIOD (JAN.1 -DEC. 31) (IF REQUIRED) OR COMMITTEE ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure SUBTOTAL $ None Schedule D Summary 1. Contributions and independent expenditures made this period of $100 or more. (Include all Schedule D subtotals.) ............... ............................... $ 2. Unitemized contributions and independent expenditures made this period of under $100 ....................................................... ............................... $ 3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.) .............. TOTAL $ None None None FPPC Form 460 (June /01) FPPC Toll-Free Helpline: 866 /ASK -FPPC Schedule D (Continuation Sheet) Type or print in ink. SCHEDULE D CONT. Summa of Expenditures Amounts may be rounded ry to whole dollars. Supporting /Opposing Other statement vers n A from �` 13 CALIFORNIA 460 ' Candidates, Measures and Committees through /3 , Page � D of NAME OF FILER I.D. NUMBER Committee to Elect Stephanie City Council Ward 1 2013 5/20/13 Pending DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR MEASURE NUMBER OR LETTER AND JURISDICTION, ORCOMMITTEE TYPE OF PAYMENT DESCRIPTION (IF REQUIRED) AMOUNTTHIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN.1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure SUBTOTAL $ None FPPC Form 460 (June /01) FPPC Toll -Free Helpline: 866 /ASK -FPPC Schedule E Type or print in ink. Statement Fovers Payments Made Amounts may be rounded men 0�1 y to whole dollars. from SEE INSTRUCTIONS ON REVERSE through /v Page // of NAME OF FILER I.D. NUMBER Committee to Elect Stephanie City Council Ward 1 2013 5/20/13 Pending CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP 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 FIND fundraising events POL polling and survey research TRS staff /spouse travel, lodging, and meals I D 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 (internet, e-mail) NAME AND ADDRESS OF PAYEE (IFCOMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID Secretary of State County of Kern VOT 43.00 Best Buys Office Furniture OFC 2,169.00 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 2,262.00 Schedule E Summary 1. Payments made this period of $100 or more. Include all Schedule E subtotals. 9,650.00 2. Unitemized payments made this period of under $100 ........................................................................................................... ............................... $ 0 3. Total interest paid 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 Summary Page, Column A, Line 6. TOTAL $ 9,650.00 FPPC Form 460 (June /01) FPPC Toll -Free Helpline: 866 /ASK -FPPC Schedule E SCHEDULE E (CONT.) Type or print in ink. e nt riod o (Continuation Sheet) Amounts may be rounded Stat % •' ' Payments Made to whole dollars. from P_ vens ''\� ' • � SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER I.D. NUMBER Committee to Elect Stephanie City Council Ward 1 2013 5/20/13 Pending CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CIVP campaign paraphemalia/misc. NM member communications RAD radio airtime and production costs CNS campaign consultants WG 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 (internet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Office Max CMP 1,680.00 GCP Graphic Screen Printing Dynamic Direct CMP 2,943.00 Victory Signs CMP 400.00 American General Media RAD 365.00 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 7,388.00 FPPC Form 460 (June /01) FPPC Toll -Free Helpline: 866 1ASK -FPPC SCHEDULE F Schedule F Type or print in ink. State a cperiod Amounts may be rounded period CALIFORNIA , Accrued Expenses (Unpaid Bills) to whole dollars. from VIP-111-5 - ' through Page of ` SEE INSTRUCTIONS ON REVERSE IF 0 NAME OF FILER I.D. NUMBER Committee to Elect Stephanie City Council Ward 1 2013 5/20/13 Pending CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CWP campaign paraphernalia/misc. MBR member communications RAID radio airtime and production costs CNS campaign consultants WG 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 FL 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) * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTALS $ 2,010.00 $ 2,010.00 $ 0 $ 2,010.00 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 .) ........................... 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.) ..... 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and on the Summary Page, Column A, Line 9.) ..................................................................... ............................... ....... INCURRED TOTALS $ PAID TOTALS $ 2,010.00 I ............... NET $ 2,010.00 May be a negative number FPPC Form 460 (June /01) FPPC Toll -Free Helpline: 866 /ASK -FPPC ( ( ( ( NAME AND ADDRESS OF CREDITOR CODE OR OUTSTANDING INCURRED AMOUNT NCURRED AMOUNN T PAID 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 American General Media RAD 365.00 365.00 0 365.00 KGET Channel - 17 TEL 845.00 845.00 0 845.00 KERO - Channel 23 TEL365 800.00 800.00 0 800.00 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTALS $ 2,010.00 $ 2,010.00 $ 0 $ 2,010.00 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 .) ........................... 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.) ..... 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and on the Summary Page, Column A, Line 9.) ..................................................................... ............................... ....... INCURRED TOTALS $ PAID TOTALS $ 2,010.00 I ............... NET $ 2,010.00 May be a negative number FPPC Form 460 (June /01) FPPC Toll -Free Helpline: 866 /ASK -FPPC Schedule F Type or print in ink. SCHEDULE F (CONT) Amounts may be rounded State cove ri • ' (Continuation Sheet) to whole dollars. / .. • ' Accrued Expenses (Unpaid Bills) from through � � V Page � � of NAME OF FILER I.D. NUMBER Committee to Elect Stephanie City Council Ward 1 2013 5/20/13 Pending CODES: If one of the following codes accurately describes the payment, you may enter the code. CNP campaign paraphernalia/misc. MBR member communications CNS campaign consultants KM meetings and appearances CTB contribution (explain nonmonetary)* OFC office expenses CVC civic donations PET petition circulating FIL candidate filing /ballot fees PHO phone banks FND fundraising events POL polling and survey research IND independent expenditure supporting /opposing others (explain)* POS postage, delivery and messenger services LEG legal defense PRO professional services (legal, accounting) LIT campaign literature and mailings PRT print ads * Payments that are contributions or independent expenditures must also be summarized on Schedule D. Otherwise, describe the payment. RAD radio airtime and production costs RFD returned contributions SAL campaign workers' salaries TEL t.v. or cable airtime and production costs TRC candidate travel, lodging, and meals TRS staff /spouse travel, lodging, and meals TSF transfer between committees of the same candidate /sponsor VOT voter registration 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 BALANCE BEGINNING OF THIS PERIOD b AMOUNT INCURRED THIS PERIOD c AMOUNT PAID THIS PERIOD (ALSO REPORT ON E) d OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD SUBTOTALS$ None $ $ $ FPPC Form 460 (June /01) FPPC Toll -Free Helpline: 866 /ASK -FPPC Schedule G Type or print in ink. SCHEDULE G Payments Made by an Agent or Independent statem n cov7/-3 period Amounts may be rounded �/ • ' � ' Contractor (on Behalf of This Committee) to whole dollars. from c through Page- of _7 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Committee to Elect Stephanie City Council Ward 1 2013 5/20/13 Pending NAME OF AGENT OR INDEPENDENT CONTRACTOR CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. ClUP campaign paraphernalia/misc. AIBR member communications RAD radio airtime and production costs CNS campaign consultants MITG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries CVC civic donations PEr petition circulating TEL t.v. or cable airtime and production costs FL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FIND 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 Lrr campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) * Payments that are contributions or independent expenditures must also be summarized on Schedule D. NAME AND ADDRESS OF PAYEE OR CREDITOR CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Attach additional information on appropriately labeled continuation sheets. TOTAL* $ None * Do not transfer to any other schedule or to the Summary Page. This total may not equal the amount paid to the agent or independent contractor as reported on Schedule E. FPPC Form 460 FPPC Toll -Free Helpline: 866 /ASK-FPPC SK -FPPC SCHEDULE H Schedule H Type or print in ink. Statemen covers eriod ' CALIFORNIA Amounts may be rounded . Loans Made to Others* to whole dollars. from e through �" � � � � Page of SEE INSTRUCTIONS ON REVERSE I.D. NUMBER NAME OF FILER Committee to Elect Stephanie City Council Ward 1 2013 5/20/13 Pending (a) (b) k) d (� e O (9) FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER OUTSTANDING BALANCE AMOUNT REPAYMENT OR OUTSTA DING BALANCE AT INTEREST RECEIVED ORIGINAL AMOUNT OF CUMULATIVE LOANS OF RECIPIENT I.D. NUMBER) (IF ER BEGINNING THIS LOANED THIS PERIOD FORGIVENESS CLOSE OF THIS LOAN TO DATE (IF COMMITTEE, ALSO ENTER NAME OF BUSINESS) PERIOD THIS PERIOD* PERIOD PAID CALENDAR YEAR FORGIVEN PER ELECTION- RATE $ $ $ $ $ DATE DUE DATE INCURRED PAID CALENDAR YEAR ❑ FORGIVEN PER ELECTION'* RATE DATE DUE DATE INCURRED ... r "Loans that are contributions to another candidate or committee must also be summarized on Schedule D. Loans forgiven must SUBTOTALS $ None $ $ $ nE also be reported on Schedule E. Schedule H Summary 1. Loans made this period ................................... ............................... (Total Column (b) plus unitemized loans less than $100.) 2. Payments received on loans ............................ ............................... (Total Column (c) plus unitemized payments less than $100.) 3. Net change this period. (Subtract Line 2 from Line 1.) ................. (Enter the net here and on the Summary Page, Column A, Line 7.) ............................................. ............................... $ ............................................. ............................... $ (Enter (e) on Schedule I, Line 3) None None ........................... ............................... NET $ None (May be a negative number) *"If Required FPPC Form 460 (June /01) FPPC Toll -Free Helpline: 866 /ASK -FPPC Schedule I Miscellaneous Increases to Cash SEE INSTRUCTIONS ON REVERSE NAME OF FILER Committee to Elect Stephanie City Council Ward 12013 5/20/13 DATE FULL NAME AND ADDRESS OF SOURCE RECEIVED I (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Attach additional information on appropriately labeled continuation sheets. Schedule I Summary Type or print in ink. Amounts may be rounded to whole dollars. from through b 1'3 DESCRIPTION OF RECEIPT 1. Increases to cash of $100 or more this period ..................................................... ............................... 2. Unitemized increases to cash under $100 this period ......................................... ............................... 3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).) .......... 4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the SummaryPage, Line 14.) ...................................................................................... ............................... Page 117 of J� I.D. NUMBER Pending AMOUNT OF INCREASE TO CASH SUBTOTAL $ None $ None $ None $ None ... TOTAL $ None FPPC Form 460 (June /01) FPPC Toll -Free Helpline: 866 /ASK -FPPC