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HomeMy WebLinkAboutKC EMPLOYEES PAC PREELEC06(1) AMENDRecipient Committee Campaign Statement Type or print In Ink. COVER PAGE Cover Page Date Stamp CAUFORNIA 460 2811li/82 (Government Code Sections 84200 - 84216.5) FOW Statement covers period Date of election if applicable: 1/6 from 07/01/2006 (Month, Day, )0��CT 4 AH 1: 13 1 For Official Use Only SEE INSTRUCTIONS ON REVERSE 09/30/2006 11/07/2 through 1. Type of Recipient Committee: All Committees - Complete Parts 1,2,9, and 4. 2. Type of Statement: ❑ Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ® Preelection Statement ❑ Quarterly Statement O State Candidate Election Committee Committee ❑ Semi- annual Statement ❑ Special Odd -Year Report Q Recall Q Controlled ❑ Termination Statement ❑ Supplemental Preelection (Also Complete Pan 5) Q Sponsored (Also file a Form 410 Termination) Statement - Attach Form 495 X❑ General Purpose Committee (Also complete Part 6) ❑ Amendment (Explain below) O Sponsored ❑ Primary Prima Formed Candidate/ ® Small Contributor Committee Officeholder Committee contributions made to sand committees Louiet Q Political Party /Central Committee (Also complete Part 7) and Mitchell not indiv. as indicated on sched D 3. Committee Information I.D.NUMBER 810892 Treasurer(s) COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE KERN COUNTY EMPLOYEES ASSOCIATION PAC NAME OF TREASURER Ward Wollesen STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX NAME OF ASSISTANT TREASURER, IF ANY CITY STATE ZIP CODE AREA CODE/PHONE MAILING ADDRESS CA OPTIONAL: FAX/E -MAIL ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAME-MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the inform on contained beiin an n 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 correct. Executed on __ 10/20/2006 By Ward Wollp-qp Date Signature Of Treasurer Or Assl Treasurer Executed on Date Executed on Date Executed on Date By Signature Of Controlling Officeholder, Candidate, State Measure Proponent Or Responsible Officer Of Sponsor By Signature Of Controlling OlHcsholder, Candidate, Side Measure Proponent By FPPC Form 460 (January/08) Signature Of Controlling Officeholder, Candidate, State Measure Proponent FPPC Toll -Free Helpline: 866/ASK -FPPC (886/2753772) State of California Recipient Committee Campaign Statement Cover Page — Part 2 S. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Type or print in ink. OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) 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 to 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? [:1 YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE N COVER PAGE - PART 2 CAL�ORNA F01W 2/6 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER I JURISDICTION I E] 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 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 (Jenuary/05) FPPC Toll -Free Helpline: 8661ASK -FPPC (866/2753772) State of California Campaign Disclosure Statement Type or print In Ink. Summary Page Amounts may be rounded to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER KERN COUNTY EMPLOYEES ASSOCIATION PAC Statement covers period from through Contributions Received Column A Column B TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) CALENDAR YEAR TOTAL TO DATE 1. Monetary Contributions .............. ............................... Schedule A, Line 3 $ 4459.29 $ 15363.26 2. Loans Received .......................... ............................... Schedule B, Line 7 0.00 000 3. SUBTOTAL CASH CONTRIBUTIONS ........................... Add Lines 1 + 2 $ 4459.29 $ 15363.26 4. Nonmonetary Contributions .... ............................... Schedule C, Line 3 0.00 0.00 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 + 4 4459.29 $ 15363.26 Expenditures Made 6. Payments Made ......................... ............................... Schedule E, Line 4 $ 8500.00 $ 8500.00 7. Loans Made ............................... ............................... Schedule H, Line 7 0.00 0.00 8. SUBTOTAL CASH PAYMENTS ... ............................... Add Lines 6 + 7 $ 8500.00 $ 8500.00 9. Accrued Expenses (Unpaid Bills) ............................. Schedule F, Line 3 0.00 0.00 10. Nonmonetary Adjustment .......... ............................... Schedule C, Line 3 0.00 0.00 11. TOTAL EXPENDITURES MADE ............................ Add Lines 8 + 9 + 10 $ 8500.00 $ 8500.00 Current Cash Statement 12. Beginning Cash Balance ..................... Previous Summary Page, Line 16 $ 17517.98 13. Cash Receipts .................. ............................... Column A, Line 3 above 4459.29 14. Miscellaneous Increases to Cash ..... ............................... Schedule I, Line 4 0.00 Cash Payments .................. ............................... Column A, Line 8 above 8500.00 16. ENDING CASH BALANCE..... Add Lines 12 + 13 + 14, then subtract Line 15 $ 13477.27 If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ........................... Schedule B, Part 2 $ 0.00 Cash Equivalents and Outstanding Debts 18. Cash Equivalents ............ ............................ See instructions on reverse $ 0.00 19. Outstanding Debts ....................... Add Line 2 + Line 9 in Column B above $ 0.00 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). SUMMARY PAGE CALiFORh1U► FORM 3/6 I.D. NUMBER Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 through 6/30 7/1 to Date 20. Contribution Received $ 0.00 $ 0.00 21. Expenditures Made $ 0.00 $ 0.00 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) 'Amounts in this section may be different from amounts eported in Column B. FPPC Form 460 (January/05) Toll -Free Helpline: 86WASK -FPPC (8661275 -3772) Schedule A Type or print in Ink. SCHEDULE A Monetary Contributions Received Amoums may be rounded to whole dollars. Statement covers period CALWOMIA A*O from FORM 4/6 SEE INSTRUCTIONS ON REVERSE through NAME OF FILER KERN COUNTY EMPLOYEES ASSOCIATION PAC I.D. Number 810892 DATE FULL NAME, MAILING ADDRESS CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED AND ZIP CODE OF CONTRIBUTOR CODE' OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) (IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) Rcpt Dt: 07/18/2006 Kern County Employees Assn, Inc. El IND ❑ COM 792.02 15363.26 PTY 0 D SCC Rcpt Dt: 08/15/2006 Kern County Employees Assn, Inc. PTY IB D ❑ SCC R Pt Dt: Kem County Employees Assn, Inc. ❑ IND ❑ COM 1387.32 15363.26 ❑ PTY ID: ❑ SCC Rcpt Dt: 09/15/2006 Kern County Employees Assn, Inc. ❑ IND ❑ COM 742.25 15363.26 SCC Schedule A Summary 1. Amount received this period - itemized monetary contributions. (Include all Schedule A subtotals.) ................. ............................... SUBTOTALS 4459.29 .......... ............................... $ 4459.29 2. Amount received this period - unitemized monetary contributions of less than.$ 1 W .............................. $ 0.00 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) .................... TOTAL $ 4459.29 "Contributor Codes IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC- Small Contributor Committee FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK -FPPC (866/275 -3772) Schedule D JL% SCHFDIJLF D %& 1111rrar y v1 AFW11U1LUfirS Type or print in Ink. Statement covers period Supporting /Opposing Other Amounts may be rounded CALIFORNIA 460 Candidates, Measures and Committees to whole dollars. from FORM SEE INSTRUCTIONS ON REVERSE through 5/6 NAME OF FILER I.D. NUMBER KERN COUNTY EMPLOYEES ASSOCIATION PAC 810892 DATE CANDIDATE AND OFFICE, MEASURE AND JURISDICTION, OR COMMITTEE TYPE OF PAYMENT DESCRIPTION (IF REQUIRED) AMOUNT THIS PERIOD CUMMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE JANA - DEC. 31) (IF REQUIRED) 09/27/2006 Sheryl Mitchell City Council Member Monetary © 5000.00 5000.00 City Contribution ❑ Non - Monetary Contribution District No: ❑ Independent ® Support ❑ Oppose Expenditure 09/27/2006 Chad Louie City Council Member Monetary ® Contribution 2500.00 2500.00 City ❑ Non - Monetary Contribution District No: ❑ Independent ® Support ❑ Oppose Expenditure SUBTOTAL $ 7500.00 Schedule D Summary 1. Itemized contributions and independent expenditures made this period. (Include all Schedule D subtotals.) ........... ............................... $ 7500.00 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 $ 1 11 7500.00 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: (8661275 -3772) Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE KERN COUNTY EMPLOYEES ASSOCIATION PAC Type or print in Ink. Amounts may be rounded to whole dollars. Statement covers period from through CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphemalia/misc. CNS campaign consultants CTB contribution (explain nonmonetary)* CVC civic donations FIL candidate filing/ballot fees FND fundraising events IND independent expenditure supporting /opposing others (explain)* LEG legal defense LIT campaign literature and mailings MBR member communications MTG meetings and appearances OFC office expenses PET petition circulating PHO phone banks POL polling and survey research POS postage, delivery and messenger services PRO professional services (legal, accounting) PRT Drint ads CA FORM 6/6 810892 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 NAME AND ADDRESS OF PAYEE OR CREDITOR QF COMMMM ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Citizens for Chad Louie ID: 1288964 CTB 2500.00 CTE Sheryl Mitchell ID: 1288966 CTB 5000.00 Kern County Democratic Central Committee ID: 741996 FND 1000.00 Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTALS 8500.00 Schedule E Summary 1. Itemized payments made this period. (Include 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.) .......... $ 8500.00 $ 0.00 $ 0.00 ................. TOTAL $ 8500.00 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: (866/275 -3772)