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HomeMy WebLinkAboutSMITH 460PREELECT12(1)R-Copim, a frll��� (Gom—nrd Code 99COM 842W61216.5) lype or prIM in Ink. ses"Inem covers Psrlod Dole of oftell e K appdcobb: (Mont% Day. tier) 1. TYPO of M 1,601 -Co - Me w w c aee am - csw*kb pans +. % 3, =d 4. JW oMaholdsr, Carddeb Cm offed Co ii Mom ❑ Prbrlry Fon. Ballot Meawae Q BOW Calddale B oll COIIe11Mee Comniea Q Real Q Co *dbd MeoCa�AAgI O sporleored ❑ GwwdPurp wCo -- dMee /nrsoo�rbr.PrRq Q AP H n M ❑ PrilTrery Formed CrdlrW Q OMaslrotlerCamille0 Q PoMICdPoWl0wilt C, Mee ~C&I*bbPW7) 3. CommOm m to i otlon I.D. NUMBER &-)g SMrM fbf.. 041,11 avK4(, ZoIZ STREET ADORES MD P.O. SOX) �(� (, OR P.O. SOX CITY STATE ZIP CODE AREA COOEIPNONE OPTIONAL: FAX I GiiML ADDRESS 4. VoWcaft I Ilnle uarl sl IMeerleble dMperlos in pdpsriq srd.rellWV this sleWrlyd and tk underperlelyd Isms dCa�bndevlalElelorspctlgIs E�Aed m Bl ExKded an O `-�, 1% Eueeuled an L l f (v j Zot2 Dale Q- F Pale I of 1 o Fa 12 Um 0,* OCT -5 PM 3: IERK 8 BAKERSHELD Ci i Y Z. Type of Obbw oft 14,ftm Kgm91.Isnra ❑ artery swim ❑ $«Hoare iol eteisnMrt ❑ 9badel Odd-llbar Report ❑ Temlkldon 91 elenlerlt Preelection (Also tM a Form 410 Tumdnsllm) Atwh Form 495 ❑ Amrrdnwd ( q4W bdo" TruwA.o) NAME OF TREASURER MAILING ADDRESS NAME UF A111151111115TAKY TREASURER, IF ANY MAIUNG ADDRESS CITY STATE ZIP CODE AREA CODEIPHONE OPTIONAL: FAX I E4AA L ADDRESS into atfalflsd sdleduln ie true and complete. I cww Elieouled all By Dow F 4n 4AMMMIRM FPPC ToWcow IIelFile: ierAtK FPPC AMMYO -M 2) Stets of CdNbrob Type or print In Ink. Recipient Committee Campaign Statement Cover Page — Part 2 S. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Bob Smith OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) WARD 41 G-Tj CWNn C, 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 pdm&rW 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 CODEIPHONE 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE COVER PAGE - PART 2 page Z- of ll U BALLOT NO. OR LETTER JURISDICTION ro UPPORT PPO SE Identity 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 ust names of ofllceholdWs) or candidates) 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 H necessary FPPC Form 160 (Januaryl06) FPPC Tome He"Ine: 66&ASK -FPPC (866!276 -3772) Stab of ca8fomla Campaign Disclosure Statement Type or print In Ink. Amounts may be rounded Summary Page to whole dollars. Statement covers period from 07/01/1986 Expenditures Made 6. Payments Made ........................ ............................... she E, Line 4 7. Loans Made .............................. ............................... schedule H, Line 3 8. SUBTOTALCASH PAYMENTS ..... ............................... Add tines 6 +7 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F Line 3 10. Nonmonetary Adjustment ........... ............................... schedule C, Line 3 11. TOTAL EXPENDITURES MADE . ............................... Add Lines a + a + 10 Current Cash Statement 12. Beginning Cash Balance ....................... Prev►ous summary Page, tine is 13. Cash Receipts .................... ............................... column A, line 3 above 14. Miscellaneous increases to Cash ........................... schedule ►, Line 4 15. Cash Payments ................... ............................... Co►urnn A, Line a 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. $ 18,035.14 0 $ 18,035.14 0 I $ 18,035.14 0 $ 18,035.14 0 0 $ 18,035.14 $ 18,035.14 $ 0 47,350 0 S 17. LOAN GUARANTEES RECEIVED .... ....................... Schedule e, Part 2 $ 18,035.14 29,314.86 Cash Equivalents and Outstanding Debts 18. Cash Equivalents ......... ............................... See insbuctions on reverse $ 19. Outstanding Debts ......................... Add tine 2 + Line 9 in Column B above $ 20,000 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). Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (tr subject to VolurAm Epncib- LknM Date of Election Total to Date (mm /dd/yy) I $ *Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 11MASK -FPPC (866/2753772) through 09/30/2012 page 3 of to SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Bob Smith for Council 2012 1348552 Column A Column S Calendar Year Summary for Candidates Contributions Received TOTALTMP M CALF DM TOT�LTOOATe Running in Both the State Prima and 9 Primary WROM�rr�scrEu.M General Elections 1. Monetary Contributions ............ ............................... sonedu/e A, Line 3 350 $ 27 $ 27,350 1/1 through W30 7/1 to Date 2. Loans Received ....... . .............. ............................... Schedule e. Line 3 20,000 20,000 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add tines 1 +2 $ 47,350 $ 47,350 20. Contributions Received $ $ 4. Nonmonetary Contributions ..... ............................... schedule C, Line 3 122.64 122.64 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines3 +4 $ 47,472.64 $ 47,472.64 Made $ $ Expenditures Made 6. Payments Made ........................ ............................... she E, Line 4 7. Loans Made .............................. ............................... schedule H, Line 3 8. SUBTOTALCASH PAYMENTS ..... ............................... Add tines 6 +7 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F Line 3 10. Nonmonetary Adjustment ........... ............................... schedule C, Line 3 11. TOTAL EXPENDITURES MADE . ............................... Add Lines a + a + 10 Current Cash Statement 12. Beginning Cash Balance ....................... Prev►ous summary Page, tine is 13. Cash Receipts .................... ............................... column A, line 3 above 14. Miscellaneous increases to Cash ........................... schedule ►, Line 4 15. Cash Payments ................... ............................... Co►urnn A, Line a 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. $ 18,035.14 0 $ 18,035.14 0 I $ 18,035.14 0 $ 18,035.14 0 0 $ 18,035.14 $ 18,035.14 $ 0 47,350 0 S 17. LOAN GUARANTEES RECEIVED .... ....................... Schedule e, Part 2 $ 18,035.14 29,314.86 Cash Equivalents and Outstanding Debts 18. Cash Equivalents ......... ............................... See insbuctions on reverse $ 19. Outstanding Debts ......................... Add tine 2 + Line 9 in Column B above $ 20,000 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). Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (tr subject to VolurAm Epncib- LknM Date of Election Total to Date (mm /dd/yy) I $ *Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 11MASK -FPPC (866/2753772) Schedule A type or print In Ink. SCHEDULE A Monetary Contributions Received Amoto whole dollars. nded ollars tided statement covers period , 07/01/1986 from - 09/30/2012 pap 4 jo through of SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Bob Smith for Council 2012 1348552 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED OF COMMITTEE. ALSO E I.D. CODE * (IF SELF-EAPLOYED,eM RNAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) W]IND See Attachment ❑COM VAR ❑ OTH ❑ PTY ❑SCC ❑IND ❑ COM ❑ OTH ❑ pre' []SCC ❑IND ❑COM ❑ OTH ❑ PTY ❑ SCC ❑ IND [3Com ❑ OTH ❑ PTY []SCC ❑IND [3Com ❑ OTH ❑ PTY ❑ SCC SUBTOTAL$ 27,350 Schedule A Summary 1. Amount received this period — itemized monetary contributions. (Include all Schedule A subtotals.) ......................................................................... ............................... $ 2. Amount received this period — unitemized monetary 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 $ 27,350 27,350 *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 Forth 160 (January/05) FPPC Toll-Free Helplins: 8661ASK -FPPC (8661275-3772) !' jN���iL`�I i! .UN I l�l BJ fv � ()p Coy�N6 `71112a Z -- °t /301ZO IZ - - - Amount Received Total Contribut this Receive Date Received First Donald & Debbie Last Camp Occupation Business Owner Homemaker Address IND 100 100 WINUEO PACA6TAP4 Cc>Nf F-I6u-PoNS P�WoD Co\EYztnvCa iO 9/28/201 Gerald & Sandra I Mathews IND 100 100 Tntal ,,,_ w t 1_ LJ SCHEDULEB -PART1 �'"U "m "...b rounded Schedule B — Part 1 Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. Loans Received 07/01/1986 from • 460 09/30/2012 page of �U throw h g SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Bob Smith for Council 2012 1348552 FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER OUTSTANDING BALANCE AMOUNT RECEIVED THIS AMOUcNT PAID OUTS ANDING BALANCEAT INTEREST PAID THIS ORIGINAL AMOUNT OF a CUMULATIVE CONTRIBUTIONS OF LENDER (IF COMMITTEE, ALSO ENTER I.D. NUMBER) (IF SELF - EMPLOYED, ENTER NAM OF BUSINESS) BEGINNING THIS PERIOD PERIOD OR FORGIVEN THIS PERIOD CLOSE OF THIS PERIOD LOAN TO DATE ❑ PAID CALENDAR YEAR Bob Smith Civil Engineer, 0 20,000 0 20,000 s Business Owner s s % RATE s ❑FORGIVEN PER ELECTION'" 0 20,000 s 0 12/2012 = 0 7/2012 $ t® IND ❑ COM ❑ OTH ❑ PTY ❑ SCC s s DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR $ S % $ s ❑ FORGIVEN RATE PER ELECTION" $ S s S $ DATE DUE DATE INCURRED t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC PAID CALENDAR YEAR ❑ FORGIVEN RATE PERELECTION- t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC f t S DATE DUE DATE INCURRED SUBTOTALS $ 20,000$ $ 20,000 $ Schedule B Summary 1. Loans received this period ................................................ ............................... $ ............................... (Total Column (b) plus unitemized loans of 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.) (Enter (e) - Sdwdtk E. Une 3) 20,000 tContributor Codes 0 3. Net change this period. Subtract Line 2 from Line 1. ............................................................... MET $ 20,000 Enter the net here and on the Summary Page, Column A, Line 2. (Mrj be e fw nmbo IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee *Amounts forgiven or paid by another party also must be reported on Schedule A. •' If required. FPPC Form 460 (January/05) FPPC Toll-Free Wpllne: 866/ASK -FPPC (866!276 -0772) Schedule C Nonmonetary Contributions Received Bob Smith for Council 2012 FULL NAME, STREET ADDRESS AND DATE ZIP CODE OF CONTRIBUTOR RECEIVED (W COMMITTEE, ALSO ENTER I.D. NUMBER) 8/25/2012 Bob Smith f3��- Type or print in Ink. Amounts may be rounded to whole dollars. Statement covers period from 07/01/1986 through CONTRIBUTOR I IF AN INDIVIDUAL, ENTER I DESCRIPTION OF CODE * OCCUPATION AND EMPLOYER GOODS OR SERVICES (IF SELF - EMPLOYED. ENTER NAME OF BUSINESS) OIND Food for ❑� Civil Engineer, ❑0TH Business Owner Volunteers ❑PTY ❑SCC ❑IND [3Com ❑0TH ❑PTY ❑scc ❑IND ❑COM ❑OTH ❑ PTY ❑SCC MIND ❑COM ❑0TH ❑PTy ❑SCC Attach additional information on appropriately labeled continuation sheets. 09/30/2012 Page :� of AMOUNT/ FAIR MARKET VALUE I.D. NUMBER 1348552 CUMULATIVE TO PER ELECTION DATE TO DATE CALENDAR YEAR (IF REQUIRED) (JAN 1 - DEC 31) 122.64 1 122.64 SUBTOTAL $ 122.64 Schedule C Summary 1. Amount received this period — itemized nonmonetary contributions. (Include all Schedule C subtotals.) ...................................................................................... ............................... $ 2. Amount received this period — unitemized nonmonetary contributions of less than $100 ..... ............................... $ 3. Total nonmonetary contributions received this period. TOTAL $ (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.) ...................... 122.64 0 122.64 FPPC Form 460 (Januery106) FPPC To"ree Helpline: SGWASK -FPPC (066f276 -3772) .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 Schedule E Type or print In Ink. Statement covers period CALIFORNIA Amounts may be rounded J S , Payments Made to whole dollars. from 07/01/1986 FORM " Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL$ Tts'uJ0.14 Schedule E Summary .................. $ 18,035.14 1. Itemized payments made this period. (Include all Schedule E subtotals.) ............................................................. ............................... n 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 $ 0 18,035.14 FPPC Form 160 (January/05) FPPC Tog -Free Helplkw: 8WASK -FPPC (8661V&3772) 09/30/2012 9 L� through Page of SEE INSTRUCTIONS ON REVERSE I.D. NUMBER NAME OF FILER 1348552 Bob Smith for Council 2012 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CNP campaign parephemalia/misc. NOR member communications RAD RFD radio airtime and production costs returned contributions CNS campaign consultants CTB contribution (explain nonmonetary)' WM OFC meetings and appearances office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating Tfl. TRC t.v. or cable airtime and production costs candidate travel, lodging, and meals FIL candidate Ming/ballot fees PHD POL phone banks polling and survey research TRS staff/spouse travel, lodging, and meals FND fundraising events 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 VYEB voter registration information technology costs (internal, e-mail) LIT campaign literature and mailings PRr print ads " Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL$ Tts'uJ0.14 Schedule E Summary .................. $ 18,035.14 1. Itemized payments made this period. (Include all Schedule E subtotals.) ............................................................. ............................... n 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 $ 0 18,035.14 FPPC Form 160 (January/05) FPPC Tog -Free Helplkw: 8WASK -FPPC (8661V&3772) PAYMWr5 ATTACHM6VT .5cHEouc� "E' pe(uoD CDVER -w!a 71I/702- °Y3ol201Z (U c-F to Name of Payee Payee Address Walking Flyers Total