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HomeMy WebLinkAboutBPOA PREELECT12(2)Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200- 84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statement covers period from October 1, 2012 through October 20, 2012 1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4. ❑ Officeholder, Candidate Controlled Committee ❑ Ballot Measure Committee 0 State Candidate Election Committee 0 Primarily Formed 0 Recall 0 Controlled (Also Complete Part 5) 0 Sponsored Date (Also Complete Part 6) Q General Purpose Committee *) Sponsored ❑ Primarily Formed Candidate/ 0 Small Contributor Committee Officeholder Committee 0 Political Party /Central Committee (Also Complete Pan 7) 3. Committee Information OPTIONAL: FAX / E -MAIL ADDRESS Date of election if applicable: (Month, Day, Year) November 6, 2012 Date Stamp { 2 OCT 25 AM I 6AKEn'�r'1LL' CH 2. Type of Statement: © Preelection Statement ❑ Semi - annual Statement ❑ Termination Statement ❑ Amendment (Explain below) Treasurer(s) COVER PAGE 1 of 6 ci- ERWfficial Use Only ❑ Quarterly Statement ❑ Special Odd -Year Report ❑ Supplemental Preelection Statement - Attach Form 495 NAME OF TREASURER Glen Davis MAILING ADDRESS NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY OPTIONAL: FAX / E -MAIL ADDRESS STATE ZIP CODE AREA CODE /PHONE 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 foregoing is true and correct. By Treasurer By Signature of Controlling Officeholder, Candidate, State Measure Proponent or Responsible Officer of Sponsor By Signature of Controlling Officeholder, Candidate, State Measure Proponent By June /01 Signature of ConOfficeholder, PPC Form 460 ( trolling Offi holder Candidate, State Measure Proponent FPPC Toll -Free Helpline: 866/ASK -FPPC State of California 10/25/12 Executed on Date Executed on Date Executed on Date Executed on Date By Treasurer By Signature of Controlling Officeholder, Candidate, State Measure Proponent or Responsible Officer of Sponsor By Signature of Controlling Officeholder, Candidate, State Measure Proponent By June /01 Signature of ConOfficeholder, PPC Form 460 ( trolling Offi holder Candidate, State Measure Proponent FPPC Toll -Free Helpline: 866/ASK -FPPC State of California Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF FILER BPOA PAC Type or print in ink. Amounts may be rounded to whole dollars. SUMMARY PAGE Statement covers period CALIFORNIA from October 1, 2012 FORM through October 20, 2012 Page 2 of 6 I.D. NUMBER 943492 Expenditures Made Column A Column B Calendar Year Summary for Candidates Contributions Received 8. SUBTOTAL CASH PAYMENTS ..... ............................... TOTALTHISPERIOD SCHEDULES) CALENDAR YEAR Running in Both the State Primary and 10. Nonmonetary Adjustment ........... ............................... Schedule C. Line 3 (FROM ATTACHED TOTALTODATE General Elections 1. Monetary Contributions ............ ............................... Schedule A. Line 3 000 $ 1, $ 10,000 O 0 1/1 through 6130 7!1 to Date 2. Loans Received ....................... ............................... Schedule B, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 + 2 $ 1,000 $ 10,000 20. Contributions Received $ $ 4. Nonmonetary Contributions ..... ............................... Schedule C. Line 3 0 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED . _.... .....•.....•••.•••••AddLines3 +4 $ 1,000 $ 10,000 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. Line 3 11. TOTAL EXPENDITURES MADE . ............................... Add Lines s + 9 + 10 $ Current Cash Statement 12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ 13. Cash Receipts .................... ............................... Column A, Line 3above 14. Miscellaneous Increases to Cash ........................... Schedule 1, Line 4 15. Cash Payments ................... ............................... Column A, Line s 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. 2,505 $ 0 2,505 $ 0 0 2,505 $ 40,397 1,000 4 2,505 38,896 17. LOAN GUARANTEES RECEIVED ........................... Schedule B. Part 2 $ 0 Cash Equivalents and Outstanding Debts 18. Cash Equivalents ......... ............................... See instructions on reverse $ 19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column B above $ C 5,069 0 5,069 0 0 5,069 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* (If subject to Voluntary Expenditure Limit) Date of Election Total to Date (mmlddlyy) *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 0 Schedule A Monetary Contributions Received Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from October 1, 2012 SCHEDULE A SUBTOTAL $ 1,000 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 ...................... I...................... $ 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $ I 1,000 *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: 666 /ASK -FPPC through October 20, 2012 Page 3 of 6 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER BPOA PAC 943492 DATE ZIP DE O 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 FCOMMIDRE,ALSAND LD.N CODE t (IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 10/15/12 BPOA E] IND ❑ COM $1,000 $10,000 ® OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL $ 1,000 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 ...................... I...................... $ 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $ I 1,000 *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: 666 /ASK -FPPC Schedule D Roy Ashburn for Supervisor Monetary SCHEDULED SummaSumma of Ex enditures ry p Type or print in ink. Statement covers period $1,500 Supporting /Opposing Other Amounts may be rounded to dollars. CALIFORNIA • ❑ Nonmonetary whole October 1, 2012 Candidates, Measures and Committees from Contribution October 20, 2012 4 6 SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER I.D. NUMBER BPOA PAC Expenditure 943492 DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR TYPE OF PAYMENT DESCRIPTION AMOUNTTHIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE 10/22/12 MEASURE NUMBER OR LETTER AND JURISDICTION, (IF REQUIRED) PERIOD (JAN. t -DEC. 31) (IF REQUIRED) NO on Proposition 34 OR COMMITTEE FPPC Form 460 (June /01) FPPC Toll -Free Helpline: 866 /ASK -FPPC Roy Ashburn for Supervisor Monetary 10/4/12 FPPC# 1344681 Contribution $1,500 $4,000 ❑ Nonmonetary Contribution ❑ Independent ® Support ❑ Oppose Expenditure Californians for Justice & Public Safety ®Monetary Contribution 10/22/12 FPPC# 1346266 $1,000 $5,000 NO on Proposition 34 ❑ Nonmonetary Contribution ❑ Independent ® Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure SUBTOTAL $ 2,500 Schedule D Summary 1. Contributions and independent expenditures made this period of $100 or more. Include all Schedule D subtotals. 2,500 2. Unitemized contributions and independent expenditures made this period of under $100 ....................................................... ............................... $ 0 3. Total contributions and independent expenditures made this period. Add Lines 1 and 2. Do not enter on the Summa Page.) TOTAL $ 2,500 P P P C Summary 9) .............. 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 October 1, 2012 SEE INSTRUCTIONS ON REVERSE through October 20, 2012 page 5 of 6 NAME OF FILER I.D. NUMBER BPOA PAC 943492 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CW campaign paraphemalia /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 campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE (IFCOMMITTEE, ALSO ENTER 1.0 . NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID BCEFCU Bank Fees Californians for Justice & Public Safety Roy Ashburn for Supervisor CTG Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ $2,505.50 Schedule E Summary 1. Payments made this period of $100 or more. Include all Schedule E subtotals. 2,505 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 $ 2,505 FPPC Form 460 (June /01) FPPC Toll -Free Helpline: 866 /ASK -FPPC CnheA11ln Miscellaneous Increases to Cash Amounts may be rounded to whole dollars. SEE INSTRUCTIONS ON REVERSE Statement covers period from October 1, 2012 through October 20, 2012 • . ' • ' Page 6 of 6 NAME OF FILER BPOA PAC I.D. NUMBER 943492 DATE RECEIVED FULL NAME AND ADDRESS OF SOURCE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) DESCRIPTION OF RECEIPT AMOUNT OF INCREASE TO CASH 10/1/12 Bakersfield City Employees FCU Interest $4 Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 4 Schedule I Summary 1. Increases to cash of $100 or more this period ............................................................................ ............................... $ 0 2. Unitemized increases to cash under $100 this period. . ...... .................................................................................. __ $ 4 3. Total of all interest received this period on loans made to others. Schedule H, Column (e).) 0 4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Line 14. ................................. ............................... TOTAL $ 4 FPPC Form 460 (June /01) FPPC Toll -Free Helpline: 866 /ASK -FPPC