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Home My WebLink AboutSullivan, Dave - 2009 FPPC Campaign Disclosure Forms - Dave (2) Type print Campaign Disclosure Statement Arnountsorraay last roundedt x,at covers raereo..a ti e , SUMMARY PAGE Summary Page to whole dollars, � d ei r, SEE i TR 'r1 SUC04'•;S 2N RE'VERSE through __`� �.v-_� � . ��g� _. — of NAME OF FILER I.D. NUMBER Contributions Received Column Column B Calendar Year Summary for Candidates 7ATTACTAL IS EDSC ED CALENDAR ATE Running in Both the State Primary and (FRGivrAl`TACHE[3 SGNEDULE�3) i0YAL7Ll t7ATF 17 °,8 General Elections 1. Monetary Contributions ........................................... scnedWe A,Line 3 $ __�_ ___._.___� $ 9i1 through 6I34 711 to Date j �` r f 5chedufe S,t.ine? 3. SUBTO rALCASH CONTRIBUTIONS ................ ,�. Loans Received .............. ..... ... ..... .............. Add Lines 1+2 . _.__. ___. $ _-____ '? 20. 'Contributions 4. Nonmonetary Contributions.......... ......... schedule C,tine 3 __._._--- 21. Expenditures 5. TOTAL,CONTRIBUTIONS RECEIVED •... .e•. ......•..........Add Lines 3+4 $ .a _,_ � Made $___. Expenditures Made � Expenditure Limit Summary for State 6. Payments Made....................................................... Schedule E.One 4 $ $ ___--- Candidates 7, Loans Made'...............- .. ......,.. .. .... Scheduie tt,Line 3 8. SUBTOTAL CASH PAYMENTS —.................. . 22. Cumulative Expenditures Made" . ............. Add Lines 6+7 $ _ � (if Subject to Voluntary Expenditure Limit) 9. Accrued Expenses (Unpaid Bills).....................,..,...,..,Schedule Lin,e 3 Date of Election Total to Date '10.Nonmonetary Adjustment ..........................................Schedule C,One 3 (mmiddiyy) 11. 'TOTAL EXPENDITURES MADE................................Add r_ines 8+9+10 $ ... - $ _. _ Current Casio Statement ,- � 12. Beginning Cash Balance....................... Previous Surnnia+yFage,Line:fi $ To calculate Column 13,add 13.Cash Receipts ,.o................................................ column A,Line 3above amounts in Column A to the 1 corresponding arrrounts "Amounts in this section may be different from amounts 14. Miscellaneous Increases to Cash........................._ Schedule 1,Line 4 from Column 8 of your last reported in Column B. --- _. report. Some amounts in 15. Cash Payments...................... Column A,Line 8above Column A may be negative '16. ENDING CASH BALANCE:......... Add tines 12+ 13+14,then,subtract Line 15 $ t� '� fiGures that should be t L__" __ subtracted from previous If this is a termination statement, dine 16 must be zero, period arno-unts. If this is the first report being filed 17. LOAN GUARANTEES RECEIVED...................... schedule B,Bart 2 $ _�_____ . _.___ for this calendar year, only carry over the amounts from Lines 2, 7,and 9(if Cash Equivalents and Outstanding Debts any). 18. Cash Equivalents—.... See instnrct,on,s on revere $ rTr7mrta7iavn I . afltlTd r _. .._.: FPPC Toll-Free Helpline:8661ASK-FPPC(866,1275-3172) Recipient Committee COVER. PAGE Campaign Statement Type or print in Ink. Date CALIFORNIA 7 20 0 11 02 Cover Page R �' [' 'l' 1 ' 1�.' FORM, (Government Code Sections 84200-84216.5) Statement covers period Date of election if applicable: 2099 JUL 2 0 PH 4: Vg, . from -(Month,.Day, Year) ".;, - _Z_ of ". _ W ! For Official Use Only SEE INSTRUCTIONS ON REVERSE 6 3,0 through U s J T' A C 1. Typ of Recipient Committee: All Committees—Complete Parts 1,2,3,and 4. 2. Type of Statement: a/Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑ Preelection Statement ❑ Quarterly Statement 0 State Candidate Election Committee Committee Semi-annual Statement F-1 Special Odd-Year Report 0 Recall 0 Controlled E] Termination Statement C3 Supplemental Preelection (Also Complete Part 5) 0 Sponsored ❑ (Also file a Form 410 Termination) Statement-Attach Form 495 M General Purpose Committee (Also Complete Part 6) r7 Amendment(Explain below) 0 Sponsored F-1 Primarily Formed Candidate/ 0 Small Contributor Committee Officeholder Committee 0 Political Party/Central Committee (Also Complete Pail 7) 3. Committee Information I.D. NUMBER Treasurer(s) 1 9 2-1 ;7- COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER MAILING ADDRESS 4-f/ 6, L STREET ADDRESS(NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE A� 2 4- CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY AILING ADDRESS (IF DIFFERENT) NO.AND STREET OR P.O. BOX MAILING ADDRESS CITY STATE ZIP CODE AREA CODEIPHONE CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX I E-MAIL ADDRESS OPTIONAL: FAX I 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 foregoing is true and correct. Executed on , -7 By 112z Date S' nlureof'rieasurer or As#ant Treasurer Executed on 2 By Date S4rMure of Controllfff;-rceholder.CaqWe,State Measure Proponent or Responsible Officer of Sponsor Executed on By Date Signature of Controlling Officeholder,Candidate,State Measure Proponent Executed on Date By Signature of Controlling Officeholder,Candidate,State Measure Proponent FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(8661275-3772) State of California Type or print in ink. COVER PAGE-PART 2 Recipient Committee Campaign Statement ®®k ' ® v Cover Page—Part 2 Page 2 of 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR C NAME OF BALLOT MEASURE Dave Sullivan OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO.OR LETTER JURISDICTION ❑ SUPPORT ❑2nd Dst. OC Supervisor OPPOSE RESIDENTIAUBUSINESS ADDRESS (NO.AND STREET) CITY STATE ZIP 4162 Windsor Dr. Huntington Beach Ca. 92649 Identify the controlling officeholder, candidate, or oponent, if any, NAME OF OFFICEHOLDER,CANDIDATE,OR PROPONENT 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 OFFICE SOUGHT OR T NO.IF ANY contributions or make expenditures on behalf of your candidacy. COMMITTEENAME I.D. NUMBER Comm.to Elect Dave Sullivan 922383 NAME OF TREASURER CONTROLLED COMMITTEE? 7. Primarily Formed Candidate/Officeholder Committee List names of officeholder(s)or candidate(s)for which this committee is primarily formed. Kathleen Sullivan ® YEs ❑ No COMMITTEE ADDRESS STREETADDRESS (NO P.O.BOX) NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT 4162 Windsor Dr. ❑ OPPOSE CITY STATE ZIP CODE AREA CODE/PHONE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD PORT Huntington Beach Ca. 92649 (714)840-1804 ❑❑ OPPOSE COMMITTEE NAME I.D.NUMBER NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT Dave Sullivan for City Council 1248001 ❑ OPPOSE NAME OF TREASURER CONTROLLED COMMITTEE? NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD Kathleen Sullivan 0 YES ❑ NO ❑ SUPPORT ❑ OPPOSE, COMMITTEE ADDRESS STREET ADDRESS (NO P.O.BOX) 4162 Windsor Dr. CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary Huntington Beach Ca 92649 (714)840-1804 FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) State of California ^ Campaign Disclosure Statement Type wprint In Ink. uwwMAmnet Amounts may be rounded Statement covers period Summary Page to whole dollar I s from �56 -0 2 —VF SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER I.D. NUMBER Column A Column 8 Calendar Year Summary for Candidates Contributions Received TOTALTHISPEF1100, CAUENnAnYEAn (FIAOM ATTACHED SCHEDULES), TOTALTODATE Running in Both the State Primary and General Elections Expenditures Made Expenditure Limit Summary for State 22. Cumulative Expenditures Made* 9. Accrued Expenses (Unpaid Bills)...............................Schedule F Line 3 Date of Election Total to Date Cu-frent Cash Statement $ 12, Beonning Cash Balance..........1--l-11 Previous Summary Page,Line 16 $ Ll V)— -r7cr� To calculate Column B,add corresponding amounts 14. Miscellaneous Increases to Cash........................... Schedule 1,Line 4 from Column 8 of your last $ 15.ENDUNG C4SHnA|Amu�e � ngumumm nnuomoo Column A may be negative - / subtracted from previous ' If this is o termination statement, Line /v must oezero. period amounts. U this m $ the first report being filed �/�|uou|endaryno� on� '' LOAN GUARANTEES''E~—'E~ Schedule 9 '~''~ ° carry over the amounts *Sincem m �o»u*rv/.»oo1� �mumntmu000tionmay^a �mUn�o. �and*� �nommhommmonmmp�o �C��mB. Cash Equivalents and Outstanding _____ any). 18. Oooh Equ�aonto—..---.,...--.—'. See mm**�nvvnm=m° $ � 19. Outstanding Debto--.------ Add Line 2+'Lmnymomummaamr� $ � �FpPo Form 4so (June�1) ' � � FpPorm/f,eo *elp/m=: aseAym-FpPo Type or print in ink. SCHEOULEB-PART1 Schedule B—Part 1 Amounts may be rounded Statement covers period s- Loans Received to whole dollars. "1� from r / L' 1, 6 RM G, a SEE INSTRUCTIONS ON REVERSE through t ✓ ` Page_ — of NAME OF FILER I.D.NUMBER PE IF AN INDIVIDUAL, ENTER a (b) (c) (d) (e) ) U FULL NAME,STREET ADDRESS AND ZIP CODE OUTSTANDING AMOUNT OUTSTANDING INTEREST ORIGINAL CUMULATIVE OCCUPATION AND EMPLOYER BALANCE AMOUNTPAIO gALANCEAT OF LENDER (IF SELF-EMPLOYED, THIS OR FORGIVEN CLOSE OF THIS PAID THIS AMOUNT OF CONTRIBUTIONS (IF COMMITTEE,ALSDENTER I.D.NUMBER) NAME OF BUSINESS) PERIOD THIS PERIOD` p PERIOD LOAN TO DATE -y"j ❑PAID ' CALENDAR YEAR 7�r� � ❑ RATE FORGIVEN _ PERELECTION"' T� IND ❑COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED ❑PAID CALENDAR YEAR ❑FORGIVEN RATE PER ELECTION" T❑ IND ❑COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED ❑PAID CALENDAR YEAR FORGIVEN RATE PERELECTION- t❑ IND ❑COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED SUBTOTALS $ $ () $ ,,��U- $ (Enter(e)on Schedule B Summary Schedule E,Line 3) 1. Loans received this period....................................................................................................................$ (Total Column(b)plus unitemized loans of less than$100.) /^ tContributor Codes �✓ IND—individual 2. Loans paid or forgiven this period .........................................................................................................$ COM—Recipient Committee (Total Column(c)plus loans under$100 paid or forgiven,) (other than PTY or SCC) (Include loans paid by a third party that are also itemized on Schedule A.) OTH-other(e.g.,business entity) U PTY—Political Party SCC—Small Contributor Committee 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. (Maybaanepauvenumber) 'Amounts forgiven or paid by another party also must be reported on Schedule A. If required. FPPC Form 460(January/05} FPPC Toll-Free Helpline:866/ASK-FPPC(866/275.3772)