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HomeMy WebLinkAboutSullivan, Dave - 2012 FPPC Campaign Disclosure Forms - Dave (2) Type or print in ink. COVERPAGE-PART2 RecipientiCommittee • o- Campaign Statement ORK Cover Page—Part 2 Page -.2— of 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE Dave Sullivan OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO.OR LETTER JURISDICTION ❑ SUPPORT ❑OPPOSE 2nd Dst.OC Supervisor RESIDENTIALIBUSINESS ADDRESS (NO.AND STREET) CITY STATE ZIP .Huntington Beach Ca. 92649 Identify the controlling officeholder, candidate, or state measure proponent,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 HELD DISTRICT NO.IF ANY contributions or make expenditures on behalf of your candidacy. COMMITTEENAME I.D.NUMBER Comm.to Elect Dave Sullivan 922383 NAMEOFTREASURER CQNTROLLEDCOMMITTEE? 7• Primarily Formed Candidate/Officeholder Committee List names of officeholder(s)or candidates)for which this committee is primarily formed. Kathleen Sullivan 0 YES ❑ NO NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD COMMITTEE ADDRESS STREETADDRESS (NO P.O.BOX) ❑SUPPORT �._ ❑OPPOSE CITY STATE ZIP CODE AREA COD&PHONE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT Huntington Beach Ca. 92649 (714)840-1804 ❑OPPOSE COMMITTEENAME� I.D.NUMBER NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD Dave Sullivan for CityCouncil ❑SUPPORT 1248Q01 ❑ OPPOSE NAME OF TREASURER CONTROLLED COMMITTEE? NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD YES ❑ NO ❑ SUPPORT Kathleen Sullivan 0 ❑OPPOSE, COMMITTEE ADDRESS STREET ADDRESS (NOP.O.Box) CITY STATE ZIP CODE AREA CODEJPHONE Attach continuation sheets if necessary Huntington Beach Ca 92649 (714)840-1804 FPPC Form 460(Januaryi05) r FPPC Toll-Free Helpline:866IASK-FPPC(8661275-3772) State of Callfomla Campaign Disclosure Statement Type or print in Ink, SUMMARYPAGE Amounts may be rounded Staterr^^►^ narind a Summary Page to whole dollars. ® � from —4. /Z^ _ _ e. SEE INSTRUCTIONS ON REVERSE throug `-,U .�Z _ page--3— of NAME OF FILER I.D.NUMBER ColumnA Column Calendar Year Summary for Candidates Contributions Received T07ALTHISPF-RIOD CALENDAR YEAR Rennin in Both the State Primary and (FROMATTACHEDSCHEDULES) TOTALTODATE 9 •yV OGeneral Elections 1. Monetary Contributions ........................................... Schedule A,Line 3 $ $ 2. Loans Received ...................... , 111 through 6/30 7/1 to Dale ................................ Schedule B,Line 3 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Unes t+2 $ $ 20. Contributions Received $ $ 4. Nonmonetary Contributions.................................... schedule c,Line 3 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED •..........................AddLines3+4 $ $ Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made....................................................... Schedule E.Line 4 $ $ Candidates 7. Loans Made............................................................. schedule H,Line 3 ' 22. Cumulative Expenditures Made" 8. SUBTOTAL CASH PAYMENTS .................................... Aid Lines 6+7 $ $ IV Sublecito Voluntary Expenditure Limit) 9. Accrued Expenses (Unpaid Bills) ...............................Schedule F Line 3 Date of Election Total to Date 10. Nonmonetary Adjustment ..........................................Schedule C.Line 3 (mmlddlyy) 11.TOTAL EXPENDITURES MADE................................Add Lines 6+9+10 $ $ /�� $ Current Cash Statement Y V2. S� ----J-----1 $ 12.Beginning Cash Balance....................... Previous Summary Page,Line 16 $ _ To calculate Column B,add 13.Cash Receipts .......................................... Column A,Line 3above amounts in Column A to the C j corresponding amounts "Amounts in this section may be different from amounts 14.Miscellaneous Increases to Cash........................... Schedule 1.Line 4 _ from Column B of your last reported in Column S. 15.Cash Payments.................................................. Column A,Line sebove report. Some amounts in Column A may be negative 16.ENDING CASH BALANCE..........Add Lines 12+13+14,than subtrad tine 15 $ z_S 5- figures that should be subtracted from previous If this is a termination statement, Line 16 must be zero, period amounts. if this is the first report being flied 17.LOAN GUARANTEES RECEIVED........................... Schedule 8,Part 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 instructions on reverse $ f - - - --- 19 DUI. ..,... AUCILM074uneyincolumnsabove z . � ... . . . FPPC Toll-Free Helpline:866/ASK-FPPC(8661276-3712) SCHEDULED-PART'l Type or print in Ink. Schedule B—Part 1 Amounts may be rounded Statement covers aer(oct ®• d Loans Received to Whole dollars. 6=- j--/Z •• • from through : 3> "l Page of—y — SEE INSTRUCTIONS ON REVERSE I.D,NUMBER NAME OF FILER e 9) (d) t) IF AN INDIVIDUAL,ENTER OUTSTANDING AMOUNT OUTSTANDING INTEREST ORIGINAL CUMULATIVE FULL NAME,STREET ADDRESS AND Z(P CODE AMOUNT PAID LOSE O BALANCE AT OF LENDER OCCUPATION AND EMPLOYER BALANCE RECEIVED THIS OR FORGIVEN CLOSE OF THIS PAID THIS AMOUNT OF CONTRIBUTIONS If ENTER I.D.NUMBER) (IF SELF-EMPLOYED,ENTER BEGINNING THIS PERIOD • PERIOD LOAN TO DATE COMMYTT'EE.ALSO ( NAME OF BUSINESS) 7HiS PERIOD ❑PAID CALENDARYEAR s s � ATE PERELECTtON'* (_{FORGIVEN TE DUE DATE INCURRED t❑ IND ❑COM ❑OTH ❑ PTY ❑ SCC CALENDAR YEAR ❑PAID $ $ x s f ❑FORGIVEN RATE PER ELECTION"' s s s s $ DATE DUE DATE INCURRED t❑ IND ❑COM ❑OTH ❑ PTY ❑ SCC x ❑PAID CALFNDAR YEAR s s % S s ❑FORGIVEN RATE PER ELECTION" s $ s s $ DATEOUE DATE INCURRED ❑ IND [ICOM ❑OTH ❑ PTY ❑ SCC SUBTOTALS $ $ $ I , '�o.5 $ ; _ (Enter(e)on Schedule B Summary Sche"I,Line 3) 1. Loans received this period.......................................................................................................... .........$ *Amounts forgiven or paid by another party also must be (Total Column(b)plus unitemized loans less than$100.) reported on Schedule A. 2. Loans paid or forgiven this period ......• """""'...................................................... "It required. (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.)............................................................... NET $ - (Maybe rwgatW mbe a Enter the net here and on the Summary Page,Column A,Line 2. e� - - _ t Con tributorCOd s FPpr` From Agn r.4�neR1t\ •.,r1 ,.__x..1. _. ���• T',_�.�.....�.—....yam_/—.t—_.4__I1T�1�.f./.I�\ I.T.• I1.4—.. I'sT» r.....,__.�.�.. /./.l. /. _ Type or print in ink. COVER PAGE-PART 2 Recipient,Committee © . , Campaign Statement FORMj, a Cover Page—Part 2 Page--g;L of4- 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee N DER OR CANDIDATE NAME OF BALLOT MEASURE Dave Sullivan OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO,OR LETTER JURISDICTION ❑ SUPPORT ❑ OPPOSE 2nd Dst. OC Supervisor RESIDENTIALtBUSINESS ADDRESS (NO.AND STREET) CITY STATE ZIP Identify the controlling officeholder, candidate, or state measure proponen 4162 Windsor Dr. Huntington Beach Ca. 92649 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 HELD DISTRICT NO.IF ANY contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME 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 candidates)for which this committee is primarily formed. Kathleen Sullivan ® YES ❑ NO EE ADDRESS STREETADDRESS (NO P.O.BOX) NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT 4162 Windsor Dr. Q OPPOSE CITY STATE ZIP CODE AREA CODEIPHONE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD SUPPORT Huntington Beach Ca. 92649 (714)840-1804 ❑ OPO SE COMMITTEENAME� 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 STREETADDRESS (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(January105) FPPC Toll-Free Helpline:8661ASK-FPPC(866/275-3772) State of California Campaign Disclosure Statement Type or print In ink. SUMMARYPAGE Amounts may be rounded Staterr— ^^vnra narinti Summary Page to whole dollars, 7!1 fromSEE INSTRUCT IONS ON REVERSE through . � a/Z PagNAME OF FILER I.D ColumnA Column B Calendar Year Summary for Candidates Contributions Received TOTALTHIS PERIOD CALENDAR YEAR (FROMATTACHEDSCHEDULES) TOTALTO DATE Running in Both the State Primary and 1. Monetary Contributions ........................................... Schedule A,Line 3 $ $ Q General Elections 1/1 through 6/30 7/1 to Date 2. Loans Received ...................................................... Schedule e,Line 3 A 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1+2 $ $ 20. Contributions Received $ $ 4. Nonmonetary Contributions.................................... Schedule C,Line 3 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED •...........................Add Lines 3+4 $ $ Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made....................................................... schedule E.Line 4 $ $ Candidates 7. Loans Made............................................................. schedule H,Line 3 22. Cumulative Expenditures Made* 8. SUBTOTALCASH PAYMENTS .................................... Adel Lines 6+7 $ $ (it Subject to Voluntary Expenditure Limit) 9. Accrued Expenses (Unpaid Bills)...............................schedule F Line 3 Date of Election Total to Date 10. Nonmonetary Adjustment ..........................................schedule C,Line 3 (mmiddlyy) 11. TOTAL EXPENDITURES MADE................................Add Lines 6+9+to $ $ $ Current Cash Statement {j c! , - —�J� J $ 12. Beginning Cash Balance....................... Previous summary Page,Line 16 $ To calculate Column B,add 13.Cash Receipts ................................................... Column A,Line 3 above amounts in Column A to the C j corresponding amounts *Amounts in this section maybe different from amounts 14. Miscellaneous Increases to Cash........................... schedule 1,Line 4 from Column B of your last reported in Column B. 15, Cash Payments.................................................. Column A,tine 8ebove report. Some amounts in olumn A may be negative 16. ENDING CASH BALANCE.......... Add Lines 12+13+14,then subtract Line 15 $ figures that should be subtracted from previous If this is a termination statement, Line 16 must be zero, period amounts. If this is the first report being filed .�` 17. LOAN GUARANTEES RECEIVED ........................... Schedule B,Part 2 $ for this calendar year, onlycarry over the amounts Cash Equivalents and Outstanding Debts from Lines 2, 7,and s to Y)• 18. Cash Equivalents........................................ See instructions on reverse $ fFdtifg 1?8bt5-...........::-:........ ne 2+ ne n oumn s ove FPPC Toll-Free Helpline:8661ASK-FPPC(866/275-3772) ^ Type or print in ink. GCHE0ULE8'pART1 Schedule B Part 1 Amounts may be rounded Statement covers nPrind a Loans Received to whole dollars, from a SEE INSTRUcTIONS ON REVERSE through 3 Page_y_ of_y_ NAME OF FILER I.D. NUMBER'gill I- FULL NAME,STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OUTSTANDING AMOUNT AM OUTSTADING INTEREST ORIGINAL CUMULATIVE OF LENDER OCCUPATION AND EMPLOYER BALANCE OUNTPAID BALANCE AT (IF SELF-EMPLOYED,ENTER RECEIVED THIS OR FORGIVEN PAID THIS AMOUNTOF CONTRIBUTIONS (IF COMMITTEE.ALSO ENTER I.D.NUMBER) NAMEOFBUSINESS) BEGINNING THIS PERIOD THIS PER CLOSE OF THIS PERIOD LOAN TO DATE PERIOD ­.'IOD _PERIOD %J PAID CALENDAR YEAR [:]FORGIVEN RATE ERELECTION** tE] IND E] COM E] OTIA C] PTY E] SCC D ATEDUE DATE INCURRED 0 PAID CALENDAR YEAR E]FORGIVEN RATE PER ELECTION 0 PAID CALFNDAn YEAR FORGIVEN RATE PER ELECTION Schedule B Summary S&eduIeE,Line3) (Total Column (b)plus uniternized loans less than$100.) *Arnounts forgiven or paid by another party also must be reported on Schedule A. (Total Column(c)plus loans under$100 paid orforgiven.) If required, (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.\........... ................................................... NET $ (may be a negative number) Enter the net here and on the Summary Page,Column A, Line 2. ' ' t Contributor Codes