HomeMy WebLinkAboutSullivan, Dave - 2012 FPPC Campaign Disclosure Forms - Succe Campaign Disclosure Statement Type or print in ink. SUMMARYPAGE
Amounts may be rounded Statement covers period -
Summary Page to whole dollars. �
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SEE INSTRUCTIONS ON REVERSE 9
NAME OF FILER - , f ew
ColumnA Column Calendar Year Summary for Candidates
Contributions Received TOTALTHISPERIOD CALENDAR YEAR Running in Both the State Prima and
(FROMATTACHEDSCHEDULES) TOTALTODATE Primary
General Elections
1. Monetary Contributions ........................................... schedule A,Line 3 $ $
2. Loans Received ...................................................... schedule B,Line 3 n
1/1 through 6/30 7f1 to Date
3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1+2 $ $ 20. Contributions
Received $ $
4. Nonmonetary Contributions.................................... schedule C,tine 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 $ l / $ `� E: � Candidates
7. Loans Made............................................................. schedule H,Line 3
22. Cumulative Expenditures Made*
8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6+7 $ �'� $ iNSubjecttoVolurd"ExpenditureLlmit)
9. Accrued Expenses (Unpaid Bills)...............................schedule F Line 3 Date of Election Total to Date
10.Nonmonetary Adjustment ........schedule C,Line 3 (mm/dd/yy)
..................................
11.TOTAL EXPENDITURES MADE................................Add tines 8+9+10 $ $ _/—_1 $
Current Cash Statement -^� y —�---� $
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
corresponding amounts *Amounts in this section may be different from amounts
14.Miscellaneous Increases to Cash........................... scheduled,Line 4 from Column B of your last reported in Column B.
f report. Some amounts in
15.Cash Payments........................... Column A,Line 8 above ! �
Column 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,only
carry over the amounts
Cash Equivalents and Outstanding Debts anm Lines 2,7,ands(if
18. Cash Equivalents........................................ see instructions on reverse $
19. Outstanding Debts......................... Add Line 2+Line 9 in Column B above $ FPPG Form 460(January/05)
FPPC Toll-Free Helpfine:8661ASK-FPPG(866/276-3772)
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COlJ ER PAGE
Re�cipient Committee
Campaign Statement
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Termination Statement �i :-,upplemoniaiF''reelecIon
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O ;sponsored (Also fife a Farm 410 T6fnnina ion) Statement-Attach Form 495
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C(JMPflT7 NAME (OR CANDIDATE'S NAME IF 1110 CC)MMiTT'EE:') NAME OF TREASURER
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AAr\,3i.ING ADDRESS{;f' 'CdFFERENT) NO,AND$TREET 0 PO.BOX Mail.iND ADDRESS
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-ive used,. reasonao e diligence in preparing nd reviewing this stat,rnerit and to the best of!n,;Knov.iwi.ige[. ,',formaa_.,n cunha�ne� ��c,ern,., � ,or a y, e. sc .u e.,i� � n arrd. pet..
;Ir)der penalty of perjUlyr under the laws of the Stai„of California tnaz the forepoino is true and correct.
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Type or print in inK. _
hecipient Committee
Campaign Statement
Cover Page--Fart 2 Page of
5. 6. Ballot Measure Commi
NAME OF BALLOT MEASURE
NAME OF OFFICEHOLDER OR CANDIDATE
JURISDICTION [] SUPPORT
` BALLOT NO.OR LETTER
OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) n OPPOSE
t
ZIP
RESIDEN71At1BUSINESS ADDRESS (NO.AND STREET) CITY STATE identify fficeholder, candidate, or state measure proponent, if any.
lL r �; ;!� '� t3 i �° ' {w# l NAME OF OFFI
Not Included in this Statement: List any committees OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY
not Included in tills statement flint are controlled by you or are primarily formed to receive
contributions or make expenditures on behalf of your candidacy.
COMMITTEE NAME I.D. NUMBER
1 A,
/ 7. Primarily Formed Committee List names of officeholder(s)or candidates)for
NAME OF TREASURER CONTR LLED COMMITTEE? Which this committee Is primarily formed.
g ® NO NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT
COMMITTEEADDRESS STREET ADDRESS (NO P.O.BOX) [] OPPOSE
713
S(grE ZIP CODE AREA CODE/PHONE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD SUPPORT
CITY ❑ OPPOSE
j wiz
"k S d✓ AY _
r.. � ,.:--� '°b,s✓'' w'".,;,'� ,.ram, ::. r a
COMMITTEE NAME I D. NUMBER NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT
❑ OPPOSE
1
CONTROLLED COMMITTEE? NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ® SUPPORT
NAME OF TREASURER ®`YES [] NO ® OPPOSE
COMMITTEE ADDRESS STREET ADDRESS (NO P.O.BOX)
ZY/err
STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets If necessary
CITY
FPPC Form 460(June/01)
FPPC Toll-Free Helpline:666/ASK-FPPC
State of California
Type or print In Ink. SUMMARY PAGE
,Cariipaign Disclosure Statement Amounts may be rounded Statement covers period
Summary Page to whole dollars. /_ / Z_
from
through � —3 0 —/'--Page of
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER I.D. NUMBER
Column A� Column B Calendar Year Summary for Candidates
Contributions Received TOTAL THIS PEnICD CALENDARYEAn
(FROM ATTACHED SCHEDULES). TOTALTODATE Running in Both the State Primary and
General Elections
1. Monetary Contributions ........................................... Schedule A.Line 3 $ $
1/1 through 6/30 7/1 to Date
2. Loans Received ................................... Schedule B,Line 7
20. Contributions
3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines I+2 $ $ Received $ $
4. Nonmonetary Contributions.......................I.....:...... Schedule C,Lino 3 21. Expenditures
Made $ $
5. TOTAL CONTRIBUTIONS RECEIVED ....................... ....Add Lines 3+4 $ $
Expenditures Made Expenditure Limit Summary for State
6. Payments Made....................................................... Schedule E,Line 4 $ $ Candidates
7, Loans Made............................................................. Schodulo H,Line 7 22. Cumulative Expenditures Made'
8, SUBTOTAL CASH PAYMENTS .................................... Add Lines 6+7 $ $ (it Subject to Voluntary Expenditure Limit)
9. Accrued Expenses (Unpaid Bills)...............................Schedule Feline 3 Date of Election Total to Date
10.Nonmonelary Adjustment ...........................................Schedule C,Line 3 (mrrddd/yy)
11. TOTAL EXPENDITURES MADE................................Add Linos 8+9+ 10 $ $ $
Current Cash Statement $
12. Beginning Cash Balance....................... Pfevious Summaly Pago,Line 16 $ To calculate Column 13,add $
13.Cash Receipts ................................................... Column A,Lino 0 above amounts In Column A to the
corresponding amounts
14. Miscellaneous Increases to Cash........................... Schedule 1,Line 4 from Column B of your last $
15. Cash Payments.................................................. Column A,Linea above report. Some amounts in
Column A may be negative $
16. ENDING CASH BALANCE.......... Add Lines 12+ 13+14,then subtract Line 15 $ t; 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 8,Pail 2 $ for this calendar year, only carry over the amounts Since January 1,2001. Amounts in this section may be
from Lines 2, 7,and 9(if different from amounts reported In Column B.
Cash Equivalents and Outstanding Debts any).
18. Cash Equivalents........................................ Soo Instructions on reverse $
19. Outstanding Debts......................... Add Line 2+Line 9 In Column 8 above $ FPPC f:orm 460 (June/011)
FPPC Toll-Free Helpline. 866/ASK-FPPC
Type or print in ink. SCHEBULEB-PART1
Schedule B—Part 1 Amounts may be rounded Statement covers period
Loans Received to whole dollars. 0.
from
SEE INSTRUCTIONS ON REVERSE
through `' O f/ Z Page of
NAME OF FILER I.D. NUMBER
L%i g v iy vIL-6-
1 L
IF AN INDIVIDUAL, ENTER a (h) (c) (d) (e) (fl UL
FULL NAME,STREET ADDRESS AND ZIP CODE OUTSTANDING AMOUNT AMOUNT PAID OUTSTANDING INTEREST ORIGINAL CUMULATIVE
EAI'
RECEIVED THIS OR FORGIVEN CLOSE O
OF LENDER OCCUPATION AND EMPLOYER BALANCE LOSE OF THIS PAID THIS AMOUNT OF CONTRIBUTIONS
(IF SELF-EMPLOYED,ENTER BEGINNING THIS
(IF COMMITTEE.ALSO ENTER I D.NUMBER) NAMEOFBUSINESS) PE OD PERIOD THIS PERIOD* PERIOD PERIOD LOAN TO DATE
T
1Z L ❑PAID CALENDARYEAR
b�1`1 v S�I� lv ray" $ $ `lZ Q % $�,SrZM $
I ! (�I N 17S'd � � � ❑FORGIVEN / RATE PER ELECTION**
9u 0 Itic;lN �:rte '►1 Cq ql_ $ �l� $ s �`'¢ $ $
t❑ IND ❑ COM ❑ OTH ❑�PTY ❑ SCC DATE DUE DATE INCURRED
❑PAID CALENDARYEAR
❑FORGIVEN RATE PER ELECTION**
$ $ $ $ $
t❑ IND ❑ COM El OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED
❑PAID CALENDARYEAR
❑FORGIVEN RATE PER ELECTION**
s s s a s
t❑ IND ❑ COM ❑ OTH ❑ PTY [:1 SCC
DATE DUE DATE INCURRED
SUBTOTALS $ $ $ Ili f�`I YZ $
(Enter(e)on
Schedule B Summary Schedule E,Llne3)
0
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—RecipientCommittee
(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)
PTY—Political Party
3. Net change this period. (Subtract Line 2 from Line 1.)............................................................... NET $ SCC—Small Contributor Committee
Enter the net here and on the Summary Page, Column A, Line 2. (May be a negative number)
*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(866/276-3772)