Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
Sullivan, Dave - 2012 FPPC Campaign Disclosure Forms - Succe (37)
Campaign Disclosure Statement Type or print in ink. SUMMARYPAGE Amounts may be rounded Statement covers period a- Summary Page to whole dollars. from 16�— 21_ SEE INSTRUCTIONS ON REVERSE through 12--�� l Z Page of NAME OF FILER I.D.NUMBER Column A Column B Calendar Year Summary for Candidates Contributions Received TOTALTHISPERIOD CALENDAR YEAR Running In Both the State Prima and (FROM ATTACHED SCHEDULES) TOTALTODATE g Primary L r LE .�� General Elections 1. Monetary Contributions........................................... schedule A,Line 3 $ ! ! 0 $ / 2. Loans Received ...................................................... �d 1i1 through 6i30 7i1 to Date . ..................................... Schedule 8,Line 3 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1+2 $ - -- 'd d $ r 20. Contributions ReCelved $ $ 4. Nonmonetary Contributions.................................... Schedule C,Line 3 21. Expenditures ©Q J „„ Mad 5. TOTAL CONTRIBUTIONS RECEIVED ••••.••••••..•••••••••.••.•Add unes3+a $ $ e $ $ �111 Expenditures Made Lr Expenditure Limit Summary for State 6. Payments Made.,...................................................... schedule E,Line 4 $ $ -/ � � Candidates 7. Loans Made............................................................. Schedule H,Line 3 0 22. Cumulative Expenditures Made* 8. SUBTOTAL CASH PAYMENTS ...................I.......I........ Add Lines 6+7 $ $ 7�,[�a ' (If 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 (mm/dd/yy) 11. TOTAL EXPENDITURES MADE................................Add Lines 6+9+to $ $ v � T_/�f $ Current Cash Statement --�---/ $ 12,Beginning Cash Balance....................... Previous summary Page,Line 16 $ _f ���'�v 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........................... Schedule 1,Line 4 from Column B of your last reported in Column B. 15.Cash Payments.................................................. Column A,Line 8above report. Some amounts in Column A may be negative 16.ENDING CASH BALANCE..........Add Lines 12+13+14,then subtract Line 15 $ f 2 7 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 $ �i for this calendar year, only carry over the amounts from Lines 2, 7,and 9(if Cash Equivalents and Outstanding Debts any). 18. Cash EquivSlents........................................ See instructions on reverse $ ''99 19. Outstanding Debts......................... Add Line 2+Line 9 in Column B above $ oo v`©v FPPC Form 460(January/05) FPPC Toll-Free Helpiine:866/ASK-FPPC(866/275-3772) Type or print in ink. SUMMARY PAGE Campaign Disclosure Statement Amounts may be rounded Statement covers period CALIFORNIA Summary Page to whole dollars. 460, 11 from • RM h Page of SEE INSTRUCTIONS ON REVERSE through NAME OF FILER I.D.NUMBER . � Column A Column B Calendar Year Summary for Candidates Contributions Received TOTALTHiSPERIOD CALENDAR YEAR Running Both the State Prima and (FROM ATTACHED SCHEDULES) TOTALT00ATE Run 9 •m Primary General Elections 1. Monetary Contributions ........................................... Schedule A,Line 3 $ -' $ 1 ........................... 1/t through 6130 7/1 to Date ...................................................... Schedule B,Line 3 2. loans Received d 0 V ��.. 4 20. Contributions 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1+2 $ $ Received $ $ 4. Nonmonetary Contributions.................................... Schedule C,Line 3 � J�J. 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ...........................Add Lines +4 $ $ � Made $ $ 3 Expenditures Made Expenditure Limit Summary for State 6. Payments Made........................................ Schedule E,Line 4 $ 2 $ � `' >C;) Candidates 7. Loans Made ..... Schedule H,Line 3 �.................. ...................................... 22. Cumulative Expenditures Made* 8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6+7 $ T� $ C V, He- 'L/ (If Subject to Voluntary Expenditure Limit) 9. Accrued aid Expenses (Unpaid Bills p ( p �...............................Schedule F,tine 3 Date of Election Total to Date 10.Nonmonetary Adjustment (mmldd/yy) ..........................................Schedule C,Line 3 _ 11. TOTAL EXPENDITURES MADE................................Add Lines 8+9+10 $ , 2-7 ,�Q $ �-�� _/_/ $ Current Cash Statement —�—� $ 12.Beginning Cash Balance....................... Previous Summary Page,Line 16 $ --�--�--- To calculate Column B,add 13.Cash Receipts ................................................... Column A,Line 3 above J amounts in Column A to the �� 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 B. 15.Cash Payments.............. column A,Line 8above I , report. Some amounts in """"""""""""""""" Column A may be negative 16.ENDING CASH BALANCE.......... Add Lines 12+13+14,then subtract Line 15 $ C 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 arum Lines 2,7,and 9(if Y) 18. Cash Equivalents........................................ See instructions on reverse $ 19. Outstanding Debts......................... Add Line 2+Line 9 in Column B above $ --3 ✓ FPPC Form 460(January/05) FPPC Toll-Free Helpiine.866/ASK-FPPC(8661275.3772) Recipient Committee �v���A�� Campaign Statement Cover Page (Gr verrau;,,ode ,.`ia,s 840C- a :alw ti r+ 11 a siate merit covzrs period ��}�ie �f etecYi€sn if appliicaab 20G2- 0r 1 F`il 3 s �ir),"ith. CJkxV reaC; __ fTod'si SEE INSTRUCTIONS ON REVERSE through arawae'r e � r 1 a /Yofficeholdoi, of Recipient os`t rnittw A,11�;o imfttess�_Complete Parrs 2,3,and 4, � , T o f Statemef,tt� t Candidate Controlled Commiireea � Primarily Fowmed Ballot fU e sura= � I._ F'reeiection Staternent �! l> , t �u�t e.rl/a``taY.erie�r,t 0;state Candidate Election Committee r","ommittee [_'] Semi•ann+..,iai Statement -, special Odd-Year Report 0 ;Rnal( 0 controlled T iti ""' ermnaon Stater;ont Supplemental a (Also Complete F=eats) --i [��'; entai#�reeie,tior r e� Sponsored (Also file a Form 410 Teirnioation) Statement-Alto&Form 49 (Atsr,Gampleie F'sat til 9 Genera' Committee E._ ;(@ Aniendmekit(rw.xpiair bell w', 0 ane'nsored }� Primarily Formed k:andidatell S Officeholdei G•omrnittee Political Rarty/Cr ntrai Committee (Also Gvmprete Pitt ) '3. Committee information !,D. NUMBER Treasurer(s) COMMITTEE NAME (OR CA D!DATE'S NAME 1F NO COMMITTEE) NAME OF TREASURER MAIL-11( ADDRESS l 14/6-t Z srFie;,-i ADDRESS(Nei P.O.BOX} .� � �� . .� C!TV rE _ ZIP CODE: AREA C0DE/P Kj ITY STATE ZIP CODE � AREA CODE1PHONE NAME OF ASSISTANT TREASURER, ;f Al"' �_ �/��_/.mac; �",•U x.�Z�BOX i1Ai1.?RGADDRESS (!PY5 ERE , i OR N'(') : . ND S'fF2Ec c7O kTAi iNG ADURu`5 ARrAmGOG)EIPHONE ^ITY STgnE w .ZIP CODE._ a_ ..,AREA A .__ m,�,._. ,�.F ,7i'3TiC7NA.; FAX/E Dikh1:,AC)DRESS - OPTIONAL FAX „.-n!^..,..A0DRE.:i 4, Verification �.... ,. ....��_ . I have used all reasonable,diligence in preparing and reviewing this statement and to the best of my knowledge the inYcrrnath;n conlairaed h"orein.astij jn the,atta,c;hed schedule Is true and annplete, i certify .,miler penalty of peillwy under the laws of the State of(California that the foregoing is true and cc rrec(, Executed o w � , _. � ����- a rJatt; �+� —sgna,urr,c:`7i�+ t r ! si i2r4 i ,ale�,iatu,ro,wp.,,,c�,rsyJifivaho¢7arGandid4lF,.ac.i.�ieaSur�F�.ni;zrt¢�..a:Fi.�Lnu,�:..c0t:;.,,r ,censor Dsr� N.N»..--`....,.�»-v.,..».�E��U*e 3i Controllnq 1YiiAiip!dor,rt"�dlcfein.ut2P�+Vie�S:,�Ye PrnpN;erg? �. Executed t n. ., ._« w. Wy ..xm . .... _.. . _. Dates S`qn turn Grx� ISii.t,Cf'icahrvuu' :errJ aat State Na r. n>F ;n PPC r e+� '�'t Form,$66(JenGiraryl05) (866/2 5-37T2) „ni.aa nY t'.;aflh'nrr*da Type or print in ink. COVERPAGE-PART2 Recipient Committee . I • - ® 1 Campaign Statement FORM Cover Page—Part 2 Page of / 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO.OR LETTER JURISDICTION ❑ SUPPORT / l�I/�✓J ILL �� !u I/1 / / CC%U.U�L' OPPOSE RE ID.NTIAUBUSINESS ADDRESS (NO.AND STREET) CITY STATE ZIP `-� 2-. q,t(1 C '1r Identify the controlling officeholder, candidate, or state measure proponent, if any. 1 w(�S c� � 1� C `��� �{ 1 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 j 'U/�112au is 0& 7. Primarily Formed Candidate/Officeholder Committee List names of NAME OF TREASURER CONTRO1kED COMMITTEE? officeholder(s)or candidate(s)for which this committee is primarily formed. r I'i r �--� �Ll�(„� !V ,L,..1/YES ❑ NO COMMITTEE ADDRESS , �STREET /� ti 1ADDRESS (NO P.O.BOX) SUPPORT NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ �I t -I- W I�'i�S J2 "4- ❑ OPPOSE CITY �� STATE ZIP CODE ,� AREA CODE/PHONE Q NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD �1.V�7 I T—T-AJ �j��'�KH. (�` �U 1 7 7M O fV 1 BOY ❑ SUPPORT ❑ OPPOSE COMMITTEE NAME I.P. NUMBER NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF TREASURER CONTROLLED COMMITTEE? NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ YES ❑ NO ❑ SUPPORT ❑ OPPOSE COMMITTEE ADDRESS STREETADDRESS (NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(8661275-3772) State of California Campaign ®ISC10Sure Statement Amounts or print in ink. SUMMARY PAGE Amounts may be rounded Statement covers period e Summary pages to whole dollars. (� 2- from /�j ? through ,_ 30 — / � Page ,-•� of 1� SEE INSTRUCTIONS ON REVERSE NAME-OF FILER I.D. NUMBER LZ_1V,4A/ f T COC/41C � ICJ 1 1-- / 3�� 0 Column A Column B Calendar Year Summary for Candidates Contributions Received TOTAL THIS PERIOD CALENDARVEAR Running in Both the State Primary and (FROM ATTACHED SCHEDULES). TOTALTODATE g y ---_�� General Elections 1. Monetary Contributions ........................................... Schedule A,Line 3 $ ®� �DC��$ 6 c2� 1/1 through 6/30 7/1 to Date 2. Loans Received ...................................................... schedule B,Line 7 q — 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 $ ..- $ ';� 1 7 Made $ $ Expenditures Made , -,.� �Z �!j` l Expenditure Limit Summary for State 6. Payments Made....................................................... schedule E,Line 4 $ —T $ Candidates 7. Loans Made.,........................................................... Schoduto H,Lino 7 22. Cumulative Expenditures Made* 8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6+7 $ 1�/ h :7 Z $ 2-2- l ,7 (If Subject to Voluntary Expenditure Limit) 9. Accrued Expenses (Unpaid Bills) ...............................schedule FLtne 3 L.! Cam_ Date of Election Total to Date 10. Nonmonetary Adjustment .....ScheduleC,Llne 3 (mnVdd/yy) 11. TOTAL EXPENDITURES MADE................................Add Linos 8+9+ 10 $ � � /� $ 3a 4/ $ Current Cash Statement $ 12. Beginning Cash Balance....................... Previous Summary Page,Line 16 $ To calculate Column B,add 13. Cash Receipts .... Column A,Line 3above o2 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,Line 8 above report. Some amounts in Y ••••• •••••••••••• �•• • �•-•••••••••• •••• Column A may be negative -J $ 2 9 fi --l�ures that should be 16. ENDING CASH BALANCE.......... Add lines 12+13+ 14,then subtract Line 15 $ 2._ • ► fig Column from previous It this is a termination statement, Line 16 must be zero. period amounts. If this is --I__ ___l $ the first report being filed 17. LOAN GUARANTEES RECEIVED ........................... schedule B,Part $ r� 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...............I........................ Soo Instructions on reverse $ 19. Outstanding Debts......................... Add Line2+Line 91n Column B above $ FPPC 'Form 460 (June/01) FPPC Toll-Free Heipline: 866/ASK-FPPC Schedule A\ Type or print in Ink. SCHEDULE.A ®01eta Contributions ReceivedAmounts may be rounded Statement covers period to whole dollars. • FOFw1 from ) s� (72 SEE INSTRUCTIONS ON REVERSE through ! c) _ L Page_sue.._—Of.LL. NAME OF FILER I.D.NUMBER DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL,ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IFC R) CODE* OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO (IF SELF-EMPLOYED,ENTER NAME PERIOD (JAN.1-DEC.31) (IF REQUIRED) OF BUSINESS) COM / i2J V 6 2- !7ZH/W 6-700WS e-Ar— ❑OTH "�✓�.1c�7 t� , El PTY �'"¢LEY ❑SCC D 3 J -r�IiS i✓1�4� p Pnr ❑SCC l q l�F9-l� 5,�9`N�v wAC D L v�GoG� ❑ jr ❑scc ��J/ ❑coMk'S �yD �/i7 OTH p PTY 74 6 �.6 [a� ❑SCCRfND [3Com S'�Li,�✓�Y � MOTH [3 PTY �6 ❑SCC SUBTOTAL$ Schedule A► Summary 'Contributor Codes 1. Amount received this period-itemized monetary contributions. IND-Individual Recipient Committee (Include all Schedule A subtotals.)........................................................................................................$ COM-(other than PTY or SCC) 2. Amount received this period-unitemized monetary contributions of less than$100.............................$ OTH-Other PTY-Political Party business entity) ty 3. Total monetary contributions received this period. SCC-Small contributor committee (Add Lines h and 2.Enter here and on the Summary Page,Column A,Line 1.).......................TOTAL $ FPPC Form 460(January/OS) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Schedule A Type or print In ink. SCHEDULE A ®�� Contributions Received to may be rounded Statement covers period to whole dollars. from a® 5 SEE INSTRUCTIONS ON REVERSE through 2- L - Page__ice_Of NAME OF FILER t ii I.D.NUMBER G DATE FULL NAME,STREET ADDRESS AND 21P CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL,ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (JFCOMMnTEE,ALSO ENTER I.D.NUMBER) CODE* OCCUPATION AND IVED THIS CALENDAR YEAR {IFSELF-EMPLOYED,ENTERNAME PERIOD (3AN.i-DEC.31) (IF REOUiRED) OF BUSINESS) 27 pcoM � Hr 0SCC OCOM1712- Y MOTH / ell / MSCC S;/ ❑OTH U l%�!l ✓ iris � L r 414' ❑SS C NIND ❑COM E]PTTHH '' O c 5 d L ri�! f� ❑Scc pIND pcoM ❑OTH PTY []SCC SUBTOTAL$ CJ "-7 fl Schedule A Summary "Contributor Codes 1. Amount received this period-itemized monetary contributions. IND-Individual (include all Schedule A subtotals.) $ COM—Recipient Committee (other than PTY or WC) 2. Amount received this period-unitemized monetary contributions of less than$100.............."""".......$ OTH—Other(e.g.,business entity) PTY—Political Party 3. Total monetary contributions received this period. SCC—Small Contributor Committee (Add Lines I and 2.Enter here and on the Summary Page,Column A,Line 1.).......................TOTAL $ FPPC Form 460(January105) FPPC Toil-Free Heipline:866/ASK FPPC(866/275-3772) Type or print in ink. SCHEDULE B-PART 1 Schedule B"Part 1 Amounts may be rounded Statement covers period 1� !CALIFORNIA, l�®�B1S Received to whole dollars. �-�� from SEE INSTRUCTIONS ON REVERSE through Page-2— Of _( I NAME OF FILER I.D.NUMBER FULL NAME,STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL,ENTER OUTSTANDING AMOUNT AMOUNT PAID OUTSTANDING INTEREST ORIGINAL CUMULATIVE OCCUPATION AND EMPLOYER BALANCE BALANCEAT OF LENDER (IF SELF-EMPLOYED,ENTER BEGINNING THIS RECEIVED THIS OR FORGIVEN CLOSE OF THIS PAID THIS AMOUNTOF CONTRIBUTIONS (IF COMMITTEE,ALSO ENTER I.D.NUMBER) ❑PAID CALENDARYEAR '�i $ /,Cork $ /COCA $ ca a 1Ga 2— !r�{.�°�♦�✓l�-��'* �� .�-/ s�1 �/, !�. � ��©� ❑ RATE FORGIVEN 1� PER ELECTION"* $ $, $ $ $ tr✓1 IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED J� , J I--f �'� ❑PAID CALENDAR YEAR �r Y ` / $ $JyDd� % $ p00 $ IF,oe ❑FORGIVEN RATE PER ELECTION** `Y Gar _ t IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED & ❑pA)p CALENDAR YEAR 4"j,�t"'t'A+ (� ❑FORGIVEN RATE PERELECTION*" t4 IND ❑ COM ❑OTH ❑ PTY ❑ SCC I I DATE DUE DATE INCURRED SUBTOTALS $ %i�0,20 $ $ $ (Enter(e)on Schedule B Summary Schedule E,Line 3) 1. Loans received this period $ d (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) 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(866/275-3772) Schedule B—Part 1 Statement cove Type or print In ink. rs erlod SCHEDULE B-PART 1 Amounts may be rounded PCALIFORNIA Loans Received to whole dollars. from 9 /& L FORM • Q J! SEE INSTRUCTIONS ON REVERSE through _ _�� Page 0 of—f NAME OF FILER I.D.NUMBER FULL NAME,STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL,ENTER OUTSTANDING AMOUNT (c) OUTS ANDING INTEREST ORIGINAL CUMULATIVE OCCUPATION AND EMPLOYER AMOUNT PAID OF LENDER (IF SELF-EMPLOYED,£Nr£R BEGINNINGCTHIS RECEIVED THIS OR FORGIVEN CBALALOSE C THIS PAID THIS AMOUNTOF CONTRIBU OMMITTEE,ALSO ENTER I.D.NUMBER) NAM£OFSUSINESS) PERIOD THIS PERIOD P RIODPERIOD LOAN TO DATE ❑PAID CALENDAR YEAR Gviw�1�� /�� s $ /did°" % $ f $ �Z �o�dpd �� � ❑FORGIVEN RATE PER ELECTION" t IND ❑ COM ❑OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED ❑PAID CALENDARYEAR ❑FORGIVEN RATE PER ELECTION^" t❑ IND ElCOM ElOTH ❑ PTY ❑ SCC $ $ $ DATEDUE $ DATE INCURRED $ ❑PAID CALENDARYEAR ❑FORGIVEN RATE PER ELECTION*` s to IND El COM ❑OTH ❑ PTY ❑ a s $SCC DATE DUE DATE INCURRED $ SUBTOTALS $ $ $ $ Schedule B Summary (Enter ,Lin 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) PTY-Political Party 3. Net change this period. (Subtract Line 2 from Line 1.)............................................................... NET $ SCC—Small Contributor Committee (May Deanegative number) Enter the net here and on the Summary Page,Column A,Line 2. 'Amounts forgiven or paid by another party also must be reported on Schedule A. If required. FPPC Form 460(January/05) FPPC Toil-Free Helpiine:866/ASK-FPPC(8681276-3772) Schedule E Type or print in ink. SCHEDULEE Amounts may be rounded Statement covers period CALIFONIA . Payments Made to whole dollars. from FORM �46 , SEE INSTRUCTIONS ON REVERSE through y Page—q— of - 1-NAME OF FILER I.D. NUMBER CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. L o�campaign paraphemalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTO meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)" OFC office expenses SAL campaign workers'salaries C civic donations PET petition circulating TI:L t.v.or cable airtime and production costs FIL' candidate filing/ballot fees PHO phone banks TRC candidate travel,lodging,and meals fundraising events POL polling and survey research TRS staff/spouse travel, lodging,and meals W 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 campaign literature and mailings PRT print ads WEB information technology costs(internet,e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID LC, G- s So 6-Al w% 7 ' Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL$ / �-{00 Schedule E Summary a� �J7� d � 1. Itemized payments made this period.(Include all Schedule E subtotals.).............................................................................................................. $ 7 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 $ -� FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(8661275-3772) SCHEDULEE Schedule E Type or print in ink. Statement covers period CALIFORNIA Pa meets Made Amounts may be rounded J ' y to whole dollars. from ___CL FORM SEE INSTRUCTIONS ON REVERSE through cr Z Page—,F-o of NAME OF FILER I.D.NUMBERRt LL- CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphemalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTS 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 fiiing/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 technology costs(intemet, ail) NAME AND .D.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID �'`�.v T�.v o �'•ti G r-2t� �'��r.°/jL-ic arc. /c�,�1/GL�i7c�v 1300 S'T Al. -s"%� 0 �,/� S" Cy-�70 ZiP zq ' Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL$ CJ Schedule E Summary 1. Itemized payments made this period.(include all Schedule E subtotals.).............................................................................................................. $ 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(a).)............................................................................... $ 4. Total payments made this period.(Add Lines 1,2,and 3. Enter here and on the Summary Page,Column A,Line 6.) ............................. TOTAL $ FPPC Form 460(Januaryl05) FPPC TolWree Helpilne:866/ASK-F1212C(8661275-3772) Schedule E Type or print in ink. Statement covers period SCHEDULEE Payments Made Amounts may be rounded •' J , y from to whole dollars. YJQ — J L FORM JI SEE INSTRUCTIONS ON REVERSE through v Page__4 — of ` NAME OF FILER I.D.NUMBER SUL L( U �F �{ C f?'`f (f C X-) .uC f L ?A 12_ 1 3 .5- 6 ? CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia/misc. NiBR member communications RAD radio airtime and production costs CNS campaign consultants WrG 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 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 ( voter registration LIT ampaign literature and mailings PRT print ads WEB information technology costs(Internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMMEE,ALSO ENTER I.D.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID C' e4 57 C/•�-� lAey-�T� �rCr > 7�i� � -7--c/t * Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL$ Schedule E Summary 1. Itemized payments made this period.(Include all Schedule E subtotals.).............................................................................................................. $ 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(a).)............................................................................... $ 4. Total payments made this period.(Add Lines 1,2,and 3.Enter here and on the Summary Page,Column A,Line 6.) ............................. TOTAL $ FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) ® City of Huntington Beach 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 4 www.huntingtonbeachca.gov Office of the City Clerk `cP`17 t904 Joan L. Flynn, City Clerk September 6, 2012 Dave Sullivan 4162 Winsor Drive Huntington Beach CA 92649 Re: Disposition of Campaign Committee(s) Dave, On August 24 my office received a copy of the 410 Statement of Organization - Recipient Committee form you filed with the California Secretary of State's (SOS) Office. The purpose of this letter is to remind you of campaign finance restrictions identified in Section 2.07.080 of the Huntington Beach Municipal Code: 2.07.080 Prohibition on multiple campaign committees. A City candidate or an elective City officer shall have no more than one campaign committee which shall have only one bank account out of which all qualified campaign and office holder expenses related to that City office shall be made. This section does not prevent a City candidate or an elective City officer from establishing another campaign committee solely for the purpose of running for a state, federal, local, or other City office. This section also does not prevent an elective City officer from establishing another campaign committee solely for the purpose of opposing his or her own recall. (3220-1/94) In order for your newly-initiated committee to remain in good standing with the City, steps must be taken immediately by you to close the following active committees: ➢ Committee to Elect Dave Sullivan - ID#922383 ➢ Dave Sullivan For City Council - ID#1248001 I am available to discuss this matter at your earliest convenience. Sincerely, oan rlynn, MC City Cc: siAnjo, Japan 0 Waitakere, New Zealand Statement of Organization STATEMENT OF ORGANIZATION Recipient Committee Type or print in ink Date Stamp Statement Type E Initial El Amendment ❑ Termination�-See Part 6 For Official Use Only Not yet qualified [yJ Or List I.D.number: List I.D.number: 59 1 i a I� Date qualified as committee Date qualified as committee Date of Termination' (If applicable) 1. Committee Information 2. Treasurer and Other Principal Officers NAME OF COMMITTEE NAME OF TREASURER STREET ADDRESS(NO P.O.BOX) `f l 6 ZZ w/Al ser ,) /r,✓r� STREETADDRESS(NO P.O.BOX) CITY STATE ZIP CODE AREA CODEIPHONE Lf If 6 2- ti d C ! 11 C HGI�/i/.t/cd��/� /� i�G//I e,,f '0 7/`f' CITY �' STATE ZIP CODE AREA CODE/PHONE NAME OFASSISTANT TREASURER,IF ANY U /t- I (A) G 'b�J Z 4 Yoe wSTREET ADDRESS(NO P.O.BOX) MAILING ADDRESS(IF DIFFERENT) CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX/E-MAIL ADDRESS NAME OF PRINCIPAL OFFICER(S) COUNTY OF DOMICILE COUNTY WHERE COMMITTEE IS ACTIVE IF DIFFERENT THAN COUNTY OF DOMICILE STREETADDRESS(NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE Attach additional information on appropriately labeled continuation sheets. 3. Verification I have Used all reasonable diligence in preparing this statement and to the best of my knowledge the information contained herein 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 " C;L L// J— / By DATE SIG TURE OF WEASURER OR ASSISTANT TREASURER Executed one By D TE SIGN URE OF C TROLLING OFFICEHOLDER,CANDIDATE,OR STATE MEASURE PROPONENT - Executed on By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER,CANDIDATE,OR STATE MEASURE PROPONENT Executed on By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER,CANDIDATE,OR STATE MEASURE PROPONENT FPPC Form 410 (April/2011) FPPC Toll-Free Helpline: 866/ASK-FPPC (8661276-3772) • Statement of Organization STATEMENT OF ORGANIZATION Recipient Committee , 1,01 I INSTRUCTIONS ON REVERSE Page 2 COMMITTEE NAME I.D.NUMBER ttc Ay- 57UGZ—/ c✓ Gf �1�`7 Cdv .u�lL ;NCO / Z__ 4.Type of Committee Complete the applicable sections. o s •� a • List the name of each controlling officeholder, candidate, or state measure proponent. If candidate or officeholder controlled, also list the elective office sought or held, and district number, if any, and the year of the election. • List the political party with which each officeholder or candidate is affiliated or check"non-partisan." • If this committee acts jointly with another controlled committee, fist the name and identification number of the other controlled committee. ELECTIVE OFFICE SOUGHT OR HELD NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PARTY Non-Partisan ❑ Non-Partisan • List the financial institution where the campaign bank account is located(controlled"candidate election" committees only) NAME OF FINANCIAL INSTITUTION AREA CODE/PHONE BANK ACCOUNT NUMBER ADDRESS CITY STATE ZIP CODE e e Primarily formed to support or oppose specific candidates or measures in a single election. List below: CANDIDATE(S)NAME OR MEASURE(S)FULL TITLE(INCLUDE BALLOT NO.OR LETTER) CANDIDATE(S)OFFICE SOUGHT OR HELD OR MEASURE(S)JURISDICTION (INCLUDE DISTRICT NO.,CITY OR COUNTY,AS APPLICABLE) CHECK ONE SUPPORT OPPOSE SUPPORT OPPOSE FPPC Form 410 (April/2011) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) S STATEMENT OF ORGANIZATION Statement of Organization Recipient Committee ® ' lk41 1 ® . INSTRUCTIONS ON REVERSE Page 3 COMMITTEE NAME I.D.NUMBER 4.Type of Committee (Continued) ++ + Not formed to support or oppose specific candidates or measures in a single election. Check only one box: ❑ CITY Committee ❑ COUNTY Committee ❑ STATE Committee PROVIDE BRIEF DESCRIPTION OF ACTIVITY +o . . •+ List additional sponsors on an attachment. NAME OF SPONSOR INDUSTRY GROUP OR AFFILIATION OF SPONSOR STREET ADDRESS NO.AND STREET CITY STATE ZIP CODE ❑ Date qualified 5.Termination Requirements By signing the verification,the treasurer,assistant treasurer and/or candidate,officeholder,or proponent certify that all of the following conditions have been met: • This committee has ceased to receive contributions and make expenditures; • This committee does not anticipate receiving contributions or making expenditures in the future; • This committee has eliminated or has no intention or ability to discharge all debts, loans received, and other obligations; • This committee has no surplus funds; and • This committee has filed all campaign statements required by the Political Reform Act disclosing all reportable transactions. -- There are restrictions on the disposition of surplus campaign funds held by elected officers who are leaving office and by defeated candidates. Refer to Government Code Section 89519. -- Leftover funds of ballot measure committees may be used for political, legislative or governmental purposes under Government Code Sections 89511 - 89518, and are subject to Elections Code Section 18680 and FPPC Regulation 18521.5. FPPC Form 410 (April/2011) FPPC Toll-Free Helpline: 866IASK-FPPC (8661275-3772) CANDIDATE INTENTION STATEMENT Candidate Intention Statement Type or Print in Ink. Date Stamp . t` 1 r�. E"'. "7 For Official Use Only Check One: Initial ❑Amendment (Explain) i. f r 1. Candidate Information: NAME OF C irst,Middle Initial) DAYTIME TELEPHONE NUMBER FAX NUMBER (optional) E-MAIL(optional) S Cat-c--/���' �•' �� .,�- � t �I�� ��`�' �.���� � a STREET ADDRESS CITY STATE ZIP CODE OFFICE SOUGHT(POSITION TITLE) AGENCY NAME DISTRICT NUMBER, if applicable. ON- PARTISAN PARTY: OFFICE JURISDICTION ❑ State (Complete Part 2.)g3oe City ❑ County ❑ Multi-County: (Name of Multi-County Jurisdiction) (Year of Election) 2. State Candidate Expenditure Limit Statement: (CalPERS and CaISTRS candidates,judges,judicial candidates, and candidates for local offices do not complete Part 2.) (Year o/Election) Primary/general election (Year of Electron) Special/runoff election (Check one box) ❑I accept the voluntary expenditure ceiling for the election stated above. ❑I do not accept the voluntary expenditure ceiling for the election stated above. Amendment: O 1 did not exceed the expenditure ceiling in the primary or special election held on: and I accept the voluntary expenditure ceiling for the general or special run-off election. (Mark if applicable) ❑ On �l_J_�, I contributed personal funds in excess of the expenditure ceiling for the election stated above. 3. Verification: I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed on �✓ .� Signature (month,day year) (Candidate) FPPC Form 501 (Aprill2011) FPPC Toll-Free Helpline:866/ASK-FPPC(866/276-3772)