COVER PAGE F I L E · o Special Odd-Year Report Supplemental Preelection Statement· Attach Form...
Transcript of COVER PAGE F I L E · o Special Odd-Year Report Supplemental Preelection Statement· Attach Form...
I. Type of Recipient Committee: All Committees - Complete Parts 1, 2,3, end 4.
~ OffIceholder, Candidate Controlled Committee 0 Primarily Formed Ballot Measureo State Candidate Election Committee Committeeo Recall 0 Controlled(Also Complel8Palt6) 0 Sponsored
(Also Complete Pert 6)
COVER PAGE
d.. .ot~~
Page 1 of _6For Official Use Only
rALIFORNIA 460FORM
y
o Quarterly Statement
o Special Odd-Year Report
o Supplemental PreelectionStatement· Attach Form 495
Date Stamp
F I L EIN SAN BENITO COU
JAN 2 8 20 j 1
O~NZALE4,CC\)UN1YbLERK
2. Type of Statement:o Preelection Statement
~ SemI-annual Statement
Ii2I Termination Statement(Also file a Form 410 Termination)
o Amendment (Explain below)
"/2./10
Date of election If applicable:
(Month, Day, Year)
Type or print In Ink.
through t Z/'J 1/10.
Statement covers period
from I 0/ (7/t 0, I
o Primarily Formed Candidate/Officeholder Committee(Also Complete Palt 7)
o General Purpose Committeeo Sponsoredo Small Contributor Committeeo Political Party/Central Committee
;EE INSTRUCTIONS ON REVERSE
~ecipient Committee:::ampaign Statement:::over PageGovernment Code Sections 84200-84216.5)
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
Kent Child for Gavllan Board of trustees 2010
,. Committee Information1.0. NUMBER
1372.65/ Treasurer(s)
NAME OF TREASURER
Kathleen A. Sheridan (candidate's spouse)
MAILING ADDRESS
1198 Sally at.
STREET ADDRESS (NO P.O. BOX)
1198 Sally St.,CITY
HollisterSTATE ZIP CODE
CA 95023AREA CODE/PHONE
831-636-0458
CITY STATE
Hollister CANAME OF ASSISTANT TREASURER, IF ANY
ZIP CODE
95023AREA CODE/PHONE
831-636-0458
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX / E-MAIL ADDRESS OPTIONAL: FAX / E-MAIL ADDRESS
I. VerificationI 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 cartlfy
under pe.,J\y ofp'<juryunde'''e'''' of"e SIete ofC,lifern. "at"e foregoingI.true~Executed on I /"Y) /11 By-I I Date
Executed on 1/7/ /1/ By, Date
Executed on -----n.Date;;:;-------By _
Signature of ContronlngOfficeholder.Candldllte, State Measure Proponent
Executed on -----"'Dat;;i,e;;------- By -------:S::'Ignat=lI8~of~C::::on~troI=:::Qng:::;:Officeh:;:::::;:oIder::;::::;'i.Cand:::;::;;;IdaIa;.;'.~S;;ta;;;te:iiMej;asu;;;;;re;jPP;ropoo;;;;;nen;;njt------FPPC Form 480 (January/OS)FPPC Toll-Free Helpline: 866/ASK·FPPC (866/275-3772)
State of California
Recipient CommitteeCampaign StatementCover Page - Part 2
Type or print in ink. COVER PAGE - PART 2
6. Primarily Formed Ballot Measure Committee
NAME OF BALLOT MEASURE
I. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE
Kent L. Child
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
Gavilan Joint Community College District Trustee, area 3
BALLOT NO. OR LETTER JURISDICTION o SUPPORT
o OPPOSE
RESIDENTIAUBUSINESS ADDRESS (NO. AND STREET) CITY
1198 Sally st. Hollister
STATE ZIP
CA 95023 Identify the controlling officeholder, candidate, or state measure proponent, if any.
NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT
Related Committees Not Included in this Statement: Ust any committeesnot Included In this statement that are controlled by you or are primarily formed to receivecontributions or make expenditures on behalf of your candidacy.
OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY
COMMITTEE NAME I.D. NUMBER
CONTROLLED COMMITTEE?
DYES 0 NO
STREET ADDRESS (NO P.O. BOX)
CONTROLLED COMMITTEE?
DYES ONO
STREET ADDRESS (NO P.O. BOX)
LD. NUMBER
NAME OF TREASURER
COMMITTEE ADDRESS
CITY
COMMITTEE NAME
NAME OF TREASURER
COMMITTEE ADDRESS
CITY
STATE
STATE
ZIP CODE
ZIP CODE
AREA CODE/PHONE
AREA CODE/PHONE
7. Primarily Formed Candidate/Officeholder Committee Ust names ofofflceholder(s) or candldate(s) for which this committee Is primarily formed.
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELDo SUPPORTo OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELDo SUPPORTo OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELDo SUPPORTo OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELDo SUPPORTo OPPOSE
Attach continuation sheets If necessary
FPPC Form 460 (January/OS)
FPPC TolI·Free Helpline: 866/ASK-FPPC (866/275-3772)State of California
I.D.NUMBER
/332.65/Column A
Column BCalendar Year Summary for CandidatesTOTAL THIS PERIOD
CALENDAR YEARRunning In Both the State Primary and(FROMATTACHEOSCHEDULES)
TOTALTODot.TE
0
99.00General Elections
$
$<4950>
<4950.00> 1/1 through6/307/1 to Date
$
0$
5049.0020. Contributions
0
0Received
$ $- 21. Expenditures
$
<4950>$5049.00
Made$ $
Campaign Disclosure StatementSummary Page
~eE INSTRUCTIONS ON REVERSE
~AME OF FILER
k/2..~+- L. Ch.'lLd
Contributions Received
I. Monetary Contributions Schedule A. Une 3
~. Loans Received Schedule B. Line 3
~. SUBTOTAL CASH CONTRIBUTIONS ..................•...... Add Lines 1 + 2
t Nonmonetary Contributions ...................................• Schedule C. Une 3
5. TOTAL CONTRIBUTIONS RECEIVED Add Linea 3 + 4
Type or print In Ink.Amounts may be rounded
to whole dollars.Statement covers period
from I 0/1 '7 I (0.through 12;/ 31ft 0
SUMMARY PAGE
CALIFORNIA 460FORM
Page 3 of~
22. Cumulative Expenditures Made*(If Subject to Voluntary expenditure LImit)
Expenditure Limit Summary for StateCandidates
Date of Election(mmlddJyy)
expenditures Made3. Payments Made Schedule E. Une 4 $
7. Loans Made Schedule H, Line 3
3. SUBTOTAL CASH PAYMENTS Add Lines B + 7 $
~. Accrued Expenses (Unpaid Bills) Schedule F, Line 3
10. Nonmonetary Adjustment ScheduleC. Une3
11. TOTAL EXPENDITURES MADE AddUnes8+ 9+ 10 $
1108.93
o1108.93
o
o
1108.93
$
$
$
5891.00
o
5891.00
o
o
5891.00 I. '--Total to Date
$----Current Cash Statement
266.9312. Beginning Cash Balance Previous Summary Page. Line 16 $ ------- To calculate Column e, add
13.Cash Receipts ColumnA. Line 3 above 0 amounts 1~~lumn A: the842 00 correspon ng amoun14. Miscellaneous Increases to Cash Schedule I. Line 4 • from Column e of your last
-1108.93 report. Some amounts In15. Cash Payments Column A. Line 8 above ------- Column A may be negative16. ENDING CASHBALANCE Add Lines 12 + 13 + 14. then subtract Line 15 $ 0 figures that should be
subtracted from previousIf this Is a termination statement, Une 16 must be zero. period amounts. If this Is
-------------------------------- •••• the first report being filedo for this calendar year, only- carry over the amounts
from Lines 2, 7, and 9 (Ifany),
17. LOAN GUARANTEES RECEIVED ......•.................... Schedule B, Part 2 $
Cash Equivalents and Outstanding Debts18. Cash Equivalents See Instructions on reverse $
19. Outstanding Debts Add Line 2 + Line 91n Column B above $
o
o
I , $ _
*Amounts In this sectionmay be different from amountsreportedInColumn e.
FPPCForm 480 (January/OS)FPPC Toll-Free Helpline: 8861ASK-FPPC(888/276-3772)
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Schedule A
Monetary Contributions Received
k-ek+- L. C~tld
Type or print In Ink.Amounts may be rounded
to whole dollars. Statement covers period
from /0(17 (I tJ
through I ~ / '31/1 tJ.
SCHEDULE A
CALIFORNIA 460FORM
Page -±-- of ~
I.D. NUMBER
(~32 65"'{I
~INDDOOMOOTHOPTYosee
~INDoeoMOOTHOPTYosee
OINDoeoMOOTHOPTYosee
OINDoeOMOOTHOPTYosee
OINDoeOMOOTHOPTYosec
SUBTOTALS 3841.07 I I
Schedule A Summary ·ContrlbutorCodes
1. Amount received this period - itemized monetary contributions. IND-Indlvldual
(Include all Schedule A subtotals.) $ 3841.07 COM-~e:Ple~tCO~ltteeo er an orSCe)
~. Amount received this period - unitemized monetary contributions of less than $100 $ 0 ~~:P~~~~f~~rtvbu8Iness entity)~. Total monetary contributions received this period. SeC-SmaliContrtbutoreommlttee
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) TOTAL $ 3841.07 '-- -JFPPC Fonn 480 (January/OS)
FPPC Toll-Free Helpline: 8881ASK-FPPC(8661276-3772)
DATERECEIVED
12/31/10
12/31/10
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR ICONTRIBUTOR6FCOMMITI'EE,ALSO ENTERI.D. NUMSER) CODE *
Kent L. Child
Kathleen A. Sheridan
IF AN INDMDUAL, ENTEROCCUPATION AND EMPLOYER
(IF SELF·EMPLOYED, ENTER NAMEOF BUSINESS)
retired
self-employed artist
AMOUNTRECEIVED THIS
PERIOD
2308
1533.07
CUMULATIVE TO DATECALENDAR YEAR
(JAN. 1 • DEC. 31)
2308
1533.07
PER ELECTIONTO DATE
(IF REQUIRED)
2308
1533.07
SEE INSTRUCTIONS ON REVERSE
NAME OF FILERthrough
Statement covers periodSchedule B - Part 1Loans Received
I<-e\l\.+-- L. Cl'l.ld
Type or print in ink.Amounts may be rounded
to whole dollars.from (0(t7/(t)
{l/11/ID.
SCHEDULE B - PART 1
CALIFORNIA 460FORM
page~ of 6'1.0. NUMBER
/332 CS-II
(if (h) (cl I IdJ I (e)IF AN INDIVIDUAL, ENTER OUTSTANDING AMOUNT AMOUNT PAID
FULL NAME, STREETADDRESS AND ZIP CODE OCCUPATIONAND EMPLOYER BALANCE RECEIVED THIS OR FORGIVENOF LENDER (IFSElF-EMPLOYED,ENTER BEGINNING THIS PERIOD THIS PERIOD*
(IF COMMITTEE, ALSO ENTER I.D. NUMBER) NAME OF BUSINESS) pl=Rlnn .:....::.:..:....: +-~:.:::....:'-===--~PAID
tlii1lIND 0 COM 0 OTH 0 PTY 0 scc
Kathleen Sheridan I self-employed Artist1198 Sally St., Hollister, CA, 95023
DATE DUEI!!I PAID$
466.93
Ii!!FORGNEN2000 I
011533.07$
IDATE DUE
o PAID $o FORGNEN
I$
DATE DUE
Kent L. Child1198 Sally St., Hollister, CA, 95023
to IND 0 COM 0 OTH 0 PTY 0 SCC
to IND 0 COM 0 OTH 0 PTY 0 see
retired
2950 o
$ 842
~ FORGIVEN
2308 018/6/1 0DATE INCURRED
ICALENDAR YEAR
_0_%$
2000$
2000
RATE
PER ELECTION **
0
8/19/1 0DATE INCURRED ICALENDAR YEAR
-_%I
$ $RATE
PER ELECTION **
$
DATE INCURRED
SUBTOTALS $ 0$ 4950 $ 0 $ 01 -----l(Enter (e) on
Schedule B Summary ScheduIeE,Line3)
1, Loans received this period" $ 0(Total Column (b) plus unitemized loans of less than $100.)
$ 4950~. Loans paid or forgiven this period .(Total Column (c) plus loans under$100 paid or forgiven.)(Include loans paid by a third party that are also itemized on Schedule A)
~. Net change this period. (Subtract Line 2 from Line 1.) .Enter the net here and on the Summary Page, Column A, Line 2.
........ NET $<4950>
(May be a negative number)
tContributor Codes
IND -Individual
COM - Recipient Committee(other than PTY or SCC)
OTH - Other (e.g., business entity)PTY - Political PartySCC - Small Contributor Committee
*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 IMiscellaneous Increases to Cash
SEe INSTRUCTIONS ON REVERSE
NAME OF FILER
I<e",- {- 1-, C k ~'(d-
Type or print In Ink.Amounts may be rounded
to whole dollars.Statement covers period
from 101/'7/10.through [;tIY IIID
SCHEDULE I
CALIFORNIA 460FORM
Page b of~
I.D. NUMBER
/7326.>1DATE
RECEIVEDFULL NAME AND ADDRESS OF SOURCE
(IF COMMITTEE. ALSO ENTER 1.0. NUMBER)
Santa Clara County Controller-TreasurerDepartmentwest Hedding st. San Jose, CA, 95112
DESCRIPTION OF RECEIPT
70 I Refund on candidate ballot statement fee
AMOUNT OFINCREASE TO CASH
$842
Attach addltlona/lnformation on appropriately labeled continuation sheets. SUBTOTAL $ 842
Schedul e I Summary1. Itemized Increases to cash this period $ 842
2. Unitemized increases to cash of under $100 this period $ 0
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 842Summary Page, Line 14.) TOTAL $ _
FPPC Form 460 (January/OS)FPPC TolI·Free Helpline: 8661ASK-FPPC (866/275-3772)