IN SAN BENITO COU Page of Ilf/to 0 (/'1 oJ! 9/'30/' · o Special Odd-Year Report Supplemental...

8
COVER fl/\GE JAN 28 2011 J~GNZAL6,Z, q>uN1Ycl~K.. G A V K~ Type or print In Ink. of ..s.. oJ! I 0 (/'1 rALIFORNIA 460 FORM Page ---.:! For Otllclal Use Only Date Stamp fF~lE IN SAN BENITO COU 11/2./10 Date of election If applicable: (Month, Day, Year) A-rY\erdcn e.(\ + Statement covers period from Ilf/to . through 9/'30/' 0 tecipient Committee :ampaign Statement ~over Page 30vernment Code Sections 84200-84216.5) ,EE INSTRUCTIONS ON REVERSE I. Type of Recipient Committee: All Committees - Complete Partl1, 2, 3, and 4. ~ OffIceholder, Candidate Controlled Committee 0 Primarily Formed Ballot Measure o State Candidate Election Committee Committee o Recall 0 Controlled (AlIIO Compl.te Pslt5) 0 Sponsored (AI¥> Complete Pslt6) o Quarterly Statement o Special Odd-Year Report o Supplemental Preelection Statement - Attach Form 495 o General Purpose Committee o Sponsored o Small Contributor Committee o Political Party/Central Committee o Primarily Formed Candidate! Officeholder Committee (AlIIO Complete Pelt 7) 2. Type of Statement: ill Preelection Statement o SemI-annual Statement o Termination Statement (Also file a Form 410 Termination) i2J Amendment (Explain below) corrections to previous filing, to Include personal loan to cover ....... - candidate's ballot statement fees COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Kent Child for Gavllan Board of trustees 2010 3. Committee Information I.D. NUMBER '~32.6S Treasurer(s) NAME OF TREASURER Kathleen A. Sheridan (candidate's spouse) MAILING ADDRESS 1198 Sally St. STREET ADDRESS (NO P.O. BOX) 1198 Sally St., CITY Hollister STATE ZIP CODE CA 95023 AREA CODE/PHONE 831-636-0458 CITY Hollister NAME OF ASSISTANT TREASURER, IF ANY STATE ZIP CODE CA 95023 AREA 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 I E-MAIL ADDRESS OPTIONAL: FAX I E-MAIL ADDRESS Executed on 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 panalty of perjury under the laws of the Stete of California that the foregoing Is true and correct. EJCecuted on /. c;1., ~ . (I By ~ ~~_. 0 _ o.e /"ld ~.~atT rerae: IIIntTrea.urer (/'11/1/ By ~ ( ( Cate ----,s"..Igna •••••• I1h,...,.ri~Control..,...",..lIng .•• OIIi~icehoIder.,...,.,....." c"'"m1d8Ie •••••••..-..,S.••••.•••.• Mes-I\n- •••. P~-DpOI-I8nI-or...,R •.••-apcn-.IbIe ••••.••• OII1cer •••••• -at•.•S-ponaor--- Executed on -----rc);stei&------ By SIgnatU18 at Con1roII1rQ OffIceholder, Candidate, State Measure proponent Executed on -----rci,;ati9'e------- By -------::S~Ignat--.-UI8=at~ControIIi1g=~·::;:::Offl;r.:icIi1:::::;IOIdsr::=-,;::Csnd:::ii:Idate<.:i:",C;;Stat;;:;e;jMeasure~;;;;;jPi>;;ropo;;;;;;;nen;;;;rt ------ FPPC Fonn 460 (January/OS) FPPC TolI.free Helpline: 886/ASK-FPPC (866/275-3772) State of CalifornIa

Transcript of IN SAN BENITO COU Page of Ilf/to 0 (/'1 oJ! 9/'30/' · o Special Odd-Year Report Supplemental...

Page 1: IN SAN BENITO COU Page of Ilf/to 0 (/'1 oJ! 9/'30/' · o Special Odd-Year Report Supplemental Preelection Statement - Attach Form 495 o General Purpose Committeeo o Sponsored o Small

COVER fl/\GE

JAN 28 2011

J~GNZAL6,Z, q>uN1Ycl~K.. G A V K~

Type or print In Ink.

of ..s..

oJ!I0 (/'1

rALIFORNIA 460FORM

Page ---.:!

For Otllclal Use Only

Date Stamp

fF~lEIN SAN BENITO COU

11/2./10

Date of election If applicable:(Month, Day, Year)

A-rY\erdcn e.(\+Statement covers period

from Ilf/to.

through 9/'30/' 0

tecipient Committee:ampaign Statement~over Page30vernment Code Sections 84200-84216.5)

,EE INSTRUCTIONS ON REVERSE

I. Type of Recipient Committee: All Committees - Complete Partl1, 2, 3, and 4.

~ OffIceholder, Candidate Controlled Committee 0 Primarily Formed Ballot Measureo State Candidate Election Committee Committeeo Recall 0 Controlled(AlIIO Compl.te Pslt5) 0 Sponsored

(AI¥> Complete Pslt6)

o Quarterly Statement

o Special Odd-Year Report

o Supplemental PreelectionStatement - Attach Form 495

o General Purpose Committeeo Sponsoredo Small Contributor Committee

o Political Party/Central Committee

o Primarily Formed Candidate!Officeholder Committee(AlIIO Complete Pelt 7)

2. Type of Statement:ill Preelection Statement

o SemI-annual Statemento Termination Statement(Also file a Form 410 Termination)

i2J Amendment (Explain below)

corrections to previous filing, to Include personal loan to cover....... -

candidate's ballot statement fees

COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)

Kent Child for Gavllan Board of trustees 2010

3. Committee InformationI.D. NUMBER

'~32.6S Treasurer(s)

NAME OF TREASURER

Kathleen A. Sheridan (candidate's spouse)MAILING ADDRESS

1198 Sally St.STREET ADDRESS (NO P.O. BOX)

1198 Sally St.,CITY

HollisterSTATE ZIP CODE

CA 95023AREA CODE/PHONE

831-636-0458

CITY

HollisterNAME OF ASSISTANT TREASURER, IF ANY

STATE ZIP CODE

CA 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 I E-MAIL ADDRESS OPTIONAL: FAX I E-MAIL ADDRESS

Executed on

4. 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 certifyunder panalty of perjury under the laws of the Stete of California that the foregoing Is true and correct.

EJCecuted on /. c;1., ~ . (I By ~ ~~_. 0 _o.e /"ld ~.~atT rerae: IIIntTrea.urer

(/'11/1/ By ~ •( ( Cate ----,s"..Igna ••••••I1h,...,.ri~Control..,...",..lIng.••OIIi~icehoIder.,...,.,....."c"'"m1d8Ie•••••••..-.., S.••••.•••.•Mes-I\n- •••.P~-DpOI-I8nI-or...,R•.••-apcn-.IbIe••••.•••OII1cer•••••• -at•.•S-ponaor---

Executed on -----rc);stei&------ By SIgnatU18 at Con1roII1rQ OffIceholder, Candidate, State Measure proponent

Executed on -----rci,;ati9'e------- By -------::S~Ignat--.-UI8=at~ControIIi1g=~·::;:::Offl;r.:icIi1:::::;IOIdsr::=-,;::Csnd:::ii:Idate<.:i:",C;;Stat;;:;e;jMeasure~;;;;;jPi>;;ropo;;;;;;;nen;;;;rt------ FPPC Fonn 460 (January/OS)FPPC TolI.free Helpline: 886/ASK-FPPC (866/275-3772)

State of CalifornIa

Page 2: IN SAN BENITO COU Page of Ilf/to 0 (/'1 oJ! 9/'30/' · o Special Odd-Year Report Supplemental Preelection Statement - Attach Form 495 o General Purpose Committeeo o Sponsored o Small

Recipient CommitteeCampaign StatementCover Page - Part 2

I. Officeholder or Candidate Controlled Committee

NAME OF OFFICEHOLDER OR CANDIDATE

Kent L. Child

Type or print in ink.

6. Primarily Formed Ballot Measure Committee

NAME OF BALLOT MEASURE

COVER PAGE - PART 2

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 STREE1) 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 ONO

STREET ADDRESS (NO P.O. BOX)

CONTROLLED COMMITTEE?

DYES 0 NO

STREET ADDRESS (NO P.O. BOX)

I.D. 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 Ustnames ofofficeholder(s) or candldate(s) for which this committee Is primarily formed.

NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELDo SUPPORTo OPPOSENAME OF OFFICEHOLDER OR CANDIDATE

OFFICE SOUGHT OR HELDo SUPPORTo OPPOSE

NAME OF OFFICEHOLDER OR CANDIDATE

OFFICE SOUGHT OR HELDo SUPPORTo OPPOSENAME OF OFFICEHOLDER OR CANDIDATE

OFFICE SOUGHT OR HELDo SUPPORTo OPPOSE

Attach continuation sheets if necessary

FPPC Form 460 (January/OS)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)

State of California

Page 3: IN SAN BENITO COU Page of Ilf/to 0 (/'1 oJ! 9/'30/' · o Special Odd-Year Report Supplemental Preelection Statement - Attach Form 495 o General Purpose Committeeo o Sponsored o Small

SEE INSTRUCTIONS ON REVERSE

NAME OF FILER

SUMMARYPAGE

CALIFORNIA 460FORM

I.D. NUMBER

/332 b5"1

~ofPage 3

Statement covers period

from I/l/to.

through c:r /50/ I DI f

Type or print in ink.Amounts may be rounded

to whole dollars.

ke~t L. C{,..'l(c!

Campaign Disclosure StatementSummary Page

1. Monetary Contributions .

2. Loans Received .

3. SUBTOTAL CASH CONTRIBUTIONS .

4. Nonmonetary Contributions .

5. TOTAL CONTRIBUTIONS RECEIVED .

Calendar Year Summary for CandidatesRunning in Both the State Primary andGeneral Elections

Contributions ReceivedColumn A

TOTAL THIS PERIOD(FROMATTACHEO SCHEDULES)

Schedule A, Line 3

$ 99$

Schedule B, Line 3

4950

Add Lines 1 + 2

$ 5049$

Schedule C, Line 3

0

Add Lines 3 + 4

$ 5049$

Column BCALENDAR YEAR

TOTALTO DATE

99

4950

5049

o

5049

1/1 through 6/30

20. ContributionsReceived $ _

21. ExpendituresMade $ _

7/1 to Date

$----

$----

To calculate Column B, addamounts in Column A to thecorresponding amountsfrom Column B of your lastreport. Some amounts inColumn A may be negativefigures that should besubtracted from previousperiod amounts. If this isthe first report being filedfor this calendar year, onlycarry over the amountsfrom Lines 2, 7, and 9 (ifany).

22. Cumulative Expenditures Made*(If Subject to Voluntary Expenditure Limit)

"Amounts in this section may be different from amountsreported in Column B.

FPPC Form 460 (January/OS)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)

Total to Date

$----$----

I I

Date of Election(mm/dd/yy)

Expenditure Limit Summary for StateCandidates470.83--

o

4707.83

o

o

4707.83

$

$

$

Expenditures Made6.

Payments Made ....................................................... Schedule E, Line 4$4707.83

7.

Loans Made ............................................................. Schedule H, Line 30

B.

SUBTOTAL CASH PAYMENTS .................................... Add Lines 6 + 7$4707.83

9. Accrued Expenses (Unpaid Bills) ............................... Schedule F, Line 3

0

10. Nonmonetary Adjustment .......................................... Schedule C,Line 3

0

11. TOTAL EXPENDITURES MADE ................................ Add Lines 8 + 9 + 10

$4707.83

Current Cash Statement12. Beginning Cash Balance ....................... Previous Summary Page, Line 16

$0

13. Cash Receipts ................................................... Column A, Line 3 above

5049.00

14. Miscellaneous Increases to Cash ...........................

Schedule I, Line 40

15. Cash Payments .................................................. ColumnA, Line 8 above

4707.83

16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15

$341.17

If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ...........................

Schedule B, Part 2$ 0

Cash Equivalents and Outstanding Debts18. Cash Equivalents ........................................

See instructions on reverse$0

19. Outstanding Debts ......................... AddLine2+Line9inColumnBabove

$4950

Page 4: IN SAN BENITO COU Page of Ilf/to 0 (/'1 oJ! 9/'30/' · o Special Odd-Year Report Supplemental Preelection Statement - Attach Form 495 o General Purpose Committeeo o Sponsored o Small

)chedule AlIIonetary Contribution$ Received

lEE INSTRUCTIONS ON REVERSE

lAME OF FILER

Ke.~+- L. c"';ld

Type or print In Ink.Amounts may be rounded

to whole dollars. Statement covers period

from III/ I 0

through q/'o.flO

SCHEDULE A

CALIFORNIA 460FORM

Page 4 of -12I.D. NUMBER

133265'1,

DATERECEIVED

FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR(IFCOMMITTEE,ALSOENTERI.D,NUMBER) CODE *

IF AN INDIVIDUAL, ENTEROCCUPATION AND EMPLOYER

(IF SELF·EMPLOYED, ENTER NAMEOF BUSINESS)

AMOUNTRECEIVED THIS

PERIOD

CUMULATIVE TO DATECALENDAR YEAR

(JA,N. 1 • DEC. 31)

PER ELECTIONTO DATE

(IF REQUIRED)

OINDOCOMOaTHOPTYOSCC

OINDoCOMOaTHOPTYOSCC

OINDoCOMOaTHOPTYOSCC

OINDoCOMOaTHOPTYOSCC

OINDOCOMOaTHOPTYOSCC

SUBTOTAL $ I I

Schedule A Summary ·Contrlbutor Codes

1. Amount received this period -Itemized monetary contributions. IND -Individual

(Include all Schedule A subtotals.) $ 0 COM-Recipient Committee(other than PTY or SCC)

2. Amount received this period - unitemlzed monetary contributions of less than $100 $ 99.00 ~~.:- P~~~f~~;tybuSlness entity)

3. Total monetary contributions received this period. SCC-SmaliContrlbutorCommlttee

.' (Add Lines 1 a~d2.l;nter here and on the Summary Page, Column A, Line 1.) " TOTAL $ 99.00 '-- --.JFPPC Form 460 (January/OS)

FPPC TolI·Free Helpline: 8861ASK·FPPC(666/276-3772)

Page 5: IN SAN BENITO COU Page of Ilf/to 0 (/'1 oJ! 9/'30/' · o Special Odd-Year Report Supplemental Preelection Statement - Attach Form 495 o General Purpose Committeeo o Sponsored o Small

Schedule B - Part 1Loans Received

SEE INSTRUCTIONS ON REVERSE

NAME OF FILER

ke..V\.t- L.Ckad

Type or print In Ink.Amounts may be rounded

to whole dollars.

Statement covers period

from 1/1/ L 0

through c.r /30/10

SCHEDULE B· PART 1

CALIFORNIA 460FORM

Page S- of ~

I.D. NUMBER

1'1'3265""(

IF AN INDIVIDUAL, ENTER.ar--

(bl(el

FULL NAME. STREET ADDRESS AND ZIP CODE

OUTSTANDINGAMOUNTAMOUNT PAID

OF LENDER

OCCUPATION AND EMPLOYERBALANCERECEIVED THIS

(IF COt\1MITTEe, ALSO ENTER I.e. NUMBER)

(IF SELF·EMPLOYED. ENTER

BEG~~J~~n THISPERIOD

OR FORGIVEN

NAME OF BUSINESS)

THIS PERIOD •

Kent L. Child

retired o PAIDCALENDAR YEAR

1198 Sally St.

•0

•2950

_0_%•2950

•2950

Hollister, CA, 95023o FORGIVEN

RATE

PER ELECTION"

0

2950 0none 8/6/102950•

•• •·tlii!J IND

o COM 0 OTHOPTYo SCCDATE DUEDATE INCURRED

Kathleen A. Sheridan

self-employed Artisto PAIDCALENDAR YEAR

1198 Sally St.

•0

•2000

_0_%•2000

•2000

Hollister, CA 95023o FORGIVEN

RATE

PER ELECTION"

02000 0none 8/19/1 02000•

·o scc I

-t~ IND

o COM 0 OTHo PTY III DATE DUE DATE INCURRED

OPAIC

CALENDAR YEAR

S

$ -_%• •

o FORGIVEN

RATE

PER ELECTION"

to IND

o see I I•

o COM 0 OTH

o PTY IIIDATE DUE I DATE INCURRED

SUBTOTALS $

4950$0$4950 $01

Schedule B Summary. 4950

1. Loans received thiS period $ ------(Total Column (b) plus unltemlzed loans of less than $100.)

2. Loans paid or forgiven this period $ 0(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 $ 4950Enter the net here and on the Summary Page, Column A, line 2. (M.ybe.negaUvenumber)

(Enter(.) onSchedule E, Line 3)

tContrlbutor Codes

IND-Indlvldual

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 Fonn 460 (January/OS)

FPPC Toll-Free Helpline: 8661ASK-FPPC (866/276-3772)

Page 6: IN SAN BENITO COU Page of Ilf/to 0 (/'1 oJ! 9/'30/' · o Special Odd-Year Report Supplemental Preelection Statement - Attach Form 495 o General Purpose Committeeo o Sponsored o Small

Schedule E

Payments Made

;EE INSTRUCTIONS ON REVERSE

~ME OF FILER

l<~"'-+- L~ ckdd.

Type or print In Ink.Amounts may be rounded

to whole dollars.

Statement covers period

from (II ( (D

through c:r I'J 0110

SCHEDULEE

CALIFORNIA 460FORM

Page~ of~

I.D. NUMBER

13'72651

CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.

:rvP campaign paraphernalia/misc. M8R membercommunications RAD radio airtime and production costs::NS campaign consultants MTG meetings and appearances RFD returned contributions~TB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries~VC civic donations PET petition circulating 1EL t.v. or cable airtime and production costs=IL candidate flling/ballot fees PHO phone banks me candidatetravel, lodging, and mealsFND fundralslng events POL polling and survey research lRS staff/spouse travel, lodging, and mealsND Independent expenditure supporting/opposing others (explaln)* POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsorLEG legal defense PRO professional services (legal, accounting) VOT voter registrationUT campaign literatureand mailings FRr print ads v..e3 Information technology costs (Internet, e-mail)

NAME AND ADDRESS OF PAYEE

I

(IF COMMITIEE, ALSO ENTER 1.0,NUMBER)

CODEOR DESCRIPTION OF PAYMENT AMOUNT PAID

Matt Laine

Campaign website design

1100 Second St.

WEB$200

San Jose, CA 95112

Kathleen Sheridan

Relmbursment for VISA credit card charges for

1198 Sally St.

CMPcampaign lawn signs iSign Outfltters,4176 6th St.,

$543.43Hollister, CA 95023

Wyandote MI, 48192 campaign photo, NWPhotography,55w1 st., Morgan Hill, CA, 95037)

Malnstreet Media Group

Newspaper add package

6400 Montary Rd.

PRT$946

Gilroy, CAt 95020

* Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 1689.43

Schedule E Summary

1. Itemized payments made this period. (Include all Schedule E subtotals.) $ 4639.83

2. Unitemized payments made this period of under $100 $ 68.00

3. Total interest paid this period on loans. (Enter amountfrom Schedule B, Part 1, Column (e).) $ 0

4. Total payments made this period. (Add Lines 1,2, and 3. Enter here and on the Summary Page, ColumnA, Line 6.) .., TOTAL $ 4707.83

FPPC Form 460 (January/05)FPPCToll-Free Helpline: 866/ASK-FPPC(866/275-3772)

Page 7: IN SAN BENITO COU Page of Ilf/to 0 (/'1 oJ! 9/'30/' · o Special Odd-Year Report Supplemental Preelection Statement - Attach Form 495 o General Purpose Committeeo o Sponsored o Small

Schedule E(Continuation Sheet)Payments Made

SEE INSTRUCTIONS ON REVERSE

NAME OF FILER

k'-e VI.+ 1-. ,e" "tc/

Type or print In Ink.Amounts may be rounded

to whole dollars.

Statement covers period

from 111(lO

through Cf ('70/t 0

SCHEDULE E (CONT.)

CALIFORNIA 460FORM

page~ Of~

I.D. NUMBER

t 77'2. 6S-t

CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.CtI.P campaign paraphernalia/misc. M8R membercommunications RAD radio airtime and production costsCNS campaign consultants MTG meetings and appearances RfD returned contributionsCTB contribution (explain nonmonetary)· OFC office expenses SAL campaign workers' salarieseve civic donations PEr petition circulating TEL t.V. or cable airtime and production costsFlL candidate filing/ballot fees PHO phone banks 1RC candidate travel, lodging, and mealsFND fundraislng events POl. polling and survey research 1RS staff/spouse travel, lodging, and mealsIN[) Independent expenditure supporting/opposing others (explain)· POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsorLEG legal defense PRO professional services (legal, accounting) VOT voter registrationLIT campaign literatureand mailings PRT print ads WCB Information technology costs (internet, e-mail)

NAME AND ADDRESS OF PAYEE CODEOR DESCRIPTION OF PAYMENT AMOUNT PAID(IF COMMITTEE. ALSO ENTER 1.0. NUMBER)

San Benito County, Elections Dept.

Candidate ballot statement fee

440 Fifth St.

FIL$450

Hollister, CA, 95023

Santa Clara County, Elections Dept.

Candidate ballot statement fee

Note; checks for both county's fees were delivered to San Benito county,

FIL$2500

address above.

" Payments that are contributions or Independent expenditures must also be summarized on Schedule D.SUBTOTAL $ 2950

FPPCForm 460 (January/OS)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/276-3772)

Page 8: IN SAN BENITO COU Page of Ilf/to 0 (/'1 oJ! 9/'30/' · o Special Odd-Year Report Supplemental Preelection Statement - Attach Form 495 o General Purpose Committeeo o Sponsored o Small

Schedu Ie FAccrued Expenses (Unpaid Bills)

Type or print In Ink.Amounts may be rounded

to whole dollars.Statement covers period

from I(L(to

SCHEDULE F

CALIFORNIA 460FORM

SEEINSTRUCTIONSONREVERSENAMEOFFILER

1< e.. ""+- L, eL.l. rcd

through L/fo/IO. page~ Of~

I.D.NUMBER

1332.'s-l

CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.avp campaign paraphernalia/misc. M8R membercommunications RAe radio airtime and production costsCNS campaign consultants MTG meetings and appearances RFD returned contributionsCiB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salariesCVC civic donations FEr petition circulating 1EL t.v. or cable airtime and production costsFlL candidate fllinglballot fees PHO phone banks 1RC candidate travel, lodging, and mealsFND fundraislng events POL polling and survey research TRS staff/spouse travel, lodging, and mealsIND Independent expenditure supporting/opposing others (explaln)* POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsorLEG legal defense PRO professional services (legal, accounting) VOT voter registrationLIT campaign literatureand mailings FRT' print ads 'M:B Information technology costs (Intemet, e-mail)

CODEOR

(a)(b)(c)(d)NAMEANDADDRESSOFCREDITOR

OUTSTANDINGAMOUNTINCURREDAMOUNTPAIDOUTSTANDING(IF COMMITTEE, ALSO ENTER I.e. NUMBER)

DESCRIPTIONOFPAYMENTBALANCEBEGINNINGTHISPERIODTHISPERIODBALANCEATCLOSEOFTHISPERIOD

(ALSO REPORT ON E)OFTHISPERIOD

Chase VISA Card ServicesCMPP.O. Box 15298, Wilimington, DE, 19850 0$543.43 $543.430

* Payments th.t Ire contributions or Independent Ixpendlturel mUlt a'lo beaummarlzed 011Schedule D. SUBTOTALS $ o $ 543.43 $ 543.43 $ o

oNET $ be a negative number•••••••••••••••• May

...........................

Schedule F Summary

1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for 54343accrued expenses of$100 or more, plus total unitemized accrued expenses under $100.) INCURRED TOTALS $ .

2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on 54343accrued expenses of $100 or more, plus total unltemized payments on accrued expenses under $100.) PAID TOTALS $ .

3, Net Change this period. (Subtract Line 2 from Line 1. Enter the difference here and

on the Summary Page, Column A, Line 9.) .

FPPC Form 460 (January/OS)FPPC Toll-Free Helpline: 8661ASK-FPPC(866/275-3772)