IN SAN BENITO COU Page of Ilf/to 0 (/'1 oJ! 9/'30/' · o Special Odd-Year Report Supplemental...
Transcript of IN SAN BENITO COU Page of Ilf/to 0 (/'1 oJ! 9/'30/' · o Special Odd-Year Report Supplemental...
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
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
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
$4950
)chedule AlIIonetary Contribution$ 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)
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)
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)
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)
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)