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COVER PAGE F I L E · o Special Odd-Year Report Supplemental Preelection Statement· Attach Form...

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I. Type of Recipient Committee: All Committees - Complete Parts 1, 2,3, end 4. ~ OffIceholder, Candidate Controlled Committee 0 Primarily Formed Ballot Measure o State Candidate Election Committee Committee o Recall 0 Controlled (Also Complel8Palt6) 0 Sponsored (Also Complete Pert 6) COVER PAGE d.. .ot~~ Page 1 of _6 For Official Use Only rALIFORNIA 460 FORM y o Quarterly Statement o Special Odd-Year Report o Supplemental Preelection Statement· Attach Form 495 Date Stamp FILE IN SAN BENITO COU JAN 2 8 20 j1 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 Committee o Sponsored o Small Contributor Committee o Political Party/Central Committee ;EE INSTRUCTIONS ON REVERSE ~ecipient Committee :::ampaign Statement :::over Page Government Code Sections 84200-84216.5) COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Kent Child for Gavllan Board of trustees 2010 ,. Committee Information 1.0. 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 Hollister STATE ZIP CODE CA 95023 AREA CODE/PHONE 831-636-0458 CITY STATE Hollister CA NAME OF ASSISTANT TREASURER, IF ANY ZIP CODE 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 / E-MAIL ADDRESS OPTIONAL: FAX / E-MAIL ADDRESS I. 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 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
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Page 1: COVER PAGE F I L E · o Special Odd-Year Report Supplemental Preelection Statement· Attach Form 495 Date Stamp F I L E IN SAN BENITO COU JAN 2 8 20 j 1 O~NZALE4,CC\)UN1YbLERK 2.

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

Page 2: COVER PAGE F I L E · o Special Odd-Year Report Supplemental Preelection Statement· Attach Form 495 Date Stamp F I L E IN SAN BENITO COU JAN 2 8 20 j 1 O~NZALE4,CC\)UN1YbLERK 2.

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

Page 3: COVER PAGE F I L E · o Special Odd-Year Report Supplemental Preelection Statement· Attach Form 495 Date Stamp F I L E IN SAN BENITO COU JAN 2 8 20 j 1 O~NZALE4,CC\)UN1YbLERK 2.

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)

Page 4: COVER PAGE F I L E · o Special Odd-Year Report Supplemental Preelection Statement· Attach Form 495 Date Stamp F I L E IN SAN BENITO COU JAN 2 8 20 j 1 O~NZALE4,CC\)UN1YbLERK 2.

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

Page 5: COVER PAGE F I L E · o Special Odd-Year Report Supplemental Preelection Statement· Attach Form 495 Date Stamp F I L E IN SAN BENITO COU JAN 2 8 20 j 1 O~NZALE4,CC\)UN1YbLERK 2.

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)

Page 6: COVER PAGE F I L E · o Special Odd-Year Report Supplemental Preelection Statement· Attach Form 495 Date Stamp F I L E IN SAN BENITO COU JAN 2 8 20 j 1 O~NZALE4,CC\)UN1YbLERK 2.

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)


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