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460 Evans 2016 from 09/25 to 10/22Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) Type or print in ink. Statement covers period Date of election if app/ 09/25/16 (Month, Day, Year) from __ SEE INSTRUCTIONS ON REVERSE I through - 10/22/16 1. Type of Recipient Committee: All Committees —Complete Parts 1, 2, 3, and 4. ® Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure Q State Candidate Election Committee Committee Q Recall Q Controlled (Also Complete Part 5) Q Sponsored (Also Complete Part 6) ❑ General Purpose Committee Q Sponsored ❑ Primarily Formed Candidate/ O Small Contributor Committee Officeholder Committee Q Political Party/Central Committee (Also Complete Part 7) 3. Committee Information I.D. NUMBER 13656647 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) ELECT LINDA EVANS LA QUINTA MAYOR 2016 STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE LA QUINTA CA 92253 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my under penalty of perjury under the taws of the State of California that the foregoing is true and corrrecc Executed on �� By cl Data c Executed on ByDate 81ana ec 11/08/16 ' 1 RECVMirp OCT 2 7 2016 w? - CITY OF LA QUINTA 2. Type of Statement: ® Preelection Statement ❑ Semi-annual Statement ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) Treasurer(s) COVER PAGE Page I of For Official Use Only ❑ Quarterly Statement ❑ Special Odd -Year Report ❑ Supplemental Preelection Statement - Attach Form 495 NAME OF TREASURER PEDRO RINCON MAILING ADDRESS 79245 CORPORATE CENTRE DR, #101 CITY STATE ZIP CODE AREA CODE/PHONE LA QUINTA CA 92253 760-777-9805 NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS contained herein and in the attached schedules is true and complete. I certify Executed on By Date Signature ofConlrolling Officeholder, Candidate, State Measure Prapananl Executed on By Date Signature ofControlringOfficeholder, Candidate, State Measure Propaneni FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772) State of California Type or print in ink. Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE LINDA EVANS OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) CITY OF LA QUINTA, MAYOR RES IDENTIALIBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP LA QUINTA, CA 92253 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 contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODEIPHONE 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE COVER PAGE- PART 2 Page of ..... BALLOT NO. OR LETTER JURISDICTION ❑ SUPPORT ❑ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD d DISTRICT NO. IF ANY 7. Primarily Formed Candidate/Officeholder Committee Listnames of officeholder(s) or candidate(s) for which this committee is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE Attach continuation sheets if necessary FPPC Form 460 (January/05) FPPC Tall -Free Helpline: 866/ASK-FPPC (866/275-3772) State of California Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF FILER ELECT LINDA EVANS LA QUINTA MAYOR 2016 Type or print in ink. Amounts may be rounded to whole dollars. SUMMARY PAGE Statement covers period frnm 09/25/16 through 10/22/16 Page of 12 Expenditures Made Column A Column B Contributions Received 6,044.72 $ TOTALTHISPERIOD CALENDARYEAR 8. SUBTOTAL CASH PAYMENTS .................................. (FROM ATTACHED SCHEDULES) TOTALTO DATE 1. Monetary Contributions ..................... . Schedule A, Line 3 $ __. 8,700.00 $ 17,886.00 2. Loans Received -------- .............................................. Schedule a, Line 3 _ Lines s+9 + 10 $ _ 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 +2 $ 8,700.00 $ 17,886.00 4. Nonmonetary Contributions .................................... Schedule C, Line 3 2,865.00 5,730.00 5. TOTAL CONTRIBUTIONS RECEIVED ••.•••• ...............•••••AddLines3+4 $ 11,565.00 $ 23,616.00 Expenditures Made 6. Payments Made ....................................................... Schedule E, Line 4 $ 6,044.72 $ 7. Loans Made............................................................. Schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS .................................. Add Lines 6 + 7 $ 6,044.72 $ 9. Accrued Expenses (Unpaid Bills)...............................Schedule F,Line 3 10. Nonmonetary Adjustment .......................................... Schedule C, Line 3 11. TOTAL EXPENDITURES MADE ................................Add Lines s+9 + 10 $ _ 6,044.72 $ Current Cash Statement 12. Beginning Cash Balance.. .... ................ Previous Summary Page, Line 16 $ — 13. Cash Receipts ................................................... Column A, Line 3above — 14. Miscellaneous Increases to Cash ........................... Schedule 1, Line 4 15. Cash Payments .................................................. Column A, Line 6 above 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ If this is a termination statement, Line 16 must be zero. 22,018.66 8,700.00 6,044.72 24, 673.94 17. LOAN GUARANTEES RECEIVED ........................... Schedule 8, Part 2 $ 1 Cash Equivalents and Outstanding Debts 18. Cash Equivalents ........................................ See instructions on reverse $ 24,673.94 19. Outstanding Debts ......................... Add Line 2 +Line 9 in Column B above $ 9,583.11 9,583.11 9,583.11 To calculate Column B, add amounts in Column A to the corresponding amounts from Column B of your last report. Some amounts in Column A may be negative figures that should be subtracted from previous period amounts. If this is the first report being filed for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if any). I.D. NUMBER 13656647 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 through 6/30 7/1 to Date 20. Contributions Received $ $ 21. Expenditures Made $ —a $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (If Subject to Voluntary Expenditure Limit) Date of Election Total to Date (mm/dd/yy) 1� $ I*Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER ELECT LINDA EVANS LA QUINTA MAYOR 2016 Type or print in ink. Amounts may be rounded to whole dollars. DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER RECEIVED (IF COMMITTEE, ALSO ENTER I D. NUMBER) CODE (IFSELF-EMPLOYED, ENTER NAME OF BUSINESS) VIIND SUSAN MARSHALL E] COM REALTOR 10/14/16 ❑OTH LA QUINTA, CA 92253 F-1 PTY ❑ SCC ❑IND CALIFORNIA REAL ESTATE PAC ICOM 10/17/16 ❑OTH LOS ANGELES, CA 90020 ❑ PTY ❑SCC ®IND NACHHATTAR CHANDI ❑COM CHANDI GROUP, USA 10/18/16 ❑OTH INDIO, CA 92203 ❑ PTY ❑SCC rJ IND ROBERT ROURK [D Com10/18/16 DEVELOPER ❑ OTH OTH RANCHO MIRAGE, CA ❑ PTY ❑ SCC ®IND ALAN PACE ❑COM GEOLOGIST 10/18/16 ❑ OTH PALM DESERT, CA 9211 ❑ PTY ❑SCC SCHEDULE A Statement covers period from ___.—_09/25/16 FORM 10/22/16 through _._...—_._..___...__ Page �— of AMOUNT RECEIVED THIS PERIOD 100.00 1,000.00 2,500.00 200.00 100.00 SUBTOTAL$ 3,900.00 Schedule A Summary 1. Amount received this period — itemized monetary contributions. (Include all Schedule A subtotals.) ....................... ___ ................... ....................................................... $ 2. Amount received this period — unitemized monetary contributions of less than $100 ............................. $ 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $ 8,600.00 100.00 8 700 00 I.D. NUMBER 13656647 CUMULATIVETO DATE PER ELECTION CALENDAR YEAR TO DATE (JAN. 1 - DEC. 31) (IF REQUIRED) 100.00 1,500.00 2,500.00 200.00 0111111f *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC—Small Contributor Committee FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. 09/25/16 e - from ..... __._..— 10/22/ 16 through _ Page of NAME OF FILER I.D. NUMBER ELECT LINDA EVANS LA QUINTA MAYOR 2016 13656647 DATE ZIP FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR A RE ADDRESS CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, O ENTER D NUMBER) IT CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) ®IND ROBERT MOON COM ❑OTH MAYOR OF PALM 10/18/16 ❑orH SPRINGS 100.00 100.00 PALM SPRINGS, CA 92262 ❑ PTY ❑ ScC S LIN MEDICAL CONSULANTS, INC. ❑IND ❑COM 10/20/1679440 CORPORATE CENTRE DR, STE 110 WJ OTH 500.00 500.00 I LA QUINTA, CA 92253 ❑PTY ❑ SCC LANCE WALSH OIND ❑ COM❑ PHYSICIAN 10/20/16 39000 BOB HOPE DR, STE W209 TH OTH 500.00 500.00 RANCHO MIRAGE, CA 92270 ❑ PTY ❑ SCC COACH ELLA-IMPERIAL VALLEY ❑IND EJOTH COM 10/20/16 STRATEGIES PAC 1,500.00 1,500.00 ❑ PTY ❑ SCC DANIEL STURGILL ®IND ❑COM RETIRED 10/20/16 ❑ OTH 100.00 100.00 MOUNT VERNON, WA 98273 ❑ PTY ❑ ScC "Contributor Codes IND—Individual COM—Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC —Small Contributor Committee SUBTOTAL$ 2,700.00 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/2753772) Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER ELECT LINDA EVANS LA QUINTA MAYOR 2016 Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from _. ...-.-09/25/16 __-09/25/16 through 10/22/16 SCHEDULE A (CONT.) Page of I.D. NUMBER 13656647 DATE A FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR RE,ALSAND ZIP CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVETO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED IT I.D. NUMBER) (IF COMMITTEE, CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) .... ... ...... ....._ ..—__._...........__ _._...--.....__.......... �.--me ❑IND __.,_ .- BUILDING INDUSTRY ASSOCIATION OF SC ®coM 10/21/16 PAC ❑ OTH 1,000.00 1,000.00 515 SOUTH FIGUEROA ST #110 ❑ PTY ❑ ScC ❑IND ❑ 1,000.00 10/21/16 ONE ELEVEN LA QUINTA, LLC 1,000.00 78982 HWY 111, STE 1 B OTH VIOOTH LA QUINTA, CA 92253 ❑ PTY ❑ SCC ❑ IND ❑COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC `Contributor Codes IND—Individual COM—Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC—Small Contributor Committee SUBTOTAL$ 2,000.00 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/2753772) SrhP_dllle C Type or print in ink. SCHEDULE C ----------- Amounts may be rounded Nonmonetary Contributions Received to whole dollars. Statement covers period CALIFORNIA ■ 09/25/16 - I from Page of 10/22/16 through _- 3EE INSTRUCTIONS ON REVERSE \TAME OF FILER I.D. NUMBER ELECT LINDA EVANS LA QUINTA MAYOR 2016 13656647 DATE FULL NAME, STREET ADDRESS AND CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER DESCRIPTION OF AMOUNT/ FAIR MARKET CUMULATIVE TO DATE PER ELECTION TO DATE RECEIVED ZIP CODE OF CONTRIBUTOR CODE* (IF SELF-EMPLOYED, ENTER GOODS OR SERVICES VALUE CALENDAR YEAR (IF REQUIRED) (IF COMMITTEE, ALSO ENTER I.D. NUMBER) NAME OF BUSINESS) (JAN 1 - DEC 31) ❑IND 09/30/16 JFK Memorial Hospital ❑COMI 1 MONTH OF 2,865.00 5,730.00 t 47111 Monroe Street ❑OTH BILLBOARD Indio, CA 92201 ❑pTY ADVERTISING ❑SCC ❑IND ❑COM ❑ OTH ❑ PTY ❑ SCC ❑IND ❑COM ❑ OTH ❑ PTY ❑SCC []IND ❑ COM ❑ OTH ❑ PTY ❑SCC Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 2,865.00 Schedule C Summary 1. Amount received this period — itemized nonmonetary contributions. 2,865.00 (Include all Schedule C subtotals.)................................................... ...................... .......................................... =: $ 2. Amount received this period — unitemized nonmonetary contributions of less than $100 .................................... 0.00 $ _ 3. Total nonmonetary contributions received this period. 2,865.00 (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.) ...................... TOTAL $ . *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Party SCC—Small Contributor Committee FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER ELECT LINDA EVANS LA QUINTA MAYOR 2016 Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from - -_09/25/16 through . 10/22/16 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment 6Iy:L011J111*q Page of I.D. NUMBER 13656647 CMP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG 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 (legal, accounting) VOT voter registration LIT 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) LA PRENSA HISPANA 45102 SMURR STREET INDIO, CA 92201 CODE OR DESCRIPTION OF PAYMENT PRT NEWSPAPER ADVERTISEMENTS XPRESS GRAPHICS LABELS AND STICKERS 42215 WASHINGTON ST, STE A CMP PALM DESERT, CA 92211 INKWORKS BANNERS AND SIGNS 1448 FOREST ST CMP UPLAND, CA 91784 ` 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 (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 $ r100111Pl=11F 3,400.00 168.43 2,469.89 6,038.32 6,038.32 7.00 6,045.32 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)