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460 Franklin 2016 from 07/01 - 09/24Recipk-.,t Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE (5) Statement covers period t% _' aoIb from through i y 1(c 1. Type of Recipient Committee: All Committees - complete Parts 1, 2, 3, and 4. .'Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure 0 State Candidate Election Committee Committee 0 Recall 0 Controlled (Also Complete Put 5) 0 Sponsored (Also Complete Part 6) ❑ General Purpose Committee 0 Sponsored ❑ Primarily Formed Candidate/ 0 Small Contributor Committee Officeholder Committee 0 Political Party/Central Committee (Also Complete Part 7) 3. Committee Information II j I.D. NUMBER f-11/ 511 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) L,l-7 �'4_ QWPJ alrie 0 i RLC I MU Ur<Gia (NU KU, 2A) ! CITY STATE ZIP CODE AREA COOEIPHONE CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX/ E-MAIL ADDRESS R PAGE Date Stamp RECEIVED Date of election if applicable ge fof (Month, Day, Year) 0 C T 0 3 2016 1 For Official Use Only Cr Y OF LA QUINTA 1TY CLERK DEPARTMEN 2. Type of Statement: Preelection Statement ❑ Quarterly Statement ❑ Semi-annual Statement ❑ Special Odd -Year Report ❑ Termination statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my k certify under penalty of perjury under the laws of the State of California that the foregoing is true and #rr Executed on o2 q, 0-p!(4 By Dale Executed on 1� T Date By Sianatrrte of n idma t5 Treasurer(s) CITY NAME OF ASSiSTANYTREASURER. + f_P f_a?d.f-1 AJ m;�'sra d 4,3�9' * STATE ZIP CODE AR€ACODEIPHONE LA- 910�� ���-r�IJ_ p�QI:),) STATE Zip CODE AREA C0DEIPH0NE the information contained herein and in the attached schedules is true and complete. I ure Executed on By Date Signature of Controlling Officehcidec Candidate, State Measure Proponent Executed on By Date Signature of Controlling OfTiceMider. Candidate, Stale Measure Proponent nsor FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Recipient Committee Campaign Statement Cover Page — Part 2 COVER PAGE - PART 2 Page OQ of 6. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME QODIDATE NAME OF BALLOT MEASUR OFF] E SOUGHT OR HELD �(INCLUDE 'LOCA %�N,AND/DISTRICT [N/UMBER IF APPLICABLE) BALLOT NO. OR LETTER JURISDICTION ❑ SUPPORT ��t4. ft)A� ` B6r 0-i'r7 op ^%4 Q41Nr4- ❑ OPPOSE RESIDBNTIFILIBUSINES ADDRESS (NO AND STREET) OITY STATE ZIP Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT 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 OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME I I.D. NUMBER A) 1-k NAME OF ❑ 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 7. Primarily Formed Candidate/Officeholder Committee Listnames of officeholder(s) orcandidate(s) forwhich this committee is primarily formed. COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets ifnecessary 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 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS NAME OF FILER 5q Contributions Received K.r--' t -)l 1. Monetary Contributions................................................... Schedule A, Line 3 2. Loans Received................................................................ Schedule B, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 1 +2 4. Nonmonetary Contributions ............................................ Schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED....................................Add Lines 3+4 Expenditures Made 6. Payments Made................................................................ Schedule E, Line 4 7. Loans Made....................................................................... Schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS .......................................... Add Lines 6+7 9. Accrued Expenses (Unpaid Bills) .......................................... Schedule F Line 3 10. Nonmonetary Adjustment......................................................... Schedule C, Line 3 11. TOTAL EXPENDITURES MADE........................................Add Lines a+9+10 Current Cash Statement 12. Beginning Cash Balance ............................ Previous summary Paye, Line 16 13. Cash Receipts........................................................... Column A, Line 3 above 14. Miscellaneous Increases to Cash.,— ............................ . schedule I, Line 4 15. Cash Payments......................................................... Column A, Line a 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. I Amounts may be rounded SUMMARY PAGE to whole dollars. Statement covers period from _ % m+"Qv • • through q-/ Page of Column A TOTALTHIS PERIOD (FROM ATTACHED SCHEDULES) $ $ 1 7 $ S 11C1`-1- $R�T[ $ /-2 o5' 70 17. LOAN GUARANTEES RECEIVED.........................1....... Schedule B, Part 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ................................................ See instructions on reverse $ 19. Outstanding Debts Add Line 2 +Line 9 in Column B above $ Column B CALENDAR YEAR TOTAL TO DATE $ $ 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 i3/r5t4 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 $ $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (If Subject to Voluntary Expenditure Limit) Date of Election (mm/dd/yy) Total to Date *Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E Payments Made EE INSTRUCTIONS ON REVERSE iQl V-,.1 &J Amounts may be rounded to whole dollars. statement covers period from 7" 1 4 - through '� CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment __HEDULE E Page of 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 FIND 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) CODE OR DESCRIPTION OFPAYMENT AMOUNT PAID . -► B aFL r✓��-f OAS C -d � t �a-jtf2_ �� SRO G��4-wt.� 6-A2 d0�Z_ A -A f � i��. � f c C* 9 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.)... ......................... $ I ........................ $ ............ TOTAL $ FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov 01 SEhedude E Payments Made Amounts may be rounded to whole dollars. SEE INSTRUCTIONS ON REVERSE Stat �ement covers pi T from ` - 1 - /(,:p through 1� - -!211f' ! f� CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. _ „HEDULE E Page of .D. NUMBER 03 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 FIND 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) f E CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID '615` N `� �`� ']A-: `r C) r_,r,r- 9CjzFL: Des` ©fes MtxRAI e7W 6.4 00511113 Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ L 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 $ FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Sched_.a E (Contiguation Sheet) Payments Made SEE INSTRUCTIONS ON REVERSE Amounts may be row,ded to whole dollars. SCHE4 _ (CONT.) Statement covers period CALIFORNIA ' from C� FORM 46 through _{ �' (� Page of I.D. NUMBER CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. 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 FIL civic donations PET petition circulating TEL t.v. or cable airtime and production costs 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 COMM COMMITTEE, ALSO ENTERIp�D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID )p 57/)'\x'1. P -A 0nrVP '` rr�\T QD- l f Sim IN t�rO �44,2,6mlo-p 7 a/� l T l-,' Or- /.A- Qr:N%} 91 Yqs- 4 A- d 4 t� ►sY�4 r �4- 9 �2 5'3 �iT-t� 'OF h R- 621v t0 A, C** C1.2 _-L 5- Payments Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov