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460 Franklin 2016 from 09/25 - 10/22Co Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement covers period from -,(0 through to -.2a Ep 1. Type of Recipient Committee: All Committees - complete Parts 1, 2, 3, and 4. Officeholder, Candidate Controlled Committee ElPrimarily Formed Ballot Measure O State Candidate Election Committee Committee O Recall O Controlled (Also Complete Part 5) O Sponsored (Also Complete Pert 6) ❑ General Purpose Committee O Sponsored O Small Contributor Committee O Political Party/Central Committee 3. Committee Information ObA /K LT r � T A-/-,9_d-_r i k+Vutolv-dn* gip- 1 ,I ❑ Primarily Formed Candidate/ Officeholder Committee (Also Complete Parl 7) I I.D. NUMBER �p!!v CITYrSTATE IIP CODE AREACODEIPHONE Licit L_4% ys 7W s 6 y�-i!0 7.- MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O BOX CITY STATE ZIP CODE AREA CODEIPHONE 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 F certify under penalty of perjury under the laws of the State of California that the foregoing is true and Executed on "" r Date�� By`—'"� Executed on 2G /�11 By r "110 Signa COVER PAGE Date Stamp . • RECEIVED Date of election if applicable: ( % c Pae of (Month, Day, Year) OCT 2 - 2016 1 U For official Use only / vqg'. CITY OF LA QUINTA 1 CITY CLERK DEPARTME IT 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) Treasurer(s) NAME OF TREASURER MAILI[R G ADDRESS /I � '�;!o6U KI► ►c�,J l CITY STATE ZIP CODE AREAL DF1PW NE OPTIONAL FAX I E-MAIL ADDRESS the information contained herein and in the attached schedules is true and complete. I Executed on By Date Signature of Controlling Officeholder, Candidate, State Measure Proponent Executed on By Date Signature of Controlling Officeholder, Candidate, State Measure Proponent 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 5. Officeholder or Candidate Controlled Committee NAME F OFFICEHOLDE OR CANDIDATE OFFIIC OUGHT OR HELD (INCLUDE LOCATION ND DISTRICT N1UMBER IF APPLICABLE) a-rr'evr- 2�Arf* RESIDE NTIALIBUSINESSADDRESS (NO.AN STREET) CITY STATE ZIP $i o4o —(Doo Ow* --r+ 4A- ..rte r,k cad- 914&'-a 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 P) NAME OF TREASURER I.D. NUMBER ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P:O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME NAME OF TREASURER I.D. NUMBER ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COVER PAGE - PART 2 Page � of 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION ❑ SUPPORT ❑ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT DISTRICT N0. IF ANY 7. Primarily Formed Candidate/Officeholder Committee List names of officeholder(s) or candidate(s) for which this committee is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT N ❑ OPPOSE NAME OF OFFICE OLDER 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 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Campaign Disclosure Statement Amounts may be rounded SUMMARY PAGE Summary Page to whole dollars. Statement covers period from SEE INSTRUCTIONS ON REVS SEthrough /"' of 7DN NAME OF FILER R Contributions Received TOTAL A THIS PERIOD Column B Calendar Year Summary for Candidates (FROM ATTACHED SCHEDULES) CALENDAR YEAR TOTAL TO DATE Running in Both the State Primary and 1. Monetary Contributions ' General Elections ................................................... Schedule A, Linea $ / $ 1/1 through 6/30 7/1 to Date 2. Loans Received................................................................ Schedule A Line 3 + t}"fl 20. Contributions 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 1 +2 $ $ Received $ $ 4, Nonmonetary Contributions ............................................ Schedule C, Line 3 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED....................................Add Lines 3 +4 $ e�--� t $ Made $ $ Expenditures Made �r1 _ f,/ Expenditure Limit Summary for State 6. Payments Made.. ..... ............ .............. ........................ Schedule E, Line 4 $ $ Candidates 7. Loans Made ..... .... ..................... .......... ............... ..... ........ Schedule H, Line 3 �' 22. Cumulative Expenditures Made" 8. SUBTOTAL CASH PAYMENTS .......................................... Add Lines 6 +7 $ $ (If Subject to Voluntary Expenditure Limit) 9. Accrued Expenses (Unpaid Bills) ...................................... Schedule F Line 3 Date of Election Total to Date 10. Nonmonetary Adjustment...................................................... 11. TOTAL EXPENDITURES MADE Schedule C, Line 3 (mm/dd/yy) ...................................... Add Lines e + 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 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. 17. LOAN GUARANTEES RECEIVED ................................ Schedule B, Parte $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ................ See instructions on reverse $ 19. Outstanding Debts .............................. Add Line 2 + Line 9 in Column B above $ 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). —J� $ "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 A Amounts may be rounded SCHEDULE A to wnoie sonars. Monetary Contributions Received Statement covers p periodCALIFORNIA �w 460 from 7 ..s� a . `` �� `, SEE INSTRUCTIONS ON REVERSE through Page r of I.D. NUMBER J3 r/.''/ NAME OF FILER [— 44457Y� DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I D. NUMBER) CONTRIBUTOR CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) of 1/4 j r'T+ Q IND ❑ COM ^ ,� -V 1 �, }`; ��� � S7t l •Ll ❑ OTH 1(� ( *L [I PTY ry PSL. j COM R �Qab1"�. V ❑ OTH ' p PTY d� 004 S I ZW ` RtiI+C Q- El IND ❑ COM.rAt Tki—_ El PTY ❑SCC Ne -'s b :Ca p �r &+ u r'1 14 &ZR' � �s �{ IND ❑ COM [I OTH /l [s7• �j r� 1 ❑ PTY ❑ SCC IND ire1i r�`. �+�I ' lt' Cla4it- PTY �liw►` a>or i ❑SCC SUBTOTAL $37Hj 6j j Schedule A Summary Amount received this period - itemized monetary contributions. (Include all Schedule A subtotals.) $ '�✓ ' Amount received this period - unitemized monetary contributions of less than $100 ...........................$ Total monetary contributions received this period. f' (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.)......................TOTAL $ �l* FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov "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 Schedule A (Continuation Sheet) Amounts may be rounded Monetary Contributions Received to whole dollars. NAME OF FILER DATE FULL NAME, STREETADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) SCHEDULE A (CONT) aiaremem clovers from ` 1p through /p '- -f L .' Page 6- of AMOUNT RECEIVED THIS PERIOD ft7 I' c IN"6;4 ❑IND %li©v rtM5p.� M TH 0 PTY 0SC /r ©j/y()� ►Fa �'� ❑ IND OM q7 ._•5' tJR 4 -b t-4"10y-54erg i T H Cl4' g.�2/ I ❑ SCC F C4< Li COM ❑ OTH 0TH 1-A— &aL111'fllr GlA' El PTY t:�tJ ��'���'� ❑ scc ❑COM -5-haty E] OTH `n ❑ PTY ❑ SCC �Vll �, /�► I + 5RV 14, IN D '�i *f v El COM �l ��� .� ❑ OTH PTY tk QU4W N C 9 -�UZ 3 ®s c SUBTOTAL $ "Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Potitical Party SCC — Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov CUMULATIVE TO DATE PER ELECTION CALENDAR YEAR TO DATE (JAN. 1 - DEC. 31) (IF REQUIRED) �, l V • ►IV FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received Amounts may be rounded to whole dollars. NAME OF FILER h 1qxq.)tl DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I,D. NUMBER) CONTRIBUTOR CODE* IF AN INDIVIDUAL, ENTER OCCUPATIONANDEMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Ad, WaelAt VW -4P -y [I IND tTk& t �sj co Xlik; /J < Do �&$frG Rd�4&/ ❑ El PTY � Asf'�L-r <-* cq ❑ SCC ff ,y �7'� M_rA7, �19F'� SID i� ❑PTY ED SCC f ❑ IND ❑ COM PTY ❑ SCC Di 'O cam ! ❑ OTH ❑ PTY ❑ SCC 6— Ay /17� ❑ IND ❑ Com El OTH !^ f4 1 tiJ f j�- I'�• El Y❑ SCC SUBTOTAL$ *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Polltical Party SCC — Small Contributor Committee SCHEDULE A (CONT) statement covers penoa CALIFORNIA from • through" Page (� of 131/57 AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED THIS CALENDAR YEAR TO DATE PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) 1,4�v b�?_) it 1/ � , �v FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E Payments Made Amounts may be rounded to whole dollars. Statement covers period period from through SCHEDULE E Page ,r of IYf51VIG yr rILCfS 1.3J VYGIVIa MM l3//5"_/ CODES: If one of the following codes accurately describes the payment, you may enter the code. CMP campaign paraphernalia/misc. MBR member communications CNS campaign consultants MTG meetings and appearances CTB contribution (explain nonmonetary)* OFC office expenses CVC civic donations PET petition circulating FIL candidate filing/ballot fees PHO phone banks FND fundraising events POL polling and survey research IND independent expenditure supporting/opposing others (explain)* POS postage, delivery and messenger services LEG legal defense PRO professional services (legal, accounting) LIT campaign literature and mailings PRT print ads Otherwise, describe the payment. RAD radia airtime and production costb, RFD returned contributions SAL campaign workers' salaries TEL t.v. or cable airtime and production costs TRC candidate travel, lodging, and meals TRS staff/spouse travel, lodging, and meals TSF transfer between committees of the same candidate/sponsor VOT voter registration WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER LD NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID •3 3�sq�, � ��' ►'V1 h�0-4 9a5-y-,5- amp a5-y pmp 4t C* 0111 " Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ _5m& 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).)................................ ...................... $ ............... I ....... I ............. $ 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 Schedule E (Continuation Sheet) Payments Made Amounts may be rounded to whole dollars. AMOUNT PAID SCHEDULE E (CONT.) Statement covers period from _ r CALIFORNIA , • ' ORM r3 X3.6 SEE INSTRUCTIONS ON RfPERSE through LQ • �� Page _q__ of NAME OF FILER I.D. NUMBER 1 A N 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 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) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID u�`pS vk r3 X3.6 " 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