460 Franklin 2016 from 01/01 - 06/30RecipLit Committee
Campaign Statement
Cover Page
SEE INSTRUCTIONS ON REVERSE
from
Statement covers period—I
Date of election If appil
I f 9Vi4� (Month, Day, Year)
through
R96110D
AUG 01 2016
CITY OF LA QUINTA
Y CLERK DEPARTME
:R PAGE
For Oficial Use Only
1. Type of Recipient Committee: All Committees — Complete Porta 1, 2, 3, and 4. 2. Type of Statement:
Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑ Preelection Statement El Quarterly Statement
State Candidate Election CommNtee Committee �Seml-annual Statement EJ Special Odd -Year Report
Q Recall O Controlled ElTermination Statement
(Also Complete Part 5) O Sponsored (Also file a Form 410 Termination)
(Also CompWorNr6) ❑ Amendment (Explain below)
❑ General Purpose Committee
O sponsored
O small Contributor Committee
O Political Party/Central Committee
3. Committee Information
IF
'o Piev-'r f
=VT AnnfaFss (NO P.D. BOX) f
❑ Primarily Formed Candidate/
Officeholder Committee
(Also Complete Part 7)
I.D. NUMBER
CODE
Y STA E ZIF'
Q 01X.
CITY STATE ZIP CODE AREA ODDEIPHI NE
OPTIONAL: FAX/ E-WILADDRESS
Treasurer(s)
4. verification
t have used all reasonable diligence in preparing and reviewing this statement and to the best of, knowledge the'informatlon contained herein and In the attached schedules is true and complete. I
certify under penalty of perjury under the laws of the Slate of California that the foregoing Is iru ' a �rrect.
t(..P
By
Executed on lure of ar Asei an steer
Dale
r'
Executed on By S�g,,. cf ant 0318 rn gffic Candklale, Slate Measure PrWm.nl or ResponsVe Officer of Sp nsoc
Executed on - (late By signature of Conlro Ing Otiicehotder, Candidale, State Measure Proponent
Executed on Date By Signature of Contra Ing Officeholder. Candida e, State MoNure Proponent
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
oil
Recipient Committee
Campaign Statement
Cover Page — Part 2
5.
— P...A1An+n P_nntrnllarl Cnmmittee
ala g-�. I d
RESIDENTIAL15
} ate'
Y STATE ZIP
Z9,,.., -IA /-1,4. (?0$-9
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 �NANME I.D. NUMBER
'V A.
NAME OF TREA URER CONTROLLED COMMITTEE?
❑ YES ❑ NO
C0MMITTEEADDR5SS STREETADDRESS (NO P.O. BOR)
CITY STATE ZIP CODE AREACODEIPHONE
COMMITTEE NAME
NAME OF TREASURER
I,D. NUMBER
❑ YES ❑ NO
6. Primarily Formed Ballot Measure Committee
NAME OF BALLOT M ASURE
IV
BALLOT NO. OR L ER JURISDICTION
i
COVER PAGE - PART 2
Page 2 of
❑ SUPPORT
❑ OPPOSE
Identify the controlling officeholder, candidate, or state measure proponent, if any.
NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT
OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY
7. Primarily Formed Candidate/Officeholder Committee List names of
offfcehoider(s) or candidate(s) for which this committee is primarily formed.
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT
/V /A ❑ OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
NAME OF OFFICEHOLDER OR CANDIDATE
NAME OF OFFICEHOLDER OR CANDIDATE
❑ SUPPORT
❑ OPPOSE
OFFICE SOUGHT OR HELD ❑ SUPPORT
❑ OPPOSE
OFFICE SOUGHT OR HELD ❑ SUPPORT
❑ OPPOSE
COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREACODEfPHONE 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
Summary Page
NAME OF FILER
, n.—e 1—C
ZiTy
Contributions Received
P,og'4
1, Monetary Contributions................................................... schedule A, Line 3
2. Loans Received................................................................ Schedule e, 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
B.
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 8 + 9 + 10
Current Cash Statement
12, Beginning Cash Balance ............................ Previous summary Page, 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 8 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,
Amounts may be rounded
to whole dollars.
Column A
TOTAL THIS PERIOD
(FROM ATTACHED SCHEDULES)
17. LOAN GUARANTEES RECEIVED ................................ Schedule 9, 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 $
SUMMARY PAGE
Statement covers period
from / - 1 201
through ~ T'& Page of
30
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
prevlous 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
' 11
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*
(U subject to voluntary Expenditure Llmlt)
Date of Election Total to Date
(mm/dd/yy)
*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