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460 Evans 2016 from 10/23 to 12/31Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE 1. Type of Recipient Committee: Type or print in ink. Statement covers period 10/23/16 from through 12/31/16 All Committees — Complete Parts 1, 2, 3, and 4. Vl Officeholder, Candidate Controlled Committee 0 State Candidate Election Committee O Recall (Also Complete Part 5) ❑ General Purpose Committee O Sponsored 0 Small Contributor Committee O Political Party/Central Committee ❑ Primarily Formed Ballot Measure Committee 0 Controlled 0 Sponsored (Also Complete Part 6) ❑ Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) Date of election if applicabI U (Month, Day, Year) 11/08/16 #ECEIVED CALIFORNIA 7JAN 31 Pit 3=06 COVER PAGE CALIFORNIA 4©0 FORM Page of U 2. Type of Statement: ❑ Preelection Statement 7 Semi-annual Statement ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) For Official Use Only ❑ Quarterly Statement ❑ Special Odd -Year Report ❑ Supplemental Preelection Statement - Attach Form 495 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 LA QUINTA STATE ZIP CODE CA 92253 AREA CODE/PHONE MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS Treasurer(s) NAME OF TREASURER PEDRO RINCON MAILING ADDRESS 79245 CORPORATE CENTRE DR, #101 CITY LA QUINTA STATE ZIP CODE CA 92253 AREA CODE/PHONE 760-777-9805 NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS 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 knowled under penalty of perjury under he la s of the State of California that the foregoing is true and correct. 1iC77 Executed on Executed on Executed on Executed on Date Date By By By Signature of Conlrolling Officeholder, Candidale, Stale Measure Proponent By Signature ofControlling Officeholder, Candidate, Stale Measure Proponent FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) State of California e 1h• informontained herein and in the attached schedules is true and complete. I certify ature Or TIM UrIVrAss.stant Treauurer Signature 1 Controlbg Ot6ceholder, Candidate, Stale Measure Proponent or Responsible Officer of S ponsor Type or print in ink. Recipient Committee Campaign Statement Cover Page — Part 2 COVER PAGE - PART 2 CALIFORNIA 4C O FORM V Page 2 - 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE LINDA EVANS OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) CITY OF LA QUINTA, MAYOR RESIDENTIAUBUSINESS 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 STREET ADDRESS (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 PO. BOX) CITY STATE ZIP CODE AREA CODE/PHONE 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 DISTRICT NO. 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 E] 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 Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) State of California Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE Type or print in ink. Amounts may be rounded to whole dollars. NAME OF FILER ELECT LINDA EVANS LA QUINTA MAYOR 2016 Statement covers period 10/23/16 from through 12/31/16 SUMMARY PAGE CALIFORNIA ARA FORM Page 3 of I.D. NUMBER 13656647 Contributions Received 1. Monetary Contributions 2. Loans Received 3. SUBTOTAL CASH CONTRIBUTIONS 4. Nonmonetary Contributions 5. TOTALCONTRIBUTIONS RECEIVED Schedule A, Line 3 Schedule B, Line 3 Add Lines 1 + 2 Schedule C, Line 3 Add Lines 3 + 4 $ $ $ Column A TOTALTHIS PERIOD (FROM ATTACHED SCHEDULES) 5,000.00 5,000.00 0.00 5,000.00 $ $ Column B CALENDAR YEAR TOTALTO DATE 22,886.00 22,886.00 5,730.00 $ 28,616.00 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 through 6/30 20. Contributions Received $ $ 21. Expenditures Made $ $ 7/1 to Date Expenditures Made 6. Payments Made Schedule E, Line 4 7. Loans Made Schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS AddLines6+7 9. Accrued Expenses (Unpaid Bills) Schedule F, Linea 10. Nonmonetary Adjustment Schedule C, Line 3 11. TOTAL EXPENDITURES MADE Add Lines 8 + 9 + 10 $ 13,668.61 $ 13,668.61 $ 13,668.61 $ 18,251.72 $ 18,251.72 $ 18,251.72 Current Cash Statement 12. Beginning Cash Balance $ 13. Cash Receipts 14. Miscellaneous Increases to Cash 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 Previous Summary Page, Line 16 Column A, Line 3 above Schedule I, Line 4 24,673.94 5,000.00 13,668.61 16,005.33 17. LOAN GUARANTEES RECEIVED Schedule 8, Part 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents 19. Outstanding Debts See instructions on reverse Add Line 2 + Line 9 in Column B above $ 16,005.33 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). Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (If Subject to Voluntary Expenditure Limit) Date of Election (mm/dd/yy) 1 _/ Total to Date *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 (866/275-3772) Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER ELECT LINDA EVANS LA QUINTA MAYOR 2016 DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) 11/29/16 Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period 10/23/16 from through 12/31/16 SCHEDULE A Page CONTRIBUTOR CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) AMOUNT RECEIVED THIS PERIOD I.D. NUMBER 13656647 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) PER ELECTION TO DATE (IF REQUIRED) ROBERT GREEN ENCINITAS, CA 92024 IND ❑ COM ❑ OTH ❑ PTY ❑SCC BUSINESS OWNER 5,000.00 ▪ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC 5,000.00 IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ▪ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL$ 5,000.00 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 $ 5,000.00 5,000.00 `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 10/23/16 through 12/31/16 CALIFORNIA 460 0 FORM V �J CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. radio airtime and production costs returned contributions campaign workers' salaries t.v. or cable airtime and production costs candidate travel, lodging, and meals staff/spouse travel, lodging, and meals transfer between committees of the same candidate/sponsor voter registration information technology costs (internet, e-mail) CMP CNS CTB CVC FIL FND IND LEG LET campaign paraphernalia/misc. campaign consultants contribution (explain nonmonetary)* civic donations candidate filing/ballot fees fundraising events independent expenditure supporting/opposing others (explain)* legal defense campaign literature and mailings MBR MTG OFC PET PHO POL POS PRO PRT member communications meetings and appearances office expenses petition circulating phone banks polling and survey research postage, delivery and messenger services professional services (legal, accounting) print ads RAD RFD SAL TEL TRC TRS TSF VOT WEB NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) HIGH TECH MAILING P.O. BOX 249 PALM DESERT, CA 92261 THE DESERT SUN 750 N GENE AUTRY TRAIL PALM SPRINGS, CA 92262 INKWORKS 1448 FOREST ST UPLAND, CA 91784 CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID POSTAGE FOR FLYER MAILING POS 2,516.15 LABELS AND STICKERS ON NEWSPAPERS CMP CMP 1,700.00 POSTCARDS 1,866.06 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) 2. Unitemized payments made this period of under $100 $ 900.00 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 $ SUBTOTAL $ 6,082.21 12,768.61 13,668.61 FPPC Form 460 (January/OS) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/276-3772) Schedule E (Continuation Sheet) Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period 10/23/16 from through 12/31/16 SCHEDULE E (CONT.) ELECT LINDA EVANS LA QUINTA MAYOR 2016 Page of I.D NUMBER 13656647 CODES: If one of the following codes accurately Cnm CNS CTB CVC FIL FND IND LEG LIT describes the campaign paraphernalia/misc. campaign consultants contribution (explain nonmonetary)* civic donations candidate filing/ballot fees fundraising events independent expenditure supporting/opposing others (exp legal defense campaign literature and mailings Iain)* MBR MTG OFC PET PHO POL POS PRO PRT payment, you may enter the code. member communications meetings and appearances office expenses petition circulating phone banks polling and survey research postage, delivery and messenger services professional services (legal, accounting) print ads Otherwise, describe the payment. RAD RFD SAL TEL TRC TRS TSF VOT WEB radio airtime and production returned contributions campaign workers' salaries t.v. or cable airtime and production costs candidate travel, lodging, and meals staff/spouse travel, lodging, and meals transfer between committees of the same candidate/sponsor voter registration information technology costs (Internet, e-mail) costs NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I D, NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID SILVERROCK RESORT 79179 AHMANSON LANE LA QUINTA, CA 92253 FND FOOD FOR FUNDRAISING EVENT 6,686.40 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 6,686.40 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)