Loading...
460 Llort 2016 from 10/23 - 12/31Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE COVER PAGE Statement covers period from 10.23.2016 through 12.31.2016 Date of election if applicable (Month, Day, Year) November 8, 2016 JAN 31 2017 CITY OF LA OUINTA LAITY CLERK DEPARTMENT Page 1 of 6 For Official Use Only 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. IZ Officeholder, Candidate Controlled Committee O State Candidate Election Committee O Recall (Also Complete Part 5) ❑ General Purpose Committee O Sponsored O Small Contributor Committee O Political Party/Central Committee ❑ Primarily Formed Ballot Measure Committee O Controlled O Sponsored (Also Complete Part 6) ❑ Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) 2. Type of Statement: ❑ Preelection Statement V Semi-annual Statement ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) ❑ Quarterly Statement ❑ Special Odd -Year Report 3. Committee Information I.D. NUMBER 1385920 COMMITTEE NAME (OR CANDIDATES NAME IF NO COMMITTEE) Victoria Llort for La Quinta City Council 2016 STREET ADDRESS (NO P.O. BOX) 81676 Charismatic Way CITY La Quinta STATE ZIP CODE CA 92253 AREA CODE/PHONE 7607741567 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX 78015 Main St, Suite 202 CITY La Quinta STATE ZIP CODE CA 92253 AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS Treasurer(s) NAME OF TREASURER Irick Petersen MAILING ADDRESS 52205 Desert Spoon Court CITY La Quinta STATE ZIP CODE CA 92253 AREA CODE/PHONE 310.699.0920 NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS 4. Verification 1 have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein and in the attached schedules is true and complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed on Executed on Executed on Executed on Date 01.30.20.17 Date Date Date By 7 By r Sig ure of • ontrofling D By By Sisxtr+tuie of Treasurer or Assistant Treasurer holder, Candhiala, $tate Measure Proponent or Response In Ofdicflr «1 Sponsor Signature of Controlling Officeholder, Candidate, State Measure Proponent Signature of Controlling Officeholder, Candidate, State Measure Pr+rporrerH FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) Recipient Committee Campaign Statement Cover Page — Part 2 COVER PAGE - PART 2 CALIFORNIA 460 FORM Page 2 of 6 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE Victoria Llort OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) La Quinta City Council, Riverside County RESIDENTIAUBUSINESSADDRESS (NO. AND STREET) CITY STATE ZIP 81676 Charismatic Way 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.0. BOX) CITY STATE ZIP CODE AREA CODE/PHONE 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 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 ofticeholderss) 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 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE Amounts may be rounded to whole dollars. Statement covers period 10.23.2016 from through 12.31.2016 SUMMARY PAGE CALIFORNIA 460 FORM Page 3 of NAME OF FILER Victoria Llort ID. NUMBER 1385920 6 Contributions Received 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 $ Column A TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) 998 950 $ 1,948 $ 0 Column B CALENDAR YEAR TOTAL TO DATE 12,016 1,817 13,833 1,731 1,948 $ 15,564 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 $ $ Expenditures Made 6. Payments Made 7. Loans Made Schedule E, Line 4 $ 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 8 + 9 + 10 $ 9,169 $ 0 9,169 $ 0 0 12.953 0 12,953 0 1,731 9,169 $ 14,684 Current Cash Statement 12. Beginning Cash Balance ............................ $ 13. Cash Receipts 14. Miscellaneous Increases to Cash 15. Cash Payments 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 1, Line 4 Column A, Line 8 above 8,101 1,948 0 9,169 880 17. LOAN GUARANTEES RECEIVED 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 8 above $ 0 1,817 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 (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 Amounts may be rounded SCHEDULE A to wnoie aoilars. Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE Statement covers period 10.23.2016 from CALIFORNIA FORM 460 through 12.31.2016 Page 4 of 6 NAME OF FILER Victoria Llort I.D. NUMBER 1385920 DATE RECEIVED FULL NAME, STREETADDRESSAND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 10/24/2016 Jason Schneider 41800 Petersfield Rd Bermuda Dunes, CA 92203 J IND CPA, Osborne Rincon $100 $100 • COM • OTH • PTY • SCC 10/25/2016 Jason Jackson PO Box 2915 El Centro, CA 92244 U IND Southwest Security, Owner $100 $100 • CoM • OTH • PTY • SCC 10/27/2016 Local Union 440 Intl Brotherhood of Electrical Workers 1405 Spruce Street STE G,Riverside CA 92507 • IND N/A $250 $250 MI Com • OTH • PTY ►1 SCC 11/03/2016 Thomas Freeman PO Box 1357 Riverside, CA 92502 JIND Chandi Group USA, Vice President $250 $250 ■ COM ■ OTH • PTY • SCC • IND • COM • OTH • PTY • SCC SUBTOTAL $ 700 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 $ 700 298 998 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov SCHEDULE B - PART 1 Lac way Schedule B — Part 1 ~r��Vto�lb whole dollars.�ucu Loans Receivedfrom SEE INSTRUCTIONS ON REVERSE through Statement covers period 10.23.2016 CALIFORNIA 460 FORM 12.31 .2016 Page 5 of 6 NAME OF FILER Victoria Llort I.D. NUMBER 1385920 FULL NAME, STREET ADDRESS AND ZIP CODE OF LENDER (IF COMMITTEE, ALSO ENTER I.D. NUMBER) IF AN INDIVIDUAL, ENTER OCCU AT(IFF�MP oD EMPLOYERBALANCE ENTERN NAME OF BUSINESS) OUTSTANDING BEGIA NG THIS PERIOD _ lb" AMOUNTAMOUNT RECEIVED THIS PERIOD (c) PAID OR FORGIVEN THIS PERIOD * id) OUTSTANDING C OSE OFT IS PERIOD (e) INTEREST PAID THIS PERIOD 1t) ORIGINAL AMOUNT OF LOAN (yl CUMULATIVE CONTRIBUTIONS TO DATE Victoria Llort 81676 Charismatic Way La Quinta, CA 92253 I IZI IND 0 COM 0 OTH ❑ PTY ❑ SCC Victoria Llort $ 867 $ 950$ 0 PAID $ 1,817 0TE ,, $ 867 CALENDAR YEAR $ 1,817 $ 0 FORGIVEN RA $ 5/23/16 PER ELECTION** DATE DUE DATE INCURRED t ❑ IND 0 COM 0 OTH 0 PTY ❑ SCC $ $ ❑ PAID $ % $ CALENDAR YEAR $ ❑ FORGIVEN RATE $ PER ELECTION** $ $ DATE DUE DATE INCURRED t ❑ IND ❑ COM ❑ OTH ❑ PTY 0 SCC $ $ ❑ PAID $ % $ CALENDAR YEAR $ $ ❑ FORGIVEN RATEPER $ ELECTION** $ $ DATE DUE DATE INCURRED SUBTOTALS $ 950 $ $ 1,817 $ Schedule B Summary 1. Loans received this period $ (Total Column (b) plus unitemized loans of less than $100.) 2. Loans paid or forgiven this period $ (Total Column (c) plus loans under $100 paid or forgiven.) (Include loans paid by a third party that are also itemized on Schedule A.) 3. Net change this period. (Subtract Line 2 from Line 1.) ... NET $ Enter the net here and on the Summary Page, Column A, Line 2. *Amounts forgiven or paid by another party also must be reported on Schedule A. ** If required. 950 0 95n (May be a negative number) (Enter (el on Schedule E, Line 3) tContributor 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 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Victoria Llort Amounts may be rounded to whole dollars. Statement covers period from 10.23.2016 through 12.31.2016 SCHEDULE E CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP CNS CTB CVC FIL FND IND LEG LIT 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 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) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT Local's Choice Printing 69960 HWY 111 STE 209 Rancho Mirage, CA 92270 LIT Mailings to La Quinta Residents AMOUNT PAID $9,012 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 9,012 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) $ 9,012 2. Unitemized payments made this period of under $100 $ 157 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) $ 0 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) TOTAL $ 9,169 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov