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460 Llort 2017 from 01/01 - 06/30Recipient Committee - Carnpaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement covers period I Date of election if applicable from 01/01/20 (Month, Day, Year) through 06/30/2017 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 Part 5) 0 Sponsored (Also Complete Part 6) ❑ General Purpose Committee 0 Sponsored 0 Small Contributor Committee 0 Political Party/Central Committee 3. Committee Information COMMITTEE NAME (OR ❑ Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) Victoria Llort for La Quinta City Council 2016 STREET ADDRESS (NO P.O. BOX) 81676 Charismatic Way I.D. NUMBER 1385920 CITY STATE ZIP CODE AREACODE/PHONE La Quinta CA 92253 7607741567 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREACODE/PHONE OPTIONAL: FAX/E-MAIL ADDRESS Date Stamp �EiVED JUL 2 8 2017 CITY OF LA QUINTA IMUNI7y DEVELOPMENT 2. Type of Statement: ❑ Preelection Statement W Semi-annual Statement ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) Treasurer(s) COVER PAGE Page 1 of For Official Use Only ❑ Quarterly Statement ❑ Special Odd -Year Report NAME OF TREASURER Irick Peterson MAILING ADDRESS 52205 Desert Spoon Ct CITY STATE ZIP CODE AREA CODE/PHONE La Quinta CA 92253 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 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 07.28.2017 Date Executed on Executed on Date By By By Signature of ControlLng Officeholder, Candidate, State Measure Proponent By Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Victoria Llort OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Victoria Llort for La Quinta City Council, Riverside County RESIDENTIAL/BUSINESS ADDRESS (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 STREETAD➢RESS (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 STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COVER PAGE - PART 2 Page 2 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 OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY 7. Primarily Formed Candidate/Officeholder Committee Listnames of officeholders) orcandidaWsj 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 NAME OF FILER Victoria Llort Amounts may be rounded to whole dollars. SUMMARY PAGE Statement covers period frnm 01/01/2017 through. 06/30/2017 Page 3 of Expenditures Made To calculate Column B, Column A Column B Contributions Received 8. SUBTOTAL CASH PAYMENTS .......................................... TOTAL THIS PERIOD CALENDAR YEAR Schedule F Line 3 10. Nonmonetary Adjustment......................................................... (FROM ATTACHED SCHEDULES) TOTAL TO DATE Add Lines 8 + 9 + 10 $ 0 0 1. Monetary Contributions................................................... Schedule A, Line 3 $ $ filed for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if -330.87 1,486.13 2. Loans Received................................................................ Schedule s, Line 3 -330.87 0 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 1 + 2 $ $ 0 0 4. Nonmonetary Contributions ............................................ Schedule C, Line 3 -330.87 0 5. TOTAL CONTRIBUTIONS RECEIVED....................................Add Lines 3 + 4 $ $ Expenditures Made To calculate Column B, 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 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 1, 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. 17. LOAN GUARANTEES RECEIVED ................................ Schedule e, 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 $ 332.82 $ 0 0 332.82 $ 0 0 0 0 0 332.82 $ 0 880 To calculate Column B, -330.87 add amounts in Column Ato the corresponding amounts from Column B 0 332.82 of your last report. Some amounts in Column A may 216.31 be negative figures that should be subtracted from previous period amounts. If this is the first report being 0 filed for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if „ any). 1,486.13 I.D. NUMBER 1385920 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 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 SCHEDULE B - PART 1 Mnwunw niay uG rvunucu Schedule B — Part 1 to whole dollars. Statement covers period a Loans Received 01/01/2017 ■ - from SEE INSTRUCTIONS ON REVERSE through 06/30/2017 Page 4 of NAME OF FILER I.D. NUMBER Victoria Llort 1385920 FULL NAME, STREETADDRESSAND ZIP CODE IF AN INDIVIDUAL, ENTER OUTSTANDING AMOUNT O (`) AMOUNT PAID () OUTSTANDING a INTEREST ORIGINAL CUMULATIVE U OF LENDER OCCUPATION AND EMPLOYER BALANCE RECEIVED THIS OR FORGIVEN BALANCE AT PAID THIS AMOUNT OF CONTRIBUTIONS (IF COMMITTEE, ALSO ENTER I D. NUMBER) (IFSELF-EMPLOYED, ENTER NAME OF BUSINESS) BEGINNING THIS PERIOD PERIOD THIS PERIOD ` CLOSE OF THIS PERIOD PERIOD LOAN TO DATE CALENDAR YEAR m PAID Victoria Llort Victoria Llort 485.87 1.486.13 0 1.817 $ 155 81676 Charismatic Way $ $ q, $ La Quinta, CA 92253 ❑ FORGIVEN PATE PER ELECTION - $1,817 155 $ 5/23/16 s- tI0 IND ❑ COM ❑ OTH ❑ PTY ❑ SCC 110 $ $ DATE DUE DATE INCURRED ❑ PAID CALENDARYEAR ❑ FORGIVEN PER ELECTION*" RATE $ $ $ $ $ DATE DUE DATE INCURRED t ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ PAID CALENDAR YEAR $ v $ $ $ ❑ FORGIVEN PER ELECTIONt* RATE DATE DUE DATE INCURRED t ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTALS $ 155$ 485.87 $ 1486.13 $ Schedule B Summary 1. Loans received this period.......................................................................................................•.. .....$ i55 (Total Column (b) plus unitemized loans of less than $100.) 2. Loans paid or forgiven this period.........................................................................................................$ 48587 (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 $ _,im 87 Enter the net here and on the Summary Page, Column A, Line 2. (May be a negative number) Schedule E, Line 3) rtContributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party i SCC — Small Contributor Committee *Amounts forgiven or paid by another party also must be reported on Schedule A. FPPC Form 460 (Jan/2016) ** If required. FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov ,Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE Victoria Llort Amounts may be rounded to whole dollars. Statement covers period from 01/01/2017 through 06/30/2017 Page :g— of 1385920 E 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) Wix.com CODE OR DESCRIPTION OF PAYMENT WEB * Payments that are contributions or independent expenditures must also be summarized on Schedule D. Schedule E Summary Website AMOUNT PAID 155 SUBTOTAL$ 155 1. Itemized payments made this period. (Include all Schedule E subtotals.).................................................................................... 155 2. Unitemized payments made this period of under $100..................................................................................... 177.82 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 $ 332.82 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov