460 Pena 2017 from 07/01 to 12/31Recipient Committee COVER PAGE
p Date stamp
Campaign Statement �"� *' 1
Cover Page RECEIVED
Statement covers period Date of election if applicable I age of
from
7/1/17 (Month, Day, Year) sv,/ 1 For Official Use Only
I]{
SEE INSTRUCTIONS ON REVERSEthrow h 12/31/17 C PTWGF�.60 = Ml% 1
g nib(' tZ11�C«l7f�T11�3i
1. Type of Recipient Committee: All committees — Complete Parts 1, 2, 3, and 4. 2. Type of Statement:
0 Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑ Preelection Statement ❑ Quarterly Statement
0 State Candidate Election Committee Committee Semi-annual Statement ❑ Special Odd -Year Report
0 Recall 0 Controlled ❑ Termination Statement
(Also Complete Pert 5) 0 Sponsored
(AlsoCompklePerfB) (Also file a Form 410 Termination)
❑ General Purpose Committee ❑ Amendment (Explain below)
0 Sponsored ❑ Primarily Formed Candidate/
0 Small Contributor Committee Officeholder Committee
0 Political Party/Central Committee (AaoComplete Part 7)
3. Committee Information
I.D. NUMBER
1370057
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
COMMITTEE TO ELECT JOHN PENA CITY COUNCIL 2014
STREETADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
LA QUINTA CA 92253
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
CHRIS McCULLOUGH
MAILING ADDRESS
ZIP CODE AREA CODE/PHONE
LA QUINTA CA 92253
NAME OF ASSISTANT TREASURER, IF ANY
PAULA HELD
MAILING ADDRESS
CITr STATE ZIP CODE AREA CODE/PHONE
LA QUINTA CA 92253
OPTIONAL: FAXIE-MAILADDRESS
4. Verification
I 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 qider the laws of the State of California that the foregoing is true and correct.
I
Executed on ` By
bate � Iz ;turn of Trea er r Assistant Treasurer
Executed on ' By
Date Signature ❑f Controllin 7 fficeholdgr• Candida a, SwN Measure Propo nent orRespnnsttH3 5FK� ar of Sponsor
Executed on By
Date Signature of Controlling Officeholder, Candidate, Stale 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 OF OFFICEHOLDER OR CANDIDATE
JOHN PENA
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
COUNCILMEMBER, CITY OF LA QUINTA
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 I CONTROLLED COMMITTEE?
❑ YES ❑ NO
COMMITTEE ADDRESS
PO. 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 RO BOX)
CITY STATE ZIP CODE AREACODE/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
OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY
7. Primarily Formed Candidate/Officeholder Committee Listnames of
officeholder(s) or candidates] 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)
wwwJppc.ca.gov
Campaign Disclosure Statement
Amounts may be rounded
SUMMARY PAGE
Statement covers period
■ - `
Summary Page to whole dollars.
7/1/17
■ - •
from
12/31/17
3
SEE INSTRUCTIONS ON REVERSE
through
Page of
NAME OF FILER
I.D. NUMBER
COMMITTEE TO ELECT JOHN PENA 2014
1370057
Contributions Received
Column A
TOTALTHIS PERIOD
Column B
CALENDAR YEAR
Calendar Year Summary for Candidates
(FROM ATTACHED SCHEDULES)
TOTAL TO DATE
Running in Both the State Primary and
General Elections
1. Monetary Contributions................................................... Schedule A, Linea
$
0
$ 0
0
0
1/1 through 6/30 7/1 to Date
2. Loans Received ........................... ............ Schedule B, Line 3
0
0
20. Contributions
3. SUBTOTAL CASH CONTRIBUTIONS ............................. Add Lines 1 +2
$
$
Received $ $
4. Nonmonetary Contributions ............................................ Schedule C, Line 3
0
0
21. Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED..................................Add Lines 3+4
$
0
$ 0
Made $ $
Expenditures Made
Expenditure Limit Summary for State
6. Payments Made .......... ........................................ Schedule E, Line 4
$
92
$ 707
Candidates
7. Loans Made....................................................................... Schedule H, Line 3
0
0
8. SUBTOTAL CASH PAYMENTS ...................................... Add Lines 6 + 7
$
92
$ 702
Cumulative Expenditures Made*
22. (if Subject to Voluntary Expenditure Limit)
9. Accrued Expenses (Unpaid Bills) ................._.. ..................... Schedule F Line 3
0
0
Date of Election Total to Date
10. Nonmonetary Adjustment ............. ............ :. ............. Schedule C, Line 3
(mmlddlyy)
11. TOTAL EXPENDITURES MADE ............... ......... :............... Add Lines a+ 9+ 10
$
92
$ 707
$
$
Current Cash Statement
12. Beginning Cash Balance ............................ Previous summary Paye, Line 16
$
472
To calculate Column B,
13. Cash Receipts ............................................... .. ... Column A, Line 3 above
0
add amounts in Column
14. Miscellaneous Increases to Cash .............................. Schedule /, Line 4
0
Ato the corresponding
amounts from Column B
*Amounts in this section may be different from amounts
reported in Column B.
15. Cash Payments ................................................. Column A, line 8 above
92
of your last report. Some
amounts In Column A may
16. ENDING CASH BALANCE .................Add Lines 12 + 13 + 14, then subtract Line 15
$
380
be negative figures that
should be subtracted from
If this is a termination statement, Line 16 must be zero.
previous period amounts. If
this is the first report being
17. LOAN GUARANTEES RECEIVED ................................ Schedule B, Part 2
$
filed for this calendar year,
only carry over the amounts
from Lines 2, 7, and 9 (if
Cash Equivalents and Outstanding Debts
any).
18. Cash Equivalents ................................................ See instructions on reverse
$
19. Outstanding Debts .............................. Add Line 2 + Line s in Column B above
$
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule E
Payments Made
SEE INSTRUCTIO;IS ON REVERSE
COMMITTEE TO ELECT JOHN PENA 2014
Amounts may be rounded
to whole dollars.
Statement covers period
from 7/1/17
through 12/31/17
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
SCHEDULE E
Li
Page I of
I.D. NUMBER
1370057
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 (intemet, e-mail)
NAME AND ADDRESS OF PAYEE
(IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
" Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $
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).)............................................................................. $
4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ........................... TOTAL $
Q
92
FPPC Form 460 ()an/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov