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460 Llort 2016 from 07/01 - 09/24Recipient Committee Campaign Statement Cover Page Statement covers period from July 1, 2016 SEE INSTRUCTIONS ON REVERSE through Sept. 24, 2016 1. Type of Recipient Committee: All committees - complete Parts 1, 2, 3, and 4. W Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure O State Candidate Election Committee Committee O Recall O Controlled (Also Complete Part5) O Sponsored (Also Complete Part 6) ❑ General Purpose Committee O Sponsored O Small Contributor Committee O Political Party/Central Committee ❑ Primarily Formed Candidate/ Officeholder Committee (Aso Complete Part 7) 3. Committee Information I.D. NUMBER 1385920 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Victoria Llort for La Quinta City Council 2016 STREET ADDRESS (NO P.O. BOX) 81676 Charismatic Way CITY STATE ZIP CODE AREA CODEiPHONE La Quinta CA 92253 7607741567 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O BOX 78015 Main St, Suite 202 CITY STATE ZIP CODE AREA CODE/PHONE La Quinta CA 92253 OPTIONAL FAX I E-MAILADDRESS PC: r - ,I Iris COVER PAGE CITY`6 t QUIN' ' - l ' • 1 CALIFORNIA FORM Date of election if applicable: 2016 SEP 29 Page 1 of 13 (Month, Day, Year) For Official Use Only November 8, 2016 2. Type of Statement: V Preelection Statement ❑ Semi-annual Statement ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) Treasurer(s) NAME OF TREASURER Irick Petersen MAILING ADDRESS 52205 Desert Spoon Court CITY La Quinta NAME OF ASSISTANT TREASURER, IF ANY MAILINGADDRESS CITY OPTIONAL: FAX / E-MAIL ADDRESS ❑ Quarterly Statement ❑ Special Odd -Year Report STATE ZIP CODE CA 92253 STATE ZIP CODE AREA CODE/PHONE 310.699.0920 AREA CODE/PHONE 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 under the laws of the State of California that the foregoing is true and correct. - 4t/zV / 2 �rc, Executed on Date By gnature of Trrasu Ass,siant Treasurer 9.28.2016 Executed on Date By Signature of Comrotlatg O ficehoider, Candidale. Sate Measure Proponent or Responsible Officer of Sponsor Executed on By Date Signature of Controlling Officenolaer, Candidate, State Measure Proponent Executed on B,. Date Signature of Controlling Otficenolder, 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) La Quinta City Council, Riverside County RESIDENTIALIBUSINESSADDRESS (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 COMMITTEE ADDRESS CITY COMMITTEE NAME NAME OF TREASURER COM M rrTEE ADDRESS CITY CONTROLLED COMMITTEE? ❑ YES ❑ NO STREFTADDRESS (NO P.O. BOX) STATE ZIP CODE AREA CODE/PHONE I.D. NUMBER CONTROLLED COMMITTEE? ❑ YES ❑ NO STREETADDRESS (NO P.O. BOX) STATE ZIP CODE AREA CODEIPHONE COVER PAGE - PART 2 CALIFORNIA •- 1 Page 2 of 13 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE SUPPORT OPPOSE BALLOT NO OR LETTER I JURISDICTION 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 officeholderfs) 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) www.fppc.ca.gov Campaign Disclosure Statement Amounts may be rounded SUMMARY PAGE. Summary Page to whole dollars. Statement covers periodCALIFORNIA `60, July 1, 2016 FORM from through Sept. 24, 2016 Page 3 of 13 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Victoria Llort 1385920 Column A Column B Calendar Year Summary for Candidates Contributions Received TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) CALENDAR YEAR TOTAL TO DATE Running in Both the State Primary and General Elections 8,867 8, 1. Monetary Contributions................................................. Schedule A, Linea $ $ 1/1 through 6/30 7/1 to Date 867 867 67 2. Loans Received .................................................. .............. Schedule B, Line 3 9,460 9,460 20. Contributions 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 +2 $ $ Received $ $ 1,731 1,731 4. Nonmonetary Contributions ............................................ Schedule C, Line 3 21 Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ................... ................. Add Lines 3+4 $ 11,191 $ 11,191 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made................................................................ Schedule e, Line 4 $ 1,422 $ 1,422 Candidates 7. Loans Made....................................................................... Schedule H, Line 3 0 0 1,422 1,422 22. Cumulative Expenditures Made' 8. SUBTOTALCAS H PAYMENTS...,,,......... .......................... Add Lines 6+7 $ $ (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 1.731 1,731 (mm/dd/yy) 11. TOTAL EXPENDITURES MADE........................................Add Lines 8+s+10 $ $ 3,153 $ Current Cash Statement $ 12. Beginning Cash Balance ............................ Previous Summary Page, Line 16 $ 0 To calculate Column B, 13. Cash Receipts ............................. ....................... Column A, Line 3 above ...... 9,460 add amounts in Column 14. Miscellaneous Increases to Cash......... ... ..................... Schedule 1, 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 6 above ""'"""""""""" "" 1,422 of your last report. Some amounts in Column A may 16. ENDING CASH BALANCE ...............Add Lines 12 + 13 + 14, then subtract Line 15 $ 8,038 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 $ 0 filed for this calendar year, only carry over the amounts Cash Equivalents and Outstanding Debts from Lines 2, 7, and 9 (if 0 any). 18. Cash Equivalents ................................................ See instructions on reverse $ 19. Outstanding Debts .............................. Add Line 2 + Line 9 in Column B above $ 867 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Victoria Llort Amounts may be rounded SCHEDULE A to whole dollars. Statement covers period I CALIFORNIA from .July 1, 2016 FORM through Sept. 24, 2016 Page 4 of 13 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER RECEIVED CODE * (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) ®IND 7.14.2016 Maurice & Laura Trudell [I COM Acme Moving and 41482 Aerodome Ave ❑ OTH Storage Bermuda Dunes, CA 92203 ❑ PTY ❑ SCC m IND 7.14.2016 Ernesto Rosales ❑ COM Coachella Valley Sales P.O. Box 306 ❑ OTH Representative, Forest Coachella, CA 92236 El PTY Lawn ❑ SCC QI IND Aaron Espinosa ❑ COM Library Operations 7.14.2016 53705 Avenida Mendoza ❑ OTH Manager, Rancho La Quinta, CA 92254 ❑ PTY Mirage Public Library ❑ SCC El IND Karen Barone El❑ COMBarone Art 7.12.2016 37081 Ferber Dr OTH TH Rancho Mirage, CA 92270 ❑ PTY ❑ SCC Adrian Gysi I1 IND El❑ COM Retired 7.14.2016 49155 Serenta Ct OTH TH La Quinta, CA 92253 ❑ PTY ❑ SCC SUBTOTAL $ 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 $ ID.NUMBER 1385920 AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVEDTHIS CALENDAR YEAR TO DATE PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) $500 $500 $500 $500 $160 $160 $100 $100 $600 $600 1,860 *Contributor Codes IND — Individual 7,070 COM — Recipient Committee (other than PTY or SCC) 1,523 OTH — Other (e.g., business entity) PTY— Political Party SCC — Small Contributor Committee 8,593 FPPC Form 460(Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Amounts may be rounded Monetary Contributions Received to whole dollars. NAME OF FILER Victoria Llort DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR ENTER LD NUMBER) CONTRIBUTOR CODE * WAN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER RECEIVED (IF COMMITTEE, ALSO (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) ® IND Donald & Diane Adolph ❑ CoM Retired 7.14.16 55105 Rivera ❑ OTH La Quinta, CA 92253 ❑ PTY ❑ SCC Jeremy Cullifer ® IND COM ElElO Jule's Market, Owner 7.14.16 49374 Gila River St OTH Indio, CA 92201 ❑ PTY ❑ Scc Desert Delights, Inc ❑ IND COM ❑OTH 7.14.16 72216 Highway 111, Ste F3 ® OTH Palm Desert, CA 92260 ❑ PTY ❑ Scc W IND Daniel Caldwell El coM Healthcare consultant 7.29.16 2005 S. Camino Monte ❑ OTH Palm Springs, CA 92264 ❑ PTY ❑ scc Howard & Debbie Silverman IND El CoM Retired 8.3.2016 36924 Emerald Cove ❑ OTH Palm Desert, CA 92260 ❑ PTY ❑ SCC SUBTOTAL $ *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 (CONT) Statement covers period CALIFORNIA from July 1, 2016 FORM ■ .1 through Sept. 24, 2016 Page 5 of 13 I.D. NUMBER 1385920 AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED THIS CALENDAR YEAR TO DATE PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) $100 $100 $100 $100 $100 $100 $150 $150 $100 $100 550 � FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Amounts may be rounded Monetary Contributions Received to whole dollars. NAME OF FILER Victoria Llort DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR NUMBER) CONTRIBUTOR CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER RECEIVED (IF COMMITTEE, ALSO ENTER I.D. (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) ❑ IND Old Town La Quinta El COM 8.3.16 78100 Main St., Ste 203 ® OTH La Quinta, CA 92253 ❑ PTY ❑ SCC Kathryn Lambert ® IND ❑ COM Development, The Living 8.12.16 81 S Kalaheo Ave ❑ OTH Desert Kailua, HI 96734 ❑ PTY ❑ SCC Anthony Valente iZ IND ❑COM Valente Law 8.23.16 41625 Eclectic St., Ste B1 ❑ OTH Palm Desert, CA 92260 ❑ PTY ❑ SCC ❑ IND Law Offices of Thomas McDermott El COM 8.25.16 77530 Enfield Lane, Ste H 1 p OTH Palm Desert, CA 92211 ❑ PTY ❑ SCC Terje Berger 6Z IND CM Retired 9.3.16 52705 Avenida Obregon E OTH La Quinta, CA 92253 [ PTY r- SCC SUBTOTAL $ '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 (CONT) Statement covers period CALIFORNIA from July 1, 2016 FORM through Sept. 24, 2016 Page 6 of 13 I.D. NUMBER 1385920 AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED THIS CALENDAR YEAR TO DATE PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) $100 $100 $200 $200 $100 $100 $210 $210 $100 $100 710 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULEA (CONT) Monetary Contributions Received to whole dollars. Statement covers period CALIFORNIA 461 from July 1, 2016 FORM through Sept 24, 2016 Page 7 of 13 NAME OF FILER I.D. NUMBER Victoria Llort 1385920 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR CODE * IFAN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) ® IND Mark Carnevale COM Nicolinos Italian $100 $100 9.6.16 Rd 69302 Serenity❑ ❑ OTH Restaurant, Owner Cathedral City, CA 92234 ❑ PTY ❑ SCC 9.12.16 El Paseo Jewelers ❑ IND El OTH om $250 $250 73520 El Paseo, STE E ® Palm Desert, CA 92260 ❑ PTY ❑ SCC CREPAC - C.A.R. ID # 890106 ❑ IND OM 9.19.16 525 S. Virgil Ave 0OTH $500 $500 Los Angeles, CA 90020 ❑ PTY ❑ SCC IND 9.12.16 Adrian Gysi 000H Retired $1,000 $1,000 49155 Serenta St La Quinta, CA 92253 ❑ PTY ❑ SCC Oscar Llort Z IND ❑COM President, American 9.14.16 68340 Risueno Rd I] OTHOutreach Foundation $1,500 $1,500 Cathedral City, CA 92234 ❑ PTY ❑ SCC SUBTOTALS 3,350 *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 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Amounts may be rounded Monetary Contributions Received to whole dollars. NAME OF FILER Victoria Llort DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR NUMBER) CONTRIBUTOR WAN INDIVIDUAL, ENTER CODE * OCCUPATION AND EMPLOYER RECEIVED (IF COMMITTEE, ALSO ENTER LD (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) ❑ IND Eduardo Garcia for Assembly, ID # 1374231 ®coM 9.22.16 1787 Tribute Rd, Ste K ❑ OTH Sacramento, CA 95815 ❑ PTY ❑ SCC Terje Berger ® IND Retired ❑ COM 9.17.16 52705 Avenida Obregon ❑ OTH La Quinta, CA 92253 ❑ PTY ❑ ScC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL $ '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 (CONT) Statement covers period from July 1, 2016 through Sept. 24, 2016 Page 8 of 13 I.D. NUMBER 1385920 AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED THIS CALENDAR YEAR TO DATE PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) $500 $500 $100 $100 •11 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule B — Part 1 Loans Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Victoria Llort FULL NAME, STREETADDRESS AND ZIP CODE OFLENDER (IF COMMITTEE, ALSO ENTER I.D NUMBER) Victoria Llort 81676 Charismatic Way La Quinta, CA 92253 t la IND ❑ COM ❑ OTH ❑ PTY ❑ SCC t ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Schedule B Summary Amounts may be rounded SCHEDULE B - PART 1 to whole dollars. Statement covers period CALIFORNIA from July 1, 2016 FORM through Sept. 24, 2016 Page 9 of 13 I.D. NUMBER I 1385920 IF AN INDIVIDUAL, ENTER (a) (u) OUTSTANDING AMOUNT (c) AMOUNT PAID (e) (e) OUTSTANDING INTEREST (1) ORIGINAL (g) CUMULATIVE OCC F SELF-EMPLOYED, ANDEMPLOYER BALANCE RECEIVED THIS ER BEGINNING THIS OR FORGIVEN BALANCE AT PAID THIS CLOSE OF THIS AMOUNT OF CONTRIBUTIONS NAME OF BUSINESS) PERIOD PERIOD THIS PERIOD' PERIOD PERIOD LOAN TO DATE ❑ PAID CALENDAR YEAR Victoria Llort 867 0 867 867 $ $ $ $ FORGIVEN El FORGIVEN PER ELECTION*` $ 867 $ 867 $ 5.23.16 $ 5 DATE DUE DATE INCURRED ❑ PAID CALENDARYEAR $ $ % $ S ❑ FORGIVEN RATE PER ELECTION*` $ S $ S $ DATE DUE DATE INCURRED ❑ PAID ❑ FORGIVEN $ $ DATE DUE SUBTOTALS $ $ 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. a aF7 n RA7 (May be a negative number) CALENDARYEAR % $ S RATE PER ELECTION" $ DATE INCURRED a (Enter (a) 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 B — Part 2 Loan Guarantors SEE INSTRUCTIONS ON REVERSE NAME OF FILER Victoria Llort FULL NAME, STREET ADDRESS AND ZIP CODE OF GUARANTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Amounts may be rounded to whole dollars. IF AN INDIVIDUAL, ENTER CONTRIBUTOR OCCUPATION AND EMPLOYER CODE (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Statement covers period from July 1, 2016 through Sept. 24, 2016 LOAN LENDER DATE LENDER DATE LENDER DATE LENDER DATE SUBTOTAL $ AMOUNT GUARANTEED THIS PERIOD SCHEDULE B - PART 2 10 13 Page. of I.D. NUMBER 1385920 BALANCE CUMULATIVE OUTSTANDING TO DATE TO DATE CALENDAR YEAR s PER ELECTION (IF REQUIRED) s CALENDAR YEAR S PER ELECTION (IF REQUIRED) s CALENDAR YEAR s PER ELECTION (IF REQUIRED) CALENDAR YEAR s PER ELECTION (IF REQUIRED) s Enter on Summary Page, Line 17 nnly. FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule C Nonmonetary Contributions Received SEE INSTRUCTIONS ON REVERSE NA.1v1- OF FILER Victoria Llort DATE FULL NAME, STREETADDRESS AND RECEIVED ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I D. NUMBER) Amounts may be rounded to whole dollars. Statement covers period from July 1, 2016 through Sept. 24, 2016 Page 11 CONTRIBUTOR IF AN INDIVIDUAL, ENTER DESCRIPTION OF OCCUPATION AND EMPLOYER CODE * (IF SELF-EMPLOYED, ENTER GOODS OR SERVICES NAME OF BUSINESS) ❑ IND 7.14.16 Jule's Market ❑ COM 78130 Calle Tampico (,BOTH La Quinta, CA 92253 ❑ PTY ❑ SCC ❑ IND Nothing Bundt Cakes 7.14.16 ❑ COM 72216 Highway 111, Ste F3 WOTH Palm Desert, CA 92260 ❑ PTY ❑ SCC [I IND 8.31.16 Inner Workings ❑ COM 1003 Bishop St., Ste 650 ❑ OTH Honolulu, HI 96813 ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY 1SCC Attach additional information on appropriately labeled continuation sheets. Thank you gift basket; grocery goods Thank you gift coupon;100 coupons; $4.49 value each Campaign Paraphernalia; tshirts/pritning services SUBTOTAL $ Schedule C Summary 1. Amount received this period — itemized nonmonetary contributions. (Include all Schedule C subtotals.).......................................................................................................:::.;...:...:.$ 2. Amount received this period — unitemized nonmonetary contributions of less than $100..................................$ 3. Total nonmonetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.).....................TOTAL $ AMOUNT/ FAIR MARKET VALUE $100 $449 $1,102 I 1,651 SCHEDULE C of 13 I.D. NUMBER 1385920 CUMULATIVE TO PER ELECTION DATE TO DATE CALENDAR YEAR (IF REQUIRED) (JAN 1 - DEC 31) $100 $449 $1,102 "Contributor Codes IND — Individual 1,615 COM — Recipient Committee (other than PTY or SCC) 80 OTH — Other (e.g., business entity) PTY— Political Party SCC — Small Contributor Committee 1.731 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 July 1, 2016 through Sept. 24, 2016 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. SCHEDULE E Page 12 of 13 1❑ NUMBER 1385920 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) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID The Grill on Main 78065 Mian St FND La Quinta, CA 92253 City of La Quinta 78495 Calle Tampico FIL La Quinta, CA 92253 Xpress Graphics 42215 Washington St LIT Palm Desert, CA 92260 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. Schedule E Summary Fundraiser Candidate Statement Campaign Literature SUBTOTAL $ 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 $ $200 $475 $216 891 1,018 404 0 1,422 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E (Continuation Sheet) Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Victoria Llort Amounts may be rounded to whole dollars. Statement covers period from July 1, 2016 through Sept. 24, 2016 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment SCHEDULE E (CONT) �• .1 - Page 13 of 13 I.D. NUMBER 1385920 CMP campaign paraphernalia/misc. MBR member communications RAID 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 CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALSO ENTER I.D NUMBER) VistaPrint.com CMP " Payments that are contributions or independent expenditures must also be summarized on Schedule D. Campaign Paraphernalia; magnets $127 SUBTOTAL$ 127 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) ......... c.............