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460 Gomez 2018 from 07/1 - 09/22Recipient Committee Campaign Statement Cover Page Statement covers period Date of election If appllcabte,: from 7/l/2018 (Month, Day, Year) _ nwa Almm. RECEIVED ` j� OCT 8 2018 COVER PAGE CALIFOMIA t t / #! e- }age 1 of 9 For ot{lelal Uset Only CITY OF LA QUINTA SEE INSTRUCTIONS ON REVERSE through 9/22/2018 November 6, 2018 CITY CLERK DEPARTMENT 1. Type of Recipient Committee: All Committees —Complete Parts 1, 2, 7, and 4. 2. Type of Statement: 91 Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑ Preelection Statement ❑ Quarterly Statement O State Candidate Election Committee Committee ❑ semi-annual Statement ❑ Special Odd -Year Report ® Recall ® Controlled ❑ Termination Statement (AhocowletsPerf5) O Sponsored (Also file a Form 410 Termination) (Also Cortlolefe Part 6) El General Purpose Committee I� Amendment (Explain below) O Sponsored ❑ Primarily Formed Candidate/ The donation and costs associated with Go with Gomez domain and ® Small Contributor Committee Officeholder Committee — — — — ® Political Party/Central Committee (AlroC&*WsPart 7) webelte was overlooked and not included on original filing 3. Committee Information 1.13, NUMBER Treasurer(s) 1410351 COMMITTEE NAME (OR CANDIDATE'S NAME TF Na C0MM1; 1 L;E) NAME OF TREASURER Go with Gomez 2018, LQ City Council Dante Gomez MAILING ADDRESS 78670 Via Melodia STREET ADDRESS (NO P.O. BOX) CRY STATE ZIP CODE AREA CUUE/PHONE 78670 Via Melodia La Quinta CA 92253 714 474 9680 CITY STATE ZIP CODE AREA CODEIPHONE NAME OF ASSISTANT TREASURER, IF ANY La Quinta CA 92253 714 474 9680 N/A MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX MAILING ADDRESS Same CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL; FAX) E-MAILAE)DRESS OPTIONAL, FAX) E-MAILADDRESS gowlthgomez2Ol8@gmall.com +4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to th of my w!e the Information contained herein and in the attached schedules Is true and complete. I certify under penalty of pedury under the Inwa of she State of California that the foregoln4 Is 1 a an rrect. , Executed on 10/8/18 B,, ` !�^ Date j1 l Treasurer arAmWenl Treasurer 10/8/18 Executed on B,y` Date S�LW of Controlling OfAcehaldar, Candidate, Slate Measure proponent or Responalhlo CMCAr of Sponsor Executed on Date B Signature of Controlling Officeholder, Candidate, State Measure Proponent Executed on B Date Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (Jan/2016) FPPC Advice: adviced)fppc.ca,gov (866/275-3772) www.fppc.ca.gov Recipient Committee Campaign Statement Cover Page — Part 2 S. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Dante Gomez OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) La Quinta City Council Member RESIDENTIALIBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP 78670 Via Melodia La Quints 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.O. NUMBER NAME OF TREASURER COMMITTEE ADDRESS CITY COMMITTEE NAME NAME OF TREASURER COMMITTEE ADDRESS CITY CONTROLLED COMMITTEE? ❑ YES ❑ NO STREETADDRESS (NO P.O. BC{) STATE ZIP CODE AREA CODEIPHONE I,D. NUMBER CONTROLLED COMMITTEE? ❑ YES ❑ NO STREETADDRESS (NOP.O.80t1 STATE ZIP CODE AREA CODE/PHONE COVER PAGE - PART 2 CALIFORNIA e 1 .- Pape 2 oT 9 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO, OR LETTER I JURISDICTION 1 ❑ SUPPORT ❑ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, If ony. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD DISTRICT NO, IF ANY 7. Primarily Formed CandidatelOfficeholder Committee Llstnames of officeholders) 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 Nnecessory FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275.3772) www.fppc.ca.gov Campaign Disclosure Statement Amounts may bo rounded SUMMARY PAGE Summary Page g to whole dollars. Statement coven period A 7/1/2018 FORMa from through 9/22/2018 Pape 3 of 9 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Dante Gomez - Go with Gomez 2018, LQ City Council 1410351 Contributions Received Column A TOTAL THIS PERIOD Column B CALENDAR YEAR Calendar Year Summary for Candidates (FROM ATTACHED eCHEDULES) TOTAL TO DATE Running In Both the State Primary and General Elections 1,200.00 1,200.00 1. Monetary Contributions................................................... Schedule A, Line 3 $ -- 1567.99 $ - 1567.99 1/1 through 6/30 7/1 to Date 2. Loans Received................................................................ Schedule e, Line 3 2767.99 2767,99 20. Contributions 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 1 +2 $ - $ _ - Recelvud $ $ 4. Nonmonetary Contributions ............................................ Schedule C, Line 3 - 0 _- 0 21. Expenditures Lines 5. TOTAL CONTRIBUTIONS RECEIVED ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, Add u $ 2767.99 2767.99 $ _ - Made $ $ - Expenditures Made Expenditure Limit Summary for State 6. Payments Made................................................................ Schedule E, Line 4 $ 1869.69 $ 1869.69 Candidates 7. Loans Made....................................................................... Schedule H, Line 3 0 0 8. SUBTOTAL CASH PAYMENTS .......................................... Add Lines 6 + 7 $ . 186969 $ 186g gg 22. Cumulative Expenditures Made* (if subject to Voluntary Expenditure Will) 9. Accrued Expenses (Unpaid Bills) .......................................... Schedule F Line 3 132.00 - 132.00 Date of Election Total to Date 10. Nonmonetary Adjustment......................................................... Schedule C, Line 3 0 0 (mm/dd/yy) 11. TOTAL EXPENDITURES MADE ........................................ Add Lines 6 + 9 + 10 $ 2.001,69 $ 2001.69 ! $ Current Cash Statement $ 12. Beginning Cash Balance Previous summary Page, Line 16 """""""""""""" $ 1567.99 - To calculate Column B, 13. Cash Receipts ....................... Column A, Line 3 above 1200.00 add amounts In Column 14. Miscellaneous Increases to Cash .................................. Schedule 1, Line 4 0 Ato the corresponding from Column B *Amounts In this section may be different from amountsamounts reported In Column B. 15. Cash Payments......................................................... Column A, Line 6 above 1869.69 of your lest report. Some amounts in Column A may 16. ENDING CASH BALANCE ..................Add Lines 12 + 13 + 14, then subtract Line 15 $ . 89830 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 $ 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 $ 1699.99 FPPC Form 460 (Jan/2016) FPPC Advice: advicedPfppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A Monetary Contributions Received Amounts may be rounded to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER Dante Gomez - Go with Gomez 2018, LQ Clty Council DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER L®. NUMBER) CONTRIBUTOR IFAN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER RECEIVED CODE * (IF SELF-EMPLOYED, ENTER NAME OF CUBINESS) ❑IND Gomez & Doust 8/27/18 ❑ coM Gomez & Douat, Law Rosa Gomez OTH Firm LLP (Self Employed 644 40th St. Suite #209 Oakland, CA 94609 ❑ PTY Attorney) ❑ SCC El IND Rosa Gomez 9/9/18 ❑❑ OTH ope E ry 5221 West Second Street School Community School Community Santa Ana, CA 92703 ❑ PTY Liason ❑ SCC ❑ IND 9111/18 Law Offices of Leonard Cravens ❑coM Law Offices of Leonard Leonard Cravens m OTH Cravens (Self Employed 45902 Oasis St,, Suite C Indio, CA 92201 ❑ PTY Attorney) ❑ SCC Robert Duron 9/21/18 is IND ❑coM Retired Investigator 804 Riverview Dr. ❑ OTH Public Defender Redlands, CA 92374-1829 ❑ PTY Riverside County ❑ SCC Mary Clemente ® IND ElcoM Retired Public Relations 9122/18 78710 Darrell Dr. ❑ OTH Bermuda Dunes, CA ❑ PTY ❑ SCC SUBTOTAL$ Schedule A Summary 1. Amount received this period — itemized monetary contributlons. (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 $ 1150.00 50.00 1200.00 SCHEDULE A Statement covers period CALIFORNIA from 7/1/2018 _FORM 460 through _ 9/22/2018 Page 4 of 9 I.D. NUMBER 1410351 AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED THIS CALENDAR YEAR TO DATE PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) $450 $100 $250 $100 $250 905 'Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g„ business entity) PTY— Political Porty SCC — Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice; advicegfppc.ca.gov (866/275-3772) www.fppc.ca.gov Amounts may be rounded SCHEDULE 8 - PART 1 Schedule B — Part 1 to whole dollars. statement covers period I CALIFORNIA Loans Received 7/1/2018 a I e ' from _ SEE INSTRUCTIONS ON REVERSE through _ 9/22/2018 _ Page 5 of 9 NAME OF FILER LD, NUMBER Dante Gomez - Go with Gomez 2018, LQ City Council 1410351 IF AN INDIVIDUAL, ENTER t't Ibl FULL NAME, STREET ADDRESS AND ZIP CODE OUTSTANDING AMOUNT OCCUPATION AND EMPLBALANCE Iel AMOUNT PAID Id le) OUTSTANDING INTEREST BALANCE III tal ORIGINAL CUMULATIVE RECEIVED THIS (IF COMMITTEE, ALSO EDNTER I.D. NUM ER) ENTEROYER BEGINNING THIS PERIOD NAME OFSUSINsc.c) OR FORGIVEN CLOSE THIS PAID THIS THIS PERIOD" PERIOD AMOUNT OF CONTRIBUTIONS LOAN TO DATE PERIOD PERIOD Dante Gomez Attorney, County of ❑ PAID CALENDAR YEAR 78670 Via Melodia Riverside $ __ $ 1,567.99 0 % 1 1567.99 = 1.567.99. La Quinta, CA 92253 ❑ FORGIVEN RATE PER ELECTION" $ 1,667.99 $ 1,567.99 None $ 0 fig— s t 0 IND ❑ COM ❑ OTH ❑ PTY ❑ SCC $ _ _ DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR 1 _ 1 _. % 1 1 — ❑ FORGIVEN RATE PER ELECTION" t ❑ IND El COM ❑ OTH El PTY ❑ SCC s 1 DATE DUE 1 DATE INCURRED $ ❑ PAID CALENDAR YEAR 1 $ — % 1 1 -- __ ❑ FORGIVEN RATE PER ELECTION" t❑ IND ElCOM ❑ OTH [IPTY [ISCC 9 1 ; DATE DUE $ DATE INCURRED 1 SUBTOTALS $ $ $ $ Schedule B Summary {EntEr (y} Of1 Schedule E. LIM* 3) 1. Loans received this period....................................................................................................................$ 156799 Column (b) plus unitemized loans of less than $100.) tcontributorCodes 2. Loans paid or forgiven this period ....................................... $ n IND—Individual (Total Column (c) plus loans under $100 paid or forgiven.) COM — Recipient Committee (other than PTY or SCC) (Include loans paid by a third party that are also itemized on Schedule A.) OTH — Other (e.g., business entity) PTY — Political Party 3. Net change this period. (Subtract Line 2 from Line 1.).............................................................. NET $ 1 rR2 as SCC — Small Contributor Committee Enter the net here and on the Summary Page, Column A, Line 2. (May be a negalWe number) "Amounts forgiven or paid by another party also must be reported on Schedule A. FPPC Form 460 (Jan/2016) If required. FPPC Advice: advicedPfppc.co,gov (866/275-3772) www.fppc.ca.gov SCHEDULE E Schedule E Amounts may be rounded Statement coven period CALIF• . NIA Payments Made to whole dollars, 7/1/2018FORM J from e 6 of 9/22/2018 Page 9 SEE INSTRUCTIONS ON REVERSE through_ NAME OF raFt 1.0, NUMBER Dante Gomez - Go wlth Gomez 2018, LQ City Council 1410351 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernallu/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetery)* 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 fundrriaing events POL polling and survey research TRS staff/spouse tr ivel, lodging, and meals IND independent expenditure supporting/oppor0rig 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,ALe6 ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID City of Le Qulnta, 78495 Calle Tampico, La Quinta, CA 92253 Initial Fee for Name on Ballot FIL $972.00 Cost of Permit for 100 political signs Signs on the Cheap, www.signsonthecheap.com 100 - 1 sided signs with stands + shipping CMP $421.25 Costco - 79795 CA-111, La Quinta, CA 92253 Invitations to Campaign kick off CMP Campaign Banner $60.46 * Payments that are contributions or Independent expenditures must also be summarized on Schedule D, SUBTOTAL $ 1453.71 Schedule E Summary 1. Itemized payments made this period. Include all Schedule E subtotals. $ 1869.69 2. Unitemlzed payments made this period of under $100................ 0 3. Total interest paid this period on loans. Enter amount from Schedule B Part 1 Column a .... $ 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 $ 1869.69 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E (Continuation Sheet) Payments Made Amounts may be rounded to whole dollars. Statement covers period from 7/1/2018 throw h 9/22/2018 SCHEDULE E (CONT.) 7 9 SEE INSTRUCTIONS ON REVERSE g Page Of -- NAME OF III -ER I.D. NUMBER Dante Gomez - Go with Gomez 2018, LQ City Council 1410351 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphemalla/misc. MBR member communlcatlons 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 alrtlme and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundralsing events POL polling and survey research TRS staff/spouse travel, lodging, and meals IND independent expenditure supporting/opposing others (explaln)" 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, AL®0 ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Staples, 78680 CA-111, La Quinta, CA 92253 Flyers for Meet & Greets CMP 22.31 Magnets on the cheap www.magnetsonthecheap.com Campaign sign magnets for car CMP 46.36 Costco, 79795 CA-111, La Quinta, CA 92253 Food, beverages, plates, napkins, pizza, beer, ice for FND meet and greet event on 9/21/18 231.33 Severo Rojas, Coachella, CA (760) 848-9368 Rental of tables, chairs and table covers for meet and FND greet event on 9/21/18 40.00 Squarespace.com www.squarespace,com Cost of hosting www.gowithgomez.org website CMP 52.00 * Payments that are contributlons or Independent expenditures must also be summarized on Schedule D, SUBTOTAL $ 392.00 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E Amounts may be rounded SCHEDULE E (CONT.) (Continuation Sheet) to whole dollars, statement coven period CALIFORNIA Payments Made from 711/2018 FORM g SEE INSTRUCTIONS ON REVERSE through 9/22/2018 Page 8 of NAME OF FILER 1.0, NUMBER Dante Gomez - Go with Gomez 2018, LQ City Council 1410351 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 RAO radio airtime ;Ind 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 fundralsing events POL polling and survey research TRS staff/spouse travel, lodging, and meals IND independent expenditure supporting/opposing others (explain)" POS postage, delivery :md 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 mellings PRT print ads WEB Information technology costs (Internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, AL®0 ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Domain.com www.domain.com Cost of securing domain name CMP "www,gowithgomez.org" for one calendar year 23.98 " Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 23.98 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275.3772) www,fppc.ca,gov SCHEDULE F Schedule F Amounts may be rounded 9tatementcovon period CALIFORNIA� • s � � to whole dollars.I ~ Accrued Expenses (Unpaid Bills)from 7/1/2018 through 9/22/2018 Pogo 9 of 9 SEE INSTRUCTIONS ON REVERSE _ g NAME OF F{LER LD, NUMBER Dante Gomez - Go with Gomez 2018, LQ City Council 1410351 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 RAO 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 fundrnlaing 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 legrll defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB Information technology costs (internet, e-mail) ( ((c) ( NAME AND ADDRESS OF CREDITOR CODE OR OUTSTAA NDING AMOUNT INNCURRED AMOUNT PAID OUTSTAA NDING (IF COMMITTEE, ALSO ENTER I.D, NUMBER) DESCRIPTION OF PAYMENT BA LANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE OF THIS PERIOD (ALSO REPORT ON 2) OF THIS PERIOD Calvotergulde.com, 22410 Hawthorne Blvd. Suite 5, Torrance, CA 90505 CMP 132.00 132.00 0 132,00 " Payments that are contributions or Independent exp,: ndltures must also be SUBTOTALS $ 132 $ 132 $ 0 $ 132 summarized on Schedule D. Schedule F Summary 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for accrued expenses of $100 or more, plus total unitemized accrued expenses under $100.) ..............................................INCURRED TOTALS $ 132,00 2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under$100.)................................... PAID TOTALS $ 0 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and onthe Summary Page, Column A, Line 9.)................................................................................................................................................................................... NET $ 132,00 May be a negative number FPPC Form 460 (Jan/2016) FPPC Advice: advicedpf ppc,ca.gov (866/275.3772) www,fppc.ca.gov Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement covers period from 7/1/2018 through 9/22/2018 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. i� 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 Com*fe Pad 0) ❑ General Purpose Committee 0 Sponsored 0 Small Contributor Committee 0 Political Party/Central Committee ❑ Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) 3. Committee Information I.D. NUMBER 1410351 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Go with Gomez 2018, LQ City Council STREETADDRESS (NO P.O. BOX) 78670 Via Melodia CITY STATE ZIP CODE AREA CODE/PHONE La Quints CA 92253 714 474 9680 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX Same CITY STATE ZIP CODE AREACODE/PHONE OPTIONAL: FAX / E-MAILADDRESS gowithgomez20l8@gmail.com 4. Verification I have used all reasonable diligence In preparing and reviewing this statement and to the best of my F certify under penalty of perjury under the laws of the State of California that the foregoing le true afid. Executed on 9/27/18 By .0 Date Stamp RECEIVED Date of election If applicable: (Month, Day, Year) SEP 2 7 2018 COVER PAGE '-M' r .- Page 1 of For Official Uoe Only November 6, 2018 CITY OF LA CIUINTA CITY CLERK. DEPARTMENT 2, Type of Statement: Preelection Statement Quarterly Statement ❑ Seml-annual Statement ❑ Special Odd -Year Report ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) Treasurer(s) NAME OF TREASURER Dante Gomez MAILING ADDRESS 78670 Via Melodia CITY STATE ZIP CODE AREA CODE/PHONE La Quints CA 92253 714 474 9680 NAME OF ASSISTANT TREASURER, IF ANY N/A MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS the InfdVfi0}1on V*Ined herein and In the attached schedules Is true and complete. I Date `�f sign oYtrfasuror a fCeafr t Trea+um _ Executed on 9/27/18 By a _ �/� Date Slpneture of ConSro�IrnekMceholder, Candidate, Stela Measure PTopond ! or ResponoIble Ofcor of Sponsor Executed on By 1 Date Signature of Controlling Officeholder, Candidate, State Measure Proponent Executed on By Data Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (Jan/2016) FPPC Advice: advicelelfooe.ca.aov (866/275-37721 Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Dante Gomez OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) La Quinta City Council Member RESIDENTIAL/BUSINESS ADDRESS (NO, AND STREET) CITY STATE ZIP 78670 Via Melodia La Quinta CA 92253 Related Committees Not Included In this Statement: List any commltt••s not Included In this statement that are controlled by you or are primarily formed to receive contributions or make expenditures on behnIf of your candidacy. COMMITTEE NAME 1.0, NUMBER NAME OF TREASURER COMMITTEE ADDRE:,5 CITY COMMITTEE NAME NAME OF TREASURER COMMITTEE ADDRESS CITY CONTROLLED COMMITTEE? ❑ YES ❑ NO STREET ADDRESS (NO P.O. BOX) STATE ZIP CODE AREA CODE/PHONE LID. NUMBER CONTROLLED COMMITTEE? [I YES ❑ NO STREETADDRESS (NO P.O. BdX) STATE ZIP CODE AREA CODE/PHONE 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER I JURISDICTION COVER PAGE - PART 2 CALIFORNIA •- •1 Page 2 of ❑ 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]Offlceholder Committee Llstnames of officeholder(s) or candidate(s) for which this committee IF 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 Amounts may be rounded to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER Dante Gomez G c��c Contributions Received 1. Monetary Contributions ..................... ............. ............. I.... Schedule A, Line 3 2. Loans Received ........... :....:.:...:.:.;„,.. schedule B, Llne 3 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 1 +2 4. Nonmonetery Contributions ............................................ Schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,Add Lines 3 + 4 Expenditures Made 6. Payments Made................................................................ Schedule E, Line 4 7. Loans Made...................................................................... Schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS .......................................... Add Linea 8+ 7 9. Accrued Expenses (Unpaid Bills) ........... Schedule F, line 3 10. Nonmonetery Adjustment ............................................... Schedule C, Line 3 11. TOTAL EXPENDITURES MADE ........................................ Add Lines 8 + 8 + 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 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 B above Statement covers period from 7/1/2018 through 9/22/2018 Column A Column B TOTAL THIS PERIOD CALENDAR YEAR (FROM ATTACHED SCHEDULES) TOTAL TO DATE $ 1,200 $ 1,200 1,492.01 1,492.01 $ 2,692.01 $ 2,692.01 0 0 $ 2,692.01 $ 2,692.01 $ 1793.71 $ 1793.71 0 T $ 1793.71 $ 1793.71 132.00 132.00 O Cj $ 1925.71 $ 1925.71 $ 1492.01 To calculate Column B, 11200 add amounts In Column D A to the corresponding amounts from Column B 1793.71 of your last report. Some 898.30 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), SUMMARY PAGE e.. . e- 6i Page 3 of C I,D. NUMBER 1410351 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' (it Subject to Voluntary Expenditure Llmlt) Date of Election Total to Date (mmlddlyy) 1 J $ J� $ "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 A Monetary Contributions Received Amounts may be rounded to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER / �y Dante Gomez b p t� l �, C-1 awe, � L �/t � � l�- �f� r l v�C� i 4— DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * Gomez & Douat 8/27/18 Rosa Gomez 644 40th St. Suite #209 Oakland, CA 94609 Rosa Gomez 9/9/18 5221 West Second Street Santa Ana, CA 92703 Law Offices of Leonard Cravens 9/11/18 Leonard Cravens 45902 Oasis St., Suite C Indio, CA 92201 9/15/18 ,(/ A_ Robert Duron 9/21 /18 804 Riverview Dr. Redlands, CA 92374-1829 Schedule A Summary ❑ IND ❑ COM OTH ❑ PTY ❑ SCC OIND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM 2 OTH ❑ PTY ❑ SCC IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ® IND ❑ COM ❑ OTH ❑ PTY ❑ SCC IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, EN) ER NAME P Gomez & Douat, Law Firm LLP (Self Employed Attorney) Newhope Elementry School Community Liason Law Offices of Leonard Cravens (Self Employed Attorney) D41 II iP P* SCHEDULE A Statement covers period from 7/1/2018 9/22/2018 Page 4 through of 1,13, NUMBER 1410351 AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED THIS CALENDAR YEAR TO DATE PERIOD (JAN. 1 - DEC, 31) (IF REQUIRED) $450 $100 $250 Retired Investigator Public Defender, $100 Riverside County SUBTOTAL$ 905 1. Amount received this period — itemized monetary contributions. r 1 S �.� (Include all Schedule A subtotals.).........................................................................................................$ I I 2. Amount received this period — unitemized monetary contributions of less than $100 ...........................$ 4�0 3. Total monetary contributions received this period. j 2W (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.)......................TOTAL $ *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) ......... a..,,.. ,..,.. Schedule A (Continuation Sheet) Amounts may be rounded Monetary Contributions Received to whole dollars. NAME OF FILER Dante Gomez W1JL &,,,e Z,0 C,11 ce � i ! DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER RECEIVED (IF COMMITTEE, ALSO ENTER I D. NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Statement covers period from 7/1/2018 through AMOUNT RECEIVED THIS PERIOD SCHEDULE (CONT.) 9/22/2018 Page 5 of 1�_— I.D. NUMBER 1410351 CUMULATIVE TO DATE PER ELECTION CALENDAR YEAR TO DATE (JAN. 1 - DEC. 31) (IF REQUIRED) 9/21 /18 ❑ COM OTH OTHAIA- ❑ SCC 9/21/18 /� 0 ❑ COM ❑ OTH ❑ PTY ❑ SCC Mary Clemente 0 IND Retired Public Relations 9/22/18 78710 Darrell Dr., ❑ CoM $250 Bermuda Dunes, CA ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL$ 295 *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: advlce@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Amounts may be rounded Schedule B — Part 1 to whole dollars. Statement covers period Loans Recelved from 7/1/2018 n n 9/22/2018 SEE INSTRUCTIONS ON REVERSE t roug NAME OF FILER Dante Gomez r (� V [ Cva we L '2c9( f [ C Ct L j �� I FULL NAME, STREETADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OCCFSELFON AN OUTSTANDING BALANCE AMOUNT AMOUNT PAID OUTSTANDING BALANCE OF LENDER SELF-EMPLOYED. (IF COMMITTEE, ALSO ENTER I.D. NUMBER) NAME OF BUSINESS) BEGINNING THIS RECEIVED THIS PERIOD OR FORGIVEN + THIS PERIOD CLOSE THIS PERIOD PERIOD Dante Gomez Attorney, County of ❑ PAID 78670 Via Melodia Riverside $ 1.492.01 La Quinta, CA 92253 3 ❑ FORGIVEN 1,492.01 1.492.01 $ $ $ $ t Ida IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE t ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Schedule B Summary ❑ PAID $ ❑ FORGIVEN $ S $ ❑ PAID $ ❑ FORGIVEN S. $ $ 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. (e) INTEREST PAID THIS PERIOD 0 % RATE SCHEDULE B - PART 1 6 Page of I.D. NUMBER 1410351 VI (91 ORIGINAL CUMULATIVE AMOUNT OF CONTRIBUTIONS LOAN TO DATE CALENDAR YEAR $1.492.01 $ 1.492.01 PER ELECTION" Pendincl $ DATE INCURRED CALENDAR YEAR RATE PER ELECTION" DATE DUE $ DATE INCURRED $ CALENDAR YEAR $ % $ S RATE PER ELECTION" DATE DUE $ DATE INCURRED $ $ $ (Ender (e) on Schedule E. Line 3) 149701 tContributor Codes n IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party 1 dA2—QJL SCC — Small Contributor Committee (May be a negative number) FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E Amounts may be rounded Statement covers period e . SCHEDULE E to whole dollars, r Payments Made from 7/1/2018 FORM SEE INSTRUCTIONS ON REVERSE through 9/22/2018 Page 7 of NAME OF FILER I.D. NUMBER Dante Gomez C-o (jUt CoN,.e2 -7.)( �-/ Lp C � { 1410351 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign parephernalla/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 candldate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mallings PRT print ads WEB information technology costs (Internet, a -mall) NAME AND ADDRESS OF PAYEE W COMMITTEE, ALSO ENTER I.D. NUMBER) City of La Quinta, 78495 Calle Tampico, La Quints, CA 92253 Signs on the Cheap, www.slgnsonthecheap.com Costco - 79796 CA - 111, La Quints, CA 92253 CODE OR DESCRIPTION OF PAYMENT FIL CMP CMP « Payments that are contributions or Independent expenditures must also be summarized on Schedule D. Schedule E Summary Initial Fee for Name on Ballot Cost of Permit for 100 political signs 100 - 1 sided signs with stands + shipping Invitatlons to Campaign kick off Campaign Banner 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 $ AMOUNT PAID $972 421.25 60.46 1453.71 1793.71 C� 1793.71 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 Amounts may be rounded to whole dollars, Dante Gomez Cryo wv- 205 L-21 C4 CODES: If one of the following codes accurately describes the payment, you may enter the code. CMP campaign paraphernalia/misc. MBR member communications CNS campaign consultants MTG meetings and appearances CTB contribution (explain nonmonetary)" OFC office expenses CVC olvic donations PET petition circulating FIL candidate flling/ballot fees PHO phone banks FND fundraising events POL polling and survey research IND independent expenditure supporting/opposing others (explain)" POS postage, delivery and messenger services LEG legal defense PRO professional services (legal, accounting) LIT campaign literature and mailings PRT print ads NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Staples, 78680 CA-111, La Quints, CA 92253 Magnets on the cheap www.magnetsonthecheap.com Costco, 79795 CA-111, La Quints, CA 92253 Severo Rojas, Coachella, CA (760) 848-9368 SCHEDULE E (CONT,) Statement covers period CALIFORNIA 4•1 from 7/1 /2018 FORM through 9/22/2018 Page 8 of _ t I.D. NUMBER 1410351 Otherwise, describe the payment, RAD radio airtime and production costs RFD returned contributions SAL campaign workers' salaries TEL t.v, or cable airtime and production costs TRC candidate travel, lodging, and meals TRS staff/spouse travel, lodging, and meals TSF transfer between committees of the same candidate/sponsor VOT voter registration WEB information technology costs (Internet, e-mail) CODE OR DESCRIPTION OF PAYMENT Flyers for Meet & Greets CMP CMP FND FND * Payments that are contributions or Independent expenditures must also be summarized on Schedule D, Campaign sign magnets for car Food, beverages, plates, napkins, pizza, beer, ice for meet and greet event on 9/21/18 Rental of tables, chairs and table covers for meet and greet event on 9/21/18 SUBTOTAL$ AMOUNT PAID 22.31 46.36 231.33 40.00 340 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) SCHEDULEF Schedule F Amounts may be rounded Accrued Expenses (Unpaid Bills) to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER Dante Gomez Cello CODES: If one of the following codes accurately describes the payment, you may enter the code. Statement cov❑re perlod from 7/1 /2018 through 9/22/2018 Otherwise, describe [lie payment. Page _t __ of ` I.D. NUMBER 1410351 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 FIND fundraising events POL polling and surrey 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) ( ((c) ( NAME AND ADDRESS OF CREDITOR CODE OR OUTSTAA NDING AMOUNT IN NCURRED AMOUNT PAID OUTSTANDING (IF COMMITTEE, ALSO ENTER I.D. NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD Calvoterguide,com, 22410 Hawthorne Blvd, Suite 5, Torrance, CA 90505 CMP 132.00 132.00 132.00 . Payments that are contributions or independent expenditures must also be summarized on Schedule D. Schedule F Summary SUBTOTALS $ 132 $ 132 $ $ 132 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for accrued expenses of $100 or more, plus total unitemized accrued expenses under $100, .....................INCURRED TOTALS $ 132.00 2. Total accrued expenses paid this period, (Include all Schedule F, Column (c) subtotals for payments on accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under$100.)................................... PAID TOTALS $ 0 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and 132.00 onthe Summary Page, Column A, Line 9.)................................................................................................................................................................................... NET $ May be a neyellve number FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc,ca.gov (866/275-3772)