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460 Pena 2018 from 09/23 to 10/20Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement covers period from 9/23/18 through 10/20/18 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. 0 Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure O State Candidate Election Committee Committee O Recall O Controlled (Also Complete Parts) O Sponsored (Also Complete Part 6) ❑ General Purpose Committee O Sponsored ❑ Primarily Formed Candidate/ O Small Contributor Committee Officeholder Committee O Political Party/Central Committee lAl&oCm»pletePart 7) 3. Committee Information I.D. NUMBER 1370057 :OMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) COMMITTEE TO ELECT JOHN PENA CITY COUNCIL 2018 STREET ADDRESS (NO P.O. BOX) 51405 STATE ZIP CODE AREA CODE/PHONE LA QUINTA CA 92253 760. ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE/PHONE Date of election if applii (Month, Day, Year) Date Stamp RECEIVED OCT 25 2018 CITY OF LA QUINTA 11 /6/2018 ITY CLERK DEPARTMENT COVER PAGE Page —I of For Official Use Only 2. Type of Statement: Preelection Statement ❑ Quarterly Statement ❑ Semi-annual Statement ❑ Special Odd -Year Report ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) Treasurer(s) NAME OF TREASURER GERRI LYNCH MAILING ADDRESS 51405 STATE ZIP CODE AREACODE/PHONE LA QUINTA CA 92253 760. OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS OPTIONAL: FAX I E-MAIL ADDRESS 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 perju and r the laws of the State of California that the foregoing is true and correct. Executed on ` I By�"�_ NISig ufer r ss stant Treasurer Executed on i� V By le Signature of Cuntroll'm alder, n idate, Stale Measure Proponent or Responsible Officer of Sponsor Executed on By Date Signature of Controlling Officeholder, Candidate, State 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.feec_ca.gov COVER PAGE - PART 2 Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE COMMITTEE TO ELECT JOHN PENA 2018 OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) CITY COUNCIL - CITY OF LA QUINTA RESIDENTIAL/BUSINESS 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 CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (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 Page I," 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) orcandidate(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 Amounts may be rounded Summary Page to whole dollars. Statement covers period from 9/24/18 SUMMARY PAGE 10/20/18 through h Page of SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER COMMITTEE TO ELECT JOHN PENA CITY COUNCIL 2018 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 7924 9674 1. Monetary Contributions .... :..:..::..:...............:::.......:.......... Schedule A, Line 3 $ $ �/� through 6/30 7l1 to Date 0 250 2. Loans Received... . Schedule a, Line 3 7924 9924 20. Contributions 3. SUBTOTAL CASH CONTRIBUTIONS.... .......................... Add Lines 1 +2 $ $ Received $ $ 6290 6290 4. Nonmonetary Contributions ............................................. Schedule C, Line 3 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ................. .._.............. Add Lines 3+4 $ 14214 $ 16214 Made $ $ Expenditures Made 6. Payments Made ........ .... ............................................... ;.. Schedule E, Line 4 $ 5369 $ 6620 7. Loans Made...................................................................... Schedule H, Line 3 0 0 8. SUBTOTAL CASH PAYMENTS .......................................... Add Lines 6 + 7 $ 5369 $ 6620 9. Accrued Expenses (Unpaid Bills) .......................................... Schedule l , Line 3 0 0 10. Nonmonetary Adjustment......................................................... Schedule C, Line 3 0 0 11. TOTAL EXPENDITURES MADE ......................., .............. Add Lines s + 9 + 10 $ 5369 $ 6620 Current Cash Statement 12. Beginning Cash Balance ............................ Previous Summary Page, Line 16 $ 577 To calculate Column B, 13. Cash Receipts .................................................. .... ..... Column A, Line 3 above 7924 add amounts in Column 0 A to the corresponding 14. Miscellaneous Increases to Cash Schedule i, Line 4 amounts from Column B 15. Cash Payments ...... ........ column A, Line s above """""""""""" """'"" 5369 of your last report. Some amounts in Column A may 16. ENDING CASH BALANCE ..................Add Lines 12 + 13 + 14, then subtract Line 15 $ 2555 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 e, Part 2 $ 0 filed for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if Cash Equivalents and Outstanding Debts Q any). 18. Cash Equivalents_..... .............. ................. ........... See instructions on reverse $ 2 V 19. Outstanding Debts .............................. Add Line 2 + Line 9 in Column B above $ 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 A Amounts may be rounded SCHEDULE A Monetary Contributions Received to whole dollars. Statement covers period CALIFORNIA 9/24/18 from f 10/20/18 J F-' through Page of SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER COMMITTEE TO ELECT JOHN PENA CITY COUNCIL 2018 1370057 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 AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) SLF-ADAMS STREET LA QUINTA ❑ IND 9/27/18 COM DOH 250 250 250 IRVINE, CA 92614 El ❑ SCC NACHHATTAR CHANDI ❑ IND 9/27/18 ® COH OM 500 500 500 INDIO, CA 92203 ❑ PT, I ❑ SCC ONE ELEVEN LA QUINTA ❑ IND El COM 500 10/2/18 Ia OTH 500 500 LA QUINTA, CA 92253 ❑ PTY ❑ SCC SELAN LAW FIRM ❑ IND 10/2/18 El CO 500 500 500 CALABASAS, CA 91303 ❑ PTY ❑ SCC CHAD MAYES FOR ASSEMBLY 2018 ❑ IND 10/2/18 OCOM 500 500 500 SACRAMENTO, CA 95814 ❑ OTH ❑ PTY ❑ SCC SUBTOTAL $ 2250 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 $ 7450 474 7924 "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) Monetary Contributions Received NAME OF FILER COMMITTEE TO ELECT JOHN PENA CITY COUNCIL 2018 Amounts may be rounded to whole dollars. from covers 9/23/18 SCHEDULEA (CONT) through 10/20/18 Page � of 1370057 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I D NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC 31) (IF REQUIRED) OF BUSINESS) FORTUN'S KITCHEN & BAR ❑ IND 10/14/18 ❑COM ®OTH 1,000.00 1,000.00 1,000.00 KIRKLAND, WA 98033 ❑ PTY ❑ SCC CA REAL ESTATE PAC -CA ASSOC OF ❑ IND 10/14/18 REALTORS # OCOM 1,000.00 1,000.00 1,000.00 ❑OTH LOS ANGELES, CA 90020 ❑ PTY ❑ SCC MARK ROBISON ® IND RETIRED 10/14/18 ❑ COM 500.00 500.00 500.00 SUMNER, WA 98390 ❑OTH ❑ PTY ❑ SCC DEREK AGUILERA 62 IND RETIRED 10/16/18 Doom 2O0.00 200.00 200.00 RANCHO MIRAGE, CA 92270 ❑ PTY ❑ SCC RUDY ACOSTA OIND RETIRED 10/16/18 ❑❑COH 100.00 100.00 100.00 BERMUDA DUNES, CA 92203 ❑ PTY ❑ SCC SUBTOTAL $ 2,800.00 *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) Monetary Contributions Received NAME OF FILER COMMITTEE TO ELECT JOHN PENA CITY COUNCIL 2018 Amounts may be rounded to whole dollars. Statement covers period from 9/23/18 through 10/20/18 SCHEDULE A (CONT.) Page of 1370057 DATE FULL NAME, STREETADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I D. NUMBER) (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) LAURIE GORDON DESIGN GROUP ❑ IND 10/16/18 El COM 150.00 150.00 150.00 NEWPORT BEACH, CA 92260 ❑ PTY ❑ SCC ROBERT LOCKHART la IND Chief Advocate 200.00 10/16/18 ❑ COM Revenue Enhancement 200.00 200.00 LA QUINTA, CA 92253 ❑OTH Group,Inc. ❑ PTY ❑ SCC COACH ELLA-IMPERIAL VALLEY ❑ IND 10/14/18 STRATEGIES ❑COM 500.00 500.00 500.00 0OTH PALM DESERT, CA 92211 ❑ PTY ❑ SCC TOWER MARKETING & INVESTMENTS ❑ IND 10/15/18 El COM 500.00 500.00 500.00 BEVERLY HILLS, CA 90210 62 ❑ PTY ❑ SCC DON AAKER OIND RETIRED 10/16/18 El COM 200.00 200.00 200.00 LA QUINTA, CA 92253 ❑OTH ❑ PTY ❑ SCC SUBTOTAL $ 1550 *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 SCHEDULE (CONT) Monetary Contributions Received to whole dollars. Statement covers period from 9/23/18 ' 10/20/18 through Page of NAME OF FILER I.D. NUMBER COMMITTEE TO ELECT JOHN PENA CITY COUNCIL 2018 1370057 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR COMMITTEE, CONTRIBUTOR CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF ALSO ENTER I.D. NUMBER) (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC 31) (IF REQUIRED) OF BUSINESS) MIKE & VIRGINIA CARNEY OIND RETIRED 10/16/18 ❑❑ CO 100.00 100.00 100.00 AVONDALE, AZ 85392 ❑ PTY ❑ SCC CHRIS & KRISTIN HERMANN ® IND LANDSCAPE DESGINER 10/16/18 ❑COM HERMANN DESIGN 150.00 150.00 150.00 LA QUINTA, CA 92253 El OTH GROUP 0 PTY ❑ SCC RUBEN & GAYLE BONILLA ® IND RETIRED 10/16/18 ❑COM 100.00 100.00 100.00 LA QUINTA, CA 92253 ❑ OTH ❑ PTY ❑ SCC NORTON & MARCIA WRISLEY IND RETIRED 10/16/18 COH 100.00 100.00 100.00 VALLEY CENTER, CA El ❑ PTY ❑ SCC MICHAEL SAKEMI 01ND RETIRED 10/16/18 000M 100.00 100.00 100.00 INDIO, CA 92201 El OTH ❑ PTY ❑ SCC SUBTOTAL $ 550.00 *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 SCHEDULE (CONT.) Monetary Contributions Received to whole dollars. Statement covers period • . from 9/23/18 • through 10/20/18 Page A.Of- l� — NAME OF FILER I.D. NUMBER COMMITTEE TO ELECT JOHN PENA CITY COUNCIL 2018 1370057 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR * IFAN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I D. NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) DARLA SAINTIS ®IND BUSINESS OWNER 10/14/18 El COM HAIR ETC. 100.00 100.00 100.00 LA QUINTA, CA 92253 ❑OTH ❑ PTY ❑ SCC DEBORAH MCGARREY ® IND GOVERNMENT 10/14/18 El COM AFFAIRS 100.00 100.00 100.00 LA QUINTA, CA 92253 El OTH SO CAL GAS CO. ❑ PTY ❑ SCC MICKY JAMAPOA ® IND ENVOY MORTGAGE 10/14/18 SR. LOAN ORGINATOR 100.00 100.00 100.00 LA QUINTA, CA 92253 El ❑ PTY ❑ SCC El IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY I ❑ SCC SUBTOTAL$ 300 '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 A ...... ...L..... . M.. ...4 A SCHEDULE B - PART 1 Schedule B — Part 1 to whole dollars. Statement covers period CALIFORNIA ` 1 Loans Received 9/23/18 ' from FORM through 10/20/18 Page _ JILSEE INSTRUCTIONS ON REVERSE Of NAME OF FILER I.D. NUMBER COMMITTEE TO ELECT JOHN PENA CITY COUNCIL 2018 1370057 FULL NAME, STREET ADDRESS AND ZIP CODE FAN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER OUTSTANDING AMOUNT (c) AMOUNT PAID OUTSTANDING e INTEREST ORIGINAL CUMULATIVE OF LENDER (IF COMMITTEE, ALSO ENTER D NUMBER) j (IF SELF-EMPLOYED. ENTER BALANCE BEGINNING THIS RECEIVED THIS PERIOD OR FORGIVEN* BALANCE AT CLOSE OF THIS PAID THIS PERIOD AMOUNT OF LOAN CONTRIBUTIONS TO DATE J NAME OF BUSINESS) PERIOD THIS PERIOD PERIOD JOHN PENA JOHN PENA & ASSOC ❑ PAID CALENDAR YEAR $ 0 $ 250 0 250 $ 250 LA QUINTA, CA 92253 % RATE $ ❑ FORGIVEN PER ELECTION** $ 250 $ 0 $ 11 /7/18 $ 5/20/18 $ 250 t ❑ IND [:1 COM [:1 OTH [-IPTY❑ SCC DATE INCURRED DATE DUE ❑ PAID CALENDARYEAR PER ELECTION*' ❑ FORGIVEN RATE $ $ $ $ $ DATE DUE DATE INCURRED ❑ IND ❑ COM ❑ OTH ❑ PTY ❑SCC tEl ❑ PAID CALENDAR YEAR $ $ % $ $ ❑ FORGIVEN RATE PER ELECTION" t ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC $ $ $ $ $ DATE DUE DATE INCURRED SUBTOTALS $ $ $ 250 $ 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 $100 paid or forgiven.) (Include loans paid by a third party that are also itemized on Schedule A.) 3. Net change this period. (Subtract Line 2 from Line 1.) ............... Enter the net here and on the Summary Page, Column A, Line 2. *Amounts forgiven or paid by another party also must be reported on Schedule A. ** If required. ........ .1—$ n .... ........$ n --- - -- -------NET $ 0 (May be a negative number) (Enter (e) 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 C Amounts may be rounded SCHFnIII FC Nonmonetary Contributions Received LV W1IVIC VV11417 Statement covers period A ME= from 9/23/18 through 10/20/18 I- N SEE INSTRUCTIONS ON REVERSE Page of NAME OF FILER I.D NUMBER COMMITTEE TO ELECT JOHN PENA CITY COUNCIL 2018 1370057 DATE FULL NAME, STREETADDRESSAND CONTRIBUTOR IF AN INDIVIDUAL, ENTER DESCRIPTION OF AMOUNT/ CUMULATIVE TO DATE PER ELECTION RECEIVED ZIP CODE OF CONTRIBUTOR CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER GOODS OR SERVICES FAIR MARKET VALUE CALENDAR YEAR TO DATE (IF COMMITTEE, ALSO ENTER I D. NUMBER) NAME OF BUSINESS) (JAN 1 -DEC 31) (IF REQUIRED) ACME HOUSE COMPANY ❑ IND VACATION 10/14/18 2OTH PALM SPRINGS, CA 92262 ❑ PTY ❑ SCC LANDMARK GOLF MANAGEMENT ❑ IND GOLF 10/14/18 El COM 600 600 600 Indian Indian Wells, CA 92210 ❑ PTY ❑ SCC PETER TAYLOR DESIGNS ❑ IND GOLF 10/14/18 El COM 500 600 600 REDLANDS, CA VOTH ❑ PTY ❑ SCC PERFECT TOUCH DESIGNS ❑ IND CENTER 10/14/18 ❑COM PIECES 210 210 210 RANCHO MIRAGE, CA ®OTH ❑ PTY ❑ SCC Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 6210 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 $ 6210 6290 *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 E Amounts may be rounded to whole dollars. Statement covers period ` -MA 4601 SCHEDULE E Payments Made from 9/24/18 FORM SEE INSTRUCTIONS ON REVERSE COMMITTEE TO ELECT JOHN PENA CITY COUNCIL 2018 through 10/20/18 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. Page A- of I.D. NUMBER 1370057 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 (IF COMMITTEE, ALSO ENTER I D. NUMBER) EVRWF LA QUINTA, CA 92253 ANDREA OLIVER MENIFEE, CA 92586 NICOLE MENDOZA RANCHO MIRAGE, CA 92270 CODE OR DESCRIPTION OF PAYMENT 4 VOTER REGISTRATION DRIVE CTB CNS CNS * Payments that are contributions or independent expenditures must also be summarized on Schedule D. Schedule E Summary SUBTOTAL$ AMOUNT PAID 100 500 500 1100 1. Itemized payments made this period. Include all Schedule E subtotals. 5247 2. Unitemized payments made this period of under$100....................................................................................................:..............,....................... $ 122 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 $ 5369 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) wwwJppc.ca.gov Schedule E SCHEDULE E (CONT.) Statement covers perlod . Amounts may be rounded (Continuation Sheet) to whole dollars. • Payments Made from 9/24/18l p through 10/20/18 SEE INSTRUCTIONS ON REVERSE Page ` of ~ NAME OF FILER I.D. NUMBER COMMITTEE TO ELECT JOHN PENA CITY COUNCIL 2018 1370057 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) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID SSY SUITES FND 2467 LA QUINTA, CA 92253 PERFECT TOUCH FND 500 RANCHO MIRAGE, CA 92270 DEREK AGIULERA FND 1030 REDLANDS, CA 92374 JOHN PENN FND 150 LA QUINTA, CA 92253 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 4147 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov