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460 Gomez 2018 from 09/23 - 10/20Recipient Committee Campaign Statement Cover Page Statement covers period from 9/23/2018 COVER PAGE Date Stamp RECEIVED f Date of eleotlon If appllcab!r!r= (Month, Day, Year) OCT 2 5 2018 1 1 For Offlclal Use Only SEE INSTRUCTIONS ON REVERSE 10/20/2018 November 6, 2018 CITY OF LA QUINTA through — LTY CLERK DEPARTMENJI 1. Type of Recipient Committee: All Committees -Complete Parts 1, 2,31 and 4. 2. Type of Statement: ® Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure W Preelection Statement m Quarterly Statement ® State Candidate Election Committee Committee ❑ semi-annual Statement ❑ Special Odd -Year Report ® Recall ® Controlled ❑ Termination Statement (MoCoWlet0*15) ® Sponsored (oleo c��a�He r'� 6/ (Also file a Form 410 Termination) ❑ General Purpose Committee ❑ Amendment (Explain below) ® Sponsored ❑ Primarily Formed Candidate/ ® Small Contributor Committee Officeholder Committee - ® Political Party/Central Committee (Ali u°""r" P& 3. Committee Information I,D, NUMBER 141035' C0WITTEE NAME (0R CAN DfOATE'S NAME IF NO COMMITTEE) Go with Gomez 2018, LQ City Council STREET ADDRESS (NO P.O. BOX) 78670 Via Melodia CITY STATE ZIP CODE AREA CODE/PHONE La Quinta CA 92253 714 474 9680 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX Same CITY I ATE ZIP CODE AR DE/PHONE OPTIONAL: FAX / E-MAILADDRESS Treasurer(s) NAME OF TREASURER Dante Gomez MA NGAdCkc6o 78670 Via Melodia CITY STATE ZIP CODE AREACODE/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-MAJLADDk€bS gowithgomez2018@gmail.com 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the I ation 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 ar j_Z4rrect. %�r7 10/25/18 Executed on By Date Si orA9efelani reeaurer 10/25/18 Executed on ®y Dale grnahae ofCCW ro III ng 0 older, C andIcift 6 tote Measure Pmpontnf or Responal a Oftor of Sponsor Executed on By DataSignature of Control np Ofteholder, Candidate, State Measure Proponent Executed on By Data Signature of Controlling Officeholder. Candidate, State Measure Proponent FPPC Form 460 (Jan/2036) FPPC Advice: advice@fppc.ce.8ov (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 Dante Gomez OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IFAPPLICABLE) La Quinta City Council Member RESIDENTIAL(BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP 78870 Via Melodia La Quinta CA 92253 COVER PAGE - PART 2 Pape 2 of 9 6. Primarily Formed Ballot Measure Committee NAME OF SALLOT MEASURE BALLOT NO. OR LETTER I JURISDICTION I [I SUPPORT ❑ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, If any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT Related Committees Not Included In this Statement: Listany committees not Included In this statement that are controlled by you or are primarily formed to receive OFFICE contributions or make expenditures on behalf of your candidacy. I.D. NUMBER CONTROLLED COMMIT' ❑ YES ❑ NO STREETADDRESS (NO P.O. CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME rREASURER COMMITTEE ADDRESS STREETADDRESS (NO P.O. LD. NUMBER ❑ YES ❑ NO CITY STATE ZIP CODE AREA CODE/PHONE OR HELD DISTRICT NO. IF ANY 7. Primarily Formed Candldate/Officeholder Commutes Listnames of officeholders) or candidate(a) 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 ifnecessary FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275.3772) www.fppc.ca.gov Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF FILER Dante Gomez - Go with Gomez 2018, LQ City Council Contributions Received 1. Monetary Contributions................................................... Schedule A, Line 3 $ 2. Loans Received................................................................ Schedule e, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 1 +2 $ 4. Nonmonetary Contributions ............................................ Schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED....................................Add Lines 3+4 $ Amounts may be rounded to whole dollars. PAGE Statement covers period from - 9/23/2018 through Column A Column B TOTALTHIS PERIOD (FROM ATTACHED 60HEDULES) CALENDAR YEAR TOTAL TO DATE 1,094.00 2,294.00 $ 934.92 2502.91 2028.92 4796.91 $ 576.00 576.00 2604.92 $ 5372.91 Expenditures Made 6. Payments Made................................................................ Schedule E, Line 4 $ 1617.71 7. Loans Made....................................................................... Schedule H, Line 3 0 8. SUBTOTAL CASH PAYMENTS .......................................... Add Lines 6 + 7 $ 1617.71 9. Accrued Expenses (Unpaid Bills) .......................................... Schedule F, Line 3 0 10. Nonmonetary Adjustment......................................................... Schedule C, Line 3 0 11. TOTAL EXPENDITURES MADE ........................................ Add Lines s +9 + 10 $ 1617.71 Current Cash Statement 12. Beginning Cash Balance Previous summary Page, Line 16 $ 898.30 13. Cash Receipts........................................................... Column A, Line 3 above 2028.92 14. Miscellaneous Increases to Cash .................................. Schedule 1, Line 4 0 15. Cash Payments......................................................... Column A, Line 9 above 1817.71 16. ENDING CASH BALANCE Add Lines 12 + 13 + 14, then subtract Line 15 $ 1309.51 If this /s a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ................................ Schedule A Part 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ................................................ see instructions on reverse $ 19. Outstanding Debts .............................. Add Line 2 + Line 91n Column S above $ 2502.91 $ 3487.40 0 $ 3487.40 0 $ 3487.40 To calculate Column B, add amounts In Column A to the corresponding amounts from Column B of your lest report. Some amounts In Column A m,:y 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), 10/20/2018 page 3 of 9 0. NUMBER 1410351 Calendar Year Summary for Candidates Running In Both the State Primary and General Elections 1/1 through 6/30 711 to Date 20. Contributions Received $ $ 21. Expenditures Made $ $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Mado" IN 5ublectto voluntary Expendkure Llmlt) Date of Electlon Total to Date (mm/dd/yy) _J/ $ - "Amounts In this section may be different from tlmounts reported In Column B. FPPC Form 460 (Jan/2016) FPPC Advice: advicedPfppc.ca.gov (866/275.3772) www.lppc.ca.gov Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Dante Gomez - Go with Gomez 2018, LQ City Council DATE RECEIVED 9/24/18 10/15/18 Amounts may be rounded to whole dollars. FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * Donald & Liza Holmes 78680 Via Melodla, La Quinta, CA 92253-2430 Caronna, Johnson & Zamora LLP 45915 Oasis St., Indio, CA 92201-4558 10/16118 Mario Rodriguez, Attorney at Law 45841 Oasis St,, Suite 5 Indio, CA 92201 Statement covers period from 9/23/2018 _ through 10/20/2018 SCHEDULE A Page 4 of 9 I.D. NUMBER 1410351 WAN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) is IND ❑ coM ❑ OTH ❑ PTY ❑ SCC Business Owner, Hammer Plumbing (Self Employed) $250 ❑ IND ❑ COM Business Owner, $500 m CITH Attorneys at Law (Self ❑ PTY Employed) ❑ SCC - v ❑ IND ❑ CoM Law Offices of Mario $200 m OTH Rodriguez (Self ❑ PTY Employed Attorney) ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY n scc SUBTOTAL $ 950.00 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 $ 950.00 144.00 1094.00 "Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g„ business entity) PTY — Political Pii by SCC — Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advicedPfppc.ca,6ov (866/275-3772) www.fppc.ca,gov Schedule B — Part 1 Loans Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Dante Gomez - Go with Gomez 2018, LQ City Council Amounts may be rounded to whole dollars. Statemo nt covers period from — 9/23/2018 FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OF LENDER OCCUPATION AND EMPLOYER (IF COMMITTEE, ALSO ENTER I.D. NUMBER) (IF 'SELF-EMPLOYED, ENTER Dante Gomez 78670 Via Melodia La Quinta, CA 92253 10 IND ❑ COM ❑ OTH ❑ PTY ❑ SCC t ❑ IND ❑ COM ® OTH ❑ PTY ❑ SCC t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Attorney, County of Riverside SCHEDULE B - PART 1 through _ _ 10/20/2018 I page 5 of 9 T0351 OUTSTANDING AMOUNT AMOUNT PAID OUTSTANDING INTEREST ORIGINA6 CUMULATIVI BALANCE IEGINNING THIS RECEIVED THIS OR FOR®IVEN BALANCE AT CLOPSE OF HIS PAID THIS AMOUNT OF CONTRIBUTIONS PERIOD THIS PERIOD * PERIOD LOAN TO DATE _PERIOD ❑ PAID CALENDAR YEAR $ 0 s 2502.91 0% s 15U—K s 2502.91 ❑ FOR®IVEN RATE PER ELECTION** $1,567.99 $ 934.92 $ 0 Non® $ 0 _I aafmg . $ DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR $$ % 1 S ❑ FOR®IVEN RATE PER ELECTION*" S $ $ $ DATE DUE DATE INCURRED ❑ PAID $ s ❑ FORGIVEN SUBTOTALS $ $ $ DATE DUE Schedule B Summary 1. Loans received this period............................................................................................,.......................$ 93499 (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 $ lay Enter the net here and on the Summary Page, Column A, Line 2. (May be a neganw number) `Amounts forgiven or paid by another party also must be reported on Schedule A. `* If required. CALENDAR YEAR % a $ RATE PER ELECTION* S $ DATE INCURRED (Enter (a) pi) Schedule E, Lino 3) tContrlbutor Codes IND — Individual COM — Recipient Committee (other then PTY or SCC) OTH — Other (e.g„ business entity) PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice f fppc.ce.gov (866/275-3772) www.fppc.ca,gov Schedule C Amounts may be rounded SCHEDULE C Nonmonetary Contributions Received to whole dollars, statement coven period CALIFORNIA I 1 from 9/23/2018FORMe through 10/20/2018 Page 6 of 9 BEE INSTRUCTIONS ON REVERSE _ qA L R I,D, NUMBER Dante Gomez - Go with Gomez 2018, LQ City Council 1410351 DATE FULL NAME, STREET ADDRESS AND CONTRIBUTOR IFAN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER DESCRIPTION OF AMOUNT/ FAIR MARKET CUMULATIVE TO DATE PER ELECTION TO DATE RECEIVED ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, AL®0 ENTER I.D. NUMBER) CODE (IF BELF-EMPLOYED, ENTER NAME OF BUSINESS) GOODS OR SERVICES VALUE CALENDAR YEAR (JAN 1- DEC 31) (IF REQUIRED) ❑ IND 9/27/18 Gary Eberle ❑ COM Business Owner, 2 cases of wine $576.00 $576.00 $576.00 3810 CA-46 [0 OTH winery (Self Paso Robles, CA 93446 ❑ PTY Employed) ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC _ ❑IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Attach additional Information on appropriately labeled continuation sheets. 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 $100..................................$ $576.00 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 $ $576.00 'Contributor CodeB IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g,, business entity) PTY — Political Perry SCC — Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice; advice@fppc.ca,gov (866/275-3772) www.fppc.ca.gov Schedule E Payments Made Amounts may be rounded to whole dollars. SEE $NSTRUCTIONS ON REVERSE _ AME OF Dante Gomez - Go with Gomez 2018, LQ City Council Statement covers period s from 9/23/2018 • through 10/20/2018 Page 7 I, , NUMBE 1410351 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. Of 9 CMP campaign peraphemalki/misc. MBR momber communlentions RAO radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonstary)* OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v, or cable airtime and production costa FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meAs FND fundrl,leing events POL polling and survey research TRS stafflspouse travel, lodging, and meals IND independent expenditure supporting/oppo+iing others (explain)" POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional servlceti (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) Signs on the Cheap, www.signsonthecheap,com Calvotergulde.com, 22410 Hawthorne Blvd, Suite 5, Torrance, CA 90505 (Election Digest) Alliedshirts.com CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID 100 - 2 aided signs with stands + shipping CMP $437,46 Senior Mailers: 132.00 CMP Mailers: $75.00 $282.00 Mailers: $75.00 CMP 12 Campaign T-Shirts $115.84 Payments that are contributions or Independent expenditures muA also be summarized on Schedule D, SUBTOTAL $ $835.30 Schedule E Summary 1. Itemized payments made this period, (Include all Schedule E subtotals.)............................................................................................................. $ 1617.71 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 $ 1617.71 FPPC Form 460 (Jan/2016) FPPC Advice: advice6fppc.ca.gov (866/275-3772) www.fppc,ca.gov Schedule E Amounts may be rounded (Continuation Sheet) to whole dollars. Payments Made SEE INSTRUCTIONS ON REVERSE NAME. OF FILER Dante Gomez - Go with Gomez 2018, LQ City Council Statement covers period from 9/23/2018 through 10/20/2018 SCHEDULE E (CONT.) Page 8 of 9 LD, NUMBER 1410351 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign peraphernnllu/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 workem' 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 I CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, AL80 ENTER I.D. NUMBER) Staples, 78680 CA-111, La Quinta, CA 92253 Flyers for event promotions and campaign literature, CMP $67,38 Altura Credit Union, 81096 CA-111, Indio, CA 92201 Monthly cost of campaign account PRO $20.00 www.Adobe.com Monthly fee of using adobe acropro WEB $14,99 PGA Ernie's Bar & Grill Event on Friday, October 5, 2018 at venue. Cost of FND hors'dourves and corkage fees, plus gratuity and tax, $457.34 Starbucks, 50-921 Washington St. #A, La Quinta, CA 92253 5 Coffee Travelers for meet & greet/fundraising FND events $84.75 * Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTALS $644.46 FPPC Form 460 ()an/2026) FPPC Advice: advice@fppc,ca,gov (866/275-3772) www,f ppe,ca.gov SCHEDULE E (CONT.) Schedule E Amounts may be rounded Statement coven period (Continuation Sheet) to whole dollars, • • - Payments Made from 9/23/2018 through 10/20/2018 Page 9 of 9 SEE INSTRUCTIONS ON REVERSE g NAME OF FILER IM, 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 peraphemalla/mlac. MBR member communications RAO radio airtime and production costa 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 petltlon 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 fundraleing events POL polling and survey research TRS staff/spouse travel, lodging, and meals IND independent expenditure supporting/opposing others (explaln)* POS postage, delivery Ind 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, AL110 ENTER I.D. NUMBER) Las Tres Conchitas Bakery, 1540 6th St., Coachella, CA 92236 Mexican Sweet Bread for event on 10/13/18 FND $27.00 Mi Tierra Bakery, 51687 Harrison St., Coachella, CA 92236 Mexican Sweet Bread for event on 10/13/18 FND $6.00 Costco, 79795 CA-111, La Quinta, CA 92253 Snacks and food items for meet and greet/fundralsing FND events $53.95 Riverside Court Web Imaging Cost for searching on court website for official PRO records $25.00 wwww.squarespace.com Monthly fee for hosting campagin webslte: WEB www.gowithgomez.org $26,00 ` Payments that are contrbutlons or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ $137.95 FPPC Form 460 (Jan/2016) FPPC Advice: advice®fppc.ca.gov (866/275-3772) www.fppc.ca.gov