460 Gomez 2018 from 10/21 - 12/31Recipient Committee
Campaign Statement
Cover Page
Statement covers period
from 10/21 /2018
SEE INSTRUCTIONS ON REVERSE I through 12/31 /2018
1. Type of Recipient Committee: All Committees —Complete Parts 1, 2, 3, and 4.
W1 Officeholder, Candidate Controlled Conimlttee ❑ Primarily Farmed ®allot Measure
C State Candidate Election Committee Committee
(] Recall C Controlled
j4NuCwltabfsPM5J C Sponsored
{Alra Complde Pa! 0
❑ Goneral Purpose Committee
C Sponsored
C Smell Contributor Committee
C Polltical PartylCentral Committee
3. Committee Information
Go with Gomez 2018, LQ City Council
❑ Primarily Formed Candidate/
Officeholder Committee
(Ak Cenphh Pelf 7)
1.0, NUMBER
STRCETADDRESS (NO P.O.)
78870 Via Melodle
CITY STATE ZIP CODE AREA CODE/PHONE
La Quints CA 92253 714 474 9680
MAIL SS (IF DI NO. AND STREET OR P.O. BOX
Same
CITY STATE ZIP CODE AR HONE
OPT /E-MAILADDRESS
g❑withgomez2018Qgmail.com
4. Verification
I have used all reasonable diligence in preparing and reviewing this statement and to the best of my
certify under penalty of perjury under the laws of the State of California that the foregoing is true and
Executed on 1/30/19
Date
Executed on 1/30/19
Date
Executed on
Date
Executed on
Date
By
By
COVER PAGE
Date ®lump s , , W
RECEIVED Me
Date of election If applica IQ: Page 1 of 7
(Month, Day, gear) JAN 0 2019 For Offlalal Use Only
CITY OF IA OUINTA
November 6, 2018 CI CLERtt 1) Ol TMENT
2. Type of Statement:
�
frPreelection Statement El Quarterly Statement
Seml-annual Staiemant ® Special Odd -Year Report
❑ Termination Statement
(Also file a Form 410 Termination)
❑ Amendment (Explain below)
Treasurer(s)
NAME OF TRkABURER
Dante Gomez
MAILINGADDRESS
78670 Via Melodia
CITY STATE ZIP CODE A EAC HO E
La Quints CA 92253 714 474 9680
NAME OF ASSISTANTTREASURER, IF ANY
N/A
MAILING ADDRF5S
CITY STATE ZIP CODEAREAC61)HIPHONE
OPTIONAL' FAX I E-MAILADDRESS
Information corrMnod heraln/6n� in the attached schedules Is true and complete. I
or
By
ghaluro of ControllIng-Ofteholder, Candldala, State Measure Proponent
By signature of Controfig Olhoaholder, Candidate, Stals Measure Proponent
FPPC Form 460 (Jan/2016)
FPPC Advice: advice®fppc.cs,8ov (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
OFFICP BOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
La Quints City Council Member
RESIDENTIAL/BUSINESS 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.
NAME OF TREASURER
COMMITTEE?
® YES ® NO
CITY STATE ZIP CODE AREA CODE(PHONE
COMMITTEE NAME LID, NUMBER
NAME OF TREASURER CONTROLLED COMMfTTEE7
❑ YES ❑ NO
COMMITTEE ADDRESS STREETAODkESS INC) P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
COVER PAGE - PART 2
Papa 2 of
6, Primarily Formed Ballot Measure Committee
NAME OF @.)ALLOT MEASURE
BALL07 14 ), OR LETTER JURISDICTION
❑ SUPPORT
❑ OPPOSE
Identity 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 Liar names of
ofiicehoiWa) arcandldata(f) 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
El 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 Of ppc.ca.gov (866/275.3772)
www.fppc.ca.gov
Campaign Disclosure Statement
Summary Page
SEE INSTRUC71ONS ON REVF.RV-`
NAME OF FILER
Dante Gomez - Go With Gomez 2018, LO City Council
Contributions Received
1. Monet;iry Contributions.................................................. Schedule A, Linea
2. Loans Received................................................................ Schedule B, 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
Expenditures Made
6. Payments Made................................................................ Soho duleE, Line
7. Loans Made....................................................................... Schedule H, Line 3
8. SUBTOTAL CASH PAYMENTS .......................................... Add Lines 6+7
9. Accrued Expenses (Unpaid Bills) ......................................... Schedule F, Line 3
10. Nonmonetery Adjustment...........................„,........................... Schedule C, Line 3
11. TOTAL EXPENDITURES MADE ........... :............................ Add Linea a + 9 + 10
Current Cash Statement
12. Beginning Cash Balance ............................ Previous summary Pape, Line 16
13. Cash Receipts ........... ............... -.............................. Column A, Line 3 above
14. Miscellaneous Increases to Cash .................................. Schedule 1, Line 4
15. Cash Pnyments......................................................... Column A, Line 9 above
16. ENDING CASH BALANCE ..................Add Linea 12 + 13 + 14, then subtract Line 15
If this is v termination statement, Line 16 must be zero.
17. LOAN GUARANTEES RECEIVED ................................ Schedule8, Part
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ................................................ see instructions on reverse
19. Outstanding Debts .............................. Add Line 2 + Line 9 in Column B above
Amounts may bo rounded
to whole dollars.
E
etatoment covers porlod
from 10/21 /2018
through 12/31/2018
Column A Column B
TOTAL THIS PtPRIO D CALENDAR YEAR
(FROM ATTACHEDSCHROULEe) TOTAL TO DATE
100,00 $ 2456.95
82.95 2565.88
$ _ 162.95 $ 4959.86
0 576.00
$ _ 162.95 $ 5535.86
$ 1224,B4
0
$ __ 1224.64
0
0
$ 12Z4,64
$ 1309.51
162.95
0
1224.64
$ 84,87
$
0
$ 0
$ 2565.86
$ 4712.04
0
$ 4712.04
0
0
$ 4712.04
To calculate Column B,
add amounts In Column
A to the corresponding
amounts from Column B
of your last report. Some
amounts In Column A mr)y
be negative figures that
should be subtracted from
previous period amounts, If
this Ir, the first report being
filed for this calendar year,
only carry over the amounts
from Lines 2, 7, and 9 (If
any),
Pape 3 of 7
1410351
Calendar Year Summary for Candidates
Running In Both the State Primary and
General Elections
1/1 through 0/30 7/1 to Date
20. Contributions
Received $
21. Expenditures
Mada $
$
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made*
Iff aubjacttu VolUntary Expenditure Lllnit)
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: advicedPfppc.ca.gov (8661275.3772)
www,f ppc.ca.gov
Schedule A
Monetary Contributions Received
SEE INSTRUCTIONS ON REVERSE _
NAME OF FILER
Dante Gomez - Go With Gomez 2018, LQ City Council
Amounts may be rounded SCHEDULE A
to whole dollars, Statement covers period CALIFONNIA
from 10/21/2018 FOINIM
through 12/31 /2018 Pape 4 of 7
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
(IF COMMITTEE, ALSO ENTER I:® NUMBER)
CONTRIBUTOR
IFAN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED THIS
RECEIVED
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
OF BUSINESS)
IND
10/25/18
Jeff & Lucy Nunan
❑ coM
Court Reporter, State of
$100.00
54860 Avenida Vallejo
El OTH
California, County of
La Quinta, CA 92253
ElPTY
Riverside
❑ SCC
_
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
❑ IND —
❑ COM
❑ OTH
❑ PTY
❑ SCC
SUBTOTAL $ 100.00
Schedule A Summary
1, Amount received this period — Itemized monetary contributions. 100.00
(Include all Schedule A subtotals.)..................................................................................................•..... •$
2, Amount received this period — unitemized monetary contributions of less than $100 ...........................$ 0
3, Total monetary contributions received this period, 100.00
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.)., ............ . ...... TOTAL $
1.0, NUMBER
1410351
CUMULATIVE TO DATE PER ELECTION
CALENDAR YEAR TO DATE
(JAN. 1 = DEC. 31) (IF REQUIRED)
"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; advicedPfppc.ca,gov (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.
FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER
OF LENDER OCCUPATION AND EMPLOYER
NTER
(IF COMMITfi€€, ALSO ENTER I.D. NUM®ER) (I€ SELF-EMPLOYED, €
NAME of BU51N€®III)S)
Dante Gomez Attorney, County of
78670 Via Melodia Rlverslde
La Quintet, CA 92253
t® IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
t ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
t ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
-yam- — -
SCHEDULE 8 - PART 1
Statement covers pert d
from— 10/21 /2018
through _ 12/31/2018
Pape 5 of 7
LD,NUMBER
1410351
OUTSTANDING
AMOUNT
AMOUNT PAID
OUTSTANDING
INTEREST
if
ORIGINAL
UP
CUMULATIVE
BALANCE
IEGINNINO THIS
RECEIVED THIS
OR FORGIVEN*
BALANCE AT
CLOSE OF THIS
PAID THIS
AMOUNT OF
CONTRIBUTIONS
PERIOD
PERIOD
THIS PERIOD
PERIOD
PERIOD
LOAN
TO DATE
❑ PAID
CALENDAR YEAR
$
s 25
0
s1567.99
$ fi5. o
RATE
PER ELECTION"
❑ FORGIVEN
$ 2502.91
s 62.95
$
_ None
-ftw i 3g
DATE INCURRED
$
DATE DUE
❑ PAID
CALENDAR YEAR
$
s
x
s
s
El FORGIVEN
PER ELECTION*"
RATE
f
f
$
$
S
DATE DUE
DATE INCURRED
❑ PAID
CALENDAR YEAR
6
$
%
1
S
El FORGIVEN
RATE
PER ELECTION""
3
5
$
$
f
DATE DUE
CWTE INCURRED
SUBTOTALS $ $ $ s
Schedule B Summary Schedule E.Wn@5)
1. Loans recelved this period ..............................................................................................................A?.95
(Total Column (b) plus unitemlzed loans of less than $100.)
2. Loans paid or forgiven this period............................................................................---.......................$ n
(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 $ 9565.86
'tcontrlbutor CDdea
IND - Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Pa rty
SCC - Small Contributor Committee
Enter the net here and on the Summary Page, Column A, Line 2. (May be a negative numbei)
•Amounts forgiven or paid by another party also must be reported on Schedule A. FPPC Form 460 (Jan/2016)
•• If required. FPPC Advice; advicadPfppc.ca,`ov (866/275-3772)
www,fppc.ca.gov
E
Schedule E
Payments Made
SEE INSTRUCTIONS ON REVERSE.
NAME OF FILER
Dante Gomez - Go With Gomez 2018, LQ City Council
Amounts may be rounded Statement coven
to whole dollars,
from 10/21 /2018
through 12/31/2018 I Pape 6 of 7
CODES: If one of the following coder accurately describes the p:Iyment, you may enter the code. Otherwise, describe the payment.
1410351
CMP campaign peraphernalla/mist.
MBR
member communications
RAD
radio airtime and production coatis
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 media
FND
fundralring events
POL
polling and survey research
TRS
staff/spouse travel, lodging, and meals
IND
independent expenditure supporting/opposing others (expinln)•
POS
postage, delivery Ilnd messenger services
TSF
transfer between committees of the some candidat0sponsor
LEG
legal defense
PRO
professional services (legal, accounting)
VOT
voter registration
LIT
campaign literature and mnllings
PRT
print ads
WEB
Information technology costs (internet, a -mail)
NAME AND ADDRESS OF PAYEE
(IF COMMITTED, ALGO €NTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
Staples, 78880 CA-111, Le Quinta, CA 92253 Flyers for event promotions and campaign literature,
CMP $27.95
Altura Credit Union, 81096 CA-111, Indio, CA 92201 Monthly cost of campaign account
PRO $60,00
Costco, 79795 CA-111, La Quinta, CA 92253 FND Snacks and Wine for events $70,34
Payments that are contributions or Independent expenditures must also be summarized on Schedule D, SUBTOTALS 158.29
Schedule E Summary
1. Itemized payments made this period. Include all Schedule E subtotals. $ 1224.64
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 $ 1224.64
FPPC Form 460 (Jan/2016)
FPPC Advice: advicegf ppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule E Amounts may be rounded SCHEDULE E (CONT.)
(Continuation Sheet) to whole dollars. statement covers perlod e e . A '
Payments Made from 10/21/2018
through . 12/31 /2018 pee _ 7 of 7
SEE INSTRUCTIONS ON REVERSE _ g
NAME OF FILER 4 1,13, NUMBER
Dante Gomez - Go With Gomez 2018, LO 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/miss. MBR member communications RAID radio airtime and production costa
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 coats
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 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 WES Information technology costs (Internet, e-mail)
NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
(IF COMMITTEE, AL®® ENTER I.D. NUMBER)
Enzo's Bar & Grill, 78121 Avenida La Fonda, La Qulnta, CA 92253 Event for Meet & Greet on 10/25/18
FND $434,35
PGA Ernie's Bar & Grill Event for Thank you Party
FND $350.00
Calvotergulde.com, 22410 Hawthorne Blvd., Suite 5, Torrance, CA 90505 Senior A
(Election Digest) CMP Mailers;
Mailers;
* Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 1066.35
FPPC Form 460 (Jan/2016)
FPPC Advice: advics4Pfppc.ca.gov (866/275.3772)
www,fppc.co.gov