460 Osborne 2014 from 10/19 -12/31Recipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200-84216.5)
SEE INSTRUCTIONS ON REVERSE
Type or print in Ink. D I St
!TY CLERKS OFF1C
Statement covers period Date of election if applicable:
from 10/19/14
(Month, Day, Year) y 5 — 2 f 4. 2
through 12/31/14
1. Type of Recipient Committee: Ali committees — complete Parts 1, 2, 3, and 4.
[ Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure
Q State Candidate Election Committee Committee
Q Recall Q Controlled
(Also CompletePert5) (� Sponsored
(Also Complete Part 8)
General Purpose Committee
Q Sponsored ❑ Primarily Formed Candidate/
Q Small Contributor Committee Officeholder Committee
Q Political Party/Central Committee (Also Complete Part 7)
I.D. NUMBER
3. Committee information 4^A^nnC
Committee to Elect Robert Radi for La Quinta City Council 2014
STREET ADDRESS (NO P.O. BOX)
79405 Hwy 111 Ste 9-318
CITY STATE ZIP CODE AREA CODEIPHONE
La Quinta CA 92253 760-203-4959
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
CITY STATE ZIP CODE AREA CODEIPHONE
OPTIONAL: FAX / E-MAIL ADDRESS
4. Verification
1TY O
2. Type of Statement:
17Preelection Statement
R Semi-annual Statement
❑ Termination Statement
(Also file a Form 410 Termination)
❑ Amendment (Explain below)
QUINT
COVERPAGE
Page of
For Official Use Only
❑ Ouarterly Statement
❑ Special Odd -Year Report
❑ Supplemental Preelection
Statement - Attach Form 495
Tmasurer(s)
NAME OF TREASURER
Qimin Wang
MAILING ADDRESS
79405 Hwy 111 Ste 9-318
CITY STATE ZIP CODE AREA CODE/PHONE
La Quinta CA 92253 310-498-1761
NAME OF ASSISTANT TREASURER, IF ANY
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX / E-MAIL ADDRESS
I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein and in the attached schedules is true and complete. I certify
under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Executed on By
Date of T r
zl
a
]r
Executed on By
Date Stnnatureof Cnntmtnn a ONkt:hnkl6w. Cantfidat . S -iPrmmnantnr Rt _sn jWpO fir of Smnnnr
Executed on
Date
By
Executed on Date By Signatureof Controlling Officehokler, Candkiate. State Measure Proponent
FPPC Form 480 (January/08)
"fir (" — ,�a FPPC Toll -Free Helpline: 868/ASK-FPPC (88f 772)
f �it`6Q'iE � ..: [iri State of CaliforniaCalH