460 Osborne 2014 from 01/01 - 06/30Recipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200-84216.5)
Type or print in ink. RECEIVED Date Stamp
CCTV CLERK'S FILE
Statement covers period Date (��thtS �f aP lcojel `f
from 01/01/14 �t e� �E `t
SEE INSTRUCTIONS ON REVERSE I through 06/30/14
1. Type of Recipient Committee: All committees — complete Parts 1, 2, 3, and 4.
® Officeholder, Candidate Controlled Committee
0 State Candidate Election Committee
0 Recall
(Also Complete Part 5)
❑ General Purpose Committee
0 Sponsored
0 Small Contributor Committee
0 Political Party/Central Committee
❑ Primarily Formed Ballot Measure
Committee
0 Controlled
0 Sponsored
(Also Complete Part 6)
❑ Primarily Formed Candidate/
Officeholder Committee
(Also Complete Part 7)
3. Committee Information I.D. NUMBER
1348544
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
COMMITTEE TO ELECT LEE OSBORNE FOR LA QUINTA CITY
COUNCIL
STREET ADDRESS (NO P.O. BOX)
79245 CORPORATE CENTRE DR, #101
CITY STATE ZIP CODE AREA CODE/PHONE
LA QUINTA CA 92253 760-777-9805
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX / E-MAIL ADDRESS
4. Verification
I have used all reasonable diligence in preparing and reviewing this statement and to the best of my
under penalty of perjury under t P
e laws f the State of California that the foregoing is true and c/om/ey
Executed on r By `
D
Executed on �r By
Date Signature c
Executed on
Date
CIT1Yb0fb LA QUINTA
2. Type of Statement:
❑ Preelection Statement
® Semi-annual Statement
❑ Termination Statement
(Also file a Form 410 Termination)
❑ Amendment (Explain below)
Treasurer(s)
COVER PAGE
Page 1 of�
For Official Use Only
❑ Quarterly Statement
❑ Special Odd -Year Report
❑ Supplemental Preelection
Statement -Attach Form 495
NAME OF TREASURER
PEDRO RINCON
MAILING ADDRESS
79245 CORPORATE CENTRE DR, #101
CITY STATE ZIP CODE AREA CODE/PHONE
LA QUINTA CA 92253 760-777-9805
NAME OF ASSISTANT TREASURER, IF ANY
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX / E-MAIL ADDRESS
contained herein and in the attached schedules is true and complete. 1 certify
or
or
By
Signature of Controlling Officeholder, Candidate, State Measure Proponent
Executed on By
Date Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
State of California