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460 Pena 2019 from 01/01 to 06/30Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement covers period I Date of election if applii from 1 /1 /2019 (Month, Day, Year) through 6/30/2019 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. 91 Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure O State Candidate Election Committee Committee Q Recall O Controlled (Also Complele Part 5) O Sponsored (Also Complefe Pad 6) ❑ General Purpose Committee O Sponsored O Small Contributor Committee O Political Party/Central Committee ❑ Primarily Formed Candidate/ Officeholder Committee (Also CornloWe Pad 7) 3. Committee Information I I.D. NUMBER 1370057 4. COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE TO ELECT JOHN PENA CITY COUNCIL 2018 STREET ADDRESS (NO P.O BOX) CITY STATE ZIP CODE AREACODE/PHONE LA QUINTA CA 92253 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O BOX CITY STATE ZIP CODE AREACODE/PHONE OPTIONAL: FAX I E-MAILADDRESS Date Stamp RECEIVE JUL 3 0 2019 CITY OF LA QUINTA Y CLERIC EIEPARTME 2. Type of Statement: ❑ Preelection Statement 2 Semi-annual Statement ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) Treasurer(s) NAME OF TREASURER GERRI LYNCH MAILING ADDRESS COVER PAGE of For Official Use Only ❑ Quarterly Statement ❑ Special Odd -Year Report CITY STATE ZIP CODE AREA CODE/PHONE LA QUINTA CA 92253 NAME OF ASSISTANT TREASURER, IFANY MAILING ADDRESS CITY OPTIONAL: FAX/E-MAILADDRESS STATE ZIP CODE AREA CODE/PHONE 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 certify under penalty of perj l y Un r the laws of the State of California that the foregoing is true and correct. Executed on By [a orAssizlanlSreasurar Executed on By Tate Signature of Controlling MFiceh3IdV. Candl We. Slate Maaaum Proponent or Respond biaOfficer of Sponsor Executed on Date Executed on Date By Signature of Controlling Officeholder, Candidate, State Measure Proponent By Signature of Controlling Officeholder, Candidate, Stale Measure Proponent FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (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 JOHN J. PENA OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) CITY COUNCIL CITY OF LA QUINTA RESIDENTIAUBUSIN ESSADDRESS (NO AND STREET) CITY STATE ZIP 51405 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. C0%1P.31T-1 EE NAME LD NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREACODE/PHONE COMMITTEE NAME I D NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREACODE/PHONE COVER PAGE - PART 2 Page of J 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 List names of officeholder(s) or candidate(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 Summary Page Amounts may be rounded to whole dollars. Statement covers period from 1 /1 /2019 SUMMARY PAGE SEE INSTRUCTIONS ON REVERSE through 6/30/2019 pag e 77 of NAME OF FILER LD NUMBER JOHN J. PENA 1370057 Column A Column B Calendar Year Summary for Candidates Contributions Received TOTAL THIS PERIOD CALENDARYEAR Running in Both the State Primary (FROM ATTACHED SCHEDULES) TOTAL TO DATE and General Elections 0 12093 1. Monetary Contributions ............ ........ .................. ...........- Schedule A, Line 3 $ $ 0 750 1/1 through 6I30 7/1 to Date 2. Loans Received............................................................. Schedule B, Line 3 0 12843 20. Contributions 3. SUBTOTAL CASH CONTRIBUTIONS .-.-......................... Add Lines 1 + 2 $ $ Received $ $ 0 6290 4. Nonmonetary Contributions ........ .......... .............. :........... Schedule C, Line 3 21. Expenditures 0 19133 Made $ $ 5. TOTAL CONTRIBUTIONS RECEIVED ............... ..................... Add Lines 3+4 $ $ Expenditures Made 6. Payments Made............................................................... Schedule E, Line 4 $ 92 $ 11881 7. Loans Made -------------------------- -- -- - -- ----- ---..................... Schedule H, Line 3 0 0 8. SUBTOTAL CASH PAYMENTS .......................................... Add Lines 6+7 $ 92 $ 11881 9. Accrued Expenses (Unpaid Bills) .......................................... Schedule F Line 3 0 0 10. Nonmonetary Adjustment ..... ..... ......................... ..:.......... Schedule C, Line 3 0 0 11. TOTAL EXPENDITURES MADE ............................. ........... Add Lines 8+9+10 $ 0 $ 11881 Current Cash Statement 12. Beginning Cash Balance ............................ Previous Summary Page, Line 16 $ 13. Cash Receipts ................ .... ::............... :..................... Column A, Line 3 above 14. Miscellaneous Increases to Cash ................................. Schedule 1, Line 4 15. Cash Payments ...................................................... Column A, Line 8 above 16. ENDING CASH BALANCE ..................Add Lines 12 + 13 + 14, then subtract Line 15 $ If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ................................ Schedule B, Part 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ................................................ See instructions on reverse $ 19. Outstanding Debts .............................. Add Line 2 + Line 9 in Column B above $ 493 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 may 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). 0 0 92 401 750 Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made' (if Subject to Voluntary Expenditure Llmtt) 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 e..,..��..t� . ., tie r.,L—LIoa SCHEDULE B - PART 1 Schedule B — Part 1 to whole dollars. Statement covers period Loans Received 1/1/2019 from SEE INSTRUCTIONS ON REVERSE 1 through 6/30/2019 Page of NAME OF FILER I.D. NUMBER JOHN J. PENA 1370057 FULL NAME, STREETADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER (a) OUTSTANDING (by (c) AMOUNT AMOUNT PAID OUTSTANDING (eS INTEREST ORIGINAL 9) CUMULATIVE OF LENDER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER BALANCE BEGINNING THIS RECEIVED THIS OR FORGIVEN BALANCE AT CLOSE OF THIS PAID THIS AMOUNT OF CONTRIBUTIONS (IF COMMITTEE, ALSO ENTER I.D NUMBER) NAME OF BUSINESS) PERIOD PERIOD �, I THIS PERIOD PERIOD PERIOD LOAN TO DATE JOHN J. PENA JOHN PENA ASSOC El PAID CALENDAR YEAR $ $ 750 0 % $ 750 $ 750 ❑ FORGIVEN PER ELECTION" LA QUINTA, CA 92253 RATE $ 750 s 0$ 12/31 /19 s s 750 DATE DUE t O IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE INCURRED ❑ PAID CALENDAR YEAR ❑ FORGIVEN PER ELECTION " RATE S S s S S DATE DUE DATE INCURRED t ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ PAID CALENDAR YEAR FORGIVEN El FORGIVEN PER ELECTION' i S ; S S DATE DUE DATE INCURRED tEl IND ❑ COM ❑ OTH ❑ PTY ❑ SCC + SUBTOTALS $ $ $ $ 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. .......................... NET $ 0 (May be a negative number) (Enl•'r (PI nn Schedule E, Une 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 'Amounts forgiven or paid by another party also must be reported on Schedule A. FPPC Form 460 (Jan/2016) If required. FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov SCHEDULE E Schedule E Amounts may be rounded to whole dollars. Statement covers period CALIFORNIA I ' Payments Made 1/1/2019 FORM from 55 through 6/30/2019 Page of SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER JOHN J. PENA 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 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) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.)............................................................................................................. $ 2. Unitemized payments made this period of under$100..................................................................... ............................... $ 92 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e).)............................................................................. $ C� 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.)........................... TOTAL $ 92 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov