460 Hassett 2014 from 10/01 - 10/18Rec pier it Committee
Campaign Statement
Cover Page
(Government Code Sections 84200-84216.5)
SEE INSTRUCTIONS ON REVERSE
Type or print in Ink.
Statement covers period
from 10-1-14
through 10-18-14
1. Type of Recipient Committee: All 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 Complete Pan 5) O Sponsored
(Also Complete Parts)
❑ General Purpose Committee
Q Sponsored ❑ Primarily Formed Candidate/
Q Small Contributor Committee Officeholder Committee
Q Political Party/Central Committee (Also Complete Part 7)
3. Committee Information i I.D^N ^^B^ R
IF NO COMMITTEE)
Campaign To Elect Doug Hassett - La Quinta City Council 2014
STREET ADDRESS (NO PA, BOX)
54800 Avenida Rubio
CITY STATE ZIP CODE AREA CODE/PHONE
La Quinta CA 92253 760-578-5660
MAILING ADDRESS (IF DIFFERENT) NO, AND STREET OR P.O. BOX
CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX / E-MAIL ADDRESS
Date of election if
(Month, Day,
11-4-14
-t/
-COVERPAGE
23 /Am 10. 115 Pageor O— of
Ffficial Use
OF LA QUINTA
;LI ORNIA
2. Type of Statement:
EZ Preelection Statement
❑ Semi-annual Statement
❑ Termination Statement
(Also file a Form 410 Termination)
❑ Amendment (Explain below)
❑ Quarterly Statement
❑ Special Odd -Year Report
❑ Supplemental Preelection
Statement -Attach Form 495
Treasurer(s)
NAME OF TREASURER
Cindy Hassett
MAILING ADDRESS
54-800 Avenida Rubio
CITY STATE ZIP CODE AREA CODE/PHONE
La Quinta CA 92253 760-564-5809
NAME OF ASSISTANT TREASURER, IF ANY
MAILING ADDRESS
CITY 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 knowledge the informationcgntained herein and in the attached schedules is true and complete. I certify
under penalty of perjury underthe laws of the State of California that the foregoing is true and correct.
Executed on 10-21-14 By
Date Sig T su ro Tc
Executed on t6 -Z( — I By
s�
Date Sgna ure ofConfrolll Bmehoider, didele, sitateMeasure Proportunisor Responsible Officerot Sponsor
Executed on By
Dale SignatureofConlolling Officeholtler, Candidate, Stale Measure Proponent
Executed on By
Data Signature of ControllingOfiiceholdeq Carditlale, Stale Measure Proponent FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661276.3772)
State of California