460 Swarthout 2014 from 07/01 - 09/30Recipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200-84216.5)
SEE INSTRUCTIONS ON REVERSE
fro
Type or print in ink.
Statement covers period
In July 1, 2014
through September 30, 2014
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 Pan5)
Q Sponsored
F-1General Purpose Committee
(Also Complete Parte)
Q Sponsored
❑ Primarily Formed Candidate/
Q Small Contributor Committee
Officeholder Committee
Q Political Party/Central Committee
(Also Complete Part 7)
3. Committee Information
I.D^NUMBER
:OMMITfEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
Patrick Swarthout for La Quinta City Council 2014
STREET ADDRESS (NO P.O. BOX)
78-705 Avenida Torres
CITY STATE ZIP CODE AREA CODE/PHONE
La Quinta CA 92253 (760)600-6618
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX / E-MAIL ADDRESS
Stamp
CITY CLr-RK'S
COVERPAGE
Date of election if ap H �b?leT: - R Page 1 of /O
(Month, Day, Y , f'c [ —6 I}i'I 1: 53 For Official Use Only
November 4, 01W p LA QUINTA
rteNJ A
2. Type of Statement:
la Preelection Statement ❑ Quarterly Statement
❑ Semi-annual Statement ❑ Special Odd -Year Report
❑ Termination Statement ❑ Supplemental Preelection
(Also file a Form 410 Termination) Statement - Attach Form 495
❑ Amendment (Explain below)
Treasurer(s)
NAME OF TREASURER
Jason A. Schneider
MAILING ADDRESS
79-245 Corporate Centre Dr, STE 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
4. 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. I certify
under penalty of perjury under the laws of the State of California that the foregoing is true and quart}
Executed on October 6, 2014
bale
Executed on October 6, 2014
Date
Executed on
Data
By
By
By
Signature of Controlling Officeholder, Candidate, State MeasureProponent
Executed on By
Data Signature of Controlling 0lficeholtler, Cantlidata, State Measure Proponent FPPC Form 4611 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275.3772)
State of California