460 Swarthout 2014 from 10/01 - 10/18Recipient Cammittee
Campaign Statement
Cover Page
(Government Code Sections 84200-84216.5)
SEE INSTRUCTIONS ON REVERSE
,i
PAGE
Type or print in ink. ECEIV�FCStamp
CITY C-ERK'S OFFICE
Statement covers period
from 10/01/2014
through 10/18/2014
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 Pad5) Q Sponsored
ElGeneral Purpose Committee (Also Complete Parts)
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
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
Same
CITY STATE
ZIP CODE
CITY
STATE ZIP CODE
AREA CODE/PHONE
OPTIONAL: FAX / E-MAIL ADDRESS
Date of election if applicable: Page 1 of 6
(Month, Day, Ye&F)Iq or 23 PM I: 5S For Official Use Only
November 4,2M4Y V LAQUINTA
,Al IFURNIA
2. Type of Statement:
® 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
N/A
MAILING ADDRESS
Same
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 comms--.�
Executed on October 23, 2014
Date
Executed on October 23, 2014
Executed on
By
5 ignaNre of Controlling Officeholdeq Candidate, State Measure Proponent
Executed on By
Data Stgnatmeocontrolling Ofiimholder, Candidate, State Measure Proponent
FPPC Form 468 66/275 3772)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
State of California