460 Swarthout 2014 from 10/19 - 12/30Recipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200-84216.5)
SEE INSTRUCTIONS ON REVERSE
Type or print in ink.
Statement covers period D
from 10/19/2014
through 12/30/2014
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 Part S)
Q Sponsored
ElGeneral Purpose Committee
(Also Complete Pad6)
p Sponsored
❑ Primarily Formed Candidate/
Q Small Contributor Committee
Officeholder Committee
Q Political Party/Central Committee
(Also ComplerePaA7)
3. Committee Information
I.D. NUMBER
Patrick Swarthout for La Quinta City Council 2014
STREET ADDRESS (NO P.O. BOX)
NAME OF TREASURER
78-705 Avenida Torres
Jason A. Schneider
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
AREA CODE/PHONE
Same
92253
(760)777-9805
NAME OF ASSISTANT TREASURER, IF ANY
CITY
STATE
ZIP CODE
AREA CODE/PHONE
OPTIONAL: FAX / E-MAIL ADDRESS
Dale Stamp -
LOCAL
of election if applicable:
(Month, Day, Year)
November 4, 2014
2. Type of Statement:
❑ Preelection Statement
❑ Semi-annual Statement
Termination Statement
(Also file a Form 410 Termination)
❑ Amendment (Explain below)
JAN 0 2 1015
G
QuCP
arterly Stalern
❑ Special Odd -Year Repyrt
❑ Supplemental Preelection
Statement - Attach Form 495
V
;PAGE
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
` f✓^7
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 gornpletW I certify
underpenalty of perjury underthe laws of the State of California thatthe foregoing is true
Executed on December 30, 2014 ey
Dale ign reofTreas orAssis tTreasurer '1
December 30, 2014 R_
Executed on By
Dale SignammoruonlroOngumcenomer, Can iaate,Stale Measure Preponenlor Responsible OficerofSponsor
Executed on By r� L
Delp Signature ofCon4olLng OficehoMeq Candidate, Stale MeawrePmponent
Executed on By Date Signature ofConlrollmg Oficeholder, Candidate, State Measure Proponent FPPC Form 460(January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
State of California