460 Ponce 2014 from 10/01 - 10/18Recipient Cbmlii'iittee
Campaign Statement
Cover Pabe
(Government Code Sections 84200-84216.5)
SEE INSTRUCTIONS ON REVERSE
Type or print in ink.
CIT
Statement covers period Date of election if applicable:
10/1/2014 (Month, Day, Year) (1fI
from
through
10/18/2014
1. Type Of Recipient Committee: All Committees - complete Parts 1, 2, 3, and 4.
3.
❑ Officeholder, Candidate Controlled Committee
_.0 State Candidate Election Committee
0 Recall
odso complete Parts)
❑ GeneralPurpose Committee
❑ :Sponsored.'.
0 Small Contributor Committee
0 Political-Party/Central Committee
nta
RECEIVED
CLERK'S OFFICE
22 AM 10: 28
11/4/2014 CITt OE LA QUINTA
2. Type of Statement:
COVER PAGE
Page of
❑ Ballot Measure Committee
a
Preelection Statement
❑
Quarterly Statement
0 Primarily Formed
❑
Semi-annual Statement
❑
Special Odd -Year Report
0 Controlled
❑
Termination Statement
❑
Supplemental Preelection
0 Sponsored
❑
Amendment (Explain below)
Statement -Attach Form 495
(Also Complete Parte)
STATE
ZIP. CODE
AREA CODE/PHONE
La Quinta
® Primarily Formed Candidate/
92253
760-834-5115
NAME OF ASSISTANT TREASURER, IF ANY
Officeholder Committee
-
(Also Complete Part 7)
NA
not et assigned
La Qujnta CA 92253 760-834-5115
MAILING ADDRESS (IF. DIFFERENT) NO. AND STREET OR P.O. BOX
NA
NA NA NA NA
OPTIONAL: FAX/ E-MAIL ADDRESS
Treasurer(s)
NAME OF TREASURER
Lawrence Ponce
MAILING ADDRESS
78-590 Bottlebrush
CITY
STATE
ZIP. CODE
AREA CODE/PHONE
La Quinta
CA
92253
760-834-5115
NAME OF ASSISTANT TREASURER, IF ANY
NA
MAILING ADDRESS -
NA
CITY
STATE
ZIP CODE
AREA CODE/PHONE
NA
OPTIONAL: FAX / E-MAIL ADDRESS
F,
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 correct.
Executed on
Date gaetu TreasurerorAssistanlTreasurer
Executed on
D �ti�ywCen
11 tlitltee�.Mure Proponentor Responsible Ofiicerof Sponsor
Executed onBy
'Date Signatureof Controlling OffceMider, Candidate, State MeasureProponent
Executed on Date By Signatureof Controlling ORoetrolder, Candidate, State Measure Proponent FPPC Form 460(June/01)
- - FPPC Toll -Free Helpline: 866/ASK-FPPC
State of California