460 Henderson 2014 from 01/01 -06/30Recipient Committee
' Cam�p�' ,aion statement
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7014 WG -I AM 11: 22
Type or print in ink.
Statement covers period
from 1/1/14
SEE INSTRUC I Jf�EVERSE
through 6/30/14
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Q1'blrVWE ipient Committee: All Committees —Complete Parts 1, 2, 3, and 4.
® Officeholder, Candidate Controlled Committee
❑ Ballot Measure Committee
Q State Candidate Election Committee
Q Primarily Formed
Q Recall
Q Controlled
(Also Complete Part 5)
Q Sponsored
❑ General Purpose Committee
(Also Complete Part 6)
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
1349748
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
Terry Henderson for Mayor 2012
STREET ADDRESS (NO P.O. BOX)
54711 Eisenhower Dr.
CITY STATE ZIP CODE AREA CODE/PHONE
La Quinta CA 92253 760-564-3044
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX / E-MAIL ADDRESS
760-563-1625
Date Stamp
Rr'
CIT ( R S�OFFICE
Date of election if applicable:
(Month, Day, Year) %��/1 t}��� _ I 1� 19
11/6/12 CI
2. Type of Statement:
❑ Preelection Statement
® Semi-annual Statement
❑ Termination Statement
❑ Amendment (Explain below)
Treasurer(s)
NAME OF TREASURER
Richard L. Jandt
MAILING ADDRESS
54711 Eisenhower Dr.
FLA QUINTA
COVER PAGE
Page % of
For Official Use Only
❑ Quarterly Statement
❑ Special Odd -Year Report
❑ Supplemental Preelection
Statement - Attach Form 495
CITY STATE ZIP CODE AREA CODE/PHONE
La Quinta CA 92253 760-564-3044
NAME OF ASSISTANT TREASURER, IF ANY
MAILING ADDRESS
CITY
OPTIONAL: FAX / E-MAIL ADDRESS
760-564-1625
STATE ZIP CODE AREA CODE/PHONE
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 foregoin true an correc .
Executed on By
Da natureofT asurer or Assistant Treasurer
Y
Executed on By
Dat ignature of Co ling Officeholder, Candidate, State Measure Proponent or Responsible Officer of Sponsor
Executed on
Date
By
Executed on 460 BY
Date Signature of Controlling Officeholder, Candidate, Stale Measure Proponent FPPC Form (June/01)
FPPC Toll -Free Helpline: 866/ASK-FPPC
State of California