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460 Osborne 2015 from 01/01 - 06/30Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statement covers period from 01/01/15 through 06/30/15 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 5) O Sponsored (Also Complete Part 6) ❑ General Purpose Committee Q Sponsored Q Small Contributor Committee Q Political Party/Central Committee ❑ Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) 3. Committee Information I.D. NUMBER 1348544 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) COMMITTEE TO ELECT LEE OSBORNE FOR LA QUINTA CITY COUNCIL STREET ADDRESS (NO P.O. BOX) 79245 CORPORATE CENTRE DR, #101 CITY STATE ZIP CODE AREA CODE/PHONE LA QUINTA CA 92253 760-777-9805 MAILING ADDRESS (IF DIFFERENT).NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS R ECEIV WORN Date of election if applica JUL 30 (Month, Day, Year) 11/02/10 2. Type of Statement: ❑ Preelection Statement ® Semi-annual Statement ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) Treasurer(s) COVER PAGE PM 3:07 Page __J_ of For Official Use Only ❑ Quarterly Statement ❑ Special Odd -Year Report ❑ Supplemental Preelection Statement -Attach Form 495 NAME OF TREASURER PEDRO RINCON MAILING ADDRESS 79245 CORPORATE CENTRE DR, #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 ateiR herein and in the attached schedules is true and complete. I certify under penalty of perjury under the1-27K aws oft State of California that the foregoing is true and correct. ,Executed on 7 / 2 K1(5 By Date Si fTreasurer ssistantTreasurer Executed on 3 G Y By Date Signature of Co li ceholder,Candidate, State Measure Proponent or Responsible Officer of Sponsor Executed on By Date Signature of Controlling Officeholder, Candidate, State Measure Proponent Executed on By Date Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (January105) FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772) State of California Type or print in ink. Recipient Committee Campaign Statement Cover Page — Part 2 COVERPAGE-PART2 Page 2 of 5. Officeholder or Candidate Controlled Committee 6. Primarily. Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE LEE OSBORNE OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT.NO.OR LETTER JURISDICTION ❑ SUPPORT ❑ OPPOSE CITY OF LA QUINTA, CITY COUNCIL RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP 79245 CORPORATE CENTRE DR LA QUINTA, CA 92253 Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT Related Committees Not Included in this Statement: List any committees not included in this statement that are controlled by you or are primarily formed to receive OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? 7. Primarily Formed Candidate/Officeholder Committee List names of officeholder(s) or candidate(s) for which this committee is primarily formed. ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODEIPHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD [—]SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑SUPPORT ❑ OPPOSE CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary FPPC Form 460 (January/05) FPPC Toli-Free Helpline: 866/ASK-FPPC (8661275-3772) State of California Campaign Disclosure Statement Summary Page Type or print in ink. SUMMARY PAGE Amounts may be rounded Statement covers period to whole dollars. 01/01/15 • ' I 1 from through 06/30/15 Page 3 of SEE INSTRUCTIONS ON REVERSE 6. Payments Made ....................................................... schedule E, Line 4 $ 80.00 NAME OF FILER 7. Loans Made............................................................. Schedule H, Line 3 I.D. NUMBER COMMITTEE TO ELECT LEE OSBORNE FOR LA QUINTA CITY COUNCIL 80.00 $ 80.00 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F Line 3 1348544 10. Nonmonetary Adjustment .......................................... Schedule C,Line 3 B Calendar Year Summary for Candidates Contributions Received To Aolumn�RAioD $ CCA�Iolumn g Primary Running in Both the State Prima and Current Cash Statement (FROM ATTACHED SCHEDULES) TOTALTO DATE 12. Beginning Cash Balance ....................... Previous summary Page, Line 16 $ 735.60 To calculate Column B, add 13. Cash Receipts ................................................... Column A, Line 3 above General Elections 1. Monetary Contributions ........................................... Schedule A, Linea $ 0' $ 0. corresponding amounts 14. Miscellaneous Increases to Cash ........................... Schedule 1, Line 4 1/1 through 6/30 7/1 to Date 2. Loans Received...................................................... Schedule e, line 3 80.00 report. Some amounts in Column A may be negative 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ 655.60 0 0. 20. Contributions 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 +2 $ $ Received $ $ 4. Nonmonetary Contributions .................................... i Schedule C, Line 3 0 0 21. Expenditures for this calendar year, onlycarry 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3+4 $ 0 $ 0. Made $ $ Cash Equivalents and Outstanding Debts Expenditures Made 6. Payments Made ....................................................... schedule E, Line 4 $ 80.00 $ 80.00 7. Loans Made............................................................. Schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6+7 $ 80.00 $ 80.00 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F Line 3 10. Nonmonetary Adjustment .......................................... Schedule C,Line 3 11. TOTAL EXPENDITURES MADE ................................ Add Lines 8 + s + 10 $ 80.00 $ 80.00 Current Cash Statement 12. Beginning Cash Balance ....................... Previous summary Page, Line 16 $ 735.60 To calculate Column B, add 13. Cash Receipts ................................................... Column A, Line 3 above 0 amounts in Column A to the corresponding amounts 14. Miscellaneous Increases to Cash ........................... Schedule 1, Line 4 from Column B of your last 15. Cash Payments .................................................. Column A, Line a above 80.00 report. Some amounts in Column A may be negative 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ 655.60 figures that should be subtracted from previous ff this is a termination statement, Line 16 must be zero. period amounts. If this is the first report being filed 17. LOAN GUARANTEES RECEIVED schedule e, Part 2 $ for this calendar year, onlycarry ........................... over, the amounts from Lines 2, 7, and 9 (if Cash Equivalents and Outstanding Debts 18. Cash Equivalents ........................................ See instructions on reverse $ 655.60 any). 19. Outstanding Debts ......................... Add line 2 +Line 9 in Column B above $ Expenditure Limit Summaryfor State Candidates 22. Cumulative Expenditures Made* (Ir subject to Voluntary Expenditure Limit) Date of Election Total to Date (mm/dd/yy) *Amounts in this suction may be different from amounts reported in Column B. FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275.3772) Schedule E Type or print in.ink. Statement covers period • . Amounts may be rounded CALIFI ' NIA Payments Made to whole dollars. from 01/01/15 •' SEE INSTRUCTIONS ON REVERSE through 06/30/15 Page of NAME OF FILER I.D. NUMBER COMMITTEE TO ELECT LEE OSBORNE FOR LA QUINTA CITY COUNCIL 1348544 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)' OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating. TB_ U. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FIND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals IND independent expenditure supporting/opposing others (explain)' POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration Lrr campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) ' Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.).............................................................................................................. $ 2. Unitemized payments made this period of under $100.......................................................................................................................................... $ 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).).........................:......................................:............... $ 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ............................. TOTAL $ 80.00 80.00 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)