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460 Evans 2020 from 10/18 to 12/31Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement covers period from 10/18/2020 through 12/31/2020 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. 0 Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure O State Candidate Election Committee Committee O Recall O Controlled (Also Complete Part5) O Sponsored (Also Complete Part 6) ❑ General Purpose Committee O Sponsored ❑ Primarily Formed Candidate/ O Small Contributor Committee Officeholder Committee O Political Party/Central Committee (Also Complete Part 7) 3. Committee Information I.D. NUMBER 13656647 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) ELECT LINDA EVANS LA QUINTA MAYOR 2020 STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE LA QUINTA CA 92253 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAILADDRESS Date of election if appli (Month, Day, Year) Date Stamp RECEIVED FEB 0 12021 COVER PAGE Page off For Official Use Only 11 /03/20 CITY OF LA QUINTA -4 � ITY CLERK DEPARTMENT 2. Type of Statement: ❑ Preelection Statement ❑ Quarterly Statement Semi-annual Statement ❑ Special Odd -Year Report ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) Treasurer(s) NAME OF TREASURER PEDRO RINCON MAILING ADDRESS 79245 CORPORATE CENTRE DR 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 AREACODE/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 cgrr �_1_Executed on — IZ► By Data Executed on By Dale k signature of Con"hing officeholder, Candldat easure Proponent or Resporisible Officer of Sponsor Executed on By Dale Signature of Controlling Officeholder, Candidate, State Measure Proponent Executed on By Date Signature of Controlling Officeholder, Candidate, Stale Measure Proponent FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Recipient Committee Campaign Statement Cover Page — Part 2 NAME OF OFFICEHOLDER OR CANDIDATE LINDA EVANS OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IFAPPLICABLE) CITY OF LA QUINTA, MAYOR RESIDENTIALIBUSINESS ADDRESS (NO.ANDSTREET) CITY STATE ZIP P.O. BOX 1 LA QUINTA, CA 92247 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 contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COVER PAGE - PART 2 Page Z of NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION ❑ SUPPORT ❑ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY 7. Primarily Formed Candidate/Officeholder Committee List names of officeholder(s) or candidate(s) for which this committee is primarily formed. 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 Attach continuation sheets if necessary FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Campaign Disclosure Statement Amounts may be rounded Summary Page to whole dollars. Statement covers period from 10/18/2020 SUMMARY PAGE 12/31/2020 Page SEE INSTRUCTIONS ON REVERSE through of NAME OF FILER I.D. NUMBER ELECT LINDA EVANS LA QUINTA MAYOR 2020 13656647 Contributions Received olurim eA Column B Calendar Year Summary for Candidates ToColumn (FROM ATTACHED SCHEDULES) TOTAL TO DATE Running in Both the State Primary and General Elections 1. Monetary Contributions................................................... schedule A, Line 3 425.00 $ 6,$ 11,625.00 2. Loans Received................................................................ schedule B, Line 3 0.00 0.00 1/1 through 6/30 7/1 to Date 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 1 + 2 6,425.00 $ $ 11,625.00 20. Contributions Received $ $ 4. Nonmonetary Contributions ................ ... Schedule C, Line 3 0.00 0.00 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED....................................Add Lines 3+4 $ 6,425.00 $ 11,625.00 Made $ $ Expenditures Made 6. Payments Made................................................................ Schedule E, Line 4 $ 1.536.38 7. Loans Made....................................................................... Schedule H, Line 3 0.00 8. SUBTOTAL CASH PAYMENTS .......................................... Add Lines 6+ 7 $ 1,536.38 9. Accrued Expenses (Unpaid Bills) .......................................... Schedule F Line 3 0.00 10. Nonmonetary Adjustment......................................................... Schedule C, Line 3 0.00 11. TOTAL EXPENDITURES MADE ........................................ Add Lines 6 + 9 + 10 $ 1,536.38 %,urrent t asn statement 12. Beginning Cash Balance ............................ Previous Summary Page, Line 16 $ 13. Cash Receipts........................................................... Column A, Line 3 above 14. Miscellaneous Increases to Cash .................................. Schedule I, Line 4 15. Cash Payments......................................................... column A, Line 6 above 16. ENDING CASH BALANCE ..................Add Lines 12 + 13 + 14, then subtract Line 15 $ If this is a termination statement, Line 16 must be zero. 23,165.76 6,425.00 0.00 1,536.38 28,054.38 17. LOAN GUARANTEES RECEIVED ................................ Schedule B, Part 2 $ 0.00 Cash Equivalents and Outstanding Debts 18. Cash Equivalents ................ See instructions on reverse $ 28,054.38 19. Outstanding Debts .............................. Add Line 2 + Line 9 in Column B above $ 0.00 $ 5,648.76 0.00 $ 5,648.76 0.00 0.00 $ 5,648.76 To calculate Column B, add amounts in Column Ato the corresponding amounts from Column B of your last report. Some amounts in Column A may be negative figures that should be subtracted from previous period amounts. If this is the first report being filed for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if any). Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (if Subject to Voluntary Expenditure Limit) Date of Election Total to Date (mm/dd/yy) "Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A Amounts may be rounded SCHEDULE A Monetary Contributions Received " W"0 a 0a". Statement covers period _ from 10/18/2020 a - 12/31/2020 4 SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER I.D. NUMBER ELECT LINDA EVANS LA QUINTA MAYOR 2020 13656647 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) JZI IND 10/20/20 GHASSAN BOGHOSIAN El COM ORTHO SURGEON NO 200.00 200.00 ❑ PTY ❑ SCC )a IND 10/20/20 WALTER NEIL 44800 COM ❑OTH FINANCIAL INVESTOR 500.00 500.00 PALM DESERT, CA 92260 ❑ PTY ❑ SCC ZIND 10/20/20 MARY HAMILTON 54310 COM ❑OTH RETIRED 100.00 100.00 LA QUINTA, CA 92253 ❑ PTY ❑ SCC 10/20/20 SUSAN MARSHALL JZI IND ❑ COM REALTOR 52290 200.00 200.00 LA QUINTA, CA 92253 El PTY ❑ SCC JOSEPH ROMANO W1 IND ❑COM FINANCIAL ADVISOR 10/20/20 48700 250.00 250.00 INDIO, CA 92201 ❑ PT. ❑ SCC SUBTOTAL $ 1,250.00 Schedule A Summary 1. Amount received this period — itemized monetary contributions. (Include all Schedule A subtotals.)......................................................................................................... $ 2. Amount received this period — unitemized monetary contributions of less than $100 ...........................$ 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.)......................TOTAL $ 6,250.00 175.00 6,425.00 *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received Wt OF I-ILLK ELECT LINDA EVANS LA QUINTA MAYOR 2020 Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTERLD NUMBER) CONTRIBUTOR CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) 10/20/20 SAMUELIBRAHIM ®IND El coM GENERALSURGEON El OTH RANCHO MIRAGE, CA 92270 ❑ PTY ❑ SCC 10/23/20 EUGENE SALUTE ® IND ❑ RETIRED ElOOTH LA QUINTA, CA 92253 ❑ PTY ❑ SCC 10/23/20 JOHN HOFFNER ®IND COM RETIRED 55122 LA QUINTA, CA 92253 ❑ PTY ❑ scc COACH ELLA-IMPERIAL VALLEYS ❑ IND pcOM 10/23/20 STR STRATEGIES, 75100 PALM DESERT, CA 92211 ❑ PTY ❑ SCC 10/29/20 WESLEY AHLGREN ® IND El COM PRESIDENT, 49500 OTH STONEBRIDGE LA QUINTA, CA 92253 ❑ PTY CAPITAL PARTNERS "Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee from — through SCHEDULE A (CONT.) nt covers peI 10/18/2020 12/31 /2020 Page -!�— of 113656647 AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED THIS CALENDAR YEAR TO DATE PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) 100.00 100.00 men 11 200.00 1 200.00 250.00 1 250.00 300.00 1 300.00 SUBTOTAL $ 1,050.00 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULEA (CONT.) Monetary Contributions Keceived to whole sonars. Statement covers period CALIFORNIA 460 from 10/18/2020 FORM Q through 12/31/2020 Page of NAME OF FILER I.U. NUMBER ELECT LINDA EVANS LA QUINTA MAYOR 2020 13656647 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * OCCUPATION AND EMPLOYER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) PERIOD JAN. 1 - DEC. 31 ( ) (IF REQUIRED) TOM SCARAMELLION ® IND ❑COM GENERAL MANAGER, 10/29/20 ❑OTH WESTIN MISSION HILLS 150.00 150.00 RANCHO MIRAGE, CA 92270 ❑PTY RESORT ❑SCC AVANTSTAY, INC. El IND 11/02/20 ❑COM ® OTH 400.00 400.00 WEST HOLLYWOOD, CA 90069 ❑ PTY ❑ SCC CHANDRASHEKAR MEDICAL CORP ❑ IND 11/02/20 ❑COM ® OTH 250.00 250.00 INDIO, CA 92201 ❑ PTY ❑ SCC CALIFORNIA REAL ESTE PAC #890106 ❑ IND EaCOM 11/02/20 ❑ OTH 2,000.00 2,000.00 LOS ANGELES, CA 90071 ❑ PTY ❑ SCC KID HEALTH FIRST PEDIATRICS, INC. ❑ IND 11/02/20 ElCO LZ 500.00 500,00 LA QUINTA, CA 92253 ❑ PTy ❑ SCC SUBTOTAL $ 3,300.00 *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULEA (CONT.) Monetary GoniributlonS Keceivea to wnole aouars• Statement covers period from 10/18/2020 • - through 12/31/2020 page of NAME OF FILER I.D. NUMBER ELECT LINDA EVANS LA QUINTA MAYOR 2020 k3656647 DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) PERIOD (JAN.1-DEC. 31) (IF REQUIRED) ®IND RANDY FOULDS El com MEDICARE INSURANCE 12/07/20 TH OTH SALES 150.00 150.00 LA QUINTA, CA 92253 ❑ PTY ❑SCC NINO ROSSINI ®IND ❑CoM BUILDING REALTY 11/02/20 ❑ OTH CONTRACTOR 500.00 500.00 LA QUINTA, CA 92253 ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL $ 650.00 'Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Party SCC — Small Contributor Committee FPPC Form 460 (1an/2016) FPPC Advice: advice@fppc,ca.gov (866/275-3772) www.fppc.ca.gov Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME Ut �AJ_H. ELECT LINDA EVANS LA QUINTA MAYOR 2020 Amounts may be rounded to whole dollars. Statement covers period from 10/18/2020 through 12/31/2020 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment Page of 13656647 CMP campaign paraphernalia/misc. MBR member communications RAID 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 TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and surrey 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 LIT campaign literature and mailings PRT print ads WEB information technology costs (intemet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER 1.13 NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID INKWORKS DESIGN AND PRINT, INC. POST CARDS CNP 1,479.00 UPLAND, CA 91784 " Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 1,479.00 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) 1,479.00 2. Unitemized payments made this period of under $100.......................... $ 57.38 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).)....................... .............................................. $ 0.00 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.)........................... TOTAL $ 1,536.38 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov