The URL can be used to link to this page

460 LQ Neighbors Sign the Petition - 2021 from 01/01 - 12/31COVER PAGE Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement covers period from 1/1/2021 through 12/31/2021 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. ❑ Officeholder, Candidate Controlled Committee m Primarily Formed Ballot Measure 0 State Candidate Election Committee Committee C) Recall @) Controlled (At- C-pkft PM 5) 0 Sponsored (Also Complete Pert 6) ❑ General Purpose CommIIttee 0 Sponsored ❑ Primarily Formed Candidate/ 0 Small Contributor Committee Officeholder Committee 0 Political Party[Central Committee u+w CGmplels Part 7) 3. Committee Information I.D. NUMBER 1442794 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMIAITTEE) LA QUINTA NEIGHBORS SIGN THE PETITION STREETADDRESS (NO P.O. BOX) STATE ZIP CODE AREA CODE/PHONE La Quinta CA 92253 MAILINGADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX PO BOX 1571 CITY STATE ZIP CODE AREA CODE/PHONE La Quinta CA 92247 OPTIONAL: FAX IE-MAIL ADDRESS Date of election if applii (Month, Day, Year) Date Stamp RECEIVED Vk .lAN 2 j M? Page 1 of 9 For Official Use Or N/A TY OF LA QUINTA CIT CLERK OEAFiTMENT 2. Type of Statement: ❑ Preelection Statement ❑ Quarterly Statement m Semi-annual Statement ❑ Special Odd -Year Report ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) Treasurer(s) NAME OF TREASURER James Wanshura MAILING ADDRESS CITY STATE ZIP CODE AREACODEIPHONE La Quinta CA 92253 NAME OFASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREACODEIPHONE 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 ' true and correct Executed on - —+ — zo zz' B ZA ` al�e ^� y Ca ate, State suns Proponent or Responsible Officer of Sponscr Executed on Date By Signature of Controlling Officeholder, Cendldata; Slate Measure Proponent Executed on Date By Signature of Con0ling Officeholder, Candidate, Slate Measure Proponent FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov COVER PAGE - PART 2 Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE N/A OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) RESIDENTIAL/BUSINESSADDRESS (NO.ANDSTREET) CITY STATE ZIP 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 STREET ADDRESS (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 STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE Page i 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE LA QUINTA NEIGHBORS SIGN THE PETITION BALLOT NO. OR LETTER JURISDICTION Not Issued I La Quinta, CA Of 9 ® 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 Farmed CandidatelOfficeholder Committee Listnames of officeholders) 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.fppe.ca.gov Campaign Disclosure Statement Amounts may be rounded to whole dollars. Summary Page Statement covers period from 1/1/2021 SUMMARY PAGE 12/31/2021 Page 3 of 9 SEE INSTRUCTIONS ON REVERSE through NAME OF FILER I.D. NUMBER LA QUINTA NEIGHBORS SIGN THE PETITION 1442794 Column A Column B Calendar Year Summary for Candidates Contributions Received TOTAL THIS PERIOD CALENDAR YEAR Running in Both the State Primary and (FROM ATTACHED SCHEDULES) TOTAL TO DATE General Elections 1. Monetary Contributions................................................... schedule A, Line 3 $ 7140 $ 7140 1/1 through 6130 711 to Date 0 0 .... ......................... 2. Loans Received .......................... ........ . Schedule Br Line 3 7140 7140 20. Contributions 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 1 +2 $ $ Received $ _ $ 1759.32 1759.32 4. Nonmonetary Contributions ............................................ schedule C, Line 3 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED...............................Add Lines 3+4 $ 8899.32 $ 8899.32 Made $-$ Expenditures Made 6. Payments Made................................................................ Schedule e, Line 4 $ 228.60 $ 228.60 7. Loans Made ........................................................ ...... schedule H, Line 3 0 0 8. SUBTOTAL CASH PAYMENTS ....................................... Add Lines 6+7 $ 228.60 $ 228.60 9. Accrued Expenses (Unpaid Bills) .......................................... schedule F Line 3 0 0 10. Nonmonetary Adjustment......................................................... schedule C, Line 3 1758.62 1758.62 11. TOTAL EXPENDITURES MADE....................................Add Lines 8t9+10 $ 1987.22 $ 1987.22 Current Cash Statement 12. Beginning Cash Balance ............................ Previous summary Page, Line 16 $ 0 To calculate Column B, 13. Cash Receipts ........................................................... Column A, Line 3 above 7140 add amounts in Column 0 A to the corresponding 14. Miscellaneous Increases to Cash .................................. schedule 1, Line 4 amounts from Column B 15. Cash Payments """"'"""""""""""........................... Column A, Line a above 228.60 of your last report. Some amounts in Column A may 16. ENDING CASH BALANCE Add Lines 12 + 13 + 14, then subtract Line 15 $ 6911.40 be negative figures that should be subtracted from If this is a termination statement Line 16 must be zero. previous period amounts. If this is the first report being 17. LOAN GUARANTEES RECEIVED ................................ Schedule B, Part2 $ 0 filed for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if Cash Equivalents and Outstanding Debts 0 any)' 18. Cash Equivalents ................................................ see instructions on reverse $ 19. Outstanding Debts .............................. Add Line 2 + Line 9 in Column B above $ 0 Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made" (if Subject to Voluntary Expenditure Limlt) Date of Election Total to Date (mmlddlyy) '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 to wnoie sonars' Statement covers period CALIFORNIA i from 1/1/2021 FORM through 12/31/2021 Page 4 of 9 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER LA QUINTA NEIGHBORS SIGN THE PETITION 1442794 FULL NAME, STREETADDRESS AND ZIP CODE OF IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE CONTRIBUTOR CONTRIBUTOR * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER LD NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) 10/27/2021 James Wanshura IND Retired 90 90 ❑ CoM ❑ OTH La Quinta, CA 92253 ❑ PTY 1AA97QA ❑ SCC 11/2/2021 Donald Shoffstall ® IND Retired 1000 1000 ❑ COM ❑ OTH La Quinta, CA 92253 ❑ PTY 1 A1970A ❑ SCC 11/16/2021 Connie Nimis m IND Retired 500 500 ❑ CoM ❑ OTH La Quinta, CA 92253 ❑ PTY 1AA97QA ❑ SCC 11/16/2021 Jonatan Shapiro m IND Retired 100 100 ❑ COM ❑ OTH La Quinta, CA 92253 ❑ PTY 1 AA970A ❑ SCC !!/16/2021 Rex Bloesser m IND Retired 500 500 ❑ CoM ❑ OTH La Quinta, CA 92253 ❑ PTY 1 dd97Qd ❑ SCC SUBTOTAL $ 2190 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.)......... 7090 $ 50 '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 ......TOTAL $ 7140 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 Received to whole dollars. Statement covers period CALIFORNIA 460 from 1/1/2021 FORM through 12/31/2021 Page 5 of 9 NAME OF FILER I.D. NUMBER LA QUINTA NEIGHBORS SIGN THE PETITION 1442794 FULL NAME, STREETADDRESS AND ZIP CODE OF IFAN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE CONTRIBUTOR CONTRIBUTOR * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME) OF BUSINESS) PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) 11/16/2021 Steve Bottom ® IND Franchise Owner - Sonics 500 500 ❑ COM ❑ OTH La Quinta, CA 92253 ❑ PTY 1 AA97QA ❑ SCC 11/16/2021 Donald Shoffstall m IND Retired 100 1100 ❑ COM ❑ OTH La Quinta, CA 92253 ❑ PTY 1 A.a97Qd ❑ SCC 11/16/2021 Paul and Dori Quill ® IND Owner Quill Enterprises 1000 1000 ❑ cOM LLC ❑ OTH La Quinta, CA 92253 ❑ PTY I A97QA ❑ SCC 11/16/2021 David Gross Z IND Retired 100 100 ❑ COM ❑ OTH La Quinta, CA 92253 ❑ PTY 1 AA97QA ❑ SCC 11/16/2021 Susan Weakley ® IND Retired 100 100 ❑ coM ❑ OTH La Quinta, CA 92253 I ❑ PTY 1AA970A i SCC SUBTOTAL $ 1800 "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 Schedule A (continuation Sheet) Monetary Contributions Received Name of Filer LA QUINTA NEIGHBORS SIGN THE PETITION I.D. Number 1442794 page 6 of 9 Date Received Name Address Contribution Occupation Code Employer Amount this date Cumulative to date Calendar year 11/16/2021 Kay Wolff IND Retired $ 250.00 $ 500.00 Subtotal $ 3,100.00 Schedule C Amounts may be rounded SCHEDULE C Nonmonetary Contributions Received cv wnv!e UU110M. Statement covers period , • - ff OW from 1/1/2021 - ; through 12/31/2021 page 7 of 9 SEE INSTRUCTIONS ON REVERSE L NAME OF FILER I.D, NUMBER LA QUINTA NEIGHBORS SIGN THE PETITION 1442794 DATE FULL NAME, STREETADDRESS AND CONTRIBUTOR [FAN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER DESCRIPTION OF AMOUNT! CUMULATIVE TO DATE PER ELECTION TO DATE RECEIVED ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) * CODE (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) GOODS OR SERVICES FAIR MARKET VALUE CALENDAR YEAR (JAN 1 - DEC 31) (IF REQUIRED) 10/18/21 James Wanshura ® IND Retired PO Box 113 203 ❑ COM ❑ OTH la Quinta, CA 92253 ❑ PTY 1 AA970A ❑SCC 10/24/21 James Wanshura m IND Retired EIN fee 249 452 ❑ COM [I OTH ]a Quinta, CA 92253 ❑ PTY 1 AA970A ❑ SCC 10/26/21 Donald Nimis m IND Retired WIX - Premium 208.94 208.94 ❑ COM ❑ OTH Plan La Quinta, CA 92253 ❑ PTY 1 AA970A ❑ SCC 10/27/21 Donald Nimis m IND Retired WIX - Ascend 120 328,94 ❑ COM ❑ OTH Basic La Quinta, CA 92253 ❑ PTY 1 AA970A ❑ SCC Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 690.94 1 Schedule C Summary 1, Amount received this period — itemized nonmonetary contributions. (Include all Schedule C subtotals.).................................................... .......................... .............$ 1538.18 2. Amount received this period — unitemized nonmonetary contributions of less than $100 .........:::.......... ...$ 220.44 3, Total nonmonetary contributions received this period. 1758.62 (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.).....................TOTAL $ "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 C (continuation Sheet) Nonmonetary Contributions Received Name of Filer LA QUINTA NEIGHBORS SIGN THE PETITION page 8 of 9 I.D. Number 1442794 Date Received Name Address Contribution Code Occupation Employer Description of Goods or Service Amount this date Cumulative to date Calendar year 11/23/2021 Donald Shoffstall IND Retired Petition Signature Kit $ 165.29 1 $ 1,828.13 Subtotal $ 847.24 Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER LA QUINTA NEIGHBORS SIGN THE PETITION Amounts may be rounded to whole dollars. Statement covers period from 1/1/2021 through 12/31/2021 SCHEDULE E • a • , • 1 FORM, Page 9 of 9 .Q. NUMBER 1442794 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia/mist. 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 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 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 defaiise PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (Internet, a -mall) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER)_ CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID La Quinta Neighbors Sign The Petition FIL FPPC form 410 fee 50 1442794 La Quinta Neighbors Sign The Petition OFC Go FundMe fees 173.60 1442794 La Quinta Neighbors Sign The Petition OFC US Bank service charge 5 1442794 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 228.60 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) ............................................... .............................................. ,............... $ 228.60 2. Unitemized payments made this period of under$100.......................................................................................................................................... $ 0 3. Total interest paid this period on loans. Enter amount from Schedule B, Part 1, Column (e)) $ 0 4, Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.)........................... TOTAL $ 228.60 FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov