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460 Evans 2022 from 07/01 to 09/24COVER PAGE Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement covers period from 07/01/2022 through 09/24/2022 Date of election if applicable: (Month, Day, Year) 11/08/2022 SEP 28ZUZt Page 1 of 6 CITY OF LA QUINTA CITY CLERK DEPARTMENT For Official Use Only 1. Type of Recipient Committee: All Committees —Complete Parts 1, 2, 3, and 4. l fficeholder, Candidate Controlled Committee U State Candidate Election Committee O Recall (Also Complete Pmf 6] ❑ General Purpose Committee O Sponsored O Small Contributor Committee O Political Party/Central Committee ❑ Primarily Formed Ballot Measure Committee O Controlled O Sponsored (Also Complete Pert 6) ❑ Primarily Formed Candidate/ Officeholder Committee (Also Complete Pert 7) 2. Type of Statement: ▪ Preelection Statement ❑ Semi-annual Statement O Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) ❑ Quarterly Statement I— Special Odd -Year Report 3. Committee Information I.D. NUMBER 13656647 r:OMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) ELECT LINDA EVANS LA QUINTA MAYOR 2022 STREET ADDRESS (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-MAIL ADDRESS Treasurer(s) NAME OF TREASURER PEDRO RINCON MAILING ADDRESS CITY LA QUINTA STATE ZIP CODE CA 92253 AREA CODE/PHONE ( 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 knowted certify under penalty of perjury I nder th laws of the State of California that the foregoing is true and D z2 ? -?ems Executed on Executed on Executed on Executed on Date Date By By By By ormation contained herein and in the attached schedules is true and complete. I SIgnatua ConlraIling Ot6ceholder. rindidate, State Measure Proponent or Responsible Officer of Sponsor Signature of Controlling Officeholder, Candidate, State Measure Proponent Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 496 (Feb/2019) 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 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE LINDA EVANS OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) CITY OF LA QUINTA, MAYOR RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP P.O. BOX 1 LA QUINTE1 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 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 STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE 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 Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF FILER ELECT LINDA EVANS LA QUINTA MAYOR 2022 Amounts may be rounded to whole dollars. Statement covers period from 07/01/2022 through 09/24/2022 SUMMARY PAGE Page 3 of 6 I.D. NUMBER 13656647 Contributions Received 1. Monetary Contributions Schedule A, Line3 $ 2. Loans Received Schedule B, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS Add Lines 1 +2 $ 4. Nonmonetary Contributions Schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED AddLines3+4 $ Column A TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) 2,550.00 0.00 2,550.00 0.00 2,550.00 Column B CALENDAR YEAR TOTAL TO DATE $ 17,099.00 0.00 $ 17,099.00 2,035.00 $ 19,134.00 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 20. Contributions Received $ 21. Expenditures Made $ 1/1 through 6/30 7/1 to Date Expenditures Made 6. Payments Made Schedule E, Line 4 $ 1,475.73 7. Loans Made Schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS AddLines6+7 $ 9. Accrued Expenses (Unpaid Bills) Schedule F, Line 3 10. Nonmonetary Adjustment Schedule C, Line 3 11. TOTAL EXPENDITURES MADE Add Lines 8 + 9 +10 $ 1,475.73 0.00 1,475.73 0.00 0.00 $ 1,738.17 0.00 $ 1,738.17 0.00 0.00 $ 1,738.17 Current Cash Statement 12. Beginning Cash Balance Previous Summary Page, Line 16 $ 13. Cash Receipts Column A, Line 3 above 14. Miscellaneous Increases to Cash Schedule 1, Line 4 15. Cash Payments Column A, Line 8 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. 42,619.42 2,550.00 0.00 1,475.73 43,693.69 17. LOAN GUARANTEES RECEIVED Schedule B, Part2 $ 0.00 Cash Equivalents and Outstanding Debts 18. Cash Equivalents See instructions on reverse 19. Outstanding Debts Add Line 2 + Line 9 in Column B above $ 43,693.69 $ 0.00 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 (mm/dd/yy) Total to Date *Amounts in this section may be different from amounts reported in Column B. FPPC Form 496 (Feb/2019) 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 SEE INSTRUCTIONS ON REVERSE wnoie sonars. Statement covers period from 07/01/2022 CALIFORNIA FORM Page 460 4 of 6 through 09/24/2022 NAME OF FILER ELECT LINDA EVANS LA QUINTA MAYOR 2022 I.D. NUMBER 13656647 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 (IF SELF-EMPLOYED, ENTER NAME AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 09/23/2022 RCS POINT HAPPY, LLC LOS ANGELES, CA 90010 • IND 250.00 250.00 • COM O OTH ■ PTY ■ SCC 09/23/2022 MANAGEMENT GROUP, INC. PALM DESERT, CA 92260 • IND 250.00 250.00 ■ COM 4 OTH ■ PTY ■ SCC 09/23/2022 DONNA BLACK LA QUINTA, CA 92253 iZ IND El COM J OTH D PTY C SCC POLITICAL CONSULTANT 250.00 250.00 09/23/2022 MARK PLATZER ENCINO, CA 91316 n IND CHIROPRACTOR 500.00 500.00 ■ COM ■ OTH ■ PTY • SCC 09/23/2022 ANDREW LEBOWITZ SANTA MONICA, CA 90401 • IND HEALTHCARE EXECUTIVE 200.00 200.00 • COM • OTH ■ PTY • SCC SUBTOTAL $ 1,450.00 Schedule A Summary 1. Amount received this period — itemized monetary contributions. (Include all Schedule A subtotals.) $ 1,100.00 2. Amount received this period — unitemized monetary contributions of less than $100 $ 0.00 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) TOTAL $ 2,550.00 *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 496 (Feb/2019) 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 from 07/01/2022 CALIFORNIA 460 FORM Page 5 of 6 through 09/24/2022 NAME OF FILER ELECT LINDA EVANS LA QUINTA MAYOR 2022 I.D. NUMBER 13656647 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 (IF SELF-EMPLOYED, ENTER NAME) AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 09/23/2022 IVANA STEELMAN OAK PARK, CA 91377 0 IND ■ COM • OTH • PTY • SCC RECORD LABEL EXECUTIVE 500.00 500.00 09/23/2022 FRANK WEIGEL SIOUX FALLS, SD 57104 0 IND • COM ■ OTH IN PTY ❑ SCC RETIRED 500.00 500.00 09/23/2022 KASEY SURYAN NEWPORT BEACH, CA 92663 4 IND • COM ■ OTH ■ PTY • SCC PROPERTY MANAGEMENT EXECUTIVE 100.00 100.00 • IND • COM • OTH ■ PTY ■ SCC • IND • COM • OTH • PTY 1l_SCC SUBTOTAL $ 1,100.00 *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 496 (Feb/2019) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER ELECT LINDA EVANS LA QUINTA MAYOR 2022 Amounts may be rounded to whole dollars. Statement covers period from 07/01/2022 through 09/24/2022 SCHEDULE E CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP CNS CTB CVC FIL FND IND LEG LIT campaign paraphernalia/misc. campaign consultants contribution (explain nonmonetary)* civic donations candidate filing/ballot fees fundraising events independent expenditure supporting/opposing others (explain)* legal defense campaign literature and mailings MBR MTG OFC PET PHO POL POS PRO PRT member communications meetings and appearances office expenses petition circulating phone banks polling and survey research postage, delivery and messenger services professional services (legal, accounting) print ads RAD RFD SAL TEL TRC TRS TSF VOT WEB radio airtime and production costs returned contributions campaign workers' salaries t.v. or cable airtime and production costs candidate travel, lodging, and meals staff/spouse travel, lodging, and meals transfer between committees of the same candidate/sponsor voter registration information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT (IF COMMITTEE, ALSO ENTER I.D. NUMBER) AMOUNT PAID US POSTAL SERVICE LA QUINTA, CA 92253 POS POST OFFICE BOX FEE 202.00 CITY OF LA QUINTA 78495 CALLE TAMPICO, LA QUINTA, CA 92253 FIL FEES FOR SIGNAGE AND TO FILE 1,184.00 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 1,386.00 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.) $ 1,386.00 $ 89.73 $ 0.00 TOTAL $ 1,475.73 FPPC Form 496 (Feb/2019) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov