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460 Pena 2022 from 09/25 to 10/22Recipient Committee Campaign Statement Cover Page Statement covers period from 9/25/2022 SEE INSTRUCTIONS ON REVERSE I through 10/22/2022 1. Type of Recipient Committee: All Committees —Complete Parts 1, 2, 3, and 4. m fficeholder, Candidate Controlled Committee 8 ❑ Primarily Formed Ballot Measure State Candidate Election Committee mmittee Eo 0 Recall Controlled (Also Cornplele Pad 5) O Sponsored (Also Complete Pad B) ❑gneral Purpose Committee Sponsored ❑ Primarily Formed Candidate/ Small Contributor Committee Officeholder Committee O Political Party/Central Committee (Also complete Pad 7) 3. Committee Information I.D. NUMBER 1370057 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) COMMITTEE TO ELECT JOHN PENA CITY COUNCIL 2022 STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREACODE/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 tE-MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my certify under penalty of perjury under the laws of the State of California that the foregoing is true and` Executed on 10/26/2022 By r Executed on 10/26/2022 Date Executed on Date Executed on By Date of election if applicable: (Month, Day, Year) 11/8/2022 Date Stamp RECEIVED OCT 26 2022 CITY OF LA QUINTA Y CLERK DEPARTME 2. Type of Statement: m Preelection Statement ❑ Semi-annual Statement ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) COVER PAGE Page k of 6 For Official Use Only ❑ Quarterly Statement ❑ Special Odd -Year Report Treasurer(s) NAME OF TREASURER SHERRY LOVE-PENA MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE LA QUINTA CA 92253 NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAILADDRESS information contained herein and in the attached schedules is true and complete, I By Signature of Controlling Officeholder, Candidate, State Measure Proponent By 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 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE JOHN J. PENA OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) COUNCIL MEMBER CITY OF LA QUINTA RESIDENTIALIBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP LA QUINTP CA 92253 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 vour candidacv. COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREACODE/PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NOP.O.90X) CITY STATE ZIPCODE AREACODEIPHONE COVER PAGE - PART 2 Page of 6. Primarily Formed Ballot Measure Committee 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 1 DISTRICT NO. IF ANY 7. Primarily Formed Candidate/Officeholder Committee Listnames of officeholder(s) or candidate(s) for which this commirlee 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 Summary Page g to whole dollars. Statement covers period • - from 9/25/2022 • - 3 through 10/22/2022 Page of SEE INSTRUCTIONS ON REVERSE I NAME OF FILER I.D. NUMBER COMMITTEE TO ELECT JOHN PENA CITY COUNCIL 2022 1370057 Contributions Received To olum EAioD CALENDARColumnBR Calendar Year Summary for Candidates (FROM ATTACHED SCHEDULES) TOTAL TO DATE Running in Both the State Primary and General Elections 1. Monetary Contributions................................................... Schedule A, Line 3 $ 2150 $ 27456 0 1100 1/1 through 6/30 7/1 to Date ............................... . 2. Loans Received .......................... ..... schedule B, Line 3 2150 28556 20. Contributions 3. SUBTOTAL CASH CONTRIBUTIONS........... .................. Add Lines 1 + 2 $ $ Received $ $ 4. Nonmonetary Contributions.....-........... ......................... Schedule C, Line 3 0 6290 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ................. .............. Add Lines 3 + 4 $ 2150 $ 34846 Made $ $ Expenditures Made 6. Payments Made................................................................ schedule E, Line 4 $ 2147 $ 15843 7. Loans Made....................................................................... Schedule H, Line 3 0 0 8. SUBTOTAL CASH PAYMENTS ....................................... Add Lines 6+7 $ 2147 $ 15843 9. Accrued Expenses (Unpaid Bills . Schedule F, Line 3 0 0 10. Nonmonetary Adjustment......: ..:::..::....::::.. .::..:::_.....:... Schedule C, Line 3 0 0 11. TOTAL EXPENDITURES MADE....................................Add Lines 3+9+10 $ 2147 $ 15843 Current Cash Statement 12. Beginning Cash Balance ............................ Previous Summary Page, Line 16 $ 4610 To calculate Column B, 13. Cash Receipts ..................... . ............... ............. Column A, Line 3 above 2150 add amounts in Column 0 A to the corresponding 14. Miscellaneous Increases to Cash ..........................:....... schedule 1, Line 4 amounts from Column B . ..................... Column A, Line a above 15. Cash Payments ..............................." ' 2147 of your last report. Some amounts in Column A may 16. ENDING CASH BALANCE ..................Add Lines 12 + 13 + 14, then subtract Line 15 $ 4613 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, Part 2 $ 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 $ 1100 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) 11 $ I I $ `Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (966/275-3772) www.fppc.ca.gov Schedule A Amounts may be rounded SCHEDULE A Monetary Contributions Received to whole dollars. Statement covers period CALIFORNIA 60 from 9/25/2022 • - through 10/22/2022 Page q of SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER COMMITTEE TO ELECT JOHN PENA CITY COUNCIL 2022 1370057 FULL NAME, STREET ADDRESS 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 I.D. NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) PERIOD (JAN.1-DEC. 31) (IF REQUIRED) 10/4/2022 COACHELLA-IMPERIAL VALLEYS STRATEGIES ❑ IND 500 ❑ COM ® OTH PALM DESERT, CA 92211 ❑ PTY ❑ ScC 10/11/2022 PLT PARTNERS ❑ IND 250 ❑ COM ® OTH PALM DESERT, CA 92211 ❑ PTY ❑ SCC 10/11/2022 SANDRA LOCKHART ®IND RETIRED 200 ❑ COM ❑ OTH LA QUINTA, CA 92253 ❑ PTY ❑SCC 10/4/2022 VAPOR KLEAN, LLC ❑ IND 200 ❑ COM ® OTH LA QUINTA, CA 92248 ❑ PTY ❑ SCC 10/14/2022 ONE ELEVEN LA QUINTA, LLC ❑ IND 1000 ❑ COM 11 OTH LA QUINTA, CA 92253 ❑ PTY ❑ SCC SUBTOTAL $ 2150 Schedule A Summary Amount received this period — itemized monetary contributions. (Include all Schedule A subtotals.)....................................................................................... $ 2150 2. Amount received this period — unitemized monetary contributions of less than $100 ...........................$ 0 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.). ................TOTAL $ 2150 '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 Amounts may be rounded SCHEDULE B - PART 1 Schedule B — Part 1 to whole dollars. Statement covers period , ' � Loans Received 9/25/2022 - s from through 10/22/2022 page of � SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER COMMITTEE TO ELECT JOHN PENA CITY COUNCIL 2022 1370057 FULL NAME, STREETADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER ta) OUTSTANDING tb) AMOUNT c AMOUNT PAID OUTSTANDING e INTEREST ORIGINAL g CUMULATIVE OF LENDER BALANCE RECEIVED THIS OR FORGIVEN BALANCEAT PAID THIS AMOUNT OF CONTRIBUTIONS (IF COMMITTEE, ALSO ENTER D NUMBER) (IF SELF-EMPLOYED, ENTER (BEGINNING THIS PERIOD THIS PERIOD. CLOSE OF THIS PERIOD LOAN TO DATE NAME OF BUSINESS) PERIOD PERIOD ❑ PAID CALENDAR YEAR JOHN PENA JOHN PENA & ASSOC 0 0 % $ 1100 5 $1100 s RATE LA QUINTA, CA 92253 ❑ FORGIVEN PER ELECTION 1100 5 0 S 0 12/2022 t ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC 5 DATE DUE S DATE INCURRED S ❑ PAID CALENDAR YEAR S S X S S ❑ FORGIVEN RATE PER ELECTION" ❑ IND ❑ COM ❑ OTH ❑PTY El tEl $ $ S DATE DUE S DATE INCURRED $ ❑ PAID CALENDAR YEAR ❑ FORGIVEN PER ELECTION" RATE $ g S S S t ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED SUBTOTALS $ $ $ 1100 $ Schedule B Summary 1. Loans received this period....................................................................................................................$ (Total Column (b) plus unitemized loans of less than $100.) 2. Loans paid or forgiven this period ........... .............................................................................................. $ (Total Column (c) plus loans under $100 paid or forgiven.) (Include loans paid by a third party that are also itemized on Schedule A.) 3. Net change this period. (Subtract Line 2 from Line 1.).............................................................. NET $ Enter the net here and on the Summary Page, Column A, Line 2. (May be a negative number) *Amounts forgiven or paid by another party also must be reported on Schedule A. '" If required. (EntBr (a) on Schedde E, Line ]) tContributor 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 E Payments Made Amounts may be rounded to whole dollars. Statement covers period from 9/25/2022 SCH through 1O/22/2022 Page of SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER COMMITTEE TO ELECT JOHN PENA CITY COUNCIL 2022 1370057 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphemalia/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' sa I aries 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 defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (Internet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALSO ENTER I.D. NUMBER) PLANIT PRINT WORKS CMP 1706 PALM DESERT, CA 92211 JORDAN WEIDNER - METEOR MEDIA WEB 400 CEDAR CITY. UT84721 " Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 2106 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.)............................................................................................................ $ 2106 2. Unitemized payments made this period of under$100.......................................................................................................................................... $ 41 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 $ 2147 FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov