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460 Pena 2022 from 10/23 to 12/31COVER PAGE Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement covers period from 10/23/2022 through 12/31/2022 1. Type of Recipient Committee: All Committees — complete Parts 1, 2, 3, and 4. miceholder, Candidate Controlled Committee 8ffState Candidate Election Committee O Recall (Also Complete Part 5) ❑ eneral Purpose Committee Sponsored 8 Small Contributor Committee Political Patty/Central Committee 3. Committee Information ❑ Primarily Formed Ballot Measure ommittee Contro[[ed Sponsored (Also Complete Part 6) ❑ Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) I.D. NUMBER 1370057 -OMIMITTEE NAME (OR CANDIOATE'S NAME IF NO COMMITTEE) COMMITTEE TO ELECT JOHN PENA CITY COUNCIL 2022 STREET ADDRESS (NO P.O. BOX) 51405 STATE ZIP CODE AREACODE/PHONE LA QUINTA CA 92253 7605644184 ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAILADDRESS JOHNPENA4LQ@GMAIL. of election if applicable: (Month, Day, Year) 11/8/2022 Date Stamp RECEIVED JAN 3 0 2023 CITY OF LA QUINTA Y CLERK IJEPARTME 2. Type of Statement: Preelection Statement Semi-annual Statement ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) Page t of For Official Use Only ❑ Quarterly Statement ❑ Special Odd -Year Report Treasurer(s) NAME OF TREASURER SHERRY LOVE-PENA MAILING ADDRESS 51405 STATE ZIP CODE AREA CODE/PHONE LA QUINTA CA 92253 7605644184 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 be m edge the information cent herein and in th ched schedules is true and complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is tr nd, on 1/30/2023 By Dale Igpature or By Signature of Controling Officeholder, Candidate, Slate Measure Proponent By Signature of Controlling Officeholder, Candidate, State 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) CITY COUNCIL CITY OF LA QUINTA RESIDENTIAL/BUSINESS 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 your candidacy. COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COW,! I`TEE': ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREACODE/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 AREACODE/PHONE COVER PAGE - PART 2 Page 2 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 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 Summary Page a to whole dollars. Statement covers period , from 10/23/2022 r 12/31/2022 Page 3 of o SEE INSTRUCTIONS ON REVERSE through NAME OF FILER I.D. NUMBER COMMITTEE TO ELECT JOHN PENA CITY COUNCIL 2022 1370057 Contributions Received Column A TOTAL THIS PERIOD Column B CALENDAR YEAR 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 $ 350 $ 27806 0 1100 1i1 through 6r30 7/1 to Date 2. Loans Received................................................................ Schedule A Line 3 350 28906 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 $ 350 $ 35196 Made $ $ Expenditures Made 6. Payments Made................................................................ Schedule E, Line 4 $ 1500 $ 17343 7. Loans Made....................................................................... Schedule H, Line 3 0 0 8. SUBTOTAL CASH PAYMENTS ....................................... Add Lines 6+7 $ 1500 $ 17343 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 8+9+10 $ 1500 $ 17343 Current Cash Statement 12. Beginning Cash Balance .................._.._.. Previous SummaryPage, Line 16 g g "" 9 $ 4613 To calculate Column B, 13. Cash Receipts .. Column A, Line 3 above ......................................................... 350 add amounts in Column 200 A to the corresponding 14. Miscellaneous Increases to Cash .................................. Schedule I, Line 4 amounts from Column B 15. Cash Payments......................................................... Column A, Line 8 above 1500 of your last report. Some amounts in Column A may 16. ENDING CASH BALANCE ..................Add Lines 12 + 13 + 14, then subtract Line 15 $ 3663 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 A 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) �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 (866/275-3772) www.fppc.ca.gov Schedule A Amounts may be rounded SCHEDULE A Monetary Contributions Received to whole dollars. Statement covers period i , A from 10/23/2022 • " through 12/31/2022 R Page 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) 11/18/2022 GROW ELECT ❑ IND 250 ❑ COM ® OTH LAGUNA NIGUEL, CA 92677 ❑ PTY ❑ SCC 12/22/2022 BETTENCOURT & ASSOCIATES ❑ IND 100 ❑ COM ® OTH NEWPORT BEACH, CA 92660 ❑ PTY ❑ scc ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL $ 350 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 $100 350 $ 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 $ 350 *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 B - PART 1 Amounts may be rounded Schedule B — Part 1 to whole dollars. Statement covers period , Loans Received from 10/23/2022 . - through 12/31/2022 Page of SEE INSTRUCTIONS ON REVERSE NAME OF FILER LD NUMBER COMMITTEE TO ELECT JOHN PENA CITY COUNCIL 2022 1370057 FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER OUTSTANDING AMOUNT AMOUNT PAID OUTSTANDING INTEREST ORIGINAL CUMULATIVE OF LENDER BALANCERECEIVED THIS OR FORGIVEN BALANCE AT PAID THIS AMOUNT OF ONTRkBUTIQNS (IF COMMITTEE, ALSO ENTER I.D. NUMBER) (IF SELF-EMPLOYED, ENTER BEGINNING THIS PERIOD THIS PERIOD. CLOPERIOp EOFTHIS PERIOD LOAN TO DATE NAME OF BUSINESS) PERIOD ❑PAID CALENDAR YEAR JOHN PENA JOHN PENA & ASSOC $1100 0 % $ 1100 $0 $1100 LA QUINTA, CA 92253 ❑ FORGIVEN RATE PER ELECTION" 1100 0 0 12/31/202: s t ® IND ❑ COM ❑ OTH ❑ PTY ❑ SCC $ s $ DATE INCURRED s DATE DUE PAID CALENDAR YEAR ❑ FORGIVEN RATE PER ELECTION** t ❑ IND ❑ COM ❑ OTH [I PTY ❑SCC $ $ $ $ DATE INCURRED $ DATE DUE ❑ PAID CALENDAR YEAR ❑ FORGIVEN PER ELECTION`" t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED SUBTOTALS $ $ $ 1100 $ Schedule B Summary 1. Loans received this period ..............................................$ 0 ..................... .... ..... (Total Column (b) plus unitemized loans of less than $100.) 2. Loans paid or forgiven this period ............................................ -........................................................... $ 0 (Total Column (c) plus loans under $100 paid or forgiven.) (Include loans paid by a third party that are also itemized on Schedule A.) 0 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. on 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 Schedule E Payments Made Amounts may be rounded to whole dollars. Statement covers period from 10/23/2022 • - / • - SEE INSTRUCTIONS ON REVERSE through 12/31/2022 Page l0 of 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 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)* OFG 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 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 CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALSO ENTER I.D. NUMBER) METEOR MEDIA-JORDAN WEIDNER WEB 400 CEDAR CITY, UT 84721 FORTUN'S FND 300 LA QUINTA, CA 92253 OPT IN MARKETING - T ROSS POL 350 LEANDER, TX 78641 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 1050 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.)............................................................................................................. $ 1450 2. Unitemized payments made this period of under$100.......................................................................................................................................... $ 50 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 $ 1500 FPPC Form 460 (Jan/2016)) FPPC Advice: advice @fppc.ca,gov (866/275-3772) www.fppc.ca.gov Schedule E SCHEDULE E (CONT.) Amounts may be rounded Statement covers period • . (Continuation Sheet) to whole dollars. . Payments Made from 10/23/2022 FPag, through 12/31/2022 g SEE INSTRUCTIONS ON REVERSE of 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 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 TEL t.v. 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 LIT campaign literature and mailings PRT print ads WEB information technology costs (intemet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID LYNN WARREN DESIGNS INDIO, CA 92203 LIT 400 " Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 400 FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Sr horllilo I SCHFDt11 F I Miscellaneous Increases to Cash to whole dollars. SEE INSTRUCTIONS ON REVERSE Statement covers period MCALIFORNIA from 10/23/2022 through 12/31/2022 FORM 460 Page O of g NAME OF FILER COMMITTEE TO ELECT JOHN PENA CITY COUNCIL 2022 I.D. NUMBER 1370057 DATE RECEIVED FULL NAME AND ADDRESS OF SOURCE (IF COMMRTEE, ALSO ENTER I.D. NUMBER) DESCRIPTION OF RECEIPT AMOUNT OF INCREASE TO CASH 12/22/2022 CITY OF LA QUINTA 48495 CALLE TAMPICO LA QUINTA, CA 92253 RETURN OF DEPOSIT 200 Attach additional information on appropriately labeled continuation sheets, SUBTOTAL $ 200 SO edidle I Summary 1. Itemized increases to cash this period............................................:...............................................................................$ 200 2. Unitemized increases to cash of under $100 this period..................................................................... -- ........ ............... $ 0 3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).).......................................$ 0 4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the 200 SummaryPage, Line 14.)................................................................................................................ ..... TOTAL $ """" FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov