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460 Pena 2023 from 07/01 to 12/31Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement covers period I Date of election if applicable: from 7/1/2023 (Month, Day, Year) through 12/31/2023 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. m Officeholder, Candidate Controlled Committee 0 State Candidate Election Committee 0 Recall ❑ Primarily Formed Ballot Measure ommittee Controlled (Also Complete Part5) (((�� Sponsored ❑ General Purpose Committee O Sponsored 8 Small Contrlbutor Committee (Also Complete Part 6) ❑ Primarily Formed Candidate/ Officeholder Committee Political Party/Central Committee (Also Complete Part7) 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.U. 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 AREACODE/PHONE OPTIONAL: FAX/E-MAIL ADDRESS 2. Type of Statement: Date Stamp RECEIVED JAN 2 9 2024 CITY OF LA OUINTA Y CLERK DEPARTMF ❑ Preelection Statement Semi-annual Statement ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) COVER PAGE Page of For Official Use Only ❑ Quarterly Statement ❑ Special Odd -Year Report Treasurer(s) NAME OF TREASURER JOHN PENA MAILING ADDRESS CITY STATE ZIP CODE AREA CODEIPHONE LA QUINTA NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CA 92253 CITY STATE ZIP CODE AREACODE/PHONE OPTIONAL: FAX / E-MAILADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knows d9 the i or a on contained herein and in the attached schedules is true and complete. I certify under penalty of pelrju under the laws qf the State of California that the foregoing is true and Executed on `tcl 1 gy ^ S ❑ a re or A.ssl9lan! Treasurer Executed on 1 { V ate By Slgrrahrre or Con troill ng Officeholdy Candlda 9late Measure roponent or Resp❑nslb•.e Officer of Sponsor Executed on By Date Signature o ontro ing Oificeholtler, Candidate, State Measure Proponent Executed on By Date 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 COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREE-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 STREETAODRESS {NO P.O. BOX) CITY STATE ZIP CODE AREA CODElPHONE COVER PAGE - PART 2 Page z— of b 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER I URISDICTION ❑ 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 CandidatelOfficeholder 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 7/1/2023 SUMMARY PAGE SEE INSTRUCTIONS ON REVERSE through 12/31/2023 Page J of NAME OF FILER I.D. NUMBER COMMITTEE TO ELECT JOHN PENA CITY COUNCIL 2022 1370057 Contributions Received Column A TOTAL Column B Calendar Year Summary for Candidates THIS PERIOD (FROM ATTACHED SCHEDULES) CALENDARYEAR TOTAL TO DATE Running in Both the State Primary and General Elections 1. Monetary Contributions................................................... Schedule A, Line 3 $ 0 $ 28806 2. Loans Received .................. .............................................. Schedule B, Line 3 0 1100 1/1 through 6/30 7/1 to Date 3. SUBTOTAL CASH CONTRIBUTIONS ........................... Add Lines 1 +2 $ 0 $ 29906 20. Contributions Received $ $ 4. Nonmonetary Contributions ............................................ Schedule C, Line 3 0 6290 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED................................Add Lines 3+4 $ 0 $ 36196 Made $ $ Expenditures Made 6. Payments Made................................................................. schedule E, Line 4 $ 1100 $ 19098 7. Loans Made....................................................................... Schedule H, Line 3 0 0 8. SUBTOTAL CASH PAYMENTS ....................................... Add Lines 6+7 $ 1100 $ 19098 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 6+9+10 $ 1100 $ 19098 Current Cash Statement 12. Beginning Cash Balance.— ..... . .... . ... Previous Summary Page, Line 16 $ 4250 To calculate Column B, 13. Cash Receipts....................::.:................................. column A, Line 3 above 0 add amounts in Column 14. Miscellaneous Increases to Cash ..... .................. .......... schedule 1, Line 4 0 Ato the correspondingamounts from Column B 15. Cash Payments......................................................... column A, Line a above 1100 of your last report. Some 3150 amounts in Column A may 16. ENDING CASH BALANCE ..................Add Lines 12 + 13 + 14, then subtract Line 15 $ be negative figures that If this is a termination statement, Line 16 must be zero. should be subtracted from 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 $ 0 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 B - PART 1 scneauie ti — cart 7 to whole dollars. Statement covers period FEW, Loans Received 7/1/2023 6 - ff ■ - • from SEE INSTRUCTIONS ON REVERSE through 12/31/2023 page 1 of NAME OF FILER I.D. NUMBER COMMITTEE TO ELECT JOHN PENA CITY COUNCIL 2022 1370057 FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER a OUTSTANDING ) AMOUNT tc AMOUNT PAID () OUTSTANDING te) INTEREST ORIGINAL g CUMULATIVE OF LENDER (IF SELF-EMPLOYED, ENTER BALANCE BEGINNING THIS RECEIVED THIS OR FORGIVEN BALANCE AT CLOSE OF THIS PAID THIS AMOUNT OF CONTRIBUTIONS (IF COMMITTEE, ALSO ENTER ID NUMBER) NAME OF BUSINESS) PERIOD PERIOD THIS PERIOD* PERIOD PERIOD LOAN TO DATE JOHN PENA JOHN PENA & ASSOC IW1 PAID CALENDAR. YEAR $ 1100 0 0 1100 1100 $ % $ $ ❑ FORGIVEN LA QUINTA, CA 92253 RATE PER ELECTIOWa $ 1100 0 $ $ 8/2022 t ® IND ❑ COM ❑ OTH ❑ PTY ❑ SCC $ DATE INCURRED $ DATE DUE Lj PAID CALENDAR YE R ❑ FORGIVEN RATE PER ELECTION` t ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC $ DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR ❑ FORGIVEN RATE PER ELECTION* t ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC $r S $ DATE INCURRED $ DATE DUE SUBTOTALS $ 0 $ 1100 $ 0 $ 0 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.).................................. Enter the net here and on the Summary Page, Column A, Line 2. *Amounts forgiven or paid by another party also must be reported on Schedule A. ** If required. ............ I ........... I ......... $ ...I ........ . ...........I ......... $ ......................... NET $ 0 1100 -1100 (May be a negative number) (Enter (e) on SuWule E. Line 3) 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 7/1/2023 SCHEDULE E through 12/31/2023 Page 5_ of SEE INSTRUCTIONS ON REVERSE g 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)* 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 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 (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID JOHN PENA LA QUINTA, CA 92253 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. Schedule E Summary PAYMENT OF LOAN 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.)............ 1100 SUBTOTAL $ 1100 1100 .............. $ 0 .......... I............. $ 0 ........... TOTAL $ 1100 FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov