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HomeMy WebLinkAbout2020 COVER PAGE Recipient Committee Date Stamp Campaign Statement ' � ' � ' � r 1 Cover Page =���v�� Statement covers period Date of election if applicable: 1� 0 4 Page 1 of � 1-1-20 (Month,Day,Year) ��o For Official Use only from �+ITI(CLERF(S �'E�, SEE INSTRUCTIONS ON REVERSE 6-30-20 NOV. ZO1� through 1. Type of Recipient Committee: All Committees—Complete Parts 1,s,s,and 4. 2. Type of Statement: m Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑ Preelection Statement ❑ Quarterly 5tatement � State Candidate Election Committee Committee m Semi-annual Statement ❑ Special Odd-Year Report � Recall � Controlled ❑ Termination Statement (AlsoCompletePaR5) � Sponsored [Also fi[e a Form 410 Termination) (AlsoComplefePart6) ❑ Amendment(Explain below) ❑ GeRera[Purpose Committee 0 5ponsored ❑ Primarily Formed Candidate/ Q Smal!Contributar Committee Officeholder Committee C� PolPfical PartylCentra[Committee (AlsoComplefePart7J 3. Committee Information I.D.NUMBER Treasurer(s) COMM[TTEE NAME(OR CANDIDATE'S NAME IF N(J COMMiTTEE} IVAfv1E OF TRE,SSURER Maryann Edwards for Temecula City Counci12018 Tom Edwards MA[LING ADQRE55 • '��17L�0 ���' STREET,4DDRESS(NO P.O.BOX) CITY STATE Z[P COQE AREA COQE1PH�iYE 41000 Main Street Temecula CA 92589 Ci i Y STATE ZIP CODE AREH CODE%PFiONE NAME OF ASSISTANT TREASURER,IF ANY Temecula CA 92589 iviiliLllvCi aUUhttSS(iF DIFFEFiENT)N0.,4ND STREET OR P.O.BOX MAILING ADDRESS GITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE OPTION,4L: FAX/E-MAILADDRESS OPTIONAL: FAX/E-MAILADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of y knowledge th inf rma n� tained herei anfNn the attached schedules is true and complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is and correct. Executed on ��L'`" v�� . �� �} ❑ale � Date Signature of Co troiling Qfficeha , antlidate.Slete f�4easure Proponent ar Responsi6le O�cer of Sponsor Executed on By Date Slgnature of Controlling Offceholder,Candidate,State Measure Proponent Executed on B Date Y Signature of Con[rolling Offceholder,Candidate,State Measure Proponen[ 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 n Page 2 of 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE Maryann Edwards OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO.OR LETTER JURISOICFIDN ❑ SUPPORT Temecula City Council District 3 ❑ oPPosE RESIDENTIAL/BUSINESS ADDRESS (NO.AND STREET) CITY STATE ZIP Identify the controlling officeholder,candidate,or state measure proponent,if any. 41000 Main Street Temecula CA 92589 NAME OF OFFICEHOLDER,CANDIDATE,OR PROPONENT Related Committees Not Included in this Statement: Listanycommitfees not included in this statement that are controlled by you or are primarily formed to receive OFFICE SOUGHT OR HELD DISTRICT NO.IF ANY contributions oi make expenditures on 6ehalf of your candidacy. C�MMITTEE NAME I.D.NUMBER NAME OFTREASURER CONTROLLED COMMITTEE? 7• Primarily Formed Candidate/Officeholder Committee Listnames of o�ceholder(s)or candidate(s)for which this committee is primarily formed. ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O.BOX) NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE CITY STATE ZIP CODE AREA CODE/PHONE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE COMMITTEE NAME I.D.NUMBER NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF TREASURER C�NTRaLLE�COMMITTEE? NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ YES ❑ NO ❑ SUPPORT COMMIT7EEAOaRE55 STREETADDRESS (NO P.O.BOX) ❑ OPPOSE CITY STATE ZIP CODE AREA CODE/PHONE 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 � . . Summary Page � , * � from 1-1-20 • - throu h 6-30-20 Page 3 of�/ SEE INSTRUCTIONS ON REVERSE g NAME OF FILER I.D.NUMBER 12�2�g1 Column A Column B Calendar Year Summary for Candidates Contributions Received TOTALTHISPERIOD CALENDARYEAR (FROMATTACHEDSCHEDULES) TOTALTODATE Running in Both the State Primary and General Elections 1. Monetary Contributions................................................... scneduiea,Line 3 $ � $ � 1/1 through 6/30 7/1 to Date 2. Loans Received................................................................ scned�ie s,Line 3 0 0 20. Contributions 3. SUBTOTAL CASH CONTRIBUTIONS.............................. Add�ines 1+2 $ 0 $ � Received $ $ 4. Nonmonetary Contributions............................................ scneduie c,Line 3 � � 21. Expenditures 5. TOTALCONTRIBUTIONSRECEIVED................................Add�ines3+4 $ � g � Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made................................................................ scneduie E,Line 4 $ 300 $ 300 Candidates 7. Loans Made....................................................................... scneduie H�Line 3 � � 22. Cumulative Expenditures Made'` 8. SUBTOTALCASH PAYMENTS....................................... Add�ines6+7 $ 300 $ 300 (HSubjecttoVoluntaryExpenditureLimit) 9. Accrued Expenses(Unpaid Bills)..........................................scneduie F�ine s � � Date of Election Total to Date 10. Nonmonetary Adjustment.........................................................scneduie c,Line 3 0 0 (mm/dd/yy) 11. TOTAL EXPENDITURES MADE....................................Add�ines8+g+�p $ 300 $ 300 �� � Current Cash Statement �� $ 12. Beginning Cash Balance............................ Pre�rous s�mmaryPage,Line 16 $ 10026 To calculate Column B, 13. Cash Receipts........................................................... ColumnA,Line 3 above � add amounts in Column � A to the corresponding •Amounts in this section may be different from amounts 14. Miscellaneous Increases to Cash.................................. scned��e�,Line 4 amounts from Column B reported in Column B. 15. Cash Payments........................................................ coiumn a,Line 8 above 300 of your last report. Some - 9�Z6 amounts in Column A may 16. ENDING CASH BALANCE ..................Add�ines 12+13+14,then subtract Line 15 $ 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................................ scnedu�e e,Part 2 $ � filed for this calendar year, only carry over the amounts Cash Equivalents and Outstanding Debts from Lines 2,�,and 9(if 18. CeSh EqUIv2lentS................................................ See instructions on reverse $ � any). 19. OUtStafldlflg D@btS.............................. Add Line 2+Line 9 in Column 8 above $ � FPPC FOYm 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 � ' � � from 1-1-20 � - SEE INSTRUCTIONS ON REVERSE through 6-30-20 page 4 of� NAME OF FILER I.D.NUMBER FULL NAME,STREETADDRESS AND ZIP CODE OF IF AN INDIVIDUAL,ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE CONTRIBUTOR CONTRIBUTOR * OCCUPATIONANDEMPLOYER RECEIVEDTHIS CALENDARYEAR TODATE RECEIVED CODE (IF COMMITTEE,ALSO ENTER I.D.NUMBER) (IF SELF-EMPLOVED,ENTER NAME PERIOD (JAN.1-DEC.31) (IF REQUIRED) ❑IND O O O O ❑coM ❑OTH ❑PTY ❑SCC ❑IND O 0 O 0 ❑coM ❑OTH ❑PTY ❑SCC ❑IND O O O O ❑conn ❑OTH ❑PTY ❑SCC ❑IND O O O O ❑coM ❑OTH ❑PTY ❑SCC Q IND O O O O ❑coM ❑OTH ❑PTY ❑SCC SUBTOTAL$ 0 Schedule A Summary 'ContributorCodes 1. Amount received this period-itemized monetary contributions. irv�-indiv�duai �Include all Schedule A subtotals. � COM—Recipient Committee �................................................................................................••••.....$ (other than PTY or SCC) OTH—Other(e.g.,business entity) 2. Amount received this period-unitemized monetary contributions of less than $100...........................$ � PTY—Political Party SCC—Small Contributor Committee 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.)......................TOTAL $ � 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 1-1-zo . - SEE INSTRUCTIONS ON REVERSE through 6-30-20 page 5 of� NAME OF FILER I.D.NUMBER 1272781 IFAN INDIVIDUAL,ENTER �"� lo� �c� �a� �e/ �r� g FULL NAME,STREETADDRESS AND ZIP CODE OUTSTANDING AMOUNT AMOUNT PAID OUTSTANDING INTEREST ORIGINAL CllMULATIVE OF LENDER OCCUPATION AND EMPLOYER gALANCE RECEIVED THIS OR FORGIVEN BALANCE AT PAID THIS AMOUNT OF DNTRIBLITIONS (IF SELF-EMPLOYED,ENTER BEGINNING THIS (IF COMMITTEE,ALSO ENTER I.D.NUMBER) NAME OF BUSINESS) PERIOD PERIOD THIS PERIOD. CLOSE OF THIS PERIOD LOAN Tp pATE PERIOD ❑ PAIp CALENDAf2YEA 5 � S� � / $ � 5 � R4TE ❑ FORGIVEN pER ELECTI�N $ � $ 0 $ 0 0 $ 0 0 50 t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED PAf b GALENDAR YEAR s � g � � i g � $ � RATE ❑ FORGlVEh! PER ELECTION"i' � 0 5 � 0 $ 0 0 $ 0 t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC $ $ DATE DUE DATE INCURRED �PAI❑ CALENDARYEAR 5 a $ � � i $ � $ � RATE ❑ FORGIVEN PER ELECTION"`� 54 $ 0 $ 0 0 $ 0 0 50 t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED SUBTOTALS $ 0 $ 0 $ 0 $ 0 Schedule B Summary (Enter(e]on Schedule E,Line 3} 1. Loans received this period $ � .................................................................................................................... (Total Column (b) plus unitemized loans of less than $100.) p tContributor Codes 2. Loans paid or forgiven this period.........................................................................................................$ IND—Individual (Total Column (c) plus loans under$100 paid or forgiven.) COM—Recipient Committee (Include loans paid by a third party that are also itemized on Schedule A.) � (other than PTY or SCC) 3. Net change this period. (Subtract Line 2 from Line 1.)..............................................................NET $ OTH—Other(e.g.,business entity) Enter the net here and on the Summary Page, Column A, LIf1e 2. PTY—Political Party SCC—Small Contributor Committee (May be a negative number) *Amounts forgiven or paid by another party also must be reported on Schedule A. "If required. FPPC Form 460(Jan/2016)) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov Schedule E Amounts may be rounded SCHEDULE E to whole dollars. Statement covers period , � . � Payments Made 1-1-20 • - � • � from SEE INSTRUCTIONS ON REVERSE through 6-30-20 page 6 af `+� 1�lAME OF FILER I.D.NUMBER Maryann Edwards for Temecula City Council 2018 1272781 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 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 beiween 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 California Secretary of State FIL Annual Campaign fee+late charges 200 1500 l lth Street,Room 495 Sacramento CA 95814 PEO CVC Charitable Donation 100 P.O.Box 157 Temecula,CA 92593-0157 300 "Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ Schedule E Summary 300 1. Itemized payments made this period. (Include all Schedule E subtotals.)........................................................................................................... . $ 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).)............................................................................. $ � 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.)........................... TOTAL $ 300 FPPC Form 460(Jan/2016)) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov Recipient Committee DateStamp COVERPAGE Campaign Statement ���� � �' ' � � 1 Cover Page ", ' ��" Pa e � of 6 Statement covers period Date of election if applicable: ,��;� c; i_ �'[��!� 9 (Month,Day,Year) For official Use only from � � i mr a�e�cs oepr SEE INSTRUCTIONS ON REVERSE through I� 1�7 1��� Nov. 2018 1. Type of Recipient Committee: au comm�neeg-compiete Parts�,z,s,and a. 2. Type of Statement: � Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑ Preelection Statement ❑ Quarterly Statement � State Candidate Election Committee Committee � Semi-annual Statement ❑ Special Odd-Year Report � Recall � Controlled ❑ Termination Statement (Also CompktePart5) � Sponsored (Also file a Form 410 Termination) (Also Complete Pert 6) ❑ General Purpose Committee ❑ Amendment(Explain below) � Sponsored ❑ Primarily Formed Candidate/ � Small Contributor Committee Officeholder Committee � Political Party/Central Committee (aso Complete Pert 1) ` 3. Committee Information I.D.NUMBER Treasurer(s) 1272781 COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER Maryann Edwards for Temecula City Council 2018 Thomas Edwards MAILING ADDRESS STREET ADDRESS(NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE Temecula CA 92592 CITY STATE ZIPCODE AREACODE/PHONE NAMEOFASSISTANTTREASURER,IFANY Temecula CA 92592 MAILING ADDRESS(IF DIFFERENT)NO.AND STREET OR P.O.BOX MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX/E-MA�LADDRESS OPTIONAL: FAX/E-MAILADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my,lfnowledge the infor ation�ont ined herein �`the attached schedules is true and complete. I certify under penalty of perjury under the laws of the State of Califomia that the foregoing is true�d correct. � �/ � '� Dat l _ ' Assist Treasurer Executed on-��� � �v l By ' � Date Signature o C ntrolling Offi , andidate,State Measure Proponent or Responsible Officer of Sponsor Executed on By Date Signature of Controlling Officeholder,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 n �/�JU COVER PAGE-PART 2 Recipient Committee . - . � � ' Campaign Statement . - Cover Page — Part 2 Page 2 of 6 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOIDER OR CANDIDATE NAME OF BALLOT MEASURE Maryann Edwards OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO.OR LETTER JURISDICTION � SUPPORT Temecula City Council, District 3 ❑ oPPosE RESIDENTIAL/BUSINESS ADDRESS (NO.AND STREET) CITY STATE ZIP Identify the controlling officehotder,candidate,or state measure proponent,if any. 41000 Main Temecula CA 92590 NAME OF OFFICEHOLDER,CANDIDATE,OR PROPONENT Related Committees Not Included in this Statement: �rstanycomm�nees not included in this statement that are controlled by you or are primarily formed to receive OFFICE SOUGHT OR HELD DISTRICT NO.IF ANY contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME l.D.NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? 7• Primarily Formed Candidate/Officeholder Committee Listnames of officeholder(s)or candidate(s)for which this committee is primarily formed. ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O.BOX) NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE CITY STATE ZIP CODE AREA CODE/PHONE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE COMMITTEE NAME I.D.NUMBER NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF TREASURER CONTROLLED COMMITTEE? NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ YES ❑ NO ❑ SUPPORT ❑ OPPOSE COMMITTEEADDRESS STREETADDRESS (NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE 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 to whole dollars. Statement covers period � . � from � � ' � • ' SEE INSTRUCTIONS ON REVERSE through ��-���" Page 3 of 6 NAME OF FILER I.D.NUMBER Maryann Edwards 1272781 Column A Column B Calendar Year Summary for Candidates Contributions Received TOTALTHISPERIOD CALENDARYEAR (FROMATTACHEDSCHEDULES) TOTALTODATE Running in Both the State Primary and 0 0 General Elections 1. Monetary Contributions................................................... scneduie a,Line 3 $ $ 1/1 through 6/30 7/1 to Date 2. Loans Received................................................................ scneduie a.�ine 3 � 0 0 � 20. Contributions 3. SUBTOTAL CASH CONTRIBUTIONS.............................. Add�ines�+2 $ $ Received $ $ 4. Nonmonetary Contributions............................................ scneduie c,Line 3 � � 21. Expenditures 5. TOTALCONTRIBUTIONSRECEIVED....................................Add�iness+q $ 0 $ 0 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made................................................................ scnedu�e E,Line 4 $ 500 $ 500 Candidates 7. Loans Made....................................................................... Schedule H,Line 3 � 0 22. Cumulative Expenditures Made* 8. SUBTOTAL CASH PAYMENTS.......................................... Add Lines 6+7 $ 500 $ 500 (If SubJect to Voluntary Expenditure Limit� 9. Accrued Ex enses Un aid Bills Schedule F,Line 3 � 0 P � p )•••••••••••••••••������ ���������� Date of Election Total to Date 10. Nonmonetary Adjustment.........................................................scneduie c,�rne s 0 0 (mm/dd/yy) 11. TOTALEXPENDITURES MADE........................................Add�inese+s+�o $ 500 $ 500 �� $ Current Cash Statement �� $ 12. Beginning Cash Balance............................ Previous summary Pa9e,Line 16 $ 10526 To calculate Column B, 13. Cash Receipts........................................................... coiumn a,�ine s above � add amounts in Column � A to the corresponding •Amounts in this section may be different from amounts 14. MiSCellaneous InCreaseS to Cash.................................. Schedule 1,Line 4 amounts from Column B reported in Column B. 15. Cash Payments......................................................... co�umn a,�ine a above 500 of your last report. Some 10026 amounts in Column A may 16. ENDING CASH BALANCE ..................Add�ines�2+�3+�q,then subtract Line 15 $ 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................................ scnedu�e e,Part 2 $ 0 filed for this calendar year, only carry over the amounts Cash Equivalents and Outstanding Debts from Lines 2,7,and 9(if 18. C85h EqUiValents................................................ See instruc6ons on reverse $ � any). 19. OutStanding Debts.............................. Add Line 2+Line 9 in Column B above $ � FPPC Form 460(1an/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 , � . , � from � ' � � I I • - , ' C SEE INSTRUCTIONS ON REVERSE th�OUgh �� �f Page 4 of 6 NAME OF FILER I.D.NUMBER Maryann Edwards 1272781 DATE FULL NAME,STREETADDRESSAND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IFAN INDIVIDUAL,ENTER AMOUNT CUMU�ATIVE TO DATE PER ELECTION (IF COMMITTEE,ALSO ENTER I.D.NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE * (IF SELF-EMPLOYED,ENTER NAME PERIOD OF BUSINESS) (JAN.1-DEC.31) (IF REQUIRED) ❑IND p ❑COM Q O O ❑OTH ❑PTY ❑SCC ❑IND ❑COM O O O ❑OTH ❑PTY ❑SCC ❑IND ❑COM O O O ❑OTH ❑PTY ❑SCC ❑IND ❑COM O O O O ❑OTH ❑PTY ❑SCC ❑IND ❑COM � O O O ❑OTH ❑PTY ❑SCC SUBTOTAL$ 0 Schedule A Summary *Contributor Codes 1. Amount received this period—itemized monetary contributions. iN�-individuai (Include all Schedule A subtotals.).........................................................................................................$ O COM-Recipient Committee (other than PTY or SCC) 0 OTH-Other(e.g.,business entity) 2. Amount received this period—unitemized monetary contributions of less than $100...........................$ pTY-Political Party 3. Total monetary contributions received this period. scc-smaii contribucor committee Add Lines 1 and 2. Enter here and on the Summa Pa e, Column A, Line 1. TOTAL $ � ( rY 9 )...................... 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 °��1 ��� � • � from • SEE INSTRUCTIONS ON REVERSE through— I�'��ll� Page 5 of 6 NAME OF FILER I.D.NUMBER Maryann Edwards 1272781 IF AN INDIVIDUAL,ENTER INTEREST ORIGINAL CUMULATIVE a (�) e g FULL NAME,STREETADDRESS AND ZIP CODE OUTSTANDING AMOUNT AMOUNT PAID OUTSTANDING OCCUPATION AND EMPLOYER BALANCE BALANCE AT OF LENDER (IF SELF-EMPLOYED,ENTER RECEIVED THIS OR FORGIVEN PAID THIS AMOUNT OF CONTRIBUTIONS (IF COMMITTEE,ALSO ENTER I.D.NUMBER) NAME OF BUSINESS) BEGINNING THIS pERIOD THIS PERIOD' CLOSE OF THIS pERIOD LOAN TO DATE PERIOD PERIOD ❑PAID CALENDAR YEAR $ p $ p 0 � $ 0 $ 0 RATE ❑FORGIVEN PER ELECTION" $ 0 $ 0 $ 0 $ 0 0 $ 0 t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED ❑ PAID CALENDARYEAR g � $ � % $ � $ Q R4TE ❑FORGIVEN PERELECTION** $ 0 $ 0 $ 0 0 $ 0 $ 0 t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR $ 0 $ 0 , $ 0 $ 0 RATE ❑ FORGIVEN PER ELECTION** � � � Q t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC $ $ $ DATE DUE $ DATE INCURRED $ SUBTOTALS $ $ $ $ (Enter(e)on c edule B ummary Schedule E,Line 3) 1. Loans received this period....................................................................................................................$ � (Total Column (b) plus unitemized loans of less than $100.) tContributor Codes 2. Loans paid or forgiven this period..................... . .. .. .. . ......................................................................$ � IND-Individual (Total Column (c) plus loans under$100 paid or forgiven.) COM—Recipient Committee (other than PTY or SCC) (Include loans paid by a third party that are also itemized on Schedule A.) OTH—Other(e.g.,business entity) PTY—Political Party 3. Net chan e this eriod. Subtract Line 2 from Line 1. NET $ n SCC—Small Contributor Committee 9 P � ).............................................................. Enterthe net here and on the Summary Page, ColumnA, LII�G Z. (Maybeanegalivenumber) `Amounts forgiven or paid by another party also must be reported on Schedule A. FPPC Form 460(Jan/2016) **If required. FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov Schedule E Amounts may be rounded SCHEDULE E Statement covers period • ' Payments Made to whole dollars. ' �• ' � � from � � SEE INSTRUCTIONS ON REVERSE through \ L� +JI � Page� of `�' NAME OF FILER I.D.NUMBER M��y�� � (����2.1�� ��� ���-��-1.G(� �j�" �j(-Q U L lV 1272781 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 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 Rotary Club of Temecula Donation to non-profit P.O. Box 64 CVC 500 Temecula, CA 92593 *Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ �� Schedule E Summary . g p0 1. Itemized payments made this period. (Include all Schedule E subtotals.)............................................................................................................. $ 2. Unitemized payments made this period of under$100.......................................................................................................................................... $ U 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).)............................................................................. $ V 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.)........................... TOTAL $ ��d FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov