The URL can be used to link to this page

Home My WebLink About2024 Recipient Committee Date Stamp COVER PAGE Campaign Statement CALIFORNIA 460 Cover Page FORM (Government Code Sections 84200-84216.5) E-Filed Statement covers period Date of election if applicable: 00 (Month, Day,Year) 08:47:5145 Page 1 of 19 from 07/01/2024 _ Filing ID: For Official Use Only 212207057 SEE INSTRUCTIONS ON REVERSE through 09/21/2024 11/05/2024 1. Type of Recipient Committee: All Committees-Complete Parts 1,2,3,and 4. 2. Type of Statement: ❑x Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑x Preelection Statement D Quarterly Statement Q State Candidate Election Committee Committee ❑ Semi-annual Statement ❑ Special Odd-Year Report Q Recall 0 Controlled ❑ Termination Statement (Also Complete Part 5) O Sponsored (Also file a Form 410 Termination) ❑ Supplemental Preelection Statement-Attach Form 495 (Also Complete Part 6) ❑ General Purpose Committee ❑ Amendment(Explain below) Q Sponsored ❑ Primarily Formed Candidate/ Q Small Contributor Committee Officeholder Committee Q Political Party/Central Committee (Also Complete Part7) I.D. NUMBER 3. Committee Information Treasurer(s) 1470105 COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER Evans 4 Temecula City Council 2024 - District 4 Jeffrey Ziegenbein MAILING ADDRESS STREET ADDRESS(NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE Temecula CA 92591 CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY Temecula CA 92591 ( 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 Temecula CA 92591-7913 OPTIONAL: FAX/E-MAIL ADDRESS 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 knowledge the information contained herein and in 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 true and correct. Executed on 09/30/2024 By Jeffrey Ziegenbein Date Signature of Treasurer or Assistant Treasurer Executed on 09/30/2024 By Susan Evans Date Signature of Controlling Officeholder,Candidate,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.foac.ca.aov COVER PAGE-PART 2 Recipient Committee CALIFORNIA 460 Campaign Statement FORM Cover Page—Part 2 Page 2 of 10 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE Susan Evans OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO.OR LETTER JURISDICTION ❑ SUPPORT City Council Member: City of Temecula District 4 ❑ OPPOSE RESIDENTIAUBUSINESS ADDRESS (NO.AND STREET) CITY STATE ZIP Identify the controlling officeholder, candidate, or state measure proponent, if any. Temecula CA 92591 NAME OF OFFICEHOLDER,CANDIDATE,OR PROPONENT 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 OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? 7. Primarily Formed Candidate/Officeholder Committee List names of officeholder(s) or candidate(s)for which this committee is primarily formed. ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (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 COMMITTEE ADDRESS STREET ADDRESS (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.foac.ca.aov Campaign Disclosure Statement SUMMARY PAGE Amounts may be rounded Statement covers period CALIFORNIA 460 Summary Page to whole dollars. from 07/01/2024 FORM SEE INSTRUCTIONS ON REVERSE through 09/21/2024 Page 3 of 10 NAME OF FILER I.D. NUMBER Evans 4 Temecula City Council 2024 - District 4 1470105 CContributions Received TOTolum PERIOD CALolumn B Calendar Year Summary for Candidates (FROM ATTACHED SCHEDULES) TOTALTODATE Running in Both the State Primary and General Elections 1. Monetary Contributions Schedule A,Line 3 $ 2,433.00 $ 6,778.00 1/1 through 6/30 7/1 to Date 2. Loans Received Schedule B,Line 3 1,000.00 3,000.00 3. SUBTOTAL CASH CONTRIBUTIONS Add Lines 1+2 $ 3,433.00 $ 9,778.00 20. Contributions Received $ $ 4. Nonmonetary Contributions Schedule C,Line 3 143.22 263.22 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED AddLines3+4 $ 3,576.22 $ 10,041.22 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made Schedule E,Line 4 $ 5,598.51 $ 6,642.70 Candidates 7. Loans Made Schedule H,Line 3 0.00 0.00 22. Cumulative Expenditures Made* 8. SUBTOTAL CASH PAYMENTS Add Lines 6+7 $ 5,598.51 $ 6,642.70 (If Subject to Voluntary Expenditure Limit) 9. Accrued Expenses (Unpaid Bills) Schedule F,Line 3 0.00 0.00 Date of Election Total to Date 10.Nonmonetary Adjustment Schedule C,Line 3 143.22 263.22 (mm/dd/yy) 11. TOTALEXPENDITURESMADE Add Lines 8+9+10 $ 5,741.73 $ 6,905.92 Current Cash Statement II $ 12.Beginning Cash Balance Previous Summary Page,Line 16 $ 5,300.81 To calculate Column B,add 13.Cash Receipts Column A,Line 3 above 3,433.00 amounts in Column A to the corresponding amounts *Amounts in this section may be different from amounts 14. Miscellaneous Increases to Cash Schedule 1,Line 4 0.00 from Column B of your last reported in Column B. 15.Cash Payments Column A,Line 8above 5,598.51 report. Some amounts in Column A may be negative 16.ENDING CASH BALANCE Add Lines 12+13+14,then subtract Line 15 $ 3,135.30 figures that should be subtracted from previous If this is a termination statement, Line 16 must be zero. period amounts. If this is the first report being filed 17.LOAN GUARANTEES RECEIVED Schedule B,Part 2 $ 0.00 for this calendar year, only carry over the amounts Cash Equivalents and Outstanding Debts any)Lines 2,7,and 9(if 18. Cash Equivalents See instructions on reverse $ 0.00 19. Outstanding Debts Add Line 2+Line 9 in Column B above $ 3,000.00 FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fDDc.ca.uov Schedule A SCHEDULE A Amounts may be rounded period Statement covers p 460 Monetary Contributions Received to whole dollars. CALIFORNIA from 07/01/2024 FORM SEE INSTRUCTIONS ON REVERSE through 09/21/2024 Page 4 of 10 NAME OF FILER I.D. NUMBER J Evans 4 Temecula City Council 2024 - District 4 1470105 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED,ENTER NAME PERIOD (JAN.1-DEC.31) (IF REQUIRED) OF BUSINESS) 07/02/2024 Karen Adkins MIND Retired 100.00 100.00 G2024 $100.00 ❑COM Retired Pacific Grove, CA 93950 ❑OTH ❑PTY ❑SCC 07/16/2024 Maliha Williamson RIND Sales Engineer 50.00 200.00 G2024 $200.00 ❑COM Heatcraft LLC Lake Elsinore, CA 92532 ❑OTH ❑PTY ❑SCC 07/25/2024 Jeffrey Wittek MIND Chief of Staff 100.00 200.00 G2024 $200.00 ❑COM Motorola Solutions Temecula, CA 92951 ❑OTH ❑PTY ❑SCC 07/26/2024 Lianne Charlton MIND Not Employed 200.00 500.00 G2024 $500.00 Not Employed Temecula, CA 92591 ❑COM ❑OTH ❑PTY ❑SCC 07/27/2024 Dara Smith ❑RIND Director 50.00 300.00 G2024 $300.00 LA County Rancho Cucamonga, CA 91739 ❑COM ❑OTH , ❑PTY ❑SCC SUBTOTAL$ 500.00 Schedule A Summary *Contributor Codes 1. Amount received this period-itemized monetary contributions. IND—Individual (Include all Schedule A subtotals.) $ 2,150.00 COM—Recipient Committee (other than PTY or SCC) 2. Amount received this period-unitemized monetary contributions of less than$100 $ 283.00 OTH—Other(e.g., business entity) PTY—Political Party 3. Total monetary contributions received this period. SCC-Small Contributor Committee (Add Lines 1 and 2. Enter here and on the Summary Page,Column A, Line 1.) TOTAL $ 2,433.00 .. FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fooc.ca.aov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. CALIFORNIA 460 from 07/01/2024 FORM through 09/21/2024 Page 5 of 10 NAME OF FILER I.D.NUMBER Evans 4 Temecula City Council 2024 - District 4 1470105 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED,ENTER NAME PERIOD (JAN.1-DEC.31) (IF REQUIRED) OF BUSINESS) 08/01/2024 Susan Evans MIND COO 600.00 4,608.22 G2024 $4,608.22 Walden Family Services Temecula, CA 92951 ❑OTH ❑PTY ❑SCC 08/08/2024 Pam Wright MIND Not Employed 100.00 100.00 G2024 $100.00 ['COM Not Employed Temecula, CA 92591 ❑OTH ❑PTY ❑SCC 08/09/2024 Jeffrey Wittek X❑IND Chief of Staff 100.00 200.00 G2024 $200.00 ❑COM Motorola Solutions Temecula, CA 92951 ❑OTH ❑PTY ❑SCC 08/16/2024 Robert Martzzolff MIND Not Employed 100.00 300.00 G2024 $300.00 ❑COM Not Employed Temecula, CA 92591 ❑OTH ❑PTY ❑SCC 08/16/2024 Maliha Williamson MIND Sales Engineer 50.00 200.00 G2024 $200.00 Heatcraft LLC Lake Elsinore, CA 92532 ❑COM ❑OTH ❑PTY ❑SCC SUBTOTAL$ 950.00 `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 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.foDc.ca.aov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. CALIFORNIA 460 from 07/01/2024 FORM through 09/21/2024 Page 6 of 10 NAME OF FILER I.D.NUMBER Evans 4 Temecula City Council 2024 - District 4 1470105 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IFCOMMITfEE,ALSOENTERI.D.NUMBER) CODE* OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED,ENTER NAME PERIOD (JAN.1-DEC.31) (IF REQUIRED) OF BUSINESS) 08/22/2024 Elenore Caughn X❑IND Executive Director 150.00 150.00 G2024 $150.00 Santa Paula Housing Santa Paula, CA 93060 ❑COM Authority ❑OTH ❑PTY ❑SCC 08/22/2024 Robert Martzzolff X❑IND Not Employed 200.00 300.00 G2024 $300.00 ❑COM Not Employed Temecula, CA 92591 ❑OTH ❑PTY ❑SCC 08/31/2024 Lianne Charlton x❑IND Not Employed 300.00 500.00 G2024 $500.00 ❑COM Not Employed Temecula, CA 92591 ❑OTH ❑PTY ❑SCC 09/16/2024 Maliha Williamson X❑IND Sales Engineer 50.00 200.00 G2024 $200.00 ❑COM Heatcraft LLC Lake Elsinore, CA 92532 ❑OTH ❑PTY ❑SCC ❑IND ['COM ❑OTH ❑PTY ❑SCC SUBTOTAL$ 700.00 *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 460(Jan/2016) • FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.froc.ca.aov • SCHEDULE B-PART 1 Schedule B—Part 1 Amounts may be rounded Statement covers period CALIFORNIA 460 Loans Received to whole dollars. 07/01/2024 FORM from SEE INSTRUCTIONS ON REVERSE through 09/21/2024 Page 7 of 10 NAME OF FILER I.D. NUMBER Evans 4 Temecula City Council 2024 - District 4 1470105 IF AN INDIVIDUAL, ENTER (a) (b) (c) (d) (e) (f) (g) FULL NAME,STREET ADDRESS AND ZIP CODE OUTSTANDING AMOUNT AMOUNT PAID OUTSTANDING INTEREST ORIGINAL CUMULATIVE OCCUPATION AND EMPLOYER BALANCE BALANCE AT OF LENDER (IFSELF-EMPLOYED,ENTER BEGINNING THIS RECEIVED THIS OR FORGIVEN CLOSE OF THIS PAID THIS AMOUNT OF CONTRIBUTIONS (IF COMMITTEE,ALSO ENTER I.D.NUMBER) NAME OF BUSINESS) PERIOD PERIOD THIS PERIOD" PERIOD PERIOD LOAN TO DATE Susan Evans COO Walden Family Services ❑PAID CALENDAR YEAR Temecula, CA 92951 $ 0.00 $ 2,000.00 $ 2,000.00 $ 4,608.22 ❑FORGIVEN RATE PER ELECTION** $ 2,000.00 $ 0.00 $ 0.00 11/05/2024 $ 0.00 06/12/2024 $G2024 4,608.22 t1] IND ❑ COM ❑ OTH ❑ PTY 0 SCC DATE DUE DATE INCURRED Susan Evans COO ❑PAID CALENDAR YEAR Walden Family Services Temecula, CA 92951 $ 0.00 $ 1,000.00 $ 1,000.00 $ 4,608.22 ❑FORGIVEN RATE PER ELECTION** $ 0.00 $ 1,000.00 $ 0.00 11/05/2029 $ 0.00 08/29/2029 $G2029 4,608.22 t l IND 0 COM ❑ OTH 0 PTY ❑ SCC DATE DUE DATE INCURRED ❑PAID CALENDAR YEAR $ $ % $ $ ElFORGIVEN RATE PER ELECTION** $ $ S. $ $ t❑ IND ❑ COM 0 OTH 0 PTY 0 SCC DATE DUE DATE INCURRED SUBTOTALS $ J.,000.00$ o.00$ 3,000.00$ o.00 (Enter(e)on Schedule B Summary Schedule E,Line 3) 1. Loans received this period $ 1,000.00 (Total Column(b)plus unitemized loans of less than$100.) tContributor Codes IND—Individual 2. Loans paid or forgiven this period $ o.oo COM—Recipient Committee (Total Column(c)plus loans under$100 paid or forgiven.) (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 change this period. (Subtract Line 2 from Line 1.) NET $ 1,000.00 SCC—Small Contributor Committee Enter the net here and on the Summary Page,Column A, Line 2. (May bea 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.fDDc.ca.aov Schedule C SCHEDULE C Amounts may be rounded covers period Nonmonetary Contributions Received to whole dollars. StatementCALIFORNIA 460 from 07/01/2024 FORM through 09/21/2024 page 8 of 10 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D.NUMBER Evans 4 Temecula City Council 2024 - District 4 1470105 IF AN INDIVIDUAL,ENTER AMOUNT/ CUMULATIVE TO PER ELECTION FULL NAME,STREET ADDRESS AND CONTRIBUTOR DESCRIPTION OF DATE DATE OCCUPATION AND EMPLOYER FAIR MARKET TO DATE RECEIVED ZIP CODE OF CONTRIBUTOR CODE* OF SELF-EMPLOYED,ENTER GOODS OR SERVICES VALUE CALENDAR YEAR (IF REQUIRED) (IF COMMITTEE.ALSO ENTER I.D.NUMBER) NAME OF BUSINESS) (JAN 1-DEC 31) 07/15/2024 Jeff Ziegenbein RIND Project Development Wordpress website 35.00 1,080.00G2024 $1,080.00 ❑COM Agromin Temecula, CA 92951 ❑OTH ❑PTY ❑SCC 07/26/2024 Susan Evans MIND COO Groceries and 108.22 4,608.22G2024 $4,608.22 Walden Family Services drinks for meet Temecula, CA 92951 ❑COM and greet. ❑OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC Attach additional information on appropriately labeled continuation sheets. SUBTOTAL$ 143 22R Schedule C Summary *Contributor Codes 1. Amount received this period—itemized nonmonetary contributions. IND-Individual (Include all Schedule C subtotals.) $ 143.22 COM-Recipient Committee (other than PTY or SCC) 2. Amount received this period—unitemized nonmonetary contributions of less than$100 $ o.00 OTH-Other(e.g., business entity) PTY-Political Party 3. Total nonmonetary contributions received this period. SCC-Small Contributor Committee (Add Lines 1 and 2. Enter here and on the Summary Page,Column A, Lines 4 and 10.) TOTAL $ 143.22 FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fDDc.ca.aov SCHEDULE E Schedule E Statement covers period CALIFORNIA Payments Made Amounts may be rounded 460 �/ to whole dollars. from 07/01/2024 FORM SEE INSTRUCTIONS ON REVERSE through 09/21/2024 Page 9 of 10 NAME OF FILER I.D. NUMBER Evans 4 Temecula City Council 2024 - District 4 1470105 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' 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 ID.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Cal Slates LIT •Cal Slates Mailer - balance of mailer 500.00 249 E. Ocean Blvd #670 Long Beach, CA 90802 Uribe Signs LIT Signs, palm cards and door hangers 3,721.16 2900 Adams Ste A-25 Riverside, CA 92504 Sticker Mule LIT Window stickers 81.56 336 Forest Ave Amsterdam, NY 12010 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 4,302.72 Schedule E Summary 1. Itemized payments made this period.(Include all Schedule E subtotals.) $ 5,347.50 2. Unitemized payments made this period of under$100 $ 251.01 3. Total interest paid this period on loans.(Enter amount from Schedule B,Part 1,Column(e).) $ o.00 4. Total payments made this period. (Add Lines 1,2,and 3. Enter here and on the Summary Page, Column A, Line 6.) TOTAL $ 5,598.51 FPPC Form 460(Jan/2016) FPPC Toll-Free Helpline:866/ASK-FPPC(866/2753772) www.fpr c.ca.aov Schedule E SCHEDULE E(CONT.) (Continuation Sheet) Amounts may be rounded Statement covers period CALIFORNIA 460 Payments Made to whole dollars. from_ _ 07/01/2024 FORM through 09/21/2024 10 10 SEE INSTRUCTIONS ON REVERSE g Page of NAME OF FILER I.D.NUMBER Evans 4 Temecula City Council 2024 - District 4 1470105 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CUP 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' 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 IRS 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 UT 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) Shannon Lynard CMP Tshirts 284.82 Redlands, CA 92373 Sticker Mule CMP Car Stickers 104.40 336 Forest Ave Amsterdam, NY 12010 Uribe Signs LIT Palm Cards 356.03 2900 Adams Ste A-25 Riverside, CA 92504 Uribe Signs LIT Bilingual palm cards, postcards 299.53 2900 Adams Ste A-25 Riverside, CA 92504 *Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 1,044.78 • ` FPPC Form 460(Jan/2016) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772)