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HomeMy WebLinkAbout2021 Recipient Committee Date Stamp COVER PAGE Campaign Statement • ' Cover Page RECENED Statement covers period Date of election if applicable: Page 1 of 6 from 10/18/20 (Month,Day,Year) JAN U r 92@21 For Official Use only SEE INSTRUCTIONS ON REVERSE through 12/31/20 11/03/2020 CITY CL EPJCB 1. Type of Recipient Committee: All Committees-Complete Parts 1,2,3,and 4. 2. Type of Statement: Sficeholder,Candidate Controlled Committee El Primarily Formed Ballot Measure ❑ Preelection Statement ❑ Quarterly Statement U State Candidate Election Committee ommittee ❑ Semi-annual Statement ❑ Special Odd-Year Report O Recall Controlled W1 Termination Statement (Also Complete Part5) Sponsored (Also file a Form 410 Termination) (Also Complete Part 6) ❑ Amendment(Explain below) ❑ General Purpose Committee O Sponsored ❑ Primarily Formed Candidate/ 8Small Contributor Committee Officeholder Committee Political Party/Central Committee (Also Complete Part l) 3. Committee Information 71,DNUMBER Treasurer(s) 102 COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER ADAM A.RUIZ FOR TEMECULA CITY COUNCIL 2020 JODY D.NOTTINGHAM MAILING ADDRESS 43460 RIDGE PARK DRIVE STE,240 STREET ADDRESS(NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE 39785 GOLDEN ROD ROAD TEMECULA CA 92590 951 296-1698 CITY STATE ZIP CODE AREACODE/PHONE NAME OF ASSISTANT TREASURER,IF ANY TEMECULA CA 92591 951 326-4698 YOLANDA OROZCO MAILING ADDRESS(IF DIFFERENT)NO.AND STREET OR P.O.BOX MAILING ADDRESS 43460 RIDGE PARK DRIVE STE,240 43460 RIDGE PARK DRIVE STE,240 CITY STATE ZIP CODE AREACODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE TEMECULA CA 92590 951296-1698 TEMECULA CA 92590 951296-1698 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 t 6and correct. Executed on ` I Z02JI, By llJ Data =, suffo islant re�surer Si Executed on � By Date Signature o olling Officeholder,Candidate,StapMeasure 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 COVER PAGE-PART 2 Recipient Committee CALIFORNIA Campaign Statement FORM 460 ' Cover Page — Part 2 Page 2 of 6 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE ADAM A.RUIZ OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO.OR LETTER JURISDICTION ❑ SUPPORT TEMECULA CITY COUNCIL ❑ OPPOSE RESIDENTIAL/BUSINESS ADDRESS (NO.ANDSTREET) CITY STATE ZIP 39785 GOLDEN ROD ROAD TEMECULA CA 92591 Identify the controlling officeholder,candidate,or state measure proponent,if any. 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 7. Primarily Formed Candidate/Officeholder Committee List names of NAME OF TREASURER CONTROLLED COMMITTEE? 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 El YES ❑ NO SUPPORT COMMITTEE ADDRESS STREET ADDRESS (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. Summary Page Statement covers period , , from 10/18/20 0 - Pa e SEE INSTRUCTIONS ON REVERSE through 12/31/20 g 3 of 6 NAME OF FILER I.D.NUMBER ADAM A.RUIZ FOR TEMECULA CITY COUNCIL 2020 1384102 Column A Column B Calendar Year Summary for Candidates Contributions Received TOTAL THIS PERIOD CALENDAR YEAR (FROM ATTACHED SCHEDULES) TOTAL TO DATE Running in Both the State Primary and General Elections 1. Monetary Contributions................................................... Schedule A,Line 3 $ 750 $ 36,549 2. Loans Received................................................................ Schedule e,Line 3 0 -23,500 1/1 through 6/30 7/1 to Date 20. Contributions 3. SUBTOTAL CASH CONTRIBUTIONS.............................. Add Lines 1+2 $ 750 $ 13,049 Received $ $ 4. Nonmoneta Contributions............................................ schedule C,Line 3 0 2,414 ry 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED................................Add Lines 3+4 $ 750 $ 15,463 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made................................................................ Schedule e,Line 4 $ 4,227 $ 15,162 Candidates 7. Loans Made....................................................................... schedule H,Line 3 0 0 4,227 15,162 22. Cumulative Expenditures Made" 8. SUBTOTAL CASH PAYMENTS....................................... Add Lines6+7 $ $ (If Subject to Voluntary Expenditure Limit) 9. Accrued Expenses(Unpaid Bills Schedule F,Line 3 0 0 p � p )••••��•��•������•••••••••�••�•�••••••••�•� Date of Election Total to Date 10. Nonmonetary Adjustment.........................................................Schedule C,Line 3 0 1,178 (mm/dd/yy) 11. TOTAL EXPENDITURES MADE....................................Add Lines 8+9+10 $ 4,227 $ 16,340 -J� $ Current Cash Statement —J—J $ 12. Beginning Cash Balance............................ Previous Summary Page,Line 16 $ 3,477 To calculate Column B, 13.Cash Receipts........................................................... Column A,Line 3 above 750 add amounts in Column 14. Miscellaneous Increases to Cash.................................. schedule 1,Line 4 0 A to the corresponding 'Amounts in this section may be different from amountsamounts from Column B reported in Column B. 15. Cash Payments......................................................... Column A,Line 8 above 4,227 of your last report. Some amounts in Column A may 16. ENDING CASH BALANCE ..................Add Lines 12+13+14,then subtract Line 15 $ 0 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 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. Cash Equivalents................................................ See instructions on reverse $ 0 any)' 19. Outstanding Debts.............................. Add Line 2+Line 9 in Column B above $ 0 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 to whole dollars. Statement covers period Monetary Contributions Received a from 10/18/20 SEE INSTRUCTIONS ON REVERSE through 12/31/20 page 4 of 6 NAME OF FILER I.D.NUMBER ADAM A.RUIZ FOR TEMECULA CITY COUNCIL 2020 1384102 FULL NAME,STREET ADDRESS AND ZIP CODE OF IF AN INDIVIDUAL,ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE CONTRIBUTOR OCCUPATION AND EMPLOYER CONTRIBUTOR * RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED,ENTER NAME (IF COMMITTEE,ALSO ENTER I.D.NUMBER) OF BUSINESS) PERIOD (JAN.1-DEC.31) (IF REQUIRED) 10/27/20 CR&R INC. ❑IND 350 350 11292 WESTERN AVE ❑COM OTH STANTON,CA 90680 ❑PTY ❑SCC 10/27/20 GROW ELECT RESTRICTED USE ❑IND 400 400 1020 12TH ST. ,STE 232 m COM ❑OTH SACRAMENTO,CA 95814 ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC SUBTOTAL$ 750 Schedule A Summary 'Contributor Codes 1. Amount received this period—itemized monetary contributions. IND—Individual (Include all Schedule A subtotals.).........................................................................................................$ 750 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 $100...........................$ 0 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 , Column A, Line 1. 750 ry Page,g )......................TOTAL $ FPPC Form 460(Jan/2016)) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov SCHEDULE E Schedule E Amounts may be rounded Statement covers period Payments Made to whole dollars. CALIFORNIA 4601 from 10/18/20 FORM SEE INSTRUCTIONS ON REVERSE through 12/31/20 Page 5 of 6 NAME OF FILER I.D.NUMBER ADAM A.RUIZ FOR TEMECULA CITY COUNCIL 2020 1384102 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 CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE,ALSO ENTER I.D.NUMBER) JENNA GARZA LIT SOCIAL MEDIA CONTENT 400 32002 VIA PERALES TEMECULA,CA 92592 NOTTINGHAM&ASSOCIATES,CPA's PRO CAMPAIGN ACCOUNTING 635 43460 RIDGE PARK DRIVE,STE 240 TEMECULA,CA 92590 NEW GENERATIONS ROTARY OF TEMECULA CTB CONTRIBUTION 1,206 43460 RIDGE PARK DRIVE,STE 240 TEMECULA,CA 92590 *Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 2,241 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.).............................................................................................................$ 4,173 2. Unitemlzed payments made this period of under$100..........................................................................................................................................$ 54 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 $ 4,227 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(CONT.) t men covers period (Continuation Sheet) to whole dollars. State • ' � • ' Payments Made from 10/18/20 . . SEE INSTRUCTIONS ON REVERSE through 12/31/20 Page 6 of s NAME OF FILER I.D.NUMBER ADAM A.RUIZ FOR TEMECULA CITY COUNCIL 2020 1384102 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 FACEBOOK WEB SOCIAL MEDIA ADVERTISING 1,932 "Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 1,932 FPPC Form 460 Jan 2016 FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov