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Home My WebLink About2016 COVER PAGE - Recipient Committee DateStamp Campaign Statement � �' � � � • 1 �over Page G��(�s6v�� SWtement covers periotl Date of election if applicable: Page � of� from 10/23/16 (Month,Day,vear) �AN 312017 ForOffcialUseOnly SEEINSTRUCTIONSONREVERSE through �2�3��6 ��/�8��6 ��(��''�'"`�V �u'%,� 1. Type of Recipient Committee: nn comminee:-comPia�a Pan:�,z,3,a�a a. 2. Type of Statement: � Offceholder,Candidate Controlled Committee ❑ Primanly Fortned Ballot Measure ❑ Preelection Statement ❑ puartedy Statement � Stale Candidate Election Committee Committee � Semi-annual Statement ❑ Special Odd-Year Report Q Recall � Controlled ❑ Termination Statement �a�o comPbre rsrs� � Sponsored (Also file a Form 410 Termination) (Ako Compbfe PeTfi) ❑ General Purpose Committee ❑ Amendment(Ezplain below) � Sponsored ❑ Primarily Formed Candidatel � Small Contributor Committee Offceholder Committee . � PoliticalParty/CeniralCommittee fas°�OmP��•P°�� 3. Committeelnformation I.D.NUMBER Treasurer(s) 1384102 COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER ADAM A. RUIZ FOR TEMECULA CITY COUNCIL 2016 JODY D. NOTTINGHAM MAILING ADDRE55 43460 RIDGE PARK DRIVE, STE 240 STftEETAODRE$$(NO o.0.BOX) CITY STATE ZIP CODE AREA CO�E/PHONE TEMECULA CA 92590 CITV $TATE LPCODE AREACODE/PHONE NAMEOFASSISTANrTREA$URER,IFANV TEMECULA CA 92591 EDWARD CHANDLER MAILING ADDRESS(IF DIFFERENT)N0.AND STREET OR P.O.BOX MPJLING ADDRESS 40335 WINCHESTER RD, STE E-140 43460 RIDGE PARK DRIVE, STE 240 CITV STATE LPCODE AREACODE/PHONE CITV STATE ZIPCOOE AREACODE/PHONE TEMECULA CA 92591 TEMECULA CA 92590 OPTIONAL: FAX/E-MAILADDRESS OPTIONAL: FAX/E-MAILADDRESS 951 587-4272 4. Verification I have usetl all reasonable tliligence in preparing and reviewing this statement and to ihe best of my knowledge the information conta�rein and in the attached schedules is true and complete. I certify under penalry of perjury untler the laws of the State of Califomia that ihe(oregoing is lrue tl rr c I/-3 � /� � / Executed on By � � e�e 51 eo reasurerorAssisten�Traesurer Executedon �30�� BY Da�e SignaWreo/Conlming ie eqCan E ,StateMeasurePmponenlorResponsloleOflicerotSponsor Executed on By Date SiynaWre ofCOMmlling Otficelwltler,CaiMitlate,S�ate Measura Proponem Executetl on By Date Signeture of Contrdling OfficeMltler,CaiMitlate,State Measure Groponanl FPPC Form 460(1an/2016) FPPC Advice:advice@fppc.w.gov(866/275-3772) www.fppc.ca.gov � I`" , COVER PAGE-PART2 RecipientCommittee � . . � • ' Campaign Statement . - Cover Page — Part 2 Page 2 of � 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 LOCATIONAN�DISTRICT NUMBER IFAPPLICABLE) BALLOT NO.OR LETTER JURISDICTION ❑ SUPPORT TEMECULA CITY COUNCIL ❑ ovPose RESIDENTIAL/BUSINESSADDRESS (NO.ANOSTREET) CITV STATE ZIP Itlentify the controlling officeholder,candidate,or state measure proponenq If any. TEMECULA, CA 92591 NAME OF OFFICEHOLDER,CAN�IOATE,OR PROPONENT Related Committees Not Included in this Statement: us�a�ycomm�nees nofincludedinfhisstatementthatarecontrolledbyyouorareprimarily/ormedtoreceive OFFICESOUGHTORHELD �ISTRICTNO.IFANY contributions or make expentlitures on behalf o/your cantlitlacy. COMMITTEE NAME I.D.NUMBER 7. PrimarilyFormedCandidate/OfficeholderCommittee Listnameso/ NAMEOFTREASURER CONTROLLEDCOMMITTEE9 oKceholder(sJorcantlitlate(5)/orwhichthiscommitteeisprimarily/ormed. ❑ VES ❑ NO COMMITTEEADDRESS STREETADDRESS (NO P.O.BOX) NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE CITV STATE ZIP CODE AREACODE/PHONE NAME OF OFFICEHOLDER OR CANDI�ATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE COMMITTEENAME 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 ❑ VES ❑ NO ❑ SUPPORT COMMITTEEADDRE55 STREETADDRESS (NOP.O.BOX) ❑ OPPOSE CITV STATE ZIPCOOE AREACODE/PHONE At[achton6nuation5heet5i/neCe558ry FPPC Form 460(lan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov Campaign Disclosure Statement Amounts may be rountletl SUMMARY PAGE Summary Page towholedollars. Statementcoversperlotl � - I from ioizsi�s . - • � SEEINSTRUCTIONS ON REVERSE thl0ugh �2�3��6 Pa9e 3 of�'j NAME OF FILER I.D.NUMBER ADAM A. RUIZ 1384102 Coiumn A Column B Calendar Year Summary for Candidates Contributions Received TOTALTHISPEFIOO CALENDARYFAR (FROMATTACHEOSCHE�ULES) TOTFLTOOATE Running in Both the State Primary and 1. Monetary Contributions................................................... scnee�iea,u�e s g 950 $ 8,054 General Elections 2. Loans Received................................................................ scneauie e,u�e s 0 23,500 �/� �hrough 6/30 7/1 lo Date 20. Contributions 3. SUBTOTALCASHCONTRIBUTIONS.............................. .adtl�ines�+2 $ 950 $ 31,554 Received $ $ 4. NonmonetaryContributions._......................................... scneawec,�mes 0 Z'382 2t. Expenditures . 5. TOTALCONTRIBUTIONSRECEIVED....................................addu�ess+a g 950 $ 33,936 Made $ 8 Expenditu�es MBde Expenditure Limit Summary for State 6. PaymentsMade................................................................ s�ned��eE.u�ea $ 17 g 28,735 Candidates 7. Loans Made....................................................................... scned�ie r+,�i�e 3 0 0 22. Cumulative Expenditures Matle` 8. SUBTOTALCASHPAYMENTS.......................................... AddLinese�� $ �� S 28.�35 (IiSub�ectroVolunteryEspenEltureLimtt) 9. Accrued Ex enses Un aid Bills Schetlule F,Line 3 0 0 P � P �------------------- Date of Election 7otal to Date 10. Nonmonetary Adjustment.........................................................s�ned�ie c,u�e 3 0 2,382 (mmiddryy) 11. TOTAL EXPENDITURES MADE........................................addunes a�9�io S » $ 31�>» �� $ Current Cash Statement �—� S 12. Beginning Cash Balance............................ Pre�ro�ss�mmaryaa9e,unais $ 1,886 To calculate Column B, 13. CeSh ReCelptS........................................................... Column A,Line 3 above 950 add amounis in Column � A to the correspontling �qmounts in this section may be tlifferent from amounts 14. Miscellaneous Increases to Cash.................................. Scheduie i,Line a amounts from Column B reported in Column B. �7 of your last report. Some 15. Cash Payments......................................................... Cowmn a,�ine e above amounts in Column A may 16. ENDINGCASHBALANCE ..........._.....nddunesi2+i3+�a,thensubtrect�inef5 $ 2�819 benegativefguresthat shoultl be subtractetl from Il this is a termination statement, Line i6 must be zero. previous periotl amounts. If this is the first report being 17. LOANGUARANTEESRECEIVED................................ Scnedwee,aertz $ 0 fledforthiscalendaryear, only carry over the amounts Cash Equivalents and Outstanding Debts from Lines 2,7,and 9(if t8. Cash Equivalents................................................ seemswceonsonre�erse $ 0 a�Y� 19. Outstanding Debts.............................. add u�e 2+une e rn commn e aoo�e S 23�� FPVC Form 46o pan/2o16) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov 'Schedule A Amounts may be rounded SCHEDULE A Monetary Contributions Received towholedollars. Statementcoversperlod � . � �oizsns • � from • � SEEINSTRUCTIONS ONftEVERSE thfough �2�3��6 page 4 Of� NAME OF FILER I.D.NUMBER ADAM A. RUIZ 1384102 DATE FULL NAME,STREETA�DRESSAND ZIP CO�E OF CONTRIBUTOR CONTRIBUTOR IF AN W�IVIDUAL,ENTER AMOUNT CUMULATNE TO DATE PER ELECTION RECENED OFCOMMITTEE,ALSOENTERI.D.NUMBER) CO�E * OCWPATIONANDEMPLOVER RECEIVEDTMIS CALENDARVEAR TODATE pFSEIF-Eua�wEqeNrEaNnME PERIOD (JqN.i-DEC.3t) (IFRE�UIRED) OF BUSINE55) BARBARA BAKER �IND 10/27/16 41463 MARGARITA ROAD, STE 100 ❑COM REALTOR 200 200 ❑OTH WINDFALL SPRINGS, TEMECULA, CA 92591 ❑PT�' INC. ❑scc DON TUCKER m IND 10/27/.16 0 o�H HEARING AID 250 250 TEMECULA, CA 92592 �P�, SPECIALIST ❑scc ❑IND CR&R INC. ❑COM 11/03/16 �1292 WESTERN AVE. ❑oTH 500 500 ❑PT' ❑SCC ❑IND 11/03/16 ❑COM �OTH ❑PN ❑SCC ❑IND ❑COM ❑OTH ❑PN ❑SCC SUBTOTALE 950 SChQC�Ul2/� SUfI1fT18n/ 'Coniributor Codes 1. Amount received this period-itemized monetary contributions. iNo-ind��duai (IncludeallScheduleAsubtotals.).........................................................................................................$ 950 COM—RecipientCommittee (other than PTY or SCC) 2. Amount received this period-unitemized monetary contributions of less than $100...........................$ O OTH—Other(e.g.,business entity) PN—Political Party 3. Total monetary contributions received this period. scc-smaii contribucor comminee Add Lines 1 and 2. Enter here and on the Summa Pa e, Column A, Line 1. TOTAL $ 950 � ry 9 )...................... FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) , www.fppc.w.gov Amoun�mayberounded SCHE�ULE B-PART1 Schedule B — Part 1 towholetlollars. Statementcoversperiod • - � • 1 Loans Received 10/23/16 • - trom SEEINSTRUCTIONS ON REVERSE through �2�3��6 Page 5 of � NAME OF FILER I.D.NUMBER ADAM A. RUIZ 1384102 IFAN INDIVIDUAL,ENTER a � 10I e g FULLNAME,STREETAD�RESSANDZIPCODE OUTSTAN�ING pMOUNT qMOUNTPAI� OUTSTANDING INTEREST ORIGINAL CUMULATIVE OCCUPATIONAND EMPLOVER BALANCE BALANCEAT OF LENDER �IFSE�F-EMP�oreo,eHrea RECEIVED THIS OR FORGNEN PAID THIS AMOUNT OF CONTRIBUTIONS QFCOMMITTEE,ALSOENTERI.O.NUM6ER) NqMEOFausiNess� BEGINNINGTHIS pERIOD CLOSEOFTHIS pEft10D LOAN 70DATE PERI00 THISPERIOD� PERIOD BERNIE TRUAX PRESIDENT ❑ P^�o GALENDARYEAR B II AJ, LLC s 0 f 22.500 0 % 5 22.500 s MURRIETA, CA 92562 ❑ FORciveN �"` aER e�ecnoN" $ 22,500 S 0 $ 0 OPEN 5 06/28/16 $ tm IND ❑ COM ❑ OTH ❑ PN ❑ SCC DATEDUE DATEINCURRED ❑PAI� CALENDARYEAR ADAM RUIZ REAL ESTATE AGENT 0 s 1.000 0 % = 1.000 f FIRST ACTION REAL s TEMECULA, CA 92591 ESTATE ❑FORGNEN �T` PER ELECTION" S 1,000 S 0 S 0 OPEN 5 06/28/16 S t0 IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATEDUE �ATEINCURRED ❑PAID CALENDARYEAR s S % S f MiE ❑FORGIVEN PER ELECTION" f E S S S t� IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATEDUE DATEINCURRE� SUBTOTALS $ 0 3 0 5 23,500 S 0 Schedule B Summary �E��ef�e'� soheaule E,Llne 3) 1. Loans received this period....................................................................................................................$ � (Total Column (b) plus unitemized loans of less than $100.) tConiributor Codes 2. Loans paid orforgiven this period............................................. ..................................$ n IND—Individual (Total Column (c) plus loans under$100 paid or forgiven.) coM-Recipiem comm�ttee (other than PTY or SCC) (Include loans paid by a third paRy that are also itemized on Schedule A.) OTH—Other(e.g.,business enlity) PN—Political Party 3. Net chan e this eriod. Subtract Line 2 from Line 1. NET $ fl SCC—Small Contributor Committee 9 P � ).............................................................. Enter the net here and on the Summary Page, Column A, Line 2. �^+•.�•^=o•��a^�ma��. 'Amounts forgiven or paid by another party also must be reportetl on Schedule A. FPPC Form 460(Jan/2016) "If required. FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov SCHEDULEE , Sch�dule E Amounts may 6e rounded Statement covers period � . Payments Made towholedoliars. � � � from 10/23/16 • • SEEINSTRl1CTIONSONREVERSE through �2�3��6 page 6 of 6 NAME OF FILER I.�.NUMBER � ADAM A. RUIZ FOR TEMECULA CITY COUNCIL 2016 1384102 CODES: If one of the following codes accurately describes the payment, you may enter the code. Othenvise, describe the payment. CMP campaiqn paraphemalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign wnsultants MTG meetings and appearances RFD retumed conMbutions CTB contribuUon(ezplain nonmonetary)' OFC oHce expenses SAL campaign workers'salanes CVC civic donations PET peti6on circulaling TEL t.v.or cable airtime and production costs FIL randidale fiiinglballol fees PHO phone banks TRC candidate travel,lodging,end meals FND fundraising evenis POL polling and survey research TRS staff/spouse travel,lodging,and meals IND independent expenditure supportinglopposing others(explain)' POS postage,delivery and messenger services TSF Irans(er between committees of lhe same candidate/sponsor LEG legal defense PRO professional services(legal,accounting) VOT voter registration LIT campaign IiteraWre and mailings PRT print atls WEB inFormalion technology costs(intemet,rmail) NAME AND ADDRESS OF PAYEE � �1FGOMMITfEE.P150EMERI.D.NUMBEfl� COOE OR OESCRIPTIDNOFPAYMENT qMOUNTPAID "Payments lhat are wniributions or independent expendiWres mus[also be summarized on Schedule D. SUBTOTAL$ Schedule E Summary 1. Itemized payments made this period. (Include aIl Schedule E subtotals.).............................................................................................................$ 2. Unitemized payments made this period of under$100..........................................................................................................................................$ 17 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, Co�umn A, Line 6.)...........................TOTAL $ �� . FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275•3772) - www.fppc.ca.gov Recipient Commirtee D81e S`amP iFH PAce Campaign Statement � ' � � . 1 CoverPage SWtement coven pedod Date of eleetion If applicable: Page_� of � 09/25l16 (Month,Day,Vear) 0CT 2 7 �` For Otticial Use Only hom 2�I,. SEEINSTRUCTIONS ON REVERSE through ��22��6 ��/08��6 1, TypeofRecipientCommittee: nucomminaes-comvis�sPansi,z,3.a�an. 2. TypeofStatement: 0 Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure � Preelection Stalement ❑ puarterly Stalement � State Cantlidete Election Committee Committee ❑ Semi-ennual Statement ❑ Special Odd-Year Raport � Recall � Controlled ❑ Termination Slelemenl �°�'0�0"'�1B P'"� 0 Sponsorad (Also flle a Fortn 410 Termination) fAlm Cw�roMa vart cl ❑ Generel Purpose Commltlee ❑ Amendment(Explain below) � Sponsored ❑ Primanly Formed Candidate/ � Small Contributor Committee O�ceholder Committee � PoliticalPartylCentralCommittee 'Aiwc�w`i`v°°n 3. Committee lnformation 'o "u"'BER Treasurer(s) 1384102 COMMITiEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER ADAM A. RUIZ FOR TEMECULA CITY COUNCIL 2016 JODY D. NOTTINGHAM MAILING ADDRE55 43460 RIDGE PARK DR, STE 240 $TREETA��RE55(NO PO.BOX) CITY STATE ZIP CODE AREA CODE/PHONE TEMECULA CA 92590 LITV STATE ZIPCODE HREACO�EIPHONE NAMEOFASSISTANTTREASURER.IFANV EDWARD CHANDLER MAIIING ADDRESS pF DIPFERENT)NO.AND STREET OR P O.BOX MAILING A�DRESS 40335 WINCHESTER RD, STE E-140 43460 RIDGE PARK DR, STE 240 CITY STATE ZIPCODE AREACOOE/PHONE QTV STATE ZIPCODE AREACODE/PHONE TEMECULA CA 92591 TEMECULA CA 92590 OPTIONAL FAXIE-MAILAODRESS OPTIONAL'. FA%/E-MAILADDRE55 951 587-4272 4. Verification I have used all reasonaDle diliqence in prepannq and reviewing this statement and lo the best of my knowledge ihe intormation wntained herein and in the aflached schedules is We anG complete. I ceniy under penalry of perjury urMer Ihe laws of the State ol Califomia that lhe toregoing is true and correct. � ExeculeA on /�/�� // � gy � . /��/� � Nro rprpAssi5ten1Troa5uR� ExBw�etl on a� BY Signawre of Contml4ng celnker,CaM , e Measure Froponen�a Responaida W Sponsor ExewlBd on Date BY Sqnal�ro ol ConbaMig OIRCMdEx.CaMMau,Sute Meawre Proponent ExecuteC on By �ata Sp^awre of ContmMrq OFicMdEec CaMitlale.Stale Meaaure PropaMnt FPPC Form 460(lan/2016) FPPC Advice:advlce�IDfppc.ca.gov(866/2�5•3772) www.fppc.ca.gov ' COVER PAGE-PART2 Recipient Committee � . , Campaign Statement . . ' • � Cover Page — Part 2 Page 2 of � 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOIDER OR CANDIDATE NAME OF BAL�OT MEASURE ADAM A. RUIZ OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND OISTRICT NLIMBER IF APPLICABLE) BALLOT NO.OR LETTER JURISOICTION � SUPPORT TEMECULA CITY COUNCIL ❑ oaaose RESIDENTIAUBUSWESSADDRESS �NO.ANOSTREET) CITV STATE ZIP Identify tha controlling o�ceholder,candidats,or state meaaure proponent,if any. NAME OF OFFICEHOLDER,CANDIDATE,OR PROPONENT Related Committees Not Included in this Statement: u:r.�ycommrrceas not includad in this sfatement that are confrolled by you or aro prlmarfly/o�med to recelve OFFICE SOUGHT OR HELD DIS7RIC7 NO.IF ANV aonVlbuttons or make erpentlNures on behallo/you�cantl/daty. COMMITTEE NAME I.O.NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? �• Primarily Formed CandidatelOfficeholder Committee List names o! oKceholder(s)or candldate(sJ/or which thls committee is primarlly/oimed. ❑ vE5 ❑ No COMMITTEEADDRESS STREETADORESS (NOP.D.BOX) NAMEOFOFFICEHOLDERORCANOIOqTE OFFICESOUGHTORNELD ❑ SUPPORT ❑ OPPOSE CITY STATE ZIP CO�E AREA COOElPHONE NAME OF OFFICEHOLDER OR CANDIOATE OFFICE SOUGMT OR HELO ❑ SUPPORT ❑ OPPOSE COMMITTEE NAME I.D.NUMBER NAME OF OFFICEHOLDER OR CANDIOATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF TREASURER CONTROLLED COMMITTEE? NAME OP OFFICEHOLDER OR CANDIOATE OFPICE SOUGHT OR MELO ❑ VES ❑ NO ❑ SUPPORT COMMITTEEI�ODRE55 STREETADDRE55 (NO V.O.BOX) ❑ OPPOSE GTY STATE ZIPCO�E AREACOOHPHONE Affath tont/nuaflOn sheets llneCessary 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 towhole dollan. Sntementcovers period � . I fram 09/25l16 • - • � SEEINSTRUCTIONSONREVERSE through ��22��6 Page 3 0/� NAME OF FILER I.D.NUMBER ADAM A. RUIZ FOR TEMECULA CITY COUNCIL 2016 1384102 Contributions Received Coiumn oo Col ommEB Calendar Year Summary for Candidates �FROMATTACMEDSCHEDULE51 *oru,00A.E Running in Both the State Primary and General Elections 1. Monetary ConMbutions................................................... s�nad�rea,tnre3 g 3,024 a 7,104 �ry �hrough 6/30 77� to Date 2. LoansReceived................................................................ scnee�iee.u�3 0 23,500 20. Contributions 3. SUBTOTAL CASH CONTRIBUTIONS.............................. Aaatirres�+z 8 3,024 $ 30,604 Receive0 $ E 4. Nonmonetary Contributions............................................ scnea��e c.�me 3 928 2'38Z 2i. Expenaitures 5. TOTALCONTRIBUTIONSRECEIVED.....____._____._...__.Aaatmes3«e g 3,952 $ 32,986 Made S S Expenditures Made Expenditure Limit Summary for State 6. Payments Made........._.................................................. s�naa�ra e�;�e a S 8.120 g 28,718 Candidates 7. Loans Made....................................................................... soned��a H.u�e s 0 0 8,120 28 71 g ZZ• Cumulativa E:penditurea Made• 8. SUBTOTAL CASH PAYMENTS.......................................... Atld Liires 6 i 7 $ S (tt SUENcI ro WluMary ExpantllNn LImM) 9. Accrued Expenses(Unpaid Bills)..........................................scneduk F�.�ne 3 � � Date of Election Total to Date 10. Nonmonetary Adjustment......._.........._............_._...._.._._.....scnee�ie c.une s 928 2,382 (mMdd/yy) 11. TOTAL EXPENDITURES MADE._._._..__.__...___......__.naa�oes s�9��o $ 9.048 g 31,100 �_� $ Current Cash Statement �—� $ 12. Beginning Cash Balance............................ Pre��ous s�mmary aeye,u�a�s S 6,982 To calculate Column B, 13. Cash ReCeipts........................................................... ColumnA,iine 3 anove 3,024 add amounts in Column � A to the cortesponding �qmounts in this section may be diHerent hom amounts 14. Miscellaneous Increases to Cash.................................. scnea�ie�,une a amounts from Coiumn B reportea��Coium�e. 15. Cash Payments......................................................... caumnn.une eabove $,120 oi your last report. Some amounts in Column A may 16. EN�ING CASH BALANCE ..................Ada unes/2� is•�!men suenect�ine�5 $ ��886- be neqative figures that shoultl be subtracletl from H Ihis is a terminafion sfatement,Line 16 musf be zero. previous period amounts. II Nis is the first report being 17. LOAN GUARANTEES RECEIVED................................ Schedwe 8.Part 2 S fled for this wlendar year. only carry over Ihe amounts Cash Equivalents and Outstanding Debts from Lines 2,7,and 9(if any). 18. Cash Equivalents................................................ see mse.ucnons on reverse S 19. OUtSfand'Ing Debts...... . Adtl Line 2�Lrne 9 m Column B above 5 23,500 FPVC Form 460(Jan/2016) ...................... . FPPC Advice:advice�ltPPc.ca.gov(866/275d772) www.fppc.ca.gov Schedule A Amounts may be rounded SCHEDULE A Monetary Contributions Received to whola dollara. SUtement coven pariod � . � hom osi25n s . . • � SEEINSTRUCTIONS ON REVERSE through �D�zZ��s page 4 ot � NAME OF FILER I.D.NUMBER ADAM A. RUIZ FOR TEMECULA CITY COUNCIL 2016 1384102 DATE FULLNAME,STREETADDRESSANDZIPCODEOFCONTRIBUTOR CONTRIBUTOR IFANINDIVIDUAL,ENTER AMOUNT CUMULATIVETODATE PERELECTION RECEIVED OFcor.�Mmee.�u5oew*eai.o.rvuweeni OCCUPATIONANDEMPLOVER RECENE�THIS CALENDARVEAR TODATE GO�E � �IFSELf-EMPLOVEO.FME0.NFME PERIOD (JqN.i-DEC.31) (IFRWUIRED) OFBusME55) GROW ELECT ❑IND 10/13/16 1022 G STREET Oo�H 1,000 2,000 2,000 SACRAMENTO, CA 95814 �PT, FPPC#1342160 ❑SCC JOHN KELLIHER ��ND PRESIDENT, 10/19116 ❑OTM GRAPELINE, INC. ❑PTY ❑SCC CREPAC ❑iND 10/21/16 525 S. VIRGIL AVE. �o�H 1,000 2,000 2,000 LOS ANGELES, CA 90020 �PT� FPPC#890106 ❑scc WILLIAM WILSON ��ND WINER OWNER, 10/20/16 �Pn, ❑scc ❑IND ❑COM ❑OTH ❑PTV ❑SCC SUBTOTAL E 2,900 .SCfI@C�U�Q A1 $URIR18ry •Coniri6utor Codes 1. Amount received this period-itemized monetary contributions. iNo-i�d��o�ai (include all Schedule A subtotals.).........................................................................................................$ 2.900 COM—Recipient Committee (ot�er than PTY or SCC) 2. Amount received this period-unitemized monetary contributions of less than $�00 ...........................$ �24 OTH—Other(e.g.,business entity) PTY—Political Party 3. Total monetary contributions received this period. scc-smaii conv�nu�or comm�nee (Add Lines 1 and 2. Enter here and on the Summa Pa e, Column A, Line 1. TOTAL S 3,024 rY 9 )...................... FPPC Form 460(lan/2016) FPPC Advice:advice�fppc.ca.gov(866/275-3772) www.fppc.w.gov Schedule C Amounta may be rounded ,r- ��ULE C Nonmonetary Contributions Received towholedollan. � Statement coven rlod � _ � • � hom 09/25/16 � - through �0�22��6 Pa e of� SEEINSTRUCTIONS ON REVERSE 9 — N I.D.NUMBER ADAM A. RU12 FOR TEMECULA CITY COUNCIL 2016 �384102 IFAN INDIVIDUAL,ENTER AMOUNTf CUMl1LATIVE TO pER ELECTION OATE FULL NAME.STREETADDRESSANO CONTRIBUTOR DESCRiPTION OF pq� RECEIVE� ZIP CO�E OF CONTRIBUTOR CODE• OCCUPATION ANO EMPLOVER GOOOS OR SERVICES FAIR MARKET TO DATE uFcowMi�E.usoEHrEai.o.Hu�aaca� I�sEiF�EMoioveo.eHrers VALUE CALENDAR VEAR (�FREOUIRED) r�nraE or BusiHEsS� (JAN 7�DEC 37) JAMI MCNEES 01No THE INSURANCE SOCIAL MEDIA 10l22/16 ❑PTY ❑SCC DANE WUNDERLICH 01N0 WOODWORK BY 6 SIGN FRAMES 10122f16 ❑OTH ❑PTY ❑SCC ADAM A. RUIZ ��N� REAL ESTATE FACEBOOK 10l22/16 O PTM SECTY OF pSCC «�TE FILING ❑IND ❑COM ❑OTH ❑PTY ❑SCC AKach additional information on appropriatelylabeled continuation sheets. SUB70TAL t gqg Schedule C Summary •co�i�b�io�coaes 1. Amount received this period-itemized nonmonetary contributions. iNo-individuai (Include all Schedule C subtotals.)......................................................................................................................$ 843 COM—RecipientCommittee (other than PTY or SCC) 2. Amount received this period-unitemized nonmonetary contributions of less than $100..................................$ 85 OTH—Other(e.g.,business entity) PTV—Political Party 3. Total nonmonetary contributions received this period. scc-smau conv�e�cor comm�nee �Add Lines 1 and 2. Enter here and on the Summa Pa e, Column A, Lines 4 and 10. TOTAL S 928 rY 9 )..................... FPPC Form 460�lan/2016) FPVC Advice:advice�Dfppc.ca.gov(666/275-3�72) www.fppc.w.gov SCHEDULEE Schedule E Amounb may be rounded Statemant covars perlod to whols dollers. • � � I Payments Made osizsns • - hom SEEINSTRUCTIONS ON REVERSE thlough ��Zz��s Page 6 Of � NAME OF FILER I.D.NUMBER ADAM A. RUIZ FOR TEMECULA CITY COUNCIL 2016 1384102 CODES: If one oi the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign parephemalia/misc. MBR member communications RAD radio airtima and produclion costs CNS campaiqn consNtants MTG meetings and appearances RFD retumed contributions CTB wntribution(explain nonmonelary)' OFC office expenses SAL campaign workers'salaries CVC civic donations PET pelition circulating TEL t.v.or cable airtime anC proAuction costs FIL candidate filinglballot fees PHO phone banks TRC candidate travel,lodging,and meals FND fundraisinq events POL polling and survay research TRS staR/spouse travel,lotlging,and meals IND independent expendilure suppoNnglopposing alhers(explain)' POS Dostage,delivery and messenger services TSF Iransfer betwean committees of the same wndidate/sponsor LEG legal defense PRO Drofessional services(legal,accounling) VOT voter regisiralion LIT campalgn Iilerature end mailings PRT pnnt ads WEB informalion technology cosis(internet,e-mail) NAME AND ADORESS OF PAYEE �IF COMMITTFE,hL50 ENTER I.O.NUM6EF) CODE OR OESCRIPTION OF PAVMEN7 AMOUNt PAI� INNOVATIVE POLITICAL SOLUTIONS 3150 PLEASANT CREEK ROAD CNS 691 ROGUE RIVER, OR 97537 NOTTINGHAM &ASSOCIATES, CPA'S APC 43460 RIDGE PARK DRIVE, STE 240 PRO 1,500 TEMECULA, CA 92590 AB MAILING SOLUTIONS 42066 AVENIDA ALVARADO, STE Q POS 5,867 TEMECULA, CA 92590 'Payments Mat are contributions or independent expenditures must also be summanzed on Schedule D. SUBTOTAL S 8,058 Schedule E Summary 1. Itemized a ments made this eriod. Include all Schedule E subtotals. .......................................................... $ 8,058 PY P .............................................. 2. Unitemized payments made this period of under$100..........................................................................................................................................$ 62 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 E $'120 FPPC Form 460(lan/2016� FPPC Advice:advice@fppc.ca.gov(S66/275-3772) www.fppc.ca.gov SChedule G sctieou�e c Payments Made by an Agent or Independent Amounts may be rounded g�tement eovaro period � _ � Contractor (on Behalf of This Committee) towholedollan. Trom osnsns � . • I tnrougn �o/zzlls � SEE INSTRUC710NS ON REVERSE Page � of NAME OF FILER I.D.NUMBER ADAM A. RUIZ FOR TEMECULA CITY COUNCIL 2016 1384102 NAME OF AGENT OR INOEPEN�ENT CONTRACTOR CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphemalialmisc. MBR member communications R4D redio airlime and production costs CNS campaign consuttants MTG meeNngs and appearences RFD retumetl contribufions CT8 contribution(explain nonmonetary)' OFC office expenses SAL campaign workers'ularies CVC civic donations PET petition circulaling TEL t.v.or cable air6me and production costs Fll candiCate filinqlballot fees PHO phone banks TRC cantlidate Vavel,IOAging,and meals FND fundreising evenis POL polling and suney research TRS staRlspouse trevel,lodging,and meals �ND independent expenditure supporting/opposinq olhers(explain)' POS postage,delivery and messenger services TSF iransfer between committees of Ne same candidatelsponsor LEG legal defanse PRO professional services(legal,accounting) VOT voter registration LIT campaign literature end mailings PRT print atls WEB information technology costs(internet,e-mail) 'Payment5 that are ConVibutlons or independant expenditures mus�elso be Summarized on Schedule D. NAME AND ADDRE55 OF PAVEE OR CREDITOR CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID pF COMMITTEE.R150 EuiER ID.NUMBEP� HELEN RYAN P.O. BOX 11 LIT 288 MURRIETA, CA 92564 Attach additionaf in(ormation on appropnately labeled continuation sheets. TOTAL' S 288 'Do not trsns/er to any other schedule or to fhe Summary Page. This total may nof equal the amount paid to the agent or FPPC Form 460(Jan/2016) independent contractor as reported on Schedule E. FVPC Advice:advice�fppc.ca.gov(866/275-3772) www.fppc.w.gov , . - Recipient Committee oe,B$18m `�RP°�E Campaign Statement ' � ' � ' • 1 CoverPage Statemont coven padod Date of eleetlon Ii applicable: � Paye �_ ot�- . '�/�/��i (Month, Day,Year) O�T n ry ^O�C For OBicial Use Onty hom � , � L U SEEINSTRUCTIONSONREVERSE thfough �/a��o ��/O8I�6 1. Type of Recipient Committee: nn commm...-comPiece r„e.i,x,a,,�a�. 2. Type of Statement: 0 Officeholder,Candidate Controllad Commitlee ❑ Primanly Formed 8allot Measura � Preelection Statement ❑ Quartedy Slatement � State Candidate Election Committee Comminee ❑ Semi-annual Stalemenl � Recall � Controlled � Special Odd-Year Report ��M1p�s� ❑ Termina0on Stetement � Sponsored (Also file a Fonn 410 Termination) ai�c�w�•v,n e� ❑ General Purpose Committee � Amandment(Explain below) O Sponsored ❑ Primarily Fortned Candidale! AMENDING PAGE 3 OF 12 SUMMARY BECAUS� C(JLVI1)l��,B � Small Contnbutor Committee Offceholder Committee O PolitiCal PartylCentral Committee '""°�°"'O"vPart'� NON MONETARY CONTRIBUTIONS WASN'T CORRECT 3. Committee Information '.o."u""BER Treasurer(s) 1384102 COMMITTEE NAME(OR CANOIOATE'S NAME IF NO GOMMITTEE� NAME OP TREASURER ADAM A. RUIZ FOR TEMECULA CITY COUNCIL 2016 JODY D. NOTTINGHAM MAILING HDDRESS 43460 RIDGE PARK DR, STE 240 STREETAODRES$(NOPO.80%) CITY STATE 21PCOOE AREACODEIPHONE TEMECULA CA 92590 p?Y STATE ZIPCODE AREACOOEIPMONE NAMEOFASSISTANTTREASURER,IFANY EDWARD CHANDLER MAILING AD�RESS(IF DIFFERENT)ND.AND STREET OR P.O.BOX MAILING ADDRE55 40335 WINCHESTER RD, STE E-140 43460 RIDGE PARK DR, STE 240 CITY STATE I CODE AREAC HONE CITY STATE 21PCODE AREACODE/PNONE TEMECULA CA 92591 TEMECULA CA 92590 OPTIONAL�. FA%!E-MAILADDRESS OPTIONAL FN(IE-MAILAODRESS 951 587-4272 4. Verification I have used all reasonable diligence in preparing and reviewing this statemenl antl to the best of my knowledge the infortnation cont ' d herein and in the anached schedules is true and complate. I cerfify under penalty of perjury under�he laws of the State of Califomia that the foregoing is true and rra t. ExecNedon !O/a'7/�ro BY L De1e o suroraAsaisteniTreesuror E:ecutea on , O/�7/ � BY �ero SgnaWre ol onhdllrp .Ca bxle, ewre Vmponenl or eepmside ro Sponsor ExecuteE on By Oete Sigiumn of GontrdNng OIRcaM1OWw,CaMqele,S�nle Meewro Groponent EzBLutOE On Dale By SqrieNrc W CantrdM1rg OAca�aMer.CanUCe4.Slnle Meaeurc Proponent FPPC Form 460�lan/2016� FPPC Advice:advlce IDfppc.ca.gov(866/2753772) www.fppc.ca.gov ✓ COVER PAGE-PART 2 Recipient Committee , . Campaign Statement . • ' • � Cover Page — Part 2 Page 2 of I�` 5. Offfeeholder or Candidate Controllad Committee 6. Primarily Formad Ballot Measure Commtttee NAME OF OFFICEHOLDER OR CANDIDATE NAME OP BALLOT MEASURE ADAM RUIZ OFFICE SOU6FfT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IFMPLICABLE) BALLOT NO.OR LETTER JURISOICTON ❑ SUPPORT TEMECULA CITY COUNCIL ❑ OVPOSE RESIDENTWJBUSINESSADDRE9S (NO.ANDSTREEf) qTV STATE ZIP IdantHy tha eontrolling oftloeholdar,pndid�ts,or stab maasure proponanR H eny. NAME OF OFFlCENOLDER,CANDIMTE,OR VROPONENT Related Committees Not Included In this Statement: us�+ny�ommurees notlnoludedln thla statemant fhat ere controllad by you or ere prlmaNly formad to racelve OFflCE SOUGHTOR HELD DISfRICT NO.�F ANY eonWbuf/ona or make arpendlfurea on behall o/your eandld�ey. COMMITTEE NAME I,D,NUMBER NAMEOFTREABURER CONTFiOLLEDCOMMITfEE9 �• PrlmarilyFormedCandldate/OfflceholderCommittee Llsfn�meaof olllceholder(a)or eandldate(s)Ior whleh Nls eomm!ltea Is prlmarlly/ormed. ❑ VES ❑ NO COMMITfEEADORE88 STfiEETA�DRES9 (NO P.O.BOX) �E OF OFFICEHOIAER OR CANDIDATE OFFICE SOUGHT OR HELo ❑ Sl1PPORT ❑ OPP08E CRY STATE Z1P CADE AREACODEIPHONE NqME OF OFFlCEHOLDER OR CANDIDATE OFFlCE 90U6HTOR NELD ❑ SUPPORT ❑ OPP08E COMMITTEE NAME I.D.NUMBER NAME OF OFFlCEHOLDER OR ClWDIDA7E OFFICE SOUGFiT OR HELD ❑ SUPPORT ❑ OPP0.SE NAME OF TREASURER CAN7ROLLED COMMITTEE7 �E OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR NELD ❑ YES ❑ NO ❑ SUPPORT COMMfTTEEADDRE39 STREETADDRESS (NOP.O.BOX) ❑ OPPOSE CRY STATE LP COOE AREACODE/PHONE qttaeh eonflnual/on sheeb 1/natessary FPPC Form 460(Jan/2016) FPPC Advlce:advlce�fppc.ta.gov(866/27537R) www.fppe.ce.tov Campaign Disclosure Statement Amounta may be rounded Sl1M19MARY PAGE Summary Page towholedollan. Stetementcoversperiod , ' 1 from o�rov�s . - • SEEINSTRUCTIONS ON REVERSE thfough 9�24��6 Page 3 of 12 NAME OF FILER I.D.NUMeER ADAM RUIZ FOR TEMECULA CITY COUNCIL 2016 1384102 Cont�ibutions ReC6ivBd Column A Column B Calendar Year Summary for Candidates TOTALTIISPERIOO CKENOMVEPR �FaoMA.rACHenscHeo��es� TOTqLTODAiE Running in Both the State Primary and General Elections 1. Monetary Contribulions................................................... scrred��ea,�e 3 S 2,675 S 4,080 �� hmugh 6l30 �n �o oa�e 2. Loans Received................................................................ scnec�ie e.��e s 5.000 23.500 7,675 27,580 z0. Contributions 3. SUBTOTALCASHCONTRIBUTIONS.._.......................... addu�si+2 S S Received ; $ 4. Nonmonetary Contributions................................_.......... s�nadwa c,u�a 3 �'�� '4� 21. Ezpenaimres 5. TOTALCONTRIBUTIONSRECEIVED...................................Addt�:3.� $ 8,729 a 29,034 Made S S Expenditures Made Expenditure Limit Summary for State 6. PaymentsMade................................................................ sdredu�eE.�inea 8 11,310 g 20,598 Candidates 7. Loans Made....................................................................... scnea�ia H.u�e 3 0 0 11,310 20,598 ZZ. Cumulativa Eapenditurea Made• 8. SUBTOTAL CASH PAYMENTS.......................................... .add unes 6�� $ $ (II Sub��d to Valunlary ExWnEltun Llmlp 9. AccruedExpenses(UnpaidBills)......_......._.........................scnee�reFunes (��75�) � DateotElection Totaito�ate 10. NonmonetaryAdjustment...................._..._................._...._....scned��ac,u�as 1,054 1,454 (mmldd/yy) 11. TOTALEXPENDITURESMADE_._.___._.._._..._.__.......Add�inesateato $ 12,013 g 22,052 �� $ Current Cash Statement —�_� $ 12. Beginning Cash Balance............................ are��ous summe�yPage,une ie S 10,617 To calculate Column B, � 7,675 add amounts in Column 13. Cash ReCelptS........................................................... Column A,Cine 3 above Q A to the corresponding �Amounts in this section may be difierent hom amounts 14. Miscellaneous Increases to Cash.................................. scneau�e i,u�e a amounts from Column B reponed in Cowmn B. 11,310 of your lasl report. Some 15. Cash Payments......................................................... Caumn a.�ine a eoove amounts in Column A may 16. ENDING CASH BALANCE .............._..nee u�a:f2+t�+�q,than subfract Line 15 S 6�982 be negative ngures mat should be subtrected from H fhis is a termination sfatement, Line 76 must be zero. previous penod amounls. If this is the frs�repoA being 17. LOANGUARANTEESRECEIVED................................ scneeu�s.aart2 $ 0 filedforthiscalendaryear, only carry over the amouMs Cash Equivalents and Outstanding Debts Bom Lines 2,7,and 9(if 18. CeShEqUlValents................................................ Saeinsrmctionsonrarerse $ Q any). 19. OUl5l3nding D6bt5....................._....... Atltl Line 2+Line 9 in Column B above g 23,500 PPPC Form 460(lan/2016� FVVC Advice:advice�tppc.w.gov(866/275-3772) www.fppc.w.gov Schedule A Amounta may b�rounded SCHEDULE A Monetary Contributions Received �a'�'holedollan. Statemantwvenperlod � , � from 7/1/1 s � . . ' � SEE INSTRUCTION9 ON REVERSE throuph ��}�6 Page�of_� NAME OF FILER I.D.NUMBER ADAM A. RUIZ FOR TEMECULA CITY COUNCIL 2016 1384102 �� FULL NAME,STREETAODRE59 AND LP CODE OF CONTRIBUTOR CONTRIBUTOR �F AN INDNIDUAI,ENTER AMOUNT CUMUUTIVE TO DATE PER ELECTION RECENED ��'��p w'�� COOE• �CUPATION AND EMPLOYER RECENEO 7HI3 CqLENpqR yEpR TO�ATE liFs¢Fo�wioveo.FxienwuE PERIOD (JqN.7-OEC.31) (IFREOUIRED) ��el JAMIE MCNEES ��N� SELF EMPLOYED 07/11/16 ��, ❑scc GROW ELECT ❑IND 7/11/16 1020 12TH STREET,STE 232 DpTM 1000. 1000. SACRAMENTO, CA 85814 �p��, FPPC#1342160 ❑scc JOAN SPARKMAN 01ND RETIRED 7/12/16 OorH ❑Prr ❑scc JOHN KELLIHER 01ND pRESIDENT 07/28/16 27286 VIA INDUSTRIA, STE A �oTMM GRAPELINE, INC. 100. 100 TEMECULA, CA 92590 ��, ❑scc LUIS A. GONZALEZ 0�N� SELF EMPLOYED pg/�y�g �p.n, FUMIGATION ❑scc SUBTOTALS 1750 ' •' Schedule A Summary •co�«ib��o�coae5 1. Amount received this period-itemized monetary contributions. iNo-indivmuei (IncludeallScheduleAsubtotels.).........................................................................................................$ 2675 COM—RecipientCommittee (other then PTY or SCC) 2. Amount received this period-unitemized monetary contributions of less than $100...........................$ O OTH-Olher(e.g.,buslness entity) aTr-aouu�i Pany 3. Totel monetary contributions received this period. sCC-sman conv�tu�or comminee Add Lines 1 and 2. Enter here and on the Summa Pa e Column A, Line 1. TOTAL $ 2675 ( ry 9 , )...................... FPPC Form 460(Jan/2016) FPPC Advlee:advice�fppc.w.gov(866/275-3772) www.fppc.n.gov Schedule A (Continuation Sheet) Amountamaybemundad SCNFDULEA (CONT.) Monetary Contributions Received towholedoilarm. 8}abm�nteowrsp��od • - • • 1 rrom �iv�s � . - throuph ��TB Page ot I"— NAME OF FILER 1. .NUMB R ADAM A. RUIZ FOR TEMECULA CITY COUNCIL 2016 7384102 DATE FULL NAME,STREETADORESSANO LP CO�E OF CONTRIBUTOR CONTF2IBUTOR IFAN INDNIDUAL,ENTEft AMOUNT CUMUUTIVE TO DATE PER ELECTION RECENED pFWMMRiFE.usoENiEA1.o.NUMeEN� CODE• OCCUPATIONANDEMPLOYER RECENEDTHIS CALENDARYEAR TODATE f1FeE�'�ovm,EMERw�E pER10� (JAN.7-OEC.31) (IFREQUIREO) oF eusweas� LORI MARUFFO 01ND HR CONSULTANT 08/23/16 ��, ❑scc TERRY MCCUNE 01ND RETIRED 08/29/76 ��, ❑SCC RAY FALKNER 01ND WINEGROWER 08/31/16 ❑oTri ❑arr ❑scc GREGG SCOTT ❑coM BUSINESS OWNER 09/01/16 �Pr, ❑scc JENNIFER RASMUSSEN 01ND BqNKER 09/19/16 �� TEMECULA ❑scc SUBTOTALS 925 •Co�tributor Codee IND—Individual COM—ReGplent Commltlee (olher ihan PTY or SCC) O7H—Other(e.g.,buclnees enlity) PTY—Politleal Perty SCC—Small Contrlbubr Committee FPPC Form 460(Jan/2036) FPPC Advice:advlcaylipPcp.gov(866/2753772) www.fppc.ca.gov Amounta mey ba round�tl � SCHEDULE B-PART 1 Schedule B — Part 1 towholedollan. Sfatem�ntcoveroparlod � . , ' Loans Received �,m �i�ns . - • SEE INSTRUCf10N8 ON REVERSE through 09�Z��B Peye��L' of �� NAME OF flLEii I.D.NUMBER ADAM A. RUIZ FOR TEMECULA CITY COUNCIL 2016 1384102 FULL NAME,8TREETADDRESS AND ZIP CODE �FAN INDMDUAL,ENTER OUTSTANDING AMOUNT �� OUT3T DING �ry�qEgT ORIGINAL CUMULATNE OFLENDER �CCUPA710NANDEMPLOYER AMOUMPAIO ��Fy�_�� BALAN�E RECENEDTNIS ORFORGIVEN BA�CEAT pq�DTN18 AMOUNTOF COMRIBUTIONS QiCOMMITTEE,AL80ENTE0.I.D.NUMBER� wweareuaweas� BEGpERNo�TMIs PERIOD 7}{�SPERIOD' CLOSEOF7}iIS P�� Op�,� TODATE PERIOU BERNIE TRUAX PRESIDENT ❑PNo ��'`"`'E"" �� N« s 17,500 s 5,000 i s .4BL2$1].�. : r0 IND ❑ coM ❑ onr ❑ atv ❑ scc o�reouE wrewam�reo ADAM RUIZ REAL ESTATE AGENT ❑� �H0"A� ESTATE ��, � ��.. 7,000 0 t 0 IND p coM ❑ on+ ❑ a1v ❑ scc s s s on,E oue f w,e i�� s �pp�p CALENDARY6AR = i _% f i MT6 � ❑FORONEN P6R ELECTION� t0 IND ❑ COM ❑ OTH ❑ PTY ❑ SCC j s ��` s DArEwCURREo S SUBTOTALS S 5,000 S 5 23,500 S Schedule B Summary �E"��•» 1. Loans recsived this period....................................................................................................................$ 5 nrnn (Total Column (b) plus unitemized loans of less than $100.) t�� 2. Loans paid orforgiven this period............................................. . . . . .. . .........................................$ n IND—Individuel (Totel Column (c) plus loans under$100 pafd orforgiven.) COM-Reapienccommittee (other then PTY or SCC) (include loans paid by a third party that are also itemized on Schedule A.) orH-ou,ar�e.e.,eusineu enu�y> Prv-Ponu�ei aany 3. Net change this period. (Subtrect Line 2 from Line 1.)..............................................................NET E S�nnn scc-smen Conmoutor Commtaee Enter the net here and on the Summary Page, Column A, Line 2. ��a•^w��i . 'Amounte forgiven or peid by arwther Darty also must be reported on SeMdule A FPPC Form 460(Jan/2016) ••If required. FPPC Advlca:adWea�ipPcw.gov(666/275-3772) www.fppao.gov Schedule C Amounts may b�rounded SCHEDULE C Nonmonetary Contributfons Received towhol�dollan. I SGUm�nt wv�n p�rlod � . 1 fram 7/1/16 � - � SEE INSTRUC710NB ON REVEReE q�rou0h O9I�M�6 � Page� of `� I.D.NUMBER ADAM A. RUIZ FOR TEMECULA CITY COUNCIL 2016 1384102 pq7E FULL NAME,STREETAODRE55 AND CONiRIBUTOR IFAN INDIVI�LIAI.,ENTER DE3CRIPTION OF ��UMI CUMULATNE TO pER ELECTION RECENED LP CODE OF CONTRIBUTOR CODE• �CCUPATION AND EMPLOYER GOODS OR SERVICES FAIR MARKET �A� TO DATE (IPCOMMITIEE.i480ENTERID.NUMBFRj �SwwE��a�wEu1� VALUE �N�� (IFREQUIREDJ (JAN 1-DEC 91) MIA BELLA HOPE BIND RESTAURANT MEET 8 GREEf 08/25/16 �� HAVANA KITCHEN ❑SCC ALFRED MORIN 01ND SOFTWARE MEET&GREET 09/OB/16 �PT, OASIS SYSTEMS, ❑sCC LLC HOWARD DELLSITE B�N� SELF EMPLOYED MEET& GREET 09H8/16 p ary ❑scc SRCAR ��N� REAL ESTATE 100 FLYERS 09/02H6 26529JEFFERSONAVE. ��M TRADE 24 24 MURRIETA, CA 92562 O� ASSOCIATION ❑SCC Attach addiNonal lnformafion on appropnately labeled condnuadon sheets. SUBTOTAL S 479 �i'" �'�'�'�'��'�'`�� z �j��' �� .n� ��'b:v*r wlk�w.. a �. .. Schedule C Summary •��,s 1. Amaunt received this pe�iod-Remized nonmonetary contrlbutions. iN�-indiwduai (Include all Schedule C subtotals.)......................................................................................................................$ 1,054 COM—RecipientCommktee (other than PTY or SCC) 2. Amount received this period-unitemized nonmonetary contributlons of less than $100..................................$ OTH—Othar(e.p.,buatness ennry� PTY—Politkal Perty 3. Total nonmonetary contributions received thfs period. scc-smau Conwnutor Commmee (Add Lines 1 and'2. Enter here and on the Summary Page, Column A, Lines 4 and 10.).....................TOTAL $ �� FPPC Form 460(Jan/2016) FPPC Advice:advica�fppc.ea,gov(866/2753772) www.fppe.ca.gov Schedule C AmouMa mey ba rounded SCHEDULE C Nonmonetary Contributions Received �'^fiola dollars. P � , Stebment eovan arlod irom 7!1/16 � - • ' SEEIN9TRUCTION30NHEVERSE �ro�Bh 09�4�18 Page � of I � I.D.NUMBER ADAM A. RUIZ FOR TEMECULA CITY COUNCIL 2016 1384102 IFAN INDMDUAL,ENTER AMOUNT/ CUMULATIVE TO pER ELECTION pq7E FUILNAME,3TREETA0DRE39AND CONTAlBUTOR DESCRIPf10N OF RECEIVED LP CODE OF CONTRIBUTOR CODE• OCCUPATION AND EMPLOYER GOODS OR SERVICES FaR MARKET �A� TO DATE QPCOMMRTEE,AL80ENlERID.NUMBER) �ffBELF{MVLOYFD.ENi�R VALUE �NDAR VEAR nFREOUIRED) wwe oF eusiNess� (JAN 1-DEC 31) BERNIE TRUAX BIND pRESIDENT MEET&GREET 07/12/16 �PTM ❑SCC RAMI ABEDSALAM SdIND SALES MEET 8 GREET 08/11/16 �P�, . ❑SCC DEBBIE HERRARA GdIND ADMINISTRATION MEET&GREET OS/12/16 OPTM STONE ❑SCC SHANE LESOVSKY �dIND TELECOM MEET 8 GREET 08/23/18 ��T�'� COMMUNICATIONS, O� INC. , Attach addiUonal iniormatlon on appropdately labeled condnuatlon sheets. SUBTOTAL t 575 ;, '�„,",,v�;;4*'�:��F,, .,�'�;, Schedule C Summary •ConVlbuWrCodes 1. Amount recefved this period-itemized nonmonetary contributions. iNo-indiwduai (Include all Schedule C subtotals.)......................................................................................................................$ COM-RecivlentCommlttee (other Nan PTY or 3CC) 2. Amount received this period-unitemized nonmonetary conMbutions of less than $100..................................$ OTH-OUer(e.p.,busineaa entlry) aTv-Parocai a.Ny 3. Total nonmonetary contributions received thls period. sCC-smeit conmbuwr commmee (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.).....................TOTAL $ FPPC Form 460(lan/2016) FPPG Advlca:advlee�ippcca.gov(866/2753772) www.fpp4n.gov � sCHEDULEE Schedule E Amounb may b�rounded Sht�ment covera perlod � . to who��dollan. a � � ' Payments Made o�rov�s • - hom SEE INSTRUCTIONS ON REVERSE through �9/24/16 page � of� NAME OF FILER I.D.NUMBER ADAM A. RUIZ FOR TEMECULA CITY COUNCIL 2016 1384102 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campalgn perephemdldmise. MBR member communleatlons RAD redlo aktlma and produdlon coets CNS cempalgn consultenb MTG meetlngs and appearences RFD reWmed conUlbutbns C'f8 contribution(explain nonmonetary)' OFC offlce e�entes SAL campelpn vrorkers'selariea CVC civic donetlons PET pellUon ctrculating TEL Lv.or cable elrtlme an0 productlon coata FIL cendidate flllnplbel�ot tees PHO phone banks TRC cendldate travel,lodging,and meale - FND tundraisinp eventa POL poiling entl eurvey rasearch TRS alaH/spouse lrevel,lodging,end meals IND independent expendiWre eupportinplopposing olhen(explain)' POS postage,delivery and messenper servicea TSF trans(er between commlttees of the same cendidale/aponsor LEG legal defenss PRO profesalonal servlces(bgal,axounWp) VOT wter regislraUon LR campalpn Ilteralure end mNlinpa PRT prlM ads � WEB Informatlon techrwlogy costs pntemeL e-mall) NAME AND ADDRESS OF PAYEE 1v CowimFEK90 Enrm�o.NUueea) CADE OR DESCRIPTION OF PAYMENT AMOUM PAIO INNOVATIVE POLITICAL SOLUTIONS 221 N. CENTRAL AVE. CNS 7267, PMB 311 MEDFORD, OR 97501 NOTTINGHAM &ASSOCIATES, CPA'S APC 43460 RIDGE PARK DRIVE, STE 240 PRO 1500. TEMECULA, CA 92590 BUDGET WATCHDOGS 1945 W. CARSON STREET LIT 1164. TORRANCE, CA 90501 'Peymenle Ihat ere conMbudona or Independent e�endlWres mud deo be summarized on 3chedule D. SUBTOTAL S 9931 Schedule E Summary 1. Itemized paymen4s made thfs period. (Include all Schedule E subtotals.).............................................................................................................$ ��z49. 2. Unitemized payments made this period of under$100..........................................................................................................................................$ 61 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 S 11310. FPPC Form 460(Jan/2016) FPPC Advlce:advlce�fppcp.gov(866/275-3772) www.fppc.p.gov Schedule E Amounts may ha roundad ��'I i�s �� E(CONT.) (Continuatlon Sheet) W whole dollars. SUtamant covaro pe�lod � _ � , ' Payments Made rrom o�rov�s • � through 09/24��6 pa e� of� SEE INSTRUCTION9 ON REVERSE 9 NAME OF FILER I.D.NUMBER ADAM A. RUIZ FOR TEMECULA CITY COUNCIL 2016 1384102 CODES: If one of the followfng codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campalgn perephemalielmisc. M8R member communicetlons RAD rsdlo elNme end produeUon coata CNS cempaign conaultenfa MTG meetlnga and eppearances RFD retumed co�Wbutlons CTB conWbutlon(axpla�n nonrtronelary)' OFC olflce expensea SAL eampalgn workers'salarks CVC Wic donetlons PET peUUon GrculeUng TEL t.v,or cable alNme end productlon croata FIL eandidale fillnyballot teea PHO phone banka TRC cendidate travel,bdging,and meals FND fundralsing evenb POL polling and survey research TRS atafl/apouae traval,Iodping,end meels IND Independent expendllure aupportirplopposing olhers(explaln)' POS posfaga,delivery and maese�ger eervices T3F Vensfer beMroen eommlNeea of the aeme cendldate/eponaor LEG lapal defenae PRO professional se�Wces(lepal,axounting) VOT voter repleVetlon LIT campalyn Iitereture end meilings PRT print ads WEB Intortnatlon technology costn(intemet,e-mall) NAMEAND ADDRESS Of PAYEE CpDE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMTEE,AL60 EHTER ID.NUMBER) CALIFORNIA VOTER GUIDE 1945 W. CARSON STREET LIT 593. TORRANCE, CA 90501 CITY OF TEMECULA 41000 MAIN STREET FIL 725. TEMECULA, CA 92590 'Peymenla that ere conUlbutlons a Independenl expendilures mual also be summarized on Schedule D. SUBTOTAL S 1318. FPVC Form 460(Jan/2016) FPPC Advice:edvlce�fppe.ea.gov(866/2753772) www.fppe.n.gov '��;:iEDULE F Schedule F Amounbmaybarounded to whol�dollerv. gphm�nt covan padod • - � � 1 Accrued Expenses (Unpaid Bills) fr,m o�rov�s • - � throuph 09/24H6 pa e�� of � � SEE WSTRUCTIONS ON REVERSE 9 NAME OF FlLER I.D.NUMBER ADAM A. RUIZ FOR TEMECULA CITY COUNCIL 2016 1384102 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, desc�ibe the payment. CMP campelgn paraphemella/misc. MBR member communicatlonc RAD redio alNme and p�oducUon coeb CNS cempelgn consuttenb MTG meetlngs and eppearancee RFD reNmed contributlona CTB contribution(explaln nonmonetary)' OFC ofike expenaea S/1L cempaipn xrorkera'ealarles CVC clvic donetlons PET pelitlon dreulatlnp TEL 4v.or ceble airtlme end productlon cosb FIL ce�didate flling/ballot fees PHO phone benks TRC candidete travel,Iodpinp,and meals FND fundraising evenls POL poUing and eurvey research TRS elaR/spouse travel,lodpinp,and meels IND independent e�endilure supportlnglopposing others(explain)' POS paslape,delivery end mesaenper servkea TSF trenefer belween comMttees of the eema centlidate/sponeor LEG legal defense PRO profesabnel servMas(le�l,axoimtlnp) VOT voter registratlon LR campaign IlteraNre end mallings PRT prlrrt ads WEB Intormatlo�techrwlopy cosffi(inlertat e-malq NAMEANDADDRESSOFCREDITOR COUEOR (�) � �) (�) (d) (ffeo�uuTT�.usaEMe��D•�1 DESCRIPTIONOFPAYMENT OUTSTANDING AMOUNTINCURRED AMOUNTPND OUTSTANDINO BALANCE BEGINNING TFiIS PERIOD THIS PERIOD BALANCE AT CL08E OFTHI3PER100 ��T�� OFTHISPERIOD CALIFORNIA VOTER GUIDE LIT 1945 W. CARSON STREET 593 0 593 0 TORRANCE, CA 90501 BUDGET WATCHDOGS LIT 1945 W. CARSON STREET �� p �� 0 TORRANCE, CA 90501 •Paymemn mat are conmbutlone w tr�dependent sxpsnmmres muet abo he SUBTOTALS S 1757 S 0 : 1757 S 0 summerizad on S�hedule D. Schedule F Summary 1. Total accrued expenses incurred this period. (InGude all Schedule F, Column (b)suhtotals far 0 accrued expenses of$100 or more, plus tatal unitemlzed accrued expenses under$100.)..............................................INCURRED TOTALS $ 2. Total accrued expenses pafd this period. (Include ail Schedule F, Column (c)subtatals for payments on 1757 accrued expenses of$100 or more, plus total unitemized payments on accrued expenses under$100.)...................................PAID TOTALS E 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and (1757) onthe Summary Page� Column A, Line 9.)....................................................................._...........................................................................................................NET S we.. � fPPC Form 460(Jen/2016) FPPC Advite:advice�ipp�a.`ov(866/2753772) www.fppcw.gov Schedule G s,:!�EDULEG Statsmant coven por od Payments Made by an Agent or Independent �Unounts may be round�A . • . , Contractor (on Behalf of This Committee) �wholedollan. �m o�iov�s � � _ � � I �_� � Nrough 09��16 page� of S IN C710N8 E NAME OF FlLER I.D.NUMBER ADAM A. RUIZ FOR TEMECULA CITY COUNCIL 2016 1384102 NAMEOFAOENTORINDEPENDENTCON7AACTOR INNOVATIVE POLITICAL SOLUTIONS CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campalpn perephemallalmisc. MBR member communicetions RAD radlo alrtima and productlon� CN3 campalpn conaultenis MTG meeUngs end appearances RFD ratumed eonW6uWne CTB m�Mbutlon(explaln nonmoneteryj' OFC olfice eupensea SAL campaipn workera'selarlea CVC dvie donetlone PEf petltlon GrculaWp TEL W,or ceble alrtime and produdbn mab FIL candidate Blinglballot feea PHO phone banke TRC cendkete Vavel,lodgirp,and maals FND fundraleing eventa POL poWng and survey research TRS staNepouae travel,lodplrp,end made IND Independent expendlWre eupportlnploppoainp othen(axpleln)' POS postage,deAvery and messenger services TSF transfer belween committees ot the same eendidate/eponeor LEG lepel defense PRO professfonel servkes(legel,axountlngJ VOT voter reglatretton LIT campalgn Iilarelure end malllnpa PRT print ads WEB Informetlon teehnology caats(Intemet,e-mell) 'Paymenfs that are contrlbuUone or Independenl expendlturee muat aiso be eummarized o�Schedule D. NAMEANO ADORESS OF PAVEE OR CREDITOR CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID QF COMMITTEE,AL80 EHfEN I.O.NUMBER) CAMPAIGN LA 15518 S. BROADWAY ST. CMP 480. GARDENA, CA 90248 PREMIERE IMAGE, LLC. 31938 TEMECULA PKWI' WEB 1500. STE A374 TEMECULA, CA 92582 FIREHOUSE CREATIVE 29914 LIGHT SAILS CT. LIT 2369. MENIFEE, CA 92585 EDUCATE YOUR VOTE 3447 CIRCULO ADORNO LIT 370. CARLSBAD, CA 92009 Attach addiUona!information on appropRately labeled continuation sheets. TOTAL• S 4719. 'Do not Gana/er to eny other achedule or to the Summary Pape.fils total may rrot equa!the emount pefd to the apenf or FPPC Form 460(lan/2036) Independent conbaetor ea repated on SchedWe E FPPC Adrica:advlce�ippc.a.gov(866/275-3772) www.fppata.gov Recipient Committee DateStamp COVERPAGE Campaign Statement ' � ' � ' � • 1 Cover Page RECE�yED I1 Statement covers period Date of electlon if applicable: Page� of� from ^ 7/1/16 (Monlh,Day,Yeaf) SEP282p16 ForOfficialUseOnly SEE INSTRUCTIONS ON REVERSE ,h,o�9h ", 9�a.y/%� � �voaizo�s '�y�'"•S��pl' 1. Type of Recipient Committee: nn comm�nees-comvie�a Parts+,z,a,a�a a. 2. Type of Statement: 0 Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure � Preelection Statement ❑ puarterly Statement � � State Candidate Election Committee Committee ❑ Semi-annual Statement ❑ Special Odd-Year Report 0 Recall Q Controlled ❑ Termination Statement �amcomPrererarts) Q Sponsored - (AlsofleaForm410Termination)' (amComplefePartsl ❑ General Purpose Committee ❑ Amendment(Explain below) � Sponsored ❑ Primarily Formed Candidate/ � Small Contributor Committee Officeholder Committee � Political Party/Central Committee lAi:ocompieierarc» 3. Committeelnformation �.D.NLIMBER Treasurer(s) 1384102 COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER ADAM A. RUIZ FOR TEMECULA CITY COUNCIL 2016 JODY D. NOTTINGHAM MAILING A��RE55 43460 RIDGE PARK DRIVE, STE 240 STREETA��RESS(NOP.O.BOX) CITV STATE ZIPCOOE AREACODE/PHONE TEMECULA CA 92590 CITV STATE ZIPCODE AREACODE/PHONE NAMEOFASSISTANTTREASURER,IFANV EDWARD CHANDLER MAILING ADDRESS(IF DIFFERENT)NO.AND STREET OR P.O.BOX MAILING A��RESS 40335 WINCHESTER RD, STE E-140 43460 RIDGE PARK DRIVE, STE 240 CITV STATE ZIPCODE AREACODEIPHONE CITV STATE ZIPCODE AREACO�E/PHONE TEMECULA CA 92591 TEMECULA CA 92590 OPTIONAL: FN(IE-MAILAO�RESS OPTIONAL: FAX/E-MAILADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing ihis statement artd to the best of my knowledge the information co tained herein and in the attached schedules is true and complete. I certify under penalty o(p)ery'ury under the laws of the State of California that the foregoing is true and corr � ExecWed on " ��T�� ' Dae olTreasorerorAssistan�7reasurer ' Executed an ��,�� By � �ate SignaWre ot Conirolling Olfce q Cantlitlate.Sta�e Measure Proponen�or Responsible OKcer of Sponsor Ezecuted an By Dale SgnaWre ot ControlLng Officeholtlec CantliEate,State Measure Pmponent Ezecuted an By Dale SignaWre of Controllmg Offceholdeq Canditlate.5[ate Measure Pioponent FPPC Form 460(Jan/2036) 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 Page 2 of I a 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE ADAM RUIZ OFFICE SOUGHT OR HELD QNCW�E LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO.OR LETTER JURISDICTION � SUPPORT TEMECULA CITY COUNCIL ❑ oaaosE RESIDENTIAUBUSINESSADDRESS (NO.ANDSTREET) CITY STATE ZIP . Identity the controlling officeholder,candidate,or state measure proponent,if any. NAME OF OFFICEHOLDER,CANDIDATE,OR PROPONENT Related Committees Not Included in this Statement: u:ra�yoomm�aees not included in fhis statement fhat are controlled by you or are primarily/ormed to receive OFFICE SOUGHT OR HELD DISTRICT NO.IF ANV cont�lbutlons or make expendlfures on behal/of your candidacy. COMMITTEENAME I.D.NUMBER 7. Primarily Formed Candidate/Officeholder Committee Listnames of NAME OP TREASURER CONTROLLED COMMITTEE? oKceholder(5)or candidafe/s)Por which this commiHee is p�imarily/ormed. ❑ YES ❑ NO COMMITTEE A�DRESS STREET ADDRESS (NO P.O.BOX) NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE CITV STATE ZIPCODE AREACODE/PHONE NAMEOFOFFICEHOLDERORCANDIDATE OFFICESOUGHTORHELD • ❑ SUPPORT ❑ OPPOSE COMMITTEE NAME I.�.NUMBER � NAMEOFOFFICEHOLDERORCAN�IDATE OFFICESOUGHTORHELD ❑ SUPPORT ❑ OPPOSE NAME OF TREASURER CONTROLLED COMMITTEE? NAME OF OFFICEHOLDER OR CANDI�ATE OFFICE SOUGHT OR HELD ❑ YES ❑ NO ❑ SUPPORT ❑ OPPOSE COMMITTEEADORE55 STREETA��RESS (NO P.O.BOX) CITV STATE ZIPCODE AREACODE/PHONE Attachcontinu8tionsheet57fnece5sary FPPC Form 460(lan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov Campaign Disclosure Statement Amountsmayberounded SUMMARYPAGE to whole dollars. Statement covers period o . Summary Page o�rov�s . - ' • � from SEEINSTRUCTIONSONREVERSE through �9�24��6 page `� of�_ NAME OF FILER I.D.NUMBER ADAM A. RUIZ FOR TEMECULA CITY COUNCIL 2016 1384102 Contributions Received .o�rH�m E oo �O�,o R"B Calendar Year Summary for Candidates �FaomnrrncHeoscHeou�es� ro,n�.00nre Running in Both the State Primary and General Elections 1. Monetary Contributions................................................... s�nad�iea,u�a3 $ 2675. $ 4OHO. �� hrou9h 6/30 7/� to Dale 2. Loans Received................................................................ scneduie e,u�e 3 5000. 23500. 7675. 27580. za. Contributions 3. SUBTOTAL CASH CONTRIBUTIONS.............................. ado�ines t+z $ $ Received $ $ 4. Nonmoneta Contributions............................................ scneau�e c,u�e 3 1054. 1454. ry 21. Expenditures 5. TOTALCONTRIBUTIONSRECEIVED....................................AddLines3�4 $ 87z9. g 29034. Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made�................................................................ scned�ie E,u�a a $ 11310. g 20598. Candidates 7. Loans Made....................................................................... scneduie H,�ine s 0. 0 11310. � 20598. 22. Cumulative Expenditures Made' 8. SUBTOTALCASH PAYMENTS.......................................... AddLines6+7 $ $ (ItSub�ecitoVoluntaryExpentlllureLlmit) 9. Accrued Expenses(Unpaid Bills)..........................................scnedwe F u�e s (1757). 0. Date of eieaion Total to Date 10. Nonmonetary Adjustment.........................................................scnea�ie c,une s 0. 400. (mm/dd/yy) 11. TOTALEXPENDITURESMADE........................................AddLinesB+g+�O $ 9553. g - 20998. �� $ Current Cash Statement �� $ 12. Beginning Cash Balance............................ areao�s s�mmary Pa9e,u�e�s g 10617. To calculate Column B, . � 7675. add amounts in Column 13.CaShRBCelpts........................................................... ColumnA,Line3above � A to the corresponding �Amounts in this section may be different from amounts 14. Miscellaneous Increases to Cash.................................. scneduie i,u�e a amounts from COlumn B reported in Column B. 15.CashPayments......................................................... co��mna,uneaabo�e 1131�. of your last report. Some� amounts in Column A may 16. ENDING CASH BALANCE ..................Adtl Lines 71 i 73+iq,then subtract Line 15 $ � 6982� be negative figures that - should be subtracted fmm I/this is a termination statement,Line 16 mus[be zero. previous period amounts. If this is the f rst report being 17. LOAN GUARANTEES RECEIVED................................ scneduie e.Part z $ 0. fled For this calendar year, only carry over the amounts Cash Equivalents and Outstanding Debts from Lines 2,7,and 9(if 18. CaShEqUlV8lents................................................ Seeinsbuctionsonreverse g � any). 19. OutstandingDebts.............................. addLine2+Line9inColumneabove $ �' FPPCForm460�Jan/2016) FPPC Advice:advice@fppc.ca.gov(S66/275-3772) www.fppc.ca.gov Schedule A Amounts may be rounded SCHEDULE A Monetary Contributions Received to whole dollars. Statement covers period � . � 7/1/16 • � from � � SEEINSTRUCTIONSON REVERSE th�ough ��6 Page / of�� NAME OF FILER I.D.NUMBER ADAM A. RUIZ FOR TEMECULA CITY COUNCIL 2016 1384102 DATE FULINAME,STREETADDRESSANDZIPCODEOFCONTRIBUTOR CONTRIBUTOR IFANINDIVIDUAL,ENTER AMOUNT CUMULATIVETODATE PERELECTION prcaMmirree,usoeNTeai.o.Numsea) OCCUPATIONANDEMPLOVER RECENEDTHIS CALENDARYEAR TODATE RECEIVED CODE * pF sE�F-EMv�oveo.eNrEa unME PERIOD (JqN.1-DEC.37) (IF REQUIRED) OF BUSME55) JAMIE MCNEES ��No SELF EMPLOYED 07/11/16 ❑OrH THE INSURANCE LADY ❑PTY ❑SCC GROW ELECT ❑1ND 7/11/16 1020 12TH STREET, STE 232 BCOM 1000. 1000. SACRAMENTO, CA 95814 ❑OTH FPPC#1342160 ❑PTY ❑scc JOAN SPARKMAN ��N� RETIRED 7/12/16 ❑OTH ❑Pn ❑scc JOHN KELLIHER 01ND pRESIDENT 07/28/16 27286 VIA INDUSTRIA, STE A ❑coM GRAPELINE, INC. 100. 100 TEMECULA, CA92590 ❑OTH ❑PTY ❑SCC LUIS A. GONZALEZ 01ND SELF EMPLOYED 08/12/16 ��TH FUMIGATION ❑PN ❑SCC SUBTOTAL$ 1750 � . � SChBf�U�@ A$UfTll'T18n/ 'Contributor Codes 1. Amount received this period-itemized monetary contributions. iNo-ina��duai (IncludeallScheduleAsubtotals.).........................................................................................................$ 2675 COM—Recipien[Commitlee (other than PTY or SCC) 2. Amount received this period-unitemized monetary contributions of less than $100...........................$ 0 OTH—Other(e.g.,business entity) PTY—Political Party 3. Total monetary contributions received this period. scc-smau contributor committee �Add Lines 1 a�d 2. Enter here and on the Summa Pa e, Column A, Line 1. TOTAL $ 2675 iY 9 )...................... FPPC Form 460(lan/2016) FPPC Advice:advice@fppc.ca.gov(866/2753772) www.fppc.ca.gov Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULEA (CONT.) Monetary Contributions Received towholedollars. Statementcoversperiod � . from 7/1/16 • . � • ' through 09�4(�6 page of� � NAME OF FILER I.�.NUMBER ADAM A. RUIZ FOR TEMECULA CITY COUNCIL 2016 1384102 OATE FULLNAME,STREETADORESSANDZIPCODEOFCONTRIBUTOR CONTRIBUTOR IFANINDIVI�UAL,ENTER AMOUNT CUMULATIVETOOATE PERELECTION RECENED (IFCOMMITTEE.ALSOENTERID.NUMBER) CODE * �CCUPATIONANDEMPLOVER RECEIVEDTHIS CALENDARYEAR TODATE pFse�F-emv�oveo.eHreaNnme pERIOD (JAN.1-DEC.31) (IFRE�UIRED) OF BUSMESS� � LORI MARUFFO ��N� HR CONSULTANT 08/23/16 ❑OTH ❑PTY ❑SCC TERRY MCCUNE 01ND RETIRED 08/29/16 ❑OTH ❑PTY ❑SCC RAY FALKNER 01ND WINEGROWER OS/31/16 ❑orH ❑PTY ❑SCC GREGG SCOTT QIND BUSINESS OWNER 09/01/16 ❑oTH ❑PTY ❑SCC JENNIFER RASMUSSEN 01ND gqNKER 09i19/16 �Pn TEMECULA ❑scc . SUBTOTAL$ gps . � - � . 'Contributor Codes IND—Individual COM—Recipient Committee (other than PN or SCC) OTH—Other(e.g.,business entity) PTY—Political Party FPPC Form 460 1an 2016) SCC—Small Contributor Committee ( � FPPC Advice:advice@fppc.ca.gov�866/2753772) www.fppc.ca.gov Amounts may be rounded � SCHEDULE B-PART 1 Schedule B — Part 1 to whole dollars. Statement covers period Loans Received � � • � from ��1/16 • - SEE INSTRUCTIONS ON REVERSE through �9�24��6 Page� of �� NAME OF FILER � I.D.NUMBER ADAM A. RUIZ FOR TEMECULA CITY COUNCIL 2016 1384102 IF AN INDIVI�UAL,ENTER a FULLNAME,STREETADDRESSANDZIPCODE OUTSTAN�ING AMOUNT qMOUNTPAID OUTSTANDING INTEREST ORIGINAL CUMULATIVE OF LENDER OCCUPATIONAND EMPLOYER gALANCE RECEIVED THIS BAL-4NCE AT pqlD THIS AMOUNT OF CONTRIBUTIONS pFComMirreE.nLSOENTERI.o.NUMBER) OFseLF-EMPLOYED,ENTER BEGINNINGTHIS ORFORGIVEN CLOSEOFTHIS NnnneoFeuswess� pERIOD PERIOD THISPERIOD� pERlO� PERIOD LOAN TODATE BERNIE TRUAX PRESIDENT ❑PAID CALENDARYEAR B II AJ, LLC $ $ 22,500 % $ 17.500 $ w�rE ❑FORGIVEN PER ELECTION�� E 17,500 $ 5,000 $ $ 06/28/16 $ t� IN� ❑ COM ❑ OTH ❑ PTV ❑ SCC DATEDUE DATEINCURREO ADAM RUIZ REAL ESTATE AGENT ❑PAID CALENOARYEAR ESTATE �rE ❑FORGNEN PER ELECTION"` y �,�� $ � $ $ �6�2g��6 5 t� IND ❑ COM ❑ OTH ❑ PTV ❑ SCC DATEDUE DATEINCURRED _ ❑PAID CALENDAR VEAR g $ % E g anre ' ❑FORGNEN PER ELECTION" f S t0 IND ❑ COM ❑ OTH ❑ PTY ❑ SCC $ DATEDUE $ OATEINCURRED a SUBTOTALS $ 5,000 S $ 23,500 $ (Emer(e)on Schedule B Summary 5=hed��aE,��e3� 1. Loans received this period....................................................................................................................$ S nnn (Total Column (b) plus unitemized loans of less than $100.) . tContributor Codes 2. Loans paid orforgiven this period..................................................... .........................................$ � IND—Individual (Total Column (c) plus loans under$100 paid or forgiven.) coM-Re��pienc comm�nee Include loans aid b a third art that are also itemized on Schedule A. (omer ma�pry or scc) � P Y P Y � OTH—Other(e.g.,business entity) PTY—Political Party 3. Net change this period. (Subtract Line 2 from Line 1.)..............................................................NET $ 5,nnn SCC—Small Contributor Committee Enter the net here and on the Summary Page, Column A, Line 2. iM=veaa�a9a��a��mee�� 'Amounts forgiven or paid by another party also must be reported on Schedule A. FPPC Form 460(Jan/2016) "If required. FPPC Advice:advice@fppt.ca.gov(866/275-3772) www.fppc.ca.gov Schedule C Amounts may be rounded to whole dollars. SCHEDULE C Nonmonetary Contributions Received statementcoversperiod � , trom 7/1/16 • ' � • 1 09/24/16 �a SEE INSTRUCTIONS ON REVERSE thfough Page� of NAMEOF FIIER I.D.NUMBER ADAM A. RUIZ FOR TEMECULA CITY COUNCIL 2016 1384102 IFAN INDIVIDUAL,ENTER AMOUNT/ CUMUL4TIVE TO DATE FULL NAME,STREETADDRESS AND CONTRIBl1TOR DESCRIPTION OF DATE PER ELECTION RECEIVED ZIP CODE OF CONTRIBUTOR CODE• OCCUPATIONAND EMPLOVER GOO�S OR SERVICES FAIR MARKET TO DATE �IFCOMMITfEE.ALSOENTERI.O.NpMBER) (IFSELFEMPLOVED.ENTER VAWE CALENDAR VEAR (IFRE�UIRED) Nnme OF eusisess� (JAN 1-DEC 31) MIA BELLA HOPE B IND RESTAURANT MEET& GREET 08/25/16 O PTM HAVANA KITCHEN ❑SCC ALFRED MORIN �IND SOFTWARE MEET& GREET 09/06/16 ❑COM ENGINEER 130 130 ❑OTH OASIS SYSTEMS, ❑PTY LLC ❑SCC HOWARD DELLSITE �IND SELF EMPLOYED MEET& GREET 09/16/16 ❑OTH ❑PTY ❑SCC SRCAR ❑IND REALESTATE 100FLYERS 09/02/16 26529 JEFFERSON AVE, ��M TRADE 24 24 MURRIETA, CA 92562 �oTH ASSOCIATION ❑PTY ❑SCC Attach additional information on appropnately labeled continuation sheets. SUBTOTaL$ 479 Schedule C Summary "Gontributor Codes 1. Amount received this period-itemized nonmonetary contributions. iNo-i�divid�ai (Include all Schedule C subtotals.)......................................................................................................................$ 1,054 COM—RecipientCommittee (other�han PTY or SCC) 2. Amount received this period—unitemized nonmonetary contributions of less than $100..................................$ o7H—o�ner(e.g.,business enciry) PTY—Political Party 3. Total nonmonetary contributions received this period. scc-sman contr�e��or comminee �Add Lines 1 and 2. Enter here and on the Summa Pa e, Column A, Lines 4 and 10. TOTqL $ 1,054 rY 9 )..................... FPPC Form 460(Jan/2016) FPVC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov Schedule C Amounts may be rounded SCHEDULE C Nonmonetary Contributions Received towholedoliars. P � Statementcovers eriod ' I � trom 7/1/16 � ' through �9/24/16 pa e � of I � SEE INSTRUCTIONS ON REVERSE 9 NAME OF FILER I.D.Nl1MBER ADAM A. RUIZ FOR TEMECULA CITY COUNCIL 2016 1384102 IFAN INDIVIDUAL,ENTER AMOUNT/ CUMULATIVE TO pER ELECTION DATE FULL NAME,STREETADDRESSAND CONTRIBUTOR DESCRIPTION OF DATE RECEIVED ZIP COOE OF CONTRIBUTOR CO�E* OCCUPATION AND EMPLOVER GOODS OR SERVICES FAIR MARKET TO DATE (IFCOMMITfEE,NLSOENTERID-NUMBER) �1FSELFEMPLOYEqENTER VALUE CALENDAR VEAR IFRE�UIRED HnMe oF BusiNess) (JAN i-DEC 31) � � BERNIE TRUAX B IND pRESIDENT MEET&GREET 07/12/16 ❑OTH ❑PTY ❑SCC RAMI ABEDSALAM GdIND SALES MEET & GREET 08/11/16 ❑OTH ❑PTY ❑SCC DEBBIE HERRARA G31No ADMINISTRATION MEE7 & GREET 08/12/16 ❑oTH STONE ❑PTY ❑SCC SHANE LESOVSKY ��N� TELECOM MEET& GREET 08/23/16 ❑oTH COMMUNlCATIONS, ❑PTY INC. ❑scc " Attach additional information on appropriately/abeled continuation sheets. SUB70TA�$ 575 Schedule C Summary 'ConMbutor Codes 1. Amount received this period-itemized nonmonetary contributions. wo-individuai (Include all Schedule C subtotals.)......................................................................................................................$ COM-RecipientCommittee - (other than PTY or SCC) 2. Amount received this period-unitemized nonmonetary contributions of less than $100..................................$ OTH—Other(e.g.,business entity) PTY—Political Party 3. Total nonmonetary contributions received this period. scc-smau cor,cr�bucor comm�nee (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.).....................TOTAL $ FPPC Form 460(lan/2016) � FPPC Advice:advice@fppc.ca.gav(866/275-3772) www.fppc.ca.gov Schedule E Amounts may be rounded SCHEDULE E to whole dollars. Statement covers period � . I Payments Made 07/01/16 • ' � � from SEE INSTRUCTIONS ON REVERSE through �9/24��6 page � Of� NAME OF FILER I.D.NUMBER ADAM A. RUIZ FOR TEMECULA CITY COUNCIL 2�16 1384102 CODES: If one of the following codes accurately describes the payment, you may enter the code. Othervvise, describe the payment. CMP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD reWmed contributions CTB contribution(explain nonmonetary)' OFC offce expenses SAL campaign workers'salaries CVC civic donations PET petition circulating TEL t.v.or cable airtime and production costs FIL candidate fling/ballot fees PHO phone banks TRC candidate travel,lodging,antl 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 �iFCOMMirree.n�soeHreai.o.Humeea) CODE OR DESCRIPTIONOFPAYMENT AMOUNTPAI� INNOVATIVE POLITICAL SOLUTIONS 221 N. CENTRAL AVE. CNS 7267. PMB 311 MEDFORD, OR 97501 NOTTINGHAM &ASSOCIATES, CPA'S APC 43460 RIDGE PARK DRIVE, STE 240 PRO 1500. TEMECULA, CA 92590 BUDGET WATCHDOGS 1945 W. CARSON STREET LIT 1164. TORRANCE, CA 90501 _ �Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ gg3� Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.)............................................................................................................. $ 11249. 2. Unitemized payments made this period of under$100.......................................................................................................................................... $ 61 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 $ 11310. FPPC Form 460(lan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov SCHEDULEE(CONT.) Schedule E Amountsmayberounded (Continuation Sheet) towholedollars. Statementcoversperiod � _ I • ' Payments Made f�om 07/01/16 � - through 09/24/16 �. SEE INSTRUCTIONS ON REVERSE Page� of� NAME OF FILER I.�.NUMBER ADAM A. RUIZ FOR TEMECULA CITY COUNCIL 2016 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 retumed contributions CTB contribution(explain nonmonetary)` OFC offce expenses SAL campaign workers'salaries CVC civic donations PET pefition circulating TEL t.v.or ca61e 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 iransfer between committees o(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) NAMEANDADDRESS OF PAVEE CODE OR DESCRIPTION OF PAVMENT AMOUNT PAID QF COMMITfEE,AL50 ENTER I.D.NUMBER) CALIFORNIA VOTER GUIDE 1945 W. CARSON STREET LIT 593. TORRANCE, CA 90501 CITY OF TEMECULA 41000 MAIN STREET FIL 725, TEMECULA, CA 92590 'Payments that are contributions or independent ezpenditures must also be summanzed on Schedule D. SUBTOTAL$ 1318. FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov SCHEDULEF Schedule F nmountsmayberounded to whole dollars. Statement covers period • � � • , Accrued Expenses (Unpaid Bills) from 07/01/16 • - through 09/24l16 � SEE INSTRUCTIONS ON REVERSE Pa9e ( � �� NAME OF FILER I.D.NUMBER ADAM A. RUIZ FOR TEMECULA CITY COUNCIL 2016 1384102 CODES: If one of the following codes accurately describes the payment, you may enter the code. Othenvise, describe the payment. CMP campaign paraphernalia/misc. MBR memher communications RAD radio airtime and production costs CNS campaign consultants MTG meeiings antl appearances RFD returned conMbutions CTB contribution(explain nonmonetary)' OFC office expenses SAL campaign workers'salaries CVC civic donations PET petition circulating TEL [.v.or cable airtime and production costs FIL candidate filing/balbt(ees 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 wter registration LIT campaiqn literature and mailings PRT print ads WEB information technology costs(internet,e-mail) NAMEANDADORESS OF CREDITOR CODE OR (a) (b) (c) (d) OUTSTANDING AMOUNTINCURRED AMOUNTPAID OUTSTANOING (iF eomMirree,nLso Er�rER I.D.HUMBER) DESCRIPTION OF PAYMENT gp�qNCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE OFTHISPERIOD (ALSOREPORTONE) OFTHISPERIOD CALIFORNIA VOTER GUIDE LIT 1945 W. CARSON STREET 593 0 593 0 TORRANCE, CA 90501 BUDGET WATCHDOGS LIT 1945 W. CARSON STREET 1164 0 1164 0 TORRANCE, CA 90501 'Payments that are contributions or independent expentlitures must also 6e SUBTOTALS $ ��5] $ � $ ��5� $ summanzed on Schedule D. 0 Schedule F Summary 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b)subtotals for accrued ex enses of$100 or more, lus total unitemized accrued ex enses under$100. � P P P )..............................................INCURRED TOTALS$ Z. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on accrued expenses of$100 or more, plus total unitemized payments on accrued expenses under$100.)...................................PAID TOTALS $ 157 3. Net change this period. (Subtrect Line 2 from Line 1. Enter the difference here and 1757 onthe Summary Page, Column A, Line 9.)...................................................................................................................................................................................NET$ � ) May be a nega6ve numbe� � FPPC Form 460(Jan/2016) � � FPPC Advice:advice@fppaca.gov(866/2753772) . www.fppc.ca.gov SChedule G SCHEDULEG Payments Made by an Agent or independent Amounts may be rounded Statement covers period � Contractor (on Behalf of This Committee) to whole dollars. f�om o�ioiiis � , � � � • � through 09/24/16 pa e� of � � SEE INSTRUCTIONS ON REVERSE 9 NAME OF FILER I.D.NUMBER ADAM A. RUIZ FOR TEMECULA CITY COUNCIL 2016 1384102 NAMEOFAGENTORIN�EPENDENTCONTRACTOR INNOVATIVE POLITICAL SOLUTIONS 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 retumed contnbutions CTB contribution(explain nonmonetary)' OFC offce expenses SAL campaign workers'salaries CVC civic donations PET petition circulating TEL t.v.or cable airtime and production costs FIL candidate ilinglballot 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 Ihe 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) `Payments that are contributions or independent ezpenditures must also be summarized on Schedule D. NAME AND ADDRESS OF PAVEE OR CRE�ITOR �iFcoMminee,n�SoeNreei.o.Humaea� CODE OR DESCRIPTIONOFPAYMENT AMOUNTPAID CAMPAIGN LA 15518 S. BROADWAY ST. CMP 480. GARDENA, CA 90248 PREMIERE IMAGE, LLC. 31938 TEMECULA PKWY WEB 1500. STE A374 TEMECULA, CA 92592 FIREHOUSE CREATIVE 29914 LIGHT SAILS CT. LIT 2369. MENIFEE, CA 92585 EDUCATE YOUR VOTE 3447 CIRCULO ADORNO LIT 370. CARLSBAD, CA 92009 Attach additional information on appropriately labeled continuation sheets. TOTAL' $ 4719. `Do not transfer to any other schedule or to the Summary Page. This total may not equal the amount paid fo the agent or FPPC Form 460(lan/2016� independent contracfor as reported on Schedule E. FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov . � Recipient Committee o.,,s,,,,,, ��FR PACE Campaign Statement ' � ' � ' ' • 1 Cover Page RECEIVEp � StMement eovars perlod Date of deeUon H applicable: -" — - � - hom 04/OS/2016 (Month,Day,Year) �� z� 2016 Fo�cmo:ai use ooiy SEE INSTRUCTIONS ON REVERSE 111fOUgh OGI3OIZO�B ITY CLERK3 1. Type of Recipient Committee: �n commm..s-como�•P•N++.z.s,.�a s. 2. Type of Statement: � � OfAceholder,Candftlate CoMrolled Commtttee ❑ Primarly FomkW Balbt Measure ❑ Praelection Statement � puaAerly Statement � Stale CandWate Ekclbn Commfttee ComMttae � Semi-ennual Stetement Speclal Odd-Year ReDaR � Recall � Controlled ❑ Termination Statement �°�"w"p'^� � SponsoreA (Aleo file a Form 410 Terminatlon) anocbmM.v.rp ❑ General Purpose Commiqee ❑ Amendment(Exp�afn below) 0 Sponsored ❑ P�arily Formed Candidate! � Small Conldbutor Commlttee OfAceholder Committee � Political PartyfCenlrol Commltlee f��n 3. Committeelnformatfon I.D.NUMBER Treasurer(s) 1384102 COMMITTEE NAME(OR GANOIDATE'S NAME Ii NO COMMITTEE) NMIE OF TilEASVRER ADAM A. RUIZ FOR TEMECULA CITY COUNCIL 2016 JODY D. NOTfINGHAM nwuN 43480 RIDGE PARK DRIVE STE 240 STREETPDDRE53(NO P.O.BOX) CITV STATE L DE AREACOOE/PHONE TEMECULA CA 92590 CIT' STATE ZIP CODE AREACODE?HONE NAME OF ASfiISTANf TREASURER,IF ANY EDWARD CHANDLER MAIIJNGADDRE35(IF DIFFERENT)N .RND STREET OR P.O.BO% MAILINO ADDRESS 40335 WINCHESTER RD, SUITE E-140 43460 RIDGE PARK DRIVE STE 240 CITV STATE ZIPCODE AREACOOHPHONE CRY STATE ZIPCODE AREACODE/PHONE TEMECULA CA 92591 TEMECULA CA 92590 OPTIONAL: FAX I E-MNL ADORESS OPTIONAL: FAX I E-MAILAD00.E33 4. Veriflcation I hava usetl all reasonabb dlligence In preparirg arM reWewing this statement and to the best ol my knovAedge the informatlon contained�ereln end)))n the attached schedules is true and comptete. I certify undar penelty of perjury unCer the lews ol the Slate of Calitomla that the toreqd e end coned. _/ exewroa m 7/-�"�' ��o B ��-'Lr • rYw�ar«b nnurx �,a,��, u1�ZS 1 0Y ax, u. uu uun a eapaWds ol ponear E�.wroa a� By • bN ExlCIIIltl M WI� BY $�YEI� . . Itl�MNMlI�PlapetNrq FPPC Form 460(lan/2036) FVPCAdv(ce:adWceOfppc.ca.gw�866/2753772) www.fpPcca.gov J�; � Campaign Disclosure Statement Amountsmayberounded SUMMARYPAGE Summary Page towholadollars. gtabmeMeovenpeAod � • - • � trom 04I05/2016 • - SEEINSTRUCTIONSONREVERSE th�ouph O6I3O/ZOIs pege 2 of U NAME OF FILER I.O.NUMBER JODY D. NOTTINGHAM 1384102 Column A Column e Calendar Year Summary for Candidates Contributions Received roT�unasvenroo GLLENOMYEAF (FROM�TTACHE09G1EDUlE87 rou�,ow.e Running in Both the State Primary and General Elections 1. Monetary Contributions................................................... scnee��e a,u�e 3 S 1405 a 1405 �� ro�on sno �n a o.0 2. LoensReceived................................................................ scned�iee.u�es 18500 18500 20. Contributions 3. SUBTOTALCASHCONTRIBUTIONS.............................. aadu�esi.s g 19905 $ 19905 Received S S 4. Nonmonetary Contributions............................................ scnedwe c,u�e s 400 400 Z� Expendiwres 5. TOTALCONTRIBUTIONSRECEIVED...................................Aaaunesa+e g 20305 S 20305 Made $ E Expenditures Made Expenditure Limit Summary for State 6. PaymentsMade................................................................ smeawee.wea 5 9288 s 9288 Candidates 7. Loans Made....................................................................... sdadws n.�ine 3 0 0 22. Cumulative Expendtturea Made• 8. SUBTOTALCASHPAYMENTS.......................................... amu�ese+� a 9288 S 9288 Ircs�e�.n�ovomm.rye.P.nmwnumn� 9. Accrued Expenses(Unpaid Bills)..........................................sa�eaweF u�re3 75� ��5� Date of E�eaion Totei to Date 10. Nonmonetary Adjustrnent.........................................................scnea�e c.une a 400 400 (mnvaM'Y) 11. TOTALEXPENDITURES MADE........................................aedu�eae.s+io S 11445 s 11445 �� $ Current Cash Statement —�� $ 12. Beginning Cash Balance............................ rrsvaua summaryaeoe.u�re S � To calwlate Column B, 13. Cash Receipts........................................................... caumnA urre 9 aiww 19905 aaA amounts In Column p '0'10�B��P°��^9 •Amounts in this section may be tliRerent hom amounts 14. MisC811ane0u3 InC�883B3 t0 CBSh.................................. Smeai�ls�.tine e ertrounte from Column B repohed in Column B. 9288 of your laat report. Some 15. Cash Payments......................................................... cawxrmA une a aaove artrounts In Column A mey 18. ENDINGCASHBALANCE ..................naaunsaiz+ia+i�,msnwnr�anurro�s 3 10617 penegativeBguresthat should be eu6tracted Irom 1/tAls Is e term/nafion stafement,L/ne 16 musf be zero. prevlous pertod amoun4a. If this is ihe fiBl report being 17. LOAN GUARANTEES RECEIVED.................. .......... scneawe e,Part s S 0 fllad lor thls calendaryear, "" only carry over the amounts Cash Equivalents and Outstanding Debts from Linea 2,7,and 9(it e�Y>. 18. Cash Equivalents................................................ see;nsmicbonsonrererx S 19. OutstandingDebts.............................. aeaurro2+u�earncowmnesaova S 2�25� FPPCForm460(lan/2016) FPPC AdWce:advice�fppc.a.gw(866/275d772� www.fppc.ca.gw Schedule A Amounb msy be rounded SCHEDULE A Monetary Contributions Received towholedollarn. $q�9mentcoversparlod � ' ' • 1 �m 04l05/2016 � - through �6/3�/2�16 Pa e 3 of U SEE INSTRUCTIONS ON REVERSE 8 NAME OF FILER I.D.NUMBER JODY D. NOTTINGHAM 1384102 pA� FULLNAME,STREETADDRESSANDZIPCODEOFCONTRIBUTOR CONTRIBUTOR IFANINDMOUAL.ENTER AMOUNT CUMUUTNETODATE PERELECTION (sCouumEE.euoEirtEnI.D.MI4BER) OCCUPATONANDEMPLOVER RECEIVEDTNIS CALENDARVEAR TODATE RECENED CODE � pF8ELF{MPlOYED,EMERIUYE PERIOD oFaullxEss) (JAN.1-DEC.71) (IFREOUIRED) CREPAC ❑IND 05l1212016 525 S. VIRGIL AVE �COM 1000 1000 ❑OTH LOS ANGELES, CA 90020 ❑PTv FPPc+► �101 ❑scc SUSAN EBERT mIND 06(03I2016 �Pr' SIGNATURE RE GR ❑scc m IND LINDA WUN�ERLICH ❑COM PUBLISHER 06103/2016 �P�, VALLEY BUSINESS ❑SCC �OURNAL, INC KRISTA COOPER �IND O6/10/2016 ❑pTY ❑SCC GARY THORNHILL �iND ❑coM DIRECTOR OF BUS 100 100 O6/28/16 ❑PTv TRUAX DEVELOPMENT ❑SCC SUBTOTALS 1,400 Schedule A Summary •co��rio�no�c�ae5 1. Amount received this period-ftemized monetary contributions. iNo-indiviauai (IncludeallScheduleAsubtotals.).........................................................................................................$ 1,400 COM—RedpientCommittee (oMer than PTY or SCC) 2. Amount received this period-unitemized monetary contributions of less than$100...........................5 5 Oni-ou,er�e.g.,business entiry) PTY—PolRical Party 3. Total monetary contributions received this period. scc-Sman conwnuior comminee (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.)......................TOTAL S �,405 FPPC Form 460(lan/2016) FPPC AdWce:advi[e�fppc.o.gw(866/275-3772J www.ippcca.gov Amounb mey be rounded ��';=�'.��-'= 3-PART 1 Schedule B — Part 1 towholedollan. Statementcovaroparlod � _ 1 Loans Received rrom oarosi2ois . - . � SEE INSTRUCTIONS ON REVERSE through O6I3O/2016 page � of� NAME OF FILER I.D.NUMBER JODY D. NOTTINGHAM 1384102 IFAN INDIVIDUAL,ENTER INTEREST ORIGINAL CUMULATIVE FULLNAME,STREETADORESSANDZIPCODE OVTSTANDING AMOUNT qMOUNTPAID OUTSTANDING • � OFLENDER OCCUPATIONANDEMPLOVER BALANCE RECENEDTf715 BAUNCEAT PAIDTHIS AMOUNTOF CONTRIBUTIONS QF fAMMRTEE,AL30 ENTEN 1.0.NUMBFA) �F SELF-ENPLOYED.EHfER qEGINNING THIS OR FORCaIVEN CLOSE OF THIS NM�EOFBU61NE65) pERIOD PERIOD TM�SPERIOD' pERIOD PERIO� LOAN TODATE BERNIE TRUAX PRESIDENT ❑�� CALENDARYEAR ❑Fdi6NEN � PER ELECTION" 3 � s �7,rJ0� f y �s/28/�6 S t� IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DnTE WE WTEINCURRED ❑vuo GLENQ4R YEAR Adam Ruiz Real Estate Agent ❑FOROIVEN �� PER ELECTION'� , o , �,000 , , os�za��s , tm IND ❑ COM ❑ OTH ❑ PTV ❑ SCC MTEDUE DATEINCURRED ❑PNO GLENDAR YEAR s f _% i S ❑FORGIVEN � PERELECTION� � s = s s TQ IND ❑ COM ❑ OTM ❑ PTV ❑ SCC MTE WE DATEINCURRED SUBTOTALS S 18,�J0 i t 18,500 S �eM.a�«� Schedule B Summary s�.E.��.3, 1. Loans received this period....................................................................................................................$ �n (Total Column (b) plus unitemized loans of less than $100.) iContBbutar Codes 2. Loans paid orforgiven this period............................................. .................................................3 n IND—InAividual �� COM—Reciplent Committee (Total Column (c) plus loans under 5100 paid or forgiven.) �omer tnan ary or scc� (Include loans paid by a third party that are also Remized on Schedule A.) OTH—Other(e.g.,business entlty) PTV—Polnical Party 3. Net change this period. (Subtrect Line 2 from Line 1.)..............................................................NET E +g,�nn scc-small Concriou�or comminee Enter the net here and on the Summary Page, Column A� LI�18 Z. (MryM�np�IMnumMr) 'Amounte forgiven or paid by another party also must be reportetl on Schedule A. fPPC Form 460(lan/2016) "If raqulred. FPPC Advice:advi[e�fppc.Ca.gw(866/275-3772) www.fppc.ca.gov Schedule C Amounts may be rounded to whola dollaB. SCHEDULE C Nonmonetary Contributions Received SntameMeovanperlod �_ ,ro,,, oaiosi2o�s . - � • � through O6/30/2016 Pa e S o� � SEEINSTRUCTIONS ON REVERSE 9 N I.D.NUMBER JODY D. NOTTINGHAM 1384102 IF AN INDMDUAL,ENTER AMOUNT/ CUMULATNE TO pER ELECTION DATE FULLNAME.STREETADORESSAND CONTRIBUTOR DESCRIPTION OF RECENED Z�P CO�E OF CONTRiBUTOR CODE' OCCUPATION AND EMPLOYER �DS OR SERVICES FAIR MARKET �A� 70 DATE pFtw�wiiEE.unoerrEnl.O.ruueEa) �8�'E��m•�� VALUE �ENDAR VEAR 1MMEOFBIiSMESH� (JAN7-DEC71) (IFRE�UIRED) LUKE PYTLIK ��ND ARTIST 1000 BUSINESS 5/10/2016 2�574 COMMERCE CENTER DR 233 OpTM EXECUTIVE INK CARDS, 150 150 TEMECULA, CA 92590 �p�y DESIGN & ❑SCC PRINTING BERNIE TRUAX GdIND pRESIDENT MEET 8 GREET 7/12/2016 �pTy MANAGEMENT ❑SCC GROUP ❑wo ❑COM ❑OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC Attach additional information on appropriately labeled continuafion sheets. SUBTO7AL S 400 Schedule C Summary 'Contdbulor Codes 1. Amount received this period-itemized nonmonetary contributions. iNo-indwiduai (Include all Schedule C subtotals.)......................................................................................................................$ 400 COM-ReclpientCommittee (other than P7Y or SCC) 2. Amount received this period-unitemized nonmonetary contributions of less than $100..................................$ O OTH—Other(e.g.,business entlly) PTY—Polttical Party 3. Total nonmonetary contributions received this period. scc-sman corrcr�butor commmee (Add Lines 1 and 2. Enter here and on the Summary Page, ColumnA, Lines 4 and 10.).....................TOTAL E 400 FPPC Fwm 460(Jan/2016) FPPC Advice:advice�fppca.gw(866/2753772) www.fppco.gov Schedule E Amounb msy be rounEed Stetement ewen perlod SCHEDULE E �o Mn,oi.aou.n. ' - , • 1 Payments Made �,m oaiosrzo�s • - SEE INSTRUCTIONS ON REVERSE Mrough O6/30/2016 ' page " of `� NAME OF FILER I.D.NUMBER JODY D. NOTTINGHAM 1384102 CODES: If one of the following codes accurately describes the payment, you may enter the code. Othervuise, describe the payment. CMP cempalgn peraphemalia/misc. MBR member communicatlons RAD redio elAime and produdlon costs CNS cempalgn consuRants MTG meetings and appearances RFD retumeA conMbutiona CTB conUibWon(exptain nonmonetary)' OFC office expenses SAL cempeign workers'aaleriea CVC GWc donatlons PET petillon circulating TE� l.v.or cable airtime entl production costs FIL candltlete fllinglballot tees PHO phone Eanks TRC cenditlate travel,lodging,end meals FND fundraleing avan4a POL polling end survey research TRS ataftlspouse Vavel,lodping,aM meals IND indepenCant experWiture supportinglopposing othen(ezplaln)' POS postape,delivery and mesaenger services TSF transfar between committees o(the same candi0atelaponsor LEG legal tlefense PRO profetalonal xrvices(legal,accountlng) VOT voter reglstratlon LIT eampaign Ikeralure antl mai6ngs PRT pAM eda WEB informatlon teehnolopy costs(Inlemet,e-mail) NAME AND ADDRESS OF PAVEE (IFCONNnTEE.uaoFMERi.o.NUMBER� CODE OR DESCRIPTIONOFPAYMENT AMOUNTPAID Califomia Voter Guide 1954 W. CARSON SUITE B LIT 593 TORRANCE, CA 90501 Budget Watchdogs 1954 W Carson Street LIT 1164 Torrance, CA 90501 Postal Annex P.O. BOX FEE 40335 WINCEHSTER RD#E 255 TEMECULA, CA 92591 'Peyments that ere contributions or independent expenditures must also be summaAzeE on Schedule D. SUBTOTAL E 2��2 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.)............................................................................................................. $ 92�6 2. Unitemized payments made this period of under$100.......................................................................................................................................... $ 72 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 S 9ZS8 FPPC Form 460(lan/2016) FPPC Advlce:advice�ofppc.o.gw(866/275-3772) www.fppc.a.gw SCHEDUIE E(CONT.) Schedule E Amounts mey be rountled 3tatemant eovers perlotl (Continuation Sheet) towholedollen. • ' � � � Payments Made rrom oarosi2o�s • � O6/30/2016 � SEE INSTRUCTIONS ON REVERSE through Page � o( NAME OF FILER I.O.NUMBER JODY D. NOTTINGHAM 13B4102 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphemalfefmisc. MBR mamDer communkations RAD retlio eirtime arM pro0uction costs CNS campaign comuttaMa MTG meetlnga a�E appearonces RFD returtied co�tributions CTB eonMbudon(explain ranrtanetary)' OFC oMce expenses SAL campaign workers'salarles CVC Gvic donatlons PET petlfion dreulatlng TEL t.v.or taWe airtime and produdion costs FIL candida[e flli�glbalbt feea PHO phorro banks TRC eandiAate travel,lodgirg,and meals FND fimAraisirg evenb POL polling and survey reseerch 7RS staRlspouse travel,lodging,and meals IND indepentlant expendtture aupporUnglopposirg othars(e�leln)' POS postage,tlelivary e�W rtressenger aervices TSF trensfer 6etween commitlees of lhe seme candidate/sponsor LEG legel tlefenna PRO profeasional aervices(legal,accrounting) VOT voter registratlon LIT campaign Ilterature and mallinge PRT prlM atls VYEB informetion technology costs(intemet,e-mai� NAME ANO ADDRESS OF PAVEE COOE OR DESCRIPTION OF GAVMENT AMOUNT PAID pf COYMRTEE,/�1.90 EME0.I.D.NUNlER) Innovative Political Solutions P.O. BOX 890212 CNS 7,204 TEMECUTA, CA 92589 'Paymente lhal ara conMbuttons or InCepentlent expenditurea must also De summerizetl on Schedule D. SUBTOTAL S 7,204 FPPC Form 460(Jan/2016) FPPC Advice:advice�fppc.ca.gov(866/275d772) www.fppc.w.gov ' SCHEDULEF SChBdUI@ F nmounn may be roundee to whole dollers. SGtament covera perlod • ' � • 1 Accrued Expenses (Unpaid Bills) ,,,m oaroe�zois • - en.e�en os�solzo�s � �a SEE�NSTRUCTION9 ON REVERSE Paqe o( NAME OF FILER I.D.NUMBER JODY D. NOTTINGHAM 1384102 CODES: If one of the following codes accurately describes the payment, you may enter the code. Othenvise, describe the payment. CMP campaign parephemelislmtsc. MBR member communications RAD redio alrtime and production costs CNS campaign consultants MTG meetinga arM appearences RFD retumed contributlons CTB contribution(explain nonmonetary)' OFC offica expenaes SAL cempaign workers'salaries CVC civic tlonatlons PET petition circulating TEL t.v.or ceble airtlme end productlon cosls FIL candiAate filinglballot fees PHO phone banks TRC cenditlata trevel,lodging,and meals FN� fundrelsing events POL polling and survey research TRS ste8/apouse Irevel,lodging,and meels IND Intlependent expenditure supportingJopposing others(explaln)• POS postage,delivery and measenger services TSF transfer behveen committees of the aame can0ldatelsponsor LEG legal tlefense PRO professlonel services(legal,accountirry) VOT voter reglstretlon LI7 campalgn Iitarelure end mailings PRT print ada WEB informatlon technology cosls(intemel,e-malQ NAMEANDADDRESSOFCREDITOR CODEOR (�) (b) «) �tl) OUTSTANDING AMOUNTINCURRED AMOUNTPAID OUTSTANDING QFCOMMITfEE.AL90EMERI.D.NUMBER) DESCRIPTIONOfPAVMEN7 BALANCEBEGINNING THISPERIOD THISPERIOD BAUNCEATCLOSE OF TMIS PERIOD (��so REPom on� OF THIS PERIOD Budget Watchdogs 1945 W Carson Street LIT 0 1,164 0 1,764 Torrance, CA 90501 Califomia Voter Guide LIT 1945 W CARSON STREET 0 593 0 593 TORRANCE, CA90501 'Paymente t�et aro conlrlbutbns or inEepenOant exDentliNroa mu�l Nw M $UBTOTALS S eummanzatl on Scnedule D. 0 S 1,757 S 0 s 1,757 Schedule F Summary 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for accrued expenses of$100 or more, plus total unitemized accrued expenses under 5100.)..............................................INCURRED TOTALS S ��757 2. Total accrued expenses paid this period. (Include all Schedule F, Column (c)subtotals for payments on accrued expenses of$100 or more, plus total unitemized payments on accrued expenses under$100.)...................................PAID TOTALS S � 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difFerence here and ' 757 onthe Summary Page, Column A, Line 9.)...................................................................................................................................................................................NET S Mey G�mp w riumMr FPPC Form 460(lan/2016) FPFC Advice:advice�fppc.a.gw(866/2753772) www.tppuu.6ov