HomeMy WebLinkAbout2019 COVER PAGE
Recipient Committee Date Stamp
Campaign Statement ' � ' � � �
Cover Page '
Statement covers period Date of electio�if applicable: ����* Page � of �
JAN 1, 2Q 19 (►�onth,Day,Year) For Otticia�Use Onry
from ��tl � �(���
JL
SEE INSTRUCTIONS ON REVERSE JUNE 30, ZO'I9
through
!TY C0..�RKS t��l+';
1. Type of Recipient Committee: nn comm�ec�.,_comp�.�e Pan,�,z,s,ar,d a. 2. Type of Statement:
0 Officeholder.Candidate Controifed Committee ❑ Primarily Formed Baliot Measure ❑ Preelection Statement ❑ Quarteriy Statement
� State Candidate Election Committee Committee � Semaannual Statement ❑ Speciai Odd-Year Report
� Recali � Controiled
i�,�_,�p��, ❑ Termination Statement
� Sponsored (Also file a Form 410 Termination)
ptso Con�.Ms Paa 6�
❑ Generai Purpose Committee ❑ Amendment(Explain befow)
� Sponsored ❑ Primarily F orn�ed Candidate!
� Smali Co�tributor Committee Officeholder Committee
d Politicai Party/Central Committee i�c�a�.c r,
3. Committee Information I.D.NUMBER Treasurer(s)
1384102
GOMM�TTEE NAME(OR CANDIDATE'S NAME IP NO COMMITTEE) NAEAE OP TREASURER
ADAM A. RUIZ FOR TEMECULA CITY COUNCIL JODY D. NOTTINGHAM
MAIIING ADDRESS
43460 RiDGE PARK DR, STE 240
STREET ADORESS,NO P.O.BOX) CITY STATE ZIP CODE AREA COOEfPHONE
39785 GOLDEN ROD ROAD TEMECULA CA 92590 951 296-1698
CITY STATE ZIP COG[ AREA COUEIPHpNE NAlAE OF ASSISTANT TREASURER.IP ANY
TEMECUTA CA 92591 951-326-4698
MNiLi�ADDRESS{IF OIPFERENT)NO.ANO STREET OR P.O.BOX MAILWG ADDRESS
40335 WINCHESER RD, STE E-140
GTY STATE ZIPCODE AREACODEIPHONE CITV STATE ZIPCODE AREAGODElPMONE
TEMECULA CA 92591
OPTK7NAL F:4X-E-MAII ADDRESS OPTIONAL FAX/E-MAII AODRESS
ADAM@ADAMRUIZ.COM
4. Verification
t have used eii reasonable dlligence m preparing and reviewing this statement and to the best ot my knowledge the information co tained herei�and in the attached schedules is true and complete. 1
certiry urxfer penatty of perjury under the laws of the State of Califomia that the foregoing is true nd correct.
����� r~ p , ~ __
Executed on g
�� y ;�� yna o'ire�suernrAss�slantTreawrer
Executed on , I� �� � B
Dale y rtpiat�ro � volllnp O holtle�Ca e.Stam Measure Proponent a espona�Me r oi ponsor
Exetuted an g
Dalu Y S�gnatu�e ot ConUoliaig p8lcet»Wer.Cun�itla�u Slate Measure Proponent
Executeci on g
ale y S�gnature o1 Coniro hng pltti,eho�oe�.CarxlMate..State Meaa,�re Proponent
FPPC Fortn 460(Jan/2016)
FPPC Advice:advice�fppc.ca.gov($66/275-3772)
www.fppc.ca.gov � /�
1.�� I
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COVER PAGE-PART 2
Recipient Committee
Campaign Statement . � � • �
Cover Page — Part 2
Page 2 of 7
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 QR HELD QNCLUDE LOCATION AND DISTRICT NUMBER IF APPLICAB�E) BALLOT NO.OR LETTER JURISDICTION � SUPPORT
TEMECULA CITY COUNCIL ❑ oPPosE
RESIDENTIAUBUSINESSAODRESS (NO.AND STREET) CITY STATE ZIP
identity the controlling officeholder,candidate,or state measure proponent,if any.
39785 GOLDEN ROD ROAD TEMECULA CA 92591
NAME OF OFFICEHOLDER,CANDIDATE,OR PROPONENT
Related Committees Not Included in this Statement: u:cany�omm�rrees
not ineluded fn this statement that are controlled by you or are primarily formed ro reeeive OFFICE SOUGHT OR HEID DISTRICT NO.IF AMf
contributlons or make expendrturcs on beAa//vf your candidacy.
COMMITTEE NAME I.O.NUh18ER
7. Primarily Formed CandidateiOfficeholder Committee t/at namea o1
NAME OF TREASURER CONTROI t-FD COMMITTFF� ollicehotder(s)or candidate(s)for wh/ch thls commJttee ts prlmartty formed.
❑ YES ❑ NO
COMMITTEE ADDRESS STREET ADDRESS (NO P.O.BOX) NAME OF OFFICEHOIDER OR CANDIDATE OFFICE SOUGHT OR HEID
❑ SUPPORT
❑ OPPOSE
CITY STATE ZIP CODE AREA COD[/PHGNE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
❑ SUPPORT
❑ OPPOSE
COMMITTE[NAME I.D.NUMBER
NAME OF OFFIGEHOIDER OR CANDIOATE OFFICE SOUGHT OR HEID
❑ SUPPORT
❑ OPPOSE
NAME OF 7REASURER CONTROLLE�COMMITTEE? NAME C7F OFFICEHOLDER OR CANDIDA7E OFFICE SOUGHT OR NEID
❑ YES ❑ NO ❑ SUPPORT
❑ OPPOSE
COMMI I TEE AUDF2ESS SiREE►ADUHESS (NO P.Q.BOX)
Citv SinTE LI�Coot a,H�+coo��tioNE Attach conUnuaBon sheets ifnecessary
FPPC Form 460(1an/2016)
fPPC Advice:advice�Dfppc.ca.gov(866/275-3772j
www.fppc.ca.gov
Campaign Disclosure Statement Amounts may be rounded SUMMARY PAGE
Summary Page to whole dollars. Statement covers period � . .
from
JAN1, 2019 • • - • �
SEE INSTRUCTIONS ON REVERSE
through �UNE 30, 2019 page 3 of �
NAME OF FIIER I.O.NUMBER
ADAM A. RUIZ 1384102
Contributions Received Column A Coiumn B Calendar Year Summary for Candidates
iOtAL IMS vERICD CALENGAH VEAR
IFRUTA4TTAChcDSCi��1D'JlES1 TOTALFObATE Running in Both the State Primary and
General Elections
1. Monetary Contributions.................................................. scneduiea.��e3 $ � � � t/t through 6/30 m ro oaie
2. Loans Received................................... 0 0
............................ Schedu/e B.Une 3
20. Contributions
3. SUBTOTAL CASH CONTRIBUTIONS.............................. Add�,nes t+2 $ � S � Received S S
4. Nonmonetary ContribuUons............................................ scnedu�e C urre s 1,258 �.25$ 2�_ Expenditures
5. TOTALCONTRIBUTIONSRECEIVED...................................Addunes3+� $ ��258 $ 1,258 Made $ $
Expenditures Made Expenditure Limlt Summary fo�State
6. Payments Made............_........... ................................... scneduie e.u�e a g 146 s 146 Candidates
7. Loans Made....................................................................... scneduie H.c�„e s 0 0
22. Cumulative Expenditures Made'
8. SUBTOTAL CASH PAYMENTS.......................................... Add�mes 6+7 $ 146 � 146 (It SubJ�cl to Volunlary Exp�ndRure Umfq
9. Accrued Expenses(Unpaid Bills)..........................................scnedWe F Une 3 Q � Date of Elect�on Total to Date
10. Nonmonetary Adjustment.........................................................scnedu�e c.�;ne 3 �,258 1,258 (mm/dd7YY)
lt. TOTAL EXPENDITURES MADE.................................__..qdd tines e*9�to 5 1,404 c� 1,404 _�� $
Current Cash Statement —1—� $
� 2,367
�Z. B891f1111l1C]C8Sf1 B8I8f10E............................ Prevrous Summery Pape.�ine 76 $ To calGulate Column B,
13.CaSh RBCeipts........................................................... Column A,l..ine 3 above 0 add amounts in Column
� A to the corresponding •Amounts in th�s secUon may be differenl from amounts
14. Miscellaneous Increases to Cash.................................. scnedu�e�.�.��e a amounts irom C.ul�mn B reported in Coiumn B.
15.Cash Payments....................................................
.... Column A.Une 8 above 146 �f your last rPp� �� Some
2�22� amounts in Colun�n A may
16.ENDING CASH BALANCE ..................Add Lnes 12+t3+�4.then suWract Une t5 $ be nega6ve fiy��r,�;that
should be suhtra�ied trom
If this is a termination statement,Line 16 must be zero, previous petiod amounls. If
this is the first report being
Scnedute R.Parf 7 $ 0 liled tor this calendar year.
17. LOAN GUARANTEES RECEIVED........_... . only carry over the amounts
Cash Equivalents and Outstanding Debts from Lines 2,7.and 9(if
0 a�Y)
18. Cash Equivalents... ._......................_ _........... sea��srN�r��nSo���Bve.sR $
1J. OUfS��d1t1J D@btS.............................. Add Une 2+�ine g in Cdumn B abova S 23,500 FPPC Form 460(Jan/2016)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov
Schedule A Amounts may be rounded �iCl It �i i! � ,
to whole dollaro. Statement covers period
Monetary Contributions Received
' ' � . 1
from JAN 1, 2019 • -
through JUNE 30,2019 Pa9e 4 �f_ 7
SEE INSTRUCTIONS ON REVERSE '
NAME OF FILER I.D.NUMBER �
AOAM A. RUIZ 1384102 �
OATE FUII NAME.STREETADDRESS AND LP C4DE OF CONTRIBUTOR CONTRIBUTOR �F AN INDIVIDUAI,ENTER AMOUNT CUMUTATIVE TO OATE PER ELECTION
RECENED OF COMA!11TEE,ALSO ENTER I D NUNB[R� CODE * QCCUPAiION ANO EMPLOYER RECENEO THIS CALENDAR YEAR TO DATE
,iF sEiF-Euv�orEo.�NTER w,�.+� PERIOD (JAN.1-OEC.3t) (IF REQUIRED)
OV BUSINE551
o�No -----
❑�oM
❑OTH
❑PTY
❑SCC
❑IND — v
❑COM
❑OTH
❑PTY
❑SCC
❑IND
❑COM
❑OTH
❑PTY
❑5CC
❑IND
p coM
❑OTH
❑PTY
❑SCC
❑IND
❑COM
❑OTH
❑PTY
❑SCC
SUBTOTALS
Schedule A Summary `Contributor Cafes
1. Amount received this period-itemized monetary contributions. iNo-ir,d���duai
(Include all Schedule A subtotals.).........................................................................................................$ O COM-Recipient Committee
(other than PTY or SCC}
2. Amount received this period-unitemized monetary contributions of less than$100...........................$ � OTH-Other(e.g.,business entity)
PTY-Political Party
3. Total monetary contributions received this period. scc-sman contributor Comminec
Add Lines 1 and 2. Enter here and on the Summa Pa e, Column A, Line 1. �
� rY 9 )......................TOTAL S
FPPC Form 460(lan/2016)
FPPC Advice:advice�fppc.ca.gov(866/275-37�2)
www.fppc.ca.gov
� � �
Schedule B — Pa�t 1 Amounts may be rounded SChEDULE B-PART 1
to whole dollars. Statement covers perlod
• - � • �
Loans Received from �AN 1, 2019 � -
SEE INSTRUCTIONS ON REVERSE through �UNE 30, ZO'I9 page � of 7 i
NAME OF FILER I.D.NUMBER
ADAM A. RUIZ 1384102
FULL NAME,STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL.ENTER �U IS tANDING AMGUNT (�) OU I S IANDING �NTEREST ORIGINAL CUMULATNE
OCCUPATION ANO EMPLOYER AMOUNT PAIO
OF�ENOER BALANCE R[CEIVED THIS BALANCE AT pq�0 THIS AMOUNT OF CONTRIBUTIONS
(�P COMMI'TEE,ALSO ENTER I D NUMBER) '�F S�i.F�E�A��OYED FNTFR gEGINNING THIS OR FORGIVEN CLOSE OF THIS
r�aue o=t�usivEssi PERIOD PERI�D THIS PERI00� pERIOD PERIOD LOAN TO DATE
BERNIE TRUAX PRESIDENT BIIAJ, �LC p Pao CALENDAR VEAR
39495 CAL�E CAMPANERO S 0 g 22.5Q0 0 , g 22.50Q s
MURRIETA. CA 92562 w`�
❑FORGNEN PER ELECTION'�
S 22,500 S 0 S 0 OPEN f 0 06/28116 S
10 IND ❑ COM ❑OTH ❑ PTY ❑ SCC Da'E�UE Dtii�Ir.cURHEQ
ADAM RUIZ REAL ESTATE AGENT ❑PAID CALENOAR VEAR
39785 GOLDEN ROD ROAD FIRST ACTION REAL g 0 5 1.000 0 �„ g 1,000 s
TEMECULA, CA 92591 ESTATE �FpRGib'EN `��E PER E�Ecr�oN�
s 1,000 S 0 S 0 OPEN f 0 06/28/16 S
t� IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DA?E JUE DATE INCURREO
❑PAID CALENDAR YEAR
g 5 % S 3
n�rE
❑FORGNEN PEH El`eCT10N"
Y 5
t❑ IND ❑ COM ❑OTH ❑ PTY ❑ SCC S DarE oUE S OATE ItiCURRED s
SUBTOTALS S 0 S 0 S 23,500 S 0
(Enk��e�on
Schedule B Summary ScheCule E.Lme 3�
1. Loans received this period....................................................................................................................$ n
(Total Column (b)plus unitemized loans of less than$100.) tContributor Codes
2. �oans paid or forgiven this period.......... $ � INO-Individual
............................................................................................... COM-Recipient Committee
(Total Column (c)plus loans under$100 paid or forgiven.) {other than PTY or 5CC)
(Inciude loans paid by a third party that are also itemized on Schedule A.) OTH-Other(e.g.,business entity)
PTY-Political Party
3. Net chan e this eriod. Subtract Line 2 from Line 1. .......NET S n SCC-Small Contributor Commiitee
9 P � ).......................................................
Enter the net here and on the Summary Page, Column A, Line 2. MAr��•�n����t����,
'Amounts torgiven or paid by anolher party also must be reported on Schedule A. FPPC Form 460(1an/2016J
•'If required. FPPC Advice:advice�fppc.ca.gov(866/275-3772)
www.fppc.ca.gov
Schedule C Amounts may be rounded
to whole doliars. SCHEDULE C
Nonmonetary Contributions Received Statement covers pe�iod
. - / • �
from JAN 1,2019 • -
5EE INSTRUCTIONS ON REVERSE through �UNE 30, 2019 page 6 of 7
N M IL
I.D.NUMBER
ADAM A. RUIZ 13841Q2
IF AN INDiVIDUAI,ENTER AMOUNT! CUMUTATIVE TO pER E�ECTION
OATE FUILNAME.5TR[ETADORESSAND CONTRIBUTOR �ESCRIPTIONOP DaTE
ZIP CODE OF CONTRIHUTOR CO�E• UCCUPATION AND EMPLOVER GQODS OR SERVICES FAIR MFtRKET TO DATE
RECEIVED (�F cElc-FktptC��'EO_Ek7e�i CALENDAR YEAR (�p REOUIRED)
nF cou��+irres a�so enr�a�.�NVMeetz7 VALUE
h:vaE or Bus�aEss) jJAN t-OEC 31)
JODY D. NOTTINGHAM, CPA ��N� CPA ACCOUNTING
1/23/19 39792 OAK CLIFF DRIVE ❑COM NOTTINGHAM& SERVICES 758 758
TEMECULA, CA 92591 �PTM ASSOC. CPA'S
❑5CC
JODY D. NOTTINGNAM. CPA Q IND CPA ACCOUNTING
7l18�'�g 39792 OAK C�IFF DRIVE ❑COM NOTTINGHAM& SERVICES 500 500
TEMECULA, CA 92591 �PTM ASSOC.CPA'S
�scc
❑IND
❑COM
❑OTH
❑PTY
❑SCC
' ❑WD
' ❑COM
' ❑OTH
' ❑PTY
' ❑SCC
Attach additional Mformation on appropnate/y labeled continuatron sheets. SUBTOTAL S 1,258
Schedule C Summaty
`Gontributor Codes
1. Amount received this period-itemized nonmonetary contributions. iNo-individuai
(Include ali Schedule C subtotals.)..................... ..,,....$ ��2�8 COM—Recipient Comrnrttee
.........................................................................................
(other than PTY or SGCj
2. Rmount received this period-unitemized nonmonetary contributions of less than$100..................................$ O OTH—Other(e.g.,business entity}
PTY—Poiiticai Party
3. Totai nonmonetary contributions received this petiod. scc-sm�i concnbutor comm�nee
Add Lines 1 and 2. E�ter here and on the Summa Pa e, Cotumn A, Lines 4 and 10. 1,258
� rY 9 }.....................TOTAL $
FPPt Form 460�1anf2016j
FPPC Advice:advice�fppt.ca.gav(Sfi6/275-3772)
www.fppc.ca.gov
SCMEDULE E
SCFI@C�UI@ E Amounts may be rounded Stateme�t covers perlod
Payments Made to whoie doliara. r! ' � • '
trom �1AN 1, 2Q 19
JUNE 30, 2019 7 7
SEE INSTRUCTIONS ON REVERSE through Page of
NAME OF FIIER I,D.NUMBER
ADAM A. RU12 1384102
CODES: if one of the following codes accurately describes the payment, you may enter the code. Othervvise, describe the payment.
CMP campaig�paraphernalia/misc. MBR member communications RAO radio airtime and production costs
CNS cempafgn consuttants MTG meetings and appeara�ces RFD returned contributions
CTB contribution(expiain nonmonetary}' OFG office expenses SAL campaign workers'salaries
CVC civic donations PET petition circulating TEL t.v.or cabie airtime and production costs
FIL cand+date filing/ballot fees PHO pho�e banks TRC candidate travel.Iodging,and meals
FND fundraising events POL polling and survey research TRS stafflspause Uavei,lodging,and meais
IND independent expenditure supportingiopposing othe�s(explain)' POS postage,deiivery and messe�ger services TSF transter between committees of the same candidate/sponsor
LEG iegal defense PRO professional services(legal,accounting) VOT voter registration
' LIT campaign Iiterature and mailings PRT print ads WEB information technology costs(iniemet,e-maiQ
NAME Ak0 ADORES5 OF PAYEE
{IFcp�r�rrEE.�i.soEv��ki,D.NUMeEa� COOE OR DESCRIPTIONOFPAYMENT AMOUNTPAID
`Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL S
Schedule E Summary
1. Itemized payments made this period. (Include ali Schedule E subtotals.)............................................................................................................. $
2. Unitemi2ed payments made this period of under$100................................ .................................................$ 146
3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).}.............................................................................$
4. Total a ments made this eriod. Add�ines 1, 2,and 3. Enter here and on the Summa Pa e, Column A, l.ine 6. 146
P Y P t rY 9 )...........................TOTAL 5
FPPC Form 46U(la�J201b)
�PPC Advitt:advice�fppc.ta.gov(856/275-3772j
www.fppc.ca.gov