HomeMy WebLinkAbout2019 ' � COVER PAGE
Recipient Committee DateStamp
Campaign Statement � � � � ' • �
Cover Page
����
Statement covers period Date of election if applicable: Page � of�
from
0�/1/19 (Month,Day,Year) ,;�J�' O 1 2C�: ForOfficialUseOnly
SEE INSTRUCTIONS ON REVERSE �/30/19 y '.T�-s �'-, ERKS ���Q',
through
1. Type of Recipient Committee: an comm�nees-compiete Pa��,z,s,a�a a. 2. Type of Statement:
0 Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑ Preelection Statement ❑ Quarterly Statement
� State Candidate Election Committee Committee � Semi-annual Statement ❑ Special Odd-Year Report
� Recall � Controlled ❑ Termination Statement
(AlsoCompletePaRS) 0 Sponsored (Also file a Form 410 Termination)
(Also Complete PaR 6J
❑ General Purpose Committee ❑ Amendment(Explain below)
� Sponsored ❑ Primarily Formed Candidate/
� Small Contributor Committee Officeholder Committee
� Political Party/Central Committee (asoComplefePart7)
3. Committee Information I.D.NUMBER Treasurer(s)
1272781
COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER
Maryann Edwards for Temecula City Council 2018 Thomas Edwards
MAILING ADDRESS
31779 Via Telesio
STREET ADDRESS(NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE
31779 Via Telesio Temecula CA 92592 951-694-6416
CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER,IF ANY
Temecula CA 92592 951-694-6416
MAILING ADDRESS(IF DIFFERENT)NO.AND STREET OR P.O.BOX MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE
maryann4council@gmail.com thomasedwards2@gmail.com
OPTIONAL: FAX/E-MAIL ADDRESS OPTIONAL: FAX/E-MAILADDRESS
4. Verification
I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the informa'o contain 'herein and in the attached schedules is true and complete. I
certify under penalty of perjury u der the laws of the State of California that the foregoing is t e and correct. ��
--� � G;
Executed on �
Date \_ Signature of Treasurer o Assi ant Treasurer
� � ",
Executed on By
D te Signature ontrolling O older,Candidate,State Measure Proponent or Responsible Officer of Sponsor
Executed on By
Date Signature of Controlling Officeholder,Candidate,State Measure Proponent
Executed on By
Da�e Signature of Controlling Officeholder,Candidale,Stale Measure Proponent
FPPC Form 460(Jan/2016)
FPPC Advice:advice@fppc.ca.gov(866/275-3772) ��
.........�__--- ---•
COVER PAGE-PART 2
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 OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE
Maryann Edwards
OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO.OR LETTER JURISDICTION
❑ SUPPORT
Temecula City Council, District 3 ❑ oPPosE
RESIDENTIAL/BUSINESS ADDRESS (NO.AND STREET) CITY STATE ZIP
Identify the controlling officeholder,candidate,or state measure proponent,if any.
41000 Main Temecula CA 92590
NAME OF OFFICEHOLDER,CANDIDATE,OR PROPONENT
Related Committees Not Included in this Statement: usra�y�ommrttees
not included in this statement that are controlled by you or are primarily formed to receive OFFICE SOUGHT OR HELD DISTRICT NO.IF ANY
contributions or make expenditures on behalf of your candidacy.
COMMITTEE NAME I.D.NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE? 7• Primarily Formed Candidate/Officeholder Committee List names of
officeholder(s)or candidate(s)for which this committee is primarily formed.
❑ YES ❑ NO
COMMITTEE ADDRESS STREET ADDRESS (NO P.O.BOX) NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
❑ SUPPORT
❑ OPPOSE
CITY STATE ZIP CODE AREA CODE/PHONE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
❑ SUPPORT
❑ OPPOSE
COMMITTEE NAME I.D.NUMBER
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
❑ SUPPORT
❑ OPPOSE
NAME OF TREASURER CONTROLLED COMMITTEE? NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
❑ YES ❑ NO ❑ SUPPORT
❑ OPPOSE
COMMITTEEADDRESS STREETADDRESS (NO P.O.BOX)
CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary
FPPC Form 460(Jan/2016)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov
Campaign Disclosure Statement Amounts may be rounded SUMMARY PAGE
SummaPa @ to whole dollars. Statement covers period � - ,
� g 0�/1/19 � - • �
from
SEE INSTRUCTIONS ON REVERSE
through ��30/19 page 3 of 5
NAME OF FILER I.D.NUMBER
Maryann Edwards 1272781
Column A Column B Calendar Year Summary for Candidates
Contributions Received TOTALTHISPERIOD CALENDARYEAR
(FROMATTACHEDSCHEDULES) TOTALTODATE Running in Both the State Primary and
General Elections
1. Monetary Contributions................................................... scneduiea,�ines $ � $ � 1/1 through 6/30 7/1 to Date
2. Loans Received................................................................ scneduie e,une s � 0
p � 20. Contributions
3. SUBTOTAL CASH CONTRIBUTIONS.............................. .4dd�ines 9+2 $ $ Received $ $
4. Nonmonetary Contributions............................................ scneduie c.�ine s � � 21. Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED....................................Add lines s+q $ � $ 0 Made $ $
Expenditures Made Expenditure Limit Summary for State
6. Payments Made................................................................ scnedu�e E,une a $ 500 $ 500 Candidates
7. L08f1S M8d2....................................................................... Schedule H,Line 3 0 0
22. Cumulative Expenditures Made*
8. SUBTOTAL CASH PAYMENTS.......................................... Add lines 6+7 $ 500 $ 500 (If Subject to Voluntary Expentliture Limit)
9. Accrued Expenses (Unpaid Bills)..........................................scneduie F�ine s � � Date of Election Total to Date
10. Nonmonetary Adjustment.........................................................scneduie c.�ine s 0 0 (mm/dd/yy)
11. TOTALEXPENDITURESMADE........................................Add�inesa+g+�o $ 500 $ 500 �� $
Current Cash Statement �—� $
12. B891f111111g CBSh B818t1C2............................ Previous Summary Page,Line 16 $ 11026
To calculate Column B,
13. Cash ReCeiptS........................................................... Column A,Line 3 above � add amounts in Column
� A to the corresponding 'Amounts in this section may be different from amounts
14. Miscellaneous Increases to Cash.................................. scneduie�,�me a amounts from Column B reported in Column B.
15. Cash Payments......................................................... Column A.Line 8 above 500 of your last report. Some
10526 amounts in Column A may
16. ENDING CASH BALANCE ...................4dd�ines�2+�3+14,then subtract Line 15 $ be negative figures that
should be subtracted from
If this is a termination statement, Line 16 must be zero. previous period amounts. If
this is the first report being
17. LOAN GUARANTEES RECEIVED................................ Scnedu�e 8,Pan2 $ 0 filed for this calendar year,
only carry over the amounts
Cash Equivalents and Outstanding Debts from Lines 2,�,and 9(if
0 anY)
18. CaSh EqUlValelltS................................................ See instructions on reverse $
19. OUtstanding DebtS.............................. Add Line 2+Line 9 in Column e above $ � FPPC Form 460(1an/2016)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov
Schedule A Amounts may be rounded SCHEDULE A
Monetary Contributions Received to whole dollars. Statement covers period � . �
0�/1/19 • �
from • �
through �����9 Page 4 of �
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER I.D.NUMBER
Maryann Edwards 1272781
DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL,ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION
QF COMMITTEE,ALSO ENTER I.D.NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE
RECENED CODE *
(IF SELF-EMPLOYED,ENTER NAME PERIOD (JAN.1-DEC.31) (IF REQUIRED)
OF BUSINESS)
❑IND �
❑COM O O O
❑OTH
❑PTY
❑SCC
❑IND
❑COM O O O
❑OTH
❑PTY
❑SCC
❑IND
❑COM O O O
❑OTH
❑PTY
❑SCC
❑IND
❑COM O O O O
❑OTH
❑PTY
❑SCC
❑IND
❑COM � O O O
❑OTH
❑PTY
❑SCC
SUBTOTAL$ 0
Schedule A Summary 'Contributor Codes
1. Amount received this period-itemized monetary contributions. iN�-�ndividuai
(Include all Schedule A subtotals.)................ ........,__............$ O COM—Recipient Committee
.................................................................. (other than PTY or SCC)
• • • 0 OTH—Other(e.g.,business entity)
2. Amount received this period- unitemized monetary contnbutions of less than $100 ...........................$ pN—political Party
3. Total monetary contributions received this period. scc-smau concr�butor committee
Add Lines 1 and 2. Enter here and on the Summa Pa e, Column A, Line 1. TOTAL $ �
� rY 9 )......................
FPPC Form 460(Jan/2016)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov
Amounts may be rounded SCHEDULE B-PART 1
Schedule B — Part 1 to whole dollars. Statement covers period � .
Loans Received from 0�/1/19 . -
� • 1
SEE INSTRUCTIONS ON REVERSE thfOUgh �����9 Page 5 of�
NAME OF FILER I.D.NUMBER
Maryann Edwards 1272781
IFAN INDIVIDUAL,ENTER a �`� Q 9
FULL NAME,STREETADDRESS AND ZIP CODE OUTSTANDING AMOUNT AMOUNT PAID OUTSTANDING INTEREST ORIGINAL CUMULATIVE
OCCUPATION AND EMPLOYER gALANCE BALANCE AT
OF LENDER (IF SELF-EMPLOYED,ENTER RECEIVED THIS OR FORGIVEN PAID THIS AMOUNT OF CONTRIBUTIONS
(IF COMMITTEE,ALSO ENTER I.D.NUMBER) NAME OF BUSINESS) BEGINNING THIS pERIOD THIS PERIOD` CLOSE OF THIS PERIOD LOAN TO DATE
PERIOD PERIOD
❑ PAID CALENDARYEAR
$ 0 $ 0 0 , $ 0 $ 0
RATE
❑ FORGIVEN PER ELECTIONk"
� � � � 0 �
t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC $ $ $ DATE DUE $ DATE INCURRED $
❑ PAID CALENDARYEAR
$ � s � i s 0 s �
RATE
❑ FORGIVEN PER ELECTION"
$ � $ � $ � � g � �y �
t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED
❑ PAID CALENDAR YEAR
$ � s � r $ � s 0
RATE
❑ FORGIVEN PER ELECTION**
s � s � $ � s � �
t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED
SUBTOTALS $ $ $ $
(Enter(e)on
Schedule B Summary ScheduleE,Line3)
1. Loans received this period....................................................................................................................$ n
(Total Column (b) plus unitemized loans of less than $100.) tcontributor codes
2. Loans paid or forgiven this period.................. ..................................................................$ � IND—Individual
................... .
(Total Column (c) plus loans under$100 paid or forgiven.) COM—Recipient Committee
(other than PTY or SCC)
(Include loans paid by a third party that are also itemized on Schedule A.) OTH—Other(e.g.,business entity)
PTY—Political Party
3. Net chan e this eriod. Subtract Line 2 from Line 1. NET $ n SCC—Small Contributor Committee
9 p � ) ..............................................................
Enter the net here and on the Summary Page, Column A, Lll�e Z. (May be a negative number)
`Amounts forgiven or paid by another party also must be reported on Schedule A. FPPC Form 460(Jan/2016)
"If required. FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov
Schedule E Amounts may be rounded Statement covers period SCHEDULE E
to whole dollars. • � I � t
Payments Made 0�/01/19 • -
from
SEE INSTRUCTIONS ON REVERSE
through �����9 Page�.— of_�
NAME OF FILER I.D.NUMBER
Maryann Edwards 1272781
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CMP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs
CNS campaign consultants MTG meetings and appearances RFD returned contributions
CTB contribution(explain nonmonetary)' OFC office expenses SAL campaign workers'salaries
CVC civic donations PET petition circulating TEL t.v.or cable airtime and production costs
FIL candidate filing/ballot fees PHO phone banks TRC candidate travel,lodging,and meals
FND fundraising events POL polling and survey research TRS staff/spouse travel,lodging,and meals
IND independent expenditure supporting/opposing others(explain)' POS postage,delivery and messenger services TSF transfer between committees of the same candidate/sponsor
LEG legal defense PRO professional services(legal,accounting) VOT voter registration
LIT campaign literature and mailings PRT print ads WEB information technology costs(internet,e-mail)
NAME AND ADDRESS OF PAYEE
(IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
PEO CVC Donation to non-profit organization $500
40458 Clybourne Circle
Murrieta, CA 92562
*Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 500
Schedule E Summary
1. Itemized a ments made this eriod. Include all Schedule E subtotals. 500
P Y P � ).............................................................................................................$
2. Unitemized payments made this period of under$100.......................................................................................................................................... $ �
. 0
3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).)............................................................................. $
4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.)........................... TOTAL $ 500
FPPC Form 460(Jan/2016)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov