HomeMy WebLinkAbout2021 Recipient Committee Date Stamp COVER PAGE
Campaign Statement • '
Cover Page RECENED
Statement covers period Date of election if applicable: Page 1 of 6
from
10/18/20 (Month,Day,Year) JAN U r 92@21 For Official Use only
SEE INSTRUCTIONS ON REVERSE through 12/31/20
11/03/2020 CITY CL EPJCB
1. Type of Recipient Committee: All Committees-Complete Parts 1,2,3,and 4. 2. Type of Statement:
Sficeholder,Candidate Controlled Committee El Primarily Formed Ballot Measure ❑ Preelection Statement ❑ Quarterly Statement
U State Candidate Election Committee ommittee ❑ Semi-annual Statement ❑ Special Odd-Year Report
O Recall Controlled W1 Termination Statement
(Also Complete Part5) Sponsored (Also file a Form 410 Termination)
(Also Complete Part 6) ❑ Amendment(Explain below)
❑ General Purpose Committee
O Sponsored ❑ Primarily Formed Candidate/
8Small Contributor Committee Officeholder Committee
Political Party/Central Committee (Also Complete Part l)
3. Committee Information 71,DNUMBER Treasurer(s)
102
COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER
ADAM A.RUIZ FOR TEMECULA CITY COUNCIL 2020 JODY D.NOTTINGHAM
MAILING ADDRESS
43460 RIDGE PARK DRIVE STE,240
STREET ADDRESS(NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE
39785 GOLDEN ROD ROAD TEMECULA CA 92590 951 296-1698
CITY STATE ZIP CODE AREACODE/PHONE NAME OF ASSISTANT TREASURER,IF ANY
TEMECULA CA 92591 951 326-4698 YOLANDA OROZCO
MAILING ADDRESS(IF DIFFERENT)NO.AND STREET OR P.O.BOX MAILING ADDRESS
43460 RIDGE PARK DRIVE STE,240 43460 RIDGE PARK DRIVE STE,240
CITY STATE ZIP CODE AREACODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE
TEMECULA CA 92590 951296-1698 TEMECULA CA 92590 951296-1698
OPTIONAL: FAX/E-MAIL ADDRESS OPTIONAL: FAX/E-MAIL ADDRESS
4. Verification
I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein and in the attached schedules is true and complete. I
certify under penalty of perjury under the laws of the State of California that the foregoing is t 6and correct.
Executed on ` I Z02JI, By
llJ
Data =, suffo
islant re�surer Si
Executed on � By
Date Signature o olling Officeholder,Candidate,StapMeasure Proponent or Responsible Officer of Sponsor
Executed on By
Date Signature of Controlling Officeholder,Candidate,State Measure Proponent
Executed on By
Date Signature of Controlling Officeholder,Candidate,State Measure Proponent
FPPC Form 460(Jan/2016))
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov
COVER PAGE-PART 2
Recipient Committee CALIFORNIA
Campaign Statement FORM 460 '
Cover Page — Part 2
Page 2 of 6
5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee
NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE
ADAM A.RUIZ
OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO.OR LETTER JURISDICTION
❑ SUPPORT
TEMECULA CITY COUNCIL ❑ OPPOSE
RESIDENTIAL/BUSINESS ADDRESS (NO.ANDSTREET) CITY STATE ZIP
39785 GOLDEN ROD ROAD TEMECULA CA 92591
Identify the controlling officeholder,candidate,or state measure proponent,if any.
NAME OF OFFICEHOLDER,CANDIDATE,OR PROPONENT
Related Committees Not Included in this Statement: List any committees
not included in this statement that are controlled by you or are primarily formed to receive OFFICE SOUGHT OR HELD DISTRICT NO.IF ANY
contributions or make expenditures on behalf of your candidacy.
COMMITTEE NAME I.D.NUMBER
7. Primarily Formed Candidate/Officeholder Committee List names of
NAME OF TREASURER CONTROLLED COMMITTEE? officeholder(s)or candidate(s)for which this committee is primarily formed.
❑ YES ❑ NO
COMMITTEE ADDRESS STREET ADDRESS (NO P.O.BOX) NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
❑ SUPPORT
❑ OPPOSE
CITY STATE ZIP CODE AREA CODE/PHONE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
❑ SUPPORT
❑ OPPOSE
COMMITTEE NAME I.D.NUMBER
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
❑ SUPPORT
❑ OPPOSE
NAME OF TREASURER CONTROLLED COMMITTEE? NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
El YES ❑ NO SUPPORT
COMMITTEE ADDRESS STREET ADDRESS (NO P.O.BOX) ❑ OPPOSE
CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets If necessary
FPPC Form 460(Jan/2016)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov
Campaign Disclosure Statement Amounts may be rounded SUMMARY PAGE
to whole dollars.
Summary Page Statement covers period , ,
from
10/18/20 0 -
Pa e
SEE INSTRUCTIONS ON REVERSE through 12/31/20 g 3 of 6
NAME OF FILER I.D.NUMBER
ADAM A.RUIZ FOR TEMECULA CITY COUNCIL 2020 1384102
Column A Column B Calendar Year Summary for Candidates
Contributions Received TOTAL THIS PERIOD CALENDAR YEAR
(FROM ATTACHED SCHEDULES) TOTAL TO DATE Running in Both the State Primary and
General Elections
1. Monetary Contributions................................................... Schedule A,Line 3 $ 750 $ 36,549
2. Loans Received................................................................ Schedule e,Line 3
0 -23,500 1/1 through 6/30 7/1 to Date
20. Contributions
3. SUBTOTAL CASH CONTRIBUTIONS.............................. Add Lines 1+2 $ 750 $ 13,049 Received $ $
4. Nonmoneta Contributions............................................ schedule C,Line 3 0 2,414
ry 21. Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED................................Add Lines 3+4 $ 750 $ 15,463 Made $ $
Expenditures Made Expenditure Limit Summary for State
6. Payments Made................................................................ Schedule e,Line 4 $ 4,227 $ 15,162 Candidates
7. Loans Made....................................................................... schedule H,Line 3 0 0
4,227 15,162 22. Cumulative Expenditures Made"
8. SUBTOTAL CASH PAYMENTS....................................... Add Lines6+7 $ $
(If Subject to Voluntary Expenditure Limit)
9. Accrued Expenses(Unpaid Bills Schedule F,Line 3 0 0
p � p )••••��•��•������•••••••••�••�•�••••••••�•� Date of Election Total to Date
10. Nonmonetary Adjustment.........................................................Schedule C,Line 3 0 1,178 (mm/dd/yy)
11. TOTAL EXPENDITURES MADE....................................Add Lines 8+9+10 $ 4,227 $ 16,340 -J� $
Current Cash Statement —J—J $
12. Beginning Cash Balance............................ Previous Summary Page,Line 16 $ 3,477
To calculate Column B,
13.Cash Receipts........................................................... Column A,Line 3 above 750 add amounts in Column
14. Miscellaneous Increases to Cash.................................. schedule 1,Line 4 0 A to the corresponding 'Amounts in this section may be different from amountsamounts from Column B
reported in Column B.
15. Cash Payments......................................................... Column A,Line 8 above 4,227 of your last report. Some
amounts in Column A may
16. ENDING CASH BALANCE ..................Add Lines 12+13+14,then subtract Line 15 $ 0 be negative figures that
should be subtracted from
If this is a termination statement,Line 16 must be zero. previous period amounts. If
this is the first report being
17. LOAN GUARANTEES RECEIVED................................ Schedule e,Part 2 $ 0 filed for this calendar year,
only carry over the amounts
Cash Equivalents and Outstanding Debts from Lines 2,7,and 9(if
18. Cash Equivalents................................................ See instructions on reverse $
0 any)'
19. Outstanding Debts.............................. Add Line 2+Line 9 in Column B above $ 0 FPPC Form 460(Jan/2016))
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov
Schedule A Amounts may be rounded SCHEDULE A
to whole dollars. Statement covers period
Monetary Contributions Received a
from 10/18/20
SEE INSTRUCTIONS ON REVERSE through 12/31/20 page 4 of 6
NAME OF FILER I.D.NUMBER
ADAM A.RUIZ FOR TEMECULA CITY COUNCIL 2020 1384102
FULL NAME,STREET ADDRESS AND ZIP CODE OF IF AN INDIVIDUAL,ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION
DATE CONTRIBUTOR OCCUPATION AND EMPLOYER
CONTRIBUTOR * RECEIVED THIS CALENDAR YEAR TO DATE
RECEIVED CODE (IF SELF-EMPLOYED,ENTER NAME
(IF COMMITTEE,ALSO ENTER I.D.NUMBER) OF BUSINESS) PERIOD (JAN.1-DEC.31) (IF REQUIRED)
10/27/20 CR&R INC. ❑IND 350 350
11292 WESTERN AVE ❑COM
OTH
STANTON,CA 90680 ❑PTY
❑SCC
10/27/20 GROW ELECT RESTRICTED USE ❑IND 400 400
1020 12TH ST. ,STE 232 m COM
❑OTH
SACRAMENTO,CA 95814 ❑PTY
❑SCC
❑IND
❑COM
❑OTH
❑PTY
❑SCC
❑IND
❑COM
❑OTH
❑PTY
❑SCC
❑IND
❑COM
❑OTH
❑PTY
❑SCC
SUBTOTAL$ 750
Schedule A Summary 'Contributor Codes
1. Amount received this period—itemized monetary contributions. IND—Individual
(Include all Schedule A subtotals.).........................................................................................................$ 750 COM—Recipient Committee(other than PTY or SCC)
OTH—Other(e.g.,business entity)
2. Amount received this period—unitemized monetary contributions of less than $100...........................$ 0 PTY—Political Party
SCC—Small Contributor Committee
3. Total monetary contributions received this period.
(Add Lines 1 and 2. Enter here and on the Summary , Column A, Line 1. 750
ry Page,g )......................TOTAL $ FPPC Form 460(Jan/2016))
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov
SCHEDULE E
Schedule E Amounts may be rounded Statement covers period
Payments Made to whole dollars. CALIFORNIA 4601
from 10/18/20 FORM
SEE INSTRUCTIONS ON REVERSE through 12/31/20 Page 5 of 6
NAME OF FILER I.D.NUMBER
ADAM A.RUIZ FOR TEMECULA CITY COUNCIL 2020 1384102
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CMP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs
CNS campaign consultants MTG meetings and appearances RFD returned contributions
CTB contribution(explain nonmonetary)' OFC office expenses SAL campaign workers'salaries
CVC civic donations PET petition circulating TEL t.v.or cable airtime and production costs
FIL candidate filing/ballot fees PHO phone banks TRC candidate travel,lodging,and meals
FND fundraising events POL polling and survey research TRS staff/spouse travel,lodging,and meals
IND independent expenditure supporting/opposing others(explain)' POS postage,delivery and messenger services TSF transfer between committees of the same candidate/sponsor
LEG legal defense PRO professional services(legal,accounting) VOT voter registration
LIT campaign literature and mailings PRT print ads WEB information technology costs(internet,e-mail)
NAME AND ADDRESS OF PAYEE
CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
(IF COMMITTEE,ALSO ENTER I.D.NUMBER)
JENNA GARZA LIT SOCIAL MEDIA CONTENT 400
32002 VIA PERALES
TEMECULA,CA 92592
NOTTINGHAM&ASSOCIATES,CPA's PRO CAMPAIGN ACCOUNTING 635
43460 RIDGE PARK DRIVE,STE 240
TEMECULA,CA 92590
NEW GENERATIONS ROTARY OF TEMECULA CTB CONTRIBUTION 1,206
43460 RIDGE PARK DRIVE,STE 240
TEMECULA,CA 92590
*Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 2,241
Schedule E Summary
1. Itemized payments made this period. (Include all Schedule E subtotals.).............................................................................................................$ 4,173
2. Unitemlzed payments made this period of under$100..........................................................................................................................................$
54
3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).)............................................................................. $ 0
4. Total payments made this period. (Add Lines 1, 2,and 3. Enter here and on the Summary Page, Column A, Line 6.)...........................TOTAL $ 4,227
FPPC Form 460(Jan/2016))
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov
Schedule E Amounts may be rounded SCHEDULE E(CONT.)
t men covers period
(Continuation Sheet) to whole dollars. State • ' � • '
Payments Made from 10/18/20 . .
SEE INSTRUCTIONS ON REVERSE through 12/31/20 Page 6 of s
NAME OF FILER
I.D.NUMBER
ADAM A.RUIZ FOR TEMECULA CITY COUNCIL 2020 1384102
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CMP campaign paraphernalia/misc. MBR member communications RAID radio airtime and production costs
CNS campaign consultants MTG meetings and appearances RFD returned contributions
CTB contribution(explain nonmonetary)' OFC office expenses SAL campaign workers'salaries
CVC civic donations PET petition circulating TEL t.v.or cable airtime and production costs
FIL candidate filing/ballot fees PHO phone banks TRC candidate travel,lodging,and meals
FND fundraising events POL polling and survey research TRS staff/spouse travel,lodging,and meals
IND independent expenditure supporting/opposing others(explain)' POS postage,delivery and messenger services TSF transfer between committees of the same candidate/sponsor
LEG legal defense PRO professional services(legal,accounting) VOT voter registration
LIT campaign literature and mailings PRT print ads WEB information technology costs(internet,e-mail)
NAME AND ADDRESS OF PAYEE
(IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
FACEBOOK WEB SOCIAL MEDIA ADVERTISING 1,932
"Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 1,932
FPPC Form 460 Jan 2016
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov