HomeMy WebLinkAbout2017 Recipient Committee Date Stamp COVER PAGE
Campaign Statement A • 1
'Cover Page MEC29WRIO '
Statement covers period Date of election if applicable: q Page 1 of 6
from
7/1/2016 (Month, Day,Year) JAN 31 ?017
For Official Use Only
`
SEE INSTRUCTIONS ON REVERSE through by 12/31/2016 Vo\U �� 2""P`l
1. Type of Recipient Committee: All Committees-Complete Parts 1,2,3,and 4. 2. Type of Statement:
0 Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑ Preelection Statement ❑ Quarterly Statement
O State Candidate Election Committee Committee Semi-annual Statement ❑ Special Odd-Year Report
O Recall O Controlled ❑ Termination Statement
(Also Complete Pert 5) O Sponsored (Also file a Form 410 Termination)
(Aso Ceti Pas 6)
F-1General Purpose Committee ❑ Amendment(Explain below)
• Sponsored ❑ Primarily Formed Candidate/
• Small Contributor Committee Officeholder Committee
• Political Parry/Central Committee (Alm enmWere Pal l)
3. Committee Information IDNUMBER
1364681 Treasurer(s)
COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER
eoo,t4.1.lurc-1 I- 6Lxcf 1A ftT iz4 4v Kelcey Stricker
TE/K 1!C-✓LA C 11 s„f CC).i^C 11— ZOLU[ MAILINGADDRESS
J
STREET ADDRESS(NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE
Temecula CA 92592
CITY STATE ZIP CODE AREACODE(PHONE NAME OF ASSISTANT TREASURER,IF ANY
Temecula CA 92592 Matt Rahn
MAILING ADDRESS(IF DIFFERENT)NO.AND STREET OR P.O.BOX MAILING ADDRESS
CITY STATE ZIP CODE AREACODETHONE CITY STATE ZIP CODE AREACODEIPHONE
Temecula CA 92592
OPTIONAL: FAX/E-MAIL ADDRESS OPTIONALFAX/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 informs"on 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 true and carr c.
1/31/17
Executed on By
Dale
1/31/17
Executed on By—
Date
y '
Dale Signature of of iceholder,-Calf
a date,StAsrVeasure Proponent or Responsible Officer of sponsor
Executed on By
Dale Signature of Controlling Officeholder,CatWitlale,gate Measure Proponent
Executed on By
Date Signature of Controlling Officeholder,Cantlitlate,State Measure Proponent
FPPC Form 460(Ian/2016)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov
COVER PAGE-PART 2
Recipient Committee 01
Campaign Statement , -
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
Matthew E. Rahn
OFFICE SOUGHT OR HELD(INCLUDE LOCATIONAND DISTRICT NUMBER IF APPLICABLE) BALLOT NO.OR LETTER JURISDICTION
❑ SUPPORT
City Council Member, City of Temecula I 1 ❑ OPPOSE
RESIDENTIAUBUSINESS ADDRESS (NO.ANDSTREET) CITY STATE ZIP
Temecula, CA 92592 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 TTRICT 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 STREETADDRESS (NO P.O.BOX) NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
❑ SUPPORT
❑ OPPOSE
CITY STATE ZIP CODE AREACODE/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
❑
[I YES F1 NO El OPPOSE COMMITTEE ADDRESS STREETADDRESS (NO P.O.BOX)
CITY STATE ZIPCODE AREACODE/PHONE Attach continuation sheets if necessary
FPPC Form 460()an/2016)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
w vvfppc.ca.gov
Campaign Disclosure Statement Amounts may be rounded SUMMARYPAGE
Summary Page to whole dollars. Statement covers period
7/1/16 _ • 1
from
12/31/16 3 6
SEE INSTRUCTIONS ON REVERSE through Page of
NAME OF FILER I.D.NUMBER
Committee to Elect Matt Rahn Temecula City Council 2014 1364681
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
0 1,445.00 General Elections
1. Monetary Contributions................................................... Schedule A,Linea $ S
D D 1/1 through 6/30 7/1 to Date
2. Loans Received...................... .................................... Schedule B,Line 3
0 1,445.00 20. Contributions
3. SUBTOTAL CASH CONTRIBUTIONS.............................. Add Lines l+2 S 0 S 0 Received 3 S
4. Nonmonetary Contributions............................ Schedule C,Llne3 0 21, Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED..................._..__.___..Add Lines 314 $ 1,445.00 g Made S S
Expenditures Made 2,496 Expenditure Limit Summary for State
_ __ _ _
6. Payments Made. .. ........................ .... ....................... schedule e,u 2,893.04
ne4 $ $ Candidates
7. Loans Made....................................................................... Schedule H,Line 3 0 0
8. SUBTOTAL CASH PAYMENTS.......................................... Add❑ 2,496 2,893.04 22. Cumulative Expenditures Made*
Lines $ $ pr subject to voluntary Expenditure Limn)
9. Accrued U
Expenses (Unpaid Bills ....Schedule F,Linea 0 0
p ( P )����������-����������-���---�-- - Date of Election Total to Date
10. Nonmonetary Adjustment.........................................................Schedule C,Line 3 0 0 (mm/ddlyy)
11. TOTAL EXPENDITURES MADE............._....................._..Add LmES8+9+1d $ 2,496 $ 2,693.04 —,� $
Current Cash Statement $
2,698.19
12. Beginning Cash Balance............................ Previous Summary Page,Line 16 $ To calculate Column B,
13. Cash Receipts........................................................... Column A,Line 3 above 0 add amounts in Column
0 A to the corresponding 'Amounts in this section may be different from amounts
14. Miscellaneous Increases to Cash.................................. Schedule 1,Line 4 amounts from Column B reported in Column B.
15. Cash Payments......................................................... column A,Line aabove 2,496.00 of your last report. Some
202.19 amounts in Column A may
16. ENDING CASH BALANCE .................Add Lines 12.13+ 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................................ Schedule B,Pad $ 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
Amounts may be rounded SCHEDULE IS-PART 1
Schedule B — Part 1 to whole dollars. Statement covers period
Loans Received
71v1 s •
from
it
12/31/16 T
6SEE INSTRUCTIONS ON REVERSE through PageOSNAME OF FILER I.D.NU
Committee to Elect Matt Rahn Temecula City Council 2014 1364681
IF AN INDIVIDUAL,ENTER I Ib) 10 e g
FULL NAME,STREET ADDRESS AND ZIP CODE OUTSTANDING AMOUNT AMOUNT PAID OUTSTANDING INTEREST ORIGINAL CUMULATIVE
OCCUPATION AND EMPLOYER BALANCE BALANCEAT
OF LENDER IIF SELF-EMPLOYED,ENTER RECEIVED THIS OR FORGIVEN PAID THIS AMOUNT OF CONTRIBUTIONS
(IF COMMITTEE,ALSO ENTER I.O.NUMBER) NAME OF BUSINESS BEGINNING THIS PERIOD CLOSE OF THIS PERIOD LOAN TO DATE
PERIOD THIS PERIOD' PERIOD
Matthew Rahn Educator/Researcher 0 PAID CALENDAR YEAR
California State E 19,535 0 % E E 0
University E RATE
FORGIVEN PER ELECTION"
19,535 0
E S E S E
12 IND 0 COM 0 OTH 0 PTY 0 SCC DATE DUE DATE INCURRED
PAID CALENDAR YEAR
$ S % $ E
RATE
0 FORGIVEN PER ELECTION"
E E E S $
10 IND 0 COM 0 OTH ❑ PTV 0 SCC DATE DUE DATE INCURRED
0 PAID CALENDARYEAR
S 5 % E $
❑ FORGIVEN RATE PER ELECTION-
S S S E S
1❑ IND 0 COM 0 OTH 0 PTY 0 SCC DATE DUE DATE INCURRED
SUBTOTALS $ $ $ 19,535 $
(Enter(e on
u
Schedule B Summary SUietlule E,LUn
re])
1. Loans received this period..............................................................
....
...........
......
........
........
.......
..........$ 0
(Total Column (b) plus unitem00)
ized loans of less than $1 .
1Contributor Codes
................................................................................$ IND—Individual
2. Loans paid or forgiven this period......................... 0 COM-Recipient Committee
(Total Column (c) plus loans under$100 paid or forgiven.) (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 change this period. Subtract Line 2 from Line 1. NET $ 0 SCC—Small Contributor Committee
Enter the net here and on the Summary Page, Column A, Line 2. (May Be z negative numben
'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 D
of Expenditures Amounts may be rounded SCHEDULED
Summary p Statement covers period
Supporting/OpposingOther to whole dollars. - 2 • '7/v1sCandidates, Measures and Committees '`°mSEE INSTRUCTIONS ON REVERSE through 12/31/16 Pa!eTof 6NAME OF FILER I.D.N
Committee to Elect Matt Rahn Temecula City Council 2014 1364681
DATE NAME OF CANDIDATE,OFFICE,AND DISTRICT,OR TYPE OF PAYMENT DESCRIPTION AMOUNT THIS CUMULATIVE TO DATE PER ELECTION
MEASURE NUMBER OR LETTER AND JURISDICTION, (t]`REQUIRED) CALENDAR YEAR TO DATE
OR COMMITTEE PERIOD (JAN.t-DEC.at) (IF REQUIRED)
Yes on S - City of Temecula ® Monetary
9/12/16 Contribution
$2,300 $2,300
11/1/16 ❑ Nonmonetary
11/16/16 Contribution
❑ Independent
Support ❑ Oppose Expenditure
❑ Monetary
Contribution
❑ Nonmonetary
Contribution
❑ Independent
❑ Support ❑ Oppose Expenditure
❑ Monetary
Contribution
❑ Nonmonetary
Contribution
❑ Independent
❑ Support ❑ Oppose Expenditure
SUBTOTAL $ 2,300
Schedule D Summary
1. Itemized contributions and independent expenditures made this period. (Include all Schedule D subtotals.)....................................................... $ 2,300
2. Unitemized contributions and independent expenditures made this period of under$100.................................................................................... $ 0
3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.).......... TOTAL.. $ 2,300
FPPC Form 460(Jan/2016)
FPPC Advice:advice@fppc.ca.gov)866/275-3772)
www.fppc.ca.gov
Schedule E Amounts may be rounded[o whole dollarsSCHEDULE E
. Statement covers period � - , '
Payments Made 0 - •
from 71/16
SEE INSTRUCTIONS ON REVERSE through 12/3 1/16 Page 6 of 6
NAME OF FILER I.D.NUMBER
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 fling/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
City of Temecula-41000 Main Street, Temecula, CA Fee to City
100.00
Yes on Measure S Contribution
CTB 2,300
Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$
Schedule E Summary
1. Itemized payments made this period. (Include all Schedule E subtotals.)............................................................................................................. $ 2,400.00
2. Unitemized payments made this period of under$100.......................................................................................................................................... $ 96.00
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 $ 2,496
FPPC Form 460()an/2016)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov