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HomeMy WebLinkAbout2017 •. RecipientCommittee DateStemp COVERPAGE Campaign Statement • ' ' � . � Cover Page �ry� • ' Sfatement eovers period Date of elecUon If appllcable: �AN � � �fO'7� Page�_ of� . �` _ ( �- �p 1, (Month,Day,Year) � t�� For O�icial Use Ony from SEE�NSTRUCTIONS ON REVERSE I Z - 3 I- Z O (, �� I b I .Z� 18 �ce�• through 1. Type of Reclplent Commlttee: n��comm�nee�-comp�ate Parts�,s,a,a�a a 2. Type of Statement: � Ofhceholder,Candidate Controlled Committee ❑ Primarily Fortned Ballot Measure ❑ PreefeGion Statement ❑ puaAerly Statement � State Candidate Election Committee Committee � Semi-annual Statement ❑ Special Odd-Year Report � Recall � Controlled ❑ Tertnination Statement (usoCanpbte Perc31 � Sponsored (qlso Ale a Form 410 Termination) (Pko Campbfe Pr18J ❑ Generel Purpose Committae ❑ Amendment(Explain below) � Sponsoretl ❑ Primerily Formed Candidate/ � Small Contributor Committee Officeholder CammiHee � PolfticalPertylCentralCommittee ��tO�P�eP`��� 3. Committee Information i.o.NurneeR Treasurer(s) COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER Zak Schwank for Council 2018 Jennifer Schwank MAILING ADDRESS 28785 Bristol Road STREETADDRESS(NO P.O.BOX) CITV STATE ZIP CODE AREA CODE/PHONE 28785 Bristol Road Temecula CA 92591 951-514-5504 CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER,If ANY Temecula CA 92591 951-326-9245 MAIIING ADDRESS(IF DIFFERENT)NO.AND STREET OR PO.BO% MAILINO ADDRESS CIN STATE ZIPCODE AREACODE/PHONE CI7Y STATE ZIPCODE AREACODE/PHONE OPTIONAL: FAX/E-MAILADORESS OPTIONAL: FA%/E-MAILADDRESS zakschwank�gmai I.com 4. Veriflcation I have used all reasonable diligence in preparing and reviewing this stetement end to the best of my knowledge the informalion eontained herein and in the ettached schadules is true and complete. I cartify under penalty of perjury under the lews of the State oi CalHornie that the toregoing is true end correct. Exewted on ' /� `�J - �� BY '���4.w 7Yi/i Dete Sipnelure re urerorAssletentTroeaurer �e��a� /-3v— /�Y B —' ..�' �� Deta Y Sprenus Cantmllmp�eeholtlx,Ce�MMels,Stete Maeaure PmporreM w Re�ponsibla OtMcer of Sponwr EXBCUIBtl 011 •. Dale BY SiOnelure W CoM�ollinp Omceholtler,CanOWeta,Stete Meeaure Pmponent . . Execuletl on OMe BY SlBneture of Controllinp OMlceholGer, andldete,Stets Meaeura Pmponent FPPCForm 460�Jan/2016) � FPPC Advice:advice@lfooc.ca.aov(866/275-3772)/ u y. COVER PAGE-PART 2 Recipient Committee � . , Campaign Statement � . . ' • 1 Cover Page — Part 2 � � Page � of J 5. Officeholder or Candfdate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE Zak Schwank OFFICE SOUGHT OR HELD(INCLU�E LOCATIONAND DISTRICT NUMBER IFAPPLICABLE) BAlLOT NO.OR LETTER JURISDICTION ❑ SUPPORT City of Temecula City Council District 5 ❑ oaPose RESIDENTIAUBUSINESS ADDRESS (N0.AND STREEn CI7V STATE ZIP Identlfy the controlling officaholder,candldate,or afate measure proponent,if any. 28785 Bristol Road Temecula CA 92591 NAME OF OFFICEHOLDER,CANDIDATE,OR PROPONENT Related Committees Not Included in this Statement: uaeenyeommineea not lncluded In thla statement Mat a�e eonfrolled 6y}rou ora�e prlmarlly/ormed to recelve OFFICE SOUGHT OR HELD DISTRIC7 NO.IF ANY ' con6lbuHons or make expendkurea on behall olyour candldaey. . COMMITTEE NAME I.D.NUMBER NAMEOFTREASURER CONTROLLEDCOMMITTEE7 �• PrimarilyFormedCandidate/OfficeholderCommittee Ll9tnameso/ � o/fieeholdeQa)or oand/dete(a)Ior whleh th/s eommlffee b pr7meAty/oimed. ❑ VES ❑ NO � COMMITTEE ADDRESS STREETADDRESS (NO P.O.BOX) NP.ME 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'7 NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ YES ❑ NO ❑ SUPPORT COMMITTEEADDRESS STREETADDRESS (NO P.O.BOX) ❑ OPPOSE CI7Y , S7ATE ZiP CODE AREA CODEIPHONE , _, qttgch contlnuatlon sheets Nnecessary FPPC Form 460(lan/2016) FPPC Advice:advice�5lfppc.ca.gov(866/2753772) www.fppc.w.gov Campaign Disclosure Statement Amounts may be rounded SUMMARY PAGE Summary Page towholedollars. Statemenecoversperiod I • - • � from • SEEINSTRUCTIONS ON REVERSE � thfOUgh Page v Of � NAME OF FILER � I.D.NUMBER `. Column A Column B Calendar Year$ummary for Candidates COI�It�IbUl1O�IS ReCelVed (FROAIAOTTACHEDSCHEDULES) OTAL�TODATER Running In Both the State Primary and General Electlons , ................................ Schetlule A,Line 3 $ � . � $ �. � . 1. Monetary Contributions................... v� tnrougn aiso �n co oate 2. Laans Received................................................................ scneau�e e,une s 0 0 � � 20. Contributions 3. SUBTOTAL CASH CONTRIBUTIONS.............................. Aadlines t+z $ � $ � Received $ $ 4. Nonmonetary Contributions............................................ scned��e c,une s � � 2t. Expenditures 5. TOTALCONTRIBUTIONSRECEIVED....................................Aao�ines3+4 $ 0 $ 0 Made $ $ Expenditures Made Expendlture Limit Summary for State 6. Payments Made................................................................ scnedwe e,une a S � S � Candidates 7. LoanS Mede....................................................................... Schedule H,Line 3 � � ' 22. Cumulative Expenditures Made' 8. SUBTOTALCASHPAYMENTS.......................................... add�inese.� $ � $ � (I/BuEfkttoVdunbryEzpanNturoLimit) 9. Accrued Expenses(Unpaid Bills)..........................................scnedwe F�ine 3 � � Date of Eieaion Totai to oate ' 70. Nonmonetary Adjustment....................................................... scneowe c,une 3 0 0 (mMddtyy) � ' ' 11. TOTALEXPENDITURESMADE........................................Addunese+e+�o $ 0 g 0 _J� $ Current Cash Statement _J� g 12. Beginning Cash Balance............................ arevious summery aa¢e,tine.�s S � To calculate Column B, 13.�Cash Receipts.........................................:................. Column a,L/na 3 ebove � add amounts in Column - � �A to the corresponding •Amounta in this section may be different from amounts 14. Miscellaneous increases to Cash.................................. Scnedu�e G�ine 4 amounts from Column B reported in Column B. 15. Cash Payments......................................................... Column A,Line e ebove � 0 of your last report. Some amounts in Column A may 18. ENDING CASH BALANCE ..................ntlo�ines�2�is«ia,teen subtrect Llne i5 $ � be negative Bgures thet should be subtracted from I/fhis is e termination stefement, Line 18 musf be zero. previous period amounts. If. this is the first report being , 17. LOAN GUARANTEES RECEIVED:............................... ScnedWe e,vart 2 $ 0 filed for this calendar year, onty cerry over the amounts Cash Equivalents and Outstanding Debts from Lines 2,7,and 9(if 18. Cash Equivalents......:....:......................:............. see��sm,a�ons on rererse S o e"Y�' 19. OI1tSteOd109 DBbfS.............................. Add Llna 2�Line 9 in Column B abore S � PDPC form 460(Jan/2016) � FPPC Advice:advice@fppc.ca.gov(866/2753772) www.fppc.w.gov