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HomeMy WebLinkAbout2019 ' COVER PAGE � Recipient Committee Date Stamp � _ Campaign Statement � � . � ' • � Cover Page _e� ��.-,,,�.�., Statement covers period Date of election if applicable: Page�— of� from 1�1�19 (Montn, �ay,Year) �� 3 � 20'�i� For Official Use Only SEE INSTRUCTIONS ON REVERSE through 6/30/19 . �° ����� �� m 1. Type of Recipient Committee: Ali Committeea—Complete Parta 1,z,a,and 4. Z. Type of Statement: � Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑ Preelection Statement ❑ Quarterly Statement � State Candidate Election Committee Committee � Semi-annual Statement ❑ Speciai Odd-Year Report � Recali � Controlled ❑ Termination Statement (AlsoCanpetePartS) � Sponsored (Also file a Form 410 Termination) (Also Complete Part 6) ❑ General Purpose Committee ❑ Amendment(Explain below) 0 Sponsored ❑ Primarily Formed Candidate! � Small Contributor Committee Officeholder Committee � Political PartylCentral Committee (Also Complete Parf 7) 3. Committee Information I.D.NUMBER Treasurer(s) 1400231 COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER Jennifer Schwank Zak Schwank for Council 2022 MAILINGADDRESS 28785 Bristol Road STREETADDRESS(NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE 28785 Bristol Road Temecu�a CA 92591 951-326-9245 CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER,IF ANY Temecula CA 92591 951-326-9245 MAILING ADDRESS(IF DIFFERENT)N0.AND STREET OR P.O.BOX MAILING ADDRESS CiTY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX/E-MAIL ADDRESS OPTIONAL: FAX/E-MAIL ADDRESS 4. Veri�cation 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 pery'ury under the laws of the State of California that the foregoing is true and correct. 6/30/19 �� Executed on By Date � Sipnature of Treasurer or Assist t Treasurer 6/30119 �P Executed on Date By Signeture of Co Iling Officeholder,Candidate,State Measure Proponent or Responsible Officer of Sponsor Executed on By Date Signature of Controlling Oificeholder,Candidale,State Measure Proponent Executed on By Date Signeture of Controlling Officeholder,Candidate,State Measure Proponent FPPC Form 460(1an/2016) FPPC Advice:advice�Dfpnc.ca.Qov(866/275-3772�/� (�V� COVER PAGE-PART 2 Recipient Committee . _ . ( Campaign Statement . - ' • Cover Page — Part 2 � Page� of � 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE Zak Schwank OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT N0.OR LETTER JURISDICTION ❑ SUPPORT City of Temecula City Council District 5 ❑ oPPosE RESIDENTIAL/BUSINESS ADDRESS (NO.AND STREE� CITY STATE ZIP 28785 Bristol Road TemBCuIS CA 92591 Identify the controlling o�ceholder,candidate,or state measure proponent,if any. NAME OF OFFICEHOLDER,CANDIDATE,OR PROPONENT Related Committees Not Included in this Statement: Llstanycommittees not lncluded In thls sfatement that are controlled by you or are primarlly formed to recelve OFFICE SOUGHT OR HELD DISTRICT NO.IF ANY contrlbutions or make expenditures on behalf of your candldacy. COMMITTEE NAME I.D.NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? 7• Primarily Formed Candidate/Offlceholder Committee List names of oKceholder(s)or candidate(s)for which th/s commlttee 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 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 COMMITTEE9 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 Atfach continuatlon 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. Statement covers period � _ Summary Page 1�1�19 � � - � , � � from SEE INSTRUCTIONS ON REVERSE tnrough 6/30/19 page�_ ot� NAME OF FILER I.D.NUMBER 2�t �� ��-� wt,✓v� �u� �o�,�n c�� Z O Z �— 1400231 Column A Column B Calendar Year Summary for Candidates Contributions Received TOTALTHISPERIOD CALENDARYEAR (FROMATTACHEDSCHEDULES) TOTALTODATE Running in Both the State Primary and 1. Monetary Contributions................................................... scned�iea,�ine 3 $ 0 $ 0 Generai Elections 0 0 1/1 through 6/30 7/1 to Date 2. Loans Received................................................................ scneduie e,l.ine 3 20. Contributions 3. SUBTOTAL CASH CONTRIBUTIONS.............................. .4dd�ines�+2 $ 0 $ � Received $ $ 4. Nonmonetary Contributions............................................ scnedu�e c,Line 3 � � 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED....................................Add�ines 3+4 $ 0 $ 0 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made................................................................ scnedu�e e,Line 4 $ 50 $ 50 Candidates 7. Loans Made....................................................................... scneduie H,Line 3 � 0 22. Cumulative Expenditures Made* 8. SUBTOTAL CASH PAYMENTS.......................................... Add�ines 6+7 $ 50 $ 50 (It SubJect to Voluntary Expenditure Limit) 9. Accrued Expenses(Unpaid Bills)..........................................scneauie F�ine s � � Date of Election Total to Date 10. Nonmonetary Adjustment.... ....................................................scnedu�e c,Line 3 � 0 (mm/ddlyy) 11. TOTAL EXPENDITURES MADE.......................................Add�ines 8+9+�o $ 50 $ 50 _J_� $ Current Cash Statement —J_� $ 12. Beginning Cash Balance............................ Pre�ro�s summary Pa9e,une�s g 2,333 To calculate Column B, 13. Cash Receipts........................................................... Co�umn A,�ine a above � add amounts in Column 184.89 A to the corresponding *Amounts in this section may be different from amounts 14. Miscellaneous Increases to Cash.................................. scned�ie i.�ine a amounts from Column B reported in Column B. 15, Cash Payments......................................................... Co�umn,4,line s above 50 of your last report. Some 2468 amounts in Column A may 16. ENDING CASH BALANCE ..................Add�ines�2+�3+�4,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................................ Scneduie e,Pan 2 $ 0 filed for this calendar year, only carry over the amounts Cash Equivalents and Outstanding Debts from Lines 2,�,and 9(if 1 S. Cash Equivalents................................................ See instructions on reverse $ � any). 19. OutStanding Debts.............................. Add Line 2+Line 9 in Column e above $ � FPPC Form 460(Jan/2016) FPPC Advice:advice�lfppc.ca.gov(866/275-3772) www.fppc.ca.gov , SCHEDULE Amounts may be rounded ' Schedule to whole dollars. Statement covers period � . , • Payments Made from ��1�19 ' SEE INSTRUCTIONS ON REVERSE through 6/30/19 Page� of� NAME OF FILER I.D.NUMBER �� � �G�c..e��l� f��' �w����� �j� Z 1400231 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 cabie 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-maii) NAME AND ADDRESS OF PAYEE QF COMMITTEE,ALSO ENTER I,D.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Secretary of State 1500 i i th Street Room 495 FIL 2019 Campaign Filing Fee 50.00 Sacramento, CA. 95814 "Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ Schedule E Summary 1. Itemized a ments made this eriod. Include all Schedule E subtotals. 50 P Y P � )............................................................................................................. $ 0 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 $ 50 FPPC form 460(!an/2016) PPPC Advice:advice�fppc.ca.gov(866/275-3772) www.fppc.ca.gov Schedule I Amounts may be rounded SCHEDULE Miscellaneous Increases to Cash to whole dollars. Statement covers period � . from 1/1/19 • - � • , through 6/3O/19 page � of � SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D.NUMBER Z� � �L �ti���� �„� L'vu.��f / �G � 2 1400231 DATE FULL NAME ANDADDRESS OF SOURCE DESCRIPTION OF RECEIPT AMOUNT OF RECEIVED (IF COMMITTEE,ALSO ENTER I.D.NUMBER) INCREASE TO CASH City of Temecula 5/2/2019 41000 Main Street 2018 Election Fee Refund 182.60 Temecula, CA. 92591 Attach additional information on appropnately labeled continuation sheefs. SUBTOTAL$ 182.60 Schedule I Summary 1. itemized increases to cash this period. ...........................................................................................................................$ 182.60 2. Unitemized increases to cash of under$100 this period. ............................... 2'29 .................................................................$ 3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).) .......................................$ � 4. Total misce�laneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Line 14.) ............................................................................................................................. TOTAL $ 184.89 FPPC form 460(Jan/2016) FPPC Advice:advice�Afppc.ca.gov(866/275-3772)