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)