HomeMy WebLinkAbout2021 Recipient Committee Date Stamp COVER PAGE
Campaign Statement � ' • 1
Cover Page RECEiveD
Statement covers period Date of election if applicable: Page of
from
7/l/2020 (Month, Day,Year) JAN 2 6 w11 For Official Use Only
SEE INSTRUCTIONS ON REVERSE through 12/31/2020 CITY CLERKS DEP1:
1. Type of Recipient Committee: All Committees-Complete Parts 1,2,3,and 4. 2. Type of Statement:
m Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑ Preelection Statement ❑ Quarterly Statement
0 State Candidate Election Committee Committee m Semi-annual Statement ❑ Special Odd-Year Report
Q Recall O Controlled El Termination Statement
(Also Complete Part5) o Sponsored (Also file a Form 410 Termination)
(4oCompkfe Part 6) ❑ Amendment(Explain below)
❑ General Purpose Committee
Sponsored ❑ Primarily Formed Candidate/
Small Contributor Committee Officeholder Committee
Political Party/Central Committee (Abo Complete Pad7)
3. Committee Information I.D NUMBER Treasurer(s)
1400231
COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER
Zak Schwank For Council 2022 Jennifer Schwank
MAILING ADDRESS
28785 Bristol Road
STREET ADDRESS(NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE
28785 Bristol Road Temecula CA 92591 951-326-9245
CITY STATE ZIP CODE AREACODE/PHONE NAME OF ASSISTANT TREASURER,IF ANY
Temecula CA 92591 951-326-9245
MAILING ADDRESS(IF DIFFERENT)NO.AND STREET OR P.O.BOX MAILING ADDRESS
28785 Bristol Road
CITY STATE ZIP CODE AREACODE/PHONE CITY STATE ZIP CODE AREACODE/PHONE
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 true and correct.
Executed on By LS By �at`ems
dF Dater atee Signature of Treasurer or A nt Treas r
Executed on ! By
Date Signature o Contf rol g Officeholder,Candidate,State Measure Proponent or Responsible Officer of Sponsor
Executed on Date By Signature of Controlling Officeholder,Candidate,State Measure Proponent
Executed on By
Date ignature of Controlling Officehoider,Candidate,State Measure Proponent
FPPC Form 460(Jan/2016))
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov
Recipient Committee COVER PAGE-PART 2CALIFO.
NIA
Campaign Statement FORM ' •
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 NO.OR LETTER JURISDICTION
❑ SUPPORT
City of Temecula Council District 5 1 ❑ OPPOSE
RESIDENTIAL/BUSINESS ADDRESS (NO.AND STREET) CITY STATE ZIP
28785 Bristol 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 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 COMMITTEE? NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
❑ YES ❑ NO SUPPORT
COMMITTEE ADDRESS STREETADDRESS (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
Summary Page to whole dollars. Statement covers period , • _ , ,
g from 7/1/2020 • -
h 12/31/2020 Page of
SEE INSTRUCTIONS ON REVERSE through
NAME OF FILER I.D.NUMBER
Zak Schwank For Council 2022 1400231
Column A Column B Calendar Year Summary for Candidates
Contributions Received TOTAL THIS PERIOD CALENDARYEAR
(FROM ATTACHED SCHEDULES) TOTAL TO DATE Running in Both the State Primary and
General Elections
1. Monetary Contributions................................................... Schedule A,Line $ 0 $ 0
2. Loans Received................................................................ Schedule e,Line 3
0 0 1/1 through 6/30 7!1 to Date
20. Contributions
3. SUBTOTAL CASH CONTRIBUTIONS.............................. Add Lines 1+2 $ 0 $ 0 Received $ $
4. Nonmonetary Contributions............................................ Schedule C,Line 3 0 0 21. Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED................................Add Lines 3+4 $ 0 $ 0 Made $ $
Expenditures Made Expenditure Limit Summary for State
6. Payments Made................................................................ Schedule E,Line 4 $ 0 $ 0 Candidates
7. Loans Made....................................................................... Schedule H,Line 3 0 0
22. Cumulative Expenditures Made*
8. SUBTOTAL CASH PAYMENTS....................................... Add Lines s+7 $ 0 $ 0 (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 0 (mm/dd/yy)
11. TOTAL EXPENDITURES MADE....................................Add Lines 8+9+10 $ 0 $ 0 -J � $
Current Cash Statement $
12. Beginning Cash Balance............................ Previous Summary Page,Line 16 $ 2424
To calculate Column B,
13. Cash Receipts........................................................... Column A,Line 3 above 0 add amounts in Column
A to the corresponding *Amounts in this section may be different from amounts
14. Miscellaneous Increases to Cash.................................. schedule r,Line 4 2 amounts from Column B reported in Column B.
15. Cash Payments......................................................... Column A,Line 6 above 0 of your last report. Some
amounts in Column A may
16. ENDING CASH BALANCE ..................Add Lines 12+13+14,then subtract Line 15 $ 2426 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,Part2 $ 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 a above $ 0 FPPC Form 460(Jan/2016))
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov
Schedule I Amounts may be rounded SCHEDULE 1
Miscellaneous Increases to Cash to whole dollars. Statement covers period A '
from 7/l/2020 ILDNUMBER
through 12/31/2020 of
SEE INSTRUCTIONS ON REVERSENAME OF FILER
Zak Schwank For Council 2022 1400231
DATE FULL NAME AND ADDRESS OF SOURCE AMOUNT OF
DESCRIPTION OF RECEIPT
RECEIVED (IF COMMITTEE,ALSO ENTER I.D.NUMBER) INCREASE TO CASH
Attach additional information on appropriately labeled continuation sheets. SUBTOTAL$
SummarySchedule I
1. Itemized increases to cash this period. ...........................................................................................................................$ 0
2. Unitemized increases to cash of under$100 this period. ................................................................................................$ 2
3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).) .......................................$ 0
4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the 2
Summary Page, Line 14.) ............................................................................................................................. TOTAL $ FPPC Form 460(Jan/2016))
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov