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HomeMy Public PortalAboutRodriguez, Ramon - Form 460 - 01.26.12 - 2nd Semi-Annual Statement Recipient Committee COVERPAGE Campaign Statement - Type or prim in ink. Date Stamp 70nly Cover Page C IV (Government Code Sections 84200- 84216.5) � 1 Statement covers period Date of election if applicable: from 2012 July 1, 2011 (Month, Day, Year) JAN 2 6 For Offi ' SEE INSTRUCTIONS ON REVERSE through December 31, 2011 D ITY OF y NI NO D n: n r• 8 1. Type of Recipient Committee: An committees - compteee Pars 1, 2, a, and a. 2: Type of Statement: 2 Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑ Preelection Statement ❑ Quarterly Statement Q State Candidate Election Committee Committee ® Semi - annual Statement ❑ Special Odd -Year Report 0 Recall O Controlled E Termination Statement Sup p l emental (Also Complete Part S) O Sponsored - Also file a Form 410 Termination ❑ PP emental Preelection (Also complete Pan s) ( ) Statement - Attach Form 495 F General Purpose Committee ❑ Amendment (Explain below) Q Sponsored ❑ Primarily Formed Candidate/ - Q Small Contributor Committee Officeholder Committee Q Political Party /Central Committee (Also complete Part 7) 3. Committee information I.D. NUMBER Treasurer(s) 1237098 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER Ramon Rodriguez for City Council 2009 Ramon Rodriguez MAILING ADDRESS 12120 Phillip A STREET ADDRESS (NO P.O. BOX) - 'CITY" STATE ZIP CODE AREA CODE /PHONE 121 P hillips Avenue Lynwood CA 90262 310/885 -5923 CITY STATE ZIP CODE AREA CODE /PHONE NAME OF ASSISTANT TREASURER, IF ANY Lynwood CA 9 0262 310 /88 5 -5 923 MAILING ADDRESS (IF DIFFERENT) NO 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. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the b t of y knowledge formation contained herein and in the attached schedules is true and complete. I certify under penally of perjury lyryder he lq ws 9f the State of California that the foregoing is tru x rr CC r Executed on / � B X Sigwtureo reasureror ASSistanRreasurer Executed on ~L= Data L� Signatureol Controiug Olfu'etaMer, Candidate, State Me asue Proronentor RespomiWOffmrd Sponsor u , Executed on By Date $gnature or Controllvy OrficeMMer, CaMMate; SL to Measure Proponent Executed on _ By - Date Signatureo(Controlling Officerolder, Candidate. SWe Measure Proponent " FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866127"772) State of California Type or print in ink. COVERPAGE -PART2 Recipient Committee Campaign Statement O � CALIFO 46 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 BALLOTMEASURE Ramon R odriguez OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO. OR LETTER JURISDICTION ❑SUPPORT Lynwood C Cou ncilmember ❑ OPPOSE RESIDENTIAUBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP 12120 Phillips Avenue Lynwood, CA 90262 Identify the controlling officeholder, candidate, or state measure proponent, it 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 NAME OF TREASURER CONTROLLED COMMITTEE? 7. Primarily Formed Candidate /Officeholder Committee List names of F1 YES ❑ NO officeholder(s) or candidate(s) for which this committee is primarily formed. COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE CITY STATE ZIP CODE AREA CODEIPHONE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE COMMITTEENAME 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. 80X) OPPOSE CITY STATE ZIP CODE AREA CODEIPHONE Attach continuation Sheets if necessary FPPC Form 460 (January/O6) FPPC Toll -Free Helpline: 666 1ASK -FPPC (6661275 -1772) State of California Campaign Disclosure Statement Type or print in ink. SUMMARYPAGE Summary Page Amoun to t whole dollars rounded I Statement covers period CALIFORNIA from Ju ly 1, 20 11 • • SEE INSTRUCTIONS ON REVERSE through December 31, 2011 Page 3 of 6 NAME OF FILER I.D. NUMBER Ramon Rodriguez for City Council 2009 1237098 Coluni Column B Calendar Year Summary for Candidates Contributions Received TOTALTHISPERIOD CALENDARYEAR (FROM ATTACHE D SCHEDULES) TOTALTODATE Running in Both the State Primary and General Elections 1. Monetary Contributions ............ ............................... Schedule A, Line 3 $ 0 $ 0 2. Loans Received ....................... ............................... schedule e, Line 3 0 17,050.00 vt through 6 /30 7n to Date 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines +2 $ 0 $ 17,050.00 20. Contributions 0 0 Received $ $ 4. Nonmonetary Contributions ..... ............................... Schedule c, Line 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED. Add Lines3+4 $ 0 $ 17,050.00 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made ........................ ............................... Schedule E, Line $ 191.20 $ 287.20 Candidates 7. Loans Made ................. ... ............. I ........ I ....... I ....... ..!, Schedule H, Line 0 0 191.20 287.20 22. Cumulative Expenditures Made' 8. SUBTOTAL CASH PAYMENTS ..... ............................... Add ones s.7 $ $ (if SUbl ed to Voluntary Expenditure Limit) 9. Accrued Expenses (Unpaid Bills) ............................... schedule F Line 3 -95.20 0 Date of Election Total to Dale 10. Nonmonetary Adjustment .......... ..................._... ....... Schedule C, Line 0 0 (mm /dd /yy) 11. TOTAL EXPEN DITU RES MADE ............... ................. Add Lines 8 +9. fo $ 96.00 $ 287.20 $ Current Cash Statement $ 12. Beginning Cash Balance ....................... Previous summary Page, Line 16 $ 309.14 To calculate Column B, add 13. Cash Receipts .................... ..... ........................ Column A, Line 3 above 0 amounts in Column A to the .. 14. Miscellaneous Increases to Cash ........................... Schedule 1, Line 4 0 corresponding amounts 'Amounts in this section may be different from amounts from Column B of your last reported in Column B. 15. Cash Payments ................... ............................... Column A, Line 8 above 191.20 report. Some amounts in Column A may be negative. 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 - 14, then subtract Line 15 $ 117.94 figures that should be subtracted from previous f/ this is a termination statement, Line 16 must be zero. period amounts. If this is the first report being fled 17. LOAN GUARANTEES RECEIVED ........................... Schedule B, Part 2 $ 0 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 in on reverse $ an y) ' 19. Outstanding Debts ......................... Add Line 2+ Line 9 in Column B above $ 17050.00 FPPC Form 460(January/05) . FPPC Toll -Free Helpline: 866 /ASK -FPPC (86612753772) Type or print in ink SCHEDULEB -PART1 Schedule B — Part 1 Amounts may be rounded Statement covers period CALIFO ' Loans Received to whole dollars. from July 1, 2011 O . • 20 SEE INSTRUCTIONS ON REVERSE through December 31, 6 Page 4 of 6 NAME OF FILER I.D. NUMBER — Ramon Rodriguez for City Council 2009 1237098 FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OUTSTANDING (b) lo) (�) (e) t) )g) OCCUPATION AND EMPLOYER AMOUNT AMOUNTPAID OUTSTANDING INTEREST ORIGINAL CUMULATIVE OF LENDER BALANCE RECEIVED THIS BALANCEAT OR (IFCOMMIITEE,ALSOENTERtD. NUMBER) OF SELF - EMPLOYED, ENTER BEGINNINGTHIS THIS FORGIVEN 'CLOSE OF THIS PAID THIS AMOUNT OF CONTRIBUTIONS NAMEOFeuswESS) PE IOD PERIOD THIS PERIOD' PERIQD PERIOD LOAN TO DATE Ramon Rodriguez Councilmember ❑PAID CALENDAR YEAR 12120 Phillips Avenue City of Lynwood s $ 16000.00 % $ 16000 $ 17050.00 Lynwood, CA 90262 FORGIVEN RATE PER ELECTION" $ 16000.00 $ 0 $ 12/31/10 $ 5/30/09 $ t� IND El ❑ OTH ❑ PTY ❑ SCC - DATE DUE DATE INCURRED Ramon Rodriguez Councilmember E] PAID CALENDAR YEAR 12120 Phillips Avenue City of Lynwood $ $ _ 750.00 s $ 750.00 $ 17050.00 Lynwood, CA 90262 E] FORGIVEN RATE PER ELECTION" i $ 750 $ 0 $ 12/31/10 $ 1/21/10 $ t® IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED Ramon Rodriguez Councilmember ❑ PAID CALENDARYEAR 12120 Phillips Avenue City of Lynwood $ $ 300.00 % $ 300.00 $ 17050.00 Lynwood, CA 90262 El FORGIVEN RATE PER ELECTION" $ 3000 $ 0 $ 12131/10 s 1/22/10 $ tV.IND ❑ COM ❑ OTH ❑ PTV ❑ SCC DATE DUE DATE INCURRED SUBTOTALS $ 0 $ 0 $ 17,050.00 $ 0 (Enter(e)on Schedule B Summary Sdiedde E.Une3) 1 . Loans received this period ..................................................................................... ............................... $ 0 (Total Column (b) plus unitemized loans of less than $100.) tcontributor Codes 2. Loans paid or forgiven this period .....................:.................................................... ...........................:... $ 0 IND– individual 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. 0 SCC - Small Contributor Committee 9 P ( ) ................................ ............................... NET $ Enterthe net here and on the Summary Page, Column A, Line 2. (May bCan " " nu 'Amounts forgiven or paid by another party also must be reported on Schedule A. If required. FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275 -3772) Schedule E Type or print in ink. SCHEDULEE Payments Made Amounts from July 1, 2011 •" unts may be rounded Statement covers period CALIFORNIA Pa - y to whole dollars. 460 2 SEE INSTRUCTIONS ON REVERSE through December 31, Page 5 Of 6 NAME OF FILER I.D. NUMBER Ramon Rodriguez for City Council 2009 1237098 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CW campaign paraphernalia /mist. 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 filing /ballot fees RHO phone banks TRC candidate travel, lodging, and meals FND fundraising events ROL polling and survey research TRS staff /spouse travel, lodging, and meals bD 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 UT campaign literature and mailings FRT 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 AMOUNTPAID 1 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. ............................................ .............................................. .................... $ 0 2. Unitemized payments made this period of under $100 ........................................................................................................... ............................... $ 191.20 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) $ 0 ................ . 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summa Page, Column A, Line 6. 191.20 Summary 9 ) ............................. TOTAL $ FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) • SCHEDULEF Schedule F Type or print in ink. Amounts may be rounded Statement covers period CALIFORNIA ' Accrued Expenses (Unpaid Bills) to whole dollars. from July 1, 2011 • _ through December 31, 206 6 6 SEE INSTRUCTIONS ON REVERSE Page of NAME OF FILER I.D. NUMBER Ramon Rodriguez for City Council 2009 1237098 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 FIND fundraising events POL polling and survey research TRS staff /spouse travel, lodging, and meals tm independent expenditure supporting /opposing others (explain)' POS postage, delivery and messenger services TSF transfer between committees of the same candidatelsponsor 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) (a) (b) Icl Idl NAME AND ADDRESS OF CREDITOR CODE OR OUTSTANDING AMOUNTINCURRED AMOUNTPAID OUTSTANDING (IF COMMITTEE, ALSO ENTER I.D. NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THISPERIOD BALANCE AT CLOSE OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD California Political Law, Inc. 3605 Long Beach Blvd., Suite 426 PRO 95.20 0 95.20 0 Long Beach, CA 90807 Payments that are contributions or independent expenditures must also be SUBTOTALS $ 95.20 $ 0 $ 95.20 $ 0 summarized on Schedule D. Schedule F Summary 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for 0 accrued expenses of $100 or more, plus total unitemized accrued expenses under $ 100.) ............. ............................... INCURRED TOTALS $ 2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on 0 accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.) .. ............................... PAID TOTALS $ 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and g5.20 on the Summary Page, Column_ A, Line 9.) ................................................................................................................. ............................... NET $ May be FPPC Form 460 (January/05) FPPC Toll -Free Helping: 866 1ASK -FPPC (866 /275 -3772)