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HomeMy Public PortalAboutHernandez, Edwin - F 460 - 07.17.13 - Pre-Election StatementRecipient Committee Campaign Statement Cover Page (Government Code Sections 84200- 84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statement covers period from 1/01/2013 through 6/30/2013 1. Type of Recipient Committee: All Committees - Complete Parrs 1, 2, 3, and 4, ® Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure Q State Candidate Election Committee Committee Q Recall O Controlled (Also Complete Part 5) O Sponsored (Also Complete Part 6) ❑ General Purpose Committee Q Sponsored ❑ Primarily Formed Candidate/ Q Small Contributor Committee Officeholder Committee Q Political Party/Central Committee !Also complete Part 71 3. Committee Information I.D. NUMBER 1355916 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Edwin Hernandez for Lynwood City Council 2013 STREET ADDRESS (NO P.O. BOX) 3122 Redwood Ave. CITY STATE ZIP CODE AREA CODE /PHONE Lynwood CA 90262 310 - 713 -1428 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE /PHONE OPTIONAL: FAX / E -MAIL ADDRESS 4. Verification JUL 17 2013 Date of election if applicable: Page of (Month, Day, Year) For Official Use Only C ITY OF LYNWOO 11/05/2013 G 3 CLERKS OFFI DE 2. Type of Statement: ® Preelection Statement ❑ Quarterly Statement ❑ Semi - annual Statement ❑ Special Odd -Year Report ❑ Termination Statement ❑ Supplemental Preelection (Also file a Form 410 Termination) Statement - Attach Form 495 ❑ Amendment (Explain below) Treasurer(s) NAME OF TREASURER Efren Martinez MAILING ADDRESS 2564 Grand Ave. CITY STATE ZIP CODE AREA CODE /PHONE Walnut Park CA 90255 323 - 7184542 NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS OPTIONAL: FAX / E -MAIL ADDRESS STATE ZIP CODE AREA CODE /PHONE 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 underthe laws of the State of California that the foregoing is true and correct. _ , _ (` 7/0212013 Executed on By Date aniture Of I rea eroi-A roof Treasu 7102/2013 / Executed on By Date Signalwaof Contraing0ficelwlder , Candidate. State Measure Fr or Resperwble Oficerof Sp onsor Executed on By Oate Signature of COntrotlirg Otficelwltler CaMidate, rate Measure Proponent Executed on By Date Sgnatumof Controlling Olficelnlder, Candidate, State Measure Proponent FPPC Form 460(Januaryl05) FPPC Toll -Free Helpline: 666 /ASK -FPPC (6661276 -3772) State of California Recipient Committee Campaign Statement Cover Page — Part 2 Type or print in ink. S. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Edwin Hernandez OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Lynwood City Council RESIOENTIAVBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP 3122 Redwood Ave. Lynwood, CA 90262 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 contributions or make expenditures on behalf of your candidacy. COMMITTEENAME II.D. NUMBER NAMt UY I KtAbu KtK I UUN I KVLLLUUUMMI I I tL7 ❑ YES ❑ NO STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE /PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER I CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE /PHONE 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE COVERPAGE -PART2 Page 2 of 7 BALLOT NO, OR LETTER ( JURISDICTION I El SUPPORT ❑ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR DISTRICT NO, IF ANY 7. Primarily Formed Candidate /Officeholder Committee List names of officeholder(s) or candidate(s) for which this committee is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE Attach continuation sheets if necessary FPPC Form 460 (January/06) FPPC Toll -Free Heipline: 866 1ASK -FPPC (866127"772) State of California Campaign Disclosure Statement Summary Page Type or print in inic. Amounts may be rounded Statement covers period to whole dollars. from 1/01/2013 Expenditures Made 6. Payments Made.... ......................... ......................... Schedule E, Line 7. Loans Made ................ .. ...... ............ .............. 6!30/2013 3 7 SEE INSTRUCTIONS ON REVERSE 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F Line 10. Nonmonetary Adjustment ........... ............................... through 11. TOTAL EXPENDITURES MADE.. .............................. Page of 0 NAME OF FILER $ 7,150.00 If this is a termination statement, Line 16 must be zero. I.O. NUMBER Edwin Hernandez for Lynwood City Council 2013 $ 0 Cash Equivalents and Outstanding Debts 1355916 Contributions Received $ Column A Column B Calendar Year Summary for Candidates 0 TOTALTHISPEMCD iFROMATTAOHED SCHEDULES) CALENDARYEAR TCTALTOD TE Running in Both the State Primary and General Elections 1. Monetary Contributions ............ ............................... Schedule e A, Line 3 $ $ 2. Loans Received ....................... ............................... Schedule B. Line ] 0 111 through 6/30 711 to Date 3. SUBTOTALCASH CONTRIBUTIONS ......................... Add Lines 1 +2 $ 7,150.00 $ 20. Contributions Received $ $ 4. Nonmonetary Contributions .... ........._ Schedule C, Lines 0 .................... 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ....... ....................AddLines3 +4 $ 7,150.00 $ Made $ $ Expenditures Made 6. Payments Made.... ......................... ......................... Schedule E, Line 7. Loans Made ................ .. ...... ............ .............. ......... Schedule H, Linea 8. SUBTOTAL CASH PAYMENTS.._ . ............................... Add Lines 6 +7 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F Line 10. Nonmonetary Adjustment ........... ............................... Schedule C, Linea 11. TOTAL EXPENDITURES MADE.. .............................. Add Lines 8 +9 +10 $ 0 $ $ 0 $ 0 0 $ $ —Current Cash Statement 12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ 0 13, Cash Receipts...._ .............. ............................... Column A, Line 3above 7,150.00 14. Miscellaneous Increases to Cash ........................... Schedule 1, Line 4 0 15. Cash Payments ................... ............................... Column A, Line 8above 0 16. ENDING CASH BALANCE.......... Add Lines 12 +13 +14, then subtract Line 15 $ 7,150.00 If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ........................... Schedule e, Part2 $ 0 Cash Equivalents and Outstanding Debts 18. Cash Equivalents ......... ............................... .See instructions on reverse $ 0 19. Outstanding Debts ......................... Add Line 2+ Line 9 in Column B above $ 0 To calculate Column B, add amounts in Column A to the corresponding amounts from Column B of your last report. Some amounts in Column A may be negative figures that should be subtracted from previous period amounts. If this is the first report being fled for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if any). Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made` (a subject to voluntary Expenditure Limit) Date of Election Total to Date (mm /dd /yy) $ Amounts in this section maybe different from amounts reported in Column S. .FPPC Form 460 (.lanuary106) FPPC Toll -Free Helpline: 8661ASK -FPPC (8661275.3772) Schedule Type or print in Ink. SCHEDULE A Monetary ontributions Rived Amounts may be rounded ry Received to Statement covers period - whole dollars. • • ' from 1/01/2013 �. 6/30/2013 4 7 SEE INSTRUCTIONS ON REVERSE through page of NAME OF FILER _ I.D. NUMBER Edwin Hernandez for Lynwood City Council 2013 1355916 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION RECEIVED OFCOeMITrEE.nrso ENrERto.NUmeea) CODE* OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE pE SELF- EMPLOYED, ENTER NPME PERIOD (JAN.1 -DEC. 31) (IF REQUIRED) OF BUSINESS) ❑IND Bullentin Displays, LLC 6/13/2013 3127 East South Street, Suite B, Long Beach, ®OOH $250.00 $250.00 CA 90805 ❑ PTV ❑SCC ZINO 6/1312013 Jimmy Sandhu ❑COM Business Owner $500.00 $500.00 18310 Heather Ln, Artesia, CA 90701 ❑oTH HP Tow, INC. ❑ PTY ❑SCC ❑IND A & L Electric Inc 6/7/2013 11632 S. Atlantic Ave. Lynwood, CA 90262 210TH $150.00 $150.00 ❑ PTY ❑SCC ZIND Gevik Hovsepian ❑COM 6/5/2013 $500.00 $500.00 ❑OTH ❑ PTY ❑SCC All Trans Enterprise ❑IND ZOOM 5/30/2013 11800 Long Beach Blvd., Lynwood, CA 90262 BOTH $500.00 $500.00 ❑ PTV ❑ SCC SUBTOTAL$ 1,900.00 r w Schedule A Summary 1. Amount received this period — itemized monetary contributions. Include all Schedule A subtotals. ........................... ............................... $ 2. Amount received this period — unitemized monetary contributions of less than $100 ............................. $ 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $ 7,100.00 $50.00 7,150.00 "Contributor Codes IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee FPPC Form 460 (January105) FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275.3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. CALIFORNIA ' from 1101/2013 • through 6/30/2013 5 7 page of NAME OF FILER I.D. NUMBER Edwin Hernandez for Lynwood City Council 2013 1355916 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER LO. NUMBER) CODE OCCUPATION AND EMPLOYE R RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED. ENTER NAME PERIOD (JAN, 1- DEC. 31) (IF REQUIRED) OFBUSINESS) Waste & Recycling Services, INC []NO ❑COM 5130/2013 13714 Chestnut Street, Whittier, CA 90605 ®OTH $250.00 $250.00 ❑ PTY ❑SCC Wanda M. Martinez ®CRM D R Consultants & 5/30/2013 725 S. Figueroa Street, Suite 3320, Los L]OOTH Designers, Inc, $500.00 $500.00 Angeles, CA 90017 ❑ PTY Chief Executive Officer [_]SCC Delores E. Stubbs Insurance Agency ❑IND 5/30/2013 3601 E. Imperial Hwy. Lynwood, CA 90262 ®OTH $100.00 $100.00 ❑ PTV ❑SCC Leticia Vasquez ZIND Compton Community 5130/2013 3617 Walnut Ave., Lynwood, CA 90268 ❑OTH College $100.00 $100.00 ❑PTY Professor ❑ SCC Tafoya & Garcia, LLP ❑IND 5/30/2013 316 W. 2nd St., Suite 1000, Los Angeles, CA MOTH $1,750.00 $1,750.00 90012 ❑ PTY ❑Scc SUBTOTAL$ 2,700.00 'Contributor Codes IND - individual COM - Recipient Committee (other than PTY or SCC) OTH.- Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee FPPC Form 460 (January105) FPPC Toll -Free Helpline: 866/ASK-FPPC (6661275.3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT.) Ivionetary/ uon riDuuons meceivea Amounts may be rounded Statement covers period towholedollars. CALIFORNIA from 1101/2013 FORM • through 6/30/2013 page of 7 NAME OF FILER 1. D. NUMBER Edwin Hernandez for Lynwood City Council 2013 1355916 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE ALSO ENTER I.O. NUMBER) CODE + OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE pFSELF- EMPLOYED , ENTER NAME OFBUSINESS) PERIOD (JAN.1 -DEC. 91) (IF REQUIRED) Advanced Applied Engineering Inc. ❑IND 5/28/2013 1815 E. Heim Ave., Ste. 200, Orange, CA ®OTH $250.00 $250.00 92865 ❑ PTY ❑ SCC Nationwide Environmental Services ❑IND 5/23/2013 11914 Front St. Norwalk, CA 90650 ®OTH $500.00 $500.00 []PTY ❑ SCC Jimmy Sandhu mCOM ❑❑OTH Business Owner 4!17/2013 18310 Heather Ln, Artesia, CA 90701 HP Tow $250.00 $250.00 []PTY ❑SCC Mahandra R. Patel ZIND ❑❑OTH Travel Lodge 4/14/2013 9376 Gallatin Rd., Downey, CA 90240 Operator $250.00 $250.00 ❑ PTY ❑ SCC Sharad R Patel ZIND Travel Lodge 4!14/2013 8455 Telegraph Rd., Pico Rivera, CA 90660 QOTH Staff $250.00 $250.00 []PTY ❑SCC SUBTOTALS 1,500 Codes IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Parry SCC -Small Contributor Committee FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275 -5772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULEA (CONT.) monetary Contributions Received Amounts may be rounded Statementcovers period towholedollars. CALIFORNIA 1 from T/01/2013 • • • r through 6/30/2013 77 Page NAME OF FILER I. D. NUMBER Edwin Hernandez for Lynwood City Council 2013 1355916 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMInEE.ALSO ENTER I.D.NUMSER1 CODE + OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED. ENTER NAME PERIOD (JAN .1 -DEC. 31) (IF REQUIRED) OFBUSINESS) Maria Santillan -Beas for Assembly 2012, ❑IND ZCOM 4/14/2013 11204 Poplar Ave., Lynwood, CA 90262 ❑OTH $1,000 $1,000 ❑ PTY ❑ SCC ❑IND ❑COM ❑OTH ❑ PTY ❑ SCC ❑IND ❑COM ❑OTH ❑ PTY ❑ SCC ❑IND ❑COM ❑ OTH ❑ PTY ❑SCC ❑IND ❑COM ❑OTH ❑ PTY ❑SCC SUBTOTAL$ 1,000.00 ° 'Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Parry SCC —Small Contributor Committee FPPC Form 460 (January/05) FPPC Toll- Frea:Helpline: 8661ASK•FPPC (8661275.3772)