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)