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HomeMy Public PortalAboutFORM 460 - 1ST PRE-ELECTION - MARISELA SANTANA FOR CITY COUNCIL 2018 Recipient Committee Date Stamp COVER PAGE • Campaign Statement i d CALIFORNIA FORM A �`O Cover Page �FV (Government Code Sections 84200-84216.5) Statement covers period Date of election if applicable: SE 9 7 018 Page 1 of 16 from 01/01/2018 (Month, Day,Year) L.f CITY OF LYNWOOD For Official Use Only SEE INSTRUCTIONS ON REVERSE through 09/22/2018 11/06/2018 fli ., n!l 1-:"• I- 1. Type of Recipient Committee: All Committees—Complete Parts 1,2,3,and 4. 2. Type of Statement: i© 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 Q Recall 0 Controlled ❑ Termination Statement ❑ Supplemental Preelection (Also Complete Part 5) O Sponsored (Also file a Form 410 Termination) Statement-Attach Form 495 (Also Complete Part 6) ❑ 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]) 3. Committee Information D. NUMBER Treasurer(s) 1908738 COMMITTEE NAME(OR CANDIDATES NAME IF NO COMMITTEE) NAME OF TREASURER MARISELA SANTANA FOR CITY COUNCIL 2018 DAVID L. GOULD MAILING ADDRESS 249 E OCEAN BLVD STE 685 STREET ADDRESS(NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE 249 E OCEAN BLVD STE 685 LONG BEACH CA 90802 (213)489-4792 CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER,IF ANY LONG BEACH CA 90802 (213)989-9792 INGRID ORELLANA MAILING ADDRESS (IF DIFFERENT)NO.AND STREET OR P.O. BOX MAILING ADDRESS 299 E OCEAN BLVD STE 685 CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE LONG BEACH CA 90802 (213)989-9792 OPTIONAL: FAX/E-MAIL ADDRESS OPTIONAL: FAX/E-MAIL ADDRESS (213)489-9818 / DLGOULD @GOULDORELLANA.COM 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained he�•'rr -.iFT'"n 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 "I — LT— \ By Date �r �l rerorA5sls4lnt Treasurer• Executed on ` � By -1-/ti0..f......./ v_�i se/1 Me . Dale 1 7:0 •nr:' oM=r,s>*•tlate,'-eMeaawe Propanentor Responsible ORrerotSponsor Executed on By Date Signature et Controlling Officeholder,Candidate,State Measure Proponent Executed on By Date Signatureof Controlling Officeholder,Candidate.State Measure Proponent FPPC Form 460(Jan/2016) FPPC Advice:advice @fppc.ca.gov(866/275-3772) www.netfite.com www.fppc.ra.gov COVER PAGE-PART2 Recipient Committee CALIFORNIA 460 Campaign Statement FORM Cover Page—Part 2 Page 2 of 15 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE MARISELA SANTANA OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO.OR LETTER JURISDICTION ❑ SUPPORT City Council Member: LYNWOOD ❑ OPPOSE RESIDENTIAL/BUSINESS ADDRESS (NO.AND STREET) CITY STATE ZIP Identify the controlling officeholder, candidate, or state measure proponent, if any. 249 E OCEAN BLVD STE 685 LONG BEACB CA 90802 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 officeholder(s)or candldate(s)for which this committee is primarily formed. ❑ YES ❑ NO COMMITTEEADDRESS 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 ❑ SUPPORT ❑ YES ❑ NO ❑ OPPOSE COMMITTEEADDRESS STREETADDRESS (NO P.O.BOX) 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 www.nettile.com Campaign Disclosure Statement SUMMARY PAGE Amounts may be rounded • Summary Page to whole dollars. Statement covers period CALIFORNIA 460 from 01/01/2018 FORM through 09/22/2016 Page 3 of 15 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER NARISELA SANTANA FOR CITY COUNCIL 2018 1408738 Contributions Received Column o Column B Calendar Year Summary for Candidates (FROMArncMED SCHEDULES) TOTALTODATE Running in Both the State Primary and General Elections , 1. Monetary Contributions Schedule A,Line3 $ 19,999.00 $ 19,999.00 1/1 through 6/30 7/1 to Date 2. Loans Received Schedule B,Line 3 1,600.00 1,600.00 3. SUBTOTALCASH CONTRIBUTIONS Add Lines 1+2 $ 21,599.00 $ 21,599.00 20. Contributions Received $ $ 4. Nonmonetary Contributions Schedule C,Line 3 450.00 450.00 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED Add Lines 3+4 $ 22,049.00 $ 22,049.00 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made Schedule E,Line 4 $ 10,851.80 $ 10,851.80 Candidates 7. Loans Made Schedule H,Linea 0.00 0.00 22. Cumulative Expenditures Made* 8. SUBTOTALCASH PAYMENTS Add Lines 6+7 $ 10,851.80 $ 10,851.80 (n Subject to Voluntary Expenditure Limit) 9. Accrued Expenses (Unpaid Bills) Schedule F,Line 3 275.00 275.00 Date of Election Total to Date 10.Nonmonetary Adjustment Schedule C,Line 3 450.00 450.00 (mm/dd/yy) 11.TOTAL EXPENDITURES MADE Add Lines 8+9+10 $ 11,576.80 $ 11,576.80 / / $ Current Cash Statement ____/_____/ $ 12. Beginning Cash Balance Previous Summary Page,Line 16 $ 0.00 To calculate Column B,add 1 13.Cash Receipts Column A,Line 3 above 21,599.00 amounts in Column A to the corresponding amounts *Amounts in this section may be different from amounts 14.Miscellaneous Increases to Cash Schedule/,Line 4 0.00 from Column B of your last reported in Column B. 15.Cash Payments Column A,line 8above 10,851.80 report. Some amounts in Column A may be negative 16.ENDING CASH BALANCE Add Lines 12+13+14,then subtract Line 15 $ 10,747.20 figures that should be subtracted from previous If this is a termination statement, Line 16 must be zero. period amounts. If this is the first report being filed 17.LOAN GUARANTEES RECEIVED schedule B,Part 2 $ 0.00 for this calendar year, only carry over the amounts Cash Equivalents and Outstanding Debts anm Lines 2,7,and 9 (if any). 18. Cash Equivalents See instructions on reverse $ 0.00 19. Outstanding Debts Add Line 2+line 91n Column B above $ 1,875.00 FPPC Form 460(Jan12016) FPPC Advice:advice @fppc.ca.gov(8661275-3772) www.fppc.ca.gov www.netfile.com Schedule A SCHEDULE A Monetary Contributions Received Amounts may be rounded to whole dollars. Statement covers period CALIFORNIA 460 from 01/01/2018 FORM through 09/22/2018 Page 4 of 15 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER MARISELA SANTANA FOR CITY COUNCIL 2018 1408738 FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION DATE CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED QFCOMMRTr1:,ALSO FNTERI.D.MIMBER) CODE a OFSELF-EMPLOVED,ENTERNAME PERIOD (JAN.1-DEC.31) (IF REQUIRED) OFRUSINESS) 08/23/2018 Mark Flores MIND Non-Profit Consultant 150.00 150.00 P.O. Box 741 ❑COM MAF Organizational Lynwood, CA 90262 Consulting Received through intermediary: ❑0TH Democracy Engine ❑PTY 237 Florida Avenue, NW Washington, DC 20001 USCG 08/23/2018 Jose Franco MIND Driver 250.00 250.00 7070 Parkside Ave ❑COM 5 Star Auto Transport San Diego, CA 92139 Received through intermediary. ❑OTH Democracy Engine ID PTY 237 Florida Avenue. NW ❑SCC Washington, DC 20001 08/26/2018 Ryan Gattis MIND Writer 100.00 100.00 1621 W. 25th St #220 ❑COM Fiction House San Pedro, CA 90732 ❑0TH Recneivedthrough hrough intermediary: ❑PTY 237 Florida Avenue, NH Washington, DC 20001 EISCC 08/27/2018 Arisbeth Blanchfield MIND Licensed Vocational Nurse 250.00 250.00 533 Woodhaven Ct. ❑COM Kaiser Permanents Upland, CA 91786 Received through intermediary: ❑OTH Democracy Engine ❑PTY 237 Florida Avenue, NW Washington, DC 20001 ❑Scc 08/27/2018 Martha Meraz MIND Owner 100.00 100.00 4855 Sea Coral Dr. Mona's Playhouse Daycare San Diego, CA 92154 ❑COM Received through intermediary: ID OTH Democracy Engine 237 Florida Avenue, Nh ❑PTY Washington, DC 20001 ❑SCC SUBTOTAL$ 850.00 Schedule A Summary -Contributor Codes 1. Amount received this period-itemized monetary contributions. IND-Individual (Include all Schedule A subtotals.) $ 19,299.00 COM-Recipient other than PTY or SCC) 2. Amount received this period-unitemized monetary contributions of less than$100 $ 750.00 OTH-Other(e.g.,business entity) P rY PTY-Political Party 3. Total monetary contributions received this period. Scc-Small Contributor Committee (Add Lines 1 and 2. Enter here and on the Summary Page,Column A,Line 1.) TOTAL $ 19,999.00 FPPC Form 460(Jan/2016) FPPC Advice:advice @fppc.ca.gov(866/275-3772) www.fppc.ca.gov www.netfi/e.com Schedule A (Continuation Sheet) SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA 460 to whole dollars. from 01/01/2018 FORM through 09/22/2018 Page 5 of 15 NAME OF FILER I.D.NUMBER MARISELA SANTANA FOR CITY COUNCIL 2018 1408738 FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL,ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE (ff CAMMRTEE.ALSOENTERLO.NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE• (IFSELF-EMPLOYED,ENTERNAME PERIOD (JAN.1-DEC.31) (IF REQUIRED) OF BUSINESS) 08/30/2018 Fredy Arboleda ©IND Business owner 5,000.00 5,000.00 190 Arroyo Ter Apt 106 ❑COM Beauty Salon Pasadena, CA 91103-3504 ❑OTH ❑PTY ❑SCC 08/30/2018 Bulletin Displays, LLC ❑IND 250.00 250.00 3127 E South St Ste B ❑COM Long Beach, CA 90805 OTH ❑PTY ❑SCC 08/30/2018 Fiesta Taxi Co-Op, Inc. ❑IND 999.00 999.00 2129 W. Rosecrans Ave. ❑COM Gardena, CA 90249 l OTH ❑PTY ❑SCC 08/30/2018 Lorene Reed ©IND Retired 250.00 250.00 11805 Harris Ave. ❑COM None Lynwood, CA 90262 ❑OTH ❑PTY ❑SCC 09/05/2018 Healing Americas Heroes ❑IND 2,000.00 2,000.00 9514 Raviller Dr. ❑COM Downey, CA 90240 p OTH ❑PTY ❑SCC SUBTOTALS 8,499.00 '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(Jan/2016) FPPC Advice:advice @fppc.ca.gov(86612753772) www.fppc.ca.gov www.netfile.com Schedule A (Continuation Sheet) SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA /�A 6� towhole dollars. V from 01/01/2018 FORM through 09/22/2018 page 6 of 15 NAME OF FILER I.D.NUMBER MARISELA SANTANA FOR CITY COUNCIL 2018 1408738 FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL,ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IFCOMMRTEE.ALSOENIERI.D.NUMBER)• CODE'1' (IF SELF-EMPLOYED,ENTER NAME PERIOD (JAN.1-DEC.31) (IF REQUIRED) OFBUSINESS) 09/05/2018 JB Construction LLC ❑IND 500.00 500.00 8116 Eastern Ave. 11COM Bell Gardens, CA 90201 p OTH ❑PTY ▪SCC 09/05/2018 Ruben Santana ©IND Retired 1,000.00 1,000.00 3570 Burton Ave. ❑COM None Lynwood, CA 90262 ❑OTH ❑PTY ❑SCC 09/10/2018 Julio Garcia ©IND Crane Operator 100.00 100.00 3586 Carlin Ave. ❑COM Savage Services Lynwood, CA 90262 Received through into ediary: 110TH nemocracy Engine ❑PTY 237 Florida Avenue, Washington, DC 20001 ❑SCC 09/11/2018 Ace Lumber Ltd., Inc ❑IND 250.00 250.00 11144 Atlantic Ave ❑COM Lynwood, CA 90262 p OTH ❑PTY ▪SCC 09/11/2018 Alfonso Morales for Lynwood SB 2013 (ID# ❑IND 250.00 250.00 1359829) ©COM 249 E. Ocean Blvd Suite 685 Long Beach, CA 90802 110TH ❑PTY ▪SCC SUBTOTAL 2,100.00 *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(Jan/2016) FPPC Advice:advice @fppc.ca.gov(8661275-3772) www.fppc.ca.gov www.netfile.com Schedule A (Continuation Sheet) SCHEDULE (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA 460 to whole dollars. from 01/01/2018 FORM through 09/22/2018 Page 7 of 15 NAME OF FILER I.D.NUMBER MARISELA SANTANA FOR CITY COUNCIL 2018 1408738 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION RECEIVED (IFCOMMITIEE,ALSOENTERI.O.NUMBER) CODE* OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IFSELF.EMPLOYEO,ENTERNAME PERIOD (JAN.1-DEC.31) (IF REQUIRED) OF BUSINESS) 09/11/2018 Raul Beas RIND Data Center Technician 250.00 250.00 11700 Pope Ave Pomeroy Lynwood, CA 90262 ❑COM ❑OTH - ❑PTY ❑SCC 09/11/2018 Lizbeth Santillan ©IND Not Employed 250.00 250.00 11700 Pope Ave None Lynwood, CA 90262 COM ❑OTH ❑PTY ❑SCC 09/12/2018 Heriberto Fuentes RIND Retired 100.00 100.00 3530 Josephine St. Apt F None Lynwood, CA 90262 ❑COM ❑OTH ❑PTY ❑SCC 09/12/2018 Jose Luis Solache RIND Mayor 500.00 500.00 11665 Lugo Park Ave City of Lynwood Lynwood, CA 90262 ❑COM ❑OTH PTY ❑SCC 09/14/2018 Alvino Santana RIND Purchaser 500.00 500.00 104 Marco Dr. 22nd Century Eagle Pass, TX 78852 ❑COM Received through intermediary: ❑OTH Democracy Engine ❑PT, 237 Florida Avenue, NU Washington, DC 20001 ❑SCC SUBTOTAL$ 1,600.00 '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(Jan/2016) FPPC Advice:advice @fppc.ca.gov(86612753772) ww.netTile.com www.fppc.ca.gov w Schedule A (Continuation Sheet) SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALFORNIA /� 60 to whole dollars. �'F V from 01/01/2018 FORM through 09/22/2018 Page 8 of 15 NAME OF FILER I.D.NUMBER MARISELA SANTANA FOR CITY COUNCIL 2018 1408738 FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL,ENTER AMOUNT CUMULATIVETO DATE PER ELECTION DATE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IFLOMMITTEE.ALBOEMERID.NUMBER) CODE (IF SELF-EMPLOYED. PERIOD (JAN.1-DEC.31) (IF REQUIRED) FBU3 09/18/2018 Advanced Avant-Garde Corporation ❑IND 500.00 500.00 3670 W. Temple Ave, Ste 278 ❑COM Pomona, CA 91768 BOTH ❑PTY ❑SCC 09/18/2018 Bradley Huber BIND Business Owner 1,000.00 1,000.00 3300 Palm Ave ❑COM Tow World Inc. Manhattan Beach, CA 90266 110TH ❑PTY ❑SCC 09/18/2018 Merchant Association ❑IND 50.00 200.00 3100 E Imperial Hwy #A-9 ❑COM Lynwood, CA 90262 BOTH ❑PTY ❑SCC 09/18/2018 Merchant Association ❑IND 150.00 200.00 3100 E Imperial Hwy #A-9 COM Lynwood, CA 90262 B OTH ❑PTY ❑SCC 09/20/2018 Advanced Applied Engineering, Inc. ❑IND 1,000.00 1,000.00 3060 Saturn St DOOM Brea, CA 92821 BOOM ❑PTV USCG SUBTOTALS 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(Jan12016) FPPC Advice:advice @fppc.ca.gov(8661275-3772) www.fppc.ca.gov www.netfile.com Schedule A (Continuation Sheet) SCHEDULEA (CONT.) Monetary Contributions Received Amountsmayberounded Statementcoversperiod CALIFORNIA 460 to whole dollars. from 01/01/2018 FORM through 09/22/2018 Page 9 of 15 NAME OF FILER I.D.NUMBER MARISELA SANTANA FOR CITY COUNCIL 2018 1408738 FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMUTATIVETO DATE PER ELECTION DATE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IFCOMMITTEE.ALSO ENTERED.NUMBER) CODE* QFSELF£MPLOYED.ENTERNAME PERIOD (JAN.1-DEC.31) (IF REQUIRED) OF BUSINESS) 09/20/2018 Juan Sotelo ©IND Principal Member 1,000.00 1,000.00 8526 Quinn St. Sotelo & Associates LLC Downey, CA 90241 ❑COM Received through inte mediary: ❑OTH Democracy Engine PTY 237 Florida Avenue, N9 ❑ Washington. DC 20001 ❑SCC 09/21/2018 Baltazar Martinez ©IND Franchise /Agency Owner 1,000.00 1,000.00 12304 San Fernando Rd ['QOM Farmers Insurance Sylmar, CA 91342 Received through intermediary: ❑OTH Democracy Engine - ❑ PTY 237 Florida Avenue, NW Washington, Dc 20001 ❑SCC 09/22/2018 MARIA SANTILLAN-BEAS FOR CENTRAL BASIN ❑IND 1,500.00 1,500.00 MUNICIPAL WATER BOARD DIST. 4 2020 (IDR ©COM 1397929) Received through intermediary: 4617 S. Mullen Ave. ❑OTH Democracy Engine View Park, CA 90043 ❑PTY 237 Florida Avenue, NW Washington. DC 20001 ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC SUBTOTAL$ 3,500.00 *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(Jan12016) FPPC Advice:advice @fppc.ca.gov(8661275-3772) www.fppc.ca.gov www.netfile.com SCHEDULER-PART1 Schedule B—Part 1 Amounts may be rounded Statement covers period CALIFORNIA 460 Loans Received to whole dollars. 01/01/2018 FORM from SEE INSTRUCTIONS ON REVERSE through 09/22/2018 Page 10 of 15 NAME OF FILER I.D. NUMBER MARISELA SANTANA FOR CITY COUNCIL 2018 1408738 , ENTER la) (8) (c) (e) (e) (f) (9) IF AN INDIVIDUAL FULL NAME,STREET ADDRESS AND ZIP CODE OUTSTANDING AMOUNT pMOUNT PAID OUTSTANDING INTEREST ORIGINAL CUMULATIVE BALANCEAT OF LENDER OCCUPATION EN AND EMPLOYER BE BALINGTHIS RECEIVED THIS OR FORGIVEN CLO EOF THIS PAID THIS AMOUNT OF CONTRIBUTIONS OF(IF COMMITEE.ALSO ENTER I.D.NUMBER) NAME OF BUSINESS) PERIOD PERIOD THIS PERIOD' PERIOD PERIOD LOAN TO DATE Marisela Santana Commitee Representative D PAID CALENDARVEAR 3570 Burton Ave. Waste Resources Lynwood, CA 90262 $ 0.00 $ 1,600.00 0.00 % $ 1,600.00 $ 1,600.00 LOAN RATE D FORGIVEN PER ELECTION" $ 0.00 $ 1,600.00 $ 0.00 $ 0.00 08/08/2018 $ t® IND D COM D OTH 0 PTY 0 SCC DATE DUE DATE INCURRED D PAID CALENDAR YEAR $ 8 % S $ RATE 0 FORGIVEN PER ELECTION" $ to IND 0 COM 0 OTH 0 PTY 0 SCC $ $ $ DATE DUE $ DATE INCURRED D PAID CALENDARVEAR $ $ % $ $ RATE D FORGIVEN PER ELECTIONS E tD IND 0 COM 0 OTH 0 PTY 0 SCC S $ $ DATE DUE $ DATE INCURRED SUBTOTALS $ 1,600.00$ 0.00$ 1,600.00$ 0.00 (Enter(e)on Schedule B Summary Schedule E.Une3) 1. Loans received this period $ 1,600.00 (Total Column(b)plus unitemized loans of less than$100.) tcontributor Codes ND—Individual 2. Loans paid or forgiven this period $ 0.00 COM—RecipientCommittee (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 $ 1,soo.0o SCC—Small Contributor Committee NET 3. Net change this period. (Subtract Line 2 from Line 1.) (May be a neg1,60mber) Enter the net here and on the Summary Page,Column A, Line 2. ( Amounts forgiven or paid by another party also must be reported on Schedule A. "If required. y FPPC Form 460(Jan/2016) FPPC Advice:advice @fppc.ca.gov(86612754772) www.fppc.ca.gov www.netfile.com Schedule C SCHEDULE C Amounts may be rounded Nonmonetary Contributions Received to whole dollars. Statement covers period CALIFORNIA 460 from 01/01/2018 FORM through 09/22/2018 Page 11 of 15 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D.NUMBER MARISELA SANTANA FOR CITY COUNCIL 2018 1408738 IF AN INDIVIDUAL,ENTER CUMULATIVE TO PER ELECTION FULL NAME,STREET ADDRESS AND CONTRIBUTOR DESCRIPTION OF AMOUNT/ DATE DATE OCCUPATION AND EMPLOYER FAIR MARKET TO DATE RECEIVED ZIP CODE ALSO OF ENTER CODE* GOODS OR SERVICES CALENDAR YEAR (IF REQUIRED) pF GOMMRTEE.A EMER LD.NUMBER) QF SLAM EO FBUSINEENTER VALUE (JAN 1-DEC 31) NAME OF BUSINESS) 08/30/2018 Alejandra Avalos RIND Caterer IN-KIND - 450.00 450.00 4334 Lugo Ave. ❑COM Alejandra Avalos APPETIZERS Lynwood, CA 90262 00TH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC ❑IND ❑COM 00TH ❑PTY ❑SCC ❑IND ❑COM ❑oTH ❑PTY ❑SCC Attach additional information on appropriately labeled continuation sheets. SUBTOTAL$ 450.00 Schedule C Summary *Contributor Codes 1. Amount received this period-itemized nonmonetary contributions. IND-Individual (Include all Schedule C subtotals.) $ 450.00 COM-Recipient Committee (other than PTY or SCC) 2. Amount received this period-unitemized nonmonetary contributions of less than$100 $ 0.00 0TH_Political(e.g.,g business entity) 3. Total nonmonetary contributions received this period. SCC-Small Contnbutor Committee (Add Lines 1 and 2. Enter here and on the Summary Page,Column A, Lines 4 and 10.) TOTAL $ 450.00 FPPC Form 460(Jan/2016) FPPC Advice:advice @fppc.ca.gov(86612753772) www.fppc.ca.gov www.netfile.com SCHEDULE E Schedule E Statement covers period CALIFORNIA 60 _ Amounts may be rounded T Payments Made to whole dollars. FORM of/ol/zola from through 09/22/2018 Page 12 of 15 SEEINSTRUCTIONSONREVERSE I.D. NUMBER NAME OF FILER MARIS£LA SANTANA FOR CITY COUNCIL 2018 1408738 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. C1v° campaign paraphemalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MMG meetings and appearances RFD returned contributions MB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries CVC civic donations PEr petition circulating TEL t.v.or cable airtime and production costs FIL candidate filing/ballot fees PI-0 phone banks TRC candidate travel,lodging,and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals IMD 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 (intemet, e-mail) NAME AND ADDRESS OF PAYEE QFCOMMI TEEAISOENTERI.D.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID City of Lynwood FIL 1,225.00 11330 Bullis Rd. Lynwood, CA 90262 Democracy Engine CMP Credit Card Donation Page Set Up Fee 100.00 237 Florida Avenue, NW Washington, DC 20001 Democracy Engine CMP Credit Card Processing fee 25.50 237 Florida Avenue, NW Washington, DC 20001 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 1,350.50 Schedule E Summary 1. Itemized payments made this period.(Include all Schedule E subtotals.) $ 10,657.70 2. Unitemized payments made this period of under$100 $ 194.10 3. Total interest paid this period on loans.(Enter amount from Schedule B,Part 1,Column(e).) $ 0.00 4. Total payments made this period. (Add Lines 1,2,and 3. Enter here and on the Summary Page,Column A, Line 6.) TOTAL $ 10,851.80 FPPC Form 460(Jan/2016) FPPC Toll-Free Helpllne:8661ASK-FPPC(8661276-3772) www.fppc.ca.gov www.netTile.com Schedule E SCHEDULE E(CONT.) (Continuation Sheet) Amounts may be rounded Statement covers period CALIFORNIA 460 Payments Made to whole dollars. from 01/01/2018 FORM through 09/22/2018 Page 13 of 15 • SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D.NUMBER MARISELA SANTANA FOR CITY COUNCIL 2018 1408738 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 M!G 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 PHD phone banks TRC candidate travel,lodging,and meals • FND fundraising events POL polling and survey research IRS staff/spouse travel, lodging, and meals IPD 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 Lfr campaign literature and mailings PRr print ads WEB information technology costs (intemet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID OF COMMITTEE,ALSO ENTER I.D.NUMBER) Gould & Orellana, LLC PRO 300.00 249 E Ocean Blvd Suite 685 Long Beach, CA 90802 Democracy Engine CMP Credit Card Processing fee 23.10 237 Florida Avenue, NW Washington, DC 20001 Gould & Orellana, LLC PRO 250.00 249 E Ocean Blvd Suite 685 Long Beach, CA 90802 Gould & Orellana, LLC PRO 300.00 249 E Ocean Blvd Suite 685 Long Beach, CA 90802 Gould & Orellana, LLC PRO 300.00 249 E Ocean Blvd Suite 685 Long Beach, CA 90802 *Payments thatare contributions or independentexpenditures mustalso be summarized on Schedule D. SUBTOTAL$ 1,173.10 FPPC Form 460(Jan12016) FPPC Toll-Free Helpline:866/ASK-FPPC(86612753772) _ www.netfile.com www.fppc.ca.gov • SCHEDULE E(CONT.) Schedule E Statement covers period • (Continuation Sheet) Amounts may be rounded CALIFORNIA 460 Payments Made to whole dollars. from 01/01/2018 FORM • through 09/22/2018 Page 14 of 15 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D.NUMBER MARISELA SANTANA FOR CITY COUNCIL 2018 1408738 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 nonmonetaryp OFC office expenses SAL campaign workers' salaries CVC civic donations FET petition circulating TEL t.v, or cable airtime and production costs AL candidate filing/ballot fees PI-10 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 (intemet,e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID OF COMMITTEE.ALSO ENTER I.D.NUMBER) Valencia Marketing LIT Lawn signs, print, design, delivery/Banner desing, 4,275.00 13104 Philadelphia St. print & delivery Whittier, CA 90601 Democracy Engine CMP Credit Card donations Processing fee 27.90 237 Florida Avenue, NW • Washington, DC 20001 Valencia Marketing LIT Mailer 3,650.00 13104 Philadelphia St. Whittier, CA 90601 Democracy Engine CMP Credit Card donations Processing fee 181.20 237 Florida Avenue, NW Washington, DC 20001 *Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 8,134.10 FPPC Fenn 460(Jan/2016) FPPC Toll-Free Helpline:8661ASK-FPPC(86612763772) www.nettile.com www.fppc.ca.gov SCHEDULE F Schedule F Amounts may be rounded Statement covers period CALIFORNIA 460 Accrued Expenses (Unpaid Bills) to whole dollars. 01/01/2018 FORM from through 09/22/2018 15 15 SEE INSTRUCTIONS ON REVERSE Page of NAME OF FILER I.D.NUMBER MARISELA SANTANA FOR CITY COUNCIL 2018 1408738 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. ClvlP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MID 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 PIC phone banks TRC candidate travel,lodging,and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals ND 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 (intemet, e-mail) NAME AND ADDRESS OF CREDITOR CODE OR (A) (IN (c) (d) (IF COMMITTEE.ALSO ENTER I.D.NUMBER) DESCRIPTION OF PAYMENT BALANCE OUTSTANDING AMOUNT INCURRED AMOUNT PAID OUTSTANDING NT CLOSE BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD Cops Voter Guide (ID# 599014) LIT Slate Mailer 0.00 275.00 0.00 275.00 705-2 E. Bidwell St #370 Folsom, CA 95630 • •Payments that are contributions or Independent expenditures must also be SUBTOTALS$ 0.00$ 275.00$ 0.00$ 275.00 summarized on Schedule D. Schedule F Summary - 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for accrued expenses of$100 or more, plus total unitemized accrued expenses under$100.) INCURRED TOTALS$ - 275.00 2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on accrued expenses of$100 or more, plus total unitemized payments on accrued expenses under$100.) PAID TOTALS$_ 0.00 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and on the Summary Page, Column A, Line 9) NET$— 275.00 May be a negative number FPPC Form 460(Jan/2016) FPPC Toll-Free Helpline:866/ASK-FPPC(8661275-3772) www.netfile.com www.fppe.ea.gov