HomeMy Public PortalAboutFORM 460 - 2ND SEMI-ANNUAL STATEMENT - CASANOVA FOR CITY COUNCIL 2018 - 01/24/2022 COVER PAGE
Recipient Committee
Campaign Statement Date Stamp CALIFORNIA 460
. Cover Page _ FORM
(Government Code Sections 84200-84216.5) ':1' E c E I \`E 1Statement covers period Date of election if applica.le. �7
from 07/01/2021 (Month, Day, Year) pN nO�q Page 1 of 8
L For Official Use Only
SEE INSTRUCTIONS ON REVERSE through 12/31/2021 11/06/2018
CITY OF LYNWOOD
1. Type of Recipient Committee: All Committees-Complete Parts 1,2,3,and 4. 2. Type of Stateme!.iITY CL�h VFFIG
MOfficeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑ Preelection Statement ❑ Quarterly Statement
0 State Candidate Election Committee Committee ❑x Semi-annual Statement ❑ Special Odd-Year Report
0 Recall 0 Controlled
(Also Complete Part 5) 0 Sponsored ❑ Termination Statement El Supplemental Preelection
(Also Complete Part 6) (Also file a Form 410 Termination) Statement-Attach Form 495
❑ General Purpose Committee ❑ Amendment(Explain below)
0 Sponsored ❑ Primarily Formed Candidate/
0 Small Contributor Committee Officeholder Committee
0 Political Party/Central Committee (Also Complete Part 7)
3. Committee Information I.D. NUMBER Treasurer(s)
1408806
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER
Casanova for City Council 2018 David Gould
MAILING ADDRESS
249 E. Ocean Blvd. Ste 685
STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE
299 E. Ocean Blvd. Ste 685 Long Beach CA 90802 (213)489-9792
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
249 E. Ocean Blvd. Ste. 685
CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE
Long Beach CA 90802 (213)489-4792
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 herein and in the. .ch ed 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 — Z` — Z L By —�
Date .I i.nat eof reasurerorAssi -ntTreasurer
Executed on 1 ‘ r'I _ Z • '1..'Z.- By
Date S• -:"ti",q,` . ..e,State Measure Proponent or Responsible Officer of Sponsor
Executed on By
Date Signature of Controlling Officeholder,Candidate,State Measure Proponent
Executed on By
Date Signature of Controlling Officeholder,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 2
Campaign Statement CALIFORNIA 460
FORM
Cover Page—Part 2
Page 2 of 8
5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee
NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE
Jorge Casanova
OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO.OR LETTER JURISDICTION ❑ SUPPORT
City Council Member City of Lynwood ❑ OPPOSE
RESIDENTIAUBUSINESS ADDRESS (NO.AND STREET) CITY STATE ZIP
Identify the controlling officeholder, candidate, or state measure proponent, if any.
11100 Elm Street Lynwood CA 90222
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 candidate(s)for which this committee is primarily formed.
❑ YES ❑ NO
COMMITTEE ADDRESS STREET ADDRESS (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 El NO
❑ SUPPORT
❑ OPPOSE
COMMITTEE ADDRESS STREET ADDRESS (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.netfile.corn
Campaign Disclosure Statement SUMMARY PAGE
Amounts may be rounded Statement covers period CALIFORNIA 460
Summary Page to whole dollars.
from 07/01/2021 FORM
SEE INSTRUCTIONS ON REVERSE through 12/31/2021 Page 3 of 8
NAME OF FILER I.D. NUMBER
Casanova for City Council 2018 1408806
Column A Column B Calendar Year Summary for Candidates
Contributions Received TOTAL THIS PERIOD CALENDAR YEAR
(FROM ATTACHED SCHEDULES) TOTAL TO DATE Running in Both the State Primary and
General Elections
1. Monetary Contributions Schedule A,Line 3 $ 2,500.00 $ 2,500.00
1/1 through 6/30 7/1 to Date
2. Loans Received Schedule B,Line 3 0.00 3,700.00
3. SUBTOTAL CASH CONTRIBUTIONS Add Lines 1+2 $ 2,500.00 $ 6,200.00 20. Contributions
Received $ $
4. Nonmonetary Contributions Schedule C,Line 3 0.00 0.00
21. Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED AddLines3+4 $ 2,500.00 $ 6,200.00 Made $ $
Expenditures Made Expenditure Limit Summary for State
6. Payments Made Schedule E,Line 4 $ 925.00 $ 3,505.25 Candidates
7. Loans Made Schedule H,Line 3 0.00 0.00
22. Cumulative Expenditures Made*
8. SUBTOTAL CASH PAYMENTS Add Lines 6+7 $ 925.00 $ 3,505.25 (If Subject to Voluntary Expenditure Limit)
9. Accrued Expenses (Unpaid Bills) Schedule F,Line 3 0.00 1,200.00 Date of Election Total to Date
10.Nonmonetary Adjustment Schedule C,Line3 0.00 0.00 (mm/dd/yy)
11. TOTAL EXPENDITURES MADE Add Lines 8+9+1p $ _ 925.00 $ 4,705.25 ,' $
Current Cash Statement _/_/ $
12.Beginning Cash Balance Previous Summary Page,Line 16 $ 2,756.61
To calculate Column B,add
13.Cash Receipts Column A,Line 3 above 2,500.00 amounts in Column A to the
corresponding amounts *Amounts in this section may be different from amounts
14.Miscellaneous Increases to Cash Schedule 1,Line 4 0.00 from Column B of your last reported in Column B.
15.Cash Payments Column A,Line 8 above 925.00 report. Some amounts in
Column A may be negative
16.ENDING CASH BALANCE Add Lines 12+13+14,then subtract Line 15 $ 4,331.61 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 9 in Column B above $ 4,900.00
FPPC Form 460(Jan/2016)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov
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Schedule A SCHEDULE A
Amounts may be rounded 460
Monetary Contributions Received to whole dollars. Statement covers period
p CALIFORNIA
from 07/01/2021 FORM
SEE INSTRUCTIONS ON REVERSE through 12/31/2021 Page 4 of 8
NAME OF FILER
I.D. NUMBER
Casanova for City Council 2018 1408806
DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION
RECEIVED (IF COMMITTEE,ALSOENTERI.D.NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE
(IF SELF-EMPLOYED,ENTER NAME PERIOD (JAN.1 -DEC.31) (IF REQUIRED)
OF BUSINESS)
12/31/2021 Alvarez-Glasman & Colvin ❑IND 2,500.00 2,500.00
13181 Crossroads Parkway North Ste. 400 ['COM
City Of Industry, CA 91746
00TH
❑PTY
❑SCC
IND
❑COM
❑OTH
❑PTY
❑SCC
❑IND
❑COM
❑0TH
❑PTY
❑SCC
❑IND
❑COM
❑OTH
❑PTY
❑SCC
❑IND
❑COM
❑OTH
❑PTY
❑SCC
SUBTOTAL$
Schedule A Summary *Contributor Codes
1. Amount received this period—itemized monetary contributions. IND-Individual
(Include all Schedule A subtotals.) $ 2,500.00 COM-Recipient Committee
(other than PTY or SCC)
2. Amount received this period—unitemized monetary contributions of less than$100 $ 0.00 OTH-Other(e.g.,business entity)
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 $ 2,500.00
FPPC Form 460(Jan/2016)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov
www.netfile.com
SCHEDULE B-PART 1
Schedule B—Part 1 Amounts may be rounded Statement covers period
CALIFORNIA 460
Loans Received to whole dollars. 07/01/2021 FORM
from
SEE INSTRUCTIONS ON REVERSE through 12/31/2021 Page 5 of 8
NAME OF FILER I.D. NUMBER
Casanova for City Council 2018 1408806
IF AN INDIVIDUAL, ENTER (a) (b) (c) (d) (e) (f) (g)
FULL NAME,STREET ADDRESS AND ZIP CODE OUTSTANDING AMOUNT AMOUNT PAID OUTSTANDING INTEREST ORIGINAL CUMULATIVE
OCCUPATION AND EMPLOYER BALANCE BALANCE AT
OF LENDER (IF SELF-EMPLOYED,ENTER BEGINNING THIS RECEIVED THIS OR FORGIVEN CLOSE OF THIS PAID THIS AMOUNT OF CONTRIBUTIONS
(IF COMMITTEE,ALSO ENTERI.D.NUMBER) NAME OF BUSINESS) PERIOD t PERIOD LOAN TO DATE
PERIOD THIS PERIOD PERIOD
Casanova Towing Equipment,Inc.
0 PAID CALENDAR YEAR
417 E Euclid Ave.
Compton, CA 90222 $ 000 $ 700 00 0_nrn/ $ -inn nn $ n n0
❑FORGIVEN RATE PER ELECTION**
$ 700 00 $ 0.00 $ 0 00 - $ 0 no 08/03/2018 $
t❑ IND E COM ❑x OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED
Casanova Towing Equipment,Inc.
0 PAID CALENDAR YEAR
417 E Euclid Ave.
Compton, CA 90222
LOAN $ 0.00 $ 3,000 nn 0.00% $ ,n00 On $ 0 00
❑FORGIVEN RATE PER ELECTION,.
$ , nnn nn $ n n0 $ 0.00 $ 0.00 09/22/2018 $
t❑ IND p COM El OTH 0 PTY ❑ SCC DATE DUE DATE INCURRED
❑PAID CALENDAR YEAR
$ $ % $ $
ElFORGIVEN RATE PER ELECTION**
$ $ $ $ $
t❑ IND 0 COM 0 OTH 0 PTY 0 SCC DATE DUE DATE INCURRED
SUBTOTALS $ 0.00$ o.00$ 3,700.00$ 0.00
(Enter(e)on
Schedule B Summary ScheduleE,Line3)
1. Loans received this period $ _ 0.00
(Total Column(b)plus unitemized loans of less than$100.) tContributor Codes
2. Loans paid orfor forgiven thisperiod 0.00
IND—Individual
9 $ 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.) NET $ 0.00 SCC—Small Contributor Committee
Enter the net here and on the Summary Page,Column A, Line 2. (May beanegative number)
*Amounts forgiven or paid by another party also must be reported on Schedule A. \
**If required. , FPPC Form 460(Jan/2016)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov
www.netfile.corn
SCHEDULE E
Schedule E Statement covers period 460
Amounts may be rounded CALIFORNIA
Payments Made to whole dollars. 07/01/2021 FORM
from
SEE INSTRUCTIONS ON REVERSE through 12/31/2021 Page 6 of 8
NAME OF FILER I.D. NUMBER
Casanova for City Council 2018 1408806
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
O'VP 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 filing/ballot fees PHO 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 (internet, e-mail)
NAME AND ADDRESS OF PAYEE
(IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
Gould & Orellana, LLC PRO 150.00
249 E. Ocean Blvd. Ste. 685
Long Beach, CA 90802
Gould & Orellana, LLC PRO 150.00
249 E. Ocean Blvd. Ste. 685
Long Beach, CA 90802
Gould & Orellana, LLC PRO 150.00
249 E. Ocean Blvd. Ste. 685
Long Beach, CA 90802
* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 450.00
Schedule E Summary
1. Itemized payments made this period.(Include all Schedule E subtotals.) $ 900.00
2. Unitemized payments made this period of under$100 $ 25.00
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 $ 925.00
FPPC Form 460(Jan/2016)
FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772)
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Schedule E SCHEDULE E(CONT.)
(�
(Continuation Sheet) Amounts maybe rounded
Statement covers period CALIFORNIA
Pa ments Made to whole dollars. FORM
60~
Y from 07/01/2021
through 12/31/2021 7 8
SEE INSTRUCTIONS ON REVERSE g Page of
NAME OF FILER
I.D.NUMBER
Casanova for City Council 2018 1908806
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 filing/ballot fees PHO phone banks TRC candidate travel,lodging,and meals
FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals
ND i ".i:pendent expenditure supporting/opposing others (explain)' POS ; '�.ge, 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 (internet, e-mail)
NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
(IF COMMITTEE,ALSO ENTER I.D.NUMBER)
Gould & Orellana, LLC PRO 150.00
249 E. Ocean Blvd. Ste. 685
Long Beach, CA 90802
Gould & Orellana, LLC PRO 150.00
249 E. Ocean Blvd. Ste. 685
Long Beach, CA 90802
Gould & Orellana, LLC PRO 150.00
249 E. Ocean Blvd. Ste. 685
Long Beach, CA 90802
*Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 450.00
FPPC Form 460(Jan/2016)
FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772)
www.netfile.com www.fppc.ca.gov
SCHEDULE F
Schedule F Amounts may tour,:cd Statement covers period CALIFORNIA /�60
Accrued Expenses (Unpaid Bills) to whole dollars. from 07/01/2021 FORM "1'
through 12/31/2021 Page 8 of 8
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
I.D.NUMBER
Casanova for City Council 2018 1408806
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 filing/ballot fees PHO 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 supportingiopposing 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 (internet, e-mail)
NAME AND ADDRESS OF CREDITOR CODE OR OUTSTA( NCING AMOUNT IN) (b) (c) (A)
IN)
AMOUNT PAID OUTSTANDING
(IF COMMITTEE,ALSO ENTER I.D.NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE
OF THIS PERIOD ALSO REPORT ON E) OF THIS PERIOD
Casanova Towing Equipment,Inc. FIL 1,200.00 0.00 0.00 1,200.00
417 E Euclid Ave.
Compton, CA 90222
*Payments that are contributions or independent expenditures must also be SUBTOTALS $ 1,200.00$ 0.00$ 0.00$ 1,200.00
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 $ o.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 $ o.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 $ 0.00
May be a negative number
FPPC Form 460(Jan/2016)
FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772)
www.netfile.corn www.fppc.ca.gov