Loading...
HomeMy Public PortalAboutFORM 460 - SEMI-ANNUAL STATEMENT - MARISELA SANTANA FOR CITY COUNCIL 2018 (2) COVER PAGE Recipient Committee „ -,:,,L ° , , ' t.„, i. C,-LI-o2NiA Campaign Statementy ` FORM 460 Cover Page (Government Code Sections 84200-84216.5) nI Statement covers period Date of election if applicable: JAN 3 1 2022 Page 1 of 7 (Month, Day,Year) from 07/01/2021 -Fgr Offcial Use Only CITY OF LVYiNW ^” � �� SEE INSTRUCTIONS ON REVERSE through 12/31/2021 11/06/2018 ',1TY CLERK b.%�-�`'; 1. Type of Recipient Committee: All Committees-Complete Parts 1,2,3,and 4. 2. Type of Statement: ❑X Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑ Preelection Statement ❑ Quarterly Statement O State Candidate Election Committee Committee ❑X Semi-annual Statement El Special Odd-Year Report O Recall 0 Controlled ElTermination Statement ❑ Supplemental Preelection (Also Complo(o Part 5) 0Sponsored (Also file a Form 410 Termination) Statement-Attach Form 495 (Also Complete Part 6) El 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) 1408738 COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER I1ARISELA 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)989-4792 CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER,IF ANY LONG BEACH CA 90802 (213)989-4792 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)989-4792 OPTIONAL: FAX/E-MAIL ADDRESS OPTIONAL: FAX I E-MAIL ADDRESS (213)489-4818 / 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 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 01/19/2022 By ��� Dale 1/4 W�; ir L� .. ret Executed on 01/19/2022 By /� -ter---'� Dale S'. iir • •Office.. . !to.S :.I leagure Proponent or .Officer of Sponsor Executed on By Dila Signature of Conlrorarg Officehotder,Candidate.State Measure Proponent Executed on By Date Signature of Controrxg Offrehotder.C.andtdele,State Measure Proponent FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.netfile.com www.fppc.ca.gov COVER PAGE-PART2 Recipient Committee CALIFORNIA A c O Campaign Statement FORM `+V Cover Page—Part 2 Page 2 of 7 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. 299 E OCEAN BLVD STE 685 LONG BEACH 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 candidate(s)for which this committee is primarily formed. ❑ YES ❑ NO COMMITTEE ADDRESS 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 ❑ YES ❑ NO ❑ SUPPORT ❑ OPPOSE COMMITTEE ADDRESS 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.netfile.com www.fppc.ca.gov - Campaign Disclosure Statement SUMMARY PAGE Amounts may be rounded Statement covers period CALIFORNIA 460 Summary Page to whole dollars. V from 07/01/2021 FORM SEE INSTRUCTIONS ON REVERSE through 12/31/2021 Page 3 of 7 NAME OF FILER I.D. NUMBER MARISELA SANTANA FOR CITY COUNCIL 2018 1408738 Contributions Received Column A Column B Calendar Year Summary for Candidates TOTAL rACTHIS DSCHED CALENDARYEARRunningin Both the State Primaryand (FROMATTACHED SCHEDULES) TOTAL TO DATE General Elections 1. Monetary Contributions Schedule A,Line 3 $ 9,500.00 $ 4,500.00 1/1 through 6/30 7/1 to Date 2. Loans Received Schedule B,Line 3 0.00 0.00 3. SUBTOTAL CASH CONTRIBUTIONS Add Lines 1+2 $ 9,500.00 $ 9,500.00 20. Contributions Received $ $ 4. Nonmonetary Contributions Schedule C,Line 3 0.00 0.00 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED Add Lines 3+4 $ 4,500.00 $ 9,500.00 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made Schedule E,Line 4 $ 2,999.83 $ 6,648.67 Candidates 7. Loans Made Schedule H,Line 3 0.00 0.00 22. Cumulative Expenditures Made* 8. SUBTOTAL CASH PAYMENTS Add Lines 6+7 $ 2,994.83 $ 6,648.67 (If Subject to Voluntary Expenditure Limit) 9. Accrued Expenses (Unpaid Bills) Schedule F,Line 3 0.00 0.00 Date of Election Total to Date 10.Nonmonetary Adjustment Schedule C,Line 3 0.00 0.00 (mm/dd/yy) 11. TOTAL EXPENDITURES MADE AddLines8+9+10 $ 2,999.83 $ 6,648.67 / / $ Current Cash Statement / $ 12.Beginning Cash Balance Previous Summary Page,Line 16 $ 18,756.77 To calculate Column B,add 13.Cash Receipts Column A,Line 3above 4,500.00 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 2,999.83 report. Some amounts in Column A may be negative 16.ENDING CASH BALANCE Add Lines 12+13+14,then subtract Line 15 $ 20,2 61.94 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,ands(if any). 18. Cash Equivalents See instructions on reverse $ 0.00 19. Outstanding Debts AddLine2+Line9inColumnBabove $ 0.00 FPPC Form 460(Jan/2016) FPPC Advice:advice©fppc.ca.gov(866/275-3772) www.netflle.com www.fppc.ca.gov Schedule A SCHEDULE A Amounts may be rounded Statement covers period Monetary Contributions Received to whole dollars. CALIFORNIA 460 from 07/01/2021 FORM SEE INSTRUCTIONS ON REVERSE through 12/31/2021 Page 4 of 7 NAME OF FILER I.D. NUMBER MARISELA SANTANA FOR CITY COUNCIL 2018 1908738 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL,ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED BF COMMITTEE,ALSO ENTER I.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) 07/27/2021 Prime Healthcare Services - St. Francis LLC( ❑IND 2,500.00 2,500.00 ❑ 3636 E. Imperial Hwy COM Lynwood, CA 90262 M OTH ❑PTY ❑SCC 11/08/2021 South Cord Management LLC ❑IND 2,000.00 2,000.00 6700 Pacific Coast Hwy, Suite 201 ❑COM Long Beach, CA 90803 ❑x OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC SUBTOTALS 9,500.00 Schedule A Summary *Contributor Codes 1. Amount received this period—itemized monetary contributions. IND—Individual (Include all Schedule A subtotals.) $ 9,500.00 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 $ 9,500.00 FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(8661275-3772) www.netfile.com www.fppc.ca.gov Schedule E SCHEDULE E Amounts may be rounded Statement covers period CALIFORNIA 460 Payments Made to whole dollars. FORM from 07/01/2021 SEE INSTRUCTIONS ON REVERSE through 12/31/2021 page 5 of 7 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. CHIP campaign paraphemalia/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 AL candidate filing/ballot fees PHO phone banks TRC candidate travel,lodging,and meals RD 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 UT campaign literature and mailings PRT print ads WEB information technology costs (intemet, 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 Prof Servs thru 7/31/2021 150.00 249 E Ocean Blvd Suite 685 Long Beach, CA 90802 Gould & Orellana, LLC PRO Prof Servs thru 8/31/2021 150.00 249 E Ocean Blvd Suite 685 Long Beach, CA 90802 Gould & Orellana, LLC PRO Prof Servs Thru 9/30/21 150.00 249 E Ocean Blvd Suite 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.) $ 2,910.93 2. Unitemized payments made this period of under$100 $ 83.90 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 $ 2,994.83 FPPC Form 460(Jan/2016) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) www.net�le.com www.fppc.ca.gov Schedule E SCHEDULE E(CONT.) (Continuation Sheet) Amounts may be rounded Statement covers period CALIFORNIA 460 Payments Made to whole dollars. from 07/01/2021 FORM through 12/31/2021 Page 6 of 7 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 paraphemalia/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 FET 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 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 PRT print ads WEB information technology costs (intemet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE,ALSO ENTER I.D.NUMBER) Bankcard Center CMP Credit Card Payment 126.57 P.O. Box 30833 Salt Lake City, UT 84130-0833 Gould & Orellana, LLC PRO Prof Servs thru 10/31/21 150.00 249 E Ocean Blvd Suite 685 Long Beach, CA 90802 Bankcard Center CMP Credit Card Charges 104.56 P.O. Box 30833 Salt Lake City, UT 84130-0833 The Lynwood Union CVC 1,000.00 3782 Martin Luther King Jr. Blvd. Lynwood, CA 90262 Gould & Orellana, LLC PRO Prof Servs thru 11/30/2021 150.00 249 E Ocean Blvd Suite 685 Long Beach, CA 90802 *Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 1,531.13 FPPC Form 460(Jan/2016) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) www.netfile.com www.fppc.ca.gov Schedule E SCHEDULE E(CONT.) (Continuation Sheet) Amounts may be rounded Statement covers period CALIFORNIA 460 Payments Made to whole dollars. from 07/01/2021 FORM SEE INSTRUCTIONS ON REVERSE through 12/31/2021 page 7 of 7 NAME OF FILER I.D.NUMBER MARISELA SANTANA FOR CITY COUNCIL 2018 1908738 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CNP campaign paraphemalia/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 rD 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 (IF COMMITTEE,ALSO ENTER I.D.NUMBER) Cultivarte Studios OFC Tshirts and Tote Bags workshop for Community Event 500.00 155 W. Washington Blvd. Los Angeles, CA 90015 Gould & Orellana, LLC PRO Prof Servs thru 12/31/2021 150.00 249 E Ocean Blvd Suite 685 Long Beach, CA 90802 Bankcard Center CMP Credit Card Charges 279.80 P.O. Box 30833 Salt Lake City, UT 84130-0833 *Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 929.80 FPPC Form 460(Jan/2016) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) www.netfile.com www.fppc.ca.gov