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Home My Public Portal AboutMARISELA SANTANA FOR CITY COUNCIL 2018 - FORM 460 - TERMINATION STATEMENT - 04/19/2023Recipient Committee Campaign Statement Cover Page (Govemment Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE ORIGINAL RECEIVE Statement covers period from 01/01/2023 through 03/30/2023 1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4. ❑X Officeholder, Candidate Controlled Committee 9 Primarily Formed Ballot Measure Q State Candidate Election Committee Committee Q Recall 0 Controlled (Also Complete Parts) O Sponsored (Also Complete Pad 6) 9 General Purpose Committee Q Sponsored Q Small Contributor Committee O Political Party/Central Committee 9 Primarily Formed Candidate/ Officeholder Committee (Also ComptetePad7) Date of election if applicable: (Month, Day, Year) 11/06/2018 Date Stamp APR 1 9 2023 C TY OF LYNWOO ri V PI FRlfs nrci 2. Type of Statement: ❑ Preelection Statement ❑ Semi-annual Statement ❑x Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) COVER PAGE For Official Use Only 9 Quarterly Statement ❑ Special Odd -Year Report 9 Supplemental Preelection Statement -Attach Form 495 3. Committee Information I.D. NUMBER 1408738 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) MARISELA SANTANA FOR CITY COUNCIL 2018 STREET ADDRESS (NO P.O. BOX) 12501 Imperial Hwy., Ste 200 CITY Norwalk STATE ZIP CODE CA 90650 AREA CODE/PHONE (213)489-4792 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS (213)489-4818 / DLGOULD@GOULDORELLANA.COM Treasurer(s) NAME OF TREASURER DAVID L. GOULD MAILING ADDRESS 12501 Imperial Hwy., Ste 200 CITY Norwalk STATE ZIP CODE CA 90650 AREA CODE/PHONE (213)489-4792 NAME OF ASSISTANT TREASURER, IF ANY INGR/D ORELLANA MAILING ADDRESS 12501 Imperial Hwy., Ste 200 CITY Norwalk STATE ZIP CODE CA 90650 AREA CODE/PHONE (213)489-4792 OPTIONAL: FAX / E-MAIL ADDRESS 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 under penalty of perjury under the laws of the State of Califomia that the foregoing is true and correct. 03/30/2023 Executed on By Executed on 03/30/2023 By Date Executed on By Date Executed on By Date Date Signature of Controlling Officeholder, Candidate, State Measure Proponent hed schedules is true and complete. I certify Signature of Controlling Officeholder. Candidate, State Measure Proponent FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275.3772) COVER PAGE-PART2 Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE MARISELA SANTANA OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) City Council Member LYNWOOD RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP 12501 Imperial Hwy., Ste 200 Norwalk CA 90650 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. COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? 0 YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION ❑ SUPPORT 0 OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD 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 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF FILER Amounts may he rounded to whole dollars. Statement covers period from 01/01/2023 through 03/30/2023 MARISELA SANTANA FOR CITY COUNC/L 2018 Contributions Received 1. Monetary Contributions Schedule A, Line 3 $ 2. Loans Received Schedule B, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS Add Lines 1+2 $ 4. Nonmonetary Contributions Schedule C, Linea 5. TOTALCONTRIBUTIONS RECEIVED Add Lines3+4 $ ColumnA TOTALTHISPERIOD (FROMATTACHED SCHEDULES) 0.00 0.00 0.00 0.00 0.00 $ Column B ("Al PNDAR YEAR TOTALTO DATE 0.00 0.00 0.00 0.00 0.00 SUMMARY PAGE Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 20. Contributions Received 21. Expenditures Made $ 1/1 through 6/30 7/1 to Date Expenditures Made 6. Payments Made Schedule E, Line 4 $ 7. Loans Made Schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS AddLines6+7 $ 9. Accrued Expenses (Unpaid Bills) Schedule F, Line 10. Nonmonetary Adjustment Schedule C, Line 3 11. TOTAL EXPENDITURES MADE Add Lines 8+9+10 $ 10,016.08 0.00 10,016.08 0.00 0.00 10,016.08 10,016.08 0.00 10,016.08 0.00 0.00 10,016.08 Current Cash Statement 12. Beginning Cash Balance Previous Summary Page, Line 16 $ 13. Cash Receipts Column A, Line3above 14. Miscellaneous Increases to Cash Schedule I, Line 4 15. Cash Payments Column A, Line 8above 16. ENDING CASH BALANCE Add Lines 12 + 13+ 14, then subtract Line 15 $ If this is a termination statement, Line 16 must be zero. 10,016.08 0.00 0.00 10,016.08 0.00 17. LOAN GUARANTEES RECEIVED Schedule 8, Part 2 $ 0.00 Cash Equivalents and Outstanding Debts 18. Cash Equivalents 19. Outstanding Debts See instructions on reverse Add Line 2 + Line 9 in Column B above $ 0.00 0.00 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 filed 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' (IfSub)ectto voluntary Expenditure Limit) Date of Election (mmidd/yy) $ Total to Date 'Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/2753772) Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Amounts may be rounded to whole dollars. Statement covers period from 01/01/2023 through 03/30/2023 MARISELA SANTANA FOR CITY COUNCIL 2018 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CM" CNS CTB CVC FIL END ND LEG UT campaign paraphemalia/misc. campaign consultants contribution (explain nonmonetary)` civic donations candidate fling/ballot fees fundraising events independent expenditure supporting/opposing others (explain)* legal defense campaign literature and mailings MBR member communications RAD MFG meetings and appearances OFC office expenses PET petition circulating PHO phone banks POL polling and survey research POS postage, delivery and messenger services PRO professional services (legal, accounting) PRI print ads RFD SAL TEL TRC TRS TSF VOT WEB SCHEDULE E radio airtime and production costs retumed contributions campaign workers' salaries t.v. or cable airtime and production costs candidate travel, lodging, and meals staff/spouse travel, lodging, and meals transfer between committees of the same candidate/sponsor voter registration information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.O. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Gould a Orellana, LLC 12501 Imperial Hwy., Ste 200 Norwalk, CA 90650 PRO Prof Servs thru 1/31/23 150.00 Reformed Church of Los Angeles 3714 Josephine St. Lynwood, CA 90262 CVC 2,000.00 Gould s Orellana, LLC 12501 Imperial Hwy., Ste 200 Norwalk, CA 90650 PRO Prof Servs Thru 2/28/23 150.00 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 2,300.00 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) 2. Unitemized payments made this period of under $100 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) TOTAL $ 10,016.08 0.00 0.00 10,016.08 FPPC Form 460 (Jan/2016) FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275.3772) • Schedule E (Continuation Sheet) Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Amounts may be rounded to whole dollars. Statement covers period from 01/01/2023 through 03/30/2023 SCHEDULE E (CONT.) Page 5 of 7 MARISELA SANTANA FOR CITY COUNCIL 2018 I.D. NUMBER 1408738 CODES: MP campaign paraphernalia/misc. CNS campaign consultants CTB contribution (explain nonmonetary)' CVC civic donations FIL candidate filing/ballot fees FND fundraising events NJ independent expenditure supporting/opposing others (explain)' LEG legal defense LIT campaign literature and mailings NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID Bankcard Center P.O. Box 30833 Salt Lake City, UT 84130-0833 CMP Credit Card Charges 876.71 Lynwood Marlins 3770 Martin Luther King Jr. Blvd. Lynwood, CA 90262 CVC 1,000.00 Evelyn Perez 11335 Duncan Ave. Lynwood, CA 90262 .CMP Flower Arrangements for Valentine's Day 2023 for residents 500.00 Tamaleria Maria's 3871 E. Imperial Hwy Lynwood, CA 90262 CMP Food for 2023 Comedy show with Lol Brown Boys Community Podcast 1,000.00 Viviana Vargas 4203 Platt Ave. Lynwood, CA 90262 CMP Floklorico dancers to perform for 2023 599.00 If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. MBR MTG OFC PET PHO POL POS FRO PRT member communications meetings and appearances office expenses petition circulating phone banks polling and survey research postage, delivery and messenger services professional services (legal, accounting) print ads RAD RFD SAL TEL TRC TRS TSF VOT WEB radio airtime and production costs retumed contributions campaign workers' salaries t.v. or cable airtime and production costs candidate travel, lodging, and meals staff/spouse travel, lodging, and meals transfer between committees of the same candidate/sponsor voter registration information technology costs (Internet, e-mail) * Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 3,975.71 FPPC Form 460 (Jan/2016) • Schedule E (Continuation Sheet) Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Amounts may be rounded to whole dollars. Statement covers period from 01/01/2023 through 03/30/2023 MARISELA SANTANA FOR CITY COUNCIL 2018 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, CUP CNS CTB CVC FIL FND ND LEG LIT campaign paraphemalia/misc. campaign consultants contribution (explain nonmonetary)* civic donations candidate filing/ballot fees fundraising events independent expenditure supporting/opposing others (explain)* legal defense campaign literature and mailings MBR MFG OFC FEf PHO POL POS FRO FRT member communications meetings and appearances office expenses petition circulating phone banks polling and survey research postage, delivery and messenger services professional services (legal, accounting) print ads RAD RFD SAL TEL TRC TRS TSF VOT WEB SCHEDULE E (CONT.) describe the payment. radio airtime and production costs retumed contributions campaign workers' salaries t.v. or cable airtime and production costs candidate travel, lodging, and meals staff/spouse travel, lodging, and meals transfer between committees of the same candidate/sponsor voter registration information technology costs (intemet, e-mail) NAME AND ADDRESS OF PAYEE OF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Gould & Orellana, LLC 12501 Imperial Hwy., Ste 200 Norwalk, CA 90650 PRO Prof Servs thru 3/31/23 150.00 Bankcard Center P.O. Box 30833 Salt Lake City, UT 84130-0833 CMP Credit Card Charges 310.26 A & J Dance Studio 11324 Long Beach Blvd. Lynwood, CA 90262 CVC 500.00 Dance Beast Studios 3648 E. Imperial Hwy Lynwood, CA 90262 CVC 500.00 Hilda Estrada 6137 E. Peabody St. Lynwood, CA 90808 OFC Sela Art Center-DDLM 2023 599.00 * Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 2,059.26 FPPC Form 460 (Jan/2016) - Sthedule E (Continuation Sheet) Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER MARISELA SANTANA FOR CITY COUNCIL 2018 Amounts may be rounded to whole dollars. Statement covers period from 01/01/2023 through 03/30/2023 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, OVP CNS CTB CVC RL FND VOID LEG LIT campaign paraphernalia/misc. campaign consultants contribution (explain nonmonetary)* civic donations candidate filing/ballot fees fundraising events independent expenditure supporting/opposing others (explain)* legal defense campaign literature and mailings MBR MTG OFC PIT PHO POL POS FRO PRT member communications meetings and appearances office expenses petition circulating phone banks polling and survey research postage, delivery and messenger services professional services (legal, accounting) print ads RAD RFD SAL TEL TRC TRS TSF VOT WEB SCHEDULE E (CONT.) describe the payment. radio airtime and production costs returned contributions campaign workers' salaries t.v. or cable airtime and production costs candidate travel, lodging, and meals staff/spouse travel, lodging, and meals transfer between committees of the same candidate/sponsor voter registration 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 12501 Imperial Hwy., Ste 200 Norwalk, CA 90650 PRO 181.11 Evelyn Perez 11335 Duncan Ave. Lynwood, CA 90262 CVC 500.00 Reformed Church of Los Angeles 3714 Josephine St. Lynwood, CA 90262 CVC 1,000.00 * Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 1,681.11 FPPC Form 460 (Jan/2016)