Recipient Committee Campaign Statement Cover Page from 7/1118 of election if applicab1e: (Month, ay, Year) Stamp COVER PAGE Page of 7 For Official Use Only through 9/22/18 November 6, 2018 1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4. ~ Officeholder, Candidate Controlled Committee State Candidate Election Committee o Recall (Also Complete Part 5) o General Purpose Committee Sponsored Small Contributor Committee o Political Party!Central Committee o Primarily Formed Ballot Measure Committee Controlled o Sponsored (Also Complete Pert 6) o Primarily Formed Candidate! Officeholder Committee (Also Complete Part 7) 2. Type of Statement: GZl Preelection Statement Semi-annual Statement o Termination Statement (Also file a Form 410 Termination) o Amendment (Explain below) o Quarterly Statement o Special Odd-Year Report 3. Committee Information COMMITIEE NAME (OR CANIATE'S NAME IF NO COMMITTEE) Patricia Lopez for EPA City Council 2018 STREET ARESS (NO P.O. BOX) 1120 Weeks Street East Palo Alto STATE CA ZIP COE 94303 MAILING ARESS (IF IFFERENT) NO. AN STREET OR P.O. BOX PO Box 500783 Palo Alto OPTIONAL: FAX / E-MAILARESS plopezepa2018@gmail.com 4. Verification STATE ZIP COE CA 94303 AREA COE/PHONE 650-308-5684 AREA COE/PHONE Treasurer(s) NAME OF TREASURER Gaudencio Lopez MAILING ARESS 1120 Weeks Street East Palo Alto NAME OF ASSISTANT TREASURER. IF ANY MAILING ARESS OPTIONAL: FAX / E-MAIL ARESS STATE ZIP COE AREA COE/PHONE CA 94303 650-248-5597 STATE ZIP COE AREA COE/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. certify under penalty of perjury under the laws of the State of California that the foregoing is 1:FmNlnd..correct. Executed on October 26, 2018 Executed on October 26, 2018 By TJ,.~ Y :1C, f!"tt _ -,.""7 By ~ ((IV~~ "-(.. ~ e Measure Proponent or Responsible Officer of Sponsor Executed on Executed on By... Signature of Controlling Officeholder. Candidate, State Measure Proponent By... Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Advice: advice@fppc.ca.gov {866/275-3772}
Recipient Committee Campaign Statement Cover Page - Part 2 COVER PAGE - PART 2 5. Officeholder or Candidate Controlled Committee Patricia Lopez (INCLUE LOCATION AN ISTRICT NUMBER IF APPLICABLE) East Palo Alto City Council RESIENTIAUBUSINESS ARESS (NO. AN STREET) STATE ZIP 1120 Weeks Street East Palo Alto, CA 94303 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETIER JURISICTION SUPPORT Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLER, CANIATE, OR PROPONENT Related Committees Not Included in this Statement: List any committees not included in this statement that are control/ed by you or are primarily formed to receive contributions or make expenditures on behalf of your candidacy. ISTRICT NO. IF ANY COMMlTIEE NAME NAME OF TREASURER CONTROLLE COMMITIEE? 7. Primarily Formed Candidate/Officeholder Committee List names of officeholder(s) or candidate(s) for which this committee is primarily formed. COMMITIEE ARESS YES STREET ARESS (NO P.O. BOX) NO SUPPORT STATE ZIP COE AREA COE/PHONE SUPPORT COMMITIEE NAME o SUPPORT NAME OF TREASURER COMMITIEE ARESS CONTROLLE COMMITIEE? YES NO STREET ARESS (NO P.O. BOX) SUPPORT STATE ZIP COE AREA COE/PHONE Attach continuation sheets if necessary
Campaign isclosure Statement Summary Page 7/1/18 f rom SUMMARY PAGE through Page 3 7 of 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, Line 3 5. TOTAL CONTRIBUTIONS RECEIVE... Add Lines 3 + 4 ColumnA TOTAL THIS PERIO (FROM ATIACHE SCHEULES) 1,179 -- - 0 Column B CALENAR YEAR TOTAL TO ATE 1,179 0 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 through 6/30 7/1 to 20. Contributions Received 21. Expenditures Made Expenditures Made 6. Payments Made... Schedule E, Line 4 1,657.34 1,657.34 Expenditure Limit Summary for State Candidates 7. Loans Made...... Schedule H, Line 3 8. SUBTOTAL CASH PAyMENTS... AddLines6+7 1,657.34 1,657.34 22. Cumulative Expenditures Made* (If Subject to Voluntary Expenditure Limit) 9. Accrued Expenses (Unpaid Bills)... Schedule F, Line 3 10. Nonmonetary Adjustment..... Schedule C, Line 3 11. TOTAL EXPENITURES MAE... Add Lines 8 + 9 + 10 1,657.34 1,657.34 of Election (mm/dd/yy) ---..1----.l Total to ---- Current Cash Statement 12. Beginning Cash Balance... Previous Summary Page, Line 16 13. Cash Receipts... Column A, Line 3 above 14. Miscellaneous Increases to Cash... Schedule I, Line 4 15. Cash Payments... Column A, Line 8 above 16. ENING CASH BALANCE... Add Lines 12 + 13 + 14, then subtract Line 15 If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVE... Schedule B, Part 2 Cash Equivalents and Outstanding ebts 18. Cash Equivalents... See instructions on reverse o.00 1657.34 2,021.66 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). ---..1----.l ---- *Amounts in this section may be different from amounts reported in Column B. 19. Outstanding ebts... Add Line 2 + Line 9 in Column B above FPPC Form 460 (Jan/20I6)
Schedule A Monetary Contributions Received 7/1/18 f rom SCHEULE A through 9/22/18 Page 4 of 7 _ I.. NUMBER ATE RECEIVE FULL NAME, STREET ARESS AN ZIP COE OF CONTRIBUTOR I CONTRIBUTOR (IF COMMITTEE, ALSO ENTER ) COE * IF AN INIVIUAL, ENTER OCCUPATION AN EMPLOYER (IF SELF-EMPLOYE, ENTER NAME OF BUSINESS) AMOUNT RECEIVE THIS PERIO CUMULATIVE TO ATE CALENAR YEAR (JAN. 1 - EC. 31) PER ELECTION TO ATE (IF REQUIRE) 8/19/18 Marlayna Tuiasosopo IlIIN COM OTH pty scc Engineer Rohde & Schwarz America 100.00 100.00 9/10/18 Peggy Perez I!lIIN o COM OTH pty scc Retired 750.00 750.00 IN COM OTH pty scc IN o COM OTH pty scc IN COM OTH pty scc Schedule A Summary SUBTOTAL 850.00 1. Amount received this period - itemized monetary contributions. 850 00 (Include all Schedule A subtotals.).... 2. Amount received this period - unitemized monetary contributions of less than 100... 329.00 3. Total ~onetary contributions received this period.. 1 179 (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, line 1.)... TOTAL, *Contributor Codes IN - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee
Schedule B - Part 1 Loans Received from 7/1/18 SCHEULE B - PART 1 through 9/22/18 Page 5 of 7_ FULL NAME, STREET ARESS AN ZIP COE OF LENER (IF COMMtnEE, ALSO ENTER ) Gaudencio and Patricia Lopez 1120 Weeks Street East Palo Alto, CA 94303 t~ IN 0 COM OOTH 0 PTY 0 SCC IF AN INIVIUAL, ENTER OCCUPATION AN EMPLOYER (IF SELF-EMPLOYE, ENTER NAME OF BUSINESS) Self-Employed GGPL LLC il) OUTSTANING BALANCE BEGINNING THIS PERIO I (b) AMOUNT RECEIVE THIS PERIO (c) AMOUNT PAI OR FORGIVEN THIS PERIO I\' o PAI 0 o FORGIVEN 1 0 o PAI (d) OUTSTANING BALANCE AT CLOSE OF THIS PERIO 12/31/18 ATE UE (e) If) (9 INTEREST ORIGINAL CUMULATIVE PAI THIS AMOUNT OF CONTRIBUTIONS PERIO LOAN TO ATE CALENAR YEAR _0_% 2 1 500 RATE PER ELECTION*'" 0 817118 ATE INCURRE I CALENAR YEAR o FORGIVEN -_% RATE PER ELECTION ** to IN 0 COM OOTH 0 PTY 0 SCC ATE UE ATE INCURRE o PAI o FORGIVEN --% RATE CALENAR YEAR I PER ELECTION*'" to IN 0 COM OOTH 0 PTY 0 SCC Schedule B Summary I SUBTOTALS I o 1. Loans received this period... (Total Column (b) plus unitemized loans of less than 100.) 2. Loans paid or forgiven this period... (Total Column (c) plus loans under 100 paid or forgiven.) (Include loans paid by a third party that are also itemized on Schedule A.) 3. Net change this period. (Subtract Line 2 from Line 1.) NET Enter the net here and on the Summary Page, Column A, Line 2. ATE UE? fioo o 2500 (May be a negative number) I 01 (Enter (e) on Schedule E, Line 3) I ATE INCURRE tcontributor Codes IN - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee *Amounts forgiven or paid by another party also must be reported on Schedule A. ** If required.
Schedule E Payments Made from 7/1/18 SCHEULE E through 9/22/18 Page _6 of 7 COES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CNS CTB CVC FIL FN INO 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 PET PHO POL POS PRO 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 RA radio airtime and production costs RF returned contributions SAL campaign workers' salaries TEL t. v. or cable airtime and production costs TRC candidate travel, lodging, and meals TRS staff/spouse travel, lodging, and meals TSF transfer between committees of the same candidate/sponsor VOT voter registration WEB information technology costs (internet, e-mail) NAME AN ARESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.. NUMBER) COE OR ESCRIPTION OF PAYMENT AMOUNT PAI NextayFlyers 8000 Haskell Avenue Van Nuys, CA 91406 180.73 Signsonthecheap.com online 684.62 Fast Signs 1476 Oddstad rive Redwood City, CA 94063 163.13 * Payments that are contributions or independent expenditures must also be summarized on Schedule. SUBTOTAL 1,028.48 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) 1,379.01 2. Unitemized payments made this period of under 100... 278.33 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).)... 0 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.)... TOTAL 1657.34
Schedule E (Continuation Sheet) Payments Made from 7/1/18 SCHEULE E (CONT.) through 7 7 Page of COES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. campaign paraphernalia/misc. MBR member communications RA radio airtime and production costs CNS campaign consultants MTG meetings and appearances RF 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 FN fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals IN 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 AN ARESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.. NUMBER) COE OR ESCRIPTION OF PAYMENT AMOUNT PAI Southwest. com online FN 105.78 Amicis 880 Santa Cruz Avenue Menlo Park, CA 94025 FN 136.22 Office epot 1761 E. Bayshore Road East Palo Alto, CA 94303 OFC 108.53 * Payments that are contributions or independent expenditures must also be summarized on Schedule. SUBTOTAL 350.53