. '.,. Recipient Committee Campaign Statement (Government Code Sections 84200-84216.5) Type or print In Ink. Date of election If applicable: (Month, Day, Year) from 07/01/2014 Date Stamp... COVER PAGE J:.. TtHC~ GUT> 1M I ~ 2015FEB-3 AM ;.,~s,&f.!~-m( :I~~~J ;~, :. ' I ' ' '' 1 ~/11. ln.,..,.. I :J v ~or Offidal Use Only through 12/31/2014 ~ 1. Type of Recipient Committee: All committees- complete Parts 1,2,3, and 4. 0 Officeholder, Candidate Controlled Committee 1R1 Ballot Measure Committee 0 State Candidate Election Committee 0 Primary Formed 0 Recall Controlled (Also Completa Part 5.) 0 Sponsored 0 General Purpose Committee (Also Complete Part 6.) 0 Sponsored 0 Primary Formed Candidate/ 0 Small Contributor Committee Officeliolder Committee 0 Political Party/Central Committee (Also Complete Part 7.) 2. Type of Statement: i~ f CVD '3Y 0 Pre-election Statement I&:J Semi-annual Statement 0 Termination Statement 0 Amendment (Explain below) 0 Quarterly Statement 0 Special Odd-Year Report 0 Supplemental Preelection Statement - Attach Form 495 Committee Information -.. COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMmEE I.D.NUMBER --- Treasurer(s) NAME OF TREASURER Felipe Fuentes --- STREET ADDRESS (NO P.O. BOX) MAILING ADDRESS CITY. STATE ZIP CODE Los Angeles CA 90017-0000 MAILING ADDRESS (IF DIFFERENn NO. AND STREET OR P.O. BOX AREA CODE/PHONE 2134526565 CITY. STATE ZfP CODE AREA CODE/PHONE Los Angeles CA 90017-0000 NAME OF ASSISTANT TREASURER, IF ANY 213-452-6565 l' '-- CITY Of>l'IONAL: FAX/E-MAIL ADDRESS 2134526575 4. Verification DATE By STATE ZIP CODE AREA CODE/PHONE Executed on 0 2 I 0 2 I 2 0 1 5 By... 2 DATE Executed on DATE Executed on DATE MAILING ADDRESS CITY OPTIONAL: FAX/E-MAIL ADDRESS 213-452-6575 By~~~~~~== SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT By==~:;.;~~~;--- SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT STATE ZIPCODE AREA CODE/PHONE tion contained herein and in the attached schedules ue and correct. State of California
.. Recipient Committee Campaign Statement Cover Page - Part 2 COVER PAGE - PART 2 I ~ ~ - ~..., : -... ~ - " 2/8 5. Officeholder or Candidate Controlled Committee 6. Ballot Measure Committee NAME OF BALLOT MEASURE \! (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) RESIDENTIAUBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP 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 to make expenditures on behalf of your candidacy. COMMITTEE NAME Felipe Fuentes for City Council2013 I.D.NUMBER 1341544 c D SUPPORT (i] OPPOSE identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT Felipe Fuentes Held: City Council Member DISTRICT NO. IF ANY 7. Primarily F 0 rmed Committee List names of offlceholder(s) or candidate(&) for which this committee is primarily formed. 07 \_ NAME OF TREASURER Felipe Fuentes COMMITTEE ADDRESS CITY Los Anaeles COMMITTEE NAME STREET ADDRESS (NO P.O.BOX) STATE CA ZIP CODE 90017 CONTROLLED COMMITIEE? I&)YES I.D.NUMBER 0NO AREA CODE/PHONE (213) 452-6565 0 SUPPORT D OPPOSE D SUPPORT D OPPOSE 0 SUPPORT D OPPOSE NAME OF TREASURER COMMITTEE: ADDRESS STREET ADDRESS (NO P.O. BOX) CONTROLLED COMMITIEE? DYES 0NO - D SUPPORT 0 OPPOSE CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary State of California
Campaign Disclosure Statement Summary Page " from ---------- t NAME OF FILER Contributions Received 1. Monetary Contributions?. Loans Received ~. -o. SUBTOTAL CASH CONTRIBUTIONS.... 4. Nonmonetary Contributions 5. TOTAL CONTRIBUTIONS RECEIVED......... Schedule A, Line 3 Schedule 8, Line 7 Add Lines 1 + 2 Schedule C, Line 3 Add Lines 3 + 4 ColumnA TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) $ Q.OO_ $ Q,QQ through --------- Column B CALENDAR YEAR TOTAL TO DATE $ 0 00 $ Q,QQ $. QJ)_Q_ 3/8 I.D. NUMBER I Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 through 6/30 711 to Date 20. Contribution Received $ ~ Q,_OO_ $ 21. Expenditures Made $ $ Expenditures Made 6. Payments Made...... Schedule E, Line 4 $ 3221.62 7. Loans Made... Schedule H, Line 7 8. SUBTOTAL CASH PAYMENTS... Add Lines 6 + 7 $ 3221.62 9. Accrued Expenses (Unpaid Bills)...... Schedule F, Line 3-797.74 10. Nonmonetary Adjustment............. Schedule c, Line 3 11. TOTAL EXPENDITURES MADE... Add Lines 8 + 9 + 10 $ 2423.88 $ 5774.49 $ 5774.49 25 $ 6024.49 Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (If Subject to Voluntary Expenditure Limit) Date of Election (mm/ddlyy) $ Total to Date, ~ --~urrent Cash Statement ~ --- 12. Beginning Cash Balance 13. Cash Receipts 14. Miscellaneous Increases to Cash Cash Payments Previous Summary Page, Line 16 Column A, Line 3 above Schedule I, Line 4 Column A, Line 8 above 16. ENDING CASH BALANCE... Add Lines 12 + 13 + 14, then subtract Line 15 If this is a termination statement, Line 16 must be zero. $ 88329.15 3221.62 $ 85107.53 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 -----------------------------------------lthefirstreportbeingfiled for this calendar year, only O 17. LOAN GUARANTEES RECEIVED... Schedule B, Part 2 $ 0.0 carry over the amounts Cash Equivalents and Outstanding Debts 18. Cash Equivalents...... See instructions on reverse $ 19. Outstanding Debts Add Line 2 + Line 9 in Column 8 above $. 25 from Lines 2, 7. and 9 (if any). *Since January 1, 2001. Amounts in this section may be different from amounts reported in Column B. s s $ $ $ FPPC Fonn 460 (June/01)
J Schedule E Payments Made from,... ~- ' -. '~,:.. ~- ;:,.r ~ ::,:;~e:;..:1,~ -:-, c;eio'i :< ' : ;.: ~!: _., :.. ~ ; :. ~ t f'~;;" ;~ {- ; ~:, 't:xl through-------- 4/8 I.D. NUMBER CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia/misc. RAD radio airtime and production costs CNS campaign consultants RFD returned contributions CTB contribution (explain nonmonetary)* SAL campaign workers' salaries 1 ':VC 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 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 VOT voter registration L-11 l,;i:lfridciiqii lll"li:iiuit: i:iiiu llli:iiiii1ql> rn.1 PlullCI\..1., ~~... ~... ~.. ~" ~~.. - -'\!~ --- "' \1...-...-. _..,_.. {IF COMMITTEE, ALSO ENTER I.D. NUMBERI CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Kaufman Legal Group OFC 39.35 In!': A~~~ r.a _90017 Kaufman Legal Group PRO 1359.50 ~ Ins AnnPIP!': r.a ~0017 Bankcard Center Credit Card Payment 1047.74 ~~It I ~kr:> Citv l it RA.1 ~n-os~~ * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ Schedule E Summary 1. Payments made this period of $100 or more. (Include all Schedule E subtotals.) $ 3221.62 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$ 3221.62
,, Schedule E Payments Made from---------- NAME OF FILER through-------- CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP CNS campaign paraphernalia/misc. campaign consultants ( CTB contribution (explain nonmonetary)* ;vc civic donations PET petition circulating '-- FIL candidate filing/ballot fees PHO phone banks FND fundraising events IND independent expenditure supporting/opposing others (explain)* POS postage, delivery and messenger services LEG legal defense L.ll \,;i:lii1p~iq1111lt:::iiqluic QIIU IIIQIIIIlQ:;, rn Pln11. a"'~ RAD RFD SAL TEL TRC TRS TSF VOT 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 -~,,_,,_,,_..,,_,.Jgy --- -... _... _, - Chops Steakhouse. (IF COMMITTEE, ALSO ENTER 1.0. NUMBERI ~<>l"'r~mantn f'.a Qt:;R1d Hyatt Hotel F & B ID: ID: CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID -- MTG 4/23/~4- Meal for Candidate +4 While Attending Water Bond Meetmgs. info[ 161.09] TRC 4/22-4/24(14 ~ac~amento, CA) LodginB for Candidate to Atten info[ 479.84] d ~eg1slat1ve eetings Regardmg Bay elta Conservation Wat ~ r ond. ~ ~::tcramfmtn CA Q"iR14 Jamie's Bar and Grill ID: MTG 4/22/~4- Meal for Candidate +2 While Attending Water Bond Meet1ngs. info[ 139.45] ~ ner CA 9!iR1R Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ Schedule E Summary 1. Payments made this period of $100 or more_ (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$------
Schedule E Payments Made from---------- NAME OF FILER llirough CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. (L CMP campaign paraphernalia/misc. CNS campaign consultants CTB contribution (explain nonmonetary)* -:;vc civic donations FIL candidate filing/ballot fees FND fundraising events IND independent expenditure supporting/opposing others (explain)* LEG legal defense Lll ~,;ar00oll9n llltofaluit:o cuiu rrraruoq=> PET petition circulating PHO phone banks POS postage, delivery and messenger services rr\ 1 P nn. au., RAD radio airtime and production costs RFD returned contributions SAL campaign workers' salaries TEL t.v. or cable airtime and production costs TRC candidate travel, lodging, and meals TRS staff/spouse travel, lodging, and meals TSF transfer between committees of the same candidate/sponsor VOT voter registration.,..._...,,,,...,,,,,~._..,,, ~""""''"'..,,J~Y...,,,_., - -.. (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Bankcard Center Credit Card Payment 775.03 SJ:~It I <>It" C:itv lit 1'\41 :10-01'\:1:1 Bankcard Center OFC info[ 233.1 0] ~~- SJ:~It I <!kp. C:itv lit 1'\41 ~n_na ':! ':! Chevron Svlm<~r C:A 91342 TRC 1o/8/14 (Lqs An~eles to Sacramento, CA) Ground Transportati - info[ 112.99] n or Candidate o Attend Bay Delta Water Bond Meetings. * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ Schedule E Summary 1. Payments made this period of $100 or more. (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 8, 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$------
Schedule E Payments Made FILER Type or print In ink. covers period from---------- through-------- 7/8 1.0. NUMBER CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. \L. CMP campaign paraphernalia/misc. CNS campaign consultants CTB contribution (explain nonmonetary)* eve civic donations FIL candidate filing/ballot fees FND fundraising events IND independent expenditure supporting/opposing others (explain)* LEG legal defense PET petition circulating PHO phone banks POS postage, delivery and messenger services RAD radio airtime and production costs RFD returned contributions SAL campaign workers' salaries TEL t.v. or cable airtime and production costs TRC candidate travel, lodging, and meals TRS staff/spouse travel, lodging, and meals TSF transfer between committees of the same candidate/sponsor VOT voter registration _,... :::J'' - -.. - -... :::J... I''' t""ioii... _... --,,...,,,,_.. _,,._...,,,_,...,:::J:I ---...,,,,._,,,_.., - -.. (IF COMMITI"EE, ALSO ENTER 1.0. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Faith & Flower ID: MTG 9/2114- Meal for Candidate +1 for Water Bond Meeting. info[ 115.30] Ins lin CA 90015 Mak's Quick Corner TRC 10/12114 (Sacramento to Los A~eles, CA) Ground Transporta i- on for Candidate to Attend Bay elta Water Bond Meetings. info[ 12] ~:=~r.r::~mantn r.a Q"iA1A ''- Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 3221.62 Schedule E Summary 1. Payments made this period of $100 or more. (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$
SCHEDULE F,.~ Schedule F CAL~6~~NIA 460 I Accrued Expenses (Unpaid Bills) from NAME OF FILER CODES: CMP CNS CTB eve!=il ~. =No INO LEG LIT through 8/8 If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. 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 PET petition circulating PHO phone banks POS postage, delivery and messenger services PRT print ads I.D. NUMBER RAD radio airtime and production costs RFD 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, email) I Bankcard Center (IF COMMITIEE, ALSO ENTER 1.0. NUMBER) CODE OR DESCRIPTION OF PAYMENT Credit Card Payment (a) OUTSTANDING BALANCE BEGINNING OF THIS PERIOD 1047.74 (b) (c) (d) AMOUNT INCURRED AMOUNT PAID OUTSTANDING THIS PERIOD THIS PERIOD BALANCE AT CLOSE (ALSO REPORT ON E) OF THIS PERIOD 1047.74 Salt Lake Citv UT 84130-0833 NGP VAN, Inc. OFC 25 25 Washington DC 20005 -------- L *Payments that are contributions or independent expenditures must also be summarized on Schedule D. Schedule F Summary SUBTOTALS $ 1047.74$ 25$ 1047.74 $ 25 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 $100.)...... INCURRED TOTALS$ 25 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 $100.)...,.............. 3. Net change this period. ()ubtract Line 2 from Line 1. Enter the difference here and on the Summary Page, Column A, Line PAID TOTALS$ 1047.74 NET$ -797.74 May be a negative number.