Recipient Committee Campaign Statement Cover Page
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COVER PAGE Recipient Committee Date Stamp Campaign Statement CALIFORNIA 460 Cover Page FORM (Government Code Sections 84200-84216.5) E-Filed 07/31/2019 Statement covers period Date of election if applicable: 19:56:23 Page 1 of 101 (Month, Day, Year) 01/01/2019 from Filing ID: For Official Use Only 181975174 SEE INSTRUCTIONS ON REVERSE through 06/30/2019 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 State Candidate Election Committee Committee X Semi-annual Statement Special Odd-Year Report Recall Controlled Termination Statement Supplemental Preelection (Also Complete Part 5) Sponsored (Also file a Form 410 Termination) Statement - Attach Form 495 (Also Complete Part 6) General Purpose Committee Amendment (Explain below) Sponsored Primarily Formed Candidate/ Small Contributor Committee Officeholder Committee Political Party/Central Committee (Also Complete Part 7) 3. Committee Information I.D. NUMBER Treasurer(s) 1416165 COMMITTEE NAME (OR CANDIDATE’S NAME IF NO COMMITTEE) NAME OF TREASURER Georgette Gomez for City Council 2020 Georgette Gomez MAILING ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE San Diego CA 92101 (213)452-6565 CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY San Diego CA 92101 (213)452-6565 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE Los Angeles CA 90017 OPTIONAL: FAX / E-MAIL ADDRESS OPTIONAL: FAX / E-MAIL ADDRESS (213)452-6575 / [email protected] 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 07/31/2019 By Georgette Gomez Date Signature of Treasurer or Assistant Treasurer Executed on 07/31/2019 By Georgette Gomez Date Signature of Controlling Officeholder, Candidate, 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: [email protected] (866/275-3772) www.fppc.ca.gov www.netfile.com COVER PAGE - PART 2 Recipient Committee CALIFORNIA Campaign Statement FORM 460 Cover Page — Part 2 Page 2 of 101 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE Georgette Gomez OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO. OR LETTER JURISDICTION SUPPORT City Council Member: City of San Diego District 9 OPPOSE RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP Identify the controlling officeholder, candidate, or state measure proponent, if any. San Diego CA 92101 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 Georgette Gomez for City Council 2016 Legal 1402751 Defense Fund 7. Primarily Formed Candidate/Officeholder Committee List names of CONTROLLED COMMITTEE? NAME OF TREASURER officeholder(s) or candidate(s) for which this committee is primarily formed. Georgette Gomez X YES NO NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) SUPPORT OPPOSE CITY STATE ZIP CODE AREA CODE/PHONE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD SUPPORT Los Angeles CA 90017 (213)452-6565 OPPOSE COMMITTEE NAME I.D. NUMBER NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD SUPPORT OPPOSE CONTROLLED COMMITTEE? NAME OF TREASURER NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD SUPPORT YES NO 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: [email protected] (866/275-3772) www.fppc.ca.gov www.netfile.com Campaign Disclosure Statement SUMMARY PAGE Amounts may be rounded Statement covers period Summary Page to whole dollars. CALIFORNIA from 01/01/2019 FORM 460 06/30/2019 Page 3 of 101 SEE INSTRUCTIONS ON REVERSE through NAME OF FILER I.D. NUMBER Georgette Gomez for City Council 2020 1416165 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 $ 116,619.99 $ 116,619.99 1/1 through 6/30 7/1 to Date 2. Loans Received ...................................................... Schedule B, Line 3 0.00 0.00 20. Contributions 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 + 2 $ 116,619.99 $ 116,619.99 Received $ $ 0.00 0.00 4. Nonmonetary Contributions .................................... Schedule C, Line 3 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 + 4 $ 116,619.99 $ 116,619.99 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made ....................................................... Schedule E, Line 4 $ 18,609.13 $ 18,609.13 Candidates 7. Loans Made ............................................................. Schedule H, Line 3 0.00 0.00 22. Cumulative Expenditures Made* 8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6 + 7 $ 18,609.13 $ 18,609.13 (If Subject to Voluntary Expenditure Limit) 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F, Line 3 7,549.79 7,549.79 Date of Election Total to Date (mm/dd/yy) 10. Nonmonetary Adjustment .......................................... Schedule C, Line 3 0.00 0.00 11. TOTAL EXPENDITURES MADE ................................Add Lines 8 + 9 + 10 $ 26,158.92 $ 26,158.92 / / $ Current Cash Statement / / $ 0.00 12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ To calculate Column B, add 13. Cash Receipts ................................................... Column A, Line 3 above 116,619.99 amounts in Column A to the corresponding amounts 0.00 *Amounts in this section may be different from amounts 14. Miscellaneous Increases to Cash ........................... Schedule I, Line 4 from Column B of your last reported in Column B. report. Some amounts in 15. Cash Payments .................................................. Column A, Line 8 above 18,609.13 Column A may be negative 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ 98,010.86 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 for this calendar year, only 17. LOAN GUARANTEES RECEIVED ........................... Schedule B, Part 2 $ 0.00 carry over the amounts from Lines 2, 7, and 9 (if Cash Equivalents and Outstanding Debts any). 18. Cash Equivalents ........................................ See instructions on reverse $ 0.00 19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column B above $ 7,549.79 FPPC Form 460 (Jan/2016) FPPC Advice: [email protected] (866/275-3772) www.fppc.ca.gov www.netfile.com Schedule A SCHEDULE A Amounts may be rounded Statement covers period Monetary Contributions Received to whole dollars. CALIFORNIA from 01/01/2019 FORM 460 through 06/30/2019 Page 4 of 101 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Georgette Gomez for City Council 2020 1416165 IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 06/24/2019 Ismahan Abdullahi X IND Executive Director 100.00 100.00 P2020 $100.00 San Diego, CA 92115-8702 Muslim American Society COM OTH PTY SCC 05/21/2019 Bruce Abrams X IND Attorney 250.00 250.00 P2020 $250.00 San Diego, CA 92101-2356 Bruce Abrams COM OTH PTY SCC 06/29/2019 Angel Acevedo X IND Engineer 100.00 100.00 P2020 $100.00 Atlantic Highlands, NJ 07716-1441 U.S. Army COM OTH PTY SCC 06/23/2019 Javier Aguayo X IND Retired 100.00 100.00 P2020 $100.00 San Diego, CA 92113-3912 N/A COM OTH PTY SCC 04/17/2019 Genoveva Aguilar X IND Coordinator 100.00 225.00 P2020 $225.00 San Diego, CA 92113-2731 SEIU-USWW COM OTH PTY SCC SUBTOTAL $ 650.00 Schedule A Summary *Contributor Codes 1. Amount received this period – itemized monetary contributions. IND – Individual 106,160.00 COM – Recipient Committee (Include all Schedule A subtotals.) ........................................................................................................ $ (other than PTY or SCC) 10,459.99 OTH – Other (e.g., business entity) 2. Amount received this period – unitemized monetary contributions of less than $100 ............................