You are on page 1of 10

COVERPAGE

Recipiemittee atement Campai Cover Page


5 84216 Government Code Sections 84200
Statement from

Type

or

pri
Date of election if

covers

period

2010 01 10
2010 16 10
2 3 and
d

applic Month Day Year

l t

PI7

34

page

of
For Official Use

10
Only

SEE INSTRUCTIONS ON REVERSE

through
All

zolo oz 11

Type
U

Of ReClplent COmftllttee

Complete Committees

Parts 1

2 Type of Statement
Preelection Statement
annual Semi Statement

Officeholder Candidate Controlled Committee


State Cantlidate Election Committee

Primarily

Farmed Ballot Measure

Quarterly
Special

Statement

Committee

Recall

Q
Committee

Controlled

Termination Statement
6

Also Complete Part 51

Sponsored
Also Complete
Part

Report Supplemental Preelection


Statement Attach Form 495

Year Odd

Also

file

Form 410

Termination

General

Purpose

Amendment

Explain below

Q Sponsored Q Small Contributor


Political

Primarily Formed Candidate


Committee

Officeholder Committee
IAlso Complete
Part

Central Party Committee

Committee Information
COMMITTEE NAME

I
Council
2010

LD

NumaER 089 1

s Treasurer
NAME OF TREASURER

OR

S CANDIDATE NAME IF NO

COMMITTEE

Fraddza

guez Rodr

or

City

Yolanda

NiraRda

MAILING ADDRESS
728
W

Edna

Place
STATE ZIP CODE

STREET ADDRESS

NO

PO BOX

CITV

PHONE AREA CODE


7635 915 626

266
CITY

11th

Street STATE
ZIP

Covina
CODE AREA CODEIPHONE 4137 802 909
NO AND STREET OR PO

CA

91722

NAME OF ASSISTANT TREASURER IF ANV

omona

CA

91766

MAILING ADDRESS

IF DIFFERENT

BO

MAILING ADDRESS

CITY

STATE

ZIP CODE

AREA CODE PHONE

CITY

STATE

ZIP

CODE

AREA CODE PHONE

OPTIONAL

FAX I E ADDRESS MAIL

OPTIONAL

FAX

MAIL E ADDRESS

Verification
I have used all reasonable
under

penalty

of

perjury
on

under the laws of the Stale of California that the

diligence in preparing and reviewing this statement and to the best of my knowledge foregoing is true and correct
21 2010
pate

the

ation in contained herein and I


J
ure of

he attached schedules is true and complete I

certify

Executed

6y

Treasurer or Assistant

reasurer

Executed

on

21 Q 2010
Dale

gy

ignature of Contrdling Oficeholder Cantlidate State Measure Proponent

or

Responsible ORCer of Sponsor

Executed

on

Dale

By

Signatureof Controlling ORiceholdec

Canditlate Stale Measure

Proponent

Executed

on

By
Date

OignaWre ofCOntrolliny ORCeholder Cantlidate State

Measure

Proponent

FPPC Form 460

tJanuary106

Free FPPC FPPC Toll Helplinn 8fi61ASK

J772 Ofi61276

State of California

Campaign Statement Cover Page Part 2


Page
2

mmittee Recipie
Officeholder
or

Type

or

ink

PART2

of

10

Candidate Controlled Committee

Primarily

Formed Ballot Measure Committee

NAME OF OFFICEHOLDER OR CANDIDATE Freddie

NAME OF BALLOT MEASURE

Rodriguez
INCLUDE LOCATION
AND DISTRICT NUMBER IF

OFFICE SOUGHT OR HELD

APPLICABLE

BALLOT NO LETTER OR

City

Council

Member 2

City of

Pomona

JURISDICTION
or

I
state
measure

SUPPORT OPPOSE

BUSINESS RESIDENTIAL ADDRESS


1266
W

NO

AND

STREET
CA 91766

CITY

STATE

ZIP

11th

Street

Pomona

Identify

the

controlling officeholder candidate

proponent

if any

NAME OF OFFICEHOLDER CANDIDATE OR PROPONENT

Related Committees Not Included in this Statement


not included in this statement that
are on

tine any comet trees


formed to receive OFFICE SOUGHT OR HELD DISTRICT NO IF ANV

controlled

by

you

conVibutions

or

make

expenditures

behalf of your

primarily candidacy
or are

COMMITTEENAME

LD NUMBER

NAME OF TREASURER

CONTROLLED COMMITTEE VES NO

Primarily Formed CandidatelOfficeholder Committee List names of 5J officeholtler or candidate for which this committee is primarily formed s
NAME OF OFFICEHOLDER OR CANDIDATE

COMMITTEEADDRESS

STREETADDRESS

NO

O P

BOX

OFFICE SOUGHT OR HELD SUPPORT OPPOSE

CITY

STATE

21P CODE

AREA

PHONE CODE

NAME OF OFFICEHOLDER OR CANDIDATE

OFFICE SOUGHT OR HELD SUPPORT

OPPOSE
COMMITTEE NAME D I 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
COMMITTEEADDRESS STREETADDRESS

SUPPORT OPPOSE

NO

NO

PO

BOX

CITY

STATE

ZIP CODE

AREA CODE PHONE

Attach continuation sheets if necessary

FPPC Farm 460

January106

FPPC 276 FPPC Toll Helpline 8661ASK 866 Free 3772 Slate of California

closureStatement Campai
Summary
age
SEE INSTRUCTIONS ON REVERSE NAME OF FILER Freddie

Type
Amounts

or

Ink

ma

ounded

to Whole dollars

Statement
from

covers

period

2010 01 0

th rOUgh

2010 16 10

Page

Of

10

LD NUMBER for

Rodriguez

City Council

2010

1288896

Contributions Received
1 2

Column A
TOTALTHIS PERIO D

Column B
CALE NDAR YEAR
TOTALTO DATE

Calendar Year

Summary for

Candidates

FRGM ATTACHED SCHE DULES

Runnin g in Both the State

Primary and
711 to Dale

General Elections

Monetary Contributions
Loans Received

une3 scnedweA e scnedu a Lines


add Lines z scnedule c unes q gdduness

3oo z 00
6 o0

00 706 19
1

30 through 6

00 0

3
4 5

SUBTOTALCASHCONTRIBUTIONS

3oo z 0o
o oo

00 706 19
oo o

20

Contributions

Received
21

Nonmonetary

Contributions

Expenditures
Made

TOTAL CONTRIBUTIONS RECEIVED

300 00

00 706 19

Expenditures
6 7
8 9

Made
scnedule E Line q scnedule H Line 3
7 Add Lines s

Expenditure
141 4
72

Limit

Summary for State

Payments

Made

306 16 29
o oo

Candidates
22 Cumulative Made

Loans Made

o oo

Expenditures

SUBTOTALCASH PAYMENTS
Accrued

141 4 72

306 16 29
0 00

hf Subject o Voluntary Expenditure Limit

Expenses Unpaid Bills

e Scnedu F Llnes
scnedue c une Add Lines e
9
s

338 2 00
o oo 803 1 72

Date of Election

Total fo Date

10

Nonmonetary Adjustment

o oo 306 16 29

yy dd mm

11 TOTAL EXPEN DITU RES MADE

to

Current Cash Statement


12

Beginning

Cash Balance

Previous

Summary Page

Line 76

34 292

To calculate Column
oo SOO 2
co soo

add

13 Cash

Receipts

Column A Line3above scnedulel uneq

amounts in Column A to the

corresponding
14 Miscellaneous Increases to Cash

amounts in

from Column B of your last

15 Cash

Payments
qdd Lines 12

coWmnALineaabove
t3 tq then subtract Line 75
zero

72 141 4 3 9so 62

report Some amounts

Amounts in this section may be different from amounts reported in Column B

Column A may be negative

16 ENDINGCASH BALANCE
If this is
a

fgures
period

that should be
amounts

subtracted from previous


termination statement Line 16 must be
If this is filed the frst

report being

17 LOAN GUARANTEES RECEIVED

Partz scnedwee

oo o

for this calendar year carry


over

only

the amounts

Cash
18
19

Equivalents and Outstanding Debts


See instructions
on reverse

from Lines 2 7 and 9 if

any
00 0

Cash Equivalents

Ing Oulstand

Debts

Line9inColumnBabove AddLine2

co o

FPPC Toll Free

FPPC Form 460 January 05 FPPC 3772 Helpline B66IASK 6661275

Schedul

Type
Amounts a

in ink
rounded

Moneta ry ltributions Received

SCHEDULE
statement covers

to

wh o a

d o ll ars

period

from

zolo ol to

SEE INSTRUCTIONS ON REVERSE NAME OF FILER Freddie

thrOUgh

2010 16 10

Page

Of

10

D I NUMBER for

Rodriguez

City

Council

2010

1288846

DATE RECEIVED

FULL NAME STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR OFCOMMmEEALSOENTEBro NUMBER

CONTRIBUTOR CODE

IF AN INDIVIDUAL ENTER OCCUPATION AND EMPLOYER


oveo EMF F OFSE
ENrEH NAME

AMOUNT RECEIVED THIS PERIOD

CUMULATIVETO DATE
CALENDAR YEAR

PER ELECTION TO DATE

JAN

1 DEC

31

IF REQUIRED
G 10 00 500

OF BUSINESS

2010 14 10

Roger

Darnell

IND
COM

Attorney

00 500

00 500

1613

Bay

Ave

OTH
PTY
CA 92661

Majestic Realty

Co

Newport

Beach
and

SCC
Company

2010 06 10

Frank

i Y 11

IND
COM

00 500

s00 00

G 10

00 500

o 81

Cielo

Vista

X
90605

OTH

PTY
Whittier
CA

CC

2010 i4 10

HK2

of

West

Covina

LLC

IND
COM

00 500

00 500

G 10

00 500

980

Glendora

Ave

X OTH
PTY

west

Covina

CA

9U 91

SCC
2010 09 10
Lewis investments

Company

LLC

IND
COM

00 500

00 0

G 10

00 0

us6

Mountain
CA

Ave

X OTH
PTY

Upland
Refund

91086

COnCributiOn
Po
nce

SCC
Association PAC 90 1243

2010 05 10

Pomona

icers

IND
COM

00 250

00 250

G 10

00 250

141s

Street
CA

Suite

410

OTH
PTY

Sacramento

3963 95814

S
SUBTOTAL
oo zsa l

Schedule A

Summary
oo zso z
ao so

Contributor Codes

Amount received this

period itemized monetary contributions Include all Schedule A subtotals period


unitemized

Individual IND

2 Amount received this 3 Total

monetary contributions of less than 100

Recipient Committee other than PTY or SCC OTH Other e business entity g Political PTY Party
COM

monetary contributions received this period


Lines 1 and 2 Enter here and
on

Small SCC Contributor Committee

Add

the

Summary Page

Column A Line

TOTAL

oo loo z

FPPC Form 460

05 January

FPPC Toll Helpline 866IASK 866 FPPC 275 Free 3772

Continuation Schedu Sheet


ary mone
NAME OF FILER
Freddie

Type

or

vmnuuuvns r ecervea

a Mnivun

niey

prin

oe rounaea

Statement covers

uLEA
period

CONY

to whole dollars

from

2010 O1 10

through

2010 16 10

page

l0

D I NUMBER
for

Rodriguez

City

Council

2010

1288846

DATE RECEIVED

FULL NAME STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR OFCOhtMmEE AlSOENrER i D NUMBER

CONTRIBUTOR CODE

IF AN INDIVIDUAL ENTER OCCUPATION AND EMPLOYER


ENTER EMFLOrED pF SEtF
OF Bl15iNE55
NAME

AMOUNT RECEIVED THIS


PERIOD

CUMULATIVE TO DATE
CALENDAR YEAR

PER ELECTION

TO DATE

JAN

t DEC

37
G 10

IF REQUIRED
00 500

Kent

2010 14 10
13191

Valley

X IND
COM
Parkway North
3421 91946

Developer

00 500

00 500

Crossroads

Sixth

Floor

OTH
PTY

Majestic Realty

Co

La

Puente

CA

SCC
David wheeler

2010 14 10
v

IND

Real

Estate

Development

00 500

00 500

G 10

00 500

COM
Sea Greens

OTH
CA 9265

Newport

Coast

Pte

Majestic Realty

Co

SCC

IND
COM
OTH
PTY

SCC IND
COM

OTH
PTY

SCC IND
COM

OTH
PTY

SCC SUBTOTALS
00 000 1

Contributor Codes Individual IND

Recipient Committee other than PTY or SCC OTH Other e business entity g Political PTY Party
COM

Small SCC Contributor Committee

FPPC Toll Free

FPPC Form 460 January106 FPPC ASK 3772 Helpline 866 6661275

Schedul
NAME OF FILER Freddie

ruFrr u p n

summary or zpenatiures SU pP orttn g IO PP osm g Other

type

or

pant

mfl

Amounts may be rounded


to whole dollars

Statement

covers

period
p

Candidates Measures and Committees


SEE INSTRUCTIONS ON REVERSE

from

zolo ol to

through
Council 2010

2010 16 10

page

of

10

D I NUMBER for

Rodriguez

City

1288846

DATE

NAME OF CANDIDATE OFFICE AND DISTRICT OR MEASURE NUMBER OR LETTER AND JURISDICTION OR COMMITTEE

CUMULATIVETO DATE rypE OF PAYMENT DESCRIPTION IF REDUIRED AMOUNT THIS PERIOD CALENDAR YEAR IAN
t DEC

PER ELECTION

TO DATE pF REQUIRED

3t

Monetary
Contribution

Nonmonetary
Contribution

Support

Oppose

Independent Expenditure Monetary


Contribution

Nonmonetary
Contribution

Support

Oppose

Independent Expenditure Monetary


Contribution

Nonmonetary
Contribution

Support

Oppose

Independent Expenditure

SUBTOTAL

ao o

Schedule D

Summary
independent expenditures
made this

1 Itemized contributions and

period Include all Schedule D subtotals

oo o

2 Unitemized contributions and 3 Total contributions and

independent expenditures made this period of under 100


made this period Add Lines 1 and 2 Do not enter
on

oo so

independent expenditures

the

Summary Page

TOTAL

oo so

FPPC Toll Free

FPPC Form 460 Januaryl05 FPPC 3772 Helpline 8661ASK 8661275

Schedul
Payments
Freddie

Type
to

or

print

Statement
ed from

covers

ade

Amounts may be

period

whole dollars

zolo al 1c

SEE INSTRUCTIONS ON REVERSE

through

16jzolo 1o

page

of

10

D I NUMBER

Rodriguez

Eor

City

Council

2010

1288846

CODES
CNP
CNS

If

one

of the

following

codes

accurately describes the payment you may


MBR MiG

enter the code

Otherwise describe the payment


RAD

CTB
CVC FIL FND
RED

campaign paraphernalia misc campaign consultants contribution explain nonmonetary


civic donations

member communications

meetings

and appearances

RFD

radio airtime and production costs returned contributions

OFC
FET

office expenses

SAL
TEL

campaign workers
v t
or

salaries

candidate

ballot fling
events

fees

PHp
POL
others

fundraising

LEG

LIT

independent expenditure supporting opposing legal defense campaign literature and mailings

explain

FOS

PRO
PRi

petition circulating phone banks polling and survey research postage delivery and messenger services professional services legal accounting print ads

cable airtime and

production

costs

TRC TRS
TSF

candidate travel

lodging

and meals and meals

spouse staff travel lodging


voter

transfer between committees of the same

candidatelsponsor

VOT
WEB

registration information technology

costs

internet a maifj

NAME AND ADDRESS OF PAYEE


pFCOMb9TTEEAtso eererl LO NUMaER
Yolanda

CODE
PRO

OR

DESCRIPTION OF PAYMENT

AMOUNT PAID
00 60J

Miranda

728

Edna
CA

Covina

Place 22 91

Yolanda

Miranda

POS

72 3

128

Edna
CA

Covina

Place 91722

Petty

Cash

OFC

00 100

1266

lith
CA

Street

Pomona

91766

Payments that

are

contributions

or

independent expenditures

must also be

summarized

on

Schedule D

SUBTOTAL

72 603

Schedule E
1 Itemized

Summary
72 091 4
oo so oo o

payments made this period Include all Schedule E subtotals payments made this period of under 100 paid this period
on

2 Unitemized

3 Total interest 4 Total

loans

Enter amount from Schedule B Part 1 Column e


on

payments made this period Add Lines 1 2 and 3 Enter here and

the

Summary Page

Column A Line

TOTAL

7 1x1 4

FPPC Form 460 FPPC ASK FPPC Toll Helpline 866 Free

January105 3772 275 866

Schedu Contin
Payments
NAME OF FILER

Type
n

or

print

Sheet

Made

Amounts may be r to whole dollars

Statement covers period


from

zolo ol to
zolo 16 to

SEE INSTRUCTIONS ON REVERSE

through

Page

of

to

I D NUMBER

Freddie

Rodriguez

for

City

Council

2010

1288846

CODES
CNP CNS

If

one

of the

following

codes

accurately

describes the
MBR

payment you may


meetings
office expenses

enter the code

Otherwise describe the payment


RAD RFD radio airtime and

CTB CVC FIL


FND VJD

misc campaign paraphernalia campaign consultants contribution explain nonmonetary


civic donations

member communications

production

costs

MiG OFC PET


PFIO POL others

and appearances

SAL TEL
TRC TRS TSF VOT WEB

returned contributions campaign workers salaries


v t or cable airtime and
candidate

LEG Lfi

ballot filing fees fundraising events independent expenditure supportinglopposing legal defense campaign literature and mailings
candidate
IF COMMITTEE

explain

POS PRO
PRi

petition circulating phone banks polling and survey research postage delivery and messenger services professional services legal accounting print ads
CODE OR

production costs travel lodging and meals stafflspouse travel lodging and meals
transfer between committees of the
same

sponsor candidate

registration information technology


voter

costs

mail internet a
AMOUNT PAlD

NAME AND ADDRESS OF PAYEE ALSO ENTER LD NDMBER

DESCRIPTION OF PAYMENT

Robert

Rosales

ll59

6th
CA

SCreea 91966

Pomona

CNS

00 000 1

Sacred

Hearc

Church

1215

Ramilton
CA 91966

Blvd

00 150 pAT

Pomona

Stephen

Sammarco

2304 Mathews Ave Ste 8 Redondo Beach CA 902

LIT

00 338 2

Payments that are contributions orindependent expenditures

must also be summarized

on

Schedule 0

SUBTOTAL

oo 3 4se

FPPC ToII Free

FPPC Form 460 January 06 FPPC 3772 ASK 275 Helpline 866 866

SCHEDULEF

Accrued

Schedul
NAME OF FILER Freddie

Type

or

prin
ded

xpenses

Unpaid Bills

Amounts may b to whole

Statement
from

covers

period

dollars

zola ol to

through

zolo 16 to

Page

of

to

1 D NUMBER

Rodriguez

for

City

Council

2010

1286896

CODES
CIVP
CNS CTB
CVC FIL

If

one

of the

following

codes

accurately describes the payment you may enter the code Otherwise describe the payment
MI3R MiG member communications RAD radio airtime and

campaign paraphernalia misc campaign consultants contribution explain nonmonetary


civic donations

production

costs

meetings and

appearances

RFD
SAL TEL

returned contributions

OFC
r F

office expenses

campaign
v t
or

workers salaries

FND
UJD

LEG
LIT

ballot fling fees fundraising events independent expenditure supporting opposing legal defense campaign literature and mailings

candidate

10 PI
POL
others

explain

POS PRO
PRT

petition circulating phone banks polling and survey research postage delivery and messenger services professional services legal accounting print ads
CODE OR

cable airtime and

production costs

TRC TRS
TSF

travel lodging and meals spouse staff travel lodging and meals
candidate

transfer between committees of the


voter

same

sponsor candidate

VOT
WEB

registration information technology


b

costs

internet a mail
d
OU757ANDING BALANCE AT CLOSE OF THIS PERIOD
00 0

la
OUTSTANDING NCE ggtp BEGINNING OF THIS PERIOD

c
AMOUNT PAfO
THIS PERIOD ALSO aeaoat oN E

NAME AND ADDRESS OF CREDITOR


o ir coMMirrea Aso ENTeR i ruuMaeal

AMOUNT INCURRED THIS PERIOD

DESCRIPTION OF PAYMENT

Stephen
2304

Sammarco

LIT

00 338 2

00 0

00 338 2

hews Ma

Ave
CA

Ste

Redondo

Beach

8 902

Payments that
summarizetl
on

are contrihutions Schedule D

or

intlepentlent expenditures must also be

SUBTOTALS

00 2 338

00 0

00 2 338

00 0

Schedule F

Summary
INCURRED TOTALS

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 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

PAID TOTALS

00 2 338

3 Net
on

the

change this period Subtract Line 2 from Summary Page Column A Line 9

Line 1

Enter the difference here and

NETS
May

oo 33s 2
be a

negative

number

FPPC Toll Free

FPPC Form 460 January105 FPPC 3772 ASK 275 Helpline 666 866

Schedul
us Miscella
Increases to Cash

SCHEDULEI

untsmayberounded
to whole tlollars

Statement covers period


i

from

2010 01 10

SEE INSTRUCTIONS ON REVERSE


NAME OF FILER Freddie

through

2010 16 10

Page

10

i0

D I NUMBER for

Rodriguez

City

Council

2010

1288846

DATE RECEIVED

FULL NAMEAND ADDRESS OF SOURCE


pF COMMITTEE
CA ALBO ENTHB i o

AMOUNT OF DESCRIPTION OF RECEIPT INCREASE TO CA SH


250 00

NuMBER Ove Ypayment

2010 05 10

Vote

Hy

Mail

Voter

Guide

1302018

Refund

2 OB

Hidwell
CA

zeet S

0 R3

Folsom

95530

2010 05 10

cogs

voeer

cuiae

s99ola

Overpayment Refund

250 00

2 905

Bidwell

zeet S

390

Folsom

CA

95630

Attach additional information

on

appropriately labeled continuation

sheets

SUBTOTAL

soo

00

Schedule I

Summary
period
oo soo o 00

1 Itemized increases to cash this

2 Unitemized increases to cash of under 100 this 3 Total of all interest received this

period
Schedule H Column e
on

period

on

loans made to others

4 Total miscellaneous increases to cash this

period Add Lines 1 2 and 3 Enter here and

the

Summary Page

Line

14

TOTAL

oo soo

FPPC Form 460

05 January

FPPC 3772 ASK 275 FPPC Toll Helpline 866 866 Free

You might also like