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Brian Pepin for Central Committee 2024 460 Initial 01/24/2022Recipient Committee Campaign Statement Cover Page Statement covers period from 07/01/2021 through 12/31/2021 Date of Election if applicable (Month, Day, Year) Date Stam RECEIVED JAN 2 4 2022 CITY OF POWAY ITY CLERK'S OFFIC COVER PAGE CALIFORNIA 460 FORM Page 1 of 5 For Official Use Only I. Type of Recipient Committee Officeholder, Candidate Controlled Committee State Candidate Election Committee Q Recall ❑ General Purpose Committee 0 Sponsored J Small Contributor Committee O Political Party/Central Committee ❑ Primarily Formed Ballot Measure Committee j Controlled 0 Sponsored ❑ Primarily Formed Candidate/ Officeholder Committee 2. Type of Statement ❑ Pre -election Statement II Semi -Annual Statement ❑ Termination Statement ❑ Amendment ❑ Quarterly Statement ❑ Special Odd -Year Statement ❑ Supplemental Pre -election Statement - Attach Form 495 3. Committee Information I.D. Number 1423310 COMMITTTEE NAME Brian Pepin for Central Committee 2024 STREET ADDRESS (NO PO BOX) CITY Poway STATE ZIP CODE AREA CODE/PHONE CA 92064 MAILING ADDRESS (IF DIFFERENT) CITY Imperial Beach STATE ZIP CODE CA 91932 OPTIONAL: FAX / E-MAIL ADDRESS Treasurer(s) NAME OF TREASURER Briana Baleskie STREET ADDRESS CITY Imperial Beach STATE ZIP CODE AREA CODE/PHONE CA / NAME OF ASSISTANT TREASURER, IF ANY STREET ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE 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 is true and complete. I certify under penalty of perjury under th , of the S : - 'f California that the foregoing is true and correct. VIOf22 Executed on Executed on Executed on Executed on By By By By SIGNATURE OF CONTROW SIGNATURE 0 TREASURER OR ASSISTANT TREASURER ROPONENT OR RESPONSIBLE OFFICER OF SPONSOR SIGNATURE OF CONTROLLING OFFICEHOLDER CANDIDATE, STATE IAEASURE PROPONENT SIGNATURE OF CONTROLLING OFFICEHOLDER CANDIDATE, STATE MEASURE PROPONENT FPPC Form 460-(JAN/20/ 6) State of Calffomia/SI COVER PAGE- PART 2 Recipient Committee Campaign Statement Cover Page - Part 2 Statement covers period from 07/01/2021 through 12/31/2021 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER ORGAN DIDATE NAMEOF BALLOT MEASURE Brian Pepin OFFICE 93UGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPJCABLE) BALLOT NO. OR LETTER l JJRISDICTION Republican Central Committee - 77th Assembly District RESIDENTIAUBUSINESSA.DDR S(NO. AND StKti I CITY Poway STATE ZIP CA 92064 Related Committees Not Included in this Statement List any committees not included in this statement that are controlled by you or are primarily fried to receive contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME Pepin for City Council 2022 1.0. NUMBER 1939979 NAME OF TREASURER CONTROLLED COMMITTEE? Briana Baleskie ® YES NO NAME OF OFFICEHOLDER OR CANDIDATE COMMITTEE SIr l ADDRESS (NO P.O. BOX) ❑ SUPPORT El OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAM EOF OFRCEHOLDER OR CANDIDATE OR PROPONENT OFRCE 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. CITY STATE ZIP CODE ARFACODE/PHONE Poway CA 92064 NAM EOFOFRCEHOLDERORCANDIDATE COMMITTEE NAME I.O. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? El YES ❑ NO COMMITTEE bIf i ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE OFFICE SOUGHT OR HEED OFRCE SOUGHT OR HELD NAM EOF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD NAMEOFOFRCEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE ❑ SU?PORT ❑ OFPO SE ❑ SUPPORT ❑ OPPOSE FPPC Form 460-(JAN/2016) State of California&SI SUMMARY PAGE Campaign Disclosure Statement Summary Page Statement covers period from 07/01/2021 through 12/31/2021 CALIFORNIA 460 FORM Page 3 of 5 NAME OF FILER Brian Pepin for Central Committee 2024 I.D. NUMBER 1423310 Contributions Received 1. Monetary Contributions 2. Loans Received Schedule B, Line 3 Add Lines 1- 2 Schedule C. Line 3 Add Lines3T4 3. SUBTOTAL CASH CONTRIBUTIONS 4. Nonmonetary Contributions 5. TOTAL CONTRIBUTIONS RECEIVED Schedule A, Line 3 $ Column A :ar::. ,Ns r _W AT rr:hc Atil_DULES1 4,000.00 0.00 S 4,000.00 0.00 4,000.00 Column13 CALENDAR YEAR :O1..L TO DATE 9,000.00 0.00 $ 4, 000.00 0.00 4,000.00 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections. 1/1 through 6/30 7/1 to Date 20. Contributions Received 21. Expenditures Made S-.. - - Expenditures Made 6. Payments Made 7. Loans Made Schedule E. Line 4 S Schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS Add Lines 5.7 $ 9. Accrued Expenses (Unpaid Bills) ScheduleF. Linea 10. Nonmonetary Adjustment Schedule C. Line 3 11. TOTAL EXPENDITURES MADE Add Lines 8+9+ 10 $ 1,600.00 0.00 1,600.00 0.00 0.00 1,600.00 $ 1,767.00 0.00 1,767.00 0.00 0.00 1,767.00 Current Cash Statement 12. Beginning Cash Balance PreviousSummaryPage. Line 16 $ 13. Cash Receipts Co!unn A, Line 3 above 14. Miscellaneous Increases to Cash Schedule 1, line 4 15. Cash Payments ^olunhn A, Line 8 above 16. ENDING CASH BALANCE Add Lines 12+ 13 + !4, then subtract Line 15 S 500.69 4,000.00 0.00 1,600.00 2,900.69 17. LOAN GUARANTEES RECEIVED Schedule B. Part 2 $ 0.00 Cash Equivalents and Outstanding Debts 18. Cash Equivalents $ 0.00 19. Outstanding Debts .. Add Lines 2 + Lne 3 in Column B above S 0.00 Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made ( If Subject to Voluntary Expenditure Limits) $ s * Amounts in this Section may be different from amounts reported in Column B. FPPC Fort: 460 (JAN/2016) State of California/SI SCHEDULE A Schedule A Monetary Contributions Received Statement covers period from 07/01/2021 through 12/31/2021 CALIFORNIA 460 FORM Page 4 of 5 NAME OF FILER Brian Pepin for Central Committee 2029 I.D. NUMBER 1423310 DATECONTRIBUTOR FULL NAME,STREET ADDRESS AND ZIP CODE OF OF CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE. ALSO ENTER I.D. NUMBER) CODE (IF SELF-EMPLOYED. ENTER NAME OF BUSINESS) RECEIVED (JAN. 1 - DEC. 31) (IF REQUIRED) Cate for Central Committee 2024 COM ID No. 1926633 1,000.00 1,000.00 09/01/2021 Cutter for P.ssembly 2022 COM ID No. 1936071 500.00 500.00 09/01/2021 Sycuan Band of the Kumeyaay Nation Oli-I 2,500.00 2,500.00 09/16/2021 SUBTOTAL $ 4,000.00 Schedule A Summary 1. Amount received this period - itemized contributions (Includes all Schedule A subtotals) $ 2. Amount received this period - unitemized $ 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page. Column A Line 1) TOTAL $ 9,000.00 0.00 Contributor Codes IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other PTY - Political Party SCC - Small Contributor Committee 9 , CCO . GC FPPC Form 460-(JANI2016) FPPC Toll -Free Helpline: 866/ASK-FPPC SCHEDULE E Schedule E Payments Made Statement covers period from 07/01/2021 through 12/31/2021 CAUFORNIA 460 FORM Page 5 of 5 NAtvME OF FILER Brian Pepin for Central Committee 2024 I.D. NUMBER 1423310 CODES: If one of the following accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP CNS CTB CVC FIL FND IND LEG LIT campaign paraphernalia/misc. campaign consultants contribution (explain nonrnonetary) civic donations candidate filing / ballot fees fundraising expenses independent expenditures supporting/opposing others legal defense campaign literature and mailings MBR member communications MTG 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) PRT print ads RAD radio airtime and production costs RFD returned contributions SAL campaign workers' salaries TEL t.v. or cable 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 AND ADDRESS OF PAYEE CODE or DESCRIPTION OF PAYMENT AMOUNTPAID K2 Fundraising FND 1,600.00 SUBTOTAL $ 1,600.00 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). ) 1,600.00 0.00 0.00 4. Total payments made this period. (Add Line 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) TOTAL $ 1,600.00 FPPC Form 460-(JAN/2016)