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)