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Poway Democratic Club 460 Preelection 10-25-22Recipient Committee Campaign Statement Cover Page Statement covers period from 9/25/2022 SEE INSTRUCTIONS ON REVERSE I through 10/22/2022 1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4. ❑ Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure 0 State Candidate Election Committee Committee 0 Recall 0 Controlled (Also Complete Pad 5) 0 Sponsored (Also Complete Pad 6) General Purpose Committee 0 Sponsored ❑ Primarily Formed Candidate/ 0 Small Contributor Committee Officeholder Committee 0 Political Party/Central Committee (Also Complete Part7) 3. Committee Information I.D. NUMBER 1445238 Poway Democratic Club STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE Poway CA 92064 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE/PHONE Poway CA 92074 OPTIONAL: FAX/E-MAILADDRESS Date Stamp RECEIVED Date of election if applicable: ) 0 C T 2 5 2�22 (Month, Day, Year) COVER PAGE Page 1 of 8 For Official Use Only 11/8/2022 CITY OF POWAY TY CLERK'S OFFICE 2. Type of Statement: © Preelection Statement ❑ Quarterly Statement ❑ Semi-annual Statement ❑ Special Odd -Year Report ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) Treasurer(s) NAME OF TREASURER Carla Hernandez MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE Poway CA 92064 NAME OF ASSISTANT TREASURER, IF ANY MAILING 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 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. 0- 7-5 — 20 Z2 e �� Executed onY Date 17 Signature of Treasurer or Assisla reasurer Executed on By Date Signature of Controlling Officeholder, Candidate, Stale Measure Proponent or Responsible Officer of Sponsor Executed on By Date Signature of Controlling Officeholder, Candidate, Slate Measure Proponent Executed on By Date Signature of Controlling Officeholder, Candidate, Slate Measure Proponent FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Campaign Disclosure Statement Amounts may be rounded SUMMARY PAGE Summary Page to whole dollars. Statement covers period CALIFORNIA ' 1 from 9/25/2022 • FORM SEE INSTRUCTIONS ON REVERSE through 10/22/2022 e 2 of 8 Page NAME OF FILER I.D. NUMBER Poway Democratic Club 1445238 Contributions Received Column A TOTALTHIS PERIOD Column B Calendar Year Summary for Candidates (FROM ATTACHED SCHEDULES) CALENDAR YEAR TOTAL TO DATE Running in Both the State Primary and General Elections 1. Monetary Contributions................................................... Schedule A, Line 3 $ 180 $ 2903 -O- -O- 1/1 through 6/30 7/1 to Date 2. Loans Received................................................................ Schedule B, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 1 + 2 $ 180 $ 2903 20. Contributions Received $ $ 4. Nonmonetary Contributions ............................................ Schedule C, Line 3 -0- -0- 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED................................Add Lines 3+4 $ 180 $ 2903 Made $ $ Expenditures Made 6. Payments Made................................................................ schedule E, Line 4 $ 2397 7. Loans Made....................................................................... Schedule H, Line 3 -0- 8. SUBTOTAL CASH PAYMENTS ....................................... Add Lines 6+ 7 $ 2397 9. Accrued Expenses (Unpaid Bills) .......................................... Schedule F Line 3 -0- 10. Nonmonetary Adjustment......................................................... Schedule C, Line 3 -0- 11. TOTAL EXPENDITURES MADE....................................Add Lines 8+9+10 $ 2397 Current Cash Statement 12. Beginning Cash Balance ............................ Previous Summary Page, Line 16 $ 7865 13. Cash Receipts........................................................... Column A, Line 3 above 180 14. Miscellaneous Increases to Cash ................... .. Schedule /, Line 4 750 15. Cash Payments......................................................... Column A, Line 8above 2397 16. ENDING CASH BALANCE ..................Add Lines 12 + 13 + 14, then subtract Line 15 $ 6398 If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ................................ Schedule B, Part 2 $ -0- Cash Equivalents and Outstanding Debts 18. Cash Equivalents ................................................ See instructions on reverse $ -- 19. Outstanding Debts .............................. Add Line 2 + Line 9 in Column B above $ -0- $ 5735 -0- $ 5735 -0- -0- $ 5735 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 the first report being filed for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if any). Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (If Subject to Voluntary Expenditure Limit) Date of Election Total to Date (mm/dd/yy) $ $ Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A Amounts may be rounded SCHEDULE A Monetary Contributions Received ro whole avuars. Statement covers period CALIFORNIA , from 9/25/2022 - through 10/22/20223 Page 3 of 8 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Poway Democratic Club 1445238 FULL NAME, STREETADDRESS AND ZIP CODE OF IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE CONTRIBUTOR CONTRIBUTOR * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME (IF COMMITTEE, ALSO ENTER I.D. NUMBER) OF BUSINESS) PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL $ -0- Schedule A Summary 1. Amount received this period — itemized monetary contributions. -0- (Include all Schedule A subtotals.).........................................................................................................$ 2. Amount received this period — unitemized monetary contributions of less than $100 ...........................$ 180 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.)......................TOTAL $ 180 *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule D SCHFDUt_F D --)UfT Mc-1 OT CX eflurwres Hmounis may oe rounaea - Statement covers perio—d—_7 to whole dollars.CALIFRNIA Supporting/Opposing Other • • , from 9/25/2022 . Candidates, Measures and Committees through 10/22/2022 4 8 SEE INSTRUCTIONS ON REVERSE Page of NAME OF FILER I.D. NUMBER Poway Democratic Club 1445238 NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR DESCRIPTION AMOUNT THIS CUMULATIVE TO DATE PER ELECTION DATE MEASURE NUMBER OR LETTER AND JURISDICTION, TYPE OF PAYMENT (IF REQUIRED) PERIOD CALENDAR YEAR TO DATE OR COMMITTEE (JAN.1-DEC.31) (IF REQUIRED) ❑ Monetary 10/9/2022 Frida Brunzell, PUSD Trustee Area B Contribution $344 $344 ❑ Nonmonetary Contribution ® Independent ® Support ❑ Oppose Expenditure ❑ Monetary 10/9/2022 Hiram Soto, Poway City Council District 1 Contribution $344 $344 ❑ Nonmonetary Contribution ® Independent ® Support ❑ Oppose Expenditure ❑ Monetary 10/9/2022 Kevin Juza, Poway City Council District 3 Contribution $344 $344 ❑ Nonmonetary Contribution ® Independent ® Support ❑ Oppose Expenditure SUBTOTAL $ 1032 Schedule D Summary 1. Itemized contributions and independent expenditures made this period. (Include all Schedule D subtotals.) .................................... 2. Unitemized contributions and independent expenditures made this period of under$100................................................................. 3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.) .... 2376 ................. $ 21 .... TOTAL.. $ 2397 FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule D (Continuation Sheet) Amounts may be rounded SCHEDULE D (CONT.) do wnotie collars. Summary of Expenditures Statement covers period Supporting/Opposing Other 9/25/2022 . IN • from Candidates, Measures and Committees through 10/22/2022 5 8 page of NAME OF FILER I.D. NUMBER Poway Democratic Club 1445238 NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR DESCRIPTION AMOUNT THIS CUMULATIVE TO DATE PER ELECTION DATE MEASURE NUMBER OR LETTER AND JURISDICTION, TYPE OF PAYMENT PERIOD CALENDAR YEAR TO DATE OR COMMITTEE (IF REQUIRED) (JAN.1- DEC. 31) (IF REQUIRED) ❑ Monetary 10/9/2022 Delta Esparza, Poway Mayor Contribution $344 $344 ❑ Nonmonetary Contribution ® Independent m Support ❑ Oppose Expenditure ® Monetary 10/11/2022 San Diego County Democratic Party Contribution $1000 $1000 ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure SUBTOTAL $ 1344 FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE Poway Democratic Club Amounts may be rounded to whole dollars. Statement covers period from 9/25/2022 through 10/22/2022 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. SCHEDULE E FOR • Page 6 of 8 I.D. NUMBER 1445238 CMP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)' OFC office expenses SAL campaign workers' salaries CVC 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 POL polling and survey research 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 PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Streeter Printing, 9880 Via Pasar, Suite C IND Postcards in support of Frida Brunzell PUSD Trustee Area I $496 San Diego, CA 92126 B, Hiram Soto for Poway City Council District 1, IND ICONT of DESCRIPTION ABOVE: Kevin Juza Poway City Council District 3, Delta Esparza Poway Mayor US Post Office, 13308 Midland Rd., Poway, CA 92064 1 POS 1 1 $880 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. 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).)................................................. 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.)............ SUBTOTAL $ 1376 2376 ..................... $ 21 ..................... $ -0- ........ TOTAL $ 2397 FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E SCHEDULE E (CONT.) Amounts may be rounded Statement covers period (Continuation Sheet) to whole dollars. • ' • ' 9/25/2022 • - Payments Made from SEE INSTRUCTIONS ON REVERSE through 10/22/2022 Page 7 of 8 NAME OF FILER I.D. NUMBER Poway Democratic Club 1445238 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia/misc. MBR member communications RAID radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries CVC 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 POL polling and survey research 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 PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID San Diego County Democratic Party (ID# 741906) 3934 Murphy Canyon Rd., Suite B103, San Diego, CA 9212 CTB $1000 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 1000 FPPC Form 460 (Jan 2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule I Amn11nfQ may ha rniinricrl SCHEDULE I Miscellaneous Increases to Cash to whole dollars. Statement covers periodI1111111111111111111 CALIFORNIA ' from 9/25/2022 FORM through 10/22/2022 Page 8 of 8 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Poway Democratic Club 1445238 DATE FULL NAME AND ADDRESS OF SOURCE AMOUNT OF RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) DESCRIPTION OF RECEIPT INCREASE TO CASH 9/30/2022 Hiram Soto for Poway City Council, Poway, Campaign contribution refund $250 CA 92164 9/30/2022 Kevin Juza for Poway City Council 2022, Poway, CA Campaign contribution refund $250 92064 9/30/2022 Delta Esparza for Mayor of Poway 2022, , Poway, CA 92064 Campaign contribution refund $250 Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 750 Schedule u imary 1. Itemized increases to cash this period............................................................................................................................$ 750 2. Unitemized increases to cash of under $100 this period.................................................................................................$ 0 3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).).......................................$ 0 4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the 750 Summary Page, Line 14.) TOTAL $ FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov