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Kevin Juza for Poway City Council 2022 460 Termination 12/08/2022Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement covers period from 10/23/22 through 12/08/22 1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4. © Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure O State Candidate Election Committee Committee O Recall O Controlled (Also CornpkiePart 5) O Sponsored (Also Complete Part 6) ❑ General Purpose Committee O Sponsored ❑ Primarily Formed Candidate/ O Small Contributor Committee Officeholder Committee O Political Party/Central Committee (Also CompktePad 7) 3. Committee Information I.D. NUMBER 1451934 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Kevin Juza for Poway Clty Council 2022 STREET ADDRESS (NO P.O. BOX) 14701 Fieldview ZIP CODE AREA CODE/PHONE Poway CA 92064 858-213- (IF DIFFERENT) NO. AND STREET OR P.O. BOX Date Stamp RECEIVED Date of election if applicable: I (Month, Day, Year) DEC 0 8 2022 COVER PAGE Page_ of-4�6t_ For Official Use Only 11 /08/2022 CITY OF POWAY I , . - T=Dvic'.nr=F�c: 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 Kevin Fleck MAILING ADDRESS 14558 Poway ZIP CODE AREA CODE/PHONE Poway CA 92064 562-977- TREASURER, IF ANY Kevin Juza MAILING ADDRESS 14701 Fieldview ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE Poway CA 92064 858-213- E-MAIL ADDRESS OPTIONAL: FAX/E-MAIL ADDRESS kevinjuza@gmail.com com. kevinjuza@gmaiil.com 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 perju , under the laws of the State of California that the foregoing is true rrect. /1 % z .�------- , f /z, f--' .;-Signature of Treasurer or Assistant Treasurer Executed on By r - Date of Controlling�Officelfo der, 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: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Campaign Disclosure Statement Amounts may be rounded Summary Page to whole dollars. Statement covers period from 10/23/2022 SUMMARY PAGE 12/08/2022 Page of� SEE INSTRUCTIONS ON REVERSE through NAME OF FILER I.D. NUMBER Kevin Juza for Poway City Council 2022 1451934 Contributions Received Column A Column B Calendar Year Summary for Candidates TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) CALENDARYEAR TOTAL TO DATE Running in Both the State Primary and General Elections 1. Monetary Contributions................................................... Schedule A, Line $ 910 $ 9,385 2. Loans Received................................................................ Schedule B, Linea 0 3,700 1/1 through 6/30 711 to Date 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 1 +2 $ 910 $ 13,085 20. Contributions Received $ $ 4. Nonmonetary Contributions ............................................ Schedule C, Line 3 0 0 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED................................Add Lines 3+4 $ 910 $ 13,085 Made $ $ Expenditures Made 6. Payments Made ............................................... 7. Loans Made ...................................................... 8. SUBTOTAL CASH PAYMENTS ................. 9. Accrued Expenses (Unpaid Bills) ................... 10. Nonmonetary Adjustment ................................... 11. TOTAL EXPENDITURES MADE ................. Schedule E, Line 4 $ 4,376 ............ Schedule H, Line 3 0 ......... I.... Add Lines 6 + 7 $ 4,376 ................. Schedule F, Line 3 0 ................ Schedule C, Line 3 0 ............. Add Lines 8 + 9 + 10 $ 4,376 Current Cash Statement 12. Beginning Cash Balance ............................ Previous SummaryPage, Line 16 $ 3,466 13. Cash Receipts........................................................... Column A, Line 3 above 910 14. Miscellaneous Increases to Cash .................................. Schedule 1, Line 4 15. Cash Payments......................................................... Column A, Line 8 above 4,376 16. ENDING CASH BALANCE ..................Add Lines 12 + 13 + 14, then subtract Line 15 $ 0 If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ................................ Schedule B, Part2 $ 0 Cash Equivalents and Outstanding Debts 18. Cash Equivalents ................................................ See instructions on reverse $ 0— 19. Outstanding Debts .............................. Add Line 2 +Line 9 in Column B above $ 0 $ 13,085 0 $ 13,085 0 0 $ 13,085 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: adviceCmfppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A Amounts may be rounded •.. ... L...i A.. 11 ..-.. SCHEDULE A Monetary Contributions Received Statement covers perioT___7 from 10/23/2022 CALIFORNIA _ 4 , SEE INSTRUCTIONS ON REVERSE through 12/08/2022 Page of NAME OF FILER I.D. NUMBER Kevin Juza for Poway City Council 2022 1451934 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR [FAN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED CONTRIBUTOR CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME RECEIVED THIS CALENDAR YEAR TO DATE (IF COMMITTEE,ALSO ENTER I.D. NUMBER) OF BUSINESS) PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) 10/23/22 Mark Jewel m IND Silverado Contractors $250 $250 ❑ COM Graphic Modeler Sonoma, CA 95476 ❑ OTH ❑ PTY ❑ SCC 10/23/22 Cathy Capriola OIND Self -Employed $250 $250 ❑ COM Consultant Sonoma, CA 95476 ❑ OTH ❑ PTY ❑ SCC 10/28/22 Tom Capriola Z IND City of Concord $250 $250 ❑ coM Lawyer Napa, CA 94558 ❑ OTH ❑ PTY ❑ SCC 10/21/22 Robert Leiter m IND Unemployed $100 $200 ❑ COM Poway, CA 92064 ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL $ 850 Schedule A Summary 1. Amount received this period — itemized monetary contributions. (Include all Schedule A subtotals.).................................................................. 2. Amount received this period — unitemized monetary contributions of less than $100 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.). 850 60 *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 ............TOTAL $ 910 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 Kevin Juza for Poway City Council 2022 Amounts may be rounded to whole dollars. Statement covers period from 10/23/2022 through 12/08/2022 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. SCHEDULE Page ` of .D. NUMBER 1451934 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 Good Faith Marketing LIT Postcard Drop $500 3507 41 Street San Diego, CA 92105 Futura Color LIT Mailer $1,792 12150 Paine Place Poway, CA 92064 Digital Impact & LIT Mailer Design $350 P.O. Box #3628 San Diego, CA 92163 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 2,642 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.) .... .............................. $ 4,325 51 $ 0 ................ TOTAL $ 4,376 FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E SCHEDULE E (CONT) (Continuation Sheet) Amounts may be rounded to whole dollars. period er covers StatementpCALIFORNIA 460 Payments Made from 10/23/2022 through 12/08/2022 SEE INSTRUCTIONS ON REVERSE Page J of NAME OF FILER I.D. NUMBER Kevin Juza for Poway City Council 2022 1451934 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 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 Digital Impact & P.O. Box #3628 San Diego, CA 92163 LIT Texting & Social Media $887 Kevin Juza Poway, CA 92064 RFD Loan Repayment $796 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 1,683 FPPC Form 460 (Jan 2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov SCHEDULE B - PART 1 5cneaule b — Hart 1 _------- , - -- -- to whole dollars. Statement covers period Loans Received _ ' from 10/23/2022 SEE INSTRUCTIONS ON REVERSE through 12/08/2022 Page NAME OF FILER I.D. NUMBER Kevin Juza for Poway City Council 2022 1451934 FULL NAME, STREET ADDRESS AND ZIP CODE ]FAN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER a OUTSTANDING AMOUNT AMOUNT PAID OUTSTANDING e INTEREST ORIGINAL g CUMULATIVE OF LENDER (IF SELF-EMPLOYED, ENTER BALANCE BEGINNING THIS RECEIVED THIS OR FORGIVEN BALANCE AT CLOPERIOD EOFTHIS PAID THIS AMOUNT OF CONTRIBUTIONS (IF COMMITTEE, ALSO ENTER I.D. NUMBER) NAME OF BUSINESS) PERIOD PERIOD THISPERIOD- PERIOD LOAN TO DATE Kevin Juza Self Employed ❑ PAID CALENDAR YEAR 14701 To Fulfillment 0 $ 0 $ N/A � � 100 $100 m FORGIVEN PER ELECTION*' Poway, CA 92064 RATE 100 0 3 100 12/31 /22 s 0 8/3/22 $100 tm IND El COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED Kevin Juza Self Employed PAID CALENDAR YEAR 14701 To Fulfillment $ 0 $ 0 N/A % 2,500 2,600 $ Poway, CA 92064 ® FORGIVEN RATE - PER ELECTION 2,500 0 2,500 12/31/22 s 0 8/9/22 2,600 t® IND ❑ COM ❑ OTH ❑ PTY ❑ SCC S DATE DUE DATE INCURRED Kevin Juza Self Employed ® PAID CALENDAR YEAR 14701 To Fulfillment $ 796 $ 0 N/A $ 1,100 3,700 FORGIVEN Poway, CA92064 RATE PER ELECTION"" s 1,100 $ 0 304 12/31 /22 0 8/15/22 3,700 tm IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED SUBTOTALS $ 0 $ 3,700 $ 0 $ 0 Schedule B Summary 1. Loans received this period....................................................................................................................$ (Total Column (b) plus unitemized loans of less than $100.) "� 2. Loans paid or forgiven this period ...................... $j (Total Column (c) plus loans under $100 paid or forgiven.) (Include loans paid by a third party that are also itemized on Schedule A.) -3,700 3. Net change this period. Subtract Line 2 from Line 1. NET $ Enter the net here and on the Summary Page, Column A, Line 2. (May be a negative number) *Amounts forgiven or paid by another party also must be reported on Schedule A- ** If required. (Enter (e) on Schedule E, Line 3) tContributor 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