HomeMy WebLinkAboutAndrew Mendez 01.01.2023 - 6.30.2023_RedactedRecipient Committee
Campaign Statement
Cover Page
SEE INSTRUCTIONS ON REVERSE
Statement coven period
01/01/2023
through 06/30/2023
Type of Recipient Committee: All committees -Complete PnY t, 2, a, and 4.
m Qficeholder Candidate Controlled Committee
re
❑ Pmnly Formed Ballot Measure
CJ State Candidate Election Committee
�ommives
I� Recall
Controlled
(Ado C`oe6`Pi
O Sponsored
(Aa'c"Wee atW
❑ Craml Pumose Committee
CJ Sponsored
❑ Formerly Formed Candidatel
8 Small Conttldutor Commldee
Officeholder Committee
Political ParynCentral Committee
IA*acamdas Prod
S. Committee Information I ID.NUMBER
MENDEZ FOR AZUSA CITY COUNCIL 2022
STREET ADDRESS (NO Po. BOX(
CITY STATE ZIP CODE AREACODETHONE
MAILING ADDRESS (IF DIFFERENT( N0. AND STREET OR P O. BOX
CITY STATE ZIP CODE AREA CODETHONE
OPTIONAL FAxIEMAILAODRESS
ANDREWFORAZUSA@GMAIL.COM
Data of election if applicable: AZUSA CITY PE4t Of 6
(Month, Day, Year) For Official Use Only
2023 JUL 31 I: 10
2. Type of Statement:
Preelection Statement ❑ commonly Statement
Semi annual Statement ❑ Spncal0dd-Year Repom
❑ Termination Statement
(Also file a Form 410 Temtinafion)
❑ Amendment (Explain below)
Treasuni
CARISSA MENDEZ
MAILINGADDRESS
CITY STATE ZIP CODE AREA CODEIPHONE
CITY STATE ZIP CODE AREACODERHONE
OPTIONAL: FAXIEMAILADORESS
4. Verification
I have used all reasonable diligence In preparing and reviewing Nis statement and to the best of mm wledge the information contained herein and in the attached schedules is tme and complete. I
calmly under penalty of perjury under the laws of the State of California that the
Uecutedon 11Z- 97
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Executed nn - 1 - 30 -A-c
Lee
Executed on
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Execuled on DIM By
Sgremm of CeMrellrg ep Cmididne. date Mei piopoi
FPPC Form 460 pan/mifip
FPPC Advice: advice@fPPc.caBov (866/275-377Z)
www.fppcca.6ov
Recipient Committee
Campaign Statement
Cover Page — Part 2
5. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE
ANDREW MENDEZ
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
COUNCILMEM13ER - CITY OF AZUSA
Related Committees Not Included in this Statement: Levanyo mmidees
not Included in mis=lament that are controlled by you or are mummy mnned to receive
Contributions or make expenditures on behaff of your candidacy.
COMMITTEE NAME I.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEES
❑ YES ❑ NO
COMMITTEEADORESS STREETADDRESS (NO PO_BOX)
CITY STATE ZIP CODE AREACODE/PHONE
COMATTEENAME I.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
❑ YES ❑ NO
COMMITTEEADDRESS STREETADDRESS INO PO. BOX)
COVER PAGE - PART 2
Page 2 of 6
6. Primarily Formed Ballot Measure Committee
NAME OF BALLOT MEASURE
BALLOT NO. OR LETTER JURISDICTION
❑ SUPPORT
❑ OPPOSE
Identify the controlling officeholder, candidate, or tube measure proponent, If any.
NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT
OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY
7. Primarily Formed Candidate/Officeholder Committee 2istriames of
atAcamideds) mcandidatets) for which this committee is primarily fanned
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
❑ SUPPORT
❑ OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
❑ SUPPORT
❑ OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
❑ SUPPORT
❑ OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELP
❑ SUPPORT
❑ OPPOSE
CITY STATE ZIP CODE AREACODOPHONE Attach confirmation sheaf; ifnecessary
FPPC Farm 460(Jan/2016)
FPPCAdvice:advice@fppc.ca.gov(866/275-3772)
Mnvw.fPpc.w.gov
Campaign Disclosure Statement Amounts may be rounded
Summary Page to whole dollars.
Statement covers period
from 01 /01 /2023
SUMMARY PAGE
through 06/30/2023
Page 3 of 6
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
I.D. NUMBER
MENDEZ FOR AZUSA CITY COUNCIL 2022
1393328
Contributions Received
Column A
TOTAL THIS
Column B
Calendar Year Summary for Candidates
PERIOD
(FROM ATTACHED SCHEDULES)
CALENDAR
YEAR
TOTAL TO DATE
Running in Both the State Primary and
General Elections
1. Monetary Contributions...................................................
.................................
Schedule A, Line 3
$ 202
$ 202
0
0
1/1 through 6/30 7/1 to Date
2. Loans Received................................................................
Schedule A Line 3
3. SUBTOTAL CASH CONTRIBUTIONS ..............................
Add Lines 1 +2
$ 202
$ 202
20. Contributions
Received $ $
4. Nonmonetary Contributions ............................................
Schedule C, Line 3
0
0
21. Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED................................Add
Lines 3+4
$ 202
$ 202
Made $ $
Expenditures Made
6. Payments Made ....................... .... Schedule E, Line 4
$
1093
$ 1093
7. Loans Made ................... .. Schedule H, Line 3
0
0
8. SUBTOTAL CASH PAYMENTS .. Add Lines 6+7
$
1093
$ 1093
9. Accrued Expenses (Unpaid Bills) ........ Schedule F, Line 3
0
0
10. Nonmonetary Adjustment......................................................... Schedule C, Line 3
0
0
11. TOTAL EXPENDITURES MADE....................................Add Lines 8+9+10
$
1093
$ 1093
Current Cash Statement
12. Beginning Cash Balance """""""""""""" Previous Summary Page, Line 16
$
951
To calculate Column B,
13. Cash Receipts........................................................... Column A, Line 3 above
202
add amounts in Column
0
A to the corresponding
14. Miscellaneous Increases to Cash .................................. Schedule 1, Line 4
amounts from Column B
15. Cash Payments ..... Column A, Line 8 above
1093
of your last report. Some
amounts in Column A may
16. ENDING CASH BALANCE ..................Add Lines 12 + 13 + 14, then subtract Line 15
$
60
be negative figures that
should be subtracted from
If this is a tennination statement, Line 16 must be zero.
previous period amounts. If
this is the first report being
17. LOAN GUARANTEES RECEIVED ................................ Schedule B, Part 2
$
0
filed for this calendar year,
only cant' over the amounts
from Lines 2, 7, and 9 (if
Cash Equivalents and Outstanding Debts
0
any).
18. Cash Equivalents ................................................ See instructions on reverse
$
19. Outstanding Debts .............................. Add Line 2 + Line 9 in Column B above
$
0
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 (1an/2016))
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Sched ule A Amounts may be rounded SCHEDULE A
Monetary Contributions Received `""""""""°"'
srawlpneeQYanperiod
a. '
here 01/01/2023
a - 4
SEE INSTRUCTIONS ON REVERSE
thmagh 06130/2023
Page 4 of 6
NAME OF FILER
I.O. NUMass
MENDEZ FOR AZUSA CITY COUNCIL 2022
1393328
DATE
FULL NAME. 9TREETADDRE$S AND ZIP CODE OF
CONTRIBUTOR
IF AN INDMDIIAL. ENTER
AMOUNT
CUMULATIVE TO DATE
PERELECTION
RECEIVED
CONTRIBUTOR
CODE
OCCUPFTIOOYND EMPLOYER
RECEIVEDTHIS
CALENDAR YEAR
TO DATE
pF COMMITTEE. uw[NTel 1.0, NUMaep
eupxeaq
PERIOD
Jim. 1-DEC. 31)
(IF REQUIRED)
ND
❑IND
02/10/2023
Ct of Azusa Candidate Statement Reimbursement
❑
$202
$202
® OTH
❑ PTY
❑sm
❑IND
❑ COM
❑ OTH
❑ PTY
❑ See
❑ IND
❑ com
❑ OTH
❑ PTY
❑ SCC
❑IND
❑ COM
❑OTH
❑ PTY
❑ SCc
❑IND
❑com
OOTH
❑ PTY
❑ sce
SUBTOTAL$ 202
Schedule A Summary
'ContrlWtpr Cpdm
1. Amount received this period - itemized m melary contributions.
(Include all Schedule A subtotals.) .........................................................................................................$
202
wo-IIIdVitluel
DOM-Recipient Committee
(alherBlan PTY or scq
2. Amount received this period - unitemizetl monetary contributions of less than$100...........................$
0
OTH-DO v (e.0., buainesa entity)
PTY-Political Party
SOC- Smell C4ntnbutor Committee
3. Total monetary contributions received this period.
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.)......................TOTAL
$ 202
FPK Form 460 (Jan/20161)
FPPC Advice:advice@tppc.ca.8oV 1866/2]5.3A2)
vvasAfPPc.a.BOV
Schedule E Amounts may be rounded SCHEDULE E
to whole dollars. statement 01/011023 padotl �.
Payments Made �_ ovginoz3
through 06/30/2022 I Page 5 of 6
MENDEZ FOR AZUSA CITY COUNCIL 2022
CODES: If one of the following Codes accurately describes the payment, you may enter the code. Otherwise, describe the payment
Ik$•k1:YA:l
CMP
campaign paraphemalialmisc.
MBR
member Communications
RAO
rl airtime and production costs
CNS
campaign consultants
NITS
meetings and appearances
RFD
returned contributions
CTB
wniribudon(explain nonmonetai
OFC
once expenses
SAL
Campaign workers' salaries
CVC
civic donations
PET
petition circulating
TEL
I.v. or cable aimme and production eats
FILL
candidate filingNallat fees
PHO
phone banks
TRC
Candidate travel. lodging. and meals
FND
fundraising events
POL
polling and survey research
TRS
stag/spouse travel, lodging, and meals
INO
indepentlent expenditure supponingfopposing others(explainp
POS
postage, delivery and messenger services
TSF
transfer between sexual of the same candldatelsponsor
LEG
legal defense
PRO
prolessional services(legal, accounting)
VOT
voter registration
LIT
campaign literature and mailings
PRT
print ads
Vu£B
information technology costs(intemet. a -mail)
NAME AND ADDRESS OF PAYEE
a: wummee,ueoexren m. rvuuemt
CODE OR DESCRIPTION OF PAYMENT
AMOUNTPAIO
ProForma
PRT
Mailer
$257
Secretary of State- Politicial Reform Division
CMP
Annual Filing Fee
$50
` Payments mat are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 507
Schedule E Summary
1. Itemized payments made this period. (Include all Schedule E
2. Unitemized payments made this period of under $100_... ......
Sm
- 286
3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e).)........................................... .......................... ..... . $ 0
4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.)........... _.... ........ TOTAL $ t0g3
FPPC Form 46D (tan/2016))
FPPC Advice: advice9lppc.m.gov(866/275-3772)
www.fPPcca.gov
SCHEDULEF
Schedule F Amounts may be rounded Fthmugoh
tatement covers period
to whole dollars. 2
Accrued Expenses (Unpaid Bills) 1/01/2023
06/30/2023 b 6
SEE INSTRUCTIONS ON REVERSE is of
NAME OF FILER LO. NUMBER
IvIl FOR AZUSA CITY COUNCIL 2022 13 30326
CODES: It one of the rallowleg codes accurately describes the payment, you may enter the Code.
Otherwise, descnbe the payment.
CMP
Campaign paraphemalialmisc.
MDR membercommunicadons
I
radio allgme and production Costs
CNS
campaign Consultants
MTG meetings and appeanances
RFD
retuned contributions
CTB
conldbuion(explain nonmonetaryp
DEC oPiceexpenses
SAL
campaign woraers' salons
CVC
civicdpragons
PET petition circulaling
TEL
t.v. or Cable anme and pmduclbn costs
FIL
candidate flingiballot fees
PHO phone banks
TRC
Candidate travel. lodging. and meals
END
fundraising events
POL polling and survey research
TRS
staff/spouse travel, lodging, and meals
IND
Independent expenditure supportingfoPposing others (explain)'
FOR postage, delivery and messenger services
TSF
transfer between communes of the same cendiddelaponsor
LEG
legal defense
PRO professional servicas(legal,accounting)
VOT
voter registration
LIT
campaign literature and mailings
PST print ads
WEB
information achnalogy coais(internet, e-mail)
(a)
I61
(c)
lei
NAME AND ADDRESS OF CREDITOR
CODEOR
OUTSTANDING
AMOUNT INCURRED
AMOUNTPAID
OUTSTANDING
Iw cowMlrme,nLsoemen Lo. NUMBER)
DESCRIPTION OF PAYMENT
SAIANCEBEGINNING
THIS PERIOD
THIS PERIOD
BALANCE AT CLOSE
OF THIS PERIOD
<uso Rewm ONO
OF THIS PERIOD
ProPorma
PRT
$758
$0
$758
$0
• PeymeesmM are eonMbunms or Independent expmdnures must also es SUBTOTALS $ 758
ummaroca on Borehole o. $ 0 $ 758 $ 0
Schedule F Summary
1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for 0
accrued expenses of $100 or more, plus total unitemized accrued expenses under $100.)............................................INCURRED TOTALS $
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.).
TOTALS $ 758
3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and -758
onthe Summary Page, Column A, Line S.)................................................................................................................................................................................... NET $
Mw uN, matuNs rune,
FPPC Form 460 (tan/21[116))
FPPC Advice: advicepfppcca.gov [866/275-31
vnew.fe c.ca.gov