26 AM 11/08/2016. Bii. Recipient Committee Campaign Statement Cover Page (Government Code Sections )
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1 Recipient Committee Campaign Statement Cover Page (Government Code Sections ) 9/25/216 f rom through 1/22/216 if applicable: (Month, Day, Year) 26 AM 11/8/216 Date Stamp m~ll!lfti~~nll~!21cmm~ El@~M COVER PAGE lih!bll', Bii Page --- of For Official Use Only I 1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and Type of Statement: Officeholder, Candidate Controlled Committee O State Candidate Election Committee O Recall (Also Complete Part 5) '.ffl!i~fl«l'i~~ Ballot Measure D General Purpose Committee Sponsored Small Contributor Committee O Political Party/Central Committee (Also Complete Part 7) Preelection Statement D Semi-annual Statement D Termination Statement Amendment (Explain below) D Quarterly Statement D Special Odd-Year Report D Supplemental Preelection Statement - Attach Form Committee Information l.d.~~f29 Treasurer( s} COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) STREET ADDRESS (NO P.O. BOX) 191 Spyglass Trail West Oxnard STATE CA ZIP CODE 9336 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX NAME OF TREASURER Suzanne Becerra MAILING ADDRESS 195 St. Andrews Ct. Oxnard NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS STATE CA ZIP CODE STATE ZIP CODE sy!vs85@gmail.com OPTIONAL: FAX I ADDRESS sbecerra85@aol.com OPTIONAL: FAX I ADDRESS STATE ZIP CODE 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best o. f my knowledgl:l~ ttte information contained herein and in the attached schedules is true and complete. certify under penalty of perjury under the laws of the State of California that the foregoing i.y'ffue and corr~ '\--:i Executed on --:-;:-r::~:::: Executed on -----n;~--- Executed on Date Executed on Date Signature of Controlling Officeholder, Candidate, State Measure Proponent Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 4611 (Draft-August/114) FPPC Toll-Free Helpline: 866/ASK..f PPC ( ) State of California
2 Recipient Committee Campaign Statement Cover Page - Part 2 COVER PAGE - PART 2 5. Officeholder or Candidate Controlled Committee 6. Ballot Measure Committee Sylvia Paniagua (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Seeking Oxnard City Clerk RESIDENTIAUBUSINESS ADDRESS (NO. AND STREET) STATE 191 Spyglass Trail West, Oxnard, CA 9336 ZIP BALLOT NO. OR LEITER JURISDICTION SUPPORT OPPOSE identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT Related Committees Not Included in this Statement: List any committees not included in this statement that are controlbed by you or are primarily formed to rreceive contributions or make expenditures cm behalf of yourr candidacy. DISTRICT NO. IF ANY COMMITIEE NAME NAME OF TREASURER COMMITIEE ADDRESS STREET ADDRESS (NO P.O. BOX) CONTROLLED COMMITIEE? YES D NO 7. Primarily Formed offlceholderr(s) or ca11di1:iat1~(sl OPPOSE COMMITIEE NAME STATE ZIP CODE D OPPOSE OPPOSE NAME OF TREASURER COMMITIEE ADDRESS STREET ADDRESS (NO P.O. BOX) CONTROLLED COMMITIEE? YES NO OPPOSE STATE ZIP CODE Attach continuation sheets if necessary FPPC Form 46 (Draft-A1.1g11st/ll4) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/ ) State of California
3 Campaign Disclosure Statement Summary Page Amounts may be rounded SUMMARY PAGE,,C~llllfi:l1 f&~i~!iilli:bl:i' ' l'r '~ll ' Contributions Received 1. Monetary Contributions Schedule A, Line 3 2. Loans Received Schedule B, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS Add Lines Nonmonetary Contributions Schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED Add Lines Column A TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) Column B CALENDAR YEAR TOTAL TO DATE through _JL!.ll..:...;:;o1..&.!L.l.."'---- Page of_.:: Calendar Year Summary for Candidates R1.umi11g in Both the State Primary and General Elections 1 /1 through 6/3 7/1 to Date 2. Contributions Received 21. Expenditures Made Expenditures Made 6. Payments Made Schedule E, Line 4 7. Loans Made Schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS Add Lines Accrued Expenses (Unpaid Bills) Schedule F, Line 3 1. Nonmonetary Adjustment... Schedule c, Line TOTAL EXPENDITURES MADE... Add Lines a Expenditure limit Summary for State Candidates 22. Cumulative Expendihires Made* (If Subject lo Voluntary Expenditure limit) Date of Election (mm/dd/yy) Total to Date Current Cash Statement 12. Beginning Cash Balance Previous Summary Page, Line Cash Receipts Column A, Line 3 above 14. Miscellaneous Increases to Cash Schedule /, Line Cash Payments Column A, Line 8 above 16. ENDING CASH BALANCE... Add Lines , then subtract Line 15 If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED Schedule B, Part 2 Cash Equivalents and Outstanding Debts 18. Cash Equivalents See instructions on reverse 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). J J _ *Sinee January 1, 21. Amounts in this section may be different from amounts reported in Column B. 19. Outstanding Debts Add Line 2 + Line 9 in Column B above fppc form 46 (Draft-August/4) f PPC Toll-free Helpline: 866/ASK-fPPC (866/275/3772)
4 Schedule A Monetary Contributions Received Amounts may be ~t#.lla ~@~1\11 SCHEDULE A 18:iBR., through 1/22/216 Page DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IF COMMITTEE, ALSO ENTER ) CODE * Carmen Ramos-Soriano 1/16/ N 5th Street, Pt Hueneme, CA 9341 ~ND IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) City National Bank AMOUNT RECEIVED THIS PERIOD 8 13 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 1/16/216 Cindy Madrigal 95 W. Poplar Street, Oxnard, CA D Adm in City of Santa Paula /16/216 Christy Franco 413 E Iris St, Oxnard, CA 9333 Union Bank /16/21 Suzanne Becerra 195 St Andrews Ct., Oxnard, CA 9336 City National Bank /16/2161 Michele Grindstaff 841 Calle Canon, Camarillo, CA 9312 City National Bank Schedule A Summary *Contributor Codes 1. Amount received this period contributions of 1 or fflol'e. IND-Individual 53 (Include all Schedule A... COM- ~o~~i~~~~~~o;,.~i~;~ 2. Amount received this period - '~~i~~l~i~!~~l~~i:j~~ contributions of less than 1 3. Total monetary contributions received this period. (Add lines 1 and 2. Enter here and on the Summary Page, Column A, line 1.) 1516 OTH- TOTAL -----'----- FPPC Form 46 (Draft-August/4) f PPC Toil-Free Helpline: 866/ASK-FPPC (866/275/3772)
5 Schedule A (Continuation Sheet) Monetary Contributions Received Amounts may l:ie rounded SCHEDULE A (CONT.) ~Al!:!il~@~fiUA E@Rl\ll \'8/, 11 II II U1ro1.1gh 1/22/216 Page Committee To Elect Sylvia Paniagua Oxnard City Clerk 216 l.d.number DATE RECEIVED 1/16/216 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IF COMMITTEE. ALSO ENTER LD. NUMBER) CODE * Pamela Cady 312 Brookwood Oxnard, CA 9336 IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Retired AMOUNT RECEIVED THIS PERIOD 1 CUMULATIVE TO DATE CALENDAR YEAR {JAN. 1 - DEC. 31) 1 PER ELECTION TO DATE (IF REQUIRED) 1/16/216 Connie Perez 1412 W Beverly Drive, Oxnard, CA 933 Self-Employed Connie Perez Family Day Care /2/216 Sagrario Hernandez 1333 Vida Drive, Oxnard, CA 933 Property Supervisor Oxnard Police Department 1 1 DINO DINO SUBTOTAL 25 *Contributor Codes IND- Individual COM - Recipient Committee (other than PTY or SCC OTH- Other PTY - Political Party SCC - Small Contributor Committee f PPC form 46 (Draft-Augusl:/4) fppc Toll-free Helpline: 866/ASK f PPC (866/275/3772)
6 ScheduleE Payments Made Amounts may be tr:r~41~ SeHEDULEE 1:i11:;a1, ~ ~M!1111 through 1/22/216 Page 1.. NUMBER of CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CIVIP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions etb contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries eve 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 UT campaign literature and mailings PRr print ads WEB information technology costs (internet, ) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER ) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Knights of Columbus, Council 75 6 South D Street, Oxnard, CA 933 PRT 15 Eazel Printing 1211 Deckside Drive, Oxnard, CA 9335 CMP 1242 Beyond Gravity Media Social media management, Flyer Handouts E. Los Angeles Avenue, Ste , Moorpark, CA 9321 Design and Printing * Payments that are contributions or independent expenditures must also be summarized on Schedule D. Schedule E Summary 1. made this period of 1 or more. (include all Schedule E subtotals.) 2. Unitemized payments made this period of under 1 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 Line 6.) SUBTOTAL '-'---- TOTAL _..:._;33::...::6=3 FPPC Form 46 (August/4) FPPC Toll-Free Helpline: 866/ASK-FPPC
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