HomeMy WebLinkAboutOrtiz, Horacio - 460 (07-01-23 thru 09-23-23)_RedactedCOVER PAGE
Recipient Committee
Date Stamp
- x . ��A
CampaignStatement
rVet'
Pge
a eStatement
of
covers period Date
of election if applicabiey r, f
t °
r
t
(Month, Day, Year)
For Official Use Only
from
INSTRUCTIONS ON REVERSE
SEE
through
1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4. 2.
Type of Statement:
Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure
Preelection Statement Quarterly Statement
0 State Candidate Election Committee Committee
❑ Semi-annual Statement ❑ Special Odd -Year Report
0 Recall 0 Controlled
❑ Termination Statement
(Also Complete Part 5) 0 Sponsored
(Also file a Form 410 Termination)
❑ Amendment (Explain below)
(Also Complete Part 6)
Purpose Committee
❑
Sponsored Primarily Formed Candidate/
gneral
Small Contributor Committee Officeholder Committee
Political Party/Central Committee (Also Complete Part7)
Committee Information
I.D. f
NUMBER3.
Treasurer(s)
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
NAME OF TREASURER
Aloklq°i7 l t
len
E✓ f t
MAILING ADDRESS
STREET ADDRESS NO P.O. BOX
CITY
OCITY
NAME OF ASSISTAWrTREASURER,
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE
FAY40P-MAIr AnDRFSS
OPTIONAL: FAX IE-MAIL ADDRESS
. Verification
I have used all reasonable diligence in preparing and reviewing this statement and to the best of my kno
ed 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 corr
7- 2 -3
Executed on By
Date
reasurar
3
Executed on - By
Date Signature of Controlling
oponent or Responsible Officer o ponsor
Executed on By
Date Signature of Controlling Officeholder, Candidate, State Measura Proponent
Executed on Date By Signature of Controlling Officeholder, Candidate, State Measure Proponent
FPPC Form 460 {1an/2016}}
FPPC Advice: advice@fppc.ca.gov ( 66/275-3772)
www.fppc.ca.gov
•
ALIFOR I
FORM 460
.+
NAMEOF :_ !
BALLbtNb,�OR LETTER AURISDICTION
NOWN
OFFICE SOUGHT
. • rNAME
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CALIFORNIA
460
FORM
Amounts may be rounded SCHEDULE A
! -
t covers ••CALIFORNIA
W� +d
FORM
t'
i u w
OATE
RECEIVED
.,
STREET
CONTRIBUTOR
M v
! � -Ili !,j a _ •
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ley y
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a
Schedule Summary
1. Amount received this period — itemizedmonetary contrik
(Include all Schedule A subtotals.) ....... ......... ............
2. Amount received this period — unitemized
3. Total monetary contributions received this
(Add Lines 1 and 2. Enter here and on the
ns.
Lions of less than $100 ...... .. .............$
'nlu n A. Line 1.)......: ............TOTAL $ 67
FPPC Advice. advice@fppc.ca.gov {866J275-3772)
www.fppc.ca.gov
Schedule (Continuation nation Sheet) Amounts may be rounded SCHEDULE A (CONT.);
Monetary ntrf Utz n s Received to whole dollars. Statement covers period
from - ! _ • Y I:
through lvlovs Page of
r
u
Ir. �► �� .. `
■
■
■
■
■yy
■
■
■ -
■
1 =
'Contributor Codes
1ND - Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
FPpC Farm 460 (Janj2016)j
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
ww.fppc.ca.gov
'Schedule E
Amounts may be rounded
SCHEDULE E (CONT.)
NAME AND ADDRESS OF PAYEE
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE OR DESCRIPTION OF PAYMENT
AMOUNT PAID
'',-~
SCHEDULE B - PART
- • � ® -
i R .. Rii
• R R
CALIFORNIA
•. '- -•
"e- w
FORM
ERiOD
■ • _
_ •
e
III Ili III
■ PAID
e
III
■ ... N
. � a.. ; .
(Enter (e) on Schedule E, Line 3)
Schedule
op
1. Loans received this period .................. ....., ........:.........................................................$ f
(Total Column (b) plus unitemized Loans of Tess than 100 ) tContributor Codes
. Loans paid or forgiven this period ............................................. ...... .......: .................. ..... ........$ IND - Individual d
(Total Column (c) plus loans under $100 paid or forgiven.} COM -- Recipient Commit
(include loans paid by a third party that are also itemized on Schedule A) f (other than PTY of
3. Net change this period. Subtract Lino 2 from Line 1. .... .......... NET $ OTH - Other (e.g., busine
Enter the net here and can the Summary Page, Column A, Line 2. PTY - Political Party
SCC — Small Contributor t
(May be a negative number)
'Amounts forgiven or paid by another party also must be reported on Schedule A.
ii FPPC Form 460
If required.
FPPC Advice: advice@fppc.ca.gov (866
wwwJ