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Home My WebLink AboutRIVERA PREELECT13(2) AMEND 7/11/13Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200- 84216.5) SEE INSTRUCTIONS ON REVERSE COVER PAGE Type or print in ink. Date Stamp CALIFORNIA FORM 4 1 Statement covers period Date of election if applicable: 3-t g 1 26 (Month, Day, Year) t , ( Q ` '' �: 1 Page of from 04/21/2013 For Official Use Only through 05/18/2013 11/04/2014 1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4. x❑ Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure Q State Candidate Election Committee Committee Q Recall O Controlled (Also Complete Part 5) O Sponsored (Also Complete Part 6) ❑ General Purpose Committee Q Sponsored Q Small Contributor Committee 0 Political Party /Central Committee ❑ Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) 3. Committee Information I I.D. NUMBER 13545 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Rivera for City Council 2014 STREET ADDRESS (NO P.O. BOX) �te'tlTt?"be� _true y By By 2. Type of Statement: ® Preelection Statement ❑ Quarterly Statement ❑ Semi - annual Statement ❑ Special Odd -Year Report ❑ Termination Statement ❑ Supplemental Preelection (Also file a Form 410 Termination) Statement - Attach Form 495 ® (Explain below) �Amendment V ' Scl, eA 'C� o Q T Treasurer(s) NAME OF TREASURER Shawnda Deane MAILING ADDRESS Willie RI VPTA MAILING ADDRESS my knowledge the ir)formation cAained herein and in the attached schedules is true and complete. I certify By Signature of Controlling Oficeholder, Candidate, Slate Measure Proponent By Signature of Contro" Ofteholder, Candidate, State Measure Proponent FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) State of California Type or print in ink. Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Willie Rivera OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) City Council, Ward 1 City of Bakersfield RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP Related Committees Not Included in this Statement: List any committees not included in this statement that are controlled by you or are primarily formed to receive contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE /PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COVER PAGE - PART 2 Page 2 of 26 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION ❑ SUPPORT ❑ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY 7. Primarily Formed Candidate /Officeholder Committee List names of officeholder(s) or candidate(s) for which this committee is primarily formed. 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 HELD ❑ SUPPORT ❑ OPPOSE COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE /PHONE Attach continuation sheets if necessary FPPC Form 460 (January/05) 866 /ASK -FPPC (8661275 -3772) • FPPC Toll -Free e p me. State of Califomia www.neffile.com Campaign Disclosure Statement Type or print in ink. Amounts may be rounded Summary Page to Whole dollars. Statement covers period from 04/21/2013 SUMMARYPAGE SEE INSTRUCTIONS ON REVERSE through 05/18/2013 Page 3 of 26 NAME OF FILER I.D. NUMBER Rivera for City Council 2014 1354555 Contributions Received Column A TOTALTHIS PERIOD (FROM ATTACHED SCHEDULES) 1. Monetary Contributions ............ ............................... Schedule A, Line 3 $ 5,225.00 $ 60, 387.52 1/1 through 6/30 7/1 to Date Column B Calendar Year Summary for Candidates CTOTALT DATE Running n Both the State Prima and TOTALTO DATE 9 Primary General Elections 2. Loans Received ....................... ............................... Schedule B, Line 3 0.00 0.00 Schedule E, Line 4 $ 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 +2 $ 5,225.00 $ 60, 387.52 4. Nonmonetary Contributions ..... ............................... Schedule C, Line 3 3,466.63 3 , 466.63 Schedule F Line 3 808.64 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 +4 $ 8,691.63 $ 63.854- Add Lines 8 + 9 + 10 $ 21,676.29 Expenditures Made 6. Payments Made ........................ ............................... Schedule E, Line 4 $ 17,401.02 7. Loans Made .............................. ............................... Schedule H, Line 3 0.00 8. SUBTOTAL CASH PAYMENTS ..... ............................... Add Lines 6 +7 $ 17,401.02 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F Line 3 808.64 10. Nonmonetary Adjustment ........... ............................... Schedule C, Line 3 3,466.63 11. TOTAL EXPENDITURES MADE.. .............................. Add Lines 8 + 9 + 10 $ 21,676.29 Current Cash Statement 12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ 19,873.23 13. Cash Receipts .................... ............................... Column A, Line 3above 5,225.00 14. Miscellaneous Increases to Cash ........................... Schedule 1, Line 4 1.48 15. Cash Payments ................... ............................... Column A, Line 8 above 17,401.02 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ 7,698.69 If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ........................... Schedule B, Part 2 $ 0.00 Cash Equivalents and Outstanding Debts 18. Cash Equivalents ......... ............................... See instructions on reverse $ 0.00 19. Outstanding Debts ......................... Add Line 2 +Line 9 in Column B above $ 3,578.05 - www.netfile.com 52,690.31 0.00 $ 52,690.31 3,578.05 3,466.63 $ 59.734.99 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). 20. Contributions Received $ $ 21. Expenditures Made $ $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (If Subject to Voluntary Expenditure Umit) Date of Election Total to Date (mm /dd /yy) _ I $ $ Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275 -3772) Schedule A Type or print in ink. SCHEDULE A Monetary Contributions Received Amounts may be rounaea ry Statement covers period CALIFORNIA to whole dollars. ' from 04/21/2013 • SEE INSTRUCTIONS ON REVERSE through 05/18/2013 page 4 of 26 NAME OF FILER I.D. NUMBER Rivera for City Council 2014 1354555 Dpi FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR EET ADDRESS S AND ZIP CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF NUMBER) * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE CODE (IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN.1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 04/29/2013 Heat & Frost Insulators & Allied Workers Local #5 PAC ❑ IND 500.00 500.00 ( #1232371) [X]COM ❑ OTH ❑ PTY ❑ SCC 04/25/2013 International Union of Operating Engineers No 12 Polit ca ❑IND 2,000.00 2,000.00 Fund ( #743030) M COM ❑ OTH ❑ SCC 04/24/2013 Roadway Transport Corp. ❑IND 1,000.00 1,000.00 ❑COM ❑X OTH El PTY ❑ SCC 04/29/2013 Steve A. Smoot ❑IND Owner 125.00 125.00 ❑ COM ❑ PTY ❑ SCC 05/11/2013 Tehachapi Mountain Democratic C u ( ❑IND 100.00 100.00 ❑Z COM ❑ PTY ❑ SCC SUBTOTAL$ 3,725.00 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. 5,225.00 0.00 '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 Add Lines 1 and 2. Enter here and on the Summa Page, Column A, Line 1. TOTAL $ 5,225.00 (Add 9 ) FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772) - www.netfile.com Schedule A (Continuation Sheet) Tvoe or print in ink. SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period . to whole dollars. / from 04/21/2013 FPage through 05/18/2013 5 of 26 NAME OF FILER I.D. NUMBER Rivera for City Council 2014 1354555 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR RALSAND ZIP DE O CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, .D.N CODE * (IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN.1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 04/29/2013 World oil Corp. ❑IND 1,500.00 1,500.00 []COM ❑SCC ❑IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL$ 1, 500.00 *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 - www.netfile.com FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) Schedule C Type or print in ink. SCHEDULE C Nonmoneta Contributions Received Amounts may oe rounaea ry dollars. period _ Statement covers riod CALIFORNIA to whole from 04/21/2013 FORM through 05/18/2013 Page 6 of 26 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Rivera for City Council 2014 1354555 FULL NAME, STREET ADDRESS AND CONTRIBUTOR IF AN INDIVIDUAL, ENTER DESCRIPTION OF AMOUNT/ CUMULATIVE TO DATE PER ELECTION DATE RECEIVED ZIP CODE OF CONTRIBUTOR CODE * OCCUPATION AND EMPLOYER GOODS OR SERVICES FAIR MARKET CALENDAR YEAR TO DATE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) (IF SELF - EMPLOYED. ENTER NAME OF BUSINESS) VALUE (JAN 1 - DEC 31) IF REQUIRED 05/15/2013 Kern County Democratic Central Committee ( #74 99tIND Printing and 1,216.63 1,216.63 ❑COM Postage ® PTY ❑ SCC 04 /29 /2013Southwest Regional Council of Carpenters ❑IND 4/1/13 - 5/31/13, 2,250.00 4,250.00 Political Action Fund ( #870169) Use of Office ❑COM Space ❑OTH El PTY In -Kind Notification Received 4/29/13 OSC'C ❑IND ❑COM ❑ OTH ❑ PTY ❑SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 3,466.63 Schedule C Summary 1. Amount received this period — itemized nonmonetary contributions. (Include all Schedule C subtotals.) ....................................................................... ............................... 2. Amount received this period — unitemized nonmonetary contributions of less than $100 ..................... 3. Total nonmonetary contributions received this period. $ 3,466.63 $ 0.00 (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.) ...................... TOTAL $ - www.netfile.com 3,466.63 *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 (January/05) FPPC Toll -Free Helpline: 866 1ASK -FPPC (8661275 -3772) Schedule E Payments Made Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 04/21/2013 SCHEDULE SEE INSTRUCTIONS ON REVERSE through 05/18/2013 Page 7 of 26 NAME OF FILER I.D. NUMBER Rivera for City Council 2014 1354555 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphemalia /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 M 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 (intemet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT PRT Center Credit Card Payment Card Service Center Credit Card Payment * Payments that are contributions or independent expenditures must also be summarized on Schedule D. Schedule E Summary AMOUNT PAID 200.00 959.92 1,549.57 SUBTOTAL$ 2,709.49 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.) ............................. TOTAL $ - www.netfile.com 17,401.02 0.00 0.00 17,401.02 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) Schedule E (Continuation Sheet) Payments Made Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 04/21/2013 SCHEDULE E (CONT.) through 05/18/2013 page 8 of 26 SEE INSTRUCTIONS ON REVERSE g NAME OF FILER I.D. NUMBER Rivera for City Council 2014 1354555 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 W 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 (intemet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Card Service Center Credit Card Payment Dallas, TX 75247 1,000.00 Dallas, TX 75356 Card Service Center Credit Card Payment 500.00 Dallas, TX 75247 Dallas, TX 75356 Deane & Company PRO 490.22 Sacramento, CA 95815 Employment Development Department 16.73 SAL Sacramento, CA 95814 Firefighters Print & Design, Inc. CMP 1,046.61 Sacramento, CA 95833 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 3,053.56 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 1ASK -FPPC (866/275 -3772) - www.netfile.com Schedule E Type or print in ink. SCHEDULE E (CONT.) (Continuation Sheet) Amounts may be rounded Statement covers period CALIFORNIA , . , Payments Made to whole dollars. from 04/21/2013 FORM SEE INSTRUCTIONS ON REVERSE through 05/18/2013 Page 9 of 26 NAME OF FILER I.D. NUMBER Rivera for City Council 2014 1354555 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphemalia /misc. MBR member communications RAID radio airtime and production costs CNS campaign consultants VTG meetings and appearances RFD retumed contributions CTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries CVC civic donations FIT 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 FIND fundraising events POL polling and survey research TRS staff /spouse travel, lodging, and meals W 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 CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Firefighters Print & Design, Inc. CMP 708'28 Firefighters Print & Design, Inc. 309.14 Firefighters Print & Design, Inc. Firefighters Print & Design, Inc. 163.60 Master Graphics CMP 714.87 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 6,174.72 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) www.netfile.com SCHEDULE E (CONT.) Schedule E Type or print in ink. Statement covers period _ (Continuation Sheet) Amounts may be rounded , Payments Made to whole dollars. from 04/21/2013 " SEE INSTRUCTIONS ON REVERSE through 05/18/2013 Page 10 of 26 NAME OF FILER I.D. NUMBER Rivera for City Council 2014 1354555 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphemalia/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 PEr 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 W 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 (intemet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Jocelynn Moore OFC 402.17 Jocelynn Moore 692.62 Jocelynn Moore Jocelynn Moore 1,330.52 Jocelynn Moore OFC 81.63 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 2,709.12 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) www.netfile.com Schedule E Type or print in ink. (Continuation Sheet) Amounts may be rounded Payments Made to whole dollars. Statement covers period from 04/21/2013 SCHEDULE E (CONT.) SEE INSTRUCTIONS ON REVERSE through g 05/18/2013 Page 11 of 26 NAME OF FILER I.D. NUMBER Rivera for City Council 2014 1354555 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CW campaign paraphernalia /misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants NITG 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 FIND 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 CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALSO ENTER I.D. NUMBER) PayPal, Inc OFC 75.00 PayPal, Inc 23.55 U.S. Postmaster United States Treasury 570.90 United States Treasury SAL 114.76 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 2,284.21 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772) www.netfile.com Schedule E SCHEDULE E (CONT) Type or print in ink. d (Continuation Sheet) Amounts may be rounded Statement covers perio CALIFORNIA A60 Payments Made to whole dollars. from 04/21/2013 FORM through 05/18/2013 Pa a 12 of 26 SEE INSTRUCTIONS ON REVERSE g NAME OF FILER I.D. NUMBER Rivera for City Council 2014 1354555 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CW campaign paraphernalia /misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MITG 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 FIND 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 Lrf campaign literature and mailings PRT print ads VVEB 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 United States Treasury SAL 267.50 verizon wireless OFC 202.42 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 469.92 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772) www.neffile.com Schedule F Type or print in ink. nts may be ro Accrued Expenses (Unpaid Bills) Amoto whole dol rsnded l SEE INSTRUCTIONS ON REVERSE NAME OF FILER Rivera for City Council 2014 Statement covers period from 04/21/2013 through 05/18/2013 SCHEDULEF Page 13 of 26 I.D. NUMBER 1354555 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) * Payments that are contributions or independent expenditures must also be SUBTOTALS $ 2,566.99 $ 0.00 $ 2,566.99$ 0 .00 summarized on Schedule D. Schedule F Summary 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for accrued expenses of $100 or more, plus total unitemized accrued expenses under $ 100.) ............. ............................... INCURRED TOTALS $ 3,578.05 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. ) ................................. PAID TOTALS $ 2,769.41 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and on the Summary Page, Column A, Line 9.) ................................................................................................................. ............................... NET $ 808.64 May be a negative number FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 1ASK -FPPC (866/275 -3772) www.netfile.com ( ( NAME AND ADDRESS OF CREDITOR CODE OR OUTSTAA NDING AMOUNT INCURRED AMOUNT PAID OUTSTANDING (IF COMMITTEE, ALSO ENTER I.D. NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD Firefighters Print & Design, Inc. CMP 309.14 0.00 309.14 0.00 Firefighters Print & Design, Inc. CMP 708.28 0.00 708.28 0.00 Card Service Center Credit Card Payment 1,549.57 0.00 1,549.57 0.00 * Payments that are contributions or independent expenditures must also be SUBTOTALS $ 2,566.99 $ 0.00 $ 2,566.99$ 0 .00 summarized on Schedule D. Schedule F Summary 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for accrued expenses of $100 or more, plus total unitemized accrued expenses under $ 100.) ............. ............................... INCURRED TOTALS $ 3,578.05 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. ) ................................. PAID TOTALS $ 2,769.41 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and on the Summary Page, Column A, Line 9.) ................................................................................................................. ............................... NET $ 808.64 May be a negative number FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 1ASK -FPPC (866/275 -3772) www.netfile.com Schedule F Type or print in ink. SCHEDULE F (COINT.) (Continuation Sheet) Amounts may be rounded Statement covers period • to whole dollars. - • Accrued Expenses (Unpaid Bills) from 04/21/2013 through 05/18/2013 Page 14 9 of 26 NAME OF FILER I.D. NUMBER Rivera for City Council 2014 1354555 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CW campaign paraphernalia /misc. MBR member communications RAD radio airtime and production costs CNIS 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 FIND fundraising events POL polling and survey research TRS staff /spouse travel, lodging, and meals IPD 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 (intemet, e-mail) * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTALS $ 202.42 $ 3, 578.05 $ 202.42 3,578.05 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772) www.netfile.com ( ( (c) ( NAME AND ADDRESS OF CREDITOR CODE OR OUTSTAA NDING AMOUNT IN NCURRED AMOUNT PAID OUTSTANDING (IF COMMITTEE. ALSO ENTER I.D. NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD verizon wireless OFC 202.42 0.00 202.42 0.00 Card service Center Credit Card Payment 0.00 1,682.28 0.00 1,682.28 Lee's Printing Center LIT 0.00 1,895.77 0.00 1,895.77 SUBTOTALS $ 202.42 $ 3, 578.05 $ 202.42 3,578.05 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772) www.netfile.com Schedule G Type or print in ink. SCHEDULE G Payments Made by an Agent or Independent Amounts may be rounded Statement covers period CALIFORNIA Contractor (on Behalf of This Committee) to whole dollars. from 04/21/2013 FORM 460 through 05/18/2013 Page 15 of 26 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Rivera for City Council 2014 1354555 NAME OF AGENT OR INDEPENDENT CONTRACTOR Card Service Center 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 EC 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 (intemet, e-mail) * Payments that are contributions or independent expenditures must also be summarized on Schedule D. NAME AND ADDRESS OF PAYEE OR CREDITOR CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Albertsons OFC 31.27 Albertsons OFC 5.38 Albertsons OFC 19.56 Albertsons OFC 24.30 Attach additional information on appropriately labeled continuation sheets. TOTAL* $ 80.51 * Do not transfer to any other schedule or to the Summary Page. This total may not equal the amount paid to the agent or independent contractor as reported on Schedule E. www.netfile.com FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 1ASK -FPPC (866/275 -3772) Schedule G SCHEDULE G Type or print in ink. Statement covers period Payments Made by an Agent or Independent Amounts may be rounded CALIFORNIA , • ' Contractor (on Behalf of This Committee) to whole dollars. from 04/21/2013 FORM SEE INSTRUCTIONS ON REVERSE through 05/18/2013 Page 16 of 26 NAME OF FILER I.D. NUMBER Rivera for City Council 2014 1354555 NAME OF AGENT OR INDEPENDENT CONTRACTOR Card Service Center CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphemalia /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 VVEB information technology costs (internet, e-mail) * Payments that are contributions or independent expenditures must also be summarized on Schedule D. NAME AND ADDRESS OF PAYEE OR CREDITOR CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Albertsons OFC 36.01 Albertsons OFC 58.78 AT &T OFC 40.00 Best Buy OFC 32.24 Attach additional information on appropriately labeled continuation sheets. TOTAL* $ 167.03 * Do not transfer to any other schedule or to the Summary Page. This total may not equal the amount paid to the agent or independent contractor as reported on Schedule E. www.netfile.com FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) Schedule G Type or print in ink. Payments Made by an Agent or Independent Amounts may be rounded Contractor (on Behalf of This Committee) to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER Rivera for City Council 2014 NAME OF AGENT OR INDEPENDENT CONTRACTOR Card Service Center Statement covers per! from 04/21/2013 through 05/18/2 SCHEDULE Page 17 of 26 I.D. NUMBER 1354555 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphemalia /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 PEr 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 (intemet, e-mail) * Payments that are contributions or independent expenditures must also be summarized on Schedule D. NAME AND ADDRESS OF PAYEE OR CREDITOR CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Blimpie Sub & Salad MTG 52.51 Chevron TRC 26.17 Chevron TRC 2.03 E1 Popular PRT 297.46 Attach additional information on appropriately labeled continuation sheets. TOTAL* b 378.17 * Do not transfer to any other schedule or to the Summary Page. This total may not equal the amount paid to the agent or independent contractor as reported on Schedule E. www.neffile.com FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772) Schedule G Type or print in ink. SCHEDULE G Payments Made by an Agent or Independent Amounts may be rounded Statement covers period CALIFORNIAA Contractor (on Behalf of This Committee) t °'"" °led °liars' from 04/21/2013 • M 60 SEE INSTRUCTIONS ON REVERSE through 05/18/2013 Page 18 of 26 NAME OF FILER I.D. NUMBER Rivera for City Council 2014 1354555 NAME OF AGENT OR INDEPENDENT CONTRACTOR Card Service Center CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphemalia /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) * Payments that are contributions or independent expenditures must also be summarized on Schedule D. NAME AND ADDRESS OF PAYEE OR CREDITOR CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALSO ENTER I.D. NUMBER) E1 Popular PRT 175.04 Fluxar Studios, Inc. OFC 35.00 Office Max OFC 303.10 Office Max OFC 143.53 Attach additional information on appropriately labeled continuation sheets. TOTAL* $ 656.67 * Do not transfer to any other schedule or to the Summary Page. This total may not equal the amount paid to the agent or independent contractor as reported on Schedule E. www.netfile.com FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) Schedule G SCHEDULE G Type or print in ink. Payments Made by an Agent or Independent Amounts may be rounded statement covers period CALIFORNIA Contractor (on Behalf of This Committee) to whole dollars. from 04/21/2013 FORM , • ' SEE INSTRUCTIONS ON REVERSE through 05/18/2013 Page 19 of 26 NAME OF FILER I.D. NUMBER Rivera for City Council 2014 1354555 NAME OF AGENT OR INDEPENDENT CONTRACTOR Card Service Center 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 M 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 PRT print ads WEB information technology costs (intemet, e-mail) * Payments that are contributions or independent expenditures must also be summarized on Schedule D. NAME AND ADDRESS OF PAYEE OR CREDITOR CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Office Max OFC 79.59 Office Max OFC 308.04 Office Max OFC 202.54 Office Max OFC 84.44 Attach additional information on appropriately labeled continuation sheets. TOTAL* $ 674.61 * Do not transfer to any other schedule or to the Summary Page. This total may not equal the amount paid to the agent or independent contractor as reported on Schedule E. www.netfile.com FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) Schedule G SCHEDULE G Type or print in ink. Statement covers period Payments Made by an Agent or Independent Amounts may be rounded Contractor (on Behalf of This Committee) to whole dollars. from 04/21/2013 SEE INSTRUCTIONS ON REVERSE through 05/18/2013 Page 20 of 26 NAME OF FILER I.D. NUMBER Rivera for City Council 2014 1354555 NAME OF AGENT OR INDEPENDENT CONTRACTOR Card Service Center CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphemalia/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) * Payments that are contributions or independent expenditures must also be summarized on Schedule D. NAME AND ADDRESS OF PAYEE OR CREDITOR CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Office Max OFC 251.77 Office Max OFC 510.58 PayPal, Inc OFC 75.00 PayPal, Inc OFC 1.95 Attach additional information on appropriately labeled continuation sheets. TOTAL* $ 839.30 * Do not transfer to any other schedule or to the Summary Page. This total may not equal the amount paid to the agent or independent contractor as reported on Schedule E. www.netfile.com FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) Schedule G Type or print in ink. SCHEDULE G Payments Made by an Agent or Independent Amounts may be rounded Statement covers period . to whole dollars. 460 Contractor (on Behalf of This Committee) from 04/21/2013 FORM SEE INSTRUCTIONS ON REVERSE NAME OF FILER Rivera for City Council 2014 NAME OF AGENT OR INDEPENDENT CONTRACTOR Card Service Center through 05/18/2013 Page 21 of 26 I.D. NUMBER 1354555 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 (intemet, e-mail) ib Payments that are contributions or independent expenditures must also be summarized on Schedule D. NAME AND ADDRESS OF PAYEE OR CREDITOR CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Pizza Hut OFC 34.98 Pizza Hut OFC 35.98 Pizza Hut MTG 63.86 Rainbow Donuts OFC 17.98 Attach additional information on appropriately labeled continuation sheets. TOTAL* $ 152.80 " Do not transfer to any other schedule or to the Summary Page. This total may not equal the amount paid to the agent or independent contractor as reported on Schedule E. www.netfile.com FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772) Schedule G Type or print in ink. SCHEDULE G Payments Made by an Agent or Independent Amounts may be rounded Statement covers period e _ , Contractor (on Behalf of This Committee) to whole dollars. from 04/21/2013 . - • ' through 05/18/2013 page 22 of 26 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Rivera for City Council 2014 1354555 NAME OF AGENT OR INDEPENDENT CONTRACTOR Card Service Center CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphemalia /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 W 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 (intemet, e-mail) * Payments that are contributions or independent expenditures must also be summarized on Schedule D. NAME AND ADDRESS OF PAYEE OR CREDITOR CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Rainbow Donuts OFC 8.99 Rainbow Donuts OFC 17.98 Rainbow Donuts OFC 26.97 Starbucks OFC 16.40 Attach additional information on appropriately labeled continuation sheets. TOTAL* $ 70.34 * Do not transfer to any other schedule or to the Summary Page. This total may not equal the amount paid to the agent or independent contractor as reported on Schedule E. www.netfile.com FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) Schedule G Payments Made by an Agent or Independent Contractor (on Behalf of This Committee) Type or print in ink. Amounts may be rounded Statement covers period to whole dollars. from 04/21/2013 SEE INSTRUCTIONS ON REVERSE through 05/18/2013 Page 23 of 26 NAME OF FILER I.D. NUMBER Rivera for City Council 2014 1354555 NAME OF AGENT OR INDEPENDENT CONTRACTOR Card Service Center CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CW 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 ED 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 (intemet, e-mail) * Payments that are contributions or independent expenditures must also be summarized on Schedule D. NAME AND ADDRESS OF PAYEE OR CREDITOR CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Starbucks OFC 2.65 Starbucks OFC 25.90 Starbucks OFC 12.95 Starbucks OFC 13.95 Attach additional information on appropriately labeled continuation sheets. TOTAL* $ 55.45 * Do not transfer to any other schedule or to the Summary Page. This total may not equal the amount paid to the agent or independent contractor as reported on Schedule E. www.netfile.com FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) Schedule G Payments Made by an Agent or Independent Contractor (on Behalf of This Committee) Type or print in ink. Amounts may be rounded to whole dollars. covers period from 04/21/2013 through 05/18/2013 Page 24 of 26 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Rivera for City Council 2014 1354555 NAME OF AGENT OR INDEPENDENT CONTRACTOR Card Service Center LEG 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 UT campaign literature and mailings PRT print ads VVEB information technology costs (intemet, e-mail) * Payments that are contributions or independent expenditures must also be summarized on Schedule D. NAME AND ADDRESS OF PAYEE OR CREDITOR CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Starbucks OFC 42.30 The Mark Restaurant MTG 5/3/13, campaign meeting, 5, 227.90 including candidate The Padre Hotel FND Appetizers Only 334.55 U.S. Postmaster OFC 101.20 Attach additional information on appropriately labeled continuation sheets. TOTAL* $ 705.95 * Do not transfer to any other schedule or to the Summary Page. This total may not equal the amount paid to the agent or independent contractor as reported on Schedule E. www.netfile.com FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772) Schedule G Type or print in ink. SCHEDULE G Payments Made by an Agent or Independent Amounts may be rounded Statement covers period CALIFORNIA , Contractor (on Behalf of This Committee) to whole dollars. from 04/21/2013 FORM • t SEE INSTRUCTIONS ON REVERSE through 05/18/2013 Page 25 of 26 NAME OF FILER I.D. NUMBER Rivera for City Council 2014 1354555 NAME OF AGENT OR INDEPENDENT CONTRACTOR Firefighters Print & Design, Inc. CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphemalia /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 LTT campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) * Payments that are contributions or independent expenditures must also be summarized on Schedule D. NAME AND ADDRESS OF PAYEE OR CREDITOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID U.S. Postmaster POS 510.42 Attach additional information on appropriately labeled continuation sheets. TOTAL" $ 510.42 * Do not transfer to any other schedule or to the Summary Page. This total may not equal the amount paid to the agent or independent contractor as reported on Schedule E. www.netfile.com FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) Cnherl� �In 1 SCHEDULE I .,,_ _. r .............. Miscellaneous Increases to Cash Amounts may be rounded to whole dollars. SEE INSTRUCTIONS ON REVERSE Statement covers period from 04/21/2013 through 05/18/2013 CALIFORNIA - ' Page 26 of 26 NAME OF FILER Rivera for City Council 2014 I.D. NUMBER 1354555 DATE RECEIVED FULL NAME AND ADDRESS OF SOURCE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) DESCRIPTION OF RECEIPT AMOUNT OF INCREASE TO CASH $ 0.00 4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the S u Attach additional information on appropriately labeled continuation sheets. S SUBTOTAL $ 0.00 Schedule I Summary 1. Itemized increases to cash this period ......................................................................................... ............................... $ $ 0.00 2. Unitemized increases to cash of under $100 this period .............................................................. ............................... $ $ 1.48 3. Total of all interest received this period on loans made to others. Schedule H, Column (e).) $ $ 0.00 4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the S u ryg , . ......................................................... ...................... www.netfile.com FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275 -3772)