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460 MARTIN 22-1022 Amd_RedactedRecipient Committee Campaign Statement Cover Page Statement covers period Dato of elecaon fl applicable: from 9/25/22 (Month' Dt0MB 21 . AM 10: 54 SEE INSTRUCTIONS ON REVERSE I through 10/22/22 1. Type of Recipient Committee: All committees -complete raft 1.2.3,ane4. m rmhokW CandOote Controlled Committee U State Candidate Election Committee O Recall Nun CmPra F'nb ❑ererat Purpose Committee V Sponsored (oJ Smal ConMONor Committee Political ParyfCeniral Commiltee 3. Committee Information Corgi to elect Cody Martin ❑ Formerly Formed Ballot Measure ommittee Controlled Sponsored rAvn rorere Aner ❑ Primarily Formed Candldater OlBceholder Committee Nan ra,pwFe+n NUMBER CA 926]5 CITY STATE DECODE AREACODEPRONE San Juan Capistrano UNIONS ADDRESS IIF DIFFERENT) NO. AND STREET OR P0. BOX CITY STATE ZIPCODE AREACODERHONE OPTIONAL'. FAXIE-MARADDRESS November 8th, COVER PAGE Page— of For Chun Use only ❑ Preelection Statement ❑ Quarterly Statement ❑ Semi-annusi Statement ❑ Spedal Odd.Year Report ❑ Terminahon Statement (Neo file a Farm 410 Terminator) m Amendment (Explain below) I mistakenly failed to report a fedex shipping cost and an FPPC thing fee, upon (dining my termination statement i noticed missed cost. Treasurti Cody Martin CA 92675 STATE ZIP CODE AREA CODEIPHONE San Juan Capistrano NAME OF ASSISTANT TREASURER. IF ANY MNLINGADORESS CITY STATE ZIPCODE AREACODENHONE 4. Verification I have used all reasonable diligence in preparing and unmaing this statement and to the beat of (Try knoviedge the information contailsetl herein Rd in the attached schedules is two and complete. I Certify under penalty of perjury under Ne have; of me Slale of California that the fwegaln Coeva on ;J./04.3 ey EaemmMmon a/(o/a mm3 Byoffaandrm aro�aamaOR, Mrwm F,naroreNoR,,Raspa,.a. Ewculeian Too Bysirawma convoIN Oftvodrdam, carrawdo, sma Mewan, Preorant ErecuW An By DAR im cm of convene imAd0.r eb, mMMeaewe Prarynanm FINIC Form 960 pan/20161) ASK Advice: advice IDfppcca.l w (366/275-3772) www.fpPcca.3ov Campaign Disclosure Statement Summary Page Amounts may be rounded to whole dollars. Statement covers period SUMMARY PAGE Current Cash Statement 12. Beginning Cash Balance ............................ Predoussummary Page, Line 16 13. Cash Receipts........................................................... Column A. line 3 above 14. Miscellaneous Increases to Cash .................................. Schedule 1, Line 4 15. Cash Payments......................................................... Column A, Line 6above 16. ENDING CASH BALANCE ..................Add Lines 12 + 13 + 14, then subtract Line 15 If this is a termination statement, Line 16 must be zero. $ 1T LOAN GUARANTEES RECEIVED ........ ........ ......... ....... Schedule B. Pane S Cash Equivalents and Outstanding Debts 18. Cash Equivalents ................................................ Seeinstruct/ons on reverse $ 19. Outstanding Debts .............................. Add Line 2+ Line 9inColumn eabove $ 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). 11/ 08/ 22 $ 2,449.07 'Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov from =61 Z4 N SEE INSTRUCTIONS ON REVERSE through page of NAME OF FILER I.D. NUMBER 1455445 Contributions Received Column Column B Calendar Year Summary for Candidates TOTAL THIS PERIOD (FROMATTACHEOSCHEDULES) CALENDARYEAR TOTAL TO DATE Running in Both the State Primary and General Elections 1. Monetary Contributions................................................... Schedule A, Line 3 $ $ 1/1 through 6/30 711 to Date 2. Loans Received................................................................ Schedule e, une 3 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines I +2 $ $ 20. Contributions Received $ $ 4. Nonmonetary Contributions ............................................ Schedule C, Line 3 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED................._.............Add Lmes3+4 $ $ Made $ $ 2,449.07 Expenditures Made Expenditure Limit Summary for State 6. Payments Made....... ......................................................... Schedule E, Line a $ $ 2,449.07 Candidates 7. Loans Made....................................................................... Schedule H. Line 3 8. SUBTOTAL CASH PAYMENTS ....................................... Add Lines 6+7 $ $ 22. Cumulative Expenditures Made` ("Subject to voluntary EepenJlwm Limit) 9. Accrued Expenses (Unpaid Bills) .... ............. ............ --........ Schedule F Line 3 Date of Election Total to Date 10. Nonmonetary Adjustment ...... ............................................ Schedule a Line 3 (mmlddyy) 11. TOTAL EXPENDITURES MADE .................. ....... ....... ....Addunese+9+10 $ $ 2,449.07 11/08/ 22 $ 2,449.07 Current Cash Statement 12. Beginning Cash Balance ............................ Predoussummary Page, Line 16 13. Cash Receipts........................................................... Column A. line 3 above 14. Miscellaneous Increases to Cash .................................. Schedule 1, Line 4 15. Cash Payments......................................................... Column A, Line 6above 16. ENDING CASH BALANCE ..................Add Lines 12 + 13 + 14, then subtract Line 15 If this is a termination statement, Line 16 must be zero. $ 1T LOAN GUARANTEES RECEIVED ........ ........ ......... ....... Schedule B. Pane S Cash Equivalents and Outstanding Debts 18. Cash Equivalents ................................................ Seeinstruct/ons on reverse $ 19. Outstanding Debts .............................. Add Line 2+ Line 9inColumn eabove $ 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). 11/ 08/ 22 $ 2,449.07 'Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Cody My'+i4 OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) San Juan Capistrano city council Dist 3 RESIOENTIAI-SOSINESS ADDRESS (NO.ANOSTREET) CITY STATE ZIP �an Juan Capistrano, CA 92675 Related Committees Not Included in this Statement: CJsr any commiteas not inducted in MIs statement Mat are controlled by you or are primarily formed to receive mnMbudons or make expendtures on behaX of your candidacy. COMMITTEENAME LO. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? El TES ❑ NO COMMITTEEADDRESS STREET ADDRESS MO PO. BOX) CITY STATE ZIP CODE AREACODE/PHONE COMMITTEENAME 1.0, NUMBER NAME OF TREASURER CONTYROLLED COMNMOITTEE? ❑ COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREACOOEJPHONE COVER PAGE - PART 2 Page a 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION ❑ SUPPORT ❑ OPPOSE Identity the controlling orpuholow,, candidate, or stere measure proponent. N any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY 7. Primarily Formed Candidate/Officeholder Committee Ust names oMcehadertel or condMatNaJ for which Mis cmnminee 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 X necessary FPPC Form 060(Jan/2016) FPPC Advice: advice@fppcca.8ov )866/275-3772) www.tpPr.ce.gov Schedule E Payments Made Amounts may be rounded to whole dollars. 9/25/22 through 10/22/22 I Page— or 1455445 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalielmisc. MBR nlembercommunicadons RAD radio Lemma and production Costs CNS campaign consultants MTG meetings and appearances RFD returned conlrbutions CTB contribution (explain nximonatary)' OFC office expenses SAL campaign workers'salmes CVC avic donations PET petition arcutating TEL IY. or Cable Sellers and produekW Costs FIL candidate fifirgmallot sees PHO phone banks TRC candWale Ravel. lodging, and meals FIND Wndraising events ROL pasting antl Survey research TRS staRlspouse Ravel, lodging, antl meals IND independent expenditure supportinglopposing others (explain)' POS Postage, delivery and messenger services TSF Rarrefer between committees of the same candidatelsponsor LEG legal defense PRO professional services thgal, Accounting) VOT voter registration LIT campaign literature and mailings PRT print ads Me irdormabon technology costs (Internet. e-mail) NAME AND ADDRESS OF PAYEE IIF COMMITTEE. Aran FILTER rD, auaaph CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Fcplmr, an Juan Capistrano, CA 92675 POS Shipping costs 70.26 Fair Political Practices Commission —Sacramento, CA 95811 F1L Filing fee's 50.00 -7- ' Payments; that are cunthoutlons or Ndepandert expenditures must also be sun come l on Schedule D. SUBTOTALS 120.76 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, Pad 1, Column (e).) 120.26 $ 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line S.) ........................... TOTAL $ 120.26 FPPC Form 460 pan/2016)) FPPC Advice: adNce@Ippcca,gov(966/275-;772) www.fppc.ca.9ov