460 FARIAS 21-0825 term_RedactedRecipient Committee
Campaign Statement
Cover Page
(Government Care Sections 84200-89218.5)
SEE INSTRUCTIONS ON REVERSE
Type or print In Ink.
Statement coven "had (Date of ekactlon H
from 07/012021 (Month. Day,
through 08/252021
Date stamp e _ AAAA.
RECEIVED : I
2021 NOV I B PH 3: �'
For gficW Use Only
SAN JUAN CAPISTR Nn
1. Type of Recipient Committee: An committee.-ewnpl.t. Pero 1, a, d,.pe 4.
2. Type of Statement:
O8lcehoder, Candidate Controlled Committee
0 Pmardy Formed Ballot Measure
0 PleelectenSaelnent
0 Quarterly Statement
0 See Candidate Election Committee
Committee
0 Semiannual Slatemenl
❑ Special Odd Year Report
0 Recall
0 Controlled
Q Termination Segment
❑ Supement-Atach
rdmcpnpnNPenel
() Sponsored
(Also fieaFoam 610 Termination)
Form
SelemenL Attach Form 995
❑ General Purpose Committee
lWeCwnPwaBmW
❑ Ameroment(Explain below)
0 Sponsored
❑ forimeriy FOrned Canfidate/
0 Small Conlrbulor Committee
Officeholder Commitee
0 Political Party/CentralCommittee
tAvoc npwe Fenn
3. Committee Information I LD_ NUMBER
Friends of Sergio Farias for City Council 2020
TR T A OR NO Pn. BOX
CITY STATE ZIP CODE AREA COOEIPHONE
Fullerton CA 928354120
MAILING ADDRESS (IF DIFFERENT N0. AND STREET OR P0. BOX
CITY STATE ZIP CODE AREA COOEIPHONE
Treasurerls)
Tammi McIntyre
MAILING ADDRESS
CITY STATE ZIP CODE AREA COOEIPHONE
Fullerton CA 92832-2123
NAME OF ASSISTANT TREASURER. IF ANY
MAILING ADDRESS
CITY STATE ZIP CODE AREA COOEIPHONE
OPTIONAL'. FAX I E-MAIL ADDRESS
4. Verification
I have usedall reasonable diligence in preparing and neviehing this statementatatome bestofmylarch,ad"the information contained herein AM d the anarnMacMduksis bolo atacomplele. certify
under penalty, of perjury under the What of the State of California that the foregoing is true and coma
Executed on 08/25/2021 By Tam mi Mclntyr
vie
Executed on 0825/2021 By Sergio Farias
Live sgraveaC Iuuv W6pnw
Emcu Wa on M By speiveNGnMryUAmlYlar.CatluWb,Iowa, 6leaxum Prtyumx
Executed on By
USA 5¢WnMCwAcaryOIAWWir. TruWb'Sw Msu,e PrtFo,nc FPPC Form KdlJanuary/061
e FPPC Te14Fn , HII IIna. 66NASN{PPC (666/276J772)
stare Of California
L
Recipient Committee
Campaign Statement
Cover Page — Part 2
5. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE
Sergio Fades
Type or print in Ink.
OFFICE SOUGHT OR HELD (INCLUDE LOGATION AND DISTRICT NUMBER IF APPDCABLE)
Sought : City Council Member
City- City of San Juan Capistrano 1
RESIDEWMUBU81MESS ADDRESS
INC. ANO STREET) CITY STATE ZIP
San Juan CA 92675-2239
Related Committees Not Included in this Statement: List any cmnmidees
not induced In 0k Statement that are controlled by you or are primarily farmed to receive
contributions or make expenditures ou behalf or your candidacy.
COMMITTEENAME I.D.NUMBER
NAMEOFTREASURER CONTROLIEDCOMMITIEET
I] YES Ti NO
COMMITTEEADDRESS STREETAOORESS (NO P.O. BOX)
CITY STATE ZIP CODE AREACOCEIPHONE
COMMITTEENAME I.D.NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
❑ YES ❑ ND
COMMITTEEAODRESS STREETADURESS (NO PA. BOR)
CITY STALE ZIP CODE AREAOODEIPHONE
®ile4YFalG
Page 2 or 4
S. Primarily Formed Ballot Measure Committee
NAMEOFBALLOTMEASURE
BALLOT NO. OR LETTER JURISDICTION SUPPORT
OPPOSE
Identify the controlling officeholder, candidate, or stale 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 or
oTireholderfs) or canddatete) for which hila mammanes is plmailly farmed
NAME
or OFFICEHOLDER R CANDIDATE
OFFICE SOUGHT OR HELD
❑ SUPPORT
Ll 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
El OPPOSE
Attach conflnuafldn sheets if necessary
FPPC Paris 490 (Januaryroal
FPPC Toll -Free Helpline: BSOIASK-FPPC RISSMTS37721
State of California
Campaign Disclosure Statement
Summary Page
Type or print In ink.
Amounts may be rounded
to whole dollars. Statement covers period
from 07/01/2021
SEE INSTRUCTIONS ON REVERSE through 08/25/2021 Page 3 of 4
NAME OF FILER I.D. NUMBER
Friends of Sergio Farias for City Council 2020. 1386997
Column A
Contributions Received TOTALTHISFERIOD
(FROMATTACHED SCHEDULES)
1. Monetary Contributions ...........................................
Schedule A, Line 3 $
0.00
2. Loans Received......................................................
Schedule s,Line 3
0.00
3. SUBTOTAL CASH CONTRIBUTIONS .........................
Add Lines I+2 $
0.00
4. Nonmonetary Contributions ....................................
Schedule C, Line
0.00
5. TOTAL CONTRIBUTIONS RECEIVED ...........................
Add Lines 3 + 4 $
0.00
Expenditures Made
6. Payments Made ...........................
7. Loans Made .................................
8. SUBTOTALCASH PAYMENTS ....
9. Accrued Expenses (Unpaid Bills)
10. Nonmonetary Adjustment ...........
11. TOTAL EXPENDITURES MADE ...
....................... Schedule E, Line 4
....................... Schedule H, Line 3
........................... Add Lines 6+7
........................... Schedule F, Line 3
.......................... Schedule C, Line 3
........................ Add Lines B +9 + 10
$ 58.70
0.00
s 58.70
Columns
CALENDARYEAR
TOTALTODATE
$ 100.00
0.00
$ 100.00
0.00
100.00
$ 168.70
0.00
$ 168.70
0.00 0.00
0.00 0.00
$ 58.70 $ 168.70
Current Cash Statement
12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ 58.70
13. Cash Receipts ................................................... Column A, Line 3 above 0.00
14. Miscellaneous Increases to Cash ........................... Schedule 1, Line 0.00
15. Cash Payments .................................................. Column A, Line a above 58.70
16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ 0.00
It this is a termination statement, Line 16 must be zero.
17. LOAN GUARANTEES RECEIVED ........................... Schedule B, Pen 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 6 above $ 0.00
19irecl �e
L
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).
Calendar Year Summary for Candidates
Running in Both the State Primary and
General Elections
1/1 through 6/30 7/1 to Date
20. Contributions
Received $ $
21. Expenditures
Made $ $
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made`
(If Subject to Voluntary Expenditure Limit)
Date of Election Total to Date
(mm/ddiyy)
1 1 $
'Amounts in this section may be different from amounts
reported in Column B.
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275.3772)
Schedule E
Payments Made
SEE INSTRUCTIONS ON REVERSE
Friends of Sergio Farias for City Council 2020
Type or print in ink.
Amounts may be rounded
to whole dollars.
CODES: If one of the following codes accurately describes the p
CMR
campaign paraphernalialmisc.
MBR -
CNS
campaign consultants
MTG
CTB
contribution (explain nonmonetary)*
OFC
CVC
civic donations
PET
FIL
candidate filing/ballot fees
PHO
FND
fundraising events
POL
IND
independent expenditure supporting/opposing others (explain)`
POS
LEG
legal defense
PRO
LIT
campaign literature and mailings
PRT
NAME AND ADDRESS OF PAYEE
(IFCOMMITTEE,ALSO ENTER I.D. NUMBER)
araremenr covers pe
from 07/01/2021
through 08/25/2021
ayment, you may enter the code. Otherwise, describe the payment
Page 4 of 4
1386997
member communications
RAD
radio airtime and, production costs
meetings and appearances
RFD
returned contributions
office expenses
SAL
campaign workers' salaries
petition circulating
TEL
t.v. or cable airtime and production costs
phone banks
TRC
candidate travel, lodging, and meals
polling and survey research
TRS
staff/spouse travel, lodging, and meals
postage, delivery and messenger services
TSF
transfer between committees of the same candidatelsponsor
professional services (legal, accounting)
VOT
voter registration
print ads
WEB
information technology costs (internet, e-mail)
CODE OR
DESCRIPTION OF PAYMENT
I AMOUNTPAID
* Payments that are contributions or independent expenditures must also be summarized on Schedule D.
Schedule E Summary
SUBTOTAL$ 0.00
1. Itemized payments made this period. (Include all Schedule E subtotals.).............................................................................................................. $ 0.00
2. Unitemized payments made this period of under $100 ..........................................................................................................................................$ 58.70
3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e).)............................................................................... $ 0.00
4. Total payments made this period. Add Lines 1, 2, and 3. Enter here and on the Summa Page, Column A, Line 6. 58.70
P Y P ( Summary 9 ) ............................. TOTAL $
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
®irecl�e
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