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V N 8888 1991��oSo C $0 3 3 d 2i 0 `G j' � e 3 2 0 Q Z O= N =. P C 6 ec N H O j p X N = N an r Q rt Y r fll C ip h < Nn W 6 y D W N R n w w O h .pw rt � N 0 N J N S a 0 �z O 55��r�r 0OD m< CD O 3 N goof < ma CD % symy2Z 3 6ag o 3 c o N *Z a'8 3 0 3 �^ �O p V C W Q] (p p N d N 8 N —= ,M w o O A o Nnj C A q� d, R5? CD NN mm N J _ N C d O 3 N N p_ AO c N 8 �. � pia _ � w OT m G s3 m_j pm_ys a • m w C A m • mm ry 3 m R m• N 3 ^ m Am ' 0 = 3 O a a : C m O � m m n o °m v • n m Z p O m O M A O 0 0 T D 3 M y O z aO O lP O O O O O O O o O O $GCia� n Op �n in a m -Z O S 3�mng �33 to oT C <D y T =0. 7C 8i a�@an vmm _ 3 mn 3 �, •M C J'�'•d j �' mm mo o .T O •T C N N 6f �O plmm<H•p� m c o m c x O .n o O ] d mZ 5m G m m o m S N°_ O. fa 2 mm N O N m m N C O N' O w a v c 0 m o 7 n a O a n W o c 5 n Y p � 5 C N 1 d N � N X � a a d 0 0 0 M. V N 8888 1991��oSo C $0 3 3 d 2i 0 `G j' � e 3 2 0 Q Z O= N =. P C 6 ec N H O j p X N = N d Q p Z Z N N O ]. C fll C ip N G N N N d j W 6 y D Em o H OCDC O h .pw o N 0 J N S a 'o O 55��r�r 0OD m< CD m 3 N goof < ma CD % 3 6ag o 3 c o N *Z a'8 3 0 3 �^ tO, p V C W Q] (p p N d N 8 N —= w o O A o Nnj C A q� d, R5? CD NN N N J _ N C d O 3 N N p_ c N 8 �. � pia _ � w m G s3 m_j pm_ys a • m w C A m • ry 3 m R m• N 3 ^ m z ' 0 = 3 O a a : C m � m m M v • () m Z p i ■ CL w / n � ! E \00 P §c -000 X_ G| ; § ; m E 2 ; ; `F 0� Oz ® )2 g § /\ CO ! t( }2 \ CL » / i � ° k \ \\ / n � ! 3. Committee Information I.D. NUMBER :OMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Sandra Armenta for Rosemead City Council 2022 STREET ADDRESS (NO P.O. BOX) 12501 Imperial Hwy. Ste. 200 CITY STATE ZIP CODE AREA CODE/PHONE Norwalk CA 90650 (213)489-4792 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS (213)489-4818 / dlgould@�gouldorellana.com 4. Verification Treasurer(s) NAME OF TREASURER Sandra Armenta MAILING ADDRESS Sponsor Executed on Date Executed on www.netfile.com By signature of Conbdlirg Oaxatroltler, Candidate, State Measure Proponent I certify By Sgnatma of Conirdlirg ORxetwBar, Carttlideta, State Measure Proponent FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/2753772) www.fppc.ca.gov Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Sandra Armenta OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) City Council Member Rosemead RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP Rosemead CA 91770 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 (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I.D.NUMBER NAME OF TREASU RER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMIT TEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE www.netfile.com COVERPAGE-PART2 Page 2 of 15 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 Listnames of oKceholder(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 Attach continuation sheets if necessary FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov Campaign Disclosure Statement Amounts may be rounded Summary Page to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER Sandra Armenta for Rosemead City Council 2022 Contributions Received 1. Monetary Contributions ........................................... Schedule A,Line 3 2. Loans Received...................................................... Schedule s, line 3 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines i+2 4. Nonmonetary Contributions .................................... Schedule C, Linea 5. TOTAL CONTRIBUTIONS RECEIVED ............. ........... ... Add Lines 3+4 Expenditures Made $ 6. Payments Made ....................................................... Schedule E,Line 4 7. Loans Made............................................................. Schedule H, Line 3 8. SUBTOTALCASH PAYMENTS .................................... Add Lines 6+7 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F Line 3 10. Nonmonetary Adjustment .......................................... Schedule C, Linea 11. TOTAL EXPENDITURES MADE ................................ Add Lines 8+9+10 Current Cash Statement 12. Beginning Cash Balance ...... ................ Previous Summary Page, Line 16 13. Cash Receipts ................................................... Column A, Line 3above 14. Miscellaneous Increases to Cash ........................... Schedule 1, Line 4 15. Cash Payments .................................................. Column A, Line 8 above 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract line 16 If this is a termination statement, Line 16 must be zero. Statement covers period from 07/01/2022 through 12/31/2022 Page 3 of 15 I.D. NUMBER ColumnA Column TOTALTHISPERIOD CALENDARYEAR (FROM ATTACHED SCHEDULES) TOTALTODATE $ 0.00 $ 39,390.97 30,894.25 0.00 0.00 0.00 $ 0.00 $ 391390.97 0.00 30,894.25 0.00 0.00 $ 0.00 $ 39,390.97 $ 5,265.09 $ 30,894.25 1,970.66 0.00 5,265.09 0.00 $ 5,265.09 $ 30,894.25 0.00 0.00 0.00 0.00 $ 5,265.09 $ 30,894.25 $ 13,761.81 0.00 1,970.66 5,265.09 $ 10,467.38 17. LOAN GUARANTEES RECEIVED ........................... Schedule a, Part 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ........................................ See instructions on reverse $ 0.00 19. Outstanding Debts ............ ...._...... Add Line 2+ line 9 in Column 8 above $ 0.00 www.netfile.com 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 fled for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if any). 1443478 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 Llmlt) Date of Election Total to Date (mm/dd/yy) 'Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (Janl2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov Schedule D SCHEDULE D Summary of Expenditures Statement covers period " Supporting/OpposingOther Amounts may rounded dollars. • t • " to whole of from 07/01/2022 Candidates, Measures and Committees through 12/31/2022 page 4 pf 15 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Sandra Armenta for Rosemead City Council 2022 1443478 CUMULATIVE TO DATE PER ELECTION DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR TYPE OF PAYMENT DESCRIPTION AMOUNT THIS CALENDAR YEAR TO DATE MEASURE NUMBER OR LETTER AND JURISDICTION, (IF REQUIRED) PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OR COMMITTEE 07/29/2022 Denise Menchaca ® Monetary 200.00 200.00 City Council Member City of San Gabriel Contribution ❑ Nonmonetary Contribution ❑ Independent ❑x Support ❑ Oppose Expenditure 07/29/2022 Jorge Herrera O Monetary 200.00 200.00 City Council Member City of San Gabriel Contribution ❑ Nonmonetary Contribution ❑ Independent E) Support ❑ Oppose Expenditure 08/17/2022 Carina Rivera ® Monetary 150.00 150.00 City Council Member San Gabriel Contribution ❑ Nonmonetary Contribution ❑ Independent 0 Support ❑ Oppose Expenditure SUBTOTAL $ 550.00 Schedule D Summary 1. Contributions and independent expenditures made this period of $100 or more. Include all Schedule D subtotals. $ 2, 700.00 2. Unitemized contributions and independent expenditures made this period of under $100 $ 0.00 3. Total contributions and independent expenditures made this period. Add Lines 1 and 2. Do not enter on the Summary Page.) TOTAL $ 2,700.00 FPPC Form 460 (Jan/2016) www.netfile.com FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov U 0 S U N z zW • OW o ~ U Q O wC a� W a � w • w m •• m f o o 0 o 0 O 0 o • W❑ a N OQ� o O O o W >a° z �Q' O •C ] U W N N ❑ 0 o 0 0 0 00 0 0 N \ \ > o O ro W o o 0 o 0 a 0 o 0 .% \ \ F❑ N N N 0 O N w0 E eC t J Oa � m w 0 t w J 0 0 O� am N _ 5 U � WLL ❑ C W 9 C, OW ao r9 r w t0 co '0 =' c0 �' tIE o o o uci o'��° o S y o$ a Wa 0g �W mC mc s oEc awW mc E aci cccWW Con E 0 0 0 0 o x 0 0 -no 0 00 QoE Uc z U w U z z0 U 5 wx 2 U z U S w El ❑ ❑ o ❑ ❑ ® ❑ ❑ a ❑ ❑ o_ o� 1 U U - N N �+ 0 ❑' ° n 0 n n •� N ❑ ❑ ¢ I Q Q W U O N O O owr ❑ ❑ ❑ ❑ o L U U wo � O Q y i. Wim❑ m X YC . 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EriN n b� Nm m O W mmw xmmm MWO .m]umil Z.N 4,z 0m0 ul2 F Z O U W W J � O = U � � • �{ O N d a a w m C Z p o N - o y o o N v m O :Q c N m E m E O N y N N O N 41 N C O o E v `o U a a m m co W, C, c � o O UJ j N .O E U T o N �.o 0 0 O 1 N O. in d 0= U 0 C �p O LO O 0 4) V Q a n m > O o ri N N N ramm0pn.m0C Z u U 0Eao:o�`w E � ul « 2E N w JUN w Q N L_ Q Z aiN U O Z U d � � y o O w +L• pl U C l6 d O a O C mU 0 N > 0 2 O L N C oq CN U >>md zrz y- a y O N m = T o m N U x d N N d ^C O C O C C O N X.0 O N O E m 0« o m c 0 too' o cu E oNn O. Eao. o.nn E O N N a r U c � a a _T w N N y T N � L ti U o N U caC (+ N N O U O O � C w ❑ 6 01 O w c c d w m E O E c m E y d > a mac c w c c c o c K N =.5 N.y. O O O n c o « C 0 O w o N E2 c c m> xw O N c L y W i-� m Y 0 c K o. - N« 6U C:.. Y= OIC C Z d R Orc G m O c c a c y v c ay+ C o� N w rnrn50mw W.M nam o -o m 0m 0n �u a N E�p �o �C c-vo mE Cd 4%C G wo N W U UU U uw d0 LT ?w ro O C)IIC,, R w2 O z UJp4C7 COva lwz m (.) U0(i ff! � o rl O ❑ �p N ill Q a n m z Z O Q Z w a O O r U W ❑ O W U U O ❑ W > lk W� a'z 0 O� NW W �O Qa ❑w WM�W QO O ZU N � v olz \ ƒ \� oo \}�\ / § = \\\\Z)0 m _�_ \ �� �)k ` \\{\)/)/� _�m2;! § co )f § 42 !k - _- 00 E kkƒ{)�\)\\ \\oll i!!t:{tk:& \ /@2j)EE §§21 c �§ 0 443 k� ~ R . a% z 0\.Z §tz ƒE(/ �g : �m _ -� -- 2 f o-- zo / _ �(\j){)\\ ) _ �2 - a [(`�7$t±! §le�:l, e / � !00C) q5 Cl) m z \ ƒ § 00 \\oll \ ƒ § e 10 �} :\\\: �2®�- k\k 2 k k) \ \ [ '0 "N f a z e Q = = a A 2 m ® ƒ w ( \ | \ E 0 |! k 0. §E g v - � � § K £ § 0 g� - §§ -� �\ (} ) 2§ § e :\\\: �2®�- k\k 2 k k) \ \ [ '0 "N f a z e Q = = a A 2 m w w w 4 Recipient Committee Date Stamp COVER PAGE Campaign Statement RECEIVED '_ • 1 Cover Page CITY OF ROSEMEAD ' (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Statement covers period from 01/01/2022 through 04/23/2022 1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4. Q Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure Q State Candidate Election Committee Committee Q Recall 0 Controlled (Also Complete Part 5) Q Sponsored /Also Complete Part 61 ❑ 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 InformationI I.D. NUMBER 1443478 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Sandra Armenta for Rosemead City Council 2022 STREET ADDRESS (NO P.O. BOX) 12501 Imperial Hwy. Ste. 200 CITY STATE ZIP CODE AREA CODE/PHONE Norwalk CA 90650 (213)489-4792 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX STATE ZIP CODE AREA CODE/PHONE Date of election if applicable: (Month, Day, Year) 06/07/2022 APR 2 8 2022 CITY CLERK' FICE BY: 2. Type of Statement: Q Preelection Statement ❑ Semi-annual Statement ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) Treasurer(s) NAME OF TREASURER Sandra Armenta MAILING ADDRESS Page 1 oft 6 For Official Use Only ❑ Quarterly Statement ❑ Special Odd -Year Report ❑ Supplemental Preelection Statement -Attach Form 495 CITY STATE ZIP CODE AREA CODE/PHONE Rosemead CA 91770 NAME OF ASSISTANT TREASURER, IF ANY David Gould MAILING ADDRESS 12501 Imperial Hwy. Ste. 200 CITY STATE ZIP CODE AREA CODE/PHONE Norwalk CA 90650 (213)489-4792 OPTIONAL: FAX / E-MAIL ADDRESS OPTIONAL: FAX / E-MAIL ADDRESS (213)489-4818 / dlgould@gouldorellana.com 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein and in the attached schedules is true and complete. I certify under penalty of perjury underthe laws of the State of California that the foregoing is true and correct. y �2 2?� Executed on p Date Executed on Lf-_ -z,-7 Z 2 Z - Date Executed on Date Executed on Date www.neffile.com By - By I ---- �p Signature of Controlling Officeolder, Candidaid, State Measure PrWonefitorRes&sible OfficerofSponsor By Signature of Controlling Officeholder, Candidate, State Measure Proponent By Signature of Controlling Officeholder, Candidate, State Measure Proponent 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 Sandra Armenta OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) City Council Member Rosemead RESIDENTIALIBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP Rosemead CA 91770 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. COMMITTEENAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMIITEENAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE www.netriile.com COVER PAGE - PART 2 Page 2 of 13 NAME OF BALLOT MEASURE OFFICE SOUGHT OR HELD 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 Attach continuation sheets if necessary FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Campaign Disclosure StatementSUMMARYPAGE � Amounts may be rounded Statement covers period Summary Page to whole dollars. ' from 01/01/2022 FORM SEE INSTRUCTIONS ON REVERSE through 04/23/2022 Page 3 of 13 NAME OF FILER I.D. NUMBER Sandra Armenta for Rosemead City Council 2022 1443478 Contributions Received 1. Monetary Contributions ........................................... Schedule A, Line 3 $ 2. Loans Received...................................................... Schedule B, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 +2 $ 4. Nonmonetary Contributions .................................... Schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 + 4 $ Column A TOTALTHIS PERIOD (FROM ATTACHED SCHEDULES) 10,522.97 5,000.00 15,522.97 0.00 15,522.97 Expenditures Made 6. Payments Made ....................................................... Schedule E, Line 4 $ 7,872.75 7. Loans Made............................................................. Schedule H, Line 3 0.00 8. SUBTOTALCASH PAYMENTS .................................... Add Lines 6+7 $ 7,872.75 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F Line 3 793.52 10. Nonmonetary Adjustment .......................................... Schedule C, Line 3 0.00 11. TOTAL EXPENDITURES MADE ................................Add Lines 8 + 9 + 10 $ 8,666.27 Current Cash Statement 12. Beginning Cash Balance ....................... Previous Summary 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 8 above 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ If this is a termination statement, Line 16 must be zero. 0.00 15,522.97 0.00 7,872.75 7,650.22 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 $ 5,793.52 www.nefle.com Column B Calendar Year Summary for Candidates CALENDAR YEAR RunningIn Both the State Prima and TOTALTO DATE Primary General Elections $ 10,522.97 1/1 through 6/30 7/1 to Date 5,000.00 $ 15,522.97 0.00 $ 15,522.97 $ 7,872.75 0.00 $ 7,872.75 793.52 0.00 $ 8,666.27 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 Limit) Date of Election Total to Date (mm/dd/yy) 1 1 $ *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 Schedule A SCHEDULE A • rAnrvun1s may ue rounueo MonetaryContributions Received Statement covers period to whole dollars.CALIFORNIA � ' from 01/01/2022 • - Page 4 of 13 SEE INSTRUCTIONS ON REVERSE through 04/23/2022 NAME OF FILER I.D. NUMBER Sandra Armenta for Rosemead City Council 2022 1443478 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IFCOMMITEE,ALSOENTERI.D.NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 02/14/2022 Southern California Edison ❑IND 1,500.00 1,500.00 P2022 $1,500.00 2244 Walnut Grove Ave. ❑COM Rosemead, CA 91770 ❑X OTH ❑ PTY ❑ SCC 03/17/2022 Garvey Garden Plaza LLC(William Duong) ❑IND 1,000.00 1,000.00 P2022 $1,000.00 8728 Valley Blvd. Ste. 206 E ❑COM Rosemead, CA 91770 OTH ❑ PTY ❑ SCC 03/17/2022 Minh Development & Management LLC(Helen ❑IND 1,000.00 1,000.00 P2022 $1,000.00 Duong) 8728 Valley Blvd. Ste. 206 ❑COM Rosemead, CA 91770 MOTH ❑ PTY ❑ SCC 03/30/2022 Henry Xie MIND Business Owner 500.00 800.00 P2022 $800.00 Rosemead, CA 91770 ❑COM valley Hotel ❑ OTH ❑ PTY ❑ SCC 04714-72022 Polly Low for Rosemead (ID# 1273880) []IND 1,000.00 1,000.00 P2022 $1,000.00 Rosemaa, CA 91//U ❑x COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL$ 5,0 00-00 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. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $ www.neffile.com 9,800.00 722.97 10,522.97 *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 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. ' from 01/01/2022 through 04/23/2022 Page 5 of 13 NAME OF FILER I.D. NUMBER Sandra Armenta for Rosemead City Council 2022 fill 1443478 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR ZIPDEO CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (E COMMITTEE, ALSOAND .D.N CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 04/14/2022 Sean Dang for Council 2018 (ID,f 1409067) [-]IND 500.00 500.00 P2022 $500.00 Rosemead, CA 91770 X❑COM ❑ OTH ❑ PTY ❑ SCC 04/20/2022 Jose Gonzalez BIND CTO 500.00 500.00 P2022 $500.00 ❑ COM LACOE Cudahy, CA 90201 OTH Received through inte ediary. ❑ eFundraising Connecti ns ❑ PTY 2831 G Street Ste. 12 [:]SCC Sacramento, CA 95814 04/20/2022 Anna Sauceda QIND Construction 500.00 500.00 P2022 $500.00 ❑COM ACSGROUP San Dimas, CA 91773 OTH Received through inte mediary: ❑ eFundraising Connecti ns El Pyr 2831 G Street Ste. 12 ❑SCC Sacramento, CA 95814 04/20/2022 Jairo Tzunun X❑IND Director of IT 500.00 500.00 P2022 $500.00 Los Angeles, CA 90031 ❑ COM LAUSD Received through inte ediary: E] OTH eFundraisingConnecti ns ❑ PTY 2831 G Street Ste. 1211 Sacramento, CA 95814 ❑ SCC 04/23/2022 Iris Y. Aquirre X❑IND Children Service 200.00 200.00 P2022 $200.00 ❑ COM Administrator Downey, CA 90241 LA County DCFS ❑ OTH ❑ PTY ❑ SCC SUBTOTAL$ 2,200.00 `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.neffile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.r-a.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period _ to whole dollars. from 01/01/2022 • ' through 04/23/2022 Page 6 of 13 NAME OF FILER I.D. NUMBER Sandra Armenta for Rosemead City Council 2022 1443478 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR ZIPDEO CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (E COMMITTEE, ALSOAND I.D.N CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 04/23/2022 Bobbi Bruesch X❑IND Retired 250-00 250.00 P2022 $250.00 ElCOM None Rosemad, CA 91770 ❑ OTH ❑ PTY ❑ SCC 04/23/2022 Mary R. Cardenas MIND Retired 300.00 300.00 P2022 $300.00 ❑COM None Rosemead, CA 91770 ❑ OTH ❑ PTY [:]SCC 04/23/2022 Jose L Hernandez ❑IND Law Enforcement Officer 200.00 200-00 P2022 $200.00 F-1 COM LA County Whittier, CA 90601 ❑ OTH ❑ PTY ❑ SCC 04/23/2022 Maria Martinez E] IND Maintenance Manager 200.00 200.00 P2022 $200.00 ❑COM DLR Express Temple City, CA 91780 ❑ OTH ❑ PTY ❑ SCC 04/23/2022 Jackie McDonald N] IND Clerk 100.00 100.00 P2022 $100.00 Rosemead School District Rosemead, CA 91770 ❑COM nte Received through intermediary- mediary_OTH OTH eFundraising Connecti ns El PTY 2831 G Street Ste. 12 Sacramento, CA 95814 ❑ SCC SUBTOTAL$ 1,050.00 *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 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov www.neffile.com Schedule A (Continuation Sheet) SCHEDULE A (CONT.) monetary contrioutionS Keceivea Amounts may be rounded Statement covers period to whole dollars. • , from 01/01/2022 • through 04/23/2022 Page 7 of 13 NAME OF FILER I.D. NUMBER Sandra Armenta for Rosemead City Council 2022 1 1443478 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTORCONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE OF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 04/23/2022 Denise Menchaca X❑IND Accountant 150.00 150.00 P2022 $150.00 San ❑COM Menchaca & Co., LLP Gabriel, CA 91775 ❑ OTH Received through int' ediary: 'Fundraising Connecti ns ❑ PTY 2831 G Street Ste. 12 ❑SCC Sacramento, CA 95814 04/23/2022 Vinh Nqo X❑IND Banker 100.00 100.00 P2022 $100.00 ❑COM Bank of America Monterey Park, CA 91755 OTH Received through intermediary: ❑ PTY eFundraising Connecti 2831 G Street Ste. 12 ns ❑SCC Sacramento, CA 95814 04/23/2022 Prima Waste Management Inc. dba Prima ❑IND 1,000.00 1,000.00 P2022 $1,000.00 12401 Woodruff Ave. Unit 10 Downey, CA 90241 ❑ COM MOTH ❑ PTY ❑ SCC 04/23/2022 Henry Xie QIND Business Owner 300.00 800.00 P2022 $800.00 Rosemead, CA 91770 [-]COMValley Hotel ❑ OTH ❑ PTY ❑ SCC ❑IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL$ 11550.00 *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 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.netfile.com www.fppc.r-a.gov SCHEDULEB-PART1 Schedule B — Part 1 Amounts may be rounded Statement covers period - Loans Received to whole dollars. 01/01/2022 . - , • ' from SEE INSTRUCTIONS ON REVERSE through 04/23/2022 Page 8 of 13 NAME OF FILER I.D. NUMBER Sandra Armenta for Rosemead City Council 2022 1443478 FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER a OUTSTANDING (b) AMOUNT (c) AMOUNT PAID (d) OUTSTANDING (e) INTEREST M ORIGINAL (g) CUMULATIVE OF LENDER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER BALANCE BEGINNING THIS RECEIVED THIS OR FORGIVEN CLOSE OF THIS CLOSE PAID THIS AMOUNT OF CONTRIBUTIONS (IF COMMITTEE, ALSO ENTERI.D. NUMBER) NAME OF BUSINESS) PERIOD PERIOD THIS PERIOD' PERIOD PERIOD LOAN TO DATE Sandra Armenta Lopez District RepresentativeCALENDARYEAR ❑PAID Ca Senate Rules Rosemead, CA 91770 Committee $ n n n $ egg __Q W/6 $ -,nnn n n $ 5 ,nnn nn ❑ FORGIVEN LOAN RATE PERELECTION— $ n _ M $ 5,000-00 $ n nn $ o nn 04/14/2022 $P2022 5,000.00 DATE DUE DATE INCURRED t X❑ IND ❑ COM ❑ OTH ❑ PTY p SCC ❑ PAID CALENDARYEAR ❑ FORGIVEN PER ELECTION ** RATE $ $ $ $ $ DATE DUE DATE INCURRED t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ PAID CALENDARYEAR $ $ $ $ ❑ FORGIVEN PER ELECTION" RATE DATE DUE DATE INCURRED t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTALS $ 5,000.00$ 0.00$ 5,000.00$ 0.00 Schedule B Summary 1. Loans received this period.................................................................................................................... $ (Total Column (b) plus unitemized loans of less than $100.) 2. Loans paid or forgiven this period......................................................................................................... $ (Total Column (c) plus loans under $100 paid or forgiven.) (Include loans paid by a third party that are also itemized on Schedule A.) (Enter (e) on Schedule E, Une3) 5,000.00 tContributor Codes 0.00 3. Net change this period. (Subtract Line 2 from Line 1.) ............................................................... NET $ 5,000.00 ................... • •................ Enter the net here and on the Summary Page, Column A, Line 2. (May be a negative number) "Amounts forgiven or paid by another party also must be reported on Schedule A. — If required. www.netlrle.com 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 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Sandra Armenta for Rosemead City Council 2022 Amounts may be rounded to whole dollars. Statement covers period from 01/01/2022 through 04/23/2022 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. Page 9 of 13 I.D. NUMBER 1443478 CW 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 ND 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 AMOUNT PAID City of Rosemead FIL 3,000.00 8838 Valley Blvd. Rosemead, CA 91770 Californians for Quality Education (ID# 1371954) LIT 100.00 728 W Edna Place Covina, CA 91722 Calsal Voter Guide LIT 505.05 455 Capitol Mall Ste. 600 Sacramento, CA 95814 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 3,605.05 Schedule E Summary 1. Itemized payments made this period. Include all Schedule E subtotals........................................................................................ $ 7,787.70 2. Unitemized payments made this period of under $100.......................................................................................................................................... $ 85.05 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 Summary Page, Column A, Line 6. TOTAL $ 7,872.75 FPPC Form 460 (Jan/2016) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) www.fppc.ca.gov www.netfile.com Schedule E (Continuation Sheet) Amounts maybe rounded Payments Made to whole dollars. SEE INSTRUCTIONS ON FILER Sandra Armenta for Rosemead City Council 2022 Statement covers period from 01/01/2022 through 04/23/2022 SCHEDULE E (CONT.) Page 10 of 13 I.D. NUMBER 1443478 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 Lrr 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) Campaign LA LIT 1,200.00 15518 S. Broadway Street Gardena, CA 90248 Citizens for Good Government (ID# 599010) LIT 100.00 728 W Edna Place Covina, CA 91722 Democratic Voters Choice (ID# 595002) LIT 232.50 728 W Edna Place Covina, CA 91722 Election Digest (ID# 1345303) LIT 565.00 22410 Hawthorne Blvd. Ste. 5 Torrance, CA 90505 Families First Education Voter Guide (ID# 1386464) LIT 395.00 12501 Imperial Hwy. Ste. 200 Norwalk, CA 90650 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 2,492.50 FPPC Form 460 (Jan/2016) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) www.netfile.com www.fppc.ca.gov Schedule E SCHEDULE E (CONT.) (Continuation Sheet) Amounts may be rounded Statement covers period Payments Made to whole dollars. from 01/01/2022 , ' through 04/23/2022 11 of 13 SEE INSTRUCTIONS ON REVERSE g Page NAME OF FILER I.D. NUMBER Sandra Armenta for Rosemead City Council 2022 1443478 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CNP 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 (intemet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Gould & Orellana, LLC PRO 250.00 12501 Imperial Hwy. Ste. 200 Norwalk, CA 90650 Gould & Orellana, LLC PRO 200.00 12501 Imperial Hwy. Ste. 200 Norwalk, CA 90650 Gould & Orellana, LLC PRO 200.00 12501 Imperial Hwy. Ste_ 200 Norwalk, CA 90650 Latino Family Voter Guide LIT 319.65 12501 Imperial Hwy. Ste. 200 Norwalk, CA 90650 Senior Advocate -A Project of the Coalition for California (ID# 1439476) LIT 392.00 22410 Hawthorne Blvd. Ste. 5 Torrance, CA 90505 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 1,361.65 FPPC Form 460 (Jan/2016) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) www.neffile.com www.fppc.ca.gov Schedule E SCHEDULE E (CONT.) d i covers period (Continuation Sheet) Amounts may be rounded StatementCALIFORNIAA60 Payments Made to whole dollars. from 01/01/2022 FORM SEE INSTRUCTIONS ON REVERSE through 04/23/2022 Page 12 of 13 NAME OF FILER I.D. NUMBER Sandra Armenta for Rosemead City Council 2022 1443478 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 (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Alternative Source L.A. 2322 S. Atlantic Blvd. Monterrey Park, CA 91754 LIT 328.50 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 328.50 FPPC Form 460 (Jan/2016) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) www.netfile. com www.fppc.ca.gov Schedule F Amounts may be rounded Accrued Expenses (Unpaid Bills) to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER Sandra Armenta for Rosemead City Council 2022 Statement covers period from 01/01/2022 through 04/23/2022 •-" / •- Page 13 of 13 I.D. NUMBER 1443478 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) Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTALS $ 0.00$ 764.11$ 0.00$ 764.11 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 $ 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 $ 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and on the Summary Page, Column A, Line 9.)................................................................ 793.52 0.00 ................................................................................ NET 793.52 May be a negative ative number FPPC Form 460 (Jan/2016) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) www.netfile.com www.fppc.ca.gov ( ( (c) (d) NAME AND ADDRESS OF CREDITOR CODE OR OUTSTANDING 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 Nancy Armenta OFC 0.00 510.14 0.00 510.14 Rosemead, CA 91770 Silvia Llamas OFC 0.00 253.97 0.00 253.97 San Dimas, CA 91773 Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTALS $ 0.00$ 764.11$ 0.00$ 764.11 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 $ 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 $ 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and on the Summary Page, Column A, Line 9.)................................................................ 793.52 0.00 ................................................................................ NET 793.52 May be a negative ative number FPPC Form 460 (Jan/2016) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) www.netfile.com www.fppc.ca.gov Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Statement covers period from 04/24/2022 through 05/21/2022 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. ❑X Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure 0 State Candidate Election Committee Committee 0 Recall 0 Controlled (A/so Complete Part 5) 0 Sponsored (Also Complete Part 6) ❑ General Purpose Committee 0 Sponsored 0 Small Contributor Committee 0 Political Party/Central Committee ❑ Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) 3. Committee InformationI I.D. NUMBER 1443478 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Sandra Armenta for Rosemead City Council 2022 STREET ADDRESS (NO P.O. BOX) 12501 Imperial Hwy. Ste. 200 CITY Norwalk STATE ZIP CODE AREA CODE/PHONE CA 90650 (213)489-4792 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE/PHONE Date of election if applicable (Month, Day, Year) 06/07/2022 Date Stamp RECEWD CIN OF ROSEM EAD MAY 2 6 2022 CITYCL OF ICE BY: 2. Type of Statement: ❑X Preelection Statement ❑ Semi-annual Statement ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) Treasurer(s) NAME OF TREASURER Sandra Armenta MAII INC: Ann RFSC COVER PAGE Page 1 of For Official Use Only ❑ Quarterly Statement ❑ Special Odd -Year Report ❑ Supplemental Preelection Statement - Attach Form 495 CITY STATE ZIP CODE AREA CODE/PHONE Rosemead CA 91770 (626)676-3965 NAME OF ASSISTANT TREASURER, IF ANY David Gould MAILING ADDRESS 12501 Imperial Hwy. Ste_ 200 CITY STATE ZIP CODE AREA CODE/PHONE Norwalk CA 90650 (213)489-4792 OPTIONAL: FAX / E-MAIL ADDRESS OPTIONAL: FAX / E-MAIL ADDRESS (213)489-4818 / dlgould@gouldorellana.com 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information cont ai ein 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 correct. Executed on By Date n Signature of Treasurer orAssiStantTreasurer Executed on 05/18 / ZO ZZ By Date __...._. bleOfficerofS onsor Executed on By Date Signature of Controlling Officeholder, Candidate, State Measure Proponent Executed on By Date Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Sandra Armenta OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) City Council Member Rosemead RESIDENTIALIBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP Rosemead CA 91770 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 STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE www.netfile.com COVER PAGE - PART 2 Page 2 of 14 NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION SUPPORT ❑ El 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 Attach continuation sheets if necessary FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Campaign Disclosure Statement Amounts may be rounded SUMMARY PAGE SummaPage statement covers period ' Summary g to whole dollars. � from 04/24/2022 FORM SEE INSTRUCTIONS ON REVERSE through 05/21/2022 Page 3 of 14 NAME OF FILER I.D. NUMBER Sandra Armenta for Rosemead City Council 2022 1443478 Contributions Received Column A TOTALTHIS PERIOD (FROM ATTACHED SCHEDULES) 1. Monetary Contributions ........................................... Schedule A, Line 3 $ 15, 520.00 2. Loans Received...................................................... Schedule B, Line 3 0.00 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 +2 $ 15, 520.00 4. Nonmonetary Contributions .................................... Schedule C, Line 3 0.00 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F Line 3 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3+4 $ 15,520.00 11. TOTAL EXPENDITURES MADE ................................ Expenditures Made 6. Payments Made ....................................................... Schedule E, Line 4 $ 6,171.02 7. Loans Made............................................................. Schedule H, Line 3 0.00 8. SUBTOTALCASH PAYMENTS .................................... Add Lines 6+7 $ 6,171.02 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F Line 3 -793.52 10. Nonmonetary Adjustment .......................................... Schedule C, Line 3 0.00 11. TOTAL EXPENDITURES MADE ................................ Add Lines 8+9+10 $ 5,377.50 Current Cash Statement 12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ 13. Cash Receipts ................................................... Column A, Line 3above 14. Miscellaneous Increases to Cash ........................... Schedule 1, Line 4 15. Cash Payments .................................................. Column A, Line S above 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract tine 15 $ If this is a termination statement, Line 16 must be zero. 7,650.22 15,520.00 0.00 6,171.02 16,999.20 17. LOAN GUARANTEES RECEIVED ........................... Schedule B, Part 2 $ 0.00 I Cash Equivalents and Outstanding Debts 18. Cash Equivalents ........................................ See instructions on reverse $ 0.00 19. Outstanding Debts ......................... Add Line 2+Line 9 i Column B above $ 5,000.00 www.neffile.com Column B Calendar Year Summary for Candidates CALENDAR YEAR Running In Both the State Prima and TOTALTO DATE 9 Primary General Elections $ 26,042.97 1/1 through 6/30 7/1 to Date 5,000.00 $ 31,042.97 0.00 $ 31,042.97 $ 14,043.77 0.00 $ 14,043.77 0.00 0.00 $ 14,043.77 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 Limit) Date of Election Total to Date (mm/dd/yy) 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 Schedule A SCHFnt JI F A r+uwunrs 111.1y ue rounueu Monetary Contributions Received Statement covers eriod p to whole dollars. CALIFORNIA .1 from 04/24/2022 FORM SEE INSTRUCTIONS ON REVERSE through 05/21/2022 Page 4 of 14 NAME OF FILER I.D. NUMBER Sandra Armenta for Rosemead City Council 2022 1443478 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 04/24/2022 Rose Perez MIND Unemployed 100.00 100.00 P2022 $100.00 ❑ COM None Whittier, CA 90606 ❑ OTH Received through int. ediary: ❑ PTY eFundraising Conn ecti 2831 G Street Ste. 120 s ❑ SCC Sacramento, CA 95814 04/24/2022 Brissa Sotelo [KIND Government Affairs 100.00 100.00 P2022 $100.00 COM Valero Energy Montebello, CA 90640 ❑OTH Received through inte ediary: ❑ PTY eFundraising Connections 2831 G Street Ste. 120 ❑ SCC Sacramento, CA 95814 04/25/2022 Jirge Morales ❑KIND Consultant 250.00 250.00 P2022 $250.00 [-]COM Morales + Morales, Inc Whittier, CA 90601 ❑OTH Received through inte ediary: ❑ PTY eFundraising Connectio 2831 G Street Ste. 120 s ❑ SCC Sacramento, CA 95814 04/25/2022 Martha Ruvalcaba ❑KIND Office Assistant 100.00 100.00 P2022 $100.00 Rosemead, ❑COM Garvey School District CA 91770 ❑ OTH Received through inte ediary: eFundraising Connectio s El PTY 2831 G Street Ste. 120 -05706/2022 ❑SCCSacramento, CA 95814 BizFed PAC (ID# 1305594) ❑IND 500.00 500.00 P2022 $500.00 455 Capitol Mall Ste. 600 Sacramento, CA 95814 COM K ❑ ❑ OTH ❑ PTY ❑ SCC SUBTOTAL$ 1, 050.00 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. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $ www.netfile.com 14,850.00 670.00 15,520.00 '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 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) monetary t ontrioutionS Keceivea Amounts may be rounded Statement covers period to whole dollars. from 04/24/2022 • through 05/21/2022 page 5 of 14 NAME OF FILER I.D. NUMBER Sandra Armenta for Rosemead City Council 2022 1443478 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR A DEO RE,ALSAND ZIP CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED IT (IF COMMITTEE, I.D.N CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 05/09/2022 Latinas Lead California (ID# 891143) El IND 500.00 500.00 P2022 $500.00 555 E. Ocean Blvd, Suite 420 ❑ COM Long Beach, CA 90802 X ❑ OTH ❑ PTY ❑ SCC 05/10/2022 Raymond Hamada X❑IND Retired 100.00 100.00 P2022 $100.00 Bellflower, CA 90706 [-]COM None ❑ OTH Received through intermediary: eFundraising Connecti ns ❑ PTY 2831 G Street Ste. 12 ❑SCC Sacramento, CA 95814 05/10/2022 Ernesto Morales X❑IND Consultant 500.00 500.00 P2022 $500.00 ❑COM Ernesto Morales La Crescents-Montros, CA 91214 ❑ OTH Received through int' mediary: 'Fundraising Connecti ns El PTY G Street Ste- 12 El SCC Sacramento, CA 95814 05/11/2022 Nan�V Arm tta X❑IND Social Worker 1,500.00 1,500.00 P2022 $1,500.00 El COM County of Los Angeles xosemeaa, ori ylIiv ❑ OTH ❑ PTY ❑ SCC 0571-172022 National Womens Political Caucus SGV (ID ❑IND 250.00 250.00 P2022 $250.00 770021) P.O. Box 65010 X❑COM Washington, DC 20035 ❑OTH ❑ PTY ❑ SCC SUBTOTAL$ 2,850 00 t�13 *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 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) ivionetary uontrinutionS Keceivea Amounts may be rounded Statement covers period to whole dollars. CALIFORNIA. ' from 04/24/2022 • through 05/21/2022 Page 6 of 14 NAME OF FILER I.D. NUMBER Sandra Armenta for Rosemead City Council 2022 1443478 DATE ADDRESS FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR ZIPDEO CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, .D.N CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 05/12/2022 Los Angeles County Firefighters Local 1014 ❑IND 500.00 500.00 P2022 $500.00 Legislative Fund Committee (ID# 742008) COM 3460 Fletcher Ave. Q E1 Monte, CA 91731 ❑ OTH ❑ PTY ❑ SCC 05/12/2022 Republic Services, Inc. ❑IND 900.00 900.00 P2022 $900.00 18500 N. Allied Way El COM Phoenix, AZ 85054 Q OTH ❑ PTY ❑ SCC 05/13/2022 Blanca Rubio for Assembly 2022 (ID# 1435469) ❑IND 2,500.00 2,500.00 P2022 $2,500.00 5445 Madison Ave. COM X ❑ Sacramento, CA 95841 ❑ OTH ❑ PTY ❑ SCC 05/16/2022 Diane Martinez QIND Retired 150.00 150.00 P2022 $150.00 Paramount, CA 90723 ❑COM None E] OTH Received through inte mediary: ❑PTY eFundraising Connections 2831 G Street Ste. 12 ❑ SCC Sacramento, CA 95814 05 17 2022 Daniel Denq QIND Lawyer 500.00 500.00 P2022 $500.00 Rosemead, ❑COM Law Office of Daniel Deng CA 91770 Received through inte mediary: ❑ OTH eFundraising Connecti ns ❑ PTY 2831 G Street Ste. 12 ❑ SCC Sacramento, CA 95814 SUBTOTAL$ 4,550.00 *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 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov www.netfile.com Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary ContriautionS Keceivea Amounts may be rounded Statement covers period whole dollars. • from 04/24/2022 .1to • through 05/21/2022 Page 7 of 14 NAME OF FILER I.D. NUMBER Sandra Armenta for Rosemead City Council 2022 1443478 DATE ZIPDEO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION RECEIVED (E COMMITTEE, ALSO ENTER I.D.N CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 05/18/2022 Thandnra Ranlinn x❑IND Retired 500.00 500.00 P2022 $500.00 Whittier, CA 90601 ❑COM None ❑ OTH ❑ PTY ❑ SCC 05/20/2022 Community Safety Partnership Sponsored by []IND 1,000.00 1,000.00 P2022 $1,000.00 Association for Los Angeles Deputy Sheriffs QCOM (ID# 1445792) 2 Cupania Circle ❑ OTH Monterey Park, CA 91755 ❑ PTY ❑SCC 05/21/2022 Susan Rubio for Senate 2022 (ID# 1415107) ❑IND 4,900.00 4,900.00 P2022 $4,900.00 1787 Tribute Rd. Ste. K X COM ❑ Sacramento, CA 95815 ❑ OTH ❑ PTY ❑ SCC ❑IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑SCC SUBTOTAL$ 6, 400.00 "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 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov SCHFDUI_F R - PART 1 0Gf1aUU1e 6— t'ari l Amounts may be rounded Statement covers period Loans Received to whole dollars. CALIFORNIA _ 460 from 04/24/2022 SEE INSTRUCTIONS ON REVERSE through 05/21/2022 page 8 of 14 NAME OF FILER I.D. NUMBER Sandra Armenta for Rosemead City Council 2022 1443478 FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUALENTER , OCCUPATION AND EMPLOYER a OUTSTANDING (b) AMOUNTOUTSTANDING (c) AMOUNTPAID (d) (e) INTEREST (f) ORIGINAL (g) CUMULATIVE OF LENDER (IF COMMITTEE, ALSO ENTER I.D. NUMBER) (IF SELF-EMPLOYED, ENTER BALANCE BEGINNING THIS RECEIVED THIS OR FORGIVEN BALANCEAT CLOSE OF THIS PAID THIS AMOUNT OF CONTRIBUTIONS NAME OF BUSINESS)PERIOD PERIOD THIS PERIOD* PERIOD PERIOD LOAN TO DATE Sandra Armenta Lopez District Representative PAID Ca Senate Rules ❑ CALENDARYEAR Rosemead, CA 91770 Committee $ n nn LOAN $ 5, 000_g0 _gTgg/6 $ s nnn nn $ , nnn nn ❑ FORGIVEN RATE PERELECTION— t IND COM $ 5, nnn no $ n _ nn $ n nn $ n nn 04/14/2022 $P2022 5,000.00 DATE DUE DATE INCURRED X❑ ❑ ❑ OTH ❑ PTY ❑ SCC ❑ PAID CALENDAR YEAR ❑ FORGIVEN PER ELECTION*'' RATE t❑ IND ❑ COME] OTH ❑ PTY ❑ SCC $ $ $ $ DATE DUE DATE INCURRED ❑ PAID CALENDARYEAR ❑ FORGIVEN PER ELECTION"" RATE t❑ IND ❑ COM ❑ OTH ❑ PTYSCC ❑ $ $ $ $ $ DATE DUE DATE INCURRED SUBTOTALS $ 0.00$ 0.00$ 5,000.00$ 0.00 ,` Schedule B Summary 1. Loans received this period.................................................................................................................... $ (Total Column (b) plus unitemized loans of less than $100.) 2. Loans paid or forgiven this period......................................................................................................... $ (Total Column (c) plus loans under$100 paid orforgiven.) (Include loans paid by a third party that are also itemized on Schedule A.) 3. Net change this period. (Subtract Line 2 from Line 1.)............................................................... NET $ Enter the net here and on the Summary Page, Column A, Line 2. *Amounts forgiven or paid by another party also must be reported on Schedule A. ** If required. www.neffile.com 0.00 0.00 0.00 (May be a negative number) (tmer (e) on Schedule E, Line 3) tContributor 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 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Sandra Armenta for Rosemead City Council 2022 Amounts may be rounded to whole dollars. Statement covers period from 04/24/2022 through 05/21/2022 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment Page 9 of 14 I.D. NUMBER 1443478 ClWP 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 U. 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) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID Nancy Armenta OFC 510.14 Rosemead, CA 91770 eFundraising Connections CMP Credit Card Processing Fee 15.01 2831 G Street Ste. 120 Sacramento, CA 95814 Silvia Llamas OFC 253.97 San Dimas, CA 91773 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 779.12 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.).............................................................................................................. $ 6,096.11 2. Unitemized payments made this period of under $100.......................................................................................................................................... $ 74.91 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. 6,171.02 p Y p ( Summary 9 ) ............................. TOTAL $ FPPC Form 460 (Jan/2016) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) taww.neffile.com www.fppc.ca.gov Schedule E (Continuation Sheet) Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Sandra Armenta for Rosemead City Council 2022 Amounts may be rounded to whole dollars. Statement covers period from 04/24/2022 through 05/21/2022 SCHEDULE E Page 10 of 14 I.D. NUMBER 1443478 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 (intemet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID eFundraising Connections CMP Credit Card Processing Fee 21.11 2831 G Street Ste. 120 Sacramento, CA 95814 Gould & Orellana, LLC PRO 200.00 12501 Imperial Hwy. Ste. 200 Norwalk, CA 90650 Voters Newsletter (ID# 1355767) LIT 545.00 15021 Ventura Blvd. #530 Sherman Oaks, CA 91403 eFundraising Connections CMP Credit Card Processing Fee 1.43 2831 G Street Ste. 120 Sacramento, CA 95814 MNB Group, LLC LIT 1,448.00 808 N Garey Ave. Pomona, CA 91767 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 2,215.54 FPPC Form 460 (Jan/2016) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) WWW.netfile.com www.fppc.ca.gov Schedule E (Continuation Sheet) Payments Made Amounts may be rounded to whole dollars. Statement covers period from 04/24/2022 SCHEDULE E SEE INSTRUCTIONS ON REVERSE through 05/21/2022 Page 11 of 14 NAME OF FILER I.D. NUMBER Sandra Armenta for Rosemead City Council 2022 1443478 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 Lrr campaign literature and mailings PRT print ads WEB 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 Cops Voter Guide (ID# 599014) LIT 400.00 P.O. Box 214006 Sacramento, CA 95821 Direct Connections LIT 1,193.45 1538 Arrow Hwy. La Verne, CA 91750 eFundraising Connections CMP Credit Card Processing Fee 2.55 2831 G Street Ste. 120 Sacramento, CA 95814 eFundraising Connections CMP Credit Card Processing Fee 22.80 2831 G Street Ste. 120 Sacramento, CA 95814 eFundraising Connections CMP Credit Card Processing Fee 4.80 2831 G Street Ste. 120 Sacramento, CA 95814 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 1,623.60 FPPC Form 460 (Jan/2016) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) www.netfile.com www.fppc.ca.gov Schedule E (Continuation Sheet) Payments Made =E INSTRUCTIONS ON RE NAME OF FILER Sandra Armenta for Rosemead City Council 2022 Amounts may be rounded to whole dollars. Statement covers period from 04/24/2022 through 05/21/2022 SCHEDULE E (CONT.) Page 12 of 14 I.D. NUMBER 1443478 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 CTB campaign consultants contribution (explain nonmonetary)* MTG OFC meetings and appearances office expenses RFD returned contributions CVC civic donations PET petition circulating SAL TEL campaign workers' salaries t.v. or cable airtime and production costs FIL FND candidate filing/ballot fees fundraising events PHO phone banks TRC candidate travel, lodging, and meals IND independent expenditure supporting/opposing others (explain)* POL POS polling and survey research postage, delivery and messenger services TRS TSF staff/spouse travel, lodging, and meals 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 technoloqv costs (intemet. e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID eFundraising Connections 2831 G Street Ste. 120 CMP Credit Card Processing Fee 7.05 Sacramento, CA 95814 eFundraising Connections 2831 G Street Ste. 120 CMP Credit Card Processing Fee 22.80 Sacramento, CA 95814 MNB Group, LLC 808 N Garey Ave. LIT 1,448.00 Pomona, CA 91767 x Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 1,477.85 FPPC Form 460 (Jan/2016) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) www.netfile.com www.fppc.ca.gov Schedule F Accrued Expenses (Unpaid Bills) SEE INSTRUCTI NAME OF FILER ON REVERSE Sandra Armenta for Rosemead City Council 2022 Amounts may be rounded to whole dollars. Statement covers period from 04/24/2022 through 05/21/2022 SCHEDULEF �;ALIF&KIIIAA O. • Page 13 of 14 I.D. NUMBER 1443478 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 technoloov costs (internet_ P -mail) NAME AND ADDRESS OF CREDITOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR (a) OUTSTANDING (b) AMOUNT INCURRED (c) AMOUNT PAID (d) OUTSTANDING DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD Nancv Armenta OFC 510.14 0.00 510.14 0.00 Rosemead, CA 91770 Silvia T.lamaS OFC 253.97 0.00 253.97 0.00 San Dimas, CA 91773 - rayments mai are contnoutlons or Independent expenditures must also be SUBTOTALS $ 764 .11 summarized on Schedule D. $ 0.00$ 764.11$ 0.00 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 $ 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 $ 0.00 793.52 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 -793.52 ................................................................................................................................................ $ May be a negative number FPPC Form 460 (Jan/2016) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) www.netfile.com www.fppc.ca.gov Schedule G Payments Made by an Agent or Independent Contractor (on Behalf of This Committee) SEE INSTRUCTIONS ON REVERSE NAME OF FILER Sandra Armenta for Rosemead City Council 2022 NAME OF AGENT OR INDEPENDENT CONTRACTOR Direct Connections Amounts may be rounded to whole dollars. Statement covers period from 04/24/2022 through 05/21/2022 Page 14 of 14 I.D. NUMBER 1443478 G 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 F1L 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) * 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 7101 S. Central Ave. Los Angeles, CA 90001 POS 818.45 Attach additional information on appropriately labeled continuation sheets. TOTAL* $ 818.45 * 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 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) Statement covers period from 05/22/2022 Date of election if applicable: (Month, Day, Year) Date Stamp RECEIVED CITY OF ROSEMEAD JUL 2 0 2022 COVER PAGE Page 1 of 16 For Official Use 3. Committee Information I I.D. NUMBER 1943478 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Sandra Armenta for Rosemead City Council 2022 STREET ADDRESS (NO P.O. BOX) 12501 Imperial Hwy. Ste. 200 CITY STATE ZIP CODE AREA CODEIPHONE Norwalk CA 90650 (213)489-4792 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS Treasurer(s) NAME OF TREASURER Sandra Armenta MAILING ADDRESS CITY STATE ZIP CODE AREA CODEIPHONE Rosemead CA 91770 NAME OF ASSISTANT TREASURER, IF ANY David Gould MAILING ADDRESS 12501 Imperial Hwy. Ste. 200 CITY STATE ZIP CODE AREA CODE/PHONE Norwalk CA 90650 (213)489-4792 OPTIONAL: FAX / E-MAIL ADDRESS (213)489-9818 / dlgould@gouldorellana.com 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of MY knowledge the information contained h din 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 ti Executed on - — \ i - L Executed on Ji„LW 115, S017'_ jDale Executed on Executed on nate By By pmsible Olrxera/Sportor BY Signature of Comr Aing OmtaMBer. CarMidate, sale Meeewm Proponent By SgneWre olCmtrdlixg Urtcahokler, Candidate. Slate Measure Proponent FPPC Form 460 (Jan/2016) FPPC Advice; advice@fppc.ca.gov(866/275-3772) CITY CLERK'S OFFICE SEE INSTRUCTIONS ON REVERSE through 06/30/2022 06/07/2022 BY: 1. Type of Recipient Committee: All Committees - complete Parts 1, 2, 3, and 4. 2. Type of Statement: ❑X Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑ Preelection Statement ❑ Quarterly Statement Q State Candidate Election Committee Committee ❑x Semiannual Statement ❑ Special Odd -Year Report Q Recall Q Controlled ❑ Termination Statement ❑ Supplemental Preelection (Am COMPlew Part sl O Sponsored (Also file a Form 410 Termination) Statement - Attach Form 495 (Atm cWW1,00aan 6) ❑ Amendment (Explain below) ❑ General Purpose Committee Q Sponsored ❑ Primarily Formed Candidate/ Q Small Contributor Committee Officeholder Committee Q Political Party/Central Committee (Alae Complete Padr) 3. Committee Information I I.D. NUMBER 1943478 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Sandra Armenta for Rosemead City Council 2022 STREET ADDRESS (NO P.O. BOX) 12501 Imperial Hwy. Ste. 200 CITY STATE ZIP CODE AREA CODEIPHONE Norwalk CA 90650 (213)489-4792 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS Treasurer(s) NAME OF TREASURER Sandra Armenta MAILING ADDRESS CITY STATE ZIP CODE AREA CODEIPHONE Rosemead CA 91770 NAME OF ASSISTANT TREASURER, IF ANY David Gould MAILING ADDRESS 12501 Imperial Hwy. Ste. 200 CITY STATE ZIP CODE AREA CODE/PHONE Norwalk CA 90650 (213)489-4792 OPTIONAL: FAX / E-MAIL ADDRESS (213)489-9818 / dlgould@gouldorellana.com 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of MY knowledge the information contained h din 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 ti Executed on - — \ i - L Executed on Ji„LW 115, S017'_ jDale Executed on Executed on nate By By pmsible Olrxera/Sportor BY Signature of Comr Aing OmtaMBer. CarMidate, sale Meeewm Proponent By SgneWre olCmtrdlixg Urtcahokler, Candidate. Slate Measure Proponent FPPC Form 460 (Jan/2016) FPPC Advice; advice@fppc.ca.gov(866/275-3772) Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Sandra Armenta OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) City Council Member Rosemead RESIDENTIALIBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP Rosemead CA 91770 Related Committees Not Included in this Statement: List any committees not Included in this statement that are controlled by you or am primarily formed to receive contributions or make expenditures on behalf of your candidacy. COMMITTEENAME I I.D. NUMBER COMMITTEENAME ❑ YES ❑ NO STREETADDRESS (NO P.O. BOX) STATE ZIP CODE AREA CODEIPHONE I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODEIPHONE www.netriile.com COVERPAGE- Page Z of 16 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTERI JURISDICTION I ElSUPPORT ❑ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR 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 Attach continuation sheets if necessary FPPC Form 460 (Jan/2076) FPPC Advice: advice@fppc.ca.gov (86612753772) www.fppc.ca.gov Campaign Disclosure Statement Amounts may be rounded Summary Page to whole dollars. Statement covers period from 05/22/2022 SEE INSTRUCTIONS ON REVERSE through 06/30/2022 Page 3 Of 16 NAME OF FILER I.D. NUMBER Sandra Armenta for Rosemead City Council 2022 1993478 Contributions Received 1. Monetary Contributions ........................................... Schedule A, Line 3 2. Loans Received...................................................... Schedule B, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines I+2 4. Nonmonetary Contributions .................................... Schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 + 4 Expenditures Made 6. Payments Made ....................................................... schedule E, Line 4 7. Loans Made............................................................. Schedule H. Line 8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6+7 9. Accrued Expenses (Unpaid Bills) ............................... schedule F, Linea 10. Nonmonetary Adjustment .......................................... schedule c, tine 3 11. TOTAL EXPENDITURES MADE ................................Add Lines 8 + 9 + 10 Current Cash Statement 12. Beginning Cash Balance ....................... Previous summary Page, Line 16 13. Cash Receipts ................................................... Column A, Line 3abom 14. Miscellaneous Increases to Cash ........................... Schedule 1, Line 15. Cash Payments .................................................. Column A, Lim 8abom 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, men subtract Lim 15 If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED Column A ToruTllsa RloD (FR ATTACHEDSCHEDULES) Column B Calendar Year Summary for Candidates o 0RDAM Running In Both the State Primary and General Elections $ 13,249.00 $ 39,390.97 -5,000.00 0.00 $ 8,249.00 $ 39,390.97 0.00 0.00 $ 8,249.00 $ 39,390.97 $ 11,585.39 $ 25,629.16 $ 11,585.39 $ 25,629.16 0.00 0.00 $ 11,585.39 $ 25,629.16 $ 17,098.20 8.249.00 0.00 11,585.39 $ 13,761.81 Schedule B, Part 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ........................................ see instructions on reverse $ 0.00 19. Outstanding Debts ......................... Addl-me2+Line 9m Column Babove $ 0.00 www.netfi'le.com 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). 111 through 6/30 7/1 to Date 20. Contributions Received $ $ 21. Expenditures Made $ $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made` (a5ubJW tovoiuntery Exi»Maun Lima) Date of Election Total to Date (mm/dd/yy) 'Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ra.gov (866/2753772) www.fppc.ca.gov Schedule A SCHEDULE A Moneta Contributions Received Amounts may rounded Monetary ------- Statement covers period , of to whole dollars. 460 6, from 05/22/2022 FORM through 06/30/2022 Page 4 of 16 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Sandra Armenta for Rosemead City Council 2022 1443476 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION OF WMMP`EE,ASO EWER I.D. NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE* (IF SELF-EMPLOYED, EWER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OFBUSINESS) 05/26/2022 JCJ Development, LLC(Jennie Duong) ❑IND 1,000.00 1,000.00 P2022 $1,000.00 8728 Valley Blvd. #206 ❑COM Rosemead, CA 91779 OTH ❑ PTY ❑ SCC 05/26/2022 Kudco Diversified, LLC(Robert Kudler) ❑IND 250.00 500.00 P2022 $500.00 3127 East South St. Suite B ❑COM Long Beach, CA 90805 ❑K OTH ❑ PTY ❑ SCC 05/26/2022 Kudco Diversified, LLC(Robert Kudler) ❑IND 250.00 500.00 P2022 $500.00 3127 East South St. Suite B ❑COM Long Beach, CA 90805 MOTH ❑ PTY ❑ SCC 05/26/2022 LE03-Awin Management, Inc. ❑IND 2,700.00 2,700.00 P2022 $2,700.00 18500 N. Allied Way ❑COM Phoenix, AZ 85054 ❑x OTH ❑ PTY ❑ SCC 0 San Gabriel Valley Water Company ❑IND 500.00 5 0. P2022 0.00 11142 Garvey Ave. E1 Monte, CA 91733 ❑COM MOTH ❑ PTY ❑ SCC SUBTOTALS 4,700.0041- r $'�., �� afi, �.. .F# Schedule A Summary 1. Amount received this period— itemized monetary contributions. (Include all Schedule A subtotals.) ........................................................................................................$ 13,100.00 2. Amount received this period — unitemized monetary contributions of less than $100 ............................. $ 149.00 3. Total monetary contributions received this period. Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1. TOTAL $ 13, 249.00 www.netfile.com *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 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov, Schedule A (Continuation Sheet) SCHEDULE (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers Wrl;a­IIIIICALIFORNIA to whole dollars. I ' from 05/22/2022 • " through 06/30/2022 Page 5 of 16 NAME OF FILER I.D. NUMBER Sandra Armenta for Rosemead City Council 2022 1443478 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION OFCOMMITIEE,ALSOENTER I.D. NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IP SELF-EMPLOYED. ENTER NAME PERIOD (JAN.1-DEC. 31) (IF REQUIRED) OFBUSINESB) 05/26/2022 Sempra Energy ❑IND 500.00 500.00 P2022 $500.00 488 8th Ave. ❑COM San Diego, CA 92101 DOTH ❑ PTY ❑SCC 05/31/2022 Fairfield inn ❑IND 500.00 500.00 P2022 $500.00 705 San Gabriel Blvd. ❑COM Rosemead, CA 91770 ®OTH Receives through ante mediary: eFu ndrais ing Connecti n ❑ PTY 1831 G Street Ste. 12 ❑SCD Sactamento, CA 95814 06/02/2022 American Promotional Events West ❑IND 250.00 250.00 P2022 $250.00 4511 Helton Drive Industrial Park ❑COM Florence, AL 35630 x❑ OTH ❑ PTY ❑SCC 06/03/2022 Maria Caceres [K]IND Teacher 100.00 100.00 P2022 $100.00 ❑COM Fontana Unified School District Received through ante mediary: ❑OTH erondraisiny Connecti n ❑PTY 2,31 G street Ste. 12 CA 95814 []SCCSactamento, DC Universa LLC(EriC Lee) ❑IND . 50000 07 P - 14500 East Valley Blvd. City Of Industry, CA 91746 [3COM ff] OTH ❑ PTY ❑SCC SUBTOTALS 1 eso.00'tq = ` 7' ,,,` '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.netrile.com FPPC Form 460 (Jan12016) FPPC Advice: advice@fppc.w.gov (86612753772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period 0CALIFORNIA to whole dollar:. 460 , ' from 05/22/2022 O' through 06/30/2022 Page 6 of 16 NAME OF FILER I.D. NUMBER Sandra Armenta for Rosemead City Council 2022 1443478 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (IF CWMI`17EE,A O ENTER I.D. NUMBER) CODE* OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF SELF-EMPLOYED, EmER NAME PERIOD (JAN.1-DEC. 31) (IF REQUIRED) OF BUSINESS) 06/06/2022 Evergreen PAC (ID# 1408992) ❑IND 1,000.00 1,000.00 P2022 $1,000.00 12501 Imperial Hwy. Ste. 200 x❑COM Norwalk, CA 90650 ❑ OTH ❑ PTY [-]SCC 06/06/2022 Maria Martinez DINO Maintenance Manager 100.00 300.00 P2022 $300.00 ❑COM DLR Express ❑ OTH ❑ PTY ❑SCC 06/06/2022 Padilla for School Board 2022 (ID# 1358876) ❑IND 300.00 300.00 P2022 $300.00 ®COM ❑ OTH ❑ PTY ❑SCC 06/06/2022 Principia Group LLC(Mario Beltran) [-]IND 250.00 250.00 P2022 $250.00 6750 Foster Bridge Blvd. Ste. A Bell Gardens, CA 90201 ❑COM x❑OTH ❑ PTY ❑SCC Ramirez Strategies Inc. ❑IND 250.00P ' 11417 Thienes Ave. South E1 Monte, CA 91733 ❑COM DOTH ❑ PTY ❑ SCC SUBTOTALS 1,900.00 �:� ;, .# '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 (Jan/2016) FPPC Advice: advice@fppc.w.gov (866/2753772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. CALIFORNIA ' from 05/22/2022 •' through 06/30/2022 Page 7 of 16 NAME OF FILER I.D. NUMBER Sandra Armenta for Rosemead City Council 2022 1443478 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATNETO DATE PER ELECTION RECEIVED QFCOMMITrEE.ASOEN`ER I.D. NUMBER) CODE* OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE IIF SELF-EMPLOYED, EWFER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 06/06/2022 Sean Dang for Council 2018 (IDR 1409067) ❑IND 500.00 1,000.00 P2022 $1,000.00 x❑COM ❑ OTH ❑ PTY ❑ SCC 06/15/2022 Arpineh Dagesyan %❑IND 150.00 150.00 P2022 $150.00 ❑COM ❑OTH ❑ PTY ❑SCC 06/15/2022 David M. Perez x❑IND Manager 2,500.00 2,500.00 P2022 $2,500.00 ❑COM Zerep Management []0THCorporation ❑ PTY [-]SCC 06/30/2022 Willdan Group, Inc. ❑IND 1,500.00 1,500.00 P2022 $1,500.00 2401 E. Karelia Ave. Suite 300 Anaheim, CA 92806 ❑COM x❑ OTH ❑ PTY ❑ SCC ❑IND ❑COM ❑ OTH ❑ PTY []SCC SUBTOTALS 4, 650 00 Y bg J-1, '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.netrile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (86612753772) www.fppc.ca.gov SCHEDULEB-PART1 Schedule B — Part 1 Amounts may be rounded Statement covers period CALIFORNIA 4601 Loans Received to whole dollars. from 05/22/2022 FORM SEE INSTRUCTIONS ON REVERSE through 06/30/2022 Page 8 of 16 NAME OF FILER I.D. NUMBER Sandra Armenta for Rosemead City Council 2022 1443478 FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER a OUTSTANDING (b) AMOUNT (c) AMOUNT PAID 141 OUTSTANDING le) INTEREST (f) ORIGINAL Is) CUMULATIVE OF LENDER OCCUPATION AND EMPLOYER BALANCE RECEIVED THIS OR FORGIVEN BALANCEAT PAID THIS AMOUNTOF CONTRIBUTIONS (IFCOMMITTEE,ALSO ENTER I.D. NUMBER) (IFSELF.EMPLOYFD. ENTER NAMEOFBUSINESS) BEGINNING THIS PERIOD PERIOD THIS PERIOD' CLOSE OF THIS p R PERIOD LOAN TO DATE Sandra Armenta Lopez District Representative ® PAID CALENDAR YEAR 9428 Olney Street Ca Senate Rules Rosemead, CA 91770 Committee f STRII0.0D g n nn �q g t nnn nn g n nn LOAN MTE FORGIVEN PER ELECTION" $ s nnn nn f O nn f n nn f n nn 04/14/2022 SP2022 5,00D.00 DATEDUE DATE INCURRED t® IND ❑ COM ❑ OTH ❑ PTY ❑ SCC PAID CALENDAR YEAR f f % f f E]FORGNEN PERELECTION" RATE f S f f f DATE DUE DATE INCURRED t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC l] PAID CALENDARYEAR f f % f f FORGIVEN PER ELECTION" RATE f f f f f DATE DUE DATE INCURRED t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTALS $ 0.00$ 5,000.00$ 0.00$ 0.00 Schedule B Summary 1. Loans received this period.................................................................................................................... $ (Total Column (b) plus unitemized loans of less than $100.) 0.00 2. Loans paid or forgiven this period......................................................................................................... $ 5,000.00 (Total Column (c) plus loans under $100 paid or forgiven.) (Include loans paid by a third party that are also itemized on Schedule A.) 3. Net change this period. (Subtract Line 2 from Line 1.)............................................................... NET $ -5,000.00 Enter the net here and on the Summary Page, Column A, Line 2. (May cesnega "wmwa 'Amounts forgiven or paid by another party also must be reported on Schedule A. If required. www.netfile.com (EnW(e)m Sc uk E,L 3) tContributor 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 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/2753772) www.fppc.ca.gov Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Sandra Armenta for Rosemead City Council 2022 Amounts may be rounded to whole dollars. covers period from 05/22/2022 through 06/30/2022 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, CNP campaign paraphemalialmisc. MER member communications CODE OR DESCRIPTION OF PAYMENT CNS campaign consultants MIG meetings and appearances RFD CTB contribution (explain nonmonetary)' OFC office expenses SAL CVC civic donations PEr petition circulating TEL FIL candidate filing/ballot fees PHO phone banks TRC FPA fundraising events POL polling and survey research TRS M independent expenditure supporting/opposing others (explain)' POS postage, delivery and messenger services TSF LEG legal defense PRO professional services (legal, accounting) VOT LIT campaign literature and mailings PRT print ads WEB describe the payment Page 9 of 16 I.D. NUMBER 1993978 RAD radio airtime and production costs returned contributions campaign workers' salaries Lv. or cable airtime and production costs candidate travel, lodging, and meals staff/spouse travel, lodging, and meals transfer between committees of the same candidate/sponsor voter registration information technology costs (intemet, e-mail) NAME AND ADDRESS OF PAYEE (IFCOMMI=,A OEM RI.D.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID Direct Connections LIT 1,187.67 1538 Arrow Hwy. La Verne, CA 91750 Azusa Connects CVC 160.00 1171 E Alosta Ave. #281 Azusa, CA 91702 MNB Group, LLC LIT 2,509.61 808 N Carey Ave. Pomona, CA 91767 ' Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 3, 852.28 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, 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.) www.netFle.com ......................... $ 11, 520.39 $ 65.00 $ 0.00 ............ TOTAL $ 11,585.39 FPPC Form 460 (Jan/2016) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) www.fppc.ca.gov Schedule E SCHEDULEE(CONT (Continuation Sheet) Amounts may be rounded Statement covers period �, towholedollars. 4 • , Payments Made from 05/22/2022 •' SEE INSTRUCTIONS ON REVERSE I through 06/30/2022 I Page 10 of 16 NAME OF FILER I.D. NUMBER Sandra Armenta for Rosemead City Council 2022 I 1993978 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CNP 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 PFIO 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 WEB information technology costs (intemet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, RLSO ENTER I.D. NUMBER) Gould 6 Orellana, LLC PRO 200.00 12501 Imperial Hwy. Ste. 200 Norwalk, CA 90650 Direct Connections LIT 710.38 1538 Arrow Hwy. La Verne, CA 91750 Direct Connections LIT 1,187.67 1538 Arrow Hwy. La Verne, CA 91750 eFundraising Connections CMP Credit Card Processing Fee 22.80 2831 G Street Ste. 120 Sacramento, CA 95819 Omar Hernandez OFC 1,371.60 "Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 3,992.95 FPPC Form 460 (Jan/2016) FPPC Toll -Free Helpline: 866/ASK.FPPC (866/276-8772) www.netrile.com www.fppc.ca.gov Schedule E (Continuation Sheet) Payments Made Amounts may be rounded to whole dollars. Statement covers period from 05/22/2022 SCHEDULEE 06/30/2022 h SEE INSTRUCTIONS ON REVERSE through Page 11 Of16 — NAME OF FILER I.D. NUMBER Sandra Armenta for Rosemead City Council 2022 I 1443478 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. C7vP campaign paraphemalia/misc. A43R membercommunications RAD radio airtime and production costs CNS campaign oonsuttants 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 tv. or cable airtime and production costs FIL candidate filing/ballot fees PFO 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) NAME AND ADDRESS OF PAYEE IIF COMMITTEE, P SO ENrER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Faith Adijaja SAL 280.00 10169 Lower Azusa Road Temple City, CA 91780 Marisol Hernandez SAL 200.00 Javier Hernandez Jr SAL 100.00 Abegail Hombrebueno SAL 140.00 Dalyla Nicole Leal SAL 100.00 Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTALS 820.00 FPPC Form 460 (Jan/2016) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) www.netfile.com w Appc.na.gov Schedule E SCHEDULEE(CONT) CALIFORNIA (Continuation Sheet) Amounts may be rounded statementcovers period , , to whole dollars. Payments Made from 05/22/2022 • ' SEE INSTRUCTIONS ON REVERSE CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID Cristina Mares through 06/30/2022 Page 12 Of 16 NAME OF FILER SAL 190.00 Jaden Pena I.D. NUMBER Sandra Armenta for Rosemead City Council 2022 Emily De La Portilla SAL 100.00 1993978 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CIuP campaign paraphernalia/misc. MER membercommunications 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 RL 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 (internet, e-mail) NAME AND ADDRESS OF PAYEE IIF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID Cristina Mares SAL 200.00 Nicholas A. Ostry SAL 190.00 Jaden Pena SAL 280.00 Emily De La Portilla SAL 100.00 RCRC 3936 N Muscatel Ave. Rosemead, CA 91770 CMP 175.00 'Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 895.00 www.netrle.com FPPC Form 460 (Jan/2016) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) www.fppc.ca.gov Schedule E (Continuation Sheet) Payments Made Sandra Armenta for Rosemead City Council 2022 Amounts may be rounded to whole dollars. CODES: If one of the following codes accurately describes the payment, CW campaign paraphemalia/misc. MBR CNS campaign consultants MITG CTB contribution (explain nonmonetaryr OFC CVC civic donations PET FIL candidate filing/ballot fees PFK) FND fundraising events POL M independent expenditure supporting/opposing others (explain)* POS LEG legal defense PRO LIT campaign literature and mailings PRT Statement covers from 05/22/2022 through 06/30/2022 I page 13 of 16 you may enter the code. Otherwise, member communications RAD meetings and appearances RFD office expenses SAL petition circulating TEL phone banks TRC polling and survey research TRS postage, delivery and messenger services TSF professional services (legal, accounting) VOT print ads WEB I.D. NUMBER 1443478 describe the payment. radio airtime and production costs returned contributions campaign workers' salaries t.v. or cable airtime and production costs candidate travel, lodging, and meals staff/spouse travel, lodging, and meals transfer between committees of the same candidate/sponsor voter registration information technology costs (Internet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID IIF COMMITTEE, RLSO ENTER I.D. NUMBER) eFundraising Connections CMP Credit Card Processing Fee 4.80 2831 G Street Ste. 120 Sacramento, CA 95814 Kristy Rowe SAL 500.00 eFundraising Connections CMP Credit Card Processing Fee 4.76 2831 G Street Ste. 120 Sacramento, CA 95814 Cindy Sun SAL 100.00 Nancy Armenta OFC 131.05 " Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 740.61 FPPC Form 460 (Jan/2016) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) www.netrile.com www.fppc.ca.gov Schedule E (Continuation Sheet) Payments Made Amounts may be rounded to whole dollars. Statement covers period from 05/22/2022 SEE INSTRUCTIONS ON REVERSE I through 06/30/2022 I Page 14 of 16 NAME OF FILER Sandra Armenta for Rosemead City Council 2022 CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, N SO ENTER I.D. NUMBER) I.D. NUMBER 1443478 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CIVP 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 AL 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 (explainp 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 PRr print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, N SO ENTER I.D. NUMBER) Nancy Armenta OFC 438.36 Nancy Armenta OFC 136.69 Jesus Armenta SAL 500.00 Rosemead Rebels Athletic Club CVC 445.00 522 Derby Rd. San Dimas, CA 91773 Fly Compton Aeronautical Education Inc. CVC 200.00 101 S. Willowbrook Ave. Ste. 652 Compton, CA 90223 * Payments that are contributions or Independent expenditures must also be summadzed on Schedule D. SUBTOTAL$ 1,720.05 FPPC Form 460 (Jan/2016) FPPC Toll -Free Helpline: 866/ASK.FPPC (866/275-3772) www.netfile.com www.fppc.ca.gov Schedule G Payments Made by an Agent or Independent Contractor (on Behalf of This Committee) Amounts may be rounded to whole dollars. covers from 05/22/2022 SEE INSTRUCTIONS ON REVERSE through 06/30/2022 Page 15 of 16 NAME OF FILER I.D. NUMBER Sandra Armenta for Rosemead City Council 2022 1993978 NAME OF AGENT OR INDEPENDENT CONTRACTOR Direct Connections CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphemalia/misc. MER 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 RL 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 14D independent expenditure supportinglopposing 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 (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID U.S. Postmaster POS 812.67 7101 S. Central Ave. Los Angeles, CA 90001 U.S. Postmaster POS 812.67 7101 S. Central Ave. Los Angeles, CA 90001 Attach additional information on appropriately labeled continuation sheets. TOTAL* $ 1,625.34 * 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. FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.netfile.com www.fppc.ca.gov Schedule G Payments Made by an Agent or Independent Contractor (on Behalf of This Committee) Amounts may be rounded to whole dollars. from 05/22/2022 SEE INSTRUCTIONS ON REVERSE I through 06/30/2022 I Page 16 of 16 NAME OF FILER I.D.NUMBER Sandra Armenta for Rosemead City Council 2022 1993978 NAME OF AGENT OR INDEPENDENT CONTRACTOR Omar Hernandez 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 FlL 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 rD independent expenditure supporting/opposing others (explain)' POS postage, delivery and messenger services TSF transfer between committees of the some 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 IIF COMMITTEE, ALSO E EWER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Gravis Marketing Inc. 2937 Sierra Court SW Iowa City, IA 52290 CMP 1,371.60 Attach additional information on appropriately labeled continuation sheets. TOTAL* $ 1,371.60 * 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 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/2753772) www.fppc.ca.gov _ N Em E O '+^+ U vi A ZM a- a a m 4) m O w 0 U W W w W w z O z O U C0 z W W U) O u U0 0 Z O L� U w �y CJ z U iu cd y 0 0 0 Uxr � w O � W < a) z �y z R LL, w �Cd o Lo �I U Cd eja t a .c a c c 6 a 11 n N M u Ln u A N C c w 3 E c 3 O QO LL m u u a CL 6aL per, V a) u w u a a u a L.LL N 0- w C7 a w O U cn 6 NI 4i X O m O a O z co y w m ❑ ❑ ¢ W W of w U K w m Z ci w ¢ z LU LU H O U w W U LU a: LL O w Z O m O L O z U U w ❑ ❑ w w H O U 1 a Q O O n � M U Ln N C CL v 00 3 E '0 3 O b0 LL u " a " LL a w Cal u U Ib ~ H H m rn W U w 0 m O m O m ~ T LL a O p. 0 d 0 a. 0 w w m o d 0.. :3 a a s :) a LL a 0 d a s D n- O m o , a� a m O m 0 m O m O ir z ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ a e z w w tlJ t �+ o ¢ m +, o > U) O U)i LL C ❑❑ O0. - Na z ❑W O n' O Z J W W W O ❑ J fn U) �- d �° 2 2 2 m dd ; Oyt„r.. 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Z' C �0 m w 7 �c3 d O y_ w U J O -O O O j, 0 C O> y a >, E >, a) d H N Q N O N.0 N �. ;� O� N oI 0 0 6s N m as t 0 W LU U W w U) W LW r Z Q D U Z O J A N > N ^ 000 N M V Ln U m N a w O Z00 3 Eo 3 1 0 LOL m U � d V a LL W @J u m m -00 0 0 0 0 0 A 6`i 64 m c ca ip m C N U C Q U C Q H E CO U U r b1 O ^ + N a 3 aNi y E a � Q d C U d �dw U G i N N U �' N m + N + •. a e L cco U o m N C y o a) m U y 2 C E m a N U U Z m Z 0 w y C m h w V CV cM 1f 6 6 oI 0 0 6s N m as t 0 W LU U W w U) W LW r Z Q D U Z O J A N > N ^ 000 N M V Ln U m N a w O Z00 3 Eo 3 1 0 LOL m U � d V a LL W @J u m m Recipient Committee Campaign Statement Cover Page Statement covers period from January 1, 2021 SEE INSTRUCTIONS ON REVERSE I through June 30, 2021 1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, a, and 4 Z Sliceholder, Candidate Controlled Committee EJ Primarily Formed Ballot Measure C) State Candidate Election Committee ommittee O Recall Controlled (nAo Cangda Part 5) Sponsored (Also Co od-Parl6) ❑ Purpose Committee Sponsored ❑ Primarily Formed Candidate/ gneral Small Contributor Committee Officeholder Committee Political Party/Central Committee (Ma C.Wa/a Pale 3. Committee Information Sandra Armenta for Rosemead City Council 2017 STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREACODE/PHONE Rosemead CA 91770 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREACODE/PHONE OPTIONAL: FAX/E-MAIL ADDRESS 4. Verification COVER PAGE Date Stamp e - RECEIVED CITY OF ROSEMEAD Page 1 of 3 Date of election D If applicable: AUG 0 2 2021 (Month, Day, Year) For OfAcial Use Or I CITY CLERK'S OFFICE BY: 2. Type of Statement: ❑ Preelection Statement ❑ Quarterly Statement ❑ Semi-annual Statement ❑ Special Odd -Year Report ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) Treasurer(s) NAME OF TREASURER Sandra Armenta Lopez MAILING ADDRESS CITY STATE ZIP CODE AREACODE/PHONE Rosemead CA 91770 NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREACODEIPHONE OPTIONAL: FAX/E-MAIL ADDRESS I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained 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 forego!qg is true and comers, ^� Executed on August 02, 2021 Date Executed on August 02, 2021 Dab Executed on Data Executed m Deffie By Signature of ControlliN OfficeholperCanditlate, State Meaaum Prawnent By Wat m of Controlfir, Cffceholder. Cardidate, State Measure Proponere FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.m.gov (866/275-3772) w rw.fppc.ca.gov Recipient Committee Campaign Statement Cover Page — Part 2 S. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Sandra Armenta OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Rosemead City Council RESIDENTIAUBUSINESS ADDRESS (NO.ANOSTREET) CITY STATE ZIP Rosemead CA 91770 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. CITY STATE ZIP CODE AREA CODEIPHONE CITY STATE ZIP CODE AREA CODEIPHONE COVER PAGE - PART 2 Page 2 of 3 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 7. Primarily Formed Candidate/Officeholder Committee Listnames 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 Attach continuation sheets if necessary FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.w.gov (866/275-3772) v .fppc.ca.gov Campaign Disclosure Statement Summary Page Amounts may be rounded to whole dollars. Statement covers period from January 01, 2021 SUMMARY PAGE SEE INSTRUCTIONS ON REVERSE through June 30, 2021 Page 3 of NAME OF FILER I.D. NUMBER Sandra Armenta for Rosemead City Council 2017 1392614 Contributions Received 1. Monetary Contributions................................................... schedule A, Line 3 2. Loans Received................................................................ schedule B, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 1 +2 4. Nonmonetary Contributions ............................................ schedule C.Line 3 5. TOTAL CONTRIBUTIONS RECEIVED ...... ......... ................ Add Lines 3+4 Column A Column B TOTAL THIS PERIOD CALENDAR YEAR (FROM ATTACHED SCHEDULES) TOTAL TO DATE $ 0_00 0.00 $ 0_00 0.00 $ 0_00 Expenditures Made 6. Payments Made... ............................................................. Schedule E, Line $ 0.00 7. Loans Made....................................................................... schedule t1, Line 3 0.00 8. SUBTOTAL CASH PAYMENTS ....................................... Add Lines 6+7 $ 0.00 9. Accrued Expenses (Unpaid Bills) ........................ ........ ......... Schedule FLine 3 0.00 10. Nonmonetary Adjustment......................................................... Schedule C, Line 3 0.00 11. TOTAL EXPENDITURES MADE....................................Add Lines 8+9+10 $ 0.00 Current Cash Statement 12. Beginning Cash Balance ............................ Previous summary 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 8above 16. ENDING CASH BALANCE .................. Add Lines 12+ 13 + 14, then subtact Line 15 If this is a termination statement, Line 16 must be zero. $ -76.85 0.00 0.00 0.00 $ -76.85 17. LOAN GUARANTEES RECEIVED... ........ .................... Schedule S. Pane $ 0.00 Cash Equivalents and Outstanding Debts 18. Cash Equivalents ................................................ See instructions on reverse S 0.00 19. Outstanding Debts .............................. Add Line 2 + Line 9 in Column B above $ 0.00 $ 0_00 0.00 $ 0_00 0.00 $ 00_00 $ 0.00 0.00 $ 0.00 0.00 0.00 $ 0.00 To calculate Column B, add amounts in Column Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 111 through 6/30 7/1 to Date 20. Contributions Received $ $ 21. Expenditures Made $ $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made - (a Subject to Voluntary Expenditure Uma) Date of Election Total to Date (mm/dd/yy) S A to the corresponding *Amounts in this section may be different from amounts amounts from Column B reported in 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 (d any). FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov COVER PAGE Recipient Committee • Date Stamp CALIFORNIA A Campaign Statementnn . RECEIVED -FARM q. Cover Page CITY OFROSEMEAD '-- 4 . Statement covers period Date of election if applicable: Page 1 - - of from July 1,2020 (Month,Day,Year) FEB-01 2021 For Official Use Only CITY CLERK'S OFFICE SEE INSTRUCTIONS ON REVERSE through Dec.31,2020 BY: 1. Type of Recipient Committee: All Committees—Complete Parts 1,2,3,and 4. 2. Type of Statement: Z Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑ Preelection Statement ❑ Quarterly Statement O State Candidate Election Committee Committee ❑ Semi-annual Statement ❑ Special Odd-Year Report O Recall 0 Controlled ❑ Termination Statement (Also Complete Part 5) 0 Sponsored (Also file a Form 410 Termination) (Also Complete Part 6) ❑ Amendment(Explain below) ❑ General Purpose Committee O Sponsored ❑ Primarily Formed Candidate/ O Small Contributor Committee Officeholder Committee O Political Party/Central Committee (Also Complete Part 7) 3. Committee Information I.D.NUMBER Treasurer(s) 1392614 COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER Sandra Armenta for Rosemead City Council 2017 Sandra Armenta Lopez MAILING ADDRESS STREET ADDRESS(NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE CA CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER,IF ANY CA MAILING ADDRESS(IF DIFFERENT)NO.AND STREET OR P.O.BOX MAILING ADDRESS .. CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX/E-MAIL ADDRESS OPTIONAL: FAX/E-MAIL ADDRESS sandralarmenta@gmail.com sandralarmenta©gmail.com 4. Verification - I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained 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 foregoi is true and correct. Executed tan February 01,2021 By / ". • Date < / Officer of Sponsor Executed onBy Date Signature of Controlling Officeholder,Candidate,State Measure Proponent Executed on By Date Signature of Controlling Officeholder,Candidate,State Measure Proponent FPPC Form 460(Jan/2016)) • • FPPC Advice:advice@fppc.ca.gov(866/275-3772) - . . www.fppc.ca.gov COVER PAGE-PART2 Recipient Committee CALIFORNIA Campaign Statement FORM 460 Cover Page — Part 2 Paget of 4 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE Sandra Armenta OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO.OR LETTER JURISDICTION ❑ SUPPORT Rosemead City Council ❑ OPPOSE RESIDENTIAL/BUSINESS ADDRESS (NO.AND STREET) CITY STATE ZIP CA 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 controlled by you or are primarily formed to receive OFFICE SOUGHT OR HELD DISTRICT NO.IF ANY contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME I.D.NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? 7. Primarily Formed Candidate/Officeholder Committee List names of officeholder(s)or candidate(s)for which this committee is primarily formed. ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O.BOX) NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE CITY STATE ZIP CODE AREA CODE/PHONE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE COMMITTEE NAME I.D.NUMBER NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF TREASURER CONTROLLED COMMITTEE? NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ YES ❑ NO ❑ SUPPORT COMMITTEE ADDRESS STREET ADDRESS (NO P.O.BOX) ❑ OPPOSE CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov Campaign Disclosure Statement Amounts may be rounded SUMMARY PAGE to whole dollars. Summary Page Statement covers period CALIFORNIA 460 from July 1,2020 FORM December 31,2020 page 3 of 4 SEE INSTRUCTIONS ON REVERSE through NAME OF FILER I.D.NUMBER Sandra Armenta for Rosemead City Council 2017 1392614 Column A Column B Calendar Year Summary for Candidates Contributions Received TOTAL THIS PERIOD CALENDAR YEAR (FROM ATTACHED SCHEDULES) TOTAL TO DATE Running in Both the State Primary and General Elections 1. Monetary Contributions Schedule A,Line 3 $ 0.00 $ 0.00 1/1 through 6/30 7/1 to Date 2. Loans Received Schedule B,Line 3 0.00 0.00 20. Contributions 3. SUBTOTAL CASH CONTRIBUTIONS Add Lines 1+2 $ 0.00 $ 0.00 Received $ $ 4. Nonmonetary Contributions Schedule C,Line 3 0.00 0.00 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED AddLines3+4 $ 0.00 $ 0.00 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made Schedule E,Line 4 $ 96.00 $ 96.00 Candidates 7. Loans Made Schedule H,Line 3 0.00 0.00 e* 8. SUBTOTAL CASH PAYMENTS Add Lines 6+7 $ 0.00 $ 0.00 22. tsubjettiveExpenxpendesMadt) (If Subject to Voluntary Expenditure Limit) 0.00 0.009. Accrued Expenses (Unpaid Bills) Schedule F,Line 3 Date of Election Total to Date 10. Nonmonetary Adjustment Schedule C,Line 3 0.00 0.00 (mm/dd/yy) 11. TOTAL EXPENDITURES MADE Add Lines 8+9+10 $ 0.00 $ 0.00 / / $ Current Cash Statement / I $ 12. Beginning Cash Balance Previous Summary Page,Line 16 $ 19.15 To calculate Column B, 13. Cash Receipts Column A,Line 3 above o.00 add amounts in Column 0.00 A to the corresponding *Amounts in this section may be different from amounts 14. Miscellaneous Increases to Cash Schedule I.Line 4 "amounts from Column B reported in Column B. 15. Cash Payments Column A,Line 8 above 96.00 of your last report. Some amounts in Column A may 16. ENDING CASH BALANCE Add Lines 12+13+14,then subtract Line 15 $ 76.85 be negative figures that should be subtracted from If this is a termination statement,Line 16 must be zero. previous period amounts. If this is the first report being 17. LOAN GUARANTEES RECEIVED Schedule B,Part 2 $ 0.00 filed for this calendar year, only carry over the amounts Cash Equivalents and Outstanding Debts from Lines 2,7,and 9(if 0.00 any). 18. Cash Equivalents See instructions on reverse $ 19. Outstanding Debts Add Line 2+Line 9 in Column B above $ 0.00 FPPC Form 460(Jan/2016)) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov Schedule E Amounts may be rounded • Statement covers period SCHEDULE E to whole dollars. CALIFORNIA 460 Payments Made from July 1,2020 FORM through December 31,2020 Pae 4 of 4 SEE INSTRUCTIONS ON REVERSE _ g NAME OF FILER I.D.NUMBER Sandra Armenta for Rosemead City Council 2017 1392614 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(internet,e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE,ALSO ENTER I.D.NUMBER) Bank of America Monthly Fee for Business Fundamental 96.00 8856 Valley Blvd. Rosemead, CA 91770 *Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 96.00 Schedule E Summary 96.00 1. Itemized payments made this period. (Include all Schedule E subtotals.) $ 2. Unitemized payments made this period of under$100 $ 0.00 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 Summary Page, Column A, Line 6.) TOTAL $ 96.00 FPPC Form 460(Jan/2016)) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov Recipient Committee - COVER PAGE Campaign Statement REIZR CALIFORNIA 46;,0 CITY OF ROSEMEAD TNKM e', t: Cover Page 3S.X ..,,r ,.1 445W^,'.a. Statement covers period Date of election if applicable: FEB 12 RECD Page 1 of 7 July 1, 2019 (Month,Day,Year) For Official Use Only from CITY CLERK'S OFFICE C December 31, 2019 BY: SEE INSTRUCTIONS ON REVERSE l through 1. Type of Recipient Committee: All Committees—Complete Parts 1,2,3,and 4. 2. Type of Statement: El Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑ Preelection Statement ❑ Quarterly Statement O State Candidate Election Committee Committee I Semi-annual Statement ❑ Special Odd-Year Report O Recall 0 Controlled ❑ Termination Statement (Also Complete Part 5) 0 Sponsored (Also file a Form 410 Termination) (Also Complete Part 6) ❑ General Purpose Committee ❑ Amendment(Explain below) O Sponsored ❑ Primarily Formed Candidate/ O Small Contributor Committee Officeholder Committee O Political Party/Central Committee (Also Complete Part 7) _. ""`___ a_ 3. Committee Information I.D.NUMBER Treasurer(s) _.— 1392614 COMMITTEE NAME(OR CANDIDATES NAME IF NO COMMITTEE) NAME OF TREASURER Sandra Armenta for Rosemead City Council 2017 Sandra Armenta Lopez MAILING ADDRESS STREET ADDRESS(NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE CA CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER,IF ANY CA MAILING ADDRESS(IF DIFFERENT)NO.AND STREET OR P.O.BOX MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX/E-MAIL ADDRESS OPTIONAL: FAX/E-MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained 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 Officer of Sponsor Executed on By Date Signature of Controlling Officeholder,Candidate,State Measure Proponent • Executed on By Date Signature of Controlling Officeholder,Candidate,State Measure Proponent FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov COVER PAGE-PART 2 Recipient Committee CALIFORNIA Campaign Statement '0 4 0. Cover Page — Part 2 Page 2 of 7 5. Officeholder or Candidate Controlled Committee G. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE Sandra Armenta OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO.OR LETTER JURISDICTION ❑ SUPPORT Rosemead City Council ❑ OPPOSE RESIDENTIAUBUSINESS ADDRESS (NO.AND STREET) CITY STATE ZIP Identify the controlling officeholder,candidate,or state measure proponent,if any. CA NAME OF OFFICEHOLDER,CANDIDATE,OR PROPONENT 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 OFFICE SOUGHT OR HELD DISTRICT NO.IF ANY contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME I.D.NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? 7. Primarily Formed Candidate/Officeholder Committee List names of officeholder(s)or candidate(s)for which this committee is primarily formed. ❑YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O.BOX) NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE CITY STATE ZIP CODE AREA CODE/PHONE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE COMMITTEE NAME I.D.NUMBER NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT O OPPOSE NAME OF TREASURER CONTROLLED COMMITTEE? NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 0 YES 1=1 NO ❑ SUPPORT ❑ OPPOSE • COMMITTEE ADDRESS STREET ADDRESS (NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov Campaign Disclosure Statement Amounts may be rounded SUMMARY PAGE �+ to whole dollars. 'yam Summar Page Statement covers period -COAL) •6`RNIA. .I : • 9 July 1, 2019 r„%e ut:;f , , u from - -,-•`,1-',7;-;1;•::',,s1:-'.. `."° ` ` .11 through SEE INSTRUCTIONS ON REVERSE December 31, 2019 Page 3 of 7 NAME OF FILER I.D.NUMBER Sandra Armenta for Rosemead City Council 2017 1392614 Column A Column B @ Calendar Year Siamrnaiy for Candidates Contributions Received TOTAL THIS PERIOD CALENDAR YEAR 1 Runningin Both the State Primaryand (FROM ATTACHED SCHEDULES) TOTAL TO DATE General Elections 1. Monetary Contributions Schedule A,Line 3 $ 1,000.00 $ 1,000.00 0.00 0.00 1/1 through 6/30 7/1 to Date 2. Loans Received Schedule B,Line 3 1,000.00 1,000.00 20. Contributions 3. SUBTOTAL CASH CONTRIBUTIONS Add Lines 1+2 $ _ $ Received $ $ 4. Nonmonetary Contributions Schedule C,Line 3 0.00 0.0021. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED AddLines3+4 $ 1,000.00 $ 1,000.00 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made Schedule E,Line 4 $ 439.59 $ 439.59 Candidates 7. Loans Made Schedule H,Line 3 0.00 0.00 439.59 439.59 22. Cumulative Expenditures Made* 8. SUBTOTAL CASH PAYMENTS Add Lines 6+7 $ $ (If Subject to Voluntary Expenditure Limit) 9. Accrued Expenses(Unpaid Bills) Schedule F,Line 3 0.00 0.00 Date of Election Total to Date 10. Nonmonetary Adjustment Schedule C,Line 3 0.00 0.00 (mm/dd/yy) 11. TOTAL EXPENDITURES MADE Add Lines 8+9+10 $ 439.59 $ 439.59 - / J $ Current Cash Statement _____/_/ $ 12. Beginning Cash Balance Previous Summary Page,Line 16 $ 42.74 To calculate Column B, 13.Cash Receipts Column A,Line 3 above 1,000.00 add amounts in Column 0.00 A to the corresponding *Amounts in this section may be different from amounts 14.Miscellaneous Increases to Cash Schedule 1,Line 4 amounts from Column B reported in Column B. 15.Cash Payments Column A,Line 8 above 439.59 of your last report. Some amounts in Column A may 16.ENDING CASH BALANCE Add Lines 12+13+14,then subtract Line 15 $ 603.15 be negative figures that should be subtracted from If this is a termination statement,Line 16 must be zero. previous period amounts. If this is the first report being 17. LOAN GUARANTEES RECEIVED Schedule B,Part 2 $ 0.00 filed for this calendar year, only carry over the amounts Cash Equivalents and Outstanding Debts from Lines 2,7,and 9(if an 18. Cash Equivalents See instructions on reverse $ 0.00 y)' 19. Outstanding Debts Add Line 2+Line 9 in Column a above $ 0.00 FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) • www.fppc.ca.gov Schedule A Amounts may be rounded SCHEDULE A to whole dollars. Statement covers period Y "`Rliopwtary Received laiAr July 1, 2013N� � from • through December 31, 2019 Page 4 of 7 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D.NUMBER Sandra Armenta for Rosemead City Council 2017 1392614 FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I IF AN INDIVIDUAL,ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE * (IF SELF-EMPLOYED,ENTER NAME PERIOD (JAN.1-DEC.31) (IF REQUIRED) OF BUSINESS) Mao Jia Resturant ❑IND — 08/18/2019 8728 Valley Blvd., STE 101 ❑COM 1,000.00 1,000.00 1,000.00 Rosemead, CA 91770 OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC ❑IND ❑COM 1110TH .❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC SUBTOTAL$ 1,000.00 Schedule A Summary *Contributor Codes 1. Amount received this period—itemized monetary contributions. IND—Individual (Include all Schedule A subtotals.) $ 1,000.00 COM—Recipient Committee (other than PTY or SCC) 2. Amount received this period—unitemized monetary contributions of less than $100 $ 0.00 OTH—Other(e.g.,business entity) PTY—Political Party 3. Total monetary contributions received this period. SCC—Small Contributor Committee (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) TOTAL $ 1,000.00 FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov • Amounts maybe rounded SCHEDULE B PART 1 Scheduie Partto whole dollars. Statement co'v'ers period liL:),,. *:(::), 0 1 IAEF f,4,, ,,,..„-.1v ,�) ' Loans Received Jtlft, 'i ;:019 - �I-; _ ..,- r.„, from --- —=— „-,'—';`"-.4-4©� fi ” 3 '� SEE INSTRUCTIONS ON REVERSE through December 31, 2019 Page 5 of 7 - NAME OF FILER I.D.NUMBER Sandra Armenta for Rosemead City Council 2017 1392614 IF AN INDIVIDUAL.ENTER FILL NAME,Sl REET ADDRESS AND ZIP CODE OUTSTANDING AMOUNT AMOUNT PAID OUTSTANDING INTEREST ORIGINAL CUMULATIVE OF LENDER OCCUPATION sETFON AND SELF-EMPLOYED, OYER BALANCE RECEIVED THIS OR FORGIVEN BALANCE AT PAID THIS AMOUNT OF CONTRIBUTIONS (IF COMMITTEE,ALSO ENTER I.D.NUMBER) NAME OF BUSINESS) BEGINNING'rHIS PERIOD THIS PERIOD* CLOSE OF THIS PERIOD LOAN TO DATE . PERIOD PERIOD Sandra Armenta Lopez CA State Rules IZI PAID CALENDAR YEAR RATE ❑ FORGIVEN PER ELECTION** $ 0.00 $ 275.00 $ N/A $ 0.00 7/09/2019 $ 1I2 IND 0 COM ❑ OTH 0 PTY ❑ SCC DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR $ $ % $ $ RATE ❑ FORGIVEN PER ELECTION** $-- $ $ -- $ — $ t❑ IND 0 COM 0 OTH 0 PTY ❑ SCC DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR $ $ % $ $ RATE ❑FORGIVEN PER ELECTION** $ $ $ $ $ t❑ IND 0 COM 0 OTH 0 PTY 0 SCC DATE DUE DATE INCURRED SUBTOTALS $ 275.00$ 275.00 $ 0.00 $ 0.00 - (Enter(e)on Schedule ummary Schedule E,Line 3) 1. Loans received this period $ 27r1..00 (Total Column (b) plus unitemized loans of less than $100.) tContributor Codes 2. Loans paid or forgiven this period $ 2700 IND—Individual (Total Column (c) plus loans under$100 paid or forgiven.) COM—Recipient Committee (other than PTY or SCC) (Include loans paid by a third party that are also itemized on Schedule A.) OTH—Other(e.g.,business entity) PTY—Political Party 3. Net change this period. (Subtract Line 2 from Line 1.) NET $ n-nn SCC-Small Contributor Committee Enter the net here and on the Summary Page, Column A, Line 2. (May be a negative number) *Amounts forgiven or paid by another party also must be reported on Schedule A. FPPC Form 460(Jan/2016) **If required. FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov SCHEDULE E Schedule E Amounts may be rounded Statement covers period Oi ALI ®RNIA A ';'• to whole dollars. '1, Payments Made trom. July 1, 2019 tt �',` throughDecember31, 2015 Page 6 of 7 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D.NUMBER Sandra Armenta for Rosemead City Council 2017 1392614 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(internet,e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Bank of America Monthy Fee for Business Fundamental 8856 Valley Blvd. 96.00 Rosemead, CA 91770 VONS Flowers for Volunteers- 777 S. Glendora Ave. Backpack Resource Fair 18.59 West Covina, CA 91790 CA Secretary of State Campaign Filing Fee 1500 11th Street 200.00 Sacramento, CA 95814 *Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 314.59 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) $ 439.59 2. Unitemized payments made this period of under$100 $ 0.00 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 Summary Page, Column A, Line 6.) TOTAL $ 439.59 FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov Schedule E Amounts may be roundedSCHEDULE E(CONT.) ( R' ita Sheet) to whole dollars. Statement covers periodnna . otRNI1A 4 Payments Made from July 1, 2019 �^ throughDecember31, 201E Page 7 of 7 SEE INSTRUCTIONS ON REVERSE NAME OF FILER . I.D.NUMBER Sandra Armenta for Rosemead City Council 2017 1392614 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(internet,e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE,ALSO ENTER I.D.NUMBER) San Gabriel Women's Foundation Holiday Luncheon P.O. Box 2196 35.00 San Gabriel, CA 91778 #47-3954591 San Gabriel Women's Foundation Membership P.O. Box 2196 50.00 San Gabriel, CA 91778 #47-3954591 Woman's Club of Temple City Christmas Dinner 9703 Woodruff Ave. 40.00 Temple City, CA 91780 #95-1489032 *Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 125.00 FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov Recipient Committee Date Stamp COVER PAGE Campaign Statement RECEIVED CALIFORNIA60 Cover Page CITY OFROSEMEAD FORMM Statement covers period Date of election if applicable: IJUL 3 0 2019 Page 1 of 4 — January 1, 2019 (Month,Day,Year) d J For Official Use Only from SEE INSTRUCTIONS ON REVERSE through June 30, 2019BY:CITKICE 1. Type of Recipient Committee: All Committees-Complete Parts 1,2,3,and 4. 2. Type of Statement: 0 Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure El Preelection Statement Cl Quarterly Statement O State Candidate Election Committee Committee 12 Semi-annual Statement ❑ Special Odd-Year Report O Recall 0 Controlled El Termination Statement (Also Complete Part 5) 0 Sponsored (Also file a Form 410 Termination) (Also Complete Part 6) El General Purpose Committee El Amendment(Explain below) O Sponsored ❑ Primarily Formed Candidate/ O Small Contributor Committee Officeholder Committee 0 Political Party/Central Committee (Also Complete Part 7) 3. Committee Information I.D.NUMBER Treasurer(s) 1392614 COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER Sandra Armenta for Rosemead City Council Sandra Armenta Lopez MAILING ADDRESS STREET ADDRESS(NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE CA CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER,IF ANY CA MAILING ADDRESS(IF DIFFERENT)NO.AND STREET OR P.O.BOX MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX/E-MAIL ADDRESS OPTIONAL: FAX/E-MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained 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 correct. Executed on July 30, 2019 By Executed on July 30, 2019 By Date Officer of Sponsor Executed on By Date Signature of Controlling Officeholder,Candidate,State Measure Proponent Executed on By Date Signature of Controlling Officeholder,Candidate,State Measure Proponent FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov COVER PAGE-PART 2 Recipient Committee CALIFORNIA 460 Campaign Statement FORM Cover Page — Part 2 Page 2 of 4 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE Sandra Armenta OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO.OR LETTER JURISDICTION ❑ SUPPORT Rosemead City Council ❑ OPPOSE RESIDENTIAL/BUSINESS ADDRESS (NO.AND STREET) CITY STATE ZIP Identify the controlling officeholder,candidate,or state measure proponent,if any. CA NAME OF OFFICEHOLDER,CANDIDATE,OR PROPONENT 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 OFFICE SOUGHT OR HELD DISTRICT NO.IF ANY contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME I.D.NUMBER 7. Primarily Formed Candidate/Officeholder Committee List names of NAME OF TREASURER CONTROLLED COMMITTEE? officeholder(s)or candidate(s)for which this committee is primarily formed. ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O.BOX) NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE CITY STATE ZIP CODE AREA CODE/PHONE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 0 SUPPORT ❑ OPPOSE COMMITTEE NAME I.D.NUMBER NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF TREASURER CONTROLLED COMMITTEE? NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ YES ID NO ❑ SUPPORT ❑ OPPOSE COMMITTEE ADDRESS STREET ADDRESS (NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov Campaign Disclosure Statement Amounts may be rounded SUMMARY PAGE Summary Page to whole dollars. Statement covers period CALIFORNIA 460 from January 1, 2019 FORM throe h June 30, 2019 Page 3 of 4 SEE INSTRUCTIONS ON REVERSE g NAME OF FILER I.D.NUMBER Sandra Armenta for Rosemead City Council 2017 1392614 Column A Column B Calendar Year Summary for Candidates Contributions Received TOTAL THIS PERIOD CALENDAR YEAR (FROM ATTACHED SCHEDULES) TOTAL TO DATE Running in Both the State Primary and General Elections 1. Monetary Contributions Schedule A,Line 3 $ 0.00 $ 0.00 1/1 through 6/30 7/1 to Date 2. Loans Received Schedule B,Line 3 0.00 0.00 20. Contributions 3. SUBTOTAL CASH CONTRIBUTIONS Add Lines 1+2 $ 0.00 $ 0.00 Received $ $ 4. Nonmonetary Contributions Schedule C,Line 3 0.00 0.0021. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED Add Lines 3+4 $ 0.00 $ 0.00 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made Schedule E,Line 4 $ 96.00 $ 96.00 Candidates 7. Loans Made Schedule H,Line 3 0.00 0.00 Cumulative Expenditures Made* 8. SUBTOTAL CASH PAYMENTS Add Lines 6+7 $ 96.00 $ 96.00 22. (If Subject to Voluntary Expenditure Limit) 9. Accrued Expenses(Unpaid Bills) Schedule F Line 3 0.00 0.00 Date of Election Total to Date 10.Nonmonetary Adjustment Schedule C,Line 3 0..00 0.00 (mm/dd/yy) 11. TOTAL EXPENDITURES MADE Add Lines 8+9+10 $ 96.00 $ 96.00 _/___/ $ Current Cash Statement -__i-__/ $ 12. Beginning Cash Balance Previous Summary Page,Line 16 $ 138.74 To calculate Column B, 13.Cash Receipts Column A,Line 3 above 0.00 add amounts in Column 0.00 A to the corresponding *Amounts in this section may be different from amounts 14. Miscellaneous Increases to Cash Schedule 1,Line 4 amounts from Column B reported in Column B. 15.Cash Payments Column A,Line 8 above 96.00 of your last report. Some amounts in Column A may 16.ENDING CASH BALANCE Add Lines 12+13+14,then subtract Line 15 $ 42.74 be negative figures that should be subtracted from If this is a termination statement,Line 16 must be zero. previous period amounts. If this is the first report being 17. LOAN GUARANTEES RECEIVED Schedule B,Part 2 $ 0.00 filed for this calendar year, only carry over the amounts Cash Equivalents and Outstanding Debts from Lines 2,7,and 9(if 18. Cash Equivalents See instructions on reverse $ 0.00 any). 19. Outstanding Debts Add Line 2+Line 9 in Column B above $ 0.00 FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov Amounts may be rounded SCHEDULE E Schedule E Statement covers period CALIFORNIA 460 Payments Made to whole dollars. y from January 1, 2019 FORM through June 30, 2019 Page 4 of 4 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D.NUMBER Sandra Armenta for Rosemead City Council 2017 1392614 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(internet,e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Bank of America Monthly Fee for Business Fundamental 8856 Valley Blvd. $16.00 per month 96.00 Rosemead, CA 91770 $16.00 x 6=$96.00 *Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 96.00 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) $ 96.00 2. Unitemized payments made this period of under$100 $ 0.00 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 Summary Page, Column A, Line 6.) TOTAL $ 96.00 FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov • COVER PAGE Recipient Committee Date Stamp CALIFORNIA Campaign Statement RECEIVED FORM 460 Cover Page OITYOFROSEMEAD Statement covers period Date of election if applicable: Page 1 of 7 July 1, 2018 (Month,Day,Year) JAN 3 1 2019 For Official Use Only from SEE,INSTRUCTIONS ON REVERSE through Dec. 31, 2018 CLERICS E Br 1. Type of Recipient Committee: All Committees—Complete Parts 1,2,3,and 4. 2. Type of Statement: Q Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑ Preelection Statement ❑ Quarterly Statement 0 State Candidate Election Committee Committee V 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) (Also Complete Part 6) ❑ General Purpose Committee • - ❑ Amendment(Explain below) 0 Sponsored ❑ Primarily Formed Candidate/ 0 Small Contributor Committee Officeholder Committee 0 Political Party/Central Committee (Also Complete Part 7) 3. Committee Information I.D.NUMBER Treasurer(s) 1392614 COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER • Sandra Armenta for Rosemead City Council Sandra Armenta Lopez MAILING ADDRESS STREET ADDRESS(NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE CA CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER,IF ANY CA MAILING ADDRESS(IF DIFFERENT)NO.AND STREET OR P.O.BOX MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX/E-MAIL ADDRESS OPTIONAL: FAX/E-MAIL ADDRESS sandralarmenta@gmail.com sandralarmenta@gmail.com 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained 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 correct / / Executed on January 31,2019 By Date ` Date Signature of Controlling•ffi -holder,Candid'e,State Measure P opone rj.r Responsible Officer of Sponsor Executed on By Date Signature of Controlling Officeholder,Candidate,State Measure Proponent Executed on By Date Signature of Controlling Officeholder,Candidate,State Measure Proponent FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov COVER PAGE-PART 2 Recipient Committee CALIFORNIA Campaign Statement FORM 460 Cover Page — Part 2 Page 2 of 7 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE Sandra Armenta OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO.OR LETTER JURISDICTION ❑ SUPPORT Rosemead City Council ❑ OPPOSE RESIDENTIAL/BUSINESS ADDRESS (NO.AND STREET) CITY STATE ZIP 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 controlled by you or are primarily formed to receive OFFICE SOUGHT OR HELD DISTRICT NO.IF ANY contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME I.D.NUMBER NAME OF.TREASURER' CONTROLLED COMMITTEE? 7. Primarily Formed Candidate/Officeholder Committee List names of •officeholder(s)or candidate(s)for which this committee is primarily formed. ❑YES El NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O.BOX) .NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE CITY STATE ZIP CODE AREA CODE/PHONE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE COMMITTEE NAME I.D.NUMBER NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF TREASURER CONTROLLED COMMITTEE? NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑YES ❑NO ❑ SUPPORT ❑ OPPOSE COMMITTEE ADDRESS STREET ADDRESS (NO P.O.BOX) - CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov Campaign Disclosure Statement Amounts may be rounded SUMMARY PAGE Summary Page to whole dollars. . Statement covers period CALIFORNIA 460 from July 1, 2018 FORM through Dec. 31,2018 Page 3 of SEE INSTRUCTIONS ON REVERSE 7 NAME OF FILER I.D.NUMBER Sandra Armenta for Rosemead City Council 2017 . • 1392614 Contributions Received TOTAL A Column B Calendar Year Summary for Candidates THIS PERIOD CALENDAR YEAR (FROM ATTACHED SCHEDULES) TOTAL TO DATE Running in Both the State Primary and 1,000.00 1,000.00 General Elections 1. Monetary Contributions Schedule A,Line 3 _ $ $ _ 0.00 0.00 1/1 through 6/30 7/1 to Date 2. Loans Received Schedule B,Line 3 1,000.00 1,000.00 20. Contributions 3. SUBTOTAL CASH CONTRIBUTIONS Add Lines 1+2 $ $ Received $ $ 4. Nonmonetary Contributions Schedule C,Line 3 0.00 0.00 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED AddLines3+4 $ 1,000.00 $ 1,000.00 Made $ $ Expenditures Made , ' Expenditure Limit Summary for State 6. Payments Made Schedule E,Line $ 918.55 $ 1,516.50 Candidates 7. Loans Made Schedule H,Line 3 0.00 100.00 918.55 1,616.50 22. Cumulative Expenditures Made* 8. SUBTOTAL CASH PAYMENTS Add Lines 6+7 $ $ (If Subject to Voluntary Expenditure Limit) 9. Accrued Expenses(Unpaid Bills) Schedule F,Line 3 0.00 0.00 Date of Election Total to Date 10. Nonmonetary Adjustment Schedule C,Line 3 0.00 0.00 (mm/dd/yy) 11. TOTAL EXPENDITURES MADE Add Lines 8+9+10 $ 918.55 $ 1,616.50 , $ Current Cash Statement • ___i_ $ 12. Beginning Cash Balance Previous Summary Page,Line 16 $ 57.29 To calculate Column B, 13.Cash Receipts Column A,Line 3 above 1,000.00 add amounts in Column 0.00 A to the corresponding *Amounts in this section may be different from amounts 14.Miscellaneous Increases to Cash Schedule I,Line 4 amounts from Column B reported in Column B. 15.Cash Payments Column A,Lines above 918.55 of your last report. Some amounts in.Column A may 16.ENDING CASH BALANCE Add Lines 12+13+14,then subtract Line 15 $ _ 138.74 be negative figures that should be subtracted from If this is a termination statement,Line 16 must be zero. previous period amounts. If this is the first report being 17. LOAN GUARANTEES RECEIVED Schedule B,Part 2- $ , 0.00 filed for this calendar year, only carry over the amounts Cash Equivalents and Outstanding Debts from Lines 2,7,and 9(if any). 18. Cash Equivalents See instructions on reverse $ 0.00 19. Outstanding Debts Add Line 2+Line 9 in Column B above $ -0.00 FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov Schedule A Amounts may be rounded SCHEDULE A Monetary Contributions Received to whole dollars. Statement covers period CALIFORNIA from July 1, 2018 FORM 460 • SEE INSTRUCTIONS ON REVERSE through Dec. 31, 2018 Page 4 of 7 NAME OF FILER I.D.NUMBER Sandra Armenta for.Rosemead City Council 2017 1392614 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL,ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ENTER I.D.NUMBER) CODE* OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED,ENTER NAME PERIOD (JAN.1-DEC.31) (IF REQUIRED) OF BUSINESS) 0 IND 07/24/19 Minh Travel &Tours Inc. ❑COM $1,000.00 $1,000.00 8728 Valley Blvd., Suite 206 ❑OTH Rosemead, CA 91770 ❑PTY ❑soo • ❑IND ❑COM ❑OTH ❑PTY ❑SCC ❑IND l=1 COM ❑OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC 1=1 IND ❑COM ❑OTH ❑'PTY ❑SCC SUBTOTAL$ 1,000.00 _ Schedule A.Summary "Contributor Codes 1. Amount received this period-itemized monetary.contributions. ' IND-Individual (Include all Schedule A subtotals.) $ 1,000.00 COM-Recipient Committee (other than PTY or SCC) 2. Amount received this period-unitemized monetary contributions of less than$100 $. 0.00 OTH-Other(e.g.,business entity) PTY-Political Party 3. Total monetary contributions received this period. •SCC-Small Contributor Committee (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) TOTAL $ 1,000.00 FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov SCHEDULE E Schedule E Amounts may be rounded Statement covers period CALIFORNIA 460 Payments tS Made to whole dollars. y from July 1, 2018 FORM through Dec. 31, 2018 Page 5 of SEE INSTRUCTIONS ON REVERSE 7 NAME OF FILER I.D.NUMBER Sandra Armenta for Rosemead City Council 201,7 1392614 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(internet,e-mail) • NAME AND ADDRESS OF PAYEE (IF COMMITTEE,ALSO ENTER LC.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Bank of America Monthly Fee for Business Fundamental 8856 Valley Blvd. $16.00 per month $96.00 Rosemead, CA $16.00 x 6=$96.00 Petrillo's Pizza Pizza for Lunch Meeting 833 Valley Blvd. City of Rosemead Parks&Recreation $24.00 San Gabriel, CA 91776 4th of July Meeting Petrillo's Pizza Pizza for City of Rosemead Employees 833 Valley Blvd. 4th of July-Congratulations on a work well done $87.93 San Gabriel, CA 91776 *Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 207.93, Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) $ 918.55 2. Unitemized paymentsmade"this period of under$100 $ 0.00 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 Summary Page, Column A, Line 6.) TOTAL $ 918.55 FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) • www.fppc.ca.gov Schedule ESCHEDULE E(CONT.) Amounts may be rounded (Continuation Sheet) to whole dollars. Statement covers period CALIFORNIA 460 Payments Made from July 1, 2018 FORM g SEE INSTRUCTIONS ON REVERSE through December 31, 20a Page 6 of 7 NAME OF FILER ® I.D.NUMBER Sandra Armenta for Rosemead City Council 2017 1392614 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(internet,e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE,ALSO ENTER I.D.NUMBER) La Casa Community Center 2$25.00 Gift Cards- Donations 203 East Mission Road $50.00 San Gabriel, CA 91776 Gilbert Guzman Graphic Designs Kabuki Japanese Restaurant Lunch Dinner Meeting with Consultant 3539 E. Foothill Blvd. $36.93 Pasadena, CA 91107 Rosemead High School Football Team 9063 Mission Dr. Spirit Packs $150.00 Rosemead, CA 91770 Cold Stone Creamery Congratulation Cake for the City of Rosemead 3580 Rosemead Blvd. Beautification Committee, becoming a commission $21.99 Rosemead, CA 91770 *Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 358.92 FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov Schedule E Amounts may be rounded SCHEDULE E(CONT.) (Continuation Sheet) to whole dollars. Statement covers period CALIFORNIA Payments Made from July 1, 2018 FORM 460 tnrou n Dec. 31, 2018 7 7 SEE INSTRUCTIONS ON REVERSE g Page of NAME OF FILER I.D.NUMBER Sandra Armenta for Rosemead City Council 2017 1392614 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(internet,e-mail) • NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE,ALSO ENTER I.D.NUMBER) Diamond Parking Parking for the League of California Cities Annual Metered Parking Lot Conference in Long Beach. $7.00 Re-Elect Nancy Armenta for School Board Campaign Donation 9428 Olney St. Rosemead, CA 91770 $100.00 FPPC#1410625 Eldridge Rice Elementary School Classroom Donation 2150 Angelus Ave. $39.72 Rosemead, CA 91770 Southwest Airlines Sacramento Swearing-In for State Senate $204.98 *Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 351.70 FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov Recipient Committee Campaign Statement Cover Page COVER PAGE Rif swtrvf- x��� Statement covers period Date of election if applicable: Page 1 of from 07/01/2017 (Month, Day, Year) - ' For Official Use 3. Committee Information I.D. NUMBER 1392614 Sandra Armenta for Rosemead City Council 2017 STREET ADDRESS (NO P.O. BOX) Executed on January 30, 2018 Data Executed on January 30, 2018 Date Executed Executed an Data By Signature of Controlling Officeholder, Candidate, State Measure Proponent By Signature of Controlling Officeholder, Candidate, Stale Measure Proponent 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 Sandra Armenta OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Rosemead City Council RESIDENTIAL/BUSINESS ADDRESS (NO.ANDSTREET) CITY STATE ZIP CA 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. CITY STATE ZIP CODE AREACODE/PHONE COMMITTEE NAME II.D. NUMBER ❑ YES ❑ NO CITY STATE ZIP CODE AREACODE/PHONE 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE COVER PAGE - PART 2 Page 2 of 5 ❑ SUPPORT ❑ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR OFFICE SOUGHT OR HELD NO. IFANY 7. Primarily Formed Candidate/Officeholder Committee Listnames of officeholder(s) or candidates) 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 Attach continuation sheets if necessary FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Campaign Disclosure Statement Amounts may be rounded Summary Page to whole dollars. from Statement covers period 07/01/2017 SEE INSTRUCTIONS ON REVERSE through 12/31/17 Page 3 of 5 NAME OF FILER I.D. NUMBER Sandra Armenta for Rosemead City Council 1392614 Expenditures Made A , Schedule E, Line a Column B Calendar Year Summary for Candidates Contributions Received AddLines6+7 oColumn PERIOD F Line 3 10. Nonmonetary Adjustment......................................................... Running in Both the State Primary 11. TOTAL EXPENDITURES MADE........................................Add Lines 8+9+10 (FROM ATTACHED SCHEDULES) TOTAL TO DATE and General Elections 0.00 4,000.00 1. Monetary Contributions................................................... Schedule A, Line 3 $ $ 0.00 100.00 1/1 through 6/30 7/1 to Dale 2. Loans Received-.............................................................. Schedule B, Line 3 0.00 4,100.00 20. Contributions 3. SUBTOTAL CASH CONTRIBUTIONS ........... Received $ $ 0.00 0.00 4. Nonmonetary Contributions ............................................ Schedule C, Line 3 21. Expenditures 0.00 4,100.00 Made $ $ 5. TOTAL CONTRIBUTIONS RECEIVED .................................... Add Lines 3 + 4 $ $ Expenditures Made 6. Payments Made., ............................................................. , Schedule E, Line a 7. Loans Made....................................................................... Schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS .......................................... AddLines6+7 9. Accrued Expenses (Unpaid Bills)..........................................Schedule F Line 3 10. Nonmonetary Adjustment......................................................... Schedule C, Line 3 11. TOTAL EXPENDITURES MADE........................................Add Lines 8+9+10 Current Cash Statement 12. Beginning Cash Balance ............................ Previous Summary Page, Line 16 13. Cash Receipts........................................................... Column A, Line 3 above 14. Miscellaneous Increases to Cash .................................. Schedule d Line 4 15. Cash Payments......................................................... Column A, Line 8above 16. ENDING CASH BALANCE ..................Add Lines 12+ 13+ 14, then subtract Line 15 If this is a termination statement, Line 16 must be zero. $ 2,028.76 0.00 $ 2,028.76 0.00 $ 3,344.76 0.00 $ 3,344.76 0.00 0.00 0.00 $ 2,028.76 $ 3,344.76 $ 2,784.00 0.00 0.00 17. LOAN GUARANTEES RECEIVED ................................ Schedule B, Part 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ....................... -....................... See instructions on reverse $ 19. Outstanding Debts .............................. Add Line 2+ Line 9 in Column B above $ 2,028.76 755.24 0.00 0.00 100.00 To calculate Column B, add amounts in Column Ato 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). Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (If subject to voluntary Expenditure Limit) Date of Election Total to Date (mm/dd/yy) *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 SCHEDULE B - PART 1 Schedule - a to whole dollars. Statement coversperiod Loans Received 07/01/2017 . - , - • from . 12/31/17 4 5 SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER I.D. NUMBER Sandra Armenta for Rosemead City Council 1392 114 FULL NAME, STREETADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OUTSTANDING AMOUNT gMOUNT PAID OUTSTANDING INTEREST ORIGINAL s CUMULATIVE OF LENDER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER BALANCE BEGINNING THIS RECEIVED THIS OR FORGIVEN BALANCE AT CLOSE OF THIS PAID THIS AMOUNT OF CONTRIBUTIONS (IF COMMITTEE, ALSO ENTER I.D. NUMBER) NAME OF BUSINESS) PERIOD PERIOD THIS PERIOD` PERIOD PERIOD LOAN TO DATE Sandra Armenta Teacher ❑ PAID CALENDAR YEAR _% $ FORGIVEN E] FORGIVEN PER ELECTIONxx r.?G! $ JC,` $ 5 N/A 5 $ DATE DUE DATE INCURRED %2 IND ❑ COM ❑ OTH (E PTV ❑ SCC ❑ PAID CALENDARYEAR $ $ % 5 $ FORGIVEN El FORGIVEN PER ELECTION ax 5 $ $ $ 5 DATE DUE PATE INCURRED t❑ IND ❑ COM ❑ OTH ❑ PTV ❑ SCC ❑ PAID CALENDARYEAR FORGIVEN [_1 FORGIVEN PER ELECTION xx $ $ $ $ 5 DATE DUE DATE INCURRED t❑ IND [_1 COM ❑ OTH ❑PTY ❑SCC SUBTOTALS $ $ $ 100.00 $ Schedule B Summary 1. Loans received this period....................................................................................................................$ (Total Column (b) plus unitemized loans of less than $100.) 2. Loans paid or forgiven this period.........................................................................................................$ n nn (Total Column (c) plus loans under $100 paid or forgiven.) (Include loans paid by a third party that are also itemized on Schedule A.) 3. Net change this period. (Subtract Line 2 from Line 1.).............................................................. NET $ Ono Enter the net here and on the Summary Page, Column A, Line 2. (Mxy be x n,MW number) "Amounts forgiven or paid by another party also must be reported on Schedule A. " If required. ,nue, lei eR Schedule E, Llne 3) tContributor 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 ()an/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE Sandra Armenta for Rosemead City Council Amounts may be rounded to whole dollars. Statement covers period I 07/01/2017 M• from through 12/31/17 page 5 of 5 I.D. NUMBER 1392614 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 fling/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) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.O. NUMBER) Bank of America 8856 Valley Blvd. Rosemead, CA 91770 China Airlines City of Industry Grand Hotel Taipei No. 1, Section 4, Zhongshan N Rd, Zhongshan District, Taipei City, CODE OR DESCRIPTION OF PAYMENT Monthly Fee for Business Fundamental Airfair to Taiwan for Rosemead Delegation Lodging for Rosemead Delegation AMOUNT PAID $48.00 $1,210.00 $770.76 ` Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 2,028.76 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.)................................................................ ............................................. $ 2,028.76 2. Unitemized payments made this period of under $100.................................................................................. ....................................................... $ 0.00 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 Summary Page, Column A, Line 6.) ........................... TOTAL $ 21028.76 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement covers period 01/01/2017 through 06/30/2017 1. Type of Recipient Committee: An committees - complete Parra 1, 2, 3, and 4. R1 Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure O State Candidate Election Committee Committee O Recall O Controlled (Also Complete Part 5) O Sponsored (Also Complete Pan 6) ❑ General Purpose Committee O Sponsored ❑ Primarily Formed Candidate/ O Small Contributor Committee Officeholder Committee O Political Party/Central Committee (Also complete Pan 7) 3. Committee Information I.D. NUMBER Sandra Armenia for Rosemead City Council 2017 STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREACODE/PHONE CA MAILING ADDRESS (IF DIFFERENT) NO, AND STREET OR P.O. BOX CITY STATE ZIP CODE AREACODE/PHONE OPTIONAL: FAX/E-MAIL ADDRESS 4. Verification COVER PAGE Date Stamp CALIFORNIA' REC FORM EIVIEU rrY OF ROSE",3EALD Date of election if applicable:Page 1 of 9 (Month, Day, Year) ' For Official Use Only =v TTY C7i_rRK'S (OF0;. Y: Lir, 2. Type of Statement: ❑ Preelection Statement ❑ Quarterly Statement ❑ Semi-annual Statement ❑ Special Odd -Year Report ❑ Termination Statement (Also file a Form 410 Termination) 0 Amendment (Explain below) Minor corrections: pgs. 1, 6, 7, 8, and Name of Filer. Treasurer(s) NAME OF TREASURER Sandra Armenta MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE CA OF ASSISTANT TREASURER, IF ANY CITY STATE ZIPCODE AREA CODE/PHONE OPTIONAL: FAX/E-MAILADDRESS I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained 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 , Executed on January 31, 2017 Date Executed on January 31, 2017 Data Executed on Executed on Data By Signature of Controlling Officeholder, Candidate, State Measure Proponent By Signature of Controlling Officeholder, Candidate, Slate Measure Proponent 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 Sandra Armenta OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IFAPPLICABLE) Rosemead City Council RESIDENTIAL/BUSINESS ADDRESS (NO.ANDSTREET) CITY STATE ZIP CA 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. NAME OF TREASURER I.D. NUMBER YES ❑ NO CITY STATE ZIPCODE AREACODE/PHONE CITY STATE ZIP CODE AREACODE/PHONE 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE COVER PAGE - PART 2 Page 2 of 9 ❑ 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 7. Primarily Formed Candidate/Officeholder Committee Listnames 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 Attach continuation sheets if necessary FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Campaign Disclosure Statement Summary Page NAME OF FILER Sandra Armenta for Rosemead City Council 2017 Contributions Received 1. Monetary Contributions. ........ ............................ - ........... Schedule A, Line 3 $ 2. Loans Received................................................................ Schedule B, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines l+2 $ 4. NonmonetaryContributions............................................ Schedule C,Line 3 5. TOTAL CONTRIBUTIONS RECEIVED ....................................Add Lines 3+4 $ Amounts may be rounded to whole dollars. Column A TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) 1,000.00 0.00 1,000.00 0.00 1,000.00 Expenditures Made 12. Beginning Cash Balance ............................ Previous summary Page, Line 16 $ 6. Payments Made................................................................ Schedule E, Line 4 $ 1,316.00 7. Loans Made....................................................................... Schedule H. Line 3 0.00 8. SUBTOTAL CASH PAYMENTS .......................................... Add Lines 6+7 $ 1,316.00 9. Accrued Expenses (Unpaid Bills Schedule F, Line 3 0.00 -10. Nonmonetary Adjustment......................................................... Schedule C, Line 3 0.00 11. TOTAL EXPENDITURES MADE........................................Add Lines s+9+10 $ 1,316.00 Current Cash Statement 12. Beginning Cash Balance ............................ Previous summary Page, Line 16 $ 3,100.00 13. Cash Receipts........................................................... Column A, Line 3above 1,000.00 14. Miscellaneous Increases to Cash .................................. Schedule 1, Line 4 0.00 15. Cash Payments......................................................... Column A, Line s above 1,316.00 16. ENDING CASH BALANCE Add Lines 12+ 13+ 14, then subtract Line 15 $ 2,784.00 If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ..................... Cash Equivalents and Outstanding 18. Cash Equiw 19. Outstanding Schedule B, Part 2 $ .............. See instructions on reverse $ Add Line 2 + Line 9 in Column B above $ 1 11 1 11 100.00 Statement covers period from 01/01/2017 through 06/30/2017 Column B CALENDAR YEAR TOTALTO DATE $ 4,000.00 100.00 $ 4,100.00 0.00 $ 4,100.00 $ 1,316.00 0.00 $ 1,316.00 0.00 0.00 $ 1,316.00 To calculate Column B, add amounts in Column Ato 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). SUMMARY PAGE Page 3 of 9 11392614 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 through 6/30 7/1 to Dale 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/dd/yy) E5 *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 Schedule A Amounts may be rounded SCHEDULE A Monetary Contributions Received ueuai�. Statement covers period CALIFORNIA , 01/01/2017 • • from 06/30/2017 4 9 through page of SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Sandra Armenta for Rosemead City Council 2017 1392614 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER D. NUMBER) CODE * (IP SELF-EMPLOYED, ENTER NAME PERIOD (JAN.1-DEC. 31) (IF REQUIRED) OF BUSINESS) Sunshine Studio, Inc. ❑ IND 05/19/2017 2275 Huntington Dr. El COM $1,000.00 $1,000.00 E] OTH San Marino, CA 91108 ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC El IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL$ 1,000.00 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. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.)......................TOTAL $ 1,000.00 0.00 1,000.00 *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 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov SCHEDULE B - PART 1 Schedule - a to whole dollars. Statement coversp erod Loans Received 01/01/2017 CALIFORNIA J• from FORM SEE INSTRUCTIONS ON REVERSE through 06/30/2017 Page 5 of 9 NAME OF FILER I.D. NUMBER Sandra Armenta for Rosemead City Council 2017 1392614 FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER a OUTSTANDING AMOUNT IN AMOUNT PAID OUTSTANDING INTEREST ORIGINAL 9 CUMULATIVE OFSO (IF SELF-EMPLOYED, BALANCE BEGINNING HIS RECEIVED THIS OR FORGIVEN BALANCE AT CLOSE OF THIS PAID THIS AMOUNTOF CONTRIBUTIONS QF COMMITTEE, ALSO ENTER I.E. NUMBER) ENTER ESS)ENTER NAME OF BUSINESS) PERIOD PERIOD PERIOD THIS PERIOD* PERIOD PERIOD LOAN TO DATE Sandra Armenta Teacher ❑ PAID CALENDAR YEAR % RATE $ ❑ FORGIVEN PER ELECTION** $ $ $ $ $ DTE DUE DATE INCURRED } � IND ❑COM ❑ OTH El PTY ❑SCC ❑ PAID CALENDARYEAR FORGIVEN El FORGIVEN PER ELECTION** $ $ $ $ S DATE DUE DATE INCURRED t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ PAID CALENDARYEAR FORGIVEN El FORGIVEN PER ELECTION** $ $ $ 5 $ DATE DUE DATE INCURRED } tEl IND [I COM ❑ OTH ❑PTY ❑SCC SUBTOTALS $ $ $ 100.00 $ Schedule B Summary 1. Loans received this period....................................................................................................................$ (Total Column (b) plus unitemized loans of less than $100.) 2. Loans paid or forgiven this period.........................................................................................................$ (Total Column (c) plus loans under $100 paid or forgiven.) (Include loans paid by a third party that are also itemized on Schedule A.) 3. Net change this period. (Subtract Line 2 from Line 1.).............................................................. NET $ 000 Enter the net here and on the Summary Page, Column A, Line 2. (May be a negative number) *Amounts forgiven or paid by another party also must be reported on Schedule A. ** If required. (Enter(e)en Schedule E, Line 3) tContributor 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 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule D SCHFDtJI F D Summary or Expenditures Amounts may ae rounaetl Statement covers period to whole dollars. Supporting/Opposing Other CALIFORNIA • Candidates, Measures and Committees from 01/01/2017 FORM through 06/30/2017 page 6 of 9 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Sandra Armenta for Rosemead City Council 2017 1392614 DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR TYPE OF PAYMENT DESCRIPTION AMOUNT THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE MEASURE NUMBER OR LETTER AND JURISDICTION, (IF REQUIRED) PERIOD (JAN.1-DEC. 31) (IF REQUIRED) OR COMMITTEE Susan Rubio for Senate 2018, 0 Monetary 06/27/2017 FPPC # 1392890 Contribution $250.00 $250.00 ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure SUBTOTAL $ 250.00 Schedule D Summary 1. Itemized contributions and independent expenditures made this period. (Include all Schedule D subtotals.)....................................................... $ 250.00 2. Unitemized contributions and independent expenditures made this period of under $100.................................................................................... $ 0.00 3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.) .......... TOTAL.. $ 250.00 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E Payments Made REVERSE Sandra Armenta for Rosemead City Council 2017 Amounts may be rounded to whole dollars. Statement covers period from 01/01/2017 06/30/2017 I Page 7 of 9 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment f1100N.YIC! 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 nonmonetaryp' OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate fling/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 (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Rosemead High SchoolPaid for the Academic Decathlon Mission Valley 9063 Mission Dr. CVC League Champion T -Shirts $176.00 Rosemead, CA 91770 City of Rosemead Victory Celebration 8828 E. Valley Blvd. $156.00 Rosemead. CA 91770 Secretary of State 1500 11th St. FIL $50.00 Sacramento, CA 95814 ' Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 382.00 Schedule E Summary 1. Itemized payments made this period. Include all Schedule E subtotals. 1,316.00 2. Unitemized payments made this period of under $100.......................................................................................................................................... $ 0.00 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 Summary Page, Column A, Line 6. TOTAL $ 11316.00 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E Amounts may be rounded (Continuation Sheet) to whole dollars. Payments Made SEE INSTRUCTIONS ON REVERSE Sandra Armenta for Rosemead City Council 2017 CODES: If one of the following codes accurately describes the CMP CNS CTB CVC FIL FIND IND LEG LIT campaign paraphernalia/misc. campaign consultants contribution (explain nonmonetary)* civic donations candidate filing/ballot fees fundraising events independent expenditure supporting/opposing others (explain)* legal defense campaign literature and mailings Statement covers period from 01/01/2017 through 06/30/2017 payment, you may enter the code. Otherwise, MBR member communications RAD MTG meetings and appearances RFD OFC office expenses SAL PET petition circulating TEL PHO phone banks TRC POL polling and survey research TRS POS postage, delivery and messenger services TSF PRO professional services (legal, accounting) VOT PRT print ads WEB describe the payment. SCHEDULEE(CONT.) Page 8 of 9 I.D. NUMBER 1392614 radio airtime and production costs returned contributions campaign workers'salaries t.v. or cable airtime and production costs candidate travel, lodging, and meals staff/spouse travel, lodging, and meals transfer between committees of the same candidate/sponsor voter registration 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 Rice Elementary PTA Yard Sale Donation 2150 Angelus Ave. CVC $100.00 Rosemead, CA 91770 Discovery Cube Paid the balance for Rice Elementary students' 2500 N. Main St. CVC entry to the Discovery Cube. $80.00 Santa Ana, CA 92705 Rice Elementary PTA Year Book Donation 2150 Angelus Ave. CVC $120.00 Rosemead, CA 91770 Rice Elementary PTA Donation for End of the Year Snacks 2150 Angelus Ave. CVC $20.00 Rosemead, CA 91770 F/8 Studio 9144 Aero Dr. LIT $300.00 Pico Rivera, CA 90660 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 620.00 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Susan Rubio for Senate 2018 1787 Tribute Road Suite K Sacramento, CA 95815 CTB SCHEDULE E (CONT.) $250.00 Amounts may be rounded Monthly Fee for Business Fundamental Statement covers period (Continuation Sheet) to whole dollars. CALIFORNIA 460 Payments Made from 01/01/2017 FORM 06/30/2017 9 9 SEE INSTRUCTIONS ON REVERSE through Page pa 9 of NAME OF FILER I.D. NUMBER Sandra Armenta for Rosemead City Council 2017 1392614 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)* DEC office expenses SAL campaign workers'salaries CVC civic donations PET petition circulating TEL Lv. 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) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Susan Rubio for Senate 2018 1787 Tribute Road Suite K Sacramento, CA 95815 CTB $250.00 Bank of America 8856 Valley Blvd. Rosemead, CA 91770 Monthly Fee for Business Fundamental $64.00 Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 314.00 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Recipient Committee Dates COVER PAGE i Campaign Statement REHIVED Cover Page CITY OF ROSEMEAD I F b RM 460' SEE INSTRUCTIONS ON REVERSE Statement covers period from 01/01/2017 through 06/30/2017 Date of election if applicable: (Month, Day, Year) JUI.3' 12,i;( CiTYC :K'SOMCR Page 1 of 9 For Official Use Only 1. Type of Recipient Committee: All committees - complete Parte 1, 2, 3, and 4. 2. Type of Statement: Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑ Preelection Statement ❑ quarterly Statement O State Candidate Election Committee Committee 6d Semi-annual Statement ❑ Special Odd -Year Report 0 Recall 0 Controlled ❑ Termination Statement fAlsocomplelevarte) 0 Sponsored (Also file a Form 410 Termination) (Also complete Part 6) F-1General Purpose Committee ❑ Amendment (Explain below) 0 Sponsored ❑ Primarily Formed Candidate/ 0 Small Contributor Committee Officeholder Committee 0 Political Party/Central Committee (Also complete Part i) 3. Committee Information I.D. NUMBER Sandra Armenta for Rosemead City Council 2017 STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREACODE/PHONE CA MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREACODE/PHONE OPTIONAL: FAX/E-MAIL ADDRESS Treasurer(s) NAMEOFTREASURER Sandra Armenta CITY STATE ZIP CODE AREA CODE/PHONE CA NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX/E-MAIL ADDRESS sandralarmenta@gmail.com sandralarmenta@gmail.com 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained 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 foregoingis Executed on Executed on Executed on 31, 2017 31.2017 By Signature of Controlling Officeholder, Candidate, Stale Measure Proponent Executed on By Dale Signature of Controlling Oficeholder Candidate, State Measure Proponent 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 Sandra Armenta OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Rosemead City Council RESIDENTIAL/BUSINESS ADDRESS (NO.ANDSTREET) CITY STATE ZIP CA 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 STREETADDRESS (NO P.O. I.U. NUMBER ❑ YES ❑ NO CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I I.D. NUMBER ❑ YES ❑ NO P.O. CITY STATE ZIP CODE AREACODE/PHONE 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE COVER PAGE - PART 2 Page 2 of 9 ❑ SUPPORT ❑ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT UIJ I KIUI NU. IF ANY 7. Primarily Formed Candidate/Officeholder Committee List names of officeholder(s) or candidates) 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 Attach continuation sheets if necessary FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Campaign Disclosure Statement Summary Page NAME OF FILER Sandra Armenia for Rosemead City Council Contributions Received 1. Monetary Contributions................................................... schedule A, Line 3 $ 2. Loans Received. .... .......... - .............................................. Schedule B, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 1 +2 $ 4. Nonmonetary Contributions ............................................ Schedule C, Linea 5. TOTAL CONTRIBUTIONS RECEIVED....................................Add Lines 3+4 $ Amounts may be rounded to whole dollars. Column A TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) 1,000.00 0.00 1,000.00 1 11 Statement covers period 01/01/2017 through Column B CALENDARYEAR TOTAL TO DATE $ 4,000.00 100.00 $ 4,100.00 0.00 1,000.00 $ Expenditures Made Expenditure Limit Summary for State $ 1,316.00 Candidates 6. Payments Made................................................................ Schedule E, Line 4 $ 1,316.00 7. Loans Made....................................................................... Schedule H, Line 3 Date of Election Total to Date 0.00 8. SUBTOTAL CASH PAYMENTS .......................................... Add Lines 6+7 $ 1,316.00 9. Accrued Expenses (Unpaid Bills) .......................................... Schedule F, Line 3 0.00 10. Nonmonetary Adjustment ............ ....... ...................................... Schedule C,Line 3 *Amounts in this section may be different from amounts 0.00 11. TOTAL EXPENDITURES MADE ........................................ Add Lines 8+9+10 $ 1,316.00 Current Cash Statement 12. Beginning Cash Balance ............................ Previous Summary 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 a above 16. ENDING CASH BALANCE ................ Lines 12+13+ 14, then subtract Line 16 $ If this is a termination statement, Line 16 must he zero, 3,100.00 1,000.00 1 11 1,316.00 2,784.00 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 $ 100.00 4,100.00 06/30/2017 Page 3 of 9 11392614 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 $ PAGE Expenditure Limit Summary for State $ 1,316.00 Candidates 0.00 22• Cumulative Expenditures Made* (ir Subject to voluntary Expenditure Limit) $ 1,316.00 0.00 Date of Election Total to Date 0.00 (mm/dd/yy) 1 $ I $ $ 1,316.00 To calculate Column B, add amounts in Column A to the corresponding *Amounts in this section may be different from amounts amounts from Column B reported in 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). FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A Amounts may be rounded SCHEDULE A Monetary Contributions Received io wnoie POiiars. Statement covers period CALIFORNIA, 01/01/2017 from 1 60 1 FORM 06/30/2017 4 9 SEE INSTRUCTIONS ON REVERSE through page of NAME OF FILER I.D. NUMBER Sandra Armenta for Rosemead City Council 1392614 DATE FULL NAME, STREETADDRESSAND ZIP CODE OF CONTRIBUTORCONTRIBUTOR (IF COMMITTEE, ALSO ENTER To. NUMBER) [FAN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVETO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN.1-DEC. 31) (IF REQUIRED) OF BUSINESS) Sunshine Studio, Inc. ❑ IND 5/19/2017 2275 Huntington Dr. L] COM $1,000.00 $1,000.00 San Marino, CA 91108 ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL$ 1,000.00 Schedule A Summary Amount received this period — itemized monetary contributions. (Include all Schedule A subtotals.) .........................................................................................................$ 1,000.00 2. Amount received this period — unitemized monetary contributions of less than $100 ...........................$ 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.)......................TOTAL $ 1,000.00 IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PN — Political Party SCC — Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov SCHEDULE B - PART 1 Schedule B — Part 1 to whole dollars. Statement covers period , • 1 Loans Received 01/01/2017 . - from 06/30/2017 5 9 SEE INSTRUCTIONS ON REVERSE - through Page of NAME OF FILER I.D. NUMBER Sandra Armenta for Rosemead City Council 1392614 FULL NAME, STREETADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER a OUTSTANDING AMOUNT (e) AMOUNT PAID OUTSTANDING INTEREST ORIGINAL CUMULATIVE OF LENDER OCCUPATION ANDEMPLOYERBALANCE (IF SELF-EMPLOYED, ENTER RECEIVED RECEIVED THIS OR FORGIVEN BALANCE AT CLOSE OF THIS PAIDTHIS AMOUNT OF CONTRIBUTIONS (IF COMMITTEE, ALSO ENTER I.D. NUMBER) NAME OF BUSINESS) PERIOD PERIOD THIS PERIOD PERIOD PERIOD LOAN TO DATE Sandra Armenta Teacher ❑ PAID CALENDAR YEAR Garvey School District $ $ 100.00 $ 100.00 % $ Rosemead, CA 91770 [1 FORGIVEN FORGIVEN PER ELECTION*` s s $ N/A $ $ DATE DUE _ DATE INCURRED 12 IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ PAID CALENDARYEAR ❑ FORGIVEN PER ELECTION*` RATE $ $ $ $ $ DATE DUE DATE INCURRED tEl IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ PAID CALENDARYEAR ❑ FORGIVEN PER ELECTION** RATE $ $ $ $ $ DATE DUE DATE INCURRED t ❑ IND ❑COM ❑ OTH ❑PTV ❑SCC SUBTOTALS $ $ $ 100.00 $ Schedule B Summary 1. Loans received this period....................................................................................................................$ (Total Column (b) plus unitemized loans of less than $100.) 2. Loans paid or forgiven this period ....................................................... ............ _........ ........................... $ (Total Column (c) plus loans under $100 paid or forgiven.) (Include loans paid by a third party that are also itemized on Schedule A.) 3. Net change this period. (Subtract Line 2 from Line 1.).............................................................. NET $ 000 Enter the net here and on the Summary Page, Column A, Line 2. (May be a negative number) *Amounts forgiven or paid by another party also must be reported on Schedule A. ** If required. (cmer lel on Schedule E, Line 3) 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 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule D SCHI'm 11 F n Summary OT tXpenaitures Amounts may be rounded Statement covers period Supporting/Opposing Other to whole dollars. • , . ' from 01/01/2017 • Candidates, Measures and Committees through 06/30/2017 page 6 of 9 SEE INSTRUCTIONS ON REVERSE NAME OF FILER - I.D. NUMBER Sandra Armenta for Rosemead City Council 1392614 DATE NAME OF CANDIDATE, OFFICE,AND DISTRICT, ORTYPE OF PAYMENT DESCRIPTION AMOUNT THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE MEASURE NUMBER OR LETTERAND JURISDICTION, (IF REQUIRED) PERIOD (JAN.1-DEC, 31) (IF REQUIRED) OR COMMITTEE SUsuan Rubio Monetary 6/27/2017 Contribution $250.00 $250.00 ❑ Nonmonetary Contribution ❑ Independent Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure SUBTOTAL $ 250.00 Schedule D Summary 1. Itemized contributions and independent expenditures made this period. (Include all Schedule D subtotals.)....................................................... $ 250.00 2. Unitemized contributions and independent expenditures made this period of under $100.................................................................................... $ 0.00 3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.) .......... TOTAL.. $ 250.00 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE Sandra Armenta for Rosemead City Council Amounts may be rounded to whole dollars. E Statement covers period from 01/01/2017 through 06/30/2017 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment Page 7 of 9 1392614 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 Lv. or cable airtime and production costs FIL candidate fling/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) NAME AND ADDRESS OF PAYEE (IE COMMITTEE. ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Rosemead High School Paid for the Academic Decathlon Mission Valley 9063 Mission Dr. CVC League Champion T -Shirts $176.00 Rosemead, CA 91770 City of Rosemead Victory Celebration 8828 E. Valley Blvd. $156.00 Rosemead, CA 91770 Secretary of State 1500 11th St. FIL $50.00 Sacramento, CA 95814 Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 382.00 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, 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 $ 382.00 0.00 0.00 382.00 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Rice Elementary PTA SCHEDULE E (CONT.) Amounts may be rounded Statement covers period (Continuation Sheet) to whole dollars. Paid the balance for Rice Elementary students' CALIFORNIA 460 Payments Made entery to the Discovery Cube. $80.00 Santa Ana, CA 92705 from 01/01/2017 FORM Rice Elementary PTA Year Book Donation 2150 Angelus Ave. 06/30/2017 $ 9 SEE INSTRUCTIONS ON REVERSE Rosemead, CA 91770 through Page of NAME OF FILER Donation for End of the Year snacks 2150 Angelus Ave. CVC I.D. NUMBER Sandra Armenta for Rosemead City Council Rosemead, CA 91770 1392614 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)* DEC 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 END 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 (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Rice Elementary PTA Yard Sale Donation 2150 Angelus Ave. CVC $100.00 Rosemead, CA 91770 Discovery Cube Paid the balance for Rice Elementary students' 2500 N. Main St. CVC entery to the Discovery Cube. $80.00 Santa Ana, CA 92705 Rice Elementary PTA Year Book Donation 2150 Angelus Ave. CVC $120.00 Rosemead, CA 91770 Rice Elementary PTA Donation for End of the Year snacks 2150 Angelus Ave. CVC $20.00F/ Rosemead, CA 91770 F/8 Studios 9144 Aero Dr. LIT $300.00 Pico Rivera, CA 90660 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 620.00 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Susan Rubio for Senate 2018 1787 Tribute Road Suite K Sacramento, CA 95815 CTB SCHEDULEE(CONT) $250.00 Amounts may be rounded Monthly Fee for Business Fundamental Statement covers period (Continuation Sheet) to whole dollars. CALIFORNIA I•, Payments Made from 01/01/2017 FORM 06/30/2017 9 9 SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER I.D. NUMBER Sandra Armenta for Rosemead City Council 1392614 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 Lv. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC- candidate travel, lodging, and meals END 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 (IF COMMITTEE, ALSO ENTER I.O. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Susan Rubio for Senate 2018 1787 Tribute Road Suite K Sacramento, CA 95815 CTB $250.00 Bank of America 8856 Valley Blvd. Rosemead, CA 91770 Monthly Fee for Business Fundamental $64.00 Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 314.00 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov, (866/275-3772) www.fppc.ca.gov W W a O U Y G C . 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E CL )§ ;m ■oo} 0 \(� [) \ } ƒ ca \ ;) { _ / )04 [/ \] jf { \ \\ IS \k (\ R co ;([ 041 (' WRIA FA / \\ {) \! \!�! )\ § \\ ) ! ƒt /j0 /(� R � # \j 0 § \ ( 3 \ [ �f \ E woo " W �o w { \ -: 22 ]_\ \� ° \ Cl) kkk \)5 ®!k 2\ 1 1- ^ � -- ~ \(» _ . , : \ \ \\ §G _ _ m . ! _- �[� ; 7 § § \\ \\ ! 2 ; »v || - 2 «a LL o l �§ ° /)) r_ § - 0a -0 )0; C ) g03[U §© (j /1111 n\\nj El El Oj\nj 2\\n/ \ }:{ m ® - : k a) \ ) \ C) � ' ] / f f r} §:@ 7;2= / §r < )w ` - ca _ / �_ § . a >< ,0 7 § ( \ 0- ��) ) § 10 ED w GO - )f$ j \ \ E §)) ��` 12 ��\ \ k - j k< G 2 §)° 2w ww R � # \j 0 § \ ( 3 \ [ �f \ Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200 - 84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statement covers period Date of election if from 01/01 1 (Month, Day, through 01/19/2013 1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4. K] Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure O State Candidate Election Committee Committee - O Recall Q Controlled (Also Compton Pad 5) O Sponsored n1/21/2n11 (ABo CompWe Pad6) ❑ General Purpose Committee Q Sponsored ❑ Primarily Formed Candidate/ Q Small Contributor Committee Officeholder Committee Q Political Parry /Central Committee (Also Complete Pad]) 3. Committee Information I.D. NUMBER Sandra Armenta for Rosemead City Council 2013 STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODEIPHONE Rosemead, CA 91770 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE /PHONE OPTIONAL: FAX I E -MAIL ADDRESS COVER PAGE Date Stamp' icable� Pag ' 1 of 5 _ For Official Use Only 2. Type of Statement: ® Preelection Statement ❑ Semiannual Statement ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) ❑ Quarterly Statement ❑ Special Odd -Year Report ❑ Supplemental Preelection Statement - Attach Form 495 Treasurer(s) NAME OF TREASURER Yolanda Miranda MAILING ADDRESS CITY STATE ZIP CODE AREA CODE /PHONE NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODEIPHONE WAYINJ 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to Execuled on By Dale SignatumdCDnl ingr imhoUe,,C Midate,SlateM�um Proponent Executed on By Date Sigrmwre ofemtrolling ORCeholdeq Candtlale ,Stale Measure Pmporrent FPPC Form 460(January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772( State of California www.neffile.com Type or print in ink. COVERPAGE -PART2 Recipient Committee CALIFORNIA Campaign Statement FORM 460 Cover Page — Part 2 Page 2 of 5 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Sandra Armenta OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) City Council Member City of Rosemead RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP Rosemead, CA 91770 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. 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER (JURISDICTION I F1 SUPPORT ❑ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR IJ01:11"EMOMIf_11V NAME OF TREASURER ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODEIPHONE COMMITTEE NAME I.D. NUMBER NAMEOFTREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEEADDRESS STREETADDRESS (NO P.O. CITY STATE ZIP CODE AREA CODE /PHONE 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 Attach continuation sheets if necessary FPPC Form 460 (January/05) FPPC TOI6Free Helpline: 8661ASK -FPPC (8661275 -3772) State of California www.neffile.com Campaign Disclosure Statement Summary Page Type or print in ink. Amounts may be rounded to whole dollars. 1..11PdPiWWII SEE INSTRUCTIONS ON REVERSE through 01/19/2013 Page 3 of 5 NAME OF FILER I.D. NUMBER Sandra Armenta for Rosemead City Council 2013 1314288 Expenditures Made 6. Payments Made.. ........................... ......................... C A 7. Loans Made .............................. ............................... Colu B Calendar Year Summary for Candidates Contributions Received 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F Line 3 Co lumn o Schedule C, Line 3 R � (FROUATrACHmSCHMULM TOWTO DAM Running in Both the State Primary and General Elections 1. Monetary Contributions ............ ............................... schedule A, Lines $ 0.00 $ 0.00 1/1 through 6130 7/1 to Date 2. Loans Received ....................... ............................... schedule e, Line a 0.00 0.00 3. SUBTOTALCASH CONTRIBUTIONS ......................... Add Lines l +2 $ a.00 $ o.o0 20. Contributions Received $ $ 4. Nonmonetary Contributions ..... ............................... Schedule C, Line 0.00 0.00 41 Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED .............. Add Lines 3 +4 $ o.00 $ 0.00 Made $ $ Expenditures Made 6. Payments Made.. ........................... ......................... Schedule E, Line 4 7. Loans Made .............................. ............................... Schedule H, Linea 8. SUBTOTALCASH PAYMENTS ..... ............................... Add Lines s +7 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F Line 3 10. Nonmonetary Adjustment ........... ............................... Schedule C, Line 3 11. TOTAL EXPENDITURES MADE ............... ................. Add Lines 8 +0 +10 $ 175.00 0.00 $ 175. DO 495.00 0.00 $ 670.00 $ Statement covers period from 01 I Expenditure Limit Summary for State 175.00 Candidates 0.00 $ 175.00 0.00 $ 670.00 22. Cumulative Expenditures Made" to aubtecttoVolm1hWExRendit mLimit) Date of Election Total to Date (mm /dd /yy) Current Cash Statement 12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 13. Cash Receipts .................... ............................... Column A, Line 3above 14. Miscellaneous Increases to Cash ........................... Schedule 1, Line 4 15. Cash Payments ................... ............................... Column A, Line 8 above 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 If this is a termination statement, Line 16 must be zero. $ 5.576.12 0.00 175.00 $ 5,401.12 17. LOAN GUARANTEES RECEIVED Schedule B, Part 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ......... ............................... See instructions on reverse $ 0.00 19. Outstanding Debts ......................... Add Line 2+ Line s in Column B above $ 495.00 To calculate Column B, add amounts in Column A to the corresponding amounts * Amounts in this section may be different from amounts from Column B of your last reported in Column B. 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). I FPPC Form 466 (January/65) FPPC Toll -Free Helpline: 8661ASK -FPPC (866/275.3772) www.neffile.com Schedule E Type or print in ink. Statement covers period Payments Made Amounts may be rounded y to whole dollars. from 01/01/2013 SEE INSTRUCTIONS ON REVERSE through 01/19/2013 Page 4 of 5 NAME OF FILER I.D. NUMBER Sandra Armenta Eor Rosemead City Council 2013 1314288 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 MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries CVG civic donations PET petition circulating TEL Lv. or cable airtime and production costs FIL candidate filing /ballot fees PFIO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff /spouse travel, lodging, and meals If`D 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 Lrr campaign literature and mailings PRT print ads WEB information technology costs (intemet, e-mail) Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) ............................................................................... ............................... $ 125.00 2. Unitemized payments made this period of under $ 100 ........................................................................................................... ............................... $ 50.00 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 $ 0.00 00 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 8661ASK -FPPC (8661275 -3772) www.neffile.com * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 125.00 SCHEDULEF Schedule F Accrued Expenses (Unpaid Bills) CODE OR Type or print in ink. Amounts may be rounded to whole dollars. ( AMOUNT IN INCURRED Statement covers period from 01/01/2013 CALIFORNIA , ' '' (IF COMMITTEE, ALSO EWER I.O. NUMBER) SEE INSTRUCTIONS ON REVERSE BALANCE BEGINNING THIS PERIOD THIS PERIOD through 01/19/2013 Page 5 of 5 NAME OF FILER OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD I.D. NUMBER Sandra Armenta for Rosemead City Council 2013 0.00 495.00 0.00 495.00 1314288 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalialmisc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MfG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)` OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL Lv. or cable airtime and production costs FlL candidate fling /ballot fees PHO phone banks TRC candidate travel, lodging, and meals FINE) 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 candidatelsponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRr print ads VVEB information technology Costs (internet, e-mail) NAME AND ADDRESS OF CREDITOR CODE OR la) OUTSTANDING ( AMOUNT IN INCURRED (c) AMOUNT PAID (d) OUTSTANDING (IF COMMITTEE, ALSO EWER I.O. NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE A7 CLOSE OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD Campaign LA CNP Yard signs 0.00 495.00 0.00 495.00 17211 S. Broadway Street Gardena, CA 90248 + Payments that are contributions or Independent expenditures must also be SUBTOTALS $ 0.00 $ 495.00 $ 0.00$ 495.00 summarbad 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 $ 495.00 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.) .............. 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and on the Summary Page, Column A, Line 9.) .............................................................................. ............................... .........PAID TOTALS $ 0.00 ............................. NET $ 495.00 May be a nega rve - number FPPC Form 460 (January105) FPPC Toll -Free Helpline: 866/ASK-FPPC (86612753772) www.neffile.com Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200 - 84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Ia Date Stamp' { Statement covers period Date of election if a plicable p!``�� pp 07/01/2012 (Month, Day, Y r) Page 1 from for 12/31/2012 03/05/2013 I C,�NT t , - through 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 - O Recall Q Controlled (Also COmpmle Pans) 0 Sponsored (Alsocomplele Pad6) ❑ General Purpose Committee Q Sponsored Q Small Contributor Committee O Political Party /Central Committee ❑ Primarily Formed Candidate/ Officeholder Committee (Also C.Ihxl Pad]) 3. Committee Information I I.D. NUMBER COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Sandra Armenta for Rosemead City Council 2013 STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE /PHONE Rosemead, CA 91770 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE /PHONE OPTIONAL: FAX / E -MAIL ADDRESS 2. Type of Statement: ❑ Preelection Statement ® Semiannual Statement ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) W-41 1:7AeLA of a ❑ Quarterly Statement ❑ Special Odd -Year Report ❑ Supplemental Preelection Statement - Attach Form 495 Treasurer(s) NAME OF TREASURER Yolanda Miranda MAILING ADDRESS CITY STATE ZIP CODE AREA CODE /PHONE TREASURER, IF ANY ADDRESS CITY STATE ZIP CODE AREA CODE /PHONE OPTIONAL: FAX / E -MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the b tof knowledge the information con ned herein and in the attached schedules is true and complete. I certify under penalty of penury under the laws of the State of California that the foregoing is tr , Executed on 01/23/2013 By By By Signs W re of Controlling OXicelrolder, Cantlldam, Smm Measure Propomm By Slgnalure of Conlming Omoaholder, CarWitlam, 6mm Measure Preponenl FPPC Form 460 (January105) FPPC Toll -Free Helpline: 6661ASK -FPPC (6661275.3772) State of California www.netfile.com Dale Executed on 01/23/2nli Dam Executed on Dam Executed on Dam By By By Signs W re of Controlling OXicelrolder, Cantlldam, Smm Measure Propomm By Slgnalure of Conlming Omoaholder, CarWitlam, 6mm Measure Preponenl FPPC Form 460 (January105) FPPC Toll -Free Helpline: 6661ASK -FPPC (6661275.3772) State of California www.netfile.com Type or print in ink. COVERPAGE -PART2 Recipient Committee CALIFORNIA Campaign Statement FORM • 1 Cover Page — Part 2 Page 2 of B 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE Sandra Armenta OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) City Council Member City of Rosemead RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP Rosemead, CA 91770 BALLOT NO. OR LETTER (JURISDICTION _ F] 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: Listanycommittees not included in this statement that are controlled by you or are primarily formed to receive contributions or make expenditures an behalf of your candidacy. COMMITTEENAME OFTREASURER I.D. NUMBER ❑ YES ❑ NO CITY STATE - ZIP CODE AREA CODE /PHONE COMMITTEENAME NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE DISTRICT NO. IF ANY 7. Primarily Formed Candidate /Officeholder Committee Lisinames 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 Attach continuation sheets if necessary FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 8661ASK -FPPC (86612753772) State of California NUMBER www.netfile.com Campaign Disclosure Statement Type or print in ink. Amounts may be rounded Summary Page to whole dollars. $ 8,300.00 0.00 $ 8,300.00 0.00 SEE INSTRUCTIONS ON REVERSE through 12/31/2012 Page 3 of e NAME OF FILER I.D. NUMBER Sandra Armenta for Rosemead City Council 2013 1314288 Contributions Received Column A TOTALTHISPERIOD (FROMATTACHMSCHEDIIIES) Column B CAIENDARYEAR TOTALTODATE 1. Monetary Contributions ............ ............................... schedule A, Line 3 2. Loans Received ....................... ............................... schedule A Line 3 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines I +2 4. Nonmonetary Contributions ..... ............................... schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED ....... .................... Add Lines 3 +4 $ 8,300.00 0.00 $ 8,300.00 0.00 $ 8,300.00 $ 8,300.00 Expenditures Made 6. Payments Made ........................ ............................... Schedule E, Line 7. Loans Made .............................. ............................... Schedule Fl, Linea 8. SUBTOTALCASH PAYMENTS ..... ............................... Add Lines 6 +7 9, Accrued Expenses (Unpaid Bills) .............. ................. Schedule F, Linea 10. Nonmonetary Adjustment ........... ............................... Schedule C. Line 3 11. TOTAL EXPENDITURES MADE ............... ................. Add Lines 8 +9 +10 $ 3,661.11 $ 4,002.77 Statement covers period from 07/01/2012 0.00 $ 3,661.11 $ 4,002.77 - 208.45 0.00 $ 3.452.66 $ Current Cash Statement 12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ 937.23 13. Cash Receipts .................... ............................... Column A, Line 3above 8.300.00 14. Miscellaneous Increases to Cash ........................... . Schedule 1, Line 4 0.00 15. Cash Payments ................... ............................... Column A, Line 8above 3,661.11 16. ENDING CASH BALANCE .......... Add Lines 12 +13 +14, then subtract Line 15 $ 5,576.12 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 $ 0.00 19. Outstanding Debts ......................... Add Line 2+ Line 9 in Column B above $ 0.00 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 6130 711 to Date 20. Contributions Received $ 21. Expenditures Made $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made" prfiubjecttnvolunlary Expenditure I3mlt) Date of Election Total to Date (mm /dd /yy) �� $ $ Amounts in this section may be differentfrom amounts reported in Column B. FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 8661ASK -FPPC (8661275.3772) www.neffile.com Schedule A Type or print in ink. SCHEDULE A Monetary Contributions Received Amounts may rOBntletl ry to dolof lars. Statement covers period ---- CALIFORNIA whole � • ' from 07/01/2012 • through 12/31/2012 page 4 of a SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Sandra Armenta for Rosemead City Council 2013 1314288 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (IF COMMITTEE,ALSO ENTER I.D. NUMBER) CODE • OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN. t -DEC. 37) (IF REQUIRED) _ OFeuswESS7 12/07/2012 Jennie Ducng ®IND Student 500.00 500.00 P13 500.00 ❑COM E] OTH N/A ❑PTY Rosemead, CA 91770 ❑SCC 12/10/2012 arfay Auto Sales & parts ❑IND 200.00 200.00 P 13 200.00 ❑COM 8527 R. Garvey Ave. ❑x OTH ❑PTY Rosemead, CA 91770 ❑ SCC 12/20/2012 Jean E. Hall ❑RIND Retired 100.00 100.00 P 13 100.00 ❑ COM E] OTH N/A ❑ PTY Rosemead, CA 91770 ❑SCC 12/10/2012 Hawaii super Market, Inc. ❑IND 500.00 500.00 P 13 500.00 ❑ COM 120 R. valley Blvd. ❑X OTH ❑ PTY San Gabriel, CA 91776 ❑ SCC 12/07/2012 Holiday Isn Express Rosemead ❑IND 1,000.00 1,000.00 P 13 1,000.00 ❑ COM 705 N. San Gabriel Blvd. fl OTH ❑ PTY Rosemead, CA 91770 ❑SCC 2,30 0 o0 Rk�K t: SUBTOTAL$ 8 �r ,.x-, ME JM =i Schedule A Summary * Contributor Codes 1. Amount received this period- itemized monetary contributions. IND - Individual (Include all Schedule A subtotals.) $ 8, 300.00 ......................................................................... ............................... COM- RecipientCommittee (other than PTY or SCC) 2. Amount received this period - unitemized monetary contributions of less than $100 ............................. $ O. OD OTH — Other (e.g., business entity) PTY — Political Party 3. Total monetary contributions received this period. SCC -Small Contributor committee Add Lines 1 and 2. Enter here and on the Summa Pa ge, Column A, Line 1. TOTAL $ 8,300.00 ( Add 9 ����������������������� FPPC Form 468 (January/05) FPPC Toll -Free Helpline: 8661ASK -FPPC (8661275.3772) www.netfile.com Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period towholedollars. from o7 /ol /zolz through 12/31/2012 8 7 NUMBER NAME OF FILER Sandra Armenta for Rosemead City Council 2013 DATE ADDRESS DE O ET A FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION ( E I.D. NU A OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) ' OF6USINESS) lz /31/zo12 Laborers Local 300 ( #950674) ❑IND z, 000. oo 2,000.00 P13 2,000.00 ❑COM 515 Shatto Place ❑ OTH ❑ PTY Los Angeles, CA 90020 ® SCC 12/0712012 Republic Services, Inc. ❑IND 1,500.00 1,500.00 P13 1,500.00 ❑ COM 16500. x. Allied Way ❑x OTH ❑ Pry Pheonix, AZ 65054 ❑ SCC 12/07/2012 T heodore Saulino ❑X IND Retired 1,000.00 1,000.00 P13 1,000.00 ❑COM ❑SCC 1z /10 /zolz Steven Ly for Rosemead ( #1314292) ❑IND 1,000.00 1, 000.00 P13 1,000.00 ❑x COM ❑ OTH Rosemead, CA 91770 ❑ PTY ❑SCC 12/07/2012 A Van MIND Travel Agent 500.00 500.00 P13 500.00 ❑COM El SCC �Fyib'fflpfflh 2L SUBTOTAL 6,000 00 �a�yvb �w nu�r�3a "2� ,..s kukn »:. '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 (January105) FPPC Toll -Free Helpllne: 8661ASK -FPPC (86612753772) www.neffile.com Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE Type or print in ink. Amounts may be rounded to whole dollars. NAME OF FILER Sandra Armenta for Rosemead City Council 2013 Statement covers period from 07/01/2012 through 12/31/2012 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment Page 6 of e I.D.NUMBER 1314280 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)* PCIS 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 (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID City of Rea emea FIL 3,000.00 8638 R. Valley Blvd. Rosemead, CA 91990 Norma Macias for Council 2009 (#1320623). TRC 4/20 - 4/23/12 Lodging in Chicago Re- NAL80 208.45 ` Petty Cash - OFC 100.00 9428 Olney Street Rosemead, CA 91770 ' Payments that are contributions or independent expenditures must also he summarized on Schedule D. SUBTOTAL$ 3,308.45 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) ............................................................................... ............................... $ 3,661.11 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 $ 0.00 0.00 3.661.11 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 8661ASK -FPPC (8661275 -3772) www.neffile.com Schedule E CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID OF COMMITTEE. ALSO ENTER I.D. NUMBER) SCHEDULEE(CONT.) (Continuation Sheet) Type or print in ink. Amounts may be rounded Statement covers period , Payments Made to whole dollars, from 07 / ol / zo12 0 Rosemead, CA 91770 OFC throw h 12/31/2012 B g Of 7I.DBER SEE INSTRUCTIONS ON REVERSE Rosemead Kiwania Club NAME OF FILER Dues 3936 N. Muscatel Sandra Armenta for Rosemead City Council 2013 101.00 Rosemead, CA 91770 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CUP campaign paraphernalialmisc. MBR member communications RAID radio airtime and production costs CNS campaign consultants MFG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)` OFC office expenses SAL campaign workers' salaries CVC civic donations PEr petition circulating TEL Lv. or cable airtime and production costs FIL candidate fling /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 OF COMMITTEE. ALSO ENTER I.D. NUMBER) Petty Cash Rosemead, CA 91770 OFC 100.00 Rosemead Kiwania Club Dues 3936 N. Muscatel 101.00 Rosemead, CA 91770 Yolanda Miranda and Associates 728 W. Edna Place PRO 150.00 Covina, CA 91722 Yolanda Miranda and Associates 1.66 729 W. Edna Place PON Covina, CA 91722 " Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 352.66 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (86612753772) www.neffile.com Schedule F Accrued Expenses (Unpaid Bills) Type or print in ink. Amounts may be rounded to whole dollars. NAME OF FILER Sandra Armenta for Rosemead City Council 2013 Statement covers period from 09/01/2012 through 12/31/2012 CODES: If one of the following CMP campaign paraphemalia /misc. CNS campaign consultants CTB contribution (explain nonmonetary)* CVC civic donations FIL candidate filing /ballot fees FND fundraising events IND independent expenditure supporting LEG legal defense LIT campaign literature and mailings codes accurately describes the payment, you may enter the code MBR member wirmunicalions NITS meetings and appearances OFC office expenses PEr petition circulating PtO phone banks POL polling and survey research /opposing others (explain)* POS postage, delivery and messenger services PRO professional services (legal, accounting) PZr print ads SCHEDULEF Page B of B I.D. NUMBER 1314288 Otherwise, describe the payment. RAD radio airtime and production costs RFD returned contributions SAL campaign workers' salaries TEL t.v, or cable airtime and production costs TRC candidate travel, lodging, and meals TRS stafflspouse travel, lodging, and meals TSF transfer between committees of the same randidatelsponsor VOT voter registration WEB information technology costs (Internet, e-mail) NAME AND ADDRESS OF CREDITOR CODE OR (a) OUTSTANDING (b) AMOUNT INCURRED (c) AMOUNTPAID (d) OUTSTANDING (IF COMMITTEE, ALSO ENTER I.O. NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCEATCLOSE OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD Norma Macias for Council 2009 ( 4[1320623) TRC 4/20 - 4/23/12 206.45 0.00 208.45 0.00 Lodging in Chicago Re: * Payments that are contributions or Independent expenditures must also be SUBTOTALS $ 208.45 $ 0.00 $ - 208.45$ 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 $ o.00 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 $ 208.45 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and on the Summa Pa ge, Column A, Line 9. ............................................ ............................... NET $ - 208.45 Summary 9 ) ...................................... ............................... v 9 Ma be a ne alive number FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275.3772) www.neffile.com