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460 DeLuna (01-01-18 - 09-22-18) Amendment_Redacted Recipient Committee Date Stamp COVER PAGE Campaign Statement CALIFORNIA 460 Cover Page FORM (Government Code Sections 84200-84216.5) ;>,. 4 � Statement covers period Date of election if applica{3 ;�a�., ,,iy ` g,y,' Page 1 of 10 (Month, Day, Year) I�' from 01/01/2018 DEC 03 2018 For Official Use Only SEE INSTRUCTIONS ON REVERSE through 09/22/2018 11/06/2018 City Of 41.41i(i0 Hills •..y 4'.'re,a uc}iaruuuelit. 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 0 Preelection Statement ❑ Quarterly Statement Q State Candidate Election Committee Committee ❑ Semi-annual Statement ❑ Special Odd-Year Report Q Recall 0 Controlled Termination Statement (Also Complete Part 5) 0Sponsored ❑ ❑ Supplemental AttPreach rn P (Also file a Form 410 Termination) Statement-Attach Form 495 (Also Complete Part 6) ❑ General Purpose Committee ❑x Amendment(Explain below) Q Sponsored ❑ Primarily Formed Candidate/ O Small Contributor Committee Officeholder Committee Amending Schedule F to correct information. Q Political Party/Central Committee (Also Complete Part7) 3. Committee Information I I.D. NUMBER Treasurer(s) 1408345 COMMITTEE NAME (OR CANDIDATES NAME IF NO COMMITTEE) NAME OF TREASURER Gabriel DeLuna for Chino Hills City Council 2018 Yolanda Miranda MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX/E-MAIL ADDRESS ill= 4. I have used all reasonable diligence in preparing and reviewing this statement and tot d complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is tr Executed on 11/29/2018 By Date Executed on 11/29/2018 By Date 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.netfile.com www.fppc.ca.gov COVER PAGE-PART 2 Recipient Committee Campaign Statement CALIFORNIA 460 Cover Page— Part 2 Page 2 of 10 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE Gabriel U. DeLuna OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO.OR LETTER JURISDICTION ❑ SUPPORT City Council Member District 4 ❑ 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: 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 El SUPPORT ❑ OPPOSE NAME OF TREASURER CONTROLLED COMMITTEE? NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ YES El NO ❑ SUPPORT ❑ OPPOSE COMMITTEE ADDRESS STREETADDRESS (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 www.netfile.com Campaign Disclosure Statement SUMMARY PAGE Amounts may be rounded Statement covers period CALIFORNIA 460 Summary Page to whole dollars. from 01/01/2018 FORM through 09/22/2018 Page 3 of 10 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Gabriel DeLuna for Chino Hills City Council 2018 1408345 Column A Column B Calendar Year Summary for Candidates Contributions Received TOTALTHIS PERIOD CALENDAR YEAR (FROM ATTACHED SCHEDULES) TOTALTO DATE Running in Both the State Primary and General Elections 1. Monetary Contributions Schedule A,Line 3 $ 3,675.00 $ 3,675.00 1/1 through 6/30 7/1 to Date 2. Loans Received Schedule B,Line 3 50.00 50.00 3. SUBTOTAL CASH CONTRIBUTIONS Add Lines 1+2 $ 3,725.00 $ 3,725.00 20. Contributions Received $ $ 4. Nonmonetary Contributions Schedule C,Line 3 213.85 213.85 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED Add Lines 3+4 $ 3,938.85 $ 3,938.85 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made Schedule E,Line 4 $ 879.00 $ a79.00 Candidates 7. Loans Made Schedule H,Line 3 0.00 0.00 22. Cumulative Expenditures Made* 8. SUBTOTAL CASH PAYMENTS Add Lines 6+7 $ 879.00 $ 879.00 (If Subject to Voluntary Expenditure Limit) 9. Accrued Expenses (Unpaid Bills) Schedule F,Line 3 1,915.40 1,915.40 Date of Election Total to Date 10.Nonmonetary Adjustment Schedule C,Line 3 213.85 213.85 (mm/dd/yy) 11. TOTALEXPENDITURESMADE Add Lines 8+9+10 $ 3,008.25 $ 3,008.25 / / $ Current Cash Statement - iI $ 12.Beginning Cash Balance Previous Summary Page,Line 16 $ 0.00 To calculate Column B,add 13.Cash Receipts Column A,Line 3 above 3,725.00 amounts in Column A to the corresponding amounts *Amounts in this section may be different from amounts 14.Miscellaneous Increases to Cash Schedule I,Line 4 0.00 from Column B of your last reported in Column B. 15.Cash Payments Column A,Line 8 above 879.00 report. Some amounts in Column A may be negative 16. ENDING CASH BALANCE Add Lines 12+13+14,then subtract Line 15 $ 2,846.00 figures that should be subtracted from previous If this is a termination statement, Line 16 must be zero. period amounts. If this is the first report being filed 17.LOAN GUARANTEES RECEIVED Schedule B,Part 2 $ 0.00 for this calendar year, only carry over the amounts Cash Equivalents and Outstanding Debts from Lines 2, 7, and 9 (if v) 18. Cash Equivalents See instructions on reverse $ 0.00 19. Outstanding Debts Add Line 2+Line 9 in Column B above $ 1,965.40 FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov www.netfile.com Schedule A SCHEDULE A Amounts may be rounded period 460 Monetary Contributions Received to whole dollars. Statement covers p CALIFORNIA from ol/01/2018 FORM SEE INSTRUCTIONS ON REVERSE through 09/22/2018 Page 4 of 10 NAME OF FILER I.D. NUMBER Gabriel DeLuna for Chino Hills City Council 2018 1408345 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (IF COMMITTEE,ALSO ENTERI.D.NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE * (IF SELF-EMPLOYED,ENTER NAME PERIOD (JAN.1 -DEC.31) (IF REQUIRED) OF BUSINESS) 09/07/2018 Moni e Beadles MIND 43.00 118.00 ❑COM ❑OTH ❑PTY ❑SCC 08/17/2018 ❑xIND Retired 200.00 217.00 ❑COM N/A ❑OTH ❑PTY ❑SCC 09/07/2018 Jackline A. Cotter MIND Retired 17.00 217.00 ❑COM N/A ❑OTH ❑PTY ❑SCC 08/27/2018 Vismar Corporation dba Excellence Vision Real ❑IND 2,500.00 2,500.00 Estate ❑cOM X❑OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC • SUBTOTAL$ 2,760.00 Schedule A Summary *Contributor Codes 1. Amount received this period—itemized monetary contributions. IND—Individual (Include all Schedule A subtotals.) $ 2,760.00 COM—RecipientCommittee (other than PTY or SCC) 2. Amount received this period—unitemized monetary contributions of less than$100 $ 915.00 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 $ 3,675.00 FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov www.netfile.com SCHEDULE B-PART 1 Schedule B— Part 1 Amounts may be rounded Statement covers period CALIFORNIA 460 Loans Received to whole dollars. from 01/01/2018 FORM SEE INSTRUCTIONS ON REVERSE through 09/22/2018 Page 5 of 10 NAME OF FILER I.D. NUMBER Gabriel DeLuna for Chino Hills City Council 2018 1408345 IF AN INDIVIDUAL, ENTER (a) (b) (c) (d) (e) If) le)OUTSTANDING INTEREST ORIGINAL CUMULATIVE FULL NAME,STREET ADDRESS AND ZIP CODE OUTSTANDING AMOUNT AMOUNT PAID OCCUPATION AND EMPLOYER BALANCE BALANCE AT OF LENDER (IF SELF-EMPLOYED,ENTER BEGINNING THIS RECEIVED THIS OR FORGIVEN 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 ❑PAID CALENDAR YEAR $ $ % $ $ RATE ❑FORGIVEN PER ELECTION** $ $ $ $ $ t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED ❑PAID CALENDAR YEAR $ $ - % $ $ ❑FORGIVEN RATE PER ELECTION** $ $ $ $ $ t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED ❑PAID CALENDAR YEAR $ $ % $ $ ❑FORGIVEN RATE PER ELECTION** $ $ $ $ $ t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED SUBTOTALS $ $ $ $ (Enter(e)on Schedule B Summary Schedule E,Line 3) 1. Loans received this period $ 50.00 (Total Column(b)plus unitemized loans of less than$100.) tContributor Codes IND—Individual 2. Loans paid or forgiven this period $ o.o o COM-Recipient Committee (Total Column(c)plus loans under$100 paid or forgiven.) (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 s o.o o SCC—Small Contributor Committee 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. (May beanegative number) Amounts forgiven or paid by another party also must be reported on Schedule A. **If required. 1 FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.netfile.com www.fppc.ca.gov Schedule C SCHEDULE C Amounts may be rounded Nonmonetary Contributions Received Statement covers period 460 to whole dollars. CALIFORNIA from 01/01/201B FORM SEE INSTRUCTIONS ON REVERSE through 09/22/2018 Page 6 of 10 NAME OF FILER I.D.NUMBER Gabriel DeLuna for Chino Hills City Council 2018 1408345 IF AN INDIVIDUAL,ENTER AMOUNT/ CUMULATIVE TO PER ELECTION FULL NAME,STREET ADDRESS AND CONTRIBUTOR DESCRIPTION OF DATE DATE * OCCUPATION AND EMPLOYER FAIR MARKET TO DATE RECEIVED ZIP CODE OF CONTRIBUTOR CODE (IF SELF-EMPLOYED,ENTER GOODS OR SERVICES VALUE CALENDAR YEAR (IF COMMITTEE.ALSO ENTER I.D.NUMBER) NAME OF BUSINESS) (JAN 1-DEC 31) (IF REQUIRED) 09/22/2018 Monique Beadles END Gift Certificate 20.00 118.00 ❑COM for Nu Skin- ❑OTH ❑PTY ❑SCC 09/22/2018 Monique Beadles x❑IND Gift Certificate 30.00 118.00 COM for Nu Skin- 0❑OTH ❑PTY ❑SCC 09/22/2018 MIND Gift Certificate 25.00 118.00 COM for Nu Skin- 0❑OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC Attach additional information on appropriately labeled continuation sheets. SUBTOTAL$ 75.00 J Schedule C Summary *Contributor Codes 1. Amount received this period-itemized nonmonetary contributions. IND—Individual (Include all Schedule C subtotals.) $ 75.00 COM—RecipientCommittee (other than PTY or SCC) 2. Amount received this period-unitemized nonmonetary contributions of less than$100 $ 138.85 OTH—Other(e.g., business entity) PTY—Political Party 3. Total nonmonetary contributions received this period. scc-Small Contributor Committee (Add Lines 1 and 2. Enter here and on the Summary Page,Column A, Lines 4 and 10.) TOTAL $ 213.85 FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.neffile.com www.fppc.ca.gov Schedule E Statement covers period SCHEDULE E Pa ments Made Amounts may be rounded CALIFORNIA 460 Y to whole dollars. 01/0l/2018 FORM from SEE INSTRUCTIONS ON REVERSE through 09/22/2018 page 7 of 10 NAME OF FILER I.D. NUMBER Gabriel DeLuna for Chino Hills City Council 2018 1408345 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 F'RI 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 Citi Cards Credit card payment 400.00 Felipe Diaz FND 09/08/18 Catering for event 429.00 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 829.00 Schedule E Summary 1. Itemized payments made this period.(Include all Schedule E subtotals.) $ 829.00 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).) $ o.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 $ 879.00 FPPC Form 460(Jan/2016) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) www.fppc.ca.gov www.netfile.com SCHEDULE F Schedule F Statement covers period CALIFORNIA 460 Amounts may be rounded Accrued Expenses (Unpaid Bills) to whole dollars. from 01/01/2018 FORM through 09/22/2018 8 10 SEE INSTRUCTIONS ON REVERSE Page of NAME OF FILER I.D.NUMBER Gabriel DeLuna for Chino Hills City Council 2018 1408345 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 PHI print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF CREDITOR CODE OR ( ) (b) (c) ( OUTS AMOUNT IN) 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 Yolanda Miranda and Assoc. PRO 0.00 250.00 0.00 250.00 iiimCredit card payments 0.00 1,418.03 0.00 1,418.03 Gabriel U. DeLuna FIL 0.00 247.37 0.00 247.37 *Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTALS $ 0.00$ 1,915.40$ 0.00$ 1,915.40 • 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 $ 1,915.40 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 $ o.00 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$ 1,915.40 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 SCHEDULE G Payments Made by an Agent or Independent Amounts maybe rounded Statement covers period 460 CALIFORNIA Contractor(on Behalf of This Committee) to whole dollars. from 01/01/2018 FORM through 09/22/2018 Page 9 of 10 SEE INSTRUCTIONS ON REVERSE g NAME OF FILER I.D.NUMBER Gabriel DeLuna for Chino Hills City Council 2018 1408345 NAME OF AGENT OR INDEPENDENT CONTRACTOR Citi Cards 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) *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 Daring Escape CMP Yard signs 530.00 LIT 400.00 VistaPrint.com LIT 21.55 VistaPrint.com LIT 649.18 Attach additional information on appropriately labeled continuation sheets. TOTAL* $ 1,600.73 *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.neffile.com www.fppc.ca.gov Schedule G SCHEDULE G Payments Made by an Agent or Independent Amounts maybe rounded Statement covers period CALIFORNIA 460 Contractor(on Behalf of This Committee) to whole dollars. from 01/01/2018 FORM through 09/22/2018 Page 10 of 10 SEE INSTRUCTIONS ON REVERSE g NAME OF FILER I.D.NUMBER Gabriel DeLuna for Chino Hills City Council 2018 1408345 NAME OF AGENT OR INDEPENDENT CONTRACTOR Gabriel U. DeLuna 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 FRI print ads WEB information technology costs (internet, e-mail) *Payments that are contributions or independent expenditures must also be summarized on Schedule D. NAME AND ADDRESS OF PAYEE OR CREDITOR CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE,ALSO ENTER I.D.NUMBER) City of Chino Hills FIL 247.37 Attach additional information on appropriately labeled continuation sheets. TOTAL* $ 247.37 *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.neffile.com www.fppc.ca.gov