COVER PAGE

Recipient Committee Date Stamp

Campaign Statement
Cover Page
CALIFORNIA
FORM 460
(Government Code Sections 84200-84216.5) E-Filed
09/26/2024
Statement covers period Date of election if applicable: 11:44:46 Page 1 of 47
(Month, Day, Year)
from 07/01/2024 Filing ID: For Official Use Only
212174086

SEE INSTRUCTIONS ON REVERSE 09/21/2024 11/05/2024

through

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 X Preelection Statement Quarterly Statement
State Candidate Election Committee Committee Semi-annual Statement Special Odd-Year Report
Recall Controlled Termination Statement
(Also Complete Part 5)
Supplemental Preelection
Sponsored (Also file a Form 410 Termination) Statement - Attach Form 495
(Also Complete Part 6)
General Purpose Committee Amendment (Explain below)
Sponsored Primarily Formed Candidate/
Small Contributor Committee Officeholder Committee
(Also Complete Part 7)
Political Party/Central Committee

I.D. NUMBER
3. Committee Information Treasurer(s)
1457298
COMMITTEE NAME (OR CANDIDATE’S NAME IF NO COMMITTEE) NAME OF TREASURER
Jose Medina for Riverside Board of Supervisors 2024 Jose Medina
MAILING ADDRESS

STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE
Sacramento CA 95815 (916)285-5733
CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY

Sacramento CA 95815 (916)285-5733 Shawnda Deane

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
Sacramento CA 95815 (916)285-5733
OPTIONAL: FAX / E-MAIL ADDRESS OPTIONAL: FAX / E-MAIL ADDRESS
(916)333-1344 / [email protected]

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 09/25/2024 By Shawnda Deane

Date Signature of Treasurer or Assistant Treasurer

Executed on 09/25/2024 By Jose Medina

Date Signature of Controlling Officeholder, Candidate, State Measure Proponent or 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: [email protected] (866/275-3772)
www.fppc.ca.gov
www.netfile.com
 COVER PAGE - PART 2
Recipient Committee CALIFORNIA
Campaign Statement
Cover Page — Part 2
FORM 460
Page 2 of 47

5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee

NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE

Jose Medina
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO. OR LETTER JURISDICTION SUPPORT
County Supervisor: Riverside County District 1 OPPOSE

RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP

Identify the controlling officeholder, candidate, or state measure proponent, if any.
Sacramento CA 95815
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
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) 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
SUPPORT
YES NO
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: [email protected] (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Campaign Disclosure Statement SUMMARY PAGE
Amounts may be rounded Statement covers period
Summary Page to whole dollars.
from 07/01/2024
CALIFORNIA
FORM 460
through 09/21/2024 Page 3 of 47
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER I.D. NUMBER

Jose Medina for Riverside Board of Supervisors 2024 1457298

Column A Column B Calendar Year Summary for Candidates
Contributions Received TOTAL THIS PERIOD CALENDAR YEAR
Running in Both the State Primary and
(FROM ATTACHED SCHEDULES) TOTAL TO DATE
General Elections
1. Monetary Contributions ........................................... Schedule A, Line 3 $ 45,765.00 $ 230,309.00
1/1 through 6/30 7/1 to Date
2. Loans Received ...................................................... Schedule B, Line 3 0.00 0.00
45,765.00 230,309.00 20. Contributions
3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 + 2 $ $
Received $ $
4. Nonmonetary Contributions .................................... Schedule C, Line 3 6,617.50 7,917.50
21. Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 + 4 $ 52,382.50 $ 238,226.50 Made $ $

Expenditures Made Expenditure Limit Summary for State

6. Payments Made ....................................................... Schedule E, Line 4 $ 49,600.06 $ 201,445.17 Candidates
7. Loans Made ............................................................. Schedule H, Line 3 0.00 0.00
22. Cumulative Expenditures Made*
8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6 + 7 $ 49,600.06 $ 201,445.17 (If Subject to Voluntary Expenditure Limit)

9. Accrued Expenses (Unpaid Bills) ............................... Schedule F, Line 3 3,900.92 11,900.50 Date of Election Total to Date
6,617.50 7,917.50 (mm/dd/yy)
10. Nonmonetary Adjustment .......................................... Schedule C, Line 3
11. TOTAL EXPENDITURES MADE ................................ Add Lines 8 + 9 + 10 $ 60,118.48 $ 221,263.17 / / $

Current Cash Statement / / $

12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ 97,616.15
To calculate Column B, add
13. Cash Receipts ................................................... Column A, Line 3 above 45,765.00 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 2,027.95 from Column B of your last reported in Column B.
49,600.06 report. Some amounts in
15. Cash Payments .................................................. Column A, Line 8 above
Column A may be negative
16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ 95,809.04 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
0.00 for this calendar year, only
17. LOAN GUARANTEES RECEIVED ........................... Schedule B, Part 2 $
carry over the amounts
from Lines 2, 7, and 9 (if
Cash Equivalents and Outstanding Debts any).
18. Cash Equivalents ........................................ See instructions on reverse $ 0.00

19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column B above $ 11,900.50
FPPC Form 460 (Jan/2016)
FPPC Advice: [email protected] (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A SCHEDULE A
Amounts may be rounded
Monetary Contributions Received Statement covers period
to whole dollars.
from 07/01/2024
CALIFORNIA
FORM 460
through 09/21/2024 Page 4 of 47
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER I.D. NUMBER

Jose Medina for Riverside Board of Supervisors 2024 1457298

IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION

DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
(IF COMMITTEE, ALSO ENTER I.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)

09/04/2024 Samuel Aguilera X IND Not Employed 250.00 250.00

Riverside, CA 92501 n/a
COM
OTH
PTY
SCC
07/17/2024 Jose J. Alcala X IND Teacher 75.00 175.00
Riverside, CA 92508 COM Moreno Valley Unified
School District
OTH
PTY
SCC
09/19/2024 Arturo Alcaraz X IND Lecture Faculty 50.00 100.00
Riverside, CA 92508 University of California,
COM Riverside
OTH
PTY
SCC
09/13/2024 Richard Alvarado X IND Retired 500.00 550.00
Upland, CA 91784 n/a
COM
OTH
PTY
SCC
09/16/2024 Avelino Valencia for State Assembly 2024 (ID# IND 1,000.00 2,000.00
1457022)
Sacramento, CA 95815 X COM
OTH
PTY
SCC

SUBTOTAL $ 1,875.00

Schedule A Summary *Contributor Codes

1. Amount received this period – itemized monetary contributions. IND – Individual
COM – Recipient Committee
(Include all Schedule A subtotals.) ........................................................................................................ $ 44,595.00
(other than PTY or SCC)
1,170.00 OTH – Other (e.g., business entity)
2. Amount received this period – unitemized monetary contributions of less than $100 ............................. $ 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 $ 45,765.00

FPPC Form 460 (Jan/2016)

FPPC Advice: [email protected] (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet) SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded Statement covers period
CALIFORNIA
to whole dollars.
from 07/01/2024 FORM 460
through 09/21/2024 Page 5 of 47

NAME OF FILER I.D. NUMBER

Jose Medina for Riverside Board of Supervisors 2024 1457298

IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION

DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
(IF COMMITTEE, ALSO ENTER I.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)
07/05/2024 Linnie Bailey X IND Career Technical Education 100.00 400.00
Corona, CA 92882 Consultant
COM Linnie Bailey
OTH
PTY
SCC
09/14/2024 Linnie Bailey X IND Career Technical Education 50.00 400.00
Corona, CA 92882 Consultant
COM Linnie Bailey
OTH
PTY
SCC
08/05/2024 Barona Band of Mission Indians IND 3,000.00 3,000.00
Lakeside, CA 92040
COM
X OTH
PTY
SCC
07/17/2024 Kevin Bender X IND Not Employed 500.00 500.00
San Juan Capistrano, CA 92675 n/a
COM
OTH
PTY
SCC
09/18/2024 Robert Burke X IND Not Employed 50.00 200.00
West Hollywood, CA 90069 n/a
COM
OTH
PTY
SCC

SUBTOTAL $ 3,700.00

*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: [email protected] (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet) SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded Statement covers period
CALIFORNIA
to whole dollars.
from 07/01/2024 FORM 460
through 09/21/2024 Page 6 of 47

NAME OF FILER I.D. NUMBER

Jose Medina for Riverside Board of Supervisors 2024 1457298

IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION

DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
(IF COMMITTEE, ALSO ENTER I.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)
09/18/2024 Robert Burke X IND Not Employed 50.00 200.00
West Hollywood, CA 90069 n/a
COM
OTH
PTY
SCC
08/16/2024 Nora E. Campos X IND Consultant 100.00 100.00
San Jose, CA 95127 Nora E. Campos
COM
OTH
PTY
SCC
08/17/2024 Ring Carde X IND Not Employed 100.00 100.00
Riverside, CA 92506 n/a
COM
OTH
PTY
SCC
07/11/2024 Shirley Coates X IND Executive Director 50.00 150.00
Riverside, CA 92506 California Society of
COM Extraordinary Women
OTH
PTY
SCC
07/22/2024 Shirley Coates X IND Executive Director 50.00 150.00
Riverside, CA 92506 California Society of
COM Extraordinary Women
OTH
PTY
SCC

SUBTOTAL $ 350.00

*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: [email protected] (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet) SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded Statement covers period
CALIFORNIA
to whole dollars.
from 07/01/2024 FORM 460
through 09/21/2024 Page 7 of 47

NAME OF FILER I.D. NUMBER

Jose Medina for Riverside Board of Supervisors 2024 1457298

IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION

DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
(IF COMMITTEE, ALSO ENTER I.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)
09/19/2024 Shirley Coates X IND Executive Director 50.00 150.00
Riverside, CA 92506 California Society of
COM Extraordinary Women
OTH
PTY
SCC
07/31/2024 David Alvarez for State Assembly 2024 (ID# IND 1,000.00 1,000.00
1457952)
San Diego, CA 92113 X COM
OTH
PTY
SCC
09/05/2024 Darleen DeMason X IND University Professor 150.00 150.00
Riverside, CA 92506 University of California,
COM Riverside
OTH
PTY
SCC
07/22/2024 William Derrenbacher X IND Executive Advisor 100.00 450.00
Riverside, CA 92506 Esri
COM
OTH
PTY
SCC
09/06/2024 William Derrenbacher X IND Executive Advisor 100.00 450.00
Riverside, CA 92506 Esri
COM
OTH
PTY
SCC

SUBTOTAL $ 1,400.00

*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
FPPC Form 460 (Jan/2016)
FPPC Advice: [email protected] (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet) SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded Statement covers period
CALIFORNIA
to whole dollars.
from 07/01/2024 FORM 460
through 09/21/2024 Page 8 of 47

NAME OF FILER I.D. NUMBER

Jose Medina for Riverside Board of Supervisors 2024 1457298

IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION

DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
(IF COMMITTEE, ALSO ENTER I.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)
07/27/2024 Jean A. Diaz X IND Retired 50.00 150.00
Riverside, CA 92507 n/a
COM
OTH
PTY
SCC
07/17/2024 David Espitia X IND Restaurant Owner 250.00 250.00
Highland, CA 92346 David Espitia
COM
OTH
PTY
SCC
07/12/2024 Yolanda A. Esquivel X IND Not Employed 150.00 350.00
Riverside, CA 92507 n/a
COM
OTH
PTY
SCC
09/18/2024 Nick Fahed X IND Real Estate 1,000.00 1,000.00
Fullerton, CA 92831 The Ritz Real Estate
COM
OTH
PTY
SCC
07/05/2024 Barbara Flores X IND University Professor 25.00 175.00
San Bernardino, CA 92404 California State
COM University, San Bernardino
OTH
PTY
SCC

SUBTOTAL $ 1,475.00

*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: [email protected] (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet) SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded Statement covers period
CALIFORNIA
to whole dollars.
from 07/01/2024 FORM 460
through 09/21/2024 Page 9 of 47

NAME OF FILER I.D. NUMBER

Jose Medina for Riverside Board of Supervisors 2024 1457298

IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION

DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
(IF COMMITTEE, ALSO ENTER I.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)
08/05/2024 Barbara Flores X IND University Professor 25.00 175.00
San Bernardino, CA 92404 California State
COM University, San Bernardino
OTH
PTY
SCC
09/05/2024 Barbara Flores X IND University Professor 25.00 175.00
San Bernardino, CA 92404 California State
COM University, San Bernardino
OTH
PTY
SCC
09/08/2024 Home Flores X IND Administrator 250.00 250.00
Yorba Linda, CA 92886 Education
COM
OTH
PTY
SCC
09/01/2024 Linda Fregoso X IND Human Resources Director 250.00 1,560.00
Riverside, CA 92506 Quality Management Group
COM
OTH
PTY
SCC
08/22/2024 Michael A. Gunning X IND Lobbyist 250.00 250.00
Elk Grove, CA 95758 Lighthouse Public Affairs
COM
OTH
PTY
SCC

SUBTOTAL $ 800.00

*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: [email protected] (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet) SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded Statement covers period
CALIFORNIA
to whole dollars.
from 07/01/2024 FORM 460
through 09/21/2024 Page 10 of 47

NAME OF FILER I.D. NUMBER

Jose Medina for Riverside Board of Supervisors 2024 1457298

IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION

DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
(IF COMMITTEE, ALSO ENTER I.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)
08/17/2024 Amy Harrison X IND Not Employed 500.00 500.00
Moreno Valley, CA 92557 n/a
COM
OTH
PTY
SCC
09/16/2024 Helios J. Hernandez II X IND Retired 100.00 200.00
Riverside, CA 92506 n/a
COM
OTH
PTY
SCC
07/10/2024 Michael Huerta X IND President 1,000.00 1,000.00
Park City, UT 84060 MPH Consulting, LLC
COM
OTH
PTY
SCC
08/29/2024 Armando Hurtado X IND Realtor 500.00 1,900.00
Perris, CA 92571 Ace Tax and Realty
COM
OTH
PTY
SCC
08/30/2024 Armando Hurtado X IND Realtor 500.00 1,900.00
Perris, CA 92571 Ace Tax and Realty
COM
OTH
PTY
SCC

SUBTOTAL $ 2,600.00

*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: [email protected] (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet) SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded Statement covers period
CALIFORNIA
to whole dollars.
from 07/01/2024 FORM 460
through 09/21/2024 Page 11 of 47

NAME OF FILER I.D. NUMBER

Jose Medina for Riverside Board of Supervisors 2024 1457298

IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION

DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
(IF COMMITTEE, ALSO ENTER I.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)
08/31/2024 Armando Hurtado X IND Realtor 500.00 1,900.00
Perris, CA 92571 Ace Tax and Realty
COM
OTH
PTY
SCC
09/19/2024 Jaime Hurtado X IND Not Employed 250.00 350.00
Moreno Valley, CA 92555 n/a
COM
OTH
PTY
SCC
07/23/2024 Ian Calderon for Lieutenant Governor 2026 IND 2,000.00 2,000.00
(ID# 1424007) X COM
Los Angeles, CA 90017
OTH
PTY
SCC
07/08/2024 Sharon Kasner X IND Not Employed 50.00 100.00
Riverside, CA 92506 n/a
COM
OTH
PTY
SCC
09/19/2024 Barbara E. Kerr X IND Retired 250.00 1,650.00
Riverside, CA 92508 n/a
COM
OTH
PTY
SCC

SUBTOTAL $ 3,050.00

*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: [email protected] (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet) SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded Statement covers period
CALIFORNIA
to whole dollars.
from 07/01/2024 FORM 460
through 09/21/2024 Page 12 of 47

NAME OF FILER I.D. NUMBER

Jose Medina for Riverside Board of Supervisors 2024 1457298

IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION

DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
(IF COMMITTEE, ALSO ENTER I.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)
08/14/2024 Andrew Lara X IND Nurse 100.00 100.00
Pico Rivera, CA 90660 CAL-MED Ambulance Service
COM
OTH
PTY
SCC
09/12/2024 Bruce Laycook X IND Information Technology 100.00 100.00
Redlands, CA 92374 Consultant
COM Bruce Laycook
OTH
PTY
SCC
09/18/2024 Collette Lee X IND Broker 100.00 350.00
Riverside, CA 92506 Windermere Tower
COM
OTH
PTY
SCC
09/03/2024 Lisa Calderon for Assembly 2024 (ID# 1456830) IND 500.00 1,000.00
Los Angeles, CA 90017
X COM
OTH
PTY
SCC
07/17/2024 Monrow Antwon Mabon X IND Attorney 100.00 100.00
Riverside, CA 92508 Monrow Antwon Mabon
COM
OTH
PTY
SCC

SUBTOTAL $ 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
FPPC Form 460 (Jan/2016)
FPPC Advice: [email protected] (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet) SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded Statement covers period
CALIFORNIA
to whole dollars.
from 07/01/2024 FORM 460
through 09/21/2024 Page 13 of 47

NAME OF FILER I.D. NUMBER

Jose Medina for Riverside Board of Supervisors 2024 1457298

IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION

DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
(IF COMMITTEE, ALSO ENTER I.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)
09/19/2024 Elyse Martinez X IND Retired 200.00 200.00
Riverside, CA 92506 n/a
COM
OTH
PTY
SCC
07/31/2024 Sergio Martinez X IND Not Employed 25.00 200.00
Norwalk, CA 90650 n/a
COM
OTH
PTY
SCC
08/31/2024 Sergio Martinez X IND Not Employed 25.00 200.00
Norwalk, CA 90650 n/a
COM
OTH
PTY
SCC
09/19/2024 Sergio Martinez X IND Not Employed 100.00 200.00
Norwalk, CA 90650 n/a
COM
OTH
PTY
SCC
09/20/2024 Barbara Mcguire X IND Not Employed 100.00 1,150.00
Riverside, CA 92501 n/a
COM
OTH
PTY
SCC

SUBTOTAL $ 450.00

*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: [email protected] (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet) SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded Statement covers period
CALIFORNIA
to whole dollars.
from 07/01/2024 FORM 460
through 09/21/2024 Page 14 of 47

NAME OF FILER I.D. NUMBER

Jose Medina for Riverside Board of Supervisors 2024 1457298

IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION

DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
(IF COMMITTEE, ALSO ENTER I.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)
08/02/2024 Jose Medina X IND Teacher 1,000.00 1,250.00
Riverside, CA 92506 Riverside Unified School
COM District
OTH
PTY
SCC
09/01/2024 Jose Medina X IND Teacher 250.00 1,250.00
Riverside, CA 92506 Riverside Unified School
COM District
OTH
PTY
SCC
09/04/2024 Martha Medina X IND Owner 500.00 500.00
Riverside, CA 92507 Zacatecas Cafe
COM
OTH
PTY
SCC
07/17/2024 Andrew S. Melendrez X IND Vocational Expert 250.00 1,000.00
Riverside, CA 92506 Andrew S. Melendrez
COM
OTH
PTY
SCC
09/18/2024 Mia Bonta for Assembly 2024 (ID# 1456426) IND 1,000.00 1,000.00
Sacramento, CA 95815
X COM
OTH
PTY
SCC

SUBTOTAL $ 3,000.00

*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: [email protected] (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet) SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded Statement covers period
CALIFORNIA
to whole dollars.
from 07/01/2024 FORM 460
through 09/21/2024 Page 15 of 47

NAME OF FILER I.D. NUMBER

Jose Medina for Riverside Board of Supervisors 2024 1457298

IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION

DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
(IF COMMITTEE, ALSO ENTER I.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)
09/04/2024 Lina Montes X IND Chief Executive Officer 500.00 500.00
Rialto, CA 92376 GO Pallets, Inc.
COM
OTH
PTY
SCC
09/03/2024 Francisco Moreno X IND Human Resources Generalist 500.00 500.00
San Bernardino, CA 92407 Quality Management Group
COM
OTH
PTY
SCC
09/06/2024 Stephen Moses X IND Not Employed 100.00 100.00
Rancho Mirage, CA 92270 n/a
COM
OTH
PTY
SCC
08/19/2024 Nora Moti X IND Registered Nurse 100.00 400.00
Riverside, CA 92507 Chino Valley Hospital
COM
OTH
PTY
SCC
08/13/2024 Benjamin Nate X IND Staff Services Manager I 100.00 200.00
Riverside, CA 92503 Department of Justice
COM
OTH
PTY
SCC

SUBTOTAL $ 1,300.00

*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: [email protected] (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet) SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded Statement covers period
CALIFORNIA
to whole dollars.
from 07/01/2024 FORM 460
through 09/21/2024 Page 16 of 47

NAME OF FILER I.D. NUMBER

Jose Medina for Riverside Board of Supervisors 2024 1457298

IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION

DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
(IF COMMITTEE, ALSO ENTER I.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)
07/14/2024 Marilyn Odello X IND Not Employed 75.00 475.00
Riverside, CA 92501 n/a
COM
OTH
PTY
SCC
07/12/2024 Alejandro Orozco X IND Owner 250.00 250.00
Moreno Valley, CA 92551 LDA Investments, LLC
COM
OTH
PTY
SCC
07/23/2024 Thomas Patterson X IND Professor Emeritus 100.00 150.00
Riverside, CA 92506 University of California,
COM Riverside
OTH
PTY
SCC
09/04/2024 William Pink X IND Not Employed 100.00 100.00
Temecula, CA 92592 n/a
COM
OTH
PTY
SCC
09/04/2024 Maria Pulido X IND Sales 250.00 250.00
Riverside, CA 92503 First Team Real Estate
COM
OTH
PTY
SCC

SUBTOTAL $ 775.00

*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: [email protected] (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet) SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded Statement covers period
CALIFORNIA
to whole dollars.
from 07/01/2024 FORM 460
through 09/21/2024 Page 17 of 47

NAME OF FILER I.D. NUMBER

Jose Medina for Riverside Board of Supervisors 2024 1457298

IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION

DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
(IF COMMITTEE, ALSO ENTER I.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)
07/04/2024 Jane Quandt X IND Clergy 150.00 300.00
Riverside, CA 92506 First Congregational
COM Church of Riverside
OTH
PTY
SCC
09/18/2024 Jane Quandt X IND Clergy 50.00 300.00
Riverside, CA 92506 First Congregational
COM Church of Riverside
OTH
PTY
SCC
08/06/2024 Connie Ransom X IND Consultant 500.00 2,600.00
Riverside, CA 92507 Connie Ransom
COM
OTH
PTY
SCC
08/16/2024 Connie Ransom X IND Consultant 500.00 2,600.00
Riverside, CA 92507 Connie Ransom
Aggregated to $1000 on 09/24/24 COM
OTH
PTY
SCC
07/17/2024 Reina Holding Company, LLC IND 250.00 250.00
Mission Viejo, CA 92691
Responsible Officer: Manuel Lopez COM
X OTH
PTY
SCC

SUBTOTAL $ 1,450.00

*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: [email protected] (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet) SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded Statement covers period
CALIFORNIA
to whole dollars.
from 07/01/2024 FORM 460
through 09/21/2024 Page 18 of 47

NAME OF FILER I.D. NUMBER

Jose Medina for Riverside Board of Supervisors 2024 1457298

IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION

DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
(IF COMMITTEE, ALSO ENTER I.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)
08/14/2024 Rendon for Assembly 2022 (ID# 1435367) IND 1,500.00 3,500.00
Encino, CA 91436
X COM
OTH
PTY
SCC
09/13/2024 William Resnick X IND Not Employed 5,000.00 5,000.00
Los Angeles, CA 90064 n/a
COM
OTH
PTY
SCC
08/14/2024 Reyes Coca-Cola Bottling, LLC and Affiliated IND 1,000.00 1,000.00
Entities
Irvine, CA 92614 COM
Responsible Officers: Bill O'Brien, Joel X OTH
Celestin, Nancy Limon, Kathleen Byrne and PTY
Mario Delgado SCC
09/03/2024 Julio Reyes X IND Owner 500.00 500.00
Perris, CA 92571 JR Sports
COM
OTH
PTY
SCC
07/08/2024 Patricia Reynolds X IND Retired 50.00 550.00
Riverside, CA 92506 n/a
COM
OTH
PTY
SCC

SUBTOTAL $ 8,050.00

*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: [email protected] (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet) SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded Statement covers period
CALIFORNIA
to whole dollars.
from 07/01/2024 FORM 460
through 09/21/2024 Page 19 of 47

NAME OF FILER I.D. NUMBER

Jose Medina for Riverside Board of Supervisors 2024 1457298

IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION

DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
(IF COMMITTEE, ALSO ENTER I.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)
09/19/2024 Adrian Dell Roberts X IND Retired 200.00 400.00
Riverside, CA 92507 n/a
COM
OTH
PTY
SCC
09/04/2024 Gerardo Rodarte X IND Not Employed 500.00 500.00
Corona, CA 92881 n/a
COM
OTH
PTY
SCC
09/05/2024 Gerardo Rodarte X IND Not Employed 500.00 500.00
Corona, CA 92881 n/a
COM
OTH
PTY
SCC
09/06/2024 Gerardo Rodarte X IND Not Employed -500.00 500.00
Corona, CA 92881 n/a
Contribution Refunded COM
OTH
PTY
SCC
09/03/2024 Javier Rosales X IND Not Employed 2,000.00 3,000.00
Riverside, CA 92506 n/a
COM
OTH
PTY
SCC

SUBTOTAL $ 2,700.00

*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: [email protected] (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet) SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded Statement covers period
CALIFORNIA
to whole dollars.
from 07/01/2024 FORM 460
through 09/21/2024 Page 20 of 47

NAME OF FILER I.D. NUMBER

Jose Medina for Riverside Board of Supervisors 2024 1457298

IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION

DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
(IF COMMITTEE, ALSO ENTER I.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)
07/18/2024 Diane Roth X IND Attorney 100.00 500.00
Riverside, CA 92501 Public Service Law
COM Corporation of the
OTH Riverside County Bar
PTY Association
SCC
09/18/2024 Diane Roth X IND Attorney 100.00 500.00
Riverside, CA 92501 Public Service Law
COM Corporation of the
OTH Riverside County Bar
PTY Association
SCC
09/07/2024 George Ruiz X IND Not Employed 500.00 500.00
Riverside, CA 92509 n/a
COM
OTH
PTY
SCC
07/17/2024 Gabriel Sanchez X IND President 150.00 150.00
Moreno Valley, CA 92557 Sanaco Electronic Sales
COM
OTH
PTY
SCC
09/17/2024 Rajesh Shah X IND Engineer 50.00 150.00
Corona, CA 92882 California Department of
COM Water Resources
OTH
PTY
SCC

SUBTOTAL $ 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
FPPC Form 460 (Jan/2016)
FPPC Advice: [email protected] (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet) SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded Statement covers period
CALIFORNIA
to whole dollars.
from 07/01/2024 FORM 460
through 09/21/2024 Page 21 of 47

NAME OF FILER I.D. NUMBER

Jose Medina for Riverside Board of Supervisors 2024 1457298

IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION

DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
(IF COMMITTEE, ALSO ENTER I.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)
09/03/2024 Joy Silver X IND Executive 500.00 500.00
Palm Springs, CA 92264 Community Housing
COM Opportunities Corporation
OTH
PTY
SCC
07/17/2024 Raj Singh X IND Professor of Management 50.00 200.00
Riverside, CA 95205 University of California,
COM Riverside
OTH
PTY
SCC
08/07/2024 Francisco Sola X IND Retired 500.00 700.00
Riverside, CA 92506 n/a
COM
OTH
PTY
SCC
09/16/2024 Francisco Sola X IND Retired 50.00 700.00
Riverside, CA 92506 n/a
COM
OTH
PTY
SCC
09/04/2024 Chris Tapio X IND Consultant 250.00 250.00
Sacramento, CA 95831 I Street Public Affairs
COM
OTH
PTY
SCC

SUBTOTAL $ 1,350.00

*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: [email protected] (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet) SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded Statement covers period
CALIFORNIA
to whole dollars.
from 07/01/2024 FORM 460
through 09/21/2024 Page 22 of 47

NAME OF FILER I.D. NUMBER

Jose Medina for Riverside Board of Supervisors 2024 1457298

IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION

DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
(IF COMMITTEE, ALSO ENTER I.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)
07/22/2024 Delia Tijerina X IND Outreach Supervisor 20.00 140.00
Placentia, CA 92870 Riverside City College
COM
OTH
PTY
SCC
08/07/2024 Juan Torres X IND Consultant 200.00 200.00
Sacramento, CA 95831 Tzunu Strategies
COM
OTH
PTY
SCC
08/26/2024 Tri-R General Contractors, Inc. IND 4,000.00 4,000.00
Perris, CA 92570
COM
X OTH
PTY
SCC
07/16/2024 Omar Urizar X IND Developer 1,000.00 14,000.00
Murrieta, CA 92562 Partnership for Active
COM Learning Services, Inc.
OTH
PTY
SCC
09/16/2024 John Valdez X IND Financial Manager 100.00 275.00
Riverside, CA 92507 University of California,
COM Riverside
OTH
PTY
SCC

SUBTOTAL $ 5,320.00

*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: [email protected] (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet) SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded Statement covers period
CALIFORNIA
to whole dollars.
from 07/01/2024 FORM 460
through 09/21/2024 Page 23 of 47

NAME OF FILER I.D. NUMBER

Jose Medina for Riverside Board of Supervisors 2024 1457298

IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION

DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
(IF COMMITTEE, ALSO ENTER I.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)
09/17/2024 Louis Vandenburg X IND University Administrator 100.00 100.00
Riverside, CA 92507 University of California
COM
OTH
PTY
SCC
07/17/2024 Dolores Vasquez X IND Not Employed 50.00 400.00
Riverside, CA 92508 n/a
COM
OTH
PTY
SCC
07/15/2024 Vazquez for State Board of Equalization 2022 IND 1,000.00 1,000.00
(ID# 1417133) X COM
Norwalk, CA 90650
OTH
PTY
SCC
08/20/2024 Carolyn Veal-Hunter X IND Governmental Advocate 100.00 100.00
Sacramento, CA 95831 Sloat Higgins Jensen &
COM Associates
OTH
PTY
SCC
07/08/2024 Viejas Band of Kumeyaay Indians IND 500.00 500.00
Alpine, CA 91901
COM
X OTH
PTY
SCC

SUBTOTAL $ 1,750.00

*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: [email protected] (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet) SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded Statement covers period
CALIFORNIA
to whole dollars.
from 07/01/2024 FORM 460
through 09/21/2024 Page 24 of 47

NAME OF FILER I.D. NUMBER

Jose Medina for Riverside Board of Supervisors 2024 1457298

IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION

DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
(IF COMMITTEE, ALSO ENTER I.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)
07/11/2024 Viejas Tribal Government IND 1,000.00 1,000.00
Alpine, CA 91901
COM
X OTH
PTY
SCC
07/08/2024 Bud Weisbart X IND Business Owner 300.00 300.00
Corona, CA 92883 A&R Tarpaulins, Inc.
COM
OTH
PTY
SCC
08/23/2024 Katherine O. Wider X IND Retired 100.00 200.00
Riverside, CA 92506 n/a
COM
OTH
PTY
SCC

IND
COM
OTH
PTY
SCC
IND
COM
OTH
PTY
SCC

SUBTOTAL $ 1,400.00

*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
FPPC Form 460 (Jan/2016)
FPPC Advice: [email protected] (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule C Amounts may be rounded
SCHEDULE C
Nonmonetary Contributions Received Statement covers period
to whole dollars.
from 07/01/2024
CALIFORNIA
FORM 460
through 09/21/2024 25 47
SEE INSTRUCTIONS ON REVERSE
Page of
NAME OF FILER I.D. NUMBER

Jose Medina for Riverside Board of Supervisors 2024 1457298

IF AN INDIVIDUAL, ENTER AMOUNT/ CUMULATIVE TO

FULL NAME, STREET ADDRESS AND CONTRIBUTOR DESCRIPTION OF PER ELECTION
DATE OCCUPATION AND EMPLOYER FAIR MARKET DATE
ZIP CODE OF CONTRIBUTOR CODE * GOODS OR SERVICES TO DATE
RECEIVED (IF SELF-EMPLOYED, ENTER VALUE CALENDAR YEAR
(IF COMMITTEE, ALSO ENTER I.D. NUMBER) (IF REQUIRED)
NAME OF BUSINESS) (JAN 1 - DEC 31)

07/31/2024 Gerald Maguire X IND Physician Fundraising Event 3,017.50 3,017.50

San Juan Capistrano, CA 92675 College Medical Center Expenses
COM
OTH
PTY
SCC
09/08/2024 James Ramos X IND Assemblymember Fundraising Event 3,600.00 11,100.00
Highland, CA 92346 State of California Expenses
COM
OTH
PTY
SCC
IND
COM
OTH
PTY
SCC
IND
COM
OTH
PTY
SCC

Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 6,617.50

Schedule C Summary *Contributor Codes

1. Amount received this period – itemized nonmonetary contributions. IND – Individual
(Include all Schedule C subtotals.) ..................................................................................................................... $ 6,617.50 COM – Recipient Committee
(other than PTY or SCC)
2. Amount received this period – unitemized nonmonetary contributions of less than $100 .................................... $ 0.00 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 $ 6,617.50

FPPC Form 460 (Jan/2016)

FPPC Advice: [email protected] (866/275-3772)
www.fppc.ca.gov
www.netfile.com
 SCHEDULE E
Schedule E Statement covers period
Payments Made
Amounts may be rounded
to whole dollars.
from 07/01/2024
CALIFORNIA
FORM 460
through 09/21/2024 Page 26 of 47
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER I.D. NUMBER

Jose Medina for Riverside Board of Supervisors 2024 1457298

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

A To Z Printing Company, Inc. LIT 97.88

Riverside, CA 92503

ActBlue Technical Services OFC 1.13

Somerville, MA 02144

ActBlue Technical Services OFC 4.13

Somerville, MA 02144

* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 103.14

Schedule E Summary
1. Itemized payments made this period. (Include all Schedule E subtotals.) .............................................................................................................. $ 49,600.06

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 $ 49,600.06

FPPC Form 460 (Jan/2016)

FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
www.fppc.ca.gov
www.netfile.com
 SCHEDULE E (CONT.)
Schedule E
Statement covers period
(Continuation Sheet)
Payments Made
Amounts may be rounded
to whole dollars.
from 07/01/2024
CALIFORNIA
FORM 460
through 09/21/2024 27 47
SEE INSTRUCTIONS ON REVERSE Page of
NAME OF FILER I.D. NUMBER

Jose Medina for Riverside Board of Supervisors 2024 1457298

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)

ActBlue Technical Services OFC 0.75

Somerville, MA 02144

ActBlue Technical Services OFC 0.75

Somerville, MA 02144

ActBlue Technical Services OFC 15.00

Somerville, MA 02144

ActBlue Technical Services OFC 16.50

Somerville, MA 02144

ActBlue Technical Services OFC 7.50

Somerville, MA 02144

* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 40.50

FPPC Form 460 (Jan/2016)

FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
www.netfile.com www.fppc.ca.gov
 SCHEDULE E (CONT.)
Schedule E
Statement covers period
(Continuation Sheet)
Payments Made
Amounts may be rounded
to whole dollars.
from 07/01/2024
CALIFORNIA
FORM 460
through 09/21/2024 28 47
SEE INSTRUCTIONS ON REVERSE Page of
NAME OF FILER I.D. NUMBER

Jose Medina for Riverside Board of Supervisors 2024 1457298

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)

ActBlue Technical Services OFC 2.63

Somerville, MA 02144

ActBlue Technical Services OFC 15.75

Somerville, MA 02144

ActBlue Technical Services OFC 18.38

Somerville, MA 02144

ActBlue Technical Services OFC 1.50

Somerville, MA 02144

ActBlue Technical Services OFC 3.30

Somerville, MA 02144

* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 41.56

FPPC Form 460 (Jan/2016)

FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
www.netfile.com www.fppc.ca.gov
 SCHEDULE E (CONT.)
Schedule E
Statement covers period
(Continuation Sheet)
Payments Made
Amounts may be rounded
to whole dollars.
from 07/01/2024
CALIFORNIA
FORM 460
through 09/21/2024 29 47
SEE INSTRUCTIONS ON REVERSE Page of
NAME OF FILER I.D. NUMBER

Jose Medina for Riverside Board of Supervisors 2024 1457298

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)

ActBlue Technical Services OFC 31.50

Somerville, MA 02144

ActBlue Technical Services OFC 0.75

Somerville, MA 02144

ActBlue Technical Services OFC 0.38

Somerville, MA 02144

ActBlue Technical Services OFC 15.00

Somerville, MA 02144

ActBlue Technical Services OFC 15.00

Somerville, MA 02144

* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 62.63

FPPC Form 460 (Jan/2016)

FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
www.netfile.com www.fppc.ca.gov
 SCHEDULE E (CONT.)
Schedule E
Statement covers period
(Continuation Sheet)
Payments Made
Amounts may be rounded
to whole dollars.
from 07/01/2024
CALIFORNIA
FORM 460
through 09/21/2024 30 47
SEE INSTRUCTIONS ON REVERSE Page of
NAME OF FILER I.D. NUMBER

Jose Medina for Riverside Board of Supervisors 2024 1457298

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)

ActBlue Technical Services OFC 0.38

Somerville, MA 02144

ActBlue Technical Services OFC 7.50

Somerville, MA 02144

ActBlue Technical Services OFC 3.00

Somerville, MA 02144

ActBlue Technical Services OFC 1.80

Somerville, MA 02144

ActBlue Technical Services OFC 1.50

Somerville, MA 02144

* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 14.18

FPPC Form 460 (Jan/2016)

FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
www.netfile.com www.fppc.ca.gov
 SCHEDULE E (CONT.)
Schedule E
Statement covers period
(Continuation Sheet)
Payments Made
Amounts may be rounded
to whole dollars.
from 07/01/2024
CALIFORNIA
FORM 460
through 09/21/2024 31 47
SEE INSTRUCTIONS ON REVERSE Page of
NAME OF FILER I.D. NUMBER

Jose Medina for Riverside Board of Supervisors 2024 1457298

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)

ActBlue Technical Services OFC 22.50

Somerville, MA 02144

ActBlue Technical Services OFC 9.00

Somerville, MA 02144

ActBlue Technical Services OFC 9.75

Somerville, MA 02144

ActBlue Technical Services OFC 1.50

Somerville, MA 02144

ActBlue Technical Services OFC 3.75

Somerville, MA 02144

* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 46.50

FPPC Form 460 (Jan/2016)

FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
www.netfile.com www.fppc.ca.gov
 SCHEDULE E (CONT.)
Schedule E
Statement covers period
(Continuation Sheet)
Payments Made
Amounts may be rounded
to whole dollars.
from 07/01/2024
CALIFORNIA
FORM 460
through 09/21/2024 32 47
SEE INSTRUCTIONS ON REVERSE Page of
NAME OF FILER I.D. NUMBER

Jose Medina for Riverside Board of Supervisors 2024 1457298

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)

ActBlue Technical Services OFC 9.38

Somerville, MA 02144

ActBlue Technical Services OFC 7.50

Somerville, MA 02144

ActBlue Technical Services OFC 68.63

Somerville, MA 02144

ActBlue Technical Services OFC 35.25

Somerville, MA 02144

ActBlue Technical Services OFC 2.63

Somerville, MA 02144

* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 123.39

FPPC Form 460 (Jan/2016)

FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
www.netfile.com www.fppc.ca.gov
 SCHEDULE E (CONT.)
Schedule E
Statement covers period
(Continuation Sheet)
Payments Made
Amounts may be rounded
to whole dollars.
from 07/01/2024
CALIFORNIA
FORM 460
through 09/21/2024 33 47
SEE INSTRUCTIONS ON REVERSE Page of
NAME OF FILER I.D. NUMBER

Jose Medina for Riverside Board of Supervisors 2024 1457298

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)

ActBlue Technical Services OFC 3.00

Somerville, MA 02144

ActBlue Technical Services OFC 11.63

Somerville, MA 02144

ActBlue Technical Services OFC 1.13

Somerville, MA 02144

ActBlue Technical Services OFC 1.50

Somerville, MA 02144

ActBlue Technical Services OFC 75.00

Somerville, MA 02144

* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 92.26

FPPC Form 460 (Jan/2016)

FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
www.netfile.com www.fppc.ca.gov
 SCHEDULE E (CONT.)
Schedule E
Statement covers period
(Continuation Sheet)
Payments Made
Amounts may be rounded
to whole dollars.
from 07/01/2024
CALIFORNIA
FORM 460
through 09/21/2024 34 47
SEE INSTRUCTIONS ON REVERSE Page of
NAME OF FILER I.D. NUMBER

Jose Medina for Riverside Board of Supervisors 2024 1457298

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)

ActBlue Technical Services OFC 3.00

Somerville, MA 02144

ActBlue Technical Services OFC 2.25

Somerville, MA 02144

ActBlue Technical Services OFC 5.25

Somerville, MA 02144

Deane & Company PRO 1,251.76

Sacramento, CA 95815

Deane & Company PRO 903.37

Sacramento, CA 95815

* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 2,165.63

FPPC Form 460 (Jan/2016)

FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
www.netfile.com www.fppc.ca.gov
 SCHEDULE E (CONT.)
Schedule E
Statement covers period
(Continuation Sheet)
Payments Made
Amounts may be rounded
to whole dollars.
from 07/01/2024
CALIFORNIA
FORM 460
through 09/21/2024 35 47
SEE INSTRUCTIONS ON REVERSE Page of
NAME OF FILER I.D. NUMBER

Jose Medina for Riverside Board of Supervisors 2024 1457298

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)

Deane & Company PRO 1,113.21

Sacramento, CA 95815

Evinco Strategies, LLC FND 13,234.35

San Diego, CA 92103

Evinco Strategies, LLC FND 7,999.58

San Diego, CA 92103

Evinco Strategies, LLC FND 5,216.44

San Diego, CA 92103

Gram's BBQ Restaurant & Catering FND 9/19/24, Fundraising Event, 21, including Candidate 435.00
Riverside, CA 92501

* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 27,998.58

FPPC Form 460 (Jan/2016)

FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
www.netfile.com www.fppc.ca.gov
 SCHEDULE E (CONT.)
Schedule E
Statement covers period
(Continuation Sheet)
Payments Made
Amounts may be rounded
to whole dollars.
from 07/01/2024
CALIFORNIA
FORM 460
through 09/21/2024 36 47
SEE INSTRUCTIONS ON REVERSE Page of
NAME OF FILER I.D. NUMBER

Jose Medina for Riverside Board of Supervisors 2024 1457298

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)

Riverside County Registrar of Voters FIL 3,500.00

Riverside, CA 92507

Araceli Ruiz CNS 5,000.00

Jurupa Valley, CA 92509

Stripe, Inc. OFC 1.88

South San Francisco, CA 94080

Stripe, Inc. OFC 6.74

South San Francisco, CA 94080

Stripe, Inc. OFC 1.33

South San Francisco, CA 94080

* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 8,509.95

FPPC Form 460 (Jan/2016)

FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
www.netfile.com www.fppc.ca.gov
 SCHEDULE E (CONT.)
Schedule E
Statement covers period
(Continuation Sheet)
Payments Made
Amounts may be rounded
to whole dollars.
from 07/01/2024
CALIFORNIA
FORM 460
through 09/21/2024 37 47
SEE INSTRUCTIONS ON REVERSE Page of
NAME OF FILER I.D. NUMBER

Jose Medina for Riverside Board of Supervisors 2024 1457298

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)

Stripe, Inc. OFC 1.33

South San Francisco, CA 94080

Stripe, Inc. OFC 22.23

South San Francisco, CA 94080

Stripe, Inc. OFC 24.89

South San Francisco, CA 94080

Stripe, Inc. OFC 11.92

South San Francisco, CA 94080

Stripe, Inc. OFC 4.54

South San Francisco, CA 94080

* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 64.91

FPPC Form 460 (Jan/2016)

FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
www.netfile.com www.fppc.ca.gov
 SCHEDULE E (CONT.)
Schedule E
Statement covers period
(Continuation Sheet)
Payments Made
Amounts may be rounded
to whole dollars.
from 07/01/2024
CALIFORNIA
FORM 460
through 09/21/2024 38 47
SEE INSTRUCTIONS ON REVERSE Page of
NAME OF FILER I.D. NUMBER

Jose Medina for Riverside Board of Supervisors 2024 1457298

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)

Stripe, Inc. OFC 23.56

South San Francisco, CA 94080

Stripe, Inc. OFC 28.56

South San Francisco, CA 94080

Stripe, Inc. OFC 2.43

South San Francisco, CA 94080

Stripe, Inc. OFC 5.76

South San Francisco, CA 94080

Stripe, Inc. OFC 46.66

South San Francisco, CA 94080

* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 106.97

FPPC Form 460 (Jan/2016)

FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
www.netfile.com www.fppc.ca.gov
 SCHEDULE E (CONT.)
Schedule E
Statement covers period
(Continuation Sheet)
Payments Made
Amounts may be rounded
to whole dollars.
from 07/01/2024
CALIFORNIA
FORM 460
through 09/21/2024 39 47
SEE INSTRUCTIONS ON REVERSE Page of
NAME OF FILER I.D. NUMBER

Jose Medina for Riverside Board of Supervisors 2024 1457298

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)

Stripe, Inc. OFC 1.33

South San Francisco, CA 94080

Stripe, Inc. OFC 0.78

South San Francisco, CA 94080

Stripe, Inc. OFC 22.23

South San Francisco, CA 94080

Stripe, Inc. OFC 44.46

South San Francisco, CA 94080

Stripe, Inc. OFC 0.78

South San Francisco, CA 94080

* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 69.58

FPPC Form 460 (Jan/2016)

FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
www.netfile.com www.fppc.ca.gov
 SCHEDULE E (CONT.)
Schedule E
Statement covers period
(Continuation Sheet)
Payments Made
Amounts may be rounded
to whole dollars.
from 07/01/2024
CALIFORNIA
FORM 460
through 09/21/2024 40 47
SEE INSTRUCTIONS ON REVERSE Page of
NAME OF FILER I.D. NUMBER

Jose Medina for Riverside Board of Supervisors 2024 1457298

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)

Stripe, Inc. OFC 13.66

South San Francisco, CA 94080

Stripe, Inc. OFC 14.99

South San Francisco, CA 94080

Stripe, Inc. OFC 2.43

South San Francisco, CA 94080

Stripe, Inc. OFC 5.73

South San Francisco, CA 94080

Stripe, Inc. OFC 14.44

South San Francisco, CA 94080

* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 51.25

FPPC Form 460 (Jan/2016)

FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
www.netfile.com www.fppc.ca.gov
 SCHEDULE E (CONT.)
Schedule E
Statement covers period
(Continuation Sheet)
Payments Made
Amounts may be rounded
to whole dollars.
from 07/01/2024
CALIFORNIA
FORM 460
through 09/21/2024 41 47
SEE INSTRUCTIONS ON REVERSE Page of
NAME OF FILER I.D. NUMBER

Jose Medina for Riverside Board of Supervisors 2024 1457298

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)

Stripe, Inc. OFC 11.23

South San Francisco, CA 94080

Stripe, Inc. OFC 102.72

South San Francisco, CA 94080

Stripe, Inc. OFC 53.31

South San Francisco, CA 94080

Stripe, Inc. OFC 15.54

South San Francisco, CA 94080

Stripe, Inc. OFC 4.86

South San Francisco, CA 94080

* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 187.66

FPPC Form 460 (Jan/2016)

FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
www.netfile.com www.fppc.ca.gov
 SCHEDULE E (CONT.)
Schedule E
Statement covers period
(Continuation Sheet)
Payments Made
Amounts may be rounded
to whole dollars.
from 07/01/2024
CALIFORNIA
FORM 460
through 09/21/2024 42 47
SEE INSTRUCTIONS ON REVERSE Page of
NAME OF FILER I.D. NUMBER

Jose Medina for Riverside Board of Supervisors 2024 1457298

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)

Stripe, Inc. OFC 17.74

South San Francisco, CA 94080

Stripe, Inc. OFC 1.88

South San Francisco, CA 94080

Stripe, Inc. OFC 23.82

South San Francisco, CA 94080

Stripe, Inc. OFC 110.23

South San Francisco, CA 94080

Stripe, Inc. OFC 5.09

South San Francisco, CA 94080

* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 158.76

FPPC Form 460 (Jan/2016)

FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
www.netfile.com www.fppc.ca.gov
 SCHEDULE E (CONT.)
Schedule E
Statement covers period
(Continuation Sheet)
Payments Made
Amounts may be rounded
to whole dollars.
from 07/01/2024
CALIFORNIA
FORM 460
through 09/21/2024 43 47
SEE INSTRUCTIONS ON REVERSE Page of
NAME OF FILER I.D. NUMBER

Jose Medina for Riverside Board of Supervisors 2024 1457298

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)

Stripe, Inc. OFC 3.76

South San Francisco, CA 94080

Stripe, Inc. OFC 8.85

South San Francisco, CA 94080

The Strategy Group, LLC Walk Piece 4,300.00

Chicago, IL 60661

The Strategy Group, LLC OFC 5,200.00

Chicago, IL 60661

The Strategy Group, LLC WEB 250.00

Chicago, IL 60661

* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 9,762.61

FPPC Form 460 (Jan/2016)

FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
www.netfile.com www.fppc.ca.gov
 SCHEDULE F
Schedule F
Accrued Expenses (Unpaid Bills)
Amounts may be rounded
to whole dollars.
from
Statement covers period
07/01/2024
CALIFORNIA
FORM 460
through 09/21/2024
Page 44 of 47
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER I.D. NUMBER

Jose Medina for Riverside Board of Supervisors 2024 1457298

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)

(a) (b) (c) (d)

NAME AND ADDRESS OF CREDITOR CODE OR OUTSTANDING AMOUNT INCURRED AMOUNT PAID OUTSTANDING
(IF COMMITTEE, ALSO ENTER I.D. NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE
OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD
A To Z Printing Company, Inc. LIT 0.00 2,283.75 0.00 2,283.75
Riverside, CA 92503

Evinco Strategies, LLC FND 7,999.58 0.00 7,999.58 0.00

San Diego, CA 92103

Evinco Strategies, LLC FND 0.00 4,616.75 0.00 4,616.75

San Diego, CA 92103

* Payments that are contributions or independent expenditures must also be SUBTOTALS $ 7,999.58$ 6,900.50 $ 7,999.58 $ 6,900.50
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 $ 11,900.50

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 $ 7,999.58

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 $ 3,900.92
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 F (CONT.)
Schedule F Amounts may be rounded
(Continuation Sheet)
Accrued Expenses (Unpaid Bills)
to whole dollars.
from
Statement covers period
07/01/2024
CALIFORNIA
FORM 460
through 09/21/2024 45 47
Page of
NAME OF FILER I.D. NUMBER

Jose Medina for Riverside Board of Supervisors 2024 1457298

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.
(a) (b) (c) (d)
NAME AND ADDRESS OF CREDITOR CODE OR OUTSTANDING AMOUNT INCURRED AMOUNT PAID OUTSTANDING
(IF COMMITTEE, ALSO ENTER I.D. NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE
OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD
Araceli Ruiz CNS 0.00 5,000.00 0.00 5,000.00
Jurupa Valley, CA 92509

SUBTOTALS $ 0.00 $ 5,000.00 $ 0.00 $ 5,000.00

FPPC Form 460 (Jan/2016)

FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule G SCHEDULE G
Statement covers period
Payments Made by an Agent or Independent
Contractor (on Behalf of This Committee)
Amounts may be rounded
to whole dollars.
from 07/01/2024
CALIFORNIA
FORM 460
through 09/21/2024 46 47
Page of
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER I.D. NUMBER

Jose Medina for Riverside Board of Supervisors 2024 1457298

NAME OF AGENT OR INDEPENDENT CONTRACTOR

The Strategy Group, LLC

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

Cornerstone Displays Walk Piece 2,197.48

Novato, CA 94949

HP Photography Walk Piece 1,200.00

Lake Isabella, CA 93240

Political Data, Inc. OFC 5,200.00

Long Beach, CA 90806

Attach additional information on appropriately labeled continuation sheets. TOTAL* $ 8,597.48

* 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: [email protected] (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule I SCHEDULE I
Miscellaneous Increases to Cash Amounts may be rounded Statement covers period
to whole dollars.
from 07/01/2024
CALIFORNIA
FORM 460
through 09/21/2024 Page 47 of 47
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER I.D. NUMBER

Jose Medina for Riverside Board of Supervisors 2024 1457298

DATE FULL NAME AND ADDRESS OF SOURCE AMOUNT OF

RECEIVED DESCRIPTION OF RECEIPT
(IF COMMITTEE, ALSO ENTER I.D. NUMBER) INCREASE TO CASH

07/26/2024 Riverside County Registrar of Voters Refund 2,027.95

Riverside, CA 92507

Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 2,027.95

Schedule I Summary
1. Itemized increases to cash this period. ....................................................................................................................... $ 2,027.95

2. Unitemized increases to cash of under $100 this period. ............................................................................................ $ 0.00

3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).) ................................. $ 0.00

4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the
Summary Page, Line 14.) ........................................................................................................................... TOTAL $ 2,027.95

FPPC Form 460 (Jan/2016)

FPPC Advice: [email protected] (866/275-3772)
www.fppc.ca.gov
www.netfile.com