PAGE 1 / 22 RECEIVED! REPORT OF RECEIPTS FEC 201^1 JAN 30....

r PAGE 1 / 22

FEC FORM 3

REPORT OF RECEIPTS AND DISBURSEMENTS

For An Auttiorized Committee

R E C E I V E D " !

201̂1 JAN 30. m3-UQ

officrifee}̂ !! CEHTER

1. NAMEOF COMMITTEE (In fuH)

TYPE OR PRINT T Example over the

I Rafael Dagnesses for Congress 2014 I I I I l l l l l l l

If typing, type lines.

12FE4M5

I I I ' I I I I I I _L_L

L I I I i _ J L_L I I I I I I I l l l l l J _ L 65 W Easy Street

ADDRESS (number and street) l l l l l l l l - L - L

Check If different than previously reported. (ACC)

Suite 102 l l l l l l l l

Simi Valley l l l l l J L J U I 93065-6201 I I I

2. FEC IDENTiFiCATiON NUiy/IBER T CITY STATE

3. ISTHIS ra NEW REPORT ^ (N) O R

AMENDED (A)

4. T Y P E O F R E P O R T (Choose One)

(a) Quarteriy Reports:

j T l April 15 Quarterly Report (01)

Q July 15 Quarterly Report (02)

0 October 15 Quarteriy Report (Q3)

0 January 31 Year-End Report (YE)

U Termination Report (TER)

ZIP CODE STATE • DISTRICT

CA 26

(b) 12-Day PRE-Election Report for the:

Primaty (12P) ILJ .General (12G)

Convention (12C) 0 Special (12S)

Runoff (12R)

Election on

M M /. D " D / • • • 1 . ^ U - . . y ^ Y Y Y Y . . . . . .y. n f7 . ._.

in the State of

(c) 30-Day POST-Electlon Report for the:

Q General (30G) Q j Runoff (30R) Special (SOS)

Election on Y Y Y Y In the

State of

5. Covering Period M M

01 . / iJ D D

01 through Y * Y " Y " Y

2013

/ certify that I have examined this Report and to the best of my knowledge and belief it is true, correct and complete.

Type or Print Name of Treasurer . Bryan Burch

Signature of Treasurer Bryan Burch Date

D D

29

NOTE: Submission of false, erroneous, or incomplete information may subject the person signing this Report to the penalties of 2 U.S.C. §437g.

L FE5AN018

Office Use Only

) FEC FORM 3 , (Revised 02/2003)

r FEC Form 3 (Revised 02/2003) SUMMARY PAGE of Receipts and Disbursemerits PAGE 2 / 22 Write or Type Committee Name

Rafael Dagnesses for Congress 2014

Report Covering the Period: From: 01 Y " Y Y Y

2013 To: M M

12 D D

31 Y " Y " Y " Y

2013

6. Net Contributions (other than loans)

(a) . Total Contributions (other than loans) (from Line 11(e))...

(b) Total Contribution Refunds (from Une 2D(d))

(c) Net Contributions (other than loans) (subtract Line 6(b) from Line 6(a))

7. Net Operating Expenditures

(a) Total Operating Expenditures (from Une 17)

(b) Total Offsets to Operating Expenditures (from Line 14)

(c) Net Operating Expenditures (subtract Line 7(b) from Line 7(a))

8. Cash on Hand at Close of Reporting Period (from Line 27)

9. Debts and Obligations Owed TO the Committee (Itemize all on Schedule 0 and/or Schedule D)

10. Debts and Obligations Owed BY the Committee (Itemize all on Schedule C and/or Schedule D)

COLUMN A COLUi\AN B This Period Election Cycie-to-Date

20790

20790

11268.01 f

0 \.

—u» u-'-'-u-

11268.01 I

—u u u ?

24521.99 i

20790

20790

For further information contact:

Federal Election Commission 999 E Street, NW

Wasliington, DC 20463

Toll Free 800-424-9530 Local 202-694-1100

L FE5AN018

J

r FEC Form 3 (Revised 12/2003) DETAiLED SUMMARY PAGE of Receipts PAGE 3/22 Write or Type Committee Name


M " M / D " D / -y-iry—irrsf-u-y— Report Covering'the Period: From: —91- 2013 To:

M

12 2013

I. RECEiPTS

11. CONTRIBUTIONS (other than loans) FROM:

(a) Individuals/Persons Other Than Political Committees (i) Itemized (use Schedule A)

(ii) Unitemized (iil) TOTAL of contributions .

from individuals ^

03) Political Party Committees (c) other Political Committees

(such as PACs) '.

(d) The Candidate (e) TOTAL CONTRIBUTIONS

(other than loans) (add Unes 11(a)(lii), (b), (c). and (d))..

12. TRANSFERS FROM OTHER AUTHORIZED COMMITTEES

13. LOANS: (a) Made or Guaranteed by the

Candidate

(b) All other Loans (c) TOTAL LOANS

(add Lines 13(a) and (b))

14. OFFSETS TO OPERATING EXPENDITURES (Refunds, Rebates, etc.)

15. OTHER RECEIPTS (Dividends, Interest, etc.)

16. TOTAL RECEiPTS (add Lines 11(e), 12, 13(c), 14, and 15) ^ (Carty Total to Line 24, page 4)

COLUIVIN A COLUIVIN B Total This Period Election Cycle-to-Date

-TJ" U "M-

18700

15000

15000

35790

18700

1970

20670

120

20/90

Z^^ZZZZZ zzzn \. n .n ^-n /yy n.

_^^_000^

35790

L FE5AN018

J

r FEC Form 3 (Revised 02/2003) DETAiLED SUMMARY PAGE of Disbursements 1 PAGE 4 / 22 ii. DiSBURSEMENTS

17. OPERATING EXPENDITURES.

18. TRANSFERS TO OTHER AUTHORIZED COMMITTEES,

19. LOAN REPAYMENTS: (a) Of Loans Made or Guaranteed

by the Candidate

(b) Of All Other Loans (c) TOTAL LOAN REPAYMENTS

(add Lines 19(a) and (b))

20. REFUNDS OF CONTRIBUTIONS TO: (a) Individuals/Persons Other

Than Political Committees

(b) Political Party Committees., (c) Other Political Committees

(such as PACs)

(d) TOTAL CONTRIBUTION REFUNDS (add Lines 20(a), (b), and (c))

21. OTHER DISBURSEMENTS,

22. TOTAL DISBURSEMENTS (add Unes 17, 18, 19(c), 20(d), and 21) ^

COLUMN A COLUIVIN B Total This Period Election Cycie-to-Date

11268 BJoT""! If

1 1/—-nr u a iJ"—u 0

1 u IT——XT' u u u l l ^

L TV,—n —ri JT /JV— 0

ZZZZZZZZZZZ 0 _ n f x . . — n 1

=iP=--=.\i-=i;

n n r y n —

11268.01

0

1 ^ ^ ̂ ^ ̂ 0̂ u uT u u u it u

11268.01

iii. CASH SUIVIMARY

23. CASH ON HAND AT BEGINNING OF REPORTING PERIOD.

24 TOTAL RECEIPTS THIS PERIOD (from Une 16, page 3).

25. SUBTOTAL (add Line 23 and Line 24)

26. TOTAL DISBURSEMENTS THIS PERIOD (from Une 22).

27. CASH ON HAND AT CLOSE OF REPORTING PERIOD

(subtract Line 26 from Line 25)

I Ll Ll

I. n ry

° J

35790

35790

11268.01

24521.99^

L FE5AN01B

J

SCHEDULE A (FEC Form 3)

ITEMiZED RECEIPTS Use separate schedule(s) for each category of the Deteiled Summary Page

FOR UNE NUMBER: (check only one)

PAGE 5 OF 22

X 11a l i b 11c 12 13a 13b

11d 14 15

Any Information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE On FuH)


A.

Full Name (Last, First, Middle InitiaQ Paul Pagnone

Mailing Address 201 W Palmer Avenue

Apt. C City

Glendale

Stete CA

Zip Code 91204-4002

FEC ID number of contributing federal political committee.

Name of Employer Self

Occupation Real Estate Investor

Receipt For: 2014 Primary P ^ General Other (specify)

Date of Receipt / [irY-a~Ynr-y-tf-v-

2013

Transaction ID: A-CF31

Amount of Each Receipt this Period

500

B.

Full Name (Last, First, Middle InitiaQ David Patterson Date of Receipt

Mailing Address 7659 E Pinnacle Peak Road Suite 100

City Scottsdale

State AZ

Zip Code 85255-6298

2013


FEC ID number of contributing federal political committee. Amount of Each Receipt this Period

1/—Tj=—a '. ir" •tf'—LT"—'LI—"u—\r

Name of Employer

Quantum of Arizona REALTORS

Receipt For: 2014 ^ Primary P ^ General

Other (specify)

Occupation

Broker

350

Election Cycle-to-Date =TI=5T=

350

c. Full Name (Last, First, Middle InitiaO Omar Salah Date of Receipt

Mailing Address 953 WQQJJ Ranch Parkway

City Siml Valley

State CA

Zip Code

93065-8370

/ / P_12_ 21 2013

Transaction ID : A-CF57


' " 1 3 — ^ Tj" ' LT̂ u - -u ' \ r ' a '~U L

Name of Employer

AIIBaba

Receipt For: 2014 ^ Primary p ^ General

Other (specify)

Occupation Chef

500

Election Cycle-to-Date

500

SUBTOTAL of Receipts This Page (optionaO-

TOTAL This Period (last page this line number only).

FEC Schedule A (Form 3) (Revised 02/2009)

SCHEDULE A (FEC Form 3) ITEMiZED RECEIPTS

Use separate schedule(s) for each category of the Detailed Summary Page


PAGE 6 OF 22

X 11a l i b 11c 11d 12 13a 13b 14 15

Any Information copied from such Reports and Statements may not be sold or used by any person for the purpose of soiiciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In FuH)


A.

Full Name (Last, First, Middle Initial)

Dr. Racliel Johns Mailing Address 14 Concho Lane

City

Bell Canyon


Name of Empioyer SCPMG

Receipt For: 2014 Primary P ^ Generai Other (specify)

State CA

Zip Code 91307-1004

Occupation Physician


-n . n _ . 4.., ' n n , y n_ 250

Date of Receipt

1-JgJI IL21J -> j r - i r -y-Tj-y-Lr>"

2013



250

Full Name (Last, First, Middle InitiaO

g Sammy Saab Mailing Address 1328 Amalfi Drive

City Pacific Palisades


Name of Empioyer

Amalfi Health Receipt For: 2014

^ Primary P ^ Generai Other (specify)

Date of Receipt

State CA

Zip Code 90272-4034

D " D

21



Occupation

MD

500 n . n jf- n n D

Election Cycie-to-Date

500 . J \ r U ^ f rJT JT-

c.


Mr. Todd Wilson Mailing Address 7 Biuefin Court

City Newport Beach

FEC ID number of contributing federai poiiticai committee.

Name of Employer

N/A


Other (specify)

Date of Receipt

State CA

Zip Code 92663-2777

•|Snri5i"n 12 J U l i J 2013



Occupation RETIRED

500 1 " f .1". P - f . n - .—J «*• "


500 _p f . i ' , - n . . n j . ri p_ •

SUBTOTAL of Receipts This Page (optional).

TOTAL This Period (last page this line number only). I ... n J y . . P • .1 f.


SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS

Use separate scheduie(s) for each category of the Detailed Summary Page


PAGE 7 OF 22

X 11a l i b 11c 12 13a 13b

l i d

14 n 15 Any information copied from such Reports and Statements may not be soid or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to soiicit contributions from such committee.

\ NAME OF COMMITTEE (In FulO

/ Rafael Dagnesses for Congress 2014

A.


Scott Akerley Mailing Address 5226 Bridgetown Place

City

Westiake Village

State Zip Code CA 91362-4742

FEC ID number of contributing federai poiiticai committee. i Name of Empioyer Glen Oaks Escrow


Occupation CEO

Eiection Cycle-to-Date

Date of Receipt 1a~'ti'-a~

1 12 03 2013 Transaction ID : A-CF43


1000 - J l - — F K . — f . . . . n , p-

B.

Full Name (Last, First, Middie InitiaO

Mr. Paul Schiada Mailing Address 1937 N IVIariposa Avenue

Date of Receipt

1'

City Los Angeles


12 2013

Transaction ID: A-CF.19


Name of Empioyer

Self Employed Receipt For: 2014

^ Primary [Z} General Other (specify)

Occupation

Attorney/Investor =fc=5=

500

Election Cycie-to-Date —yl U U~ U' Vi "U • U -

500 -B . .n...,-y-—J-.,—n y .B -.-n_

Full Name (Last, First, Middie InitiaO Date of Receipt

Maiiing Address 11678 Sagewood Drive

City State Zip Code Moorpari< CA 93021-3728

FEC ID number of contributing federai political, committee. jc " » " n . n n .. .n Name of Employer

Vantage Tire Inc.

Occupation Tires Sales

2013



Receipt For:. 2014 ^ Primary p ^ Generai

Other (specify)

500 - J l .n o n..

SUBTOTAL of Receipts This Page (optional).

TOTAL This Period (iast page this line number oniy).

FEC Scheduie A (Form 3) (Revised 02/2009)


ITEMIZED RECEIPTS Use separate schedule(s) for each category of the Detailed Summary Page

FOR UNE NUMBER: (check oniy one)

PAGE 8 OF 22

X 11a l i b 11c 12 13a 13b

l i d

14 15 Any Information copied from such Reports and-Statements may not be soid or used by any'person for the purpose of. soliciting contributions or for commercial purposes, other than using the name and address of any poiiticai committee to soiicit contributions from such committee.

NAME OF COMMITTEE (In FuM) Rafael Dagnesses for Congress 2014

A.

Full Name (Last, First, Middle InitiaO IVIr. Michael Vitar

Mailing Address 21300 Bennuda Street

City

Chatsworth


Name of Employer Los Angeles Fire Dept.


Other (specify)

State CA

Zip Code 91311-1428

Occupation Firefighter

Election. Cycie-to-Date

- a u LT

500 7 ^ — > =

Date of Receipt

1 t2_l / / j i - i r - y - T j - y - i r V l l

2013



500 -Jl . n . . ; n n y . n . r u .

B.

Full Name (Last, First, Middle InitiaO Ms. Elena Millner

Mailing Address 100 Scholz Plaza Penthouse 14

City Newport Beach


Name of Employer

Westwood Receipt For: 2014

^ Primary [^ Generai Other (specify)

Date of Receipt

State CA

Zip Code 92663-1628

2013



Occupation

investor

- t f u U 0 U L

250 „n . n g n n 3 r


250 -Jl ...p ?

c. Fuii Name (Last, First. Middie InitiaO Oscar Khaw

Mailing Address 1473 vista Lane

City Pasadena


Name of Empioyer

Whitehorse & Company

Receipt For: 2014 ^ Primary p ^ Generai

Other (specify)

Date of Receipt

State CA

Zip Code

91103-1938

L-J2_I CJ-y-iry—LTy-"! ^ 20J3 ^ Transaction ID : A-CF34


Occupation CPA

500 JT n n n


500 " •? . ? • P ji .. .rt.-_n —a

SUBTOTAL of Receipts This Page (optionaO.




ITEMIZED RECEiPTS Use separate scheduie(s) for each category of the Detailed Summary Page


PAGE 9 OF 22

X 11a 11b 11c 12 13a 13b

11d 14 I lis

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soiiciting contributions or for commercial purposes, other than using the name and address of any poiiticai committee to solicit contributions from such committee.

NAME OF COMMITTEE (in FuiO Rafael Dagnesses for Congress 2014

Full Name (Last, First, Middle Initial) Alexis Saab

Mailing Address 108IO Paramount Boulevard

Suite 201 City

Downey

State CA

Zip Code 90241-3351

FEC ID number of contributing federai political committee.

Name of Employer Law office of Alexis Saab

Receipt For: 2014 X Primary [Z} General

Other (specify)

Occupation Attorney


500

Date of Receipt

12 D U D

16 •V-^ry-iry-u-y-

2013 Transaction ID: A-CF18


500 ,j---.jv—. .r-wJ—9.. .n...

B.

Full Name (Last, First, Middle InitiaO Mr. Fred Perez Date of Receipt

Mailing Address 19595 Horace Street

City State Zip Code Chatsworth CA 91311-1927


Name of Employer

Mclarens Global Claims Service

Occupation

Vice President

rM~u"isii'" / / 1 1_2 __21_


/^ount of Each Receipt this Period

Receipt For: 2014 ^ Primary P J General

Other (specify)

250 -Jl ..n .p n n y n-

Eiectlon Cycie-to-Date

250

c.

Fuli Name (Last, First, Middie InitiaO Dr. Yousef Helo

Mailing Address g g ^ Painted Pony Circle

City Simi Vaiiey

State CA

Zip Code 93063-6321

Date of Receipt

^ L J L_20l: 12 - i r y - i n y - {

3


FEC ID number of contributing federal political committee. —-jj 0


Name of Employer

BaxCare group

Receipt For: 2014 Primary p ^ General Other (specify)

Occupation Chiropractor

Eiection Cycie-to-Date

SUBTOTAL of Receipts This Page (pptionai).

TOTAL This Period (iast page this iine number oniy).

1000.00



ITEMIZED RECEIPTS Use separate schedule(s) for each category of the Detailed Summary Page


PAGE 10 OF 22

X 11a l i b 11c 12 13a 13b

l i d

14 n 15 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any poiiticai committee to soiicit contributions from such committee.

NAME OF COMMITTEE (in FuN) Rafael Dagnesses for Congress 2014

A.

Full Name (Last, First, Middle Initial) Mr. Mathew Savage

Mailing Address 2192 Hurles Avenue

City

Siml Valley

State CA

Zip Code 93063-2732


Name of Empioyer Bank of America

Occupation Corporate Auditor


Other (specify)

Date of Receipt j r - u - y - L T - y - u - y -

2013



250

B.

Full Name (Last, First, Middle InitiaO Javier Munoz Date of Receipt

Maiiing Address 9517 Amngton Avenue

City Downey

State CA

Zip Code 90240-3401

M-^nii-i

_!2J ry—iry—LTy—ir -y-

[_^^_2013


FEC ID number of contributing federal poiiticai committee. Amount of Each Receipt this Period

Name of Employer

Downey Exterminating


Other (specify)

Occupation

Sales

-y IW—f^-500


500

Full Name (Last, First, Middle InitiaO ^ Roger J. Alves

Mailing Address 3233 Calle De Debesa

City Camarillo

State CA

Zip Code 93010-8337

Date of Receipt

12 2013



Name of Employer

Scosche Ind. Inc Receipt For: 2014

^ Primary p ^ Generai Other (specify)

Occupation Executive

1000


1000 • / i n y n n y . , n n P n





ITEMIZED RECEiPTS Use separate schedule(s) for each category of the Detailed Summary Page


PAGE 11 OF 22

X 11a l i b 11c l i d 12 13a 13b 14 15

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soiiciting contributions or for commercial purposes, other than using the name and address of any poiiticai committee to. soiicit contributions from such committee.

NAME OF COMMITTEE (In Fuli) Rafael Dagnesses for Congress 2014

A.

Fuil Name (Last, First, Middie InitiaO Mr. Dennis Mangola

Mailing Address 11972 Hertz Avenue

City

Moorpark

State CA

Zip Code

93021 r7130

FEC ID number of contributing federal poiiticai committee.

Name of Empioyer DMC inc.

Occupation Business Consultant

Receipt For: 2014 ^ Primary P ^ Generai

Other (specify)

Date of Receipt

12 1^9 Transaction ID : A-CF33


500

B.

Full Name (Last, First, Middle Initial) Aurora Vitar Date of Receipt

Mailing Address 4554 Gainsborough Avenue

City Los Angeles


12 -y—U-y-nr-;—l/'V^

2013


FEC ID number of contributing federai political committee. ,^3—.n n . .n. . ru


Name of Employer

Self Receipt For: 2014

Primary P ^ General Other (specify)

Occupation

Broker. =3t==i:

. 1000 -y—.—Jl n a n_

Electlon Cycie-to-Date

1000

Full Name (Last, First. Middle InitiaO Dennis Saab Date of Receipt

Maiiing Address 10310 Paramount Boulevard

Suite 202 City Downey

State CA

Zip Code

90241-3351

D U D

21 fyi~V^yisry~\r'\r-

2013


FEC ID numtjer of contributing federal poiiticai committee. i

-\f '. 'u •-•tr'— Amount of Each Receipt this Period

-J '• li •• • a'. ' • u ' i/-

Name of Employer

Self


Other (specify)

Occupation Attorney

500 J P n . T -

Electlon Cycle-to-Date

500


TOTAL This Period (last page this iine number oniy).


SCHEDULE A (FEC Form 3) ITEMIZED RECEiPTS

Use separate schedule(s) for each category of the Detaiied Summary Page


PAGE 12 OF 22

X 11a l i b 11c 12 13a 13b

l i d 14 I 115

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.




Srlnlvas Manthena Mailing Address 6717 Aspen Hills Drive

City

Moorpark

State CA

Zip Code 93021-1011


Name of Empioyer Edwards Life Sciences

Receipt For: 2014 ^ Primary { ^ General

Other (specify)

Occupation Sr; Director

Eiection Cycie-to-Date — — U - i l 1 J u—TJ u——Ir—\i-

500 n IT:, ¥ ' "-r-f . . . .*! .1 n-^-n • n 1

Date of Receipt s n j ' M '

12 - y — i r y * \ r y - L r y -

2013



500

B.

Full Name (Last, First, Middie InitiaO

Anna J. Brann Date of Receipt Mailing Address 13337 Pacific Breeze Drive

City Santa Rosa Valley

State CA

Zip Code 93012-8949

12 •y—iry-u -y—u^-

2013



Name of Empioyer

Retired Receipt For: 2014

Primary P J General Other (specify)

Occupation

N/A

500 J n y n n_


500

C.

Full Name (Last, First, Middie Initiai)

William E. Robinson Date of Receipt Maiiing Address 12341 Spring Creek Court

City Moorpark

State CA

Zip Code 93021-2724

"Sl-^rsn 12

O U D

21 2013



Name of Empioyer

Tire Warehouse Inc. Receipt For: 2014

^ Primary p j Generai Other (specity)

Occupation Sales

500 -SI a


500 , j L _ , , j . , - . . , y —

SUBTOTAL of Receipts This Page (optionai).

TOTAL This Period (iast page this line number only).

1500.00 -y JT n p r

FEC Scheduie A (Form 3) (Revised 02/2009)


ITEMIZED RECEiPTS Use separate schedule(s) for each category of the Detaiied Summary Page


PAGE 13 OF 22

X 11a 11b 11c 12 13a 13b

l i d

14 r~ii5 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the narrie and address of any political committee to soiicit contributions', from such committee.

NAME OF COMMITTEE (in FulO Rafael Dagnesses for Congress 2014

Full Name (Last, First, Middle InitiaO ^ Troy A. Capell

Mailing Address 3232 E Thousand Oaks Boulevard

City

Thousand Oaks

state CA

Zip Code 91362-3446


Name of Employer Quantum Realtors

Receipt For: 2014 ^ Primary P J Generai

Other (specify)

Occupation Realtor


1000

Date of Receipt



Full Name (Last, First, Middle InitiaO g Mr. Wei Zheng Date of Receipt

Maiiing Address 1017 S 2nd Avenue

City Arcadia

State CA

Zip Code 91006-4104

12 D " D

23 -y—u y iiry"~irY"^j

2013


FEC ID number of contributing" federai poiiticai committee. Cl Amount of Each Receipt this Period Name of Employer

self employed Receipt For: 2014

^ Primary P ^ Generai Other (specify)

Occupation

real estate agent

2600 J . .a , n-

Etection Cycie-to-Date

r ' — V ' ' u-*

2600

c. Fuii Name (l-ast, First, Middie InitiaO Mrs. Virginia Martinez Date of Receipt

Mailing Address 17313 Mayeriing Street

City Granada Hills

State CA

Zip Code 91344-2142

D U D

31 -Y-ijrf-ir?~u~v*-

2013


FEC ID number of contributing federal pplitical committee. Amount of Each Receipt'this Period

- i , " a • • u il' a t/ "y ' " 'u• •• tf-

Name of Employer

Prospect

Receipt For: 2014 Primary p j Generai Other (specify)

Occupation mortgage banker

500


500





ITEMIZED RECEiPTS Use separate schedule(s) for each category of the Detailed Summary Page


PAGE 14 OF 22

X 11a l i b 11c 12 13a 13b

l i d 14 15

Any Information copied from such Reports and Statements may not be sold or used by any person for the purpose of soiiciting contributions or for commercial purposes, other than using the riame and address of any poiiticai committee to soiicit contributions from such committee.-

NAME OF COMMITTEE (In FuH) Rafael Dagnesses for Congress 2014

A.

Full Name (Last, First, Middle Initial) Anthony Santillo

Mailing Address 2128 Crescent Avenue

City

Montrose

State CA

Zip Code 91020-1202

FEC ID number of contributing federai poiiticai committee. 12

=jp===5==3====v===Jr

Name of Empioyer Chicago Title Cmpany

Receipt For: 2014 ^ Primary P ^ Generai

Other (specify)

Occupation Sales


-0 ."̂ • T-

Date of Receipt T D 'tl' D 'l

12 15 ~y~£ry~vry* ir^-

2013



1000

Full Name (l-ast. First, Middle InitiaO g Rosemary Allison Date of Receipt

Mailing Address 11521 Sumac Lane

City Santa Rosa Valley

State CA

Zip Code 93012-8859

/ -y*irV"V"y~TrV 1 1_2 06 2013



Name of Empioyer

Rosematys Consulting


Occupation

Realtor

500 n n 3 n n


Fuil Name (Last,. First. Middie InitiaO Leonard Taylor Date of Receipt

Maiiing Address 275 N Kalorama Street

Apt. 404 ''__ City Ventura

State CA

Zip Code 93001-2157

c-ery - i


FEC ID number of contributing federai political committee. Amount of Each Receipt this Period

Name of Employer

Self employed Receipt For: 2014

^ Primary p j Generai Other (specify)

Occupation Certified Signing Specialist


250

SUBTOTAL of Receipts This Page (optionaO. . 1750.00

p . ri . g , ^ , . p. . , f . »

SCHEDULE A (FEC Form 3) iTEMIZED RECEIPTS

Use separate scheduie(s) for each category of the Detaiied Summary Page


PAGE 15 OF 22

X 11a l i b 11c 12 13a 13b

l i d 14 I Il5




A.

Full Name (Last, First, Middle InitiaO Richard E. Robinson

Mailing Address 7334 Hogan Street

City

Moorpark

State CA

Zip Code 93021-8737


Name of Employer Tire Warehouse inc.


Occupation Sales

Eiection Cycie-to-Date T7=^—ks—If-

250

Date of Receipt

llnr-ilv'-LJ LJL Transaction ID: A-CF62


250

B.

Full Name (Last, First, Middle InitiaO Eric Dominguez Date of Receipt

lyiaiiing Address 342 Rustic Hills Drive

City State Zip Code Simi Vaiiey CA 93065-8221

FEC ID number of contributing federal political committee. MZZZZZZZZZZJ Name of Employer

IMT

Occupation

Sales

"M~ i rM~

12 CZ) j - V - i r y - i r - y - i r y - i j

I _ 2013 fi



Receipt For: 2014 ^ Primaty P ^ General

Other (specity)

500


500

Full Name (Last, First, Middle Initiai)

C. Date of Receipt

Mailing Address

City State Zip Code

"isnniii- 5=| / j"V-TrYnj-y--iry-j

FEC ID number of contributing federai poiiticai committee. Amount of Each Receipt this Period

Name of Employer

Receipt For:

B Primary p j j Generai Other (specify) Occupation


•j> f l , ,a r u

SUBTOTAL of Receipts This Page (optionai).


750.00 T • .C •• r 3

—lar- • \ i — - u -

18700.00

FEC Schedule A (Forni 3) (Revised 02/2009)


ITEMiZED RECEIPTS Use separate schedule(s) for each category of the Detailed Summary Page


PAGE 16 OF 22

11a 11b 11c X 12 13a 13b

l i d 14 n 15

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soiiciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.


A.

Full Name (Last, First, Middle InitiaO Rafael Dagnesses-Personal Funds

Mailing Address 35 w Easy Street

Suite 102 City State Zip Code

Simi Valley CA 93065-6201


.1 . . . . • .. ..Q 'n " 'tf u tl 'IS "1

C j H4CA26139 «. . . . . l i t ,—. . . n ... ,n ,,n n n . ,n-_—1


Name of Empioyer Quantum Realtors

Occupation ' Broker


Date of Receipt

/ / 1 12 10 2013



10 . f , n p y " n

Full Name (Last, First, Middle InitiaO Date of Receipt

Mailing Address 35 w Easy Street Suite 102

City State Zip Code Simi Valley CA 93065-6201

FECJD number of contributing federai poiiticai committee. i C i r H4CA26139

1. ' .n . n ^,1 „ n n .. . . n _ , ..jr..

Name of Employer

Quantum Realtors

Occupation

Broker

'ia~i^*i5i'

11 1 / 'y-ify-iry—u-y-*))

2013

Transactiori ID : A-CF48


100 £!=5=


Other (specify)

Full Name (Last, First, Middle InitiaO Rafael Dagnesses-Personal Funds Date of Receipt

Mailing Address 351^ ^gsy Street

Suite 102 City Simi Valley

State CA

Zip Code 93065-6201

ED D U D

24 2013


FEC ID number of contributing federai political committee. H4CA26139

- j y n II.. IT. . ' ' ' Amount of Each Receipt this Period

Name of Employer

Quantum Realtors

Receipt For: 2014 Primary p j Generai Other (specify)

Occupation Broker

10


15120



120.00

120.00 -JT n j . _ r u



ITEMIZED RECEIPTS Use separate schedule(s) for each category -of the Detailed Summary Page


PAGE 17 OF 22

11a l i b 11c

12 X 13a 13b l i d 14 I 115

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose, of soliciting contributions or for commercial purposes, other than using the name and address of any poiiticai committee to solicit contributions from such committee.


Full Name (Last, First, Middle InitiaO Rafael Dagnesses-Personal Funds

Mailing Address 35 yy Easy Street

Suite 102 City

Simi Valley


Name of Empioyer Quantum Realtors

Receipt For: 2014 Primary P J General Other (specify)

State CA

Zip Code

93065-6201

Occupation Broker


15120 n I

Date of Receipt

11 at joF9==ir̂ ==u=y=j

2013 !

Transaction ID: A-LL1


15000 ,y .n, . y . . 1? '\r


B. Mailing Address

City


Narne of Empioyer

Receipt For: Primary P ^ Generai Other (specify) B

Date of Receipt

State Zip Code 'ZZ 1

i Amount of Each Receipt this Period Occupation



c. Mailing Address

City


Name of Employer

Receipt For: Primary p j Generai Other (specify) a

Date of Receipt

State Zip Code c / |'-v~V-?nrvTry^|j


Occupation •Jl—-n-_-ff..,-_n-


-Jl ,. . . . l y ^ y ^ — - j w - j i y — w p-



-U' ' U U • • U. V~~TJ=

15000.00 —n g. ,J

15000.00


SCHEDULE B (FEC Form 3) ITEMIZED DiSBURSEMENTS



PAGE 18 OF 22

X 17 18 19a 20a 20b 20c

19b 21


NAME OF COMMITTEE (in FuiO



A. EDLT

Mailing Address 1149 W 210th Street

Date of Disbursement

•a ' I 27 2013 City Torrance

State CA

Zip Code 90502-1627

Amount of Each Disbursement this Period

Purpose of Disbursement Photography Fees

Candidate Narrie

Office Sought:

State:

House Senate President

District:

001 400

Transaction ID: B-E-1 Category/

Type

Disbursement For; Primary X

2014 I I Generai

Other (specify)

B.


Gabriela Murillo

Mailing Address 3303 Deaver Drive


PST^ Mi|| / I D " D I / , Y " Y " Y " Y

LM 20,13

City

Corona

State CA

Zip Code

92882-8791 Amount of Each Disbursement this Period

Purpose of Disbursement Campaign Fundraiser

Candidate Name

Office Sought:

State:


District:

001 2973.4

n l l g n n

Transaction ID : B-E-5 Category/

Type Disbursement For: 2014

^ Primary [ [ General Other (specify)


C. Gabriela Murillo Date of Disbursement

Mailing Address 3393 Deaver Drive _ J 2 j D D

30 V Y y Y i

2013 „ i

City Corona

State CA

Zip Code 92882-8791


Purpose of Disbursement Travel: Reimb. Expenses

Candidate Name

Office Sought:

State:


District:

002 240.33^ [

Category/ Type

Transaction ID: B-E-6

Disbursement For: 2014 Primary p ^ General Other (specify)

Original vendors exceeding reporting threshold itemized as memo transactions.

SUBTOTAL of Disbursements This Page (optionaO 3613.73^ '

n JT y, . n A _ . J .r C p n

... n——n J., rL_^y_-, n r̂ j T

FE5AN018 FEC Schedule B (Fomn 3) (Revised 02/2009)

SCHEDULE B (FEC Form 3) ITEMIZED DISBURSEMENTS

Use separate schedule(s) for each category of the Detailed Summary Page


PAGE 19 OF 22

X 17 18 19a 19b 20a 20b 20c 21

Any information copied from such Reports and Statements may not tie sold or used by any person for the purpose of soliciting contributions or for commerciai purposes, other than using the name and address of any poiiticai committee to soiicit contributions from such committee.

NAME OF COMMiTTEE (In FuH)



A. Anedot, Inc.

Mailing Address Srd Street, Suite B


1 12 1 / _ 3 1 _ 1 ' City Baton Rouge

State LA

Zip Code 70801

Purpose of Disbursement Credit Card Processing Fees

Candidate Name

Office Sought:

State:


District:

001


Transaction ID: B-E-37 Category/


^ Primary . P ^ General Other (specify)


g Revolvis Consulting, Inc. Date of Disbursement

Mailing Address 7135 Navajo Road Suite P

Enn / I'D""". i J L02 City San Diego

State CA

Zip Code

92119-1695 Amount of Each Disbursement this Period

Purpose of Disbursement Web Design

Candidate Name

Office Sought:

State:


District:

3875


Disbursement For: 2014 ^ Primary { ^ Generai

Other (specify)


c. Deluxe Business Solutions Date of Disbursement

Mailing Address 3333 victoria Street N 1M M

L l , 2 j '1 /

City Saint Paul

State MN

Zip Code 55126-2906

Purpose of Disbursement Banking Materials

Candidate Name

Office Sought:

State:


District:


225.22


Disbursement For: 2014 ^ Primary p ^ General

Other (specify)

SUBTOTAL of Disbursements This Page.(optionaO.


J l 4447.02

"IT".—u 1/' ' U'.' • IJ u • u ' "u" ' i r^ 'nr

_p " . . . g . • " . " g . ,rv . .-P. .g_ n_

FEC Schedule B (Fomn 3) (Revised 02/2009)

SCHEDULE B (FEC Form 3) ITEMIZED DiSBURSEMENTS



PAGE 20 OF 22

X 17 18 19a 20a . 20b 20c

19b 21

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any poiiticai committee, to solicit contributions from such committee.




A. Revolvis Consulting, Inc.

Mailing Address 7185 Navaijo Road Suite P


/ D U D /

1 12 31 2013

City San Diego

State CA

Zip Code 92119-1695

Purpose of Disbursement Collaterals

Candidate Name

Office Sought:

State:


District:

001

Amouht of Each Disbursement this Period

3033.59

Transaction ID: B-E-38 Categoty/


^ __ Primary | [General Other (specify)

><

Full Name'(Last, First, Middle InitiaO

B. Date of Disbursement

Mailing Address -̂ -•̂ ^—il I' • • • f• • • Y " Y y " Y

City state Zip Code Amount of Each Disbursement this Period

Purpose of Disbursement

Candidate Name

Office Sought:

State:


District:

L _ _ J \ _ _ / L . -Ji ,.n , y .1 n . . . c- H-

Category/ Type

Disbursement For: Primary I I Generai

Other (specify)


C. Date of Disbursement

Mailing Address •fzz Y Y Y Y

City State Zip Code

Purpose of Disbursement

Candidate Name

Office Sought:

State:


District:


•JU,—n ¥ ... a,. . n j n .jv.

Category/ Type

Disbursement For: Primary I I Generai Other (specify)

SUBTOTAL of Disbursements This Page (optional).

TOTAL This Period (iast page this line number only).

••U' 'tl U*-~V—TT-" H" Ll 'TJ I f

3033.59

FE5AN018 FEC Schedule B (Form 3) (Revised 02/2009)

SCHEDULE C (FEC Form 3) LOANS

Use separate scheduie(s) for each category of the Detailed Summaty Page

PAGE 21 OF '22

FOR UNE NUMBER: (check only one) 13a

13b

NAME OF COMMITTEE (In Full)

Rafael Dagnesses for Congress 2014 Transaction ID: SC/10-L1

LOAN SOURCE Full Name (Last, First, Middle Initial)

Rafael Dagnesses-Personal Funds [PERSONAL FUNDS]

Mailing Address 65 W Easy Street Suite 102

Election: • 2014 ^ Primary

General Other (specify) Y

City

Siml Valley

state

CA

ZIP Code

93065-6201

Original Amount of Loan Cumulative Payment To Date Balance Outstanding at Close of This Period

15000 .J l nw.- r

15000

TERMS Date Incurred Date Due

11 D D

27 y x y Y

None

Interest Rate

ô!oô Secured

% (apr) ' D Yes No

List All Endorsers or Guarantors (If any) to Loan Source

1. Full Name (Last, First, Middle Initial) Name of Ernpioyer

Mailing Address Occupation

City State ZIP Code

Amount Guaranteed I Outstanding: 1'̂ —

2. Full Name (Last, First, Middle InitiaO Name of Empioyer


city State . ZIP Cbde Amount Guaranteed Outstanding:

3. Full Name (Last, First, Middle Initial) Name of Employer


City State ZIP Code

Amount Guaranteed Outstanding:

4. Full Name (Last, First, Middle Initial) Name of Employer


City State ZIP Code Amount Guaranteed Outstanding:

SUBTOTALS This Period This Page (optional).

TOTALS This Period (last page in this line only).

15000.00

15000.00

Carry outstanding balance only to LINE 3, Schedule D, for this line. If no Schedule D, carry forward to appropriate line of Summary.

FEC Schedule C (Form 3) (Revised 02/2003)

SCHEDULE D (FEC Form 3) DEBTS AND OBUGATIONS Excluding Loans

(Use separate schedule(s)

for each numbered line)

I P A G E 22 O F 22 (Use separate

schedule(s) for each

numbered line)


X 9

10


Rafael Dagnesses for Congress 2014 A. Full Name (Last, First, Middle Initial) of Debtor or Creditor

Revolvis Consulting, Inc.

Mailing Address 7135 Navajo Road Suite P

City State

San Diego

Zip Code CA 92119-1695

Nature of Debt (Purpose): Administrative/Salary/Overhead: Web Design & Hosting Fees

Outstanding Balance Beginning This Period

Payment This Period

. ! - J i . . . > . » g . » » . < j W ^ . - j . ' ^ . - - . ^ j V ^ . J - ^ ^ — R - i - - < ^ i i . i B i 1.

Transaction ID : SD10-DEBT73

Outstanding Balance at Close of This Period

1535

B. Full Name (Last, First, Middle Initial) of Debtor or Creditor

Political Finance Solutions, Inc.

Mailing Address 1022 G Street

Suite B City State Sacramento .

Zip Code CA 95814-0823

Nature of Debt (Purpose): Administrative/Salary/Overhead: Treasury Service

Outstanding Balance Beginning This Period

0

Amount Incurred This Period Payment This Period

Transaction ID : SD10-DEBT72

Outstanding Balance at Close of This Period

C. Full Name (Last, First, Middle Initial) of Debtor or Creditor

Mailing Address

City State Zip Code

Nature of Debt (Purpose):

Outstanding Balance Beginning This Period u i i i i i i V i i ' i U i i ^11

Amount Incurred This Period Payment This Period Outstanding Balance at Close of This Period

z 1) SUBTOTALS This Period This Page (optional),

2) TOTALS This Period (last page this line number only).

3) TOTAL OUTSTANDING LOANS from Schedule C (iast page only) •

4) ADD 2) and 3) and carry fonward to appropriate line of Summary. Page (last page only) 18428.75

FEC Schedule D (Form 3) (Revised 02/2003)

."1" - I

cr .1=

v _ CO >

CD S 03

i s JiS 0 3 ^ CO

C D i = 0 3

^ E CO 0 C D B . ^ ^ 03

CO 2 CD

o d p

L U CO S

RECEIVED

201UAN3O AH S-UQ

FEC MAILCENTtn

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. c | | 8 > s g 73 •= 4> A n 2 c 2 ?

Ill s i a l l •§ 3 S S c g « o 5 e 9 of in o S

y 3 10 S =

I!».s SI c €. go ? " C T3 » £ S " o o o a S c T> > 75 of IB 1 S » | £ a

3 >. CO £ § ^ S b S ^

8 a "r ^ .E

8 .E I -g & S S O n O C ^

^ ii i>-.8f

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:l ihi!-S u 2 V. «, a> o X o — E a>(u £

c CO ^ s B .s 3 5> 3 a S E "S ^

« iS a gfi

o S >.S o S E i

f|iii!.l5

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Federal Election Commission'' ENVELOPE REPLACEMENT PAGE FOR INCOMING DOCUMENTS

The FEC added this page to the end ofthis filing to indicate how it was received.

1 1 Hand Delivered Date of Receipt

1 1 USPS First Class Mail Postmarked

1 1 USPS Registered/Certified Postmarked (R/C)

1 1 USPS Priority Mail | Postmarked

1 1 USPS Priority Mail Express Postmarked

1 1 Postmark Illegible

1 1 No Postmark >•

/ r \ ^ Shipping Date ^ Overnight Delivery Service (Specify): /^oL c>pL I72P(nH

Next Business Day Deliveiy ^

1 1 Received from House Records & Registration Office Date of Receipt

1 1 Received from Senate Public Records Office Date of Receipt

1 1 Received from Electronic Filing Office Date of Receipt

Date of Receipt or Postmarked 1 1 Other (Specify):

PREPARER \holA

DATE PREPARED (8/2013)

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