HomeMy WebLinkAbout2021-07-22 Form 460 - PettitCOVER PAGE Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement covers period from January 1, 2021 through June 30, 2021 1. Type of Recipient Committee: All Committees —complete Parts 1, 2, 3, and 4. W1 Officeholder, Candidate Controlled Committee O State Candidate Election Committee Q Recall .,,Also Complete Part 5) ❑ General Purpose Committee O Sponsored O Small Contributor Committee O Political Party/Central Committee 3. Committee Information 4. Alfie Pettit for City Council, District 3, 2019 ❑ Primarily Formed Ballot Measure Committee O Controlled O Sponsored {Also Complete Part 6) ❑ Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 11 I.D. NUMBER 141924, STREET ADDRESS tNO P.O. BOX) ( MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL FAX ? E-MAILADDRESS Date Stamp REc t �109j't9 Date of election if applicable: SDI / JU (Month, Day, Year) L L 27 pH ^ , O November 5, 2019 Fl CF OF THE C1 t Y CL f i l 2. Type of Statement: ❑ Preelection Statement Semi-annual Statement ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) 1 of 5 For Official Use Only ❑ Quarterly Statement ❑ Special Odd -Year Report Treasurer(s) NAME OF TREASURER Michael R. McCulloch CITY STATE ZIP CODE AREA CODE/PHONE Palm Springs CA 92262 ( NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL. FAX / E-MAIL ADDRESS 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 perju under th laws of the State of California that the foregoing is true and correct. Executed on._ �0 2-1 -z Z ✓ ,/ Executed on By 011ete Signature of Controlling utilcenoider Candidate, State Measare TTrbponent or Responsible Officer of Sponsor Executed on Date Executed on Date By Signature of Controlling Officeholder Candidate State Measure Proponent By Signature of Controlling Officeholder Candidate, State Measure Proponent FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Alan P. Pettit OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Palm Springs City Council, District 3, 2019 RESIDENTIAL/BUSINESS ADDRESS (NO.AND STREET) CITY STATE ZIP Related Committees Not Included in this Statement: List any committees not included in this statement that are controlled by you or are primarily formed to receive contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO PO. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREACODE/PHONE COVER PAGE - PART 2 Page 2 of 5 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION ❑ SUPPORT ❑ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY 7. Primarily Formed Candidate/Officeholder Committee List names of officeholder(s) or candidate(s) for which this committee is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE Attach continuation sheets if necessary FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE Amounts may be rounded to whole dollars. SUMMARY PAGE Statement covers period from January 1, 2021 through June 30, 2021 Page 3 of 5 NAME OF FILER I.D. NUMBER Alfie Pettitt for City Council, District 3, 2019 1419242 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 0 0 1. Monetary Contributions................................................... Schedule A, Line 3 $ $ 1/1 through 6/30 711 to Date 0 0 2. Loans Received................................................................ Schedule B. Line 3 0 0 20. Contributions 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 1 +2 $ $ Received $ $ 0 0 4. Nonmonetary Contributions ............................................ Schedule C, Line 3 21. Expenditures 0 0 Made $ $ 5. TOTAL CONTRIBUTIONS RECEIVED. ................................... Add Lines 3 + 4 $ $ Expenditures Made 6. Payments Made................................................................ Schedule E, Line 4 $ 0 $ 0 7. Loans Made....................................................................... Schedule H, Line 3 0 0 8. SUBTOTAL CASH PAYMENTS .......................................... Add Lines 6 +7 $ 0 $ 0 9. Accrued Expenses (Unpaid Bills) .......................................... Schedule F Line 3 0 0 10. Nonmonetary Adjustment......................................................... Schedule C, Line 3 0 0 11. TOTAL EXPENDITURES MADE ........................................ Add Lines 8 + 9 + 10 $ 0 $ 0 Current Cash Statement 12. Beginning Cash Balance ............................ Previous Summary Page, Line 16 $ 13. Cash Receipts........................................................... Column A, Line 3 above 14. Miscellaneous Increases to Cash .................................. Schedule 1, Line 4 15. Cash Payments......................................................... Column A, Line 8 above 16. ENDING CASH BALANCE ..................Add Lines 12 + 13 + 14, then subtract Line 15 $ If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ................................ Schedule s, Part $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ................................................ See instructions on reverse $ 19. Outstanding Debts .............................. Add Line 2 +Line 9 in Column 8 above $ 0 To calculate Column B, 0 add amounts in Column Ato the corresponding amounts from Column B 0 0 of your last report. Some amounts in Column A may 0.00 be negative figures that should be subtracted from previous period amounts. If this is the first report being 0,00 filed for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if 0.00 any). 0.00 Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made' (if Subject to Voluntary Expenditure Limit) Date of Election Total to Date (mm/dd/yy) Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov SCHEDULE B - PART 1 Schedule B — Part 1 vto whole dollars. Statement covers period CALIFORNIA Loans Received January 1, 2021 FORM 460 from through June 30, 2021 page 4 of 5 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Alfie Pettitt for City Council, District 3, 2019 1419242 FULL NAME, STREETADDRESS AND ZIP CODE IF AN INDIVIDUAL. ENTER a OUTSTANDING AMOUNT (c) AMOUNT PAID OUTSTANDING e INTEREST ORIGINAL g CUMULATIVE OF LENDER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED. ENTER BALANCE BEGINNING THIS RECEIVED THIS OR FORGIVEN BALANCE AT CLOSE OF THIS PAID THIS AMOUNT OF CONTRIBUTIONS (IF COMMITTEE, ALSO ENTER I.D. NUMBER) NAME OF BUSINESS) PERIOD PERIOD THIS PERIOD' PERIOD PERIOD LOAN TO DATE ❑ PAID CALENDAR YEAR Alan P. Pettit Self-employed RATE 28843.09 $ 0 $ DEMAND $ 0 $ t iZ IND ❑ COM ❑ OTH [-I PTY ❑ SCC $ DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR $ 0 $ 0 0% $ 0 $ 0 FORGIVEN E] FORGIVEN PER ELECTION** $ 0 $ 0 $ 0 $ 0 $ DATE DUE DATE INCURRED T❑ IND ❑ COM ❑ OTH ❑ PTY [_1 SCC ❑ PAID CALENDAR YEAR $ 0 $ 0 0 oro $ S 0 E] FORGIVEN PER ELECTION** RATE $ 0 S 0$ 0 0 $ 0 $ I I DATE DUE DATE INCURRED T❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTALS $ 0 $ 0 $ 28843.09 $ 0 Schedule B Summary Loansreceived this period........................................................................ (Total Column (b) plus unitemized loans of less than $100.) 2. Loans paid or forgiven this period............................................................... (Total Column (c) plus loans under $100 paid or forgiven.) (Include loans paid by a third party that are also itemized on Schedule A.) 3. Net change this period. (Subtract Line 2 from Line 1.) ............................. Enter the net here and on the Summary Page, Column A, Line 2. *Amounts forgiven or paid by another party also must be reported on Schedule A. ** If required. ...............$ n nn ................... NET $ n no (May be a negative number) (Enter (e) on Schedule E, Line 3) tContributor Codes IND— Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov SCHEDULEF Schedule F Amounts may be rounded Statement covers period CALIFORNIA Accrued Expenses (Unpaid Bills) to whole dollars. from January 1, 2021 FORM 460 through June 30, 2021 Pa e 5 of 5 9 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Alfie Pettitt for City Council, District 3, 2019 1419242 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.O. NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD Honey Printing 1801 E Tahquitz Canyon Way, STE 101 LIT 1,738.65 0 0 1,738.65 Palm Springs, CA 92262 McCulloch & Company, CPA 801 E Tahquitz Canyon Way, STE 102 PRO 5,205.00 0 0 5,205.00 Palm Springs, CA 92262 * Payments that are contributions or independent expenditures must also be SUBTOTALS $ 6,943.65 $ 0 $ 0 $ 6,943.65 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 $ 0.00 2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under$100.)................................... PAID TOTALS $ 0.00 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and Page, Column A, Line 9.......................................... NET $ 0.00 on the Summary g ).......................................................................................................................................... May be a negative number FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov