HomeMy WebLinkAbout2019-07-31 Form 460 - PettitRecipient Comm ittee
Campaign Statement
Cover Page
SEE INSTRUCTIONS ON REVERSE
Statement covers period
from ___ Ja_n_u_a_ry,__1_, _20_1_9_
June 30 , 2019 th rough ________ _
1. Type of Recipient Committee: All Committees -Complete Parts 1 , 2. 3 , and 4.
Q'.l Officeholder, Candidate Controlled Committee
0 Stat e Candidate Election Committee
0 Recall
(Also Cotnp!ol• P!Mt 5)
0 General Purpose Committee
0 Sponsored
0 Small Contnbutor Comm1ttee
0 Politir.al Party/Ceritral Committee
3 . Committee l nfor:n3tion
D Primarily Formed Ballot Measure
Committee
0 Controlled
0 Sponsored
(Also C.,1¥"t!• P4rl 6J
0 Primarily Formed Candidate/
Officeholder Committee
(A/JO Como/ele Ptltr l}
ID NUMBER
1419242
CC'M~l1iTEF '~A~.,,-'OR CA'J:JIDATE'S NA ~E IF NO COMMITTEE)
Alfie Pettit for City Council, District 3, 2019
AREA CODl:/PHONE
COVER PAGE
Qa19 Stamp
RE CEIV ED
ITY Of P.i\LH SPR
CALIFORNIA 460
FORM
Page __ 1 __ of __ 8 __
Dat e of election if applicable:
(Month, Day, Year) 2019 JUL 3 f PN 4: i-.---F-o,-O-ffic-la-lU-se-O-nly------1
November 5, 2019 FFICE OF THE CITY c ER
2 . Ty pe of Statement:
D Preelect1on Statement
b2l Semi-annual Statemenl
D Termination Statement
(Also file a Form 410 Termination)
D Amendment (E>Cplain below)
Treasurer(s )
NAME OF TREASURER
Michael R. McCulloch
MAILING ADDRESS
CITY
Pal m Springs
NAME OF ASSISTANT -REASURER, IF ANV
MAILING ADDRESS
CITY
OPTIONAL: FAX/ E-MAIL ADDRESS
STA E
CA
STATE
D Quarterly Statement
D Special Odd-Year Report
ZIP CO'~:::
92262 (
ZIP CODE AREA COCIFJPl10111E
I h;:ive used el! reasonable diligence in preparing and reviewing this sl atement ar,d to the best of my knowledge the information con tained herein a11C: In the attached scheoules 1s true ancJ comp1etc I
certify under penalty of perjury undEJr the laws of the State of California that thEJ foregoing 1s true and correct
Executed on bale
Executed on __,_l:_-i~f" -=-"J-~d~f--,...7_
Oats /
Executed on ------.0,...•1,-0------
Exer.uted on -------------
Date
BY------,,,,s~-.,.-1 .... u,-e"""o('""c.,,-n-.U .... ~=--,,-9""0""ffi .... crm.,., """old"'".-, -=ea-n--~~.,. • .,.1.-s"',"""•t•-~""••-•vr-e-:Pt=-OPon--en-1 _____ _
BY------,,,s,-ooa-,-1u_ro_o::-:1c=-,~-=;-,~,--,r-q-:0"'1,·-,,-.~>e>!-..""~•-,""C--cn--,d,-.Je-.,e-::cS!,...o:-•.,.,M-••-•u-,o--,P=-,-~o-on-•-nt _____ _
FPPC Form 460 (Jan/2016)
FP PC Adv ice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.go11
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
Related Committees Not Included in this Statement: Llstanycommlttees
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?
0 YES •NO
COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX)
CITY STATE ZtPCODE AREA CODEJPHONE
COMMITTEE NAME I.•. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
0 YES 0 NO
COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
Pago_2_ 01_8_
6. Primarily Formed Ballot Measure Committee
NAME OF BALLOT MEASURE
BALLOT NO. OR LETTER JURISDICTION 0 SUPPORT
0 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 Ustnames of
offi"ceholder(s) ar candidate(s) for which this committee is primarily farmed.
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 0 SUPPORT
0 OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 0 SUPPORT
0 OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 0 SUPPORT
0 OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 0 SUPPORT
0 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
NAME OF FILER
Alfie Pettitt for City Council, District 3, 2019
Contributions Received
1. Monetary Contributions................................................... Schedule A, Line 3
2. Loans Received ................................................................ ScheduleB,Llne3
3. SUBTOTAL CASH CONTRIBUTIONS------------------------------Add Unes 1 + 2
4. Nonmonetary Contributions............................................ Schedule c, Line 3
5. TOTAL CONTRIBUTIONS RECEIVE•-------------------Add unes 3 + 4
Expenditures Made
6. Payments Made................................................................ Schedule E. Line 4
7. Loans Made....................................................................... Schedule H, Line 3
8. SUBTOTAL CASH PAYMENTS------------------------------------------AddUnes 6+ 7
9. Accrued Expenses (Unpaid Bills) .......................................... Schedule F, Line 3
10. Nonmonetary Adjustment ......................................................... Schedule C, Line 3
11. TOTAL EXPENDITURES MADE----------------------------·-----------Add Unes B + 9 + 10
Current Cash Statement
$
$
$
$
$
$
12. Beginning Cash Balance ............................ Previous Summary Page, Une 16 $
13. Cash Receipts ........................................................... Column A, Line 3 above
14. Miscellaneous Increases to Cash.................................. Schedule I, Line 4
15. Cash Payments......................................................... Column A, Line B above
1_6. ENDING CASH BALANCE .................. Add Lines 12 + 13 + 14, then subtract Line 15 $
If this Is a termination statement, Une 16 must be zero.
17. LOAN GUARANTEES RECEIVE •--------------------------------Schedule B, Part 2 $
Cash Equivalents and Outstanding Debts
18. Cash Equivalents................................................ See Instructions on reverse $
19. Outstanding Debts .............................. Add Line 2 + Line 9 In Column B above $
Amounts may be rounded
to whole dollars.
Column A
TOTAL THJS PERIOD
(FROM ATTACHED SCHEDULES)
914.87
16,453".88
17,368.75
0
17,368.75
7,678.73
0
7,678.73
0
0
7,678.73
0
17,368.75
0
7,678.73
9,690.02
16,453.88
SUMMARY PAGE
Statement covers period
from __ J_a_n_u_a~ry_1_,_2_0_1_9_
• CJ\tlFORNIA, 460' ,
FORM _ .•
--
June 30, 2019 through _______ _ Page __ 3 _ of __ S_
$
$
$
$
$
$
Column B
CALENDAR YEAR
TOTAL TO DATE
914.87
16,453.88
17,368.75
0
17,368.75
7,678.73
0
7,678.73
0
0
7,678.73
To calculate Column B,
add amounts in Column
A to the corresponding
amounts from Column B
of your last report. Some
amounts In Column A may
be negative figures that
should be subtracted from
previous period amounts. If
this is the first report being
filed for this calendar year,
only carry over the amounts
from Lines 2, 7, and 9 (if
any).
I.D. NUMBER
1419242
Calendar Year Summary for Candidates
Running in Both the State Primary and
General Elections
1/1 through 6/30 7/1 to Date
20. Contributions
Received $ ____ _ $ ____ _
21. Expenditures
Made $ ____ _ $ ____ _
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made•
(If Subject to Voluntary Expenditure Limit)
Date of Election
(mm/dd/yy)
___}___} __
___}___} __
Total to Date
$ ____ _
$ ____ _
*Amounts in this section may be different from amounts
reported in Column B.
FPPC Form 460 (Jan/2016)
FPPC Advice: advlce@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A
Monetary Contributions Received
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Alfie Pettitt for City Council, District 3, 2019
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
(IF COMMITTEE, ALSO ENTER r.o. NUMBER) CODE *
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
~F SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
Various
Schedule A Summary
li1'.]IND •COM
00TH •PTY •sec
•IND •COM
00TH
OPTY •sec
•IND •coM
00TH •PTY •sec
•IND •COM
00TH •PTY •sec
•IND •COM
00TH •PTY •sec
Entertainer
Self-employed
SUBTOTAL$
SCHEDULE A
Statement covers period
from __ Ja_n_u_a~ry~1,~2_0_1_9_
CALIFORNIA 460
FORM
through __ J_u_n_e_3_0_,_2_0_1_9_ Paga_4 __ of __ 8_
AMOUNT
RECEIVED THIS
PERIOD
790.87
1.D, NUMBER
1419242
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
790.87
•contributor Codes
IND-Individual
PER ELECTION
TO DATE
(IF REQUIRED)
1. Amount received this period -itemized monetary contributions.
(Include all Schedule A subtotals.) .................................................................... -., ................................... $ ____ 7_9_0_.8c:._7 COM -Recipient Committee
(other than PTY or SCC)
0TH -Other (e.g., business entity)
PTY -Political Party 2. Amount received this period -unitemized monetary contributions of less than $100 ........................... $ _____ 12_4_._oo_
3. Total monetary contributions received this period.
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ...................... TOTAL $ ____ 9_1_4._8_7
SCC-Small Contributor Committee
FPPC Form 460 (Jon/2016)
FPPC Advice: odvice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule 8 -Part 1
Loans Received
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
AITlounts may be rounded
to whole dollars.
Alfie Pettitt for City Council, District 3, 2019
FULL NAME, STREET ADDRESS AND ZIP CODE
OF LENDER
(lF COMMITTEE, ALSO ENTER I.D. NUMBER)
Alan P. Pettit
ti;n IND O CDM O 0TH O PTY. 0 sec
Michael R. McCulloch
801 E. Tahquitz Canyon Way
Suite 102
Palm Springs, CA 92262
t~ IND O COM O 0TH O PTY O sec
to IND O COM O 0TH O PTY O sec
Schedule B Summary
IF AN INDIVIDUAL, ENTER
OCCUPATION ANO EMPLOYER
(IF SELF-EMPLOYED, ENTER
NAME OF 13USINESS)
Self-employed
Entertainer
CPA
McCulloch & Co.
' OUTSTANDING AMOUNT
BALANCE RECEIVED'THIS BEGINNING THIS
PERIOD PERIOD
• 0 ,16,443.09
0 10.79
, ___ _
SUBTOTALS $ 16,453.88 $
(oJ
AMOUNT PAID
OR FORGIVEN
Statement cOVEl!rS period
from __ J_a_n...cu_a-"ry'--1 '--, 2_0_1_9_
through June 30, 2019
• OUTSTANDING INTEREST
BALANCE AT PAID THIS CLOSE OF THIS
THIS PERIOD• PERIOD PERIOD
0 PAID
' 0 s 16,443.09 _o_.%
RATE 0 FORGIVEN
0 Demand s 0
DATE DUE
0 PAID
0 10.z9 _0_%
0 FORGIVEN
AA,e
0 Demand 0
DATE DUE
•PAID
' • __ %
RATE 0 FORGIVEN
DATE DUE
0 $ 16,453.88 $
(Enter (e) on
S~edule E, Line 3)
SCHEDULE 8 • PART 1
CALIF~RNIA 460
FORM
Page __ S_ of __ 8_
1.0. NUMBER
1419242
g
ORIGINAL CUMULATIVE
AMOUNT OF CONTRIBUTIONS
LOAN TO DATE
CALENDAR VEAR
0 s 16,443.09
PER ELECTION°
DATE INCURRED
CALENDAR YEAR
0 10.79
PER ELECTION u
DATE INCURRED
CALENDAR YEAR
•
PER ELECTION._
DATE INCURRED
1. Loans received this period: ................................................................................................................... $ ___ 1u6:,.~4 .. 5::i.3.i..c8i!l8~
(Total Column (b) plus unitemized loans of less than $100.) tContributor Codes
2. Loans paid or forgiven this period .................................................................. ' ....................................... $ _____ _,_,_ IND -Individual
COM -Recipient Committee
(other than PTY or SCC)
0TH -Other (e.g., business entity)
PTY -·Political Party
(Total Column (c) plus loans under $100 paid or forgiven.)
(Include loans paid by a third party that are also itemized on Schedule A.)
3." Net change this period. (Subtract Line 2 from Line 1.) .............................................................. NET $
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.
0 If required.
16 463 88 sec -Small Contributor Committee
(May bee negative number)
. FPPC Form 460 (Jan/2016)
FPPC Advice: advlce@fppc.ca.gov (866/275-3772)
www.fppc.ca,gov
SCHEDULE E
Schedule E
Payments Made
Amounts may be rounded
to whole dollars.
Statement covers period
from __ Ja_n_u_a_ry,__1~, _2_0_19 __
CALIFORNIA 460.-
FORM -·
SEE INSTRUCTIONS ON REVERSE
through _J_u_n_e_3_0--',_2_0_1_9_ Page_6 __ of_B __
NAME OF FILER
Alfie Pettitt for C::ity Council, District 3, 2019
CODES: If. one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment
1.D. NUMBER
1419242
CMP campaign paraphernalla/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' salarles
CVC civic donations PET petition clrculatlng 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 co_sts (internet, e•mail)
NAME AND ADDRESS OF PAYEE
(IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
Randy Economy Consulting services
47 Vista Mirage Way CNS 2,000.00
Rancho Mirage, CA 92270
Omie Bergquist Campaign worker
27 Lakeview Circle 225.00
Cathedral City, CA 92234
Lulu California Bistro Campaign Strategy -Pettit & 4 others attended
200 S. Palm Canyon Drive MTG 160.35
Palm Springs, CA 92262
• Paymerits that are contributions or Independent expenditures must also be summarized on Schedule 0. SUBTOTAL$ 2,385.35
Schedule E Summary
1. Itemized payments made this period. (Include all Schedule E subtotals.) ............................................................................................................. $ ___ 5 ,_9_56_·9_1_
2. Unitemized payments made this period of under $100 .........................................................................•...........•.................................................... $ ___ 1_•7_2_1_·8_2_
0 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) ......................................................•...................... $ _____ _
4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ...... .' .................... TOTAL $ ___ 7_•6_7_8_·7_3_
FPPC Form 46.0 (Jan/2016)
FPPC Advice: advlce@fppc.ca.gov (866/275·3772)
www.fppc.ca.gov
Schedule E
(Continuation Sheet)
Payments Made
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Alfie Pettitt for City Council, District 3, 2019
Amounts m.iy be rounded
to whole dollars.
I
,-· .'
,,
Statement covers period
from _J_a_n_u_a_ry~1_, _20_1_9 __
through June 30, 2019
SCHEDULE E (CONT.)
"CALIFORNIA 460
F0RM ,
Page_? __ of_S __
I.D. NUMBER
1419242
·-
CODES: If one of the following codes accurateJy describes the payment, 'you may enter the code. Otherwise, describe the payment.
CMP
CNS
eTB
eve
FIL
FND
IND
LEG
LIT
campaign paraphernalia/misc. \ •
campaign consultants -1· ,
contribution (explain nonmonetaryt· · -
civic donations-../'~ , ... --.... . ..
candidate filing/ballot fees
fundraising events'f-_ :
independent eXJ)inditure supporting/opposing others {explalnt
legal defenSe
camp,ar{n literature and malllngs
NAME AND ADDRESS OF PAYEE
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
The Nest
75-188 Highway 111
Indian Wells, CA 92210
Shakey's Pizza
155 S. Avenida Caballeros
Palm Springs, CA 92262'
Transgender Community Coalition
35-325 Date Palm Drive, Suite 107
Cathedral City: CA 92234
Updog Media
2351 W Lugonia Ave, Suit~ D
Redlands, CA 92374
Tysen Knight
1717 E Vista Chino #122
Palm Springs, CA. 92262
MBR
MTG
OFe
PET
PHO
POL
POS
PRO
PRT
member communications
meetings and appearances
office expenses
petition circulating
phone banks
polling and survey research
postage, delivery and messenger seivices
professional seivices (legal, accounting)
print ads
CODE OR
RAD
RFD
SAL
TEL
TRe
TRS
TSF
VDT
WEB
ra_dio airtime and production costs
returned contributions
campaign workers' salaries
t. v. or cable airtime and production costs
candidate travel, lodging, and meals
staff/spouse travel, lodging, and meals
transfer between committees of the same candidate/sponsor
voter registration
Information technology costs (Internet, e-mail)
DESCRIPTION OF PAYMENT AMOUNT PAID
Campaign strategy• Pettit and 2 others attended
MTG 100.04
Campaign kick-off meeting -Pettit and 26 others attended
MTG 174.79
-
· Stonewall Humanitarian Awards
212.98
RV wrap
600.00
Photography
350.00
* Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 1,437.81
FPPC Form 460 (Jan/2016)
FPPC Advice: advlce@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
•
Schedule E
(Continuation Sheet)
Payments Made
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Alfie Pettitt for City Council, District 3, 2019
---
Amounts maY be rounded
to wholo dollars. Statement covers period
from _J_a_n_u_a~ry_1~,_2_0_1_9_
through June 30, 2019
SCHEDULE E (CONT.)
CALIFORNIA 460
FORM
. 8 8 Page ___ of __ _
1.D. NUMBER
1419242
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CMP campaign paraphema!ia/mlsc. MBR member communications. RAD radio airtime and production costs
CNS campaign consultants MTG meetings and appearances RFD returned contributions
CTB contribution (explaln 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 fundralslng events POL polling and survey research TRS staff/spouse travel, lodging, and meals _ _ .
IND lndependeht expenditure supporting/opposing others (explain)" PCS postage, delivery and messenger services TSF transfer between committees of the sam~ candidate/sponsor
·LEG legal defense PRO professlonal services (legal, accounting) VOT voter registration
LIT campaign literature and maillngs PRT print ads · WEB infprmatlon technology costs (Internet, e-mail)
NAME AND ADDRESS OF PAYEE CODE (IF COMMITTEE.ALSO ENTER I.D. NUMBER)
CV Weekly
coachellavalleyweekly.com PRT La Quinta, CA 92253
Michael Raike
296 N Palm Canyon Drive
Palm Springs, CA ~2262
Mark Jungheim
1000 Cordova Place, #383 WEB Santa Fe, NM 87505
• Payments that are contributions_ or Independent expenditures must also be summarized on Schedule D.
OR
Cover
Writing
DESCRIPTION OF PAYMENT AMOUNT PAID
1,500.00
433.75
200.00
SUBTOTAL$ 2,133.75
FPPC Form 460 (Jan/2016)
FPP.C Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov