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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