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Home My WebLink About2019-10-24 Form 460 - PettitRecipient Committee Campaign Statement Cover Page Dale Stamp R CE I VE D COVER PAGE CALIFORNIA 460 FORM CITY OF P /', LH SPR ING S ,--------------,--------__;:....;,_;-'-__;;....;.-i Date of election i f applicable: Page __ 1..:..__ of _ _.,;_7_ SEE INSTRUCTIONS ON REVERSE Statement cove rs period from through September 22, 2019 October 19, 2019 1 . Type of Recipient Committee: All Committees -Complete Parts 1, 2, 3, and 4 . 0 O ffi ceholder, Candidate Controlled Committee 0 State Candidate Election Committee 0 Recall fA4o Complote P.i 51 D General Purpose Committee 0 Sponsored 0 Small Contributor Co mmittee 0 Political Party/Central Committee 3. Committee Information D Primarily Formed Ballot Measure Committee 0 Controlled 0 Sponsored fAlso CompltJt Plltl 6) D Pnmanly Formed Candidate/ Officeholder Committee (Also Complete p.,, 7) 1.0. NUMBER 1419242 COMM IT rEF NAME (OR CANDIDATE'S NAME IF NO CO MMITTEE) Alfie Pettit for City Council . Dist rict 3 , 2::i i 9 AREA CODE/PHONE (Month, Day, Y~l9 QC 24 PH 3: 4 3 For Official Use Only N ovember sPfcf11~E O THE CITY CL E! 2. Type of Statement: ~ Preelection Statement D Semi-annual Statement D Termination Statement D Quarterly Statement (Also file a Form 41 0 Termination ) D Amendment (Explain bel ow) Treasurer(s) NAME OF TREA SURER M ichael R. Mc Culloch MAILING ADDRESS D Special Odd-Year Report CITY Palm Springs NAME OF ASSISTANT TREA SURER I F ANY MAILING ADDRESS CITY OPTI ONAL FAX I E-MAIL ADDR ESS STATE CA STATE ZIP CODE AREA CODE/PHONE 92262 ( ZIP CODE AREA CODE/PHONE I have used all reasonable diligence in preparing and reviewmg this statement and to the best of my knowledge the 1nformat1on contained herein and in the attached schedules 1s true and complete . certify under penally of pequ under e laws of the State of California that the for egomg is true d~ect. Date Executed on / f O -h '-f-/ o/ ' Date Executed on ______ 0 ,,_a-te ______ _ Execu ted on ------,o=--.-1.------- ---+-----''---,~--,--....,.,,-----,---,-....,.,.,-------------- 8 Y -------,,S,-,g.,-na-.-tu-,e-o..,.t ""Co_n.,..v~""'1,-,ng-O""t,,..hce....,....ho..,.td,...er-C""•--nd..,.,da.,....,..te'""'s..,1a'"'1e--,M"'e'"'a-su-,e--,P""roccponc:-'."'.e""n1,------- BY ------S-,gn-•-ru-,e-~-Co_r1_1,~-1-,r1g-0=1-flcenoi-~d-er-C=•-nd-,d-•-ta-S~ta-1~-M-•-•-•u-,e~P~,op-on_en_1 _____ _ FPPC Form 460 (Jan/2016) FP PC 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) 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 1.D. NUMBER NAME OF TREASURER CONTROLLED (_:;OMMITTEE? 0 YES 0 NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE. COMMITTEE NAME 1.D. 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 CALIFORNIA FORM Page _2_ of __ 7_ 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 List names of officeholder(s) or candidate(s) for which this committee is primarily formed. 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 ............................ : ................................... Schedule 8, Line3 $ Amounts may be rounded to whole dollars. Column A . TOTAL THIS PERIOD {FROM ATTACHED SCHEDULES) 1,090.00 1,500.00 3. SUBTOTAL CASH CONTRIBUTIONS.............................. Add Unes 1 + 2 $ 2,590.00 0 4. Nonmonetary Contributions............................................ Schedule c, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED ................................... Add unes 3 + 4 $ 2,590.00 Expenditures Made 6. Payments Made................................................................ Schedule E, Line 4 $ 3 712.30 7. Loans Made....................................................................... Schedule H, Line 3 0 8. SUBTOTAL CASH PAYMENTS ................... ----Add Lines 6 + 7 $ 3,712.30 9. Accrued Expenses (Unpaid Bills) ...... . . .......... Schedule F, Une 3 0 10. Nonmonetary Adjustment...·-----··················•········ Schedule C, Une 3 0 11. TOTAL EXPENDITURES MADE. ....................................... Add Unes a+ 9 + 10 $ .3 712.30 Current Cash Statement 12. Beginning Cash Balance ............................ Previous Summary Page, Line 16 $ 1,833.08 13. Cash Receipts ........................................................... Column A, Line 3 above 2,590.00 14. Miscellaneous lncrec3.ses to Cash---················· Schedule I, Line4 15. Cash Payments......................................................... Column A, Line B above 3,712.30 16. ENDING CASH BALANCE .................. Add Lines 12 + 13 + 14, then subtract Line 15 $ 710.78 If this is a termination statement, Line 16 must be zero. SUMMARY PAGE Statement covers period CALIFORNIA 460 FORM from September 22, 2019 $ $ $ $ $ $ through Column B CALENDAR YEAR TOTAL TO DATE 4,024.87 27,953.88 31,978.75 1,125.00 33,103.75 31 267.97 0 31 267.97 0 0 31 267.97 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 October 19, 2019 3 7 Page ___ of __ _ 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) ___J___J __ ___J___J __ Total to Date $ ____ _ $ ____ _ * Amounts in this section may be different from amounts reported in Column B. - ------------------------------------1 this is the first report being 17. LOAN GUARANTEES RECEIVED................................ Schedule a, 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 $ 0.00 27,953.88 filed for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if any). FPPC Form 460 (Jan/2016) FPPC Advice: advice@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 C ity Council, District 3 , 2019 Amounts may be rounded t o whole dollars. DATE RECEIVED FULL NAME STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR (IF COMMITTEE ALSO ENTER I D NU MBER) COD E * IF AN INDIVIDUAL. ENTER OCCUPATION A ND EMPLOYER PF SELF-EMPLOYED. ENTER NAME OF BUSINESS! 10/15/19 Gary M iller P. 0 . Box 595 Kelseyville, CA 95451-0595 Schedule A Summary ll]IND •COM 00TH OPTY •sec •IND •COM DOTH OPTY •sec •IND •COM 00TH •PTY •sec •IND •COM 00TH OPTY •sec •IN D •COM 00TH OPTY •sec Unknown Unsolicited mail-in contribution SUBTOTAL$ SCHEDULE A Statement covers peri od CALIFORNIA 460 FORM from September 22, 2019 through October 19, 2019 Page __ 4 __ of __ 7 __ AMOUNT RECEIV ED THIS PERI OD 1,000.00 1 ,000.00 1.0 NUMBER 1419242 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) 1,000.00 PER ELECTION TO DATE (IF REQUIRED) ·contributor Codes IN D -Individual 1. Amount received this period -itemized moneta ry contributions. (Include all Schedule A subtotals.) ......................................................................................................... $ ____ 1_,_00_0_._00_ CO M -Recipient Committe e (other than PTY or SCC) 0TH -Other (e.g .. business entity) PTY -Politica l Party 2. Amount received this period -unitemized monetary contributions of less than $100 ........................... $ _____ 9_o_._oo_ 3. Total monetary contributions rece ived this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A , Line 1.) ...................... TOTAL $ ____ 1-',_0_90_._0_0 sec -Small Contribu tor Committee FPPC Form 460 (Jan/2016) FPPC Advice : advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule 8:... Part 1 Loans Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Alfie Pettitt for City Council, District 3, 2019 FULL NAME, STREET ADDRESS AND ZIP CODE OF LENDER Amounts may be rounded to whole dollars. • OUTSTANDING AMOUNT BALANCE RECEIVED THIS 1°1 AMOUNT PAID OR FORGIVEN Statement covers period from September 22, 2019 through October 19, 2019 • OUTSTANDING INTEREST BALANCE AT PA1D·TH1S SCHEDULE B -PART 1 CALIFORNIA 460 FORM Page __ S_ of __ ?_ I.D. NUMBER 1419242 g ORIGINAL CUMULATIVE AMOUNT OF CONTRIBUTIONS (IF COMMITTEE, ALSO ENTER 1.D. NUMBER) IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF.EMPLOYED, ENTER NAME OF BUSINESS) BEGINNING THIS PERIOD PERIOD THIS PERIOD* CLOSE OF THIS PERIOD LOAN TO DATE PERIOD Alan P. Pettit t'2] IND O COM O 0TH O PTY O sec Michael R. McCulloch 801 E. Tahquitz Canyon Way, #102 Palm Springs, CA 92262 t'21 IND • COM • 0TH • PTY • sec to IND O COM O 0TH O PTY O sec Self-employed Entertainer CPA McCulloch & Co., CPA 0 PAID 0 0 FORGIVEN 5 26,443.0 5 1,500.00 0 D PAID ' 0 • FORGIVEN 10.79 0 0 ' 0 PAID 0 FORGIVEN CALENDAR YEAR s 27,943.0 _o_o/, 0 s 27,943.0 RATE PER ELECTION..., Demand 0 DATE DUE DATE INCURRED CALENDAR YEAR 10.79 _0_% 0 10.79 RATE PER ELECTION .. Demand 0 ~DATE DUE DATE INCURRED CALENDAR YEAR __ % ' RATE PER ELECTION,... DATE DUE DATE INCURRED SUBTOTALS $ 1,500.00 $ 0 $ 27,953.88 $ Schedule 8 Summary 1. Loans received 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.) .............................................................. 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 ** If requi_red. 1,500 00 (Enter (e) on Schedule E, Line 3) tContributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party 1 500 OD ~CC -Small Contributor Committee (May be a negative number) FPPC Form 460 (Jan/2016) FPPC Advice: advice@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 September 22, 2019 CALIFORNIA 460 FORM SEE INSTRUCTIONS ON REVERSE through October 19, 2019 Pa ge _6 __ of _7 __ NAME OF FILER Alfie Pettitt for Ci ty Council , District 3, 2019 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. ID NUMBER 1419242 CMP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD re turned contributions CTB contnbutlon (explain nonmonelary)' OFC office expenses SAL campaign workers' salaries eve civic donations PET petition circulating TEL t. v. or cable airtime and production cos ts FIL candidate filing/ballot fee s PHO phone b anks TRC candidate travel , lodging, and mea ls FND fundra1slng events POL polling and survey research TRS staff/spouse travel , lodging . and meals IN D independent expenditure supporting/opposing others (exp lain)' POS postage, delivery and messenger services TSF trans fe r between committees of the same candidate/sponsor LEG legal defense PR O 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 ID NUMBER) CODE OR DESCRIPTION O F PAYMENT AMOUNT PAID City of Palm Springs Villagefest Booth 3200 E. Tahquitz Canyon Way 193.65 Palm Springs, CA 92262 Facebook 1 Hacker Way WEB 1,060.33 Menlo Park , CA 94025 Mail Chimp 675 Ponce de Leon Avenue NE LIT 129.0 0 Atlanta , GA 30308 • Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 1 ,382 .98 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) ................. , ........................................................................................... $ ___ 3_,3_8_2_·9_8_ 329.32 2 . Unitemized payments made this period of under $100 .......................................................................................................................................... $ ______ _ 0 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1 , Column (e).) ............................................................................. $ ______ _ 4. Tota l payments made this period . (Add Lines 1, 2 , and 3. Enter here and on the Summary Page, Column A , Line 6 .) ........................... TOTAL $ ___ 3_·7_1_2_·3_0_ FPPC Form 460 (Jan/2016) FPPC Advice: advice@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 whole dollars. Statement covers period from September 22, 2019 through October 19, 2019 SCHEDULE E (CONT.) CALIFORNIA 460 FORM Page _7__ of 7 I.D. NUMBER 1419242 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP CNS CTB eve FIL FND IND LEG LIT campaign paraphernalia/misc. campaign consultants contribution (explain nonmonetary)* civic donations candidate filing/ballot fees fundraislng events independent expenditure supporting/opposing others (explain)" legal defense campaign literature and mailings NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER 1.D. NUMBER) Honey Printing 1801 E. Tahquitz Canyon Way, #101 Palm Springs, CA 92262 MBR member communications MTG meetings and appearances OFC office expenses PET petition circulating PHO phone banks POL polHng and survey research POS postage, delivery and messenger services PRO professional services (legal, accounting) PRT print ads CODE OR LIT * Payments that are contributions or independent expenditures must also be summarized on Schedule D. RAD radio airtime and production costs RFD returned contributions SAL campaign workers' salaries TEL t.v. or cable airtime and production costs TRC candidate travel, lodging, and meals TRS staff/spouse travel, lodging, and meals TSF transfer between committees of the same candidate/sponsor VOT voter registration WEB information technology costs (internet, e•mail) DESCRIPTION OF PAYMENT AMOUNT PAID 2,000.00 ' SUBTOTAL$ 2,000.00 FPPC Form 460 (Jan/2016) FPPC Advice: advlce@fppc.ca.gov (866/275-3772) www.fppc.ca.gov