Loading...
HomeMy WebLinkAbout2020-01-30 Form 460 - PettitR ecipient C ommittee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement covers period from __ O_ct_o_be_r_2_0_,_2_0_1 _9 _ Dec. 31 , 2019 through ________ _ 1. Type of R ecipient Committee: All Committees-Complete Parts 1, 2, 3, and 4. Gll Officeholder, Candidate Controlled Committee 0 State Ca ndidate Election Committee 0 Recall /Also c°""'"''• P•t 5/ D General Purpose Committee 0 Sponsored 0 Small Contributor Committee 0 Pol itical Party/Central Committee 3 . Committee Information 0 Primarily Formed Ba llot Measure Committee 0 Controlled 0 Sponsored (Also Compi.te P111 6) D Primarily Formed Candida te/ Officeholder Comm ittee (Also Con,plele Pett 1) LO .NUMBER 1419242 CC1 MMITTEE NAME (O R CANDIDATE'S NAME IF NO CO MM ITTEE) Alfie Petti t fo r City Council , District 3, 2019 AREA CO DE/PHONE Da t e of e lection if applicabl~ (Month. Day, Year) L November 5, 2019 OF ICE Of THc CITY CLE ~f. 2. Type of Statement: 0 Preelecti on Statement ~ Semi-annual Statement 0 Termination Statement (Also me a Form 410 Termination) 0 Amendment (Explain below) Treasurer(s) NAME OF TREASURER M ichael R. McCulloch CITY STATE ZIP CODE AREA CODE/P HONE Palm Springs CA 92262 ( _N_AM_E _O_F....:A-SS-1-ST::,A_NT_T_RE_A_S_U __ R_E_R _, 1-F -AN""'Y-,--------------'-- MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX/ E-MAIL ADDRESS Execu ted on ____________ _ Dale By ______ S1-g,-,a-,ur-e_o_r C-ontrol--hn_g_O_rt_,ce_hol_oe_r.~C-an""'d--,,da-,e-St-at-e~M""'ea-S<-,N!--,,Pr-oponen--1 ----- Executed on ------=--------Date BY------S,-~,-a-111re_of_C_Of1_t_rol_l~-g-Of_f_,cehol __ de_r ~C-an...,...,d1r:lo..,.le~Sl-at-e ~M,-ea_su,_e "'Pr-opon-~-,-, ----- 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 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 J.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? 0 YES 0 NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZJPCODE AREA CODE/PHONE COMMITTEE NAME , I.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 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/Officehold_er Committee List names of officeho/der(s) or candidate(s) for which this comm,ttee 1s pr1mar1/y 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 Amounts may be rounded to whole dollars. Column A TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) 1. Monetary Contributions................................................... Schedule A, Line 3 50.00 $ ------- 2. Loans Received ................................................................ ScheduleB,Line3 889.21 3. SUBTOTAL CASH CONTRIBUTIONS .............................. AddUnes 1 +2 $ 939.21 4. Nonmonetary Contributions............................................ Schedule c, Line 3 0 5. TOTAL CONTRIBUTIONS RECEIVED ................................... AddUnes3+4 $ 939.21 Expenditures Made 6. Payments Made................................................................ Schedule E, Line 4 $ 1 601.38 7. Loans Made ....................................................................... ScheduleH, Line3 0 8. SUBTOTAL CASH PAYMENTS .......................................... AddUnes6+ 7 $ 1,601.38 9. Accrued Expenses (Unpaid Bills) ............... ___ ............ Schedule F, Line 3 6,943.65 10. Nonmonetary Adjustment. ........................................................ Schedule c, Line 3 0 11. TOTAL EXPENDITURES MADE ........................................ AddUnesB+ 9 + 10 $ 8 545.03 Current Cash Statement 12. Beginning Cash Balance ............................ Previous Summary Page, Line 16 $ 710.78 13. Cash Receipts ........................................................... Column A. Line3above 939.21 14. Miscellaneous Increases to Cash.................................. schedule 1, Une 4 O 15. Cash Payments ......................................................... CofumnA, UneBabove 1,6•1 -38 48.61 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 ................................ ScheduleB,Parl2 $ 0.00 Cash Equivalents and Outstanding Debts 18. Cash Equivalents................................................ See instructions on reverse $ O.OO 19. Outstanding Debts.............................. Add Una 2 + Line gin Column B above $ ____ 3_5~, 7_8_6_._7 4_ SUMMARY PAGE Statement covers period October 20, 2019 from ________ _ : CALIFO'R,Ni.(>. '450· , ,,FORM 3 6 Dec. 31, 2019 through _______ _ Page __ _ of __ _ Column B CALENDAR YEAR TOTAL TO DATE 4,074.87 $ ------ 28,843.09 $ 32,917.96 0 $ 32,917.96 $ 32 869,35 0 $ 32 869.35 6,943.65 0 $ 39 813.00 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 111 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 lo Voluntary Expenditure limit) Date of Election (mmldd/yy) __J__J __ __J__J __ Total to Date $ _____ _ $ _____ _ *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 Loans Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Amounts may be rounded to whole dollars. Alfie Pettitt for City Council, District 3, 2019 IF AN INDIVIDUAL, ENTER a b FULL NAME, STREET ADDRESS AND ZIP CODE OUTSTANDING AMOUNT OF LENDER OCCUPATION AND EMPLOYER BALANCE RECEIVED THIS (IF COMMITTEE, ALSO ENTER 1.D. NUMBER) (lf SELF-EMPLOYED, ENTER BEGINNING THIS NAME OF BUSINESS) PERIOD PERIOD Alan P. Pettit Self-employed s 27943.09 900.00 1 12! IND • COM • 0TH • PTY • sec Michael R. McCulloch CPA 801 E. Tahquitz Canyon Way, #102 McCulloch & Co., CPA Palm Springs, CA 92262 10.79 0 1 12! IND • COM • 0TH • PTY • sec 0 s 0 1 • IND 0 COM 0 0TH • PTY • sec SUBTOTALS $ 900.00 $ Schedule B Summary SCHEDULE B -PART 1 Statement covers period from October 20, 2019 . --" ·•c~9F,D_RNIA' 460. .. FOR_M. . through December 31, 201 ! Page __ 4_ 01 __ 6_ c,1 AMOUNT PAID OUTSTANDING BALANCE AT OR FORGIVEN CLOSE OF THIS THIS PERIOD• PERIOD 0 PAID 0 s 28843.09 0 FORGIVEN 0 DATE DUE Ill PAID 10.79 0 0 FORGIVEN 0 Demand DATE DUE 0 PAID 0 0 0 FORGIVEN 0 0 DATE DUE 10.79 $ 28,843.09 INTEREST PAID THIS PERIOD _0_% AATE 0 _0_% AATE 0 _o_, AATE 0 $ (Enter (e) on Schedule E, Une 3) 1.D, NUMBER 1419242 g ORIGINAL CUMULATIVE AMOUNT OF CONTRIBUTIONS LOAN TO DATE CALENDAR YEAR 0 s 28843.09 PER ELECTION° DATE INCURRED CALENDAR YEAR s 0 ' 10.79 PER ELECTION u DATE INCURRED CALENDAR YEAR PER ELECTION** DATE INCURRED 1. Loans received this period .................................................................................................................... $ ____ g'"o"'n.,_,.,n,.,n_ ' (Total Column (b) plus unitemized loans of less than $100.) 2. Loans paid or forgiven this period ......................................................................................................... $ _____ 1~0-z_g_ tContributor Codes IND -Individual COM -Recipient Committee (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. B89 21 · (May be a negalive number) (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee 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 _O_ct:..:o.c.b.ce_r 2_0--'''---2_0_1_9_ .CALiFORNIA 460~ _:. .. ,:..• FORM . ., "' . ~ ..I. "' , ~···· • '" through December 31, 201 ! Page _5 __ 01 _6 __ SEE INSTRUCTIONS ON REVERSE NAME OF FILER Alfie Pettitt for City Council, District 3, 2019 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. 1.0. NUMBER 1419242 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 petiUon 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, lodglng, 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) - NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER 1.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPA1D Facebook 1 Hacker Way WEB 1,245.17 Menlo Park, CA 94025 -Ramon Gas Fuel Palm Springs, CA 92262 180.00 * Payments that are contributions or independent expenditures must also be summarized on Schedule 0. SUBTOTAL$ 1,425.17 Schedule E Summary 1. Itemized payments made this period. (lncl4de all Schedule E subtotals.) ............................................................................................................. $ ___ 1 _:_.4_ 2 _ 5 _· 1_ 7 _ 176.21 2. Unitemized payments made this period of under $100 ..................................................................... : .................................................................... $ ______ _ o 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 $ ___ 1 _• 6 _ 0 _ 1 _· 3 _ 8 _ FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule F Accrued Expenses (Unpaid Bills) 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 October 20, 2019 through _D_e_c._3_1~,_2_0_1_9_ SCHEDULE F {ALIFORN!A 460, . · F.OR,M • , . . Page __ 6_ of __ 6_ 1.0. NUMBER 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 communicalions 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 fundralslng 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 UT campaign literature and mailings PRT print ads WEB information technology costs (internet, e~mail) NAME AND ADDRESS OF CREDITOR (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) Honey Printing 1801 E Tahquitz Canyon Way, STE 101 Palm Springs, CA 92262 McCulloch & Company CPA 801 E Tahquitz Canyon Way, STE 102 Palm Springs, CA 92262 "Payments that are contribulions or independent expenditures must also be summarized on Schedule D. Schedule F Summary (a) CODE OR OUTSTANDING DESCRIPTION OF PAYMENT BALANCE BEGINNING OF THIS PERIOD LIT 0.00 PRO 0.00 SUBTOTALS$ 0.00 $ (b) (c) (d) AMOUNT INCURRED AMOUNT PAID OUTSTANDING THIS PERIOD THIS PERIOD BALANCE AT CLOSE (ALSO REPORT ONE) OF THIS PERIOD 1,738.65 0.00 1,738.65 5,205.00 0.00 5,205.00 6,943.65 $ 0.00 $ 6,943.65 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 $ ___ 6~•9_4_3_·6_5_ 2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on accrued expenses of $1 DO or more, plus total unitemized payments on accrued expenses under $100.) ................................... PAID TOTALS $ _____ O_._o_o_ 3. Net change this period. (Subtract Li~e 2 from Line 1. Enter the difference here and 6 943 65 on the Summary Page, Column A, Line 9.) ................................................................................................................................................................................... NET$ ' · May be a nega~ve number FPPC Form 460 (Jan/20161 FPPC Advice: advice@fppc.ca.gov (866/275~3772) www.fppc.ca.gov