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