HomeMy WebLinkAbout2021-02-01 Form 460 - PettitRecipient Committee
Campaign Statement
Cover Page
SEE INSTRUCTIONS ON REVERSE
Statement covers period
from July 1, 2020
through
December 31, 2020
Date Stamp
CITY OF PALm SPRINGS
Date of election if applic2tpi
(Month, Day, Year) LL
OFFI C
November 5, 2019
-
-I AM11: 58
OF THE CITY CLE°:.
,✓
COVER PAGE
CALIFORNIA
FORM 460
Page 1 of 5
1. Type of Recipient Committee: All committees — complete Parts 11, 2, 3, and 4.
2. Type of Statement:
R1 Officeholder, Candidate Controlled Committee
❑ Primarily Formed Ballot Measure
❑
Preelection Statement ❑ Quarterly Statement
0 State Candidate Election Committee
Committee
Semi-annual Statement ❑ Special Odd -Year Report
0 Recall
0 Controlled
❑
Termination Statement
(Also Complete Part 5)
0 Sponsored
(Also file a Form 410 Termination)
❑ General Purpose Committee
(Also Complete Part 6)
❑
Amendment (Explain below)
0 Sponsored
❑ Primarily Formed Candidate/
0 Small Contributor Committee
Officeholder Committee
0 Political Party/Central Committee
(Also Complete Part7,'
3. Committee Information I I.D. NUMBER
1419242
Alfie Pettit for City Council, District 3, 2019
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL. FAX / E-MAIL ADDRESS
4. Verification
Treasurer(s)
NAME OF TREASURER
Michael R. McCulloch
MAILING ADDRESS
CITY STATE ZIP CODE AREACODE/PHONE
Palm Springs CA 92262 (
NAME OF ASSISTANT TREASURER, IF ANY
MAILING ADDRESS
CITY STATE ZIP CODE AREACODEIPHONE
OPTIONAL: FAX / E-MAILADDRESS
I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein and in the attached schedules is true and complete.
certify under penalty���(:>2_1
the laws of the State of California that the foregoing is true n correct.
Executed on
Date-r Siqnature of Controllinq Officeholder, Ca esponsible Officer of Sponsor
Executed on
Date
Executed on
Date
By
Signature of Controlling Officeholder, Candidate, State Measure Proponent
By
Signature of Controlling Officeholder, Candidate, State Measure Proponent
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 I I.D. NUMBER
NAME OF TREASURER
❑ YES ❑ NO
CITY STATE ZIP CODE AREA CODE/PHONE
COMMITTEE NAME
NAME OF TREASURER
I.D. NUMBER
❑ YES ❑ NO
COVER PAGE - PART 2
Page 2 of 5
6. Primarily Formed Ballot Measure Committee
NAME OF BALLOT MEASURE
BALLOT NO. OR LETTER JURISDICTION
❑ SUPPORT
❑ OPPOSE
Identify the controlling officeholder, candidate, or state measure proponent, if any.
NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT
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
❑ SUPPORT
❑ OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
❑ SUPPORT
❑ OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
❑ SUPPORT
❑ OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
❑ SUPPORT
❑ OPPOSE
VI I T J IHI C LIY I uur- mmr-/A uuumirmunic 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 Amounts may be rounded SUMMARY PAGE
Summary Page to whole dollars. Statement covers period • . I
from
July 1, 2020 • - •
through December 31, 2020 Page of
of 5
SEE INSTRUCTIONS ON REVERSE 9
NAME OF FILER
Alfie Pettitt for City Council, District 3, 2019
Contributions Received
1. Monetary Contributions................................................... Schedule A, Line 3 $
2. Loans Received................................................................ Schedule B, Line 3
3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 1 + 2 $
4. Nonmonetary Contributions ............................................ Schedule C, Line 3
5. TOTAL CONTRIBUTIONS RECEIVED ...................................Add Lines 3 +4 $
Expenditures Made
6. Payments Made................................................................
Schedule E, Line 4 $
7. Loans Made.......................................................................
Schedule H, Line 3
8. SUBTOTAL CASH PAYMENTS ..........................................
Add Lines 6+7 $
9 Accrued Expenses (Unpaid Bills) ..........................................
Schedule F Line 3
10. Nonmonetary Adjustment.........................................................
Schedule C, Line 3
11. TOTAL EXPENDITURES MADE ........................................
Add Lines 8 + 9 + 10 $
Current Cash Statement
12. Beginning Cash Balance ............................ Previous Summary Page, Line 16 $
13. Cash Receipts........................................................... Column A, Line 3 above
14. Miscellaneous Increases to Cash .................................. Schedule 1, Line 4
15. Cash Payments......................................................... column A, Line 8 above
16. ENDING CASH BALANCE ..................Add Lines 12 + 13 + 14, then subtract Line 15 $
If this is a termination statement, Line 16 must be zero.
Column A
Column B
TOTAL THIS PERIOD
CALENDAR YEAR
(FROM ATTACHED SCHEDULES)
TOTAL TO DATE
0
0
$
0
0
0
0
$
0
0
0
0
$
0 $
C
0
0
0
0
0
0.00
17. LOAN GUARANTEES RECEIVED ................................ Schedule B, Part 2 $ 0.00
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ................................................ See instructions on reverse $
0.00
19. Outstanding Debts .............................. Add Line 2 + Line 9 in Column B above $ 0.00
48.61
0
$ 48.61
0
0
$ 48.61
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).
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 Total to Date
(mm/dd/yy)
*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
Amnunft maw ho rnundad
SCHEDULE B - PART 1
Schedule — Part 1 to whole dollars.
Statement covers period
CALIFORNIA ,
Loans Received
July 1, 2020
,
FORM
from
through December 31, 202Q
Page 4 of 5
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
I.D. NUMBER
Alfie Pettitt for City Council, District 3, 2019
1419242
FULL NAME, STREETADDRESS AND ZIP CODE
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
a
OUTSTANDING
AMOUNT
(c)
AMOUNT PAID
OUTSTANDING
e
INTEREST
ORIGINAL
9
CUMULATIVE
OF LENDER
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
(IF SELF-EMPLOYED, ENTER
NAME OF BUSINESS)
BALANCE
BEGINNING THIS
RECEIVED THIS
PERIOD
OR FORGIVEN
BALANCE AT
CLOSE HIS
PAID THIS
PERIOD
AMOUNT OF
LOAN
CONTRIBUTIONS
TO DATE
PERIOD
THIS PERIOD'
PERIOD
Alan P. Pettit
Self-employed
❑ PAID
CALENDAR YEAR
RATE
$ 28843.09
$ 0
$
DEMAND
$ 0
$
f IND [:1 COM [_1 OTH [_1 PTY ❑ SCC
DATE INCURRED
DATE DUE
❑ PAID
CALENDAR YEAR
$ 0
$ 0
0
$ 0
$ 0
PER ELECTION"
El FORGIVEN
RATE
DATE DUE
DATE INCURRED
t ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
❑ PAID
CALENDAR YEAR
$ 0
$ 0
0 %
$
$ 0
❑ FORGIVEN
PER ELECTION"
RATE
DATE DUE
DATE INCURRED
t ❑ IND ❑ COM ❑ OTH ❑ PTY ❑SCC
SUBTOTALS $ 0 $ 0 $ 28843.09 $ 0
Schedule B Summary
1. Loans received this period....................................................................................................................$ n no
(Total Column (b) plus unitemized loans of less than $100.)
2. Loans paid or forgiven this period.........................................................................................................$ In on
(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 $ n-nn
Enter the net here and on the Summary Page, Column A, Line 2. (May be a negative number)
*Amounts forgiven or paid by another party also must be reported on Schedule A.
'* If required.
(Enter (e) on
Schedule E, Line 3)
tContributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
SCHEDULEF
Schedule F Amounts may be rounded statement covers period '
to whole dollars. ,
Accrued Expenses (Unpaid Bills) from July 1, 2020 -
through December 31, 202C Pa e 5 of 5
SEE INSTRUCTIONS ON REVERSE g
NAME OF FILER I.D. NUMBER
Alfie Pettitt for City Council, District 3, 2019 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 communications
RAID
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
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 costs (internet, e-mail)
(
(
(c)
(
NAME AND ADDRESS OF CREDITOR
CODE OR
OUTSTAA NDING
AMOUNT INNCURRED
AMOUNT PAID
OUTSTANDING
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
DESCRIPTION OF PAYMENT
BALANCE BEGINNING
THIS PERIOD
THIS PERIOD
BALANCE AT CLOSE
OF THIS PERIOD
(ALSO REPORT ON E)
OF THIS PERIOD
Honey Printing
LIT
1801 E Tahquitz Canyon Way, STE 101
1,738.65
0
0
1,738.65
Palm Springs, CA 92262
McCulloch & Company, CPA
801 E Tahquitz Canyon Way, STE 102
PRO
5,205.00
0
0
5,205.00
Palm Springs, CA 92262
' Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTALS $ 6,943.65 $ 0 $ 0 $ 6,943.65
Schedule F Summary
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 $
2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on
accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under$100.)................................... PAID TOTALS $
3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and
on the Summary Page, Column A, Line 9.)
1 1�
N 22
NET $ 0.00
May be a negative number
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov