Loading...
HomeMy WebLinkAbout2019-09-30 Form 460 - WoodsR £. Q1i~ ~ Recipient Committee Campaign Statement Cover Page CIT Y OF P f,LHSPRIN ~------------------------------';_;_'-I CALIFORNIA 460 FORM Statement 0CMM'II period from 09/22/2019 through 10/1912019 1. Type of Recipient Committee: All Comm1tt8M -Complela Parts 1, 2. 3, and 4 00 Officehol der. Candidate Controlled Committee 0 State Cand idate Election Committee O Recall (AJso Complete Part 5) D General Purpose Committee D Sponsored 0 Small Contributor Committee D Polrtical Party/Central Committee 3. Committee Information 0 Primarily Formed Ballot Measure Committee 0 Controlled 0 Sponsored (Also Complete PBr1 6/ 0 Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) 1 1.D. NUMBER 1419200 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Denn is Woods Fo r Palm Springs City Coun c il Di stri c t 2, 2019 STREET ADDRESS (NO P 0 . BOX) C ITY Palm Spring s. CA 9226 2 STATE MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY Palm Sprin gs. CA 92263 OPTIONAL: FAX/ E-MAIL ADDRESS 4. Vertftcatlon STATE ZIP CODE ZIP CODE AREA CODE/PHONE ( AREA CODE/PHONE Date of election If appllcable: (Month, Day, Year) 20 9 OCT 2 2 Page __ rA __ 11/05/2019 OF r ICE OF THE CITY CL_,:, For Official Use Only 2 . Type of Statement Ix) Preelection Statement 0 Semi-annual Sta tement 0 Termination Statement (Also file a Form 410 Termination) 0 Amendment (Explain Below) Treasurer(a) NAME OF TREASURER Peter F. East MAILING ADDRESS CITY Pal m Springs, CA 92262 NAME OF ASSISTANT TREASURER, IF ANY Robert Rotman MAILING ADDRESS CITY Palm Springs, CA 92262 OPTIONAL: FAX/ E-MAIL ADDRESS 0 Quarterly Statement • Special Odd-Year Report STATE ZIP CODE STATE ZIP CODE AREA CODE/PHONE ( AREA CODE/PHONE I h ave used all reasonable d iligence in preparing and re view ing this statement and to the best of my kn owledge the infonmation contained herein and in the atta ched schedules is true and comple te . I ce rtify under penalty of perj ury under th e laws of th e State of Californ ia tha t th e foregoing .,,.-...::~=--......::....,.....:....... _______ _ DATE Executed on _.,_l _..o..,/c...ic:e2:...~~lc....p~A"TE c .... 1~1..:;i<t'----- Executed on _____________ _ DATE Executed on _____________ _ DATE --by ISPollllall.oom By ____________________________ _ Signature of ControKlng Off,ceholder, Candidate, State Measure Proponent By _____________________________ _ Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form -460 (Janl2016) FPPC Advice: ll<MceOfppc.ca.gov (86M75-3TT2) -.fppc.ca.gov Recipient Committee Campaign Statement Cover Page -Part 2 5. Offlceholder or Candidate Controlled Committee NAME OF OFFICEHOLDER 0~ CANDIDATE Dennis L Woods OFACE SOUGHT OR HEl,.O {INCLUDE LOCATION ANO DISTRICT NUMBER IF APPLICABLE) City Council Member Palm Springs RESIDENTIALJBUSINESS ADDRESS '(NO. AND STREET) 2 CITY STATE Palm Springs, CA 92262 Related Commltleas Not Included In this SmmmentLJst anyc:omm-. ZIP not lndud6d In this statement that BIB controll8d by )tJU or am pdmarf1y fomisd to l"9C6Jvs contrfbutlons or make expenrfdulSS on behalf of your candidacy COMMITTEE NAME NAME OF TREASURER COMMITTEE ADDRESS CITY COMMITTEE NAME NAME OF TREASURER COMMITTEE ADDRESS CITY Pow8red by ISPolltlcal.com LO.NUMBER CONTROLLED COMMITTEE? •YES •NO STREET ADDRESS (NO P.O. BOX) STATE ZIP CODE AREA CODE/PHONE I.D. NUMBER CONTROLLED COMMITTEE? OYES ONo STREET ADDRESS (NO P.O. BOX) STATE ZIP CODE AREA CODEJPHONE CALIFORNIA 460 FORM Paga 2 of _E_ 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 OFFICE SOUGHT OR HELD I DISTRICT NO. IF MY 7. Primarily Formed Candldale/Offlceholder Committee LJst 1111/1168 of off/ceholdsr(s) orcandldats(s) for wlllch a,1s comm/llBe Is prtmart/y fanned. NAME OF OFFICEHOLDER OR CANDIDATE NAME OF OFFICEHOLDER OR CANDIDATE NAME OF OFFICEHOLDER OR CANDIDATE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD • SUPPORT • OPPOSE OFFICE SOUGHT OR HELD • SUPPORT • OPPOSE OFFICE SOUGHT OR HELD • SUPPORT • OPPOSE OFFICE SOUGHT OR HELD • SUPPORT • OPPOSE FPPC Fann 460 (Jan/2016) FPPC Advice: advlce@fppc.ca.gov (666/276-3TT2) www.fppc.ca.gov SUMMARY PAGE Campaign Disclosure Statement Summary Page Amounts may be rounded to whole dollars. Statement covers pe~od 09/22/2019 fTOm -----"'==-:..::....- CALIF0RNIA46O FORM through __ 10_1_19_12_0_19 __ Page _....;3:..__ of 22 SEE INSTRUCTIONS ON REVERSE NAME.OF FILER Dennis Woods For Palm Springs City Council District 2, 2019 Contributions Received ColumnA TOTA!. THIS PERIOD (FROM ATTACHED SCHEDULES) 1. Monetary Contributions ••••••••••••.•••••••••••••••••••••••••• schedule A, Line 3 $ __ ..c10;.•c:6;:.95:..:·;:_00=--- 2. Loans Received ........•........................................ Schedule B, Line 3 .OD 3. SUBTOTAL CASH CONTRIBUTIONS ..•............•........ Add unes 1 +2 $ __ 1_0..:.,6_9_5_.o_o __ 4. Non monetary Contributions ..•.......•......•.....•.....•.... Schedufe c, line 3 13,955.77 5. TOTAL CONTRIBUTIONS RECEIVED .•......••....•........ AddUnes3+4 $ __ 2_4..:.,6_5_0_.7_7 __ Expenditures Made 6. Payments Made .........•.•.........................•.......... ScheduleE, Line4 $ __ ~16"',~34-"3~·.:..16'--- 7. Loans Made ............•........•.••............................ ScheduleH, Line3 .00 8. SUBTOTAL CASH PAYMENTS. .•••..............•....•....••. AddUnes6+7 $ __ .:..16,o,,:;34-"3"'.-"16::...__ 9. Accrued Expenses (Unpaid Bills) .......................... ScheduteF, une3 396.56 10. Non monetary Adjustment .•.................•...•.......... Schedule c. Line 3 13 955.77 11. TOTAL EXPENDITURES MADE. ........................ AddUnes8+9+ 10 $ 30 695.49 ----'==='--- Current Cash Statement Columns CALENDAR YEAR TOTAL TO DATE $ __ 6::.:3:c,8:..:7...:4:;;.3;:_9 __ .00 $ __ 6_3..:.,8_7_4_.3_9 __ 25,529.16 s ___ 89...:,_4D_3_._55-'-. __ $ _ __,3,.2-,6"'6"'2'".1"'-9 __ .00 $ _ __,3,.2-,6"'6"'2'".1,,_9 __ 396.56 25,529.16 $ _ __,5"'8'",5"'8"-7"'.9"-1 __ To calculate Column B, add amounts in Column 12. Beginning Cash Balance ...•...............•. Previous Summary Page. Line 16 $ __ 3:::6:,,8:..:8c:7.:...1:.::9__,_I A to the corresponding 13. Cash Receipts ............................................. Column A. Line 3 above 10,695.00 amounts from Column B of your last report. Some 14. Miscellaneous Increases to Cash ..•........••..•........• Schedule 1, Line 4 .00 amounts in Column A may be negative figures that 15. Cash Payments ...•.....••..................•............. Column A, Line B above 16. ENDING CASH BALANCE 16,343.16 should be subtracted from previous-period amounts. If Add Lines 12+ 13 + 14, then subtract Line 15 $ __ 3_1_,2_3_9_.0_3 __ 1 this is the first report being If this is a termination statement, Line 16 must be zero. filed for this calendar year, only carry over the amounts 17. LOAN GUARANTEES RECEIVED ......•••.............•.. ScheduleB,Une2 $ .00 from lines 2, 7,and9(if -------------------------...:======::I any). Cash Equivalents and Outstanding Debts 18. Cash Equivalents ............................ see Instructions on reverse $ ____ .o_o __ _ 19. Outstanding Debts ............... Add Line 2 + Line 9 in Column B above $. ___ 39_6_.5_6 __ _ Pcwemd by ISPolftlcal.com 1.D. NUMBER 1419200 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 111 through 6/30 7/1 to Date 20. Contributions $ .00 Received ·------ $ ___ ._oo __ _ .OD 21. Expenditure$-$ Made ------ $ ___ .o_o __ Expenditures Limit Summary for State Candidates 22. Cumulattve Expenditures Made• (If Subject to Volunfary E,pendltura Umll) Date of Election (mm/dd/yy) Total to Date $ ______ _ $, _____ _ $, _____ _ $, ______ _ •Amounts in this section may be different from amounts reported in Column B. FPPC Fann 460 (Jan/2016) FPPC Advice: advlce@lppc.ca.gov (8661275-3772) www.fppc.ca.gov Schedule A Monetary Conbibutions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Dannis Woods For Palm Springs City Council District 2, 2019 DATE RECEIVED 09/23/2019 09/24/2019 09/26/2019 09/28/2019 10/01/2019 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Jeremy W. Hobbs 1_30 W Racquet Club Rd Apl 503 Palm Springs, CA 92262 Service Employees International Union, Local 721 1545 Wilshire Blvd #100 Los Angeles, CA 90017 ID: 743794 George Waffle 480 E f'.llo Cir Palm Springs, CA 92264 Roy Clark 1920 Fan Palm Way Palm Springs, CA 92262 Palm Springs Firefighters Association PAC 44719 Johnston Dr Temecula, CA 92592 ID: 881536 Pawllrnd by ISPDIIHcal.com Amounts may be rounded to whole dollars. CONTRIBUTOR CODE ra! IND •COM 00TH •PTY •sec •IND !XI COM 00TH 0PTY •sec raJ IND •COM 00TH •PTY ·•sec raJ IND •COM 00TH •PTY •sec •IND !XI COM 00TH •PTY •sec IF INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Chairman & Manager Eastek International LLC Not Employed N/A Volunteer None SUBTOTAL$ SCHEDULE A statement covers period CALIF0RNIA46O FORM from 09/22/2019 through 10/19/2019 Page __ 4_ of 22 AMOUNT RECEIVED THIS PERIOD 500.00 500.00 100.00 100.00 1,000.00 2,200.00 1.D. NUMBER CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) 500.00 500.00 100.00 100.00 1,000.00 1419200 PER ELECTION TO DATE (IF REQUIRED) 500.00 G-2019 500.00 G-2019 100.00 G-2019 100.00 G-2019 1,000.00 G-2019 FPPC Fonn 460 {Jan/2018) FPPC Advice: advlce@lppc.ca.gov (888/275-3TT2) www.fppc.ca.gov Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Dennis Woods For Palm Springs City Council District_ 2, 2019 DATE RECEIVED 10102/2019 10/02/2019 10/02/2019 10102/2019 10/02/2019 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Ned Barker 2360 N Palermo Dr Palm Springs, CA 92262 Kai A. Brothers 130 W Ractjuet Club Rd Apt 506 Palm Springs, CA 92262 Lawrence Dasilva 2366 South Camino Real Palm Springs, CA 92264 Christopher Harms 2349 S Calle Palo Fierro Palm Springs, CA 92264 Christopher Heritage 4102 Ebony Ln Palm Springs, CA 92262 Powtnd by ISPclllk:al.mn Amounts may be rounded to whole dollars. CONTRIBUTOR CODE Ill! IND •COM 00TH 0PTY •sec Ill! IND •COM 00TH 0PTY •sec Ill! IND •COM Dorn •PTY •sec Ill! IND •COM 00TH •PTY •sec Ill! IND •COM 00TH 0PTY •sec JF INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) CEO Grill Ventures International Not Employed NIA Not Employed NIA Principal Project Manager UCLA-Retired Attorney Heritage Legal, PC SUBTOTAL$ SCHEDULE A S1alsment coven, period CALIF0RNIA46O FORM from 09/22/2019 through 10/19/2019 Page __ 5_ of 22 AMOUNT RECEIVED THIS PERIOD 150.00 100.00 250.00 100.00 500.00 1,100.00 1.D. NUMBER CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) 400.00 100.00 250.00 100.00 500.00 1419200 PER ELECTION TO DATE (IF REQUIRED) 400.00 G-2019 100.00 G-2019 250.00 G-2019 100.00 G-2019 500.00 G-2019 I FPPC Form 460 (Jan/2016) FPPC Advice: advlce@lppc.ca.gov (668/275-3772) www.fppc.ca.gov Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Dennis Woods For Palm Springs City Council District 2, 2019 DATE RECE!VED 10/03/2019 10/08/2019 10/08/2019 10/08/2019 10/08/2019 FULL·NAME, STREET ADDRESS AND ZIP CODE 9F CONTRIBUTOR (IF COMMITTEE, ALSO ~NTER I.D. NUMBER) Lisa Middleton 840 E Biltmore Pl Palm Springs, CA ~2264 Walter H. Baumhoff 595 W Chino Canyon Rd Palm Springs, CA 92262 David Bell 370 W San Rafael Dr Palm'Springs, CA 92262 John Paul Drayer .13739 Hanwell Ave Bellflower, CA 90706 Robert Lee Durbin, Jr. 68420 Terrace Rd cathedral City, CA 92?34 Powared by ISPcilUcm.com Amounts may be rounded ta whole dollars. CONTRIBUTOR CODE !XI IND •COM 00TH •PTY •sec !XI IND •COM 00TH •PTY •sec !XI IND •COM 00TH •PTY •sec !XI IND •COM DOTH· •PTY •sec !XI IND •COM 00TH 0PTY •sec IF INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Council Member City of Palm Springs Not Employed NIA Tow Service/Industrial Rentals Dave's Towing Service • Not Employed N/A. Not EmploYed NIA SUBTOTAL$ SCHEDULE A statament covers_periad CALIF0RNIA46O FORM from 09/22/2019 . through 10/19/2019 Page __ 6 __ of __ 22 __ AMOUNT RECEIVED THIS PERIOD 250.00 500.00 100.00 100.00 100.00 1,050.00 I.D. NUMBER . CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) 250.00 500.00 ·100.00 400.00 100.00 ,,_--- 1419200 PER ELECTION TO •ATE (IF REQUIRED) 250.00 G-2019 500.00 G-2019 100.00 G-2019. 400.00 G-2019 100.00 G-2019 .. · 1 . . FPPC Fann 480 (Jan/2018) · FPPC Advice: advk:e@fppc.ce.gov (886/275-3n2) . www.fppc.ca.g"". Schedule A Monetary Conbibutions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Dennis Woods For Palm Springs City Council District 2, 2019 DATE RECEIVED 10/08/2019 10/09/2019 10/10/2019 10/1312019 10/13/2019 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Robert Farran 505WYorba Rd Palm Springs, CA 92262 Jeff L. Livingston 1235 S Gene Autry Tri Palm Springs, CA 92264 United Food and Commercial Workers Union Local 1167 PAC PO Box 1167 Bloomington, CA 92316 ID: 1254111 Robert H. Heinbaugh 3040 Redwood Dr N Palm Springs, CA 92262 Ronald D. stange 2494 N Via Monte Vista Palm Springs, CA 92262 Powered by ISPolltlcal.com Amounts may be rounded to whole dollars. CONTRIBUTOR CODE il!I IND •COM 00TH •PTY •sec il!I IND •COM 00TH 0PTY •sec •IND il!I COM 00TH 0PTY •sec il!I IND •COM 00TH 0PTY •sec il!I IND •COM 00TH 0PTY •sec IF INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Not Employed N/A Real Estate Developer Urban Development Group, LLC Not Employed NIA Not Employed N/A SUBTOTAL$ SCHEDULE A Smmment coven, pe~od CALIF0RNIA46O FORM from 09/22/2019 through 10/19/2019 Page __ 7 _ of _22 __ AMOUNT RECEIVED THIS PERIOD 1,000.00 1,000.00 1,000.00 100.00 1,000.00 4,100.00 I.D. NUMBER CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC, 31) 1,000.00 1,000.00 1,000.00 100.00 1,000.00 1419200 PER ELECTION TO DATE (IF REQUIRED) 1,000.00 G-2019 1,000.00 G-2019 1,000.00 G-2019 100.00 G-2019 1,000.00 G-2019 FPPC Form 480 (Jan/2016) FPPC Advice: advlce@fppc.ca.gov (886/275-3772) www.fppc.ca.gov Schedule A SCHEDULE A Monetary Conbibutions Received Amounts may be rounded to whole dollars. Smmment coven, period CALIF0RNIA46O FORM from 09/22/2019 lhrough 10/19/2019 Page __ B __ of 22 SEE INSTRUCTIONS ON REVERSE NAME OF FILER Dennis Woods For Palm Springs City Council District 2, 2019 DATE RECEIVED 1011612019 10117/2019 1011712019 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER 1.D. NUMBER) James Litz 8617 Rugby Dr West Hollywood, CA 90069 John Parle 68135Alva Ct Cathedral City, CA 92234 John Park 68135 Alva Ct Cathedral City, CA 92234 Schedule A Summary CONTRIBUTOR CODE [l!I IND •COM 00TH 0PTY •sec [l!I IND •COM 00TH •PTY •sec ll!i IND •COM 00TH •PTY •sec IF INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Public Affairs Consultant Litz & Associates Owner NYPD Restaurant & Bar/Shamrocks Irish Pub Owner NYPD Restaurant & Bar/Shamrocks Irish Pub AMOUNT RECEIVED THIS PERIOD 100.00 1,000.00 1,000.00 1. Amount received this period -itemized monetary contributions. 10,550.00 (lncludeall_ScheduleAsubtotals.)-------------: ------------------$ --~----- 145.00 2.Amountreceivedthisperiod-unitemizedmonetarycontributionsoflessthan$10Q. __________ :-__ $ _______ _ 3. Total monetary contributions received this period. 10 695 00 (add Lines 1 and 2. Enter here and on the.Summary Page, Column A, Line 1.). ~ __________ .TOTAL $ ----•--· --- SUBTOTAL$ 2,100.00 Povmred by ISPalllcnl.corn 1.0. NUMBER CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) 100.00 2,000.00 2,000.00 1419200 PER ELECTION TO DATE (IF REQUIRED) 100.00 G-2019 2,000.00 G-2019 2,000.00 G-2019 " Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other {e.g., business entity) PTY -Political Party sec -Small Contributor Committee FPPC Fann 460 (Jan/2018) FPPC Advice: advlce@fppc.ca.gov (8681275-3m) www.fppc.ca.gov Schedule B -Part 1 Loans Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Amounts may be rounded to whole dollars. Dennis Woods For Palm Springs City Council District 2, 2019 FULL NAME, STREET ADDRESS AND ZIP CODE OF LENDER (IF COMMITTEE, ALSO ENTER 1.D. NUMBER) IF INDIVIDUAL, ENTER (a) OUTSTANDING OCCUPATION AND EMPLOYER BALANCE (IF SELF-EMPLOYED, ENTER BEGINNING THIS NAME OF BUSINESS) PERIOD (b)AMOUNT RECEIVED THIS PERIOD statement covers period from 09/22/2019 through 10/19/2019 (c) AMOUNT PAID OR FORGIVEN THIS PERIOD ** • PAID $ ___ _ (d) OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD $ ___ _ (e) INTEREST PAID THIS PERIOD % • FORGIVEN RATE $ $ $ $ ·• IND • COM • 0TH • PTY • sec ------------DATE DUE ---- Schedule B Summary 1.Loansreceivedthisperiod ________________________________ $ ____ .o_o ___ _ (Total Column (b) plus unitemized loans of less than $100.) 2. Loans paid or forgiven this period ____________________________ ~ _ $ ____ ._o_o __ _ (Total Column (c) plus loans under $100 paid or forgiven) (Include loans paid by a third party that are also itemized on Schedule A.) 3. Net change this period. (Subtract Line 2 from Line 1.) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ NET$ ____ .o_o __ _ Enter the net here and on the Summary Page, Column A, Line 2 {May be a negative number) SUBTOTALS$ $ $ $ (Enter (e) on SCHEDULE B -PART 1 CALIFORNIA 460 FORM 9 22 Page ___ of __ _ I.D. NUMBER 1419200 (f) ORIGINAL AMOUNT OF LOAN (g} CUMULATIVE CONTRIBUTIONS TO DATE CALENDAR YEAR $ $ __ _ PER ELECTION- DATE INCURRED • Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee I --i '"Amounts forgiven or paid by another party also must be reported on Schedule A •• If required. Powerod by ISPolllk:al.corn Schedule E, Line 3) FPPC Fenn 460 (Jan/2016) FPPC Advice: advlce@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule B -Part 2 Loans Received NAME OF FILER Dennis Woods For Palm Springs City Council District 2, 2019 FULL NAME, STREET ADDRESS AND ZIP CODE OF GUARANTOR (IF COMMITTEE, ALSO ENTER 1.D. NUMBER) PU'Mlf8d by ISPollHcal.com CONTRIBUTOR CODE • IND • COM • 0TH • PTY • sec Amounts may be rounded to whole dollars. IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) SCHEDULE B -PART 2 51atement covers period CALIF0RNIA46O FORM from thmugh LOAN LENDER DATE 09/22/2019 10/19/2019 AMOUNT GUARANTEED THIS PERIOD 10 22 Pege ---of --- I.D. NUMBER 1419200 CUMULATIVE TO DATE CALENDAR DATE $ ____ _ PER ELECTION (IF REQUIRED) BALANCE OUTSTANDING TO DATE SUBTOTAL $ Enter on Summary · • · · Pa e. Line 17 onl . FPPC Form 480 (Jan/2016) FPPC Advice: edvlce@lppc.ca.gov (868/275-3TT2) www.fppc.ca.gov ScheduleC Nonmonetary Conbibutions Received SEE INSTRUCTJONS ON REVERSE NAME OF FILER Dennis Woods For Palm Springs City Council Dlslrtct 2, 2019 FULL NAME, STREET ADDRESS DATE CONTRIBUTOR RECEIVED • AND ZIP CODE OF CONTRIBUTOR CODE" (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) Palm Springs Firefighters Association PAC 0 IND 44719 Johnston Dr ~ COM 10/07/2019 Temecula, CA 92592 0 0TH 0 PTY ID: 881536 • sec Palm Spl"ings Police Officers' Association PAC 0 IND 1121 L Street Ste 200 ~ COM 10/07/2019 Sacramento, CA 95814 0 0TH 0 PTY ID: 951841 • sec D & E Land Co, LLC 0 IND 2045 E Tahquitz Canyon Way 0 COM 10/09/2019 Palm Springs, CA 92262 ~ 0TH 0 PTY • sec Southwest Regional Council of Carpenters -Political 0 IND 533 South Fremont Avenue 10th Floor 0 COM 10/10/2019 Los Angeles, CA 90071 0 0TH 0 PTY ID: 870169 ~ sec Robert Connelly !xi IND 454 Sunningdale Drive 0 COM 10/19/2019 Rancho Mirage, CA 92270 0 0TH 0 PTY • sec Powerod by ISPollllcal.com Amounts may be_ rounded to 'Mlole dollars. IF INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Graphic Designer Robert Connelly SCHEDULE C Statement covers period CALIF0RNIA46O FORM from through DESCRIPTION OF GOODS OR SERVICES Joint Police & Firefighters mailer Joint Police & Firefighters mailer Research Expenses Volunteer Subsidies 09/22/2019 10/19/2019 AMOUNT/ FAIR MARKET VALUE 1,476.28 1,435.72 1,668.75 250.02 9,125.00 Pege __ 11_m_22 __ 1.0. NUMBER 1419200 CUMULATIVE TO DATE CALENDAR YEAR 2,476.28 1,435.72 9,168.75 1,250.02 17,843.20 PER ELECTION TO DATE (IF REQUIRED) 2,476.28 G-2019 1,435.72 G-2019 9,168.75 G-2019 1,250.02 G-2019 f-------~-------i 17,843.20 G-2019 Creative Services, Graphic Design SUBTOTAL$ FPPC Fann 480 (Jan/2016) FPPC Advice: advlce@fppc.ca.gov (666/275-3772) www.fppc.ca.gov Schedule C Nonmonetary Conbibutions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Dannis Woods For Palm Springs C::lty Council District 2, 2019 Amounts may be rounded to whole dollars. IF INDIVIDUAL, ENTER· statement covers period from 09/22/2019 · through 10/19/2019 DATE RECEIVED FULL NAME, STREET Ab DRESS . AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER DESCRIPTION OF AMOUNT/ FAIR MARKET VALUE (IF COMMITTEE, ALSO ENTER 1.D. NUMBER) · CODE • (IF SELF-EMPLOYED, ENTER GOODS OR SERVICES Schedule C Summary 0 IND • COM l!i 0TH 0 PTY •sec 0 IND •·coM l!i OTH 0 • PTY • sec 1. Amount re00iv6d this period -itemized nonmonetary contributions. NAME OF BUSINESS) $ 13,955.77 (lncludeallSchedul!Csubtotals.)--------------. -----------------: -------- 2. A~ount received this.period-unitemized nonffionetary-contributions of less than·$100_ ~ _· _______ ~ __ $ ____ .o_o ___ _ 3. Total nonmoneta·ry contributions received this period. . . TO""A' $ 13,955.77 (add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.)_ ______ ::_ ___ ,,,,._ ------~- SUBTOTA1'$ SCHEDULEC CALIF0RNIA46O FORM Paga 12 of 22 1.D.NUMBER 1419200 CUMULATIVE TO DATE. CALENDAR YEAR .00 .00 • Contribi.Jto'r Codes IND -Individual PER ELECTION TO DATE (IF REQUIRED) COM -Recipient Committee (oth8r than PTY or SCC) 0TH -Other (e.g., busiri8ss entity) P.TY -Political Party SCC -Small Contributor Committee Powurlld by ISPdllfcal.com FPPC Form 480 (Jan/201B) FPPC Advice: advlca@fppc.ca.gov (BB81275-3TT2) www.fp"°'ca.gov ScheduleD Summary of Expenditures Supporting/Opposing other Amounts mBy be rounded to wtiole dollars. Candidates, Measures, and Committees NAME OF FIL,_ER . Dennis Woods For Palm Sp~ngs City Council District 2, 2019 DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR MEASURE NUMBER OR LETTER AND JURISDICTION, OR COMMITTEE TYPE OF PAYMENT D Monetary · Contribution D Nonmonetaiy Contribution D Independent !------~-----~.---------; , Expenditure D s,pport D Oppose SCHEDULED SUMMARY DESCRIPTION (IF REQUIRED) Smmment coven, period fro 09/22/2019 m ---=~~~- lhrough 10/19/2019 SCHEDULED CALIF0RNIA46O FORM Page _1_3_ of 22 I.D.NUMBER 1419200 AMOUNT THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 • DEC. 31) PER ELECTION TO DATE . (IF REQUIRED) 1. Itemized contributions and independent expenditures· made this period. (Include all Schedule D subtotals.) -----· --· ------· ---$ ___ ._oo __ _ 2. Unitemized contributions and independent expenditures made this period of under $100 _____________ -: __________ . ___ $ ---"-.0-'O __ 3._Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.) -·-.~ ______ TOTAL$ ___ .o_o __ SUBTOTAL $ Pow9rad by ISPal_ltlail.a,m Ii FPPC Fenn 480 (Jan/2016) FPPC Advice: advk:e@fppc.ca.gov (866/275-3m) www.fppc.ca.gov ScheduleE Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Dennis Woods For Palm Springs City Council District 2, 2019 Amounts may be rounded to whole dollars. statement covers p&riod from 09/22/2019 through 10/19/2019 SCHEDULE E CALIF0RNIA46O FORM . 14 22 Page ___ of __ _ l.D. NUMBER 1419200 CODES: if one of the following codes accurately describes the payment, you may enter the code. otherwise, describe the payment. CMP campaign paraphernalia/misc. CNS campaign consultants CTB contribution (explain nonmonetary)• eve civic donations FIL candidate filing/ballot fees FND fundraising events IND independent expenditure supporting/opposing others (explain)* LEG legal defense LIT campaign literature and mailings NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) Mizell Senior Center 480 South Sunrise Way Palm Springs, CA 92262 Integrated Solutions: Political 4142 Adams Avenue Suite 103-550 San Diego, CA 92116 • Palm Springs Modern Committee P.0.Box 4738 Palm Springs, 92263 Canyon Print & Signs 449 East Tahquitz. Canyon Way Palm Springs, CA 92262 MBR member communicatiOns MTG meetings and appearances OFC office expenses PET petition circulating PHO phone banks POL polling and survey research POS postage, delivery and messenger services PRO professional services (legal, accounting) PRT print ads CODE OR MTG PRO MTG CMP * Payments that are contributions or independent expenditures must also be summarized on Schedule D. Powenld by ISPollllcal.com RAD radio airtime and production costs RFD returned contributions SAL campaign workers' salaries TEL Lv. 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 300.00 349.99 250.00 163.86 SUBTOTAL$ 1,063.85 FPPC Form 460 (Jan/2016) FPPC Advice: adv1ce@fppc.ce.gov (666/275-3m) www.fppc.ca.gov ScheduleE Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Dennis Woods For Palm Springs City Council Dlslrtct 2, 2019 Amoun1s may be rounded to whole dollars. S1etement covers period 09/22/2019 from through 10/19/2019 SCHEDULEE CALIF0RNIA46O FORM 15 22 Pege ___ of __ _ I.D. NUMBER 1419200 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia/misc. CNS campaign consultants CTB contribution (explain nonmonetary)* eve civic donations FIL candidate filing/ballot fees FND fundraising events IND independent expenditure supporting/opposing others (explain)" LEG legal defense LIT campaign literature and mailings NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Morel Ink 4824 Northeast 42nd Avenue Portland, OR 97218 Morel Ink 4824 Northeast 42nd Avenue Portland, OR 97218 Political Data Inc. 12501 Imperial Highway Suite 200 Norwalk, CA 90650 Morel Ink 4824 Northeast 42nd Avenue Portland, OR 97218 MBR member communications MTG meetings and appearances OFC office expenses PET petition circulating PHO phone banks POL polling and survey research POS postage, delivery and messenger services PRO professional services (legal, accounting) PRT print ads CODE OR LIT LIT PRO LIT * Payments that are contributions or independent expenditures must also be summarized on Schedule D. Powered by ISPollUcal.corn 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 7,544.58 1,783.30 400.00 4,124.06 SUBTOTAL$ 13,851.94 FPPC Form 480 (Jan/2016) FPPC Advice: advlce@lppc.ca.gov (866/275-3TT2) www.fppc.ca.gov ScheduleE Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Dennis Woods For Palm Springs City Council District 2, 2019 Amounts may be rounded to whole dollars. Slatament covers period 09/22/2019 from lhmugh 10/19/2019 SCHEDULE E CALIF0RNIA46O FORM 16 22 Page ___ of __ _ I.D. NUMBER 1419200 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernaliafmisc. CNS campaign consultants CTB contribution (explain nonmonetary)" eve civic donations Fll candidate filing/ballot fees FND fundraising events IND independent expenditure supporting/opposing others (explain)" LEG legal defense LIT campaign literature and mailings NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Stone's Phones 41-750 Rancho Las Palmas Drive Ste E-3 Rancho Mirage, CA 92270 Stripe - 510 Townsend Street San Francisco, CA 94103 Schedule E Summary MBR member communications MTG meetings and appearances OFC office expenses PET petition circulating PHO phone banks POL polling and survey research POS postage, delivery and messenger services PRO professional services (legal, accounting) PRT print ads CODE OR POL 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 1,109.84 Credit Card Processing fees 30.33 1. Itemized payments made this period. (Include all Schedule E subtotals_)_ __________________________________ $ ___ 1_6~,0_5_5_.9_6 __ $ 287.20 2. Unitemized payments made this period of under $100... ----------------------------------------. ----~---- 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).). __________________________ • $ ____ .O_O __ _ 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~.3_4_3_.1_6 __ _ • Payments that are contributions or independent expenditures must 8.lso be summariz.ed on Schedule D. Pow8red by ISPollHcal.com SUBTOTAL$ 1,140.17 FPPC Farm 460 (Jan/2016) FPPC Advice: advlce@fppc.ca.gov (666/275-3m) www.fppc.ca.gov Schedule F Accrued Expenses (Unpaid Bills) SEE INSTRUCTIONS ON REVERSE NAME OF FILER Dennis Woods For Palm Springs City Council District 2, 2019 Amounts may be rounded to whole dollars. statement covers period 09/22/2019 from through 10/19/2019 SCHEDULE F CALIF0RNIA46O FORM 17 22 Pege ___ of __ _ I.D. NUMBER 1419200 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia/misc. CNS campaign consultants CTB contribution (explain nonmonetaryt eve civic donations FIL candidate filing/ballot fees FND fundraising events IND independent expenditure supporting/opposing others (explain)" LEG legal defense LIT campaign literature and mailings NAME AND ADDRESS OF CREDITOR (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) Chase Visa 383 Madison Avenue New York, NY 10017 SCHEDULE F SUMMARY MBR member communications MTG meetings and appearances OFC office expenses PET petition circulating PHO phone banks POL polling and survey research POS postage, delivery and messenger services PRO professional services (legal, accounting) PRT print ads (a) CODE OR DESCRIPTION OUTSTANDING BALANCE OF PAYMENT BEGINNING OF THIS PERIOD CMP .00 RAD radio airtime and production costs RFD returned contributions SAL campaign workers' salaries TEL Lv. 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) (b) (c) (d) AMOUNT PAID THIS AMOUNT INCURRED OUTSTANDING BALANCE AT THIS PERIOD PERIOD (ALSO CLOSE OF THIS PERIOD RE"'"'nT '"'~' i:;;\ 396,56 .00 396.56 1. Total accrued.expenses incurred this period. (Include all Schedule F, Column (b) subtotals for accruedexpensesof$100ormore,plustotalunitemizedaccruedexpensesunder$100.)-__________________ INCURREDTOTALS$ ____ 3_95_._5_6_~~ 2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on accruedexpensesof$100ormore,plustotalunitemizedpaymentsonaccruedexpensesunder$100.)_ ________________ .PAJDTOTALS$ ____ .o_o ___ _ 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and on the Summary Page, Column A, Line 9.). _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ NET $ ___ 3_9_6._56 __ _ * Payments that-are contributions or independent expenditures must also be summarized on Schedule D. Powered by ISPollllcal.com SUBTOTALS $ $ $ $ FPPC Fonn 460 (Jan/2016) FPPC Advice: advk:e@fppc.ca.gov (666/275-3TT2) www.fppc.ca.gov Schedule G Payments Made by an Agent or Independent Contractor (on Behalf of This Committee) SEE INSTRUCTIONS ON REVERSE NAME OF FILER Dennis Woods For Palm Springs City Council District 2, 2019 NAME OF AGENT OR INDEPENDENT CONTRACTOR Morel Ink Amounts may be rounded to whole dollara. Smmment covers period 09/22/2019 from through 10/19/2019 SCHEDULEG CALIF0RNIA46O FORM Page __ 1_8_ of __ 22 __ I.D.NUMBER 1419200 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia/misc. CNS campaign consultants CTB -contribution (explain nonmonetary)" eve civic donations FIL candidate filing/ballot fees FND fundraising events IND independent expenditure supportingfopposing others (explain)" LEG legal defense LIT campaign literature and mailings MBR member communications MTG meetings and appearances OFC office expenses PET petition circulating PHO phone banks POL polling and survey research POS postage, delivery and messenger services PRO professional services (legal, accounting) PRT print ads 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) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALSO ENTER 1.D. NUMBER) us Post Office 333 East Amado Road Palrri Springs, CA 92262 POS US Post Office 333 East Amado Road Palm Springs, CA 92262 POS • Payments that are contributions or independent expenditures must also be summarized on Schedule D. -Do not transfer to any other schedule or to the Summary Page. Tois total may not equal the amount paid to the agent or Independent contractor as reported on Schedule E. Powm'Bd by ISPolltlcal.com 1,641.80 214.43 TOTAL•$ 1,856.23 FPPC Form 460 (Jan/2018) FPPC Advice: advlce@lppc.ce.gov (8881275-3772) www.fppc.ca.gov ScheduleG Payments Made by an Agent or Independent Contractor (on Behalf of This Committee) SEE INSTRUCTIONS ON REVERSE NAME OF FILER Dennis Woods For Palm Springs City Council District 2, 2019 NAME OF AGENT OR INDEPENDENT CONTRACTOR Chase Visa Amounts may be rounded to whole dollars. Smmment covers period 09/22/2019 from through 10/19/2019 SCHEDULE G CALIF0RNIA46O FORM Page __ 1_9_ of __ 22 __ 1.D. NUMBER 1419200 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia/misc. CNS campaign consultants CTB contribution (explain nonmonetaryt eve civic donations FIL candidate filing/ballot fees FND fundraising events IND independent expenditure supportingfopposing others (explain)" LEG legal defense LIT campaign literature and mailings MBR member communications MTG meetings and appearances OFC office expenses PET petition circulating PHO phone banks POL polling and survey research POS postage, delivery and messenger services PRO professional services (legal, accounting) PRT print ads 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 candidatefsponsor VDT voter registration WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Nation Builder 520 S. Grand Ave 2nd Floor Los Angeles, CA 90071 WEB * Payments that are contributions or independent expenditures must also be summarized on Schedule D. ** Do not transfer to any other schedule or to the Summary Page. This total may not equal the amount paid to the agent or independent contractor as reported on Schedule E. Powamd by ISPolltlail.com 366.00 TOTAL•$ 366.00 FPPC Fann 460 (Jan/2016) FPPC Advice: advlce@fppc.ca.gov (668/275-3TT2) www.fppc.ca.gov ScheduleG Payments Made by an Agent or Independent Contractor (on Behalf of This Committee) SEE INSTRUCTIONS ON REVERSE NAME OF FILER Dennis Woods For Palm Springs City Council District 2, 2019 NAME OF AGENT OR INDEPENDENT CONTRACTOR Morel Ink Amounts may be rounded to whole dollars. statement covers period from 09/22/2019 through 10/19/2019 SCHEDULE G CALIF0RNIA46O FORM Page __ 2_0_ of __ 22 __ I.D.NUMBER 1419200 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia/misc. CNS campaign consultants CTB contribution (explain nonmonetary)* eve civic donations FIL candidate filing/ballot fees FND fundraising events IND independent expenditure supporting/opposing others (explain)* LEG legal defense LIT campaign literature and mailings MBR member communications MTG meetings and appearances OFC office expenses PET petition circulating PHO phone banks POL polling and survey research POS postage, delivery and messenger services PRO professional services (legal, accounting) PRT print ads RAD radio airtime and production costs RFD returned contributions SAL campaign workers' salaries TEL lv. 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) NAME AND ADDRESS OF PAYEE CODE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) OR DESCRIPTION OF PAYMENT AMOUNT PAID US Post Office 333 East Amado Road Palm Springs, CA 92262 POS • Payments that are contributions or independent expenditures must also be summarized on Schedule D. •• Do not transfer to any other schedule or to the Summary Paga. This total may not equal the amount paid to the agent or Independent contractor as reported on Schedule E. POW8r8CI by ISPollllcal.corn 928.50 TOTAL*$ 928.50 FPPC Fann 460 (Jan/2016) FPPC Advice: advlce@fppc.ce.gov (668127!h'ln2) www.fppc.ca.gov Schedule H Loans Made to others* Amounts may be rounded to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER Dennis Woods For Palm Springs City Council District 2, 2019 FULL NAME, STREET ADDRESS AND ZIP CODE OF RECIPIENT (IF COMMITTEE, ALSO ENTER 1.D. NUMBER) IF INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (a) OUTSTANDING BALANCE BEGINNING THIS PERIOD $ ___ _ SUBTOTALS *Loans that are contributions to another candidate or committee must also be summarized on Schedule D. Loans forgiven must also be reported on Schedule E Powurod by ISP1lllllcal.com (b)AMOUNT LOANED THIS PERIOD $. ____ _ $ statement covers period 09/22/2019 from ----===-- lhrough __ 1_0_11_0_12_0_10 __ SCHEDULE H CALIFORNIA 460 FORM Page _.=21.:..._ of 22 I.D.NUMBER 1419200 (c) REPAYMENT OR FORGIVENESS THIS PERIOD• (d) OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD (e) INTEREST RECEIVED (f) ORIGINAL AMOUNT OF LOAN (g) CUMULATIVE LOANS TO DATE • PAID $, ___ _ $ ____ _ • FORGIVEN $ ____ _ DATE DUE $ $ CALENDAR YEAR $, ___ _ ----~% $, ___ _ PER ELECTION .. RATE $ ___ _ DATE INCURRED $ r FPPC Fann 480 (Jan/2016) FPPC Advice: advlce@fppc.ca.gov (866/275-3TT2) www.fppc.ca.gov Schedule I Miscellaneous Increases to Cash SEE INSTRUCTIONS ON REVERSE NAME OF FILER Dennis Woods For Palm Springs City Council District 2, 2019 DATE RECEIVED Schedule I Summary FULL NAME AND ADDRESS OF SOURCE (JF COMMITTEE, ALSO ENTER I.D. NUMBER) Amounts may be rounded to whole dollars. Smmment COV8111 period from 09/22/2019 a.rough 10/19/2019 DESCRIPTION OF RECEIPT SCHEDULE I CALIF0RNIA46O FORM 22 22 Pege ___ of __ _ I.D. NUMBER 1419200 AMOUNT OF INCREASE TO CASH 1. Itemized increases to cash this period.-______________ ..:. _________________ .$ ____ ._o_o __ _ 2. Unitemized increases to cash of under $100 this period.-___________________________ $ ____ .;_o_o __ _ 3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).).. ______________ $ ____ ._o_o __ _ 4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Line 14.)_ __________________________________ .TOTAL $ ____ ._o_o __ _ Powernd by ISPolltlcal.a,m SUBTOTAL$ FPPC Form 460 (Jan/2016) FPPC Advice: advlce@fppc.ce.gov (868/275-3m) www.fppc.ca.gov