HomeMy WebLinkAbout2017-01-27 Form 460 - MiddletonRecipient Committee
Campaign Statement
Cover Paae
SEE INSTRUCTIONS ON REVERSE
Statement covers period
from l/l/2017
throuoh 6/30/2017
1. Type of Recipient Committee: Ail Committees- Complete Parts 1, 2,11, and 4.
❑✓ Officeholder, Candidate Controlled Committee
❑State Candidate Election Committee
O Recall
(Also Complela Pad 5)
❑General Purpose Committee
❑ Sponsored
❑Small Contributor Committee
[:]Political PartylCentral Committee
[:]Primarily Formed Ballot Measure
Committee
[] Controlled
[:]Sponsored
(also Complete Part 6)
[] Primarily Formed Candidate/
Officeholder Committee
(Also Complale Part 7)
3. Committee Information 11394265
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
Lisa Middleton for Palm Springs City Council 2017
STREET ADDRESS (NO P.O. BOX)
CITY
STATE
ZIP CODE
AREA CODEIPHONE
Palm Springs
CA
92264
(
MAILING ADDRESS (IF DIFFERENT] NO. AND STREET OR P.O. BOX
CITY
STATE
ZIP CODE
AREACODEIPHONE
Palm Springs
CA
92263
(760) 327-2763
OPTIONAL: FAXIE-MAIL ADDRESS
Cl' Y_IO!'F PALH SPRING
Dete of election If applicable. 17 JUL 2 7 PM Z' 0 6
(Month. Day, Year)
iFF ICE OF THE CITY CLEF,
2. Type of Statement:
❑Preelection Statement
❑✓ Semi-annual Statement
❑Termination Statement
(Also file a Forth 410 Termination)
❑Amendment (Explain below)
Treasurer(s)
0
COVER PAGE
Page 1 of 61
I For Olmai Use Only
[]Quarterly Statement
❑ Special Odd -Year Report
NAME OF TREASURER
David Baron
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODEIPHONE
Palm Springs CA 92262 (
NAME OF ASSISTANT TREASURER. IF ANY
MAILING ADDRESS
CITY STATE ZIP CODE AREA COOEIPHONE
OPTIONAL FAX1E-MAIL ADDRESS
I have used all reasonable dillgence in pmparfng and reviewing this statement and to
nESPONSh9.a OFFUM9 OF PROPONERNT
FPPG Form 46J! Wand e,
DATE
Executed on
BY
shGNATnutE of COrrril041 al0 OFFICf2hOLDER CANpmATE on STATE MEASURE PnOPOINfHr
FPPC Advice,
advlce@fppc-ca.gov
i2
6.3T
( I
DATE
Executed on
By
SIGNATURE OF CdRROI.IwG OFFTCfHOLOEA, CAHQ1nATE. Off STATE MEA9lIRE PRGPONFlNT
WWW.fppc-ca.0ov
DATE