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Home My WebLink About2018-01-31 Form 460 - MiddletonRecipient Committee Campaign Statement CoverPaae ~---~------=-2-=--rO JAN 31 SEE INSTRUCTIONS ON REVERSE Statam1111t coY8l'II period frDm 10/22/2017 ~rough 12/31/2017 1. Type of Recipient Committee: A11eonvn1tteN-eomp1eteP•rta 1, 2,3, and 4. Oat• of eleclion If applcallle: (Monlh, Day, Yea1)i/ Fi L jf 'j HC C; j ; Y '·· i_;_, 2. Type of Statement: ,.. . . . . ~ CALIFORNIA 460 2001/02 FORM Page 1 of 35 For Offlclal Use Only 12)0fliceholder, Candidate Controlled Committee •Primarily Formed Ballot Measure •State Candidate Electlon Committee Committee D Preelection Statement D Semi-annual Statement •Termination Statement ~Quarterly Statement •Special Odd-Year Report ORecaU •controlled (Alw Complete Part 5J O Sponsored D General Purpose Committee (Also Co1!1)1ete Part 6) Osponsored OPrimarily Formed Candidate/ •small Contributor Committee Officeholder Committee 0 Political Party/Central Committee {Also Complete Patt 7} 3. Committee Information COMMITTEE NAME {OR CANDIDATE'S NAME IF NO COMMITTEE) LO.NUMBER 1394265 Lisa Middleton for Palm Springs City Council 2017 STREET ADDRESS (NO P.O. BOX) CITY Palm Springs STATE ZIP CODE CA 92264 MAILING ADDRESS (IF DIFFERENT) NO. ANO STREET OR P.O. BOX CITY STATE ZIP CODE Palm Springs CA 92263 OPTIONAL: FAX/E-MAIL ADDRESS 4. Verification Executed on Executed on ~ ~\o DATE Executed on AREA CODE/PHONE ( AREA CODE/PHONE ( By By (Also file a Form 4, 0 T emiination) •Amendment (Explain below) Treasurer(s) NAME OF TREASURER Lisa Middleton MAILING ADDRESS CITY Palm Springs STATE ZIP CODE CA 92264 NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE DATE SIGNAnJRE OF CONTROLLING OfFICEHOLDER. CNIDID"TI!. OR STATE MEASUAE PROPOIENT Executed on By DATE SKINliTU~ OF CONTIIOLUlO OfFICEHOLDER. Cl'INDll)i'ITE. OR STATE M£ASUIII: PROPOIENT AREA CODE/PHONE ( AREA CODE/PHONE FPPC Fann 460 (Jan/2011) FPPC Advice: edvlceOfppc.c•.gov (IINl275-37721 www.fppc.c•.gov Recipient Committee Campaign Statement Cover Page-Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Lisa Middleton OFFICE SOUGHT OR HELD(INCLUDE LOCATION ANO DISTRICT NUMBER IF APPLICABLE) Held: City Council Member Member City City of Palm Springs 36 RESIDENTIAUBUSlNESSADDRESS(N0, AND STREED CITY STATE ZIP Palm Springs CA 92264 Related Committees Not Included in this Statement: I.lat any commltlffa not Included In thil statement that are controllad by you or .. prlmarlly formed to receive contribution• Ill' rnaka axpandltul'N on bahalf of yDUr cancldacy, COMMITTEE NAME NAME OF TREASURER COMMITTEE ADDRESS CITY COMMITTEE NAME NAME OF TREASURER COMMITTEE ADDRESS CITY STREET ADDRESS (NO P.O. BOX) I.D.NUMBER CONTROLLED COMMITTEE? •YES •No STATE ZIP CODE AREA CODE/PHONE STREET ADDRESS (NO P.O. SOX) I.D. NUMBER CONTROLLED COMMITTEE? •YES •NO STATE ZIP CODE AREA CODE/PHONE COVER PAGE-PART 2 6.Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER I JURISDICTION I •SUPPORT •OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHLOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD !DISTRICT NO, IF ANY 7. Primarily Formed candidate/Officeholder Committee us,~of ofllcehokler(s) or candldale(sl for which this committee Is prlmarlly fonned. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD •SUPPORT •OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD QsuPPORT OoPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD OsuPPORT •OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD •SUPPORT •OPPOSE Attach continuation sheets If necessary FPPC Form 4e0 (J•nl2016) FPPC Advice: advlce@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE NAIIEOFFILER Lisa Middleton for Palm Springs City Council 2017 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. Non monetary 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 Unes 6 + 7 9. Accrued Expenses (Unpaid Bills).............................. Schedule F, Line 3 10. Nonmonetary Adjustment......................................... Schedule C, Line 3 11. TOT AL 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 I, Line 4 15. Cash Payments................................................. Column A, Line 8 above 16. ENDING CASH BALANCE .. Add Lines 12+13+14, then subtract Line 15 lfthiS is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ........... .. Schedule B, Part 2 Cash Equivalents and Outstanding Debts 18. Cash Equivalents....................................... See ins1ructlons on reverse 19. Outstanding Debts ....................... Add Line 2+Line 9 in Column B above Amounts may be rounded to whole dollara. Slatemenl covers period SUMMARY PAGE from 10/22/2017 through 12/31/2017 Column A ColumnB Total This Period CALENDAR VEAR (FROM ATTACHED SCHEDULES) TOTAL TO OATE $20,790.00 $133,668.00 $0.00 $0.00 $20,790.00 $133,668.00 $11,343.83 $31,467.63 $32,133.83 $165,135.63 $33,953.58 $128,580.21 $0.00 $0.00 $33,953.58 $128,580.21 $0.00 $0.00 $11,343.83 $31,467.63 $45,297.41 $160,047.84 $20,848.24 To call;ulale Column B. add amounts in Column A to the $20,790.00 corresponding amounts from $0.00 Column B of your last report. Some amounts in Column A $33,953.58 may be negative figures that should be subtracted from $7,684.66 preYious p8'iod amounts. If lhis is lhe first report being filed for this calendar year, only carry over the amounts from Lines 2, 7. and 9 (if $0.00 any). $0.00 $0.00 to.NUMBER 1394265 Calendar Year Summary for Candidates Running in Both the State Primary and GeMral Elections 20. Contributions Received 21. Expenditures Made 1/1 thl'OU!lh 6/30 Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made• (If Subjecl ID Voluntary Expenditure Limit) 711 ta Date Date of Election (mm/dd/yyyy) Total to Date *Amounts in this section may be different from amounts reported in schedule B. FPPC Form 460 (Jani2016) FPPC Advice: adYk:e@fppc.ca.gov (8H1275-37n) www.fppc.ca.gov Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lisa Middleton for Palm Springs City Council 2017 . Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED. ENTER NAME OF BUSINESS) (IF COMMITTEE, ALSO ENTER 1.D. NUMBER) CODE ' ~IND Chris Abele OcoM 11/06/2017 3319 N Lake Dr OoTH Milwaukee, WI 53211-2908 0PTY sec 2j1ND Mark Anton •COM 11/28/2017 150 W Capistrano Court OoTH Palm Springs, CA 92262 •PlY sec ~IND Scott Balson OcoM 10/28/2017 10 Ridgeline Way DOTH Rancho Mirage, CA 92270-5901 0PTY sec ~IND Donald Beck OcoM 11/01/2017 438 E Avenida Hokona OoTH Palm Springs, CA 92264-8483 •PTY sec Schedule A Summarv 1. Amount received this period -itemized monetary contributions. County Executive Milwaukee County Executive Director AIDS Assistance Project Media Specialist Gay Desert Guides Retired Retired SUBTOTAL (Include all Schedule A subtotals.) ................................................................................................................................... .. 2. Amount received this period -unitemized monetary contributions of less than $100 ......................................................... . 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)............................................... ......... TOTAL SCHEDULE A Statement covers period from 10/22/2017 through 12/31/2017 AMOUNT RECEIVED THIS PERIOD $1,500.00 $1,000.00 $100.00 $100.00 $2,700.00 $20,055.00 $735.00 I.D.NUMBER CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1-•EC. 31) $1,500.00 $1,000.00 $100.00 $200.00 •contrlbulor Codes IND· Individual PER ELECTION TO DATE (IF REQUIRED) COM• Recipient Committee (other than PTY or SCC) 0TH-Other (e.g., business entity) PTY-Political Party SCC-Small Contributor Committee $20, 790, 00 FPPC Form 480 (Jan/2016) FPPC Advice: advlca@fppc:.ca.gov (8661275-3772) www.fppc.ca.gov Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lisa Middleton for Paln Springs City Council 2017 . Amount$ may be rounded to whola doll1tn1. DATE RECEIVED FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SElF·EMPLOYED. EITTER NAME OF 8USINESS) 10/23/2017 11/01/2017 11/03/2017 10/25/2017 (IF COMMITTEE. ALSO ENTER 1.D. NUMBER) CODE' Barbara Boxer Rancho Mirage, CA 92270-3677 Patricia Breslin 572 W Arenas Rd # 2 Palm Springs, CA 92262-6342 Roland Bruntz 426 Village Sq W Palm Springs, CA 92262-7801 Calgiani for Senate 2016 249 E Ocean Blvd Ste 685 Long Beach, CA 90802-8832 ID: 1353849 01ND OcoM OoTH •PTY sec 01ND OcoM OorH OPTY sec 01ND Dem~ OoTH •PTY sec •IND 0COM OoTH •PTY Oscc Retired Retired Hospitality consultant Self Employed Retired Retired SUBTOTAL Schedule A Summarv 1. Amount received this period -itemized monetary contributions. (Include all Schedule A subtotals.) .......................................................................................................................... . 2. Amount received this period -unitemized monetary contributions of less than $100 ....................................................... ,.. 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)............................. ........................... TOTAL SCHEDULE A Statement covers period from 10/22/2017 through 12/31/2017 CALIFORNIA FORM Page 5 of 35 AMOUNT RECEIVED THIS PERIOD $500.00 $200.00 $100.00 $500.00 $1,300.00 $20,055.00 $735.00 -- CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1·DEC. 31) $500,00 $200.00 $100.00 $500.00 'Conbibulor Codes IND-Individual PER ELECTION TO DATE (IF REQUIRED) COM-Recipient Committee (other lhan PTY or SCC) OTH-Othar (e.g., business entity) PTY-Political Party sec-Small Contributor Committee $ 2 0 , 7 9 0 . 0 0 FPPC Fann 460 (Jan/2016) FPPC Advice: advlce@fppc.ca.gov (8156/275-3772) www.fppc.ca.gov Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lisa Middleton for Palm Springs City Council 2017 . Amount. may be roundtld to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPt.OYEO. ENTER NAME OF BUSINESS) (IF COMMITTEE, ALSO ENTER 1.D. NUMBER) CODE• 11/06/2017 California Real Esatte Political Action Committee 525 S Virgil Ave Los Angeles, CA 90020-1403 ID: 890106 Barbara Carpenter 10/23/2017 2540 W La Condesa Dr 10/23/2017 Palm Springs, CA 92264-9384 Don Cecil 353 King St Apt 523 San Francisco, CA 94158-1680 Richard Chambers 11/07/2017 785 E Bogert Trl Palm Springs, CA 92264-9611 Schedule A Summarv 1. Amount received this period -itemized monetary contributions. •IND 0COM OoTH •PTY oscc 01ND •COM OoTH •PTY sec @IND OcoM DOTH 0PTY sec IZl IND OcoM Dorn 0PTY sec Realtor Keller Williams Luxury Hornes Public affairs consultant MC2 Bay Area Public Affairs Consulting Health care consultant Self Employed SUBTOTAL (Include all Schedule A subtotals.) .................................................................................................................................. .. 2. Amount received this period -unitemized monetary contributions of less than $100 ......................................................... . 3. Total monetary contributions received this period. (Add lines 1 and 2. Enter here on the Summary Page, Column A, line 1.)........................................................ TOTAL SCHEDULE A from 10/22/2017 thrOUllh 12/31/2017 CALIFORNIA 460 FORM Page 6 of 35 AMOUNT RECEIVED THIS PERIOD $2,000.00 $120.00 $100.00 $250.00 $2,470.00 $20,055.00 $735.00 ----- CUMULATIVE TO DATE CALENDAR YEAR (JAN.1-0EC. 31) $2,000.00 $220.00 $100.00 $250.00 *Conbibutor Codeg IND-Individual PER ELECTION TO DATE (IF REQUIRED) COM-Rocipienl Committee (other than PTY or SCC) OTH-Other (e.g .. business entity) PTY-Political Party sec-Small Con1ributor Committee $20,790. Q O FPPC Fonn 460 (Jan/2016) FPPC Advice: advh:e@fppc.ca.gov (8661275-3n2) www.fppc.ca.gov Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER L.i.sa Middleton for Palm Springs City Council 2017 . Amounts may be rounded ta whale dallani. DATE RECEIVED FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMF'LOYED. EITTER NAME OF BUSINESS) (IF COMMITTEE. ALSO ENTER I.D. NUMBER) CODE* Vivian Chiel 10/25/2017 1190 E Marion Way 11/29/2017 Palm Springs, CA 92264-0300 Coachella -Impe~ial Valley Strategies 75100 Mediterranean Palm Desert, CA 92211-9069 ID: 1351123 Kathleen Cohn 11/11/2017 276 N Debby Dr Palm Springs, CA 92262-6813 Kathleen Cohn 12/11/2017 276 N Debby Dr Palm Springs, CA 92262-6813 Schedule A Summarv 1. Amount received this period -itemized monetary contributions. @IND OcoM DOTH •PTY sec DINO @COM •oTH •PTY Oscc 01NO OcoM OoTH •PTY sec 01NO OcoM OoTH •PTY sec Retired Retired Retired Retired Retired Retired SUBTOTAL (Include all Schedule A subtotals.) ..................................................................................................................................... . 2. Amount received this period -unitemized monetary contributions of less than $100 ........................................................ .. 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.) ..................................................... . TOTAL SCHEDULE A &tatamltnt covers .,..rlod from 10/2?/:?.017 through 12 /j l /20 l'I CALIFORNIA 460 FORM Page 7 of 35 AMOUNT RECEIVED THIS PERIOD $250.00 $2,000.00 $250.00 $250.00 $2,750.00 $20,055.00 $735.00 ----- CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1-DEC. 31) $250.00 $2,000.00 $1,000.00 $1,000.00 'Contributor Codes IND• Individual PER ELECTION TO DATE (IF REQUIRED) COM-Recipient Committee (other 1han PTY or SCC) On-t-other (e.g., business entity) PTY-Political Party sec-Small Contributor COmmlttae $ 2 0 , 7 9 0 . 0 0 FPPC Fann 460 (Jan/2016) FPPC Advice: advlce@fppc.ca.gav (866/275-3TT2) www.fppc.ca.110v Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lisa Middleton for Palm Springs City Council 2017 . Amounts may be rounded to whol• dollars. DATE RECEIVED FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS] (IF COMMITTEE. ALSO ENTER 1.D. NUMBER) CODE• Larry Colton 10/24/2017 9 Leeward Rd Belvedere, CA 94920-2320 Committee to Elect Ginny Foat 10/27/2017 1673 N.Palm Canycn Drive 10/25/2017 10/25/2017 Palm Springs, CA 92262 Communications Workers Of America, Southern CA Council PAC 3820 E Colorado Blvd Pasadena, CA 91107-3937 ID: 05-0623611 Larry Da Silva 2366 S Camino Real Palm Springs, CA 92264-9419 Schedule A Summary 1. Amount received this period -itemized monetary contributions. 01ND QcoM QorH •PTY sec •IND @CmA QoTH •PTY sec QIND @COM QOTH •PTY Oscc @IND OcoM DOTH QPTY sec Real Estate Self Employed Retired Retired SUBTOTAL (Include all Schedule A subtotals.) ..................................................................................................................................... . 2. Amount received this period -unitemized monetary contributions of less than $100 ........................................................ .. 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL SCHEDULE A statament covers period from 10/22/201'1 tlvough 12/31/2017 CALIFORNIA 460 FORM Page B of :-,5 AMOUNT RECEIVl:DTHIS PERIOD $100.00 $150.00 $100.00 $250.00 $60C.OO $20,055.00 $735.00 ----- CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1-DEC. 31) $100.00 $1,350.00 $100.00 $250.00 'Contributor Codes IND-Individual PER ELECTION TO DATE (IF REQUIRED) COM-Recipient Committee (other than PTY or SCC) OTH-Other (e.g., business entity) PTY-Political Party SCC· Small Contributor Committee $20,790.00 FPPCFonn460(Jan/2018) FPPC Advice: advlca@fppc.ca.gov (8661275-3772) www.fppc.ca.gov Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lisa Middleton for Palm Springs City Council 2017 , Amounts ,nay be rounded to whole dollars. DATE RECEIVED FULL NAME, SffiEET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER {IF SELF-EMPLOVEO, ENTER NAME OF BUSINESS) (IF COMMITTEE, ALSO ENTER 1.D. NUMBER) CODE' Aftab Dada 10/26/2017 400 E Tahquitz Canyon Way Palm Springs, CA 92262-6605 John Evans 10/28/2017 1451 Amelia Way Palm Springs, CA 92262-3446 Connie Faipeas 10/24/2017 4831 N Winners Cir Palm Springs, CA 92264-5873 Robert Farran :.0/27/2017 320 S Avenue 52 Los Angeles, CA 90042-4506 Schedule A Summarv 1. Amount received this period -Itemized monetary contributions. @IND •COM DOTH •PTY sec @IND OcoM OoTH •PIT sec 01ND OcOM Dorn QPTY sec 01ND OcoM OoTH •PTY sec Hotel Manager Hilton Palm Springs Owner Contempo Lending Retired Retired Retired Retired SUBTOTAL (Include all Schedule A subtotals.) ...................................................................................................................................... . 2. Amount received this period -unitemized monetary contributions of less than $100 ........................................................ . 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.) ..................................................... .. TOTAL SCHEDULE A Statamant covers period CALIFORNIA 460 FORM from 10/ 22/201'1 ------ through 12/31/2017 AMOUNT RECEIVED THIS PERIOD $1,ooo_co $100.00 $100.00 $250.0C $1,450.00 $20,055.00 $735.00 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1-DEC. 31) $1,000.00 $100.00 $100.00 $1,250.00 I ND-Individual PER ELECTION TO DATE {IF REQUIRED) COM-Recipient Committee { oltler than PTY or SCC) OTH-Other (e.g., business entity) PTY-Political Party sec-Small Contributor Committee $20,790.00 FPPC Form 460 (Jan/2016) FPPC Advlc&: advlce@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lisa Middleton for Palm Springs City Council 2017 . Amount. may be rounded to whole doll11n1. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRl8UT0R CONTRIBUTOR IF AN INDIVIDUAL. ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, EMTER NAM!; OF llOSINESS) (IF COMMITTEE. ALSO ENTER 1.0. NUMBER) CODE' 0tND David Feltman OcoM 10/26/2017 1076 E Deepwe.1 J Rd OorH Palm Springs, CA 92264-8563 •PTY sec 01ND John French OcoM 10/24/2017 984 Sundance Cir s Dorn Palm Springs, CA 92262-2056 0PTY sec @IND Terry Gatewood Ocm,1 11/01/2017 2962 Searchlight Ln OoTH Palm Springs, CA 92264-6827 0PTY sec @IND Brian Hoff OcoM 10/25/2017 372B E Camino Parocela OoTH Palm Springs, CA 92264-1356 QPTY sec Schedule A Summarv 1. Amount received this period -Itemized monetary contributions. Strategy consultant REX Shares, ;,LC Retired Retired Owner Blue Tiger Recovery Administrator Palm Valley Senior Assistance SUBTOTAL (Include all Schedule A subtotals.) ...................................................................................................................................... . 2. Amount received this period -unitemized monetary contributions of less than $100 ........................................................ . 3. Total monetary contributions received this period. {Add Lines 1 and 2. Enter here on the Summary Page, Column A. Line 1.) ................................... "................... TOTAL SCHEDULE A Statement covers period from 10/22/201'1 through 12/31/2017 AMOUNT RECEIVED THIS PER/OD $500.00 $100,00 $100.00 $50.00 $750.00 $20,055.00 $735.00 1.0. NUMBER 13942 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1·DEC. 31) $500.00 $100.00 $100.00 $100.00 INO-lndivi:lual PER ELECTION TO DATE (IF REQUIRED) COM· Recipient Committee (other than PTY or SCC) OTH-Other (e.g., business entity) PTY· Political Party SCC· Small Contributor Committee $ 2 0 , 7 9 Q • Q O FPPC Form 460 (Jan/2016) FPPC Advice: advlce@fppc.ca.gov (866/275-lm) www.fppc.ca.goy Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lisa Middleton for Palm Springs City Council 2017 . Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER {IF SELF-EMPLOYED. ENTER NAME OF BUSINESS) (IF COMMITTEE. ALSO ENTER 1.D. NUMBER) CODE• 01ND Timothy Hohmeier OcoM Retired 10/24/2017 1387 s Calle De Ma::::-ia DOTH Retired Palm Springs, Cl', 92264-8503 •PTY sec Jeff Denean Jones @IND Business Analyst I 2500 E Palm Canyon Dr QcoM AIDS Regional 11/02/2017 Apt 88 DOTH Information & Palm Springs, CA 92264-4881 QPTY Evaluation System Qscc ARIES Jeff Denean Jones @IND Business Analyst I 2500 E Palm Canyon Dr QcoM AIDS Regional 12/05/2017 Apt 88 DOTH Information & - Palm Springs, CA 92264-4881 •PTY Evaluation System - Oscc ARIES Jeff Denean Jones @IND Business Analyst I 2500 E Palm Canyon Dr OcoM AIDS Regional 12/30/2017 Apt 88 DOTH Information & Palm Springs, CA 92264-4881 QPTY Evaluation System - Oscc ARIES SUBTOTAL Schedule A Summarv 1. Amount received this period -itemized monetary contributions. (Include all Schedule A subtotals.) .............................................. ,. ...................................................................................... . 2. Amount received this period -unitemized monetary contributions of less than $100 ......................................................... . 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)............................................. ........... TOTAL SCHEDULE A Statanwint COY81'8 period CALIFORNIA 460 I from _1_0_,,_' 2_:_, ;_2_0_1~7 FORM I through V/31 /?OJ 7 Page 11 of 35 AMOUNT RECEIVED THIS PERIOD $500.00 $20.00 $20.00 $20.00 $360.00 $20,055.00 $735.00 ----- CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1-DEC. 31) $500.00 $140.00 $140.00 $140.00 'Conlrlb\Jtor Codes IND-Individual PER ELECTION TO DATE (IF REQUIRED) COM-Recipient Committee (other ttian PTY or SCC) OTH-Other (e.g .• business entity) PTY· Political Party sec-Small Contributor Committee $20,790.00 FPPC Fonn 4&0 (Jan/2016) FPPC Advice: adviea@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lisa Middleton for Palm Sprlngs Clty Council 2017 . Amounts may be rounded to whole doUars. DATE R!cCEWED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR lF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (lF SELF~MPL0'1£D, ENTER NAME OF BUSINESS) (IF COMMITTEE, ALSO ENTER 1.D. NUMBER) CODE• 10/25/2017 10/24/2017 10/23/2017 10/24/2017 Brent Krekeler 680 W Arenas Rd Apt 3 Palm Springs, CA 92262-6349 Ellen Kurpiewski 69572 Huerta Ct Rancho Mirage, CA 92270-1223 Allan Lamb 1275 S Calle De Maria Palm Springs, CA 92264-8503 Ronald Matlin 572 W Arenas Rd Palm Springs, CA 92262-6342 Schedule A Summarv 1. Amount received this period -itemized monetary contributions. @IND OcoM QoTH 0PTY sec [ZjlND OcoM OoTH •PTY sec @IND OcoM OoTH •PTY sec 01ND OcoM DOTH •PTY sec Pool Contractor Self Employed Retired Retired Retired Retired Hospitality Consultant Self Employed SUBTOTAL (Include all Schedule A subtotals.} ...................................................................................................................................... . 2. Amount received this period -unitemized monetary contributions of less than $100 ......................................................... . 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL SCHEDULE A Slatement coven period from lC/22/2017 through 12/31/2017 AMOUNT RECEIVED THIS PERIOD $100.00 $50.00 $250.00 $100.00 $5CO.OO $20,055.00 $735.00 LO.NUMBER 3 4" 5 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1-DEC. 31) $350.00 $150.00 $250.00 $100.00 'Contributor Codas IND-Individual PER ELECTION TO DATE (IF REQUIRED) COM-Recipient Committee (other than PTY or SCC) OTH-Other (e.g., business entiM PTY-Political Party sec-Small Contributor Committee $20,790.00 FPPCForm46G(Jan/2016} FPPC AdVlca: adVlca@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lisa Middleton for Palm Springs City Council 2Cl7 . Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED. ENfER f'W.11' OF BUSINESS) (IF COMMITTEE, ALSO ENTER 1.D. NUMBER) CODE• George McBride 10/29/2017 4931 Geary Way Palm Springs, CA 92262-0548 Roy Moe 10/23/2017 563 N Calle Rolpt Palm Springs, CA 92262-6150 Juliette Montante 11/01/2017 48866 Desert Flower Dr Palm Desert, CA 92260-6268 Patrick Mundt. 10/23/2017 210 E Arenas Rd Palm Springs, CA 92262-6632 Schedule A Summarv 1. Amount received this period -itemized monetary contributions. 01NO OcoM DOTH •PTY sec 01ND OcoM OoTH •PTY sec 01ND OcoM OoTH •PTY sec 01ND OcoM OorH •PTY sec Retired Retired Retired Retired CEO FSA Organica Owner Mischief Cards & Gifts SUBTOTAL (Include all Schedule A subtotals.} ..................................................................................................................................... . 2. Amount received this period -unitemized monetary contributions of less than $100 ......................................................... . 3. Total monetary contributions received this period. (Add lines 1 and 2. Enter here on the Summary Page, Column A, line 1.)........................................................ TOTAL SCHEDULE A Statement covers period CALIFORNIA FORM 460 I from lC/22/2017 ------ through 12/31/2017 Page 13 of 35 AMOUNT RECEIVED THIS PERIOD $250.00 $100.00 $200.00 s:oo,oo $650.00 $20,055.00 $735.00 ----- CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1-DEC. 31) $250.00 $100.00 $200.00 $100.00 •conlrlbulor Codes I NO-Individual PER ELECTION TO DATE (IF REQUIRED) COM-Recipient Committee (other than PTY or SCC) OTH· Other (e.g., business entity) PTY• Political Party sec-Small Contributor Committee $ 2 0 , 7 9 0 • 0 0 FPPC Form 460 (Jan/2016) FPPC Advice: advlce@fppc.ca.gov (8Kl275-3772) www.fppc.ea.gov Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lisa Middleton for Palm Sprin~s City Council 2017 . Amounts may be round&d to whole dolleni. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (11' SELf..EMl'LOYEO. ENTER NAME OF BUSINESS) (IF COMMITTEE, ALSO ENTER 1.D. NUMBER) CODE• 01ND Margie Norris OcoM 10/25/2017 1816 S La Paloma OoTH Palm Springs, CA 92264-9272 •PTY sec 01ND Cheryl O'Callagha~ OcoM 10/23/2017 840 E Biltmore Pl OoTH Palm Springs, CA 92264-8438 •PTY sec ~IND Cheryl O'Callaghan •COM 11/23/2017 840 E Biltmore Pl OoTH Palm Springs, CA 92264-8438 •PTY sec l2]1ND Cheryl O'Callaghan OcoM 12/27/2017 840 E Biltmore Pl OoTH Palm Springs, CA 92264-8438 •PTY sec Schedule A Summarv 1. Amount received this period -itemized monetary contributions. Retired Retired Retired Retired Retired Retired Retired Retired SUBTOTAL (Include all Schedule A subtotals.) .................................................................................................................................... .. 2. Amount received this period -unitemized monetary contributions of less than $100 ......................................................... . 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL SCHEDULE A Statement CO\IGnl period from 10,122/2017 through 12/Jl/20U CALIFORNIA 460 FORM Page 14 of 35 AMOUNT RECEIVED THIS PERIOD $150.00 $100.00 $100.00 $100.00 $450.00 $20,055.00 $735.00 ---~- CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1-DEC. 31) $150.00 $1,000.00 $1,000.00 $1,000.00 *Conbibutor Codes I ND-Individual PER ELECTION TO DATE (IF REQUIRED) COM-Recipient Committee (o1her than PTY or SCC) OTH-Other{e.g .. businessenHty) PTY • Political Party see-Small Contributor Committee $2 0, 7 9 Q. 0 0 FPPC Fom1 480 (Jan/2016I FPPC Advice: advlce@fppc.ca.gov latf/275-37721 www.fppc.ca.gov Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lisa Middleton for Palm Springs City Council 2017 . Amounts may b& rounded to whole dollaffl. DATE RECEIVED FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR lF AN INDIVIDUAL. ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENlER NAME OF Bl.lSINESS) (IF COMMITTEE. ALSO ENTER I.D. NUMBER) CODE' John Oliver 10/24/2017 1225 S Calle Rolph 10/30/2017 10/23/2017 10/24/2017 Palm Springs, CA 92264-8513 Joseph Palacios 29120 Landau Blvd Apt 1 Cathedral City, CA 92234-7527 Palm Springs Modern Heritage Fund PO Box 4758 Palm Springs, CA 92263-4758 Palm Springs Regional Association of Realtors 4045 E Ramon Rd Palm Springs, CA 92264-1231 ID: 890106 Schedule A Summarv 1. Amount received this period -itemized monetary contributions. 0JND OcoM DOTH QPTY sec 01ND OcoM DOTH •PTY sec •IND •COM 00TH •PTY sec DINO 0COM •oTH •PTY Oscc Consultant Global Bank Training Professor University of Southern California SUBTOTAL (Include all Schedule A subtotals.) ..................................................................................................................................... . 2. Amount received th Is perlod -unitemized monetary contributions of less than $100 ......................................................... . 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on the Summary Page. Column A, Line 1.)........................ ......... ....................... TOTAL Statement covers period from 10/22/2017 throU11h 12/31/2017 SCHEDULE A CALIFORNIA 460 FORM Page 15 of 35 ----- AMOUNT CUMULATIVE TO DATE PER ELECTION TO DATE RECEIVED THIS CALENDAR YEAR PERIOD (JAN. 1·DEC. 31) (IF REQUIRED) $100.00 $100.00 $2,500.00 $500.00 $3,200.00 $20,055.00 $735.00 $175.00 $100.00 $2,500.00 $500.00 IND-Individual COM-Recipient Committee (other than PTY or SCC) OTH· Other (e.g., business entity) PTY-Political Party sec. Small Contributor Committee $ 20, 790. 00 FPPC Fonn 460 (Jan/2016) FPPC Advice: advlce@fppe.ca.gov (8661275-3772) www.fppc.ca.gov Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAM OF FILER Lisa Middleton for Palm Springs City Council 2017 . Amounts may be rounood to wbola dollars. DATE RECEIVED FULL NAME, STREET ADDRESSAND ZIPCOOE OF CONTRIBUTOR CON1RIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED. ENTER NAME OF BUSINESS) (IF COMMITTEE, ALSO ENTER 1.D. NUMBER) CODE• 10/24/2017 11/02/2017 10/24/2017 10/24/2017 Ralph Payne 1110 E Via Altamira Palm Springs, CA 92262-6120 Lawrence Rael 1100 Quail St Ste 203 Newport Beach, CA 92660-2703 Brian Rix 38335 Maracaibo Cir E Palm Springs, CA 92264-0253 Diane Ross 1555 S Sagebrush Rd Palm Springs, CA 92264-8541 Schedule A Summarv 1. Amount received this period -itemized monetary contributions. @IND 0COM OoTH •PTY sec @IND OcoM DOTH •PTY sec 2j1NO •COM Dorn 0PTY sec @IND •COM OoTH •PTY sec Retired Retired Real Estate Deve.:.oper Self Employed Parner Burke Rix Communications Retired Retired SUBTOTAL (Include all Schedule A subtotals.) ........... ,. ....................................................................................................................... .. 2. Amount received this period "unitemized monetary contributions of less than $100 ......................................................... . 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)....................................... ................. TOTAL Statement covers period from 10/22/2017 through 12/31/2017 LO.NUMBER 13 5 SCHEDULE A AMOUNT CUMULATIVE TO DATE PER ELECTION TO DATE RECEIVED THIS CALENDAR YEAR PERIOD (JAN.1-DEC.31) (IF REQUIRED) $100.00 $250.00 $100.00 $50.00 $500.00 $20,055.00 $735.00 $100.00 $250.00 $650.00 $400.00 •contributor Codes IND• Individual COM-Recipient Committee {other than PTY or SCC) OTH-other (e.g., business entily) PTY-Politieal Party SCC-Small Contributor Committee $ 2 0 , 7 9 0 • 0 0 FPPC Form 460 (Jan/2016) FPPC Advice: advlca@fppc.ca.gov (866127S.:1772) www.fppc.ca.gov Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lisa Middleton for Palm Springs City Council 2017 . Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED. EtrrER NAME OF BUSINESS) (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) CODE • Lauren Scarbro 11/01/2017 896 E Racquet Cld Rd Palm Springs, CA 92262-2258 Jan Seaman 10/24/2017 3001 Calle Arandas 10/26/2017 Palm Springs, CA 92264-6733 SEID Local 721 1545 Wilshire Blvd Los Angeles, CA 90017-4501 ID: 743794 Terry Towne 10/23/2017 2275 N Starr Rd Palm Springs, CA 92262-3033 Schedule A Summarv 1. Amount received this period -itemized monetary contributions. @IND OcoM Oon1 0PTY sec l2]1ND OcoM OoTH 0PTY sec •IND 0coM OoTH •PTY sec 01NO OcoM OorH •PTY sec Business Manager Raytheum Space & Defense Retired Retired Retired Retired SUBTOTAL (Include all Schedule A subtotals.) ........................................................................................................................... ., .. 2. Amount received this period -unitemized monetary oontributions of less than $100 ......................................................... . 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.) .............. ,......................................... TOTAL Statement eovers period from 10/22/2011 through 12/31/2017 CALIFORNIA FORM SCHEDULE A Page 17 of 3S ----- AMOUNT CUMULATIVE TO DATE PER ELECTION TO DATE RECEIVED THIS CALENDAR YEAR PERIOD (JAN. 1-DEC. 31) (IF REQUIRED) $100.00 $5C.OO $1,000.00 $500.00 $1,650.00 $20,055.00 $735.00 $20,790.00 $100.00 $150.00 $1,000.00 $500.00 •contributor Codes I ND-Individual COM• Recipient Committee (othar than PTY or SCC) OTH-Other (e.g., business entity) PTY· Political Party $CC-SmaU Contriootor Committee FPPC Form 460 (Janf2016) FPPC Advice: adYlce@fppc.ca.gov (868/275-3772) www.fppc.ca.gov Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lisa Middleton for Palm Springs City Council 2017 . Amounts may be rounded to whol• dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, cNTER OCCUPATION AND cMPLOYcR (IF SELF-EMPLOYED. ENTER NAME OF BUSINESS) (IF COMMITTEE, ALSO ENTER 1.D. NUMBER) CODE• 10/25/2017 10/25/2017 10/29/2017 10/23/2017 Barbara Villani 1028 E San Lorenzo Rd Palm Springs, CA 92264-8114 Ralph Villani 1028 E San Lorenzo Rd Palm Springs, CA 92264-8114 Rick Weingard 888 E El Cid Unit 92 Palm Springs, CA 92262-3240 Sidney Williams 2602 Canyon South Dr Palm Springs, CA 92264-9422 Schedule A Summarv 1. Amount received this period -itemized monetary contributions. 01ND OcoM OoTH •PTY sec 0tND OcoM OoTH •PTY sec 01ND OcoM OoTH 0PTY sec IZJIND OcoM OoTH 0PTY sec Retired Retired Retired Retired Sales Promotivator Ltd Curator Self Employed SUBTOTAL (Include all Schedule A subtotals.) ...................................................................................................................................... . 2. Amount received this period -unitemized monetary contributions of less than $100 ........................................................ .. 3. Total monetary contributions received this period. (Add lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)... ..... ......... ........................ .........•..... TOTAL SCHEDULE A from 10/22/2017 through 12 /31 /? 0 l 7 CALIFORNIA 460 FORM Page 18 of 35 AMOUNT RECEIVED THIS PERIOD $50.00 $50.00 $75.00 $100.00 $275.00 $20,055.00 $735.00 -- CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1-DEC. S1) $350.00 $1,050.00 $437.00 $100.00 •Contributor Codes IND• Individual PER ELECTION TO DATE {IF REQUIRED) COM-Recipiilnt Committee (other lhan PTY or SCC) OTH-Other (e.g., business entity) PTY-Political Party sec-Small Contributor Committee $ 2 Q, 7 9 Q • Q Q FPPC Fonn 460 (Jan/2016) FPPC Advice: advlce@fppc.ca.gov {888/275-3772) www.fppe.ca. gov Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lisa Middleton for Palm Springs City Council 2017 . Amounts may be rounded to whola dollan1. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER [If SELF-EMPLOYED, ENTER NAl,O~ OF BUSINESS) (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE' Les Young 10/24/2017 3683 Savanna Way Palm Springs, CA 92262-8825 William Yount 10/25/2017 3018 N Avenida Caballeros Palm Springs, CA 92262-2390 Paul Zak 10/24/2017 2177 Paseo Roseta Palm Springs, CA 92262-7144 Schedule A Summarv 1. Amount received this period -itemized monetary contributions. @IND OcoM OoTH •PTY sec ~IND OcOM OoTH •PTY sec @IND OcoM 00TH •PTY sec Retired Retired IT Hitachi Retired Retired SUBTOTAL (Include all Schedule A subtotals.)., ................................................................................................................................... . 2. Amount received this period -unitemized monetary contributions of less than $100 ........................................................ .. 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL SCHEDULE A Statement covers period from 10/2?./2017 through 12/Jl/201 / CALIFORNIA 460 FORM AMOUNT RECEIVED THIS PERIOD $100.00 $100.00 $50.00 $250.00 $20,055.00 $735.00 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1-DEC. 31) $350.00 $100.00 $100.00 •contributor Codes IND• lndlvktual PER ELECTION TO DATE (IF REQUIRED) COM-Recipient Committee (other than PTY or SCC) OTH-Other (e.g., business entity) PTY-Polilical Party sec-Small Contributor Committee $ 2 0 , 7 9 0 • 0 O FPPC Form '60 fJan/20161 FPPC Advice: advlce@fppe.ca.gov f8416/275-3772) www.fppe.ca.gov Schedule C Nonmonetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lisa Middleton for Palm Springs City Council 2017 . Amounts may be rounded to whole doUars. DATE FULL NAME. STREET ADDRESS AND ZIP CONTRIBUTOR IF AN !NDlVIDUAL. ENTER DESCRIPTION OF RECEIVED CODE OF CONTRIBUTOR CODE' OCCUPATION AND EMPLOYER GOODS OR (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) (IF SELf-EMPLOYED. ENTER NAME OF SERVICES BUSINESS) Frederick Noble & •IND Catering & OcoM Affiliated Entities @oTH other 10/25/2017 2045 E Tahquitz Canyon •PTY expenses Way Oscc for Palm Springs, CA 92262-fundraiser 7003 Palm Springs Police •IND Officers Association 0cOM 10/31/2017 PAC OoTH Campaign 1121 L St 0PTY mailer Ste 200 Oscc Sacramento, CA 95814- 3970 Palm Springs Police •IND Officers Association ~COM 10/31/2017 PAC DOTH Campaign 1121 L St 0PTY mailer Ste 200 oscc Sacramento, CA 95814- 3970 Attach additional information on appropriately labeled continuation sheets. SUBTOTAL Schedule C Summary 1. Amount received this period -itemized nonmonetary contributions. (Include all Schedule C subtotals.} ..................................................................................................................................... . 2. Amount received this period -unitemized nonmonetary contributions of less than $100 ................................................... . 3. Total nonmonetary contributions received this period. Statement cov..-s period from 10/22/2017 through 12/31/2017 I.D.NUMBER 1394265 SCHEDULEC AMOUNT/FAIR CUMULATIVE TO DATE PER ELECTION MARKET VALUE $7,131.97 $1,633.00 $1,633.00 $10,397.97 $11,343.83 $0.00 CALENDAR YEAR (JAN. 1·DEC. 31) $11,531.97 $4,699.00 $4,699.00 'Contributor Codes IND-Individual TOOATE (IF REQUIRED) COM-Recipient Committee (other than PTY or SCC) OTH-other (e.g., business entity) PTY-Political Party sec-Small Contributor Committee (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Lines 4 and 10.)............................................ TOTAL $11,343.83 FPPC Form 460 (Jan/20111) --------~PPC Advice: advice@fppc.cagov (866/275-3m) www.fppc.ca.gov Schedule C Nonmonetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lisa Middleton for Palm Springs City Council 2017 DATE FULL NAME. STREET ADDRESS ANO ZIP CONTRIBUTOR RECEIVED CODE OF CONTRIBUTOR CODE• (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Planned Parenthood OtND Action Fund for the ~COM Pacific Southwest PAC 0TH 11/02/2017 1075 Camino Del R::_o S •PTY San Diego, CA 92108-•sec 3538 ID: 1280724 Planned Parenthood DtND Action Fund for the 0coM 11/07/2017 Pacific Southwest PAC OoTH 1075 Camino Del Rio S •PTY San Diego, CA 92108-Oscc 3538 ID: 1280724 . Amounlll may be rounded to whole dollars. IF AN INDIVIDUAL, ENTER DESCRIPTION OF OCCUPATION AND EMPLOYER GOODS OR (IF SELF-EMPLOYED, ENTER NAME OF SERVICES BUSINESS) Radio advertisem ent Social media Attach additional information on appropriately labeled continuation sheets. SUBTOTAL Schedule C Summary 1. Amount received this period -itemized nonrnonetary contributions. (Include all Schedule C subtotals.) .................... , ........................................................................................... ,. .................. . 2. Amount received this period -unitemized nonmonetary contributions of less than $100 .................................................. ,. 3. Total nonmonetary contributions received this period. (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Lines 4 and 10.) ................................ ,........... TOTAL SCHEDULEC Statament covers period from 10/::'2/201'/ through 12/ 3:./2017 AMOUNT/FAIR MARKET VALUE $770.00 $175.86 $%5. 86 $11,343.83 $0.00 $11,343.83 I.0.NUMBER 1394265 CUMULATIVE TO DATE CALENDAR YEAR (JAN.1-0EC. 31) $1,295.86 $1,295.86 •Contributor Codes IND-Individual PER ELECTION TO DATE (IF REQUIRED) COM-Recipient Committee ( other than PTY or SCC) 0TH-Other (e.g .• business entity) PTY• Poli~cal Party sec-Small Contributor Committee FPPC Form 460 {Jan/2016) PC Advice: advice@fppc.ca.gov (866/275-3772} www.fppc.ca.gov Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lisa Middleton for Palm Springs City Council 2017 . Amounts may be rounded to whole dollars. statement covers period from _l_0_/_2_2_/_;:_-0_1_7_ through 12 /31/?01 7 I.D. NUMBER 1394265 SCHEDULEE CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP camoai!ln paraphernalia/misc. CNS camoaiqn consultants CTB contribution (explain nonmonetarv)• eve civic donations FIL candidate filinAlballol fees FND fundraisinq events IND independent expenditure LEG leAal defense LIT campaiqn literature and malllni:is NAME AND ADDRESS OF PAYEE (If COMMITTEE. ALSO ENTER I.D. NUMBER} Bank of America 588 s Palm Canyon Dr Palm Springs, CA 92264-7438 Bank of America 588 s Palm Canyon Dr Palm Springs, CA 92261-71]8 Bank of America 588 S Palm Canyon Dr Palm Springs, CA 92264-7438 MBR member communications MTG meetinAs and appearaoces OFC office expenses PET petition clrculatln11 PHO phone banks POL pallin!l and survev research POS POSla!le. deliverv and me11Sen!ler services PRO professional services !lellal. accounlinq) PRT print ads CODE OR OFC Bank fees OFC Bank fees OFC Bank fees • Payments that are contributions or independent expendHures must also be summarized on Schedule D. Schedule E Summary RAD radio airtime and production costs RFD returned contributions SAL campaiqn workers' salaries TEL t.v. or cable airtime and prodUl;tion costs TRC candidate travel. lod!llni:i, and meals TRS staff/spouse travel. lodqinq. and meals TSF transfer between committees of lhe same candidate/sponsor VOT voter reqistration WEB information technolo;:iy costs (lnlllrnet, &-mail) DESCRIPTION OF PAYMENT AMOUNT PAID $30.00 $87.00 $12.00 SUBTOTAL $129.00 1. Itemized payments made this period. {Include all Schedule E subtotals.) .............. , ..................................................................................................................................... ____ .,,_"_3_3~,_7_6_4_. _2_0 2-Unitemized payments made this period of under $100 ........... , ............... ,, ....................... , ...................... ,...................................................................................................... $18 9 • 38 3. Total Interest paid this period on loans. (Enter amount from Schedule B. Part 1, Column {e).) ............. ,. ........ , .................... , ... ., .......... .,."········........................................... $0. 00 4. Total payments made this period. (Add Lines 1. 2. and 3. Enter here and on the Summary Page, Column A, Line 6.) ................................................................ TOTAL $ 33,953. 5 B FPPC Form 460 (Jan/2016) FPPC Advice: advic.@fppc.ca.gov (81111/2'75-3n2) www.fppc.ca.gov Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lisa Middleton for Palm Springs City Council 2017 • Amount. may be rounded to whole dollars. Statem&ntcoversperiod from _l_0_.!_2_2_/_2_0_1~7 through 12/3t/2017 I.D. NUMBER 1394265 SCHEDULEE CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign oaraphemalia/misc. CNS campai11n consultants CTB contribution {explain nonmonetarvr CI/C civic donations FIL candidate filinA/ballot fees FND fundraisin11 events IND independent expenditure LEG leqal defense LIT c.ampaiqn literature and malllnQs NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Bank of America 588 S Palm Canyon Dr Palm Springs, CA 92264-7438 Bank of America 588 s Palm Canyon Dr Palm Springs, CA 92264-7438 Bluehost 1958 s 950 E Provo, UT 84606-6200 MBR member communications MTG meetin,:is and appearances OFC office expenses PET petition circulatin11 PHO phone banks POL pollinq and survev research POS postaqe. deliverv and messenaer services PRO professional servi085 (~al. accountinq) PRT print ads CODE OR OFC Bank fees OFC Bank fees WEB Web hosting • Payments that are contributions or Independent expenditures must also be summarized on Schedule D. Schedule E Summary RAD radio airtime and production costs RFD returned contributions SAL campaiqn workers' salaries TEL t.v. or cable airtime and production costs TRC candidate travel. lodqinQ. and meals TRS staff/spouse travel. lodAinQ, and meals TSF transfer between committees of the same candidate/sponsor VOT voter ceQistralion WEB information technoloqy costs (Internet, e-mail) DESCRIPTION OF PAYMENT AMOUNT PAID $10-00 $30.00 $30.87 SUBTOTAL $70.87 1. Itemized payments made this period. (Include all Schedule E subtotals.} ... . ·•······ ························································· .... ,, ............ , ........... , ............................................ ____ $ 3_3_,~7_6_4_. 2_0_ 2. Unitemized payments made this period of under $100 ............................... . $189.38 3. Total interest paid this period on loans. (Enter amount from Schedule B. Part 1, Column (e).) ................................................................................................................... . $0.00 4. Total payments made this period. (Add Lines 1, 2. and 3. Enter here and on the Summaiy Page, Column A, Line 6.) .......... "·······" .......................................... TOTAL $33,953.58 FPPC Form 4l50 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (566/275-37721 www.fppc.ca.gov Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lisa Middleton for Palm Springs City Council 2017 . Amounts may be rounded lo whole dollars. Statemanl covers period from _1_0_1_2_2_;_2_0_1_~_1 through 12/31/2017 LO.NUMBER 1394265 SCHEOULEE CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campalAn paraphemalia/mlsc. CNS campaign consultants CTB contribution (explain nonmonetarv)• eve civic donations FIL candidate filina/ballot fees FND fundraisi1111 events IND independent expenditure LEG leQai defense LIT campaiQn literature and maili1111s NAME AND ADDRESS OF PAYEE (IF COMMITTEE. ALSO ENTER W. NUMBER) Brighthaus Marketing, LLC 125 E Tahquitz Canyon Way Palm Springs, CA 92262-6468 Campaign Comrnunicat i or: Solutions 41750 Rancho Las Palmas Dr Rancho Mirage, CA 92270-5511 Kathleen Cohn 276 N Debby Dr Palm Springs, CA 92262-6813 MBR member oommunicaUons MTG meetings and appearances OFC office expenses PET petition circulating PHO phone banks POL pollinq and survev research POS oostaqe. delivefv and messenqer services PRO profass1onal services (leQal, accountifl!l) PRT plintads CODE OR LIT Mailer graphics PHO Robocalls RFD • Payments that ara contributions or Independent expenditures must also be summarized on Schedule D. Schedule E Summary RAD radio airtime and production costs RFD returned contributions SAL camoaian workers' salaries TEL tv. or cable airtime and production costs TRC candidate travel. lodqinA, and meals TRS staff/spouse travel. lodAin!I. and meals TSF transfer betweer. committees of the same candidate/sponsor VOT voler reqistratlon WEB information technolOAV costs (lnlemel. e-mail) DESCRIPTION OF PAYMENT AMOUNT PAID $1,100.00 $2,668 . .32 $500.00 SUBTOTAL $4,268.32 1. Itemized payments made this period. (Include all Schedule E subtotals.) ............................................................................................................... . ....................... ____ $_3_3~, 7_6 4_. 2_0_ 2. Unitemized payments made this period of under $100 ............................................................................................................ ., .. ., ... .,,,.,,.,, ....... , .......................................... . $189.38 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) ................................................................................................................... . $0.00 4. Total payments made this period. (Add Lines 1, 2. and 3. Enter here and on the Summary Page, Column A, Line 6.) ................................................................ TOTAL $33,953.58 FPPC Fonn 460 (Jan/2016) FPPC Advice: IKfvice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lisa Middleton for Palm Springs City Council 2017 . Amounts may be rounded to whole dollars. S1atemen1 covers period from 10/22/2017 through 12/31/2017 I.D. NUMBER 1394265 SCHEDULE E CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaiQn paraphemalia/misc. CNS campaii:in consultants CTB contribution (explain nonmonetary)" eve clvl c donations FIL candidate flllnlllballot fees FND fundraisin11 t1Yents IND independent expenditure LEG lwal defense LIT campaion literature and mailin11s NAME AND ADDRESS OF PAYEE (IF COMMITTEE. ALSO ENTER I.D. NUMBERI CV Independent 31855 Date Palm Dr Ste 3-263 Cathedral City, CA 92234-3100 Eight4NINE Restaurant & Lounge 849 N Palm Canyon Dr Palm Springs, CA 92262-44?3 Facebook 1 Hacker Way Menlo Park, CA 94025-1456 MBR member communications MTG meetin11s and appearances OFG office expenses PET petition circulatinQ PHO phone banks POL p011inq and su,...,ev research POS postaqe. delivery and messenger services PRO professional seNioes (lecal, accountifl!l) PRT print ads CODE OR PRT Print ad RAD radio airtime and production c:osts RFD retumed contributions SAL campaicn workers' salaries TB. t.v. or cable airtime and production costs TRC candidate travel, lodqinA, and meals TRS staff/spouse travel, lodging. and meals TSF transfer between committees of the same candidate/sponsor VOT voter req istralion WEB information tec:hnolorw costs (Internet, e-mail) DESCRIPTION OF PAYMENT AMOUNT PAID $509.00 MTG Volunteer appreciation event $7,294.95 WEB Facebook ads $3.16 • Payments that are contributions or Independent expendlturas must also be summarized on Schedule D. SUBTOTAL $7,807.11 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) ............................. "' .................................................................................................................... ____ $_3_3~,_7_6_4_. _2_0 2. Unitemized payments made this period of under $100 ................................................................................................................................................................................. . $189.38 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e). ) .................................................................................................................. .. $0.00 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) .................................................. ,. ..... ., ..... TOTAL $33,953.58 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8ff/275~n21 www.tppc.ca.gov Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lisa Middleton for Palm Springs City Council 2017 . Amounts may be rounded to whole dollani. from 10/22/201! thro1.1gh 12/31/2017 I.D.NUMBER 1394265 SCHEDULE E CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP camoaion paraphernalia/misc. CNS campaign consultants CTS COl'ltlibution (explain nonmonetary)' CVC civic donations Fil candidate fiUrljl/ballol tees FND fundraislnA events IND Independent expenditure LEG lll!1al defense LIT camoai11n literature and mailings NAME AND ADDRESS OF PAYEE (IF COMMITTEE. ALSO ENTER 1.D. NUMBER) Facebook 1 Hacker Way Menlo Park, CA 94025-1456 Facebook 1 Hacker Way Menlo Park, CA 94025-1456 Facebook 1 Hacker Way Menlo Park, CA 94025-1456 MBR member communications MTG meetin11s and appearances OFC office expenses PET petition circulating PHO phone banks POL poHinq and survey re511arch POS pestaqe. delivery and messell!l8r services PRO professional services (legal, accountinq) PRT print ads CODE OR WEB Facebook ads WEB Facebook ads WEB Facebook ads • Payments that are contributions or Independent expenditures must also be summarized on Schedule D. Schedule E Summary 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. lodqing, and meals TRS staff/spouse travel, lodglnA, and meals TSF transfer between committees of the same candidate/sponsor VOT voter replstraUon WEB Information lechnolo;iv costs (lntemet. e•maill DESCRIPTION OF PAYMENT AMOUNT PAID $97.12 $76.07 $23.93 SUBTOTAL $197.12 1. llemized payments made this period. (Include all Schedule E subtotals.} ................................ , ................................................................................... . $33,764.20 2. Unitemized payments made this period of under $100 .............................................................................................................................................. . $189.38 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) ................................................................................................................... . $0.00 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ............................................................... TOTAL $33,953.58 FPPC Form 4GO (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3n2l www.fppc.ea.gov Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lisa Middleton for Palm Springs City Council 2017 • Amounts may be rounded to whole dollars. Statement covers period from 10/22/2017 through 12/31/2017 1.0. NUMBER 1394265 SCHEDULE E CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campailln paraphernalia/misc. CNS campaign consultants CTB contribution (explain nonmonetarvl* eve civic donations FIL candidate filing/ballot fees FND fundraisinn events IND independent expenditure LEG leqal defense LIT campal11n literature and mailinQs NAME AND ADDRESS OF PAYEE (IF COMMITTEE. ALSO ENTER 1.0. NUMBER) Facebook 1 Hacker Way Menlo Park, CA 94025-1456 Facebook l Hacker Way Menlo Park, CA 94025-1456 Facebook 1 Hacker Way Menlo Park, CA 94025-1456 MBR member communications MTG meetinns and appearances OFe office expenses PET petition ci rculatinn PHO phone banks POL pollln11 and survev re!iElarch POS pestage, deliverv and messenner services PRO professional services t1&11al, accountin<1) PRT print ads CODE DR WEB Facebook ads WEB Facebook ads WEB Facebook ads • Payments that are c;ontributions or Independent expenditures must also be summarized on Sehedule D. Schedule E Summary RAD radio airtime and production costs RFO returned contributions SAL campai1ln workers' salaries TEL t.v. or cable airtime and production costs TRC candidate travel, lodAinq, and meals TRS staff/spouse travel, lodnlnA. and meals TSF transfer between committees of the same candidate/spansor VOT voter reqistrallon WEB Information technology costs llnlBmet. e-mail) DESCRIPTION OF PAYMENT AMOUNT PAID $5.86 $32.91 $8.40 SUBTOTAL $47.17 1. Itemized payments made this period. (Include all Schedule E subtotals.) .................................................................................................................................................. ____ $_3_3_,'""7_6_4_._2_0 2. Unitemized payments made this period of under $100 ......................... "······•························· .. · .................................................................................................................. . $189.38 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) .................................................................................................................. .. $0.00 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ................................................................ TOTAL $33,953.58 FPPC Fonn 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275•3772} www.fppc.ca.gov Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lisa Middleton for Palm Springs City Council 2017 . Amounts may be rounded to whole dollars. trom 10/22/2017 through 12/31/2017 CALIFORNIA FORM SCHEDULEE Page 28 of 35 ----- I.D.NUMBER 1394265 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaiQn paraphernalia/misc. CNS campaign consultants CTB contribution (explain nonmonelary)• eve civic donations FIL candidate flllnA/ballotfees FND fundralsinA events IND Independent expenditure LEG lepal defense LIT campaiQn literature and mailings NAME AND ADDRESS OF PAYEE (IF COMMITTEE. ALSO ENTER I.D. NUM!!ER) Facebook 1 Hacker Way Menlo Park, CA 94025-1456 Facebook 1 Hacker Way Menlo Park, CA 94025-1456 Facebook 1 Hacker Way Menlo Park, CA 94025-1456 MBR member communications MTG meelinAs and appearances OFC office expenses PET oe1ition circulatinQ PHO Dllone banks POL pc,Jlinq and survev research POS pestape. delivery and messenger services PRO professional services {leQal, accounting) PRT printads CODE OR WEB Facebook ads WEB Facebook ads WEB Facebook ads • Payments that are contributions or Independent expandltures must also be summarized on Schedule 0. Schedule E Summary RAD radio airtime and production C(JSIS RFD returned contributions SAL campaiun workers' salaries TEL tv. or cable airtime and production costs TRC candidate travel, lodqing, and meals TRS staff/spouse lravel, lodqing, and meals TSF transfer between committees of the same candidate/sponsor VOT voter reAislratlon WEB Information technole>QY costs (lnlllmet. e-mail) DESCRIPTION OF PAYMENT AMOUNT PAID $100.05 $101.44 $73.80 SUBTOTAL $275.29 1. Itemized payments made this period. Onclude all Schedule E subtotals.) ............................................................................................................. . ................................. ____ $ 3_3~, 7_6_4_. 2_0_ 2. Unitemized payments made this period of under $100 .............. , ................................................................................................................ , ........... . $189.38 3. Total interest paid this period on loans. (Enter amount from Schedule 8, Part 1, Column (e).} ................................................................................................................... . $0.00 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ............................................................... TOTAL $33,953.58 FPPC F01111 460 (J~n/2016) FPPC Advice: advice@fppc.ca.gov (8881275•3772) www.fppc.ca.gov Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lisa Middleton for Palm Springs City Council 2017 . Amounts may be rounded to whole dollars. Statement covars period from l~l/L2/20U ------- through 12/3:../2017 I.D.NUMBER 1394265 SCHEDULEE CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaiun paraphernalia/misc. CNS campaiQn consultants CTB contribution (explain nonrnonetarv)' eve civic donations FIL candidate fill"!lfballot fees FND fundraisini:i events IND independent expand!ture LEG IEl!lal defense LIT campaiQn literature and maitinus NAME AND ADDRESS OF PAYEE (IF COMMITTEE. ALSO ENTER 1.0. NUMBER) Facebook 1 Hacker Way Menlo Park, CA 94025-1456 Alex McCune 845 Village Sq N Palm Springs, CA 92262-!817 Lisa Middleton 840 E Biltmore Pl Palm Springs, CA 92264-8438 MBR member communications MTG meetinAs and appearances OFC office expenses PET petiUon circulatinQ PHO phone banks POL pollifl!I and survey research POS postaqe. deliverv and messenuer services PRO professional services (leQal. accountinq) PRT print ads CODE OR WEB Facebook ads RAO radio airtime and production cost& RFD returned contributions SAL campai11n workers' salaries TEL t.v. or cable airtime and production oosts TRC candidate travel, lodgin!l, and meals TRS staff/spouse travel, lodi:iinA. and meals TSF transfe, between committees of Ille same candidate/sponsor VOT voter rai:iistratlon WEB Information technolOQV costs (Internet, e-mail) DESCRIPTION OF PAYMENT AMOUNT PAID $26.50 FND Events management $2,000.00 MTG Reimbursement for booth at the DAP AIDS walk $280.00 • Payments that are contributions or Independent npendltures must also be summarized on Schedule D. SUBTOTAL $2,306.50 Schedule E Summary 1. llemized payments made this period. {Include all Schedule E subtotals.) ............... , ......................................................................................... . $33,764.20 2. Unitemized payments made this period of under $100 .............................................................. ,., ....................................................................... . $189.38 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) ...................................................................................................... ,. ........... . $0.00 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ............................................................... TOTAL $33,953.58 FPPC Fonn 4t10 (Jan/2016) FPPC Advice: advlce@fppc.ca.gov (866/275-3772) www.fppc:.ca.gov Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lisa Middleton for Palm Springs City Council 2017 , Amounts may be rounded lo whole dollars. Sta1ement covers period from 10/22/2017 through 12 / 31/201 7 I.D.NUMBER 1394265 SCHEDULEE 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 nonmonetarvJ• eve civic donations Fl L candidate fili nQ/ballot fees FND lundraisin!I events IND independent expenditure LEG leQal defense LIT campai11n lilerawre and mailin11s NAME ANO ADDRESS OF PAYEE (JF COMMITTEE, ALSO ENTER 1.D. NUMBER) Morel Ink 4824 NE 42nd Ave Portland, OR 97218-1661 Morel Ink 4824 NE 42nd Ave Portland, OR 97218-1661 Cheryl O'Callaghan 840 E Biltmore Pl Palm Springs, CA 92264-8438 MBR member communications MTG meetin!IS and appearances OFC office expenses PET petition circulatinQ PHO phone banks POL pollinq and survev research POS posta!l8. deliverv and messeni:ier services PRO professional services fleiial, accountinq) PRT printads CODE OR LIT Mailer #4 LIT Mailer #5 RFD • Payments that are contributions or Independent expenditures must also be eummarized on Schedul9 D. Schedule E Summary RAO radio ainime and production costs RFD returned contributions SAL campaii:in wori<ers' salaries TEL t.v. or cable airtime and production costs TRC candklate travel, lml!lill!I, and meals TRS staff/spouse lravel, lod11in!I, and meals TSF transfer between committees of the same candidate/soonsor VOT voter r&!lislralion WEB information lechnolOQY costs [Internet, e-mail) DESCRIPTION OF PAYMENT AMOUNT PAID $4,462.27 $4,277.01 $200.00 SUBTOTAL $8,939.28 1. Itemized payments made this period. (Include all Schedule E subtotals.) ................................................................................................................................................. ____ $_3_3_, _7_6_4_. 2_0 2. Unitemized payments made this period of under $100 ................................................................................................................................................................................ . $189.38 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) ................................................................................................................... . $0.00 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ................................................................ TOTAL $33,953.58 FPPC Fonn 400 (Jan/2016) FPPC Advice: advice@fppe.ea.gov (866/275-3772) www.fppc:.ca.gov Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lisa Middleton for Palm Springs City Council 2017 . Amounts may be rounded to whole dollars. Statement covers period from 10/22/2017 through 12/31/2017 I.D. NUMBER 1394265 SCHEDULEE CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaiqn paraphernalia/misc. CNS campaiqn consultants CTB contribution (explain nonmonetarv)• eve civic donations FIL candidate filinQ!ballol fees FNO fundraisin!I events IND independent expenditure LEG 18!1al defense LIT campai!:Jn llteralUre and mallln!IS NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Party City 5200 E Ramon Rd Ste B4 Palm Springs, CA 92264-3613 Promotivators, Ltd 888 E El Cid Palm Springs, CA 92262-3240 Lawrence Rael 1100 Quail St Ste 203 Newport Beach, CA 92660-2703 MBR member communications MTG meelinQs and appearances OFC office expen&&& PET petition circulatinq PHO phone banks POL pallin!I and survey research POS poslaQe. deliverv and messen1ier services PRO professional services (legal, aocountinQ) PRT printads CODE OR MTG Supplies CMP Banner RAD radio airtime and production costs RFD returned contributions SAL campaiqn workers' salaries TEL l.v. or cable airtime and prodU<:tlon costs TRC candidate travel. lod!linQ, and meals TRS stafflsPOOse travel, lodQin!I, and meals TSF transfer between committees of the same candidate/sponsor VOT voter reqistration WEB information technoloqv costs (I ntemet. e-mail) DESCRIPTION OF PAYMENT AMOUNT PAID $107.35 $128.61 RFD Return of contribution $250.00 • Payments that are contributions or Independent expenditures must also be gummari:ted on SChedule D. SUBTOTAL S485. 96 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) ................................................................................................................................................... ____ $'""3_.:_,'"", _7_6_4_._2_0 2. Unitemized payments made this period of under $100 ........................................................................................................................................................................ .. $i89.38 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) ................................................................................................................... . $0.00 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) .............................................................. TOTAL $33,953.58 FPPC Form 460 (Jan/2016) FPPC Advice: advico@fppc.ca.9ov (886/275-3772) www.fppc.ca.gov Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lisa Middleton for Palm Springs City Council 2017 . Amounts may be rounded to whole dollars. Statement covers period from 10/22/20::. 7 through 12/31/?0, 7 LO.NUMBER 1394265 SCHEDULE E CODES: If one of the following codes accurately describes the payment, you may enter the code. Otheiwise, describe the payment. CMP campaiqn paraphernalia/mis,;:. CNS campaii:in consultants CTB contribution (e:,;plain nonmonetarvr eve civic donations FIL candidate fdinQ/ballot fees FNO fundra,sinQ events IND independent expenditure LEG lei:ial defense UT campaiqn literature and mailinAS NAME AND ADDRESS OF PAYEE (IF COMMITTEE, Al.SO ENTER I.D. NUMBER) Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Res ton, VA 20190-5858 Screen Strategies Media 15409 Whitechapel Ct Centreville, VA 20120-3944 MBR member communications MTG meetinqs and appearances CFC office exr,enses PET petition clrculatinA PHO phone banks POL pallinq and survey research POS postaA0. deliverv and messenqer services PRO professional services (legal. accountinq) PRT printads CODE OR OFC Merchant OFC Merchant fees fees TEL TV air time • Payments that are contributions or Independent expenditures must also be summarl.ied on Schedule D. Schedule E Summary RAO radio airtime and production cosls RFD returned contributions SAL campaiqn workers· salaries TEL t.v. or cable airtime and production costs TRC candidate travel. lodQifl!I. and meals TRS staff/spouse travel. lodqinq, and meals TSF transfer between committees of the same candidate/sponsor VOT voter reQislration WEB informalion technoloqy costs (ln18met. e-mail) DESCRIPTION OF PAYMENT AMOUNT PAID $485.29 $138.::'9 $5,000.00 SUBTOTAL $5,623.58 1. Itemized payments made this period. (Include all Schedule E subtotals.) ................................................................................................................................................... ____ $_3_3_,~~-' _6_4_. _2_0 2. Unitemized payments made this period of under $100 ........................................................................................................................................................................... . $189.38 3. Total interest paid this period on loans. (Enter amount from Schedule B. Part 1. Column (e).) .................................................................................................................. .. $0.00 4. Total payments made this period. (Add Lines 1. 2. and 3. Enter here and on the Summary Page. Column A, Line 6.) ................................................................ TOTAL $33,953.58 FPPC Fonn -4410 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lisa Middleton for Palm Springs City Council 2017 . Amount& may be rounded to whole dollars. statement covers period ---18/22/2017 ....... ______ _ thrOugh 12 / 3 ::C/ 20 l"I I.D. NUMBER 1394265 SCHEDULEE CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campai!ln paraphemalialmi!;IC. CNS campaiqn consultants CTB contribution {aXl)lain nonmonetarvl" eve civic donations FIL candidate filinQ/ballot fees FND fundraisin!l events IND independent expenditure LEG Jeqal defense UT campaiqn literature and maUlnA& NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) MBR member communications MTG meetinqs and appearances OFC office expenses PET petition circulalinq PHO phone banks POL oolllnri and suNey research POS postarie. delivery and rnesse~er services PRO professional services (leQal. accountinol PRT print ads CODE OR RAD radio airtime and production costs RFD mtumed contributions SAL campaiQn workers' salaries TEL t.v. or cable airtime and production C0111:s TRC candidate travel, lodQinQ, and n14lEIIS TRS staff/spouse travel, lodi:1ini:1, and meals TSF transfer between committee, of lhe 1.ime candidatelsDOnsor VOT voter reQistration WEB information technolOQV costs (Internet, e-mail) DESCRIPTION OF PAYMENT AMOUNT PAID Nikki Stone Reimbursement for tickets to Planned 1044 E San Jacinto Way MTG $100.00 Palm Springs, CA 922 62-5 827 Parenthood event Sunline Transit Agency 32505 Harry Oliver Trl CMP Bus shelter ads $0.00 Thousand Palms, CA 92276-3501 Sunline Transit Agency 32505 Harry Oliver Trl CMP Bus shelter ads $2,000.00 Thousand Palms, CA 92276-3501 • Payments that are contribution& or Independent expenditures must also be summarized on Schedule D. SUBTOTAL $2,100.00 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) .................................................. . ·•· ............................................................................. ___ $"-3_3..a,_7_6_4_._2_0 2. Unitemized payments made this period of under $100 ................................................................................... . $189.38 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) ................................................................................................................... . $0.00 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ............................................................... TOTAL $33,953.58 FPPC Form 4tlO (Jan/2016) FPPC Advice: advlce@fppc.ca.gov (8661275-3772) www.fppo..ca gov Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lisa Middleton for Palm Springs City Council 2017 . Amounts may be munded lo whole dollan. from 10/22/2017 ttvough 12/31/2017 SCHEDULE E CALIFORNIA 46Q FORM Page 34 of JS ----- 1.0.NUMBER 1394265 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP camoolAn paraphemalla/mlsc. CNS campai11n consultants CTB contribution (explain nonmonetarv)" eve civic donations FIL candidate fiHnq/ballot fees FND fundraisina events IND independent expenditure LEG ieQal defense LIT campa,on literature and mailings NAME AND ADDRESS OF PAYEE (IF COMMITTEE. ALSO ENTER I.D. NUMBER) Ten More Votes, LLC 421 W 3rd St Apt 808 Austin, TX 78701-4166 Trick Dog Films 2232 N Palermo Dr Palm Springs, CA 9226:? ·:?736 US Post Office 1775 E Palm Canyon Dr Ste 605 Palm Springs, CA 92264-1651 MBR member communications MTG meetirl!IS and appearances OFC office expenses PET petition circulalinq PHO phone banks POL pollinQ and survey researcll POS postaQe. delivery and messerlll81' services PRO professional services (legal, acoountinq) PRT prinl ads RAD radio airtime and production coslS RFD returned contributions SAL campaiQn workers· salaries TEL t.v. or cable airtime and production costs TRC candidate travel. lodqin11. and meals TRS staff/spouse I ravel, lod11inA, and meals TSF transfer between committees of tile same candidate/sponsor VOT voter IBAistralion WEB Information lechnoloqy C0$IS (lntemet, e-mail) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID PHO Contact software $600.00 TEL Tv ad production $500.00 OFC Stamps $98.00 • Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $1,198.00 Schedule E Summary 1. llemized payments made this period. (Include all Schedule E subtotals.) .......................................................................................................... .. ........................... ____ $_3_3~, _7_6_4 _. 2_0_ 2. Unitemized payments made this period of under $100 ............................................................................................................................................................................... .. $189.38 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) .................................................................................................................. .. $0.00 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ............................................... ., .............. TOTAL $33,953.58 FPPC Foon MIO (Jan/2018) FPPC Advice: adviC9@fppc.ca.gov 18861275-37721 www.fppc.ca.gov Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lisa Middleton for Palm Springs City Council 2017 . Amounts may 11$ rounded to whola dollan,. 15tatament covers period from _l_O_/_?_. 2_/_2 __ 0_1_7_ through 12/31/201"1 I.D. NUMBER 1394265 SCHEDULE E CODES: If one of the following codes accurately describes the payment, you may enter the code. Otheiwise, describe the payment. CMP campai1m paraphernalia/misc. CNS campai11n consultants CTB contribution (explain nonmonetary)" eve civic donations FIL candidate filing/ballot fees FND fundraisin11 events IND independent expendtture LEG le!'.lal defense UT campaiqn literature and mailln11s NAME AND ADDRESS OF PAYEE (IF COMMITTEE. ALSO Et{TER I.D. NUMBER) us Post Office MBR member communications MTG meelin11s and appearances OFC office expenses PET petition circulatinq PHO phone banks POL pollln11 and suNey research POS postaqe. delivery and messefl98r seN,ces PRO professional seNices (leQal, acoountinq) PRT print ads CODE OR RAD radio airtime and production costs RFD returned contributions SAL campaiQn workers' salaries TEL l.v. or cable airtime and production costs TRC candidate travel, lodqing, and meals TRS stall/spouse travel. lod!rifl!I. and meals TSF transfer between comml!ooes of the same candidatc/sPOnsor VOT voter reQistration WEB information technolOQV oosts (lnlemet. e-mail) DESCRIPTION OF PAYMENT AMOUNT PAID 1775 E Palm Canyon Dr OFC PO box rental $66.00 Ste 605 Palm Springs, CA 92264-1651 V.Manuel Perez for Supervisor 2018 84668 Sunrise Ave OFC Ca~paign contribution $250.0C Coachella, CA 92236-3371 • Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $316.00 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals,) ................................................... . .................................................................................. ____ $c_3_3_,c_7_6_4_. _2_0 2. Unitemized payments made this period of under $100 ............................................................ ., ...... -. $189.38 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).)........ . ..................................................................................................... . $0.00 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A. Line 6.) ............................................................... TOTAL $33,953.58 FPPC Form 460 (Jan/20161 FPPC Advice: adv1C6@fppc.ca.gov (866/275-37721 www.fppc.ca.gov 497 Contribution Report NAME OF FILER Lisa Middleton for Palm Springs City Council 2017 AREA CODE/PHONE NUMBER ID. NUMBER (lfapplleable) 760-537-0060 Amounts may be rounded to whole dollars. Date of This Filing Report No. 11/9/2017 .;I l y Form 497 111 NO~ -9 PM 5: 3 CALIFORNIA 497 FORM •· I • y STREET ADDRESS •Amendment ~ir ncE OF 840 E. Biltmore Place to Report No. ___ _ .,..c1=TY-,------------------s=T.=;11.TE=-----cz=1p""'c=-=o=o-=-e-------1 (explain b9low) No.ofPages ___ 1 __ _ Palm Springs CA 92264 1. Contribution(s) Received DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR RECEIVED (IF COMMITTEE, ALSO ENTER LD NUMBER) CODE"' Mark Anton 18] IND 11/07/2017 1050 W Capistrano • COM Palm Springs, CA 0 0TH • PTY • sec 0 IND 0 COM • 0TH 0 PTY • sec • IND • COM 0 0TH 0 PTY • sec Reason for Amendment: _____________________________ _ IF AN INDIVIDUAL, ENTER OCCUPATION ANO EMPLOYER (IF $ELF-EMPL0'1'£D, ENTER NAME OF BUSINESS) Non-Profit Executive Aids Assistance Program **Contributor Codes IND -Individual AMOUNT RECEIVED $1000.00 0 Check if Loan % Provide interest rate • Check if loan % Provide interest rale 0 Check if Loan % Provide interest rate COM -Recipient Committee {other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee FPPC Form 497 (Jul/2016) FPPC Advice: advlcel§lfppc.ca.gov (866/275-3772) www.fppc.ca.gov 497 Contribution Report Lisa Middleton for Palm Springs City Council 2017 Amounts may be rounded to whole dollars. Date of This Filing ;, 11 .. 11/7/20ri C.A.LIFOR'·JIA 497 FORM AREA CODE/PHONE NUMBER (760) 537-0060 1.0. NUMBER (If applicable) 1394265 ReportNo. Form 497 211 NOV -9 PH 5: 3 I For Official Use Only STREET ADDRESS 12:]Amendmenf 11°16 ff-Fl E OF il;,: CliY CL[f 840 E. Biltmote Place to Report No. 1 -------------------------------i (explainbelow) CITY Palm Springs STATE CA ZIP CODE 92264 No.of Pages 1. Contributions Received DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR RECEIVED (IF COMMITTEE, ALSO ENTER LD. NUMBER) Aftab Dada 10/26/2017 400 E Tahquitz Canyon Way 400 E.Tahquitz Canyon Way Palm Springs, CA 92262-6605 Frederick Noble & Affiliated Entities 10/25/2017 2045 E Tahquitz Canyon Way Palm Springs, CA 92262-7003 SEIU Local 721 10/26/2017 1545 Wilshire Blvd Los Angeles, CA 90017-4501 ID: 743794 Reason forAmendment:Revised in-kind contribution value recd from donor 3 CONTRIBUTOR CODE" 12:]IND •COM DOTH OPTY •sec •IND •COM llJOTH 0PTY •sec 0 IND 0COM DOTH 0PTY •sec IF AN INDIVIDUAL, AMOUNT ENTER OCCUPATION AND EMPLOYER RECEIVED (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS\ $1,000.00 Hotel Manager D Check if Loan Hilton Palm Springs •contributor Codes 1N D -Individual ~'o Provide interest rate $7,131.97 D Check if Loan % PrO\/ide interest rate $1,000.00 D Check if Loan % Provide interest rate COM -Recipient Committee (other than PTY or SCC) 0TH • Other (e.g., business entity} PTY -Political Party SCC -Small Contributor Committee FPPC FOflJI 497 (Jul/2016) FPPC Advice: advica@fppc-ca.gov ~75-3772) www.fppc.ca.goY 497 Contribution Report Amounts may be rounded to whole dollars. Lisa Middleton for Palm Springs City Council 2017 ~~: ~Ing 11 /7 I 2 o 1 7 CXI y AREA CODE/PHONE NUMBER (760) 537-0060 STREET ADDRESS 840 E. Biltmote Place 1.0. NUMBER flt applicable) 1394265 Report No. Form 497 111016 A,<: ll]Amendment 1.-1 , to Report No. 1 -------------------------------! (explain below) CITY Palm Springs STATE CA ZIP CODE 92264 No.of Pages 1. Contributions Received DATE FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR RECEIVED (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) Ralph Villani 10/25/2017 1028 E San Lorenzo Rd Palm Springs, CA 92264-8114 ReasonforAmendment:Revised in-kind contribution value recd from donor 3 CONTRIBUTOR CODE• !Z]IND •COM DOTH •PTY •sec l7 NOV -9 PH 5: 31 For Offi::ial Use Only ICE OF i HE CU\ 'vU . IF AN INDIVIDUAL, AMOUNT ENTER OCCUPATION AND EMPLOYER RECEIVED l!F SELF-EMPLOYED, ENTER NAME OF BUSINESS) Retired Retired "Contributor Codes IND -Individual $50.00 0 Check if Loan ~/0 Provide interest rate COM -Recipient Committee (other than P1Y or SCC) 0TH -Other (e.g., bU5ine55 enliiy) PTY -Political Party SCC -Small Contributor Committee FPPC Fonn 497 (Jul/2016) FPPC Advice: advlc:e@fppc.ca.gov (BN/276-3772) www.fppc..ca.gov Notes and Memos FORM/SCHEDULE REFERENCE NUMBER OF APl'I.ICI\IILE) F497Pl Amended total -previously $7,226.09 497 Contribution Report Amounts may be rounded to whole dollars. Lisa Middleton for Palm Springs City Council 2017 Dateof ~tT, This Filing _1_1_/_6_/_2_0_1_1 _ _. 21l NOV -1 AH IQ: 08 Report No. Form 4 9 7 AREA CODE/PHONE NUMBER {760) 537-0060 1.0. NUMBER flf applcable) 1394265 11110,f,':fl E OF ldL CtiY C--i.;, · •Amendment -• STREET ADDRESS 840 E. Biltmote Place to Report No. ---------------------------------1 (explain below) CITY Palm Springs STATE CA ZIP CODE 92264 No.of Pages 1. Contributions Received DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Planned Parent Action Fund for the Pacific Southwest PAC 11/02/2017 1075 Camino Del Rio S San Diego, CA 92108-3538 ID: 1280724 Reason for Amendment: 1 CONTRIBUTOR CODE• •IND lt)COM DOTH 0PTY •sec --------------------------------- IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) 'Contributor Codes IND -Individual AMOUNT RECEIVED $770.00 D Check if Loan % Provide interest rate COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g , business entity) PTY • Political Party SCC -Small Contributor Committee FPPC Fonn 497 (Jut/2016t FPPC Advice: advice@fppc.ca.gov (8861275-37721 www.fppc.ca.gov RECEIVED 497 Contribution Report .! f Y OF PALH SPR,F"~C, Lisa Middleton for Palm Springs city Council 2017 Amolns may be rounded ID whole dollllrs. Dataot ThlsFUlng 11/6/2017 r I~-, , ~ /. ~ 497 AREA CODE/PHONE NUMBER (760) 537-0060 1.0. NUMBER (If appUcable) 1394265 vFFI' E rn= THE Cll Y CLU~., For Official Liu Only STREET ADDRESS 840 E. Biltmote Place Report No. Form 497 111106 •Amendment to Report No. ----------------------------1 (explain below) CITY Palm Springs &TATE CA ZIPCODE 92264 No.of Paa• 1 1. Contributions Received DATE FULL NAME. STREETADORESSANDZIP CODE Of CONTRIBLfTOR CONTRIBUTOR RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE• lt)INO Chris Abele •COM 11/06/2017 3319 N Lake Dr DOTH Milwaukee, WI 53211-2908 QPTY •sec California Real Esatte Political Action •IND Committee !ZICOM 11/06/2017 525 S Virgil Ave DOTH Los Angeles, CA 90020-1403 0PTY ID: 890106 •sec Reason for Amendment: IF AN INDIVlDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NA.ME OF BUSINESS) County Executive Milwaukee County •Contributor Codes IND· Individual AMOUNT RECEIVED $1,500.00 •Check if Loan % Provide interest tale $2,000.00 D Check if Loan % Provide interest rate COM · Recipient Committee (other ti-an PTY or SCC) 0TH • Other (e.g., buliiness entity) ------------------------------PTY • Political Party sec -Small Contri>~ Committee FPPC Fonn 497 (Jul/2018) FPPC AdYk:11: ad""'vk:afflfp..-rnppc ..... e&gov ~711-3n2) www.tppe.ea.gov • • 497 Contribution Report Amounts may be rounded to whole dollars. Lisa Middleton for Palm Springs City Council 2017 Date of This Filing _l_l_/_1_/_2_01_7_ Report No. Form 497 21t1 HOV -I PH ~: 18 • CALIFOR' .I:, 497 FCRrv'l For Official Use Only AREA CODE/PHONE NUMBER (760) 537-0060 STREET ADDRESS 1.0. NUMBER (If appllQable) 1394265 171031 •Amendment 0 :FICE OF Tl-lE Cl TY CLER/\ 840 E. Biltmote Place to Report No. -----------------------------l (explalnbalow) CITY Palm Springs STATE CA ZIP CODE 92262 No.of Pages 1. Contributions Received DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR RECEIVED (IF COMMITTEE, ALSO ENTER 1.D. NUMBER) Palm Springs Police Officers Association PAC 1121 L St 10/31/2017 Ste 200 Sacramento, CA 95814-3970 ID: 951841 Palm Springs Police Officers Association PAC 1121 L St 10/31/2017 Ste 200 Sacramento, CA 95814-3970 ID: 951841 Reason for Amendment: 1 CONTRIBUTOR CODE* •IND [2]COM DOTH 0PTY •sec •IND [2]COM DOTH 0PTY •sec IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) •contributor Codag IND· Individual AMOUNT RECEIVED $1,633.00 •Check if Loan ~ ·~-, ... ,c,-, .... -··:·r% f\/:Xt} % Pro\lide interest rale $1,633.00 •Check if Loan -,., ••% Provide interest rale COM -Recipient Committee (other than PTY or SCC} 0TH -Other (e.g., business entity) PTY -Political Party SCC -Small Contribul01' Committee FPPC Fonn 487 (Jul/2018) FPPC Advice: advice@fppc.u.gov (8661276-3772) www.fppc.ca.gov 497 Contribution Report Lisa Middleton for Palm Springs City Council 2017 AREA CODE/PHONE NUMBER (760) 537-0060 I.D. NUMBER fH appllcabla) 1394265 Amounts may be rounded to whole dollars. Dateot This FIiing Report No. 10;30;2011.1T. Form 4 91211 OCT 3 0 PM 12: I 3 1/1029 STREET ADDRESS •Amendment jFf\ £ (JF Tti[ CiTY CL[.~ 840 E. Biltmote Place to Report No. ----------------------------1 (IIXl)lainbelow) CITY Palm Springs STATE CA ZIP CODE 92262 No.of Pages 1. Contributions Received DATE FULL NAME, STREET ADDRESS ANO ZIP CODE OF CONTRIBUTOR RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Committee to Elect Ginny Foat 10/27/2017 1673 N.Palm Canyon Drive Palm Springs, CA 92262 Robert Farran 10/27/2017 320 S Avenue 52 Los Angeles, CA 90042-4506 Planned Parent Action Fund for the Pacific southwest PAC 10/27/2017 1075 Camino Del Rio S San Diego, CA 92108-3538 ID: 1280724 Reason for Amendment: 1 CONTRIBUTOR CODE• DINO •COM 00TH •PTY •sec 01ND •COM DOTH •PTY •sec •IND 0COM DOTH •PTY •sec ------------------------------ IF AN INDIVIDUAL, AMOUNT ENTER OCCUPATION AND EMPLOYER RECEIVED <IF SELF-EMPLOYED ENTER NAME OF BUSINESS} Retired Retired •conlribulor Codes IND -Individual $150.00 D Check if Loan % Provide interest rate $250.00 D Check if Loan % Provide interesl rate $770.00 D Check if Loan % Provide interest rate COM • Recipient Commilllle (other tt.n PTY or SCC) 0TH -other (e.g., business entity) PTY -Political Party SCC • Small Contributor Committee FPPC Fann 417 (JI.IH011l FPPC Advice: advlceOfppc:.ca.gov (1&8127&-37721 -.fppc.ca.gov 497 Contribution Report Amounts may be rounded to whole dollars. Lisa Middleton for Palm Springs City Council 2017 Date of Thi& Filing Report No. AREACOD~PHONENUMBER (760) 537-0060 1.0. NUMBER llf applicable) :'._394265 ----~-II 1016 , '. Ff STREET ADDRESS •Amendment '-' 840 E. Biltmote Place to Report No. -------------------------------a {explain below) CITY Palm Springs STATE CA ZIPCODE 92264 No.of Pages 1. Contributions Received DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR RECEIVED (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) Aftab Dada 10/26/2017 400 E Tahquitz Canyon Way 400 E.Tahquitz Canyon Way Palm Springs, CA 92262-6605 Frederick Noble & Affiliated Entities 10/25/20::..7 2045 E Tahquitz Canyon Way Palm Springs, CA 92262-7003 Reason for Amendment 1 CONTRIBUTOR CODE* 01ND •COM DOTH •PTY •sec •IND •COM ~OTH 0PTY •sec --------------------------------- CKLIFORi'J1 . .:.. 497 FORM For Official Use Only E GF 1hE Ci f Y CLL,, IF AN INDIVIDUAL, AMOUNT ENTER OCCUPATION AND EMPLOYER RECEIVED !IF SELF-EMPLOYED. ENTER NAME OF BUSINESS) $1,000.00 Hotel Manager D Check if Loan Hilton Palm Springs *Contributor Codes IND • Individual % Provide interest rate $7,226.09 0Check if Loan % Provide interest rate COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g , business entity) PTY -Political Party sec -Small Cordributor Committee FPPC Form 497 (Jul/2016) FPPC Advice: advlce@fppc.ca.gov (886/27&--3n21 www.fppc.ca.gov • Recipient Committee Campaign Statement CoverPaae • Sta1ernenl covers period from 9/24/2017 SEE INSTRUCTIONS ON REVERSE through 10/21/2017 1. Type of Recipient Committee: AIICOITITllttees-CompleteParts1,2,3, and 4. @Officeholder, Candidate Controlled Committee D State Candidate Section Committee •Recall (Also Complete Part 5) •General Purpose Committee •sponsored •small Contributor Committee D Political Party/Central Committee 3. Committee Information COMMITTEE NAME (OFI CANDIDATE'S NAME IF NO COMMITTEE) •Primarily Formed Ballot Measure Committee •controlled •Sponsored (Also Complete Pa rt 6) D Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) 1 1.D. NUMBER 1394265 Lisa Middleton for Palm Springs City Council 2017 STREET ADDRESS (NO P.O. BOX) 840 E.Biltmore Place CllY Palm Springs STATE ZIP CODE CA 92264 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX PO Box 4109 CITY STATE ZIP CODE Palm Springs CA 92263 OPTIONAL: F/1.X/E-MAIL ADDRESS lisa@electlisamiddleton.com AREA CODE/PHONE (760) 537-0060 AREA CODE/PHONE J-760) 327-2763 • I • t.. ~ ~ VER PAG R·,....1:...,....c.,... •. t. ....... 1v-. ~"""!tt.S=-, ~-mp-. ,..-,, .. -+I>"' Lr CA LI FORNIA 46 Q CITY O Pt,LH sr,td~ho/ 2001/02 1. 20 FORM Date of election if a1SfmbQ( T 2 6 p M "I : (Month, Day, Year) Page 1 of 32 0:-flCE ( f THE CITY CLEh(\ ForOfflclalUseO_n_ly __ 11/7/2017 2. Type of Statement: 0 Preelection Statement D Semi-annual Statement •Termination Statement (Alw lite a Form 410 Termination) •Amendment (Explain below) Treasurer(s) NAME OF TREASURER Dave Baron MAILING ADDRESS D Quarterly Statement •special Odd-Year Report 500 S.Palm Canyon Drive, Suite 206 CllY Palm Springs STATE CA ZIP CODE 92262 NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIPCOOE AREA CODE/PHONE (760) 327-2763 AREA CODE/PHONE 4. Verification I have used all reasonable diligence In preparing and revifil'lng this statement and tc the best of my knowleelll"e"1l.e~fflll; Executed on Executed on Executed on Executed on under penalty of perjury under the laws of 1he Stale of California that the foregoing Is true and correct. By ----..--.e=~o~~~~~A--~~e:~------- Z-¼ Oc..'"'t"O~~ "Z-0•'""1 By DATE By DATE SIGNATUl<EOF CONTROLLING OFFICEHOWER, CANDIDATE, OR STI\TE MEASURE PROPONENT By DATE S1GNATIJREOF CONTROLLING oFF,cEHolOEF<, CANDIDATE, OR STATE MEASURE ~ROPOJENT FPPC Fonn 480 (Jan/2016) FPPC Advice: advlce@fppc.ca.gov (B&B/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 Lisa Middleton OFFICE SOUGHT OR HELO(INCLUDE LOCATION ANO DISTRICT NUMBER IF APPLICABLE) Sought: City Council Member Member City City of Palm Springs 36 RESIDENTIALJBUSINESSAOORESS (NO. ANO STREET) CITY STATE ZIP 840 E. Biltmore Place Palm Springs CA 92264 Related committees Not Included in this Statement: Utt any cOIRTlitteeS not inch.Jded In this statement that ue controlled by you or are prfmartly lonned to receive contributions or man expendllures on behalf of your candidacy. COMMITTEE NAME NAME OF TREASURER COMMITTEE ADDRESS CITY COMMITTEE NAME NAME OF TREASURER COMMITTEE ADDRESS CITY STREET ADDRESS (NO P.O. BOX) 1.0. NUMBER CONTROLLED COMMITTEE? •YES •NO STATE ZIP CODE AREA CODE/PHONE 1.0.NUMBER CONTROLLED COMMITTEE? •YES ONO STREET ADDRESS (NO P.O. BOX) STATE ZIP CODE AREA CODE/PHONE • -COVER PAGE-PART 2 &.Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION •SUPPORT •OPPOSE Identify the controRing officeholder, candidate, or state measura proponent, if any, NAME OF 0FFICEHL0LOER, CANDIDATE, OR PR0PONE OFFICE SOUGHT OR HELD l°ISlRICT NO. IF Am 7. Primarily Fonned Candidate/Officeholder Committee Llstna,-of offli:erolder(s) or candldate(s) ror which this committee Is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELO •SUPPORT •OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD •SUPPORT •OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELO •SUPPORT OoF>PosE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD •SUPPORT QOPPOSE Attach continuation sheets if necessary FPpC Form 460 tJan/201$) FPPC Advice: advlce41fppc.ca.gov i11661271-37721 www.fppc.ca.gov • Campaign Disclosure Statement Summary Page • Amounts may be l'!lllnded to whole dollars. statement covers period from 9/24/2017 ------ -SUMMARY PAGE CALIFORNIA 460 FORM SEE INSTRUCTIONS ON REVERSE lhrOUgh 10/21/2017 NAME OF FILER Lisa Middleton for Palm Sp~ings City Council 2017 Contributions Received 1. Monetary Contributions .............................................. Schedule A, Line 3 2. Loans Received ......................................................... Schedule 8, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS........................... Add Lines 1 + 2 4. Nonmonetary Contributions.................................... Schedule C, Une 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).............................. SGhedule 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 Summaiy Page, Line 16 13. Cash Receipts .................................................... Column A, Line 3 above 14. Miscenaneous Increases to Cash ................................. Schedule I, 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 Isa termination statamant, Line t6must be zero. Column A Total This Period (FRCM ATTACHED SCHEDULES) $22,701.00 $0.00 $22,701.00 $7,723.90 $30,424.90 $54,625.98 $0.00 $54,625.98 $0.00 $i, 723. 90 $62,349.88 $50,543.20 $22,701.00 $0.00 $54,625.98 $18,618.22 Column B CALENOARYEAR lOTAL TO DATE $112,058.00 $0.00 $112,058.00 $20,123.80 $132,181.80 $94,626.63 $0.00 $94,626.63 $0.00 $20,123.80 $114,750.43 To oalculale Column B, add amounts In Column A ta the co rrespanding amounts !rom Column B of your last report. Same amounts In Column A may be negative ngures that $houkl be aubtracted from previous period amounts. If this is the first report being flied tor lhis oalendar year, only carry aver the amounts ----------------------------------1 fromUnes2,7,and9(if 17. LOAN GUARANTEES RECEIVED ........... .. Schedule 8, Part 2 $0.00 any). Cash Equivalents and Outstanding Debts 1 B. cash Equivalents....................................... See instructions on reverse $0.00 19. Ou1standing Debts ....................... Add Line 2+Une 9 in Column 8 above $0.00 1.0. NUMBER 1394265 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 20. Contributions Received 21. Expenditures Made 111 through &'30 Expenditure Umit Summary for State Candidates 22. cumulative Expenditures Made• (II Sub)lld to Voluntary Ellpendllu1& Umi) 7/110 Data Date of Election (mmfdd/yyyy) Total to Date "'Amounts In this section may be different from amounts reported in schedule B. FPPC Fom1480 jJmt/2018) FPPC Advice: advice@fppc.ca.gov (81112711-37721 www.rwc.ca.gov • Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE E OF FILER Lisa Middleton for Palm Springs City Council 2017 • • Amounts may ha rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS ANO ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF Sfl.F-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE, ALSO ENTER 1.D. NUMBER) CODE• 01ND Salim Alama OcOM 10/05/2017 860 N Camino Condor DOTH Palm Springs, CA 92262-5925 •PTY sec Jeffrey Bernstein @1ND •COM 10/03/2017 2471 E Camino Felicano 00TH Ste 210 Palm Springs, CA 92262-5939 •PTY sec 01NO Connie Bigbie OcOM 10/02/2017 4974 Davidson Way OorH Palm Springs, CA 92262-0556 •PTY sec 01ND Ronald Bowdoin 0COM 10/16/2017 2125 Indian Canyon Drive DOTH Palm Springs, CA 92264 •PTY sec Schedule A Summarv 1. Amount received this period -itemized monetary conlributions. Retired Retired Owner Self Employed Realtor Coldwell Banker Realtor Self SUBTOTAL {Include all Schedule A subtotals.) ...................................................................................................................................... . 2. Amount received this period -unitemized monetary contributions of less than $100 ........................................................ .. 3. Total monetary contributions received this period. (Add Unes 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL Stabment covers pertod 1nm __ 9_/_2_4_/_2_0_1_7 through 10/21/2017 • SCHEDULEA CALIFORNIA 46Q FORM Page 4 of 32 ----- AMOUNT CUMULATIVE TO DATE PER ELECTION TO DATE RECEIVED THIS CALENDAR YEAR PERIOD {JAN. 1-0EC. 31) (IF REQUIRED) $100.00 $100.00 $100.00 $500.00 $800.001 $20,875.00 $1,826.00 $22,701.00 $100.00 $150.00 $100.00 $500.00 •Contributor Codes IND-Individual COM-Reclplent Committee (other than PTY or SCC) OTH-oth8r {e.g., buslnesa entity) PTY • Political Party see-SmaH Contributor Committee FPPC fom, A8G (Jan/Z018) FPPC Advice: advice@fppc.ca.gov (8861276-3772) www.fppc.ca.gov • Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE F FILER Lisa Middleton for Palm Springs City Council 2017 DATE RECEIVED 10/13/2017 10/02/2017 10/21/2017 10/16/2017 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) James Campbell 8535 W West Kn~ll Dr Apt 305 West Hollywood,_ CA 90069-4166 Lorraine Carlson 4271 Amber Ln Palm Springs, CA 92262-0541 William Christensen 67780 E Palm Canyon Dr Cathedral City, CA 92234-5441 Cyrna Cohen 601 W Stevens Rd Palm Springs, CA 92262-4160 Schedule A Summarv 1. Amount received this period ..ftemized monetary oon1ributions. • • Amounts may be rounded to whole dollars. CONlRIBUTOR CODE" ~IND OcOM DOTH 0P1Y sec @IND •COM Do™ 0PTY sec 01ND •COM Oon1 •PTY sec 01ND •COM OoTH 0PTY sec 1F AN INDMDUAL, ENTER OCCUPATION AND EMPLOYER (IFSELF-i=IIIPLOYED, a•ITetUIIAMI: OF BIJ!IINEl!S) Marketing Warner Bros Retired Retired Physician Eisenhower Medical Associates Ret.ired Retired SUBTOTAL (lndude all Schedule A subtotals.) ...................................................................................................................................... . 2. Amount received this period ..unitemized monetary contri>utlons of less than $100 ......................................................... . 3. Total monetary contributions received this period. (Add Unes 1 and 2. Enter here on the Summary Page, Column A, Une 1.)........................................................ TOTAL • SCHEDULE A Statement-· period from 9/24/2017 thruugh 10/21/2017 CALIFORNIA FORM Page 5 al 32 AMOUNT RECEIVED THIS PERIOD $100,00 $100.00 $1,000,00 $500.00 $1,100 .ool $20,875.00 $1,826.00 $22,701.00 ----- CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1-DeC. 31) $100. 00 $100.00 $1,00·0.oo $500,00 "Contrtbulor Codes IND-Individual PER ELl:CTION TO DATE (IF REQUIRED) COM· Recipient Committee (other ll8l PTY or SCC) OTH-Olher(e.g., bulinn-•~) PTY• Pollica! Party SCC-Smal Conlrlbu!Dr Commlltea • Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF Fl R Lisa Middleton for Palm springs City Council 2017 • • Amounts may be ro1mded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBLITOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (If SaF-EMPLOYEO, ENTER NAME OF BUSINESS) (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) CODE• Kathleen Cohn 10/11/2017 276 N Debby Dr Palm Springs, CA 92262-6813 David Combs 10/09/2017 1390 S.Calle Maria Palm Springs, CA 92264 Willard Combs 10/05/2017 1933 Savanna Way Palm Springs, CA 92262-8831 Committee to Elect Ginny Foat 10/02/2017 1673 N.Palm Canyon Drive Palm Springs, CA 92262 Schedule A Summarv 1. Amount received this period -Itemized monetary contributions. IZjlND OcOM DOTH 0PTY sec 0tND OcoM DOTH 0PTY sec IZJIND OcOM OoTH 0PTY sec 01ND OcOM @orH 0PlY sec Retired Retired Retired Retired Retired Retired SUBTOTAL (Include all Schedule A subtotals.) ........................................................ ., ............................................................................ . 2. Amount received this period -unitemized monetary contributions of less than $100 ......................................................... . 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL Statement covers PfflOd 1rom __ 9_/_2_4_/_2_0_1_7 through 10/21/2017 CALIFORNIA FORM • SCHEDULE A Paga 6 of 32 ---- AMOUNT CUMULATIVE TO DA TE PER ELECTION TO DATE RECEIVED THIS CALENDAR YEAR PERIOD (JAN. 1-CEC. 31) (IF REQUIRED) $250.00 $123.00 $100.00 $500.00 $973. ool $20,875.00 $1,826.00 $500.00 $123.00 $100.00 $1,200.00 *Contributor Codes IND-lndlvldual COM-Recipient Committee (olher than PTY or SCC) OTH-other (e.g., bualness entity) PTY • Political Party see-SmaH Contribu1or Committee $ 2 2, 7 0 1 . 0 O FPPC Fonn 460 CJan/2011) FPPC Advice: advice@flllN:.ca.gov IIH/276-3772) www.tppc.ca.gov • Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE N OF FILER Lisa Middleton for Palm Springs City Council 2017 • . Amounts inay be rounded to whole dOllars. DATE RECEIVED FULL NAME, STREET AOORESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVlOUAL, ENTER OCCUPATION AND EMPLOYER (IFSl!l.F-'EMPLOYEO, cNTER NAME OF BVSINESS) (lF COMMITTEE, ALSO ENTER 1.D. NUMBER) CODE ' •IND Committee to Elect Ginny Foat OcoM 10/15/2017 1673 N.Palm Canyon Drive 00TH Palm Springs, CA 92262 0PTY sec DINO Committee to Elect Ginny Foat OcoM 10/21/2017 1673 N.Palrn Canyon Drive @OTH Palm Springs, CA 92262 0P1Y sec 01ND Bob Cowboy-Lydon OcoM 10/02/2017 1050 N Riverside Dr DOTH Palm Springs, CA 92264-0630 •PTY sec 01ND Edward Dietrich 0COM 10/16/2017 2034 E Chia Rd DOTH Palm Springs, CA 92262-5385 QPTY sec Schedule A Summarv 1. Amount received this period -itemized monetary contributions. Store Manager Jo-Ann Fabric & Craft Stores, LLC Retired Retired SUBTOTAL (Include all Schedule A subtotals.) ...................................................................................................................................... . 2. Amount received this period -unitemized monetary contributions of less than $100 ......................................................... . 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL • SCHEDULE A Statement co11'11tS penod CALIFORNIA 460 II FORM from 9/24/2017 through 10/21/2017 Page 7 of 32 AMOUNT RECEIVED THIS PERIOD $200.00 $500,00 $20.00 $100.00 $820. ool $20,875.00 $1,826.00 $22,701.00 -- CUMULATIVE TO DA TE CALENDAR YEAR (JAN. 1-0EC. 31) $1,200.00 $1,200.00 $120.00 $150.00 •eontrtt>ut« Codes INO-lndlvidual PER ELECTION TO DATE (IF REQUIRED) COM· Recipient COmmlttee (olher than PTV or SCC) OTH-other (e.g., busil'less entity) PTI' • Pollllcal Party sec-smau Contributor committee FPPC Fonn 480 IJan/2018) FPPC Advice: advlce@fppc.ca.gov (888/275-3772) www.fppc:.ca.gov • Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE N MEOF FILER Lisa Middleton for Palm Springs City Council 2017 • . Amounts may be rounded to whale dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE Of CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IFSaf-EMPl.OYED. ENTal ......,e OF BUSINESS) (IF COMMITTEE, ALSO ENTER tD. NUMBER) CODE• Michael Finland 01ND 2201 S Palm Canyon Dr •COM 10/10/2017 Apt 106 Dorn Palm Springs, CA 92264-9339 0PTY sec 01ND David Freedman OcOM 10/16/2017 1350 E Murray Canyon Dr OoTH Palm Springs, CA 92264-9413 QPlY sec QIND Friends of Greg Pettis OcOM 10/16/2017 PO Box 6292 0DTH Cathedral City, CA 92235 0PTY sec ~IND Michele Fuller 0COM 10/05/2017 2809 Via Calderia OoTH Palm Desert, CA 92260-1558 0PTV sec Schedule A Summarv 1. Amount received this period -itemized monetary contributions. Real Estate/Mortgages Michael J. Finland Retired Retired Retired Retired SUBTOTAL (Include all Schedule A subtotals.) ...................................................................................................................................... . 2. Amount received this period -unitemized monetary contributions of less than $100 ......................................................... . 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on the Summmy Page, Column A, Une 1.)........................................................ TOTAL Statmnent cowrs period from 9/24/2017 through 10/21/2017 • SCHEDULE A CALIFORNIA 460 FORM Page 8 of 32 ---- AMOUNT CUMULAilVE TO CATI:: PER E:LECTION TO DATE RECEIVED THIS CALENDAR V~R PERIOD (JAN. 1-DEC. 31) (IF RE:QUIRED} $150.00 $100.00 $100.00 $100.00 $450. ool $20,875.00 $1,826.00 $150.00 $600.00 $100.00 $100.00 •Contributor Codas IN 0-lnclvldual COM· Recipient Commtttee (other then PTY or SCC) o~ Other (e.g., business amity} PTY-Potlical Party see-Small Con1rfbutor committee $22,701.00 FPPCFonn"81J•n/2G181 FPPC Advice: advlce@lppc.ca.gov (11!!112711-37721 www.fppc.ca.goy • Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE AME OF FILER Lisa Middleton for Palm Springs City Council 2017 • . Amounts may be rolfflded to whole donars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP. CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IFSB.f.E>.IPLOl'ED, l!NTleR "->Ml! (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) CODE • 10/19/2017 10/16/2017 10/02/2017 10/17/2017 Sidney Galton 2696 S Sierra Madre Unit A16 Palm Springs, CA 92264-9463 Gregory Gilman 261 E Ocotillo Ave Palm Springs, CA 92264-8427 Robert Gleason 5335 Le Banon Road San Diego, CA 92115 Laurie Hasencamp 1705 Ocean Ave Santa Monica, CA 90401-3526 Schedule A Summarv 1. Amount received this period -Itemized monetary contributions. @IND OcoM OoTH OPTY sec [ZjlND OcoM OoTH •PTY sec [ZJIND OcOM OoTH 0PTY sec @IND OcOM OoTH 0PTY sec OF BUSINESS) Retired Retired Retired Retired CEO Evans Hotels Retired Retired SUBTOTAL (Include all Schedule A subtotals.) ...................................................................................................................................... . 2. Amount received this period -unitemized monetary contributions ofless than $100 ......................................................... . 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL stabmant covers period from __ 9_/_2_4_/_2_0_1_7 through 10/21/2017 • SCHEDULE A CALIFORNIA 460 FORM AMOUNT CUMULATIVE TO DATE PER ELECTION TO DATE RECEIVED THIS CALENDAR YEAR PERIOD (JAN. u:iec. 31) (IF REQUIRED) $100.00 $100.00 $100.00 $250.00 $550.ool $20,875.00 $1,826.00 $100.00 $200.00 $100.00 $250.00 •Contributor Codes IND-lncfrvldual COM-Recipient Committee ( other tllan PTY or SCC) 01H-Other (a .g., business enllly) PTV• Politlcal Party see-&naU Contributor Committee $ 2 2 I 10 1. a O FPPC Fonn 480 (Jall/2016) FPPC Advice: advlce@fppc.ca.gov 18(81275-3772) www.l'ppc.ca.go11 • Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE Lisa Middleton for Palm Springs City Council 2017 CATE RECEIVED FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) Jay Horwitz 10/14/2017 2490 S Araby Dr Palm Springs, CA 92264-4906 Terence Jones 10/09/2017 899 Tamarisk Rd Palm Springs, CA 92262-5735 Gary Jongeward 10/13/2017 5273 Marlborough Dr San Diego, CA 92116-2036 Dean Kauffman 10/02/2017 2468 Camino Vida Palm Springs, CA 92264-9549 Schedule A Summarv · 1. Amount received this period -itemized monetary contributions. • . Amounts may be rounded to whola dollars. CONTRIBUTOR CODE• 01ND OcOM DOTH •PTY sec 01NO OcoM OoTH 0PTY sec 01ND •COM OorH 0PTY sec ~IND 0COM DOTH QPTY sec IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SB.F-EMPLOYEO, ENTER tu.ME OF BUSINESS) Retired Retired Attorney Self VP Division Manager Leidos Tech writer Self SUBTOTAL (Include all Schedule A subtotals.) ...................................................................................................................................... . 2. Amount received this period -unitemized monetary contributions of less than $100 ......................................................... . 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on the summary Page, Column A, Line 1.)........................................................ TOTAL - SCHEOULEA Statement c:overs period 9/24/2017 from _____ _ CALIFORNIA 460 FORM through 10/21/2017 Page 10 of 32 AMOUNT RECENEO THIS PERIOD $200.00 $500.00 $150.00 $100.00 $950. ool $20,875.00 $1,826.00 ----- CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1-0EC. 31) $200.00 $500.00 $150.00 $100.00 •eontrtbulllr Codes IND-Individual PER ELECTION TO DATE (IF REQUIRED) COM• Radpient Commlflee (other than PTY or SCC) on+ other {e.g., bullineas entity) PTY-Polltleal Party see-Small Contributor committee $ 2 2 , 7 Q l • 0 Q FPPC Form 48U {Jan/2t1&) FPPC Advice: advlce@Jppc.ca.gov ~7&-3772) -.fppc.eii.gov • Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE City Council 2017 • • Amounts may be rounded to whole dolars. DATE RECl:IVED FULL NAME, STREET ADDRl:SS ANO ZlP CODE OF CONTRIBUTOR CONTRIBUTOR !FAN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IFSW'-SIPlOVElJ. ENl'ER NAMI: (IF COMMITTEE, ALSO ENTER 1.D. NUMBER} CODE • Keasler Property 10/13/2017 275 Camino Norte Palm Springs, CA 92262-4209 Susan Kross 10/08/2017 371 Avenida Andorra Cathedral City, CA 92234-1607 David Liggett 10/05/2017 1720 Sand Canyon Way 10/18/2017 Palm Springs, CA 92262-8811 Local Onion 440 International Brotherhood of Electrical Workers 1405 Sp:ruce St Ste G Riverside, CA 92507-2410 Schedule A Summarv 1. Amount received this period --itemized monetary contributions. 01No •COM IZ!OTH •PTY sec !ZIIND OcoM QOTH QPTY sec IZjlND OcOM 00TH 0PlY sec 01ND OcoM ~OTH 0PTY Oscc OF BUSINESS) Retired Retired. Retired Retired SUBTOTAL (Include all Schedule A subtotals.) ...................................................................................................................................... . 2. Amount received this period -unitemized monetary contributions of less than $100 ......................................................... . 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Une 1.)........................................................ TOTAL • SCHEDULE A Statement cowrs period CALIFORNIA 460 FORM fnm 9/24/2017 through 10/21/2017 Page 11 of 32 AMOUNT RECEIVED THIS PERIOD $1,000.00 $100.00 $200.00 $500.00 $1, aoo. ooj $20,875.00 $1,826.00 ---- CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1-0EC. 31) ·$1,000.00 $100.00 $200.00 $500.00 •Contributor Codes IN[). Individual PER ELECTION TO DATE (IF REQUIRED) COM-Recipient Committee (olherltlan PTVorSCC) OTH-01her {e.g., busille&a entity) PTY-Political Party see-SmaU Conllibutor Committee $ 2 2, 701 • 0 Q FPPC foim 4U (Jan/2011) FPPC Advice: advlce@fppc.ca.aov (88812711-3772) -www.fppc.ca.gov • Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAM R Lisa Middleton for Palm Springs City Council 2017 • • Amounts may be rounded to whole dollan;. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF COMMITTEE, ALSO ENTER 1.D. NUMBER) CODE• [ZJIND Mark Matthews OcoM 10/16/2017 690 S Vella Rd OoTH Palm Springs, CA 92264-1454 •PTY sec Harold Matzner [2j1ND 181 S Civic Dr OcOM 10/19/2017 Ste 1 DOTH Palm Springs, CA 92262-7215 0PTY sec IZJIND Ed McBride OcOM 10/02/2017 4931 Geary Way OoTH Palm Springs, CA 92262-0548 0PlY sec 01ND Kenneth McCauley OcoM 10/09/2017 1390 S Calle Marcus DOTH Palm Springs, CA 92264-8508 0P1Y sec Schedule A Summarv 1. Amount received this period -itemized monetary contributions. (IF SEI.F-EMPLOYEI:>, ENTER NAME OFIIUSINEsS) Funeral Director Wiefels & Son Chairman Palm Springs International Festival Self Employed Self Employed Retired Retired Film SUBTOTAL {Include all Schedule A subtotals.) ...................................................................................................................................... . 2. Amount received this period -unitemized monetary contributions of Jess than $100 ........................................................ .. 3. Total monetary contributions received this period. (Add Unes 1 and 2. Enter here on the Summary Page, Column A, Une 1 .)........... ............................................. TOTAL from 9/24/2017 ------ through 10/21/2017 • SCHEDULE A CALIFORNIA 46Q FORM AMOUNT CUMULATIVE TO DATE PER ELECTION TO DATE RECEIVED THIS CALENDAR YEAR PERIOD (JAN. 1-DEC. 31) (IF REQUIRED) $250.00 $5,000.00 $250.00 $100,00 $5,600. ool $20,875.00 $1,826.00 $250.00 $25,000.00 $250.00 $100.00 •Contributor Codes IND-Individual COM-Redpient Comrnttae (other than PTY' or SCC) OTH-Olhar (e.g., bUslness entity} PlV-Polllcal Party sec. SmaB Contributor Committee $ 2 2 , 701 . 0 O FPPC Fonn 460 [Janl2011. FPPC Advice: IIClvlce@fppc,ca.gov t11&61271-37721 . www.tppe.ca.gov • Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE Lisa Middleton for Palm Springs City Council 2017 • • Amounts may bll raunded to whole dolani. CATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER ~F SBF-EMPl.0VED, !NT!II NIIMI! 0FBUSIIESJ OF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * Sean McCormick 10/05/2017 2010 Savanna Way Palm Springs, CA 92262-8832 Michael McLean 09/29/2017 2500 N Palm Canyon Dr Palm Springs, CA 92262-1868 Sheila Miller 10/16/2017 1411 E Buena Vista Dr Palm Springs, CA 92262-5836 E'era Mostow 10/14/2017 40363 Camino El Destina Indio, CA 92203-7747 @IND OcOM OoTH •P"TY sec @IND 0COM DOTH •P"TY sec @IND OcOM OoTH •PTY sec @IND Ocou OoTH 0PTY sec Retired Retired Realtor McLean Company Retired Retired Retired Retired SUBTOTAL statament COlllll'II period fram 9/24/2017 through 10/21/2017 • SCHEDULE A CALIFORNIA 460 FORM Page 13 of 32 ----- AMOUNT CUMULATIVE TO DATE PERaECTION TO DA.TE RECEIVED lHIS CALENDAR YEAR PERIOD (JAN. 1.aec. 31) (IF REQUIRED) $100,00 $100.00 $1,000.00 $1,000.00 $250.00 $250,00 $120.00 $370.00 $1,470. ool Schedule A Summary ·eontr1bu1orcoc1ea 1. Amount received this period -itemized monetary contributions. IND-Individual (Include all Schedule A subtotals.)....................................................................................................................................... $ 2 o, 8 7 5 • 0 0 COM·{::n cp~~CC} 2. Amount received this period-unitemized monetary contributions of less than $100.......................................................... $1,826.00 ~~~:ie~ buam&sentlty) 3. Total monetary con1ributlons received this period. sec-Smal Contributor Committee (Add Unes 1 and 2. Enter here on 1he Summary Page, Column A, Une 1.)........................................................ TOTAL $ 22, 7 o 1. oo FPPC Form '80 (.tan/2018> -------FPPCAd¥1ce: •dvlceClfppt:.ca.~-= • Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE AM Of FILER Lisa Middleton for Palm Springs city Council 2017 • . Amoullt$ may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER OF SE!.f.EMl'I.OYED, ENTER NAME OF BUSlt,IESS) (IF COMMITTEE, ALSO ENTER 1.D. NUMBER) CODE • 0IND David Myers OcoM 10/02/2017 6810 Colorado Ave Dorn La Mesa, CA 91942-1117 0PTY sec @IND John Nangle QcOM 10/12/2017 3664 Date Palm Trl Qor1-1 Palm Springs; CA 92262-9768 0P1Y sec •IND Palm Springs Fire Safety OcoM 10/04/2017 44719 Johnston Dr 00TH Temecula, CA 92592-1177 0PTY sec @IND Kenneth Pengelly OcoM 10/14/2017 1301 Solana Trl OoTH Palm Springs, CA 92262-9764 •P'TY sec Schedule A Summarv 1 . Amount received this period -itemized monetary contributions. Sheriff San Diego Sheriff Retired Retired Retired Retired SUBTOTAL (Include all Schedule A subtotals.) ..................................................................................................................................... .. 2. Amount received this period -unitemized monetary con1ributions of less than $100 .................................... ,. ................... . 3. Total monetary conbibutions received 1his period. (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL Statement covers pedod from 9/24/2017 through 10/21/2017 -SCHEDULE A CALIFORNIA 460 FORM Page 14 of _3_2_ AMOUNT CUMULATIVE TO DATI: PER ELECTION TO DATE RECEIVED THIS CALENDAR YEAR PERIOD (JAN. 1-0EC. 31) (IF REQUIRED) $100.00 $100.00 $2,000.00 $100.00 $2,300.001 $20,875.00 $1,826.00 $22,701.00 $100.00 $100.00 $2,000.00 $100.00 *Contrlbu1or Codee IND-lndl\lldual _ COM-Rec:lplent Committee (other !Mn PTY or SCC) OTH-other (e.g., business entttv) P1Y · Polillcal Party see-Sr!lllll Contributor Committee FPPC Fonn-460 (Jan/2011) FPPC Advlee: adVtee@fppc.c:a.gov 18Nl271-3772) www.fppc.ca.gov • Schedule A Monetary Conbibutions Received SEE INSTRUCTIONS ON REVERSE Lisa Middleton for Palm Springs City Council 2017 • • Amounts may 119 ruunded to whole dolars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONlRIBUTOR CONTRIBUTOR IF AN INDMDUAL, ENlER OCCUPATION AND EMPLOYER (If' SElJ'-EIIIPI.O'l'B), ENT~ NAME OF BIJSINESll) (IF COMMITTEE, ALSO ENTER 1.0. NLNBER) CODE • 10/13/2017 Planned Parent Action Fund for the Pacific Southwest FAC 1075 Camino Del Rio S San Diego, CA 92108-3538 ID: 1280724 Peter Rittenhouse lO/lB/2017 47~0 N Winners Cir Unit D · 10/13/2017 10/16/2017 Palm Springs, CA 92264-5867 Riverside County Democratic Central Committee 5429 Madison Ave Sacramento, CA 95841-3111 ID: 1342861 Brian Rix 38335 Maracaibo Cir E Palm Springs, CA 92264-0253 Schedule A Summarv 1. Amount received this period -ttemlzed monetary contributions. !lllND •COM OoTH 0PTY sec 01ND •COM 00TH lllPTY Oscc @IND OcOM OoTH 0PTY sec Retired Retired Farner Burke Rix Communications SUBTOTAL (Include all Schedule A subtotals.) ..................................................................................................................................... .. 2. Amount received this period -unitemized monetary con1ributions oflen than $100 ........................................................ .. 3. Total monetary contributions received this period. (Add Unes 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL Statement covers Pllfkxl from 9/24/2017 ------through 10/21/2017 CALIFORNIA FORM • SCHEDULEA Page 15 of 32 ----- AMOUNT CUIIIULATIVE TO DATE PERaECllON TO DATE RECEIVED THIS CALENDAR YEAR PERIOD (JAN. 1-0EC. 31) (IF REQUIRED) $350.00 $100.00 $1,000.00 $50.00 $1,500. ool $20,875.00 $1,826.00 $22,701.00 $350.00 $100.00 $1,000.00 $550.00 'Conlrlbmr Codn INO. lmlvkklal COM-Recipient Committee (Qlher t1w1 PlY or SCC) Oll-1-other (e.g., buline:98 entity) PTY-Polllad Party sec-Small Contrlldor Comrnlllee FPPC Fonn .... l.lanlaflll FPPC Advfc:e: advblGfppc.ca.gov 1111127fp l-s7721 -· pc.ca.gov - Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NA O IL R Lisa Middleton for Palm Springs City council 2017 DATE RECEIVED FULL NAME, STREET ADDRESS AND :ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) Diane Ross 10/16/2017 1555 S Sagebrush Rd Palm Springs, CA 92264-8541 Wallace Skok 10/02/2017 1056 Monte Verde Palm Springs, CA 92264-9689 The Shelley M.Kaplan Trust 10/16/2017 67785 Foothill Rd Cathedral City, CA 92234-2435 The Tristany Group, Inc 09/27/2017 5309 Marlborough Dr San Diego, CA 92116-2038 Schedule A Summarv 1 . Amount received this period -itemized monetary contributions. • . Amounts may be rounded to whole dollars. CONTRIBUTOR CODE• IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SEtf'..EII PlOYEO, ENTER NAME OF BUSINESS) @IND •COM OoTH 0P1Y sec @IND OcOM OoTH 0PTY sec •IND OcOM @OTH 0PTY sec 01ND OcOM @oTH 0P1Y sec Retired Retired Retired Retired SUBTOTAL (Include all Schedule A subtotals.) ...................................................................................................................................... . 2. Amount received this period -unitemized monetary contributions of less than $100 ......................................... ,. .............. . 3. Total monetary conbibutions received this period. (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL • SCHEDULE A statement covers period from 9/24/2017 through 10/21/2017 CALIFORNIA 460 FORM Page 16 al 32 -- AMOUNT RECEIVED THIS PERIOD $100.00 $250.00 $200.00 $100.00 $650.ool $20,875.00 $1,826.00 $22,701.00 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1-0EC. 31) $350.00 $250,00 $200.00 $100.00 *Contributor Codes IND-lndivlmllll PER ELECTION TO DATE (IF REQUIRED) COM-Recipient committee (other than PTY or SCC) OTH-Other (e.g., busineSB entity) PTY-Polltlcal Party see-Small Contributor Committee FPPC Fonn 4ft (Jan/2016) FPPC Advice: advlce@fppc.ca.gov (B(tl27S4772) www.fppc.ca.gov - Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE AM OFFILER Lisa Middleton for Palm springs City council 2017 - . Amounts may be rounded to whole doDal'$, DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (lF SEL~PLOYEO, ENTER MAME OFBUS!N~ (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) CODE• Lydia Valas @IND 850 E Ocean Blvd OcoM 10/02/2017 Unit 711 OoTH Long Beach, CA 90902-5450 0PTY sec @INC Rick Vila OcOM 10/16/2017 2610 N Avenida Caballeros OoTH Palm Springs, CA 92262-2235 0PTY sec Rick Weingard @IND 1150 E Palm Canyon Dr OcOM 10/02/2017 Unit 92 OoTH Palm Springs, CA 92264-9191 •PTY sec Rick Weingard 01ND 1150 E Palm Canyon Dr 0CoM 10/19/2017 Unit 92 OorH Palm Springs, CA 92264-9191 OPTY sec Schedule A Summarv 1 . Amount received this period -itemized monetary contributions. Physician SCPMC Retired Retired Graphic Arts & Printing Designer Promotivators Ltd. Graphic Arts & Printing Designer Frornotivators Ltd. SUBTOTAL (Include all Schedule A subtotals.) ...................................................................................................................................... . 2. Amount received this period -unitemized monetary contributions of less than $100 ........................................................ .. 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on fhe Summary Page, Column A, Line 1.)........................................................ TOTAL • SCHEOULEA Statement covers period from 9/24/2017 through 10/21/2017 CALIFORNIA 460 FORM AMOUNT RECENED THJS PERIOD $100.00 $100.00 $75.00 $87.00 $362.ool $20,875.00 $1,826.00 1 ' : ... CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1-DEC. 31) $100.00 $100.00 $362.00 $362 .00 "Contributor Codes IND-lndMdual PER ELECTION TO DATE (IF REQUIRED) COM-Recipient Comrritlee {OU,erthan P1Y or SCC) OTK-other (e.g., business entlly) P1Y-Politlcal Party see-Smal ContributorCommillN $22,701.00 FPPCFom,48G{Jan/2016) FPPC Advice: advlce@fppc.ca.gov 188$1271-3772} www.fppc.ca.gov • Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE . Lisa Middleton for Palm Springs City Council 2017 • , AIIICIUllls m•y be rouncted to wllole dol•rs. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTIUBUTOR CONTRIBUTOR lF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER {IFSaf.Elilf'I.OVEO, eNTEA NAME OP BUSINl!U) (IF COMMITTEE, ALSO ENTER 1.D. NUMBER) CODE • @IND John Williams OcOM 10/14/2017 385 W Vereda Sur OoTH Palm Springs, CA 92262-4239 •PTY sec @IND John Wong OcOM 10/12/2017 847 N Topaz Cir OorH .Palm Springs, CA 92262-4328 0PTY sec @IND William Wood OC0M 09/27/2017 1042 E Sierra Way DOTH Palm Springs, CA 92264-9208 0PTY sec @INC Laura Zagar OCOM 09/27/2017 1045 Sorrento Dr OoTH San Diego, CA 92107-4140 OPTY sec Schedule A Summarv 1. Amount received 1hls period -Itemized monetary contributions. Property Investor Self Employed N/A N/A Retired Retired Attorney Perkins Coie LLP SUBTOTAL On elude all Schedule A subtotals.) ...................................................................................................................................... . 2. Amount received this period -unitemized monetary contributions of less than $100 ......................................................... . 3. Total monetary contributions received this period. (Add i..tes 1 and 2. Enter here on the summary Page, Column A, Une 1.)............................................... ......... TOTAL 8tatllnenlCOV91'S pedOd rram 9/24/2017 through 10/21/2017 CALIFORNIA FORM • SCHEOULEA Page 18 of 32 ----- AMOUNT CUMULATIVE TO DATE PER ELECTION TO !».TE RECEIVED THIS CALEtllAR YEAR PERIOD (JAN. 1-'lEC. 31) (lF REQUIRED) $400.00 $200.00 $200.00 $150.00 $950. ool $20,875.00 $1,826.00 $400.00 $200.00 $200.00 $250.00 •Contributor Codes IND-lnclllldulll COM-Redpienl Committee (lllt1erthan PTY or SCC) OTH-Other {e.g., bualne• entity) PTY • Polltlcal Party SCC:-Smlll ContrlbutorCommlllee $ 2 2 , 701. 0 0 FPPC Fam 4IO (Jlllfl011) FPPCAdvtca: lldvtc:ll@l'ppce&gGY~ WWW, gov • Schedule C Nonmonetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lisa Middleton for Palm Springs City Council 2017 DATE RECEIVED 10/19/2017 10/01/2017 09/24/2017 FULL NAME, STREET ADDRESS AND ZIP COOE OF CONTRIBUTOR {IF 0CMMITTEI!!, ALSO EN11!R 1.0. NUMBER) Frederick Noble & Affiliated Entities 2045 E Tahquitz Canyon Way Palm Springs, CA 92262- 7003 JPM Building, LLC dba The 500 500 South Palm Canyon or·ive Palm Springs, CA 92262 Lynn Hammond Catering 1775 E Palm Canyon Dr Ste 110 Palm Springs, CA 92264- 1623 CONTRIBUTOR CODE• BIND COM 00TH 0PTY Oscc 01NO ~COM 0TH •PTY •sec BIND COM @OTH 0PTY Oscc • . Amounts may aie roundad lo whole dollars. IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOVED, ENl'ER NAME 0F BUSINl:SS) DESCRIPTION OF GOODSOR SERVICES Polling statistics Campaign office rent Iii cam Oct 2017 Catering for fundraisin g event (inkind) Attach additional information on appropriately labeled continuation sheets. SUBTOTAL Schedule C Summary 1. Amount received this period -itemized nonmonetary contributions. Qnclude an Schedule C subtotals.) ...................................................................................................................................... . 2. Amount received this period -unitemized nonrnonetary contributions of less than $100 .................................................. .. 3. Total nonmonetary contributiol'IIS received this period. • SCHEDLJ.EC fnlm 9/24/2017 CALIFORNIA 460 : FORM tbrough 10/21/2017 AMOUNT/FAIR MARKET VALUE $4,400.00 $1,670.90 $220.00 $6,290.90 $7,723.90 $0.00 I.D.NUMBER 1394265 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1-DEC. 31) $4,400.00 $9,270.80 $220.00 "Contributw Codes IND-lncfr.tiul PER ELECTION TODA.TE (IF REQUIRED) COM-Recipient CommltlN (olhar Ila! PTY or SCC) OTH-other (e.g., bullinaa antly) PTY• Po1t1aa1 Party sec-Snal Contrtbu!Dr Commiltee (Add Liles 1 and 2. Enter here on the Summary Page, Col1.11m A, Unes 4 and 10.)............................................ TOTAL $ 7 723 • 9 0 FPPC FCIIIII 480 CJan/2818) _____ , _____ FPPC AcMce: ~ca.gov Clll/271-1771) -.fppc.ca.gov - ScheduleC Nonmonetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lisa Middleton for Palm Springs City Council 2017 DATE FULL NAME, STREET ADDRESS AND ZIP CONTRIBUTOR RECEIVED COOE OF CONTRIBUTOR CODE• (IF COMMITTEE.ALSO ENTER 1.0. NUMBER) Palm Springs Police 1211ND Officers Association COM 10/13/2017 PAC QoTH 1121 L St •PTY Ste 200 oscc Sacramento, CA 95814- 3970 • • Amounts may bt rounded to whole doAars. IF AN INDIVIDUAL, ENTER DESCRIPTION OF OCCUPATION AND EMPLOYER GOODS OR (JF SELl'-cMPLOYED. ENTER NAME Cf' SERVICES BUSINESS) Mailer Attach additional information on appropriately labeled continuation sheets. SUBTOTAL Schedule C Summary 1. Amount received this period -Itemized nonmonetary contributions. (Include all Schedule C subtotals.) ..................................................................................................................................... .. 2. Amount received this period -unitemized nonmonetary contributions of less than $100 ................................................... . 3. Total nonmonetary conb1butions received this period. Statanent covers period 9/24/2017 from _____ _ through 10/21/2017 - CALIFORNIA FORM SCHEDULEC Page 20 of 32 1.0.NUMBER 1394265 AMOUNT/FAIR CUMULA TlVE TO DA TE PER ELECTION MARKET VALUE $1,433.00 $1,433.00 $7,723.90 $0,00 CALENDAR YEAR (JAN. 1-DEC. 31) $1,433.00 "Contributor Codes IND-lndiVldual TO DATE (IF REQUIRED) COM-Recipient Committee (other than PTY or SCC) Olli-Other (e.g., bllillnesuntlty} PTY• Political Party sec-sman Contributor Committee (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Lines 4 and 10.) ............................................ TOTAL $7,723.90 FPPCFonn480(Jan/2111SI _______ __,PPC Advice: advlceG!fppc.ca.gov t8SSl27W77:tl www.fppc.ca.g(III -Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lisa Middleton for Palm Springs City Council 2017 • • Amowds may be rounded to whole dolars. Statement covers period from 9/24/2017 through 10/21/2017 • SCHEOULEE CALIFORNIA 460 FORM Page 21 of 32 ---- I.D. NUMBER 1394265 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphemafia/mi!I(:. CNS campaiRn corn;ultants CTB contribution (explain nonmonelary)* eve cwic donations FIL candidate filing,ballot fees FNO fUndrai&im everts IND Independent e,cpendilura LEG legal defense LIT campaign literature and mailings NAME AND AOORESS OF PAYEE (IF CCMMmcE, ALSO ENTER I.D. NUMBER) Bank of America 588 S Palm Canyon Dr Palm Springs, CA 92264-7438 Bank of America 588 s Palm Canyon Dr Palm Springs, CA 92264-7438 Bank of America 588 S Palm Canyon Dr Palm Springs, CA 92264-7438 MBR member communica1ions MTG meetini:is and appearances OFC office expenses PET pelltion cir0Ulating PHO phl)M banks POL POilina and $18'V8Y research POS postage, deli~ry and m~r services PRO professional services (legal, accounting) PRT print ads CODE OR OFC Bank fee RFD Return check OFC Bank fee * Payments that are contributions or Independent expenditures must also be summarized on SChedule o. Schedule E Summary RAD radio airtime and production costs RFD returned oontribulions SAL camiiaign workers' salaries TEL t.v. or cable airtime and production costs TRC candidate travel, lodging, and meals TRS staff/spouse travel. lodging. and meal& TSF b'ansfer between committees of the same candidate/11ponaor VOT voter registration WEB information technology costs (Internet, e-mell) DESCRIPTION OF PAYMENT AMOUNTPAID $10.00 $75.00 $12.00 SUBTOTAL $97.00 1. Itemized payments made this period. (Include all Schedule E subtotals.) ..................................................................................................................................................... ____ $_5_4""',_5_7_4_._0_3_ 2. Unitemized payments made this perio<I of under$100.................................................................................................................................................................................. $51. 95 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).)................................................................................................................ .... $ O . 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 $54,625.98 FPPC Fann 480 (Janfl0181 FPPC Advice: acMce@f11pc.ca.gov (88812711-37721 www.fppc.ca.gov • Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lisa Middleton for Palm Springs City Council 2017 • • Amounts may be rounded to whale dolalS, from 9/24/2017 lhrough 10/21/2017 • SCHEDULEE CALIFORNIA 460 FORM 1.0.NUMBER 1394265 CODES: If one of the following codes accurately desaibes the payment, you may enter the code. Otherwise, describe the payment CMP campaign paraphemallllhnllc. CNS camDalan consultants CTB conlrindion (explain nom,onelllry)* eve civic donations FIL candidate flllna,'ballot fee8 FN) fundrai&intl ewrts IND independent expenditure LEG lagal defenN UT campaign literature and mamnga NAME AND ADDRESS OF PAYEE (IF COMMTTEE, ALSO ENTER 1.0. NUMBER) Bank of America 588 S Palm Canyon Dr Palm Springs, CA 92264-7438 Brighthaus Marketing, LLC 125 E Tahguitz Canyon Way Palm Springs, CA 92262-6468 ' David A.Lee Photography 2101 N Blando Rd Palm Springs, CA 92262-3317 MBR member oommuniciatione MTG meetinAa and appaarancn CFC office expenN• PET pellllon cira.uling PHO phone banks POL P011inA and Ml'VIIY nillilarch POS paatage, dlllliwry and m-.J!!r•enrices PRO profeslslonal 6elvicee (legal, aocounllrv) PRT printads CODE OR OE'C Bank fee LIT Graphic design LIT l?hotog:r:aphy * Payments that are contributions or Independent expandlturee must also be summarized on Schedule o. Schedule E Summary RAD radio alrtlma and production c:osta RFD ret\med conbl>utlona SAL campaign workers' eatarlel TEL t.v. or cabla airtime and production llOlt& TRC canclidala ir-1, lodging, and maala TRS slafl'l&llauae tlavel. ladalnA, and meala TSF tranafer between oammilteaa of the aame candldatalapormar VOT vatar nigistr•tlon VVEB information tecmolagy COllls (Internal:, •mal) DESCRIPTION OF PAYMENT AMOUNT PAID $10.00 $3,400.00 $500.00 SUBTOTAL $3,910.00 1. Itemized payments made this period. (Include all Schedule E subtotals.) ..................................................................................................................................................... ___ $_5_4-•_5_7_4_. _03_ 2. Unitemized payments made 1hls period of under $i100.................................................................................................................................................................................. $ 51. 95 3. Total Interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).).................................................................................................................... $0. 00 4. To1al payments made this period. (Add Linea 1, 2, and 3. Enter here and on the &Jmmary Page, Column A, Li"le 6.) ................................................................ TOTAL $ 5 4, 62 5. 98 • Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lisa Middleton for Palm Springs City Council 2017 • . Amotlnts may be rounded to whole dollars. Statefflent cowrs period tram __ 9_/ _2 4_/_2_0_1_7 thtOUgb 10/21/2017 • SCHEDULEE CALIFORNIA 460 FORM 1.0.NUMBER 1394265 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernaUa/mlsc. CNS campaipn consultants CTB contribution (axplain nonmonelarv}' eve civic donalians FIL ca ndldate filing/ballot fees FND fundraisin11 evem IND independent expenditure LEG legal defense LIT campaign literature and maUings NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO EN'reR 1.0. NUMBER) Facebook 1 Hacker Way Menlo Park, CA 94025-1456 Facebook 1 Hacker Way Menlo Park, CA 94025-1456 Facebook 1 Hacker Way Menlo Park, CA 94025-1456 MBR member communications MTG meelin11s and appearances OFC office expenseg PET petition ciroulating PHO phone banks POL p0Di1111 and survev research POS postage, delivery and messenger services PRO professional selVice$ (legal, accounting) PRT printads CODE OR WEB Facebook ads WEB Facebook ads WEB Facebook ads * Payments that are contrlbUtlons or Independent expenditures must also be summarized on Schedule D. Schedule E Summary RAD radio airtime and production costs RFD returned contributions SAL campaign workers' salaries TEL t.v. or cable airtime and production coets TRC candidate travel, lodging, and meals TRS staffi"spouse 1nlvel, lodRill!I, and mesils TSF transfer between committees of the same candldate/8pamsar VOT wter registration \NEB information technology costs (Jntemet, e-mail) DESCRIPTION OF PAYMENT AMOUNT PAID $99.50 $1.28 $98.85 SUBTOTAL $199.63 1. Itemized payments made this period. (Include all Schedule E 5Ubtotals.) .................................................................... ., ............................................................................... ____ $_5_4_,_5_7_4_._0_3_ 2. Unitemized payments made this period of under $100... .. ....... ................ ................................ ....... ...................... ....................... ........ ....................... ....................... ....... ..... $ 51 • 9 5 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).).................................................................................................................... $0 • 00 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the SUrnmary Page, Column A, Line 6.) ................................................................ TOTAL $54,625.98 FPPC Fonn ffl (Jan/2018) FPpC Advice: advlce@fppc.ca.gov t88'1271i-37721 www.Jppc.ca.gov • Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF Fl LER Lisa Middleton for Palm Springs City Council 2017 • • Amounls may be rounded to whola dollars. Statement covers period 9/24/2017 from _____ _ through 10/21/2017 -.SCHEDULEE CALIFORNIA FORM Page 24 of _3_2_ I.D. NUMBER 1394265 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise,.describe the payment. CMP campaign paraphemalia/miac. CNS caml)SlAn oonsultants CTB oontribution (explain nonmonetary)• eve civic donations FIL candidate filing/ballot fee& FND fUndraisina events IND independent expenditure LEG legal defense LIT campaign literature and mailings NAME AND ADDRESS Of" PAYEE OF CCMMITTEE, ALSO ENTER I.D. NUMBER} Facebook ' 1 Hacker Way Menlo Park, CA 94025-1456 Facebook 1 Hacker Way Menlo Pa:r:k, CA 94025-1456 Facebook 1 Hacker Way Menlo Park, CA 94025-1456 MBR member communications MTG meetiniis and appearances CFC office 8){per,s8S PET pelilioncirwla~ng PHO phone bank-a POL pollinR and survey research POS poatage, delivary and messenger services PRO professi011BI services {legal, accounting) PRT printads CODE OR WEB Facebook ads WEB Facebook ads WEB Facebook ads * Payments that are contributions or Independent expendllUres must also be summarized on Schedule D. Schedule E Summary RAO radio airtime and production costs RFD returned contributions SAL campaign worker-a' salaries TEL t.v, or cable .iirtime and productton com TRC candidate travel, lodging, and meetla TRS slaff/8l)OU&8 travel, lodAinR, and meals TSF transfer between C0mmitteea of the same candidate/sponsor VOT voter regii;tration WEB information technology costs (lntemet, e-maH) DESCRIPTION OF PAYMENT AMOUNTPAID $26.00 $4.18 $99.73 SUBTOTAL $129. 91 1. Itemized paymen1s made this period. (Include all Schedule E subtotals.) ..................................................................................................................................................... ___ ....;.$_5_4..:.,_5_7_4_._0_3 2. Unitemized payments made this period of under $100.................................................................................................................................................................................. $51. 95 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column {e).) ......................................... ., . .,...................................................................... $ 0. 00 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the summary Page, Column A, Line 6.) ................................................................ TOTAL $5 4, 62 5. 98 FPPC Fonn 480 (Janf201BI FPPC Advlc:e: advlce@fppc.ca.gov 188fl271ii.3772. www.rppc.ca.gov • Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lisa Middleton for Palm Springs City Council 2017 • . Amounts may be rounded to wh01e dollars. Statement covers period fnlm 9/24/2017 through l0/21/2017 • SCHEDULEE CALIFORNIA 460 FORM 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 C81llfl8ian oonsullam CTB contribution (explain nonmonetarvt eve civic donations FIL candidate filfng)ballot fees FND fundraising events IND independent expenditure LEG legal defense UT campaign literature and maiDngs NAME. AND ADDRESS OF PAYEE (.IF COMMITTEE, ALSO ENTER I.D. NUMBER) Facebook 1 Hacker Way Menlo Park, CA 94025-1456 Facebook 1 Hacker Way Menlo Park, CA 94025-1456 Facebook 1 Hacker Way Menlo Park, CA 94025-1456 MBR member communications MTG meelin!IS and appearances OFC office expenses PET petition circulating PHO phone banks POL DOllirn:i and survey research POS postage, delivery and messenger services PRO professional services (legal, accounting} PRT printada CODE OR WEB Facebook ads WEB Facebook ads WEB Facebook ads * Payments that are contrtbuHons or Independent expenditures must also be summartzed on Sc:hedula D. Schedule E Summary 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 sbdf/spouae travel. lod91Mll. and meals TSF transfer batWeen committees of the samecandidate/epoJlljQr VOT voter regimtion WEB information technology coats (Internet, e-maft) DESCRIPTION OF PAYMENT AMOUNT PAID $25.10 $99.63 $99.34 SUBTOTAL $224.07 1. Itemized payments made this period. (Include all Schedule E subtotals.) ...................................................................................................... ., ............................................. ----'$_5_4_,_5_7_4_._0_3_ 2. Unitemized payments made this period of under $100.................................................................................................................................................................................. $51. 95 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).).................................................................................................................... $ D. 00 4. Total payments made this period. (Add Unes 1, 2, and 3. Enter here and on the summary Page, Colurm A, Line 6.) ................................................................ TOTAL $ 5 4, 62 5. 98 FPPC Fonn 480 CJan/2018) FPPC Advice: advlce@fppc.ca.gov 188§12711-37721 -.rppc.ca.gov • Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lisa Middleton for Palm Springs City Council 2017 • . Amounls may be rounded to whole dollars. Statement covers period from 9/24/2017 ------through 10/21/2017 -SCHEDULEE CALIFORNIA 460 FORM 1.D. NUMBER 1394265 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 campaiiln consultants CTB contribullon (explain nonmonetarvl' eve civic donations FIL candidatefiling}ballotfees FND fundraising e\lenlt IND independent expenditure LEG legal defense UT campaign literature and mailings NAME AND ADDRESS OF PAYEE (lF COMMITTEE. ALSO ENTER I.D. NUMBER) Facebook 1 Hacker Way Menlo Park, CA 94025-1456 Lynn Hammond Ca t_ering 1775 E Palm Canyon Dr Ste 110 Palm Springs, CA 92264-1623 Mizell Senior Center 480 S Sunrise Way Palm Springs, CA 92262-7697 MBR member communications MTG meetin11s and appearances OFC office expenses PET petition ci~g PHO phone banks POL i;ioPiOII and survey research POS plletage, delivery and messenger services PRO professioMI services {legal, accounting) PRT Prinlads CODE OR WEB Facebook ads RAD radio airtime and production costs RFD returned contributions SAL campaign workers' salaries TEL t.v. or cable airtime and production ccms TRC candidale travel. lodging, and meals TRS staff/spouse trawl, lodoina. and meals TSF transfer between committees of the same candidate/sponsor VOT voter registration WEB information technology cost& {Internet. e-mail) DESCRIPTION OF PAYMENT AMOUNT PAID $99.36 FND Catering for fundraiser $200.00 MTG Booth fee $300.00 • Payments lhat are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL $599.36 Schedule E Summary 1. Hemized payments made this period. (Include all Schedule E subtotals.) ..................................................................................................................................................... ___ $'-5_4.....;,,_5_7_4_. _0_3 2. Unitemized payments made this period of under $100 ................................................................................................................................................................................. . $51,95 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).).................................................................................................................... $0 •OD 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Une 6.) ................................................................ TOTAL $ 5 4, 62 5 • 98 FPPC Fonn ,480 (Jan12D18) FPPC Advice: advice@fppe,ca.gov IIIQ/275-3772) www.1PIJ(:.ca.goy • Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lisa Middleton for Palm Springs City Council 2017 • . Amounts may be rounded to whole dollars, Sllltement covers period 9/24/2017 from _____ _ through 10/21/2017 -SCHEOULEE CALIFORNIA 460 FORM I.D.NUMBER 1394265 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 cam11&kln comultants CTB contribution (explain nonmonetary)• eve civic donations Fil candidate filing/ballot fees FND fundraising eve.,.s IND independent expenditure LEG legal defense UT campaign literature and mailings NAME AND ADDRESS OF PAYEE OF COMMITR:E, ALSO ENlcR I.D. NIA1BER) Mizell Senior Center 480 S Sunrise Way Palm Springs, CA 92262-7697 Morel Ink 4824 NE 42nd Ave Portland, OR 97218-1661 Morel Ink 4824 NE 42nd Ave Portland, OR 97218-1661 MBR member communications MTG meelini:is and appearances OFC office expenses PET petition circulating PHO phone banks POL poHiru:, and SUM!Y research POS postage, delivery and messenger services PRO profeflional services Oegal, acoounling) PRT printads CODE OR MTG Booth rental LIT Mailer LIT Mailer * Payments that are contrlblltlons or Independent expendlb.Jres must also be summarized on Schedule D. Schedule E Summary RAD radio airtime and production costs RFD returned contributions SAL campaign wOlbrs' salaries TEL t.v. or cable airtime and production coets TRC candidate travel, lodging, and meals TRS staff/spouse iravel, lodQirl!I, and meals TSF transfer between committees of the same candidate/sponsor VOT voter registration WEB infonnationtechnofogy costs (Internet, e-mail) DESCRIPTION OF PAYMENT AMOUNT PAID $200.00 $3,841.15 $5,700.85 SUBTOTAL $9,742.00 1. Itemized payments made this period. (Include all Schedule E subtotals.) ..................................................................................................................................................... ____ $_5_4_.,_5_7_4_. 0_3_ 2. Unitemized payments made this period of under $100.. ......... ................ ........ .......................... ........................... ............................... ....................... ....................... ........ ..... $ 51 • 9 5 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).).................................................................................................................... $0. O O 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Une 6,) ................................................................ TOTAL $54,625.98 FPPC Fonn GO (Jan/2018) FPPC Advice: advlce@fppe.c11.gov !SIIJl2711-3772) www.tppc:.c:a.gov • Schedule.E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lisa Middleton for Palm Springs City Council 2017 • • Amounts may be rounded to whole dollars. Stltement covers period from 9/24/2017 through 10/21/2017 -SCHEDULEE CALIFORNIA 460 FORM 1.0.NUMBER 1394265 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphemalia/mlsc. CNS campalan coooultants CTB c:antribution (explain nonmonetary)• eve civic donations FIL candidate filinglballot fees FND fundraiSing events IND independent expend~ure LEG legal defense LIT campaign literature and mailings NAME AND ADDRESS OF PAYEE (IF COMMITTEE. ALSO ENTER ID. NUMBER) Morel Ink 4824 NE 42nd Ave Portland, OR 97218-1661 NGP VAN,. Inc 1101 15th St NW Ste 500 Washington, DC 20005-5006 Palm Springs Chamber of Commerce 190 W Amado Rd Palm Springs, CA 92262-5519 MBR member communications MTG meeti1111B and appearances OFC office expenses PET petition circulating PHO phone banks POL ooDinQ and survey research POS P<>Stage, delivery and messenger services PRO professional services (legal. accounting) PRT printads CODE OR LIT Maile:r #3 RAD radio airtime and production cowi RFD returned contributions SAL campaign workers' salartes TEL l.v. or cable airtime and production costs TRC candidate travel, lodging, and meals TRS staff/i.pouse travel. lodalnA, and meals TSF transfer between committees of the ame candidatelaponaor VOT voter registration WEB informaflon technology costs (Internet, e-mail) DESCRIPTION OF PAYMENT AMOUNTPAlD $4,627.70 WEB Technology platform/software $450.00 MTG Booth rental $200.00 • Payments that are contributions or Independent expenditures must also be summariz«I on Schedule D, SUBTOTAL $5,277.70 Schedule E Summary 1 . Itemized payments made this period. (Include all Schedule E subtotals.) ..................................................................................................................................................... ____ $_5_4~,_5_7_4_. 0_3_ 2. Unitemized payments made this period of under $100.................................................................................................................................................................................. $51. 95 3. Total Interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).).................................................................................................................... $0. 00 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ................................................................ TOTAL $ 5 4, 625. 98 FPPC Foml _, (Janl'Z018) FPPC Advice: advlce@fppc.ca.gov 188J/271-3772) www.rppc.ca.gw • Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lisa Middleton for Palm Springs City Council 2017 • . Amounts may be rounded to whole dolars. Stat.Nnt covers period 9/24/2017 from _____ _ through 10/21/2017 CALIFORNIA FORM • SCHEDULEE Page 29 of 32 1.0.NUMBER 1394265 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphemalia/miso. CNS campaij:Jn conaultanls CTB contrlbution (explain ncnmonetary)" eve civic donations FIL candidate filing/ballot fees FND fundraisirl!l events IND independent expendHure LEG legal defenee LIT campaign literature and mailings NAME AND ADDRESS OF PAYEE OF COMMITTEE, ALSO ENTER 1.0. NUMBER} Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 Screen Strategies Media 15409 Whitechapel Ct Centreville, VA 20120-3944 Screen Strategies Media 15409 Whitechapel Ct Centreville, VA 20120-3944 MBR member communicatiol16 MTG meetini:is and appearances OFC office expeosee PET petition oirotdatlng PHO phone benka POL polling and survey research POS postage, dellvery and m81161!nger services P~ professional seniioes (legal. accounting) PRT printads RAD radio airtime and production costs RFD returned contributions SAL campaign workers' salaries TEL t.v. or cable airtime and production cost8 TRC candidate lrallel, lodging, and meals TRS staff/spouse travel, lod!linA. and meals TSF llansfer between committees of the same candidate/sponsor VOT voter registration WEB information technology coel11 (Internet, e-mail} CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID OFC Merchant services $145.81 TEL Tv/cable airtime $14,450.00 TEL Tv/cable airtime $15,850.00 * Payments that are contributions or Independent expenditures must also be summarized on Schedule o. SUBTOTAL $30,445.81 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) ..................................................................................................................................................... ___ -:$_5_4_,,_5_7_4_._0_3_ 2. Unitemized payments made this period ofunder$100.................................................................................................................................................................................. $51. 95 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).).................................................................................................................... $ 0. 0 0 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the summary Page, Column A, Line 6.) ................................................................ TOTAL $54, 62 5. 98 FPPC Form 48fJ (Jan/2018) FPPC Advice; advice@fppc:.ca.gov 1.888/27&-3772) www.lppc.ca.gov • Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lisa Middleton for Palm Springs City Council 2017 • • Amounts may be rounded to whole ddais. Statement covers Pllflod from 9/24/2017 ------through 10/21/2017 - CALIFORNIA FORM SCHEDULEE Page 30 of 32 ----- I.D. NUMBER 1394265 CODES: If one of the foll owing codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia/misc. CNS campaif:ln con!!lultants CTB contribution (explain nonmonetary)• eve cMc donations FIL cand'ldale filinglballot fees FND fundraillinA events IND independent expenditure LEG legal defense UT campaign literature and mailings NAME AND ADDRESS OF PAYEE (IF CCMMITTEE, ALSO ENTER 1.0. NUMBE~) Signrocket.com 340 Broadway Ave Saint Paul Park, MN 55071-1840 Staples 5001 E Ramon Rd Palm Springs, CA 92264-1543 Staples 5001 E Ramon Rd Palm Springs, CA 92264-1543 MBR member communications MTG meetillQS and appearancae. CFC office expenses PET petition circulating PHO phone banks POL poQillQ and survey research POS poatage, delivery and mess&ngerservk:es PRO professional services Oegal, accounting) PRT printads CODE OR CMP Lawn signs OFC Supplies CMP Supplies - • Payments that are contr1 butlons or Independent expenditures must also be summarized on SChedule D. Schedule E Summary RAD racfio airtime and production coals RFC returned contributions SAL campaign worl<ers' salariee TEL t.v. or cable airtime and production costs TRC candidate travel, lodging, and meals TRS 61afffspoUY travel, lodAill!I, and meals TSF transfer between committees cf the same candidate/sponsor VOT voter registration WEB information technology costs (Internet, a-niail) DESCRIPTION OF PAYMENT AMOUNT PAID $546.00 $42.4D $62.15 SUBTOTAL $650.55 1. Itemized payments made this period. (Include JII Schedule E subtotals.) ..................................................................................................................................................... ----"$_5_4""',_5_7_4_._0_3_ 2. Unitemized payments made lhls period of under $100............. ..................... ............................................................................ ................................................ .................... $ 51 • 9 5 3. Total interest paid this period on loans. (Enter amount from Schedule 8, Part 1, Column (e).).................................................................................................................... $ O. 0 0 4. To1al payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ................................................................ TOTAL $ 5 4, 62 5. 98 FPPC Fonn 4ft (Jan/2t1S) FPPC Advice; advi4;e@Ji)pc.ca.gav (B'f!!ll-3172} www.,....,..ca.gov • Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lisa Middleton for Palm Springs City council 2017 • . Amounts may be l'l!Unded to whole dollars. Statement covers period from __ 9_/_2_4_/_2_0_1_7 through 10/21/2017 • SCHEDULEE CALIFORNIA 460 FORM I.D.NUMBER 1394265 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 campaii:in consutant1:1 CTB contribution ( explain nonmonetary)' eve cMc donations FIL candidate filingitanot fees FND fl.lndraisinri events IND Independent expenditure LEG legal defense LIT campaign literature and mai6ngs NAME AND ADDRESS OF PAYEE OF ca.tM!TTEE,ALSO ENTER I.D. NUMBER) Staples 5001 E Ramon Rd Palm Springs, CA 92264-1543 Staples 5001 E Ramon Rd Palm Springs, CA 92264-1543 Ten More Votes, LLC 421 W 3rd St Apt 808 Austin, TX 78701-4166 MBR member communications MTG meetinria and appearances OFC office expenses PET petition clll:Ufaling PHO phone banks POL polling and survey reseall:h POS pQBtage, delivery and messe11Qer services PRO professional services (legal, accounting) PRT prinlads CODE OR OFC Supplies CMP Supplies WEB Software • Payments that are contrlbuUons or Independent expenditures must also be summarized on Schedule D. Schedule E Summary RAD radio airtime and production costs RFD returned contributions SAL csmpaign workers' salaries TEL tv. or cable airtime and production cost,; TRC candidsta travel, lodging, and meals TRS slafffsPOuse trsvel, lod11ing, and meakl TSF transfer between comminees of the same candidate/sponeor VOT voter registration WEB information 1echnology eosts (Internet, e-mail) DESCRIPTION OF PAYMENT AMOUNT PAID $41. 53 $156.47 $600.00 SUBTOTAL $798.00 1. Itemized payments made this period. (Include all Schedule E subtotals.) ..................................................................................................................................................... ____ $_5_4 ... ,_5_7_4_._0_3_ 2. Unitemized paymen1s made1his period of under $100.................................................................................................................................................................................. $51. 95 3. Total Interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) .............................................................. ,........................ ............................. $ 0 • 0 0 4. Total payments made this period. (Add Unes 1, 2, and 3. Enter here and on the Summary Page, Colurm A, Une 6.) ............... ,,. .............................................. TOTAL $ 5 4 , 625 • 9 8 FPPC Fonn '6D tJllll/2&181 FPPC Advice: advk:a@fppc.ca.gov tl86/271-37721 www.lppc.ca.gov • ScheduleE Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lisa Middleton for Palm Springs City Council 2017 -. Anultsnay bit raundld to--. llml 9/24/2017 111roug11 10/21/2017 I.D.NUMBER 394265 -SCHEOULEE 32 CODES: If one of the foHowing codes accurately deSCribes the payment, you may enter the code. Otherwise, desaibe the paymenl CMP campaign paraphemdakoloc. CNS campaign- CTB .,.,..-, (11XPlaln nannanalluy)" CVC: CMCdonali0118 FIL canclldata filinol'oallal fen FND lwMhiaing .- IND lndepandent -,,clJun, LEG legal defenae LIT campaign lil8rature and mai&ngs NAME AND ADDRESS OF PAYEE OF' CCMMITTEE, ALSO l!Nll!R I.D. NUMlleR) Trick Dog Films 2232 N Palermo Dr Palm Springs, CA 92262-2736 MBR member comm&.ricationa MTG --and ap-rances OFCollice- PET petition ckwlating PHO phone banks POL palling and IUMIY maeardt POS poetaga, dellwry and mn-.-vi- PRO professional 81MC1!S (legal, 114Z011111ira) PRT print- CODE OR TEL TV ad & * P~ that are contllbuaons or Independent expendltur• must alsO be summarized on SChedute D. Schedule E Summary RAD radio aitime and prodUcllon coals RFD returned CGlirlbutiona SAL campaign wortcan,• Mlaries TEL t.v. or cable alrtlme and production COBie TRC candidale tnMI, lodging, and meals TRS a1llffhlpalae lnMtl, lodging, and .... TSF lranafar belwean commllNB orthe ume candldatafar,onaor VOTVDlerreglstnllion WEB inform•tlon lechnology-(lnlarnet, e-mail) DESCRIPTION OF PAYMENT AMOUNTPAID campaign spots $2,500.00 SUBTOTAL $2,500.00 1. Hemlzed payments made this period. (Include all Schedule e subtotals.) ..................................................................................................................................................... ----'-$-'-5-'-4.._, _5_7_4 __ • 0_3_ 2. Unitemized payments made this period ofunder$100.................................................................................................................................................................................. $51. 95 3. Total Interest paid 1h18 period on loans. (Enter amount from Schadule B, Part 1, Column(•).).................................................................................................................... $ 0 • D 0 4. Total payments made this period. (Add Unes 1, 2, and 3. Enter here and on the Summary Page, Column A, Une6.). ............................................................... TOTAL $54,625. 98 FPPC Fonn 4A l,Jan/2G11) FPPCAdvlce:acMceOfllpc.--lZ711-3772) wwv,.tppc.ca.gov 497 Contribution Report Amounts may be rounded to whole dollars. Lisa Middleton for Palm Springs City Council 2017 AREA CODEJPHONE NUMBER (760) 537-0060 STREET ADDRESS 840 E. Biltmote ?lace J.D. NUMBER (If 8P,Plicable) 1394265 Date of Thi& Fmng 10/21/2017 Report No. Form 4 97 1/1021 •Amendment to Report No. --------------------....--------__j [explain below) CITY Palm Springs STATE CA ZIP CODE 92262 No.of Page& 1. Contributions Received DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR RECEIVED (IF COMMITTEE, ALSO ENTER I.D NUMBER) William Christensen 10/21/2017 67780 E Palm Canyo:1 Dr Cathedral City, CA 92234-5441 Frederick Noble & Affiliated Entities 10/19/2017 2045 E Tahquitz Canyon Way Palm Springs, CA 92262-7003 Harold Matzner 10/19/2017 181 s Civic Dr Ste 1 Palm Springs, CA 92262-7215 Reason for Amendment: 1 CONTRIBUTOR CODE• 12] IND •COM 00TH OPTY •sec O1ND •COM I.Z]OTH •PTY •sec [Zl IND •COM DOTH 0PTY •sec -------------------------------- 2111 OCT 23 PM f: 24 Fot Official Use Only IF AN INDIVIDUAL, AMOUNT ENTER OCCUPATION AND EMPLOYER· RECEIVED (IF SELF-EMPLOYED ENTER NAME OF BUSINESS) Physician $1,000.00 Eisenhower Medical •check if Loan Associates % Provide interest rate $4,400.00 •check if Loan % Provide interest rate Chairman $5,000.00 Palm Springs •Check if Loan International Film Festival % Provide interest rate 'Contributor Codes IND -Individual COM -Recipient Committee (otht!t than PTY or SCC) 0TH • O!her (e.g., businesa ent~\il PTY -Political Party SCC -St11all Contributor Committjfe FP~C Fann 497 (Jul/20181 FPPC Advice: advice@fppe.c.a.gov (1861276-3772) www.fppc.ca.gov • • 497 Contribution Report Amounts may be rounded to whole dollars. Lisa Middleton for Palm Springs City Council 2017 AREA CODE/PHONE NUMBER (760) 537-0060 r.o. NUMBER llf applleable) 1394265 Report No. Form 4 97 •Amendment to Report No. ---------------------------~--1 (explain below) STREET ADDRESS 840 E. Biltmote Place CITY Palm Springs 1. Contributions Received STATE CA ZIP CODE 92264 No. of Pages 111023 1 ltJ OCT 23 PH I: 24 OF ICE OF THE CITY CLER::\ • CALIFOR:~Lt.. 497 FORM For Official Usa Only DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, AMOUNT ENTER OCCUPATION AND EMPLOYER RECEIVED (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) Committee to Elect Ginny Foat 10/02/2017 1673 N.Palm Canyon Drive Palm Springs, CA 92262 Committee to Elect Ginny Foat 10/15/2017 1673 N. Palm Canyon Drive Palm Springs, CA 92262 Committee Elect Ginny to Foat 10/23/2017 1673 N.Palm Canyon Drive Palm Springs, CA 92262 Reason for Amendment: CODE" • IND •COM 00TH 0PTY •sec • IND •COM 00TH 0PTY •sec QJND •COM 00TH 0PTY •sec OF SELF-EMPLOYED, ENTER NAME OF BUSINESS) •eontributor Codes IND -Individual RECEIVED $500.00 •check if Loan ~/,;tfil;HE1tifi::f t;;; % Provide interest rate $200.00 •check if Loan "--,~.--~ .. -. :,·._ .'.; (% Provide interest rate $500.00 D Check if Loan . -~' ·-,•· _ .. ' . ... "" ,.:·.:;;_/:i:,·:< . • _::_-••i· :->" % Provide interest rate COM -Recipient Committee (other than PTY or SCC) OTl-t -Other (e.g., business entity) PTY -Political Party sec -Small Conlrlblltor Committee FPPC Fonn 497 (Jul/201B1 FPPC Advice: advice@fppc.ca.qov (888/276-3772) www.fppc.ca.gov • • • 497 Contribution Report AmouNS may be rounded to whote dollal'B. =~Ing 10/16/2017 RECE\rt~=~HG'· --------------------------1 ;~I 1 OF p Al IL .,, I'\ -- Lisa Middleton for Palm Springs City Council 2017 AREA CODE/PHONE NUMBER I.D. NUMBER (It appllcable) Report No. Form 4 97 PH 1• 19 _C_7_60_l_S_37_-_0_0_60 ______ -J.-1_3_9_4_26_s ________ ----1 111016 !11 OCT 11 ... : • Far Offi:ial U&e Only STREET ADDRESS ~ Amendment . . . 840 E.Biltmore Palce toReportNo. ]Ff CE Of THE CITY CLER,\ -----------------------------1 (explain below) 1 -- CITY Palm Springs STATE CA ZIP CODE 92264 No. of Pages 1 1. Contributions Received DATE FULL NAME, STREET ADDRESS ANO ZIP CODE OF CONTRIBUTOR CONTRIBUTOR RECEIVED (IF COMMITTEE. ALSO ENTER LO. NUMBER) CODE• •IND Keasler Property •COM 10/13/2017 275 Camino Norte @OTH Palm Springs, CA 92262-4209 0PTY •sec Palm Springs Police Officers Association PAC 01ND 1121 L St 0COM 10/13/2017 Ste 200 DOTH Sacramento, CA 95814-3970 •PTY •sec ID: 951841 Riverside County Democratic Central •IND Committee •COM 10/13/2017 5429 Madison Ave DOTH Sacramento, CA 95841-3111 l'l]PTY •sec ID: 1342861 Reason for Amendment: ----------------------------- IF AN INDMOUAL, AMOUNT ENTER OCCUPATION AND EMPLOYER nF SELF-EMPLOYED, ENTER NAME OF BUSINESSl RECEIVED $1,000.00 •check if Loan , *Conlribular Codes IND -lndivldual : :,;.;:i)K.••+;,:ft:Y. Provide inlerest rate $1,433.00 D Check if Loan ,: .. _:[" ···.• , .... •: .. : ~ .. ,; .,.:--.·· % , ... , --· Provide interest rate $1,000.00 0 Check if Loan ., .. ,, ....... ,•·•;; .. ':>···'•'' ,:,_.;:;;:. , ... ,% ·.··• -.. Provide lrteresl iate COM -Recipienl Committee (alhar than F'TY or SCC) 0TH • other (e.g., business entity) PTY -Political Paily SCC -Small Conlrlbulor Committee FPPC Fonn 487 (Jl.lll2018) FPPC Advice: llllvice@lppc.ca.gav ~76~772) www.fppC.ca.gov • • • 497 Contribution Report Amounts may be rounded to whole dollars. Lisa Middleton for Palm Springs City Council 2017 oa1eor en Y This Filing 10/15/2017 AREA COPE/PHONE NUMBER (760) 537-0060 STREET ADDRESS 840 E.Biltmore Palce I.D. NUMBER (If appltcable) 1394265 Report No. Form 497 I/ 1014 •Amendment to Report No. -------------------------------j (explain below) CITY Palm Springs STATE CA ZIP CODE 92262 No. of Pages 1 1. Contributions Received DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE• Palm Springs Police Officers Association PAC •IND 1121 L St ~COM 10/13/2017 Ste 200 DOTH Sacramento, CA 95814-3970 0PTY •sec ID: 951841 Reason for Amendment: 2111 OCT 16 PH 4: l+O OFFICE OF THE CITY CLERH For Offloial Use Only IF AN INDIVIDUAL. ENTER OCCUPATION AND EMPLOYER /IF SELF-EMPILOYED ENTER NAME OF BUSINESS) •contributor Codes IND -Individual AMOUNT RECEIVED $1,433.00 D Check if Loan · -·:·?f;fg:ftfr '~'.:% . , •. c.~-., Provide interest rate COM -Recipient Committee (other than PTY or SCC) 0TH -other (e.g., business entity) ---------------------------------PTY • Political Party sec -Small ContribulOl' Committee FPPC Fonn 4117 (Jul/2018) FPPC Adviee: advlce@fppc.ca.gov (8661275-3772) www.fppc.ca.go11 497 Contribution Report Lisa Middleton for Palm Springs City Council 2017 Date of This FHing 10/4/201111 OCT -5 C1<IFCJRr,,J1?. 497 F'JPM AREA CODE/PHONE NUMBER 1.D. NUMBER (lfappllcableJ Report No. Form 4 ~7-~ c \ ....:(...:.7..:6:..:0:.:.l___::5:..:3:....:7_-:..:o:..:o:...:6:....:0:...._ _______ L_l_3_9_4_2_6_5 __________ --; 11 I u Olf· t f- 0Amendment STREET ADDRESS 840 E.Biltmore Palce toReportNo . ..:..::.:.__..::..::..=.::.:..:=:..::...:=-::..:::.:=-:..:_ __________________ --; (explain below) No. of Pages 1 CITY Palm Springs STATE ZIP CODE CA 92262 1. Contributions Received DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE. ALSO ENTER 1.0. NUMBER) fA\.M. ~"'~s f'\ite <5AFE:'r7 H?-19 Jt1\.INS1'"0,-..J DllJV6 CONTRIBUTOR CODE" Reason for Amendment: ________________________________ _ r'~ -,, ~ ··;• '-. ! ,-.. I f. ,-__ EOl'1Hrl,l? For Off'tcial Use Only IF AN INDIVlDUAL, ENTER OCCUPATION AND EMPLOYER IF SELF-EMPLOYED, ENTER NAME OF BUSINESS •eomibutor Codes IND • Individual AMOUNT RECEIVED -.2.,000 COM -Recipient Committee (other than PTY or SCC) 0TH -other (e.g .• business entity) PTV -Political Party sec . Small Contributor Committee FPPC Fonn 497 jJul/2016) FPPC Advice: advice@fppc.ca.gov 116!1276-3772) www .. ,.pc.ca.gov 497 Contribution Report Amounts may be rounded to whole dollars. " Lisa Middleton for Palm Springs city Council 2017 Date of This Filing ------.. C,t.LIFOR JI;'.. 497 FORIVI AREA CODE/PHONE NUMBER (760) 537-0060 STREET ADDRESS 1.0. NUMBER {If appllcable) 1394265 ~toeR~epom:rt:N~o.ento12;2:17f • \CE OF ·111~:. C,1\\ GUJ 840 E.Biltmore Palce ....:.....: _ __:_: __________________________ 7 (explain below) CITY Palm Springs STATE CA ZIPCOOE 92262 No. of Pages 1 For 01ftcial Use Only 1. Contributions Received DATE FULL NAME, STREET ADDRESS ANO ZIP CODE OF CONTRIBUTOR CONTRIBUTOR RECEIVED (IF COMMITTEE, ALSO ENTER 1.D. NUMBER) CODE" lt]IND •COM Michael McLean DOTH 09/29/2017 2500 N Palm Canyon Dr 0PTY Palm Springs, CA 92262-1868 •sec IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMALOYED, EN1ER NAME OF BUSINESS) Realtor McLean company •contributor Codes IND -Individual AMOUNT RECEIVED $1,000.00 Ocheck if Loan % Provide interest ra1e Reason for Amendment:. ________________________________ _ COM -Recipien1 Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee FPPC Form 497 (Jul/20161 FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov Recipient Committee Campaign Statement CoverPaae SEE INSTRUCTIONS ON REVERSE . i:,~l. Y \tti·";.1 .---statement--c:oven--perlod--.-Date--o,-.1ec:11on--if-,-a-=~.....a·.,_;.ble----Ml. 11 SEP 2 8 PM 3: 5 from 7/1/2017 through 9/23/2017 (Monlh, Day, Year) 1. Type of Recipient Committee: AHCClmniltNs-CompleteParts1.2.1. 1111d4. 2. Type of Statement: COVER PAGE CALIFORNIA 460 2001/02 .i FORM 12JOfflceholder, candidate ControNed Committee •Primarily Formed Ballot Measure D state Candidate Election Committee Committee D Preelection Statement 0 Semi-annual S1atemen1 •Termination Statement @Quarterly Statement •Special Odd-Year Report •Recall •controlled (Also Comp/er. Part 5) O Sponsored 0 General Purpose Committee (Aleo Complete Part 6) D Sponsored D Primarily Formed Candidate/ O Small Contributor Committee Officeholder Committee 0 Political PartyJCentral Comnittee (Also Complete Part 7) 3. Committee Information COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) 1.D. NUMBER 1394265 Lisa Middleton for Palm Springs City Council 2017 STREET ADDRESS (NO P.O. BOX) 840 E.Biltmore Place CITY STATE ZIP CODE Palm Springs CA 92264 MAILING ADDRESS OF DIFFERENT) NO. AND STREET OR P.O. BOX PO Box 4109 CITY STATE ZIPCOOE Palm Springs CA 92263 OPTIONAL; FAXIE-MAIL ADDRESS lisa@electlisamiddleton.com AREA CODE/PHONE (760) 330-7023 AREA CODE/PHONE (760) 330-7023 (Alao ftle a FOffll 410 Termination) 0Amendmen1 (Explain below) Treasurer(s) NAME OF TREASURER David Baron MAILING ADDRESS 1800 E.Tahquitz Canyon Way CITY STATE ZIP CODE Palm Springs CA 92262 NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE 4. Verification n preparing and l'l'llewlng this Blatern8nl and ID the bNt of my know Ellecutedon Executed on Ellecutedon ExaaJtedon DATE DATE ws of the State of C81ifomia lha11he foregoing is true and By By By By SIGNATURE OF SlllN,\TURE OF CONTROLLING OFFICEHOLCl8'_ CANDIDl'ITE, OR S1'ATE MEASURE F'ROPCIIENT SIGNATURE OF CONTROLLING OFFICEHOLDER.CANDIDATE. OR STATE MEASURE PROPONBIT AREA CODE/PHONE (760) 537-0060 AREA CODE/PHONE FPPC Fonn 480 tJan/20111 FPPC Advice: advlce@fPPc.ca.gov (1181271-3772) www.fppc.ca.gov Recipient Committee Campaign Statement Cover Page-Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Lisa Middleton OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Sought: City Council Member City Council Member City City of Palm Springs 42 RESIDENTIAUBUSINESS ADDRESS (NO. AND STREEn CITY STA TE ZIP PO Box 4109 Palm Springs CA 92263 Related Committees Not Included in this Statement: u111anyeomn1ttees not Included In this statement that are controlled by vou Of are primari!y formed to receive contributions or make expenditures on behalf of yol.lf candidacy. COMMITTEE NAME NAME OF TREASURER COMMITTEE ADDRESS CITY COMMITTEE NAME NAME OF TREASURER COMMITTEE ADDRESS CITY 1.0. NUMBER CONTROLLED COMMITTEE? •YES ONO STREET ADDRESS {NO P.O. BOX) STATE ZIP CODE AREA CODE/PHONE STREET ADDRESS (NO P.O. BOX) 1.0.NUMBER CONTROLLED COMMITTEE? •YES •No STATE ZIP CODE AREA CODE/PHONE COVER PAGE-PART 2 6.Primarily Fonned Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDJCTION OsuPPoRT QOPPOSE Identify the controlling officeholder, candidate, or state measuna proponent, if any. NAME OF OFFICEHLOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD I DISTRICT NO. IF ANY 7. Primarily Formed Candidate/Officeholder Committee umnamesot ofliceholder(s) or candidate(s) for which this committee is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELO •SUPPORT •OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELO OsuPPORT QOPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD OsuPPDRT QoPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD •SUPPORT •OPPOSE Attach continuation sheets if necessary FPPC Fonn 460 IJ11nl20181 FPPC Advice: aclvice@fppc.ca.gov CBSB/275-37721 www.fppc.ca.gov Campaign Disclosure Statement Summary Page Amounts may be rounded to whole dollars. Statement covers period 7/1/2017 from _____ _ SUMMARY PAGE CALIFORNIA 460 FORM SEE INSTRUCTIONS ON REVERSE through 9/23/2017 -!,! . NAME OF FILER Lisa Middleton for Palm Springs City Council 2017 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 I, 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 Total This Period (FROM ATTACHED SCHEDULES) $33,826.00 $0.00 $33,826.00 $5,012.70 $38,838.70 $29,129.76 $0.00 $29,129.76 $0.00 $5,012.70 $34,142.46 $45,846.96 $33,826.00 $0.00 $29,129.76 $50,543.20 Column B CALENDAR YEAR TOTAL TO DATE $89,307.00 $0.00 $89,307.00 $12,399.90 $101,706.90 $40,100.64 $0.00 $40,100.64 $0.00 $12,399.90 $52,500.54 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 111port being flied for this calendar year, only carry over the amounts ----------------------------------1 from Lines 2, 7, and9(if 17. LOAN GUARANTEES RECEIVED ............ . Schedule B, Part 2 $0.00 any). Cash Equivalents and Outstanding Debts 18. Cash Equivalents....................................... See instructions on reverse $1.00 19. Outstanding Debts ....................... Add Line 2+Line 9 in Column B above $0.00 I.D. NUMBER 1394265 calendar Year Summary for Candidates Running in Both the State Primary and General Elections 20. Contributions Received 21 . Expenditures Made 111 through 6/30 Expenditure Limit Summary for State candidates 22. Cumulative Expenditures Made • {If Subject to Volunla,y Expandlure Liml) 7/1 lo Date Date of Election (rnm/dd/yyyy) Total to Date *Amounts in this section may be different from amounts reported in schedule B. FPPC Form 460 fJan/20181 FPPC Advlca: advk:e@fppc.ca.gov (186/275-3772) www.fppc.ca gov Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE FIL R Lisa Middleton for Palm Springs City Council 2017 DATE RECEIVED 07/12/2017 09/03/2017 09/05/2017 08/11/2017 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Marshall Aiken 1009 S Paseo De Marcia Palm Springs, CA 92264-8533 Cal'.ol Balasa 611 S Palm Canyon Dr # 7-273 Palm Springs, CA 92264-7213 Dan Barber 1481 S San Joaquin Dl'. Palm Spl'.ings, CA 92264-8684 Dave Bal'.on 877 E Biltmore Pl Palm Springs, CA 92264-8438 Schedule A Summarv 1. Amount received this period -itemized monetary contributions. • Amounts may be rounded to whole dollars. CONTRIBUTOR CODE• IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYEO, ENTER NAME OF BUSINE$S) 01ND OcOM OorH •PTY sec !ZJIND OcOM Dorn 0PTY sec 12JIND OcoM OoTH 0PTY sec lt]IND 0COM DOTH 0PTY sec Retired Retired Retired Retil'.ed Retired Retired Attol'.ney Slovak Baron & Empey LLP SUBTOTAL (Include all Schedule A subtotals.) ................................ ·---···· .. ·-··· ....................................................................................... . 2. Amount received this period -unitemized monetary contributions of less than $100 .. ,.-·--··········· .. ·····-·····--············· .......... . 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.) ..................... ·--··-··-.. ···..................... TOTAL SCHEDULE A Statement covers pe'1od CALIFORNIA 46Q FORM from __ 7_/_1_/_2_0_1~7 through 9/23/2017 Page 4 of 26 AMOUNT RECEIVED THIS PERIOD $100.00 $100.00 $250.00 $1,000.00 $1,450.001 $33,150.00 $676.00 -- LO.NUMBER 139 265 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1--0EC. 31) $100.00 $200.00 $600.00 $1,000.00 'Contributor COdes IND--Individual PER ELECTION TO DATE (IF REQUIRED) COM-Reapient Committee (other than PTY or SCC) OTH-Other (e.g., business entity) PTY-Political Party see-Small Contrtbutor Committee $ 3 3 , 8 2 6 • 0 0 FPPC Form 460 (Jan/20181 FPPC Advice: advice@fppc.ca.gov ~75-377:l) -www.fppc.ca.gov Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lisa Middleton for Palm Springs City Council 2017 . Amounts mllY be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF 8et.F.ta1APLOYEO, EtfTER NAME OF BUS1NESS) (IF COMMITTEE, ALSO ENTER 1.0. NUMBER} CODE• 08/06/2017 09/13/2017 08/11/2017 Roy Clark 1920 Fan Palm Way Palm Springs, CA 92262-8858 Thomas Daniels 6056 Monroe Ave # 4 Oakland, CA 94618-1762 Equality California PAC 515 S Figueroa St Ste 110 Los Angeles, CA 90071-3301 ID: 1254010 Robrty Fey 09/11/2017 2000 Maderna Drive Palm Springs, CA 92264 Schedule A Summarv 1. Amount received this period -itemized monetary contributions. @IND OcoM Do™ DPTY sec @IND OcOM DOTH QPTY sec •IND @COM DoTH •PrY oscc @IND OcOM OoTH DPTY sec Retired Retired Retired Retired Attorney Self Employed SUBTOTAL (Include all Schedule A subtotals.) ..................................................................................................................................... .. 2. Amount received this period -unitemized monetary contributions of less than $100 ......................................................... . 3. Total monetary contributions received this period. (Add Unes 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL SCHEDULE A Statement covers period CALIFORNIA 460 FORM from 7/1/2017 ------through 9/23/2017 AMOUNT RECEIVED THIS PERIOD $100.00 $200.00 $1,000.00 $200.00 s1, 500. ool $33,150.00 $676.00 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1-0EC. 31) $350.00 $200.00 $2,000.00 $200.00 'Contributor CodeS IND-Individual PER ELECTION TO DATE (If REQUIRED) COM-Recpent Committee (other than PTY or SCC) OTH-Other {e.g., business entity) PTY • Po•ical Party see-Small Contributor Committee $33,826.00 FPPC Fo1m460 (Jan/2016) FPPC Advice: advic:e@fppe.ca.gov (86612711-3772) www.fppc.ca.gov Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAMEOFFL R Lisa Middleton for Palm Springs City Council 2017 • Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF 8US1 N ESSl (IF COMMITTEE, ALSO ENTER !.D NUMBER) CODE• James Forneris 09/04/2017 3341 Savanna Way Palm Springs, CA 92262-8817 Michael Green 09/04/2017 555 E San Lorenzo Rd Palm Springs, CA 92264-8107 Richard Haskamp 07/25/2017 224 E Arenas Rd Palm Springs, CA 92262-6632 Timothy Hogan 09/05/2017 767 E Sunny Dunes Rd Palm Springs, CA 92264-8196 Schedule A Summarv 1. Amount received this period -itemized monetary contributions. IZJIND OcOM OoTH •PTY sec [ZJIND OcoM OoTH 0PTY sec 01ND 0COM DOTH 0PTY sec 01ND 0COM OoTH 0PTY sec Retired Retired Owner Triangle Inn Owner Kamp-Mor, Inc: Airport Operations City of Palm Springs SUBTOTAL (Include all Schedule A subtotals.) ...................................................................................................................................... . 2. Amount received this period -unitemized monetary contributions of less than $100 . .., .............................................. ,. .... .. 3. Total monetary contributions received this period. (Add lines 1 and 2. Enter here on the Summary Page, Column A, line 1.)... ..................................................... TOTAL SCHEDULE A Statement covers period from __ 7_/_1_/_2_0_1_7 through 9/23/2017 CALIFORNIA 460 I FORM Page 6 of 26 AMOUNT RECEIVED THIS PERIOD $100.00 $500.00 $250.00 $100.00 $950. ool $33,150.00 $676.00 ---- CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1-0EC, 31) .$200.00 .$500.00 $250.00 $350.00 "Contributor Codes IND-ln<lividual PER ELECTION TO DATE (IF REQUIRED) COM· Recipient Committee (other ltlan PTY or SCC) OTH-other (e.g .. business entity) PlY-Political Party SCC-Small Contributor Committee $ 3 3 , 8 2 6 • 0 0 FPPC Form 4t0 (Jan/2016) FPPC Advice: advk:e@tppc.c:a.gov (866/276-3772) www.tppc.ca.gov Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OFF LER Lisa Middleton for Palm Springs city Council 2017 . Amounts may be rounded towholedoflars. DATE RECEIVED FULL NAME. STREET ADQRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SEL.F-1:!!PLOYED. ENTER NA!!E OF BUS!NESSJ (IF COMMITTEE. ALSO ENTER I.D. NUMBER) CODE• [Z!IND Mary Ann Horton OcoM 08/01/2017 12531 Holland Pl OoTH Poway, CA 92064-3211 •PTY sec [Zj1ND Elaine Huth OcOM 08/14/2017 8730 Marianna Dr Qom Forestville, CA 95436-9658 0PTY sec [ZjlND Gary Johns QcOM 09/04/2017 2428 S Sierra Madre QoTH Palm Springs, CA 92264-0440 •PTY sec @IND Gloria Kapp OcOM 08/29/2017 2346 Savanna Way OorH Palm Springs, CA 92262-8834 0PTY sec Schedule A Summary 1. Amount received this period -itemized monetary contributions. Computer system Admin San Diego Gas & Electric Retired Retired Realtor Self Employed Retired Retired SUBTOTAL (Include all Schedule A subtotals.) ...................................................................................................................................... . 2. Amount received this period -unitemized monetary contributions of less than $1 OO ............... -··--·-··----·-·--························· 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL SCHEDULE A Statement covers period from 7/1/2017 through 9/23/2017 CALIFORNIA 460 FORM AMOUNT RECEIVED THIS PERIOD $100.00 $100.00 $100.00 $100.00 $400. ool $33,150.00 $676.00 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1-0EC. 31) PER ELECTION TO DATE (IF REQUIRED) $100.00 $100.00 $100.00 $150.00 'Contributor Codes IND-1n<f1Vidual COM-Recipient Committee (other than PTY or SCC) OTH-other (e.g., busil'le$8 entity) PTY• Pollica! Party see-sman Contributor Commiltee __ ] $33,826.00 FPJ>Cfonnffl(Jan/201&1 FPPC AdViee: act,t1cee,ppc.u.gov 18"1275-3712) www.fppc.ca.gov Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lisa Middleton for Palm Springs City Council 2017 • Amounts may be rounded to woole dollars. DATE RECEIVED FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL. ENTER OCCUPATION AND EMPLOYER (IFSELF-EMPLoYEO, ENTER NAME OF BUSINESS) (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) CODE• GZJINO Ellen Kurpiewski OcOM Retired 09/17/2017 69572 Huerta Ct OoTH Retired Rancho Mirage, CA 92270-1223 •PTY sec Harold Matzner 0tND Chairman OcOM 08/11/2017 181 S Civic Dr OoTH Palm Springs Ste 1 International Film Palm Springs, CA 92262-7215 0PTY Festival sec Harold Matzner 01ND Chairman 181 S Civic Dr OcOM Palm Springs 09/22/2017 Ste 1 OoTH International Film Palm Springs, CA 92262-7215 0PTY Festival sec [2j1ND Foi;nder Carlynne McDonnell OcOM 09/05/2017 PO Box 2845 OorH Barlee LaRoux's Palm Springs, CA 92263-2845 0PlY House of Love Animal Sanctuary sec SUBTOTAL Schedule A Summarv 1. Amount received this period -itemized monetary contributions. (Include all Schedule A subtotals.) ...................................................................................................................................... . 2. Amount received this period -unitemized monetary contributions of less than $1 00 ......................................................... . 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL SCHEDULE A Statement covers period CALIFORNIA FORM from __ 7_/_1_1_2_0_11_ through 9/23/2017 Page 8 of 26 AMOUNT RECEIVED THIS PERIOD $50.00 $1C,000,00 $10,000.00 $100.00 $20, 1so. ool $33,150.00 $676.00 -- CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1-0EC, 31) PER ELECTION TO DATE (IF REQUIRED) $100.00 $20,000,00 $20,000.00 $100.00 •Contributor Codes IND-Individual COM-Recipient Committee (ether than PTY or SCC) om Other (e.g., business entity) PTY-Pollica.I Party see-Small Contributor Committee _] $ 3 3 , 8 2 6 • 0 0 FPPC Form 480 (Jan/2016) FPPC AdYice: advlce@fppc.ca.goy (8Ml2711-3772) www.fppc.ca.gov Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE L Lisa Middleton for Palm Springs City Council 2017 . Am:Junts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED. ENTEl WIME OF BUSINESS} (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) CODE • ~IND Ken McLaughlin-Seeley •COM 07/11/2017 307 Arroyo Seco OoTH Palm Springs, CA 92264 0PTY sec @IND James Moje OcOM 09/05/2017 1236 Colony Way OoTH Palm Springs, CA 92262-4937 •PTY sec @IND Matt Naylor OcOM 09/23/2017 131 E Morongo Rd DOTH Palm Springs, CA 92264-8401 •PTY sec ca Newman 01ND 7481 Edinger Ave •COM 07/16/2017 Unit 216 DOTH Huntington Beach, CA 92647-7886 •PTY sec Schedule A Summarv 1. Amount received this period -itemized monetary contributions. owner Intervention 911 Hotel owner Self Employed Contractor Architectural Blue General Counsel Confie SUBTOTAL (Include all Schedule A subtotals.) ...................................................................................................................................... . 2. Amount received this period -unitemized monetary contributions of less than $100 ......................................................... . 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on the summary Page, Column A, Line 1.)... ..................................................... TOTAL SCHEDULEA Statement covers period CALIFORNIA FORM from 7/1/2017 ------ through 9/23/2017 Page 9 of 26 AMOUNT RECEIVED THIS PERIOD $1,500.00 $1,000.00 $250.00 $100.00 $2,sso.ool' $33,150.00 $676.00 ----- 1.O.NUMBER 13942 5 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1-DEC. 31) $1,500.00 $1,000.00 $250.00 $100.00 "Conlllbulor Code& IND-lndhlldual PER ELECTION TO DATE (IF REQUIRED) COM· Recipient Commi1lee (other than PTY or SCC) OTH-Other (e.g., busines& entity) PTY • Political Party sec-SmaK ContribulDr Committee $ 3 3, 8 2 6 • 0 0 FPPC Form 411 (Jan/2019) f PPC Advice: actvlce@fppc.ca.gov 114!.11276~) -.fppc.ca.gcw Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lisa Middleton for Palm Springs City Council 2017 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Cheryl O'Callaghan 07/23/2017 840 E Biltmore Pl Palm Springs, CA 92264-8438 Cheryl O'Callaghan 08/23/2017 840 E Biltmore Pl Palm Springs, CA 92264-8438 Cheryl O'Callaghan 09/23/2017 840 E Biltmore Pl Palm Springs, CA 92264-843B Joseph Otten 07/20/2017 2237 E Conchita Way Palm Springs, CA 92264-8613 Schedule A Summarv 1 . Amount received this period -itemized monetary contributions. • Amounts may be rounded to whole dollars. CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (iF SELF-EM l'LOYED. ENTER NAME OF BU$1Nlii:SS) COOE• ~IND OcOM OorH •PTY sec @IND OcoM OoTH 0PTY sec @IND OcOM OoTH 0PTY sec IZ]IND Ocoo Do™ •PTY sec Retired Retired Retired Retired Retired Retired Realtor Bennion Deville Homes SUBTOTAL (Include all Schedule A subtotals.) ...................................................................................................................................... . 2. Amount received this period-\lnitemized monetary contributions of less than $100 ........................................................ .. 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)... ..................................................... TOTAL SCHEDULE A Stalernent CO\'ElfS period ,__ 7/1/2017 IIUIII _____ _ CALIFORNIA FORM through 9/23/2017 Page 10 of 26 AMOUNT RECEIVED THIS PERIOD $100.00 $100.00 $100.00 $100.00 $400. ool $33,150.00 $676.00 ----- CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1-0EC. 31) $700,00 $700.00 $700.00 $100.00 'Contributor Codes IND-lm:!ividual PER ELECTION TO DATE (If REQUIRED) COM· Recipient Committee ( other than PTY or SCC) 0TH-Other (e.g., business enttty) PTY-Polllical Palty see-Small Contributor Committee $ 3 3 , 8 2 6 • O O FPPC Fonn 410 (Jan/2011>) FPPC Advice: advlc:aCltilPC,ca.gov (U61271-3772) www.fppc.ca.gov Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lisa Middleton for Palm Springs City Council 2017 DATE RECEIVED 07/12/2017 09/11/2017 07/20/2017 07/15/2017 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER LD. NUMBER) Virginia Peacock 1457 S Sagebrush Rd Palm Springs, CA 92264-B541 Robert Weinstein Attorney At Law 11150 W Olympic Blvd Ste 1120 Los Angeles, CA 90064-1850 Kate Rosen 86 Roslin Avenue Toronto, 00349 Ellyn Ruttan 1111 Abrigo Rd Palm Springs, CA 92262-4101 Schedule A Summarv 1. Amount received this period -itemized monetary contributions. . Amounts may be rounded to whole dollars. CONTRIBUTOR CODE" IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (tF SELF-EMPLOYED. ENTER NAME OF BUS.NESS) 01ND OcOM OorH •PTY sec •IND •COM @OTH •PTY sec @IND OcoM OoTH 0PTY sec @IND OcOM Dorn 0PTY sec Realtor Sotheby's Retired Retired Retired Retired SUBTOTAL (Include all Schedule A subtotals.) ...................................................................................................................................... . 2. Amount received lhis period -unitemized monetary contributions of less than $100 ......................................................... . 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL SCHEDULE A Statement covers period CALIFORNIA FORM from 7/1/2017 through 9/23/2017 Page 11 of 26 AMOUNT RECEIVED THIS PERIOD $100.00 $1,000.00 $300.00 $300.00 $1,700.001 $33,150.00 $676.00 ----- I.D.NUMBER 139 65 CUMULATIVE TO DATE CALENDAR YEAR (JAN. HlEC. 31) $100. 00 $1,000.00 $300.00 $300.00 •Contributor Codes IND-Individual PER ELECTION TO DATE {IF REQUIRED) COM-Recipient Committee (other than PTY or sec) OTH-Other (e.g., butiness entity) PTY-Poltical Party see-SmaA Contributor Committee $ 3 3, 8 2 6 • 0 0 FPPC FOffll -180 (Jan/2018I FPPC Advice: adYice@fppc.ca.gov (8661276..3772) www.fppc:.ca.gov Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE F FIL R Lisa Middleton for Palm Springs City Council 2017 . Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS ANO ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION ANO EMPLOYER (IF SELF•EMPLOYED. ENTER NAME OF BUSINESS) (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) CODE• 08/17/2017 09/17/2017 08/05/2017 08/08/2017 Bond Shands 1592 S Compadre Rd Palm Springs, CA 92264-8718 Ann Sheffer 170 Stony Point Road Westport, CT 06880 Joy Silver 2346 Paseo Del Rey Palm Springs, CA 92264-9543 Peter Sipkins 3920 Excelsior Blvd Unit 534 Minneapolis, MN 55416-5363 Schedule A Summarv 1. Amount received this period -itemized monetary contributions. 01ND OcOM OoTH 0PTY sec 0JND OcOM OoTH 0PTY sec @IND OcOM OoTH •PTY sec JZ]IND •COM OoTH 0PTY sec Retired Retired Retired Retired Retired Retired Retired Retired SUBTOTAL (Include all Schedule A subtotals.) ...................................................................................................................................... . 2. Amount received this period -unitemized monetary contributions of less than $100 ......................................................... . 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL SCHEDULE A SbltlllRltnt covers pariod from 7/1/2017 through 9/23/2017 AMOUNT RECEIVED THIS PERIOD $1,000.00 $1,000.00 $500.00 $100.00 $2,600.001 $33,150.00 $676.00 CUMULATIVE TO DATE CALENDAR YEAR {JAN. 1-0EC. 31} $1,000.00 $3,000.00 $1,000.00 $200.00 "ContriWor Codes IND-lndMdual PER ELECTION TO DATE (IF REQUIRED) COM-Recipient Committee ( olher than PTY Dr sec l OTH-Other (e.g .. business entity) PTY-Political Party see-Small Contributor Committee $ 3 3 , 8 2 6 • Q 0 FPPC Fonn 460 (Jan/2018) FPPC Advice: advice@l'ppc.ca.gov (866/276-37721 www.fppc.ca.gov Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE FL Lisa Middleton for Palm Springs City Council 2017 . Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER QF !ilELF-EMPLOVEC, ENTER NAME OFBUSINES!il) {lF COMMlmE, ALSO ENTER t.O. NUMBER) CODE• 07/01/2017 08/01/2017 09/16/2017 09/17/2017 Nikki Stone 1044 E San Jacinto Way Palm Springs, CA 92262-5827 Susan Thronson 78975 Calle Brisa Brisa La Quinta, CA 92253-6316 Darrell Tucci 401 S El Cielo Rd Apt 113 Palm Springs, CA 92262-7909 Barbara Villani 1028 E San Lorenzo Rd Palm Springs, CA 92264-8114 Schedule A Summaav 1. Amount received this period -itemized monetary contributions. @IND OcOM OorH •PTY sec @IND OcOM OoTH 0PTY sec @IND OcOM OoTH •PTY sec @IND OcOM OoTH 0P1Y sec Retired Retired Self Employed Sonic Corporation Chief Development Officer Desert AIDS Project Retired Retired SUBTOTAL (Include all Schedule A subtotals.) ...................................................................................................................................... . 2. Amount received this period -unitemized monetary contributions of less than $100 ......................................................... . 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on the summary Page, Column A, Line 1.)........................................................ TOTAL SCHEDULEA statamant covers period 7/1/2017 fl'om _____ _ CALIFORNIA FORM through 9/23/2017 Page 13 of 26 AMOUNT RECEIVED THIS PERIOD $500.00 $100.00 $50.00 $300.00 $950.ool $33,150.00 $676.00 -- CUMULATIVE TO DATE CALENDAR YEAR (JAN, 1-DEC. 31} $500.00 $100.00 $150.00 $300.00 •eontrtbutor Codes IND-Individual PER ELECTION TO DATE (IF REQUIRED) COM-Recipient Committee (other than PTY or SCC) OTH-other {11.g., bulllnll86antlty) PTV-Polltloal PallY SCC-Smatl ContrilMDr Committee $ 3 3 , 8 2 6 , 0 0 FPPC Fann 48D l.hlnf20181 FPPC Advice: lldvlca@fppc.ca.gov (11112714772) -.fppc.ca.gov Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE N E OF FILER Lisa ~iddleton for Palm Springs City Council 2017 . Amounts may be rounded to whole dollars. OATE RECEIVED FULL NAME, STREET ADDRESS ANO ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SEl.l'-EMPI.OVED, ENTER NAME OF BUSINESS) (IF COMMITTEE, ALSO ENTER 1.D. NUMBER) CODE• Rick Weingard @IND OcDM 09/05/2017 1150 E Palm Canyon Dr DOTH Unit 92 Palm Springs, CA 92264-9191 •PTY sec Rick Weingard @IND OcDM 09/17/2017 1150 E Palm Canyon Dr OoTH Unit 92 Palm Springs, CA 92264-9191 •PTY sec 01ND Henry Wong 0COM 07/27/2017 2389 S Calle Palo Fierro OoTH Palm Springs, CA 92264-9409 •PTY sec Schedule A Summarv 1. Amount received this period -itemized monetary contributions. Graphic Arts & Printing Designer Promotivators Ltd. Graphic Arts & Printing Designer Promotivators Ltd. Retired Retired SUBTOTAL (Include all Schedule A subtotals.) ..................................................................................................................................... .. 2. Amount received this period -unitemized monetary contributions of less than $100 ......................................................... . 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on the Summary Page, Column A. Line 1.)........... ............................................. TOTAL SCHEDULE A Statement covers period rnxn __ 7_/_l_/_2_0_1 _7 through 9/23/2017 CALIFORNIA 460 f,• FORM Page 14 or 26 AMOUNT RECEIVED THIS PERIOD $50.00 $50.00 $100.00 $200. oof $33,150.00 $676.00 ----- CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1-0EC, 31) $200.00 $200.00 $225.00 •Contributor Codes IND-Individual PER ELECTION TO DATE (IF REQUIRED) COM-Recipient Committee (other than PTY or SCC) OTH-other (e.g., business entity) PTY-Political Party see-SmaR Contlibutor Committee $ 3 3 , 8 2 6 • 0 0 FPPC Fonn 460 (Jan/20111 FPPC Advice: advlce@fppc.ca.gov (866/276-37721 www.fppc.ca.gov Schedule C Nonmonetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lisa Middleton for Palm Springs City Council 2017 DATE FULL NAME, STREET ADDRESS AND ZIP CONTRIBUTOR RECEIVED CODE OF CONTRIBUTOR CODE* (IF COMMITTEE, ALSO ENlER 1.0, NUMBER) JPM Building, LLC dba •IND OcOM The 500 [2jOTH 07/01/2017 500 South Palm Canyon •PTY Drive Oscc Palm Springs, CA 92262 •IND JPM Building, LLC dba ~COM The 500 0TH 08/01/2017 500 South Palm Canyon •PTY Drive oscc Palm Springs, CA 92262 JPM Building, LLC dba BIND COM The 500 [2joTH 09/01/2017 500 South Palm Canyon •PTY Drive Oscc Palm Springs, CA 92262 • Amounts may be rounded to whole dollars. IF AN INDIVIDUAL, ENTER DESCRIPTION OF OCCUPATION AND EMPLOYER GOODS OR (IF SELF-EMPLOYED, £NTl:R NAME OF SERVICES BUSINESS) Campaign office rent & cam July 2017 Campaign office rent & cam AUG 2017 Campaign office rent & cam Sept 2017 Attach addftional information on appropriately labeled continuation sheets. SUBTOTAL Schedule C Summary 1 . Amount received this period -itemized non monetary contributions. (Include all Schedule C subtotals.) ...................................................................................................................................... . 2. Amount received this period -unitemized nonmonetary conbibutions of less than $100 .................................................. .. 3. Total nonmonetary contributions received this period. (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Lines 4 and 10.)............................................ TOTAL Statement covers period from 7/1/2017 ------ through 9/23/2017 SCHEDULEC CALIFORNIA 460 I FORM Page 15 of 26 ----- I.D.NUMBER 1394265 AMOUNT/FAIR CUMULATIVE TO DATE PER ELECTION MARKET VALUE $1,670.90 $1,670.90 $1,670.90 $5,012.70 $5,012.70 $0.00 CALENDAR YEAR (JAN. 1-[JEC. 31) $7,599.90 $7,599.90 $7,599.90 *Contributor Code$ IND-Individual TO DATE (IF REQUIRED) COM· Recipient Committee (other than PTY or SCC) OTH--other (e.g., business entity) PTY • Polltlcal Party see-Small Conlributor Committee $ 5 , 0 12 . 7 Q FPPC Form 480 (Jan/2016) ________ __,ppc AdYicf:: advice@fppe.ca.gov Clk!_6!276-3772) www.Jppc.ca.gov Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lisa Middleton for Palm Springs City Council 2017 • Amounts may be rounded to whole dollars. Statement covers period 7/1/2017 from------- through 9/23/2017 SCHEDULEE CALIFORNIA 460 FORM I.D. NUMBER 1394265 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 campail:ln consultants CTB contribution (explain nonmonetary)" eve civic donations FIL candida1e filing/ballot fees FND fundraisi"ll evenls IND independent expenditure LEG legal defense LIT campaign literature and mamngs NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) Bank of America 588 S Palm Canyon Dr Palm Springs, CA 92264-7438 Bank of America 588 S Palm Canyon Dr Palm Springs, CA 92264-7438 Bluehost 1958 S 950 E Provo, UT 84606-6200 MBR member communications MTG meetinQS and appearances OFC office expenses PET petition circulating PHO phone banks POL pellin!l and survey research POS postage, delivery and messengerservices PRO professional services (legal, accounting) PRT print ads CODE OR OFC Bank fees OFC Bank fees WEB Web hosting * Payments that are contrlbu11ons or Independent expenditures must also be summarized on Schedule D. Schedule E Summary RAD radio airtime and production costs RFD returned contributions SAL campaign workers' salarie8 TEL t.v. or cable airtime and production costs TRC candidate travel, lodging, and meala TRS staff/epow.e travel, lodgil"IA, and meals TSF transfer between committees of the same candidate/Sl)()l1$0f VOT voter registration WEB Information technology costs (lnternat, e-mail) DESCRIPTION OF PAYMENT AMOUNT PAID $12.00 $30.00 $100.23 SUBTOTAL $142.23 1. Itemized payments made this period. (Include all Schedule E subtotals.) ..................................................................................................................................................... ____ $;_2_9_,:....-0_0_9_._7_8 2. Unitemized payments made this period of under $100..................... ............................................. ....................................................................... ......................................... $119 • 9 B 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).).................................................................................................................... $ 0 • 0 0 4. Total payments made1his period. (Add Lines 1, 2, and 3. Enter here and on lhe Summary Page, Column A,Line 6.) ................................................................ TOTAL $29,129.76 FPPC Fonn 480 fJan/201$) FPPC Advice: adYice@fppc.ca.gov (88J/271-3n21 WW#.fppC.ca.gov Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lisa Middleton for Palm Springs City Council 2017 • Amounts may be rounded to whole dollars. statement covers period rtom __ 7_/_1_/_2_0_1_7 through 9/23/2017 SCHEDULEE CALIFORNIA 460 I FORM Page 17 of 26 ----- I.D. NUMBER 1394265 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 campailln consultants CTB contribution (explain nonmonetary)* eve cMc donations FIL candidate filing/ballot fees FND lundraisinR events IND independent expenditure LEG legal defense LIT campaign literature and maiffngs NAME AND ADDRESS OF PAYEE (If" COMMITTEE, ALSO ENTER I.D. NUMBER) City of Palm Springs Tahquitz Road Palm Springs, City of Palm Springs Tahquitz Road Palm Springs, Everything Under The Sun 792 E Mesquite Ave Palm Springs, CA 92264-8485 MBR mamber communications MTG meelill!IS and appearances OFC office e><penses PET petition circulating PHO phone banks POL PollinR and survev research POS postage, delivery and mesi.enger services PRO professional services (legal, accaunting) PRT print ads CODE OR RAD radio airtime and production costs RFD returned Cl)n!ributions SAL campaign workefs' salaries TEL t.v. or cable airtime and production costs TRC candidate travel, lodging, and maals TRS slaff/spouse travel, IOdAinn, and meals TSF transfer between committees of the same candidate/sponsor VDT voter registration WEB information technology coats (Internet, &-mail) DESCRIPTION OF PAYMENT AMOUNT PAID CMP Xerox charges $29.30 FIL Filing candidate statement $800.00 CMP Bus shelter posters $299.06 • Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL $1,128.36 Schedule E Summary 1. Itemized paymenw made this period. (Include all Schedule E subtotals.) ..................................................................................................................................................... ___ ....;$_2_9_,,_0_0_9_._7_8_ 2, Unitemized payments made this period of under $100.................................................................................................................................................................................. $119. 98 3, Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).).................................................................................................................... $ 0 . 0 0 4. Total payments made this period. (Add Lines 1, 2, and 3, Enter here and on the Summary Page, Column A, Line 6.) ................................................................ TOTAL $29,129. 76 FPPC Fonn 480 CJan/20161 FPPC Advice: advice@fppc.ca,gov (8111275-3772) www.fppe.ca.gov Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lisa Middleton for Palm Springs City Council 2017 • Amounts may be rounded lo whole dollars. Slatamel!I covers period from 7/1/2017 ------- through 9/23/201"/ CALIFORNIA FORM SCHEOULEE Page 18 of 26 -- LO. NUMBER 1394265 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia/misc CNS campaiRn consultante CTB contribution (explain nonmonetary)" eve civic donations FIL candidate filing/ballot fees FNO fundraisi"R events IND independent expenditure LEG legal defense LIT campaign literature and mailngs NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Facebook 1 Hacker Way Menlo Park, CA 94025-1456 Faccbook 1 Hacker Way Menlo Park, CA 94025-1456 Facebook 1 Hacker Way Menlo Park, CA 94025-1456 MBR member communication& MTG meelini:is and appearance& OFC office expenaes PET petition circulating PHO phone banks POL poHing and survey research POS postage, delivery and meaaeng11r NrVicn PRO professional services (legal, accot.111irg) PRT print ads CODE OR WEB Facebook ads WEB Facebook ads WEB Facebook ads * Payments that are contributions or Independent expenditures must also be summarized on Schedule D. Schedule E Summary RAD radio airtime and production costs RFD returned contributions SAL campaign workers' salaries TEL t.v. or cable airtime and production costs TRC candidate travel, lodging, and meal& TRS staff/sPOuse travel. lodqi1111, and meal$ TSF transfer between committees of the same candidate/sponsor VOT voter registration WEB information technology oosta (lntemet, e-mail) DESCRIPTION OF PAYMENT AMOUNT PAID $11.13 $2 5. DO $50.10 SUBTOTAL $86.23 1. Itemized payments made this period. (Include all Schedule E subtotals.} ..................................................................................................................................................... ____ $_2_9__,_, _o_0_9_._7_8 2. Unitemized payments made this period of under $100................................................................................... ................................... ............................................................ $119. 9 8 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).).................................................................................................................... $ 0. 0 0 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ................................................................ TOTAL $2 9, 12 9. 7 6 FPPC Fonn 480 (Jan/2018) FPPC Advice: advlc:eCllfppc,ca.gov (866/276-37721 www.fppc.ca,gov Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lisa Middleton for Palm Springs City Council 2017 . Amaunbl may bll rounded to whole dolars. rrom __ 71_1_1_2_0_1_1 through 9/23/2017 SCHEDULEE CALIFORNIA 46Q FORM I.D.NUMBER 1394265 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphemalia/miso. CNS campailln conaultants CTB contribution (explain nonmonetary)• CVC oivic donations FIL candidate filing/ballot r- FND ilndraisinR ...,.nlll IND Independent expenditure LEG legal defense LIT campaign literature and mailings NAME AND ADDRESS OF PAYEE (IF CCMMfTIEI!!, ALSO ENTER I .D. I\UIBER) Facebook 1 Hacker Way Menlo Park, CA 94025-1456 Facebook 1 Hacker Way Menlo Park, CA 94025-1456 Facebook 1 Hacker Way Menlo Park, CA 94025-1456 MBR member communications MTG meetil'IA8 and appea111ncn OFC office expenaaa PET petition clrculatlng PHO phone banks POL pollinA and survey reaaarch POS postage, delivery and m-ngar urvicH PRO prot'esaional aervice6 (legal, accounting) PRT print ads CODE OR WEB Facebook ads WEB Facebook ads WEB Facebook ads • Payments that are contributions or Independent expenditures must also be summarized on Schedule D. Schedule E Summary RAD radio airtime and production costs RFD returned contributiona SAL campaign workera' aalari• TEL l.v. or cable ait11me and production co&1s TRC candidate travel, lodging, and meals TRS 81aff/spoUN travel, todlling, end meals TSF transfer between commitees aftha aame candidate/apormor VOT voter registralkln \II/EB information teohnology costs (Internet, e-mail) DESCRIPTION OF PAYMENT AMOUNTPAID $50.85 $16.69 $75.00 SUBTOTAL $142.54 1. Itemized payments made this period. (Include al Schedule E subtotals.) ..................................................................................................................................................... ___ ...;.$_2_9.;.., _0_0_9_. _7_8 2. Unitemized payments made this period of under $100..................... ...................................... .......................................... ............................................................................. $119 • 9 8 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).).................................................................................................................... $0. 0 0 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ................................................................ TOTAL $29,129. 76 FPPC Fonn a (Jan/2018) FPPC Advice: advic:e@fppc.c:a.gov IN!IIZ71~77Z) www.tppc.ca.gov Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lisa Middleton for Palm Springs City Council 2017 . Amounts may be rounded to whole dollan. Statement cover$ period fJorn 7/1/2017 through 9/23/2017 SCHEDULEE CALIFORNIA 460 FORM I.D. NUMBER 1394265 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)' CVC civic donations FIL candidate filing/ballot fees FND fundraisill!I events IND independent expenditure LEG legal defense UT campaign literature and mailings NAME AND ADDRESS OF PAYEE (IF COMMITTEE. ALSO ENTER 1.0. NI.MBER) Facebook 1 Hacker Way Menlo Park, CA 94025-1456 Facebook 1 Hacker Way Menlo Park, CA 94025-1456 Facebook 1 Hacker Way Menlo Park, CA 94025-1456 MBR member oommuniflStions MTG meelill!IS and appearances OFC office expenses PET petition circulating PHO phone banks POL polling and survey research POS postage. deliVE!fY and messengerserw;es PRO professional services (legal, accounting) PRT prinlads CODE OR WEB Facebook ads WEB Facebook ads WEB Facebook ads • Payments that are contributions or Independent expenditures must also be summarized on Schedule D. Schedule E Summary RAO 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/sl)OU$e travel. lodgini:i, and meals TSF transfer between OQmmittees of the same candidateh;l)onsor VOT voter registration WEB information technology costs (Internet, e-rnaU) DESCRIPTION OF PAYMENT AMOUNT PAID $24.55 $1. 06 $49.17 SUBTOTAL $74.78 1. Itemized payments made this period. (Include all Schedule E subtotals.) ..................................................................................................................................................... ____ $_2_9_,'""0_0_9_._7_8 2. Unitemized payments made this period of under $100.................................................................................................................................................................................. $119 · 98 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).)............... ..................................................................................................... $ 0. 0 0 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ................................................................ TOTAL $ 2 9, 12 9. 7 6 FPPC Fonn 480 (Jan/2018) FPPC Advice: adviceGfppc.ca.gov 1866/275-3772) www.fppC.ca.gov Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lisa Middleton for Palm Springs City Council 2017 . Amounts may be rounded to whole dollars. Stat.nenl COVllfS period .._ 7/1/2017 ""'" ------- through 9/23/2017 SCHEDULEE CALIFORNIA 460 FORM I.D. NUMBER 1394265 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 campainn consultants CTB contribution (explain nonmonetary)* eve civic donations FIL candidate filinslA:laUot fees FND fundraisinQ evem IND independent expenditure LEG legal defense LIT campaign literature and mailings NAME AND ADDRESS OF PAYEE OF COMMITTEE, ALSO ENTER 1.0. NUMBER) Greater Palm Springs Pride E Palm Canyon Dr Palm Springs, CA 92264-1642 NGP VAN, Inc 1101 15th St NW Ste 500 Washington, DC 20005-5006 NGP VAN, Inc 1101 15th St NW Ste 500 Washington, DC 20005-5006 - MBR member oommuni<:ations MTG meetinwi and appearances OFC office expenses PET petition circulating PHO phone banks POL pallin!:J and survey research POS postane, delivery and messenger services PRO professional servi<:es (legal, accounting) PRT print ads CODE OR RAD radio airtime and production oosts RFD returned contributi011$ SAL campaign workera' salaries TEL t.v. or cable airtime and production costs TRC candidate travel, lodginQ. and meals TRS staff/spouse trave I, lod!linsl, and meals TSF transfer between committees of the same candidate/sponsor VOT voter registration Ill/EB information technology costs (Internet, e-mail) DESCRIPTION OF PAYMENT AMOUNT PAID MTG Pride parade participation fee $155.00 WEB Comp1_;ter software $833.00 WEB Computer software $450.00 * Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL $1,438.00 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) ..................................................................................................................................................... ____ $_2_9_,_o_o_9_._._7 8_ 2. Unitemized payments made this period of under $100.................................................................................................................................................................................. $119 • 98 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).).................................................................................................................... $ 0 • 0 0 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the summary Page, Column A, Line 6.) ................................................................ TOTAL $ 2 9, 12 9. 7 6 FPPC Fonn 41111 (Jan/2016) FPPC Advice: advice@fppc,ca.gov 1868/276-3772) www.fppc.ca.gov Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lisa Middleton for :Palm Springs City Council 2017 . Amounts may be rounded to whole dollars. statement COVl!l'S period 7/1/2017 rrom ------- through 9/23/2017 SCHEDULE E CALIFORNIA 460 FORM LD. NUMBER 1394265 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernaliafmi!IC. CNS campaign consultants CT8 c:ontrlbution (explain nonmonelary)" eve civic donations FIL candidate filing/ballot fees FND fundraisina events IND independent expenditure LEG lagal defense LIT campaign l~erature and mailings NAME AND ADDRESS OF PAYEE (IF CCMMITTEe, ALSO ENTER I.D. NUMBER) Ragna Rok 87 Avenida Lirio Blanco Rancho Mirage, CA 92270-4146 Eustaquio Ruiz-Aguilar 9450 Gilman Dr La Jolla, CA 92092-0102 . Eustaquio Ruiz-Aguilar 9450 Gilman Dr La Jolla, CA 92092-0102 MBR member communications MTG meetinAS and appearancM OFC office expenses PET petition circulating PHO phone banks POL poHing and survey research POS postage, delivery and messenger services PRO professional services (legal, accountirg) PRT printads CODI!: OR SAL Intern SAL Intern SAL Intern • Payments that are conb1buUons or Independent e.xpendltures must also be summarized on Schedule D. Schedule E Summary stipend stipend stipend RAD radio airtime and production costs RFD returned contributions SAL campaign workers' salaries TEL t.v. or cable airtime ar,d production costs TRC candidate travel, lodging. and meals TRS staff/spouse travel. lodaifl!I, and meals TSF lransfer between committees or lhe same candidate/sponsor VOT voter registration WEB information technology costs (Internet, e-mail) DESCRIPTION OF PAYMENT AMOUNT PAID $500.'.)0 $500.00 $1,000.00 SUBTOTAL $2,000.00 1. Itemized payments made this period. (lndude all Schedule E subtotals.) .................................................................................................................................................... ____ $_2_9_,'--0_0_9_._7_8 2. Unitemized payments made this period of under $100 ................................................................................................................................................................................. . $119.98 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) .................................................................................................................... . $0.00 4. Total payments made this period. (Add Lines 1. 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ................................................................ TOTAL $29,129_76 FPPC Form 4U (Jan/2018) FPPC Alfvk:e: advfce@fppc.ca.gov 1866/2711-37721 www.tppc.ca.gov Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lisa Middleton for Palm Springs City Council 2017 • Amounts may be rounded to whole dollars. Statement covers period from 7/1/2017 ------- through 9/23/2017 SCHEDULEE CALIFORNIA 460 FORM 1.0.NUMBER 1394265 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment eMP campaign paraphernalia/misc. CNS campaiQn consultants cm contribution (explain nonmonetary)' eve civic donations FIL candidate filing/ballot fees FND fundraising events IND independent expendtture LEG legal defense LIT campaign merature and maiHngs NAME ANO ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 MBR member communications MTG meetirm and appearanoes OF C office expenses PET petition circulating PHO phone banks POL pollill!I and survey research POS postage, delivery and messenger services PRO professional services (legal, accounting) PRT print ad$ CODE OR OFC Merchant OFC Merchant OFC Merchant " Payments that are contributions or Independent eJtpendlturea must also be summarized on Schedule D. Schedule E Summary RAD radio airtime and production costs RFD returned contribul!ons SAL campaign workers' salaries TEL t.v. or cable airtime and production costs TRC candidate travel, lodging, and meals TRS staff/spouse travel, lod11inp. and meals TSF transfer between committees of the same candidate/spGnsor VOT voter registration WEB infonnalion technology coslll (Internet, e-mail) DESCRIPTION OF PAYMENT AMOUNT PAID services $180.55 services $192.88 services $60.20 SUBTOTAL $433.63 1. Itemized payments made this period. (Include all Schedule E subtotals.) ..................................................................................................................................................... ____ $_2_9_,_, _0_0_9_._7_8 2. Unitemized payments made this period of under $100........................................................... ........................ ............................................................................................... $119. 98 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) ............................................................... ····:······.......................................... $0. 00 4. Total payments made this period. (Add Unes 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ................................................................ TOTAL $29,129.76 FPPC Fann 480 CJan/2016) FPPC Advice: advice@fppc.ca.gov 118§1276-3772) www.fppC.ca.gov Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lisa Middleton for Palm Springs City Council 2017 • Amounts may be rounded to whole doli.rs. Stalament covers period 7/1/2017 ~0111 ______ _ 9/23/2017 through _____ _ SCHEDULEE CALIFORNIA 460 FORM I.D. NUMBER 1394265 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia/misc. CNS campali:in consultants CTB contribution (explain nonmonetaryJ• eve civic donations FIL candidate filing/ballot fees FND fundraisina events IND independent expenditure LEG legal defense LIT campaign literature and mailings NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER 1.D. NUMBER) Screen Strategies Media 15409 Whitechapel Ct Centreville, VA 20120-3944 Signrocket.com 340 Broadway Ave Saint Paul Park, MN 55071-1840 Staples 5001 E Ramon Rd Palm Springs, CA 92264-1543 MBR member communications MTG meelil'IQ$ and appearances OFC office expenses PET petition circulating PHO phone banks POL pollill!l and suivev research POS postage. delivery and messenger services PRO professional services (legal, accounting) PRT printada RAD radio airtime and production costs RFD returned contributions SAL campaign workers· salaries TEL t.v. or cable airtime and produc:tion costs TRC candidate travel. lodging, and meals TRS staff/spouse travel. lodl!il1!l. and meals TSF tral15fer between committees of the same carddate/sponsor VOT \'Oter registration WEB information technol0gy costs (Internet. e-mail) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID TEL TV/cable airtime $19,600.00 CMP Lawn signs $526.00 OFC Desktop computer for campaign office $386.61 • Payments that are contr1 butlons or Independent expendlhlres must also be summarized on Schedule D. SUBTOTAL $20,512.61 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) ..................................................................................................................................................... ____ $c..2_9_,,__0_0_9_._7_8 2. Unitemized payments made this period of under $100............ ...................................................... ................................................................................................................ $119 • 9 8 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1 , Column (e) .) ...... ..................... ............................. .... ....................... ........................... ...... $ 0 • 0 0 4. Total payments made thi$ period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ................................................................ TOTAL $ 2 9, 12 9. 7 6 FPPC Form 480 CJan/2016) FPPC Advice: 11dvice@fppe.ca.gov (866/2711-3772) www.fppc.ca.goy Schedule E Payments Made SEE INSTRUCTIONS ON REVE~SE NAME OF FILER Li:,a Middleton for Palm Spring:, City Council 2017 . Amounts may be rounded to whole dollars. statement covers period 7/1/2017 rtom _____ _ through 9/23/2017 SCHEDULEE CALIFORNIA 460 FORM Page 25 of 26 ----- I.D. NUMBER 1394265 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphemalia/llfliac. CNS ciampak:m 00l'l6Utants CTB contribution (explain nonmoneta/Y)• eve civic donations FIL candidl!lle flllnglballol fM& FND fundralslng event& IND independent expenditure LEG .i d•fen• LIT campaign literature and malllnge NAME AND ADDRESS OF PAYEE (IF CCMMITTEE, ALSO ENTER I.D. Nl.Nlll!R) Staples 5001 E Ramon Rd Palm Springs, CA 92264-1543 Staples 500JU E Ramon Rd Pallllt Springs, CA 92264-1543 Staples 500lll E Ramon Rd Palm Springs, CA 92264-1543 MBR member c:omrnunicatian11 MTG meetings and appearances OFC office expenses PET petition circulating PHO phone banlcll POL polling and lll'VIIV reseatdl POS poetage, delivery and meesenger aervicfi PRO profnaiolllll Nrvices 0a;al, accounting) PRT print ada cooe OR CMP Poster board OFC Office supplies OFC Photocopying * Payments that are conb'lbutlona or Independent expenditures must also be su mmarlzed on Schedule D. Schedule E Summary RAD radio airtime and produc:tion coats RFD returned oontribullona SAL campaign workers' salaries TEL t.v. or c:able airtime lll!ld produc:tion i:oata TRC candidate lrawll, llldging, and meals TRS SlafflSPOUlle travel, lodai1111. and meals TSF tranafer between committees of the same c:andidate/sponeor VOT volar ragialmion \NEB information technology coat• (lntemet, e-mal) DESCRIP1110N OF PAYMENT AMOUNT PAID $70.13 $15.21 $14. 59 SUBTOTAL $99.93 1. Itemized payments made this period. (Include all Schedule E subtotals.) .................................................................................................... , ................................................ ___ .;.$_2_9"-, _o_0_9_. _7 _8 2. Unitemized payments made this period of unde~ $100..................... ...................................... ........................ .................................... ............................................................. $119 • 9 8 3. Total interest paid this period on loans. (Enter amount from Schedule 8, Part 1, Coh.imn (e).).................................................................................................................... $0. 0 0 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the summary Page, Column A, Line 6.) ................................................................ TOTAL $29,129. 76 FPPC Foni1480 (Jan/21111) FPPC .Advic:e: adYiceG!fppc.ca.gov 111111271-37721 ... ~.ca.gov Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lisa Middleton for Palm Springs City Council 2017 . Amounts may be rounded to whole dollars. ntcoversiaiod ._. 7/1/2017 ....... _____ _ lhrough 9/23/2017 SCHEDULEE CALIFORNIA 460 I FORM Page 26 of 26 ----- I.D.NUMBER 1394265 CODES: If one of the following codes accurately describes the payment, yotJ may enter the code. Otherwise, describe the payment CMP campaign paraptanalia/nlisc. CNS campaign conllllllaru CTB corirl)uHon (explain norvnonet•ry)' CVC civic donation6 FIL candidate filingnllot fee& FNO fundraisinA events IND independent expenditure LEG legal defense LIT campaign titer•lunt 1111d malnga NAME ANO ADDRESS OF PAYEE (lF ~E. ALSO ENTER I.D. NUMBER) Staples 5001 E Ramon Rd Palm Springs, CA 92264-1543 Staples SOOD! E Ramon Rd PalM Springs, CA 92264-1543 Trick Dog Films 2232 N Palermo Dr PalM Springs, CA 92262-2736 MBA member oommunialtiorls MTG meetinsia and 8111)11BR1110111 OFC, oflic:e exp•IIHII PET petition clreulatlng PHO phone banks POL pollinQ and aurvey l1INail:h POS postage. deliYery and mneangar t111MCH PRO professional aervioes (legal, accounting) PRT printads CODI!: OR CMP Printer for OFC Supplies AAD radio airtime and production costs RFD tlllurn.d conlriblmons SAL campaign workers' llllllariea TEL 1.v. or cable airtime IAd production COBts fRC oandidale travel. lodging, and meele TRS BlafflapoUN travel. lodAillll, and meats TSF tranaftlr between committeN of the 1111111e candidatalllpo11110r VOT voter reglatratlon WEB information technology costs (Internet, e-mail) DESCRIPTION OF PAYMENT AMOUNT PAID campaign office $295.00 $156.47 TEL TV ad & campaign web spots $2,500.00 • Payments that .,. cantrtbutlons or Independent eilpendltura must also be summarized an Schedule D. SUBTOTAL $2,951.47 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) .................................................................................................... , ................................................. ___ ....;$_2_9-',_0_0_9_._7_8_ 2. Unilllmized payments made this period of unde, $100 ............................................................ -..................................................................... ,................................................ $119 • 9 8 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).).................................................................................................................... $ 0. 0 0 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ................................................................ TOTAL $ 2 9, 12 9. 7 6 FPPC Form 411 {Jan/2018) FPPC Advice: advice@fppc.ca.gov l88ll/Z7&-3772) www.tppc.ca.gov 497 Contribution Report Amounts may be rounded to whole dollars. Date of -:: i 1 r r Lisa Middleton for Palm Springs City Council 2017 FIii 9/25/2017 ------------.-----------1 This ng ----ti 1 SEP 26 AM IQ: 01 CALIFCJRl\ll.\ 497 FORM AREA CODE/PHONE NUMBER I.D. NUMBER (If appll,:abfe) (760) 537-0060 1394265 Report No. Form 497 .-. --.. . . 110923 ,' f CE 0\: i he. C\ i i <-,,l. For Official Use Only STREET ADDRESS 840 E.Biltrnore Palce CITY Palm .Springs 1. Contributions Received STATE CA ZIP CODE 92264 •Amendment . .,! toReportNo. _____ ~ (explain below) \ \, No. of Pages 1 \. DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, AMOUNT ENTER OCCUPATION AND EMPLOYER RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE• 01ND Harold Matzner •COM 08/11/2017 181 S Civic Dr DOTH Ste 1 0PTY Palm Springs, CA 92262-7215 •sec !2]1ND Harold Ma::zner •COM 09/22/2017 181 S Civic Dr DOTH Ste 1 •PTY Palm Springs, CA 92262-7215 •sec Reason for Amendment: (IF SELF-EMRLOYED, ENTER NAME OF BUSINESS) RECEIVED Chairman $10,000.00 Palm Springs D Check if Loan International Film Festival % Provide interest rate Chairman $10,000.00 Palm Springs D Check if Loan International Film Festival % Provide interest rate •contributer Codes IND · Individual COM • Recipient Committee (other than PTY or SCC) 0TH • Other {e.g . business entity) PTY -PolHical Party SCC • Small ConlributOf Committee FPPC Form 497 (JuL'2016) FPPC Advice: advicedlfppc.ca.gov (8661276'3772) www.fppc.ca.gov 497 Contribution Report Amounts may be rounded to whcle dollar&. Lisa Middleton for Palm Springs City Council 2017 AREA CODefPHONE NUMBER (760) 537-0060 1.0. NUMBER tir appllca*) 1394265 Date of This FIiing 9/20/2017 Report No. Form 497 97207201 i •Amendment STREET ADDRESS mReportN~ ..:B:..:2:.;0~E:.:·.:B.:.i.:.lt.::m:::.o:.::i::.e:......;P:..:l:.;a:..:c:..:e:__ ______________ ...,...._1 (explain balcw) No. of Pages 1 CITY Palm Sp:i:ings STA TE ZIP CODE CA 92264 1 Contributions Received . DATE FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR RECEIVED (If COMMITTEE, ALSO ENTER I.D. NUMBER) CODE" @IND Ann Sheffer •COM DOTH 01/31/2017 170 Stony Point Road OPTY Westport, CT 06880 •sec @IND Ann Sheffer •COM DOTH 06/16/2017 170 Stony Point Road •PTY Westport, CT 06880 •sec [2) IND •COM Ann Sheffer DOTH 09/17/2017 170 Stony Point Road 0PTY Westport, CT 06880 •sec Reason for Amendment:: ____ ~,•~------------------------- Date Stamp 2117 SEP 2 6 AH fO: IF AN lNOIV1DUAL, AMOUNT ENTER OCCUPATION AND EMPLOYER RECEIVED OF SELF-EMPLOYED ENTER NAME Of BUSINESS\ Retired Retired Retired Retired Retired Retired $1,000.00 •check If Loan 'Contributor Codes IND " lndlvidual % Pl'0'1lide interut rate $1,000.00 0 Check if Loan % Provide ,nleresl rate $1,000.00 •Check !f Loan % Provide inler.st rate COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., bueiness entity) PTY -Politkal Party sec . Small Contributor Committee FPPC Form "97 (Jull20181 FPPC Advice: ~.ca.gov (IN/27&-37721 www.tppc.u.gov 497 Contribution Report Amounts may be llOUnded lo whole dollars. Lisa Middleton for Palm Springs City Council 2017 o.teof TIiis Filing _9_/_1_9_/_20_1_7_ Report No. 1 AREA CODE/PHONE NUMBER (760) 330-7023 LO. NUMBER (If applk:abktl 1394 2 65 ------ STREET ADDRESS •Amendment 840 E.Biltmore Palce IDReportNo. -----------------------------1 (explain below) CITY STATE ZF CODE Palm Springs CA 92264 No.of Pages 1 1. Contributions Received DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR RECEIVED {IF COMMITTEE, ALSO ENTER 1.0. NUMBER) cooe• @IND James Moje •COM DOTH 09/05/2017 1236 Colony Way Palm Springs, CA 92262-4937 •PTY •sec •IND Robert Weinstein Attorney At Law •COM 09/1:1/2017 11150 W Olympic Blvd @OTH Ste 1120 0PTY Los Angeles, CA 90064-1850 •sec Reason for Amendment: 11'1 SEP \9 Pt1 2: . For Offlclal Use Onty OFFICE OF lHE Cl~ rn:, IF AN INDIVIDUAL, ENTER OCCUPATION ANO EMPLOYER (IF SELF•EM~LOYEO ENTER NAME OF BUSINESS) Hotel owner Self Employed *Contributor Codes IND • Individual AMOUNT RECEIVED $1,000.00 D Check if Loan % Provide interest rate $1,000.00 •Check lf Loan % Provide interest l'ilte COM -Recipient Committaa (other thin PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committaa FPPC Form a7 (Jull20111 FPPC Advice: advice@fppc:.ca.goy (8"'27&..3m) -.fppc.ca.gov 497 Contribution Report Amounts may be rounded to whole dollars. NAME OF FILER Lisa Middleton for Palm Springs City Council Date of This Filing 08/14/2017 IT i 0~ ' CALIFORNIA 497 FORM AREA CODE/PHONE NUMBER 1.D. NUMBER (If applicable) 760-330-7023 497 -3 2111 AUG \ 4 Pl'\ :3: Report No. _____ _ •, I • y 1394265 STREET ADDRESS •Amendment PO Box 4109 to Report No. ___ _ -CI_TY ________________ ---c-:St::c-A::cJEc----:Zc:-:IPc-,C=--:O::-::D:-::E------1 (explain below) Palm Springs CA 92263 No.ofPages ___ 1 __ _ 1. Contribution(s) Received DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR RECEIVED (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) CODE* Bond A. Shands, Jr. [81 IND 08/13/2017 1592 S. Compadre Road 0 COM Palm Springs, CA 92264 • 0TH 0 PTY • sec • IND • COM • 0TH • PTY • sec 0 IND • COM • 0TH • PTY • sec Reason for Amendment:------------------------------- ;,ff\CE Or lHt. C\1\ G IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Retired .. Contributor Codes IND -Individual AMOUNT REct:IVED $1000.00 D Check if Loan % Provide Interest rale D Check if Loan % Provide interest rale D Check if Loan % Provide interest rate COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee FPPC Form 497 (Jul/2016) FPPC Advice: advlce@fppc.ca.gov (866/275-37721 www.fppc.ca.gov 497 Contribution Report Amounts may be rounded to whole dollars. NAME OF FILER D t f Date,.S~mp a 8 0 8/ 11/2017 R EC EI V t IJ ,. , . _L_is_a_M_id_d_l_e_to_n_J_o_r_P_a_lm_S....:p_n_·n...:::g:;_s-rC___,ity=---C __ o __ u_n_ci_l -----------1 This Flllng ___ ----,,G~i~l r OF p AL H s pH Ir, v AREA CODE/PHONE NUMBER I.D. NUMBER (if app/i<Jable) 1 760-330-7023 1394265 Report No. _____ !,..111 AUG I I _____________ _i. ____________ ---1 STREET ADDRESS ~:en;:0r::::."_1 __ 1_,.;...0F_f_· 1c OF THE Ci rY Cl.Cl,,,, PO Box4109 -C-llY __________________ ST...,.AT~E----Zl"""P--,C-,-0..,.DE~----; (explain below) Palm Springs CA 92263 No. of Pages ____ _ 1. Contribution(s) Received DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR RECEIVED OF COMMITTEE, ALSO El'IT'ER 1.0. NUMBERI CODE* Harold Matzner i&I IND 181 S. Civic Drive Suite #1 0 COM 8/11/2017 Palm Springs, CA 92262 0 0TH 0 PTY • sec 0 IND • COM • 0TH 0 PTY • sec • IND • COM • 0TH • PTY • sec Reason for Amendment: _____________________________ _ IF AN INDIVIDUAL, AMOUNT ENTER OCCUPATION AND EMPLOYER RECEIVED OF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Chairman/CEO Self *'Contributor Codes IND -Individual 10000.00 D Check if Lean % Provide inrerest rate D Check if Loan % Provide interest ra18 D Check if Loan % Provide interest rale COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Conbibulor Committee FPPC Form 497 (Jul/2016) FPPC Advice: advice@)fppc.ca.gov (866/275-377:2) -w.fppc.ca.gov 497 Contribution Report Amounts may be rounded to whole dollars. NAME OF FILER Date of 8/10/201 ~ E I:. I¥ E Bate Stamp Lisa Middleton For Palm Springs City Council 2017 This Filing •., 1 r r o != p ALM s PH lN G. "'"'AR'""'EA,.,...,.C.,.,OOE/=P~H-,-,ON~E~N.,.,U:-:-:M::::BE=R:------=-----=::::...,.1:--=.D:-:. N7U::--:M=BE:;::R:-:(if::-. a-pplic-. able--:-:-::J----------i (760)330-7023 1394265 Report No. 2111 AUG O PH 3: 31 STREET ADDRESS •Amendment OFFICE Of· HE 01 f Y CLE[:,; P .0 Box 4109 to Report No.---- -c=1TY-,----------------:-:s=-r.~AT:::::E--Z1:::;;P;::--:c::::o::;:;D:;:-E------, (explain below) No. of Pages ___ 1 __ Palm Springs CA 92263 1. Contribution(s) Received DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR RECEIVED QF COMMITTEE, ALSO ENTER 1.0. NUMBER) CODE* David L. Baron !&I IND 877 E Biltmore PL. 0 COM 8/10/2017 Palm Springs, CA 92264-8438 • 0TH • PTY • sec Equality California PAC • IND 515 S. Figueroa St., STE. 1110 18] COM 8/10/2017 Los Angeles, CA 90071 0 0TH ID# 1254010 • PTY • sec • IND • COM • 0TH • PlY • sec Reason for Amendment: ___________________________ _ IF AN INDIVIDUAL, ENTER OCCUPATION ANO EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Attorney at Slovak, Baron & Empey LLP ••contributor Codes IND -Individual AMOUNT RECEIVED 1000.00 O Check if Loan % Provide interest rate 1000.00 O Check if Loan % Provide inlaresl rate 0 Check if Loan % Provide interest rate COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Polilical Party sec -Smal Contributor Committee FPPC Form 497 (Jul/2016) FPPC Advice: advice@fppc.ca.gov (866/27S-3772) www.fppc.ca.gov Recipient Committee Campaign Statement Cover Paae ·, r ·r lltatam•nt COWi'& parlDd Data of •l•ctlDII If appllc•bla: (Month, Day, Year) from 1/1/2017 SEE INSTRUCTIONS ON REVERSE thrDUgh 6/30/2017 1. Type of Recipient Committee: All Commltt••••Complate Pan. 1, 2, 3, and.t. 2. Type of Statement: L,,_ For Official Use Orily 00fflceholder, Candidate Controlled Committee Ostate Candidate Election Committee •Recall 0 Primarily Formed Ballot Measure Committee D Preelection Statement 0 Semi•annual Statement •Termination Statement 00uarterly Statement •Special Odd.Year Report •controlled (Also Complete Part 5J Qsponsored (Also Complete Part 6) •General Purpose Committee •sponsored 0Small Contributor Committee •Political Party/Central Committee 0 Primarily Formed Candidate/ Officeholder Committee {Also Complere Parr 7J 3. Committee Information COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) LO.NUMBER 1394265 Lisa Middleton for Palm Springs City Council 2017 STREET AODRESS (NO P.O. BOX) 840 E.Biltmore Place CITY Palm Springs STATE ZIP cooe CA 92264 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX PO Box 4109 CITY STATE ZIP CODE Palm Springs CA 92263 OPTIONAL: FAXIE-MAIL ADDRESS lisa@electlisamiddleton.com 4. Verification AREA CODE/PHONE (760) 327-2763 AREA CODE/PHONE (760) 327-2763 (Alia Ille a Fann410 T•nnlnatlon) •Amendment (Explain below) Treasurer(s) NAME OF TREASURER David Baron MAILING ADDRESS 500 S.Palm Canyon Drive, Suite 206 CITY STATE ZIPCODE Palm Springs CA 92262 NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE OPTIONAL: FAX/E-MAIL ADDRESS james@el ORIGINAL OATE By By By SIGNATURE CF CONTROI.LINQ Offlcet0-01:R, CANDtDATE. OR ST ATE MEA5URE PRQf'\,l'ENT DATE SlGNATIJRli a' CONTROi.LiNG OfFlCEHOI.DER, CANDID.t.TE, OR &TATE MEASURE PROPONENT AREA CODE/PHONE (760) 327-2763 AREA CODE/PHONE FPPC Fann 4'0 (Jan/2018) FPPC Advice: advlce@lfppc.CLIIOY (866127&-3ffl) _,WC,DS,IIOY Recipient Committee Campaign Statement Cover Page-Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Lisa Middleto:-i OFFICE SOUGHT OR HELD(INCLUDE LOCATION ANO DISTRICT NUMBER IF APPLICABLE) Sought: City Council Member Member City City of Palm Springs 36 RESIDENTIAIJBUSINESS AOORESS (NO. AND STREET) CITY STATE ZIP 840 E.Biltmore Place Palm Springs CA 92264 Related Committees Not Included in this Statement: Li&t any commltteas not Included In this 11tatvment that ant controlled by you or are prlmarily formed to receive contribution• or make axpendltures on behalf of your candidacy. COMMITTEE NAME NAME OF TREASURER COMMITTEE ADDRESS CITY COMMITTEE NAME NAME OF TREASURER COMMITTEE ADDRESS CITY STREET ADDRESS (NO P.O. BOX) 1.0. NUMBER CONTROLLED COMMITTEE? •YES •No STATE ZIP CODE AREA CODE/PHONE I.D. NUMBER CONTROLLED COMMITTEE? Oves •No STREET ADDRESS {NOP .0. BOX) STATE ZIP CODE AA£A CODE/PHONE COVER PAGE-PART 2 &.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 OFFICEHLOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD !DISTRICT NO. IF ANY 7. Primarily Formed Candidate/Officeholder Committee ustnamasot officahold~r(s) or candldate(s) for which !hi& c:ommitlea is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELO OsuPPORT •OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD •SUPPORT •OPPOSE NAME OF OFFICEHOLDER DR CANDIDATE OFFICE SOUGHT OR HELD •SUPPORT •OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD OsuPPORT •oPPOSE Attach conUnuatlon sheet& If necessary FPPC Fann "60 (Jllfll2016) FPPC Advlc•: advlce@fppc.ca.gov (866/275-3772) www.fppc.ca.11ov Campaign Disclosure Statement Summary Page Amounts may be rounded to whole dollars. Sta1ement coveni period 1/1/2017 from _____ _ SUMMARY PAGE CALIFORNIA 460 FORM SEE INSTRUCTIONS ON REVERSE through 6 / 30 /201 7 NAME OF FILER Lisa Middleton for Palm Springs City Council 2017 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. Non monetary Contributions ................................... . 5. TOTAL CONTRIBUTIONS RECEIVED ................... .. Expenditures Made Schedule C, Line 3 Add lines 3 + 4 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 I, 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 tannination statement, Line 16 must be zero. Column A Total This Penod (FROM ATTACHED SCHEDULES) $55,481.00 $0.00 $55,481.00 $7,387.20 $62,868.20 $10,970.88 $0.00 $10,970.88 $0.00 $7,387.20 $18,358.08 $1,336.84 $55,481.00 $0.00 $10,970.88 $45,846.96 Column B CALENDAR YEAR TOTAL TO •ATE $55,481.00 $0.00 $55,481.00 $7,387.20 $62,868.20 $10,970.88 $0.00 $10,970.88 $0.00 $7,387.20 $18,358.08 To calculate Column B, add amounts In Column A to the COITeliponding amoonlS from Column B of your last report. Some amounts in Column A may be negative figures thal should be subtrac1ad from previous period amounts. If this is the first report being flied for this calendar year, only carry over the amounts -----------------------------------1 from Lines 2, 7, and 9 (lf 17. LOAN GUARANTEES RECEIVED ........... .. Schedule B, Part 2 $0.00 any). 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 1.0. NUMBER 1394265 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1 /1 throui:,h 6/30 7/1 to Date 20. Contributions Received 21. Expenditures Made $62,868.20 $18,358.08 Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made• (II Subject to Voluntary Expendkure Lmlt) Date of Election (mmlddlyyyy) Total to Date $0.00 $0.00 *Amounts in this section may be different from amounts reported in schedule B. FPPC Form "60 (Janll016) FPPC Advice: advice@fppc.ca.gov (868/275-3n2) www.fppc.ca.i:,ov Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lisa Middleton for Palm Springs City Council 2017 . Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION ANO EMPLOYER [lF SEl.F·EMf'LOYED, Elfl"ER NAME oF BUSIN~SSi (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE • 05/03/2017 04/22/2017 03/26/2017 04/05/2017 Stephen Adams 156 Corbett Ave San Francisco, CA 94114-1815 Marcy Adelman 689 Kansas St San Francisco, CA 94107-2623 Carol Balasa 611 S Palm Canyon Dr # 7-273 Palm Springs, CA 92264-7213 Edith Balbach 2400 S Palm Canyon Dr Palm Springs, CA 92264-9329 Schedule A Summarv 1. Amount received this period -itemized monetary contributions. 01ND OcoM DOTH OPTY sec [Z]tNO OcoM OorH QPTY sec [Z]IND OcoM OorH OPTY sec [ZJIND OcoM OoTH 0PTY sec Banker Sterling Bank & Trust Psychologist Self Retired Retired Retired Retired SUBTOTAL (Include all Schedule A subtotals.) ...................................................................................................................................... . 2. Amount received this period -unitemized monetary contributions of less than $100 ......................................................... . 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on the Summary Page, Column A, line 1.) ....................................................... . TOTAL SCHEDULE A Statem ant cove~ period CALIFORNIA 460 FORM from 1/1/2017 throu11h 6/30/2017 MtOUNT RECEIVED THIS PERIOD $100.00 $100.00 $100.00 $100,00 $52,325.00 $3,156.00 $55,481.00 CUMULATIVE TO DATE CALENDAR YEAR (JAN, 1·DEC. 31) $100.00 $100.00 $100.00 $100.00 IND-Individual PER ELECTION TO DATE (IF REQUIRED) COM-Recipient Committee (olhef lhan PTY or SCC) OTH-Other (e.11 .. business entity) PTY-Political Party sec-Small Contributor Committee FPPC Form -460 1Janl20161 FPPC Advice: advlca@fppc.ca.gov {8661275-37721 www.fppc.ca.gov Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lisa Middleton for Palm Springs City Council 2017 . Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION ANO EMPLOYER PF saF-EMPI.OVED, ENTERNMIE OF aUStNESS) (IF COMMITTEE, ALSO ENTER 1.D. NUMBER) CODE • 05/07/2017 04/07/2017 06/17/2017 04/05/2017 Juan Barajas 3011 20th St Apt 3 San Francisco, CA 94110-2783 Dan Barber 1481 S San Joaquin Dr Palm Springs, CA 92264-8684 Da!'.I Barber 1481 S San Joaquin Dr Palm Springs, CA 92264-8684 Alvin Baum 2170 Jackson St San Francisco, CA 94115-1540 Schedule A Summarv 1. Amount received this period -itemized monetary contributions. 01ND OcOM OoTH OPTY sec 01ND OcoM QOTH 0PTY sec 01ND OcoM DOTH OPTY sec [ZjlNO OcoM DOTH 0PTV sec Development Director Freedom for all Americans Retired Retired Rel.ired Retired Retired Retired SUBTOTAL (Include all Schedule A subtotals.) ..................................................................................................................................... . 2. Amount received this period -unitemized monetary contributions of less than $100 ........................................................ .. 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL SCHEDULE A St.atemant covers partod from 1/1/2017 ------ through 6 / 3 0 / 2 C 1 7 AMOUNT CUMULATIVE TO DATE PER ELECTION TO DATE RECEIVED THIS CALENDAR VEAR PERIOD (JAN.1-DEC. 31) (IF REQUIRED) $100.00 $100.00 $250.00 $350.00 $100.00 $350.00 $100.00 $100.00 $550.001 •1- 552,325.00 $3,156.00 $55,481.00 "Conttibutor Codes IND-lndMdual COM-Recipient Committee (other than PTY or SCC) OTH-Other (e.jl., business entity) PTY• Political Party sec-Small Contributor Committee FPPC Fann 460 (Jan/2016) FPPC Advlea: advlcl@fi:,pc.Cll.OOY (1661275-3772) www.fppc.ea.gov Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lisa Middleton for Palm Springs City Council 2017 . Amounts may ba roundu to whola dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER ~F SELF-E.MPLOYECI, ENTER N~E OF BUStNESS) [IF COMMITTEE, ALSO ENTER 1.D. NUMBER) COOE ' 01ND Donald Beck OcaM 04/06/2017 438 E Avenida Hokona Dorn Palm Springs, CA 92264-8483 0PTY sec f2]1ND Thomas Becktold OcoM 05/03/2017 1733 N Ogden Dr Darn Los Angeles, CA 90046-2129 •PTY sec 01ND Thomas Becktold OcoM 06/29/2017 1733 N Ogden D:r OoTH Los Angeles, CA 90046-2129 •PTY sec ---- 01ND Douglas Benner OcoM 04/11/2017 1320 Kamehame Dr •oTH Honolulu, HI 96825-3507 0PTY sec Schedule A Summarv 1. Amount received this period -itemized monetary contributions. Retired Retired Marketing Executive News Driver Marketing Executive News Driver Physician EK Health, Macy's, and Marriott SUBTOTAL (Include all Schedule A subtotals.) ..................................................................................................................................... .. 2. Amount received this period -unitemized monetary contributions of less than $100 ........................................................ .. 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.) .............................................. .,........ TOTAL SCHEDULE A Statement cover• parlod CALIFORNIA 46Q FORM 1/1/2017 from _____ _ through 6/30/2017 AMOUNT RECEIVED THIS PERIOD $100.00 $50.00 $100.00 $100.00 $52,325.00 $3,156.00 $55,481.00 CUMULATIVE TO DATE CALENDAR YEAR lJAN. 1-DEC. 31) $100.00 $150.00 $150.00 $100.00 •contributor Codes IND-Individual PER ELECTION TO DATE jlF REQUIRED) COM-Rlldplent Committee (olher lhan PTY or SCC) OTH-Olher (e.11., buslnesa entity) PTY-Political Party sec-Small Contributor Committee FPPC Fonn 4410 (Jan/2016) FPPC Advice: advlc:e@fppc.ca.gov !8611275-3772) www.fppc.ca,gov Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAM OFFILER Lisa Middleton for Palm Springs City Council 2017 . Amounts may be rounded to Whole dolku'a. DATE RECEIVED FULL NAME, STREET ADDRESS ANO ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAi., ENTER OCCUPATION AND EMPLOYER (If SELF•EMPLOYEC, ENTER NAME OF BUSINESS) (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) CODE • Rick Berg 04/13/2017 204 N Airlane Dr Palm Springs, CA 92262-6916 Thom Bettinger 03/29/2017 496 N Calle El Segundo Palm Springs, CA 92262-0006 Robert Blackford 04/06/2017 639 Wilson Ln Palm Springs, CA 92262-0553 Robert Blackford 05/04/2017 639 Wilson Ln Palm Springs, CA 92262-0553 Schedule A Summarv 1. Amount received this period -itemized monetary contributions. [ZjlND OcoM 00TH 0PTY sec !Z)tND OcoM 00TH 0PTY sec 01ND OcoM OoTH 0PTY sec IZJIND OcoM 0DTH 0PTY sec Retired Retired Retired Retired Retired Retired Retired Retired SUBTOTAL (Include all Schedule A subtotals.) ..................................................................................................................................... .. 2. Amount received this period -unitemized mOlletary contributions of less than $100 ......................................................... . 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL SCHEDULE A Statement covera period CALIFORNIA 460 FORM from 1/1/2017 throuah 6/30/2017 AMOUNT RECEIVED THIS PERIOD $100.00 $250.00 $100.00 $100.00 $52,325.00 $3,156.00 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1-DEC. 31) $100.00 $250.00 $200.00 $200.00 IND-Individual PER ELECTION TO DATE (IF REQUIRED) COM-Recipient committee (other than PTY 01' SCC) OTH-Other (e.11., business entity) PTY-Political Partv sec-Small Contributor Committee $ 5 5, 4 81 . Q Q FPPC Form 46D {Jan/2016) FPPC Advlc•: •dvlce@f11pc.ca.11ov (8661275-3772) www.fppc.ca.gov Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lisa Middleton for Palm Springs City Council 2017 . Amounts may be rounded to whole dollar&. DATE RECEIVED FULL NAME, STREET ADDRESS ANO ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (If SELF-S\IPLOYED, ENTER NAME CF SUSINESS) (IF COMMITTEE, ALSO ENTER 1.D. NUMBER) CODE • 03/30/2017 06/14/2017 06/30/2017 05/05/2017 Eric Borsum 1775 E Palm Canyon Dr Ste 110 Palm Springs, CA 92264-1623 Richard Bowman 478 N Farrell Dr Palm Springs, CA 92262-6559 David Brinkman 760 Coyote Walk Lake Arrowhead, CA 92352 Geoffrey Byerly 2150 N Leonard Rd Palm Springs, CA 92262-2700 Schedule A Summarv 1. Amount received this period -itemized monetary contributions. 01ND OcoM OorH 0PTY sec [2j1ND OcoM OoTH •PTY sec 01ND OcoM OorH 0PTY sec [ZjlND OcOM OorH 0PTY sec Retired Retired Sales CP Products, Inc CEO Desert AIDS Project Retired Retired SUBTOTAL (Include all Schedule A subtotals.) ..................................................................................................................................... .. 2. Amount received this period -unitemized monetary contributions of less than $100 ........................................................ .. 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL SCHEDULE A Statement COVll'I period CALIFORNIA 460 FORM from 1/1/2017 ------ through 6 / 30 / 201 '/ Page 8 of 61 ----- AMOUNT CUMULATIVE TO DATE PER ELECTION TO DATE RECEIVED THIS CALENDAR YEAR PERIOD (JAN. 1-0EC. 31) (IF REQUIRED) $1,000.00 $100.00 $500.00 $150.00 $1,7':JO.OO $52,325.00 $3,156.00 $1,000.00 $100.00 $500.00 $150.00 l':;;. • . ":'· . • . • r· .. --. ~" . , 'f, 1, .. •contnbulor Codes IND-Individual COM-Recipient Committee (other ltlan PTY or SCC) OTH-Other Ce. !l .. business entity) PTY-Political Party SCC-Smell Contributor Committee $ 55, 4 81. 00 Ff>PC Form 4H (Jan/20161 FPPC Advice: advlce@fppc.ca.gov j8661275-3n21 www.fppc.ca.gov Schedule A . Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lisa Middleton for Palm Springs City Council 2017 . Amounts may be r-ounded to whole doUars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDU~. ENTER OCCUPATION AND EMPLOYER /IF SEI.F·EMPLOVEl:), ENTER N.WE OF BUSINESS) (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) CODE • Cecilia Cabello 05/06/2017 1485 1/2 Scott Ave Los Angeles, CA 90026-2788 Carolyn Caldwell 04/03/2017 2005 S Camino Monte Palm Springs, CA 92264-2606 Barbara Carpenter 04/21/2017 2540 W La Condesa Dr Palm Springs, CA 92264-9384 James Carroll 05/07/2017 216 Hartford St San Francisco, CA 94114-2526 Schedule A Summarv 1. Amount received this period -itemized monetary contributions. [ZIIND OcaM OorH 0PTY Oscc [zjJND OcoM •oTH 0PTY nscc @IND OcoM OoTH 0PTY nscc ~IND OcoM OoTH 0F'TY nscc I Director of Government Relations Southwest Regional Council of Carpenters President Caldwell Capital Resources Realtor Keller Williams Luxury Homes Finance Executive Common Sense Media SUBTOTAL (Include all Schedule A subtotals.) ...................................................................................................................................... . 2. Amount received this period -unitemized monetary contributions of less than $100 ......................................................... . 3. Total monetary contributions received this period. (Add Llnes 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL Statemen, covers period trom 1/1/2017 ------ through 6/30/2017 CALIFORNIA FORM SCHEDULE A Page 9 of 61 -- MIOUNT CUMULATIVE TO DATE PER ELECTION TO DATE RECEIVED THIS CALENDAR YEAR PERIOD (JAN. 1-0EC. 31) (IF REQUIRED) $100.00 $500.00 $100.00 $100.00 $52,325.00 $3,156.00 $55,481.00 $100.00 $500.00 $100.00 $100.00 IND-Individual COM-Recipient Committee (other than PTY or SCC) OTH-Other (0.11 .. business entity) F'TY-Political Party SCC· Small Contributor Committal:' FPPC Form 460 (Jan/2016) FPPC Advlc:a: advlce@fppc.ca.aov (8681275-3n2) www.fppc:.ca.gav Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lisa Middleton for Palm Springs City Council 2017 . Amounts may be rounded to whole doll•'"-· DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SElF-EMPlOYE•, ENTER NAME OF BUSINESS] {IF COMMITTEE, ALSO ENTER 1.D. NUMBER) CODE• 05/03/2017 04/26/2017 04/07/2017 03/26/2017 Kenny Cassady 1840 S Barona Rd Palm Springs, CA 92264-4860 Yvonna Cazares 2701 E Mesquite Ave Ste DD Palm Springs, CA 92264-5058 Francis Chapman 2035 N San Gorgonio Rd Palm Springs, CA 92262-3934 Eric Chevalier 80778 Castillo Del Areana La Qi..;inta, CA 92253-8193 Schedule A Summarv 1. Amount received this period "itemized monetary contributions. [Z]IND OcoM •oTH 0PTY sec [Z]IND OcoM OorH 0F>TY Oscc [ZjlND OcoM OoTH •PTY nscc [ZjlND OcoM OorH 0PTY nscc Development Director Equality California Director of Community Engagement Office of Mayor Libby Schaaf, City of Oakland Retired Retired Retired Retired SUBTOTAL (Include all Schedule A subtotals.) ...................................................................................................................................... . 2. Amount received this period -unitemized monetary contributions of less than $100 ......................................................... . 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)............................... ......................... TOTAL Statement cove,_ period 1/1/2017 from _____ _ through 6/30/2017 SCHEDULE A CALIFORNIA 46Q FORM AMOUNT CUMULATIVE TO DATE PER ELECTION TO DATE RECBVED THIS CALENDAR YEAR PERIOD (JAN. 1-0EC. 31) IJF REQUIRED) $100.00 $100.00 $100.00 $250.00 $52,325.00 $3,156.00 $100.00 $100.00 $100.00 $250.00 IND-Individual COM-Recil)ient Committee (other than PTY or SCC) OTH-Other (e.a .. business antltv) PTY· PQlitical Party see-Small Contributor Committee $ 5 5, 4 81 . 0 0 FPPC Form 460 {JanJ2016l FPPC Advice: advlce@fppc.ca.gov 18111275"37721 www.fppc.ca.goy Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lisa Middleton for Palm Springs City Council 2017 . Amounts may be rounded to Whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS /!JIIO ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER: (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) CODE • 01NO Roy Clark OcoM 03/27/2017 1920 Fan Palm Way OotH Pa:i.m .Springs, CA 92262-8858 0PTY sec 01ND David Cohan OcoM 04/18/2017 1067 Enamor Ct OoTH Palm Springs, CA 92262-2383 QPTY sec 01ND Kathy Cohn OcoM 04/05/2017 276 N Debby Dr OorH Palm Springs, CA 92262-6813 •PTV sec IZ]IND Patricia Colognesi OcoM 04/07/2017 1517 Sunflower Cir N OoTH Palm Springs, CA 92262-1870 0PTY sec Schedule A Summarv 1. Amount received this period -itemized monetary contributions. OF SliLF·EMPLOYlaO, liNTER NAME OF B\JSINESS) Retired Retired Project Finance Consultant Self Retired Retired Retired Retired SUBTOTAL (Include all Schedule A subtotals.) ..................................................................................................................................... .. 2. Amount received this period -unitemized monetary contributions of less than $100 ......................................................... . 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL Stat11111ent c:overe period ftom __ l_/_l_/_2_0_1_7 through 6/ 30 /201 7 SCHEDULE A CALIFORNIA 460 FORM Page 11 of 61 -- AMOUNT CUMULATIVE TO DATE PER ELECTION TO DATE RECEIVED THIS CALENDAR YEAR PERIOD (JAN. 1-DEC. 31) (IF REQUIRED) $250.00 $100.00 $250.00 $100.00 $52,325.00 $3,156.00 $250.00 $100.00 $250.00 $100.00 IND-Individual COM• Recipient Committee (other than PTY or SCC) OTH-Olher (e.Q., business enUly) PTY-Political Party sec-Small Contributor Committei, $ 5 5 , 4 81 . 0 0 FPPC Form 460 (Jan/2016) FPPC Advice: advlc:e@fppc.ca.gov (8681275-3772) www.fppc.ca.gov Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lisa Middleton for Palm Springs City Council 2017 . Amount• may b• rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED. ENTER NMIE OF BUSINESS) (IF COMMITTEE, ALSO ENTER LO. NUMBER) CODE• 03/28/2017 03/25/2017 03/24/2017 03/28/2017 Art Copleston 1581 Concha Cir Palm Springs, CA 92264-9505 Harry R Courtright 3534 Penny Ln Palm Springs, CA 92262-0408 Bob Cowboy-~ydon 1050 N Riverside Dr Palm Springs, CA 92264-0630 Sidney Craig 2240 Miramonte Cir E Unit C Palm Springs, CA 92264-5734 Schedule A Summarv 1. Amount received this period -itemized monetary contributions. [ZIIND OcoM OoTH •PTY sec [ZJINO OcoM 00TH 0PTY sec [2jtND OcoM OorH •PTY sec ~IND OcoM OorH 0PTY sec Retired Retired Retired Retired Store Manager Jo-Ann Fabric & Craft Stores, LLC Retired Retired SUBTOTAL (Include all Schedule A subtotals.) ..... -........................................................................................ -.................. -................... .. 2. Amount received this period -unitemized monetary contributions of less than $100 ............................................. -...... ,.. ... 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL Statement covers period from 1/1/2017 ------ through 6/30/2017 SCHEDULE A CALIFORNIA 460 FORM AMOUNT CUMULATIVE TO DATE PER ELECTION TO DATE RECEIVED THIS CALENDAR YEAR PERIOD (JAN. 1-DEC. 31) (IF REQUIRED) $500.00 $250.00 $100.00 $100.00 $52,325.00 $3,156.00 $500.00 $250.00 $100.00 $100.00 IND-Individual COM· Recipient committee (other than PTY or SCC) OTH· Other [e.Q., business en11tvl PTY-Political Partv SCC· Small Contnbutor Committee $ 5 5, 4 81 . 00 l'PPC FOIQI 460 (Jan/2016) FPPC Advice: advlce@fppc.ca.gov (8661276-3772) www.fppc.ca.gov Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lisa Middleton for Palm Springs City Council 2017 . Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS ANO ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMl'I.OYED. ENTER NAME OF B\ISINESSt (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) CODE• 03/28/2017 03/24/2017 05/07/2017 04/17/2017 David Cruz 926 N Harper Ave West Hollywood, CA 90046-6806 Jerry Cruz 1179 Primer Cir Palm Springs, CA 92262-5352 Pamela David 301 Mission St Apt 16J San Francisco, CA 94105-6649 Mark Davis 255 S Avenida Caballeros Unit 315 Palm Springs, CA 92262-6760 Schedule A Summarv 1. Amount received this period -itemized monetary contributions. 01ND OcoM OorH QPTY sec GZ]INO OcoM OoTH CPTY sec 01ND 0COM OorH •PTY sec [ZJIND OcoM DOTH •PTY sec Law Professor University of Southern California Gould School of Law Retired Retired Executive Director Walter & Evelun Haas Fund Retired Retired SUBTOTAL (Include all Schedule A subtotals.) ...................................................................................................................................... . 2. Amount received this period -unitemized monetary contributions of less than $100 ........................................................ .. 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL Statement ~OVe1'8 period from 1/1/2017 ------ through 6/30/2017 SCHEDULE A CALIFORNIA 460 FORM AMOUNT CUMULATIVE TO DATE PER ELECTION TO DATE RECEIVED THIS CALENDAR YEAR PERIOD (JAN.1•DEC. 31) (IF REQUIRED) $100.00 $250.00 $150.00 $250.00 $52,325.0C $3,156.00 $55,481.00 $100.00 $250.00 $150.00 $250.00 'Contributor Codes IND-Individual COM-Recipient Committee (other than PTY or $CC) OTH-Other (8.ll., buslnesa entity) PTY -Political Party sec-Small Contributor Committee FPPC Form 460 fJan/2018) FPPC Advice: advlce@fllpc.ca.11ov 186&1275-3772) -.fppc.ca.gDV Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lisa Middleton for Palm Springs City Council 2017 . Amounts may be rounded to whole doll•ra. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZJP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION ANO EMPLOYER PF 5ELF·EMPLOYEO. ENTER NAME OF BUSINESS) (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) CODE ' Desert Stonewall Democrats •IND PO Box 4536 0coM 06/22/2017 Palm Springs, CA 92263-4536 00TH ID: 1220539 •PTY sec Desert Stonewall Democrats QINO PO Box 4536 @coM 06/29/2017 Palm Springs, CA 92263-4536 00TH ID: 1220539 •PTY sec ~IND Eric Dissinger OcoM 05/01/2017 243 Canyon Cir s OorH Palm Springs, CA 92264-0429 •PTY sec 01NO Doug Donenfeld OcoM 03/25/2017 255 N Via Las Palmas 00TH Palm Springs, CA 92262-4290 0PTY sec Schedule A Summarv 1. Amount received this period -itemized monetary contributions. Retired Retired Retired Retired SUBTOTAL (Include all Schedule A subtotals.) ...................................................................................................................................... . 2. Amount received this period -unitemized monetary contributions of less than $100 ......................................................... . 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL Statement coven; period from __ 1_/_1_/_2_0_1_7 through 6/30/2017 SCHEDULE A CALIFORNIA 460 FORM AMOUNT CUMULATIVE TO DATE PER ELECT! ON TO DATE RECEIVED THIS CALENDAR YEAR PERIOD (JAN.1-DEC. 31) (IF REQUIRED) $500.00 $1,000.00 $500.00 $1,000.00 $500.00 $500.00 $1,000.00 $1,000.00 $2,soo.oo• - $52,325.00 $3,156.00 •Contributor Codes IND-Individual COM-Recipient Committee (other than PTY or $CC) OTH-Other (a.Q .. buslneS'i entltvl PTY-Political Party sec-Small Contributor Committee $ 5 5, 4 81 . O O FPPC Form 480 (Jan/2018) FPPC Advice: edvlcll@fppc.ce.gov (8&61275-3n2) www.fppc.ca.gov Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lisa Middleton for Palm Springs City Council 2017 . Amounts may 1:111 rounded to whale dollars. DATE RECEIVED FULL NAIi/iE, STREET ADDRESS AND ZIP COOE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF·EMPLO\'EO, SNTER NAME Of'BUSlNE$S) (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) CODE' Roger Doughty 05/04/2017 587 Sanchez St San Francisco, CA 94114-2624 Mark Duebner 06/22/2017 1660 E El Alameda Palm Springs, CA 92262-5847 Thomas Edwards 04/22/2017 3627 Cliffrose Trl 06/05/2017 Palm Springs, CA 92262-9758 Equality California PAC 515 S ?igueroa St Ste 110 Los Angeles, CA 90071-3301 ID: 1254010 Schedule A Summarv 1. Amount received this period -itemized monetary contributions. ~IND OcoM 00TH •PTY sec ~IND OcoM •oTH •PTY sec 01ND OcoM •oTH •PTY sec QIN• ~COM •oTH •PTY Osec Nonprofit executive Horizons Foundation Graphic Designer Mark Duebner Design Retired Retired SUBTOTAL (Include all Schedule A subtotals.) ...................................................................................................................................... . 2. Amount received this period -unitemized monetary contributions of less than $100 ......................................................... . 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.).. ..... ........ ........ ........ ........ ................. TOTAL Stat em ant covers pertad tram __ 1_/_1_/_2_0_1_7 through 6/30/2017 SCHEDULE A CALIFORNIA 460 FORM AMOUNT CUMULATIVE TO DATE PER ELECTION TO DATE RECEIVED THIS CALENDAR YEAR PERIOD (JAN. 1-DEC. 31) (IF REQUIRED) $100.00 $100.00 $100.00 $100.00 $250.00 $250.00 $1,000.00 $1,000.00 $1,450.oolll- $52,325.00 $3,156.00 'Contributor Codes IND-lndividllal COM-Raclplent committee (other than PTY or SCC) OTH-Olher (e.q .• business entity) PTY-Political Party sec-Smalt Contributor Commfttee $ 5 5, 4 81 . 0 0 FPPC Fann "60 !Jan/20161 FPPC AdYlc•: edvtc:a@fppc.ca.gov (8661275-3772) www.fppc.ca.gav Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER ~isa Middleton for Palm Springs City Council 2017 . Amounts may be rounded to whole dollan;. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION ANO EMPLOYER (IF saF-EMPLO\'ED, ENTER NAME OF BUS~ESS) (IF COMMITTEE, ALSO ENTER 1.IJ. NUMBER) CODE • Robert Farran 03/31/2017 320 S Avenue 52 Los Angeles, CA 90042-4506 Naomi Fine 04/08/2017 4161 Oak Hill Ave Palo Alto, CA 94306-3721 Michael Flannery 04/21/2017 1055 E San Jacinto Way Palm Springs, CA 92262-5826 James Forneris 04/10/2017 3341 Savanna Way Palm Springs, CA 92262-8817 Schedule A Summarv 1. Amount received this period -itemized monetary contributions. [l]IND OcoM •DTH 0PTY sec [ZjlND OcoM •DTH 0PTY sec @IND OcoM OoTH •PTY sec [ZJIND OcoM OorH •PTV sec Re::.ired Retired Consultant Pro-TecData Home Builder Solterra Builders Retired Retired SUBTOTAL (Include all Schedule A subtotals.) ................................................................... ., ................................................................ .. 2. Amount received this period -vnitemized monetary contributions of less than $100 ......................................................... . 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL Statement covers period from 1/1/2017 ------ 1hrough 6/30/2017 SGHEDULEA CALIFORNIA 460 FORM AMOUNT CUMULATIVE TO DATE PER ELECTION TO DATE RECEIVED THIS CALENDAR YEAR PERIOD (JAN, 1-DEC, 31) (IF REQUIRED I $1,000.00 $100.00 $200.00 $100.00 $1,400.00 $52,325.00 $3,156.00 $55,481.00 $1,000.00 $100.00 $200.00 $100.00 'Contributor Codes IND-Individual COM-Recipient committee (other than PTY tir SCC) OTH-Other (e.i:i., busk,11ss antltvl PTY-Political Party see-Small Contributor Cornmlt1ee FPPC Form 460 [Jan/2016) FPPC Advice: edvlce@fppc.ce.gov (81561275-3772} www.fppc.ca,gov Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lisa Middleton for Palm Springs City Council 2017 . Amounts may be rounded ta whole dollani. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED. ENTER NAME OF BUSINESS) {IF COMMITTEE, ALSO ENTER 1.D. NUMBER) CODE• 04/03/2017 05/01/2017 05/07/201'1 03/29/2017 David Freedman 1350 E Murray Canyon Dr Palm Springs, CA 92254-9413 Lucy Friedman 2040 Versailles Dr Palm Springs, CA 92264-5079 Larry Friesen 12B0 Ellis St Apt 1 San Francisco, CA 94109-7651 Tom Gardiner 1500 E Ocotillo Ave Palm Springs, CA 92264-8420 Schedule A Summarv 1. Amount received this period -itemized monetary contributions. 01ND OcoM OorH 0PTY sec 01ND OcoM DOTH 0PTY sec 01ND OcoM DOTH 0PTY sec [ZjlND [JcoM OoTH 0PTY sec Retired Retired Legal Assistant Heritage Legal Architect Self Retired Retired SUBTOTAL (Include all Schedule A subtotals.) ..................................................................................... ., ............................................... . 2. Amount received this period -unitemized monetary contributions of less than $100 ......................................................... . 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1. )..... .. .... .... ........... ..... ......... ... . ............ TOTAL Statement coveni period 1/1/2017 from _____ _ through 6/30/2017 CALIFORNIA FORM SCHEDULE A Page 1 7 of 61 ----- AMOUNT CUMULATIVE TO DATE PER ELECTION TO DATE RECEIVED THIS CALENDAR YEAR PERIOD (JAN.1•DEC. 31) (IF REQUIRED) $500.00 $100.00 $100.00 $250.00 $52,325.00 $3,156.00 $500.00 $100.00 $100.00 $250.00 •contributor Codes IND-Individual COM-Recil)lent Cammltlee (alhef lhan PTY ar SCC) OTH-Other (e.!l .. business entitv) PTY• Po~tical Party sec-Slll311 Contributer Committee $ 5 5 1 4 81 , 0 0 FPPC Form 4$0 (Jan/2016) FPPC Advice: advlce@fppc.ce.gov (8681275-3772) www.fppc.ca.gov Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lisa Middleton for Palm Springs City Council 2017 . Amount& may be rounded to whole dolla111. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SEI.F·El.lf'I.OYEO. ENTER NAAIE OF BUSINESS) (IF COMMITTEE, ALSO ENTER 1.D. NUMBER) CODE • Vivien Gay 05/02/2017 480 Anza Dr Sonoma, CA 95476-3701 Jim Gazan 04/11/2017 457 N Juanita Dr Palm Springs, CA 92262-6560 Kevin Geiger 04/15/2017 923 15th Ave Seat~le, WA 98122-4582 Joe Giarrusso 05/11/2017 38081 E Bogert Trl Palm Springs, CA 92264-9638 Schedule A Summarv 1. Amount received this period -itemized monetary contributions. (ZIIND OcoM OolH 0PTY sec (ZIINO OcoM OoTH nF'TY sec (ZIIND OcoM OoTH 0PlY sec [Z]IND OcoM 00TH 0PTY sec International Sales Silver Oak Cellars Retired Retired Principal Blue Wave Retired Retired SUBTOTAL (Include all Schedule A subtotals.) .................................................................................................................................... .. 2. Amount received this period -unitemized monetary contributions ofless than $100 ......................................................... . 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL Statement coveni period from 1/1/2017 ------ thl'OUgh 6/30/2017 SCHEDULE A CALIFORNIA 460 FORM I.D. NUMBER 1, 42 AMOUNT CUMULATIVE TO DATE PER ELECTION TO DATE RECEIVED THIS CALENDAR YEAR PERIOD (JAN.1·DEC. 31) (IF REQUIRED) $100,00 $100.00 $100,00 $100.00 $100.00 $100.00 $100.00 $100.00 $400.ool- $52,325.00 $3,156.00 • Contributor Codes IND-Individual COM-Recipient Committee (other than PTY or SCC) OTH-Other (e.!l., business enlilY) PTY-Political Party sec-Small Cootribu1or Committee $ 55, 4 81. 0 0 FPPC Form 460 (Jan/20161 FPPC Advice: edvlce@fppc.ca.gov 18611275-3772) www.fl)pc.ca.go1, Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAM O FILER Lisa Middleton for Palm Springs City Council 2017 . Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF Se;I.F-EMP\.OYlaO, iaNTER NAMla 01' BUSINE$Sj (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) CODE• Andy Gibbs 05/11/2017 2681 W La Condesa Dr Palm Springs, CA 92264-9385 Gregory Gilman 05/05/2017 261 E Ocotillo Ave Palm Springs, CA 92264-8427 Frank Goldstin 03/24/2017 5 Vista Mirage Way Rancho Mirage, CA 92270-1906 Ed Good 03/24/2017 1960 S Ana Maria Way Palm Springs, CA 92264-9278 Schedule A Summarv 1. Amount received this period -itemized monetary contributions. 01NO OcoM DOTH •PTY sec 01NO •cOM OorH 0PTY sec 01ND OcoM DOTH •PTY sec 01ND OcoM OoTH •PTY sec Engineering Consultant Self Retired Retired Evenl Planner Momentous Retired Retired SUBTOTAL (lndude all Schedule A subtotals.) ...................................................................................................................................... . 2. Amount received this period -unitemized monetary contributions of less than $100 ......................................................... . 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)..... .. ........ ... ..... .................... ............. TOTAL Statement i;oven; period from __ 1_/_1_/_2_0_1_7 through 6 / 30 / 201 7 SCHEDULE A CALIFORNIA 460 FORM AMOUNT CUMULATIVE TO DATE PER ELECTION TOOATE RECEIVED THIS CALENDAR YEAR PERIOD (JAN.1-DEC. 31) IIF REQUIRED) $100.00 $100.00 $100.00 $250.00 $52,325.00 $3,156.00 $100.00 $100.00 $100.00 $250.00 'Contrlb\Jtor Codes IND-Individual COM-Recipient Committee (other than PTY or SCC) OTH-Other (e.11., business entity) PTY-Political Party see-Smell Contributor Committee $ 5 5 1 4 81 . 0 0 F PPC Form 460 [Jan/2016) FPPC Advice: advic:e@fppc.c:1.gov (866/275-3772) www.fpl)C.ca.gav Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lisa Middleton for Palm Springs City Council 2017 . Amounts may be rounded ta whole dolla111. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYEO, !aNTER NAME OF BUSINESS) (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE• 04/13/2017 03/30/2017 04/21/2017 04/02/2017 Scott: Gordon 204 N Airlane Dr Palm Springs, CA 92262-6916 David Gray 1735 Capri Cir Palm Springs, CA 92264-8697 Gerald Green 71280 Kaye Ballard Ln Rancho Mirage, CA 92270-3638 Jim Gross 1717 E Vista Chino Ste A7 Palm Springs, CA 92262-3569 Schedule A Summarv 1. Amount received this period -itemized monetary contributions. (Z]IND OcoM OoTH •PTY sec [Zj1NO OcOM OoTH OPTY sec [2j1ND OcoM OoTH •PTY sec [ZjlND OcoM OoTH 0PTY sec Retired Retired PR & Marketing Consultant Self Realtor Keller Wiliams Realty Retired Retired SUBTOTAL (Include all Schedule A subtotals.) ...................................................................................................................................... . 2. Amount received this period -unitemized monetary contributions of less than $100 ......................................................... . 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)....... ................................................. TOTAL Statement coven; parlad ffOffl __ l_/_l_/_2_0_1_7 through 6/30/2017 SCHEDULE A CALIFORNIA 460 FORM AMOUNT CUMULATIVE TO DATE PER ELECTION TO DATE RECEIVED THIS CALENDAR YEAR PERIOD (JAN.1-DEC. 31) (IF REQUIRED) $100.00 $100.00 $100.00 $100.00 $250.00 $250.00 $100.00 $100.00 $550.0- $52,325.00 $3,156.00 'Contributor Codes IND-lndi\lidual COM-Rll<lil)lent Gammittee (other than PTY or SCC) 0TH-01her (e.Q .• business entity) PTY· Political Party see-Small Contributor Committee $ 5 5, 4 B 1 . O o FPPC Form •&o (Janl20161 FPPC Advice: advlce@fppc.ca.gov fBIIF.275-3772) __ fppc.ca.gov Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lisa Middleton for Palm Springs City Council 2017 . Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE, ALSO ENTER I.•. NUMBER) CODE• 04/06/2017 05/05/2017 04/19/2017 05/03/2017 Mr. Doug Hairgrove 1464 E Andreas Rd Palm Springs, CA 92262-6462 Christine Hammond 2449 E Sonora Rd Palm Springs, CA 92264-8680 Ryan Harlow-Nakano 2321 E 4th St # C413 Santa Ana, CA 92705-3861 Kris Hayashi 724 Walker Ave Oakland, CA 94610-2735 Schedule A Summarv 1. Amount received this period -itemized monetary contributions. 01ND OcoM OorH 0PTY sec [2jtNO OcoM OoTH 0PTY sec [2jlND OcoM OorH •PTY sec [ZjlND OcoM OorH 0PTY sec Retired Retired Retired Retired Ba:iker MUFG Union Bank, NA Ma:iager Transgender Law Center SUBTOTAL (Include all Schedule A subtotals.) ............................................................................................................................. .. 2. Amount received this period -unitemized monetary contributions of less than $100 ......................................................... . 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL Statement cove111 period from __ 1_/_1_/_2_0_1_7 through 6 / 3 0 / 2 0 1 7 SCHEDULE A CALIFORNIA 460 j FORM Page 21 of 61 --- AMOUNT CUMULATIVE TO DATE PER ELECTION TO DATE RECEIVED THIS CALENDAR YEAR PERIOD (JAN. 1-DEC. 31) (IF REQUIRED) $100.00 $100.00 $100.00 $100.00 $400.00 $52,325.00 $3,156.00 $55,481.00 $100.00 $100_00 $100.00 $100.00 "Contr1bu1Clf Codes IND-Individual COM• Recipient Committee (other than PTY or SCCI OTH-Other (B,!l,, buslnees entity) PTY· PoHtical Party sec-Small Contributor Committee FPPC Fonn 460 (Jan/2016) FPPC Advice: advlce@fl:ipc.n.gov (8661275-3772) www.fppc.ca.gov Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lisa Middleton for Palm Springs City Council 201, . Amounts may be rounded to wh1>le dollar&. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION ANO EMPLOYER (IF SELF-EMPLOYED. rnTER NAME OF BUSINESS) (IF COMMITTEE, ALSO ENTER I.O. NUMBER] CODE • 04/13/2017 04/15/2017 04/07/2017 05/19/2017 Robert Heinbaugh 3040 N Redwood Dr Palm Springs, CA 92262-2086 Christopher Heritage 777 E Tahquitz Canyon Way Ste 328 Palm Springs, CA 92262-6798 Randi Hewitt 221 Alder St Brookings, OR 97415-9011 Gary Hiatt 550 Camino Norte Palm Springs, CA 92262-4216 Schedule A Summarv 1. Amount received this period -itemized monetary contributions. IZ]IND OcoM 00TH 0PTY sec 01ND OcoM Dorn •PTY sec [ZjlND OcoM DOTH •PTY sec [ZjlND OcoM OorH •PTY sec Retired Retired Attorney lieritage Legal, PC Retired Retired Retired Retired SUBTOTAL (Include all Schedule A subtotals.) ................................................................................... ., ................................................ .. 2. Amount received this period -unitemized monetary contributions of less than $100 ......................................................... . 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL SCHEDULE A Statement cover& 1>11rlod CALIFORNIA 460 FORM from 1/1/2017 ------ through 6/30/2017 . . ~ : AMOUNT RECEIVED THIS PERIOD $250.00 $250.00 $500.00 $1,500.00 $2,500.00 $52,325.00 $3,156.00 I.D. NUMBER 139 2 - CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1-0EC. 31) $250.00 $250,00 $500.00 $1,500.00 PER ELECTION TO DATE (IF REQUIRED) 'it, ·•I' ~ ~ , ' • -• ~ ~. -~ ~. "'-' !• .. • ' ' • rr:ri~~.:' . , -' -. --___ ·e: ' • ContribulOI" Cl>dea IND-Individual COM-Recipient Committee (other lhan PTY or SCC) OTH-Other (e.11., bualne1111 entity) PTY-Polidcal Party see-Small Contributor Committee $ 5 5 , 4 81 . 0 0 FPPC Fonn 460 (Jan/2016) FPPC Advice: advlce@fpl)c.ca.gov (881/275-3772) www.fppe.ca.gov Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.,isa Middletcn for Palm Springs City Council 2017 . Amount& may be roundltd to whole dollal'5. DATE RECEIVED FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL. ENTER OCCUPATION ANO EMPLOYER OF SEU'·EMPLDYED. ENTER H.WE OF BUSINES51 (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE* 04/22/2017 06/22/2017 05/21/2017 03/28/2017 Bruce Hoban 812 Arroyo Vista Dr Palm Springs, CA 92264-3422 Jeremy Hobbs l30 W Racquet Club Rd Unit 503 ?alm Springs, CA 92262-5015 Timothy Hogan 767 E sunny Dunes Rd Palm Springs, CA 92264-8196 Robert Holgate 74 Brady St Unit 7 San Francisco, CA 94103-5400 Schedule A Summarv 1. Amount received this period -itemized monetary contributions. @IND OcoM OoTH •PTY sec @IND OcoM OorH •PTY sec 01ND OcoM OorH 0PTY sec 01ND OcoM OoTH 0PTY sec IT Consultant/Owner Pacific Heights Consulting Group, LLC Business Consultant Self Employed Airport Operations City of Palm Springs Designer Self SUBTOTAL (Include all Schedule A subtotals.) ..................................................................................................................................... .. 2. Amount received this period -unitemized monetary contributions of less than $100 ........................................................ .. 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.) ................................. "..................... TOTAL Statem~nt COYel'$ period ffom __ 1_/_1_/_2_0_1_7 through 6/30/2017 SCHEDULE A CALIFORNIA 460 FORM AMOUNT CUMULATIVE TO DATE PER ELECTION TO DATE RECEIVED THIS CALENDAR YEAR PERIOD (JAN. 1-0EC. 31) (IF REQUIRED) $100.00 $350.00 $250.00 $100.00 $52,325.00 $3,156.00 $55,481.00 $100.00 $350.00 $250.00 $100.00 IND-Individual COM-Recipient Committee (other than PTY or SCC) OTH-Other (a.a .. business entity) PTY-Politi cal Party sec-Small Contnbulor Commlttae FPPC Fann 460 !Jan/20161 FPPC Advice: adVlce@fppc.ca.gov fl8&1275-3n21 www.fppc.ca.gov Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lisa Middleton for Palm Springs City Council 2017 . Amounts may b• rounded to whole dollaR. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER {IF 5ELF-EM~OYei. ENTER NAME OFBUSlNESS) /IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE• David Hood 03/29/2017 2162 Silverado Cir 06/14/2017 Palm Springs, CA 92264-9209 James C Hormel 101 Mission St Ste 1750 San Francisco, CA 94105-1727 Douglas Hudson 04/01/2017 1325 Camino Mirasol Palm Springs, CA 92262-4207 Bob Iles 06/22/2017 2930 E Ve~a Cruz Rd Palm Springs, CA 92264-8727 Schedule A Summarv 1. Amount received this period -itemized monetary contributions. [ZjlNO OcoM OoTH •PTY sec (ZllNO OcoM OoTH OPTY sec GZ]IND OcoM DOTH OPTY sec [Z]lND OcoM DOTH •PTY sec Retired Retired Chairman Equidex, Inc Architect Self Trainer Fire Solutions, Inc SUBTOTAL (Include all Schedule A subtotals.) ...................................................................................................................................... . 2. Amount received this period -unitemized monetary contributions of less than $100 ......................................................... . 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on the Summary Page, Column A, line 1.)........................................................ TOTAL SCHEDULE A Statem1111t cov11ra period from 1/1/2017 CALIFORNIA 460 I FORM I -----~ through 6/30/2017 Page 24 of 61 -- AMOUNT CUMULATIVE TO DATE PER ELECTION TO DATE RECEIVED THIS CALENDAR YEAR PERIOD (JAN. 1·0EC. 31) (IF REQUIRED! s:.,000.00 $500.00 $500.00 $250.00 $52,325.00 $3,156.00 $55,481.00 $1,000.00 $500.00 $500.00 $250.00 IND-Individual COM-Recipiall\ Cammittea (other than PTY or SCC) DTH-Other /e.,:i., business entlt\11 F>TY-Political Party sec-Small Conbibutor Committee FPPC Form 460 (Jan/2016\ FPPC Advice: advlce@fppc.c1.gov (B66/275..;t7721 -.fppc.ca.gov Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lisa Middleton for Palm Springs City Council 2017 . Amounts may be rounded to whola dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION ANO EMPLOYER OF SEU'-EMPI.OVEO. ENTER NAME OF BUSINESS) /IF COMMITTEE, ALSO ENTER 1.0. NUMBER) CODE • Fred Jandt 04/07/2017 845 E Biltmore Pl Palm Springs, CA 92264-8438 Allison Jones 06/22/2017 1112 Village Ct Palm Springs, CA 92262-4982 Leslie Katz 05/07/2017 439 Detroit St San Francisco, CA 94131-3118 Kim Kieler 04/24/2017 2910 N Bahada Rd Palm Springs, CA 92262-2406 Schedule A Summarv 1. Amount received this period -itemized monetary contributions. [ZjlND OcoM OoTH •PTY sec @IND OcoM Oortt •PTY sec @IND OcoM Oortt 0PTY sec @IND OcoM OoTH 0PTY sec Retired Retired Higher Education Consultant Self Greenburg Touring Attorney Manager The LGBT Community Center of the Desert SUBTOTAL (Include all Schedule A subtotals.) ...................................................................................................................................... . 2. Amount received this perlod -unitemized monetary contributions of less than $100 ......................................................... . 3. Total monetary contributions received this period. (Add lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL Statement covars period 1/1/2017 from _____ _ through 6/30/2017 SCHEDULE A CALIFORNIA 460 FORM AMOUNT CUMULATIVE TO DATE PER ELECTION TO DATE RECEIVED THIS CALENDAR YEAR PERIOD (JA.N.1-DEC. 31) (lF REQUIRED) $250.00 $250.00 $100.00 $100.00 $52,325.00 $3,156.00 $55,481.00 $250.00 $250.00 $100.00 $100.00 IND-Individual COM-Recipient Committee (other than PTY or SCC) OTH-other (e.R., business entity) PTY-Political Partv sec-Small Contributor Committee FPPC Form .. 60 (Jan/2016) FPPC Advice: adYlce@fppc.ca.gov (8661275-3772) www.fppc.ca.gO'tl Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lisa Middleton for Palm Springs City Council 2017 . Amounts may be rounded lD whola dollars. DATE RECEIVED FULL NAME, STREET ADDRESS ANO ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPI.OVED, ENTER HAME OF BUSINESS) (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) CODE• Keith Kincaid 03/25/2017 2349 S Calle Palo Fierro Palm Springs, CA 92264-9409 Daniel Kiser 03/29/2017 289 W Vereda Sur Palm Springs, CA 92262-4237 Glenn Kiser 04/02/2017 9032 Elevado St West Hollywood, CA 90069-4805 Adam Koffman 04/07/2017 1323 N Alta Vista Blvd Los Angeles, CA 90046-4301 Schedule A Summarv 1. Amount received this period -itemized monetary contributions. 01N• OcoM DOTH 0PTY sec [2jlND OcoM DOTH OPTY sec GZ]tND OcoM OorH •PTY sec 01N • OcoM OoTH 0PTY sec Retired Retired Retired Retired Management Dolby Labs Financial Analyst UCLA Health SUBTOTAL (Include au Schedule A subtotals.) ..................................................................................................................................... . 2. Amount received this period -unitemized monetary contributions of less than $100 ......................................................... . 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1. )............... ................ ................ ......... TOT AL Statement covers period from 1/1/2017 ------ through 6/30/2017 SCHEDULE A CALIFORNIA 46Q FORM Page 26 of 61 ----~ AMOUNT CUMULATIVE TO DATE PER ELECTION TO DATE RECEIVED THIS CALENDAR YEAR PERIOD (JAN.1·0EC. 31) (IF REQUIRED) $250.00 $250.00 $100.00 $100.00 $100.00 $100.00 $250.00 $250.00 $700.00- $52,325.00 $3,156.00 'Contributor COdes IND-Individual COM-Recipient Committee (other than PTY or SCC) OTH-Other (a.ii., business entltv) PTY-Political Party sec-Small Contnbutor Committee $55,481 . 0 0 FPPC Form 460 (Jan/20161 FPPC Advice: advtca@flJllc.ca,gov (8661275-37721 www.fppa.ca.goy Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lisa Middleton for Palm Springs City Council 2017 . Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION ANO EMPLOYER ~f 5ELF-eMPLOYED. EITTER N/\ME OF B\JSINE55) (IF COMMITTEE, ALSO ENTER 1.D. NUMBER) CODE • 05/07/2017 04/18/2017 05/04/2017 03/31/2017 Victoria Kolakowski 222 Broadway Apt 806 Oakland, CA 94607-3848 Ellen Kreighbaum 3550 Blackwood Rd Boze~an, MT 59718-7618 Brent Krekeler 680 W Arenas Rd Apt 3 Palm Springs, CA 92262-6349 David Lahti 1552 S Compadre Rd Palm Springs, CA 92264-8718 Schedule A Summarv 1. Amount received this period -itemized monetary contributions. [ZjlND OcoM OorH •PTY sec 01ND OcoM OoTH •PTY sec 01ND OcoM OoTH •PTY sec 01ND OcoM OoTH •PTY sec Judge State Of California Professor Montana State University Pool Contractor Self Engineer Tesoro SUBTOTAL (Include all Schedule A subtotals.) ........... -............................................... -................. -....................................................... .. 2. Amount received tl7is period --unitemized monetary contributions of less than $100 ........................................................ .. 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.) ........................ -............................... TOTAL SCHEDULE A Statement covers period CALIFORNIA 460 I FORM ~om __ 1_/_1_;_'2_0_1~7 through 6/30/2017 Page 27 of 61 -- AMOUNT CUMULATIVE TO DATE PER ELECTION TO DATE RECEIVED THIS CALENDAR YEAR PERIOD (JAN.1•DEC. 31) (IF REQUIRED) $100.00 $100.00 $250.00 $250.00 $700.00 $52,325.00 $3,156.00 $55,481.00 $100.00 $100.00 $250.00 $250.00 r"~-:-,~ . -. ... ' : -. . --. ' . . " ; .... , . ,, ~ ~ . -~ 'Contribu!OI' Codes IND· Individual COM-Raclplent committee (other than PTY or SCC) OTH-Other (e.1i .. business entltvl PTY • Political Party SCC-Small Contributor Cilmmlt1ee FPPC Fonn '60 [Jan/20181 FPPC Advice: edvl,;:e@fppc.ca.DOV (1661275-37721 www.fppc.ca.gov Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lisa Middleton for Palm Springs City Council 2017 . Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF saF-EMl'LO'!'ED. l:NTER NAME OF BUSINESS) (IF COMMITTEE, ALSO ENTER 1.D. NUMBER) CODE * Daniel Lass 04/07/2017 1433 N Cerritos Dr Palm Springs, CA 92262-5331 Charles Leachman 06/29/2017 367 Neutra St Palm Springs, CA 92264-4506 Mandy Lee 05/06/2017 784 Pearlite Ct West Sacramento, CA 95691-2836 Mark Leno 04/01/2017 590 Clipper St San Francisco, CA 94114-3605 Schedule A Summarv 1. Amount received this period -itemized monetary contributions. @IND OcoM OoTH •PTY sec @IND OcoM OoTH 0PTY sec @IND OcoM OorH QPTY sec [2jlND •COM Dorn 0PTY sec Financial Planner Self Retired Retired Lobbyist Platinum Advisors Owner Budget Signs SUBTOTAL (Include all Schedule A subtotals.) ..................................................................................................................................... .. 2. Amount received this period -unitemized monetary contributions of less than $100 ......................................................... . 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL Statenutnt 4:overs period tram __ 1_/_l_/_2_0_1_7 through 6/30/2017 SCHEDULE A CALIFORNIA 460 FORM AMOUNT CUMULATIVE TO DATE PER ELECTION TO DATE RECEIVED THIS CALENDAR YEAR PERIOD (JAN. 1-DEC. 31) (IF REQUIRED) $350.00 $200.00 $100.00 $100.00 $52,325.00 $3,156.00 $55,481.00 $350.00 $200.00 $100. 00 $100.00 •contribulor Codes IND• Individual COM-Recipient Committee {alher than PTY 0i' SCC) OTH-Other (e.s:i., business entity) PTY· Political Party sec-Smell Contributor Committee FPPC Form .4&0 (Jan/2016) FPPC Advice: edvlce@fppc:.ee.goY (8661275-3772) www.fppc.ca.gov Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lisa Middleton for Palm Springs City Council 2017 . Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SElF-EMPLOYEO, ENTER NAME OF BUSINESS) (IF COMMITTEE, ALSO ENTER 1.D. NUMBER) CODE* 01ND Kathy Levinson OcoM 04/08/2017 4161 Oak Hill Ave OorH Palo Alto, CA 94306-3721 •PTY sec [ZjtND Bruce Lindstrom OcoM 06/04/2017 PO Box 4733 OorH Incline Village, NV 89450-4733 •PTY sec Andrew Linsky 01ND OcoM 04/18/2017 800 N Palm Canyon Dr Oor1-1 Ste D Palm Springs, CA 92262-4441 0PTY sec 01ND Ellen Lockert OcoM 04/11/2017 1147 S Paseo De Marcia OoTH Palm Springs, CA 92264-8533 0PTY sec Schedule A Summarv 1. Amount received this period -il!;imized monetary contributions. Consultant Self Retired Retired Real Estate Sales HK Lane Real Estate Retired Retired SUBTOTAL (Include all Schedule A subtotals.) ........................................................ , ............................................................................. . 2. Amount received this period -unitemized monetary contributions of less than $100 ........................................................ .. 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL Statement c0vel"5 parl0d fr0111 1/1/2017 ------ through 6/30/2017 CALIFORNIA FORM SCHEDULE A Page 29 of 61 -- AMOUNT CUMULATIVE TO DATE PER ELECTION TO DATE RECEIVED THIS CALENDAR YEAR PERIOD (JAN. 1-0EC. 31) (IF REQUIRED) $100.00 $500.00 $250.00 $250.00 $52,325.00 $3,156.00 $55,481.00 $100.00 $500.00 $250.00 $250.00 "Contributor Cedes IND-Individual COM-Recipient Committee {other than PTY or SCC) OTH-Other (e.Q,, business en11tvl PTY-Political Party SCC-Small Contributor Committee FPPC Form 460 {Jan/2016) FPPC Advice: advlce@fppc.ca.gov (6661275-37721 -.fPpc.ca.gDY Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME Of FILER Lisa Middleton for Palm Springs City Council 2017 . Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER OF SELF-EMF'I.Ol'EO, ENTER HIME OF BUSINESS) (IF COMMITTEE, ALSO ENTER 1.0, NUMBER) CODE• 06/19/2017 03/31/2017 05/07/2017 06/29/2017 Mr. Peter M Lundberg 1200 Lakeshore Ave Apt 6C Oakland, CA 94606-1639 Lar Lyle 3719 Louisiana St San Diego, CA 92104-3312 Fiona Ma 2009 14th Ave San Francisco, CA 94116-1311 Geraldine Madden 3188 Mattos Ave San Jose, CA 95132~3610 Schedule A Summarv 1. Amount received this period -itemized monetary contributions. 01ND OcoM DOTH •PTY sec [ZjlND OcoM OorH •PTY sec IZ]IND OcoM OoTH •PTY sec [Z]IND OcoM OoTH •PTY sec Finan::e Officer Commu.:1ity Housing Opportunities Corp Retired Retired Strtr.e Boarrl of Equalization Membe~ State of California Retired Retired SUBTOTAL (Include all Schedule A subtotals.) ..................................................................................................................................... .. 2. Amount received this period -unitemized monetary contributions of less than $100 ......................................................... . 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL St.itement cover5 period 1/1/2017 from _____ _ through 6/30/2017 SCHEDULE A CALIFORNIA 460 FORM Page 30 of 61 -- AMOUNT CUMULATIVE TO DATE PER ELECTION TO DATE RECEIVED THIS CALENDAR YEAR PERIOD (JAN, 1-DEC. 31) (IF REQUIRED) $100.00 $100.00 $500.00 $500.00 $250.00 $250.00 $100.00 $100.00 S95o.ool- $52,325.00 $3,156.00 •contr1ootor Codee IND-Individual COM· Recipient Commlllee (other than PTY or SCC) OTH-other (e.Q., business entity) PTY-Political Party SCC-Smell Contributor Committee $ 5 5, 4 81 . Q O FPPC Form 460 (Janl20161 FPPC Advice: advlce@fppc.ce.gov (86&1275-37721 www.fppc.ca.gov Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lisa Middleton for Palm Springs City Council 2017 . Amounts may be rounded to whola dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION ANO EMPLOYER (IF SE1.F-EMPLOYEO. ENTER NAME OF BUSINESS) 05/07/2017 06/14/2017 04/07/2017 04/08/2017 (IF COMMITTEE, ALSO ENTER 1.D. NUMBER) CODE• Rafael Mandelman 1370 Valencia St Apt 4 San Francisco, CA 94110-T/83 John Marksbury 600 E Sierra Way Palm Springs, CA 92264-9018 M Marshall 1968 E Chia Rd Palm Springs, CA 92262-5342 Michael Mattmiller 2134 44th Ave SW Seattle, WA 98116-2102 IZ]INO OcoM •DTH 0PTY sec (Z]IND OcoM •oTH •PTY sec [ZjlND OcoM OoTH •PTY sec @IND OcoM 0DTH 0PTY sec City of Oakland Attorney Retired Retired Financial Advisor Self Technology Manager City of Seattle Statem1rnt cove,. period from __ l_/_1_,_1 2_0_1_7_ 1hro1111h 6/30/201"/ SCHEDULE A CALIFORNIA 46Q FORM Page 31 of 61 AMOUNT CUMULATIVE TO DATE PER ELECTION TO DATE RECEIVED THIS CALENDAR YEAR PERIOD [JAN. 1-DEC. 31) (IF REQUIRED) $100.00 $100.00 $125.00 $125.00 $500.00 $500.00 $100.00 $100.00 ====-==-=-=-=-=--==-=-===============--================-==-=--====--===============::;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;::;;;~;;;;;::;;;;:;;;;;;;;;;;;~ $825.oolllll-SUBTOTAL Schedule A Summarv 1. Amount received this period -itemized monetary contributions. (Include all Schedule A subtotals.) ...................................................................................................................................... . 2. Amount received this period -unitemized monetary contributions of less than $100 ......................................................... . 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL $52,325.00 $3,156.00 $55,481.00 "Conlribulot Codes IND-Individual COM• Recipient Committee (other than PTY or SCC) 0TH-Olher (e.q., business entity) PTY-Political Party SCC-Small Contributor Committee FPPC Fonn 460 (Jan/2016) FPPC Advice: advlca@fppc.ce.gov (8661271i-3TT2) www.fppc.ca.gov Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lisa Middleton for Palm Springs City Council 2017 . Amount. may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER [IF SELF-EMPLOYED, oNTER NAME OF BUSINE8S) (IF COMMITTEE, ALSO ENTER 1.D. NUMBER) CODE • 05/04/2017 06/09/2017 03/26/2017 03/31/2017 Joe McCormack 1775 E Palm Canyon Dr Ste 110-202 Palm Springs, CA 92264-1613 John McCoy 1650 Avenida Sevilla Palm Springs, CA 92264-9673 Cathy McCullough 9530 Peninsula Dr Traverse City, MI 49686-8388 Marsha McDaniel 4060 Calloway Dr Rigby, ID 83442-5293 Schedule A Summarv 1. Amount received this period -itemized monetary contributions. 01ND OcoM DOTH 0PTY sec 01ND OcoM OoTH 0PTY sec 01ND OcoM DOTH •PTY sec 01ND OcoM DOTH •PTY sec Pri.ncipal McCormack & Kristel Property Management Self Retired Retired Foreign Service Officer US Dept of Commerce SUBTOTAL (Include all Schedule A subtotals.) ...................................................................................................................................... . 2. Amount received this period -unitemized monetary contributions of less than $100 ......................................................... . 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL Statement i:overa period 1/1/2017 from _____ _ through 6/30/2017 SCHEDULE A CALIFORNIA 460 FORM AMOUNT CUMULATIVE TO DATE PER ELECTION TO DATE RECEIVED THIS CALENDAR YEAR PERIOD (JAN. HlEC 31) (IF REQUIRED) $500.00 $500.00 $500.00 $500.00 $250.00 $250.00 $250.00 $250.00 $1,500.00,,._ $52,325.00 $3,156.00 'Contribulor Codes IND-Individual COM-Recipient Ccmmltte11 (other than PTY or SCC) OTH-Other (e.g., business en1iM PTY-Political Party sec-Small Contributor Committee $ 5 5, 4 81 . 0 Q FPPC F--460 (Jan/2016) FPPC Advice: advlce@rppc.ca.gav (8661275-3772) www.fppc.ca.gov Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lisa Middleton for Palm Springs City Council 2017 . Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER QF Sl:LF-EMPLOYE0, ENTER NN,,IE OF BUSINESS) (IF COMMITTEE, ALSO ENTER 1.D. NUMBER) CODE • John McDonald 05/01/2017 695 W Stevens Rd Palm Springs, CA 92262-4160 Sandra Medlin 05/01/2017 20715 Adeline Dr Colfax, CA 95713-9297 Louise Minnick 04/22/2017 524 Bowdoin St San Francisco, CA 94134-1420 John Monahan 04/05/2017 1550 Avenida Sevilla Palm Springs, CA 92264-9670 Schedule A Summarv 1. Amount received this period -itemized monetary contributions. [ZjlND OcoM OoTH 0PTY sec GZ]IND OcoM •oTH •PTY sec GZ]INO OcoM OoTH •PTY sec [ZjlND OcoM OoTH 0PTY sec Retired Retired Retired Retired Broker/real tor Self Retired Retired SUBTOTAL (Include all Schedule A subtotals.} ..................................................................................................................................... .. 2. Amount received this period -unitemized monetary contributions of less than $100 ......................................................... . 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL SCHEDULE A Statement covers period CALIFORNIA 460 FORM from 1/1/2017 -~---- through 6/30/2017 Page 33 of 61 ----- AMOUNT CUMULATIVE TO DATE PER ELECTION TO DATE RECEIVED THIS CALENDAR YEAR PERIOD (JAN. 1~DEC. 31) (IF REQUIRED) $500.00 $300.00 $100.00 $1,000.00 $1,900.00 $52,325.00 $3,156.00 $55,481.00 $500.00 $300.00 $100.00 $1,000.00 t'l'I'.' ........ , ;.I,. -• • -~ -- k :... -. . . -. .: 'Contributor Codes IND-Individual COM-R111Clpl11nt Committee (other than PTY 01' SCC) OTH-Other (e.g .. business entlM PTY-Political Party sec-Smell ContJibutor Committee FPPC Fann •&o (Jan/2016) FPPC Advh:e: 11dvlce@fppc.ca.gol.' (8661275-3772) www.fppc.ca.gol.' Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lisa Middleton for Palm Springs City Council 2017 . Amounts may be l'O\lnded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMl'I.OYED, ENTER NMIE OF BUSINESS) (IF COMMITTEE, ALSO ENTER 1.D. NUMBER) CODE* 04/08/2017 04/01/2017 04/05/2017 04/18/2017 Fera Mostow 40363 Camino El Destina Indio, CA 92203-7747 Patrick Mulcahey 571 Skamania Landing Rd Stevenson, WA 98648-6139 Candice Nichols 2201 S Palm Canyon Dr Apt 111 Palm Springs, CA 92264-9339 Frederick Noble 2045 E Tahquitz Canyon Way Palm Springs, CA 92262-7003 Schedule A Summarv 1. Amount received this period -itemized monetary contributions. 01ND OcoM OorH •PTY sec 01NO OcoM DOTH 0PTY sec 01ND OcoM OorH •PTY Oscc ~IND OcoM OorH 0PTY sec Retired Retired Writer Bell-Phillip Television Productions Inc. Director of Programs LGBT Community Center of the Desert President/CEO Wintec Energy SUBTOTAL (Include all Schedule A subtotals.) ...................................................................................................................................... . 2. Amount received this period -unitemized monetary contributions of less than $100 ......................................................... . 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)....... ........ ........ ..... ... ......... ................ TOTAL Stat em ant covers period 1/1/2017 from _____ _ through 6/30/2017 SCHEDULE A CALIFORNIA 460 FORM AMOUNT CUMULATIVE TO DATE PER ELECTION TO DATE RECEIVED THIS CALENDAR YEAR PERIOD (JAN.1-0EC. 31) (IF REQUIRED) $250.00 $250.00 $100.00 $2,500.00 $52,325.00 $3,156.00 $250.00 $250.00 $100.00 $2,500.00 •contributor Codes IND-Individual COM· Recipient Committee (OChar than PTY or SCC) DTH-Other (e.11 .. business entltvl PTY • Politic:al Partv sec-Smell Contributor Committee $ 5 5, 4 81 . 0 0 FPPC Form 460 !Jan/20161 FPPC Advice: adYlee@fppc.ce.gov (888/275-37721 www.fppc.ca.11ov Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lisa Middleton for Palm Springs City Council 2017 . Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, EITTER NAME OF BUSINl!SS) (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) CODE • 05/07/2017 03/30/2017 05/04/2017 03/23/2017 Tom Nolan 1280 Ellis St Apt 1 San Francisco, CA 94109-7651 Jeffrey Norman l Cedar Lake Ct Rancho Mirage, CA 92270-5806 Charlotte O'Callaghan 9690 Troon Ct Desert Hot Springs, CA 92240-1269 Cheryl O'Callaghan 840 E Biltmore Pl Palm Springs, CA 92264-8438 Schedule A Summarv 1. Amount received this period -itemized monetary contributions. 01ND OcaM •oTH •PTY sec 01ND OcoM Dorn •PTY sec ~IND OcOM OoTH •PTY sec 01ND OcoM OoTH 0PTY sec Manager City 87 Director of Communications & Publ.:.c Affairs Mccallum T~eatre Retired Retired Retired Retired SUBTOTAL (Include all Schedule A subtotals.) ...................................................................................................................................... . 2. Amount received this period -unitemized monetary contributions of less than $100 ......................................................... . 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL Statemell1 covera period rrom __ l_/_l_/_2_0_1_7_ through 6/30/2017 SCHEDULE A CALIFORNIA 460 FORM AMOUNT CUMULATIVE TO DATE PER ELECTION TO DATE RECEIVED THIS CALENDAR YEAR PERIOD (JAN. 1-DEC. 311 (IF REQUIRED) $100,00 $100.00 $100.00 $100.00 $500.00 $500.00 $100.00 $400.DO IND-Individual $52,325.00 , COM-Recipient Committee I (other than PTY or SCC) OTH-Other (e.q., business entity) • PTY-Political Party $3,156.00 : sec-Small Contributor Committee $ 5 5, 4 Bl . 0 0 FPPC Form 460 (Jan/2011) FPPC Advk:e: advlce@fi,pc.Cll.gov !8681275-3772) www.fppc.ca.QOV Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAM OFFILER Lisa Middleton for Palm Springs City Council 2017 . Amounts may bll raundttd to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER !If SELf'.EMPL.OVE•. ENTER NAME OF BUSINESS) (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE• [ZJINO Cheryl O'Callaghan OcoM 04/23/2017 840 E Biltmore Pl OoTH Palm Springs, CA 92264-8438 •PTY sec [ZjlND Cheryl O'Callaghan OcoM 05/23/2017 840 E Biltmore Pl OoTH Palm Springs, CA 922 64-8438 •PTY sec [ZJIND Cheryl O'Callaghan •COM 06/23/2017 840 E Biltmore Pl DOTH Palm Springs, CA 92264-8438 •PTY sec Lesler Olmstead-Rose {Z)INO 1830 Ellis St Ocm,1 04/30/2017 Apt D OoTH San Francisco, CA 94115-4076 •PTV sec Schedule A Summarv 1. Amount received this period -itemized monetary contributions. Retired Retired Retired Retired Retired Retired Consultant La Piana Consulting SUBTOTAL (Include all Schedule A subtotals.) ...................................................................................................................................... . 2. Amount received this period -unitemized monetary contributions of less than $100 ........................................................ .. 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL Statement c:overs pllriocl from 1/1/2017 ------ through 6/30/2017 SCHEDULE A CALIFORNIA 460 FORM AMOUNT CUMULATIVE TO DATE PER ELECTION TO DATE RECEIVED THIS CALENDAR YEAR PERIOD (JAN. 1-DEC. 31) [IF REQUIRED) $100.00 $100.00 $100.00 $100.00 $52,325.00 $3,156.00 $55,481.00 ~400.00 $400.00 $400.00 $100.00 'Contributor Codes IND-Individual COM-Recipient Committee (other than PTY or SCC) DTH-Other (e.11., business entity) PTY-Political Partv sec-Small Contributor Committee FPPC Farm 460 (Janl2016J FPPC Advice: adYicll@fppc.ca.gov (8661275-37721 www.fppt:.ca.gov Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lisa Middleton for Palm Springs City Council 2017 . Amounts mey be rounded to wt1 ol a dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELf-EMPI.OYED, ENTER NMIE Of BUSIN!'.SS) HF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE • Scott Palermo 06/22/2017 496 Paseo So Palm Springs, CA 92264 Darren Parada 05/08/2017 1691 E Racquet Club Rd Palm Springs, CA 92262-2366 Leann Pittsford 04/26/2017 729 K St NE Washington, DC 20002-3631 Kerstin Pollack 04/10/2017 2283 E Smokewood Ave Palm Springs, CA 92264-4967 Schedule A Summarv 1. Amount received this period -itemized monetary contributions. [ZjlND OcoM OorH •PTY Oscc (Z]IND OcoM OorH •PTY sec [2jlND OcoM DOTH 0PTY sec @IND OcoM DOTH •PTY sec Realtor and Broker Principal and Broker Owner; Harcour~s Desert Homes Registered Nurse Eisenhower Medical Center CEO and Founder Start Somewhere Curator of Art Reginald Pollock Art SUBTOTAL {Include all Schedule A subtotals.) ...................................................................................................................................... . 2. Amount received this period -unitemized monetary contributions of less than $100 ......................................................... . 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL Statemlflt covers pllriod 1/1/2017 from _____ _ through 6 / 3 0 / 2 01 7 SCHEDULE A CALIFORNIA 460 FORM AMOUNT CUMULATIVE TO DATE PER ELECTION TO DATE RECEIVED THIS CALENDAR YEAR PERIOD (JAN. 1-0EC. 31) (IF REQUIRED) $200.00 $100.00 $100.00 $100.00 $52,325.00 $3,156.00 $200.00 $100.00 $100.00 $100.00 IND-Individual COM-Recipient Committee (other than PTY or SCC) OTH-Other (e.a., business entiM PTY-Political Party sec-Smell Contributor Committee $ 5 5, 4 81 . 0 0 FPPC Form 460 (Jan/2016) FPPC Advice: advlC9@fppc.ca.11ov (86151275-3772) www.fppc:.ca.aov Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lisa Middleton for Palm Springs City Council 2017 . Amounts may be rounded to whale dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF·EIIIPLOYED. ENTER NAME OF BUSINESS) (lF COMMITTEE, ALSO ENTER I.D. NUMBER) COOE • 01ND Cynthia Q·c1in OcoM 04/20/2017 1306 S Driftwood tr 00TH Palm Springs, CA 92264-8524 0PTY sec 01ND Pat Quintana OcoM 04/01/2017 915 California St Dorn Huntington Beach, CA 92648-4301 •PTY rscc Laura Ramsey 01ND OcoM 06/30/2017 79405 Highway 111 QOTH Ste 9 La Quinta, CA 92253-8300 QPTY sec [ZjlND Alex Randolph OcoM 05/08/2017 240 Dolores St QOTH San Francisco, CA 94103-2270 •PTY sec Schedule A Summarv 1. Amount received this period -itemized monetary contributions. Retired Retired Retired Retired Retired Retired Trustee City College of San Francisco SUBTOTAL (Include all Schedule A subtotals.) ...................................................................................................................................... . 2. Amount received this period -unitemized monetary contributions of less than $100 ......................................................... . 3. Total monetary contributions received this period. (Add Lines 1 and 2: Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL Statemllrlt covers period from __ l_/_1_/_2_0_1_7 through 6 / 3 0 / 2 01 7 CALIFORNIA FORM SCHEDULE A Page 38 of 61 ----- AMOUNT CUMULATIVE TO DATE PER ELECTION TO DATE RECEIVED THIS CALENDAR YEAR PERIOD (JAN.1-DEC. 31) (IF REQUIRED) $100.0C $100.00 $100.00 $100.00 $52,325.00 $3,156.00 $100.00 $100.00 $100.00 $100.00 IND-Individual COM-Recll)ient Committee (other than PTY or SCC) OTH• Other (e.g., business entity) PTY· Political Party sec-Small Contributor Committee $ 5 5, 4 B 1 • O O FPPC Form •60 (Janl2D16) FPPC Advice: advh:e@fppc.ca.gov (86&1275-3n2) -.fppc.c:a.gov Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lisa Middleton for Palm Springs City Council 2017 . Amounts may be rounded to whola dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF·EMPLOVl;aD, ENTERNN.IE OF BUSINESS) l)F COMMITTEE, ALSO ENTER 1.0. NUMBER) CODE • Brian Rix 0S/04/2017 38335 Maracaibo Cir E Palm Springs, CA 92264-0253 Greg Rodriguez 06/10/2017 4280 Rex Ct Palm Springs, CA 92262-0599 Jaime Rook 04/21/2017 1450 N Vaquero Rd Palm Springs, CA 92262-4740 Christopher Rosas 06/22/2017 200 W.Sahara Ave, #3903 Palm Springs, CA 92264-0519 Schedule A Summarv 1. Amount received this period -itemized monetary contributions. ~IND OcoM 0DTH •PTY sec ~IND OcoM OorH 0PTY sec 01NO OcoM OorH •PTY sec IZ]INO OcoM 00TH •PTY sec Parner Burke Rix Communications Senior Policy Director Riverside County Broker Self Hotel Owner Christopher Rosas SUBTOTAL (Include all Schedule A subtotals.) ...................................................................................................................................... . 2. Amount received this period -unitemized monetary contributions of less than $100 ......................................................... . 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL Statem11ttt covera period 1/1/2017 from _____ _ through 6/30/2017 SCHEDULE A CALIFORNIA 460 FORM Page 39 of 61 AMOUNT CUMULATIVE TO DATE PER ELECTION TO DATE RECEIVED THIS CALENDAR YEAR PERIOD (JAN. 1-0EC. 31) (IF REQUIRED) $500.00 $100.00 $100.00 $250.00 $52,325.00 $3,156.00 $500.00 $100.00 $100.00 $250.00 'Contributor Codes IND-Individual COM-Recipient Cornmltte<1 (other than PTY Of SCC) DTH-Other (e.ii., business entlt\ll PTY-Political Partv sec-Small Contributor Committee $ 5 5, 4 81 . O O FPPC Fonn 460 fJan/2016) FPPC Advice: edvlce@fppc.ca.gov (8815/275-3772) www.fppc.ca.11ov Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lisa Middleton for Palm Springs City Council 2017 . Amounts may bl rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL. ENTER OCCUPATION AND EMPLOYER OF SELF-EMPLOVED. ENTER NAME OF BUSINESS) (IF COMMITTEE, ALSO ENTER 1.D. NUMBER) CODE • Keith Rosen 04/10/2017 86 Roslin Avenue Toronto, ON 41664-7 Jonathan Rosenblatt 05/11/2017 1010 S Manzanita Ave Palm Springs, CA 92264-511B Diane Ross 04/06/2017 1555 s Sagebrush Rd Palm Springs, CA 92264-8541 Jerry Sanfilippo 04/02/2017 2955 Sundance Cir E Palm Springs, CA 92262-2036 Schedule A Summarv 1. Amount received this period -itemized monetary contributions. [2jlND OcOM •oTH •PTY sec [2j1ND OcoM •oTH •PTY sec ~IND OcoM OorH 0PTY sec ~IND OcoM OorH 0PTY sec Retired Retired Retired Retired Retired Retired Designer Fos Interiors, LLC SUBTOTAL (Include all Schedule A subtotals.) ..................................................................................................................................... .. 2. Amount received this period -unitemized monetary contributions of less than $100 ......................................................... . 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL Statement covers pllllod 1/1/2017 from _____ _ through 6/30/2017 SCHEDULE A CALIFORNIA 460 FORM AMOUNT CUMULATIVE TO DATE PER ELECTION TO DATE RECEIVED THIS CALENDAR YEAR PERIOD (JAN.1-0EC. 31) HF RE:QUIREO) $250,00 $500.00 $250. 00 $100.00 $52,325.00 $3,156.00 $250.00 $500.00 $250.00 $100.00 *Contributor Codes IND-Individual COM· Re<:lplent committee (olher lhan PTY or SCC) OTH· Other (a.n., business enUty) PTY · Poijtical Party sec-Small Cont11butor Commlnee $ 55, 4 Bl . O O FPPC Fonn 460 (Jan/2016) FPPC Advice: advlce@!fiipc.ca.gov IIH/275•3772} www.fppc.ce.gov Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lisa Middleton for ?alrn Springs City Council 2017 . Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER OF SEaLF-EMPL=, ENTER NAMe OF BUSINESS) (IF COMMITTEE, ALSO ENTER 1.D. NUMBER) CODE ' Arlene Sanford 05/04/2017 555 E Avenida Granada Palm Springs, CA 92264-5401 Stan Sartor 04/15/2017 984 E La Jolla Rd Palm Springs, CA 92264-9286 Jan Seaman 03/24/2017 3001 Calle Arandas Palm Springs, CA 92264-6733 Ann Sheffer 01/31/2017 170 Stony Point Road Westport, CT 06880 Schedule A Summarv 1. Amount received this period -itemiZed monetary contributions. (Z]IND •cOM DOTH •PTY sec 01ND OcoM •oTH 0PTY sec l2]1N• OcoM 00TH •PTV sec @IND OcoM OoTH •PTV sec TV Director Welcome Home Productions Retired Retired Retired Retired Retired Retired SUBTOTAL (Include all Schedule A subtotals.) ..................................................................................................................................... .. 2. Amount received this period -unitemized monetary contributions of less than $100 ........................................................ .. 3. Total monetary contributions received this period. Stalame-nt COVBl'II plll'hxl from 1/1/2017 ------ thravgh 6/30/2017 SCHEDULE A CALIFORNIA 460 II FORM Page 4:_ of 61 -- AMOUNT CUMULATIVE TO DATE PER ELECTION TO DATE RECEIVED THIS CALENDAR YEAR PERIOD (JAN. 1-DEC. 31) (IF REQUIRED) $100.00 $100.00 $100.00 $1,000.00 $52,325.00 $3,156.00 $100.00 $100.00 $100.00 $2,000.00 'Conlributor Codes IND-Individual COM-Recipient Committee (other than PTY or SCCJ OTH-Other (e.Q., business entlM PTY-Political Partv SCC-Small Contributor Committee (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL $ 5 5, 4 81 . O O FPPC Fomi 460 (Jan/2016) FPPC Advice: advlce@lppc.ca.gov (8661276-3772) www.fppc.ca.gov ------ Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lisa Middleton for Palm Springs City Council 2017 • Amounts may be rounded to whole doUans. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP COOE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOl'ED, ENTER NAME OF BUSINESS) {IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE • Ann Sheffer 06/16/2017 170 Stony Point Road Westport, CT 06880 Joy Silver 05/13/2017 2346 Paseo Del Rey Palm Springs, CA 92264-9543 Peter Sipkins 04/11/2017 161 Desert Lakes Dr Palm Springs, CA 92264-5526 Gregory Smith 04/21/2017 7575 Old Hickory Ln Cincinnati, OH 15243-1435 Schedule A Summarv 1. Amount received this period -itemized monetary contributions. 01NO OcoM DOTH 0PTY sec 01ND OcoM OoTH 0PTY sec 01ND OcoM 00TH 0PTY sec [2)1NO OcoM OoTH •PTY sec Retired Retired Retired Retired Retired Retired National Account Executive Third Party Claims Administrator SUBTOTAL (Include all Schedule A subtotals.) ...................................................................................................................................... . 2. Amount received this period -unitemized monetary contributions of less than $100 ........................................................ .. 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL Stat11ment covers period rrom __ l_/_l_/_2_0_1_7 through 6/30/2017 SCHEDULE A CALIFORNIA 460 FORM AMOUNT CUMULATIVE TO DATE PER ELECTION TO DATE RECEIVED THIS CALENDAR YEAR PERIOD (JAN, 1-DEC, 31) (IF REQUIRED) $1,000.00 $500.00 $100.00 $100.00 $52,325.00 $3,156.00 $55,481.00 $2,000.00 $500.00 $100.00 $100.00 IND-lndllriduel COM-Recipient Commiltee (other than PTY or SCC) OTH-Olher (B.!J., business entity) PTY-Political Party sec-Smell Contributor CommlUlfl FPPC Fonn 460 (Jan/2016) FPPC Advice: advlce@fppc.ca.gov (86ffl75-3n2) www.fppc.ca.gov Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lisa Middleton for Palm Springs City Council 2017 . Amount. may be roundltd lO whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER IIF SELF-liMPLOVEO, ENTER NIIME Cl' BUSINESS) (IF COMMITTEE, ALSO ENTER 1.D. NUMBER) CODE • !ZJIND Mark Smith OcoM 06/22/2017 1801 W Crestview Dr DOTH Palm Springs, CA 92264-2601 0PTY sec !ZJINO Steve Solomon OcoM 05/11/2017 450 E Via Colusa OorH Palm Springs, CA 92262-6012 •PTY sec 01ND Gary Soto OcoM 05/03/2017 1432 S Calle De Maria OoTH Palm Springs, CA 92264-8589 0PTY sec 01ND Lyle Sparks OcoM 04/18/2017 2418 S Via Lazo DOTH Palm Springs, CA 92264-9489 •PTY sec Schedule A Summarv 1. Amount received this period -itemized monetary contributions. Creative Consultant Self Retired Retired Educational Consultant Action Learning Systems Retired Retired SUBTOTAL (Include all Schedule A subtotals.) ..................................................................................................................................... . 2. Amount received this period -unitemized monetary contributions of less than $100 ......................................................... . 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1. ) ................. ,....................... ..... .......... TOTAL from 1/1/2017 ------ through 6/30/2017 SCHEDULE A CALIFORNIA 460 j FORM Page 43 of 61 ~---- AMOUNT CUMULATIVE TO DATE PER ELECTION TO DATE RECEIVED THIS CALENDAR YEAR PERIOD (JAN.1-DEC. 31) (IF REQUIRED] $200.00 $250.00 $250.00 $100.00 $52,325.00 $3,156.00 $55,481.00 $200.00 $250.00 $250.00 $100.00 'Contributor Codes IND-Individual COM-Recipient Committee (olher than PTY or SCC) OTH-Other [e.11., business entity) PTY-Political Party sec-Smell Contributor Committee FPPC Form ,so [Jan/2016) FPPC Advice: advlce@l'11pc;.ca.gov (8661275•3772) -.fppc.c.a,gov Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lisa Middleton for Palm Springs City Council 2017 . Amounts may be rounded ta whole doUars. DATE RECEIVED FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF ·EMPLOYED. ENTER NAME OF BUSINESS) (IF COMMITTEE, ALSO ENTER 1.D. NUMBER) CODE• IZ]IND Barbara Stanford OcoM 03/30/2017 1934 S Divot Ln •oTH Palm Springs, CA 92264-5813 •PTY sec IZ]iND Charles Steinman OcoM 06/14/2017 600 E Sierra Way Dorn Palm Sp:rings, CA 92264-9078 DPTY sec IZ]IND Eileen Stern DcoM 04/10/2017 64460 Via Amante DOTH Palm Springs, CA 92264-0202 DPTY sec IZ]IND Alex Swedlow DcoM 04/03/2017 5205 Sandburg Dr DOTH Sacramento, CA 95819-1606 0PTY sec Schedule A Summarv 1. Amount recei11ed this period -itemized monetary contributions. Retired Retired Retired Retired Marketing Consultant Frank and Stern, Inc. President ewer SUBTOTAL (Include all Schedule A subtotals.) ..................................................................................................................................... .. 2. Amount received this period -unitemized monetary contributions of less than $100 ......................................................... . 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL Statement COV&1'8 period from __ l_/_l_/_2_0_1_7 through 6/30/2017 SCHEDULE A CALIFORNIA 460 i FORM AMOUNT CUMULATIVE TO DATE PER ELECTION TO DATE RECEIVED THIS CALENDAR YEAR PERIOD (JAN. 1·DEC. 31) (IF REQUIRED) $100.00 $100.00 $125.00 $125.00 $100.00 $100.00 $100.00 $100.00 $425.0011- $52,325.00 $3,156.00 •contributor Codes IND-Individual COM-Recipient Committee (other than PTY or sec) OTH-other (e.ii., business antiM PTY-Political Party SCC-Small Contributor Committee $ 5 5 , 481 . 0 0 FPPC Fonn 460 (Jan/2016) FPPC Advice: advlc:e@l'1111c.ca.gov (861/275-3772) www.fppc:.c•.gOY Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lisa Middleton for Palm Springs City Council 2017 . Amounts may be rovndad to whole dollar&. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (If' SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE, ALSO ENTER 1.0 NUMBER) CODE* Minna Tao 05/02/2017 6075 Colton Blvd Oakland, CA 94611-2267 Jacqueline Thomas 04/22/2017 2295 S Alhambra Dr Palm Spri~gs, CA 92264-9401 Robert Thorson 04/10/2017 1225 E Deepwell Rd Palm Springs, CA 92264-8500 Marian Towne 05/05/2017 2275 N Starr Rd Palm Springs, CA 92262-3033 Schedule A Summarv 1. Amount received this period -itemized monetary contributions. (ZIIND OcoM Dorn 0PTY sec (ZIIND OcoM OorH 0PTY sec (ZIIND OcoM OorH •PTY sec IZJtND OcoM OorH 0PTY sec General Manager Recology Real Estate Investor Thomboy Properties, Inc Ret:.ired Re~ired Retired Retired SUBTOTAL (Include all Schedule A subtotals.) ............................................................................................................................ . 2. Amount received this period -unitemized monetary contributions of less than $100 ........................................................ .. 3. Total monetary contributions received this period. (Add lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)............... ......................................... TOTAL SCHEDULE A Statam ent covers period CALIFORNIA 46Q FORM from 1/1/2017 ------ through 6/ 3 0 /2 01 7 AMOUNT RECEIVED THIS PERIOD $250.00 $250.00 $500.00 $500.00 CUMULATIVE TO DATE CALENDAR YEAR PAN, 1-DEC. 31) $250.00 $250.00 $500.00 $500.00 PER ELECTION TO DATE (IF REQUIRED) $1,500.00,_ $52,325.00 $3,156.00 'Contributor Codes IND-Individual COM-Recipient Committee (other than PTY et SCC) OTH-Other (e.Q .. businesa antitvl PTY-Political Party see-Small Conb1butor Commlt1ee $ 5 5, 4 81 . 0 0 FPPC Form 460 IJan/20111I FPPC Advice: advlce@fppc.c11.gov (1156/275-3772) __ fppc.ca.gov Schedule A Monetary Contributions Received SEE IN8TRUCTIONS ON REVERSE NAME OF FILER Lisa Middleton for Palm Springs City Council 2017 . Amounts may be rounded ta whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS ANO ZlP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER ('F SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) CODE• 05/15/2017 04/03/2017 06/29/2017 05/11/2017 Steven Truchout 1990 E Chia Rd Palm Springs, CA 92262-5397 Darrell Tucci 2600 S Palm Canyon Dr Unit 8 Palm Springs, CA 92264-9368 Darrell Tucci 2600 S Palm Canyon Dr Unit 8 Palm Springs, CA 92264-9368 Linda Usher 320 W Oakdale Ave Apt 1402 Chicago, IL 6065~-5620 Schedule A Summarv 1. Amount received this period -itemized monetary contributions. 01ND OcoM DOTH 0PTY sec 01ND QcoM QoTH •PTY sec 01NO OcOM QOTH 0PTY sec 01NO OcoM OoTH 0PTY sec Retired Retired Chief Development Officer Desert AIDS Project Chief Development Officer Desert AIDS Project Executive Self SUBTOTAL (Include all Schedule A subtotals.) ..................................................................................................................................... .. 2. Amount received this period -unitemized monetary contributions of less than $100 ......................................................... . 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL Statement covers period from 1/1/2017 ------ through 6/ 30 / 201 7 SCHEDULE A CALIFORNIA 460 FORM AMOUNT CUMULATIVE TO DATE PER ELECTION TO DATE RECEIVED THIS CALENDAR YEAR PERIOD (JAN.1-DEC. 31) !IF REQUIRED) $100,00 $50.00 $50.00 $1,000.00 $52,325.00 $3,156.00 $55,481.00 $100.00 $100.00 $100.00 $1,000.00 •contributor Codes IND-Individual COM-Recipient Committee {other than PTV or SCC) OTH-Other (e.11., business entity) PTY-Polibcal Party sec-SmaH Contributor Committee FPPC Farm 460 (Jan/2016) FPPC Advice: advlce@fppc.ca.110v (866/275-3772) www.fppc.c:a.gov -------------------------------~ Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lisa Middleton for Palm Springs City Council 2017 . Amounts tnay be rounded to whole dollan;. DATE RECEIVED FULL NAME, STREET ADDRESS ANO ZIF' CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF...;MPLO\'EI), ENTER NAME OF BUSINESS) IIF COMMITTEE, ALSO ENTER 1.D. NUMBER) CODE • Michael Valeo 03/31/2017 634 N Calle Rolph Palm Springs, CA 92262-6153 Robert Van Rao 06/29/2017 3585 Sunburst Blvd Palm Springs, CA 92262-0425 Ralph Villani 04/06/2017 102B E San Lorenzo Rd Palm Springs, CA 92264-8114 David Vogel 04/05/2017 1 Ste 110 Palm Springs, CA 92264 Schedule A Summarv 1. Amount received this period -itemized monetary contributions. @IND OcoM OoTH 0PTY sec [ZjlND OcoM OoTH 0PTY sec (ZIIND OcoM OorH 0PTY sec 01ND OcoM OorH 0PTY sec Real Estate Self President Palm Springs Safe Access Retired Retired Retired Retired SUBTOTAL (Include all Schedule A subtotals.) ...................................................................................................................................... . 2. Amount received this period -unitemized monetary contributions of less than $100 ......................................................... . 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL SCHEDULE A Statement covers period 1/1/2017 from _____ _ CALIFORNIA FORM 460 I throuah 6/30/2017 Page 47 of 61 -- AMOUNT CUMULATIVE TO DATE PER ELECTION TO DATE RECEIVED THIS CALENDAR YEAR PERIOD (JAN. 1-DEC. 31) (IF REQUIRED) $250.00 $250.00 $1,000.00 $1,000.00 $52,325.00 $3,156.00 $250.00 $250.00 $1,000.00 $1,000.00 •Contributor COdes IND-lndi11idual COM-Recipient Committee (other than PTY or SCC) OTH-Other (e,R., business entity) PTY-Political Partv SCC-Small Conlributor Committee I $ 5 5 , 4 81 . Q O FPPC Fomi 4110 (Jan/20111) FPPC Advice: adYlce@flJpc.ca.gov (86111275-3n2J www.fppc.ca.gov Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NM!E OF FILER Lisa Middleton for Palm Springs City Council 2017 . Amounts may bo l'CKlnded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SE~F-E:MPI.OYlaO. ENTiR NM!E Of 8U51NESSJ (IF COMMITTEE, ALSO ENTER 1.D. NUMBER) CODE' Jonathan Vrban 04/11/2017 1320 Kamchame Dr Honolulu, HI 96825-3507 Leonie Walker 05/02/2017 40 Buckeye Portola Valley, CA 94028-8015 Ron Wallen 03/29/2017 2833 Sundance Cir W Palm Springs, CA 92262-2053 Charles Wamsley 06/22/2017 3492 E Loma Vista Cir Palm Springs, CA 92264-3528 Schedule A Summarv 1. Amount received this period -itemized monetary contributions. lZJIND OcoM DOTH 0PTV sec GZ]IND OcoM OorH •PTY sec G2) IND OcoM OorH •PTY sec (Z]IND OcoM DOTH 0PTY sec Retired Retired Owner Self Retired Retired Owner Palm Springs Rental Agency SUBTOTAL (lndude alt Schedule A subtotals.) ...................................................................................................................................... . 2. Amount received this period -unitemized monetary contributions of less than $100 ......................................................... . 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL Statement covers period from 1/1/2017 ~----- through 6/30/2017 CALIFORNIA FORM SCHEDULE A Page 48 of 61 ----- M!OUNT CUMULATIVE TO DATE PER ELECTION TO DATE RECEIVED THIS CALENDAR YEAR PERIOD (JAN.1-DEC. 31) (IF REQUIREDl $100.00 $100.00 $250.00 $500.00 $52,325.00 $3,156.00 $55,481.00 $100.00 $100.00 $250.00 $500.00 'Contributor Codes IND-Individual COM-Recipient Cammittae (other than PTY or SCC) OTH-Other (e.o .. buslnass entltvi PTY-Political Party SCC-Smell Conlriblllor Committee FPPC Fann 460 !J111nl2016) FPPC Advl1.e: advlce@fppc.t.a.gov f866J275-3772) -.fPpt..ca.uov Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lisa Middleton for Palm Springs City Council 2017 . Amounts mey be rounded to whole dollar$. DATE RECEIVED FULL NAME, STREET ADDRESS ANO ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF 8ELF-EMPI.OYEC, ENTER NAME OF aus1NESS) (IF COMMITTEE, ALSO ENTER 1.D. NUMBER) CODE• 04/11/2017 04/21/2017 04/21/2017 04/18/2017 Marie Wardell 5555 Montgomery Dr Apt M106 Santa Rosa, CA 95409-8849 Curt Watts 266 N Saturmino Dr Palm Springs, CA 92262-6544 Brian Webb 1775 E Palm Canyon Dr Ste 110-400 Palm Springs, CA 92264-1613 John Webster 1847 Sandcliff Rd Palm Springs, CA 92264-4864 Schedule A Summarv 1. Amount received this period -itemized monetary contributions. [ZIIND OcoM Dorn 0PTY sec [ZJIND OcoM OoTH 0PTY sec 0tND OcoM OorH 0PTY sec [ZjlND OcoM OoTH 0PTY sec Retired Retired Executive City of Cathedral City Realtor Self Retired Retired SUBTOTAL (lndude all Schedule A subtotals.) ...................................................................................................................................... . 2. Amount received this period -unitemized monetary contributions of less than $100 ......................................................... . 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL Statement cover• period from through 1/1/2017 6/30/2017 SCHEDULE A CALIFORNIA 460 I FORM 1 Page 49 of 61 AMOUNT CUMULATIVE TO DATE PER ELECTION TO DATE RECEIVED THIS CALENDAR YEAR PERIOD (JAN. 1-0EC. 31) (IF REQUIRED) $250.00 $500.00 $100.00 $1,000.00 $52,325.00 $3,156.00 $250.00 $500.00 $100.00 $1,000.00 IND-Individual COM• Recipient Committee (other than PTY or sec) OTH-Other (e.!l., business enti1y) PTY • PoUtical Party sec-Small Ccmtributor Committee $ 5 5 , 4 81 . 0 Q FPPC Form 410 (Jan/201 Ci) FPPC Advice: advlce@fpr,e.ce.gov (8661275-3n2) www.1ppc:.ca.gov Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lisa Middleton for Palm Springs City Council 2017 . Amounts may be rounded to whole dollani. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION ANO EMPLOYER (IF SELF-EMPLOYED, ENTliR NAME OF BUSINESS) (IF COMMITTEE, ALSO ENTER 1.D. NUMBER) CODE• 04/23/2017 04/22/2017 06/14/20:. 7 05/05/2017 Rick Weingard 1150 E Palm Canyon Dr Unit 92 Palm Springs, CA 92264-9191 Kathleen Weremiuk 699 Wilson Ln Palm Springs, CA 92262-0553 Richard Whipple 909 SE 14th Ct Apt 8 Fort Lauderdale, FL 33316-2639 Henry Wong 2389 S Calle Palo Fierro Palm Springs, CA 92264-9409 Schedule A Summarv 1. Amount received this period -itemized monetary contributions. [ZjlNO OcOM DOTH 0PTY sec (Z]IND OcoM OoTH 0PTY sec (Z]tND OcoM DOTH 0PTY sec (Z]IND OcoM OoTH •PTY sec Graphic Arts & Pr~nting Designer Prornotivators Ltd. Retired Retired Retired Retired Retired Retired SUBTOTAL (Include all Schedule A subtotals.) ...................................................................................................................................... . 2. Amount received this period -unitemi2ed monetary contributions of less than $100 ......................................................... . 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........................................................ TOTAL SCHEDULE A Statvmant covers pwlod CALIFORNIA FORM from 1/1/2017 ------ through 6 / 3 0 / 2 0 1 7 Page 50 of 6l AMOUNT RECEIVED THIS PERIOD $100.00 $100.00 $250.00 $125.00 $52,325.00 $3,156.00 $55,481.00 ----- CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1-DEC. 31) $100.00 $100.00 $250.00 $125.00 •contributor Codes IND-Individual PER ELECTION TO DATE (IF REQUIREDl COM-Raciplent Committee (other than PTY or SCC) OTH-Other (e.11 .. business anUtvl PTY-Porrtlc.al Party sec-Small Contributor Cornminee FPPC Form 460 (Jan/2016) FPPC Advice: 11dvlce@fppc.ca.g0v (8661275-3772) www.fppc.ca.gov Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lisa Middleton for Palm Springs City Counr.il 2017 . Amounts may be rounded ta whole doUars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION ANO EMPLOYER (IF SELF-EMPI.OVEO, ENTER NAME OF BUSINcSS) (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODI= ' Tim Wood 06/22/2017 568 N Chiquita Cir Palm Springs, CA 92262-6231 3rian Wright 04/06/2017 8075 Cibola Ct San Diego, CA 92120-1705 Quin A Wright 05/02/2017 1824 S Barona Rd Palm Springs, CA 92264-4860 Debra Yarger 05/01/2017 PO Box 191543 San Francisco, CA 94119-1543 Schedule A Summarv 1. Amount received this period -itemized monetary contributions. [i)IND QcoM OorH QPTY sec [i)IND OcoM OoTH •PTY sec (ZjiNO OcoM OoTH 0PTY sec [zjlND OcoM •oTH 0PTY sec Insurance Broker State Farm Retired Retired Retired Retired Management Consultant Self SUBTOTAL (Include all Schedule A subtotals.) .................................................................................................................................... .. Statement covers pltl'lod from 1/1/2017 through 6/30/2017 SCHEDULE A CALIFORNIA 46Q FORM AMOUNT CUMULATIVE TO DATE PER ELECTION TO DATE RECEIVED THIS CALENDAR YEAR PERIOD (JAN. 1·0EC. 31) (IF REQUIRED) $200.00 $200.00 $100.00 $100.00 $200.00 $200.00 $100.00 $100.00 $600.00_2 ,. __ $52,325.00 •eontrlbutor Codes IND-Individual COM-Redplent Committee (other than PTY or SCC) 2. Amount received this period ·unitemized monetary contributions of less than $100.......................................................... $3,156.00 OTH-Other (e.11 .. business enlitvl PTY• Political Party 3. Total monetary contributions received this period. sec-Smell Contributor Commlttae (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1. ).. ...... ... ............ ................ ................. TOTAL $ 5 5, 4 81 . o o FPPC Form "o (Jan/2016) -----FPPC Advice: advlce@fppc.ca.gov (86111275-37721 wwvt.fppc.ca.gov Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lisa Middleton for Palm Springs City Council 2017 . Amounts may be rounded to wholu dollars. DATE RECEIVF.D FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION ANO EMPLOYER ~F SELF•EMF'LOYED. ENTER NAME OF BUSINESS) (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) CODE• Betty Yee 04/30/2017 1428 Union St Alameda, CA 94501-2642 Les Young 04/07/2017 3683 Savanna Way Palm Springs, CA 92252-8825 Laura Zagar 05/02/2017 1045 Sorrento Dr San Diego, CA 92107-4140 Les Zendle 03/29/2017 1080 E Granvia Valmonte Palm Springs, CA 92262-6105 Schedule A Summarv 1. Amount received this period -itemized monetary contributions. 0tND QcoM OoTH 0PTY sec @IND OcoM OoTH •PTY sec [ZjlND OcoM OorH •PTY sec 0tNO OcoM OorH 0PTY sec Controller State of California Retired Retired Attorney Perkins Coie LLP Retired Retired SUBTOTAL (Include all Schedule A subtotals.) ...................................................................................................................................... . 2. Amount received this period -unitemized monetary contributions of less than $100 ........................................................ .. 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.) ...................................................... . TOTAL Statement COVll'll period from __ 1_/_l_/_2_0_1_7 through 6/ 30 / 2 01 7 SCHEDULE A CALIFORNIA 460 FORM AMOUNT CUMULATIVE TO OATE PER ELECTION TO DATE RECEIVED THIS CALENDAR YEAR PERIOD (JAN. 1-DEC. 31) (IF REQUIRED) $100.00 $250.00 $100.00 $1,000.00 $52,325.00 $3,156.00 $55,481.00 $100.00 $250.00 $100.00 $1,000.00 IND-Individual COM-Rar;;ipient Commltlaa (other than PTY or SCC) OTH-Other (e.Q .. business entltvl PTY· Political Party SC C· Small Contrlbutc,r Cc,mrnltlee FPPC Form 460 {Jan/2016) FPP C Advice: edvlce@fppc.ca.gov (BH/275-3772) www.fppc.ca.gov Schedule C Nonmonetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lisa Middleton for Palm Springs City Council 2017 DATE FULL NAME, STREET ADDRESS ANO ZIP CONTRIBUTOR RECEIVED CODE OF CONTRIBUTOR CODE• (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) EIGH4NINE Restaurant Ii. •IND OcoM Lounge [ZjOTH 04/24/2017 849 N Palm Canyon Dr •PTY Palm Springs, CA 92262-Oscc 4423 DINO JPM Building, LLC dba OC0M The 500 00TH 05/15/2017 500 South Palm Canyon OPTY Drive Oscc Palm Springs, CA 92262 •IND JPM Building, LLC dba OcoM The 500 [ZjOTH 06/01/2017 500 South Palm Canyon •PTY Drive Oscc Palm Springs, CA 92262 . Amounts may be rounded to whole dollars. IF AN INDIVIDUAL, ENTER DESCRIPTION OF OCCUPATION ANO EMPLOYER GOODS OR (IF SELF•EMPLOYEO, ENTER NAME OF SERVICES BUSINESS) PS kick- off event -in-kind catering contributi on Campaign office rent Ii, cam May 2017 campaign office rent & cam June 2017 Attar;h additional information on appropriately labeled continuation sheets. SUBTOTAL Schedule C Summary 1. Amount received this period -itemized nonmonetary contributions. (Include all Schedule C subtotals.) ...................................................................................................................................... . 2. Amount received this period -unitemized nonmonetary contributions of less than $100 ................................................... . 3. Total nonmonetary contributions received this period. Statement covers period from __ 1_1_1 1_/_2_0_1_7_ through 6/30/2017 SCHEDULE C CALIFORNIA 460 FORM 1.0.NUMSER 1394265 AMOUNT/FAIR CUMULATIVE TO DATE PER ELECTION MARKET VALUE $4,800.00 $916.30 $1,670.90 $7,387.20 $7,387.20 $0.00 CALENDAR VEAR [JAN. 1·DEC. 31) $4,800.00 $2,587.20 $2,587.20 'Coolributor Codes IND-Individual TO DATE (IF REQUIRED) COM• Recipient Committee (01her than PTY 01' SCC) DTH-Other (e.g., business entity) PTY-Political Party see-Small Contributor Committee (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Lines 4 and 10.) ............................................ TOTAL $7,387 . 2 0 FPPC Fonn 460 IJan/2016I --------~PPC Advice: advlceCilfppc.ca.gov [88&1275-3n2l www.fppc.ca.aav Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lisa Middleton for Palm Springs Cicy Council 2017 . Amounts may be rounded to whole dollars. Statement covers period from 1/1/2017 through ----,------ 6/30/2017 SCHEDULEE CALIFORNIA 460 FORM Page 54 of 61 -- 1.0. NUMBER 1394265 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campal11n paraphemalla/mlsc. CNS campaign consultants CTB contribution (explain nonmonetarv)* CVC civic donations FIL candidate filinc/ballot fees FND fundraisin.a events IND independent e1Cpenditure LEG le1,al defense LIT campalan literature and mailinRS NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER l,D. NUMBER) Bank of America 588 s Palm Canyon Dr Palm Springs, CA 92264-7438 Bank of America 588 s Palm Canyon Dr Palm Springs, CA 92264-7438 Brighthaus Marketing, LLC 125 E Tahquitz Canyon Way Palm Springs, CA 92262-6468 MBR rrnimber communications MTG meetinAs and appearances OFC office eXl)enses PET pe@on circulatinQ PHO phone banks POL poUinq and survev reseerch POS postaae. delivery and messenAer services PRO professional sarvlces ileo;ial, acmuntinql PRT print ads CODE OR OFC Bank fees OFC Bank fees Campaign logo, CMP development • Payments that are contributions or independent expenditures must al&o ba summarized on Schedule D. Schedule E Summary RAD radio airtime and production costs RFD returned contributions SAL campah:in workers' 11&laries TEL t.v. or cable airtime and production costs TRC candidate travel. lodaina. and meals TRS staff/spouse travel, lod11inR, and meals TSF transfer between committees of the same canclldata/sponsor VOT voter re11istralion WEB inf0m1ation technoloRv costs (Internet, e-mall) DESCRIPTION OF PAYMENT AMOUNTP.A.10 $88.00 $15.00 branding & website $1,200.00 SUBTOTAL $1,304.00 1. Itemized payments made this period. (Include all Schedule E subtotals.) ..................................................................................................................................................... ____ $_1_0~'~82_5_._3~0 2. Unitemized payments made this period of under $100.................................................................................................................................................................................. $ l 4 5 · 5 B 3. Total interest paid this period on loans. (Enter amount from Schedule 8, Part 1, Column (e).)............................................... ................................ ..................................... $ 0 , 0 0 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 8.) ................................................................ TOTAL $10,970.88 FPPC Form '60 (Jan/20161 FPPC .A.dvic:e: advl~ppc.ca.gov 18&61275-37721 www.fJlpc.ca.gov Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lisa Middleton for Palm Springs City Council 2017 . Amounts may be rounded to Whole dollars. Statement 1:overs period from 1/1/2017 ------- through 6/30/2017 SCHEDULEE CALIFORNIA 460 FORM Page 55 of 61 ----- 1.0. NUMBER 1394265 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campali:in paraphemalia/misc. CNS campaian consullants CTB contribution (el(lllain nonmonetal',I)' eve civic donations FIL candidate fllilllllbailot fees FND fundraisina events IND Independent expenditure LEG lei:ial defense LIT oamoaiQn literature and mailinns NAME AND ADDRESS OF PA.YEE (IF COMMITTEE. ALSO ENTER I.D. NUMBER) Brighthaus Marketing, LLC 125 E Tahquitz Canyon Way Palm Springs, CA 92262-6468 Classic Party Rentals 72009 Metroplex Dr Thousand Palms, CA 92276-3383 Costco Wholesale 72800 Dinah Shore Dr Palm Desert, CA 92211-0814 ... MBR member communications MTG meelinQs and appearances OFC office exoenses PET Petition circulatkia PHO phone banks POL pollinQ and survey research POS posta11e. de1iverv and messenner services PRO professional servicas (leqsl, accountlnq) PRT printads RAD radio airtime and production costs RFD returned contributions SAL camoaian workers' salaries TEL t.~. or cable airtime and production costs TRC candidate travel, lodainQ, and meals TRS staff/sPOOse travel. lodAinA, and meals TSF transfer between committees of the same candidate/sponsor VOT voter ra11istratlon WEB Information technoloSIV costs (Internet, e-mail) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID CMP Campaign logo, branding & website deveopment $1,950.00 FND Fundraising expenses $332.57 FND Fundraising expenses $264.98 ·--~· * Payments that are contribution& or indapandant expandltur&s must also be summarized on Schedule D. SUBTOTAL $2,547.55 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) ..................................................................................................................................................... ____ $_1_0~,_8_2_5_._3_0_ 2. Unitemized payments made this period of under $100................................................................................................................................. ..... ............................................ $ l 4 5 · 5 8 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).).............................. .................................................................. .................... $ 0 • 0 0 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ................................................................ TOTAL $10, 97 0. 8 8 FPPC Form 460 (Janf20161 FPPC Advice: advice(Nppc.ca.11ov (B66177S-3n2) www.fppc.ca.gov Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER . Amounts may ba rounded to whole dolla111. Statem.,I cavers period fram __ 1_/_l_/_2_0_1_7 through 6/30/2017 SCHEDULEE CALIFORNIA 460 FORM Lisa Middleton for Palm Springs City Council 2017 1.0. NUMBER 1394265 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaiAn paraphemalla/mlsc. CNS camoai!'.ln consultants CTB contribution (axplaln nonmoneta!'V)* eve civic donations FIL candidate filinQ/ballot fees FND fundralsln11 events JND independent eXPenditure LEG leael defense LIT campalQn literature and malllnAS NAME AND ADDRESS OF PAYEE (IF COMMITTEE. ALSO ENTER I.D. NUMBER) Eight4NINE Restaurant & Lounge 849 N Palm Canyon Dr Palm Springs, CA 92262-4423 Morel Ink 4824 NE 42nd Ave Portland, OR 97218-1661 Morel Ink 4824 NE 42nd Ave Portland, OR 97218-1661 MBR member communications MTG meetinAs and appearances OFC office expenses PET Petition cirnulatln11 PHO Phone banks POL pollin11 and survev research POS Postaae. dellverv and massen11er services PRO professional services (lei:ial, accountinol PRT print ads CODE OR FND Catering LIT Printer for RAD radio airtime and production costs RFD returned contributions SAL camDBlcn workers' salaries TEL t.v. or cable airtime end production costs TRC candidate travel, lodclnc. and meals TRS staff/soouse travel. lodQin11, and meals TSF transfer between committees of the same candidate/Sl)on&or VOT voter reqistratlon WEB information technolOQY costli (Internet, e-mail) DESCRIPTION OF PAYMENT AMOUNT PAID fundraising event $750.00 -business cards & rem:Lt envelopes $583.49 LIT Printer -note cards & envelopes $935.38 --· * Payment& that are contributions or independent expenditures mu&t also be summarized on Schedule D. SUBTOTAL $2,268.87 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) ..................................................................................................................................................... ____ S_l_O~, _8_2_5_._3_0 2. Unitemized payments made this period of under$100.................................................................................................................................................................................. $145 · 58 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).)................................................................................................ .................... $ 0 , 0 0 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ................................................................ TOTAL $10,970.88 FPPC Fann 460 (Janl2016I FPPC Advice: advtceli!if'ppc.ca.aov (868/275•3n2) WIINl.fppc.ca.gov Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER • Amounts may be n:IIR'lded to wllole dolllll'll. Statement coven1 period from 1/1/2017 ------ through 6/30/2017 SCHEDULEE CALIFORNIA 460 FORM Lisa Middleton for Palm Springs City Council 2017 I.D. NUMBER 1394265 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign 0ara11hemalialmlsc. CNS cam11aiRn consultants cm contribution {explain nonmonetarv)• eve civk. donations FIL candidate filina/ballol fees FNO fundralsinR events IND Independent expenditure LEG legal defense LIT campaign lltarature and mailings NAME ANO ADDRESS OF PAYEE. (IF COMMITTE:1:. ALSO ENTER I.D. NUMBeR) Morel Ink 4824 NE 42nd Ave Portland, OR 97218-1661 Morel Ink 4824 NE 42nd Ave Portland, OR 97218-1661 NGP VAN, Inc · 1101 15th St NW Ste 500 Washington, DC 20005-5006 MBR member communications MTG meetings and appearances OFC office expanses PET petition olrculatlna PHO Phone banks POL polling and aurvey research POS postage, deliver,, and messenger services PRO DrOfesslonal services (leaal. acc:ountin11 l PRT 11rinlads RAD radio airtime and production cost& RFD reumed contributions SAL ca1111>alan workers" salanes TEL t.v. or cable airtime and 11roductlon costs TRC candidate travel, lodQlna, and meals TRS staff/spouse travel, lodAina, and meals TSF transfer between committees of the same candidate/sponsor VOT voter raaistralion WEB Information technology collla (lntemet, a-mall) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID LIT Printer -stickers $481. 95 LIT Printer -business cards & name tags $449.50 WEB Technology platform/software $450.00 • Payments that •re contributions or independent u.pandituraa must also be summarized on Schedule D. SUBTOTAL $1,381.45 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) ..................................................................................................................................................... ____ $;,_l_0_,,__8_2_5_._3_0 2. Unitemized payments made this period of under $100.................................................................................................................................................................................. $145 • 5 8 3. Total interest paid this period on loans. (Enter amount from Sdledule 8, Part 1, Column (e).).............. ...................................................................................................... $ 0 • 0 0 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ................................................................ TOTAL $10,970.88 FPPC Fann 460 1Janl2D181 FPPC Advice: advlcetllfppc.c:a.gov (11861275-3772) -.fppc.ca.gav Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER , Amountll may be rounded ta whole doJlan;. Statement covers period from 1/1/2017 ------- through 6/30/2017 SCHEDULEE CALIFORNIA 460 I FORM Lisa Middleton for Palm Springs City Council 2017 I.D. NUMBER 1394265 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campafan paraohemalialmisc. CNS campai1in consultants CTB contribution (explain nonmonetarv\' eve civic donations FIL candidate fillnQ/ballol fees FND fundraisin11 events IND independent expenditure LEG lei:ial defense LIT camoaii:in literature and maBlnAs NAME ANO ADDRESS OF PAYEE (IF COMMITTEE. ALSO ENTER 1.0. NUMBER) NGP VAN, Inc 1101 15th St NW Ste 500 Washington, DC 20005-5006 Keith Rosen 86 Roslin Avenue Toronto, ON 41664-7 Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 MBR member communications MTG meetin11s and appearances OFC office eXPenses PET Petition circulatlni:i PHO phone banks POL pollin;i and survey research PCS postage. deliverv and messen1ier services PRO professional services (leqal, aooountinq) PRT print ads CODE OR RAD radio airtime and production costs RFD returned contributions SAL campaign worker&' salaries TEL t.v. or cable airtime and production costs TRC candidate travel, lodi:iina. and meals TRS staff/spouse travel, lod11inA, and meals TSF transfer between committees of the same candidate/sponsor VOT votar reQlstratlon WEB lnf01T11ation technoloav costs (Internet. e-mail) DESCRIPTION OF PAYMENT AMOUNT PAID WEB Technology platform/software $450.00 RFD Refund contribution by non-US citizen $2S0.00 OFC Merchant services $418.39 ·--·· • Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $1,118.39 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) ..................................................................................................................................................... ____ $.;__l_0 .... ,_8_2_5_. _3_0 2. Unitemized payments made this period of under $100.................................................................................................................................................................................. $l 4 5 • 58 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).}................................................................ .................................................... $ 0 • 0 0 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ................................................................ TOTAL $10, 970. 88 FPPC Fann 460 (Jan/2D16) FPPC Advice: advlceellfppc.ca,gov (866/275-3772) www.fppc.ca.gov Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lisa Middleton for Palm Springs City Council 2017 . Amounts may be rounded ta whole doll•rs. Statement covers period from __ 1_/_l_/_2_0_1_7_ through 6/30/2017 SCHEDULE E:. CALIFORNIA 460 FORM 1.0. NUMBER 1394265 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaiQn paraphernalia/misc. CNS campaii:in consultants CTB contribution feXDtaln nonmonetarv)' CVC civic donations Fil candidate filinAlballot fees FND fundraisinQ events IND independent expenditure LEG lei:ial defense UT camoaian literature and mailms NAME AND ADDRESS OF PAYEE (IF COMMITTEE. ALSO ENTER 1.0, NUMBER) Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-585B Sage Payment Solutions 12120 Sunset Hills Rd Ste 500 Reston, VA 20190-5858 Staples 5001 E Ramon Rd Palm Springs, CA 92264-1543 ... MBR member communications MTG meetinas and apoearances OFC office expenses PET petition circulatina PHO Phone banks POL oollinQ and survey research POS postaQe, defiverv and messenger services PRO DrDfessional services /leQal, accounllnq) PRT printads CODE OR OFC Merchant OFC ~erchant RAD radio airtime and production costs RFD returned contributions SAL campaign woti<ers' salaries TEL t.11. or cable airtime end production costs TRC candidate travel, lodAina. and meals TRS staff/spouse travel, lodainA. and meals TSF transfer between committees of the same candidate/sponsor VOT vouir reaistralion WEB Information technoloav costs (Internet, e-mail) DESCRIPTION OF PAYMENT AMOUNT PAID services $735.98 services $314.45 OFC Office supplies $67.41 • Payments that are contributions or independent expenditures must also be summarized on Schedule 0. SUBTOTAL $1,117.84 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) ..................................................................................................................................................... ___ .....:..$.=l_0...,,_8_2_5_. _3_0 2. Unitemized payments made this period of under $100. .............................................................................................. .................................................................... ............... $ l 4 5 • 5 8 3. Total Interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).).................................................................................................................... $ 0. 00 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ................................................................ TOTAL $10, 97 0 . 8 8 FPPC Form 460 (Jan/2016I FPPC Advice: advlceeljfppc.ca.gov l866/27S-3n2) www.fppc.ca.gov Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER . Amounts may be rounded to whole dollars. Statement cover, period from 1/1/2017 ------- through 6/ 30/2017 SCHEDULE E CALIFORNIA 460 FORM Page 60 of 61 -- Lisa Middleton for Palm Springs City Council 2017 I.D.NUMBER 1394265 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP camoalan paraohemalialmisc. CNS campaii:in consultants CTB contribution (eXPlain nonmonetarv)* eve civic donations FIL candidate flllnAlbalot fees FND fundraisinA events IND independent expenditure LEG lecal defense UT camoai,1n literature and mallinas NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Staples 5001 E Ramon Rd Palm Springs, CA 92264-1543 State Farm Insurance 35963 Date Palm Dr Cathedral City, CA 92234-6658 Transgender Community Coalition PO Box 580132 North Palm Springs, CA 92258-0132 MBR member communications MTG meetinos and appearances OFC office B)CIJenses PET petlUon clrculatino PHO phone banks POL oollin!l and survey research POS posta!le, delivery and messen11er services PRO professional services ll811al. accounting) PRT Print ads CODE OR RAD radio airtime and production costs RFD re1umed contributions SAL campalan workers' salaries TEL l.v. or cable airtime end production costs TRC candidate travel, lodalni:t, and meals TRS staff/spouse travel, lod11inQ, and meals TSF transfer between committees of the same candidate/sponsor VOT voter reaistration WEB lnfom,ation teehnoloav costs (Internet. e-mail) DESCRIPTION OF PAYMENT AMOUNT PAID FND Fundraising expenses $100.55 OFC ::..iability insurance for campaign office $500.00 PRT Ad in Monarch Magazine $150.00 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $750.55 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) ..................................................................................................................................................... ____ $_1_0--'--, _8_2_5_._3_0 2. Unitemized payments made this period of under $100.................................................................................................................................................................................. $145 • 5 8 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).)...... .............................................................................................................. $ 0 • 0 0 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ................................................................ TOTAL $10, 97 D, 8 B FPPC Form 460 fJan/2016) FPPC Advice: advlceetlfppc.ca.aov (86&1275-3n21 www.fppc.ca.gav Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Lisa Middleton for Palm Springs City Council 2017 , Amounts may be rounded to whole dollilr$. Statement cover• p.,-iod 1/1/2017 from ______ _ through 6/ 30 / 201 7 SCHEDULEE CALIFORNIA 460 I FORM Page 61 of 61 ----- l.D. NUMBER 1394265 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP camoaian paraohemalia/misc. CNS campalqn consultants CTB con1ribution [explain nonmonetarN eve civic donations FIi. candidate filinAlbaUot fees FND fundraisinfl eveni.s IND Independent exoendlture LEG leoal defense LIT campalqn literature and mamni:is NAMla. AND ADDRESS OF PAYEE (IF COMMITTEE, Al.SO ENTER I.D. NUMBER) Westin St Francis 335 Powell St San F:::ancisco, CA 94102-1804 MBR member communicaijons MTG meetinqs and appearances OFC office expenses PET oeUtion circulatino PHO Phone banks POL pollinA and survey research POS postaAe. delivery and messenger services PRO orofe5sional setvices (leQal. accounting l PRT orint ads CODE OR TRC Candidate • Payment& that ara contributions or independent expenditures must also be summarized on Schedule D. Schedule E Summary RAD radio airtime and production costs RFD returned contributions SAL camoaJan wO!l(en,' salaries TEL t.v. or r.able alrtime and production costs TRC candidate travel, lodQi11a. and meals TRS staff/spouse travel, locl11in11. and meats TSF transfer between committees af the same cendidate/sponaor VOT voter reAislratlon WEB information technoloav costs Untemet e-malll DESCRIPTION OF PAYMENT AMOUNT PAID lodging $336.65 SUBTOTAL $336.65 1. Itemized payments made this period. (Include all Schedule E subtotals.) ..................................................................................................................................................... ____ $:...1_0_,_, _8_2_5_._3_0 2. Unitemized payments made this period of under $100................................... ............................................................................................................... ........ ......... ............... $ l 4 5 · 5 B 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).).................................................................................................................... $ 0. 00 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ................................................................ TOTAL $10,970. 88 FPPC Form -460 (Jan/2016I FPPC Advice: advlc~ppc::.ca.gov 186111275-3772) www.fppc_ca.gov • Statement of Organization Recipient Committee Date Stamp RECEIVED • CALIFORNIA 410 FORM Statement Type 0 Initial Nol yet qualified O or 12 , 14 ,2016 \, . Date qualified as committee 1. Committee Information NAME OF COMMITTEE D Amendment List I.D. number: # _______ _ I I • Date qualified as committee (If appllcabtel Lisa Middleton For Palm Springs City Council 2017 STUET ADDRESS (NO P.O. BOK) 840 E. Biltmore Place D Termination -See Part 5 List I.D. number: #--------__ _,, __ _,, Date of Termination CiTY OF PALM SPR HG\ 1111 DEC 27 PM 2: 21 Jf.tiES THOhP ;:;I CITY CLERK 2. Treasurer and Other Principal Officers NAME OF TREASURER David Baron STREIT ADDRESS (NO P.O. BOIi) 1800 E Tahquitz Canyon Way CITY STATE ZIP CODE Palm Springs CA 92262 CITY STATE ZIP CODE ARfA CODE/PHONE NAME OF ASSISTANT TR£"-SURER, IFANY Palm Springs CA 92264 (760)330-7023 James Williamson MAILING ADDRESS [IF OIFFERENTI STREET ADDRESS [NO P.O. BDX) PO Box 4109, Palm Springs, CA 92263 1455 N.Vine Ave FAX{E·MAILADDRESS CITY STATE llP CODE Palm Springs CA 92262 COUNTY OF llOMICllE JIJRISOICTION WHERE COMMITTEE IS ACTIVE NAME OF PRINCIPAL OFFICU(Sj STREET ADDRESS [ND P.O. ~O)(J CITY STATE ZIP COO£ Attach additional information on appropriately labeled continuation sheets. 3. Verification For Official Use Only AREA CODE/PHONE (760)322-2275 AREA CODE/PHON~ (760)537-0060 "-REA CODE/PHONE I have used all reasonable diligence in preparing this statement and to the best of my knowledge the information contained herein is true and complete. I certify under penalty of perjury under he laws of the State of california that the foregoi i rue and correct. Executed on Executed on Executed on O"-TE Executed on DATE '~ltATL/RE Of TREASURER OR ASSISTANT TOEASUR(R ~1.,1..,.c.,c_"--- SIGNATURE OF CONTROUING OFFICEHOLDER, CANDIDATE, OR STATE MtASURE PROPONENT By--------------,-,..,,..-,,.,.,,,,.,,..,.,.-------,--,....-,-,--.,,....,.,-----=-....,......--,-,,---,-.---------s1GJMTURE OF CONTROLLING OFflCEHOLDER, CANDIDATE, DR STATE MEASURE PROPONENT BV -------------------------------------SIG~ATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEA~URE PROPONENT FPPC Form 410 (Jan/2016} FPPC Advice: advice@fppc.ca.gov (866/275~3772) www.fppc.ca.gov