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HomeMy WebLinkAbout2019-01-16 Form 460 - PS Fire ManagementRecipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement covers period from ___ 0_7_10_1_12_0_1_8 __ 12/31/2018 through--------- 1. Type of Recipient Committee: All Committees-Complete Parts 1, 2, 3, and 4. 0 Officeholder, Candidate Controlled Committee 0 State Candidate Election Committee 0 Recall (Also Complete PINt 5} ~ General Purpose Committee ®Sponsored 0 Small Contributor Committee 0 Political Party/Central Committee 3. Committee Information NAME(OR 0 Primarily Formed Ballot Measure Committee 0 Controlled 0 Sponsored (Also Complete P/!116} 0 Primarily Formed Candidate/ Officeholder Committee (Also Complete PINt 7} I.D. NUMBER 1248897 Palm Springs Fire Management Association STREET ADDRESS (NO P.O. BOX) CITY Palm Springs STATE CA ZIP CODE 92262 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX Palm Springs OPTIONAL: FAX I E-MAIL ADDRESS 4. Verification STATE CA ZIP CODE 92263 AREA CODE/PHONE ( AREA CODE/PHONE . \ .~ . .. ... Date Stamp ~ ; .. CALIFORNIA 460 Date of election if applicc.f!l~ (Month, Day, Year) I -, aL 2. Type of Statement: 0 Preelection Statement' !;21 Semi-annual Statement 0 Termination Statement ,.. :-:-;-4, !-.. 1,' I I • f td~ 16 (Also file a Form 410 Termination) 0 Amendment (Explain below) Treasurer(s) NAME OF TREASURER Ron Beverly MAILING ADDRESS CITY Palm Springs NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY OPTIONAL: FAX I E-MAIL ADDRESS FORM Page __ _ of 3 Ar·1 8: I 6 For Official Use Only ; t 0 Quarterly Statement 0 Special Odd-Year Report STATE ZIP CODE AREA CODE/PHONE CA 92262 ( STATE ZIP CODE AREA CODE/PHONE I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein and in the attached schedules is true and complete. certify under penalty of perjury under the laws of the State of California that the foregoing is true and Executed on 01/16/2019 Date Executed on Date Executed on Date Executed on Date BY-----~S~ig-na~tu-re-o~fC~o-n~tro~lli~ng~O~ffi~l~~h-o~lde-~~C~a-nd~id~at~e.~S~ta~le~M~e-as-ur-e~P-ro-po-ne-n~t--------- BY----------~S~ig-na~tu-re-o~fC~o~nt~ro~lli-ng~O~ffi~~~h~ol~de-~~C~an~d~id~at-e.~S~ta~te~M~ea-s-ur-e~Pr-op-o-ne-n~t----------- FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF FILER Palm Springs Fire Management Association Contributions Received 1. Monetary Contributions................................................... Schedule A, Line 3 $ 2. Loans Received................................................................ Schedule a. 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........................................................... ColumnA, Line 3 above 14. Miscellaneous Increases to Cash.................................. Schedule 1. Line 4 15. Cash Payments .......................... ................ .. . . . .......... Column A. Line 8 above 16. ENDING CASH BALANCE .................. Add Lines 12 + 13 + 14. then subtract Line 15 $ If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ................................ Schedule B. Part2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents................................................ See instructions on reverse $ 19. Outstanding Debts.............................. Add Line 2 +Line 9 in Column B above $ Amounts may be rounded to whole dollars. ColumnA TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) 573.46 0.18 573.64 SUMMARY PAGE Statement covers period CALIFORNIA 460 FORM from ___ 0_7_10_1_1_20_1_8 __ 12/31/2018 through-------- 2 3 Page---of __ _ $ $ $ $ $ $ Column B CALENDAR YEAR TOTAL TO DATE To calculate Column B, add amounts in Column A to the corresponding amounts from Column B of your last report. Some amounts in Column A may be negative figures that should be subtracted from previous period amounts. If this is the first report being filed for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if any). I.D. NUMBER 1248897 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 through 6/30 7/1 to Date 20. Contributions Received $-----$ ____ _ 21. Expenditures Made $ ____ _ $ ____ _ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (If Subject to Voluntary Expenditure Limit) Date of Election (mmlddlyy) __}___/ __ __}___/ __ Total to Date $ ____ _ $ ____ _ *Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule I Miscellaneous Increases to Cash SEE INSTRUCTIONS ON REVERSE NAME OF FILER Palm Springs Fire Management Association DATE RECEIVED FULL NAME AND ADDRESS OF SOURCE (IF COMMITTEE, ALSO ENTER J.D. NUMBER) Attach additional information on appropriately labeled continuation sheets. Schedule I Summary Amounts may be rounded to whole dollars. Statement covers period from __ 0_7_10_1_12_0_1_8 __ through __ 1_2_/3_1_/2_0_1_8 __ DESCRIPTION OF RECEIPT SUBTOTAL$ 1. Itemized increases to cash this period ............................................................................................................................ $ _____ 0_._18_ 2. Unitemized increases to cash of under $100 this period ................................................................................................. $ _____ _ 3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).) ....................................... $ ------ 4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Line 14.) ............................................................................................................................. TOTAL $ _____ 0._18_ SCHEDULE I CALIFORNIA 460 FORM Page _3 __ of _3 __ I.D. NUMBER 1248897 AMOUNT OF INCREASE TO CASH FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov