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Home My WebLink About2018-07-30 Form 460 - PS Fire SafetyCOVER PAGE Recipient Committee Date Stamp Campaign Statement • Cover Page r,LCEl'r i � Date of election if applicable: F P A L f9 ` Page 1 of 6 Statement covers period from January 1, 2018 (Month, Day, Year) 21 18 JUL30 Ail 8: 35 ForOfcialUseOnly SEE INSTRUCTIONS ON REVERSE July 31, 2018 through 1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4. 2. Type of Statement: ❑ Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑ Preelection Statement ❑ quarterly Statement O State Candidate Election Committee Committee Semi-annual Statement ❑ Special Odd -Year Report 0 Recall O Controlled ❑ Termination Statement (am complete Pee 5) O Sponsored (Also file a Form 410 Termination) 0 General Purpose Committee (mso complete Pad 6) ❑ Amendment (Explain below) ® Sponsored ❑ Primarily Formed Candidate/ • Small Contributor Committee Officeholder Committee • Political Party/Central Committee (Nm Complete Pad 7) 3. Committee Information I I.D. NUMBER 881536 Palm Springs Fire Safety Association PAC STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODEIPHONE Temecula CA 92592 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX/E-MAIL ADDRESS 4. Verification Treasurer(s) NAME OF TREASURER Damien Myers MAILINGADDRESS CITY STATE ZIP CODE AREA CODE/PHONE Temecula CA 92592 NAME OF ASSISTANT TREASURER, IF ANY Brian Davis CITY STATE ZIP CODE AREA CODE/PHONE Winchester CA 92591 OPTIONAL: FAX /E-MAILADDRESS 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. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. 7/26/2018 Executed on Executed on Executed on Executed on Date By By Signature of Controlling Officeholder, Candidate, Slate Measure Proponent or Responsible Officer of Sponsor By Signature of Controlling Officeholder, Candidate, State Measure Proponent By Signature o/ Controlling Offxxholtlar, Candidate, Slate Measure Proponent FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275.3772) Campaign Disclosure Statement Amounts may be rounded SUMMARY PAGE Summary Page to whole dollars. Statement covers period , January 1, 2018 • from July 31, 2018 2 6 SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER I.D. NUMBER Palm Springs Fire Safety Association PAC 881536 Contributions Received Column A TOTAL THIS PERIOD Column B YEAR Calendar Year Summary for Candidates (FROM ATTACHED SCHEDULES) CALENDAR TOTAL TO DATE Running in Both the State Primary and $1689.68 $1689.68 General Elections 1. Monetary Contributions................................................... Schedule A, Line 3 $ $ 1/1 through 6/30 7/1 to Date 2. Loans Received................................................................ Schedule B, Line 3 1689.68 $1689.68 20. Contributions 3. SUBTOTAL CASH CONTRIBUTIONS .............................. .add Lines 1 + 2 $ $ Received $ $ 4. Nonmonetary Contributions ............................................ Schedule C, Line 3 21. Expenditures $1689.68 $1689.68 Made $ $ 5. TOTAL CONTRIBUTIONS RECEIVED....................................Add Lines 3 + 4 $ $ Expenditures Made 6. Payments Made................................................................ Schedule E, Line 4 $ 7. Loans Made....................................................................... Schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS .......................................... Add Lines 6 + 7 $ 9. Accrued Expenses (Unpaid Bills) .......................................... Schedule F Line 3 10. Nonmonetary Adjustment......................................................... Schedule C, Line 3 11. TOTAL EXPENDITURES MADE ........................................ Add Lines 8 + 9 + 10 $ Current Cash Statement 12. Beginning Cash Balance ............................ Previous Summary Page, Line 16 $ 13. Cash Receipts........................................................... Column A, Line 3 above 14. Miscellaneous Increases to Cash .................................. Schedule 1, Line 4 15. Cash Payments......................................................... Column A, Line 8 above 16. ENDING CASH BALANCE ..................Add Lines 12 + 13 + 14, then subtract Line 15 $ If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ................................ Schedule B, Part 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ................................................ See instructions on reverse $ 19. Outstanding Debts .............................. Add Line 2 + Line 9 in Column B above $ $1,102.00 $ 0 $1,102.00 $ $1,102.00 $ $973.83 $1689.68 $0.12 $1,102.00 1,561.63 $1,102.00 $1,102.00 $1,102.00 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). Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (if Subject to Voluntary Expenditure Limit) Date of Election Total to Date (mm/dd/yy) J $ *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 A Amounts may be rounded SCHEDULE A Monetary Contributions Received To whole dollars' Statement covers period �� I January 1, 2018 • from • _ July 31, 2018 3 6 through Page Of SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Palm Springs Fire Safety Association PAC 881536 DATE FULL NAME, STREETADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED CODE* (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN.1-DEC. 31) (IF REQUIRED) OF BUSINESS) Yes on D Refund ❑ IND 4/25/18 400 E Tahquitz Cyn Way ❑ COM 159.68 Palm Springs, CA 92592 ❑ OTH ❑ PTY ❑ SCC Palm Springs Fire Safety Association ❑ IND 7/20/18 ❑ COM $1,530 ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL $ $1689.68 sly Schedule A Summary 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 and on the Summary Page, Column A, Line 1.)....... $ $1689.68 M. TOTAL $ 0.12 $1689.80 'Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule D SCHEDULE D Summary of Expenultures Amounus may oe rounaeo Statement covers period to whole dollars. Supporting/Opposing Other January 1, 2oisCandidates, Measures and Committees from July31,2018 71.DNUMBER SEE INSTRUCTIONS ON REVERSE through of NAME OF FILER DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR MEASURE NUMBER OR LETTER AND JURISDICTION, TYPE OF PAYMENT DESCRIPTION REQUIRED) AMOUNTTHIS CUMULATIVE TO DATE CALENDARYEAR PER ELECTION TO DATE OR COMMITTEE (IF PERIOD (JAN.1-DEC. 31) (IF REQUIRED) Steiner for Corona City Council District 4 ® Monetary 7/21 /18 Contribution $1,000 $1,000 ❑ Nonmonetary Contribution ❑ Independent * Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure SUBTOTAL $ $,1000 Schedule D Summary 1. Itemized contributions and independent expenditures made this period. (Include all Schedule D subtotals.). 2. Unitemized contributions and independent expenditures made this period of under $100........... 3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.) .. $1,000 ................. $ .... TOTAL.. $ $1,000 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/2753772) www.fppc.ca.gov Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Palm Springs Fire Safety Association PAC Amounts may be rounded to whole dollars. Statement covers period from January 1, 2018 through July 31, 2018 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. SCHEDULE E Page 5 of 6 I.D. NUMBER 881536 CMP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals IND independent expenditure supporting/opposing others (explain)" POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER LID NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Damien Myers Parking 44719 Johnston Dr TRS $52.00 Temecula, CA 92592 Secretary of State Government Code Section 84101.5 Political Reform Division Statement of Organization Payment $50.00 P M B 1467 Scacramento, CA 95812-1467 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.)............................................................................................................. $ 102.00 2. Unitemized payments made this period of under$100.......................................................................................................................................... $ 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e).)............................................................................. $ 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.)........................... TOTAL $ 102.00 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule I Amnnn4� YM *& MA SC:HF=niii F I Miscellaneous Increases to Cash to whole dollars. SEE INSTRUCTIONS ON REVERSE Statement covers period January 1, 2018 from July 31, 2018 through • . , • .1 6 6 Page of NAME OF FILER Palm Springs Fire Safety Association PAC I.D. NUMBER 881536 DATE RECEIVED FULL NAME AND ADDRESS OF SOURCE (IF COMMITTEE. ALSO ENTER I.D. NUMBER) DESCRIPTION OF RECEIPT AMOUNT OF INCREASE TO CASH Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ Schedule I Summary 1. Itemized increases to cash this period............................................................................................................................$ 2. Unitemized increases to cash of under $100 this period................................................................................................. $ 0.12 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 0.12 SummaryPage, Line 14.)......................................................................................................................... TOTAL $ FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fnnc.ca.eov