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HomeMy WebLinkAbout2018-10-25 Form 460 - PS Fire SafetyRecipient Committee Campaign Statement Cover Page SEE IN STRUCTIONS O N REVERSE Statement cove r s period from Septemb er 23, 2018 October 20, 2018 through ---------- 1. Type of Recipient Comm ittee : All Committees -Complete Parts 1, 2, 3, and 4 . 0 Officeholder, Candid ate Controlled Comm ittee 0 State Candidate Electio n Committ ee 0 Reca ll (Also Complete Pan 5) 10 General Purpose Co mm ittee ® Sp onso red 0 Small Contributor Committee 0 Pol itical Party/Central Committee 3 . Committee Informati on COMMITIEE NAME (OR CAN DI DATE'S Pa lm Springs Firefighters Associa tion PAC STREET ADDRESS (NO P.O . BOX) STATE ZIP CODE AREA CODE/PHONE Pa lm Springs CA 92262 ( MAILING ADDRESS (IF D IFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE/PHONE OP TI ONAL: FAX I E-MAI L ADD RESS 4. Verification Date Stamp --: ~c u·; ;.. . I· P .'.LH S Date of election if appticable 2 18 OCT 25 (Month, Day, Year) t:C: ...;,· ~t.~ Car I November 6, 2018 2. Type of Statement: For Official U se Only ~ Preelecti on Statement 0 Semi-annual Statement 0 Terminatio n Statement 0 Quarterly Statement (Also file a Form 4 10 Termination) 0 Amendment (Explain below) Treasurer(s) NAME OF T REASURER Bran do n Wright MAILIN G ADDRESS CITY Yuca ipa NAME OF ASSISTANT TREASURER , IF ANY Damien Myers CI TY Temecula OP TI ONAL: FAX I E-MAIL ADDR ESS 0 Specia l Odd-Year Rep ort STATE ZI P CODE AR EA CODE/PHO NE CA 92399 ( STATE ZIP CODE AREA CODE/PHONE CA 92592 ( 1 have used all reas on able diligence in preparing and re viewi ng this stateme nt an d to the best of my knowledge the information con tained herei n and in the atta ched sched ules is tru e and complete. certify under penalty of perjury und er the l aws of the State of California that the forego ing is Executed on 10/24/18 Date Execu te d on Date Execut ed on Date Executed on Date By By By By Signature of Controlling Olfice holder, Candidate, S tate Measure Proponent or Responsible Officer of Sponsor Signature of Controlling Officeholder. Candidate. State Measure Proponent S~nature of Controlling Officeholder, Candida te. State Measure Proponent FPPC Form 460 (J an/2016) FPPC Advice: advi ce@ fpp c.ca.gov (866/275-3772) www.fppc.ca .gov Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF FILER Palm Springs Firefighters Association PAC 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 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, Une 16 must be zero. 17. LOAN GUARANTEES RECEIVED................................ Schedule B, Part 2 $ Cash Equivalents and Outstanding Debts Amounts may be rounded to whole dollars. ColumnA TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) $1680 $1680 $1680 $500 $500 $500 4681.85 1680 500 5861.85 18. Cash Equivalents................................................ See instructions on mverse $ 19. Outstanding Debts.............................. Add Line 2 +Line 9 in Column B above $ SUMMARY PAGE Statement covers period from September 23, 2018 CALIFORNIA 460 FORM October 20, 2018 through--------Page __ 2 __ of __ 6_ $ $ $ $ $ $ Column B CALENDAR YEAR TOTAL TO DATE $6584.69 $6584.69 $6584.69 $2196.81 $2196.81 $2196.81 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 881536 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 111 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 (mm/dd/yy) __J__j __ __J__j __ 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 A Amounts may be rounded to whole dollars. SCHEDULE A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Palm Springs Firefighters Association PAC DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR (IF COMMITTEE. ALSO ENTER 1.0. NUMBER) CODE * Palm Springs Firefighters Association PAC 10/15/18 Schedule A Summary DIND 0COM DOTH DPTY Osee DIND 0COM DOTH DPTY Osee DIND DcoM DoTH DPTY Osee DIND 0COM DOTH DPTY Osee DIND 0COM DOTH OPTY Osee IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF·EMPLOVEO. ENTER NAME OF BUSINESS) SUBTOTAL$ Statement covers period from September 23, 2018 CALIFORNIA 460 FORM through October 20, 2018 Page _3 __ of __ 6 _ AMOUNT RECEIVED THIS PERIOD $1680 1680 1 I.D. NUMBER 881536 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1-DEC. 31} 4895.01 PER ELECTION TO DATE (IF REQUIRED) *Contributor Codes IND -Individual 1. Amount received this period -itemized monetary contributions. (Include all Schedule A subtotals.) ......................................................................................................... $ _____ 1_6_8_0 COM -Recipient Committee (other than PTY or SCC) OTH-Other (e.g., business entity) PTY -Political Party 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.) ...................... TOTAL $ _____ 1_6_8_0 SCC -Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advlce@fppc.ca.gov (866/275-3772) www.fppc.ca.gov I ScheduleD Summary of Expenditures Supporting/Opposing Other Candidates, Measures and Committees SEE INSTRUCTIONS ON REVERSE NAME OF FILER Palm Springs Firefighters Association PAC DATE 10/20/18 NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR MEASURE NUMBER OR LETTER AND JURISDICTION, OR COMMITTEE Chad Mayes for Assembly 2018 921 11th St. Ste 701 Sacramento, CA 95814 I2J Support 0 Oppose D Support D Oppose D Support D Oppose Schedule D Summary Amounts may be rounded to whole dollars. TYPE OF PAYMENT i2l Monetary Contribution D Nonmonetary Contribution D Independent Expenditure D Monetary Contribution D Nonmonetary Contribution D Independent Expenditure D Monetary Contribution D Nonmonetary Contribution D Independent Expenditure DESCRIPTION (IF REQUIRED) SUBTOTAL $ Statement covers period from September 23, 2018 through October 20, 2018 SCHEDULE 0 I CALIFORNIA 460 FORM Page __ 4_ of __ 6_ I.D. NUMBER 881536 AMOUNT THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 ·DEC. 31) PER ELECTION TO DATE (IF REQUIRED) $500 500 1. 1. Itemized contributions and independent expenditures made this period. (Include all Schedule D subtotals.) ....................................................... $ -------=-50;;...;:0~ 2. Unitemized contributions and independent expenditures made this period of under $100 .................................................................................... $ ____ .....;:0~ 3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.) .......... TOTAL .. $ -----=5.:..:00=-- FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov SCHEDULE E Schedule E Payments Made Amounts may be rounded to whole dollars. Statement covers period from September 23, 2018 CALIFORNIA 460 FORM SEE INSTRUCTIONS ON REVERSE through October 20, 2018 Page _5 __ of_6 __ NAME OF FILER 1.0. NUMBER Palm Springs Firefighters Association PAC 881536 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. 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 COMMITIEE. ALSO ENTER 1.0. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID *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.) ............................................................................................................. $ _____ _ 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).) ............................................................................. $ _____ _ 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 $ _____ _ 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 Firefighters Association PAC DATE RECEIVED FULL NAME AND ADDRESS OF SOURCE (IF COMMmEE. ALSO ENTER I. D. NUMBER) Attach additional information on appropriately labeled continuation sheets. Schedule I Summary Amounts may be rounded to whole dollars. Statement covers period from September 23, 2018 through October 20, 2018 SCHEDULE I CALIFORNIA 460 FORM Page_6 __ of_6 __ I.D.NUMBER 881536 DESCRIPTION OF RECEIPT SUBTOTAL$ AMOUNT OF INCREASE TO CASH 0 1. Itemized increases to cash this period. .. ......................................................................................................................... $ ------ 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 $ ______ o FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov