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HomeMy WebLinkAbout2019-07-01 Form 460 - PS Fire Safety; Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement covers period from ____ 1_/1_/_20_19 __ _ 6/30/2019 through ________ _ 1. Type of Recipient Committee: All Committees -Complete Parts 1, 2, 3, and 4 . 0 Officeholder, Candidate Controlled Committee 0 S tate Ca nd ldal e Eleclion Committee 0 Reca ll (Also Complete Plt1 SJ llJ General P urpose Committee ® Sponsored 0 Small Contributor Committee 0 Political Party/Central Committee 3. Committee Information 0 Primarily Formed Ballot Measure Committee 0 Controlled 0 Sponsored (Also Complete P1111 &} 0 Primarily Formed Candidate/ Officeholder Committee (Also Complete P1t1 7) 1.0. NUMBER 881536 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Pa lm Springs Fire Safety Associa ti on PAC CITY Palm Springs STATE ZJP CODE CA 92262 MAI LING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE OPTIONAL: FAX I E-MAIL ADDRESS 4 . Verification AREA CODE/PHONE AREA CODE/PH ONE COVER PAGE Date Stamp CALIFORNIA 460 FORM Date of election If applicable: (Monlh, Day, Year) 201 N/A 2. Type of Statement: 0 Preelection Statement QI Semi-annual Statement 0 Termination Statement JUL -I (Also file a Form 410 Termination) 0 Amendment (Explain below) Treasurer(s) NAME OF TREASURER Brandon Wright MAILING ADDRESS CITY Y ucaipa NAME OF ASSISTANT TREASURER, IF A NY Damien Myers MAILING ADDRESS CITY T emecula OPTIONAL: FAX I E-MAIL ADDRESS Pag e __ 1 __ of _5_ f\tl 10: 27 For Official Use Only 0 Quarterly S tatement D Special Odd -Year Report STATE ZIP CODE CA 92399 STATE CA ZIP CODE 92592 AREA CODE/PHONE AREA CODE/PHONE I have used all reasonable diligence in preparing and reviewing this statement and to the best of Executed on 6/30/2019 Date Executed on Date Executed on Date Executed on Date By By By By Signature or Controlling Ofllceholder, C andidate, State Measure Proponent or Respcns1ble Officer of Spansor Signature of Controlling Offtceholder, Candidate, State Measure Propanent Signature or Controlling Olfoceholder. Candidate. State Mea sure Propanent FPPC Form 460 (J an/2016 ) FPPC Advice: advice@fppc.ca .gov (86 6/275-3 772) www.fppc.ca.gov ( ,. Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF FILER Palm Springs Fire Safety Association PAC Contributions Received 1. Mon·etary Contributions ........ ----························ Schedule A, Line 3 2. Loans Received ................. :.............................................. Schedule B, Line 3 $ 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Unes 1 + 2 $ 4. .Nonmonetary Contribution,._ ___ ······---····· Schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED _____ ~dd Unes 3 + 4 $ Expenditures Made Amounts may be rounded to whole dollars. Column A TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) 9960 9960 9960 6. Payments Made .. :............................................................. Schedule E. Une 4 $ ____ 1,.,6"'8"'5"-.5"-9"- 7. Loans-Made ....................................................................... SchedulaH. Line3 T L 1685.59 8. SUBTO,A CASHPAYMENTS·---·························· AddUnes6+7 $ ----=== 9. Accrued Expenses (Unpaid Bills)----·---Schedule F, Une 3 10. Non monetary Adjustment.. ....................................................... Schedule c, Una 3 11. TOTAL EXPENDITURES MADE. ........ _____ . Add Unes a+ 9 + 10 $ ____ 1,.,6~8~5~.5~9~ Current Cash Statement 12. Beginning Cash Balance ............................ Previous Summary Paga, Una 16 $ 8721.85 13. Cash Receipts ........................................................... ColumnA. Una3abava 9960 14. Miscellaneous Increases to Cash····---.. ··"·····--Schedule I, Line 4 15. Cash Payments ......................................................... Column A, Una B above 1685.59 16. ENDING CASH BALANCE .................. Add Lines 12 + 13 + 14, then subtract Une 15 $ 16996.26 lfthiS is a tennination statement, Une 16 must be zero. 17. LOAN GUARANTEES RE:CEIVED ................................ ScheduleB,Parl2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ... _______ .......... Seainstructionsonreverse $ 19. Outstanding Debts.............................. Add Line 2 + Line 9 in Column B above $ SUMMARY PAGE Statement covers period CALIFORNIA 460 FORM .,,om ___ 1_11_12_0_1_9 __ _ 6/30/2019 through ________ _ Page __ 2 __ 01 __ 5_ $ $ $ $ $ $ Column B CALENDAR YEAR TOTAL TO DATE 9960. 9960 9960 1685.59 1685.59 1685.59 To calculate Column B, add a·mounts 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). 1.D. NUMBER 881536 . 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 Umll) Date of Election (mm/dd/yy) ___}___} __ ___}___} __ 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 I' ) ' Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Palm Springs Fire Safety Association PAC Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) 1/15/2019 2/15/2019 3/15/2019 4/15/2019 5/15/20.19 Palm Springs Firefighters Association 180 N Luring Dr. Palm Springs, CA 92262 ID#881536 Palm Springs Firefighters Association 180 N Luring Dr. Palm Springs, CA ·92262 ID#881536 Palm Springs Firefighters Association 180 N Luring Dr. Palm Springs, CA 92262 ID#881536 Palm Springs Firefighters Association 180 N Luring Dr. Palm Springs, CA 92262 ID#881536 Paim Springs Firefighters Association 180 N Luring Dr. Palm Springs, CA 92262 ID#881536 Schedule A Summary •IND •COM 00TH •PTY •sec •IND •COM 00TH •PTY •sec •IND •COM DOTH •PTY •sec •IND •COM 00TH •PTY •sec •IND •COM 00TH •PTY •sec SUBTOTAL$ SCHEDULE A Statement covers period CALIFORNIA 460 FORM from ___ 1_/1_/2_0_1_9 __ _ th h 6/30/2019 roug _______ _ Page __ 3_ of __ 5 __ AMOUNT RECEIVED THIS PERIOD $1650 $1650 $1650 $1620 $1620 I.D. NUMBER 881536 CUMULATIVE TO DATE . CALENDAR YEAR (JAN. 1 -DEC. 31) $1650 $3300 $4950 $6570 $8190 . PER ELECTION TO DATE (IF REQUIRED) *Contributor Codes IND -Individual 1. Amount received this period -itemized monetary contributions. (Include all Schedule A subtotals.) ...................................................•..................................................... $ ____ $_9_9_6_0 COM -Recipient Committee (other than PTY or SCC) 0TH -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 $ _____ $:...9c.:9c.:6_:_0 sec -Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov • s'ctiedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER Palm Springs Fire Safety Associatiori PAC Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND zIp·cooE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE, ALSO ENTER 1.D. NUMBER) CODE * 6/15/2019 Palm Springs Firefighters Association 180 N Luring Dr. Palm Springs, CA 92262 ID#881536 •contributor Codes IND -Individual COM -Recipient Committee (other than P1Y or SCC) 0TH -other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee •IND •COM DOTH OP1Y' •sec •IND •COM DOTH OP1Y •sec •IND •COM DOTH OP1Y •sec •IND •COM DOTH •P1Y •sec •IND •COM DOTH OP1Y •sec SUBTOTAL$ SCHEDULEA (CONT.) Statement covers period CALIFORNIA 460 FORM from ___ 1/_1_/2_0_1_9 __ _ through __ 6_/3_0_/2_0_1_9 __ 4 5 Page ___ of __ _ AMOUNT RECEIVED THIS PERIOD $1770 •$9960 I.D. NUMBER 881536 CUMULATIVE TO DATE CALENDAR YEAR , (JAN. 1 -DEC. 31) r $9960 PER ELECTION TO DATE (IF REQUIRED) FPPC Form 460 (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 Palm Springs Fire Safety Association PAC Amounts may be rounded to whole dollars. Statement covers period from ___ 1_/_1 /_2_0_19 __ _ lhrough __ 6/_3_0_/2_0_1_9 __ SCHEDULEE CALIFORNIA 460 FORM Page _5 __ ·01_5 __ I.D. NUMBER 881536 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. campaign paraphernalia/misc. campaign consultants contribution (explain nonmonetary)* civic donations · candidate filing/ballot fees fundraising events CMP CNS CTB eve FIL FND IND LEG LIT independent expenditure supporting/opposing others (explain)"' legal defense campalgn·literature and mailings - NAME AND ADDRESS OF PAYEE -(IF COMMITTEE,ALSO ENTER 1.D. NUMBER) Secretary of State 1500 11th St - Sacramento, CA 95814 \ Misc. PAC expenses ' - MBR MTG OFC PET PHO POL POS PRO PRT member communications meetings and appearances office expenses petition circulating phone banks polling and survey research postage, delivery and messenger services professional services (legal, accounting) print ads CODE OR RAD radio airtime and production costs RFD retui-ned contributions SAL campaign workers' salaries TEL t.v. or cable airtime and production costs TRC · candidate travel, lodging, and meals TRS staff/spouse travel, lodging, and meals TSF transfer between committees of the same candidate/sponsor VOT voter registration WEB information technology costs (internet, e-mail) DESCRIPTION OF PAYMENT AMOUNT PAID Annual PAC registration VOT $50 - IAFF LEGCON travel, room, and meals TRS $1635.59 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTO_TAL$ 1835.59 Schedule E Summary 1835.59 . 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 amoun_t from Schedule B, Part 1", Column (e).) ............ 0 ................................................................ $ _____ _ 1835.59 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the $ummary Page, Column A, Line 6.) ......................... :. TOTAL $ _____ _ FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fpPc.ca.gov