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Home My WebLink About2019-10-24 Form 460 - PS Fire SafetyRecipient Committee Campaign Statement Cover Page SEE INST RUC TIO NS ON REVERS E St at ement cover s p er i od from ____ 9_/2_2_/_19 __ _ 10/19/19 t h r oug h ________ _ 1. Type of Re cipient Committee : A ll Committees -Compl ete Parts 1, 2, 3, and 4. D Officeholder, Candidate Controlled Committee 0 State Ca ndidate Election Committee 0 Re call (Also Comp/olo Pllfl SJ ~ General Purpose Committee ® Sponsored 0 Small Contributor Committee 0 Political Party/Central Committee 3 . Committee Information D P rimarily Formed Ballo t Measure Committee 0 Controlle d 0 Sponsore d (Also Comp/ere Part 6) D Primarily Formed Candidate/ Officeholde r Committee (Also ComplelO Pan 7/ I.D. NUMBER 881536 COMMITTEE NA ME (OR CANDIDATE'S NAME IF NO COMMITTEE) Pa lm Spring s Fir Safety Association PAC STREET ADDRESS (NO P.O. BOX) CITY Pa lm Springs STATE ZIP C ODE CA 92262 MAILING ADDRESS (IF DIFFER ENT) NO. A ND STREET O R P.O. BOX CITY STATE ZIP CODE O PTIONAL: FAX / E-MAIL ADDRESS 4 . Verification AREA CODE/PHONE AREA CODE/PHONE Date Stamp~ COVER PAGE CALIFORNIA 460 FORM Date of el ect ion if ap plicabl e: (Mo nth, Da y, Year) RECEI V ED IT Y OF PI, L H SP RI ~ge - 1-of __ 5.:..__ For Official Use Only 11 /5/19 2019 OCT 21+ AM 8: 31 FFICE OF THE CITY CL :R 2. Typ e of St atement: lt2l Preelection Statement D Semi-annual Statem ent D Termination Statement (Also fil e a Form 410 Termi nation) D Amendment (Explain be low) Tre asurer(s) NAME OF TREASURER Brandon Wright MAILING ADDRESS CITY Yucaipa NAME OF A SS ISTANT TREASURER, IF ANY Damie n Myers MAILING ADDRESS CITY Temecu la OPTIONAL: FAX / E-MAIL ADDRESS D Quarterly Statement D Spec ial Odd-Year Report STATE ZIP CODE AREA CODE/PHONE CA 92399 STATE ZIP CODE AREA CODE/PHONE CA 92592 I have us ed all rea sonable diligence in preparing and reviewing this s tatement and to the best of my knowl edge the information contained herein and in th e attached schedules is true and com ple te. certify under penalty of perjury under th e law s of th e State of C alifornia that th e foregoing is true and Executed on 10/24/19 Date Executed on Date Executed on Dato Executed on Dato By By B y By Signature of Controlling Offiooholder. Candidate, State Measure Proponent or Responsible Officer of Sponsor Signature of Controlling Officeholder. Candidate , State Measure Proponen t Signature o r Controlling Officeholder, Candidate, Stato Me as uro Proponent FPPC Form 460 (J an/2016) FPPC Advice: ad vi ce@f ppc.ca .go v (866/275-3772) Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF FILER Palm Springs Fire Safety Association PAC Contributions Received 1. Monetary Contributions................................................... Schedule A. Line 3 2. Loans Received ........................................... ~.................... Schedule B, Une 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, Une 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. ....................................... AddLines8+9+10 $ Current Cash Statement 12. Beginning Cash Balance ............................ Previous Summary Page, Line 16 $ 13. Cash Receipts ........................................................... Column A, Une 3 above 14. Miscellaneous Increases to Cash.................................. Schedule 1, Une 4 15. Cash Payments......................................................... Column A, Une B above 16. ENDING CASH BALANCE .................. Add Lines 12 + 13 + 14, then subtracl Line 15 $ If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ................................ Schedule B, Parl 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents................................................ See instructions on reverse $ 19. Outstanding Debts.............................. Add Une 2 + Line 9 in Column B above $ Amounts may be rounded to whole dollars. Column A TOTAL THIS PERIOD {FROM ATTACHED SCHEDULES) 1650 1650 1650 $ $ $ SUMMARY PAGE Statement covers period 9/22/19 from ________ _ CALIFORNIA 460 FORM 2 5 10/19/19 through _______ _ Page ___ of __ _ Column B · CALENDAR YEAR TOTAL TO DATE 16560 16560 16560 I.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 $ ____ _ $ ____ _ 5996.57 $ 6788.70 Expenditure Limit Summary for State Candidates 5996.57 $ 6788.70 5996.57 $ 6788.70 20839.72 1650 5996.57 16493.15 To calculate Column 8, 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). 22. Cumulative Expenditures Made• (ff Subject to Voluntary Expenditure Limit) 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 Advic~: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov 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) 10/15/19 Palm Springs Firefighters Association 180 N. Luring Dr Palm Springs, CA 92262 ID# 881536 Schedule A Summary •IND !!]COM 00TH •PTY •sec •IND •COM DOTH OPTY •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 ____ 9/_2_2/_1_9 __ _ th h 10/19/19 roug _______ _ Page __ 3 __ of __ 5 __ AMOUNT RECEIVED THIS PERIOD $1650 I.D.NUMBER 881536 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) 16560 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_5_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, C9lumn A, Line 1.) .... '. ................. TOTAL $ _____ 1_6_5_0 sec -Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule D Summary of Expenditures Supporting/Opposing Other Candidates, Measures and Committees SEE INSTRUCTIONS'ON REVERSE NAME OF FILER Palm Springs Fire Safety Association PAC DATE 10/7/19 10/8/19 NAME 6F CANDIDATE, OFFICE, AND DISTRICT, OR MEASURE NUMBER OR LETTER AND JURISDICTION, OR COMMITTEE Dennis Woods, City Council, District 2 D Support D Oppose Les Young, City Council, District 1 D Support D Oppose D Support D Oppose Schedule D Summary Amounts may be rounded to whole dollars. TYPE OF PAYMENT iZI Monetary Contribution • Non monetary Contribution • Independent Expenditure iZI Monetary Contribution • Nonmonetary Contribution • lndeperident Expenditure • Monetary Contribution • Nonmonetary Contribution • Independent Expenditure DESCRIPTION (IF REQUIRED) SUBTOTAL $ Statement covers period from ------'9""/2cc2/=--c1..c.9 __ _ through __ 1cc0c../1'-9"-/-'-19"----c- SCHEDULED CALIFORNIA 460 FORM Page __ 4_ of __ 5_ I.D.NUMBER 881536 AMOUNT THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN.1 -DEC. 31) PER ELECTION TO DATE (JF REQUIRED) $1000 $2000 $1000 $3000 20001 1. Itemized contributions and independent expeaditures made this period. (Include all Schedule D subtotals.) ....................................................... ·$ ---~2=0=0=0~ 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.) .......... TOTAL .. $ ----~2~00=0~ FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov r· • Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Palm .~prings Fire Safety Association PAC Amounts may be rounded to whole dollars. . . Statement covers period from ___ 9_/2_2_/1_9 __ _ through __ 1_0_/_1_9/_1_9 __ SCHEDULE E CALIFORNIA 460 FORM Page_5 __ of_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. CMP CNS CTB eve FIL FND IND LEG LIT campaign paraphernalia/misc. campaign consultants contribution (explain nonmonetary)* civic donations candidate filing/ballot fees fundralslng events Independent expenditure supporting/opposing others (explain)* legal defense campaign literature and mailings . NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) MBR member communications MTG meetings and appearances OFC office expenses PET petition circulating PHO phone banks POL polling and survey research POS postage, delivery and messenger services PRO professional services (legal, accounting) PRT print ads CODE OR 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 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 UPS Store, 301 N Palm Canyon, Palm Springs, CA 92262 Overnight shipping POS $66.24 City Clerk, 3200 Tahquitz Canyon, Palm Springs, CA 92262 Late fee for 1st 460 form OFC $50 Firefighters Print & Design, 1780 Creekside Oaks, Sacramento, CA 95833 Mailers PRT $3880.33 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ Schedule E Summary 3996.57 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).) ............................................................................. $ _____ _ 3996.57 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