HomeMy WebLinkAbout2020-07-28 Form 460 - PS Fire SafetyRecipient Committee
Campaign Statement
Cover Page
SEE INSTRUCTIONS ON REVERSE
Statement covers period
from 01/01/2020_
through 06/30/2020
1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4.
❑ Officeholder, Candidate Controlled Committee
LJ Primarily Formed Ballot Measure
0 State Candidate Election Committeeyommittee
() Recall
l Controlled
(Also Complete Pert 5)
O Sponsored
(Also Complete Part 6)
m Purpose Committee
❑
Sponsored
Primarily Formed Candidate/
Ineral
Small Contributor Committee
Officeholder Committee
Political Party/Central Committee
(Also Co nplats Pert r)
3. Committee Information
I.D. NUMBER
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
Palm Springs Fire Safety Association PAC
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREACODE/PHONE
Palm Springs CA 92.262_
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
STATE ZIP CODE AREACODE/PHONE
OPTIONAL: FAX/E-MAIL ADDRESS
COVER PAGE
Date Stamp , • - , ,
RECEIVED FORM
CIT OF PALM SPRING
Page 1 of 6
Date of election if Year)applicab
(Month, Day, Year) JUL 28 AM 11: 0
For Official Use Or
iFFI E OF THE CITY CLEF:
2. Type of Statement:
C1 Preelection Statement Quarterly Statement
Z Semi-annual Statement Special Odd -Year Report
Termination Statement
(Also file a Form 410 Termination)
® Amendment (Explain below)
Treasurer(s)
NAME OF TREASURER
Brandon Wright
_
MAILING ADDRESS
CITY
STATE
ZIP CODE
AREACODE/PHONE
Yucaipa
CA
92399
NAME OF ASSISTANT TREASURER, IF ANY
Damien Myers
MAILING ADDRESS
STATE
ZIP CODE
AREACODE/PHONE
Temecula
CA
92592
OPTIONAL: FAX / E-MAIL ADDRESS
4. Verification
I have used all reasonable diligence in preparing and reviewing this statement and to the
By
Signature of Controlling Officeholder, Candidate, State Measure Proponent or Responsible Officer of Sponsor
By
Signature of Controlling Officeholder, Candidate, State Measure Proponent
By --
Signature or Controlling Officeholder, Candidate, State Measure Proponent
FPPC Form 460 (Jan/2016))
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Campaign Disclosure Statement Amoio whole d rounded
Summary Page statement covers period
from 01-01-2020
SEE INSTRUCTIONS ON REVERSE _ _
through 06-30-2020 Page 2 of 6
NAME OF FILER I.D. NUMBER
Palm Springs Fire Association PAC 881536
Contributions Received
1. Monetary Contributions................................................... schedule A, Line 3
2. Loans Received................................................................ Schedule e, 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 6 + 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.
Column A
TOTAL THIS PERIOD
(FROM ATTACHED SCHEDULES)
$ 10100
$ 10100
$ 10100
Column B
CALENDAR YEAR
TOTAL TO DATE
$ 10100
$ 10100
$ 10100
$ 5661.98 _ _ _ $ 5661.98
$ 5661.98 $ 5661.98
$ 5661.98 $ 5661.98
$ 16782.67
10100.00 _
5661.98
$ 21220.69
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 8 above $
To calculate Column B,
add amounts in Column
Ato 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).
Calendar Year Summary for Candidates
Running in Both the State Primary and
General Elections
ill through 6/30 711 to Date
20. Contributions
Received $ - $
21. Expenditures
Made $ $
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made*
(If Subject to Voluntary Expenditure Llmlt)
Date of Election Total to Date
(mm/dd/yy)
$
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 wnoie aouars.
Statement covers period
e . , '
from 01/01/2020__
•
through 06/30/2020
page 3 of 6
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
I.D. NUMBER
Palm Springs Fire Association PAC
881536
FULL NAME, STREET ADDRESS AND ZIP CODE OF
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
DATE
CONTRIBUTOR
*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
(IF COMMITTEE, ALSO ENTER I,D. NUMBER)
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
01/15/2020
Palm Springs Firefighters Association
❑ IND
$1640
$1640
180 N. Luring Dr.
® COM
OTH
Palm Springs, CA 92262
❑ PTY
mlk RR1 c19
❑ SCC
02/15/2020
Palm Springs Firefighters Association
❑ IND
$1740
$3380
180 N. Luring Dr,
® COM
❑ OTH
Palm Springs, CA 92262
>I PTY
rnA RR1 K19
D SCC
03/15/2020
Palm Springs Firefighters Association
IND
o
$1680
$5060
180 N. Luring Dr.
OTH
Palm Springs, CA 92262
❑ PTY
MA RR1 F1R
0 SCC
04/15/2020
Palm Springs Firefighters Association
❑ IND
$1680
$6740
® COM
180 N. Luring Dr.
❑ OTH
Palm Springs, CA 92262
❑ PTY
MA RR1F1R
❑ SCC
05/15/2020
Palm Springs Firefighters Association
❑ IND
$1680
$8420
® COM
180 N. Luring Dr.
® OTH
Palm Springs, CA 92262
❑ PTY
TnA RR1F1R
❑ SCC
SUBTOTAL $ 8420
Schedule A Summary
1. Amount received this period — itemized monetary contributions. 10100
(include all Schedule Asubtotals.).........................................................................................................$
2. Amount received this period — unitemized monetary contributions of less than $100 ...........................$
3. Total monetary contributions received this period. 10100
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.)......................TOTAL $ —
"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))
FPPCAdvice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULE (CONT.)
Monetary Contributions Received to whole dollars'
Statement covers period m
• . ,
from 01-01-2020
FORM •
through 06-30-2020
page 4 of 6
NAME OF FILER
I.D. NUMBER
Palm Springs Fire Association PAC
881536
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
RECEIVED
CONTRIBUTOR
*
CODE
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
(IF SELF-EMPLOYED. ENTER NAME)
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
06/15/2020
Palm Springs Firefighters Association
(] IND
$1680
$10100
C3 COM
180 N. Luring Dr.
C] OTH
Palm Springs, CA 92262
[j PTY
TTIA RR1;,4R
❑ SCC
0 IND
❑ COM
® OTH
PTY
SCC
IND
COM
r] OTH
Lj PTY
® SCC
❑ IND
D COM
[I OTH
El PTY
❑ SCC
❑ IND
Ll COM
El OTH
❑ PTY
SCC
SUBTOTAL $ 1680
'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 ()an/2016))
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule E
Payments Made
SEE INSTRUCTIONS ON REVERSE
Amounts may be rounded
to whole dollars.
Statement covers period
from 01-01-2020
through 06-30-2020
SCHEDULE E
Page 5 of 6
NAME OF FILER I.D. NUMBER
Palm Springs Fire 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 paraphemalla/misc.
MBR
member communications
RAD
radio alydme 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
FIND
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
CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
United Airlines/American Airlines TRS Flights for members to attend legislative conference in $1833.78
Washington D.C.
Hyatt Regency Hotels TRS Lodging during legislative conference $1891.88
Misc. meals TRS Food during legislative conference $706.96
" Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ $4432.62
Schedule E Summary
1. Itemized payments made this period. (include all Schedule E subtotals.)............................................................................................................. $ 5661.98
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 $ 5661.98
FPPC Form 460 (Jan/2026))
FPPC Advice: advke@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule E
SCHEDULE E (CONT.
(Continuation Sheet)
Amounts
may be rounded
to whole dollars.
Statement covers periodFpage
• . ,
Payments Made
from
Ol-01-2020
SEE INSTRUCTIONS ON REVERSE
through 06-30-2020
6 of 6
NAME OF FILER
I.D. NUMBER
Palm Springs Fire 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 nonmonetaryr
OFC
office expenses
SAL
campaign workers' salaries
CVC civic donations
PET
petition circulating
TEL
t.v. or cable airtime and production costs
FIL candidate filingiballot 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 I.D. NUMBER)
CODE OR DESCRIPTION OF PAYMENT
AMOUNT PAID
IAFF
MTG
IAFF Legislative Conference 2020
$1000
Ronald Skyberg
TRS
Reimbursement for UBER travel charges during 1AFF
conference
$179.36
Secretary of State
VOT
Annual state registration for PAC
$50
" Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ $1229,36
FPPC Form 460 (Jan/2016))
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov