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2013-03-04 Form 460 - PS POA
/ Recipient Committee Campaign Statement Cover Page 1. Type of Recipient Committee Statement covers period from 10/20/2012 through 12/31/2012 O OfficehOlder, Candidate Controlled Committee O O State Candidate Election Committee Primarily Formed Ballot Measure Committee O Recall • General Purpose Committee e Sponsored O Small Contributor Committee O Political Party/Central Committee 3. Committee Information COMMITTTEE NAME O Controlled O Sponsored D Primarily Formed Candidate/ Officeholder Committee I.D. Number 951841 Palm Springs Police Officers Association Political Action Committee STREET ADDRESS (NO PO BOX) CITY Sacramento MAILING ADDRESS (IF DIFFERENT) CITY OPTIONAL: FAX/ E-MAIL ADDRESS STATE ZIP CODE AREA CODE/PHONE CA 95814 STATE ZIP CODE ( 4. Verification Date of Election ff applicable (Month, Day, Year} 2. Type of Statement • Pre-election Statement • Semi-Annual Statement • Termination Statement • Amendment • Quarterly Statement O Special Odd-Year Statement O Supplemental Pre-election Statement -Attach Form 495 Amendment to Summary Page to correct cash on hand and cumulative totals. Treasurer(s) NAME OF TREASURER Wayne Ordos STREET ADDRESS CITY Sacramento NAME OF ASSISTANT TREASURER. IF ANY STREET ADDRESS CITY OPTIONAL: FAX I E-MAIL ADDRESS STATE ZIP CODE AREA CODE/PHONE CA 95814 STATE ZIP CODE AREA CODE/PHONE ( I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein is true and complete. I certify under penalty of perjury under the laws of the State ofCalifo~ia that the foregoing is true and correct. Executed on :l. /,'i< (,, / I :3 By . ) /_,-,_,;{ OR ASSISTANT TREASURER Executed on ________ _ By ___ ""s"'1G'"NA"'T"'URE""'OF""CO"""N"'TRO=LL"IN'"G"'O"'FF""1CE"""HOL'""DE""R.'"'CA=-NDl""•A""""TE-, S""T""AT"'E""M"'EAS""'UR"'E...,P"'ROPO"""'"'NEN.,,..T""'OR""'RE"""SPO"""'N"'Sl"'BLE.,...,.OF"'F""lc""ER"'O"'F"'S"'PO""N"'SO"'R.----- Executed on ________ _ By ________ ~s1~0NmA~TumR~E~O~F C~O~N"'TR~OmW"N~G~OF~F~IC~EHO=LDE-R,'"'cA=N•~IDA-TE,~S~1~AlE=u~EAS=uRE=--PR~D~PO""'NE~N~r------ Executed on ________ _ By _______ ,.,,,""'""""",,,...""";;;;;;;;.,;s-.,...;;o,;:;ru1<J.,.---;<mP"""'.....,..,.,,....,,,,"'""'"""'"""""'"'..------sklNA1\JRE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT FPPC Form 460 . January/05 State of California/SI / SUMMARY PAGE Campaign Disclosure Statement Summary Page Statement covers period from 10/20/2012 through NAMEOFFILERPa1m Springs Polir:Fc Officers Associati,Jn Politica=._ AcLion CorruniLLe-2 Column A Contributions Received 1. Monetary Contributions . . .... , Schedule A, Line 3 $ 12,600.00 2. Loans Received . . 0.00 Column B ClsLi'.::tJi'.JAf~ 'rLlR TOTAl f0 D?.tt': $ ___ 7_4_,_7_4_o_._o_o 0.00 3. SUBTOTAL CASH CONTRIBUTIONS .... to·aunes 1+2 $ . . . . .. Schedule C, line 3 12, c,:,o.oo $ 74,740.00 0.00 4. Nonmonetary Contributions . 0.00 5. TOTAL CONTRIBUTIONS RECEIVED . Add Lines 3 + 4 $ 12,600.00 $ 74,740.00 Expenditures Made 6. Payments Made Schedu!F.! E. Une 4 $ ~, __ J_l_4_. _4_2 $ ___ 1_5_,_7_4_4_._5_0 7. Loans Made Schedule H. Lino 3 0.00 8. SUBTOTAL CASH PAYMENTS .. Add Lines 6 + 7 $ ____ 2_:_,_3_1_4_._4_2 9. Accrued Expenses (Unpaid Bills) 10. Nonmonetary Adjustment 11. TOTAL EXPENDITURES MADE Current Cash Statement , .. Sched1Jle F. L!i1e 3 Schedule C. Line 3 .. Add L1/l8S 8 ·•· 9-"-10 $ ~750.00 0.00 1,561.42 12. Beginning Cash Balance . . ..... Previous Summary Page, Line 16 $ ___ 5_4_,_1_1_8_._6_6 13. Cash Receipts .. . .. Colomn A Line 3 above 14. Miscellaneous Increases to Cash . . . . . . Sclwdu/6 /_ Lin& 4 15. Cash Payments . . ........ Column A uo,;;-f3 a/:iove 16. ENDING CASH BALANCE. Add Lines r2 + 13 + 14, then subtmctune ts $ 17. LOAN GUARANTEES RECEIVED .... Schedule 8, Part 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ........... . 12,600.00 '.J.35 2,3ll.42 64,404.59 0.00 n.oo 19. Outstanding Debts. . ........ Ar}(/ I ine,? + Line 9 m Gol,mm B BIJOve $. ______ c_. _o_o 0.00 $ ___ 1_5_:_,_7_4_4_. _5_0 0.00 0.00 $ ~5,744.50 12/31/2012 Page 3 of 23 1.0. NUMBER 951841 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections. 20. 21. 1 /1 tll rough 6/30 7/1 to Date Contributions Received $ $_ Expenditures Made $ $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made • ( If Subject to Voluntary Expenditure Limits) $ ____ _ $ ____ _ • Amounts in this Section may be different from amounts reported in Column B. FPPC Form 4GD "January/OS State of California/SI Recipient Committee Campaign Statement Cover Page 1. Type of Recipient Committee Statement covers period from 1n/Ol/2012 through 10/20/2012 O Officeholder, Candidate Controlled Committee D O State Candidate Election Committee Primarily Formed Ballot Measure Committee O Recall • General Purpose Committee e Sponsored O Small Contributor Committee O Political Party/Central Committee 3. Committee Information COMMITTTEE NAME O Controlled O Sponsored D Primarily Formed candidate/ Officeholder Commillee 1.0. Number 951841 P0lm Sprinq::; Polir.e OfficArs Assc-ciation Fclitical Action Committee STREET ADDRESS (NO PO BOX) 1415 L St Ste 410 Sacramento CITY Sacramento MAILING ADORESS (IF DlFFERENT) CITY OPTIONAL· FAX I E-MAIL ADDRESS STATE ZIP CODE AREA CODE/PHONE CA 9.'iR Ii 916/556-~ 776 STATE ZIP CODE (916) 556-1233 / ordoslaw@jps.net 4. Verification C i~ I ,q_a,tf!JStamp 'I, fJI ',.' Date of Election if AM 8: 22 11/G6/2Clif-lH:.::, ff11n (Month, Jay' Year) CIT CI r-: I 2. Type of Statement • Pre-election Statement • Semi-Annual Statement • Termination Statement • Amendment COVER PAGE CALIFORNIA 460 FORM Page 1 of 23 For Official Use Only • Quarterly Statement • Special Odd-Year Statement D Supplemental Pre-election Statement -Attach Form 495 .Amer,.Jr,1,;;,r 1 Lt, Summary Page c.)r rect cash 011 ha rid and cumulati t·2 toL1l.':l . Treasurer(s) NAME OF TREASURER Wayne Or:::lo.s STREET ADDRESS 1415 L St Ste 410 CITY Sacramento NAME OF ASSISTANT TREASURER. IF ANY STREET ADDRESS CITY OPTIONAL: FAX I E-MAIL ADDRESS STATE ZIP CODE AREA CODE/PHONE CA 95814 916/556-1776 STATE ZIP CODE AREA CODE/PHONE (916 )556-1233 / ordoslaw@jps.net I have used all reasonable diligence in preparing and reviewing this statement and to the hest of my knowledge the infonnation contained herein is true and complete. I certify under penalty of perjury under the laws of the State of California that ~eforegoing is true and correct. Executed on R /J & Ji 3 By Ut k !,/// L-:1 ' 1 SI ATURE OF TREASURER OR ASSISTANTTREASURER Executed on ________ _ Executed on ________ _ Executed on ________ _ By ___ 'S"''IC'",fJ'"sl ... U"'R,,.E"'OF""c"'o"'N"'TR"O"L""UN"'G"O"F"Fl'"CEH"'""O"LD"'E"R,"C""AN"'D'"ID"'A""TE-,"'sT""A"'TE"Ma,EAS""'U"'R""E"PR°'O"'="'o'"ME""N"T=o"'R'"RE""S"'PO"'N"'S"'IB"'LE"O"F'r1Fl"'C"EROFSPONSOR By SIGNATURE OF CONTROlllNG OFF!CE>iOLDER, cANDIDATE, 3TA.TE MEASIIRE PROPONEN' By --------~51=G~NA=T~UR=E~o=F~c=oN~T=Ro=L~L=1N=G=o=FF=1c=E~HO=L=•E=R~, c=AN=D1=•A=r=E.~s=rA=r=E~M=EA=s~u=RE~P=R=o=PO=N=E~NT~----F-PP-C-Form 460 . January/OS State of California/SI Campaign Disclosure Statement Summary Page Statement covers period from through 10/01/2012 10/20/2012 SUMMARY PAGE Page 3 of 23 NALllE OF FILER Pc..ln: Sµr ings Polic~ Officers Associo.tion Poli tic:o 1 J.\c--ion Commit t.Pe D NUMBER 951841 Contributions Received 1. Monetary Contributions . 2. Loans Received . 3. SUBTOTAL CASH CONTRIBUTIONS 4. Nonmonetary Contributions . 5. TOTAL CONTRIBUTIONS RECEIVED Expenditures Made 6. Payments Made 7. Loans Made. 8. SUBTOTAL CASH PAYMENTS 9. Accrued Expenses (Unpaid Bills) 1 0. Nonmonetary Adjustment ... 11. TOTAL EXPENDITURES MADE Current Cash Statement Column A ...... Schedule A, Line 3 $ 5,700.00 Sclrn:111/7 R, i ine 3 0. 00 /\do Lmc.s i+ 2 $ S,7(0.00 . . . Si;:hedule c, Line 3 0.00 . .... AddLine.s3+4 $ 5,700.00 ...• Sch-2dule E. Urm 4 $ __ . ), h09. 42 Schedule .1-i Lme 3 0 • 0 0 ........ Add l.mes 6 + 7 $ ____ 2_,_6_0_9_._4_2 . , , Schedule F. Line 3 750.00 Schedule C, Line 3 0.00 ... Add Lines 8 -l· 9, 10 $__ 3, JS9. 42 12. Beginning Cash Balance . . Pr&vwus Summary Page. Une J 6 $ ___ 5_1_,_0_2_8_._0_8 13. Cash Receipts . .Coiumn A, Line 3 above 5,700.00 14. Miscellaneous Increases to Cash (1.00 15. Cash Payments . .........•. Column A. I. ,ne 11 at1ove-2,609.42 16. ENDING CASH BALANCE, AddLmes 12 • 13 + 14, theo svb/ractLine 15 $ 54,118.66 17. LOAN GUARANTEES RECEIVED. Schedule 8; Part 2 $ ______ 0_. O_O Cash Equivalents and Outstanding Debts 18. Cash Equivalents . $_ 19. Outstanding Debts ....... Add i..1nes 2 + Lme 9 in Coru.r.,n H a.'10ve $. ___ _ (;.00 .1 5(,. 00 $ $ $ Column B c,1tE:.NOAr, YEJ,R !'OTAL TO L~A7E 62,140.00 0.00 c::, 140.00 0.00 62,140.00 $ ___ ,_iJ,430.08 0.00 $ ___ 1_3_,_4_3_0_. _0_8 750.00 0.00 $ 14,180.08 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections. 20. 21 . 1/1 through 6/30 7/1 to Date Contributions Received $ $ Expenditures Made $ $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made• ( If Subject to Voluntary Expenditure Limits) $ ____ _ $ _____ _ • Amounts in this Section may be different from amounls reported in Column B. FPPC Form 460 -January/OS State of California/SI Recipient Committee Campaign Statement Cover Page 1. Type of Recipient Committee Statement covers period ~om 07/01/2012 through 09/30/2012 D Officaholder, Candidate Controlled Committee D O State Candidate Election Committee Primarily Formed Ballot Measure Committee Q Recall • General Purpose Committee e Sponsored O Small Contributor Committee O Political Party/Central Committee 3. Committee Information COMMITTTEE NAME O Controlled Q Sponsored D Primarily Formed Candidate/ Officeholder Committee I.D.Number 951841 Palm Springs Police Officers Association Political Action Corrunittee STREET ADDRESS (NO PO BOX) 1415 L St Ste 410 Sacramento CITY Sacramento MAlLING AooRess (IF DIFFERENT) CITY OPTIONAL: FAX/ E-MAIL ADDRESS STATE ZIP CODE AREA CODE/PHONE CA 95814 916/556-1776 STATE ZIP CODE (916) 556-1233 / ordoslaw@jps.net 4. Verification Data of Election if applicable 11/06/2012 {Month, Day, Year) .l/.t1l:S lf·LHI,' ::,, CITY CLERK For Official Use Only 2. Type of Statement • Pre-election Statement • Semi-Annual Statement • Termination Statement 0 Amendment Treasurer(s) NAME OF TREASURER Wayne Ordos STREET ADDRESS 1415 L St Ste 410 CITY Sacramento NAME OF ASSISTANT TREASURER, IF ANY STRllET ADDRESS CITY OPTIONAL: FAX/ E-MAIL ADDRESS • Quarterly Statement • Special Odd-Year Statement • Supplemental Pre-election Statement -Attach Form 495 STATE ZIP CODE AREA CODE/PHONE CA 95814 916/556-1776 STATE ZIP CODE AREA CODE/PHONE (916 )556-1233 / ordoslaw@jps.net I have used all reasonable diligence in preparing and reviewing this statement and to the best ofmy knowledge the information contained herein is true and complete. I certify under penalty of perjury under the laws of the State ofCalifom}\ that the foregoing is true and correct. Executed on / 0 / 5/t ~ By {,t_)~ fJ-"l...d.-,-'1 ' I -siGNA TURE OF TREASURER OR ASSISTANT TREASURER Executed on ________ _ By ___ =s1=GNA=ru=RE=o-FCON==TRO=LL~ING=o=FA=c=EH=o~LDE=R~,CA=N•=1DA=TE~,s=T=AT=E~M=EA=s~uR=E=P=Ro=PO=NE=NT=oR~R=ES=p=o=N=S1s=l=E=oF=r=1c=ER~o=F=SPO=N=so=R~ Executed on ________ _ By ________ =s1=GN=A=ru~RE=or~co=N~1ROL=L~1NG=o=FF=1c=EH=o~LD=E~R.~CA~N=•=1DA=TE~. sr=ATE=M=EA=s=uR=E=P=ROPON==E~NT~------ Executed on ________ _ By ________ =s1G=NA=Tu=R=E=oF-c=DN=TRO=w=N=G=o=FF=1CE=H=o=LD=E=R~, CA~N=•=10A=TE,~S=T=AT=E~M=EAS=uR=E=p=RQ=PO=NEN=T-----FP_PC_Form 460 -January/05 State of California/SI i Recipient Committee Campaign Statement Cover Page 1. Type of Recipient Committee Statement covens period from 07/01/2012 through 09/30/2012 0 Officeholder, Candidate Controlled Committee 0 O State Candidate Election Committee Primarily Fanned Ballot Measure Committee O Recall • General Purpose Committee e Sponsored O Small Contributor Committee O Polttical Party/Central Committee 3. Committee Information COMMITTTEE NAME Q Controlled Q Sponsored 0 Primarily Formed Candidate/ Officeholder Committee LD, Number 951841 Palm Springs Police Officers Association Political Action Committee STREET ADDRESS (NO PO BOX) 1415 L St Ste 410 Sacramento CITY Sacramento MAILING ADDRESS (IF DIFFERElff) CITY OPTIONAL: FAX/ E-MAIL ADDRESS STATE ZIP CODE AREA CODE/PHONE CA 95814 916/556-1776 STATE ZIP CODE (916) 556-1233 / ordoslaw@jps.net 4. Verification COVER PAGE CALIFORNIA 460 FORM Date of Election If app AH B: 22 Page 1 of 22 u/06/2012 J1Ui S lt·1ti/-\;';,:_, _______ ....,, JT Y CL ER!( (Month, Day, Year) 2. Type of Statement • Pre-election Statement • Semi-Annual Statement • Termination Statement • Amendment For Official Use Only • Quarterly Statement • Special Odd-Year Statement • Supplemental Pre-election Statement -Attach Form 495 Amendment to Summary Page to correct cash on hand and cumulative totals. Treasurer(s) NAME OF TREASURER Wayne Ordas STREET ADDRESS 1415 L St Ste 410 CITY Sacramento NAME OF ASSISTANT TREASURER, IF ANY STREET ADDRESS CITY OPTIONAL: FAX/ E-MAIL ADDRESS STATE ZIP CODE AREA CODE/PHONE CA 95814 916/556-1776 STATE ZIP CODE AREA CODE/PHONE (916 )556-1233 / orctoslaw@jps.net I have used all reasonable diligence in preparing and reviewing this statement and to the best ofmy knowledge the information contained herein is true and complete. I certify ~nder penalty of perjury under the laws of t}ie State of Cal. if~ia ~ the foregoing is true and correct. Executed on oJ./ ;J t., / I 3 By (A..)~ f,,1---'1_,/_-<' ~J ~ SIGNATURE Of TREASURER OR ASSISTANT i'REAsURER Executed on ________ _ By ___ "S"'IG~NA~rmuR~E~O~FCON"°""mlRO"""ll,IN~G~O~FF"'lc~E"'HOL'-""OE~Rn,CA"""ND~l•A"""TE.~SMT~AT~E~M·EAs"""U"'RE"'P~R~OP"'OmNE""N~r~oR~RE"""SPO"""'N~Sl"'BLE=OF~F~lc~ER~O~F~S~PO"N"'SOR--- Executed on ________ _ By ________ ~s1~GrnNA""TU"'R"'E""'OF""CO-N~lRO"""'L1"'1NG=o"'FF"'1c~EmHOL=DER=, CA"""Ntii""b"'A"'TE~, ~St~AT~E~M"'EAS=•R"'E~P"'ROPO=mNEN=r------ Executed on ________ _ By _______ -,,s"'1G'"NA""TU"'RE;;e-;,;;OF""CON.;;rnTRO"'°"llr.l'°NG"O""F"'F1CE"""'HO"'L""DEoi;R-,, CA,.N""D""ID"°ATE"""", S"'fA"'TE,.,M"'EA"'S""U"°RE"'P"'R"'oPO"""'NE""NT,,..------FPPC Form 460 • January/05 State of Calllomia/SI Campaign Disclosure Statement Summary Page Statement covers period from 07/01/2012 through 09/30/2012 SUMMARY PAGE Page 3 of 22 OF FILER Palm Spr:_ngs Police Officers Ass0c:i o---i. Political Act:::.on CommiLLe<:c t.D. NUl-fBER 951841 Contributions Received 1. Monetary Contributions . 2. Loans Received . 3. SUBTOTAL CASH CONTRIBUTIONS 4. Nonmonetary Contributions . 5. TOTAL CONTRIBUTIONS RECEIVED Expenditures Made 6. 7. 8. Payments Made Loans Made ............... . SUBTOTAL CASH PAYMENTS 9. Accrued Expenses (Unpaid Bills) 10 Nonmonetary Adjustment .... 11. TOTAL EXPENDITURES MADE Current Cash Statement Column A .... -.. Sche-du!e A, Line 3 $ 18,920.00 Schedule B, Lhe 3 0.00 1+Z 1s, J::o.oo ---... Schedule C, Lin1:t 3 (1.00 . . . . . . . . Ad-cl Unes 3 + 4 $ 18,920.00 Schedure £. !..ine 4 $ ____ 2_,_S_C_<J_._0_0 ........ Add Lines 6 + 7 $ ____ 2_,_5_0_0_._0_0 . . . . . Schedule F. Line 3 0.00 St;i:eclule C. Line 3 D.00 .• , • , .A(1(1 I i,J0S ~' ? ' 10 $ 2,S00.00 12. Beginning Cash Balance . ...... Previous SlunmaryPage, Une ts $ ___ 3_4_,_6_0_7_._0_5 13. Cash Receipts ...... . .Column A. Line 3 above 18,920.00 14. Miscellaneous Increases to Cash 1.03 15. Cash Payments ............ . . . Cofvmn 2,500.00 16. ENDING CASH BALANCE. AtldLnes 12 + 13 + 1,1, /hen subtract Line 15 $ 51tCJ28.08 17. LOAN GUARANTEES RECEIVED .... Schedule 13, Part 2 $ 0.00 Cash Equivalents and Outstanding Debts 18. Cash Equivalents . $ ___ _ o.oo 0.00 19. Outstanding Debts. .....• , , .. /ldr} l-1n~::s 2 + Line 9 in Column B Bb<-;ve $ ____ _ Column B CAl./;:NDAf< YEP1r< TOTAL TO OATIZ $ 56,440.00 0.00 $ 56,440.00 ---·- 0.00 $ 56,440.00 $ ___ 1_c_, ,_s_2_0_. _6_6 0.00 $ ___ 1_0_,_s_2_0_. _6_6 0.00 o.oo $ 10,820.66 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections. 20. 21. 1 /1 through 6/30 711 to Date Contributions Received $ $ Expenditures Made $ $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* ( If Subject to Voluntary Expenditure Limits) $ _____ _ $ ____ _ • Amounts in this Section may be different from amounts reported in Column B. FPPC 1 ·orm 460 -January/OS State of California/SI Recipient Committee Campaign Statement Cover Page 1. Type of Recipient Committee Statement covers period from J5/20/2012 lflrough 06/30/2012 D Officeholder, Candidate Controlled Committee D O State Candidate Election Committee Primarily Formed Ballot Measure Committee O Recall • General Purpose Committee e Sponsored (l Small Contributor Committee O Political Party/Central Committee 3. Committee Information COMMITTTEE NAME O Controlled O Sponsored D Primarily Formed Candidate/ Officellolder Committee LD. Number 951841 P2.lm Springs Poll:___:e Officers Association Po-=-i tir:i'.:.l Action Committee STREET ADDRESS (NO PO BOX) 1415 L St Ste 410 Sacramento CITY Sacramento MAILING ADDRESS (IF DIFFERENT) CITY OPTIONAL· FAX/ E-MAIL ADDRESS STATE ZIP CODE AREA CODE/PHONE CA 958!4 916/556-1776 STATE ZIP CODE (916) 556-1233 / ordoslaw@jps.net 4. Verification Date of Election If applicable (Month, D;:iy, Year) 2. Type of Statement COVER PAGE CALIFORNIA 460 FORM 2013 MAR -4 AM S .. ~ 1 of 20 Jt, i'iES 1 HU,, CITY Cl.[.I''. For Official Use Only • Pre-election Statement • Quarterly Statement • Semi-Annual Statement • Special Odd-Year Statement • Termination Statement D Supplemental Pre-election • Amend_m_e_nt __________ S_t_a_te_m_en_t_-_A_tt_a_c_h_F_o_r_m_4_95~ Amend..1Lemt t,=' ~chedules A 2;1d I and Summary ~ag.--; · o c:::,rrect cont1 il,111 ··1i" c1nd bank int8r.c,.:,;-, .information. Treasurer(s) NAME OF TREASURER Wayne OrC.os STREET ADDRESS 1415 L SL Ste 410 CITY Sacramento NAME OF ASSISTANT TREASURER, IF ANY STREET ADDRESS CITY OPTIONAL: FAX/ E-MAIL ADDRESS STATE ZIP CODE AREA CODE/PHONE CA 95814 916/556-1776 STATE ZIP CODE AREA CODE/PHONE (916 )556-1233 I ordoslaw@jps.net I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein 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. Executed on a/-:;;. r,, U 3 By l:Y•~ &"th-a ~ I ~GNATURE OF TREASURER OR ASSISTANTTREASURER Executed on ________ _ Executed on ________ _ Executed on ________ _ By ___ =s=1G=N~Ar=u=RE-o=F~c=o=NfR=o~LL~11,=G=o=FF=1c=E=H=oL=o=ER,~CA~N=o=1o~M=E~,s=r=Ar=E'"'M=EA~s=u=R=E=PR00o=p=o~=E=N=r=oR=R=E=s=po=N=Sl=B~LE~6·FFICEROFSPONSOR By ________ "'Sl"'ut'"IA"'n=JR~E"(ll~C"",O"'NT"'R"'O'"'u.""1N"'G"OF"'F=1c=EH~O"LD=t"'R,-,CCCAN"'D"'IDA,.,.TE=--,s""T"'AT=E"M~EA~.s"'uR"'E"'P"'RO"'PO"""NE.,.N=r------ By ________ ~s10=N~A=Tu~R=E=o=F=co=N=r=Ro=L~Ll~NG=oF=F=1c=EH~O=L=oE~R~,c=A~N=o1=0A=r=E,~S=,A=r=E~M=EA=s~u=RE=P=R=o=po=N=E=Nr~------ FPPC Form 460 -January/OS State of C.aliforn.ia!SI Recipient Committee Campaign Statement Cover Page -Part 2 5. Officeholder or Candidate Controlled Committee ilAME OF OFFICEHOLDER OR CANDIDATE bFFICE SOUGHT OR HELJ ( INCLUDE LOCATION l-,ND DIS"f"RICT NUMBG8 IF APPLICABLE) ... "iTATE·····z;r·· Related Committee~~ Not lnchidnd in this Statement: List any commiU&es not inc!u-::ed In this st2ten1ent that at& controlled by you or .aff,-primari/y f.?nned w receive contributions or make expenditures on behalf of your candidacy COMMiTTEE NAME 'NAME OF TREASUF!ER ~ ~D; NU~B~-- CONTROcLED COMMITTEE > •YES •NO COfvlMITTEE STREET ,i\i)JF(ESS ( NL.> P.O. BOX} CITY STATE ZIP CODE AREA CODE/PHONE ID.NUIIBER cn~~TROUE-D C-(,.,,..,41T?EE ? OYEs ONO COMMITTEE STREE !" ADDRESS ( NO P.O. BOX) CITY STATE ZIP CODE AREA CODEIPHO~JE Statement covers period from 05/20/2012 through 06/30/2012 6. Primarily Formed Ballot Measure Committee NAME.ClF BALL(ii'-MEASURE COVER PAGE -PART 2 CALIFORNIA 460 FORM Page 2 of 20 • SUPPORT • OPPOSE Identify Vie contro!!in-g officnholdc;, carn::lidatn, or state mna•:;ure prop0:-1ent, if (1ny. NAME OF OFFICEHOLDER OR CANDIDATE OR PROPONENT Or:'FICE SOUGHT OR HELD ····J···· --·· ··-·-DISTRICT NO IF ANY 7. Primarily formed Candidate/Officeholder Committee List names of offlceholder/s)or candidate(s) far which this committee is primar/oy formed. r>JAME "JF OFFICEHOi_[IER OR CANDIDATE NAME OF <JFFICEH(J:._[,EF: OR Ci\\!DDATE hAME OF OFFtCEHOLl)CR OR CA,Nl);f)ATE ~JAME OF ()f-FlCEHOl.i.)f::H OR CAND!DATE OFFICL 20uGm 01< HLLD • SUPPORT • OPPOSE OFFICtc SOUGHT OH 1-1£:LD • SUPPORT • OPPOSE OFFICE SOUGHT OR HE'..-0 • SUPPORT • OPPOSE • SUPPORT • OPPOSE FPPC Form 460 -Janua,y/05 State of California/SI Campaign Disclosure Statement Summary Page Statement covers period from through 05/20/2012 OG/30/2012 SUMMARY PAGE Page 3 of 20 NAME OF FlLER Pal:n ;~~prings Police c.tticers Assuciation Political Action Committee i l'.. NUMBER 951841 Contributions Received 1. Monetary Contributions . 2. Loans Received .. 3. SUBTOTAL CASH CONTRIBUTIONS 4. Nonmonetary Contributions . 5. TOTAL CONTRIBUTIONS RECEIVED Expenditures Made 6. Payments Made 7. Loans Made. 8. SUBTOTAL CASH PAYMENTS 9. Accrued Expenses {Unpaid Bills) 10. Nonmonetary Adjustment ... 11. TOTAL EXPENDITURES MADE Current Cash Statement Column A ·.\'lr.L 'rn:'., i:,,,:.KJ,~,r, ;'·+::M .:..n~,r,1,ro $Cic~r;'Ji.~~ , ..... Sched1tfe A, Line 3 $ 6,240.00 Schedu!a B. Li.r:e 3 0 1. 00 .. Add !..iJ!c>ii I+ 2 $ 6,2,JJ.OO . , , S chectule C, Line 3 0.00 ..... , , , AddLme.s3+4 $ 6,240.00 ScheUUie E. Line 4 $ ______ 0_._0_0 Sched;,;/fl r-1 Line 3 0.00 ........ Add I.mes 6 + 7 $ ______ 0_._0_0 . . . . . . Schedule F. Line 3 . Schedule L'rro 3 . -... AddLme5 6-9+ 10 $ 0.00 0.00 0.00 12. Beginning Cash Balance . . .. Pl'OViOVS Si.imrnary Page, Line 16 $ ___ 2_8_,_3_6_6_._5_9 13. Cash Receipts ... . . . . .... Colurm l A. Lme 3 ~bl.we 6,240.00 14. Miscellaneous Increases to Cash . . . . . • Schec/u/€' i, Lin';' 4 0.46 15. Cash Payments . . . Column A. Line 8 atJove 0.00 16. ENDING CASH BALANCE . Add Lmes 12 + 13 + 14. then subtract Line 15 $ 34,607.05 17. LOAN GUARANTEES RECEIVED. Schedule 8, Part 2 $ 0.00 Cash Equivalents and Outstanding Debts 18. Cash Equivalents . $. ______ o_._o_o 19. Outstanding Debts. ,tldd Lines 2 + Lin~ 9 in Cof1.R:n B 2:bove $. ______ 0_. _0_0 $ $ $ Column B U\LHlOAr~ YEAH TOTAL TD DATE 37,520.00 0.00 37,520.00 0.00 37,520.00 $ ____ 8_,_3_2_0_._6_6 0.00 $ ____ 8_,_3_2_0_._6_6 0.00 0.00 $ 8,320.66 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections. 1/1 lhrough 6/30 7/1 to Date 20. Contributions Received $ _____ _ $. ____ _ 21. Expenditures Made $ _____ _ $ _____ _ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made• ( II Subject to Voluntary Expenditure Limits) $ ____ _ $ _____ _ • Amounts in this Section may be different from amounts reported in Column B. FPPC Form 460 January/OS Stale of California/SI Schedule A Statement cove111 period Monetary Contributions Received from 05/20/2012 NAME OF FILER Palm Springs Police Officers Association Poli ti cal Action Committee IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER through DATE RECEIVED FULl NAME, STREET ADDRESS A ND ZIP CODE OF OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR CODE (lF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (INT-1 Paul Abshire 05/20/2012 THRU 180 N Luring Dr. 06/30/2012 Palm Springs, CA 92262 Association intermediary listed below. (IN'l'-1 Tarina Adame 05/20/2012 THRO 180 N Luring Dr. 06/30/2012 Palm Springs, CA 92262 Association intermediary listed below. (INT-1 Joel Aguillera 05/20/2012 THRO 180 N Luring Dr. 06/30/2012 Palm springs, CA 92262 Association intermediary li5ted below. (INT-1 Bryan Anderson 05/20/2012 THRO 180 N Luring Dr. 06/30/2012 Palm Springs, CA 92262 Association intermediary listed below. (INT-1 Nick Andre 05/20/2012 THRU 180 N Luring Or. 06/30/2012 Palm Springs, CA 922 62 Association intermediary listed below. IND Police Officer City of Palm Springs IND Police Officer City of Palm Springs IND Police Officer City of Palm Springs IND Police Officer City of Palm Springs IND Police Officer City of Palm Springs SUBTOTAL$ Schedule A Summary 1. Amount received this period -itemized contributions (Includes all Schedule A subtotals ) ............................................... . 2. Amount received this period -unitemized ........................................... . 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page. Column A Line 1) .......... . $ $ TOTAL$ 06/30/2012 AMOUNT RECEIVED 80. 00 PAYROLL DEDUCTIONS during period. 80.00 PAYROLL DEDUCTIONS during period. 80.00 PAYROLL DEDUCTIONS during period. 80.00 PAYROLL DEDUCTIONS during period. 80.00 PAYROLL DEDUCTIONS during period. 6,240.00 0.00 6,240.00 SCHEDULE A CALIFORNIA 460 FORM Page 4 of 20 I.D. NUMBER 951841 UMUlATIVE TO DATE CALENDAR YEAR (JAN. 1 • DEC. 31) 480.00 480.00 480.00 480.00 480.00 "'Contributor Codes IND -lndiv~ual PER ELECTION TO DATE (IF REQUIRED) COM -Recipient Convnlti><! (olher1h'"1 PTY or SCC) OTH-01her PTY -Polfflcal Party sec -Small Contrt>utor committee FPPC Form 460(Jan/05) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule A (Continuation Sheet) Monetary Contributions Received Statement covers period from through U~/20/2012 06/30/2012 SCHEDULE A CALIFORNIA 460 FORM Page 5 of 20 N/·,MC OF FILER Palm Sp:::-ings Po 1.::_ce Officers A~sociali.on Poll Lical J\.ct.i on Comm.i ttee I.D. NUMBER 951841 DATE RECEIVED FU'....l NAM!:.. STREET ADDRESS A NOZIP C::1DE OF OF CONTRIBUTOR (IF COMMIT\1::1:.. ALSO ENTLf~ 1.:i. NUMBER) (INT-1) Gus Araiza 05/20/2012 THRU 06/30/2012 180 N Luring Dr, Palm Springs, CA 92262 As.sociatic_:.:1 intermediary listed below. ( lNT-1) Ml:.<.e Barredo 05/20/2012 THRU 06/.:10/2012 ::i.80 N L·.iring Dr. Palm Sprin~s, Cl\. 92262 Association intermediary listed below. (lNT-1) Nick Barth Oc/20/2012 TERU 06/30/2012 180 N Luring Dr. Palm Springs, CA 92262 Associa.Lion intermediary listed :Oclow. (INT-1) Matt B-eard 05/20/2012 'I'HRfJ 01:/32/2012 180 N :urir.g Dr. Palm Sp::-i:ics, Clt 922 62 Association intermediary listed below, (' :..NT-1 l Tom Bec:..e.r ·.: 05/2'1/2012 THRU 06/30/2012 180 N Luring Dr. Pctlm Sµ:rinqs, CA 92262 Associilt.~r:in intFYmE-diary 1 ~ted b,;:,-lc.Y,rJ. r:ONTRIGUTOR COOF. IND IND IND IND IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SEU'-E\1PLOYED, ENTER NAME OF BUSINESS} Police Officer City of Palm Springs Police OfficE>,r City of Palm .3prings Poli:::c OffiCF!T City of Palm Springs Police Officer City ,J[ Palm Springs Police Office::: City of Palm Springs SUBTOTAL$ AMOUNT RECCIVED 80 .00 PAYRCL:. DEDUCTICNS during period. 80.00 PAYROLL DEDUCTIONS duri n(J period. 80.00 PAYROLL DEDUCTIONS during period. 80.00 PAYROLL DEDUCTIONS during period. SO.DO PAYROLL DEDUCTIONS during period. •• Conbibutor Codes: IND -lndi'-idual COM• Recipient Committee (other than PTY or SCC) 0TH -Other PTY • Political Party sec. Small Coo~ibutor Committee CUMULATIVE TO DATE CAL EN DAR YEAR (JAN. 1 -DEC. 31) 480.00 480.00 480.00 480.00 480. o,:, PER ELECTION TO DATE (IF REQUIRED) Schedule A (Continuation Sheet) Monetary Contributions Received Statement covers period from 05/20/2012 through 06/30/2012 SCHEDULE A CALIFORNIA 460 FORM Page 6 of 20 t\AMEOFFILER Palm Springs Police Off:_cers Assc=:iciation PoliticaJ .l\ct.7.on Commit.tee ID NUMBER 951841 DATE RECEIVED FULL NAME, STREEi ADDRESS A ND ZIP CODE OF OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) (INT-1) Donald Benstead Jr. C°:/::.;_:J/2012 T:-lRU OG/J.:::•/2012 180 tJ ::..uri;:-,g Dr. Paln Sp~i:1gs, CA 922r:,;r. Association intermediary listed below. (INT-1) Christopher Bergman 05/20/2012 THRU ill,/30/2012 180 ti Lu::ing Dr. Palm Springs, CA 922 62 Asso·::ia.tion intermedL:,r•/ ::_it1Led below. (INT-1) Jackie Bridgewater 05/20/2012 THRU 06/30/2012 180 N Luring Dr. Palm Springs, CA 92262 AssccL:.t.i:-m intermediary 1 i ::ited below. fINT-1) Fra::ik Brownlng 05/20/2012 THRO 06/30/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary lh;ted below. {TNT-1) Gerald Buck::_in (1 5/20/2012 THRU (6/JU/2012 180 N _LJring Dr. Palm SpringsJ CA 92262 Association intermediary listed below. CONTRIBUTOR CODE IND IND IND IND IND IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF·EMPLOYED, ENTER NAME OF BUSINESS) Police Officer Ci·_y 0[ Palm Spricq.s Police Officer ty (,f Palm Sprin,:rs Police Officer City of Palm Springs Pol.:_ce Cfficer City of Palm Springs P·Jlice Officer ty of Palm Springs SUBTOTAL$ AMOUNT RECEIVED BO. 00 PAYROLL J?":IJ~J(;T-::-0NS d·..:ring period. 80.00 PAYROLL dc.rir:ig period. 80.00 PAYROLL DEDUCTIONS during peI iod. 80. 00 PAYROLL DEDUCTIONS during period. 80. 00 PAYRC:.L lJElJUC'l'lUNS during period. CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1-DEC. 31) 480.00 480,00 480.00 480. 00 ,80. 00 400.001 •• Contributor Codes: IND -Individual COM -Recipient Committee (other tl1a., PTY o, SCC) 0TH • Olher PTY -Pol!ical Party SCC -Small Contributor Commillee PER ELECTION TO DATE (IF REQUIRED) Schedule A (Continuation Sheet) Monetary Contributions Received NAMEOFFILER Palm Springs Police Officers Association Political Action Committee IF AN INDIVIDUAL, ENTER OCCUPATION ANO EMPLOYER Statement covers period from 05/20/2012 through 06/30/2012 SCHEDULE A CALIFORNIA 460 FORM Page 7 of 20 1.0. NUMBER 951841 DATE RECEIVED FULL NAME. STREET ADDRESS A NO ZIP CODE OF OF CONTRIBUTOR (IF COMNlllTEE, ALSO ENTER 1.0 NUMBER) CC"ITRIBUTOR CODE (IF Sl:LF-EMPLOYED, ENTER NAME OF BUSINESS) AMOUNT RECEIVED CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 • DEC. 31) PER ELECTION TO DATE (IF REQUIRED) (INT-1) Jon Cabrera 05/20/2012 THRO 06/30/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. { INT-1) Stefanie Campbell 05/20/2012 THRU 06/30/2012 180 N Luring Or. Palm Springs, CA 922 62 Association intermediary listed below. (INT-1) Albert Cantu 05/20/2012 THRO 06/30/2012 180 N Luring Or. Palm Springs, CA 92262 Association intermediary listed below. (INT-11 Cary Carrillo 05/20/2012 THRU 06/30/2012 180 N Luring Or. Palm Springs, CA 92262 Association intermediary listed below. ( INT-1) Nancy Carr 05/20/2012 THRO 06/30/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. IND Police Officer City of .Palm Springs IND Police Officer City of Palm Springs IND Police Officer City of Palm Springs IND Police Officer City of Palm Springs IND J?olice Officer City of Palm Springs SUBTOTAL$ 80.00 PAYROLL DEDUCTIONS during period. 80. 00 PAYROLL DEDUCTIONS during period. 80 .00 PAYROLL DEDUCTIONS during period. 80.00 PAYROLL DEDUCTIONS during period. 80.00 PAYROLL DEDUCTIONS during period. w Contributor Codes: IND -lndi>idual COM -Recipient Committee (other than PTY or SCC) 0TH • Other PTY • Political Party SCC • Small Contributor Committee 480. 00 480.00 480. 00 480.00 480. 00 Schedule A (Continuation Sheet) Monetary Contributions Received Statement coven; period from 05/20/2012 through 06/30/2012 SCHEDULE A CALIFORNIA 460 FORM Page 8 of 20 NAMEOFFILER Palm Springs Police Officers Association Political Action Committee LO. NUMBER 951841 DATE RECEIVED FULL NAME, STFU:ET ADDRESS A ND ZIP CODE OF OF CONTRIBUTOR (IF COMMITTEE. ALSO ENTER 1.D. NUMBER) (INT-1) Mike Casavan 05/20/2012 THRO 06/30/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-1) Troy Castillo 05/20/2012 THRO 06/30/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-1) Merritt Chassie 05/20/2012 THRU 06/30/2012 180 N Luring Dr. Palm Spring:,, CA 92262 Association intermediary listed below. (INT-1) Luciano Colantuano 05/20/2012 THRU 06/30/2012 180 N Luring Dr. Pal.Jn Springs, CA 92262 Association intermediary listed below. {INT-1) Walter Combs 05/20/2012 THRU 06/30/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. CONTRIBUTOR CODE IND IND IND IND IND IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs SUBTOTAL$ AMOUNT RECEIVED 80.00 PAYROLL DEDUCTIONS during period. 80.00 PAYROLL DEDUCTIONS during period. 80,00 PAYROLL DEDUCTIONS during period. 80. 00 PAYROLL DEDUCTIONS during period~ PAYROLL DEDUCTIONS during period. CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1-DEC. 31) 480.00 480.00 480. 00 480.00 320.00['. ff Conbibula Codes: IND -lndivi<ilal COM -Recipient Con-mittee (other than PTY or SCC) 0TH • Other PTY • Political Party SCC -SrnaR Contributor Committee PER ELECTION TO DATE (IF REQUIRED) Schedule A (Continuation Sheet) Monetary Contributions Received Nl..,M[OFF!LER Palm Spr:_ngs ~'olice Officers Associatio:1 Polillcal .i1.ction Co:nrrcittec IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER Statement covers period from 0."/20/2012 through 06/30/2012 SCHEDULE A CALIFORNIA 460 FORM Page 9 of 20 D_ NUM!1Cf~ 951841 PER ELECTION TO DATE DATE RECEIVED FULL NAME. STREET ADDR:::::ss A ND ZIP CODE OF or CONTRIBUTOR (IF COMMITTCE, ALSO ENTER I. J. NUMBER) CONTRl8U I OR CODE (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) AMOUNT RECEIVED CUMULATIVE 1"0 DATE CALENDAR YEAR (JAN. 1 -DEC. 31) (IF REQUIRED) ( INT-1) Brent Coon 0~1/~(J/2012 THRO 06/30/2012 180 N Luring Dr. Palm Springe;, CA 92262 A.ssociation intcrnwdiary listed hP I ow. (TNT-1) David Cos::cllo 05/20/2012 THRU 06/30/2012 180 N Luring Dr. Pa.lrn Sprinqs, CA 92262 Association intermediary listed below. (IN'l"-ll :--1~tt Crar:1plon o,./; ::/2012 TFRU 06/30/2012 180 N Luring Dr, E'alm Springs, CA 92262 Association int2rmediary listed l;:.t;; le,•,.·. (INT-1) Josh Crocker 05/20/2012 'I'HRU 06/JC/2012 180 N Luring Dr. ?alm Springs, Ch 92262 Association intermediary listed below. 'INT-1'. Michael D~laney Oo/70/2012 THRU 06/30/2012 180 N Luring Dr. Palm Spr-i n-qs, CA Q?262 Association intcrrr.ediary listed hf'! ow. IND Police Officer City of Palm Springs IND l?olice Officer City of Palm Sµ.:ings IND Pollce Officer City of Palm Springs IND Police Officer City Palm Sµrings IND Poli•..::e-Officer City of Palm Springs SUBTOTAL$ BO.DO PAYRO:.T DEDUCTIONS during period. 80,00 PAYROLL DEDUCT TONS during period. PAYROLL DEDUCTIONS during period. 80. DO PAYROLL DEDUCTIONS during period. BO. PAYROLL DEDUCTIONS during period. 400.001 ~ Contributor Codes: IND -Individual COM· Recipient Committee (other than PTY or SCC) 0TH -Other PTY -Political Party sec• Small Contributor Committee 480. 00 480.00 480. 00 480.00 480.00 Schedule A (Continuation Sheet) Monetary Contributions Received Statement covers period from through 05/20/2012 06/30/2012 SCHEDULE A CALIFORNIA 460 FORM Page 10 of 20 ~JAM.EC•FFILER Pal~ Springs Police Otficers Ass0ci2.Lic-: .. 1 Political A::tion Comrnit-:.cc LLJ NUMBER 951841 DATE RECEIVED FULL NAME, STREET ADDRESS A ND ZIP CODE OF OF CONTRIBUTOR (IF COMMfTTEE, ALSO ENTER 1.0. NUMBER) (INT-1) Melissa Desmarais 05/20/2012 'l'HHU 0G/J0/2012 180 1': L"c.ri:--.19 Dr, Palm Sprir.;s, CA 92262 Association intermediary li3ted below. (INT-1) Alan Donovan 05/20/2012 THRU 06/30/2012 180 N =..i.;rir..g Dr. Palrn Si:;.rlrAs, CA 92262 Associntion intermedi.a.ry li~ted below. ( INT-1) Michael Donovan 05/20/2012 THRU 06/30/2012 180 N Luring Dr. Palm Springs, CA 92262 Ass:iciut, on intermediary Ji .<;;ted below. (INT-1) Dana::..d Dougherty (;.:)/.:;:,:1/2012 THRU 06/30/2012 180 N Luring Dr. Palm Springs, CA 92262 Association .intermediary listed below. ;TNT-1) Lauren Drinkwater Do/2C/2012 06/3CJ2012 180 N Luring Dr. Palm Springs, CA 922 62 Association intermediary listed below. CONTRIBUTOR CODE IND IND IND IND IND IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED. ENTER NAME OF BUSINESS) Police Officer C1 ty o:' Palm Sprlnr,1::; Police Officer :...:ity ot Palm Spri:--iJs Police Officer City of Palm Springs Police Officer City of Palm Springs Follce •Jfficer Ci-::/ ,:-;f Palm Spr· n(]s SUBTOTAL$ AMOUNT RECEIVED 80.00 FAY20LL !JE.DUCT !UMS dr.:_.rl:HJ period. BO.OD PAYROLL DE:,cCI'IONS BO.DO PAYROLL DEDUCTIONS during period. 80.00 PAYRO:.I. DEDUCTIONS during period. 80. 00 PAYROLL DEL:UC'l'lONS during period. •• Con!ributor Codes IND. lndMdual COM -Recipient Committee (other than PTY or SCC) 0TH -Other PTY -Political Party sec -Small Contributor Committee CUMULATIVE TO DATE CALENDAR YEAR {JAN 1 -DEC 31) 4 8 0. 00 480.00 480.00 480.00 480.00 PER ELECTION TO DATE (IF REQUIRED) Schedule A (Continuation Sheet) Monetary Contributions Received NAMEOFFILER Palm Springs Police Officers Association Political Action Committee IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER Statement covers period from 05/20/2012 through __ 0_6/_3_0_/_2_0_12 __ SCHEDULE A CALIFORNIA 460 FORM Page 11 of 20 1.D. NUMBER 951841 PATE RECEIVED FULL NAME, STREET ADDRESS A ND ZIP CODE OF OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR CODE (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) AMOUNT RECEIVED CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC, 31) PER ELECTION TO PATE (IF REQUIRED) (INT-1) Christopher Duthaler 05/20/2012 THRU 06/30/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below~ (IN'l'-1) Arthur Enderle 05/20/2012 THRO 06/30/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-1) Byron Farley 05/20/2012 THRO 06/30/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. { INT-1) Gi 1 Fernandez 05/20/2012 THRU 06/30/2012 180 N Luring Dr. J?alm Springs, CA 922 62 Association intermediary listed below. (INT-1) Rae Fernandez 05/20/2012 THRO 06/30/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. IND Police Officer City of Palm Springs IND Police Officer City of Palm Springs IND Folice Officer City of Palm Springs IND Police Officer City of Palm Springs IND Police Officer City of Palm Springs SUBTOTAL$ 80.00 PAYROLL DEDUCTIONS during period. 80 .00 PAYROLL DEDUCTIONS during period. 80.00 PAYRO!.,L DEDUCTIONS du:ting period. 80.00 PAYROLL DEDUCTIONS during period. 80.00 PAYROLL DEDUCTIONS during period. 400. 001.·, "Con1ribulor Codes: IND-Individual CDM -Recipient Committee (other than PTY or SCC) DTH -Other PTY -Political Party SCC -Small Contributor Committee 480.00 480.00 480.00 480.00 480. 00 Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER Palm Springs Police Officers Association Poli ti cal Action Committee IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER Statement covers period from 05/20/2012 through 06/30/2012 SCHEDULE A CALIFORNIA 460 FORM Page 12 of 20 LD NUMBER 951841 DATE RECEIVED FULL NAME. STREET ADDRESS A ND ZIP CODE OF Of CONTRl8UTOR (IF COMMITTEE, ALSO ENTER 1.D. NUMBER) CONTRIBUTOR COOE (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) AMOUNT RECEIVED CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1-DEC. 31) PER ELECTION TO DATE (IF REQUIRED) (INT-1) Kelly Fieux 05/20/2012 THRU 06/30/2012 1$0 N Luring Dr. Palm Springs, CA 92262 As::iociation interrn.ediary listed below. {INT-1} Shawn Flinn 05/20/2012 THRU 06/30/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-1) Arno1d Galvan 05/20/2012 THRU 06/30/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-1) Amanda Graham 05/20/2012 THRU 06/30/2012 180 N Luring Dr Pal:m Springs, CA 92262 Association intermediary listed below. (INT-1) Steve Grissom 05/20/2012 THRU 06/30/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. IND IND IND IND IND Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs SUBTOTAL$ 80. 00 PAYROLL DEDUCTIONS during period. BO.DO PAYROLL DEDUCTIONS during period. 80. 00 PAYROLL DEDUCTIONS during period. 80.00 PAYROLL DEDUCTIONS during period, BO.OD PAYROLL DEDUCTIONS during period. 400.001· -eonlributa COdes: IND -Individual CDM • Recipient Committee {olher lhan PTY or SCC) 0TH -Other PTY -Political Party SCC • Small Conlributa Committee 480. 00 480.00 480.00 480.00 480.00 Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER Palm Springs Police Officers Association Poli ti cal Action Committee IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER Statement covers period from 05/20/2012 through 06/30/2012 SCHEDULE A CALIFORNIA 460 FORM Page 13 of 20 I.D. NUMBER 951841 DATE RECEIVED FULL NAME, STREET ADDRESS A ND ZIP CODE OF OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER 1.D. NUMBER) CONTRIBUTOR CODE (lF SELF-EMPLOYED, ENTER NAME OF BUSINESS) AMOUNT RECEIVED CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) (INT-1) Frank Guarino 05/20/2012 THRU 06/30/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (HlT-1) Issac Hackbarth 05/20/2012 TRRU 06/30/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-1) Anthony Harrison 05/20/2012 THRU 06/30/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-1) Mike Heron 05/20/2012 TRRU 06/30/2012 180 N Luring Dr, Palm Springs, CA 92262 Association intermediary listed below. (INT-1) William Hutchinson 05/20/2012 THRU 06/30/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. IND Police Officer City of Palm Springe IND Police Officer City of Palm Spring5 IND Police Officer City of Palm Springs IND Police Officer City of Palm Springs IND Police Officer City of Palm Springs SUBTOTAL$ 80.00 PAYROLL DE:DUCTIONS during period. 80.00 PAYROLL DEDUCTIONS during period. 80,00 PAYROLL DEDUCTIONS during period. 80 .oo PAYROLL DEDUCTIONS during period. 80 .00 PAYROLL DEDUCTIONS during period. 400.ool ~ Contributor Codes: IND -lndviwal COM -Recipient Committee (other 1han PTY or SCC) 0TH -Other PTY -Political Party SCC -Small Contributor Committee 480.00 480.00 480. 00 480,00 480. 00 Schedule A (Continuation Sheet) Monetary Contributions Received Statement covers period from 05/20/2012 through 06/30/2012 SCHEDULE A CALIFORNIA 460 FORM Page 14 of 20 NAME OF FILER Palm Springs Police Officers Association Poli ti cal Action Committee I.D. NUMBER 951841 DATE RECEIVED (INT-1) 05/20/2012 THRU 06/30/2012 {INT-1) 05/20/2012 THRO 06/30/2012 (INT-1) 05/20/2012 THRO 06/30/2012 (INT-1) 05/20/2012 THRU 06/30/2012 (INT-1) 05/20/2012 THRO 06/30/2012 FULL NAME. STREET ADDRESS A ND ZIP CODE OF OF CONTRIBUTOR (IF COMMITTEE. ALSO ENTER ID. NUMBER) Mike Ieeminger 1B0 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. Chris Jaeger 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. Juan Jimenez 180 N Luring Dr, Palm Springs, CA 92262 Association intermediary listed below. Ronnie Jones 1B0 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. Denise Judd 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. CONTRIBUTOR CODE IND IND IND IND IND IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palro Sp:rings Police Officer City of Palm Springs SUBTOTAL$ AMOUNT RECEIVED 80.00 PAYROLL DEDUCTIONS during period. 80. 00 PAYROLL DEDUCTIONS during period. 80.00 PAYROLL DEDUCTIONS during period. 80.00 PAYROLL DEDUCTIONS during period. 80.00 PAYROLL DEDUCTIONS during period. CUMULATIVE TO DATE CALENDAR YEAR {JAN. 1 -DEC. 31) 480. 00 480.00 480-00 360. 00 480. 00 400_00J:':.:, ff Conbibulor Codes: IND -lndi'lfdual COM -Recipient Committee (other than PTY or SCC) 0TH -Olher PTY -Political Party SCC -Smal Contributor Committee PER ELECTION TO DATE {IF REQUIRED) Schedule A (Continuation Sheet) Monetary Contributions Received N;\:\.1E OF FILER Palm Sp.rings Poli,::e or.:i2.ers Association Political Act.ion Committee IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER Statement covers period from 05/20/2012 thn:.ugh 06/30/2012 SCHEDULE A CALIFORNIA 460 FORM Page 15 of 20 ID NUMBER 951841 PER ELECTION TO DATE DATE RECEIVED FULL NAME. STREET ADDRESS A NDZIP CODE OF OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR CODE {IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) AMOUNT RECEIVED CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) (IF REQUIRED) (INT-1) Jennifer Kennedy (."1.)/20/2012 T3RU t.•6/30/2012 180 ll ing Dr. Palm tlpri ngs, CA 92262 Association intermediary listed below. (INT-1) Mike Kovaleff 05/20/2012 THRO O(~_i."JC·/2012 180 N Luring Dr. Palm Springs, CA 92262 Assc.,__cia.Llon intermedia:::y listed below. (INT-1) Lembit Kulbin 05/20/2012 THRO 06/30/2012 180 N Luring Dr. Palm Springs, CA 92262 AssociG.-ti(,~ intermed:.ary lls:..ed below. t 1NT-l) Barr::,n Lane OJ/20/2012 THRO 06/30/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. ( INT-1) Erik L2.rs:,n 07/)tJ/2012 :HRU 06/30/2012 180 l'~ T.11ring Dr. Palm Springs, CA 92262 Association intermediary listed below. IND Police Officer Ci·Ly ::>f Palm Sprim;o IND Police Of.ficer c i t.y ,,f Palm Sprinqti IND Police Officer City of Palm Spl'ings IND rolice Officer City of Palm Springs IND Police Officer City of Palm Springs SUBTOTAL$ 80 .00 PAYR(\~,L DEDOC'TTONS du:..:-ing period. 80. 00 PAYROLL Ut:L!UC'l'lc-t:S Ju.ring period. 80.00 PAYROLL DEDUCTIONS during period. 80. 00 PAYROLL DEDUCTIONS during period. 80 .00 PAYROLL DEDUCTIONS Jur:...ng period. 400.001,.. tt Contributor Codes: IND -Individual COM. Recipient Committee (other than PTY or SCC) 0TH -Other PTY -Paitical Party sec. Small Contributor Committee 480.00 480.00 480.00 180. 00 48 0. 00 Schedule A (Continuation Sheet) Monetary Contributions Received NA:\lEOFFILER Palm Spr.::..ngs Police Offl cers Asso:::::'.iation Political Action Committee IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER Statement covers period from through 05/20/2012 06/30/2012 SCHEDULE A CALIFORNIA 460 FORM Page 16 of 20 i C NUMBER 9518,E PER ELECTION TO DATE DATE RECEIVED FULl NAME, STREET ADDRESS A ND ZIP CODE OF OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER 1.D. NUMBER) CONTRIBUTOR CODE {IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) AMOUNT RECEIVED CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) (IF REQUIRED) ( INT-1) Marcus Li tch :,s;20/2012 THRU C•G/50/2012 180 N Lu:::ing Dr. Palu Sµ-.einqs, CA 92262 Association intermediary listed below. { INT-1} Rhonda Long 05/20/2012 ~HRU 1]6/30/2012 180 ll Lur: ir1g Dr. Paln Sp::ings, CA 9226Z Associa.tion intermedi a,ry listed below. (INT-1) Kevin Lu 05/20/2012 THRU 06/30/2012 180 N Luring Dr. Palm Springs, CA 92262 Associcti:=m intermediary listed below. <=NT-1) John Mcjiu 05/20/2012 THRU 06/30/2012 180 N Luring Dr, Palm Springs, CA 92262 .~ssociation intermediary listed below. ( INT-1) Marc :,VJelo.11oon 05/20/2012 THRU 06/30/2012 180 N Luring Dr. Palm Springs, CA 92262 Association. intermediary listed below. IND Police Officer IND Police Officer Clly· ~r Palm Sprinq2 IND Police Officer City of Palm Sp.rings IND ?vl.ice Jfficer City of Palm Springs IND Pn Ii r.:: nfficer Ci--:y of Palm Springs SUBTOTAL$ 80.00 f;\YROLL CEDfJCTIO:ilS du:cir_g period. 80.00 PAYROLL DECUC.TTnrrn du:cing period. 80. 00 PAYROLL DEDUCTIONS during period. 80.00 PAYROLL DEDUCTIONS during period. 80. OD PA':.'ROLL DEDUCTICNS during period. 400.001 tt Contributor Codes IND. Individual COM. Recipient Committ88 (other than PTY or SCC) 0TH -Other PTY -Political Party sec -Small Contnbutor Committee 480.00 480.00 480.00 480. 00 ,J80. 00 Schedule A (Continuation Sheet) Monetary Contributions Received Statement covers period from 05/20/2012 through 06/30/2012 SCHEDULE A CALIFORNIA 460 FORM Page 1 7 of 20 NAMEOFFILER Palm Springs Police Officers Association Political Action Committee I.D. NUMBER 951841 DATE RECEIVED (INT-1) 05/20/2012 THRO 06/30/2012 (INT-1) 05/20/2012 T!IRU 06/30/2012 (Il'IT-1) 05/20/2012 THRU 06/30/2012 (INT-1) 05/20/2012 THRU 06/30/2012 (INT-1) 05/20/2012 THRU 06/30/2012 FULL NAME. STREET ADDRESS A ND ZIP CODE OF OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Simon Min 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. Chad Nordman 180 N Luring Or. Palm Spring:s, CA 92262 Association intermediary listed below. Anthony Pilutik 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. Paola Ramos 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. Harvey Reed 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. CONTRIBUTOR CODE IND IND IND IND IND IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs SUBTOTAL$ AMOUNT RECEIVED 80 .00 PAYROLL DEDUCTIONS during period. 80 .00 PAYROLL DEDUCTIONS during period. 80.00 PAYROLL DEDUCTIONS during period. 80.00 PAYROLL DEDUCTIONS during period. 80 .00 PAYROLL DEDUCTIONS during period. ti Contributor Codes: IND • Individual COM • Recipient Convnillee (other lhan PTY or SCC) 0TH -Other PTY -Political Party sec -SmaU Contributor Committee CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1-DEC. 31) 480. 00 480.00 480. 00 480. 00 480.00 PER ELECTION TO DATE (tF REQUIRED) Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER Palm ,<..;prings Police Otticers Associ:3Llor1 Politicctl Action Committee IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER Statement covers period from through 05/20/2012 06/J0/2012 SCHEDULE A CALIFORNIA 460 FORM Page 18 of 20 I 0. NUMBER 9518 l 1 PER ELECTION TO DATE DATE RECEIVED FULL NAME, STREET ADDRESS A ND ZIP CODE OF OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.•. NUMBER) CONTRIBUTOR CODE (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) AMOUNT RECEIVED CUMULATIVE TO DATE CALENDAR YEAR (JAN 1 -DEC. 31) (IF REQUIRED) (INT-1) Richard Salomon 05/~0/2012 l'HRU 06/30/2012 180 N Lu:::-ing Or. Palm Spr2nqs, CA 922 6:2 Association intermediary listed below. ( INT-1) Steve Sanders 05/20/2012 THRO J6/30/2012 180 N Luring Dr. Pal::n :apr~ngs, CA 922~;? Associc..tian interrned'ary l .. sted below. ( INT-1) Sam Steepleton 05/20/2012 THRU 06/30/~012 180 N Luring Dr. Palm Springs, CA 92262 Associat io:·. intermedi::i.L y listed below. ;:NT-1) Kyle St~-21.-ne 05/20/2012 THRU 06/30/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-1) Mike 2-::·.1dor 05/20/2012 06/lfl/2012 180 N ___,uri=ig Dr. Palm Springs, CA 92262 Association intermediary listed below. IND Police Officer City o:t: Palm Spri~1qs IND Police Officer C:ily :J[ Palm Sprinqs IND Police Officer City of Palm Springs IND ?r: l i ,:CE> Officer City of Pa.1.rn Springs IND Po.1.icc Officer City of Palm Spri1 Cf,S SUBTOTAL$ 80.00 f'A'!TIOLL DEDUC'J'IONS clur.·. ng period. 80.00 PAYROLL DEDOC:':'--:-mrn during period. BO.OD PAYROLL DEDUCTIONS during period. 80.00 PAYROLL DEDUCTIONS during period. 80.00 ::·AYFJ:)LL LE:.A..:C'l'lO:.iS ciu:::i:·~g period. 400.001 tt Contributor Codes: IND -Individual COM-Recipient Committee (o1her than PTY or SCC) OTH-Other PTY • Political Party sec -Small Conlributor Committee 4 8 0. 00 480.00 480.00 480.00 480.00 Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER Palm Springs Police Officers Association Political Action Committee IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER Statement covers period from 05/20/2012 through 06/30/2012 SCHEDULE A CALIFORNIA 460 FORM Page 19 of 20 1.0. NUMBER 951841 DATE RECEIVED FULL NAME, STREET ADDRESS A ND ZIP CODE OF OF CONTRIBUTOR (IF COMMITTEE. ALSO ENTER ID. NUMBER) CONTRIBUTOR CODE (IF SELF-EMPLOYED. ENTER NAME OF BUSINESS) AMOUNT RECEIVED CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1-DEC. 31) PER ELECTION TO DATE (IF REQUIRED) (INT-1) Gilbert Vega 05/20/2012 THRU 06/30/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. {INT-1) Mike Villegas 05/20/2012 THRU 06/30/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-1) Steve Williams 05/20/2012 THRU 06/30/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. ( INT-1) Stephen Woodward 05/20/2012 THRU 06/30/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-1) Palm Springs Police Officers Association 180 N Luring Or Palm Springs, CA 92262 IND Police Officer City of Palm Springs IND Police Officer City of Palm Springs IND Police Officer City of Palm Springs IND Police Officer City of Palm Springs 0TH SUBTOTAL$ 80 .00 PAYROLL DEDUCTIONS during period. 80.00 PAYROLL DEDUCTIONS during period. 80.00 PAYROLL DEDUCTIONS during period. 80. 00 PAYROLL DEDUCTIONS during period. Intermediary for PAYROLL DEDUCTIONS 320. 00 !"::':':·: H Contributor Codes: IND -Individual COM. Recipient Commitllle (other than PTY or SCC) 0TH -Other PTY -Political Party sec· Small Contributor Committee 480.00 480.00 480.00 440. 00 Schedule I Miscellaneous Increases to Cash NA!\1L OF FILER Palm Sp~ings Police O[fi.cers AsscclaL.1.cr: Politicul !\ct.ion CommitteP DATE RECEIVED Schedule I Summary NAME AND ADDRESS OF PAYEE 1. Itemized increases to cash this period 2. Unitemized payments made this period of under $100 3. Total interest received this period on loans made to others. (Schedule H, Column (e). ) 4. Total miscellaneious increases to cash this period. Total to Summary Page, Line 14 Statement covers period horn 05/20/2012 through 06/30/2012 DESCRIPTION OF RECEIPT SCHEDULE I CALIFORNIA 460 FORM Page 20 of 20 ID. NUMBER 951841 SUBTOTAL$ AMOUNT OF INCREASE TO CASH $ _____ o_._o_o $ _____ o_._4_6 $ 0. 00 ------ TOTAL$ ____ o_._4_6 FPPC Form 460(January /05-SI) Recipient Committee Campaign Statement Cover Page 1. Type of Recipient Committee Statement covers period from 03/18/2012 through 05/19/2012 D Officeholder, Candidate Controlled Committee D O State Candidate Electlon Committee Primarily Formed Ballot Measure Committee O Recall • General Purpose Committee e Sponsored O Small Contributor Committee O PolHlcal Party/Central Committee 3. Committee Information COMMITTTEE NAME O Controlled O Sponsored D Primarily Formed Candidate/ Officeholder Committee 11.D.Number 951841 Palm Springs Police Officers Association Political Action Committee STREET ADDRESS (NO PO BOX) 1415 L St Ste 410 Sacramento CITY Sacramento MAILING ADDRESS (IF DIFFERENT) CITY OPTIONAL: FAX/ E-MAIL ADDRESS STATE ZIP CODE AREA CODE/PHONE CA 95814 916/556-1776 STATE ZIP CODE (916) 556-1233 / ordoslaw@jps.net 4. Verification Date of Election if •Prllcable 06/05/2012 (Month, Day, Year} 2. Type of Statement • Pre-election Statement • Semi-Annual Statement • Termination Statement • Amendment lOIHIAR -4 JAritS Thll CfT Y CL COVER PAGE C,<hlFORNIA 460 FORM 1 of 22 • Quarterly Statement D Special Odd-Year Statement D Supplemental Pre-election Statement -Attach Form 495 Amenclrnent to Schedules A and I and summary Page to correct contributor and bank interest information. Treasurer(s) NAME OF TREASURER Wayne Ordas STREET ADDRESS 1415 L St Ste 410 CITY Sacramento NAME OF ASSISTANT TREASURER, IF ANY STREET ADDRESS CITY OPTIONAL: FAX/ E-MAIL ADDRESS STATE ZIP CODE AREA CODE/Pl'IONE CA 95814 916/556-1776 STATE ZIP CODE AREA CODE/PHONE (916 )556-1233 I ordoslaw@jps.net I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein is true and complete. I certify under penalty of perjury under the laws of the State o~ California~ the foregoing is true and correct. Exeouted on .:2 /t~ .. (s, /; 3 By L,L/,~ 1/4...d...,..-., r r ~TUREOfTREASURERORASSiSTANTTREASURER Executed on ________ _ By __ -.s"'IG"'NA"nl"'R"'E""O"""F "'cO"'N'°'TR"'O"LL"'IN,..G"'OF""Fi"'GEeeHO°"L"'DER""', c"'A"'Nlli""DA"""TE'-, S"'T"'ATE"""M"EA,-;SU""RE"""'PR"'d'°PO"'N"'ENT"""OR"'R"'ES""PON"""S""IB..-LE""O"'FF"'ic"'ER'n7'iOF"'S;;;P;;;ON"'S"'oRr-- Executed on ________ _ By _______ -,,si"'G"'NA"'TU""R'"E"OF'"'CON""'"TRO"""LL"lrr.NG"O"'F"'FiCE"""'HO"'L"'DER.,.....,, cA""N"'D""IDA"'TE,,,....,, S"'TA"'TE,.,M"'EAS'""'"U'"'RE""'PROPO"""'arunNE""N,...T _____ _ Exeouled on ________ _ By ________ .,,Sl~GNA-rumRE~O~F C"'ON=1RO=LL""1NG=a~FF"'1c=E""HO"'L"'DE'"R'"', C"AftND"'IDA=TE"", S"'T"'AT .. E"'MEAs..,,,"'UR"'E~P=Ro"'P"'O"'NEN=r-----FP_PC_F_orm 460. January/OS Slate of Caliromia/51 Recipient Committee Campaign Statement Cover Page -Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR Ci\NDJOATE OFFICE SOUGHT Ot~ HEL.Cl ( INCLUDE LOCATl'JN AND DISTR!C'r.NUMULI~ I' r'\PPUCA8LEJ ------····-··-···· RESiDENTIALIBUSINESS ADDRESS ( NO. AND STREET) CITY ' ..... STATE"" ZIP Rolatcid Commill!,r,s Not Included in this Statnment: List any committees not included in this stafement that are controrted by you or are p.rirr:&rify formed to receive contributions or meke expe-nditurns on behalf of your cendioacy COMMITTEE NAME I LO' NU\:ll:H.'.Fi I COfJTROLLED COMMITTEE.;. -~j_D_ v~D __ No __ _ NAME OF TREASURER C0.\.1fi,1ITTEE STR[FT /\f)[)f-~ESS ( NO P.O. BOX} CJTY ST ATE ZIP CODE J\HEr\ CODE/PHONE COMMITTEE l'J;\ME cc,~.1MiTTEE SIRE['i" .8-DOkESS ( NOP 0, BUX) CITY STATE ZIP CODE AREA CODE/PHONE Statement covers period from UJ/18/'.:012 through J"/ 19/'.'012 6. Primarily Formed Ballot Measure Committee ii11i"1E 6f' BALLCliME_AsuiiE RALLOT NO. OF, LETTER JURISDICTIOl'i COVER PAGE -PART 2 CALIFORNIA 460 FORM Page 2 of 22 ···1 D su,•1•m1 D opro::;.r Identify t!ic controlhng otflceho!cJer, candidate, or state metlSLire proponent, if any, NAME OF OFFICEHOLDER OR CANDIDATE OR PROPONEIJT ()FFICE SOUGHT OH HFU) .· 1JISTRl:'f NO. IF ANY 7. Primarily Formed Candidate/Officeholder Committee List names of officeha/der/s)or candidate/SJ for which this committee is primarioy formed NAME OF OFFICfHOIDEk OR CANDIDA IL NAME OF OFFICEHOLDER OR CANDIDATE NAME OF OFF•CErlOLDER OR CANDIDA'E NAME OF OFFICEHOLDER OR CANDIDATE OFFlCE souc;1 IT OR !--ELD OFFICE SOUGHT OR HELD OFFICE SOUGrlT ,:JR HELD OF~!CE SOUGHT OR • Sl)PPORT • OPPOSE • SUPPORT • OPPOSE • SUPPORT • OPPOSE 0 SUPPORT • OPPOSE f PPC Form 460 -.J,muary,05 State of California/SI SUMMARY PAGE Campaign Disclosure Statement Summary Page Statement covers period from 03/18/2012 through NAME OF FILER Palm Springs Police Officers Association Political Action Committee Contributions Received Column A rn•TAL nl1$Pt~)r~ (FRnMMrT ,1,,U,fll S('fiF.f;lJLf,S) 1. Monetary Conbibutions ..................... Schedule A. 1.me J $ ___ 1_s_,_6_4_0_._o_o 2. Loans Received . . . . . . . . . . . . . . . . . . . . . . . . . . scned11ie B. Line 3 O • O O ColumnB C-AtENDAR "l::AR TOTAL TO DATE $ ___ 3_1_,_2_8_0_._o_o 0.00 3. SUBTOTAL CASH CONTRIBUTIONS .......• Add Lines 1+ 2 $ 15,640.00 $ ___ 3_1_,_2_8_0_._o_o 4. Nonmonetary Contributions ..... . . • . . . . . . Schedu/8 C, Une 3 0.00 0.00 5. TOTAL CONTRIBUTIONS RECEIVED .......... Add Lines 3 + 4 $ 15,640.00 $ 31,280.00 Expenditures Made 6. Payments Made . . . . . . • . . • . . . . • . . . Schedule E, Une 4 $ 2,620.00 $ ____ 8_,_3_2_0_._6_6 7. Loans Made ............ . . . . . . . Schedule H. U11e 3 o.oo o.oo 8. SUBTOTALCASHPAYMENTS ............... Addlines6+7 $ 2,620.00 $ ____ 8~,_3_2_0_._6_6 9. Accrued Expenses (Unpaid Bills) ............. &hed,J/e F. Line 3 o.oo o.oo 10. Non monetary Adjustment ..... . ..... Schedule C. Line 3 0.00 0.00 1 t. TOTAL EXPENDITURES MADE .. ,Addlines8+ 9+ JG $ 2,620.00 $ 8,320.66 Current Cash Statement 12. Beginning Cash Balance ........... Praviofls summary Page, Une 15 $ ___ 1_5 ,_3_4_6_._2_8 13. Cash Receipts ......................... co/um,i A, line 3 above 15,640.00 14. Miscellaneous Increases to Cash ............ schedule,. Lin• 4 0.31 15. Cash Payments ....................... C-Olumn A, Line a above 2,620.00 16. ENDING CASH BALANCE. Add Lines 12 + 13 + 14, thensubtractune ·1s $ 28,366.59 17. LOAN GUARANTEES RECEIVED ............ Sched11/e B, Part 2 $ o.oo Cash Equivalents and Outstanding Debts 18. Cash Equivalents ........ , . . . . . . . . . . . . . . . . . . . . . . . . . . . $. _____ o_._o_o 19. Outstanding Debts ............ Add Lines 2 + Un• gin Column B above $. ______ o_._o_o 05/19/2012 Page 3 of 22 I.D. NUMBER 951841 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 Limits) $ ____ _ $ ____ _ • Amounts In this Section may be different from amounts reported in Column B. FPPC Form 460 • January/OS State of California/SI SCHEDULE A Schedule A Statement covers period CALIFORNIA 460 FORM Monetary Contributions Received from through W\fvE OF F!LER PaJ.m Spr_:_ngs Police Officers Asso:::ia. Lion Poli ti cal Acl.ion Cammi ttcc DATE RECEIVED FULL NAME, STREET ADDRESS A ND ZIP CODE OF OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER l,D NUMBER) (INT-1 Paul A~~l1ir~ 03/:8/2012 THRU 180 N ln:ch.g Dr. 05/'! 9/2012 Palm Si:;rings, CA 92262 Association intermediary listed below, {INT-1 Tarina Adams 03/18/2012 THRU 180 N Luring Dr. 05/19/2012 Paln Sp::-ings, CA 9226~ AssuciaLicn intermediary lis::ed below. ( lNT-1 Joe::._ Aguillera (U/-_ 8/2012 THRU 180 N Luring Dr. 05/19/2012 Palm Springs, CA 92262 Association intermediary liste-d below. (INT-1 Bryan Ancle:rson :,3/18/2012 '::'HRU 180 N Luring D:i;. 0';,/19/2012 Palm tlpr-ing.s, CA 9226 Association intermediary listed below. (INT-1 Nick Andre 03/18/2012 THRU 180 N Luring Dr. C,~,/lY/2012 Palm Spr::.ngs, CA 92262 Associat.::..on intermediary listed below. Schedule A Summary 1. Amount received this period -itemized contributions (Includes all Schedule A subtotals J ........... . 2. Amount received this period -unitemized ....... . 3. Total monetary contributions received this period. CONTRIBUTOR CODE IND IND IND IND IND IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER {IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Pc-li:.::2 )fficer Clly 1.)f Palm Springs I:'olice Of fie-er City of Palm Springs Police Officer City of Palm Springs Pulice C•fficer C--'--ty of Palm Springs Police Officer (') ty of Palm Spri11ys SUBTOTAL$ $ $ (Add Lines 1 and 2. Enter here and on the Summary Page. Column A Line 1) .......... . TOTAL$ 03/18/2012 05/19/2012 Page 4 of 22 AMOUNT RECEIVED 200.00 PAYROLL DEDUCTIONS ,--Jnri ng period. 200.00 PAYROLL DEDUCTIONS ct--1ring period. 200. 00 PAYROLL DEDUCTIONS during period. 200. 00 I'AYJ~OI,L DE"J:JCTIONS ,jc)T i ng period. 200.00 PAYROLL DE:il1 CTIONS during period. NUMBER 951841 CUMULATIVE TO DATE CALENDAR YEAR (JAN 1-DEC 31) 400. 00 400,00 400. 00 4 0 0. 00 4 00. 0 0 PER ELECTION TO DATE (IF REQUIRED) 1,000.ooL, lJ, 640. 00 0.00 15,640.00 .. Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCCJ OTl<-Cther PlY -Pol:lic~ Party sec -Small contributorCommittefl FPPC Form 460(Jan/05) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule A (Continuation Sheet) Monetary Contributions Received Statement covers period from 03/18/2012 through 05/19/2012 SCHEDULE A CALIFORNIA 460 FORM Pa,;e 5 of 22 NAME OF FILER Palm Springs Police Officers Association Poli ti cal Action Cammi ttee 1.0. NUMBER 951841 DATE RECEIVED (INT-1) 03/18/2012 THRO 05/19/2012 (INT-1) 03/18/2012 THRO 05/19/2012 (INT-1) 03/18/2012 THRO 05/19/2012 (INT-1) 03/18/2012 THRO 05/19/2012 (INT-1} 03/18/2012 THRU 05/19/2012 FULL NAME. STREET ADDRESS A ND ZIP CODE OF OF CONTRIBUTOR (tF COMMITTEE, ALSO ENTER 1.D. NUMBER) Gus Araiza 180 N Luring Dr .. Palm Springs, CA 92262 Association intermediary listed below. Mike Barredo 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. Nick Barth 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. Matt Beard 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. Tom Beckert 180 N Luring Dr. P'alm Springs, CA 92262 Association intermediary li~ted below. CONTRIBUTOR CODE IND IND IND IND IND IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (JF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs SUBTOTAL$ AMOUNT RECEIVED 200.00 PAYROLL DEDUCTIONS during period. 200.00 PAYROLL DEDUCTIONS during period. 200. 00 PAYROLL DEDUCTIONS during period. 200.00 PAYROLL DEDUCTIONS during period. 200-00 PAYROLL DEDUCTIONS during period. • Conlributa Codes: IND -Individual COM -Recipient Committee (other than PTY or SCC) 0TH • Other PTY -Political Party sec -Small Contributor Committee CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) 400. 00 400.00 400. 00 400. 00 400 _ 00 ·.:.,.;.; .. :,·, PER ELECTION TO DATE (IF REQUIRED) Schedule A (Continuation Sheet) Monetary Contributions Received "\JAIVE OF FILER Pulrn Springs PolicP Ott::..cers Associatio::'l Political Ac lion Commil"_ee IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER Statement covers period from 03/18/2012 through 05/19/2012 -------~ SCHEDULE A CALIFORNIA 460 FORM Page 6 of 22 '. D NUMBER 951841 PER ELECTION TO DATE DATE RECEIVED FULL NAME, STREET ADDRESS A ND ZIP CODE OF OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) CONTRIBUTOR CODE (If SELF-EMPLOYED, ENTER NAME OF BUSINESS) AMOUNT RECEIVED CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 • DEC. 31) (IF REQUIRED) (INT-1) Donald Benstead Jr. 03/28/2012 l'HHU 05/::.0/2012 180 N L•.ni::-:ig Dr. PalrL Spri:1gs, CA 9226~ Association intermediary listed below. (INT-1) Christopher Bergman 03/18/2012 THRU )5/19/2012 180 N :.L..:::ir:.g Dr. Paht Spiir:gs, CA 92262 Assoc~.at; on intermedia.1..y listed below. (INT-1) Jackie Rri(;.gewater 03/18/2012 THRO 05/19/2012 180 N Luring Dr. Palm Springs, CA 92262 Asso:::i.u.tion intermediary I csted below. (INT-1) Frank llrownlng l)J / 1 ?/2012 THRO 05/19/2012 180 N Luring Dr. Palm Springs; CA 92262 Association intermediary listed be-low. (INT-1) Geraid Bucklin 03/18/2012 TllkU 05/lg/2012 180 N Lur~ng Dr. Palm Springs, CA 92262 Association intermediary listed below. IND Police Officer City ot' Palm Springs IND Police Officer 2ity of Palm Springs IND E>olice Officer City of Palm Springs IND Poli:::c Officer City of Palm Springs IND ?olice )fficer Ci ...-.y c:,f Palm Spri ng.s SUBTOTAL$ 200.00 :.EDUCTIONS 1}.tulng period. 200.00 PAYROLL OE:::,:::i,=TICJNS curir:g po2riod. 200. 0 0 PAYROLL DEDUCTIONS during period. 200.00 PAYRC:..L DEDUCTIONS during period. 200.00 PAY80:l DEDUCTIC1NS du.r:lnq pt:criod. 1,000.001 .. Contribulor Codes· IND. Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other PTY · Political Party sec -Small Contribulor Committee 4 0 0. 00 400. 00 400.00 400. 00 400.00 I Schedule A (Continuation Sheet) Monetary Contributions Received NAMEOFFlLER Palm Springs Police Officers Assor::iat.ic-:1 Political Action Committ~e IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER Statement covers period from 03/18/2012 through 05/19./2012 SCHEDULE A CALIFORNIA 460 FORM Page 7 of 22 D. NUMBER 9518L PER ELECTION TO DATE DATE RECEIVED FULL NAME, STREl:l ADDRESS A NO ZIP CODE OF OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER ID, NUMBE:R) CONTRIBUTOR CODE (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) AMOUNT RECEIVED CUMULATIVE TO DATE CALENDAR YEAR (JAN.1-DEC. 31) (IF REQUIRED) (INT-1) Jon Cabrera ll":l,/-U/2012 CHRO 05/19/2012 180 N I.1:ricig Dr. Palm .Sp:ri:::qs, CA 9226L Association intermediary listed below. {INT-1) Stefanie Campbell 03/18/2012 THRU 05/_:_9/2012 180 l1 Lu.:-:-ir.g Dr. Paln Sp.:::-lcqs, CA 92262 Asso(;L=,t.i.on intermedi.3.ry listed below. (INT-I, Alben: Can-::-u 03/18/2012 THRU 05/19/2012 180 N Luring Dr. Palm Springs, CA 92262 Asscc::iation intermedie-ry listed below. {JNT-1) Cary Carrillo Co/18/2012 THRU 05/19/2012 180 N Luring Dr, Palm Springs, CA 92262 Association interm-edi-ary listed below. (INT-1) Nan2y Carr O"l/18/2012 TERO 05/19/2012 180 N Lur-.ng Dr. Palm Springs, CA 92262 Association intermediary listed below. IND Police Officer :-:i ty o: Palm Sprln.~38 IND Police Officer City of Palm Spri::i-;;,:; IND Police Officer City of Palm Springs IND City of Palm Springs IND L'olic-2 :>ff icer Ci :.y of Palm Sprln4::; SUBTOTAL$ 200,00 PAY?DLL .:.)EOCJCTIONS d·crinq period. 200.00 PAYROLL 200. 00 PAYROLL DEDUCTIONS during period. 200.00 L'i\':i'H.c_:_.1_ DEDUCTIONS during period. 200.00 PAYROLL lJJ:o:ClJCTIOKS during period. 1,000,001 "Contributor Codes IND. Individual COM• Rropient Committee (other than PTY or SCC) 0TH -Olller PTY -Political Party sec· Small Contributor Committee 400,1)() 400. 00 400.00 000.00 400. 00 Schedule A (Continuation Sheet) Monetary Contributions Received Statement cover& period from 03/18/2012 through 05/19/2012 SCHEDULE A CALIFORNIA 460 FORM Page 8 of 22 NAME OF FILER Palm Springs Police Officers Association Political Action Committee LP. NUMBER 951841 DATE RECEIVED FULL NAME, STREET ADDRESS A ND ZIP CODE OF OF CONTRIBUTOR (IF COMMITTEE. ALSO ENTER l,D. NUMBER) (INT-1) Mike Casavan 03/18/2012 Tl!RU 05/19/2012 180 N Luring Dr, Palm Springs, CA 922 62 Association intermediary listed below. (INT-1) Troy Castillo 03/18/2012 THRU 05/19/2012 180 N Luring Dr. Palm Sp.rings, CA 92262 Association intermediary listed below. (INT-1) Merritt Chassie 03/18/2012 THRU 05/19/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. {INT-1) Luciano Colantuano 03/18/2012 THRU 05/19/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intennediary listed below. (INT-1) Walter Combs 03/18/2012 TRRU 05/19/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. CONTRIBUTOR CODE mo IND IND IND IND IF AN INDMDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYCD, ENTER NAME OF BUSINESS) Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs SUBTOTAL$ AMOUNT RECEIVED 200. 00 PAYROLL DEDUCTIONS during period. 200. 00 PAYROLL DEDUCTIONS during period. 200.00 PAYROLL DEDUCTIONS during period. 200. 00 PAYROLL DEDUCTIONS during period, 40 .00 PAYROLL DEDUCTIONS during period. H Con1ributor Codes: IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other PTY -Political Pa'ly sec -Smal Con1ributor Committee CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) 400.00 400.00 400.00 400.00 240.00 PER ELECTION TO DATE (IF REQUIRED) Schedule A (Continuation Sheet) Monetary Contributions Received Statement covers period from 03/18/2012 through 05/19/2012 SCHEDULE A CALIFORNIA 460 FORM Page 9 of 22 NAME OF FILER Palm Springs Police Officers Association Political Action Cammi ttee LD. NUMBER 951841 DATE RECEIVED FULL NAME, STREET ADDRESS A ND ZIP CODE OF OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER 1.0, NUMBER) (INT-1) Brent Coon 03/18/2012 THRU 05/19/2012 180 N Luring Dr, Palm Springs, CA 92262 Association intermediary listed below4 (lNT-1) David Costello 03/18/2012 THRU 05/19/2012 180 N Luring Dr, Pa.!Jn Springs, CA 92262 Association intermediary listed below. (INT-1) Matt Crampton 03/18/2012 THRO 05/19/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below4 (INT-1) Josh Crocker 03/18/2012 THRU 05/19/2012 180 N Luring Dr. Palm Springs, CA 92262 Association interroediary listed below. (INT-1) Michael Delaney 03/18/2012 THRU 05/19/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. CONTRIBUTOR CCOE IND IND IND IND IND IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF~EMPLOYEO, ENTER NAME OF BUSINESS) Police Officer City of Palm Spr ing.s Police Officer City of Palm Springe Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs SUBTOTAL$ AMOUNT RECEIVED 200.00 PAYROLL DEDDCTlONS during period. 200. 00 PAYROLL DEDUCTIONS during period. 200.00 PAYROLL DEDUCTIONS during period. 200.00 PAYROLL DEDUCTIONS during period. 200.00 PAYROLL DEDUCTIONS during period. M Contributor Codes: IND -lndiloidual COM• Recipient Committee (olher than PlY "SCC) 0TH -Olher PTY • Political Party sec -Smai Contributor Committee CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1-DEC. 31) 400. 00 400,00 400.00 400. 00 400. 00 PER ELECTION TO DATE (IF REQUIRED) Schedule A (Continuation Sheet) Monetary Contributions Received Statement covers period from 03/18/2012 through 05/19/2012 SCHEDULE A CALIFORNIA 460 FORM Page 10 of 22 NAME OF FILER Palm Springs Police Officers Association Poli ti cal Action Committee 1.D. NUMBER 951841 DATE RECEIVED FULL NAME, STREET ADDRESS A ND ZIP CODE OF OF CONTRIBUTOR OF COMMITTEE, ALSO ENTER I_D NUMBER) (INT-1) Melissa Desmarais 03/18/2012 THRU 05/19/2012 180 N Luring Dr, Palm Springs, CA 922 62 Association intermediary listed below. ( INT-1) Alan Donovan 03/18/2012 THRO 05/19/2012 180 N Luring Dr. Palm Springs, Cli. 92262 Association intermediary listed below. (INT-1) Michael Donovan 03/18/2012 THRU 05/19/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-1) Donald Dougherty 03/18/2012 THRO 05/19/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-1) Lauren Drinkwater 03/18/2012 THRU 05/19/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. CONTRIBUTOR CODE IND IND IND IND IND IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs SUBTOTAL$ AMOUNT RECEIVED 200.00 PAYROLL DEDUCTIONS during period. 200. 00 PAYROLL DEDUCTIONS during period. 200. 00 PAYROLL DEDUCTIONS during-period. 200.00 PAYROLL DEDUCTIONS during period. 200_00 PAYROLL DEDUCTIONS during period. ~ Con~ibulor Codes: IND -Individual COM -Recipient Committee (other than PTY « SCC) 0TH -Other PTY -Political Party SCC -SmaR Contribulor Committee CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) 400-00 400.00 400. 00 400-00 400. 00 PER ELECTION TO DATE (IF REQUIRED) Schedule A (Continuation Sheet) Monetary Contributions Received ~~,.l.ME :JF FILER Pa"! m .Spr~_ngs Police Officers Assccia:.., ion Poli tic al Act.ion Cammi L Lee IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER Statement covers period from 03/18/2012 through 05/19/2012 SCHEDULE A CALIFORNIA 460 FORM Page 11 of 22 i G. NUMBER 951841 PER ELECTION TO DATE DATE RECEIVED FULL NAME, STREET ADDRESS A ND ZIP CODE OF OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER 1.D. NUMBER) CONTRmUTOR CODE {!F SELF-EMPLOYED, ENlER NAME OF BUSINESS) AMOUNT RECEIVED CUMULATIVE TO DATE CALENDAR YEAR {JAN. 1 -DEC 31) (IF REQUIRED) (INT-1/ Christopher Duthaler C:3/18/2012 'lEl<U CS/10/2012 180 N Luring Dr. Paln Springs, CA 92262 Association intermediary listed b<s;,low. (INT-1) Arthur Enderle 03/18/2012 THRU 05/l';;i/2012 180 N Luring Dr. Palm Spr~nys, CA 92262 Association intermedia.Ty listed below. (INT-1) Byron Farley 03/18/2012 THRO 05/19/2012 180 N Luring Dr. Palm Springs, CA 922 62 Assoriation intermediary listed below. INT-1) Gil li'ernandez UJ/18/2012 THRU 05/19/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-1) Rae Fernandez 03/18/2012 '_::'HRU 05/19/2012 180 ~1 Luring Dr. Palm Springsf CA 92262 Association intermediary listed below. IND IND IND IND IND Police Officer City cit Palm Sprir.g::> Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Po.7 ice C·fficer C.:.ty of Palm Spring~ SUBTOTAL$ 200.00 I"A'iH.C_:_,L DEDUCTIO)")S chi ·i rcr p-2riod. 200.00 PAYROLL nEr!JC1IONS during p0riod. 200. 00 PAYROLL DEDUCTIONS during period. 200. 00 PA':'ROT,7" DEDUCTIONS during period. 200. 00 PAYROLL DEDUCT IC-NS ::iun ng p•riod. 1,000.001 H Contributor Codes: IND -Individual COM -Recipient Committee (other than PTY or SCC) 0TH. Other PTY -Pditical Party sec -Small Contributor Committee 400.00 400.00 400.00 400.00 400.00 Schedule A (Continuation Sheet) Monetary Contributions Received NAMf:. OF FILER Pdlm Springs Police Officers Ass::ici:ition Politiccc l Actj on Cornmit:.ee IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER Statement covers period from 03/18/2012 through 05/19/2012 SCHEDULE A CALIFORNIA 460 FORM Page 12 of 22 I J NUMBER 951841 PER ELECTION TO DATE DATE RECEJVED FULL NAME, STREET AbDRE:SS A ND ZIP CODE OF OF CONTRIBUTOR (IF COMMITiEE, ALSO ENTER 1.0. NUMBER) CONTRIBUTOR CODE (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) AMOUNT RECEIVED CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 • DEC. 31) (IF REQUIRED) (INT-1) Kelly Fieux 03/18.12012 "HRU 05/19/2012 180 K L'clring Dr. Pa Im :;r,rinJ.s, CA 922(2 Association intermediary listed below. (INT-1) Shawn Flinn 03/18/2012 THRU 05/:9/2012 180 N Tdring Dr. Palrr. Springs, CA 9220:.: A.ssociaticn intermediary l · .sted below. (INT-1) Arncld C0.lvan 03/18/2012 THRO 05/19/2012 180 N Luring Dr. Palm Springs, CA 92262 A$tioc· at 1 on in termed ctry -.:..::;ted below. ( TNT-1) Ama11da G.raLam 03/~8/2012 THRO 05/19/2012 180 N Luring Dr Palm Springs, CA 92262 Association intermediary listed below. (lN'l'-1} Steve C:>i .5,som 03/18/2012 THRU -)5/19/2012 180 H Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. IND :E'olic,e Officer C~Ly cf Palm Spring~ IND Police Officer City of Palm Sprlw.JS IND Police Officer: City of Palm Springs IND Pollt:P Cffice:r City of Palm Springs IND l:'olice Officer Clly uf Palm Sprinqs SUBTOTAL$ 200.00 PAYROLL or.nn:-:'T'~ons juring period. 200. DO PAYROLL IJJ<.:LlUCTI:)NS :lur_·i11g period. 200. 00 PAYROLL DEDUCTIONS during period. 200. 00 PAYROL1 DEDUCTIONS during period, 200.00 ?AYR-JLL m::DO'.:'.TIONS d.1rin9 period. 1, 000.001''"· -Conlributar Codes IND -lndvidual COM· Recipienl Committee (olher than PTY or SCC) 0TH -Olher PTY -Political Party SCC -Small Contributor Committee 400. 00 400. 00 40 0. 00 100. 00 ~OD.OD Schedule A (Continuation Sheet) Monetary Contributions Received r~AMEOFFILER Pa~m Springs Police Officers Ass-'.Jc:ia.t.ion Political Action Committee IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER Statement covens period from 03/18/2012 through 05/19/2012 SCHEDULE A CALIFORNIA 460 FORM Page 13 of 22 ID NUMBER 95180 PER ELECTION TO DATE DATE RECEIVED FULL NAME, STREET ADDRESS A NO ZIP CODE OF OF CONTRIBUTOR (If COMMITTEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR CODE (If SElf'-EMPLOYED, ENTER NAME OF BUS1NESS) AMOUNT RECEIVED CU MULA TlVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) (IF REQUIRED) ( INT-1) Frank Guarino o:~/l A/2012 TIIRU :1)/l 9/2012 18U N Lu:::-ing Dr. Pa:..m Springs, CA 9226'.: Association intermediary listed below. (INT-1) Issac Hackbarth 03/18/2012 THRU C,~./19/2012 180 N Lurlng D:c. Pa.m ;;p,ings, CA 922(;? Asso::::iation intermediary li.sted below. {TNT-1) Anthony Harrison 03/18/2012 THRU 05/19/2012 180 N Luring Dr, Palm Springs, CA 92262 Assoc1.at.ivn intermed'.ary listed below. (INT-1) Mikf'! lleron Cn/1-;; 12012 'fH~U 05/19/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. ;_:_NT-1) William HuLchinson 03/18/2012 THRU 05/19/2012 18J N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. IND Police Officer Cj q.r ot Palm Spri rgs IND Police Officer ::ll~/ :.if Palm Spri:!.gs IND Police Officer City of Palm Springs IND Police Officer City of Palm Springs IND rclice Officer Ci Ly of Palm Springs SUBTOTAL$ 200. 00 PA'!RO::, Dt..:OUC'l.'lC-l\S U.u1.iug 1-,eriod. 200. 00 PAYROLL DEDllrTTC'NS dur::.ng period. 2 0 0. DO PAYROLL DEDUCTIONS during period. 200.00 PAYROLL DEDUCTIONS during period. 200, 00 PAY?:JLL d·.u:ing period. 1,000.001 » Contributor Codes: IND -Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other PTY -Political Party SCC -Small Contributor Committee 4 0 0. 00 4 DO. 00 400.00 400.00 .100. 00 Schedule A (Continuation Sheet) Monetary Contributions Received t·JAME OF FILER Palr.c Sp2:'ings Police Officers Asso:::.i.c. tic1 Poli ti cal l\.:::::tion Committee IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER Statement covers period from through 03/18/2012 05/19/2012 SCHEDULE A CALIFORNIA 460 FORM Page 14 of 22 'D. NUMBER 951841 PER ELECTION TO DATE DATE RECEIVED FULL NAME, STREET ADDRESS A ND ZIP CODE OF OF CONTRfBUTOR (jF COMMITTEE, ALSO ENTER ID. NUMBER) CONTRIBUTOR CODE (IF SELF,EMPLOYED, ENTER NAME OF BUSrNESS) AMOUNT RECEIVED CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31 I (IF REQUIRED) (INT-1) Mike Iseminger 03/18/2012 THFU 05/'1912012 18(1 N Lur~ng Dr. Palm Spr.:..ngs, CA 92262 Association intermediary listed below. (INT-1) Chris Jaeger 03/18/2012 THRfJ 05/10/2012 lBC ~~ Lur2-ng Dr. Palm .3prinqs, CA 92262 Associati,:,n intermedld.ry listed below. (INT-1) Juan ~imenez 03/18/2012 THRU 05/19/2012 180 N Luring Dr. Palm Springs, CA 92262 Assoc.::_atior: intermectL:i:-y li~ted below. (INT-1) Ronn-iA .:ones 83/ .:...e/2012 THRO 05/19/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-1) Denise J1.,.C"d :3/18/2012 l'HHU CS/:19/2012 180 N :,uri::tg Dr. Palm Springs, CA 92262 Association intermediary listed below. IND Police Officer :-:ity of Palm Sp.rings IND Police Officer City o:: Palm Springs IND P-olice Officer City of Palm Springs IND ::'cli::::c Officer City of Palm Springs IND l?t:llc-;;:; Officer ci-.:::l -::if Palm Sprirg$ SUBTOTAL$ 200.00 PAYR(1T.T. DEDUCTIONS du.r:·ing l'-'eriod. 2 0 0. OD PAYROLL DEDUCT IC-HS 011ri n<J period. 2 0 0. 00 PAYROLL DEDUCTIONS during period. 200.00 PAYROLL DEDUCTIONS during period. 200. 00 PAYROLL DEDUCTIONS du.LilH.J period. 1,000.001 tt Contributor Codes: IND. Individual COM. Recipient Committee (other than PTY or SCC) 0TH · Other PTY -Political P!lly sec · Small Contributor Committee 400.00 400.00 400.00 280.00 400. 00 Schedule A (Continuation Sheet) Monetary Contributions Received Statement covers period from 03/18/2012 through 05/19/2012 SCHEDULE A CALIFORNIA 460 FORM Page 15 of 22 NAMEOFFILER Palm Springs Police Officers Association Political Action Committee LO. NUMBER 951841 DATE RECEIVED {INT-1) 03/18/2012 THRO 05/19/2012 {INT-l} 03/18/2012 THRU 05/19/2012 (INT-1} 03/18/2012 THRU 05/19/2012 (INT-1} 03/18/2012 THRU 05/19/2012 (INT-1) 03/18/2012 THRU 05/19/2012 FULL NAME, STREET ADDRESS A ND ZIP CODE OF OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER 1.0, NUMBER) Jennifer Ji::ennedy 180 N Luring Dr. Palm Springs, CA 92262 Aesociation intermediary listed below. Mike Kovaleff 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. Lembit Kulbin 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. Barron Lane 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. Erik Larson 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. CONlRIBUTOR CODE IND IND IND IND IND IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs SUBTOTAL$ AMOUNT RECEIVED 200,00 PAYROLL DEOOCTIONS during period. 200.00 PAYROLL DEDUCTIONS during period. 200.00 PAYROLL DEDUCTIONS during period. 200.00 PAYROLL DEDUCTIONS during period. 200.00 PAYROLL DEDUCTIONS during period. CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) 400.00 400. 00 400.00 400. 00 400. 00 1,000.oof; • :':,::::!::· ~ Con1ributor Codes: IND -Individual COM -Recipient Committee (olher lhai PTY or $CC) 011-i -Other PTY -Pdlllcal Party SCC -Small Contributor Committee PER ELECTION TO DATE (IF REQUIRED) Schedule A (Continuation Sheet} Monetary Contributions Received Statement coven; period from 03/18/2012 through __ 05_/_1_9_/_2_0_12 __ SCHEDULE A CALIFORNIA 460 FORM Page 16 of 22 NAME OF FILER Palm Springs Police Officers Association Poli ti cal Action Committee 1.D. NUMBER 951841 DATE RECEIVED FULL NAME, STREET ADDRESS A ND ZIP CODE OF OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER ID NUMBER) (INT-1) Marcus Litch 03/18/2012 THRO 05/19/2012 180 N Luring Dr. Palm Springs, CA 922Q2 Association intermediary listed below. I INT-1) Rhonda Long 03/18/2012 THRU 05/19/2012 180 N Luring Dr. ?alm Springs, CA 92262 Association intermediary listed below. ( INT-1) Kevin Lu 03/18/2012 THRO 05/19/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-1) John Mejia 03/18/2012 THRO 05/19/2012 180 N Luring Dr. Palm Springs, CA. 92262 Association intermediary listed below. (INT-1) Marc Melanson 03/18/2012 THRO 05/19/2012 180 N Luring Dr. Palm Springs, CA 92262 Aaeociation intermediary listed below. CONTRIBUTOR CODE IND IND IND IND IND IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Police Officer City of Palm Springs Police Officer City of Pa 1m Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs SUBTOTAL$ AMOUNT RECEIVED 200. 00 PAYROLL DEDUCTIONS during period. 200.00 PAYROLL DEDUCTIONS during period . 200. 00 PAYROLL DEDUCTIONS during period. 200. 00 PAYROLL DEDUCTIONS during period. 200. 00 PAYROLL DEDUCTIONS during period. CUMULATNE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) 400. 00 400. 00 400.00 400. 00 400. 00 1, ooo.oorf ~ Contributor Code&: IND -Individual COM • Recipient Committee (other 1han PTY ot SCC) 0TH • Other PTY -Polmcal Party sec -Small Contributor Committee PER ELECTION TO DATE (IF REQUIRED) Schedule A (Continuation Sheet) Monetary Contributions Received Statam1111t covers period from 03/18/2012 through 05/19/2012 SCHEDULE A CALIFORNIA 460 FORM Page 17 of 22 NAMEOFFILER Palm Springs Police Officers Association Political Action committee ID NUMBER 951841 DATE RECEIVED (INT-1) 03/18/2012 THRU 05/19/2012 (INT-1) 03/18/2012 THRU 05/19/2012 (INT-l) 03/18/2012 THRO 05/19/2012 ( INT-l) 03/18/2012 THRU 05/19/2012 (INT-l) 03/18/2012 THRU 05/19/2012 FULL NAME, STREET ADDRESS A ND ZIP CODE OF OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Simon Min 180 N Luring Dr. l?alm Springs, CA 92262 Association intermediary listed below. Chad Nordman 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. Anthony Pilutik 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. Paola Ramos 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below, Harvey Reed 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. CONTRIBUTOR CODE IND IND IND mp IND IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs SUBTOTAL$ AMOUNT RECEIVED 200.00 PAYROLL DEDUCTIONS during period. 200. 00 PAYROLL DEDUCTIONS during period. 200.00 PAYROLL DEDUCTIONS during period. 200. 00 PAYROLL DEDUCTIONS during period. 200. 00 PAYROLL DEDUCTIONS during period. "Contrlbuta Codes: IND -Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other PTY -Pditical Party sec -Small Conbibulor Committee CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) 400. OD 400. 00 400. 00 400.00 400. 00 PER ELECTION TO DATE (IF REQUIRED) Schedule A (Continuation Sheet) Monetary Contributions Received Statement cover& period from 03/18/2012 through 05/19/2012 SCHEDULE A CALIFORNIA 460 FORM Page 18 of 22 NAME OF FILER Palm Springs Police Officers Association Political Action committee 1.D. NUMBER 951841 DATE RECEIVED FULL NAME, STREET ADDRESS A ND ZIP CODE OF OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) (INT-1) Richard Salomon 03/18/2012 THRU 05/19/2012 180 N Luring Dr. Pa1m Springs, CA 92262 Association intermediary listed below. {INT-1) Steve Sanders 03/18/2012 THRU 05/19/2012 180 N Luring Or. Palm Springs, CA 92262 Association intermediary listed below. (INT-1) Sam Steepleton 03/18/2012 THRU 05/19/2012 180 N Luring Or. Palm Springs, CA 92262 Association intermediary listed below. (INT-1) Kyle Stjerne 03/18/2012 THRU 05/19/2012 180 N Luring Or. Palm Springs, CA 92262 Association intermediary listed below. (INT-1) Hike Studer 03/18/2012 THRU 05/19/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. CONTRIBUTOR CODE IND IND IND IND IND IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs SUBTOTAL$ AMOUNT RECEIVED 200. 00 PAYROLL DEDUCTIONS during period. 200.00 E'AYR0LL DEDUCTIONS during period. 200.00 PAYROLL DEDUCTIONS during period. 200.00 PAYROLL DEDUCTIONS during period. 200.00 PAYROLL DEDUCTIONS during period. CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) 400. 00 400.00 400.00 400. 00 400.00 1,000.ooj _ .. * Contributor Codes: IND -lndilidual COM· Reapient Committee (other than PTY or SCC) 0TH -Other PTY • Polilieal Party SCC • Srnai Contributor Committee PER ELECTION TO DATE (IF REQUIRED) Schedule A (Continuation Sheet) Monetary Contributions Received Statement covers period from 03/18/2012 through G5/19/2012 SCHEDULE A CALIFORNIA 460 FORM Page 19 of 22 NAME OF FILER Palm Springs Police Officers Association Poli ti cal Action Cornrni ttee LO. NUMBER 951841 DAT!= RECEIVED FULL NAME. STREET ADDRESS A ND ZIP CODE OF OF CONTRIBUTOR (IF COMMITTEE. ALSC ENTER I.D. NUMBER) (INT-1) Gilbert Vega 03/18/2012 THRU 05/19/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-1) Mike Villegas 03/18/2012 THRU 05/19/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-1) Steve Williams 03/18/2012 Th.RO 05/19/2012 180 N Luring Dr. Palm Springs, CA 9-2262 Association intermediary listed below. (INT-1) Stephen Woodward 03/18/2012 THRO 05/19/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-1) Palm Springs Police Officers Association 180 N Luring Dr Palm Springs, CA 92262 CONTRIBUTOR CODE IND IND IND IND 0TH IF AN INDIVIDUAL. ENTER OCCUPATION AND EMPLOYER (IF SELF.EMPLOYED, ENTER NAME OF BUSINESS) Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs SUBTOTAL$ AMOUNT RECEIVED 200. 00 PAYROLL DEDOCTIONS during period. 200. OD PAYROLL DEDUCTIONS during period. 200. 00 PAYROLL DEDUCTIONS during period. 200. 00 PAYROLL DEDUCTIONS during period. Intermediary for PAYROLL DEDUCTIONS M Contributor Codes: IND -lnclvidual COM -Recipient Canmittee (other than PTY or SCC) 0TH -Other PTY • Political Pirty SCC -Smal Contributor Committee CUMULATIVE TO DATE CAL EN DAR YEAR (JAN. 1-DEC. 31) 400.00 400.00 400.00 360.00 PER ELECTION TO DATE (IF REQUIRED) SCHEDULED Schedule D Summary of Expenditures Supporting/Opposing Other Candidates, Measures and Committees Slatement eovers period CALIFORNIA 460 FORM from throu11h NAME OF FILER Palm Springs Police Officers Association Poli ti cal Action cornrni ttee DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR MEASURE NUMBER OR LETTER AND JURISDICTION, OR COMMITTEE 05/08/2012 Richard Nixon Superior Court Judge County of Riverside • SUPPORT O OPPOSE Schedule D Summary TYPE OF PAYMENT • Independent Expenditure DESCRIPnON (IF REQUIRED) SUBTOTAL$ 03/18/2012 05/19/2012 Page 20 of 22 AMOUNT THIS PERIOD 2,500.00 2,500.00 LD. NUMBER 951841 CUMULATIVE TO DATE CALENDAR YEAR (JAN 1 • DEC 31) 2,500.00 PER ELECTION TO DATE (IF REQUIRED) 1. Itemized contributions and independent expenditures made this period. ( Include all Schedule D subtotals. ) ............... . $ ___ 2_,'-5_0_0_._oo 2. Unitemized contributions and independent expenditures made this period of under $100. . ............... . s _____ o_._o_o 3. Total contributions and indpendent expenditures made this period. (Add lines 1 and 2. Do not enter on the Summary Page.) .. JOT AL $ ___ 2_,_s_o_o _. oo FPPC Farm 460(January /05-SI) Schedule E Payments Made NAME OF FILER Palm Springs Police Officers Association Poli ti cal Action committee CODES: If one of the following accurately describes the payment, you may enter the code. CMP campaign paraphemallatmlsc. MBR member communications CNS campaign consultants MTG meetings and appearances CTB contribution (explain nonmonetary) OFC office eXPenses eve civic donations PET petmon circulating FIL candidate filing / ballot fees PHO phone banks FND fundralslng eXP9nses POL polling and survey research IND Independent expenditures supporting/opposing others POS postage, delivery and messenger services LEG legal defense PRO professional services (legal, accounting) LIT campaign literature and mailings PRT print ads SCHEDULE E Statement covers period frOm 03/18/2012 CALIFORNIA 460 FORM tl,rough 05/19/2012 Page 21 of 22 ID NUMBER 951841 Otherwise, describe the payment. RAD radio airtime and production costs RFD returned contributions SAL campaign workers' salaries TEL t.v. or cable production costs TRC candidate travel, lodging and meals TRS staff/spouse travel, IOdglng and meals TSF transfer between committees of the same candidate/sponsor VOT voter registration WEB information technology costs (internet,e-mail) NAME AND ADDRESS OF PAYEE CODE or DESCRIPTION OF PAYMENT AMOUNTPAID Walter Combs Returned Contribution 120.00 180 N Luring Dr. Palm Springs, Cl\ 92262 Richard Nixon for County of Riverside Superior court Judge CTB 2,500.00 Rive:rside, CA 92517 ID No: 1345673 SUBTOTAL$ 2,620.00 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) .............................................. . $ ___ 2_, 6_2_0_._o_o 2. Unitemized payments made this period of under $100 ............................................................ . $ _____ o_._o_o 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e). ) ............................... . $ _____ o_._o_o 4. Total payments made this period. (Add Line 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ........... TOTAL $ ___ 2_,_6_20_._o_o FPPC Form 460(January /05-SI) Schedule I Miscellaneous Increases to Cash NAME OF FILER Palm Springs Police Officers Association Poli ti cal Action Cornrni ttee DATE RECEIVED Schedule I Summary NAME AND ADDRESS OF PAYEE 1. Itemized increases to cash this period . . . . . . . 2. Unitemized payments made this period of under $100 3. Total interest received this period on loans made to others. (Schedule H, Column (e). ) 4. Total miscellaneious increases to cash this period. Total to Summary Page, Line 14 Statement covers period from through 03/18/2012 05/19/2012 DESCRIPTION OF RECEIPT SCHEDULE I CALIFORNIA 460 FORM Page 22 of 22 I.D. NUMBER 951841 SUBTOTAL$ AMOUNT OF INCREASE TO CASH $ _____ o_._o_o $ _____ 0_._3_1 s _____ o_._o_o TOTAL$ ____ o_.3_1 FPPC Form 460(January /05-S1) Recipient Committee Campaign Statement Cover Page 1. Type of Recipient Committee Statement covera period from 01/01/2012 through 03/17/2012 O Officeholder, Candidate Controlled Committee D O State Candidate Election Committee Primarily Formed Ballot Measure Committee Q Recall • General Purpose Committee e Sponsored 0 Small Contributor Committee O Political Party/Central Committee 3. Committee Information COMMITTTEE NAME O Controlled O Sponsored D Primarily Formed Candidate/ Officeholder Committee I.D. Number 951841 Palm Springs Police Officers Association Political Action Committee STREET ADDRESS (NO PO BOX) 1415 L St Ste 410 Sacramento CITY Sacramento MAILING ADDRESS (IF DIFFERENT) CITY OPTIONAL: FAX I E-MAIL ADDRESS STATE ZIP CODE AREA CODE/PHONE CA 95814 916/556-1776 STATE ZIP CODE (916) 556-1233 / ordoslaw@jps.net 4. Verification COVER PAGE CALIFORNIA 460 FORM Date of ElectlOn If appllcabl 06/05/2012 l3MM-4 AN 8: 2 Page 1 of 23 F---,F=-o-, Offi=c"'"ia.,,I u""se"""""O,-nlc-y-----1 (Month, Day, Year) ,\,f-1£5 I h1.1i ;! CITY CLFP.;: 2. Type of Statement • Pre-election Statement • Semi-Annual Statement • Termination Statement • Amendment • Quarterly Statement D Special Odd-Year Statement • Supplemental Pre-election Statement -Attach Form 495 Amendment to Schedules A and I and Summary Page to correct contribulor and hank interest information. Minor correction to cash on hand. Treasurer(s) NAME OF TREASURER Wayne Ordos STREET ADDRESS 1415 L St Ste 410 CITY Sacramento NAME OF ASSISTANT TREASURER, IF ANY STREET ADDRESS CITY OPTIONAL: FAX I E-MAIL ADDRESS STATE ZIP CODE AREA CODE/PHONE CA 95814 916/556-1776 STATE ZIP CODE AREA CODE/PHONE (916 )556-1233 / ordoslaw@jps.net I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein is true and complete. I certify under penalty of perjury under the laws of the ftate of Cali mia that the foregoing is true and correct. Executed on .'J./ a,:,,./ I 3 By t,,,<.___/,-i,._ .•,-'L.,/(_;1-,0 ' I -----"'-=-...,q=:::........,,._~S""""""'...-,n,..-r,mumRE"'R~O~R~AS~S~IS~~wN~TTRE...,,~=U"'RE"'R __________ _ Executed on ________ _ Executed on ________ _ Executed on ________ _ By ___ ""sl"'GN'"A"'fO"'R'"E"'O,.,F c"'omN"'TR"'O'"l•,.,N"'G""O""FF"'IC""E"'HO"°L"'DE"'R.,..,CA=No""1D'""'A"'TE."S"'T""ATE,,....,M""EAS""'URE,....,PRO"""P"'O"'NE""N ... T""OR"'R"'E"'SPOa=N"'Sl8"'LE""OF"'F"'IC""ER"'O"'F"'S"'PO"'NS""O"'R.--- By _______ --,;;Sl,;,GNA"""TU"'R ... E "'OF"CONf""""'RO"'W"'"NG..,O"'FR""C"'EH,:;;OL.,-D"'E"'R."c"'AN""Dl'"DA"'T"'E ... , s""TA"'lE"'M"'EA'i1s,n0"'R~,..,P"'Rb"'PO....,,NE"'NTT ------ By ________ ~s1=G=NA=T=uRE=o=F~CO~N-TRO-LLl~N=G-o-FF--1c=E=HO-LOE-R~, c=A=No=1DA=Te.~sT=A=TE-M-EA=s=u~RE~PR=oPO~N~EN~T-------FPPC Form 460 • January/OS State of Caliromta/SI Recipient Committee Campaign Statement Cover Page -Part 2 5. Officeholder or Candidate Controlled Committee N/\ME OF OFr!CEHOLDER OR CAf'-JDIDATE OiTICE SOUGHT OR HEIO ( INCLUDE LOCATIGli .0 ND DISTRICT NlJJ,/Bfjc, IF .<PPLICABLE) CITY STATE ZIP Related Committnes Not Included in this Stati,ment: List :;ny committees not included in this statement that are controlfed by yoLJ or are prime1riJy formed ta receive contributions or make expenditures c-n behalf of your candidacy COMMITTEE NAMf. NAME OF TREASURER ----------------COMMITTEE STREEC f•JDRESS ( NO P.O. BOX) CITY COMMITTEE NAME COM>AITTEE STREET ADDRESS I NOP 0. BOX) CITY JM8E 1 ROLLED CO~,lrAITTEE? {EC • NO SIME ZIP CODE AREA CODE!PHONE COMMITTEE? •NO STATE ZtP CODE AREA CODE/PHONE Statement covers period from Cl/Cl/'.'012 through 03/11/2012 6. Primarily Formed Ballot Measure Committee NA.i,1£ oF sALL:or--i~1EAS'iJRi~- E.ALLOT NO. OR LETTER COVER PAGE -PART 2 CALIFORNIA 460 FORM Page 2 of 23 Identify the controlling officeholder, candidate, or st;;:itc rnc:asure proponent, if any NAME OF OFFICEHOLDER OR CANDIDATE OR PROPONENT OFFICE SOUGW GR HELD 7. Primarily Fanned Candidate/Officeholder Committee List names of officehotder{s)orcana,date(s) for which this committee is primarioy formed. r'iAMF. OF OFFICFl-101 .. DFf:; OR C'..ANOID/.TE OFFlCE SOtfJHT or: HELD NAME. OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OH HELD NAME OF OFFiCEHOLQER OR CANDiDATE OFFICE SOUGrlT OR HEI • SUPPORT i • OPPOSE • SUPPORT • OPPOSE • SUPPORT • OPPOSE --------------------+-- NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD • SUPPORT • OPPOSE FPPC Form 460 -Janu.::iry/05 State of California/SI Campaign Disclosure Statement Summary Page Statement covers period from through 01/01/2012 03/17/2012 SUMMARY PAGE Page 3 of 23 NAME OF FILER Po.:m Springs PolicC! Officers Assoc:a::ion Politi--::al Action Committee ID NlJ\1BER 951841 Contributions Received 1. Monetary Contributions . 2. Loans Received . 3. SUBTOTAL CASH CONTRIBUTIONS 4, Nonmonetary Contributions . 5. TOTAL CONTRIBUTIONS RECEIVED Expenditures Made 6. Payments Made 7. Loans Made 8. SUBTOTAL CASH PAYMENTS 9. Accrued Expenses (Unpaid Bills) 1 D Nonmonetary Adjustment 11. TOTAL EXPENDITURES MADE Current Cash Statement Column A :-,:ift,L "lll:.OViCRK•~ f,:Rt)f,l;l.TT11J;11GDSCP.F.Cr!L:::.s1 . .Schedule A, line 3 $ 15,640.00 Scf':e-d:.1ie B, Line 3 0.00 '.' Acitt Unes ~ t 2 $ l:J, (,4U.00 . Schedule C, Lme :J 0, 00 ........ AddU11es 3 + 4 $ 15,640.00 , , • . . . Schec'uh:e L. Line 4 $~_ /0J.66 Schedu 1e H, Line 3 ,:..oo ........ Md Lines 6 + 7 $ ____ s__c,_7_o_o_._6_6 , . . . Schedure F, Line 3 0.00 Sd1eduie C:. Lme 3 C.00 .. ,AddUl)f'S 8+ 9 + 10 $ 5,700.66 12. Beginning Cash Balance .. , , Previous Summary Page, Line f 6 $ ____ 5_,_4_0_6_. _8 _3 13. Cash Receipts . . .. Colum,r A. Line 3 above 15,640.00 14. Miscellaneous Increases to Cash .. , • Schecluio !, I.in& 4 U .11 15. Cash Payments . , Column A 5,700.66 16. ENDING CASH BALANCE. AddLmes 12 + 13 + 14. then st1btractLille 15 $ 15,346.28 17. LOAN GUARANTEES RECEIVED Sched1,/e 8, Pan 2 $ 0.00 Cash Equivalents and Outstanding Debts 18. Cash Equivalents . $ __ U.00 19. Outstanding Debts. -Add L!:;ec C + Lin& 9 in Cn,11m,1 B ali:,ve $ ______ )_. _0_0 Column B CAl.i'.:;UDAJ~ YEAR lOTAL TC' DATE $ 15,640.00 0.00 $ lS, 640.00 0.00 $ 15,640.00 $ ____ J_, _7_0_0_. _6_6 0.00 $ ____ s---'-,_7_o_o_._6_6 0.00 0.00 $ 5,700.66 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections. 20. 21 . 1/1 through 6/30 7/1 to Date Contributions Received $ $ Expenditures Made $ $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made• ( If Subject to Voluntary Expenditure Limits) $ ____ _ $ ____ _ • Amounts in this Section may be different from amounts reported in Column B FPPC form 460 -Januaryl05 Stale of California/SI SCHEDULE A Schedule A S-ment COV8111 peri<1d CALIFORNIA 460 FORM Monetary Contributions Received from 01101;2012 t11r<1ugh 03/17/2012 Page 4 of 23 NAME OF FILER Palm Springs Police Officers Association Political Action Committee DATE RECEIVED FULL NAME, STREET ADDRESS A NO ZIP CODE OF OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER 1.D. NUMBER) { INT-1 Paul Abshire 01/01/2012 THRU 180 N Luring Dr. 03/17/2012 Palm Springs, CA 92262 Association intermediary listed below. (INT-1 Tarina Adams 01/01/2012 THRU 180 N Luring Dr. 03/17/2012 Palm Springs, CA 92262 Association intermediary listed below. (INT-1 Joel Aguillera 01/01/2012 THRO 180 N Luring Dr. 03/17/2012 Palm Springs, CA 92262 Association intermediary listed below. ( INT-1 Bryan Anderson 01/01/2012 THRO 180 N Luring Dr. 03/17/2012 Palm Springs, CA 92262 Association intermediary listed below. (INT-1 Nick Andre 01/01/2012 THRU 180 N Luring Dr. 03/17/2012 Palm Springs, CA 92262 Association intermediary listed below. Schedule A Summary CONTRIBUTOR CODE nm IND IND IND IND IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Police Officer City of Palm Springs Police Officer City of Falm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs SUBTOTAL$ 1. Amount received this period -itemized contributions (Includes all Schedule A subtotals) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 2. Amount received this period -unitemized . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page. Column A Line 1)........ . . . TOTAL$ AMOUNT RECEIVED 200.00 PAYROLL DEDUCTIONS during period. 200. 00 PAYROLL DEDUCTIONS during period, 200.00 PAYROLL DEDUCTIONS during period. 200. 00 PAYROLL DEDUCTIONS during period. 200. 00 PAYROLL DEDUCTIONS during period. I.D. NUMBER 951841 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1-DEC. 31) 200. 00 200. 00 200.00 200. 00 200. 00 PER ELECTION TO DATE (IF REQUIRED) 1,000.oot,: I 15,560.00 80.00 15,640.00 •• Conl!ibutor Cedes IND -lrdMdual COM -Recipienl Corrmitlae (olher lhan PTY or SCC) OTH-Olher PTY -Poffllcal Party sec -Small Conl!ibulor Committee FPPC Form 460(Jan/Oli) FPPC Toll-Free Helpfine: 866/ASK-FPPC SCHEDULE A Schedule A (Continuation Sheet) Monetary Contributions Received Statement c:overs period from 01/01/2012 through 03/17/2012 CALIFORNIA 460 FORM Page 5 of 23 NAME OF FILER Palm Springs Police Officers Association Poli ti cal Action Committee 1.D. NUMBER 951841 DATE RECEIVED (INT-1) 01/01/2012 THRU 03/17/2012 (INT-1) 01/01/2012 THRO 03/17/2012 (INT-1) 01/01/2012 THRU 03/17/2012 (INT-1) 01/01/2012 THRU 03/17/2012 (INT-1) 01/01/2D12 THRU 03/17/2012 FULL NAME, STREET ADDRESS A ND ZIP CODE OF OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) Gus Araiza 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. Mike Barredo 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. Nick Barth 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary liated below. Matt Beard 180 N Luring Dr. Palm Spring.ss CA 92262 Association intermediary listed below. Tom Beckert 180 N Luring Dr. Falm Springa, CA 92262 Association intermediary listed below. CONTRIBUTOR CODE IND IND IND IND IND IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs SUBTOTAL$ AMOUNT RECEIVED 200.00 PAYROLL DEDUCTIONS during period. 200. 00 PAYROLL DEDUCTIONS during period. 200.00 PAYROLL DEDUCTIONS during period. 200 .00 PAYROLL DEDUCTIONS during period. 200.00 PAYROLL DEDUCTIONS during period. ti Contributor Codes: IND • Individual COM -Recipient Corrrnittee (other llian PTY or SCC) 0TH • Olher PTY -P<fltical Party SCC • Small Conbibulor Committee CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1-DEC. 31) 200.00 200. 00 200.00 200. 00 200. 00 PER ELECTION TO DATE (IF REQUIRED) J SCHEDULE A Schedule A (Continuation Sheet) Monetary Contributions Received Statement covers period from through 01/01/2012 03/17/2012 CALIFORNIA 460 FORM Page 6 of 23 NA\'1E OF FILER P.J.lm ~~pri ngs Police O::'"-fi cers Associati.on Poli ti cal AL:t..:.on Conuni ·_ tee ID. NUMBER 951841 DATE RECEIVED FULL NAME, STREET ADDRESS A ND ZlP CODE OF OF CONTRIBUTOR (IF COMMITTEE. ALSO ENTER 1.D, NUMBER) (INT-1) Donald Benstead Jr:. O!i'. 1/2012 TI:RU (IJ/17/2012 180 ts L·..1ring Dr. Palm 2-:;irings, CA 92262 Association intermediary listed below. ( INT-1) Christopher Bergman 01/01/2012 THRO 03/17/2012 180 N l~ri~g Dr, Pa-m :;prinqs, CA 9226(: Ass-:::i:::::iation intermediary listed below. (INT-1) ,rackie Bridgewater. 01/01/2012 THRU 03/17/2012 180 N Luring Dr. Palm SpringsF CA 92262 Association intermed~ ary .U sted below, ( INT-1) Frank Browning C-1/01/2012 THRU 03/17/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-1) GerAld TI11cklin 01/0112012 THRU OJ/17_/2012 180 N L'.J.ring Dr. Palm Spr.:i..ngs, CA 92262 Association intermediary listed below. CONTRfBUTOR CODE IND IND IND IND IND IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER: NAME Of BUSINESS) Police Officel'. C-ity ,)f Palm SpriWJS Police Officer C_ly cf Palm Spri::ig.s Police Officer City of Palm Springs Police Officer City of Palm Springs l.'olice Officer Cl ty of Palm Spriug::; SUBTOTAL$ AMOUNT RECEIVED 200.00 :.:".f'. Y?/)LL m:Y;C'l' ljNS dl!r i:1,;:r period. 200, 00 PAYROLL nRr:ll('1'T(1NS during period. 200,00 PAYROLL DEDUCTIONS during period. 200.00 PAYROLL DEDUCTIONS during period. 200.00 PAY?,<JLL :)f•'.:)l)'._~T IONS d:..:.ri:1g period. CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) 200.00 200, 00 2 0 0. 00 :oo.oo 200.00 1,000.001, It Contributor Codes· IND -Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other PTY -Political Party sec . Small Contributor Committee PER ELECTION TO DATE (IF REQUIRED) ! Schedule A (Continuation Sheet) Monetary Contributions Received Statement covers period from through 01/01/2012 03/17/2012 SCHEDULE A CALIFORNIA 460 FORM Page 7 of 23 t-JAMEOFF!LER Palm Springs Polic-2 Offlcers Associa.Liun Politi:.:al Ac:ion Committee IJ, NUMBER 95180 DATE RECElVED FULL NAME, STREET ADDRESS A NDZIP CODE OF OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) ( INT-1) Jon Cabrera 01/01/2012 ~HRU 03/l7/2012 180 N Luring Dr. Palm Sp_till(_-JS, CA 922€-2 Association intermediary listed below. {INT-1) Stefanie Campbell 01/01/2012 THRO 03/:.. 7/2012 180 "'.'J Luring Dr. Palm .Springs, CA 922(;) Associa-=icra. intermediary li:::.ted below. (INT-1) Albert Cantu 01/01/2012 THRU 03/17/2012 180 N Luring Dr. Palm Springs, CA 92262 Assor.~ At.ion intermedi-?,ry l_sted below. ( INT-1) Cary Cc-rr i l lo Cl /2012 THRU 03/17/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. ;-NT-1) Nancy Car::.- Ol/Cl/2012 THRO 03/17/2012 180 N Lu::.-ing Dr. Palm Springs, CA 92262 Association intermediary listed below. CONTRIBUTOR CODE IND IND IND IND IND IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Police Officer City cf Palm Spr~ngs Police Officer C.'.._ly oI Palm Spr_:_uys Police Officer City of Palm Springs l'0licc Officer City of Palm Springs Felic~ Jfficer City of Palm Springs SUBTOTAL$ AMOUNT RECEIVED 200 .00 PA'::HOL:, DEDUC'::'ICNS :::hiring period. 200.00 PAYROLL d..1rlnq µeriod. 200.00 PAYROLL DEDUCTION$ during period. 200.00 PAYS.OLL DEDUCTIONS during period. 200.00 i'i\'tH.OLL DECUCTI.J)lS du,-i nq period. 1,000.ooj ~ Conbibulor Codes: IND -Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Oll!er PTY -P~ilical Party SCC -Small Conbibulor Committee CUMULATIVE TO DATE CALENDAR YEAR (JAN 1 -DEC. 31) 200. 00 200.00 2 0 0, 00 200.00 2 00. 00 PER ELECT! ON TO DATE (IF REQUIRED) Schedule A (Continuation Sheet) Monetary Contributions Received Statement covens period from 01/01/2012 through 03/17/2012 SCHEDULE A CALIFORNIA 460 FORM Page 8 of 23 NAME OF FILER Palm Springs Police Officers Association Political Action Committee 1.0. NUMBER 951841 DATE RECEIVED FULL NAME. STREET ADDRESS A ND ZIP CODE OF OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D NUMBER} (IN't~l) Mike casavan 01/01/2012 THRU 03/17/2012 180 N Luring Dr. Palm Springs, CA 922 62 Association intermediary listed below. (INT-1) Troy Castillo 01/01/2012 THRU 03/17/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. {INT-1} Merritt Chassie 01/01/2012 THRU 03/17/2012 180 N Luring Dr. Palm Springs1 CA 92262 Association intermediary listed below. (INT-1) Luciano Colantuano 01/01/2012 THRO 03/17/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT~l) Walter Combs 01/01/2012 THRO 03/17/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below, CONTRIBUTOR CODE IND IND IND IND IND IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs SUBTOTAL$ AMOUNT RECEIVED 200.00 PAYROLL DEDUCTIONS during period. 200.00 PAYROLL DEDUCTIONS during period. 200. 00 PAYROLL DEDUCTIONS during period. 200.00 PAYROLL DEDUCTIONS during period. 200.00 PAYROLL DEDOCTIONS during period. "cootributor Codes: IND -lndiuidual COM -Recipient Committee (olher than PTY or SCC) DTH • Other PTY -Political Party SCC • Small Contributor Committee CUMULATIVE TO DA TE CALENDAR YEAR (JAN. 1 -DEC. 31) 200.00 200.00 200.00 200.00 200.00 PER ELECTION TO DATE (IF REQUIRED) Schedule A (Continuation Sheet) Monetary Contributions Received Statement coven; periOd from 01/01/2012 through 03/17/2012 SCHEDULE A CALIFORNIA 460 FORM Page 9 of 23 NAMf OF FILER Pa.=-m Sµrings Police Officers Assoc i.ation Poli ti(';a ·1 Action Cammi ttee I Cl. NUMBER 951841 DATE RECEIVED FULL NAME. STREET ADDRESS A ND ZIP CODE OF OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER} ( INT-1) Brent Coon 0110112012 ~HRU 03/17/2012 180 N Lur:.ng Dr. Palm Springs, CA 922'82 Association intermediary listed below. (INT-1) David Costello 01/01/2012 THRO' 03/17/2012 18C: N Luring Dr. Associo.::icn intermediary listed below. (INT-1) Matt Crampton 01/01/2012 TRRU 03/17/2012 180 ~ Luring Dr. Palm Springs, CA 92262 Assoc· at; on intermedL:1.ry ::.i.sted below. (INT-1) Josh C:::cc'.-:.cr ,:l/Cl/2012 THRO 03/17/2012 180 N Luring· Dr. Palm Springs, CA 92262 Association intermediary listed below. .; ::-NT-1) Michde::. De.:.aney 01/Cl/2012 THRU 03/17/2012 180 N Lur::..ng Dr. Palm Springs, CA 92262 Association intermediary listed below. CONTRIBUTOR coot: IND IND IND IND IND IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELP~EMPLOYED. ENTER NAME OF BUSINESS) Police Officer City of Palm Springs Police Officer C_i_ty u:= Palm Spr::._nqs Police Officer City of Palm Springs Pc-Li-::e Officer City of Palm Springs Pol i,-_'.E Officer City cf Palm Springs SUBTOTAL$ AMOUNT RECEIVED 200.IJO Pli:'.ROL:=. DEDUCTIC:NS d11r.'.. ng period. 200.00 PAYROLL n~nur.T:mrn during period. 200.00 PAYROLL DEDUCTIONS during period. 200.00 PAYROLL DEDUCTIONS during period. 200. 00 PAYROLL DECUCTIONS during period. CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) 200. 00 200.00 200.00 200.00 200.00 1,000.001 ·. ··::;,:;_ tt Contributor Codes: IND. Individual COM -Recipient Committee (other than PTY or SCC) 0TH. Other PTY • Political Party SCC -Small Contrlbutoc Committee PER ELECTION TO DATE (IF REQUIRED) Schedule A (Continuation Sheet) Monetary Contributions Received Statement covers period from 01/01/2012 through 03/17/2012 SCHEDULE A CALIFORNIA 460 FORM Page 10 of 23 NAME OF FILER Palm Springs Police Officers Association Political Action Committee I.D. NUMBER 951841 DATE RECEIVED FULL NAME. STREET ADDRESS A NO ZIP CODE OF OF OONTRIBUTOR (IF COMMITTEE, ALSO ENTER 1.D. NUMBER) (INT-1) Melissa Desmarais 01/01/2012 THRU 03/17/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-1) Alan Donovan 01/01/2012 TllRU 03/17/2012 180 N Luring Dr. ?alm Springs, CA 92262 Association intermediary listed below. (INT-1) Michael Donovan 01/01/2012 THRU 03/17/2012 l 80 N Luring Dr. Palm Springs, CA 922 62 Association intermediary listed below. (IN'l'-1) Donald Dougherty 01/01/2012 THRO 03/17/2012 180 N Luring Dr. ?alm Springs, CA 92262 Association intermediary li::1ted below. (INT-1) Lauren Drinkwater 01/01/2012 THRU 03/17/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. ODNTRIBUTOR CODE IND IND IND !ND IND IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS} Police Officer City of Palm Springs Police Officer City of Palm Spring::i Police Officer City of Palm Springs Police Officer City of Palm Springs l?olice Officer City of Palm Springs SUBTOTAL$ AMOUNT RECEIVED 200, 00 ?AYROLL DEDUCTIONS during period. 200.00 PAYROLL DEDUCTIONS during period. 200.00 ?AYROLL DEDUCTIONS during period. 200.00 PAYROLL DEDUCTIONS during period. 200. 00 PAYROLL DEDUCTIONS during period. CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) 200.00 200.00 200.00 200.00 200. 00 1,000.00 r '. ,,;;, ... "Contributor Codes: IND -lndivicl.Jal COM· Recipient Committee (other than PTY or SCC) 0TH -Otha-PTY • Political Party SCC -SmeU Contributor Committee PER ELECTION TO DATE (IF REQUIRED) Schedule A (Continuation Sheet) Monetary Contributions Received Statement covers period from through 01/01/2012 03/17/2012 SCHE"DULE A CALIFORNIA 460 FORM Page 11 of 23 ~J!\h,1E OF FILER Pal:n Springs Police Officers Assuc.i.cttic-:~ Poli ti cal l\.clion Committee ID. NUMSER 95184~ DATE RECEIVED FULL NAME, STREET ADDRESS A NDZIP CODE OF OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER r.•. NUMBER) (INT-1) Christopher Duthaler Ol./Gl/2012 THRU 03/17/2012 181) N -llrh.g Dr. Paln Springs, CA 922 f,2 Association intermediary listed below. (INT-1) Arthur Enderle 01/01/2012 THRO 03/17/2012 180 N Lu.ting Dr. Palm ::',pr:i ngs, CA 922(2 As.::oci3.tion intermediary _ _:_sted below. (INT-1) Byron Farley 01/01/20] 2 THRU 03/17/2012 180 N Luring Dr. Palm Springs, CA 92262 Associu..tio::: intermedL:ry listed below. (INT-1) Gil F::rnandez C•l/01/2012 THRIJ 03/17/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (=NT-1) Rae ?crnar:dez 01/01/2012 'IHRU UJ/l'l/2012 180 tJ lurir_g Dr. Palm Springs, CA 92262 Association intermediary listed below. CONTRIBUTOR CODE IND IND IND IND IND IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER {I~ SELF-EMPLOYED, ENTER NAME OF BUSINESS) l?olice Officer City .:if Palm Spr i:q.';l Police Officer City c-f Palm Spri:19-s Police Officer City of Palm Springs P-ulic1:: Officer City of Palm Springs Police Officer City :lt Palm Sprin::1.s SUBTOTAL$ AMOUNT RECEIVED 200.00 ::C·AYRCL:, CEDUCTICNS durinq µeriod. 200.00 PAYROLL dur::._nq period. 200.00 PAYROLL DEDUCTIONS during period. 200.00 l'AYW)Ll.. DEDUCTIONS during period. 200.00 ~AYROT T C:E:UC'IIONS clu~-inq r,1::ciod. CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) 200.00 200.00 200. 00 /00.00 200.00 1,000.ooj ... ,.,· tt Contributor Codes: IND -Individual COM -Recipmnt Committee (olher than PTY or SCC) OTH-Olher PTY -Political Party sec -Small Contributor Committee PER ELECTION TO DATE {IF REQUIRED) Schedule A (Continuation Sheet) Monetary Contributions Received Statement covers period from 01/01/2012 through 03/17/2012 SCHEDULE A CALIFORNIA 460 FORM Page 12 of 23 NAMf.OF FILER Palm Springs Police Officers Association Political Action Committee I.D. NUMBER 951841 DATE RECEIVED FUU. NAME, STREET ADDRESS A ND ZIP CODE OF OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER l,D. NUMBER) {INT-1) Kelly Fieux 01/01/2012 THRU 03/17/2012 180 N Luring Dr. ealm Springs, CA 92262 Association intermediary li$ted below. (INT-1) Shawn Flinn 01/01/2012 THRU 03/17/2012 180 N Luring Dr. Palm Springe, CA 92262 Association intermediary listed below. (INT-1) Arnold Galvan 01/01/2012 THRO 03/17/2012 180 N Luring Dr, Palm Springs, CA 92262 Association intermediary listed below. { INT-1) Amanda Graham 01/01/2012 THRU 03/17/2012 180 N Luring Dr Palm Springs, CA 92262 Association intermediary listed below. (INT-1) Steve Grissom 01/01/2012 THRO 03/17/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. CONTRIBUTOR CODE IND IND IND IND IND IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Police Officer City of Palm Springs Police Officer City of Palm Springs Police Office.r City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs SUBTOTAL$ AMOUNT RECEIVED 200 .oo PAYROLL DEDUCTIONS during period. 200. 00 PAYROLL DEDUCTIONS during period. 200.00 PAYROLL DEDUCTIONS during period. 200.00 PAYROLL DEDUCTIONS during period. 200.00 PAYROLL DEDUCTIONS during period. CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 • DEC. 31) 200.00 200. 00 200.00 200.00 200. 00 1,000.001.,,., ... ~ Con1ributor Codes: IND -Individual COM -Reclplenl Committee (olher lhan PTY or SCC) 0TH -Other PTY -Political Pa1y SCC -Small Con1ributor Committee PER ELECTION TO DATE (IF REQUIRED) Schedule A (Continuation Sheet) Monetary Contributions Received Statement covers period from 01/01/2012 through 03/17/2012 SCHEDULE A CALIFORNIA 460 FORM Page 13 of 23 NAME. OF FILER P,: 1 m ~lpr:-ings Polir:.e Officers Association Poli tica.L Action Commi·_Lee ID. NUMBER 951841 DATE RECEIVED FULL NAME, STREET ADDRESS A ND ZIP CODE OF OF CONTRIBUTOR {IF COMMITTEE, ALSO ENTER 1.0. NUMBER) (INT-1) Frank Guarino 01/01/2012 THHU OJ/.:_'J/2012 180 N Luring Dr. Palm Springs, CA 922C2 Association intermediary listed below. {INT-1) Issac Hackbarth 01/01/2012 THRU 03/17/2012 180 N L·-1ri:1g Dr. Paln1 Sp1.ir:gs, CA 92262 Assor.L:it.ion intermediary listed below. (INT-1) Anthony Harrison 01/01/2012 THRO 03/17/2012 180 N Luring Dr. Palm Springs, CA 922 62 ASS'.)ciation intermedJ ary I sted below. {INT-1) Mike llP.ron ;; l /,:) l /2012 THRO 03/17/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. , TNT-1) Willian Hutchinson 01/01/2012 'l'HlW 03/1'1/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. CONTRIBUTOR CODE IND IND IND IND IND IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Police Officer C_;__ty o:: Palm Spr~ngs Police Officer City of Palm Springs Police Officer City Df P,;;1.lrn Springs Pclice <)fficer City of Palm Springs Pulice Officer City o± Palm Springs SUBTOTAL$ AMOUNT RECEIVED 200. 00 PAYIWLL D?::DUCT=ONS ,:;:·Jri ng period. 200.00 PAYROLL cu.ring period. 200. 00 PAYROLL DEDUCTIONS during period. 200.00 PAYROLL DEDUCTIONS during period. 2 0 0. 00 PAYHOLI DEDUCTIONS during period. CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) 2 00. 00 200, 00 200.00 2 00. 00 )00. 00 1,000.001:. tt Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other PTY -Political Party sec -Small Conbibutor Committee PER ELECTION TO DATE (IF REQUIRED) Schedule A (Continuation Sheet) Monetary Contributions Received Statement covers period from 01/01/2012 through 03/17/2012 SCHEDULE A CALIFORNIA 460 FORM Page 14 of 23 NA,ME OF FILER Paln 3prings Police Off"i cers Asscci a--::ion Politica · Act.i. on Committee I 0. NUMBER 9518.U DATE RECEIVED FULL NAME, STREET AODRESS A ND ZIP CODE OF OF CONTRIBUTOR {IF COMMITTEE, ALSO ENTER 1.0. NUMBER) (INT-1) Mike Iseminger 0l/01/2012 THRU 03/17/2012 180 Y L·..1ring Dr. Pa1rr .. 3prings, CA 92262 Association inteimediary listed below. (INT-1) Chris Jaeger 01/01/2012 THRO 03/~7/2012 18() N L'..H.ing Dr. Associat · on intermediary 1, sted below. {INT-1} Juan Jimenez 01/01/2012 THRU 03/17/2012 180 ~ Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (TNT-1) Denise Judd 01/01/2012 THRU 03/17/2012 180 N Lucing Dr. Palm Springs, CA 92262 Association intermediary listed below. \!NT-1) Jen:1ifer Kennedy 01/Cl/2012 'IHRU 03/17/2012 180 N Lurillg Dr. Palm Springs, CA 92262 Association intermediary listed below. CONTRIBUTOR CODE IND IND IND IND IND IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF·EMPLOYED, ENTER NAME OF BUSINESS} Police Officer City cf Palm Springs Police Officer ::'.ily of Palm Sprin::i-s Police Officer City of Palm Springs ?cl.ice Officer City of Palm Springs Poli <>2 ,1££icer City of Palm Springs SUBTOTAL$ AMOUNT RECEIVED 200.00 PAYROLL DEDUCT :orlS ~lnri ng period. 200.00 PAYROLL d·.1ri:ng period. 200.00 PAYROLL DEDUCTIONS during period. 200.00 PAYROLL DEDUCTION.S during period. 200.00 PA':::'KOLL DEDUC'I'IOHS during period. 1,000.001 tt Contributor Codes: IND • Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other PTY -Political Party SCC -Small Contributor Committee CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) 200. 00 200. 00 200. 00 )00.00 coo.oo PER ELECTION TO DATE (IF REQUIRED) Schedule A (Continuation Sheet) Monetary Contributions Received statement covers period from 01/01/2012 through 03/17/2012 SCHEDULE A CALIFORNIA 460 FORM Page 15 of 23 NAME OF FILER Palm Springs Police Officers Association Political Action Committee ID NUMBER 951841 DATE RECEIVED (INT-11 01/01/2012 THRU 03/17/2012 (INT-1) 01/01/2012 THRU 03/17/2012 (INT-1) 01/01/2012 THRU 03/17/2012 (INT-1) 01/01/2012 THRO 03/17/2012 (INT-1) 01/01/2012 THRU 03/17/2012 FULL NAME. STREET ADDRESS A ND ZIP CODE OF OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D NUMBER) Mike Kovalef.f 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. Lembi t Kulbin 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. Barron Lane 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary li:,ted below. Erik Larson 180 N Luring Dr. Palm Spring::i, CA 92262 Association interm-ediary listed below. Marcus Li tch 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. CONTRIBUTOR CODE IND IND IND IND IND IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Police Officer City of Palm Springs Police Officer City of Palm Spring$ Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs SUBTOTAL$ AMOUNT RECEIVED 200.00 PAYROLL DEDUCTIONS during period. 200. 00 PAYROLL DEDUCTIONS during period. 200. 00 PAYROLL DEDUCTIONS during period. 200. 00 PAYROLL DEDUCTIONS during period. 200. 00 PAYROLL DEDUCTIONS during period. CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) 200. DO 200.00 200.00 200. 00 200. 00 1,000.001 ·, tt Contributor Codes: IND -Individual COM -Recipient Convniltff (olher lhan PTY or SCC) 0TH -Olher PTY • Political Party SCC • Small Contributor Commiltff PER ELECTION TO DATE (IF REQUIRED} . .... , .i;· .. ;;.·,-.•,;-·· •.\:.~ ,:·,:·'" j Schedule A (Continuation Sheet) Monetary Contributions Received statement covers period from 01/01/2012 through 03/17/2012 SCHEDULE A CALIFORNIA 460 FORM Page 16 of 23 NAME OF Fil.ER Palm Springs Police Officers Association Political Action Cammi ttee LO NUMBER 951841 DATE RECEIVED FULL NAME, STREET ADDRESS A NO ZIP DODE OF OF CONTRIBUTOR (IF OOMMfTTEE, ALSO ENTER 1.0. NUMBER) { INT-1) Rhonda Long 01/01/2012 THRO 03/17/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-1) Kevin Lu 01/01/2012 THRO 03/17/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-1) John Mejia 01/01/2012 THRO 03/17/2012 180 N Luring Dr- Palm Springs, CA 92262 Association intermediary listed below~ (INT-1) Marc Melanson 01/01/2012 THRO 03/17/2012 180 N Luring Or- Palm Springs, CA 92262 Association intermediary listed below. {INT-1) Simon Min 01/01/2012 THRU 03/17/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. CONTRIBUTOR CODE IND IND IND IND IND IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs SUBTOTAL$ AMOUNT RECEIVED 200. 00 PAYROLL DEDUCTIONS during period. 200. 00 PAYROLL DEDUCTIONS during period. 200.00 PAYROLL DEDUCTIONS during period. 200. 00 PAYROLL DEDUCTIONS during period. 200, 00 PAYROLL DEDUCTIONS during period. "Coo1ributof Codes: IND -lndlllidual COM -Recipient Committee (olher lhan PlY or SCC) 0TH -Olher PlY -Political Party SCC • Small Contributor Commillse CUMULATIVE TO DATE CALENDAR VEAR (JAN. 1 -DEC. 31) 200. 00 200.00 200.00 200_00 200.00 PER ELECTION TO DATE (IF REQUIRED) Schedule A (Continuation Sheet) Monetary Contributions Received Statement covens period from 01/01/2012 through 03/17/2012 SCHEDULE A CALIFORNIA 460 FORM Page 17 of 23 NAME OF FILER Palm Springs Police Officers Association Political Action Committee LO. NUMBER 951841 DATE RECEIVED FULL NAME, STREET ADDRESS A NO ZIP COOE OF OF CONTRIBUTOR {IF COMMTTEE. ALSO ENTER I.D. NUMBER) (INT-1) Chad Nordman 01/01/2012 THRU 03/17/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-11 Anthony Pilutik 01/01/2012 THRU 03/17/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. {INT-1) Paola Ramos 01/01/2012 THRU 03/17/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-1) Harvey Reed 01/01/2012 THRO 03/17/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-1) Richard Salomon 01/01/2012 THRU 03/17/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. CONTRIBUTOR CODE IND IND IND IND IND IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED. ENTER NAME OF BUSINESS) Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Falm Springs SUBTOTAL$ AMOUNT RECEIVED 200.00 PAYROLL DEDOCTIONS during period. 200. 00 PAYROLL DEDUCTIONS during period. 200. 00 PAYROLL DEDUCTIONS during period. 200.00 PAYROLL DEDUCTIONS during period. 200. 00 PAYROLL DEDUCTIONS during period. 1,000.001 " Conbibutor Codes: IND -Individual COM -Recipient Committee (olfler than PTY or SCC) 0TH -Other PTY -Pollllcal Party SCC -Small Conbibulor Committee CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) 200. 00 200. 00 200.00 200. 00 200. 00 PER ELECTION TO DATE (IF REQUIRED) Schedule A (Continuation Sheet) Monetary Contributions Received Statement C0\191S period from 01/01/2012 through 03/17/2012 SCHEDULE A CALIFORNIA 460 FORM Page 18 of 23 NAME OF FILER Palm Springs Police Officers Association Political Action Committee 1.D. NUMBER 951841 DATE RECENED FULL NAME, STREET ADDRESS A ND ZIP CODE OF OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER 1.0, NUMBER) (INT-1) Steve Sanders 01/01/2012 THRU 03/17/2012 180 N Luring Dr. Palm Springs, CA 92262 Associ.ation intermediary listed below. (INT-1) Sam Steepleton 01/01/2012 THRU 03/17/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-1) Kyle Stjerne 01/01/2012 THRU 03/17/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-1) Mike Studer 01/01/2012 THRU 03/17/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-1) Gilbert Vega 01/01/2012 THRU 03/17/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. CONTRIBUTOR CODE IND IND IND IND IND IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED. ENTER NAME OF BUSINESS) Police Officer City of Palm Springs Police Officer city of Palm Springe Police Officer City of Palm Springs Police Officer City of Palm Springs Folice Officer City of Palm Springs SUBTOTAL$ AMOUNT RECEIVED 200, 00 PAYROLL DEDUCTIONS during period. 200.00 PAYROLL DEDUCTIONS during period. 200. 00 PAYROLL DEDUCTIONS during period. 200. 00 PAYROLL DEDUCTIONS during period. 200.00 PAYROLL DEDUCTIONS during period. ti Contributor Codes: IND -lmluidual COM -Recipient Committee (other 1han PTY or SCC) 0TH • 01her PTY -Political Party SCC -Smell Contributor Committee CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1. DEC. 31) 200. 00 200.00 200.00 200.00 200.00 PER ELECTION TO DATE (IF REQUIRED) Schedule A (Continuation Sheet) Monetary Contributions Received Statement covers period from 01/01/2012 through 03/17/20::.2 SCHEDULE A CALIFORNIA 460 FORM Page 19 of 23 NAME OF FILER Palm Springs Police Officers Association Poli ti cal Action Committee 1.D NUMBER 951841 DATE RECEIVED FULL NAME, STREET ADDRESS A ND ZIP CODE OF OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) {INT-1) Mike Villega,5 01/01/2012 THRU 03/17/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-1) Steve Williams 01/01/2012 THRO 03/17/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below, (INT-1) Stephen Woodward 01/01/2012 THRU 03/17/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. {INT-1) Palm Springs Police Officers Association 180 N Luring Dr Palm Springs., CA 92262 CONTRIBUTOR CODE IND IND IND 0TH IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Police Officer City of ~alm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs SUBTOTAL$ AMOUNT RECEIVED 200. 00 PAYROLL DEDUCTIONS during period. 200.00 PAYROLL DEDUCTIONS during period. 160. 00 PAYROLL DEDUCTIONS during period. Intermediary for PAYROLL DE:D(JCTIONS " Conlributnr Codes: !ND -Individual COM -Recipient Committee (other than PTV or SCC) 0TH -Other PTY -Political Party SCC -Smal Contributor Committee CUMULATIVE TO DATE CALENDAR YEAR (JAN, 1 -DEC. 31) 200 _ 00 200. 00 160, 00 PER ELECTION TO DATE (IF REQUIRED) Schedule D Summary of Expenditures Supporting/Opposing Other Candidates, Measures and Committees Statement covers pertOd from through 01/01/2012 03/17/2012 SCHEDULED CALIFORNIA 460 FORM Page 20 of 23 NAME OF FILER Palm Springs Police Officers Association Poli ti cal Action Committee I.D. NUMBER 951841 DATE 03/13/2012 01/04/2012 01/20/2012 NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR MEASURE NUMBER OR LETTER AND JURISDICTION, OR COMMITTEE Victoria Cameron Superior Court Judge Riverside County • SUPPORT • OPPOSE John Henry Superior Court Judge Riverside County • SUPPORT • OPPOSE Michael Soubirous Board of Supervisors Riverside County • SUPPORT • OPPOSE Schedule D Summary TYPE OF PAYMENT • Non-Monetary Contribution • Non-Monetary Contribution • Independent Expenditure DESCRIPTION (IF REQUIRED) SUBTOTAL$ AMOUNT THIS PERIOD 1,500.00 1,500.00 2,500.00 5,500.00 CUMULATIVE TO DATE CALENDAR YEAR (JAN 1 DEC 31) 1,500.00 1,500.00 2,500.00 PER ELECTION TO DATE (IF REQUIRED) 1. Itemized contributions and independent expenditures made this period. ( Include all Schedule D subtotals. ) ............... . $ ____ 5 ,'-s_o_o_._oo 2. Unitemized contributions and independent expenditures made this period of under $100. $ _____ o_._o_o 3. Total contributions and indpendent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.) .. TOTAL $ ___ s_, _so_o_._oo FPPC fo,m 460(January /05-SI) Schedule E Payments Made NAME OF FILER Palm Springs Police Officers Association Political Action Committee CODES: If one of the following accurately describes the payment, you may enter the code. CMP campaign paraphernalia/misc. MBR member communications CNS campaign consultants MTG meetings and appearances CTB contrtbulion (explain nonmonetary) OFC office expenses CVC civic donations PET petition circulating FIL candidate filing / ballot fees PHO phone banks FND fundraising expenses POL polling and survey research IND independent expenditures supporting/opposing othera POS postage, delivery and messenger services LEG legal defense PRO professional services (legal, accounting) LIT campaign literature and mailings PRT prtnt ads SCHEDULE E Statement covers period from 01/01/2012 CALIFORNIA 460 FORM through 03/17/2012 Otherwise, describe the payment. Page 21 of 23 LD. NUMBER 951841 RAD radio airtime and production costs RFD relumed contributions SAL campaign workers' salartes TEL t.v. or cable productioo costs TRC candidate travel, lodging and meals TRS staff/spouse travel, IOdging and meals TSF transfer between committees of the same candidate/sponsor VOT voter registration WEB information technology costs (lnternet,e-mait) NAME AND ADDRESS OF PAYEE CODE or DESCRIPTION OF PAYMENT AMOUNTPAID Victoria Cameron for Riverside County Superior Court Judge CTB 1,500.00 Riverside, CA 92517 ID No: 1344741 Walter Combs Returned Contribution 120.00 180 N Luring Dr. Palm Springs, CA 92262 John Henry for Riverside County Superior Court Judge CTB 1,500.00 Riverside, CA 92517 ID No: 1342896 SUBTOTAL$ 3,120-00 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ ___ s_, 6_2_0_._o_o 2. Unitemized payments made this period of under $100 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . S ____ s_o_._6_6 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e). ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ _____ o_._0_0 4. Total payments made this period. (Add Line 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ........... TOTAL $ ___ s_,_7_oo_._6_6 FPPC Form 460(January /05-SI) Schedule E (Continuation Sheet} Payments Made Statement ~overs period from 01/01/2012 through 03/17/2012 SCHEDULEE CALIFORNIA 460 FORM Page 22 of 23 NAME OF FILER Palm Springs Police Officers Association Political Action Cammi ttee I.D. NUMBER 951841 CODES: If one of the following accurately describes the payment, you may enter the code. CMP campaign paraphernalia/misc. MBR member communications CNS campaign consultants MTG meetings and appearances CTB contribution (explain nonmonetary) OFe office expenses eve civic donations PET petition Circulating FIL candidate filing/ ballot fees PHO phone banks FND fundralslng expenses POL polling and survey research IND independent expenditures supporting/opposing others POS postage, delivery and messenger services LEG legal defense PRO prcfesslonal services (legal, accounting) LIT campaign literature and mailings PRT print ads Otherwise, describe the payment. RAD radio airtime and production costs RFD returned contributions SAL campaign workers' salaries TEL t.v. or cable production costs TRC candidate travel, IOdging 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 (intemet,e-mall) NAME AND ADDRESS OF PAYEE CODE or DESCRIPTION OF PAYMENT AMOUNTPAID Michael Soubirous for Riverside County Supervisor CTB 2,500.00 e. o. Box 55484 Riverside, CA 92517 IO No: 1342501 SUBTOTAL$ 2,500.00 FPPC Form 460(January /05-SI) Schedule I Miscellaneous Increases to Cash NAME OF FILER Palm Springs Police Officers Association Political Action Committee DATE RECEIVED Schedule I Summary NAME AND ADDRESS OF PAYEE 1. Itemized increases to cash this period . . . . . . . 2. Unitemized payments made this period of under $100 3. Total interest received this period on loans made to others. (Schedule H, Column (e). ) 4. Total miscellaneious increases to cash this period. Total to Summary Page, Line 14 Statement covers period from 01101/2012 through 03/17/2012 DESCRIPTION OF RECEIPT SCHEDULE I CALIFORNIA 460 FORM Page 23 of 23 I.D NUMBER 951841 SUBTOTAL$ $ $ $ TOTAL$ AMOUNT OF INCREASE TO CASH 0.00 0.11 0.00 0.11 FPPC Form 460(January /05-SI) .. Recipient Committee Campaign Statement Cover Page 1. Type of Recipient Committee stalerPent covers period from 10/01/2012 through 10/20/2012 D Officeholder, Canelidate Controlled Committee D O State Candidate Election Committee Primarily Formed Ballot Measure Committee O Recall • General Purpose Committee e Sponsored O Small Contributor Committee O Political Party/Central Committee 3. Committee Information COMMITTTEE NAME O Controlled O Sponsored D Primarily Fonned Candidate/ Officeholder Committee I.D. Number 951841 Palm Springs Police Officers Association Political Action Committee STREET ADDRESS (NO PO BOX) 1415 L St Ste 410 Sacramento CITY Sacramento MAILING ADDRESS (IF DIFFERENT) CITY OPTIONAL: FAX/ E-MAIL ADDRESS STATE ZIP CODE AREA CODE/PHONE CA 95814 916/556-1776 STATE ZIP CODE (916) 556-1233 / ordoslaw@jps.net 4. Verification COVER PAGE CALIFORNIA 460 FORM Date of Electlon If appllcable 2012 OCT 25 AM I : ~e -1-....;;;..:.....Fo-r~Oll~icla_l_U_se_O~n-ly----l 1 of 22 11/06/2012 (Month, Day, Year) ji-,i-1!:S i H0r11 ~ CITY CLER' 2. Type of Statement • Pre-election Statement • Semi-Annual Statement • Termination Statement D Amendment Treasurer(s) NAME OF TREASURER ilayne Ordos STREET ADDRESS 1415 L St Ste 410 CITY Sacramento NAME OF ASSISTANT TREASURER. IF ANY STREET ADDRESS CITY OPTIONAL: FAX/ E-MAIL ADO RESS • uarterly Statement O Special Odd-Year Statement • Supplemental Pre-election Statement -Attach Form 495 STATE ZIP CODE AREA CODE/PHONE CA 95814 916/556-1776 STATE ZIP CODE AREA CODE/PHONE (916 )556-1233 / ordoslaw@jps.net I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein is true and complete. I certify under penalty of perjury under the laws of the State of Calif~mia that the foregoing is true and correct. Executed on I O / c2 '-I/; .:i... By CJ ,(i,.....-,._ /;J,,--i__h-., ~ SIGNATURE OF TREASURER OR ASSISTANT TREASURER Executed on ________ _ By __ --,s""iG""NA"'TU""R"'E"'OF"c"'oNT"""RosnLum:N;;;G;,;;OFF"'IC""EH"""blonlE""Rr;,CA<>;N"'lll°"D"'Af"'E,-,,st"'A"'rE"'M"'EAs"'•m,R,..E"'PRO"'P"'druNEN"""fo"'Rr>R"'ES"'PO"'N"'sl'"'BLE,..O"'F'"'Fl"'cER.,...,.,Of""S""PO"'N"'sb""Rr-- Executed on ________ _ By ________ ~s1~GNA""'TU~R"'E~OF"C~OmNftffi~o"il~1NG"""Or.fF~IC"'EHO""'"Lbe"""R',CAmN"'D"'IDArrTE""'.S"'I"'AT~E"MEAS=~uR°'E~P~ROPO"""rnNE~NT,.------- Executed on ________ _ By ________ "'si"'GNA"""'TU"'R"'E"'OF""c""o"'NT°'R"'oTT[l~1N""G~O~FF~ic"'EHOLO=~E"'R', CA"'N"'D"'IDA"'T"'E,...,, S"'TA"'re=M"'EAS=uRE ..... P~RO~PO-NE~NT~----FP-PC-Form 460 _ January/OS Stole of California/SI Recipient Committee Campaign Statement Cover Page -Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHf OR HELD ( INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) ----------.. -----....... -.......... -.. ~~=~- RESIDENTIAL/BUSINESS ADDRESS ( NO .. AND STREETi CITY STATE ZIP Related Comm~tees Not Included in this Statement; Ustanycommittees not inclllded in this statement that are con!Jo/led by you or are primarily formed to racaive contributions or make expend1?uras on behaH of your candidacy .. COMMITTEE NAME 1.D .. NUMBER ··------··~----.... ~-~------------+---------··------····--·-··-····"•-NAME OF TREASURER CONTROLLED COMMITTEE ? •YES ONO COMMITTEE STREET ADDRESS ( NO P .. O .. BOX) CITY STATE ZIP CODE AREA CODEIPHONE ============ .. = .... , .... "'-' .... = ....... F ......... = .. -.. = ........ =-.. = ......... = ...... = .. ·== .. = ................................ _ COMMITTEE NAME I.D .. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? •Yes 0No COMMITTEE STREET ADDRESS ( NO P.O .. BOX) CITY STATE ZIP CODE AREA CODE/PHONE Statement covers period from 1010112012 through 10/20/2012 6. Primarily Formed Ballot Measure Committee COVER PAGE • PART 2 CALIFORNIA 460 FORM Page 2 of 22 NAME OF BALLOT MEASURE ...................... , •... --------·-··---···-------···--··--···--··· BALLOT NO .. OR LETTER JURISDICTION .............. __ .... ____ .. _________ ,, .......... ~-----........................... _ 0 SUPPORT 0 OPPOSE Identify the controlling officeholder, candidate, or stute measure proponent. ij any .. NAME OF OFFICEHOLDER OR CANDIDATE OR PROPONENT OFFICE SOUGHT OR HELD -----~' DISTRICT .. NO. IF ANY 7. Primarily Formed Candidate/Officeholder Committee List names of officehofder(s)or candidate(s) for which this committee is primarioy formed .. NAME OF OFFICEHOLDER OR CANDIDATE ......... ··-··"'"'--'····-----··-··-·----·· --····----------···---·-··-··· OFFICE SOUGHT OR HELD 0 SUPPORT • OPPOSE ••-••rnn•••••••••''-••••••••--••••••••-----••••••••••••••••••••-••••••-•••-------- NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELO NAME OF OFFICEHOLDER OR CANO/DATE OFFICE SOUGHT OR HELD NAME OF OFFICEHOLDER OR CANDIDATE OFFICE $OUGHT OR HELD 0 SUPPORT 0 OPPOSE 0 SUPPORT 0 OPPOSE 0 SUPPORT 0 OPPOSE •-••••-•••••--•-••••----••-••••'"•-•'"••••••••••••••••••••••••-n••••"""'''''"'"""'''"'"" FPPC Form 460 .. January/OS State of CalWomla/SI SUMMARY PAGE Campaign Disclosure Statement Summary Page Statement COV81'5 periOd from 10/0112012 through NAME OF FILER Palm Springs Police Officers Association Political Action Committee Column A ColumnB Contributions Received iTTfAL HllSt'~RJ,}[' CAU::NDARYfAR {fROMATT ... Ct!tO!lCtll:Jil.lE.Sf TOTAL TO DATE 1. Monetary Contributions ..................... Schedule A, Line 3 $ 2,500.00 $ 58,940.00 ------ 2. Loans Received . . . . . . . . . . . .. . . . . . . . . . . . . . Schedule a. une 3 0.00 0.00 2,500.00 3. SUBTOTAL CASH CONTRIBUTIONS .......... Add Lines,. 2 $ _____ _ $ 58,940.00 4. Nonmonetary Contributions . . . . . . ........... Schedule c. une 3 0.00 o.oo 5. TOTAL CONTRIBUTIONS RECEIVED .......... Add Lines 3 H $ 2,500.00 $ 58,940.00 Expenditures Made 6. Payments Made . . . . . . . . ................. Schedule E, Line 4 $ 2,soo.00 $ ___ 4_2_,_5_2_0_._o_o 7. Loans Made ............................. Schedule H. Line 3 0.00 0.00 8. SUBTOTAL CASH PAYMENTS ............... MdLir1es6+ 7 $ 2,soo.00 $ ___ 4_2~,_s_2_0_._o_o 9. Accrued Expenses (Unpaid Bills) ............. Schedule F. Un• 3 750.00 750.00 10. Nonmonetary Adjustment ................... Schedule c. Line 3 0.00 0.00 11. TOTAL EXPENDITURES MADE ........... AddLines8+9+10 $ 3,250.00 $ 43,270.00 Current Cash Statement 12. Beginning Cash Balance ........... Previous summary Page, Line 16 $ ___ 5_1'--, 0_2_8_._l_l 13. Cash Receipts . . . . . . . . . . . . . . . . . . . . ..... Coh1m11 A. une 3 above 2,500,00 14. Miscellaneous Increases to Cash . . . . . . . . . . . . Schedule 1. Line 4 0.00 15. Cash Payments ....................... Columri A Line B above 2,500.00 16. ENDING CASH BALANCE. AddLinos 12 + 13 + 14. then subtract Line 15 $ 51,028.11 17. LOAN GUARANTEES RECEIVED ............ Schedule B, Part 2 $ o.oo Cash Equivalents and Outstanding Debts 18. Cash Equivalents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $. _____ o_._o_o 19. Outstanding Debts ........... -Add Lines 2 + Lin• 9 In Column B .1,ove $. _____ 7_5_0_. o_o_ 10/20/2012 Page 3 of 22 I.D. NUMBER 951841 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections. 111 lhrOllllh 6130 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 Limits) $ ____ _ $ ____ _ • Amounts in this Section may be different from amounts reported in Column B. FPPC Form 460 • January/OS State of Callfomla/51 Schedule A Statement covers period Monetary Contributions Received kom 10/01/2012 through 10/20/2012 NAME OF FILER Palm Springs Police Officers Association Political Action Committee DATE RECEIVED FULL NAME, STREET ADDRESS A ND ZIP CODE OF OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) (INT-1 Paul Abshire 10/01/2012 THRU 180 N Luring Dr. 10/20/2012 Palm Springs, CA 92262 Association intermediary listed below. (INT-1 Tarina Adams 10/01/2012 ~HRU 180 N Luring Dr. 10/20/2012 Palm Springs, CA 92262 Association intermediary listed below. (INT-1 Joel Aguillera 10/01/2012 THRO 180 N Luring Dr. 10/20/2012 Palm Springs, CA 92262 Association intermediary listed below. (INT-1 Bryan Anderson 10/01/2012 THRU 180 N Luring Dr. 10/20/2012 Palm Springs, CA 92262 Association intermediary listed below. ( INT-1 Nick Andre 10/01/2012 THRU 180 N Luring Dr. 10/20/2012 Palm Springs, CA 92262 Association intermediary listed below. Schedule A Summary 1. Amount received this period -itemized contributions CONTRIBUTOR CODE IND IND IND IND IND IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs SUBTOTAL$ (Includes all Schedule A subtotals) . _ .................. _ . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 2. Amount received this period -unitemized .......................... _ . . . . . . . . . . . . . . . . . $ 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page. Column A Line 1).... . . . . . . . TOTAL$ AMOUNT RECEIVED 31.25 PAYROLL DEDUCTIONS during period. 31.25 PAYROLL DEDUCTIONS during period. 31. 25 PAYROLL DEDUCTIONS during period. 31.25 PAYROLL DEDUCTIONS during period. 31. 25 PAYROLL DEDUCTIONS during period. 2,468.75 31.25 2,500.00 SCHEDULE A CALIFORNIA 460 FORM Page 4 of 22 LD. NUMBER 951841 UMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) 751, 25 751. 25 751. 25 751.25 751. 25 M Coolrtbulor Codes IND-lrdMdual PER ELECTION TO DATE (IF REQUIRED) COM -Recipient Cornmllfse (other than PTY or SCC) OTH-O#ler PTY-Pollloal Party sec -Small Coolrtboolr comrn/l!ee FPPC Form 460(Jan/05) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule A (Continuation Sheet) Monetary Contributions Received Statsment covers period from 10/01/2012 through 10/20/2012 SCHEDULE A CALIFORNIA 460 FORM Page 5 of 22 NAMEOFFILER Palm Springs Police Officers Association Political Action Committee 1.D NUMBER 951841 DATE RECEIVED FULL NAME. STREET ADDRESS A NO ZIP CODE OF OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) (INT-1) Gus Araiza 10/01/2012 THRU 10/20/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-1) Mike Barredo 10/01/2012 THRU 10/20/2012 180 N Luring Dr. Palm Springs, CA 92262 As3ociation intermediary listed below. (INT-1) Nick Barth 10/01/2012 THRO 10/20/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-1) Matt Beard 10/01/2012 THRO 10/20/2012 180 N Luring Dr. Palm Springe, CA 922 62 Association intermediary listed below. ( INT-1) Torn Beckert 10/01/2012 THRO 10/20/2012 1B0 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. CONTRIBUTOR COPE IND IND IND IND IND IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER «F SELF-EMPLOYED, ENTER NAME OF BUSINESS) Police Officer City of Palm Springs Police Officer City of Palm springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs SUBTOTAL$ AMOUNT RECEIVED 31.25 Pl\.YROLL DEDUCTIONS during period. 31.25 PAYROLL DEDUCTIONS during period. 31.25 FAYROLI. DEDUCTIONS during period. 31.25 PAYROLL DEDUCTIONS during period. 31.25 PAYROLL DEDUCTIONS during period. ~ Conlributor Cedes: IND -lndMdual COM • Recipient Committee (other than PlY or SCC) 0TH • Other PlY • Po6tical Party SCC -Small Contributor Committee CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) 751.25 751. 25 751.25 151. 2 5 751.25 PER ELECTION TO DATE (IF REQUIRED) Schedule A (Continuation Sheet) Monetary Contributions Received Statement C01'elS period from 10/01/2012 through 10/20/2012 SCHEDULE A CALIFORNIA 460 FORM Page 6 of 22 NAME OF FILER Palm Springs Police Officers Association Poli ti cal Action Committee I.D. NUMBER 951841 DATE RECEIVED FULL NAME, STREET ADDRESS A ND ZIP CODE OF OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER 1.D. NUMBER) (INT-1) Donald Benstead Jr 4 10/01/2012 THRU 10/20/2012 180 N .Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-1) Christopher Bergman 10/01/2012 THRU 10/20/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-1) Jackie Bridgewater 10/01/2012 THRU 10/20/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below, ( INT-1) Frank Browning 10/01/2012 THRU 10/20/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-1) Gerald Bucklin 10/01/2012 THRO 10/20/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. CONTRIBUTOR CODE IND IND IND IND IND IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER ~F SELF-EMPLOYED, ENTER NAME OF BUSINESS) Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springe SUBTOTAL$ AMOUNT RECEIVED 31.25 PAYROLL DEDUCTIONS during period. 31.25 PAYROLL DEDUCTIONS during period. 31.25 PAYROLL OE DUCT IONS during period. 31.25 PAYROLL DEDUCTIONS during period. 31.25 PAYROLL DEDUCTIONS during period. "Conlribulor Codes: IND -Individual COM -Recipient Committee (other 1han PTY or SCC) 0TH -01her PTY -Political Party sec -Small Contributor Committee CUMULATIVE TO DATE CALENDAR YEAR (JAN. f -DEC. 31) 751.25 751.25 751.25 751.25 751. 25 PER ELECTION TO DATE (IF REQUIRED) Schedule A (Continuation Sheet) Monetary Contributions Received Statement covers period from 10/01/2012 through 10/20/2012 SCHEDULE A CALIFORNIA 460 FORM Page 7 of 22 NAMEOFFILER Palm Springs Police Officers Association Political Action Committee LD NUMBER 951841 DATE RECEIVED FULL NAME, STREET ADDRESS A NDZI~ CODE OF OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I 0. NUMBER) {INT-1) Jon Cabrera 10/01/2012 THI\U 10/20/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-1) Stefanie Campbell 10/01/2012 THRO 10/20/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-1 J Albert Cantu 10/01/2012 THRU 10/20/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-1) Cary Carrillo 10/01/2012 THRU 10/20/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. {INT-1) Nancy Carr 10/01/2012 THRU 10/20/2012 180 N Luring Dr. Palm Springs, CA 92262 Association inter:mediary listed below. CONTRIBUTOR CODE IND IND IND IND IND IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs SUBTOTAL$ AMOUNT RECEIVED 31.25 PAYROLL DEDUCTIONS during period. 31.25 PAYROLL DEDUCTIONS during period. 31.25 PAYROLL DEDUCTIONS during period. 31.25 PAYROLL DEDUCTIONS during period. 31.25 PAYROLL DEDUCTIONS during period. tt Contributor Codes: IND -Individual COM -Recipient Committee (other 1han PTY or SCC) 0TH -Other PTY -Political Party sec -Small Contributor Committee CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 • DEC. 31) 751.25 751.25 751.25 7 51. 25 751. 25 PER ELECTION TO DATE (IF REQUIRED) Schedule A (Continuation Sheet) Monetary Contributions Received Statement covers period from 10/01/2012 through 10/20/2012 SCHEDULE A CALIFORNIA 460 FORM Page 8 of 22 NAME OF FILER Palm Springs Police Officers Association Poli ti cal Action Committee LD. NUMBER 951841 DATE RECEIVED FULL NAME, STREET ADDRESS A ND ZIP CODE OF OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) (It;11'-l) Mike Casavan 10/01/2012 THRU 10/20/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (TNT-1) Troy Castillo 10/01/2012 THRU 10/20/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. {INT-1) Merritt Chassie 10/01/2012 THRO 10/20/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below, (INT-1) Luciano Colantuano 10/01/2012 THRO 10/20/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-1) Brent Coon 10/01/2012 THRU 10/20/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. CONTRIBUTOR CODE IND IND IND IND IND IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Police Officer City of Palm Springs Police Officer City of Palm Spring::i Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs SUBTOTAL$ AMOUNT RECEIVED 31.25 PAYROLL DEDUCTIONS during period. 31. 25 PAYROLL DEDUCTIONS during period. 31.25 PAYROLL DEDUCTIONS during period. 31.25 PAYROLL DEDUCTIONS during period. 31.25 PAYROLL DEDUCTIONS during period. * Contributor Codes: IND -Individual COM -Recipient Committee (ottler 1han PTY at SCC) 0TH -O!her PTY -Political Party sec -Small Conlributor Committee CUMULATIVE TO DATE CALENDAR YEAR (JAt-1. 1 • DEC. 31) 751. 25 751.25 751. 25 751. 25 751. 25 PER ELECTION TO DATE (IF REQUIRED) Schedule A (Continuation Sheet) Monetary Contributions Received Statement covers period from through 10/01/2012 10/20/2012 SCHEDULE A CALIFORNIA 460 FORM Page 9 of ::2 NAME OF FJLER Pa lrn ::.;:;-,rings Police :::i: ticers ASS'.JCi2 Lu ... ,n Politic.al Action Cammi. tt__ee iD. NUMBER 951841 DATE RECEIVED FULL NAME, STREET ADDRESS A ND ZIP CODE OF OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER: 1.0. NUMBER) (INT-1) David Costello 10/01/2012 7IIRU 10/;'/l/2012 180 N Luring Dr. Paln Spri::-19s, CA 92262 Association intermediary listed below. (INT-1) Matt Crampton 10/01/2012 TRRU l()/?.lJ/2012 180 N i.urin.g Dr. Palm Sp::·i::1gs, CA 92~62 Asso-~iat_:_on intermeC:.iary listed below. (INT-1) Josh Crocker 10/01/2012 THRU 10/20/2012 180 N Lurrng Dr. Palm Springs, CA 92262 As'>or.i.3-tion interm-ectirt,y li,:,ted below. <'INT-1) Micha.P.J Dplaney J 0/111 /2012 THRU 10/20/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. ( INT-1) Meli.3s.a Desmarais 10/0i/2012 TIIRU J U,'2()/2012 18U N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. CONTRIBUTOR CODE IND IND IND IND IND IF AN INDIVIDUAL. ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYf;D, ENtER NAME OF BUS/NESS) Police Officer Ci t.y ot Palm Spr.ir.gs Police Officer Lity of Palm Spr.ir..gs Police Officer City of Palm Springs Police Officer City of Palm Springs Pol.:._ce Officer C:it.y ot Palm Spring.s SUBTOTAL$ AMOUNT REGElVED 31. 25 PAYFOT,T, IJECUCTlONS du:ri:~<:; period. 31.25 PAYROLL DEDUC'IIONS during period. 31. 25 PAYROLL DEDUCTIONS during period. 31.25 PAYROLL DEDUCTIONS during period. 31.25 FAYR'.)LL l.)E,DU'...:T .:ONS during period. CUMULATIVE TO DATE CALENDAR YEAR {JAN. 1 -DEC. 31) 751.25 751.25 751.25 751.25 1s6.2s[. .. * Contributor Codes: IND -Individual COM -Recipient Committee (other 11ao PTY or SCC) 0TH -Otiler PTY -Political Party sec Small Contributor Committee PER ELECTION TO DATE (IF REQUIRED) Schedule A (Continuation Sheet) Monetary Contributions Received Statement c:overs period from 10/01/2012 through 10/2G/2012 SCHEDULE A CALIFORNIA 460 FORM Page 10 of 22 NAME OF FILER Palm Springs Police Officers Association Political Action committee i.D NUMBER 951841 DATE RECEIVED FULL NAME, STR€ET ADDRESS A ND ZIP CODE OF OF CONTRIBUTOR /F COMMITTEE. ALSO ENTER ID. NUMBER) (INT-1) Alan Donovan 10/01/2012 THRO 10/20/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-1) Michael Donovan 10/01/2012 THRO 10/20/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-1) Donald Dougherty 10/01/2012 THRO 10/20/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-1) Lauren Drinkwater 10/01/2012 THRO 10/20/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. ( INT-1 l Christopher Duthaler 10/01/2012 THRO 10/20/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. CONTRIBUTOR CODE IND IND IND IND IND IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER {IF SELF-EMPLOYED, ENTER NAME OF BUSJNESS) Police Officer City of Palm Springs Police Officer City of Palm Springe Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs SUBTOTAL$ AMOUNT RECEIVED 31.25 PAYROLL DEDUCTIONS during period. 31. 25 PAYROLL DEDUCTIONS during period. 31.25 PAYROLL DEDUCTIONS during period. 31.25 PAYROLL DEDUCTIONS during period. 31.25 PAYROLL DEDUCTIONS during period. " Conb'ibutor Codes: IND -Individual COM -Recipient Committee (olher lhan PTY or SCC) 0TH • Olher PTY • Political Party SCC • Small Contributor Committee CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) 751. 25 751.25 751.25 751.25 751. 25 PER ELECTION TO DATE (IF REQUIRED) Schedule A (Continuation Sheet) Monetary Contributions Received Statement covers period from 10/01/2012 through __ 1_0_1_2_0_1_2_0_1_2 __ SCHEDULE A CALIFORNIA 460 FORM Page 11 of 22 NAME OF FILER Palm Springs Police Officers Association Poli ti cal Action Committee 1.0. NUMBER 951841 DATE RECEIVED FULL NAME, STREET ADDRESS A ND ZIP CODE OF OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER! (INT-1) Arthur Enderle 10/01/2012 THRU 10/20/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-1) Byron Farley 10/01/2012 THRU 10/20/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-1) Gil Fernandez 10/01/2012 THRU 10/20/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. {INT-1) Rae Fernandez 10/01/2012 THRO 10/20/2012 180 N Luring Dr. Palm Springe, CA 92262 Association intermediary listed below. (INT-1) Kelly Fieux 10/01/2012 THRO 10/20/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. CONTRIBUTOR CODE IND IND IND IND IND IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs SUBTOTAL$ AMOUNT RECEIVED 31.25 PAYROLL DEDUCTIONS during period. 31. 25 PAYROLL DEDUCTIONS during period. 31.25 PAYROLL DEDUCTIONS during period.. 31.25 PAYROLL DEDUCTIONS during period. 31.25 PAYROLL DEDUCTIONS during period. tt Conlnbutor Codes: IND -Individual COM· Recipienl Committee (o1her lhan PTY or SCC) 0TH • Diller PlY • Political Pirty SCC • Small Conbibutor Committee CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1. DEC. 31) 751.25 751. 25 751.25 751. 25 751.25 PER ELECTION TO DATE (IF REQUIRED) Schedule A (Continuation Sheet) Monetary Contributions Received Statement covers period from 10/01/2012 through 10/20/2012 SCHEDULE A CALIFORNIA 460 FORM Page 12 of 22 NAME OF Flt.ER Palm springs Police Officers Association Political Action Committee 1.D NUMBER 951841 DATE RECEIVED FULL NAME, STREET ADDRESS A NO ZIP CODE OF OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER 1.D. NUMBER) (INT-1) Shawn Flinn 10/01/2012 THRO 10/20/2012 180 N Luring Dr, Palm Springs, CA 92262 Association intermediary listed below. (INT-1) Arnold Galvan 10/01/2012 THRO 10/20/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-1) Steve Grissom 10/01/2012 THRU 10/20/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-1) Frank Guarino 10/01/2012 THRU 10/20/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below~ (INT-1) Issac Hackbarth 10/01/2012 THRU 10/20/2012 180 N Luring Dr. !?alrn Springs, CA 92262 Association intermediary listed below. CONffilBUTOR CODE IND IND IND IND IND IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs SUBTOTAL$ AMOUNT RECEIVED 31.25 PAYROLL DEDUCTIONS during period. 31.25 PAYROLL DEDUCTIONS during period. 31.25 PAYROLL DEDUCTIONS during period. 31.25 PAYROLL DEDUCTIONS during period. 31.25 PAYROLL DEDUCTIONS during period . • contributor Codes: IND -lndiviclJal COM-Recipient Committee (o!her lhan PTY or SCC) 0TH -Other PTY -Political Party sec -Sman Contributor Committee CUMULATIVE TO DATE CALENDAR YEAR (JAN, 1-DEC. 31) 751.25 751.25 751.25 751. 25 751.25 PER ELECTION TO DATE (IF REQUIRED) Schedule A (Continuation Sheet) Monetary Contributions Received Statement covers period from 10/01/2012 through 10/20/2012 SCHEDULE A CALIFORNIA 460 FORM Page 13 of 22 NAME OF FILER Palm Springs Police Officers Association Political Action Cammi ttee /.D NUMBER 951841 OATE RECEIVED FULL NAME. STREET ADDRESS A ND ZIP CODE OF OF CONffilBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) (INT-1) Anthony Harrison 10/01/2012 THRO 10/20/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-1) Hike Heron 10/01/2012 THRU 10/20/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-1) William H-utchinson 10/01/2012 THRU 10/20/2012 180 N Luring Or. Palm Springs, CA 92262 Association intermediary listed below. (IN'l'-1) Mike Iseminger 10/01/2012 THRU 10/20/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-1) Chris Jaeger 10/01/2012 THRU 10/20/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed belo~. CONTRIBUTOR CODE IND IND IND IND IND IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYEO, ENTER NAME OF BUSINESS) Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs SUBTOTAL$ AMOUNT RECEIVED 31.25 PAYROLL DEDUCTIONS during period. 31.25 PAYROLL DEDUCTIONS during period. 31.25 PAYROLL DEDUCTIONS during period. 31.25 PAYROLL DEDUCTIONS during period. 31.25 PAYROLL DEDUCTIONS during period. • Contributor Codes: IND -lmividual COM· Recipient Committee (other1han Prf or SCC) 0TH -Other PTY • Political Party SCC -Small Contributor Committee CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1-DEC. 31) 751.25 751. 25 151.25 751.25 751.25 PER ELECTION TO DATE (IF REQUIRED) Schedule A (Continuation Sheet) Monetary Contributions Received Statement covers period from 10/01/2012 through 10/20/2012 SCHEDULE A CALIFORNIA 460 FORM Page 14 of 22 NAMEOFFllER Palm Springs Police Officers Association Political Action Committee LD NUMBER 951B41 DATE RECEIVED FULL NAME. STREET ADDRESS A NO ZIP CODE OF OF CONTRIBUTOR (IF COMMITTEE. ALSO ENTER 1.D. NUMBER) (INT-1) Juan Jimenez 10/01/2012 THRU 10/20/2012 180 N Luring Dr. Palm Springs, CA 92262 Association inte:cmediary listed below .. {INT-1) Ronnie Jones 10/01/2012 THRU 10/20/2012 180 N Luring Dr. Palm Springs, CA 922 62 Association intermediary listed below. (INT-1} Denise Judd 10/01/2012 THRU 10/20/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-1) Jennifer Kennedy 10/01/2012 THRU 10/20/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. ( INT-1) Mike Kovaleff 10/01/2012 THRU 10/20/2012 180 N Luring Dr. Pal.Ill Springs, CA 92262 Association intermediary listed below. CONTRIBUTOR CODE IND IND IND IND IND IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palin Springs Police Officer City of Palm Springs SUBTOTAL$ AMOUNT RECEIVED 31.25 PAYROLL DEDUCTIONS during period. 31.25 PAYROLL DEDUCTIONS during period. 31.25 PAYROLL DEDUCTIONS during period, 31. 25 PAYROLL DEDUCTIONS during period. 31.25 PAYROLL DEDUCTIONS during period. ~ Conlllbutor Codes: IND -Individual COM -Recipient Committee (olher lhan PTY or SCC) 0TH -Olher PTY -Political Party SCC -Small Contribu!or Committee CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1-DEC. 31) 751.25 631. 25 751. 25 751.25 751. 25 PER ELECTION TO DATE (IF REQUIRED) Schedule A (Continuation Sheet) Monetary Contributions Received Statement coveis period from 10/01/2012 through 10/20/2012 SCHEDULE A CALIFORNIA 460 FORM Page 15 of 22 NAME OF FILER Palm Springs Police Officers Association Poli ti cal Action Committee I 0. NUMBER 951841 DATE RECEIVED FULL NAME, STREET ADDRESS A NO ZIP COOE OF OF CONTRIBUTOR OF COMMITTEE, ALSO ENTER 1.0. NUMBER) (INT-1) Lembit Kulbin 10/01/2012 THRU 10/20/2012 180 N Luring Dr. Palm Springe, CA 92262 Association intermediary listed below. ( INT-1) Barron Lane 10/01/2012 THRO 10/20/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-l} Erik Larson 10/01/2012 THRU 10/20/2012 180 N Luring Dr. Palm Sp:rings, CA 922 62 Association intermediary listed below. ( INT-1) Marcus Li tch 10/01/2012 THRU 10/20/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-1) i:thonda Long 10/01/2012 THRU 10/20/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. CONTRIBUTOR CODE IND IND IND IND IND IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Police Officer City of Palm Springs Police Officer City of Palm Springe Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs SUBTOTAL$ AMOUNT RECEIVED 31.25 PAYROLL DEDUCTIONS during period. 31.25 PAYROLL DEDUCTIONS during period. 31.25 PAYROLL DEDUCTIONS during period. 31. 25 PAYROLL DEDUCTIONS during period. 31.25 PAYROLL DEDUCTIONS during period. H Conlribulor Codes: IND • lndillidual COM • Recipient Committee (other than PTY or SCC) 0TH • Dther PTY • Pofnical Party sec . Small Contributor Committee CUMULATIVE TO DATE CALEf'IDAR YEAR (JAN. 1 • DEC. 31) 751.25 7 51. 25 751. 25 751.25 751. 25 PER ELECTION TO DATE (IF REQUIRED) Schedule A (Continuation Sheet) Monetary Contributions Received Statement covers period from 10/01/2012 through 10/20/2012 SCHEDULE A CALIFORNIA 460 FORM Page 16 of 22 NAME OF FILER Palm springs Police Officers Association Political Action Committee LO. NUMBER 951841 DATE RECEIVED (INT-1) 10/01/2012 THRU 10/20/2012 (INT-1) 10/01/2012 '1:!!RU 10/20/2012 (INT-1) 10/01/2012 THRO 10/20/2012 (INT-1) 10/01/2012 THRU 10/20/2012 (INT-1) 10/01/2012 THRO 10/20/2012 FULL NAME, STREET ADDRESS A ND ZIP CODE OF OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Kevin Lu 180 N Luring Dr 4 Palm Springs, CA 92262 Association intermediary listed below. John Mejia 1B0 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. Marc Melanson 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. Simon Min 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. Chad Nordman 180 N Luring Dr. Palm Springs, CA 92262 Association intennediary listed below. CONTRIBUTOR CODE IND IND IND IND IND IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palln Springs Police Officer City of Palm Springs SUBTOTAL$ AMOUNT RECEIVED 31.25 PAYRCLL DEDOCTIONS during period. 31.25 PAYROLL DEDUCTIONS during period. 31.25 PAYROLL DEDUCTIONS during period. 31.25 PAYROLL DEDUCTIONS during period. 31.25 PAYROLL DEDUCTIONS during period. -Conbibutor Codes: IND -lndiuidual COM -Recipient Committee (other 111'"1 PTY or SCC) 0TH -Olller PTY -Political Party sec • Small Conbibulor Committee CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 • DEC. 31) 751. 25 751.25 7 51. 25 751.25 751. 25 PER ELECTION TO DATE (IF REQUIRED) Schedule A (Continuation Sheet) Monetary Contributions Received Statefl1ent covers period from 10/01/2012 through 10/20/2012 SCHEDULE A CALIFORNIA 460 FORM Page 17 of 22 NAMEOFFILER Palm Springs Police Officers Association Political Action Committee l.D. NUMBER 951841 DATE RECEIVED FULL NAME, STREET ADDRESS A NO ZIP CODE OF OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) (INT-1) Anthony Pilutik 10/01/2012 THRU 10/20/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-1) Paola Ramoa 10/01/2012 THRO 10/20/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. ( INT-1} Ryan Raso 10/01/2012 THRU 10/20/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary li::ited below. {INT-1) Harvey Reed 10/01/2012 THRU 10/20/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-1) Richard Salomon 10/01/2012 THRO 10/20/2012 180 N Luring Dr, Palm Springs, CA 92262 Association intermediary listed below. CONTRIBUTOR CODE IND IND IND IND IND IF AN INDIVIDUAL, ENTER OCCUPATION ANO EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs SUBTOTAL$ AMOUNT RECEIVED 31.25 PAYROLL DEDUCTIONS during period, 31.25 PAYROLL DEDUCTIONS during period. 31. 25 PAYROLL DEDUCTIONS during period. 31.25 PAYROLL DEDUCTIONS during period. 31.25 PAYROLL DEDUCTIONS during period. -Contributa Codes: IND -Individual COM -Recipient Committee (other lhan PTY or SCC) 0TH • Olher PTY -Polilical Party SCC • Sm~ Contributor Committee CUMULATIVE TO DATE CALENDAR YEAR (JAN, 1-DEC. 31) 751.25 151. 25 231.25 751.25 751.25 PER ELECTION TO DATE (IF REQUIRED) Schedule A (Continuation Sheet) Monetary Contributions Received Statement covers period from 10/01/2012 through 10/20/2012 SCHEDULE A CALIFORNIA 460 FORM Page 18 of 22 NAMEOFFII.ER Palm Springs Police Officers Association Political Action Committee LO. NUMBER 951841 DATE RECEIVED FULL NAME, STREET ADDRESS A ND ZIP CODE OF OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER 1.D. NUMBER) {INT-1) Steve Sanders 10/01/2012 THRU 10/20/2012 180 N Luring Dr. Palm Spring:,, CA 92262 Association intermediary listed below. (INT-1) Sam Steepleton 10/01/2012 THRO 10/20/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-1) Kyle Stjerne 10/01/2012 THRU 10/20/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-1) Mike Studer 10/01/2012 THRO 10/20/2012 180 N Luring Or. Palm Springs, CA 92262 Association intennediary listed below. (INT-1) Gilbert Vega 10/01/2012 THRO 10/20/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. CONTRIBUTOR CODE IND IND IND IND IND IF AN INDIVIDUAL, ENTER OCCUPATIOl'I AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs SUBTOTALS AMOUNT RECEIVED 31.25 PAYROLL DEDUCTIONS during period. 31.25 PAYROLL DEDUCTIONS during period. 31.25 PAYROLL DEDUCTIONS during period. 31. 25 PAYROLL DEDUCTIONS during period. 31.25 PAYROLL DEDUCTIONS during period. M Contributor Codes: IND -Individual COM -Recipient Corrmlttee (other lhan PTY or SCC) 0TH -Other PTY -Political Party SCC • Small Contributor Committee CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) 7 51. 25 751.25 751. 25 751.25 751.25 PER ELECTION TO DATE (IF REQUIRED) Schedule A (Continuation Sheet) Monetary Contributions Received Statement covers period frOm 10/01/2012 through 10/20/2012 SCHEDULE A CALIFORNIA 460 FORM Page 19 of 22 NAME OF FILER Palm Springs Police Officers Association Political Action Committee I.D. NUMBER 951841 DATE RECENEO FULL NAME, STREET ADDRESS A ND ZIP CODE OF OF CONTRIBVTOR (IF COMMITTEE. ALSO ENTER 1.0. NUMB.ER) (INT-1) Hike Villegas 10/01/2012 THRU 10/20/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-1) Steve Williams 10/01/2012 THRU 10/20/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-1) Elizabeth Witten 10/01/2012 THRO 10/20/2012 180 N Luring Dr Palm Springs, CA 92262 Association intermediary listed below. (INT-1) Stephen Woodward 10/01/2012 THRO 10/20/2012 180 N Luring Dr, Palm Springs, CA 92262 Association intermediary listed below. (INT-1) Palm Springs Police Officers Association 180 N Luring Dr Palm Springs, CA 92262 CONTRIBlfTOR CODE IND IND IND IND 0TH IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED. ENTER NAME OF BUSINESS) Police Officer City of Palm Springs Police Officer City of Palm springs Police Officer City of Palm Springs Police Officer City of Palm Springs SUBTOTAL$ AMOUNT RECEIVED 31.25 PAYROLL DEDUCTIONS during period, 31.25 PAYROLL DEDUCTIONS during period, 31.25 PAYROLL DEDUCTIONS during period. 31. 25 PAYROLL DEDUCTIONS during period. Intermediary for PAYROLL DEDUCTIONS • contribulor Codes: IND -Individual COM· Recipient Committee (allier lllan PTY or SCC) 0TH • OIiier PTY • Political Pa-ty SCC • Small Conttlbu!or Committee CUMULATNE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) 751.25 751.25 151.25 711. 25 PER ELECTION TO DATE (IF REQUIRED) SCHEDULED Schedule D Statement covers period CALIFORNIA 460 FORM from 10/01/2012 Summary of Expenditures Supporting/Opposing Other Candidates, Measures and Committees through __ 10_1_2_0_;_2_01_2 __ Page 20 of 22 NAME OF FILER Palm Springs Police Officers Association Poli ti cal Action Cammi ttee DATE NAME OF CANDIDA TE, OFFICE, AND DISTRICT, OR MEASURE NUMBER OR LETTER AND JURISDICTION, OR COMMITTEE 10/19/2012 Death Penalty Repeal Statewide Proposition 34 D SUPPORT • OPPOSE Schedule D Summary TYPE OF PAYMENT D Independent Expenditure DESCRIPTION (IF REQUIRED) Contribution ma.de from general treasury funds of sponsor SUBTOTAL$ AMOUNT THIS PERIOD 2,500,00 2,500.00 1.0. NUMBER 951841 CUMULATIVE TO DATE CALENDAR YEAR (JAN 1 -DEC 31) 2,500.00 PER ELECTION TO DATE (IF REQUIRED) 1. Itemized contributions and independent expenditures made this period. ( Include all Schedule D subtotals. ) ............... . $ ___ 2_, s_o_o ___ o_o 2. Unitemized contributions and independent expenditures made this period of under $100. s _____ o_._o_o 3. Total contributions and indpendent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.) .. TOTAL $ ___ 2_,_s_oo_._o_o FPPC Form 46D(January /05-SI) Schedule E Payments Made NAME OF FILER Palm Springs Police Officers Association Political Action Committee CODES: If one of the following accurately describes the payment, you may enter the code. CMP campaign paraphernalia/misc. MBR member communications CNS campaign consultants MTG meetings and appearances CTB contribution (explain nonmonetary) OFC office expenses eve civic donations PET petition circulating FIL candidate filing / ballot fees PHO phOne banks FND fundraising expenses POL polling and survey research IND independent expenditures supporting/opposing others POS postage, delivery and messenger services LEG legal defense PRO poresslonal services (legal, accounting) LIT campaign literature and mailings PRT print ads SCHEDULE E Statement covers period from 10/01/2012 CALIFORNIA 460 FORM through 10/20/2012 Otherwise, describe the payment. Page 21 of 22 l.D. NUMBER 951841 RAD radio airtime and production costs RFD returned contributions SAL campaign workers' salaries TEL t.v. or cable 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 (lntemet,e-mail) NAME AND ADDRESS OF PAYEE CODE or DESCRIPTION OF PAYMENT AMOUNTPAID Californians for Justice and Public Safety No on Proposition 34 CTB Contribution made from general treasury funds of 2,500.00 sponsor 455 Capitol Mall Ste 600 Sacramento, CA 95814 ID No: 1346266 SUBTOTALS 2,500.00 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) .............................................. . s ___ 2_,_s_o_o_._o_o 2. Unitemized payments made this period of under $100 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ _____ o_._o_o 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e). ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . S _____ o_._0_0 4. Total payments made this period. (Add Line 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ........... TOTAL $ ___ 2_, s_o_o_. o_o FPPC Form 460(January /05-SI) Schedule F Statement covers period Accrued Expenses (Unpaid Bills) from 10/01/2012 through 10/20/2012 NAME OF FILER Palm Springs Police Officers Association Poli ti cal Action Committee SCHEDULE F CALIFORNIA 460 FORM Page 22 of 22 I.D NUMBER 951841 CODES: If one of the following accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia/misc. MBR member communications CNS campaign consultants MTG meetings and appearances CTB contribution (explain nonmonetary) OFC office expenses eve civic donations PET petition Circulating FIL candidate filing / ballot fees PHO phone banks FND fundraising expenses POL palling and survey research IND independent expenditures supporting/opposing others POS postage, delivery and messenger services LEG legal defense PRO poresslonal services Qegal, accounting) LIT campaign ltterature and mailings PRT print ads (a) NAME AND ADDRESS OF CREDITOR CODE OR OUTSTANDING DESCRIPTION OF PAYMENT BALANCE BEGINNING OF THIS PERIOD Wayne Ordos Attorney at Law PRO 0.00 1415 L St Ste 410 Sacramento, CA 95814 SUBTOTALS$ 0.00 $ Schedule F Summary 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for RAO radio airtime and production casts RFD returned contributions SAL campaign WOl'kers' salaries TEL t.v. or cable production casts TRC candidate travel, lodging and mears TRS staff/spouse travel, lodglng and meals TSF transfer between committees of the same candidate/sponsor VOT voter registration WEB information technology casts (lnternet,e-mall) (b) (c) (d) AMOUNT INCURRED AMOUNT PAID OUTSTANDING BALANCE AT CLOSE THIS PERIOD THIS PERIOD OF THIS PERIOD 750.00 o.oo 750,00 750.00 $ 0.00 $ 750.00 accrued expenses of $100 or more, plus total unitemized accrued expenses under $100.) ..................... INCURRED TOTALS -"$ _____ 75_o_._o_o 2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.) .............. PAID TOTALS $.._ _____ o_. 0_0 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and on the Summary Page, column A, Line 9.) ......................................................... . .......... NET $. ______ 7_5_0_._o_o FPPC Form 460(January /05-SI) Statement of Organization Recipient Committee Statement Type Q Initial Not yet qualified Q or Date qualified as committee 1. Committee Information COMMITTTEE/FILER'S NAME •Amendment List I.D . .-.umber # 951841 Date quellfled a$ committee ~&lnJuin -ANe 811'f.)f6 List I.D. number .1Ahf:::, fhui', RECEIVED AND FILED in the office of the Secretary !Jf s~ATEMENT OF ORGANIZAT_ION . ,. -. and Dellvorecl, Sacramento O bra Bowen, Secretary of Ste CAI.IF ORNJA 41 0 FOHM For Official Use Only 2. Treasurer and Other Principal Officers Palm Springs Police Officers Association Political Action NAME OF TREASURER Wayne Ordas • Committee STREET ADDRESS (NO PO BOX) 1415 L St Ste 410 Sacramento CITY Sacramento MAILING ADDRESS (IF DIFFERENT) OPTIONAL: FAX I E-MAIL ADDRESS STATE ZIP CODE AREA CODE/PHONE CA 95814 916/556-1776 STREET ADDRESS 1415 L St Ste 410 clw Sacramento NAME Of ASSISTANT TREASURER, If ANY STREET ADDRESS CITY STATE CA ZIP CODE AREA CODEIPI-IONE 95814 916/556-1776 STATE ZIP CODE AR£/\ CODE/PHONE 916 / 556-1233 ordoslaw@jps.net NAME AND POSITION OF OTHER PRINCIPAL Of'FICER(S), IF APPLICABLE William Hutchinson COUNTY OF DOMICILE Sacramento ~erlflcatlon COUNTY 'MJERE COMMITTEE IS ACTIVE IF DIFFERENT THAN COUNTY OF DOMICILE Riverside President, PSPOA STREET ADDRESS 180 N Luring Dr CITY Palm Springs STATE CA ZIP CODE AREA CODE/PHONE 92262 916/556-1776 I have used all reasonalbe diligence In preparing and reviewing this statement and to the best of my knowledge the information contained herein is true and complete. I certify under penally of perjury under the laws of the State of California that the foregoing is true and correct. Executed on I O / I ,/ I .:l.. By {A_)":?[µ._,., /2_ Ltn ---~~---z;---tt"-------,;;SIG°'N"'ATa;"U""REr,O"°F"TR;;;:EA,-;S"'U"'RE"'R"OR;;-A"'s""St"'st""ANT=r~"'EA"'s"'ua:;RE,:;Rc--------------- Executed on ________ _ Execuled on _______ _ Executed on _______ _ Sy ______ o,;;;....;;,=;;;-;:;=;;s;,==.=s;-;;;e=.-==,-;;;,==="""'=====~==~===------S1GNATURE OF CONTROUJNG OFFICEHOLDER, CANDIDA TE, STATE MEASURE PROPONENT OR RESPONSIBLE OFFICER OF SPONSOR Sy ___________ o§ilSJG1illNAritulilRE!l!?ioF"7c'1'ofill'ltfllR711ol11Uwfio"O"'FEliFIC""Eii'"O'"LD"'E"'R,7'C"'1AN"'Di""o""AT"'E, ... S"'TA"'TE'"'M"'EATIS"'URE,...,,P""ROPO"""'N'""E"'Nf.----------- By ___________ 7!Sr,;JGillNArfTOi1?Ril!Ei'\;QFelt'1':oofNfi'BR0,'1;L11Ll'"NG"O"'FF""ICE"""'Ho"'lbfiEE"'R,"Cc;;JAN'""D"'l!5"'AT"'E, ... 6T"'A"'TE"IJ""EA.,.,S"'UR""£""PRO"""'P0"'N""E""NT..---------- FPPC Form 4f0(Aprll/24111) FPPC Toll-Free Helpline: 866/ASK-FPPC (8681275-3772) Statement of Organization Recipient Committee COMMITTEE NAME PPllm Springs Police Officors Associ.ation Political Action Committee 4. Type of Committee STATE.ME.NT OF ORGANIZATION CALIFORNIA 410 FORM Page 2 1.D. NUMBER 951841 • List the name of each controlling officeholder, candidate or state measure proponent. If candidate or officeholder controlled, also list the elective office sought or • held, and district number, if any and the year of the election. • List the political party with wich each officeholder or candidate is affiliated or check "non-partisan". • If this committee acts jointly with another controlled committee, list the name and identification of the other controlled committee. NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT ELECTIVE OFFICE SOUGHT OR HELD (INCLUDE DISTRICT NUMBER IF APPLICABLE) • List the financial institution where the campaign bank account is located (controlled 'candidate election' committees only). NAME OF FINANCIAL INSTITUTION ADDRESS ["rnnanly f 0111wd Co111m1tto, • CANDIDATE(S) NAME OR MEASURE(S) FULL TITLE (INCLUDE BALLOT NO. OR LETTER) AREA CODE/PHONE NO. BANK ACCOUNT NUMBER CITY STATE CANDIDATE($) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION (INCLUDE OISTRICT NO. CITY OR COUNTY, AS APPLICABLE) PARTY I O , .. ,., ... " Q Non-Partisan ZIP CODE CHECK ONE FPPC Form 410(Aprll/2O11) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) Statement of Organization Recipient Committee COMMITTEE NAME Palm Springs Police Officers Associab on Poli ti cal Action Commi tte8 4. Type of Committee (Continued) (,<''1('1'11 Purpos<' Co1rl'111llr•c-Not formed to support or oppose specific candidates or measures in a single election. • CITY Committee Q COUNTY Committee Q STATE Committee • PROVIDE BRll':.F DESCRIPTION OF ACTNITY Support and oppose candidates and issues Sponsrnrcl Crnn1111ttt'<' NAME OF SPONSOR .INDUSTRY GROUP OR AFFILIATION OF SPONSOR Palm Springs Police Officers Association Law Enforcement Labor Organization ADDRESS CITY 180 N Luring Dr Palm Springs Sm,111 Co11t11bt1tfll Co111P11tt<'C 0 Date this committee qualified as a small contributor committea Dale qualified STATE CA STATEMENT OF ORGANIZATION CALIFORNIA 41 0 FORM Page 3 1.0. NUMBER 951841 ZIP CODE 92262 • 5. Termination Requirements By •lgining the verification. the trea•urer, assistant treasurer and/or candidate, officholder, or proponent certify that all of the following conditions have been met • This committee has ceased to receive contributions and make expenditures; • This committee does not anticipate receiving contributions or making expenditures In the future; • This committee has eliminated or has no intention or ability to discharge all debts, loans recieved, and other obligations; • This committee has no surplus funds; and • This committee has filed all campaign statements required by the Political Reform Act disclosing all reportable transactions. --There are restrictions on the disposal of surplus campaign funds held by elected officers who are leaving office and by defeated candidates. Refer to Government Code Section 89519. --Leftover funds of ballot measure committees may be used for political, legislative or governmental purposes under Government Code Sections 89511 -. 89518. and are subject to Electins Code Secion 18680 and FPPC Regulation 18521.5. FPPC Form 410(April/2011} FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275--3772) Recipient Committee Campaign Statement Cover Page 1. Type of Recipient Committee Sbltement covers period from 07/01/2012 through 09/30/2012 D Officeholder, candidate Controlled Committee O O Slate Candidate Election Committee Primarily Formed Ballot Measure Committee O Recall • General Purpose Committee e Sponsored O Small Contributor Committee O Polftlcal Party/Central Committee 3. Committee Information COMMITTTEE NAME Q Controlled O Sponsored 0 Primarily Formed Candidate/ Officeholder Committee I.D. Number 951841 Palm Springs Police Officers Association Political Action Committee STREET ADDRESS (NO PO BOX) 1415 L St Ste 410 Sacramento CITY Sacramento MAILING ADDRESS (IF DIFFERENT) CITY OPTIONAL: FAX I E-MAIL ADDRESS STATE ZIP CODE AREA CODE/PHONE CA 95814 916/556-1776 STATE ZIP CODE (916) 556-1233 / ordoslaw@jps.net 4. Verification Date of Election If applicable 11/06/2012 (Month, Day, Year) .J/-.h[S liiJ,-11 .. :-~. 1 CITY CLEl:U< For Official Use Only 2. Type of Statement • Pre-election Statement • Semi-Annual Statement • Temiination Statement 0 Amendment Treasurer(s) NAME OF TREASURER Wayne Ordos STREET ADDRESS 1415 L St Ste 410 cnV Sacramento NAME OF ASSISTANT TREASURER, IF ANY STREET ADDRESS CITY OPTIONAL: FAX I E-MAIL ADDRESS O Quarterly Statement • Special Odd-Year Statement D Supplemental Pre-election Statement -Attach Form 495 STAfE ZIP CODE AREA CODE/PHONE CA 95814 916/556-1776 STATE ZIP CODE AREA CODE/PHONE (916 )556-1233 / ordos1aw@jps.net 1 have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein is true and complete. 1 certify under penalty ofperjuzy under the laws of the State ofCalifo~ that the foregoing is true and correct. Executed on / 0 / 5' / / 1 By {<_)~~ ~__.d-,-q r F . -S1GNATUREOFTREASURERORASSISTAN'fTREAs•RER Executed on ________ _ Executed on ________ _ Executed on ________ _ By ___ "'siG'"N"'ATU.,.""RE'"'D""F"'CON"""TRD"""Ll"'ING,,,..,.O"'FF"'IC'"'EH"'O"'LDE ...... R,""CAN"""'lll"'"OA"T""E,.,,ST"'ATE.,,..M.,..EAS"""URE""""PRO"""PO"'N""E'"NT..,O"'R"RE"'S!'ON°"""""Sl"'BlE....,.,oF"'Fic"'E"'R"'O"'"FS=PO=N=s=o~R- By ________ ~s"'IGmNA~m"'R~E~O~F co=N~tRO=WmNG=o~FF~IC~E~HO~lD~E~R~, C~A~NDl~D~A~tE,=s1~AT=E~M~EAS-umRE"PR-oPO=NE~N~T------ By _______ ---ss"'iGN"'~"'TU"'R""E""OF'"'CO"""NT'"RO"°Lrn•rrnNG"'D"'F""F1c"'E'l"!Hotb"""E""RM, cA""N"'b"'IOA'""T"'E,-,S"'fA"'T,...E MmEA-.S,..U""RE"'P""RO"'PO"""NE"'N"'T _____ _ FPPC Fomi 460 • January/OS State of Calffornia/51 Recipient Committee Campaign Statement Cover Page -Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ( INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) RESIDENTIAL/BUSINESS ADDRESS ( NO. AND STREET) CITY STATE ZIP Related Commtttees Not Included in this Statement: Ust any committees not included in this statement tflat are controlled by you or are primarily formed to receive contributions or make eKpenditures on tJahalf of your candidacy. COMMITTEE NAME I.D.NUMBER NAME OF TREASURER CONTROLLED COMMITTEE ? DvEs •No COMMITTEE STREET ADDRESS { NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I.D.NUMBER NAME-OF-TREA.,."'su,.,R=E=Rc------------+c'"'o'"'N"'T"'R""D.,..LLE=oc-c·'"'occMcc~ccm=T=E=Ecc?c--• vEs •No COMMITTEE STREET ADDRESS ( NO P.O. BOX) CITY STATE ZIP COD!ii AREACOD!ii/PHONE COVER PAGE • PART 2 Statement COV8IS period from 07/01/2012 through 09/30/2012 6. Primarily Formed B11llot M8118ure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION CALIFORNIA 460 FORM Page 2 of 22 • SUPPORT • OPPOSE Identify the controlling officeholder, candidate, or state measure proponen~ if any. NAME OF OFFICEHOLDER OR CANDIDATE OR PROPONENT OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY ----1-------------------------- 7. Primarily Formed Candidate/Officeholder Committee Ust names of offlceholder(s)orcandidate(s) for which this committee is primariOy formed. NAME OF OFFICEHOLDER OR CANDIDATE NAME OF OFFICEHOLDER OR CANDIDATE NAME OF OFFICEHOLDER OR CANDIDATE NAME OF OFFICEHOLDER OR CAND!DA TE OFFICE SOUGHT OR HELD • SUPPORT • OPPOSE ------·---------··--- OFFICE SOUGHT OR HELD • SUPPORT • OPPOSE OFFICE SOUGHT OR HELO • SUPPORT • OPPOSE OFFICE SOUGHT OR HELO • SUPPORT • OPPOSE -- FPPC Form 460 • January/05 State of Galffomla/SI SUMMARY PAGE Campaign Disclosure Statement Summary Page S-ment covens period from 07/01/2012 through NAME OF FILER Palm Springs Police Officers Association Poli ti cal Action Committee Contributions Received Column A l"f'.\lalllHl:,i:>~fll~ [l'"ROOP.TTA.(:tf.::lOCHF.n;JLF.Sl 1. Monetary Contributions ..................... schedule A, Line 3 $ ___ 1_e_, _92_0_._o_o 2. Loans Received . . . . . . . . . . . . . . . . . . . . . . . . . . Schedule B, Lfne 3 O -O O Column& CALENOM'tEAR TOTAL TO DATE $ ___ s_6_, _4_4o_._o_o 0.00 3. SUBTOTALCASHCONTRIBUTIONS .......... Addllnes1+2 $ 18,920.00 $ ___ 5_6_,_4_40_._o_o 09/30/2012 Page 3 of 22 I.D. NUMBER 951841 Calendar Year Summary for Candidates Running In Both the State Primary and General Elections. 111 lhrough 6130 7/1 to Date 20. Contributions Received $ ____ _ $. ____ _ 4. Nonmonetary Contributions . . . . . . ........... Schedule c, Line 3 O. O O O • 0 0 21. Expenditures --------------Made $ ____ _ $ ____ _ 5. TOTALCONTRIBUTIONSRECEIVED .......... AddLines3+4 $ 18,920.00 $ 56,440.00 Expenditures Made 6. Payments Made . . .. . .. .. . . . . . .. .. . .. .. .. Schedule E. LIila 4 $ 2,soo.00 $ ___ 4_0_,_02_0_._o_o 7. Loans Made ............................. $chedule H, Line 3 0.00 0.00 8. SUBTOTAL CASH PAYMENTS ............... AddUnes6+ 7 $ 2,soo.00 $ ___ 4_0~,0_2_0_._o_o 9. Accrued Expenses (Unpaid Bills) ............. Schedule F. una 3 0.00 0.00 10. Nonmonetary Adjustment . . . . . . . . . . . . . . . . . . scnec1ule c, Line 3 0.00 0.00 11. TOTAL EXPENDITURES MADE ........... AddUnesB+ 9+ 10 $ 2,500.00 $ 40,020.00 Current Cash Statement 12. Beginning Cash Balance ........... Previous summa,y Pago, Line 18 $ ___ 3_4 ':._6_0_7_._0_8 13. Cash Receipts ......................... Column A, une3above 18,920.00 14. Miscellaneous Increases to Cash . . . . . . . . . . . . Schsciul• 1, une 4 l. O 3 15. Cash Payments ....................... Column A, Un• a above 2,500.00 16. ENDING CASH BALANCE. Add Lines 12 + 13 + 14, than s"btractUno 1s $ 51,028.11 17. LOAN GUARANTEES RECEIVED ............ scneduleB, Part2 $ 0.00 Cash Equivalents and Outstanding Debts 18. Cash Equivalents... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ _____ o_._o_o 19. Outstanding Debts ... , ........ Add u11as 2 + Line 9 In Column B above $ _____ o_._o_o Expenditure Limit Summary for State Candidates 22. Cumulative Expend~ures Made• ( If Subject to Voluntary Expenditure Limits) $ ____ _ $ ____ _ • Amounts In this Section may be different from amounts reported In Column B. FPPC Form 460 . January/OS State of CalWomla/SI Schedule A ~ment covers period Monetary Contributions Received from 07/01/2012 through 09/30/2012 NAME OF FILER Palm Springs Police Officers Association Political Action Committee IF AN INDIVIDUAi., ENTER OCCUPATION AND EMPLOYER DATE RECEIVED FULL NAME, STREET ADDRESS A ND ZIP CODE OF OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER l.D. NUMBER) CONTRIBUTOR CODE (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (INT-1 Paul Abshire 07/01/2012 THRU 180 N Luring Dr. 09/30/2012 Palm Springs, CA 92262 Association intermediary listed below. (INT-1 Tarina Adams 07/01/2012 THRU 180 N Luring Dr. 09/30/2012 Palm Springs, CA 92262 Association intermediary listed below. (INT-1 Joel Aguillera 07/01/2012 THRU 180 N Luring Dr. 09/30/2012 Palm Springs, CA 92262 Association intermediary listed below. (INT-1 Bryan Anderson 07/01/2012 THRU 180 N Luring Dr. 09/30/2012 Palm Springs, CA 92262 (INT-1 07/01/2012 THRO 09/30/2012 Association intermediary listed below. Nick ~ndre 180 N Luring Dr. Palm Springs 1 CA 92262 Association intermediary listed below. Schedule A Summary 1. Amount received this period -itemized contributions IND Police Officer City of Palm Springs IND Police Officer City of Palm Springs IND Police Officer City of Palm Springs IND Police Officer City of Palm Springs IND Police Officer City of Palm Springs SUBTOTAL$ (Includes all Schedule A subtotals ) ............................................... . $ $ 2. Amount received this period -unitemized ........................................... . 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page. Column A Line 1) .......... . TOTAL$ AMOUNT RECEIVED 240. 00 PAYROLL DEDUCTIONS during period. 240.00 PAYROLL DEDUCTIONS during period, 240.00 PAYROLL DEDUCTIONS during period. 240.00 PAYROLL DEDUCTIONS during period. 240.00 PAYROLL DEDUCTIONS during period. 18,800.00 120.00 18,920.00 SCHEDULE A CALIFORNIA 460 FORM Page 4 of 22 I.D. NUMBER 951841 UMULATIVE TO DATE CALENDAR YEAR (JAN. 1 • DEC. 31) 720.00 720. 00 720.00 720.00 720.00 "ConlJil>ulor Codes IND-lndiV!dual PER ELECTION TO DATE (IF REQUIRED) COM -Reci>Jont Conm111ee (other than PTY or SCC) OTH-Other PlY -Political Party SCC -Small Contributor Committee FPPC Form 460(Jan/05) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule A (Continuation Sheet) Monetary Contributions Received Statement covers period from 07/01/2012 through __ 0_9_/_3_0 ;_2_0_1_2 __ SCHEDULE A CALIFORNIA 460 FORM Page 5 of 22 NAME OF FILER Palm Springs Police Officers Association Political Action Committee I.D. NUMBER 951841 DATE RECEIVED FULL NAME, STREET ADDRESS A ND ZIP CODE OF OF CONlRIBUTO!i (IF COMMITTEE, ALSO ENTER I.D. NUMBER) (INT-1) Gus Araiza 07/01/2012 THRU 09/30/2012 180 N Luring Dr. Palm Springs, CA 92262 A::1sociation intermediary listed below. (INT-1} Mike Barredo 07/01/2012 THRU 09/30/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-1) Nick Barth 07/01/2012 THRU 09/30/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-1) Matt Beard 07/01/2012 THRU 09/30/2012 180 N Luring Dr, Palm. Springs, CA 92262 Association intermediary listed below. (INT-1) Tom Beckert 07/01/2012 THRO 09/30/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. CONTRIBUTOR CODE IND IND IND IND IND IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME Of BUSINESS) Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs SUBTOTAL$ AMOUNT RECEIVED 240.00 PAYROLL DEDUCTIONS during period. 240, 00 PAYROLL DEDUCTIONS during period. 240.00 PAYROLL DEDUCTION·s during period. 240.00 PAYROLL DEOUCT!ONS during period 4 240. 00 PAYROLL Dli'DUCTIONS during period. H Con1ributor Codes: IND -Individual COM -Recipient Committae (other than PTY or SCC) 0TH • O!her PTY • Political Party SCC -SmaU Contributor Committee CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 • DEC. 31) 720.00 720. 00 720.00 720. 00 720.00 PER ELECTION TO DATE (IF REQUIRED) Schedule A (Continuation Sheet) Monetary Contributions Received Statement covers period from 07/01/2012 through 09/30/2012 SCHEDULE A CALIFORNIA 460 FORM Page 6 of 22 NAME OF FILER Palm Springs Police Officers Association Political Action committee I.D. NUMBER 951841 DATE RECEIVED FULL NAME, STREET ADDRESS A ND ZIP CODE OF OF CONTRIBUTOR OF COMMITTEE. ALSO ENTER LD. NUMBER) (INT-1) Donald Benstead Jr. 07/01/2012 THRU 09/30/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-1) Christopher Bergman 07/01/2012 THRU 09/30/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below, (INT-1) Jackie Bridgewater 07/01/2012 THRU 09/30/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-1) Frank Browning 07/01/2012 THRU 09/30/2012 180 N Luring Dr, Palm Springs, CA 92262 Association intermediary listed below. (INT-1) Gerald Bucklin 07/01/2012 THRU 09/30/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. CONTRIBUTOR CODE IND IND IND IND IND IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs SUBTOTAL$ AMOUNT RECEIVED 240.00 PAYROLL DEDUCTIONS during period. 240.00 PAYROLL DEDUCTIONS during period. 240. 00 PAYROLL DEDUCTIONS during period. 240. 00 PAYROLL DEDUCTIONS during period. 240, 00 PAYROLL DEDUCTIONS during period. "Contributor Code&: IND -Individual COM • Recipient Committee (other than PTY or SCC) 0TH • Other PTY • Pditical Party SCC • Small Conbibutor Cormnittee CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) 720,00 720, 00 720. 00 720.00 720 .00 PER ELECTION TO DATE (IF REQUIRED) Schedule A (Continuation Sheet) Monetary Contributions Received Statsment covers period from 07/01/2012 through 09/30/2012 SCHEDULE A CALIFORNIA 460 FORM Page 7 of 22 NAME OF FILER Palm Springs Police Officers Association Poli ti cal Action Committee I.D NUMBER 951841 DATE RECEIVED (INT-11 07/01/2012 THRU 09/30/2012 (INT-1) 07/01/2012 THRO 09/30/2012 (INT-1) 07/01/2012 THRU 09/30/2012 (INT-1) 07/01/2012 THRO 09/30/2012 (INT-11 07/01/2012 THRO 09/30/2012 FULL NAME, STREET ADDRESS A NO ZIP CODE OF OF CONTRIBUTOR (IF COMMITTEE. ALSO ENTER I.D. NUMBER) Jon Cabrera 180 N Luring Dr. Palm Springs, CA 92262 Association intennediary listed below. Stefanie Campbell 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. Albert Cantu 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. Cary Carril.lo 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. Nancy Carr 180 N Luring Dr. Falm Springs, CA 92262 Association inte:rmediary listed below. CONTRIBUTOR CODE IND IND IND IND IND IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER {IF SELF-EMPLOYED, ENTER NAME OF BUSINESSJ Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs SUBTOTALS AMOUNT RECEIVED 240-00 PAYROLL DEDUCTIONS during period. 240.00 PAYROLL DEDUCTIONS during period. 240.00 PAYROLL DEDUCTIONS during period, 240-00 PAYROLL DEDUCTIONS during period. 240. 00 PAYROLL DEDUCTIONS during period. -Contribut« Codes: IND -Individual COM -Recipient Committee (o1her than PTY « SCC) 0TH -Other PTY -Political Party SCC -SmaU Contributor Committee CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1-DEC. 31) 720.00 720.00 720.00 720.00 720. 00 PER ELECTION TO DATE (IF REQUIRED) Schedule A (Continuation Sheet) Monetary Contributions Received Statement covers period from 0710112012 through 09/30/2012 SCHEDULE A CALIFORNIA 460 FORM Page 8 of 22 NAME OF FILER Palm Springs Police Officers Association Poli ti cal Action Committee I.D. NUMBER 951841 DATE RECEIVED FULL NAME, STREET AOORESS A NO ZIP CODE OF OF CONTRIBUTOR OF COMMITTEE, ALSO ENTER I.D. NUMBER) (INT-1) Mike Casavan 07/01/2012 THRU 09/30/2012 180 N Luring Dr. Palm Springs, CA 92262 Association ~ntermediary listed below. (INT-1) Troy Castillo 07/01/2012 THRU 09/30/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-1) Merritt Chassie 07/01/2012 THRU 09/30/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-1) Luciano Colantuano 07/01/2012 THRO 09/30/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediarlf listed below. (INT-1) Brent Coon 07/01/2012 THRU 09/30/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. CONTRIBUTOR CODE IND IND IND IND IND IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER {IF SELF-EMPLOYED, ENTER NAM~ OF BUSINESS) Police Officer City of Palm Springs Police Officer City of Palm springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs SUBTOTAL$ AMOUNT RECEIVED 240.00 PAYROLL DEDUCTIONS during period. 240.00 PAYROLL DEDUCTIONS during period. 240. 00 PAYROLL DEDUCTIONS during period. 240.00 PAYROLL DEDUCTIONS during period. 240. 00 PAYROLL DEDUCTIONS during period. M Conlributc:r Codes: IND • Individual COM • Recipient CD11111ittee (other than PTY or SCC) 0TH • Other PTY • Political Party sec · Small Contributor Committee CUMULATIVE TO DATE CAL EN DAR YEAR (JAN. 1 • DEC. 31) 720.00 720.00 720.00 720, 00 720.00 PER ELECTION TO DATE (IF REQUIRED) Schedule A (Continuation Sheet) Monetary Contributions Received Statement covers period from 07/01/2012 through C9/30/2012 SCHEDULE A CALIFORNIA 460 FORM Page 9 of 22 NAME OF FILER Palm Springs Police Officers Association Political Action Committee l:O. NUMBER 951841 DATE RECEIVED (INT-1) 07/01/2012 THRO 09/30/2012 (INT-1) 07/01/2012 THRO 09/30/2012 (INT-1) 07/01/2012 THRO 09/30/2012 {INT-11 07/01/2012 THRO 09/30/2012 {INT-1) 07/01/2012 THRO 09/30/2012 FULL NAME, STREET ADDRESS A ND ZIP CODE OF OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) David Costello 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. Matt Crampton 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. Josh Crocker 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. Michael Delaney 180 N Luring Dr. E'alm Springs, CA 92262 Association intermediary listed below. Melissa Desmarais 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. CONTRIBUTOR ODDE IND IND IND IND IND IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME DF BUSINESS) Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs SUBTOTAL$ AMOUNT RECEIVED 240.00 PAYROLL DEDUCTIONS during period. 240.00 PAYROLL DEDUCTIONS during period. 240,00 PAYROLL DEDUCTIONS during period. 240.00 PAYROLL DEDUCTIONS during period. 240.00 PAYROLL DEDUCTIONS during period. M Contributor Codes: IND -Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other PTY -Political Party SCC -Small Conbibutor Committee CUMULATNE TO DATE CALENDAR VEAR (JAN. 1 -DEC. 31) 720.00 720.00 720.00 720. 00 720.00 PER ELECTION TO DATE (IF REQUIRED) Schedule A (Continuation Sheet) Monetary Contributions Received Statement covers period from 07/01/2012 through 09/30/2012 SCHEDULE A CALIFORNIA 460 FORM Page 10 of 22 NAME OF FILER Palm Springs Police Officers Association Political Action Committee 1.0. NUMBER 951841 DATE RECEIVED (INT-1) 07/01/2012 THRU 09/30/2012 (INT-1) 07/01/2012 THRO 09/30/2012 (INT-1) 07/01/2012 THRO 09/30/2012 (INT-1) 07/01/2012 THRO 09/30/2012 IINT-1) 01/01/2012 THRO 09/30/2012 FULL NAME, STREET ADDRESS A NO ZIP CODE OF OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) Alan Donovan 180 N Luring Dr~ Palm Springs, CA 92262 Association intermediary listed below. Michael Donovan 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below~ Donald Dougherty 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. Lauren Drinkwater 180 N Luring Dr .. Palm Springs, CA 92262 ~ssociation intermediary listed below. Christopher Duthaler 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. CONTRIBUTOR CODE IND IND IND IND IND IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Police Officer City of Palm Springs Police Officer City of Palm Springe Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs SUBTOTAL$ AMOUNT RECEIVED 240.00 PAYROLL DEDUCTIONS during period. 240.00 PAYROLL DEDUCTIONS during period. 240. 00 PAYROLL DEDUCTIONS during period. 240.00 PAYROLL DEDUCTIONS during period. 240.00 PAYROLL DEDUCTIONS during period. ti Conbibuklr Codes: IND -Individual COM· Recipienl Committee (other than PTY or SCC) 0TH -Other PlY -Political Party SCC -Small Contributor Committee CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 • DEC. 31) 720.00 720. 00 720. 00 120.00 720.00 PER ELECTION TO DATE (IF REQUIRED) Schedule A (Continuation Sheet) Monetary Contributions Received Statement covers period from 07/01/2012 through 09/30/2012 SCHEDULE A CALIFORNIA 460 FORM Page 11 of 22 NAME OF FILER Palm Springs Police Officers Association Political Action Committee I.D. NUMBER 951841 DATE RECEIVED FULL NAME, STREET ADDRESS A ND z;p CODE OF OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER 1.0. NUMBER:) (INT-1) Arthur Enderle 07 /Ol/2012 THRO 09/30/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. ( INT-1) Byron Farley 07 /Ol/2012 THRU 09/30/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-1) Gil E'ernandez 07/01/2012 THRO 09/30/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-1) Rae Fernandez 07/01/2012 THRU 09/30/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-l) Kelly Fieux 07/01/2012 THRU 09/30/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. CONTRIBUTOR CODE IND IND IND IND IND IF AN INDMDUAL, ENTER OCCUPATION AND EMPLOYER ~F SELF-EMPLOYED, ENTER NAME OF BUSINESS) Police Officer City of Palm Springs Police Of.ficer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs SUBTOTAL$ AMOUNT RECEIVED 240. 00 PAYROLL DEDUCTIONS during period. 240, 00 PAYROLL DEDUCTIONS during period. 240.00 PAYROLL DEDUCTIONS during period, 240.00 PAYROLL DEDUCTIONS during period. 240.00 PAYROLL DEDUCTIONS during period. ti Contributa-Codes: IND -Individual COM • Recipient Committee (ollle1 lllan PTY a-SCC) 0TH • Other PTY • Polillcal Party SCC • SmaU Contributor Coolmitlee CUMULATNE TO DATE CALENDAR YEAR (JAN. 1. DEC. 31) 720. 00 720.00 720.00 720.00 720.00 PER ELECTION TO DATE (IF REQUIRED) Schedule A (Continuation Sheet) Monetary Contributions Received StatelllGflt covers period from 07/01/2012 through 09/30/2012 SCHEDULE A CALIFORNIA 460 FORM Page 12 of 22 NAME OF FILER Palm Springs Police Officers Association Political Action Committee 1.D. NUMBER 951841 DATE RECEIVED FULL NAME. STREET ADDRESS A ND ZJP CODE OF OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER l.t>. NUMBER) ( INT-1) Shawn Flinn 07 /Ol/2012 THRO 09/30/2012 180 N Luring Dr. Fal~ Springs, CA 92262 Association intermediary listed below. {INT-1) Arnold Galvan 07/01/2012 THRO 09/30/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-1) Steve Grissom 07/01/2012 TRRU 09/30/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-1) Frank Guarino 07/01/2012 THRO 09/30/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-1) Issac Hackbarth 07/01/2012 THRO 09/30/2012 180 N Luring Dr. Palm Springs .. CA 92262 Association intermediary listed below. CONTRIBUTOR CODE IND IND IND IND IND IF AN INDIVIDUAL. ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Folice Officer City of Palm Springs Police Officer City of Palm Springs SUBTOTAL$ AMOUNT RECEIVED 240.00 FAYROLL DEDUCTIONS during period. 240.00 FAYROLL DEDUCTIONS during period. 240.00 PAYROLL DEDUCTIONS during period. 240.00 FAYROLL DEDUCTIONS during period. 240.00 PAYROLL DEDUCTIONS during period. ~ Contnbut<lf Codes: IND -lndivldual CDM -Recipient Committee (olher lllan PTY or SCC) 0TH -Other PTY • Polltical Party SCC • Smal Contributor Committee CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1. DEC. 31) 720.00 720.00 720. 00 720.00 720.00 PER ELECTION TO DATE (IF REQUIRED) Schedule A (Continuation Sheet) Monetary Contributions Received Statement covers period from 07/01/2012 throuilh 09/30/2012 SCHEDULE A CALIFORNIA 460 FORM Page 13 of 22 NAME OF FILER Palm Springs Police Office,:-s Association Poli ti cal Action Committee I.D. NUMBER 951841 DATE RECEIVED (INT-1) 07/01/2012 THRO 09/30/2012 I INT-1) 07/01/2012 THRU 09/30/2012 (INT-1) 07/01/2012 THRU 09/30/2012 (INT-1) 01/01/2012 THRU 09/30/2012 (INT-1) 07/01/2012 THRO 09/30/2012 FULL NAME. STREET ADDRESS A ND ZIP CODE OF OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) Anthony Harrison 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. Mike Heron 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. William Hutchinson 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. Mike Iseminger 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. Chris Jaeger 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. CONTRIBUTOR CODE IND IND IND IND IND IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF 8USINESS) Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs SUBTOTAL$ AMOUNT RECEIVED 240.00 PAYROLL DEDUCTIONS during period. 240. 00 PAYROLL DEDUCTIONS during period. 240. 00 PAYROLL DEDUCTIONS during period. 240. 00 PAYROLL DEDUCTIONS during period. 240. 00 PAYROLL DEDUCTIONS during period. "Conbibutor Codes: IND -lndi,Adual COM-Recipient Committee (other lhan PlY or SCC) 0TH • Other PTY -Political Party SCC • Smal Contributor Committee CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1-DEC. 31) 720. 00 720.00 720.00 720.00 120.00 PER ELECTION TO DATE (IF REQUIRED) Schedule A (Continuation Sheet) Monetary Contributions Received Statement covers period from 07/01/2012 through 09/30/2012 SCHEDULE A CALIFORNIA 460 FORM Page 14 of 22 NAMEOFFILER Palm Springs Police Officers Association Political Action Committee ID. NUMBER 951841 DATE RECEIVED (INT-1) 07/01/2012 THRU 09/30/2012 (INT-1) 07/01/2012 THRU 09/30/2012 (INT-1) 07/01/2012 THRU 09/30/2012 IINT-1) 07/01/2012 THRU 09/30/2012 (INT-1) 07/01/2012 THRU 09/30/2012 FULL NAME, STREET ADDRESS AN:> ZIP CODE OF OF CONTRIBUTOR {IF COMMITTEE, ALSO ENTER 1.D. NUMBER) Juan Jimenez 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary li::ited below. Ronnie Jones 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. Denise Judd 180 N Luring Dr~ Palm Springs, CA 92262 Association intermediary listed below. Jennifer Kennedy 180 N Luring Or. Palm Springs, CA 92262 Association intermediary listed below. Mike Kovaleff 180 N Luring Dr. Falm Springs, CA 92262 Association intermediary listed below 4 CONTRIBUTOR COOE IND IND IND IND IND IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs SUBTOTAL$ AMOUNT RECENEO 240. 00 PAYROLL DEDUCTIONS during period. 240.00 PAYROLL DEDUCTIONS during period. 240. 00 PAYROLL DEDUCTIONS during period. 240, 00 PAYROLL DEDUCTIONS during period. 240. 00 PAYROLL DEDUCTIONS during period. M Contributor Codes: IND -Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other PTY -Political Party sec -Small Contribulor Committee CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) 720.00 600. 00 720.00 720.00 720,00 PER ELECTION TO DATE (IF REQUIRED) Schedule A (Continuation Sheet) Monetary Contributions Received Statement covers period kom 07/01/2012 tt,rough 09/30/2012 SCHEDULE A CALIFORNIA 460 FORM Page 15 of 22 NAMEOFFILER Palm Springs !?olice Officers Association l?olitical Action Committee I.D. NUMBER 951841 DATE RECEIVED FULL NAME, STREET ADDRESS A ND ZIP CODE OF OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) {INT-1) Lembit Kulbin 01/01/2012 THRU 09/30/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below, (INT-1) Barron Lane 01/01/2012 THRU 09/30/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-1) Erik Larson 07/01/2012 THRU 09/30/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. ( INT-1) Marcus Li tch 07/01/2012 THRU 09/30/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. ( INT-1) Rhonda Long 07/01/2012 THRU 09/30/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. CONTRIBUTOR CODE IND IND IND IND IND IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Police Officer City of Pal~ Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs SUBTOTAL$ AMOUNT RECEIVED 240. 00 PAYROLL DEDUCTIONS during period. 240.00 PAYROLL DEDUCTIONS during period. 240. 00 PAYROLL DEDUCTIONS during period. 240. 00 PAYROLL DEDUCTIONS during period. 240.00 PAYROLL DEDUCTIONS during period. a Contributer Codes: IND -lndviciJel COM-Recipient Committee (otherlh111 PTY crSCC) 0TH •Other PTY • Polffical Party SCC-Smal Contributor Committee CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) 720. 00 720.00 720.00 720.00 720.00 PER ELECTION TO DATE (IF REQUIRED) Schedule A (Continuation Sheet) Monetary Contributions Received Statement covers period from 07/01/2012 through 09/30/2012 SCHEDULE A CALIFORNIA 460 FORM Page 16 of 22 NAME OF FILER Palm Springs Police Officers Association Poli ti cal Action Committee 1.D. NUMBER 951841 DATE RECEIVED FULL NAME, STREET ADOOESS A ND ZIP CODE OF OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) r INT-1 l Kevin Lu 07/01/2012 THRO 09/30/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-1) John Mejia 07/01/2012 THRO 09/30/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-1) Marc Melanson 07/01/2012 THRO 09/30/2012 180 N Luring Dr. Palm Springs, CA 922 62 Association intermediary listed below. ( INT-1) Simon Min 07/01/2012 THRU 09/30/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. ( INT-1) Chad Nordman 07/01/2012 THRO 09/30/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. CONTRIBUTOR CODE IND IND IND IND IND IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs SUBTOTAL$ AMOUNT RECEIVED 240.00 PAYROLL DEDUCTIONS during period. 240, 00 PAYROLL DEDUCTIONS during period. 240.00 PAYROLL DEDUCTIONS during period. 240. 00 PAYROLL DEDUCTIONS during period. 240. 00 PAYROLL DEDUCTIONS during period. h Conlnbutor Codes: IND -lndiloidual COM -Recipient Committee (other lhan PTY or SCC) 0TH • Other PTY • Pollllcal Party SCC -SmaU Conbiburor Committee CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 • DEC. 31) 720.00 720.00 720,00 720.00 720,00 PER ELECTION TO DATE (IF REQUIRED) SCHEDULE A Schedule A (Continuation Sheet) Monetary Contributions Received S-ment coven, period from 07/0112012 through 09/30/2012 CALIFORNIA 460 FORM Page 17 of 22 NAME OF FILER Palm Springs Police Officers Association Political Action Committee I.D. NUMBER 951841 DATE RECEIVED FULL NAME, STREET ADDRESS A NO ZIP CODE OF OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) ( INT-1) Anthony P il utik 07/01/2012 THRU 09/30/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. ( INT-1) Paola Ramos 07/01/2012 THRO 09/30/2012 180 N Luring or, Palm Springs, CA 92262 Association intermediary listed below. ( INT-1) Ryan Raso 07/01/2012 THRO 09/30/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. {INT-1) Harvey Reed 07/01/2012 THRO 09/30/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-1) Richard Salomon 07/01/2012 THRO 09/30/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. CONTRIBUTOR CODE IND IND IND IND IND IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Police Officer City of Palm Springs Police Officer City of J?alm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs SUBTOTAL$ AMOUNT RECEIVED 240.00 PAYROLL DEDUCTIONS during period. 240. 00 PAYROLL DEDUCTIONS during period. 200.00 PAYROLL DEDUCTIONS during period. 240.00 PAYROLL DEDUCTIONS during period. 240.00 PAYROLL DEDOCTIONS during period. CUMULATIVE TO DATE GALEN DAR YEAR (JAN. 1 -DEC. 31) 120.00 720. 00 200.00 120.00 720.00 1,160.001. H Con~ibulllr Codes: IND • Individual COM • Recipient Commilllle (other than PTY or SCC) 0TH • Other PTY • Political Party SCC • Small Conbibula Committee PER ELECTION TO DATE (IF REQUIRED) 'I Schedule A (Continuation Sheet) Monetary Contributions Received Statement covers period from 07/01/2012 through 09/30/2012 SCHEDULE A CALIFORNIA 460 FORM Page 18 of 22 NAME OF FILER Palm Springs Police Officers Association Poli ti cal Action Committee I.D. NUMBER 951841 DATE RECEIVED (INT-1) 07/01/2012 THRU 09/30/2012 (INT-1) 01/01/2012 THRU 09/30/2012 (INT-1) 07/01/2012 THRU 09/30/2012 IINT-1) 07/01/2012 THRU 09/30/2012 (INT-1) 07/01/2012 THRU 09/30/2012 FULL NAME, STREET ADDRESS A NO ZIP CODE OF OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Steve Sanders 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. Sam Steepleton 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. Kyle Stjerne 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. Mike Studer 1B0 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. Gilbert Vega 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. CONTRJBUTOR CODE IND IND IND IND IND IF AN INDIVIDUAL. ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYEO, ENTER NAME OF BUSINESS) Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs SUBTOTAL$ AMOUNT RECEIVED 240.00 PAYROLL DEDUCTIONS during period. 240.00 PAYROLL DEDUCTIONS during period. 240.00 PAYROLL DEDUCTIONS during period. 240. 00 PAYROLL DEDUCTIONS during period. 240.00 PAYROLL DEDUCTIONS during period. k Con11'ibutor Codes: IND -Individual COM -Recipient Co11111ittee (other than PTY or SCC) 0TH -Other PTY -Polilical Party SCC -Smal Conlributor Committee CUMULATIVE TO DATE CALENDAR VEAR (JAN. 1 -DEC. 31) 720.00 720 .00 720. 00 720.00 720,00 PER ELECTION TO DATE (IF REQUIRED) Schedule A (Continuation Sheet) Monetary Contributions Received Summent coven period from 07/01/2012 through 09/30/2012 SCHEDULE A CALIFORNIA 460 FORM Page 19 of 22 NAME OF FILER Palm Springs Police Officers Association Poli ti cal Action Cammi ttee I.D. NUMBER 951841 DATE RECEIVED FULL NAME. STREET ADDRESS A ND ZIP CODE OF OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) (INT-1) Mike Villegas 07/01/2012 THRU 09/30/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-1) Steve Williams 07/01/2012 THRO 09/30/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-1) Elizabeth Witten 07/01/2012 THRO 09/30/2012 180 N Lurj_ng Dr Palm Springs, CA 92262 Association intermediary listed below. (INT-1) Stephen Woodward 07/01/2012 THRO' 09/30/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (:rNT-1) Palm Springs Police Officers Association 180 N Luring Dr Palm Springs, CA 92262 CONTRIBUTOR CODE IND IND IND IND 0TH IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF,EMPLOYED, ENTER NAME OF BUSINESS) Police Officer City of Palm Springs Police Officer City ot Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs SUBTOTAL$ AMOUNT RECEIVED 240.00 PAYROLL DEDUCTIONS during period. 240. 00 PAYROLL DEDUCTIONS during period. 120. 00 PAYROLL DEDUCTIONS during period. 240.00 PAYROLL DEDUCTIONS during period. Intermediary for PAYROLL DEDUCTIONS ~ Cootributor Codes: IND -Individual COM -Recipient CorrmitteB (other than PTY or SCC) 0TH -Other PTY -Political Party SCC -Small Contributor Committee CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) 720. 00 720.00 120.00 680. 00 •••••••••••••m"": ·;:it;~::•.• PER ELECTION TO DATE (IF REQUIRED) SCHEDULED Schedule D Statement covers period CALIFORNIA 460 FORM Summary of Expenditures Supporting/Opposing Other Candidates, Measures and Committees from through NAME OF FILER Palm Springs Police Officers Association Poli ti cal Action Committee DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR MEASURE NUMBER OR LETTER AND JURISDICTION, OR COMMITTEE 0B/06/2012 Stan Henry Cathedral City Cathedral City • SUPPORT O OPPOSE Schedule D Summary TYPE OF PAYMENT DESCRIPTION (IF REQUIRED) SUBTOTAL$ 07/01/2012 09/30/2012 Page 20 of 22 1.0. NUMBER 951841 AMOUNT THIS PERIOD 2,500.00 2,500.00 CUMULATIVE TO DATE CALENDAR VEAR (JAN 1 -DEC 31) 2,500.00 PER ELECTION TO DATE (IF REQUIRED) 2500. 00 (G12) 1. Itemized contributions and independent expenditures made this period. ( Include all Schedule D subtotals. } . . . . . . . . . . . . . . . . $ ___ 2-'-,_s_oo_._o_o 2. Unitemized contributions and independent expenditures made this period of under $100. . . . . . . . . . . . . . . . . . $ ____ o ___ o_o 3. Total contributions and indpendent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.) .. JOTAL $ ___ 2-'-,_s_oo_._o_o FPPC Form 460(January /05-SI) Schedule E Payments Made NAME OF FllER Palm Springs Police Officers Association Political Action committee CODES: If one of the following accurately describes the payment, you may enter the code. CMP campaign paraphernalia/misc. MBR member communications CNS campaign consultants MTG meetings and appearances CTB contribution (explain nonmonetary) OFC office expenses eve civic donations PET petition circulating FIL candidate filing/ ballot fees PHO phone banks FNO fundraising expenses POL polling and survey research IND independent expenditures supporting/opposing others POS postage, delivery and messenger services LEG legal defense PRO poressional services (legal, accounting) LIT campaign literature and mailings PRT print ads SCHEDULE E Statement covers period from 07/01/2012 CALIFORNIA 460 FORM through 09/30/2012 Page 21 of 22 I.D. NUMBER 951841 Otherwise, describe the payment. RAD radio airtime and production costs RFD returned cont~butlons SAL campaign workers' salaries TEL I. v. or cable 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 Ontemet,e-mail) NAME AND ADDRESS OF PAYEE CODE or DESCRIPTION OF PAYMENT AMOUNTPAID Committee to Elect Stan Henry to Cathedral City Council 2012 CTB 2,500.00 36417 Camino Del Mar Cathedral City, CA 92234 ID No: 1347004 SUBTOTAL$ 2,500.00 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ ___ 2_, 5_o_o_._o_o 2. Unitemized payments made this period of under $100 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ _____ o_._o_o 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e). ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ _____ o_._0_0 4. Total payments made this period. (Add Line 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ........... TOTAL $ ___ 2_,_s_oo_._o_o FPPC Form 460(January /05-SI) Schedule I Miscellaneous Increases to Cash NAME OF FILER Palm Springs Police Officers Association Poli ti cal Action Committee DATE RECEIVED Schedule I Summary NAME AND ADDRESS OF PAYEE 1. Itemized increases to cash this period . . . . . . . 2. Unitemized payments made this period of under $100 3. Total interest received this period on loans made to others. (Schedule H, Column (e). ) 4. Total miscellaneious increases to cash this period. Total to Summary Page, Line 14 Statement covers period from 07/01/2012 through __ o 9_/_3_0_/_2_0_12 __ DESCRIPTION OF RECEIPT SCHEDULE I CALIFORNIA 460 FORM Page 22 of 22 1.D. NUMBER 951841 AMOUNTOF INCREASE TO CASH SUBTOTAL$ s 0.00 $ 1.03 s 0.00 TOTAL$ 1.03 FPPC Form 460{January /05-SI) Recipient Committee Campaign Statement Cover Page 1. Type of Recipient Committee Statement covers period from 10/21/2012 through 12/31/2012 O Officeholder, Candidate Controlled Committee O O State Candidate Eleetion Committee Prlmarlly Formed Ballot Measure Committee O Recall • General Purpose Committee e Sponsored O Small Contributor Committee O Political Party/Central Committee 3. Committee Information COMMITTTEE NAME Q Controlled O Sponsored O Prlmarlly Formed Candidate/ Officeholder Committee ---, ,.o. Number ___ !'51841 Palm Springs Police Officers Association Political Action Committee STREET ADDRESS (NO PO BOX) 1415 L St Ste 410 Sacramento CITY Sacramento MAILING ADDRESS (IF DIFFERENTI CITY OPTIONAL: FAX/ E-MAIL ADDRESS STATE ZIP CODE AREA CODE/PHONE CA 95814 916/556-1776 STATE ZIP CODE (916) 556-1233 / ordoslaw@jps.net 4. Verification Date of Election if applicable (Month, Day, Year) 2. Type of Statement O Pre-election Statement • Semi-Annual Statement • Termination Statement D Amendment _I__reasurer(sL_ NAME OF TREASURER Wayne Ordas STREET ADORESS 1415 L St Ste 410 CITY Sacramento NAME OF ASSISTANT TREASURER, IF ANY STREET ADDRESS CITY OPTIONAL: FAX/ E-MAIL ADDRESS O Q arterty Statement O Special Odd-Year Statement O Supplemental Pre-election Statement -Attach Form 495 STATE ZIP CODE AREA CODEJPHONE CA 95814 916/556-1776 STATE ZIP CODE AREA CODE/PHONE (916 )556-1233 / ordoslaw@jps.net I have used all reasonable diligence in preparing and reviewing this statement and to the best ofmy knowledge the information contained herein is true and complete. I certify under penalty of perjury under the laws of the State of Cal~mia that the foregoing is true and correct. Executed on I / 3 0 / I 3 By [-<. _4,...,-:Y7l,(._ f:,l )A;{_,✓-.; r I _____ .,..,_.,_.LE,::::,.v~'-l-_ =::..."",S""IG"'NA;;T,;;U;.,RE'"'O""F"TREAS""""'U"'RE""R"OR=A~SSmlST~A~N,.T~TR~EA~S~U~RE""R~---------- Executed on ________ _ By __ """'s""1G""NA.,.,r=uR=E=oF=c=o=Nrn=ow=N=G=o=FF=1c=EHO=LDE=R~,c~A=No=1bA=fE=,~s=rA-tE~M-EAS~uR~E-P~RO~Pa~N-EN-r~aR~RE-SP=oN=si-a~tE=o-FF-1c-eR~o=F=sro=N=SOR~- Executed on ________ _ By _______ ~s-1G=NA-r-uR-e-oF~cbN-t_Rb_t-uAG~a-FF-1tE-A-ot=o=ER.~CA=No=1DA=TE~. s=rA=TE=M=EAS=uRE=PR=o=PO=N=EN=T _____ _ Executed on ________ _ By ---------,,S'"IG"'NA"'T"'UR""E""'O"'F CON"""T"'RO""L"U"'NG"'b""F"'FICE"""Hb"'L"'DE'""R.'"'cAN"'""'b""lbA'""fE.,, s"'fA"fE....,,MEAs""""O"'RE..,P"'R"'oPb"""NE"N"'f _____ _ FPPC Form 460 -January/OS State or ca11romia/SI Recipient Committee Campaign Statement Cover Page -Part 2 5. Officeholder or candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ( INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) RESIDENTIAL/BUSINESS ADDRESS I NO. AND STREET) .CITY STATE ZIP Related Commillees Not Included in this Statement: List any committees not included in this statement that are controlled by you or a,.,, primarily formed to receive contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME 1.0. NUMBER -----.,n-••-wn~••-------~,-•••cn,-~----,-••-•••--,------------- NAME OF TREASURER CONTROLLED COMMITTEE ? •YES ONO COMMITTEE STREET ADDRESS ( NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME LO.NUMBER NAJ\-~-E_O_F_T_R_EAS_U_RE_R ___________ +-C-'O_N_T_RO-LL-ED·coi;1i-:iinEE?···-·· •YES •No COMMITTEE STREET ADDRESS ( NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COVER PAGE • PART 2 CALIFORNIA 460 FORM Statement covers period from 10/21/2012 through 12/31/2012 6. Primarily Fonned Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION ·----·------··------------------···----~---·----- Page 2 of 23 Identify the controlling officeholder, candidate, or state measure proponen~ if any. NAME OF OFFICEHOLDER OR CANDIDATE OR PROPONENT OFFICE SOUGHT OR HELD ·--_J DISTRICT NO IF ANY 7. Primarily Formed Candidate/Officeholder Committee List names of off,ceholder( s)or camiidat-e( s) for which this committee is primarioy formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELO • SUPPORT • OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD • SUPPORT • OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD • SUPPORT • OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD • SUPPORT -------~---------··········-·-...I . • OPPOSE FPPC Form 460 • January/OS State of California/SI SUMMARY PAGE Campaign Disclosure Statement Summary Page Statement covers period from 10/21/2012 through NAME OF FILER Palm Springs Police Officers Association Political Action committee CotumnA Columns Contributions Received ·r•:•Hl ~t-11:::, PERl11~"l CALEr~DAH YEAr~ (Fit.1'-l.l;JT,1,CHEOSt:!fff,,Jl;S! TOTP-.l. TO DATE 12,600.00 1. Monetary Contributions ..................... sc11ecJt1/e A, Lin• J $ _____ _ $ 74,740.00 2. Loans Received . . . . . . . . . . . . . . . . . . . . . . . . . . Schedule B, Line J 0.00 0.00 3. SUBTOTAL CASH CONTRIBUTIONS .......... AddUnes 1+2 $ 12,600.00 $ 74,740.00 ------ 4. Nonmonetary Contributions . . . . . . ........... Schedule c, Line 3 0.00 o.oo 5. TOTAL CONTRIBUTIONS RECEIVED .......... Adcf une,; 3 + 4 $ 12,600.00 $ 74,740.00 Expenditures Made 6. Payments Made ..... ,, .. ,, , • . .. . . .. .. . . . Schedule e, une 4 $ 2,314.42 $ ___ 4_4_,_9_4_3_._B_4 7. Loans Made ............................. SchOdUlo H. Line 3 0.00 0.00 8. SUBTOTAL CASH PAYMENTS .. , .•. , , . , .. , • , AddUnes6• 1 $ 2,314.42 $ ___ 4_4_,_9_4_3_._8_4 9. Accrued Expenses (Unpaid Bills) ............. Schedule F. Uno 3 -750.00 0.00 10. Nonmonetary Adjustment ................... Soo•dule c, Un• 3 0.00 0.00 11. TOTAL EXPENDITURES MADE ........... AddLines8+9+ to $ 1,564.42 $ 44,943.84 Current Cash Statement 12. Beginning Cash Balance ........... Previous summa1Y Page. Line rn $ ___ 54_,_l_l_B_._6_9 13. Cash Receipts .......... , .. , .•...... ,, .Col!lnmA, une3 above 12,600 • 00 14. Miscellaneous Increases to Cash ............ Schedulet,LJne4 0.35 15. Cash Payments ....................... Column A, LineBabove 2,314.42 16. ENDING CASH BALANCE. Add Lines 12 • t3+ 14, tt,en subtract Line ·15 $ 64,404.62 17. LOAN GUARANTEES RECEIVED. . . . . . . . . . . . Schedule a, Part 2 $ 0.00 Cash Equivalents and Outstanding Debts 18. Cash Equivalents . . . . . . . . . . . . . . .. . . . . . . . . . $ _____ o_._o_o 19. Outstanding Debts.,.,., ...... AdaUne.sZ>Une9inColumnB•bove $ ______ o_.o_o_ 12/31/2012 Page 3 of 23 I.D. NUMBER 951841 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections. 111 through 6130 711 to Dato 20. Cont11but1ons Received $ ____ _ $. ____ _ 21. Expenditures Made $ ______ $ ____ _ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made• ( If Subject to VOiuntary ExpenditUre Limits) $ ____ _ $ ____ _ • Amounts in this Section may be different from amounts reported in Column B. FPPC Form 460 -JanuBl)'/05 State of Callfomla/51 Schedule A Statement covers period Monetary Contributions Received from 10/21/2012 through 12/31/2012 NAME OF FILER Palm Springs Police Officers Association Poli ti cal Action cornrni ttee DATE RECEIVED FULL NAME. STREET ADDRESS A ND ZIP CODE OF OF CONTRIBUTOR IIF COMMITTEE, ALSO ENTER 1.D. NUMBER) (INT~l Paul Abshire 10/21/2012 THRO 180 N Luring Dr. 12/31/2012 Palm Springs, CA 92262 Association intermediary listed below. (INT-1 Tarina Adams 10/21/2012 THRU 180 N Luring Dr. 12/31/2012 Palm Springs, CA 92262 Association intermediary listed below. (INT-1 Joel Aguillera 10/21/2012 THRO 180 N Luring Dr. 12/31/2012 Palm Springs, CA 92262 Association intermediary listed below. (INT-1 Bryan Anderson 10/21/2012 THRO 180 N Luring Dr. 12/31/2012 Palm Springs, CA 92262 Association intermediary listed below. (INT-1 Nick Andre 10/21/2012 THRO 180 N Luring Dr. 12/31/2012 Palm Springs, CA 92262 Association intermediary listed below. Schedule A Summary CONTRIBUTOR CODE IND IND IND IND IND IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSlNESS) Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs SUBTOTAL$ 1. Amount received this period -itemized contributions (Includes all Schedule A subtotals ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 2. Amount received this period -unitemized . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page. Column A Line 1). . . . . . . . . . . TOTAL$ AMOUNT RECEIVED 160.00 PAYROLL DEDUCTIONS during period. 160.00 PAYROLL DEDUCTIONS during period. 160. 00 PAYROLL DEDUCTIONS during period. 160. 00 PAYROLL PE DUCT IONS during period. 160. 00 PAYROLL DEDUCTIONS during period. 12,560.00 40.00 12,600.00 SCHEDULE A CALIFORNIA 460 FORM Page 4 of 23 1.0 NUMBER 951841 UMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) 951. 25 951.25 951.25 951. 25 951. 25 •• Contributor Codes IND-looMdual PER ELECTION TO DATE (IF REQUIRED) COM • Recipient Committee (other than PTY or SCC) OTH-Olher PTY • Political Party sec. Small CoobibL.lor Comrrillse FPPC Form 460(Jan/05J FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule A (Continuation Sheet) Monetary Contributions Received Stal41ment covers period from 10/21/2012 through 12/31/2012 SCHEDULE A CALIFORNIA 460 FORM Page 5 of 23 NAME. OF FILER Palm Springs Police Officers Association Political Action Committee 1.0. NUMBER 951841 DATE RECEIVED FULL NAME, STREET ADDRESS A 00 ZIP CODE OF OF CONTRIBUTOR OF COMMITTEE, ALBO ENTER I.D. NUMBER) { INT-1} Gus Araiza 10/21/2012 THRU 12/31/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-1} Mike Barredo 10/21/2012 THRU 12/31/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. ( INT-1) Nick Barth 10/21/2012 THRU 12/31/2012 180 N Luring or. Palm Springs, CA 92262 Association intermediary listed below. (INT-1) Matt Beard 10/21/2012 THRU 12/31/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-1) Tom Beckert 10/21/2012 THRU 12/31/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. CONTRIBUTOR CODE IND IND IND IND IND IF AN INDI\IIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs SUBTOTAL$ AMOUNT RECEIVED 160.00 PJ\YROLL DEDUCTIONS during period. 160.00 PAYROLL DEDUCTIONS during period. 160.00 PAYROLL DEDUCTIONS during period. 160.00 PJ\YROLL DEO\JCTIONS during period. 160.00 PAYROLL DED\JCTIONS during period. "Coolribulor Codes: IND -lndvidual COM -Recipient Co!Mlittee (other lhan PTY or SCC) 0TH • Other PTY • Political Party SCC -Small Contributor Committee CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1-0EC. 31) 951.25 951.25 951. 25 951. 25 951. 25 PER ELECTION TO DATE (IF REQUIRED) Schedule A (Continuation Sheet) Monetary Contributions Received S-ment covers period from 10/21/2012 through 12/31/2012 SCHEDULE A CALIFORNIA 460 FORM Page 6 of 23 NAME OF FILER Palm Springs Police Officers Association Political Action Cammi ttee 1.0. NUMBER 951841 DATE RECEIVED FULL NAME. STREET ADDRESS A ND ZIP CODE OF OF CONTRIBUTOR {IF COMMITTEE. ALSO ENTER 1.D. NUMBER) (INT-1) Donald Benstead Jr. 10/21/2012 THRU 12/31/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-1) Christopher Bergman 10/21/2012 TIIRU 12/31/2012 180 N Luring Dr. Palm Springs, CA 92262 A::ssociation intermediary listed below. (tNT-1) Jackie Bridgewater 10/21/2012 THRU 12/31/2012 180 N Luring Dr. Palm Springs, CA 922 62 Association intermediary listed below. {INT-1 l Frank Browning 10/21/2012 THRO 12/31/2012 180 N Luring Dr. Palm Springs, CA 92262 As::iociation intermediary listed below. (lNT-1} Gerald Bucklin 10/21/2012 TBRU 12/31/2012 180 N Luring Dr- Palm Springs, CA 92262 Association intermediary listed below. CONTRIBUTOR CODE IND IND IND IND IND IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF $ELF-EMPLOYED. ENTER NAME OF BUSINESS) Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of t>alm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs SUBTOTAL$ AMOUNT RECEIVED 160. 00 PAYROLL DEDUCTIONS during period. 160.00 PAYROLL DEDUCTIONS during period. 160 .00 PAYROLL DEDUCTIONS during period. 160.00 PAYROLL DEDUCTIONS during period. 160-00 PAYROLL DEDUCTIONS during period. " Conlrlbulor Codes: IND -Individual COM -Recipient Committee (olher than PTY or SCC) 0TH -Other PTY -Political P,rty SCC -Small Contr1buta-Committee CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) 951.25 951.25 951.25 951-25 951. 25 PER ELECTION TO DATE (IF REQUIRED) SCHEDULE A Schedule A (Continuation Sheet) Monetary Contributions Received Statement covers period ftom 10/21/2012 through 12/31/2012 CALIFORNIA 460 FORM Page 7 of 23 NAME OF FILER Palm Springs Police Officers Association Poli ti cal Action Committee I.D. NUMBER 951841 DATE RECEIVED (INT-1) 10/21/2012 THRU 12/31/2012 (INT-1) 10/21/2012 THRO 12/31/2012 (INT-1) 10/21/2012 THRU 12/31/2012 (INT-1) 10/21/2012 THRO 12/31/2012 (INT-1) 10/21/2012 THRO 12/31/2012 FULL NAME, STREET ACDRESS A ND ZIP CODE OF OF CONTR;BUTOR (IF COMMITTEE. ALSO ENTER 1.0. NUMBER) Jon Cabrera 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. Stefanie Campbell 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. Albert Cantu 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. Cary Carrillo 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. Nancy Carr 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. CONTRIBUTOR COOE IND IND IND IND IND IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs SUBTOTAL$ AMOUNT RECEIVED 160. 00 PAYROLL DEDUCTIONS during period. 160. 00 PAYROLL DEDUCTIONS during period. 160. 00 PAYROLL DEDUCTIONS during period. 160. 00 PAYROLL DEDUCTIONS during period. 160-00 PAYROLL DEDUCTIONS during period. 800-001 ff Conlributor Codes: IND -Individual COM -Recipient Committee (olher 1han PTY or SCC) 0TH -Other PTY -Political Party SCC -Small Cont,ibutor Committee CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) 951.25 951.25 951.25 951.25 951. 25 PER ELECTION TO DATE (IF REQUIRED) .,1 Schedule A (Continuation Sheet) Monetary Contributions Received Statement covers period from 10/21/2012 thrnugh 12/31/2012 SCHEDULE A CALIFORNIA 460 FORM Page 8 of 23 NAME OF FILER Palm Springs Police Officers Association Poli ti cal Action Committee ID. NUMBER 951841 DATE RECEIVED (INT-1) 10/21/2012 THRU 12/31/2012 (INT-1) 10/21/2012 THRU 12/31/2012 (INT-1) 10/21/2012 THRU 12/31/2012 (INT-1) 10/21/2012 THRO 12/31/2012 (INT-1) 10/21/2012 THRO 12/31/2012 FULL NAME, STREET ADDRESS A ND ZIP CODE OF OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Mike Casavan 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. Troy Castillo 180 N Luring-Dr. Palm Springs, CA 92262 Association intermediary listed below. Merritt Chassie 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. Luciano Col.antuano 180 N Luring Dr. Palm springs, CA 92262 Association intermediary listed below. Brent Coon 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary li5ted below. CONTRIBUTOR CODE IND IND IND IND IND IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs SUBTOTAL$ AMOUNT RECEIVED 160. 00 PAYROLL DEDUCTIONS during period. 160.00 PAYROLL DEDUCTIONS during period. 160. 00 PAYROLL DEDUCTIONS during period. 160.00 PAYROLL DEDUC'I'IONS during period. 80.00 PAYROLL DEDUCTIONS during period. H Con~ibutor Codes: IND. lndMdual COM -Recipient Committee (olher than PTY or SCC) 0TH -Other PTY -POiiticai Party sec -Small Con~ibulor Committee CUMULATIVE TO DATE CALENDAR YEAR (JAN, 1 -DEC, 31) 951. 25 951.25 951.25 951.25 871.25 PER ELECTION TO DATE (IF REQUIRED) Schedule A (Continuation Sheet) Monetary Contributions Received Statement covers period from 10/21/2012 through 12/31/2012 SCHEDULE A CALIFORNIA 460 FORM rage 9 of 23 NAME OF FILER Palm Springs Police Officers Association Political Action Committee ID. NUMBER 951841 DATE RECEIVED FULL NAME, STREET ADDRESS A ND ZIP CODE OF OF CONTRIBUTOR (tF COMMITTEE, ALSO ENTER 1.0. NUMt!IER) (INT-1) David Costello 10/21/2012 THRU 12/31/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-1) Matt Crampton 10/21/2012 THRU 12/31/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-1) Josh Crocker 10/,1/2012 THRU 12/31/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below, (INT-1) Michael Delaney 10/21/2012 THRU 12/31/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-1) Melissa Desmarais 10/21/2012 THRU 12/31/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. CONTRIBUTOR CODE IND IND IND IND IND IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER OF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs SUBTOTAL$ AMOUNT RECEIVED 160.00 PAYROLL DEDUCTIONS during period. 160.00 PAYROLL DEDUCTIONS during period. 160.00 PAYROLL DEDUCTIONS during period. 160.00 PAYROLL DEDUCTIONS during period. 160 .00 PAYROLL DEDUCTIONS during period. M Contributor Codes: IND-lndivl<IJal COM· Recipient Committee (olher than PlY or SCC) 0TH -Other PTY • Politioal Party SCC -Small Contributor COl1Vllitlee CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) 951. 25 951. 25 951. 25 951. 25 951. 25 PER ELECTION TO DATE (IF REQUIRED) Schedule A (Continuation Sheet) Monetary Contributions Received Statement covers period from 10/21/2012 through 12/31/2012 SCHEDULE A CALIFORNIA 460 FORM Page 1 O of 23 NAMEOFFILER Palm Springs Police Officers Association Political Action Committee LD. NUMBER 951841 DATE RECEIVED {INT-1) 10/21/2012 THRO 12/31/2012 (INT-1) 10/21/2012 THRO 12/31/2012 (INT-1) 10/21/2012 THRO 12/31/2012 (INT-1) 10/21/2012 THRO 12/31/2012 (INT-1) 10/21/2012 THRO 12/31/2012 FULL NAME, STREET ADDRESS A ND ZIP CODE OF OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) Alan Donovan 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. Michael Donovan 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. Donald Dougherty 180 N Luring Or. Pabn Springs, CA 92262 Association intermediary listed below. Lauren Drinkwater 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary lif1ted below. Christopher Duthaler 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. CONTRIBUTOR CODE IND IND IND IND IND IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NA,._E OF BUSINESS) Police Officer City of Palm Springs Police Officer City of :EJalm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs SUBTOTAL$ AMOUNT RECEIVED 160. 00 PAYROLL DEDUCTIONS during period. 160.00 PAYROLL DEDUCTIONS during period. 160. 00 PAYROLL DEDUCTIONS during period. 160.00 PAYROLL DEDUCTIONS during period. 160. 00 PAYROLL DEDUCTIONS during period. CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) 951.25 951.25 951. 25 951.25 951.25 aoo .ooL, . ff Conlribulor Codes: IND -lndivi<llal COM· Recipient Coomittee (olha-than PTV c,: SCC) 0TH -Otha-PTV -Political Party SCC -Smal Conlributor Committee PER ELECTION TO DATE (IF REQUIRED) Schedule A (Continuation Sheet) Monetary Contributions Received Statement covers periOd from 10/21/2012 through 12/31/2012 SCHEDULE A CALIFORNIA 460 FORM Page 11 of 23 NAME OF FILER Palm Springs Police Officers Association Poli ti cal Action Committee 1.0. NUMBER 951841 DATE RECEIVED FULL NAME, STREET AIJORESS A ND ZIP CODE OF OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER 1.D. NUM8ER) (INT-1) Arthur Enderle 10/21/2012 THRU 12/31/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-11 Byron Farley 10/21/2012 THRU 12/31/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-1) Gil Fernandez 10/21/2012 THRU 12/31/2012 180 N Luring Dt. Palm Springs, CA 922 62 Association intermediary listed below. ( INT-1) Rae Fernande2 10/21/2012 THRU 12/31/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-1) Kelly Fieux 10/21/2012 THRO 12/31/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. CONTRIBUTOR CODE IND IND IND IND IND IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs SUBTOTAL$ AMOUNT RECEIVED 160. 00 PAYROLL DEDUCTIONS during period. 160. 00 PAYROLL DEDUCTIONS during period. 160. 00 PAYROLL DEDUCTIONS during period. 160. 00 PAYROLL DEDUCTIONS during period. 160. 00 PAYROLL DEDUCTIONS during period. tt Conlributor Codes: IND -lndivldual COM • Recipient Committee (o1her than PTY or SCC) 0TH -Olher PTY -Political Party SCC -Small Contributor Committee CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) 951.25 951. 25 951. 25 951. 25 951.25 PER ELECTION TO DATE (IF REQUIRED) Schedule A (Continuation Sheet) Monetary Contributions Received Statement covers period from 10/21/2012 through 12/31/2012 SCHEDULE A CALIFORNIA 460 FORM Page 12 of 23 NAMEOFFILER Palm Springs Police Officers Association Political Action Committee LD NUMBER 951841 DATE RECEIVED FULL NAME, STREET ADDRESS A NO ZIP COOE OF OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) (INT-1) Shawn Flinn 10/21/2012 THRU 12/31/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-1) Arnold Galvan 10/21/2012 THRO 12/31/2012 180 N Luring Dr. Palm SpringB, CA 92262 Association intermediary listed below. (INT-1) Steve Grissom 10/21/2012 THRU 12/31/2012 1B0 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-1) Frank Guarino 10/21/2012 THRO 12/31/2012 1B0 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-1) Issac Hackbarth 10/21/2012 THRU 12/31/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below~ CONTRIBUTOR CODE IND IND IND IND IND IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs SUBTOTAL$ AMOUNT RECEIVED 160. 00 PAYROLL DEDUCTIONS during period. 160.00 PAYROLL DEDUCTIONS during period, 160. 00 PAYROLL DEDUCTIONS during period. 160. 00 PAYROLL DEDUCTIONS during period. 160.00 PAYROLL DEDUCTIONS during period. ti Con1ributor Codes: IND • Individual COM • Recipient Committee (olher than PTY or SCC) 0TH • Olher PTY. Political Party SCC • Small Con1ributor Committee CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 • DEC. 31) 951.25 951.25 951. 25 951.25 951.25 PER ELECTION TO DATE (IF REQUIRED) Schedule A (Continuation Sheet) Monetary Contributions Received statement covers period from 10/21/2012 through 12/31/2012 SCHEDULE A CALIFORNIA 460 FORM Page 13 of 23 NAME OF FILER Palm Springs Police Officers Association Political Action Cammi ttee I.D. NUMBER 951841 DATE RECEIVED FULL NAME, STREET ADCRESS A ND ZIP CODE OF OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) (INT-1) Anthony Harrison 10/21/2012 THRU 12/31/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary J.isted below. (INT-1) Kevin Herington 10/21/2012 THRU 12/31/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-1) Mike Heron 10/21/2012 THRU 12/31/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-1) William Hutchinson 10/21/2012 THRU 12/31/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-1) Mike !seminger 10/21/2012 THRU 12/31/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. CONTRIBUTOR CODE IND IND IND IND IND IF AN INDIVIDUAL. ENTER OCCUPATION AND EMPLOYER OF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs SUBTOTAL$ AMOUNT RECEIVED 160. 00 PAYROLL DEDUCTIONS during period. 40. 00 PAYROLL DEDUCTIONS during period. 160.00 PAYROLL DEDUCTIONS during period. 160. 00 PAYROLL DEDUCTIONS during period. 160.00 PAYROLL DEDUCTIONS during period. ~ Contributor Codes: IND-lndi..;dual COM -Recipient Committae {olher than PTY or SCC) 0TH -Other PTY -Poitlcal Party SCC -Small Contributor Committae CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) 951.25 151.25 951.25 951.25 951. 25 PER ELECTION TO DATE (IF REQUIRED) Schedule A (Continuation Sheet) Monetary Contributions Received Statement cove111 period from 10/21/2012 through 12/31/2012 SCHEDULE A CALIFORNIA 460 FORM Page 14 of 23 NAME OF FILER Palm Springs Police Officers Association Poli ti cal Action Cornmi ttee I.D. NUMBER 951841 DATE RECEIVED FULL NAME, STREET ADDRESS A ND ZIP CODE OF OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) (INT-1) Chris Jaeger 10/21/2012 THRU 12/31/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-1) Juan Jimenei 10/21/2012 THRU 12/31/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. ( INT-1) Ronnie Jones 10/21/2012 THRU 12/31/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-1) Denise Judd 10/21/2012 THRU 12/31/2012 180 N Luring Dr, Palm Springs, CA 92262 Association intermediary listed below. (INT-l.) Jennifer Kennedy 10/21/2012 THRU 12/31/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. CONTRIBUTOR CODE IND IND IND IND IND IF AN INDIVIDUAL, ENTER OCCUPATION ANO EMPLOYER (IF SELF--EMPLOYED, ENTER NAME OF BUSINESS) Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs SUBTOTAL$ AMOUNT RECEIVED 160. 00 PAYROLL DEDUCTIONS during period. 160. 00 PAYROLL DEDUCTIONS during period. 160. 00 PAYROLL DEDUCTIONS during period. 160. 00 PAYROLL DEDUCTIONS during period. 160.00 PAYROLL DEDOCTIONS during period. CUMULATIVE TO DATE CALENDAR YEAR (JAN.1-DEC. 31) 951. 25 951.25 831.25 951. 25 951.25 eoo.ool' "Contributor Codes: IND• Individual COM· Recipient Committee (other than PTY or SCC) 0TH • Other PTY • Political Party SCC • Small Conlributor Committee PER ELECTION TO DATE (IF REQUIRED) Schedule A (Continuation Sheet) Monetary Contributions Received Statement coven; period from 10/21/2012 through __ 12_/_3_1_/_2_0_12 __ SCHEDULE A CALIFORNIA 460 FORM Page 15 of 23 NAMEOFFILER Palm Springs Police Officers Association Political Action Committee 1.D. NUMBER 951841 DATE RECEIVED (INT-1) 10/21/2012 THRU 12/31/2012 (INT-1) 10/21/2012 THRU 12/31/2012 (INT-l) 10/21/2012 THRU 12/31/2012 (INT-l) 10/21/2012 THRU 12/31/2012 (INT-l) 10/21/2012 THRU 12/31/2012 FULL NAME, STREET ADDRESS A NO ZIP CODE OF OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I 0, NUMBER) Mike Kovaleff 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. Lembi t Kulb in 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. Barron Lane 180 N Luring Or. Palm Springs, CA 92262 Association intermediary listed below. E:rik Larson 180 N Luring Dr. Palm Spring~, CA 92262 Association intermediary listed below. Marcus Litch 180 N Luring Dr, Palm Springs, CA 92262 Association intermediary listed below. CONTRIBUTOR CODE IND IND IND IND IND IF AN INDIVIDUAL, ENTER OCCUPATION ANO EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs SUBTOTAL$ AMOUNT RECEIVED 160.00 PAYROLL DEDUCTIONS during period. 160. 00 PAYROLL DEDUCTIONS during period. 160-00 PAYROLL DEDOCTIONS during period_ 160 -00 PAYROLL DEDUCTIONS during period. 160.00 PAYROLL DEDUCTIONS during period. 800.001 fl Conlributor Codes: IND • Individual COM -Recipient Committee (o1her thMJ PTY or SCC) 0TH -Other PTY -Political Party sec -Small Contributor Committee CUMULATNE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) 951.25 951. 25 951.25 951. 25 951.25 PER ELECTION TO DATE (IF REQUIRED) Schedule A (Continuation Sheet) Monetary Contributions Received Statement COV9nl period from 10/21/2012 through __ 1_2_/_3_1_/_2_0_1_2 __ SCHEDULE A CALIFORNIA 460 FORM Page 16 of 23 NAMEOFFILER Palm Springs Police Officers Association Political Action Committee 1.D. NUMBER 951841 DATE RECEIVED (INT-1) 10/21/2012 THRU 12/31/2012 (INT-1) 10/21/2012 THRU 12/31/2012 (INT-1) 10/21/2012 THRU 12/31/2012 (INT-1) 10/21/2012 THRU 12/31/2012 (INT-1) 10/21/2012 THRU 12/31/2012 FULL NAME, STREET ADDRESS A NDZIP CODE OF OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Rhonda Long 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. Kevin Lu 180 N Luring Dr. Palm Springs r CA 92262 Association intermediary listed below. John Mejia 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. Marc Melanson 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. Simon Min 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. CONTRIBUTOR CODE IND IND IND IND IND IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs SUBTOTAL$ AMOUNT RECENED 160. 00 PAYROLL DEDUCTIONS during period. 160. 00 PAYROLL DEDUCTIONS during period. 160 .00 PAYROLL DEDUCTIONS during period. 120. 00 PAYROLL DEDUCTIONS during period. 160. 00 PAYROLL DEDUCTIONS during period. CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) 951. 25 951.25 951.25 911.25 951.25 760.001 :;. ~ Con!ribulor Codes: IND -Individual COM· Recipient Committee (Olher lhan PTY or SCC) 0TH -Olher PTY -Political Party SCC -Small Con1ribulor Committee PER ELECTION TO DATE (IF REQUIRED) Schedule A (Continuation Sheet) Monetary Contributions Received Statement covers period from through 10/21/2012 12/31/2012 SCHEDULE A CALIFORNIA 460 FORM Page 17 of 23 NAME OF FILER Palm Springs Police Officers Association Political Action Cammi ttee I.D. NUMBER 951841 DATE RECEIVED (INT-1) 10/21/2012 THRU 12/31/2012 {INT-1) 10/21/2012 THRU 12/31/2012 (INT-ll 10/21/2012 THRU 12/31/2012 (INT-1) 10/21/2012 THRU 12/31/2012 (INT-l) 10/21/2012 THRU 12/31/2012 FULL NAME, STREET ADDRESS A NO ZIP CODE OF OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) Chad Nordman 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. Anthony Pilutik 180 N Luring Dr. Palm Springs, CA 922 62 Association intermediary listed below. Paola Ramos 180 N Luring Dr. Palm Springs, CA 92262 Assoc.iation intermediary listed below. Ryan Raso 180 N Luring Dr. Palm Spring.s, CA 92262 Association intermediary listed below. Harvey Reed 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. CONTRIBUTOR CODE IND IND IND IND IND IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED. EN'fl:R NAME Of aLISINESS) Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Office.r City of Palm Springs Police Officer City of Palm Springs SUBTOTAL$ AMOUNT RECEIVED 160. 00 PAYROLL DEDUCTIONS during period. 160. 00 PAYROLL DEDUCTIONS during period. 160.00 PAYROLL DEDUCTIONS during period. 160. 00 PAYROLL DEDUCTIONS during period. 160.00 PAYROLL DEDUCTIONS during period. tt Con1ribulor Codes: IND -lndiviooel COM -Recipient Committee (other lhan PTY or SCC) 0TH -Other PTY -Polllicel Pirty SCC -Smal Conbibutor Committee CUMULATIVE TO DATE CA LEN DAR YEAR (JAN. 1 -DEC. 31) 951.25 951.25 951. 25 431.25 951.25 PER ELECTION TO DATE (IF REQUIRED) Schedule A (Continuation Sheet) Monetary Contributions Received Statament coVilrs period from 10/21/2012 through 12/31/2012 SCHEDULE A CALIFORNIA 460 FORM Page 18 of 23 NAMEOFFILER Palm Springs Police Officers Association Political Action Committee I.D, NUMBER 951841 DATE RECEIVED FULL NAME, STREET ADDRESS A NO ZIP CODE OF OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) {INT-1) Richard Salomon 10/21/2012 THRU 12/31/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary li.ated below. {INT-1) Steve Sanders 10/21/2012 THRU 12/31/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-1} Sam Steepleton 10/21/2012 THRU 12/31/2012 180 N Luring Or. Palm Springs, CA 92262 Association intermediary listed below. (INT-1) Kyle Stjerne 10/21/2012 THRU 12/31/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intennediary listed below. {INT-1) Mike Studer 10/21/2012 THRU 12/31/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. CONTRIBUTOR CODE IND IND IND IND IND IF AN INDIVIDUAL. ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs SUBTOTAL$ AMOUNT RECEIVED 160. 00 PAYROLL DEDUCTIONS during period. 160.00 PAYROLL DEDUCTIONS during period. 160. 00 PAYROLL DEDUCTIONS during period. 160. 00 PAYROLL DEDUCTIONS during period. 160. 00 PAYROLL DEDUCTIONS during period. u Conbibutor Code$: IND -lndi.;dual COM • Recipient Conrnitl:8e (other than PTY or SCC) 0TH -Other PTY -Political Party SCC • Smai Conbiootor Committee CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) 951. 25 951. 25 951. 25 951. 25 951.25 PER ELECTION TO DATE (IF REQUIRED) Schedule A (Continuation Sheet) Monetary Contributions Received Statement covers period from 10/21/2012 through 12/31/2012 SCHEDULE A CALIFORNIA 460 FORM Page 19 of 23 NAMEOFFILER Palm Springs Police Officers Association Political Action Committee I.D. NUMBER 951841 DATE RECt;:IVED FULL NAME, STREET ADDRESS A ND ZIP CODE OF OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER l,D, NUMBER) (INT-1) Gilbert Vega 10/21/2012 THRO 12/31/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-1) Mike Villegas 10/21/2012 THRU 12/31/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. {INT-1) Steve Williams 10/21/2012 THRU 12/31/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-1) Elizabeth Witten 10/21/2012 THRO 12/31/2012 180 N Luring Dr E'alm Springe, CA 92262 Association intermediary listed below. ( INT-1) Stephen Woodward 10/21/2012 THRU 12/31/2012 180 N Luring Dr. Palm Springs., CA 92262 Association intermediary listed below. CONTRIBlJTOR CODE IND IND IND IND IND IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs SUBTOTAL$ AMOUNT RECEIVED 160. 00 PAYROLL DEDUCTIONS during period. 160. 00 PAYROLL DEDUCTIONS during period. 160. 00 PAYROLL DEDUCTIONS during period. 160. 00 PAYROLL DEDUCTIONS during period. 160. 00 PAYROLL DEDUCTIONS during period. CUMULATIVE TO DATE CALENDAR YEAR (JAN, 1 -DEC, 31) 951.25 951.25 951.25 351. 25 9ll .25 800.00r ~ Contributor Codes: IND -llldivldual COM • Recipient Committee (other than Pl'f or SCC) 0TH • Other PTY • Political Party SCC • Small Contribukt Committee PER ELECTION TO DATE (IF REQUIRED) Schedule A (Continuation Sheet) Monetary Contributions Received NAMEOFflLER Palm Springs Police Officers Association Political Action Committee IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER Statement covers period from 10/21/2012 through 12/31/2012 SCHEDULE A CALIFORNIA 460 FORM Page 20 of 23 LO. NUMBER 951841 PER ELECTION TO DATE DATE RECEIVED FULL NAME, STREET ADDRESS A ND ZIP CODE OF OF CONTRIBUTOR (lF" COMMrrrce, ALSO ENTER I.D. NUMBER) CONTRIBUTOR CODE (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) AMOUNT RECEIVED CUMULATIVE TO DATE CALENDAR YEAR (JAN.1-DEC. 31) (IF REQUIRED) (INT-1) Palm Springs Police Officers Association 180 N r..uring Dr Palm Springs, CA 92262 0TH SUBTOTAL$ Intermediary for PAYROLL DEDUCTIONS " Contributor Codes: IND -/ndMdual COM -Recipient Committee (other than PTY or SCC) 0TH -Olher PTY -Polltical Party SCC -Small Contlibutor Committee Schedule E Payments Made NAME OF FILER Palm Springs Police Officers Association Political Action Committee CODES: If one of the following accurately describes the payment, you may enter the code. CMP campaign paraphernalia/misc. MBR member communications CNS campaign consultants MTG meetings and appearances CTB contribution (explain nonmonetary) OFC olfrce expenses eve civic donations PET petition circulating FIL candidate filing I ballot fees PHO phone banks FND fundraislng expenses POL polling and survey research IND independent expenditures supporting/opposing others POS postage, delivery and messenger services LEG legal defense PRO professional seNlces (legal, accounting) LIT campaign lltera!ure and malHngs PRT print ads SCHEDULE E ~ant covers period from 10/21/2012 CALIFORNIA 460 FORM through 12/31/2012 Page 21 of 23 I.D. NUMBER 951841 Otherwise, describe the payment. RAD radio airtime and production costs RFD returned contributions SAL campaign workers' salaries TEL t.v. or cable production costs TRC candidate travel, lodging and meals TRS staff/spouse travel, lodging and meals TSF transfer between committees of !he same candidate/sponsor VOT voter registration WEB information technology costs (in!ernet.e-mail) NAME AND ADDRESS OF PAYEE CODE or DESCRIPTION OF PAYMENT AMOUNTPAIO Wayne Ordos Attorney at Law PRO 750. 00 1415 L St Ste 410 Sacramento, CA 95814 Wayne Ordas Attorney at Law PRO 750.00 1415 L St Ste 410 Sacramento, CA 95814 Wayne Ordas Attorney a.t Law PRO 750. 00 1415 L St Ste no Sacramento, CA 95814 SUBTOTAL$ 2,250.00 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) .............................................. . $ ___ 2_, 2_s_o_._o_o 2. Unitemized payments made this period of under $100 ...... _ ..................................................... . $ ____ 6_4_._4_2 3. Total interest paid this period on loans. (Enter amount from Schedule 8, Part 1, Column (e). ) ............................... . $ 0.00 ------ 4. Total payments made this period. (Add Line 1, 2, and 3. Enter here and on the Summary Page, Column A, Line6.) ........... TOTAL $ ___ 2_,_3_14_._4_2 FPPC Form 460(January /05-SI) Schedule F Statement cove111 period Accrued Expenses (Unpaid Bills) from 10/21/2012 through 12/31/2012 NAME OF FILER Palm Springs Police Officers Association Political Action Committee SCHEDULE F CALIFORNIA 460 FORM Page 2.2 of 23 1.D. NUMBER 951841 CODES: If one of the following accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia/misc. MBR member communications CNS campaign consultants MTG meeUngs and appearances CTB contribution (explain nonmonetary) OFC office expenses eve civic donations PET petition circulating FIL candidate filing / ballot fees PHO phone banks FND fUndralslng expenses POL polling and survey research IND Independent expenditures supporting/opposing others POS postage, delivery and messenger services LEG legal defense PRO professional services (legal, accounting) LIT campaign literature and mailings PRT print ads (a) NAME AND ADDRESS OF CREDITOR COOEOR OUTSTANDING DESCRIPTION OF PAYMENT BALANCE BEGINNING OF THIS PERIOD Wayne 0rdos Attorney at Law See Schedule E for 750.00 1415 L St Ste 410 codes or descriptions. Sacramento, CA 95814 SUBTOTALS$ 750.00 $ Schedule F Summary 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for RAD radio airtime and production costs RFD returned contributions SAL campaign workers' salaries TEL t.v. or cable production costs TRC candidate travel, lodging and mealS TRS staff/spouse lravel, lodging and meals TSF transfer between committees of the same candidate/sponsor VOT voter registration \/\/EB information technology costs {intemet,e-mall) (b) (c) (d) AMOUNT INCURRED AMOUNT PAID OUTSTANDING BALANCE AT CLOSE THIS PERIOD THIS PERIOD OF THIS PERIOD 0.00 750.00 0.00 0.00 $ 750.00 $ 0.00 accrued expenses of $100 or more, plus total unitemized accrued expenses under $100.) ..................... INCURRED TOTALS ""$ ______ o_._o_o 2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.) .............. PAID TOTALS $~ ____ 7_5_o_. o_o 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and on the Summary Page, column A, Line 9.) ......................................................... . ..... NET $. _____ -_7_5o_._o_o FPPC Form 460(January /05-51) Schedule I Miscellaneous Increases to Cash NAME OF FILER Palm Springs Police Officers Association Political Action Committee DATE RECEIVED Schedule I Summary NAME AND ADDRESS OF PAYEE 1. Itemized increases to cash this period . . . . . . . 2. Unitemized payments made this period of under $100 3. Total interest received this period on loans made to others. (Schedule H, Column (e). ) 4. Total miscellaneious increases to cash this period. Total to Summary Page, Line 14 Statement covers period from 10/21/2012 thro119h 12/31/2012 DESCRIPTION OF RECEIPT SCHEDULE I CALIFORNIA 460 FORM Page 23 of 23 I.D NUMBER 951841 SUBTOTALS $ $ $ TOTAL$ AMOUNT OF INCREASE TO CASH 0.00 0.35 0.00 0.35 FPPC Form 460(January /05-51) Recipient Committee Campaign Statement Cover Page 1. Type of Recipient Committee Statement coveni period from 10/01/2012 through 10/20/2012 D Officeholder, Cardidate Controlled Committee D O State Candidate Election Committee Primarily Formed Ballot Measure Committee O Recall • General Purpose Committee e Sponsored O Small Contributor Committee O Political Party/Central Committee 3. Committee Information COMMITTTEE NAME O Controlled Q Sponsored D Primarily Formed Candidate/ Officeholder Committee I.D. Number 951841 Palm Springs Police Officers Association Political Action Committee STREET ADDRESS (NO PO BOX) 1415 L St Ste 410 Sacramento CITY Sacramento MAILING ADDRESS [IF DIFFERENT) CITY OPTIONAL: FAX/ E-MAIL ADDRESS STATE ZIP CODE AREA CODE/PHONE CA 95814 916/556-1776 STATE ZIP CODE (916) 556-1233 / ordoslaw@jps.net Date of Election If appllcabla 11/06/2012 (Month, Day, Year) 2. Type of Statement • Pre-election Statement • Semi-Annual Statement • Termination Statement • Amendment Amend Schedule A ta include October dues Treasurer{s) NAME OF TREASURER Wayne Ordas STREET ADDRESS 1415 L St Ste 410 CITY Sacramento NAME OF ASSISTANT TREASURER, IF ANY STREET ADDRESS CITY OPTIONAL: FAX/ E-MAIL ADDRESS For Official Use Only • a rterly Statement • Special Odd-Year Statement • Supplemental Pre-election Statement -Attach Form 495 STATE ZIP CODE AREA CODE/PHONE CA 95814 916/556-1776 STATE ZIP CODE AREA CODE/PHONE (916 )556-1233 / ordoslaw@jps.net Executed on ________ _ By ___ ""s"'1G""NA"'TIJ~Rr-E""OFvCON==TR~o~a~1NG=o~FF~ICE"""Ho=w"'ER."'"'CA"""'Nbi""DA .... TE-, s"'t"'At~E~M=EAS=uR=E .... P=ROP=o=NENT==oR~RES-~PON=s1~BLE-o~FF~IC~ER~Of=SP=o=N=so=R~ Executed on ________ _ By ______ --,,;siG"'NTJ'AT"'UR""E""'OF""C""ON""rn""O"ll;.,;ING""O""FF""ICE..,.HO;;;;L;;;;DE""R.-,,CA""N""DloA ..... fE""', S""TA..,.TE""'M'"'EAs"'Urn;RE'"'PROP""""ONN"'ENT _____ _ Executed on ________ _ By ---------,,SIG"'N..,A"'TIJ""R"'E"'OF""c"'o"'Nffl"'o"'[TI•mNG.-,O"'FF""IC""E""HO""["'DER.,,....,, CA"'N"'lll""DA"'TE"',""S""TA"'TE""M"'EA"'S""U""RE .... P"'RO"'P"'O""NEN""""T _____ _ FPPC Form 460 -January/05 Sla!e of California/SI Recipient Committee Campaign Statement Cover Page -Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ( INCLUDE LOCATION ANO DISTRICT NUMBER IF APPLICABLE) ResioEiiriiiusus1NEss-Ai5bfiEss("No. AND sTREEff···-· c1Tv STATE ZIP Related Commiltees Not Included in this Statemenl: Llstanycommlttees not tnc/uded In this statement that are control/eel by you or are primarily formecJ ro receive contributions or make eKpenditures on b'-thalf of your candielacy. COMMITTEE NAME I.D. NUMBER --------··-·------------------------------+--- NAME OF TREASURER CONTROLLED COMMITTEE? Oves 0No COMMITTEE STREET ADDRESS ( NO P.O. BOX} CITY STATE ZIP CODE AREA CODE,-PHONE COMMITTEE NAME 1.0. NUMBER NAME OF TREASURER CONTROLl.ED COMMITTEE ? Oves 0No COMMITTEE STREET ADDRESS ( NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE Statement eovef11 period from 10/01/2012 through 10/20/2012 6. Primarily Fanned Ballot M888Ure Committee NAMe OF BAU.OT MEASURE BALLOT NO. OR LETTER JURISDICTION COVER PAGE -PART 2 CALIFORNIA 460 FORM Page 2 of 23 Identify the controlling officeholder, candidate, or state measllfe proponent, ij any. NAME OF OFFICEHOLDER OR CANDIDATE OR PROPONENT OFFICE SOUGHT OR HELD I DISTRICT NO. IF ANY ------·-··-··---··-·····-···-·-···-·-··-···-···-------<-'------------ 7. Primarily Formed Candidate/Officeholder Committee List names of officehotder(s)or candidaters) for which this committee is primariOy formed. ••••• ...... •-•••••-•••••"'"-""""""""""""""""""""""""""""'""-••-••-••u••••-••••••• ••••-••••••.,•••-u••••••••••••"'"""--•••---~ NAME OF OFFICEHOLDER OR CANDIDATE NAME OF OFFICEHOLDER OR CANDIDATE. NAME OF OFFICEHOLDER OR CANDIDATE NAME OF OFFICEHOLDER OR CANDIDA TE OFFICE SOUGHT OR HELD OFFICE SOUGHT OR HELD OFFICE SOUGHT OR HELD OFFICE SOUGHT OR HELD 0 SUPPORT 0 OPPOSE 0 SUPPORT 0 OPPOSE 0 SUPPORT • OPPOSE 0 SUPPORT • OPPOSE ••••••••••-••••••••••••--••••••-••-•••••••••----•• ••-•-""•••-•••••••••••-•••"""'""' ____ ..J FPPC Fonn 460 -January/05 Stole or Galllomla/51 Campaign Disclosure Statement Summary Page NAME OF FILER Palm Springs Police Officers Association Political Action Committee Column A Contributions Received !01111.. !~i='i:;"/.:~)('< !FROM ATTl\r~HEIT sctlF..Ol.11.ES"I 5,700.00 1. Monetary Contributions ..................... Schech.lie A, Line 3 $ _____ _ $ 2. Loans Received ..•....... . . . . . . Schedule B. Line 3 o.oo 5,700.00 3. SUBTOTAL CASH CONTRIBUTIONS .......... Maunee1+2 $ _____ _ $ 4. Nonmonetary Contributions . . . . . ........... Scheduls c, Lin• 3 0.00 5. TOTAL CONTRIBUTIONS RECEIVED .......... Add Lines 3 + 4 $ 5,700.00 $ Expenditures Made SUMMARY PAGE Statement covers period from 10/01/2012 throuyh ColumnB CALE:NDAR YEAH TOTAL TO DATE 62,140.00 0.00 62,140.00 0.00 62,140.00 10/20/2012 Page 3 of 23 I.D. NUMBER 951841 Calendar Year Summary for Candidates Running in Both the State Primary and General Electlons. 111 through 6130 711 to Date 20. Contributions Received $ ______ $ _____ _ 21. Expenditures $ $ Made ______ _ ____ _ 6. Payments Made ...... . . . . . . . . . . Schedule £, Line 4 $ 2,609.42 $. ___ 4_2~,_6_2_9_._4_2 Expenditure Limit Summary for State Candidates 7. Loans Made . . . . . . . . . . . . . . . . . . . . . . . . . . . . Schooule H. Uno 3 0.00 0.00 8. SUBTOTAL CASH PAYMENTS ............... AddunesB • 7 $ 2,609.42 $. ___ 4_2_,_6_2_9_._4_2 9. Accrued Expenses (Unpaid Bills) ............. Schedule F. Lme 3 750.00 750.00 10. Nonmonetary Adjustment ................... schaaule c. Line 3 o.oo 0.00 11. TOTAL EXPENDITURES MADE ....•...... Add Lines B+ 9+ 10 $ 3,359.42 $ 43,379.42 Current Cash Statement 12. Beginning Cash Balance .........•. PreviousSummsl)f Psge, Line t6 $ ___ s_1,_0_2_s_._1_1 13. Cash Receipts ......................... Colu11m A. une3above 5,700.00 14. Miscellaneous Increases to Cash ............ Sciledule 1, Line 4 0.00 15. Cash Payments . . . . . . . . . . . . . . . . . ...... Column A, Line 8 above 2,609.42 16. ENDING CASH BALANCE. Add Lines n + 13 + 14, then subtract Line -,5 $ 54,118.69 17. LOAN GUARANTEES RECEIVED ............ Schedule a. Part 2 $ 0.00 Cash Equivalents and Outstanding Debts 18. Cash Equivalents.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . $. _____ o_._o_o 19. Outstanding Debts ............ Md Lines 2 + Line 9 In Column a sbovo $ _____ 7_5_0_. _o o_ 22. Cumulative Expenditures Made • ( If Subject to Voluntary Expenditure Limits) $ ____ _ $ ____ _ • Amounts In this Section may be different from amounts reported In Column B. FPPC Form 460 · January/OS State or Callfomla/SI Schedule A Monetary Contributions Received NAMEOFFILER Palm Springs Police Officers Association Political Action Committee IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER Statement c:overs period from 10/01/2012 through 10/20/2012 DATE RECEIVED FULL NAME, STREET ADDRESS A ND ZIP CODE OF OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) CONTRIBUTOR CODE (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) AMOUNT RECEIVED { INT-1 Paul Abshire 10/01/2012 TB.RU 180 N Luring Dr. 10/20/2012 Palm Springs, CA 92262 {INT-1 10/01/2012 THRU 10/20/2012 Association intermediary listed below. Tarina Adams 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-1 Joel Aguillera 10/01/2012 THRU 180 N Luring Dr. 10/20/2012 Palm Springs, CA 92262 Association intermediary listed below. ( INT-1 Bryan Anderson 10/01/2012 THRU 180 N Luring Or. 10/20/2012 Palm Springs, CA 92262 Association intermediary listed below. {INT-1 Nick Andre 10/01/2012 THRU 180 N Luring Dr. 10/20/2012 Palm Springs, CA 92262 Association intermediary listed below. Schedule A Summary 1. Amount received this period -itemized contributions nm Police Officer City of Palm Springs IND Police Officer City of Palm Springs IND Police Officer City of Palm Springs IND Police Officer City of Palm Springs IND Police Officer City of Palm Springs SUBTOTAL$ (Includes all Schedule A subtotals} ............................................... . $ $ 2. Amount received this period -unitemized ........................................... . 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page. Column A Line 1) .......... . TOTAL$ 71.25 PAYROLL DEDUCTIONS during period. 71.25 PAYROLL DEDUCTIONS during period. 71.25 PAYROLL DEDUCTIONS during period. 71.25 PAYROLL DEDUCTIONS during period. 71. 25 PAYROLL DEDUCTIONS during period. 5,700-00 o_oo 5,700-00 SCHEDULE A CALIFORNIA 460 FORM Page 4 of 23 I.D. NUMBER 951841 UMULATIVE TO DATE CALENDAR YEAR (JAN. 1-DEC. 31) 791-25 791. 25 791.25 791,25 791.25 1* contributor Codes IND -lrdivldu~ PER ELECTION TO DATE (IF REQUIRED) COM-Recip~ntCommittae (o!herthan PTY or SCC) OTH-Olher PTY • Polilical Party sec. Small Conlrlbulor Committee FPPC Form 460(Jan/05) FPPC Toll-Free Helpline: B66/ASK-FPPC Schedule A (Continuation Sheet) Monetary Contributions Received Statement covers period from 10/01/2012 through 10/20/2012 SCHEDULE A CALIFORNIA 460 FORM Page 5 of 23 NAME OF FILER Palm Springs Police Officers Association Poli ti cal Action Conunittee ID. NUMBER 951841 DATE RECEIVED (INT-11 10/01/2012 THRU 10/20/2012 (INT-1) 10/01/2012 THRO 10/20/2012 (INT-1) 10/01/2012 THRU 10/20/2012 (INT-1) 10/01/2012 THRU 10/20/2012 (INT-11 10/01/2012 THRU 10/20/2012 FULL NAME, STREET ADDRESS A NDZIP CODE OF OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D NUMBER) Gus Araiza 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. Mike Barredo 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. Nick Barth 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. Matt Beard 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. Tom Beckert 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. CONTRIBUTOR CODE IND IND IND IND IND IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS} Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs SUBTOTAL$ AMOUNT RECENED 71.25 PAYROLL DEDUCTIONS during period. 71.25 PAYROLL DISDUCTIONS during period. 71.25 PAYR01..L DEDUCTIONS during period. 71.25 PAYROLL DEDUCTIONS during period. 71.25 PAYROLL DEDUCTIONS during period. ti Conlributor Codes: IND -Individual COM -Recipient Committee (olher lhan PTY or SCC) 0TH • Other PTY • Political Party SCC -Small Conbibutor Canmillee CUMULATIVE TO DATI:: CALENDAR YEAR (JAN. 1 -DEC. 31) 791.25 791.25 791. 25 791.25 791. 25 PER ELECTION TO DATE (IF REQUIRED) Schedule A (Continuation Sheet) Monetary Contributions Received Statement covers period from through 10/01/2012 10/20/2012 SCHEDULE A CALIFORNIA 460 FORM Page 6 of 23 NAME OF FILER Palm Springs Police Officers Association Poli ti cal Action committee I.D. NUMBER 951841 DATE RECEIVED (INT-1) 10/01/2012 THRU 10/20/2012 (INT-1) 10/01/2012 THRU 10/20/2012 (INT-1) 10/01/2012 THRU 10/20/2012 (INT-1) 10/01/2012 THRU 10/20/2012 (INT-1) 10/01/2012 THRU 10/20/2012 FULL NAME, STREET ADDRESS A NO ZIP COOE OF OF CONl'RIBUTOR (IF COMMITTEE. ALSO ENTER I.D. NUMBER) Donald Benstead Jr. 180 N Luring Dr. Palm Sp.rings, CA 92262 Association intermediary listed below. Christopher Bergman 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. Jackie Bridgewater 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. Frank Browning 180 N Luring Dr. Palm springs, CA 92262 Association intermediary listed below. Gerald Bucklin 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. CONTRIBUTOR CODE IND IND IND IND IND IF AN IND1VIDUAL, ENTER OCCUPATION AND EMPLOYER (lt:c SELF-EMPLOYED, ENTER NAME OF BUSINESS) Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs SUBTOTAL$ AMOUNT RECEIVED 71.25 PAYROLL DEDUCTIONS during period. 71.25 PAYROLL DEDUCTIONS during period. 71.25 PAYROLL DEDUCTIONS during period. 71.25 PAYROLL DEDUCTIONS during period. 71.25 PAYROLL DEDUCTIONS during period. ti Con1ribula Codes: IND -Individual COM • Recipient Comnlttee (other than PTY or SCC) 0TH • Other PTY -Poltical Party sec • Small Contributor Committee CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1-DEC. 31) 791.25 791.25 791.25 791.25 79l. 25 PER ELECTION TO DATE (IF REQUIRED) Schedule A (Continuation Sheet) Monetary Contributions Received S-ment covers period from 10101/2012 through 10/20/2012 SCHEDULE A CALIFORNIA 460 FORM Page 7 of 23 NAME OF FILER Palm Springs Police Officers Association Political Action Committee 1.0. NUMBER 951841 DATE RECEIVED (INT-1) 10/01/2012 THRU 10/20/2012 (INT-1) 10/01/2012 THRU 10/20/2012 (INT-1) 10/01/2012 THRU 10/20/2012 (INT-1) 10/01/2012 THRU 10/20/2012 (INT-1) 10/01/2012 THRU 10/20/2012 FULL NAME, STREET AOORESS A ND ZIP CODE OF OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Jon Cabrera 180 N Luring Dr. Palm Springs, CA 92262 Association inte:rm.ediary listed below~ Stefanie Campbell 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. Albert Cantu 180 N Luring Dr. Palm Springs, CA 92262 .Association intermediary listed below. Cary Carr il1o 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. Nancy Carr 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. CONTRIBUTOR CODE IND IND IND IND IND IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Sprin9s SUBTOTAL$ AMOUNT RECEIVED 71,25 PAYROLL DEDUCTION$ during period. 71.25 PAYROLL DEDUCTIONS during period. 71.25 PAYROLL DEDUCTIONS during period. 71.25 PAYROLL DEDUCTIONS during period. 71.25 PAYROLL DEDUCTIONS during period. H Contributer Codes: IND -Individual COM -Reeipienl Cornnillee (olher than PTY or SCC) 0TH -OIiier PTY -Political Par1y sec -Small Con1ribula Committee CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) 791.25 791. 25 791.25 791. 25 791.25 PER ELECTION TOOATE (IF REQUIRED) Schedule A (Continuation Sheet) Monetary Contributions Received Statement covers period from 10/01/2012 thro..gh 10/20/2012 SCHEDULE A CALIFORNIA 460 FORM Page 8 of 23 NAME OF FILER Palm Springs Police Officers Association Poli ti cal Action committee LO. NUMBER 951841 DATE RECEIVED FULL NAME, STREET ADDRESS A ND ZIP CODE OF OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER LO NUMBER) (INT-1) Mike Casavan 10/01/2012 THRU 10/20/2012 180 N Luring Dr, Palm Springs, CA 9'22 62 Association intermediary listed below. (INT-1) Troy Castillo 10/01/2012 THRU 10/20/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-1) Merritt Chassie 10/01/2012 THRO 10/20/2012 180 N Luring Dr. Palm Springs, CA 922 62 Association intermediary listed below. (INT-1) Luciano Colantuano 10/01/2012 THRU 10/20/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. ( INT-1) Brent Coon 10/01/2012 THRU 10/20/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. CONTRIBUTOR CODE IND IND IND IND IND IF AN INDMDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Police Officer City of Palm Springs Police Officer City of E>alm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs SUBTOTAL$ AMOUNT RECEIVED 71.25 PAYROLL DEDUCTIONS during period, 71.25 PAYROLL DEDUCTIONS during period. 71.25 PAYROLL DEDUCTIONS during period. 71.25 PAYROLL DEDUCTIONS during period. 71.25 PAYROLL DEDUCTIONS during period. H Con1ributor Codes: IND -lndivi!llal COM· Recipien( Committee (olllar than PTY or SCC) 0TH -Other PTY -Polltical Party sec -Small Contributor Committee CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1-DEC. 31) 791.25 791. 25 791.25 791.25 791.25 PER ELECTION TO DATE (IF REQUIRED) Schedule A (Continuation Sheet) Monetary Contributions Received statement covers period from 10/01/2012 through 10/20/2012 SCHEDULE A CALIFORNIA 460 FORM Page 9 of 23 NAME OF FILER Palm Springs Police Officers Association Political Action Committee 1.D. NUMBER 951841 DATE RECEIVED FULL NAME, STREET ADDRESS A ND ZIP CODE OF OF OONTRIBUTOR (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) CINT-1) David Costello 10/01/2012 THRO 10/20/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-1) Matt Crampton 10/01/2012 THRO 10/20/2012 180 N Luring Dr. Palm springs, CA 922 62 Association intermediary listed below. (INT-1) Josh Crocker 10/01/2012 THRO 10/20/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-1) Michael Delaney 10/01/2012 THRO 10/20/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-1) Melissa Desmarais 10/01/2012 TRRU 10/20/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. CONTRIBUTOR DODE IND IND IND IND IND IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs SUBTOTAL$ AMOUNT RECEIVED 71.25 PAYROLL DEDUCTIONS during period. 71.25 PAYROLL DEDUCTIONS during period. 71.25 PAYROLL DEDUCTIDNS during period. 71.25 PAYROLL DEDUCTIDNS during period. 71.25 PAYROLL DEDUCTIONS during period. CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 • DEC. 31) 791.25 791.25 791. 25 791. 25 791.25 356. 2sL; __ " Contributer Codes: IND -lncivid.Jal COM -Recipient Committee (olher 111111 PTY er SCC) 0TH • Other PTY • Political Party SCC • Small Conlributer Committee PER ELECTION TO DATE (IF REQUIRED) Schedule A (Continuation Sheet) Monetary Contributions Received Statement covent perlOd from 10/01/2012 through 10/20/2012 SCHEDULE A CALIFORNIA 460 FORM Page 10 of 23 NAME OF FILER Palm Springs Police Officers Association Political Action Committee 1.0. NUMBER 951841 DATE RECEIVED (INT-1) 10/01/2012 THRU 10/20/2012 (INT-1) 10/01/2012 THRU 10/20/2012 (INT-1) 10/01/2012 THRU 10/20/2012 (INT-11 10/01/2012 THRO 10/20/2012 (INT-1) 10/01/2012 THRO 10/20/2012 FULL NAME. STREET ADDRESS A ND ZIP CODE OF DF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Alan Donovan 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. Michael Donovan 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. Donald Dougherty 180 N Luring Dr. Palm Sp-rings, CA 92262 Association intermediary listed below. Lauren Drinkwater 180 N tm:ing Dr, Palm Springs, CA 92262 Association intermediary listed below. Christopher Duthaler 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. CONTRIBUTOR CODE IND IND IND IND IND IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Police Of£icer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs SUBTOTAL$ AMOUNT RECEIVED 71.25 PAYROLL DEDUCTIONS during period. 71.25 PAYROLL DEDUCTIONS during period. 71.25 PAYROLL DEDUCTIONS during period~ 71.25 PAYROLL DEDUCTIONS during period. 71.25 PAYROLL DEDUCTIONS during period. CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1-DEC. 31) 791.25 791.25 791.25 791.25 791.25 356. 25~;,;, "f:;:.:,:·• M Contributor Codes: IND • lndividllal COM • Recipient Committee (other than PTY or SCC) 01H • Olher PTY -Polltical Party sec . Small Conbibutor Committee PER ELECTION TO DATE (IF REQUIRED) Schedule A (Continuation Sheet) Monetary Contributions Received Statamant covers period from 10/0112012 through 10/20/2012 SCHEDULE A CALIFORNIA 460 FORM Page 11 of 23 NAME OF FILER Palm Springs Police Officers Association Poli ti cal Action Committee I.D. NUMBER 951841 DATE RECEIVED {INT-1) 10/01/2012 THRO 10/Z0/2012 (INT-1) 10/01/2012 THRU 10/20/2012 (INT-1) 10/01/2012 THRU 10/20/2012 (INT-1) 10/01/2012 THRU 10/20/2012 (INT-1) 10/01/2012 THRU 10/20/2012 FULL NAME. STREET ADDRESS A NO ZIP CODE OF OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Arthur Enderle 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. Byron Farley 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. Gi 1 Fernandez 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. Rae Fernandez 180 N Luring Dr. Palm Spring::!-, CA 92262 Association intermediary listed below. Kelly Fieux 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. CONTRIBUTOR CODE IND IND IND IND IND IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs SUBTOTAL$ AMOUNT RECEIVED 71.25 PAYROLL DEDUCTIONS during period. 71.25 PAYROLL DEDUCTIONS during period. 71,25 PAYROLL DEDUCTIONS during period. 71.25 PAYROLL DEDUCTIONS during period. 71.25 PAYROLL DEDUCTIONS during period. " Conlributa Codes: IND -Individual COM • Recipient Committee (oilier than PTV or SCC) 0TH -Other PTY -Pditical Party SCC • Small Conlribulor Committee CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) 791.25 791. 25 791.25 791. 25 791.25 PER ELECTION TO DATE (IF REQUIRED) Schedule A (Continuation Sheet) Monetary Contributions Received Statement covers period from 10/01/2012 through 10/20/2012 TOI FEVI\/F!B CALIFORNIA 460 FORM Page 12 of 23 NAMEOFFILER Palm Springs Police Officers Association Political Action committee I.D. NUMBER 951841 DATE RECEIVED (INT-1) 10/01/2012 THRO 10/20/2012 (INT-1) 10/01/2012 THRO 10/20/2012 IINT-1) 10/01/2012 THRO 10/20/2012 (INT-1) 10/01/2012 THRU 10/20/2012 (INT-1) 10/01/2012 THRU 10/20/2012 FULL NAME, STREET ADIJRESS A ND ZIP CODE OF OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Shawn Flinn 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. Arnold Galvan 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. Steve Grissom 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. Frank Guarino 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. Issac Hackbarth 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. CONTRIBUTOR CODE IND IND IND IND IND IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER OF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs SUBTOTAL$ AMOUNT RECEIVED 71.25 PAYROLL DEDUCTIONS during period, 71.25 PAYROLL PEPUCTlONS during period. 71.25 PAYROLL DEDUCTIONS during period. 71.25 PAYROLL DEDUCTIONS during period. 71.25 PAYROLL DEDUCTIONS during period. ~cootributorCodes: IND -lndl>'idual COM· Recipient Committee (Olherthan PTY or SCC) OTH-Olher PTY-Polilical Party $CC-Small Conbibutor Committee CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) 791.25 791.25 791.25 791.25 791. 25 PER ELECTION TO DATE (IF REQUIRED) Schedule A (Continuation Sheet) Monetary Contributions Received Statement covers period from 10/01/2012 tlt(ough 10/20/2012 TDI FEVM'IB CALIFORNIA 460 FORM Page 13 of 23 NAMEOFFILER Palm Springs Police Officers Association Political Action Committee 1.0" NUMBER 951841 DATE RECEIVED FULL NAME, STREET ADDRESS A ND ZIP CODE OF OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER ID. NUMBER) (IN'l'-1) Anthony Harrison 10/01/2012 THRU 10/20/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-1) Kevin Herington 10/01/2012 THRU 10/20/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-1) Mike Heron 10/01/2012 THRU 10/20/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-1) William Hutchinson 10/01/2012 THRU 10/20/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-1) Mike Iseminger 10/01/2012 THRU 10/20/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. CONTRIBUTOR CODE IND IND IND IND IND IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs SUBTOTAL$ AMOUNT RECEIVED 71.25 PAYROLL DEDUCTIONS during period. 71. 25 PAYROLL DEDUCTIONS during period. 71.25 PAYROLL DEDUCTIONS during period. 71.25 PAYROLL DEDUCTIONS during period. 71.25 PAYROLL DEDUCTIONS during period. ff Conlribulcr Codes: IND -lndiviclJel COM -Recipient Committee (other !hen PTY or SCC) OlH -Other PTY -Political Party SCC • Smell Contributor Committee CUMULATIVE TO DATE CALENDAR VEAR (JAN.1-DEC. 31) 791. 25 111.25 791.25 791.25 791. 25 PER ELECTION TO DATE (IF REQUIRED) Schedule A (Continuation Sheet) Monetary Contributions Received Statement covers period from 10/01/2012 through 10/20/2012 TDI FEV'51B CALIFORNIA 460 FORM Page 14 of 23 NAMEOFFILER Palm Springs Police Officers Association Political Action Committee 1.0. NUMBER 951841 DATE RECEIVED FULL NAME, STREET ADDRESS A NO ZIP CODE OF Of CONTRIBUTOR (IF COMMITTEE, ALSO ENTER 1.0. NUMBER! (INT-1) Chris Jaeger 10/01/2012 THRO 10/20/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. {INT-1) Juan Jimenez 10/01/2012 THRU 10/20/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-1} Ronnie Jones 10/01/2012 THRO 10/20/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-1) Oenise Judd 10/01/2012 THRO 10/20/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-1) Jennifer Kennedy 10/01/2012 THRO 10/20/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intennediary listed below. CONTRIBUTOR CODE IND IND IND IND IND IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED. ENTER NAME OF BUSINESS) Police Officer City of Palm Springs Folice Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs SUBTOTAL$ AMOUNT RECEIVED 71.25 PAYROLL DEDUCTIONS during period. 71.25 PAYROLL DEDUCTION$ during period. ?l.25 PAYROLL DEDUCTIONS during period. 71.25 PAYROLL DEDUCTIONS during period. 71.25 PAYROLL DEDUCTIONS during period. M Con1ributor Codes: IND· lndhlidual COM· Reapienl Committee (other lhan PTY or SCCJ 0TH -Other PTY • Polilicsl Party SCC -Smal Conllibutnr Committee CUMULATIVE TO DATE CALENDAR YEAR (JAN, 1 -DEC. 31) 791.25 791.25 671.25 791.25 791. 25 PER ELECTION TO DATE (IF REQUIRED) Schedule A (Continuation Sheet) Monetary Contributions Received Statement covers period from 10/01/2012 through 10/20/2012 TDI FEVl,flB CALIFORNIA 460 FORM Page 15 of 23 NAMEOFFILER Palm Springs Police Officers Association Political Action Committee ID. NUMBER 951841 DATE: RECEIVED {INT-1) 10/01/2012 THRO 10/20/2012 (INT-1) 10/01/2012 THRU 10/20/2012 (INT-1) 10/01/2012 THRO 10/20/2012 (INT-1) 10/01/2012 THRO 10/20/2012 (INT-1) 10/01/2012 THRO 10/20/2012 FULL NAME, STREET ADORES$ A ND ZtP CODE OF OF CONTRIBUTOR (IF COMMITTEE. ALSO ENTER I.D. NUMBER) Mike Kovaleff 180 N Luring Dr. Palm Springs, CA 92262 Association inte:anediary listed below_ Lembi t Kulbin 180 N Luring Dr. l?alm Springs, CA 92262 Association intermediary listed below. Barron Lane 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. Erik Larson 180 N Luring Dr, Palm Springs, CA 92262 Association intermediary listed below. Marcus Litch 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. CONTRIBUTOR CODE IND IND IND IND IND IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Police Officer City of Palm Springs Police Officer city of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs SUBTOTAL$ AMOUNT RECEIVED 71.25 PAYROLL DEDUCTIONS during period. 71. 25 PAYROLL DEDUCTIONS during period. 71.25 PAYROLL DEDUCTIONS during period. 71.25 PAYROLL DEDUCTIONS during period. 71.25 PAYROLL DEDUCTIONS during period. ti Con!ribulor Codes: IND -Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Olher PTY • Political Party SCC -Small Contributor Committee CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) 791. 25 791.25 791. 25 791.25 791. 25 PER ELECTION TO DATE (IF REQUIRED) Schedule A (Continuation Sheet) Monetary Contributions Received s-nt covers period from 10/01/2012 through 10/20/2012 TOI FEVM'IB CALIFORNIA 460 FORM Page 16 of 23 NAME OF FILER Palm Springs Police Officers Association Political Action Committee ID. NUMBER 951841 DATE RECEIVED FULL NAME, STREET ADDRESS A ND ZIP CODE OF OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) (INT-1) Rhonda Long 10/01/2012 THRO 10/20/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-1) Kevin Lu 10/01/2012 THRU 10/20/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-1) John Mejia 10/01/2012 THRU 10/20/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below~ ( I~T-1) Marc Melanson 10/01/2012 THRU 10/20/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. (INT-1) Simon Min 10/01/2012 THRU 10/20/2012 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. CONTRIBUTOR CODE IND IND IND IND IND IF AN INDMDUAL, ENTER OCCUPATION AND EMPLOYER OF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs SUBTOTAL$ AMOUNT RECEIVED 71.25 PAYROLL DEDUCTIONS during period. 71.25 PAYROLL DEDUCTIONS during period. 71.25 PAYROLL DEDUCTIONS during period. 71.25 PAYROLL DEDUCTIONS during period. 71.25 PAYROLL DEDUCTIONS during period. -eon1ribtllor Codes: IND -lndhridual COM· Recipient Committee (other lhan PlY or SCC) 0TH -Olher PlY • Political Party SCC -Smal Contributor Committee CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 • DEC. 31) 791.25 791. 25 791. 25 791.25 791. 25 PER ELECTION TO DATE (IF REQUIRED) Schedule A (Continuation Sheet) Monetary Contributions Received Statement coven; period from 10/01/2012 through 10/20/2012 TDI FEVM'!B CALIFORNIA 460 FORM Page 17 of 23 NAME OF FILER Palm Springs Police Officers Association Political Action Cammi ttee 1.D, NUMBER 951841 DATE RECEIVED (INT-1) 10/01/2012 THRO 10/20/2012 (INT-1) 10/01/2012 THRO 10/20/2012 (INT-1) 10/01/2012 THRO 10/20/2012 (INT-1) 10/01/2012 THRO 10/20/2012 (INT-1) 10/01/2012 THRO 10/20/2012 FULL NAME, STREET ADDRESS A ND ZIP CODE OF OF CONTRlBUTOR (If COMMITTEE, ALSO ENTER 1.0 NUMBER) Chad Nordman 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. Anthony Pilutik 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. Paola Ramos 180 ~ Luring Dr. Palm Springs, CA 92262 Association intermediary listed below, Ryan Raso 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. Harvey Reed 180 N Luring DL Palm Springs, CA 92262 Association intermediary listed below. CONTRIBUTOR CODE IND IND IND IND IND IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (If SELF-EMPLOYED. ENTER NAME OF BUSINESS) Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs SUBTOTAL$ AMOUNT RECEIVED 71.25 PAYROLL DEDUCTIONS during period. 71.25 PAYROLL DEDUCTIONS during period. 71.25 PAYROLL DEDUCTIONS during period. 71.25 PAYROLL DEDUCTIONS during period. 71.25 PAYROLL DEDUCTIONS during period. tt Con1ribulcr Codes: IND -Individual COM -Rsclplenl Cormlltlee (olher lhan PTY or SCC) DTH -Olher PTY -Pollllcal Party sec -Small Contribulor Committee CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) 791. 25 791.25 791.25 271.25 791.25 PER ELECTION TO DATE (IF REQUIRED) TDI FEVr-.F!B Schedule A (Continuation Sheet) Monetary Contributions Received Stalllment covers period from 10/01/2012 through 10/20/2012 CALIFORNIA 460 FORM Page 18 of 23 NAME OF FILER Palm Springs Police Officers Association Political Action Committee 1.0. NUMBER 951841 DATE RECEIVED (INT-1) 10/01/2012 THRO 10/20/2012 (INT-1) 10/01/2012 THRU 10/20/2012 (INT-1) 10/01/2012 THRU 10/20/2012 (INT-1) 10/01/2012 THRU 10/20/2012 (INT-1) 10/01/2012 THRO 10/20/2012 FULL NAME, STREET ADORESS A ND ZIP CODE OF OF CONlRIBUTO~ (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Richard Salomon 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. Steve Sanders 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. Sam Steepleton 180 N Luring Dr, Palm Springs, CA 92262 Association intermediary listed below. Kyle Stjerne 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. Mike Studer 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. CONTRIBUTOR CODE IND IND IND IND IND IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER ~fa SELF-EMPLoYED, EN'rER NAME OF BUSINESS) Police Officer City of Palm Springs P'olice Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs SUBTOTAL$ AMOUNT RECEIVED 71.25 PAYROLL DEDUCTIONS during period. 71.25 PAYROLL DEDUCTIONS during period. 71.25 PAYROLL DEDUCTIONS during period. 71.25 PAYROLL DEDUCTIONS during period. 71.25 PAYROLL DEDUCTIONS during period. ff Contributor Codes: IND -lndMdual CDM -Recipient Committee (olher lhan PTY or SCC) DTH -Olll8" PTY -Political Party SCC -Small Contributor Committee CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) 79L.25 791.25 791. 25 791. 25 791.25 PER ELECTION TO DATE (IF REQUIRED) I Schedule A (Continuation Sheet) Monetary Contributions Received Statement coven; period from 10/01/2012 through 10/20/2012 TDI FEVM'!B CALIFORNIA 460 FORM Page 19 of 23 NAME CF Fil.ER Palm Springs Police Officers Association Poli ti cal Action Committee 1.0 NUMBER 951841 DATE RECEIVED (INT-1) 10/0i/2012 THRO 10/20/2012 (INT-1) 10/01/2012 THRO 10/20/2012 (INT-1) 10/01/2012 THRU 10/20/2012 (INT-1) 10/01/2012 THRU 10/20/2012 (INT-1) 10/01/2012 THRU 10/20/2012 FUU. NAME, STRoET ADDRESS A NO ZIP CODE OF OF CONTRIBUTOR (IF COMMITTEo, ALSO ENToR 1.0. NUMBoR) Gilbert Vega 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. Mike Villegas 180 N Luring Dr. Palm Springsf CA 92262 Association intermediary listed below. Steve WilliBlllS 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. Elizabeth Witten 180 N Luring Dr l?alm Springs, CA 92262 Association intermediary listed below. Stephen Woodward 180 N Luring Dr. Palm Springs, CA 92262 Association intermediary listed below. CONTRIBUTOR CODE IND IND IND IND IND IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SoLF-EMPLOVED, oNTER NAME OF BUSINESS) Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs Police Officer City of Palm Springs SUBTOTAL$ AMOUNT RECEIVED 71.25 PAYROLL DEDUCTIONS during period. 71.25 PAYROLL DEDUCTIONS during period. 71. 25 PAYROLL DEDUCTIONS during period. 71.25 PAYROLL DEDUCTIONS during period. 71.25 PAYROLL DEDUCTIONS during period. 356.251 ~ Contributor Codes: IND -Individual COM -Recipient Committee (Olher lllan PTY or SCC) 0TH -Other PTY -Politieal Party SCC -Small Contributa Committee CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) 791.25 791.25 791. 25 191. 25 751.25 PER ELECTIOl'I TO DATE (IF REQUIRED) Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER Palm Springs Police Officers Association Political Action Committee IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER Statament covers period from through 10/01/2012 10/20/2012 TDI FEVflflB CALIFORNIA 460 FORM Page 20 of 23 1.D. NUMBER 951841 PER ELECTION TO DATE DATE RECEIVED FULL NAME. STREET ADDRESS A ND ZIP CODE Of OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER 1.0. NUMBER! CONTRIBUTOR CODE (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) AMOUNT RECEIVED CUMULATIVE TO DATE CAL EN DAR YEAR (JAN.1 -DEC. 31) (IF REQUIRED) (INT-1) Palm Springs Police Officers Association 0TH 180 N Luring Dr Palm Springs, CA 92262 SUBTOTAL$ Intermediary for PAYROLL DEDUCTIONS o.oo[ "Conlributur Codes: IND -Individual COM-Recipient Committee (other than PTY or SCC) DTH -Other PTY -Political Party SCC -Small Contributor Committee Schedule D Summary of Expenditures Supporting/Opposing Other Candidates, Measures and Committees Statement covers period from 10/01/2012 through __ 1_0_;_2_0_;_2_0_12 __ TDI FEVM'IE CALIFORNIA 460 FORM Page 21 of 23 NAMEOFFILER Palm Springs Police Officers Association Political Action Committee 1.D. NUMBER 951841 DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR MEASURE NUMSER OR LETTER AND JURISDICTION, OR COMMITTEE 10/19/2012 Death Penalty Repeal Statewide Proposition 34 D SUPPORT • OPPOSE Schedule D Summary TYPE OF PAYMENT • ~~~:bo:,~ry D Independent Expenditure DESCRIPTION (IF REQUIRED) Contribution .made from general treasury funds of sponsor SUBTOTAL$ AMOUNT THIS PERIOD 2,500.00 2,500.00 CUMULATIVE TO DATE CALENDAR YEAR (JAN 1-0EC 31) 2,500.00 PER ELECTION TO DATE (IF REQUIRED) 1. Itemized contributions and independent expenditures made this period. ( Include all Schedule D subtotals. ) ............... . $ ___ 2_,_s_o_o_._o o 2. Unitemized contributions and independent expenditures made this period of under $100. . ............... . s _____ o_._o_o 3. Total contributions and indpendent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.) .. TOTAL $ ___ 2..;.,_s_oo_._00 cn::vl(,l>sl I571)fqiovbszl<l6. TJ Schedule E Payments Made NAME OF FllER Palm Springs Police Officers Association Political Action Cammi ttee CODES: If one of the following accurately describes the payment, you may enter the code. CMP campaign paraphernalia/misc. MBR member communications CNS campaign consultants MTG meetings and appearances CTB contribution (explain nonmonetary) OFC office expenses eve Civic donations PET petition circulating FIL candidate filing/ ballot fees PHO phone bank$ FND fundralslng expenses POL polling and survey research IND Independent expendirures supporting/opposing others POS postage, delivery and messenger services LEG legal defense PRO professional services (legal, accounting) LIT campaign literature and mailings PRT print ads TDI FEVM'!F Statement cove111 period from 10/01/2012 CALIFORNIA 460 FORM through 10/20/2012 Page 22 of 23 LD. NUMBER 951841 Otherwise, describe the payment. RAD radio airtime and production costs RFD rebJmed contributions SAL campaign workers' sala~es TEL I. v. or cable 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 negistration WEB lnfonnation technalogy costs (lnternet,e-mail) NAME AND ADDRESS OF PAYEE CODE or DESCRIPTION OF PAYMENT AMOUNTPAID Californians for Justice and Public Safety No on Proposition 34 CTB Contribution made from general treasury funds of 2,500.00 sponsor 455 Capitol Mall Ste 600 Sacramento, CA 95814 ID No: 1346266 Kells Fargo Bank OFC 109. 42 1510 Arden Way Ste 300 Sacramento, CA 95815 SUBTOTAL$ 2,609.42 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) .............................................. . $ ___ 2 ,_6_0_9_._4_2 2. Unitemized payments made this period of under $100 ............................................................ . $ ____ o_._o_o 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e). ) ............................... . $ _____ o_._o_o 4. Total payments made this period. (Add Line 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ........... TOTAL $ ___ 2_,_6_09_._4_2 G'.XOl~lll I571)14>ovbszlll6. T .1 Schedule F Accrued Expenses (Unpaid Bills) NAMEOFFILER Palm Springs Police Officers Association Political Action Committee Statement covers period from tl,rough 10/01/2012 10/20/2012 TDI FEVM'!G CALIFORNIA 460 FORM Page 23 of 23 I.D. NUMBER 951841 CODES: If one of the following accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia/miSc. MBR member communications CNS campaign consultants MTG meetings and appearances CTB contribution (explain nonmonetary) OFC office expenses eve civic donations PET petition circulating FIL candidate filing / ballot fees PHO phone banks FND fundraising expenses POL polling and survey research IND Independent expenditures supporting/opposing others POS postage, delivery and messenger services LEG legal defense PRO professional sBfVices (legal, accounUng) LIT campaign literature and mailings PRT print ads (a) NAME AND ADDRESS OF CREDITOR CODE OR OUTSTANDING DESCRIPTION OF PAYMENT BALANCE BEGINNING Of THIS PERIOD Wayne Ordas Attorney at Law PRO o_oo 1415 L St Ste 410 Sacramento, CA 95814 SUBTOTALS$ 0.00 $ Schedule F Summary 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for RAD radio airtime end production costs RFD returned contributions SAL campaign workers' salaries TEL t.v. or cable 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 VVEB information tectmology costs (internet,e-mall) (b) (c) (d) OUTSTANDING AMOUNT INCURRED AMOUNT PAID BALANCE AT CLOSE THIS PERIOD THIS PERIOD OF THIS PERIOD 750-00 0.00 750.00 750.00 $ 0. 00 $ 750.00 accrued expenses of $100 or more, plus total unitemized accrued expenses under $100.) ..................... INCURRED TOTALS "'$ _____ 7_5_o_._o_o 2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.) .............. PAID TOTALS $.__ _____ a_. o_o 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and on the Summary Page, column A, Line 9.) ......................................................... . .......... NET $'--_____ 1_s_o_._o_o OOCOl~m I571)Nlovbsz!<l6. T J Recipient Committee Campaign Statement Cover Page Type or print in ink. Date Stamp CALIFORNIA 2001/02 FORM (Government Code Sections 84200-84216.5) Statement covers period from ___ 5_/2_0_/2_0_1_2 __ SEE INSTRUCTIONS ON REVERSE through __ 6_/_30_/_20_1_2 __ 1. Type of Recipient Committee: All Committees-Complete Parts 1, 2, 3, and 4. D Officeholder, Candidate Controlled Committee • Ballot Measure Committee 0 State Candidate Election Committee O Plimarily Formed 0 Recall O Controlled /Aleo Coml)l«e Part 5J Q Sponsored llcl General Purpose Commtttee © Sponsored 0 Small Contributor Committee O Political Party/Central Committee 3. Committee Information (-Complete Part 6/ • Primarily Formed Candidate/ Officeholder Committee (Aloo Complete Part 7) I.D. NUMBER 95-1841 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Palm Springs Police Officer's Association STREET ADDRESS (NO P.O. BOX) P.O. Box 1671 CITY Palm Springs STATE ZIP CODE CA 92263 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY OPTIONAL: FAX I E-MAIL ADDRESS simon.min@pspoa.com 4. Verification STATE ZIP CODE AREA CODE/PHONE 760-417-4602 AREA CODE/PHONE f~ECEl\lf.D ; (l F P td. H <, ? Date of election if applicable: (Month, Day, Year) 2012 JUL 31 PM :i:Q5 _1 _ of _._4 _ JM-iES i hv1ii" CITY CLER, For Official Use Only 2. Type of Statement: D Preelectton Statement Ii] Semi-annual Statement D Termination Statement D Amendment (Explain below) Treasurer(s) NAME OF TREASURER Simon Min MAILING ADDRESS P.O. Box 1671 CITY Palm Springs NAME OF ASSISTANT TREASURER, IF ANY Lauren Drinkwater MAILING ADDRESS P.O. Box 1671 CITY Palm Springs OPTIONAL: FAX I E-MAIL ADDRESS lauren.drinkwater@pspoa.com D Quarterly Statement D Special Odd-Year Report D Supplemental Preelection Statement -Attach Form 495 STATE ZIP CODE AREA CODE/PHONE CA 92263 760-417-4602 STATE ZIP CODE AREA CODE/PHONE CA 92263 760-417-4602 I 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. certify under penally of perjury under the laws of the State of California that the foregoing i correct. Executed on _M_on_d_a_y,~J~u-ly_3_0t_h_, _20_1_2_ OalB Executed on -----.,.Date-,------- Executed on -----,.Date,,,_ _____ _ Executed on -----~Date------- By -------,Si.::gnatwe==o1"'eon=•c1"'1'=';ng"Offi=""1:rcl:,,de<""',ea"'ro""',da""te'°',s"'ta""te"M"'..,=1n"°Pro""'pon=en"'t _____ _ BY-----------~~----------------S1gnature of Controlling Offlatmlder, candidate, StateMeasL.18 Proponent FPPC Fann 480 {June/01) FPPC Toll-Free Helpline: 886/ASK-FPPC S1a1e of canromla Type or print In Ink. SUMMARY PAGE Campaign Disclosure Statement Summary Page Amounts may be rounded to whole dollars. Statement covers period CALIFORNIA 460 FORM SEE INSTRUCTIONS ON REVERSE NAME OF FILER Palm Springs Police Officer's Association Contributions Received Column A TOTAL THIS PERK:i• (FROMATTActlEDSCHEOOLES) 1. Monetary Contributions . . . . . . . . .. . ... ..... ... . ... ... ... . . .. . . .. . . Schedule A, Une 3 $ .46 2. Loans Received . . .. . . .. . .. . .. . ... ... . .. ... .. ... .. .... ... .. .. . .. . ... Schedule B, une 3 0 3. SUBTOTAL CASH CONTRIBUTIONS ... AddUm,s1+2 $ .46 4. Nonmonetary Contributions .. ... .. . . .. .. .... .. ... . . ... . . . ... . . Schoc/ulo c, Uno 3 0 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 + 4 $ .46 Expenditures Made 6. Payments Made....................................................... Schedule E, Une 4 $ 0 7. Loans Made............... ............................................ Schedule H, Une 3 8. SUBTOTAL CASH PAYMENTS .................................. Add unos 6 + 7 $ 0 9. Accrued Expenses (Unpaid Bills) .............................. Schedule F, Lino 3 10. Nonmonetary Adjustment .. .............. .............. . .... Schedule c, Une 3 11. TOTAL EXPENDITURES MADE ................................ AddLines8+9+ 10 $ 0 Current Cash Statement 12. Beginning Cash Balance ...................... PreviousSumma,yPage,Une 16 $ 22,126.62 13. Cash Receipts .. . .. . ... ... . ... . ... Column A. Uno 3 above .46 14. Miscellaneous Increases to Cash ... ....................... Schedule 1, une 4 12,480.00 15. Cash Payments........... . .. . . .. . . .. .. . .. .. .. .... ... ... ..... .. Column A une 8 ebave 0 16. ENDING CASH BALANCE ......... Add Lines 12 + 13 + 14, tmm subtract Line 15 $ 34607.08 If this is a termination statement, Une 16 must be zero. 17. LOAN GUARANTEES RECEIVED ........................... Schedule a, Part 2 $ 0 Cash Equivalents and Outstanding Debts 18. Cash Equivalents .. ... . ... . .. . .. .. . .. ... .. . ... ... .. . ... . See lnstrvctions on reverse $ 0 19. Outs1anding Debts . . .. . ... . . .. . .. .. ... . .. .. Add Line 2 +Line 9 in Column Bab/Ml $ 0 from ___ 5_/2_0_/2_0_1_2 __ through __ 6/_30_/2_0_1_2 __ Page __ 2_ of __ 4 _ Columns CALENDAR YEAR TOTAL TODATE $ .88 0 $ .88 0 $ .88 $ 8320.66 0 $ 8320.66 0 0 $ 8320.66 ID. NUMBER 95-1841 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 111 through 6130 711 to Date 20. Contributions Received $ ____ _ $ ____ _ 21. Expenditures Made $ ____ _ $ ____ _ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made• (Hubje<I to Voluntary Expenditure Umll) Date of Election Total to Date (mmldd/yy) ____J___J_ __ $ ____J____J __ $ ____J__J __ $ ____J__J __ $ ____J__J __ $ ____J__J __ $ 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 'Since January 1, 2001. Amounts in this section may be from Lines 2, 7. and 9 (if different from amounts reported in Column B. any). FPPC Form 460 (JuneJ01) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Palm Springs Police Officer's Association Type or print In Ink. Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR (IFCOMMITTEE,ALSOENTERI.O.NUMBE:R) CODE * IF AN INDIVIDUAL. ENTER OCCUPATION AND EMPLOYER (IF SE:Lf-E:MPLOYED, ENTER NAME OF BUSINESS) 5/31/2012 Bank of America 6/29/2012 Bank of America Schedule A Summary •IND •COM IKJOTH OPTY •sec •IND •COM IK!OTH •PTY •sec •IND •COM DOTH •PTY •sec •IND •COM DOTH •PTY •sec •IND •COM DOTH OPTY •sec SUBTOTAL$ seHEDULEA Statement covers period CALIFORNIA 460 FORM from ___ 5_12_0_12_0_1_2 __ through __ 6_1_30_/_20_1_2 __ Page __ 3 _of __ 4 _ AMOUNT RECEIVED THIS PERIOD .20 .26 .46 1.0. NUMBER 95-1841 CUMULATIVE TO DATE CAL EN DAR YEAR (JAN. 1 -DEC. 31) :44 .88 •contributor Codes IND -lm!lvldual PER ELECTION TODATE (IF REQUIRED) 1. Amount received this period-contributions of $100 or more. (Include all Schedule A subtotals.) ........................................................................................................ $ ____ ._46_ COM-Recipient Committee (other than PTY or SCC) OTH-Olher 2. Amount received this period-unitemized contributions of less than $100 ............................................. $ ____ o_ 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $ ____ ._46_ PTY -Political Party sec -Small Contributor Committee FPPC Form 460 {June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule I Miscellaneous Increases to Cash SEE INSTRUCTIONS ON REVERSE NAME OF FILER Palm Springs Police Officer's Association DATE RECEIVED 5/29/2012 6/13/2012 6/22/2012 FULL NAME AND ADDRESS OF SOURCE (IFCOMll,UTTE;E,ALSOENTS-RI.D NUMEIER) City of Palm Springs/ PSPOA Member Dues City of Palm Springs/ PSPOA Member Dues City of Palm Springs/ PSPOA Member Dues Attach additional information on appropria/9/y labeled continuation sheets. Schedule I Summary Type or print In Ink. Amounts may be rounded to whole dollars. Statement covers perlOd from __ 5_/2_0_/2_01_2 __ through __ 6_/3_0_/2_0_12 __ DESCRIPTION OF RECEIPT Member Dues Member Dues Member Dues SUBTOTAL$ 1. Increases to cash of $100 or more this period .......................................................................................................... $ ___ 12_,48_0._00_ 2. Unitemized increases to cash under $100 this period ............................................................................................... $ _____ o 3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).) ................................. $ _____ O 4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Line 14.) ........................................................................................................................... TOTAL $ ___ 12....c.,4_8_0_.o_o SCHEDULE I CALIFORNIA 460 FORM Page_4_ ot_4_ I.D.NUMBER 95-1841 AMOUNT OF INCREASE TO CASH $6,240.00 $3,120.00 $3,120.00 12,480.00 FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC COVERPAGE Type or print In ink. Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200--84216.5) .----------.---------2-10 2 AUG -7 AH 10: 13 Statement covers period Date of election if applicable] A ,_, c " __ CALIFORNIA 460 2001102 FORM 3/18/2012 (Month.Day.Year) · '·'c',.,.., IHUi,,· .. from________ ITY CLER f · Page __ 1_ of __ 6 _ For Official Use Only SEE INSTRUCTIONS ON REVERSE through __ 5_/_19_/_20_1_2 __ 1. Type of Recipient Committee: All Committees -Complete Porta 1, 2, 3, and 4. • Officeholder, Candidate Controlled Committee O State Candidate Election Committee D Ballot Measure Committee 0 Primarily Formed O Recall (Also Comp/eloPatt 5) ~ General Purpose Committee e Sponsored O SmallContributorCommittee O Political Party/Central Committee 3. Committee Information O Controlled 0 Sponsored (Also Camplt1te P8rt6) • Primarily Formed Candidate/ Officeholder Committee (Also Comptets Part 7} 1.0. NUMBER 95-1841 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Palm Springs Police Officer's Association STREET ADDRESS (NO P.O. BOX) P.O Box 1671 CITY Palm Springs STATE ZIP CODE CA 92263 MAILING ADDRESS (IF OIFFEREND NO. AND STREET OR P.O. BOX CITY OPTIONAL: FAX I E-MAIL ADDRESS simon.min@pspoa.com 4. Verification STATE ZIP CODE AREA CODE/PHONE 760-417-4602 AREA COOE!PHONE 2. Type of Statement: [KJ Preelection Statement D Semi-annual Statement O Termination Statement D Amendment (Explain below) Treasurer(s) NAME OF TREASURER Simon Min MAILING ADDRESS P.O. Box 1671 CITY Palm Springs NAME OF ASSISTANT TREASURER, IF ANY Lauren Drinkwater MAILING ADDRESS P.O. Box 1671 CITY Palm Springs OPTIONAL: FAX I E-MAIL ADDRESS lauren.drinkwater@pspoa.com D Quarterly Statement D Special Odd-Year Report D Supplemental Preelection Statement -Attach Form 495 STATE ZIP CODE AREA CODE/PHONE 760-417-4602 CA 92263 STATE ZIP CODE AREA CODE/PHONE CA 92263 760-417-4602 I 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. certify under penalty of perjury under the laws of the State of California that the foregoing Is orrect. _ ~ Executed on A:v!i"r1 '-"" .,; o/,J::-Dote Executed on Date Executed on Dote Executed on °""' By By By By Signature ofCon1r0111~ Ofliceholdllll", Candidate, State MeasLre Prtlponentor Responsible Officer of Sponsor Signature of Conlrollng Officehok:fer, Cancidate, State Measure Proponenl Signa(tlreofControMiRJOfflceholder, Candidala, Sta:e MeasLW& Proponent FPPC Form 460 tJunai01) FPPC Toll-Free Holpllne: 888/ASK-FPf'C State of Callfomla • Type or print ln Ink. SUMMARY PAGE Campaign Disclosure Statement Summary Page Amounts may be rounded to whole dollars. Statement covers period CALIFORNIA 460 FORM SEE INSTRUCTIONS ON REVERSE NAME OF FILER Palm Springs Police Officer's Association Contributions Received 1 . Monetary Contributions .......................................... . 2. Loans Received ..................................................... . Schedule A, Lino 3 Schedule B, Line 3 $ 3. SUBTOTALCASH CONTRIBUTIONS......................... Add Lines 1 +2 $ 4. Nonmonetary Contributions . ................................... Schedule c. Lino 3 5. TOTALCONTRIBUTIONSRECEIVED ........................... AddLlnes3+4 $ Expenditures Made 6. Payments Made....................................................... Schedule E, Lino 4 $ 7. Loans Made............................................................. Schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS .................................... AddUnes B + 7 $ 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F. Lme 3 10. Non monetary Adjustment .......................................... Schedule c, Uno 3 11, TOTAL EXPENDITURES MADE ................................ AddUness +9 + 10 $ Current Cash Statement 12. Beginning Cash Balance....................... Previous Summary Page. Une 16 $ 13. Cash Receipts ................................................... ColumnA.Line3sbove 14. Miscellaneous Increases to Cash ........................... schedule 1. Line 4 15. Cash Payments.................................................. Column A. Lin• B above 16. ENDINGCASHBALANCE .......... AddUnes12+13+ 14. thensubtrsctLine15 $ If this Is a termination statement, Line 16 must be zero. ColumnA TOTAL THIS PERIOIJ (FROMATTACHEDSCHEDULCS) .31 .31 .31 2620.00 2620.00 2620.00 15,346.31 .31 9400.00 2620.00 22126.62 from ___ 3_/1_8_/2_0_1_2 __ _ h h 5/19/2012 I roug _______ _ Page __ 2_ of __ 6 __ $ $ $ $ ColumnB CAlENOAR YEAR TOTAL TO DATE .42 .42 .42 8320.66 8320.66 8320.66 To calculate Column B. add amounts in Column A to the I.D. NUMBER 95-1841 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 111 through 6130 711 to Date 20. Conbibutlons Received $ ____ _ $ ____ _ 21. Expenditures Made $ ____ _ $ ____ _ Expenditure Limit Summary for State Candidates · 22. Cumulative Expenditures Made* {I' SUbjectto Votunt.any Exp«1dltur.1Jmit) Date of Election (mm/dd/yy) ___}__/ __ ___}__/ __ Total to Date $ _____ _ $ _____ _ corresponding amounts 'Amounts In this section may be different from amounts from Column B of your last reported in Column B. report. Some amounts in Column A may be negative figures that should be subtracted from previous period amounts. If this is -----------------------------------f the first report being flied 17. LOAN GUARANTEES RECEIVED ........................... Schedule a. Pert 2 $ 0 for this calendar year, only ------------------------------------1 cany over the amounts from Lines 2. 7. and 9 01 any). Cash Equivalents and Outstanding Debts 18. Cash Equivalents........................................ See Jnstruclions on reverse $ 0 19. Outstanding Debts ............ ............. Add Line 2 + Uno 9 in Column B above $ 0 FPPC Form 460 (January/OS) FPPC Toll-Free Helpline: 866/ASK-FPPC (86111271-3772) ScheduleA Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Palm Springs Police Officer's Association Type or print in Ink. Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER OF SELF-EMPLOYED, ENTER NAME OF BUSINCSS} {IFCOMMITTEE,ALSOENTERI.O.NUMBER) CODE* 3/30/2012 Bank of America 4/30/2012 Bank of America Schedule A Summary •IND •COM lil!OTH •PTY •sec OIND •COM llJOTH OPTY •sec •IND •COM DOTH •PTY •sec •IND •COM 00TH •PTY •sec •IND •COM 00TH •PTY •sec SUBTOTAL$ SCHEDULE A Statement covers period CALIFORNIA 4 6 0 FORM from ___ 3_/1_a_,2_0_12 __ _ through __ 5_/1_9_12_0_1_2 __ Page __ 3_ of __ 6_ AMOUNT RECEIVED THIS PERIOD .13 .18 .31 I.D. NUMBER 95-1841 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC, 31) .24 .42 *Contributor Codes IND-Individual PER ELECTION TODATE (IF REQUIRED) 1. Amount received this period -itemized monetary contributions. (Include all Schedule A subtotals.) ........................................................................................................ $ _____ .3_1 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 ............................. $ ______ _ sec-small Contributor committee 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $ ______ ·3_1 FPPC Form 480 (Janua,y/05) FPPC Toll-Free Helpllne: 8881ASK-FPPC (8661275-3772) ScheduleD Summary of Expenditures Supporting/Opposing Other Candidates, Measures and Committees SEE INSTRUCTIONS ON REVERSE NAME OF FILER Palm Springs Police Officer's Association DATE 5/8/2012 NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR MEASURE NUMBER OR LETTER AND JURISDICTION, OR COMMITTEE Richard Nixon for County of Riverside Superior Court Judge Ill Support D Oppose D Support D Oppose D Support D Oppose Schedule D Summary Type or print In Ink. Amounts may be rounded to whole dollars. TYPE OF PAYMENT DESCRIPTION (IF REQUIRED) liZI Monetary Conlribulion • Nonmonetary Contribution • Independent Expendtture • Monetary Contribution • Nonmonetary Contribution • Independent Expenditure • Monetary Contribution • Non monetary Contribution • Independent Expenditure SUBTOTAL$ Statement covers period from __ 3_/_18_/_20_1_2 __ through __ 5_/1_9_/2_0_12 __ SCHEDULED CALIFORNIA 4 6 0 FORM Page __ 4_ of __ G_ 1.0. NUMBER 95-1841 CUMULATIVE TD DATE PER ELECTION AMOUNT THIS CALENDAR YEAR TDDATE PERIOD (JAN. !-DEC.31) (IF REQUIRED) 2,500.00 0 2,500.00 1. Itemized contributions and independent expenditures made this period. (Include all Schedule D subtotals.) ......................................................... $ ___ 2_,s_o_o_.o_o~ 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_,S_O_O_.O_O_ FPPC Fonn 460 (Januaiyf05} FPPC Toll-Free Helpline: 866/ASK-FPPC (8ff/27W772) SCHEDULEE ScheduleE Payments Made Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from ___ 3_/1_8_12_0_1_2 __ CALIFORNIA 460 FORM SEE INSTRUCTIONS ON REVERSE NAME OF FILER through 5/19/2012 Page __ S_ of __ 6_ ID. NUMBER Palm Springs Police Officer's Association 95-1841 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalialmisc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)' ()fC office expenses SAL campaign workers' salaries CVC civic donations F£T petition circulating lEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks lRC 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 registra1ion UT campaign literature and mailings PRT print ads \i\,EB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE (I." COMMITTEE, ALSO ENTER I.D. N:.Jt./BER) •~'.JDE OR C~SCRIPTION Cle PAYMCNT AMO\JNTPAID .. ···--·- Walter Combs Returned Contribution for Member Dues RFD $120.00 -··· Richard Nixon for County of Riverside Superior Court Judge Campaign Contribution CTB $2,500.00 .... * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 2,620.00 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) ......... . ............................................................ $ ___ 2_.6_2_0_.o_o 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 $ ___ 2_,_62_0_.o_o_ FPPC Form 460 (January/OS) FPPC Toll-Free Helpllne: 866/ASK-FPPC (8661276-3772) ti . ~ • '. -· Schedule I Miscellaneous Increases to Cash SEE INSTRUCTIOl'IS ON REVERSE l'IAME OF FILER Palm Springs Police Officer's Association DATE RECEIVED 3/26/2012 419/2012 4/23/2012 FULL NAME AND ADDRESS OF SOURCE (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) City of Palm Springs /PSPOA Member Dues City of Palm Springs /PSPOA Member .Dues City of Palm Springs /PSPOA Member Dues Attach additional infonnation on appropriately labeled r;ontinuation sheets. Schedule I Summary Type or print in ink, Amounts may be rounded to whole dollars, Statement covers period from __ 3_/1_8_/2_0_12 __ through __ 5_/_19_/2_0_1_2 __ DESCRIPTION OF RECEIPT Member Dues Member Dues Member Dues SUBTOTAL$ 1. Itemized increases to cash this period ........................................................................................................................ $ ___ 9_,4_o_o_.o_o 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 $ ___ 9_,4_o_o_.o_o SCHEDULE I CALIFORNIA 460 FORM Paga_6_ ot_6_ LO.NUMBER 95-1841 AMOUNT OF INCREASE TO CASH $3,160.00 $3,120.00 $3,120.00 9,400.00 FPPC Form 480 (Janua,y/05) FPPC Toll-Free Helpline: 866IASK.f PPC (88&/271-3772) .. , . COVERPAGE Recipient Committee Campaign Statement Cover Page Type or print In Ink. Date Stamp CALIFORNIA 460 ~ORM (Government Code Sections 84200-84216.5) ECEIVED ..------------r------,,.,...,....,_.,, t LM r P'·''·' ... Statement covers period Date of alacUon If appll a~le'. f P • .:, · '· '• · · Paga _1_ of __ 7_ For Ofllclal Use Only from ___ 11_112_01_2__ (Month, Day, Year2012 t1 R 19 PH 12: 40 SEE INSTRUCTIONS ON REVERSE 3/17/2012 through _______ _ 1. "lype of Recipient Committee: All comm1--complota Parts 1, 2, 3, and 4. 0 Off1CBholdar, Candidate Controlled Committee Q State Candidata Election Corrmitlee D Primarily Fanned Ballot Measure Committee O Recall (Alllo COmpt«e Pfllt 51 li2I General Purpose Committee Ii? Spon.ored O Small Contributor Committee O Political Party/Central Committee 3. Committee lnfonnatlon Q Controlled 0 Sponsored (-Complelel'alt 6) 0 Primarily Formed Candidate/ Officeholder Committee (Alro Compln Port 7) 1.0. NUMBER 95-1841 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Palm Springs Police Officer's Association STREET ADDRESS (NO P.O. BOX) P.O. Box 1671 CITY Palm Springs STATE ZIP CODE CA 92263 MAILING ADDRESS (IF DIFFERENT) NO. ANO STREET OR P.O. BOX CITY OPTIONAL: FAX / E-MAIL ADDRESS simon.mln@pspoa.com 4. Verification STATE ZIP CODE AREA CODE/PHONE 760-417-4602 AREA CODE/PHONE 2. li2I Prealecllon Statement D Semi-annual Slatement D Termination Statement (Also file a Form 410 Termination) D Amendment (Explain below) Treasurer(•) NAME OF TREASURER Simon Min MAILING ADDRESS P.O. Box 1671 D Quarteriy Statement D Spacial Odd-Yaar Report D Supplemental Preelectlon Statement -Attach Form 495 CITY STATE ZIP COOE AREA CODE/PHONE 760-417-4602 Palm Springs CA 92263 NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADORESS I have used all reasonable dlligenca In preparing and reviewing this statement and to the bast 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 thatthe foregoing Is true and co Executed on __ M_arch_-=1.,.9_th_, _2_0_12 __ _ DIie executed on llote Executed on llote Executed on Dote BY------,Sv,alu"e,,,..-.-,ci""Comol-.-..-lro=bmoohoicioi="="",Cand.--,,.,.ldals-.-.,Stn.-.-.,.Maa""=--"'P, .. _---_.,.d ------ BY-----~--~--...,.,.....-,.....,,.,......,.....,----,------- Signalu-eciCc-lingOfllcdloldor, Candi:lalo,Stall!Maa"'8Prop:,nert FPPC Fonn 480 (January/OS) FPPC Toll-Free Helpline: 888/ASK-FPPC (866127&•3772) State of Callfornla Type or print In Ink. SUMMARY PAGE Campaign Disclosure Statement Summary Page Amounts may be rounded to whole dollars. Statement covers period CALIFORNIA 460 FORM from ___ 1_/1_/2_0_12 __ SEE INSTRUCTIONS ON REVERSE through __ 3_/_17_/2_0_1_2 __ Page __ 2_ of __ 7_ NAME OF FILER Palm Springs Police Officer's Association Contributions Received 1. Monetary Contributions ......................................... .. 2. Loans Received ..................................................... . Schedule A. Line 3 Schedule B. Line 3 $ 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Adrt Lines 1 + 2 $ 4. Nonmonetary Contributions.................................... Schedule c, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 + 4 $ Expenditures Made 6. Payments Made.......................................... ............ Schertute E, Line 4 $ 7. Loans Made............................................................. Schedule H. Line 3 8. SUBTOTAL CASH PAYMENTS ... ................................. Add unes 6 + 7 $ 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F. Lin• 3 10. Nonmonetary Adjustment .......................................... Schedule c, une 3 11. TOTALEXPENDITURESMADE ................................ AddUnesB+9+10 $ Current Cash Statement 12. Beginning Cash Balance ....................... Provioussumma1YPaue.une16 $ 13. Cash Receipts .. ................................................. Column A, Line 3 above 14. Miscellaneous Increases to Cash ................ ........... Schedule t, Uno 4 15. Cash Payments.................................................. Column A, Line B above 16. ENDING CASH BALANCE .......... Add Lines 12 • 13 + 14. t11onsubtrllctUne 15 $ ff this Is a tennination stetement, Line 16 mu.st be zero. ColumnA TOTAL THS PERIOD (FROM ATTACHED SCHEDULES) .11 0 .11 0 .11 5,700.66 0 5,700.66 0 0 5,700.66 5406.83 .11 15,640.00 5,700.66 15,346.31 $ $ $ $ $ ColumnB CALENDAR YEAR TOTAL TODA.TE .11 0 .11 0 .11 5,700.66 0 5,700.66 0 0 5,700.66 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 -----------------------------------1 tile first report being filed for this calendar year, only carry over the amounts _C_a_s_h_E_q_u-iv-a-le_n_ts_a_n_d_O_u_ts_ta_n_d_i_n_g_D_e_b_ts-------------1 from Lines 2 , 7 , 8nd 9 frf any). 17. LOAN GUARANTEES RECEIVED ........................... Schedule 8, Patt2 $ 0 18. Cash Equivalents........................................ See inslruclions on n,119ne $ 0 19. Outstanding Debts ................... ...... Add Line 2 • Line 9 in Column B above $ 0 I.D. NUMBER 95-1841 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 through 6/30 7/1 to Da1e 20. Contributions Received S-----$ ____ _ 21. Expenditures Made $ ____ _ $ ____ _ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Mada' (If Sulllectto Voluntary Expenditure Umlt:J Date of Election (mm/dd/yy) __J__j_ __ __J__j_ __ Total to Date $ _____ _ $ ____ _ __J__j___ $ ____ _ __j__J__ $ ____ _ __j__J__ $ ____ _ __J__J__ $ ____ _ *Since January 1, 2001. Amounts in this section may be different from amounts reported in Column B. FPPC Fann 460 (June/01) FPPC Toll-Free Helpllne: 868/ASK-FPPC Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Palm Springs Police Officer's Association Type or print In Ink. Amount. may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OFCOMUITTEE;,ALSOENT~I.D.NUMBER) CODE 'Ir IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) 1/31/2012 Bank of America 2/29/2012 Bank of America Schedule A Summary •IND •COM lic)OTH •PTY •sec •IND •COM lic)OTH •PTY •sec •IND •COM DOTH •PTY •sec •IND •COM DOTH •PTY •sec •IND •COM DOTH •PTY •sec SUBTOTAL$ SCHEDULE A Statement covers period CALIFORNIA 460 FORM from ____ 1/_1_/2_0_1_2 __ through __ 3_/_1_7/_2_0_1_2 __ Page __ 3 _ of __ 7 _ AMOUNT RECEIVED THIS PERIOD .03 ,08 .11 I.D.NUMBER 95-1841 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) .03 .08 PER ELECTION TODATE (IF REQUIRED) •Contributor Codes IND-Individual 1. Amount received this period -contributions of $100 or more: (Include all Schedule A subtotals.) ........................................................................................................ $ ____ ._11_ COM -Recipient Committee (other than PTY or SCC) OTH-Olher 2. Amount received this period -unitemized contributions of less than $100 ............................................. $ ______ o_ 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 _1 _ PTY -Political Party sec-Small Contributor Committee FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC ScheduleD Summary of Expenditures Supporting/Opposing Other Candidates, Measures and Committees "fype or print in ink. Amounts may be rounded to whole dollars. Statement covers period from ___ 1 /_1_/2_0_1_2 __ SCHEDULED CALIFORNIA 460 FORM SEE INSTRUCTIONS ON REVERSE through __ 3_11_7_,_20_12__ Page _4_ of __ 7 _ NAMF OF FILER ·-------------------------------~-----------+--1.-D.-N-U_M_B_ER _____ __, Palm Springs Police Officer's Association DATE NAME OF CANDIDATE. OFFICE, AND DISTRICT, OR MEASURE NUMBER OR LETTER AND JURISDICTION, OR COMMITTEE John Henry for Riverside County Superior 1/4/2012 Court Judge 1K:J Support D Oppose Michael Soubirous for Riverside County 1/20/2012 Supervisor lie! Support D Oppose Committee to elect Victoria Cameron for 3/1312012 Riverside County Judge 1RJ Suppo,t D Oppose Schedule D Summary TYPE OF PAYMENT DESCRIPTION (IF REQUIRED) !RI Monetary Contribution D Nonmonetary Contribution • Independent Expenditure [R] Monetary Contribution • Nonmone,ary Contribution D Independent Expenditure [R] Monetary Contribution • Nonmoneta ry Contribution • Independent Expenditure SUBTOTAL$ 1. Contributions and independent expenditures made this period of $100 or more. (Include all Schedule D subtotals.) AMOUNT THIS PERIOD $1,500.00 $2,500.00 S1 ,500.00 $5,500.00 95-1841 CUMULATIVE TO DATE GALEN DAR YEAR (JAN. 1 -DEC. 31) $1,500.00 $1,500.00 $1,500.00 PER ELECTION TO DATE (IF REQUIRED) ....... $ ___ s,_so_o_.o_o_ 2. Unitemized contributions and independent expenditures made this period of under $100 ............................................................ .. .... $ _____ o_ 3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.) ............. TOTAL $ ___ 5,_5_o_o._O_O_ FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC ScheduleE Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF F!LER Palm Springs Police Officer's Association Type or print in ink. Amounts may be rounded to whole dollars. Statement cov,>rs period from ___ 1_11_1_2_0_12 __ _ through . __ 31_1_71_20_1_2 __ SCHEDULEE CALIFORNIA 460 FORM Page __ 5 _ of __ 7 _ I.D. NUMBER 95-1841 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. a,,p campaign paraphernalia/misc. CNS campaign consultants CTB ·contribution (explain nonmonetary)' eve civic donafions FIL candidate filing/ballot fees FND fundraising events IND independent expenditure supporting/opposing others (explain)' LEG legal defense UT campaign literature and mailings NAME AND ADDRESS OF PAYEE (IFCOMMITTEE,AL:C,OCNl'tR 1.0. \!UMBER) Bank of America MBR member communications MTG meetings and appearances OFC office expenses flJ petition circulating Pl 10 phone banks POL polling and survey research POS postage, delivery and messenger services PRO professional services (legal, accounting) PRT print ads CODE OR Bank Fees PRO 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) DESCRIPTIGN Of" PAYMENT AMG,)l'JT PAID $17.00 Bank of America Check Printing Charge PRO $63,66 Walter Combs Returned Contribution for member dues RFD $120.00 * Payments that are contributions or independr:>nt expenditures must also be summarized on Schedule D. SUBTOTAL$ 200.66 Schedule E Summary 1. Payments made this period of $100 or more. (Include all Schedule E subtotals.) ......... . $ ___ 5_._7o_o_.s_6_ 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 $ ___ 5,_70_0_.6_6_ FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule E (Continuation Sheet) Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF Fl LER Palm Springs Police Officer's Association Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from ___ 1_/_1/_2_0_12 __ _ through __ 3_11_7_12_0_12 __ SCHEDULE E (CONT.) CALIFORNIA 460 FORM Page_6 __ of __ ?_ I.D.NUMBER 95-1841 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. a.,p campaign paraphernalia/misc. CNS campaign consultants CTB contribution (explain nonmonetary)' CVC civic donations FIL candidate filing/ballot fees FND fundraising events IND independent expendilure supporting/opposing others (explain)' LEG legal defense UT campaign literature and mailings NAME AND ADDRESS OF PAYEE (If COMMITTEE, ALSO ENTER LO, NUMBER) John Henry for Riverside County Superior Court Judge Michael Soubirous for Riverside County Supervisor Victoria Cameron for Riverside County Superior Court Judge '""'" -····•"· -··, MBR member communications MTG meetings and appearances OFC office expenses Ref petition circulating PHO phone banks POL polling and survey research POS postage. delivery and messenger services PRO professional serv,ces (legal, accounting) PRT print ads CODE OR RAD radio airtime and production costs RFD returned contributions SAL campaign workers' salaries 1EL 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 Campaign Contribution CTB 1,500.00 Campaign Contribution CTB 2,500.00 Campaign Contribution CTB 1,500.00 ···-·· • Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 5,500.00 FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule I Miscellaneous Increases to Cash SEE INSTRUCTIONS ON REVERSE NAME OF FILER Palm Springs Police Officer's Association DATE RECEIVED 1/30/2012 2/1/2012 2/13/2012 2/27/2012 3/12/2012 FULL NAME AND ADDRESS OF SOURCE (IF COtdMtTTEE, ALSO ENTER I.D. NUMBER) City of Palm Springs/ PSPOA Member Dues City of Palm Springs / PSPOA Member Dues City of Palm Springs / PSPOA Member Dues City of Palm Springs/ PSPOA Member Dues City of Palm Springs/ PSPOA Member Dues Attach additional information on appropriately labeled continuation sheets. Schedule I Summary Type or print In Ink. Amounts may be rounded to whola dollars. kom ___ 1/_1/_20_1_2 __ through __ 3_/1_7I_2_01_2 __ DESCRIPTION OF RECEIPT Member Dues Member Dues Member Dues Member Dues Member Dues SUBTOTAL$ 1. Increases to cash of $100 or more this period ........................................................................................................... $ ___ 15_,64_0._00_ 2. Unitemized increases to cash 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 $ ___ 15_,64_0_.o_o SCHEDULE I CALIFORNIA 460 FORM Page_7_ ot_7_ LO.NUMBER 95-1841 AMOUNT OF INCREASE TO CASH $3,120.00 $3,120.00 $3,120.00 $3,120.00 $3,160.00 15,640.00 FPPC Fonn 460 (June/01) FPPC Toll-Free Helpline: 886/ASK-FPPC Statement of Organization Recipient Committee Statement Type i!flnltlal Type or print In Ink -3 Amendment List I.D. number: RECEIVED RE 'i T Y OF PI', L H Sp f;' ii~ tn the 2•-Termination -Sae Part 5 EIVEDat~Wb FILE ffice of the Secretary of S the State of California STATEMENT OF ORGANIZATION '.;ALIFORIIII/, 410 FORM '• ';"';, .. Notyetqualified O or # q!i-1JVI W 1fiiEi&rM: AH 6: 1+6 lllAMES 1110111".sUN CITY CLERK ,W FEB O 2 2012 . ....,,, r 1"' - Date qualified as committee Date qualified as committee (lfapplrcable) Date of Termination • \J D BRABOWEN S cretary of State 2. Treasurer and Other Princlpal Officers 1. Committee Information NAME OF COMMITJl:E PH-M SYf2.rl'-l:lrS Pouc.~ ~~ kss,:,c, k-110~ NSI ;;,;;ruM~ N ---==-------"--,--,---,-------------------- STREET AODRESS {NO P.O. BOX) P.o. 'Box th-rl CITY ThlM. SPfl-1"'1.ti 5 MAILING AODRl:SS (IF DIFFERENT) OPTIONAL: FAX / E•MAIL AODRESS COUNTY OF DOMICILE STATE ZIP CODE ARl:A CODE/PHONE CA 122b3 7',,o-i/-11-l/-lAL COUNTY WHERE COMMITTEE IS ACTIVE IF DIFFERENT THAN COUNTY OF DOMICILE ?-iv~~ Attach addl1ional infonnalion on appropriately labeled ccntirwslion sheets. 3. Verification STREET ADDRESS (NO P.O. BOX) P-o -"tox-lf27l CITY STATE ZIP CODE ARl:A CODE/PHONE ~ SPrw.!t;J' (!.A ~2.2£3 161)-~17-'-/602, NAME OF ASSISTANT TRl:ASURER. IF ANY l..AVRE:t! l>~r-4tc:-WA-"Tt:I'< STREET ADDRESS (NO P.O. BOX) P.o-"Bo~ 1b71 CITY STATE ZIP CODE AREA CODE/PHONE P#d.-lVI SPflrf'¼S t~ 12.2b3 76 o-ff7-'t_/,cZ.. NAME OF PRINCIPAL OFFICER($) STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE I have used all reasonable diligence in preparing this statement and to the best of my knowledge perjury under the laws of the State of California that the foregoing is true and correc Executed on _ _,_/_-_1....,_'-/_-......,.,/ii,.Z,,,---___ _ Executed on -------,""=r•------ Executed on _____ __,0.,A,.,JE _____ _ Executed on ____________ _ DATE By _____ ~s=,c=NA=r=u•=.~o=Fc=o=N=ra=o'"'LL""1N""G""'oFF=1C"'EH"'o'"'Lo"'ER"".""'cA'"'N=o,=0A"'JE=-.=o=-•s=1=Ar=•=M.=AS=u=•=·=pa=o=PON=EN=r------ By _____ __,s"'1G"'NA"'r""uR"'E"'o""FCON==TR"'o'"'LL""'1N"'G""'oF==F"'1c"'EH"'o'"'LD"'E""R.""cAN=o"'1DA.,..JE""."OR""s"'t"'AT""E.,.,MEA=su-::,R,,-E""PR-'O°'PO"'N"'E""NT,-------- By _____ __,s"'1o""'N11"'r"'ua""e'""o"'"Fc"'o""N""rR"'o'"'L•"N,,..G.,.6F""F"'1c'"'EHOi."""'b"'E"'"R.""l:AN'"""b"'10>:.,..r"'"E."'OR""s""1"'Ar""•.,.,M""'EA"'su""R"'E""PROP=o"'N"'e""Nr,-------- FPPC Form 410 (AprlV2011J FPPC Toll-Free Helpline: 866/ASK-FPPC (8881275-37721 Statement of Organization Recipient Committee Statement lype .rflnltlal Not yet qualfied D or ~A_;~ Date qualified as committee Type or prtnt In Ink g Amendment List 1.0. number: # 1!i-t3V/ Date quallfled as committee (If applicai,o) D Termination -See Part 6 List I .D. number. #------- Dale of Tenninatlon r----:::::-:-::.-:=---STATEMENT OF ORGANIZATION Date Stamp RECEIVED '.:\'! r' OF P HM SPP 2812 JAN 30 AH 9: JAME~ 'IHOHYSGt· CIT'/ CLERK 2. Treasurer and Other Principal Officers 1. Committee Information NAME OF COMMITTEE PALM SPl2-ri--t4'S Pouc~ d'Ft~ /,(S5oc, k? 1 o,..J NASI M~uM~ tJ ::::STR=EET=sA-=DD=R==E=ss=-'1"'N"'o-=P.-=o.-=eo=x) _________________ _ STREET ADDRESS (NO P.O. BOX) P.o. '"Box lb,1 P-o . "tox-tb7/ MAILING ADDRESS (IF DIFFERENT) CITY STATE ZIP CODE AREA CODE/PHONE ~ SP,u,-tt;S C!A ~22-£3 76b-tl7-'!602. STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY CA q221,3 "Tft?O-L/.17-f./.60L LA-vRe:i-! 1> J?J ~!c:=-INA-~ STREET ADDRESS (NO P.O. BOX) P.o. °BO)( 1bil CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX/E•MAILADDRESS ~~ Sp,z.,~S NAME OF PRINCIPAL OFFICER(S) ~1 1~ 71. O -1/17-'f.l,oz.. COUNTY OF DOMICII.E COUNTY l'vl-lERE COMMITTEE IS ACTIVE IF DIFFERENT THAN COUNTY OF DOMICILE STREET ADDRESS {NO P.O. BOX) ?,.\Vl!:ft.S I ~ CITY STATE ZIP CODE AREA CODE/PHONE Attach additional Information OtJ appropriately l8befed continuation sheets. 3. Verification I have used all reasonable diligence in preparing this statement and to the best of my knowledge perjury under the laws of the State of California that the foregoing is true and cor Executed on --'/_-_2._'{~-_,,,f;r,t.,r----- Executed on -------,,,DA,..r""e ____ _ Executed on _____ ...,..,11.""re,,_ ____ _ Executed on _____ ......,DA"'re.------- By _____ ====,..,.,.,.,.,,.=="""'="==""""===~==;;------s10NATURE OF CONTROLLING OFFICEHOLDER. CANOIDATE, OR STATE MEASURE PROPONENT By _____ =s1o=N=Ar""uR"'E""OF"'c""oNTR=o,..,.LL""1NG"'o""FF;,:;1c""eH"'O:-=LD""ER~.CA""N""01"'DA""JE""',OR=s""rATE=MEA=su=:RE;-;;P:;;;ROmPON=eNT;;------ By ______ ..,,.,.,..,,..,.,...,.,"""""'"'""'"""""""""""'"""'"""'""'"....,,"""'m'l!''ffl!'lr.rn""'"'Ol!!l'r.:lr.r"" ____ _ SiGNATuRE ci coNYROLUNG OfF!cEHOLDER. CANDIDATE, OR STATE mMGRE PROPONENT FPPC Form 410 (Aprll/2011} FPPC Toll-Free Helpline: 866/ASK-FPPC (8661275-3772)