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Home My WebLink About2022-01-27 Form 460 - PettitRecipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement covers period from July 1, 2021 through December 31, 2021 1. Type of Recipient Committee: All committees — Complete Parts 1, 2, 3, and 4. (J State Candidate Election Committee O Recall (Also Complete Part 5) ❑ General Purpose Committee O Sponsored O Small Contributor Committee 0 Political Party/Central Committee 3. Committee Information Primarily Formed Ballot Measure Committee O Controlled 0 Sponsored ,Also Complete Part 6) ❑ Primarily Formed Candidate/ Officeholder Committee IAiso Complete Part 7) COMMITTEE_) Alfie Pettit for City Council, District 3, 2019 I.D. NUMBER 1419242 STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREACODE/PHONE Palm Springs CA 92262 ( MAILING ADDRESS (IF DIFFERENT) NO AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE/PHONE- OPTIONAL FAX / E-MAIL ADDRESS 4. Verification Date of election if applicable: (Month, Day, Year) November 5, 2019 2. Type of Statement: COVER PAGE Date StampCALIFORNIA '1 I 0 C/T FORM Y OF P.,A SP SP 1 7 ��f 181?� � of 2 For Official Use Only F/fit: P '� So CF r C'l r'/ rf , ® Semi-annual Statement Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) ❑ Quarterly Statement ❑ Special Odd -Year Report Treasurer(s) NAME OF TREASURER Michael R. McCulloch MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE Palm Springs CA 92262 ( NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL FAX / E-MAIL ADDRESS 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. I certify under penalty of perju er undth laws of the State of California that the foregoing Executed on Date Executed on Crate By Signature of Controlling Officeholder Candidate, Stale Measure Proponent By Signature of %ontrofng Offcehoidei. Candidate. State Measure Proponent FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov 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) Palm Springs City Council, District 3, 2019 RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP Palm Springs, CA 92262 Related Committees Not Included in this Statement: Listany committees not included in this statement that are controlled by you or are primarily formed to receive contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME I.D. NUMBER NAME OF TREASURER I CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTE _ STREETADDRESS CITY STATE ZIP CODE AREACODE/PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER I CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREACODE/PHONE COVER PAGE - PART 2 Page 2 of 7 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION ❑ SUPPORT ❑ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD DISTRICT NO IF ANY 7. Primarily Formed Candidate/Officeholder Committee Listnames of officeholder(s) or candidate(s) for which this committee is primarily formed. 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 ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE Attach continuation sheets if necessary FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Campaign Disclosure Statement Amounts may be rounded Summary Page to whole dollars. • SEE INSTRUCTIONS ON REVERSE NAME OF FILER Alfie Pettitt for City Council, District 3, 2019 Contributions Received 1. Monetary Contributions................................................... Schedule A. Line $ 2. Loans Received................................................................ Schedule B, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 1 +2 $ 4. Nonmonetary Contributions ........................................... Schedule C. Line 3 5. TOTAL CONTRIBUTIONS RECEIVED ... ................................. Add Lines 3+4 $ SUMMARY PAGE Statement covers period from July 1, 2021 through December 31, 2021 Page 3 of 7 I.D. NUMBER 1419242 Column A Column B Calendar Year Summary for Candidates TOTAL THIS PERIOD CALENDAR YEAR I — — .. .. — . TfR�fICU3GIlCVo,L J"' 7VIAL IV UAIG I•NII{IIIiy — VV LII •.--%— 11-1 28,843.09 $ 28,843.09 General Elections -28,843.09-28,843.09 111 through 6/30 20. Contributions -- 0 $ 0 Received $ $ 6,943.65 6,943.65 _ — 21, Expenditures 6,943.65 $ 6,943.65 Made $ _ $ Expenditures Made 6. Payments Made................................................................ Schedule E. Line 4 $ 0 $ 7. Loans Made..................................................................... Schedule H. Line 3 0 8. SUBTOTAL CASH PAYMENTS .......................................... Add Lines 6 + 7 $ 0 $ 9. Accrued Expenses (Unpaid Bills) .......................................... Schedule F Line 3 -6,943.65 10. Nonmonetary Adjustment......................................................... schedule C. Line 3 6,943.65 11. TOTAL EXPENDITURES MADE.. . ......... . - ................... Add Lines 8 + 9 + 10 $ 0 $ Current Cash Statement 12. Beginning Cash Balance ............................ Previous Summary Page. Line 16 $ 13, Cash Receipts........................................................... Column A, Line 3 above 14. Miscellaneous Increases to Cash.. ................................ schedule 1, Line 4 15. Cash Payments......................................................... Column A, Line 8 above 16. ENDING CASH BALANCE ..................Add Lines 12 + 13 + 14, then subtract Line 15 $ If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ................................ Schedule B, Pan 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ................................................ See instructions on reverse $ 19. Outstanding Debts ............................. Add Line 2 + Line 9 un Column B above $ W 1 1 1 1 /1 1 11 1 11 11 0 0 0 -6,943.65 6,943.65 0 7/1 to Date IExpenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (if Subject to Voluntary Expenditure Limit) Date of Election Total to Date (mm/dd/yy) To calculate Column B, add amounts in Column A to the corresponding *Amounts in this section may be different from amounts amounts from Column B reported in Column B. of your last report. Some amounts in Column A may be negative figures that should be subtracted from previous period amounts. If this is the first report being filed for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if any). FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A Amounts may be rounded SCHEDULE A Monetary Contributions Received to wnole aouars. Statement covers period CALIFORNIA 460 from July 1, 2021 FORM through December 31, 2021 Page 4 of 7 SEE INSTRUCTIONS ON REVERSE NAME OF FILER LD.NUMBER Alfie Pettitt for City Council, District 3, 2019 1419242 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (IF COMMITTEE. ALSO ENTER I.D. NUMBER RECEIVED THIS REGGIVE8(IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 0 IND 12/31/2021 Alan P. Pettit (Loan unpaid - See Sch. B) ❑COM Self-employed 28,843.09 28,843.09 ❑ OTH Entertainer Palm Springs, CA 92262 ❑ PTY I ❑ SCC ❑ IND — ❑ COM ❑ OTH ❑ PTY `— ❑ SCC --❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND — ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL $ Schedule A Summary "Contributor Codes Amount received this period — itemized monetary contributions. (Include all Schedule A subtotals.) .............................................. 2. Amount received this period — unitemized monetary contributions of less than $100 ............. .............. $ 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.)......................TOTAL $ 28,843.09 Nice 28,843.09 IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-377,2) www.fppc.ca.gov SCHEDULE B - PART 1 acneuule is , rari "1 to whole dollars. Statement covers period Loans Received CALIFORNIA • 1 from July 1, 2021 • - SEE INSTRUCTIONS ON REVERSE through December 31, 202' Page 5 Of 7 NAME OF FILER I.D. NUMBER Alfie Pettitt for City Council, District 3, 2019 1419242 FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OCCUPATION OUTSTANDING AMOUNT ( AMOUNT PAID OUTSTANDING INTEREST ORIGINAL CUMULATIVE OF LENDER AND EMPLOYER REGEIVE9 16 AQ ANCP AT (IF COMMITTEE, ALSO ENTER I.D. NUMBER) 1. NAME OF BUSINESS) BEGINNING THIS. PERIOD Ti PERIOD OR FORGIVEN * THIS PERIOD CLOSE OF THIS PERIOD PAID THIS PERIOD AMOUR! OF LOAN UUl9tRIBUIIVNb TO DATE Alan P. Pettit Self-employed ❑ PAID CALENDAR YEAR Entertainer $ 0 s 0 0 928843.09 0 171 FORGIVEN PEP. ELECTION** Palm Springs, CA 92262 RATE s 28843.09 s 0 g 28843.0 DEMAND g 0 t IZ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR $ 0 s 0 0, $ 0 $ 0 ❑ FORGIVEN PER ELECTION** RATE $ 0 $ 0 g 0 $ 0 $ DATE DUE DATE INCURRED IND ❑ COM ❑ OTH [3 PTY ❑ SCC ❑ PAID CALENDAR YEAR g 0 S 0 0 % s $ 0 FORGIVEN E] FORGIVEN PER ELECTION*" '[3 IND ❑ COM ❑ OTH ❑ PTY ❑ SCC S 0 S 0 g 0 0 g 0 S_ DATE DUE DATE INCURRED SUBTOTALS $ 0$ Schedule B Summary 1. Loans received this period.............................................................................. (Total Column (b) plus unitemized loans of less than $100.) 2. Loans paid or forgiven this period................................................................... (Total Column (c) plus loans under $100 paid or forgiven.) (Include loans paid by a third party that are also itemized on Schedule A.) 3. Net change this period. (Subtract Line 2 from Line 1.)................................. Enter the net here and on the Summary Page, Column A, Line 2. "Amounts forgiven or paid by another party also must be reported on Schedule A. If required. 0 $ 28843.09 $ 0 (Enter (e) on Schedule E. Line 3) .............................. I ..... $ n no ...... I .............................$ 98.843 nla ..................... NET $ 29. 48 3 04 (May be a negative number) tcontributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule C Amounts may be rounded SCHEDULE C Nonmonetary Contributions Received to whole dollars. Statement covers period CALIF •RNIA I ' from July 1, 2021 • ' through December 31, 202 Page 6 of 7 SEE INSTRUCTIONS ON REVERSE NAME OF FIL R LD.NUMBER Alfie Pettitt for City Council, District 3, 2019 1419242 CUMULATIVE TO PER EtEeTIO DATE RECEIVED FInILLNAME, STREET ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF -EMPLOYED, ENTER GOODS OR SERVICES FAIR MARKET VALUE DATE CALENDAR YEAR TO DATE (IF REQUIRED) NAME OF BUSINESS) (JAN 1 - DEC 31) ❑ IND 12/31/202 Honey Printing ❑COM Forgiven Debt g1,738.65 1,738.65 Not required for printing Palm Springs, CA 92262 El PTY services ❑ SCC ❑ IND 12/31/202 McCulloch & Company, CPA ❑COM Forgiven Debt g 5,205.00 5,205.00 Not required OTH for accounting Palm Springs, CA 92262 ❑ pn services _ ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 6,943.651 Schedule C Summary 1. Amount received this period — itemized nonmonetary contributions. (Include all Schedule C subtotals.)................................................................................................... 2. Amount received this period — unitemized nonmonetary contributions of less than $100 ............... 3. Total nonmonetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.)............... $ 6,943.65 TOTAL $ 6,943.65 'Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule F Amounts may be rounded I SCHEDULE F to whole dollStatement covers periodCALIFORNIA • ' Accrued Expenses {Unpaid Bills) from July 1, 2021ars.• - through December 31, 202 7 7 SEE INSTRUCTIONS ON REVERSE Page of NAME OF FILER I.D. NUMBER Alfie Pettitt for City Council, District 3, 2019 1419242 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia/misc. MBR member communications RAID radio airtime and production costs CTB contribution (explain nonmonetary)' OFC meetings and appearances office expenses RFD SAL returned contributions campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staffispouse 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/spoxtsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF CREDITOR (IF COMMITTEE, ALSO ENTER I.D. ) CODE OR DESCRIPTION OF PAYMENT (a) (b) AMOUNT INCURRED (0 AMOUNT PAID (d) OUTSTANDING BALANCE LANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD Honey Printing 1801 1,738.65 -1,738.65 0 0 Palm Springs, CA 92262 McCulloch & Company, CPA 801 Palm Springs, CA 92262 5 ,205.00 -5,205.00 D 0 Payments that are contributions or independent expenditures must also be SUBTOTALS $ 0 summarized on Schedule D. 6,943.65 $-6,943.65 $ 0 $ Schedule F Summary Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for accrued expenses of $100 or more, plus total unitemized accrued expenses under $100.) ............................. 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.). ..INCURRED TOTALS $ ..I .... I PAID TOTALS $ -6,943.65 EM 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 $-6,943.65 ..................................................................................................................... May be a negative number FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov