HomeMy WebLinkAbout2022-08-02 Form 460 - MiddletonRecipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200-84216.5)
Statement covers period
from _ 01/01/2022
SEE INSTRUCTIONS ON REVERSE I through 06/30/2022
1. Type of Recipient Committee: An committees -Complete Paris 1, 2, 3, and 4
❑x Officeholder, Candidate Controlled Committee
❑ Primarily Formed Ballot Measure
® Slate Candidate Election Committee
Committee
O Recall
O Controlled
(AaoCaripae PertS)
O Sponsored
❑ General Purpose Commidea
WWC-70sh,PalW
Q Sponsored
❑ Primarily Formed Candidate/
0 Small Contributor Committee
Officeholder Committee
0 Political Party/Central Committee
(' Conplala P,vr7)
3. Committee Information I I.D. NUMBER
Lisa Middleton for State Senate 2022
STREET ADDRESS (NO P.O. BOX)
5445 Madison Avenue
CITY STATE ZIP CODE AREA CODEIPHONE
Sacramento CA 95841 (916)348-9100
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
PO Box 5536
CITY STATE ZIP CODE AREA CODEIPHONE
Date of election if applicable:
(Month, Day, Year)
06/07/2022
2. Type of Statement:
❑ Preelection Statement
® Semiannual Statement
❑ Termination Statement
(Also file a Form 410 Termination)
❑ Amendment (Explain below)
COVERPAGE
Page 1 of 9
For Official Use Only
❑ Quarterly Statement
❑ Special Odd -Year Report
❑ Supplemental Preelection
Statement - Attach Form 495
Treasurer(s)
NAME OF TREASURER
Denise Levis
MAILING ADDRESS
5445 Madison Avenue
CITY STATE ZIP CODE AREA CODE/PHONE
Sacramento CA 95841 (916)348-9100
NAME OF ASSISTANT TREASURER, IF ANY
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODEIPHONE
Palm Springs CA 92263
OPTIONAL: FAX / E-MAIL ADDRESS OPTIONAL FAX I E-MAIL ADDRESS
(916)348-9111 / campaigns@rebs.us
4. Verification
I have used all reasonable diligence in preparing and reviewing this statement and to the best of m e the information cont n he and in the attached schedules is we and complete. I certify
under penalty of perjury under the laws of the Stale of California that the foregoing is true and comlicit.
Executed on 07/27/2022
Dale
Executed on 07/27/2022
Executed on
Dale
Executed on
www.netfile.com
0
By
By
By
slr�.wAaoored.goaea�oH«. ca�euwa, slaaMa..�rewaPa,ea
By
sa�axxaaco�+IONN oIn=aoay. L�aBele, alas Meaa�n Pr000rern FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
w .fppc.ca.gov
Recipient Committee
Campaign Statement
Cover Page — Part 2
5. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE
Lisa Middleton
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
State Senator Senate District District 28
RESIDENTIALBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP
5445 Madison Avenue
Sacramento CA 95841
Related Committees Not Included in this Statement: L7st any 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 II.D. NUMBER
Lisa Middleton for Palm Springs City Council 1394265
District 5, 2020
NAME OF TREASURER I CONTROLLEDCOMMITTEE?
Kathleen wermiuk ® YES ❑ NO
840 Bast Biltmore Place
CITY STATE ZIP CODE AREA CODEIPHONE
Palm Springs CA 92264 (760)330-7023
COMMItTEENAME I.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
❑ YES ❑ NO
COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
COVERPAGE-PART2
Page 2 of 9
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
DISTRICT NO. IF ANY
7. Primarily Formed Candidate/Officeholder Committee List names 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 (8661275-3772)
Campaign Disclosure Statement SUMMARYPAGE
Summary Page Amounts may be rounded covers period e-
rY 9 to whole dollars. 4 •,
FStalenneril,
m 1/01/2022 •
SEE INSTRUCTIONS ON REVERSE I through 06/30/2022 I Page 3 of 9
NAME OF FILER --
I.D.NUMBER
Lisa Middleton for State Senate 2022 1441458
Contributions Received
1. Monetary Contributions ...........................................
schedule A, Line 3
2. Loans Received......................................................
schedule B, Line 3
3. SUBTOTALCASH CONTRIBUTIONS .........................
Add Lines 1 +2
4. Nonmonetary Contributions ....................................
Schedule C, tine
5. TOTAL CONTRIBUTIONS RECEIVED ._......_...._._.._...
Add tines 3+4
Expenditures Made
6. Payments Made......... .............................................
schedule E. Line
7. Loans Made.............................................................
Schedule H, Line
8. SUBTOTAL CASH PAYMENTS ....................................
Add Lines 6 + 7
9. Accrued Expenses (Unpaid Bills) ...............................
Schedule F Linea
10. Nonmonetary Adjustment ..........................................
Schedule C, Linea
11. TOTAL EXPENDITURES MADE .... .............
--- --- .... Add Lines 8+9+10
Column A
TOTALTHISPERIOD
(F ROM ATTACHED SCHE W LES)
$ 460.00
0.00
Column B Calendar Year Summary for Candidates
o w°owTR Running in Both the State Primary and
General Elections
$ 460.00
0.00
$ 460.00
$
460.00
0.00
0.00
$ 460.00
$
460.00
$ 3,782.73
0.00
$ 3,782.73
-538.50
$ 3,782.73
$ 3,782,73
135.50
0.00 0.00
$ 3,244.23 $ 3, 918.23
Current Cash Statement
12. Beginning Cash Balance ....................... Previous summary Page, Line 16 $ 69,935.05
13. Cash Receipts ................................................... Column A, Line 3 above 460.00
14. Miscellaneous Increases to Cash ........................... Schedule 1, Linea 2.44
15. Cash Payments Column A.Line8above 3,782.73
16.ENDING CASH BALANCE .......... Add Lines 12+13+14,then subtract Line15 $ 66,614.76
If this is a termination statement, Line 16 must be zero.
17. LOAN GUARANTEES RECEIVED.. ... ...._._.......... ... Schedule e. Part 2 $ 0.00 I
Cash Equivalents and Outstanding Debts
18. Cash Equivalents....... See instructions on mverse $ 0.00
19. Outstanding Debts ......................... Add Line 2+Line gin Column 6 above $ 135.50
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
tarty over the amounts
from Lines 2, 7, and 9 (if
any).
1/1 through 6/30 711 to Date
20. Contributions
Received $ $
21. Expenditures
Made $ $
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made*
(a Subject to voluntary E perMiture Lima)
Date of Election Total to Date
(mrrVdd/yy)
rAmounts in this section may be different from amounts
eported in Column B.
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.w.gov (866/275-3772)
- t,.,., - ,.,..,
Schedule A
SCHEDULE A
UeU
Statement covers period
Monetary Contributions Received ""'Vto `whole
dollars.
CALIFORNIA
from 01/01/2022
•
FORM
SEE INSTRUCTIONS ON REVERSE through 06/30/2022
Page 4 of 9
NAME OF FILER -
I.D.NUMBER
Lisa Middleton for State Senate 2022
1441458
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVETO DATE
PER ELECTION
RECEIVED
QFOOYMRTBEALSOENTERIANUMBER)
CODE
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
rFSEU'-81NIM YEO. ENTER NINE
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OFBUsNESS)
04/09/2022
Garrett P. Dangerfield
®IND
Programmer
100.00
100.00
P2022 $100.00
900 Saturnine Rd, Ste 217
Cognizant
Palm Springs, CA 92262
oOTH
❑PTY
Received through intex
Actt,lue
366 Samson Sr[eet
eediar,:
[]SCC
Somerville, NA 02144
01/21/2022
Colin Wright
❑RIND
Attorney
250.00
250.00
P2022 $250.00
2823 S Palm Canyon or
❑COM
lbilio
Palm Springs, CA 92264
❑OTH
Received through intex
oadiary;
❑PTY
Acthlue
366 Summer Street
❑ cC
'.evllle. MA 02144
❑ IND
[3Com
❑ OTH
❑ PTY
❑ SCC
❑ IND
❑COM
❑0TH
❑PT
[]SCC
❑IND
❑COM
❑OTH
❑ PTY
❑SCC
SUBTOTALS 350.00
Schedule A Summary
1. Amount received this period — itemized monetary contributions.
(Include all Schedule A subtotals.)........................................................................................................ $ 350.00
2. Amount received this period — unitemized monetary contributions of less than $100 ............................. $ 110.00
3. Total monetary contributions received this period.
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $ 460.00
'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.w.gov (8661275-3772)
Schedule E
Payments Made
SEE INSTRUCTIONS ON REVERSE
Lisa Middleton for State Senate 2022
Amounts may be rounded
to whole dollars.
covers period
from 01/01/2022
through 06/30/2022 I Page 5 of 9
1441456
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CMP
campaign paraphemalia/misc.
NW
member communications
RAD
radio airtime and production costs
CNS
campaign consultants
MTG
meetings and appearances
RFD
returned contributions
CTB
contribution (explain nonmonetary)'
CFC
office expenses
SAL
campaign workers' salaries
CVC
civic donations
PET
petition circulating
TEL
t.v. or cable airtime and production costs
FIL
candidate filing/ballot fees
PFIO
phone banks
TRC
candidate travel, lodging, and meals
FIND
fundraising events
POL
polling and survey research
TRS
staff/spouse travel, lodging, and meals
M
independent expenditure supporting/opposing others (explain)'
POS
postage, delivery and messenger services
TSF
transfer between committees of the same candidate/sponsor
LEG
legal defense
PRO
professional services (legal, accounting)
VOT
voter registration
LIT
campaign literature and mailings
PRT
print ads
WEB
information technology costs (intemet, e-mail)
NAME AND ADDRESS OF PAYEE
OF COMMRTEE, use ENTER I.D. NUMBER)
CODE OR DESCRIPTION OF PAYMENT
AMOUNTPAID
Call Time Dreambase, Inc.
PRO
500.00
2627 E College Ave
Visalia, CA 93292
Call Time Dreambase, Inc.
PRO
500. 00
2627 E College Ave
Visalia, CA 93292
Call Time Dreambase, Inc.
PRO
500.00
2627 E College Ave
Visalia, CA 93292
Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTALS 1,500.00
Schedule E Summary
1. Itemized payments made this period. (Include all Schedule E subtotals.).............................................................................................................. $ 3,764.55
2. Unitemized payments made this period of under $100.......................................................................................................................................... $ Is .18
3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e).)............................................................................... $ 0.00
4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ............................. TOTAL $ 3,782.73
FPPC Fenn 460 (Jan/2016)
FPPC Toll -Free Helpline: 866/ASK.FPPC (866/275-3772)
Schedule E SCHEDULE E(CONT
(Continuation Sheet)
Amounts may be rounded
Statement covers period
I s,
Payments Made
towholedollars.
a _ 6 1
from
01/01/2022
SEE INSTRUCTIONS ON REVERSE
through 06/30/2022
Page 6 of 9
NAME OF FILER
I.D. NUMBER
Lisa Middleton for State Senate 2022
1441458
CODES: If one of the following codes accurately describes the
payment, you may enter the code.
Otherwise, describe the payment.
CW campaign paraphemalia/misc.
MBR
member communications
RAID
radio airtime and production costs
CNS campaign consultants
MTG
meetings and appearances
RFD
returned contributions
CTB contribution (explain nonmonetary)'
OFC
office expenses
SAL
campaign workers' salaries
CVC civic donations
PET
petition circulating
TE L
t.v. or cable airtime and production costs
FIL candidate filing/ballot fees
PHD
phone banks
TRC
candidate travel, lodging, and meals
FIND fundraising events
POL
polling and survey research
TRS
staff/spouse travel, lodging, and meals
PD independent expenditure supportinglopposing others (explain)'
POS
postage, delivery and messenger services
TSF
transfer between committees of the same candidate/sponsor
LEG legal defense
PRO
professional services (legal, accounting)
VOT
voter registration
LIT campaign literature and mailings
PRT
print ads
WEB
information technology costs (internet, e-mail)
NAME AND ADDRESS OF PAYEE
T
(IF COMMITTEE, AM ENTER I.O. NUMBER)
CODE OR DESCRIPTION OF PAYMENT
AMOUNT PAID
River City Business Services
PRO
5445 Madison Avenue
674.00
Sacramento, CA 95841
River City Business Services
PRO
5445 Madison Avenue
461.25
Sacramento, CA 95841
River City Business Services
PRO
5445 Madison Avenue
259.00
Sacramento, CA 95841
River City Business Services
PRO
5445 Madison Avenue
199.30
Sacramento, CA 95841
River City Business Services
PRO
5445 Madison Avenue
171.00
Sacramento, CA 95841
' Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTALS 1,764.55
FPPC Form 460 (Janr2016)
FPPC Toll -Free Helpline: 668/ASK-FPPC f66612m37721
Schedule E SCHEDULEE(CONT
(Continuation Sheet) Amounts may be rounded Statementcovem period CALIFORNIA
Payments Made to whole dollars. FORM • 1
if from o1/ol/zoz2
SEE INSTRUCTIONS ON REVERSE through 06/30/2022 Page 7 of 9
NAME OF FILER
LD.NUMBER
Lisa Middleton for State Senate 2022 11441458
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CIVP
campaign paraphemalia/misc.
M13R
member communications
RAD
radio airtime and production costs
CNS
campaign consultants
MTG
meetings and appearances
RFD
returned contributions
CTB
contribution (explain nonmonetary)'
OFC
office expenses
SAL
campaign workers' salaries
CVC
civic donations
FEr
petition circulating
TEL
t.v. or cable airtime and production costs
FIL
candidate filinglballot fees
PHO
phone banks
TRC
candidate travel, lodging, and meals
FIND
fundraising events
POL
polling and survey research
TRS
stag/spouse travel, lodging, and meals
W
independent expenditure supporting/opposing others (explain)'
POS
postage. delivery and messenger services
TSF
transfer between committees of the same candidate/sponsor
LEG
legal defense
FRO
professional services (legal, accounting)
VOT
voter registration
LIT
campaign literature and mailings
PRT
print ads
WEB
information technology costs (intemet, e-mail)
NAME AND ADDRESS OF PAYEE
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE OR DESCRIPTION OF PAYMENT
AMOUNTPAID
Robert Westwood
24 Chandra Lane
Rancho Mirage, CA 92270
Refund of Contribution
500.00
' Payments that are coMdbutiom or independent expenditures must also be summarized on Schedule D. SUBTOTALS 500.00
FPPC Forth 460 (Jan/2016)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
Schedule F statemeateovem
Accrued Expenses (Unpaid Bills) Amounts wholybllars. rounded P
to whole dollars. (f081 01/O1/2023
SEE INSTRUCTIONS ON REVERSEthrough 06/30/2022_ _ _ _
NAME OF FILER
Lisa Middleton for State Senate 2022
CODES: If one of the following codes accurately describes the payment, you may enter the code.
Otherwise, describe the payment.
CMID
campaign paraphernalia/mist.
AVER
membercommunications
RAD
CNS
campaign consultants
MTG
meetings and appearances
RFD
CTB
contribution (explain nonmonelary)'
OFC
office expenses
SAL
CVC
civic donations
PET
petition circulating
TEL
FIL
candidate filingfballot fees
PHO
phone banks
TRC
FND
fundraising events
POL
polling and survey research
TRS
IFD
independent expenditure supportinglopposing others (explain)'
POS
postage, delivery and messenger services
TSF
LEG
legal defense
PRO
professional services (legal, accounting)
VOT
LIT
campaign literature and mailings
PRT
print ads
WEB
SCHEDULEF
e
Page a of 9
I.D. NUMBER
1441458
radio airtime and production costs
returned contributions
campaign workers' salaries
t.v. or cable airtime and production costs
candidate travel, lodging, and meals
staff/spouse travel, lodging, and meals
transfer between committees of the same candidate/sponsor
voter registration
information technology costs (Internet, e-mail)
(a)
(b)
(c)
(d)
NAME AND ADDRESS OF CREDITOR
CODE OR
OUTSTANDING
AMOUNTINCURRED
AMOUNT PAID
OUTSTANDING
(IF COMMriEE, use ENTER I.D. NUMBER)
DESCRIPTION OF PAYMENT
BALANCE BEGINNING
THIS PERIOD
THIS PERIOD
BALANCEAT CLOSE
OF THIS PERIOD
O SOR6PORroNO
OF THIS PERIOD
River City Business Services
PRO
674.00
0.00
674.00
0.00
5445 Madison Avenue
Sacramento, CA 95841
River City Business Services
PRO
0.00
135.50
0.00
135.50
5445 Madison Avenue
Sacramento, CA 95841
• Payments that am contributions or independent ezpendlbues must also be summarized on Schedule D. SUBTOTAL$S 674 c!;$ 135. soS 674. o0E 135.50
Schedule F Summary
1. 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.)... ....... ....____.._......... ........ INCURRED TOTALS $ 135.50
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 $ 674.00
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 $-538.50
May to a negative rum
FPPC Form 460 (Jan12016)
FPPC Toll -Free Helohne: 866/ASK-FPPC (8661275-37721
Schedule I
SCHFnIII F I
Miscellaneous Increases to Cash Amounts may be rounded
Statement covers period
to whole dollars.
• • I '
from 01/01/2022
•
SEE INSTRUCTIONS ON REVERSE
through 06/30/2022
Page 9 of 9
NAME OF FILER
I.D. NUMBER
Lisa Middleton for State Senate 2022
1441458
DATE
RECEIVED
FULL NAME AND ADDRESS OF SOURCE
DESCRIPTION OF RECEIPT
AMOUNTOF
(IF COMMITTEE ALSO ENTER I.D. NUMBER)
INCREASE TO CASH
Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 0.00
Schedule I Summary
1. Itemized increases to cash this period........................................................................................................................ $ 0.00
2. Unitemized increases to cash of under $100 this period............................................................................................. $ 2.44
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
SummaryPage, Line 14.)........................................................................................................................... TOTAL $ 2.44
FPPC Form 460 (Jen12016)
FPPC Advice: advWe@fppe.ea.gov (666W53T72)