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HomeMy WebLinkAbout2022-08-02 Form 460 - PS Fire SafetyRecipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement coven period from 01/01/2022 through 06/30/2022 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. ❑ fficeholder, Candidate Controlled Committee 8 El Primarily Formed Ballot Measure State Candidate Election Committee 0 Recall ommittee Controlled A. Comryare Part 5) Sponsored m eneral Purpose Committee • Sponsored (A)m Compete, Part 6) ❑ Primarily Formed Candidate/ Small Contributor Committee Officeholder Committee Political Party/Central Committee (Alm Complete Part l) 3. Committee Information Palm Springs Fire Safety Association PAC STREET ADDRESS (NO P.O. BOX) 180 N Luring Dr CITY STATE ZIPCODE AREA CODE/PHONE Palm Springs CA 92262 909-844-5344 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX 12941 Rhonda Fleming Ct CITY STATE ZIP CODE AREA CODE/PHONE Yucaipa CA 92399 909-844-5344 OPTIONAL: FAX/E-MAIL ADDRESS Date of election if applicable: (Month, Day, Year) 2. Type of Statement: RECEIVED Y OFP LH SPRIN AUG -2 AM 11: 4 ❑ Preelection Statement m Semi-annual Statement ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) Treasurer(s) NAME OF TREASURER Brandon Wright COVER PAGE 1 of 5 ❑ Quarterly Statement ❑ Special Odd -Year Report MAILING ADDRESS 12941 Rhonda Fleming Ct CITY STATE ZIP CODE AREACODE/PHONE Yucaipa CA 92399 909-844-5344 NAME OF ASSISTANT TREASURER, IFANY MAILING ADDRESS CITY STATE ZIP CODE AREACODE/PHONE OPTIONAL: FAX/E-MAIL ADDRESS bwrightfire@yahoo.com 4. Verification 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 perjury under the laws of the State of California that the foregoing is true and correct. �,/ . /• / Executed on 08/02/2022 Date Executed on Date Executed on Executed on Date By By Signature of onVolling Officeholder, Candidate. State Measure Proponent or Rasponsiple 75M.ro ponsor By Signature of Controlling Officeholder. Candidate, State Measure Proponent By Signature of Controlling Officeholder. Candidate, State Measure Proponent FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/276-3772) www.fppc.ca.gov Campaign Disclosure Statement Summary Page Amounts may be rounded to whole dollars. Statement covers period from 01/01/2022 SUMMARYPAGE SEE INSTRUCTIONS ON REVERSE through 06/30/2022 Page 2 of 5 NAME OF FILER I.D. NUMBER Palm Springs Fire Association PAC 881536 Contributions Received Column A Column B Calendar Year Summary for Candidates TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) CALENDAR YEAR TOTAL TO DATE Running in Both the State Primary and General Elections 1. Monetary Contributions................................................... Schedule A, uric 3 $ 10140 $ 10140 2. Loans Received................................................................ Schedule a. Line 3 0 1/1 through 6/30 711 to Date 3. SUBTOTAL CASH CONTRIBUTIONS Lines 1 + 2 Add o $ 10140 $ 10140 20. Contributions .............................. Received $ $ 4. Nonmonetary Contributions ............................................ Schedule C, Line 3 0 D 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED.. ...... ---- ............... Add Lines 3+4 $ 10140 $ 10140 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made................................................................ schedule E, Lin.4 $ 167.52 $ 167.52 Candidates 7. Loans Made....................................................................... schedule H, Line 3 0 O 8. SUBTOTAL CASH PAYMENTS ....................................... Add Lines 6 + 7 $ 167.52 $ 167.52 22. Cumulative Expenditures Made`(nSubiacrm 0 0Date voluntary Expenditure Limit)9. Accrued Expenses (Unpaid Bills) .......................................... Schedule F Line 3 of Election Total to Date 10. Nonmonetary Adjustment ......................................................... Schedule C, Line 3 D 0 (mm/dd/yy) 11. TOTAL EXPENDITURES MADE .................................... Add Lines a+9+10 $ 167.52 $ 167.52 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 I, Line 4 15. Cash Payments......................................................... Column A, Line 6 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. $ 45207.25 10140 a 167.52 $ 55179.73 17. LOAN GUARANTEES RECEIVED ... ................ ...... . Schedule B, Part 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ................................................ See instmctions on reverse $ 19. Outstanding Debts .............................. Add Line 2+Line 9 in Column B above $ 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 from Lines 2, 7, and 9 (if any). 'Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A Amounts may be rounded SCHEDULE A Monetary Contributions Received 0va.0e noars Statement covers period I CALIFORNIA from 01/01/2022 FORM460 SEE INSTRUCTIONS ON REVERSE through 06/30/2022 Page 3 of 5 NAME OF FILER I.D. NUMBER Palm Sprins Fire Association PAC 881536 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED CONTRIBUTOR CODE ; OCIF CUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME RECEIVED THIS CALENDAR YEAR TO DATE (IF COMMITTEE, ALSO ENTER I.U. NUMBER) OF BUSINESS) PERIOD (JAN.1-DEC. 31) (IF REQUIRED) 01/15/22 Pahn Springs Firefighters Association ❑ IND $1710 180 N Luring Dr ❑ COM ® OTH Palm Springs, CA 92262 ❑ PTY ❑ Scc 02/15/22 Palm Springs Firefighters Association ❑ IND $1710 180 N Luring Dr ❑ COM 0 Palm Springs, CA 92262 PTy ❑ scC 03/15/22 Palm Springs Firefighters Association ❑ IND S1680 180 N Luring Dr ❑ COM ® OTH Palm Springs, CA 92262 ❑ PTY ❑ SCC 04/15/22 Palm Springs Firefighters Association ❑ IND S1680 180 N Luring Dr ❑ COM Palm Springs, CA 92262 El pTy ❑ SCO 05/15/22 Palm Springs Firefighters Association ❑ IND $1680 180 N Luring Dr ❑ COM Palm Springs, CA 92262 pTy ❑ scc SUBTOTAL $ 8460 Schedule A Summary 1. Amount received this period — itemized monetary contributions. 10140 (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 $ 10140 'Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Parry SCC — Small Contributor Committee FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULE (CONT.) Monetary Contributions Received to whole dollars. Statement covers period 0 from 01/01/22 CALIFORNIA FORM through 06/30/22 Page 4 of 5 NAME OF FILER I.D. NUMBER Palm Springs Fire Association PAC 881536 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED CONTRIBUTOR • CODE OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME) RECEIVED THIS CALENDAR YEAR TO DATE (IF COMMITTEE. ALSO ENTER I.D. NUMBER) OF BUSINESS) PERIOD (JAN.1-DEC. 31) (IF REQUIRED) 06/15/22 Palm Springs Firefighters Association ❑ IND $1680 180 N Luring Dr ❑ COM OTH ®p Palm Springs, CA 92262 PTY ❑ SCc ❑ IND ❑ COM ❑ OTH ❑ PTY ❑SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY 17 SCC SUBTOTAL $ 1680 IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee Schedule E Payments Made SEE Palm Springs Fire Association PAC Amounts may be rounded to whole dollars. Covers from 01/01/2022 through 06/30/2022 I Page 5 881536 Of 5 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)' OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals IND independent expenditure supporting/opposing others (explain)' POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (intemet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE. ALSO ENTER I.O. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Brandon Wright OFC Reimbursement for Envelopes and Stamps $15.19 12941 Rhonda Fleming Ct Yucaiaa, CA 92399 Secretary of State Political Reform Division OFC Annual registration fee for PAC committee $50 1500 11th St. #495 Sacramento. CA 95814 Vista Print OFC Custom 3601 cards $102.33 Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL; 167.52 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) 2. Unitemized payments made this period of under$100 ............................. 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e).)..................................... 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) $ 167.52 ................. $ ................. $ .... TOTAL $ 167.52 FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov