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2021-07-16 Form 460 - PS Fire SafetyRecipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement covers period from 01/01/21 through 06/30/21 1. Type of Recipient Committee: All committees - complete Parts 1, 2, 3, and 4. ❑ Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure O State Candidate Election Committee Committee O Recall O Controlled (A/so Complete Part5) O Sponsored (Also Complete Part 6) m General Purpose Committee 100 Sponsored ❑ Primarily Formed Candidate/ O Small Contributor Committee Officeholder Committee O Political Party/Central Committee (Also Complete Part7) 3. Committee Information I.D. NUMBER 881536 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Palm Springs Fire Safety Association PAC STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREACODE/PHONE Palm Springs CA 92262 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREACODE/PHONE Yucaipa CA 92399 OPTIONAL: FAX / E-MAILADDRESS 4. Verification COVER PAGE Date Stamp F L EIVED 1 5 Date of election if li a f" L IJ SPRINGS Page of (Month, Day, Year) For Official Use Only 2021 JUL9 All 10:53 t'tC4GE rfr HE CITY CUR,' 2. Type of Statement: ❑ Preelection Statement ❑ Quarterly Statement (� Semi-annual Statement ❑ Special Odd -Year Report ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) Treasurer(s) NAME OF TREASURER Brandon Wright MAILING ADDRESS CITY STATE ZIP CODE AREACODE/PHONE Yucaipa CA 92399 NAME OF ASSISTANT TREASURER, IF ANY Damien Myers MAILING ADDRESS CITY STATE ZIP CODE AREACODE/PHONE Temecula CA 92592 OPTIONAL: FAX / E-MAILADDRESS 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 07/16/21 Executed on Date Executed on Date Executed on Date Executed on Date By By Signature of Controlling Officeholder, Candidate, State Measure Proponent or Responsible Officer of Sponsor By Signature of Controlling Officeholder, Candidate, State Measure Proponent By Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Campaign Disclosure Statement Amounts may be rounded SUMMARY PAGE Summary Page to whole dollars. Statement covers period , from 01/01/21 . - • 1 06/30/21 Page 2 Of 5 SEE INSTRUCTIONS ON REVERSE through NAME OF FILER I.D. NUMBER Palm Springs Fire Association PAC 881536 Contributions Received Column A TOTAL THIS PERIOD Column B Calendar Year Summary for Candidates (FROM ATTACHED SCHEDULES) CALENDAR YEAR TOTAL TO DATE Running in Both the State Primary and General Elections 1. Monetary Contributions................................................... schedule A, Line 3 $ 10320 $ 10320 1/1 through 6/30 7/1 to Date 2. Loans Received................................................................ schedule B, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 1 + 2 $ 10320 $ 10320 20. Contributions Received $ $ 4. Nonmonetary Contributions ............................................ schedule C, Line 3 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED................................Add Lines 3+4 $ 10320 $ 10320 Made $ $ Expenditures Made 6. Payments Made................................................................ schedule E, Line 4 $ 50 7. Loans Made....................................................................... schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS ....................................... Add Lines 6+7 $ 50 9. Accrued Expenses (Unpaid Bills) .......................................... schedule F Line 3 10. Nonmonetary Adjustment......................................................... schedule c, Line 3 11. TOTAL EXPENDITURES MADE .................................... Add Lines 8 + 9 + 10 $ 50 Current Cash Statement 12. Beginning Cash Balance ............................ Previous summary Page, Line 16 $ 24467.25 13. Cash Receipts........................................................... Column A, Line 3 above 10320 14. Miscellaneous Increases to Cash .................................. schedule /, Line 4 15. Cash Payments......................................................... Column A, Line 8 above 50 16. ENDING CASH BALANCE ..................Add Lines 12 + 13 + 14, then subtract Line 15 $ 34737.25 If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ................................ Schedule B, Part 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ................................................ see instructions on reverse $ 19. Outstanding Debts .............................. Add Line 2 + Line 9 in Column B above $ $ 50 $ 50 $ 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 carry over the amounts from Lines 2, 7, and 9 (if any). 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) 1 1 $ *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 LOW 06 GllaiS. Statement covers period . ' from 01/01/21 SEE INSTRUCTIONS ON REVERSE through 06/30/21 Page 3 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) 01/15/21 Palm Springs Firefighters Association ❑ IND $1680 $1680 ❑ COM m OTH Palm Springs, CA 92262 ❑ PTY ❑ SCC 02/15/21 Palm Springs Firefighters Association ❑ IND $1680 $3360 ❑ COM Z OTH Palm Springs, CA 92262 ❑ PTY ❑ SCC 03/15/21 Palm Springs Firefighters Association ❑ IND $1680 $5040 ❑ COM m OTH Palm Springs, CA 92262 ❑ PTY ❑ SCC 04/15/21 Palm Springs Firefighters Association ❑ IND $1680 $6720 ❑ COM m OTH Palm Springs, CA 92262 ❑ PTY ❑ SCC 05/15/21 Palm Springs Firefighters Association ❑ IND $1800 $8520 ❑ COM m OTH Palm Springs, CA 92262 ❑ PTY ❑ SCC SUBTOTAL $ 8520 Schedule A Summary 1. 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.)............. 10320 TOTAL $ 10320 *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 A (Continuation Sheet) Amounts may be rounded SCHEDULE A (CONT.) Monetary Contributions Received to whole dollars. Statement covers period CALIFORNIA from 01/01/21 FORM through 06/30/21 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 IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION CONTRIBUTOR CONTRIBUTOR * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME) (IF COMMITTEE, ALSO ENTER I.D. NUMBER) OF BUSINESS) PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) 06/15/21 Palm Springs Firefighters Association ❑ IND $1800 $10320 ❑ COM m OTH 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 SCC SUBTOTAL $ 1800 *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 E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Palm Springs Fire Association PAC Amounts may be rounded to whole dollars. Statement covers period from 01/01/21 through 06/30/21 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment SCHEDULE E 'ALIFORNIA •- Page 5 of 5 I.D. NUMBER 881536 CMP campaign paraphernalia/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 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 (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Secretary of State VOT PAC Annual Registration Fee $50 Sacramento, CA 95814 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. 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.)...................... SUBTOTAL $ 50 FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov