The URL can be used to link to this page

2017-01-31 Form 460 - KorsCOVER PAGE L.- Recipient Committee Campaign Statement Cover Page from Statement oovers period 7/1 /2016 SEE INSTRUCTIONS ON REVERSE through 12/31/2016 9. Type of Recipient: Committee: AN Comastees - Complete Parts 1, 2.3. and 4. ® Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure 0 State Candidate Election Committee Committee Q Recall 0 Controlled (AW CemOk Aw 5) 0 Sponsored row Compbb Pert 6) ❑ General Purpose Committee 0 Sponsored O Small ContribiAor Committee O Political Party/Centrat Committee 3. Committee inforrnation Geoff Kors for City Council 2015 ❑ Primarily Formed Candidate! Officeholder Committee (Eft ComptY Pat 7) I.D. STR9FT ADDRESS (NO P.O. BO ) CITY STATE ZIPCOOE AREACODE/PHONE Palm Springs CA 92262 MAILING ADDIIESS (IF DI FFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODU ONE Palm Springs CA 92263 OPTIONAL: FAX I E-MAIL ADDRESS Date Stamp RECEJVED :11 Y OF PALM SPRING Date of election If applicabl-7 7 JAM 31 PM 2: (4 (Month, Day, Year) 2. Type of Statement: ❑ Preelection Statement ® Semi-annual Statement ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) Treasurer(s) Page 1 of — For Official Use Only ❑ Quarterly Statement ❑ Special odd Year Report NAME OF TREAS URE R James Williamson MAIUNGADDRESS CITY STATE ZIPCODE AREACODE/PHONE Palm Springs CA 92262 NAME OF ASSISTANT TREASURER, IFANY Steve Mele Cray STATE 23PCODE AREACODEIPNONE Washington DC 20003 OPTIONAL: FAX I E4AAILADDRESS 4. Verification of my knowledge the information contained) herein and in the attached schedules is true and complete. I I have used all reasonable diligence in preparing and reviewing this statement and to the best certify under penalty of perjury under the laws of the State of California that the By 34nowns ofContrMv oftahc5r. Ga te, Stab memure Proponent (3y �- S ure Co r, tale uie raportenl FPPC Form 460 (Jan/2016) FPPC Advice: advloe@10pc.ca.gow 1866/275-3772) www.fopc.ca.gov Recipient Committee Campaign Statement Cover Page --- Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Geoff KOrs OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IFAPPLICABLE) Held. City Council Member RESIDENTIALJBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP Palm Springs CA 92262 Related Committees Not Included In this Statement: ustanycommittees not Included in this statement that we controlled by you or are pdmarity formed to receive contribudons or mare expendflures on behalf of your candfdacy. COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODEPHONE I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COVER PAGE - PART 2 page 2 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE of 4_ BALLOT NO, OR LETTER JURISDICTION ❑ SUPPORT ❑ OPPOSE Identify the controlling of icaholder, candidate, or state measure proponent, If any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT DISTRICT NO. IF ANY 7. Primarily Formed Candidate/Offlceholder Committee ust names or of Iceholderfs) or candid uft(s) for which this com►nitreo is prlma►tly 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 CITY STATE ZIP CODE AREA CODEIPHONE Attach condnuadon sheets if necessary FPPC Form 450 (lw/2016) FPPC Advice: edvice@fppc.ca.gov (866/27S-3772) www.fppc.ca.gov Campaign Disclosure Statement Amounts �Y rounded to while dollars. Summary Page inY 11n'Mnkle nki ockmaCL NAME OF FILER Contributions Received 1. Monetary Contributions................................................... schedule A, Line 3 $ 2. Loans Received................................................................ Schedule a Line 3 3. SUBTOTAL CASH CONTRIBUTIONS .............................. AddUnes 1+2 $ 4. Nonmonetary Contributions ............................................ Schedule C, L#W 3 5. TOTAL CONTRIBUTIONS RECEIVED..,.... ............................ Add Lines 3+4 $ Expenditures Made 6. Payments Made................................................................ schedule E Line 4 7. Loans Made....................................................................... Schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS .......................................... AddLines6+7 9. Accrued Expenses (Unpaid Bills) .......................................... Schedule F Line 3 10. Nonmonetary Adjustment......................................................... Schedule C, Line 3 11. TOTAL EXPENDITURES MADE ... _........ _......................... Add Unes8+9+10 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 ►, Line 4 15. Cash Payments......................................................... Column A, Line s above 16. ENDING CASH BALANCE ..................Add Lines 12 + 13 + 14 sran subtract Line f5 if this is a termination statement Line 16 must be zero. Column A TOTA L THISPERIOD (FROM ATTACHED SCHEDULES) 0.00 0.00 0.00 0.00 0.00 $ 147.15 0.00 $ 147.15 0.00 0.00 $ 147.15 $ 32,160.05 147.15 $ 32,012.90 17. LOAN GUARANTEES RECEIVED ................................ SchedulOA Part2 $ 0.00 Cash Equivalents and Outstanding Debts 18. Cash Equivalents ................................................ sae irWnrcWns on reverse $ 19. Outstanding Debts .............................. Add Line 2 +line 9 in Column 9 above $ rE r from staument covers period 711 /2016 SUMMARY PAGE through 12/31/2016 I pg. 3 of 4 Column B CALe"R YEAR TOTAL TO DATE 0.00 0.00 $ 0.00 0.00 $ 0.00 $ 2,870.96 0.00 $ 2,870.96 0.00 0.00 $ 2,870.96 To calculate Column B, add amounts in Column Ato 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 tines 21 7, and 9 (if any). 1376802 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 11t thrOU0 sm 711 to pate 2o. Contributions Received $ $ 21. Expenditures Made $ $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made" In Sub]W to whnfty Expen& w'e un*l Date of Election (mrMddlyy) -J-___1 $ Total to Date •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.cm.gov Schedule E Payments Made INSTRUCTIONS Amounts may be rounded to whole dollars. Statement covers period from 7/1 /2016 through 12/31 /2016 SCHEOULE Pave - or 1376802 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP CNS campaign paraphemalia/misc. campaign consultants MBR member communications RAD radio airtime and production costs CT8 contribution (explain nonmonetary)' MTG OFC meetings and appearances office expenses RFD returned contributions CVC FIL civic donations candidate filing/ballot fees PET petition circulating SAL TEL campaign workers' salaries tv. or cable airtime and production costs FND fundraising events PHO POL phone banks polling and survey research TRC TRS candidate travel, lodging, and meals IND LEG independent expenditure supportinglopposing others (explain)` legal defense POS postage, delivery and messenger services TSF 1, to i staff/spouse travel, lodging, and meals transfer between committees of the same candidate/sponsor LIT campaign literature and mailings PRO PRT professional services (legal, accounting) VOT voter registration print ads WEB information technology costs (Internet, email) NAME AND ADDRESS OF PAYEE (IF COMMTMM- ALSO ENTER I.D. NUMBER) First Bank Merchant Services 5565 Glenridge Connector NE, Ste 2000 Atlanta, FL 30342-1651 CODE OR DESCRIPTION OF PAYMENT Merchant Services/Bank Fees OFC AMOUNT PAID 147.15 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 147.15 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 (a).) ................. $....................................................... 4. Total payments made this period, (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.)............ .... TOTAL $ 147.15 147.15 FPPC Form 460 ()an/2016) FPPC Advice: advice@fppe.co.gov (866/275-3"2) www.fppc.ca.gov Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement covers period from 1/1/2016 through 6/30/2016 I. Type of Recipient Committee: All Committees — Complete Parts 1, 2, s, and 4. Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure Q State Candidate Election Committee Committee 0 Recall 0 Controlled wsoComp"Part 5) 0 Sponsored (Also Complete Part 6) ❑ General Purpose Committee O Sponsored ❑ Primarily Formed Candidate/ O Small Contributor Committee Officeholder Committee Q Political PartylCentral Committee (Also CompefePert7) 3. Committee Information I I.D. NUMBER 1376802 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Geoff Kors for City Council 2015 STREETADDRESS (NO P.O. BOX) 1455 N Vine Ave CITY STATE ZIP CODE AREACODUPHONE Palm Springs CA 92262 7605370061 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX PO Box 1585 CITY STATE ZIP CODE AREACODE/PHONE Palm Springs CA 92263 7605370061 OPTIONAL: FAXIE-MAILADDRESS Date of election if applicable: (Month, Day, Year) 2. Type of Statement: Stamp RECEI 1T Y U pt L 1 5i'R 2916 AUG - I pM y; 1-2 JAMES Tl<iUi CITY CLERK ❑ Preelection Statement ❑ Semi-annual Statement ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) ❑ Qi Statement ❑ Special Odd -Year Report COVER PAGE Of Treasurer(s) NAME OFTREASURER James Williamson MAILING ADDRESS 1455 N Vine Ave CITY STATE ZIP CODE AREA CODE/PHONE Palm Springs CA 92262 7605370060 NAME OF ASSISTANT TREASU R ER, IFANY Steve Mele MAILING ADDRESS 611 Pennsylvania Ave CITY STATE ZIP CODE AREACODE/PHONE Washington DC 20003-4303 OPTIONAL: FAXlE-MAILADDRESS geoffkorsps@gmail.com williamsonjg@gmail.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. __7�/; Executed on Executed on July 28, 2016 Date July 28, 2016�z By i 5' tureof reasurerorAssislantTreasurer Date Signature of Controllin icehoker, Candidate, State Measure Proponent or Responsible Officer of Sponsor Executed on Date By Signature ofControling Officeholder, Candidate, Slate Measure Proponent Executed on Date By Signature ar Conlraging Officeholder, Candidate, Slate Measure Proponent FPPC Form 460 (Jan/2016) FPPC Advice: advice@fplpc.ca.gov (866/275-3772) www.fppc.ca.gov Recipient Ccrrimittee Campaign Statement ('A'over Page -s Part 2 6. Officeholder or a; andidate Con•tro led Committee hJAME OF OFFICEHI L.CiE-R. OR CANDIDATE !'leoff Kors FFICE SOUGHT OF HEl-D (INCLUDE LOCATIhJ AND DISTRICT NL' 4; GNR IF APPLICABLE] Held: City Coun(J1 Member 7EEIDENTIALIBUSINL!":5 ADDRESS (NO-4.111::� :�fREET) CITY STATE "I �- 1455 N.Vine A% ,: Palm Spririgs CA Related Committees Not Included in this State l>IvaHit: List anycorrtnPWous neat Included in this s rarement that are cony oNed by you or are ,u.' uoarily formed to deceive contributions or ra4A a expenditures on boghaJ? of your candidacy. COMMITTEE NAME LL PLUMBER P,IAME OF TREASURFR CC:11'41 ROLLED CQMMITTFF L,.... 5'ES ❑ NO STREET AC.'_)1'ifESS (NO P.O. BOX) {;ITY 6'1I TE ZIP CODE AREA CODE0''r1,"71IJE C:QMMl I ILL NAME I.C. NUMBER hLWE OF TREASURE' CCSNTROLLED COMMITTEE"' C_] 'YES ❑ NO t'.':OMMITTEEADDREiF:6 a STREET ACF,1RESS (NO P.O. BO CITY "TC"TE ZIP CON AREACODEJ,k--iblE 1::C'i''JER PAGE - PART' Page __..._.....— of ,.,. 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASI :- --- SAL L.C-T NO. OR LETTER JURI5DICTI0r1 SUPPORT k1OPPOSE Ide.nfify the controlling officeholder, candlcW:r , or state mesa uFo I:anaaponent, if any. NAPIL OF OFFICEHOLDEkI, „ANDIDATE, OR PRCI;1:11 .:, =NT CF'f'lCl= SOUGHT OR HEI- I OISTRICT f,A"l IFANY 7. Primarily Formed C;&' ndidate/Officeholder Committee Listrrames of off'ceholderis) or candidarq's) for which this ''ormmlttee is primarily Fore ed. l,! - OF OFFICEHOLDER 3' W�; CANDIDATE � ��IFFICE SOUGHT OR HI'L_C: �� ❑ SUPPOP'l ❑ OPPO61'.I. --• ` N, .Fi'Ei CF OFFICEHOLDE -.' n-? CANDIDATE � .""-'ICE SOUGHT ORIJi:..f ❑ SUPPOR-- ❑ OPPOSE r ,'......... OF OFFICEHOLDEI'.� �:i �: CANDIDATE ...._... . -- -`��ICE SOUGHT OR HL=LL) ❑ SUPPOf� ❑ OPPOSI OF OFFICEHOLDER OR CANDIDATE ',-FICE SOUGHT OR Hl',I D ❑ SUPPOfi1 ❑ OPPO6F- +!h Ptach continuarlon simets if necessary F PPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ce.gov (866/275-J772) www.fppc.c4.G0v Campaign Disclosure Statement Summary Page Amounts may be rounded to whole dollars. from Statement covers period 1/1/2016 SUMMARY PAGE through 6/30/2016 Page of SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER 1376802 Contributions Received Column A TOTAL THIS PERIOD Column B Calendar Year Summary for Candidates (FRCMATTACHED SCHEDULES) CALENDAR YEAR TOTAL TO DATE Running in Both the State Primary and General Elections 1. Monetary Contributions............................ ....................... Schedule A, Line 3 $ $0.00 $ $ 0 .C) d $0.00 $0.00 111 through 6130 711 to Date 2. Loans Received................................................................ Schedule e, Line 3 _ 3, SUBTOTAL CASH CONTRIBUTIONS.. .... ................ ...... Add Lines I +2 $ $0.00 $ $ dab(} 20. Contributions Received $ _ $ 4. Nonmonetary Contributions ..................... .................. Schedule C, Line 3 $0.00$ 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED....................................Add Lines 3+4 $ $0.00 $ $ 10,00 Made $ _____ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made................................................................ Scheduie E, Line 4 $ $1,223.81 $ $ I 2181 Candidates 7. Loans Made....................................................................... Schedule rr, Line 3 $0.00 $0.00 8. SUBTOTAL CASH PAYMENTS .......................................... AddLiness+T $ ., $1,2�.3.81 $ $�`Q' �� 22. Cumulative Expenditures Made* (If Subject to Voluntary Expenditure Limit) 9. Accrued Expenses (Unpaid Sills) .......................................... Schedule F, Line 3 -$1,5C)0.00 -4 /�$ 00.00 Date of Election Total to Date 10. Nonmonetary Adjustment......................................................... schedule C, Line 3 $i0.00 $ 0,00 (mmiddlyy) 11. TOTAL EXPENDITURES MADE... ..................................... Add Lines 8 + 9 + 10 $ _ 2,2. $7381 $ � ��-� r ,' , I J $ 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 8above 16. ENDING CASH BALANCE ..................Add Lines 12 + 13 + 14, then subtract Line 13 If this is a termination statement, Line 16 must be zero. $ 34,44.5.57 $0.00 $438.29 $2,723.81 $ $32,160.05 17. LOAN GUARANTEES RECEIVED ................................ ScheduieB, Part2 $ 1.0.00 Cash Equivalents and Outstanding Debts 18, Cash Equivalents ................................................ See instructions on reverse $ $0.00 19. Outstanding Debts- ............................ Add Line 2 +Line gin Column 8 above $ $i0.00 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. It 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 E Payments Made SEE INSTRUCTIONS ON REVERSE Amounts may be rounded to whole dollars. SCHEDULE E Statement covers period CALIFORNIA ' 1/1/2016 • " from through 6/30/2016 Page of I.D. NUMBER 1376802 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernaliaimisc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTS 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 filinglballot 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. NUMDERi CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID First Bank Merchant Services Merchant Services 5565 Glenridge Connector NE, Ste 2000 OFC $23.61 Atlanta, FL 30342-1651 Payroll Data Processing Payroll Process Fee (Year end reporting) 4224 Henderson Blvd OFC $279.60 Tampa, FL 33629-5611 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ $303.21 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.) ........................... TOTAL $ 1,223.81 1,223.81 FPPC Form 460 (Jan/2816} FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E Amounts may be rounded SCHEDULE E (CONT.) (Continuation Sheet) to whole dollars. Statement covers period CALIFORNIA '0 Payments Made from, 1/1/2016 FORM 6/30/2016 SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER I.D. NUMBER 1376802 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)* OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filinglballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff apouse travel, lodging, and meals IND independent expenditure supportinglopposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidatelsponsor 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, AL50 ENTER 1.6, NUMBERJ CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID First Bank Merchant Services Merchant Services 5565 Glenridge Connector NE, Ste 2000 OFC $19.95 Atlanta, FL 30342-1651 First Bank Merchant Services Merchant Services 5565 Glenridge Connector NE, Ste 2000 OFC $19.95 Atlanta, FL 30342-1651 First Bank Merchant Services Merchant Services 5565 Glenridge Connector NE, Ste 2000 OFC $19.95 Atlanta, FL 30342-1651 First Bank Merchant Services Merchant Services 5565 Glenridge Connector NE, Ste 2000 OFC $109.95 Atlanta, FL 30342-1651 First Bank Merchant Services Merchant Services 5565 Glenridge Connector NE, Ste 2000 OFC $19.95 Atlanta, FL 30342-1651 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ $189.75 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov 1866/275-3772) www.fppc.ca.gov Schedule E Amounts may be rounded SCHEDULE E (CONT.) (Continuation Sheet) to whole dollars. Statement covers period Payments Made from 1/1/2016 SEE INSTRUCTIONS ON REVERSE 6/30/2016 h through Page of NAME OF FILER I.D. NUMBER 1376802 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalialmise. 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 PCL polling and survey research TRS stafflspouse travel, lodging, and meals IND independent expenditure supporting/opposing others (explain)' PCs 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.O. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Citibusiness Card Credit card payment 1500 Boltonfield St $300.00 Columbus, OH 43228-3669 Subvendor: NGP VAN Memo: $300.00 Database & Email 1101 15th St NW, Ste 500 WEB Washington DC 20005-5006 Citibusiness Card Credit card payment 1500 Boltonfield St $322.57 Columbus, OH 43228-3669 Subvendor: NGP VAN Memo: $322.57 Database & Email 1101 15th St NW, Ste 500 WEB Washington DC 20005-5006 Citibusiness Card Credit card payment 1500 Boltonfield St $108.28 Columbus, OH 43228-3669 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 730.85 FPPC form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E (Continuation Sheet) Payments Made Amounts may be rounded to whole dollars. Statement covers period from 111 /2016 SCHEDULE E (CONT) 6/30/2016 SEE INSTRUCTIONS ON REVERSE throughPage of NAME OF FILER I'D. NUMBER 1376802 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 stafflspouse travel, lodging, and meals IND independent expenditure supportinglopposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidatelsponsor 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 jF COMMITTEE, ALSO ENTER LID. NUMBER) CODE DR DESCRIPTION OF PAYMENT AMOUNT PAID Subvendor: NGP VAN 1101 15th 5t NW, Ste 500 Washington DC 20005-5006 WEB Memo: $108.28 Database & Email ' Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 0.00 FPPC Form 460 (Jan/2016) FPPC Advice: advice9fppc.ca.gov (866/275-3772) www.fppc.ca.gav SCHEDULE F Schedule F Accrued Expenses (Unpaid Bills) Amounts may be rounded to whole dollars. Statement covers period from 1/1/2016 through 6/30/201 fi SEE INSTRUCTIONS ON REVERSE Page of NAME OF FILER I.D. NUMBER 1376802 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia/mist. 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 candidatelsponsor LEG legai defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEED information technology costs (internet, e-mail) NAME AND ADDRESS OF CREDITOR (IFCOMMITTEE.ALsoENTER I.o. NuMBER) CODE OR DESCRIPTION OF PAYMENT (a) OUTSTANDING BALANCE BEGINNING (b) AMOUNT INCURRED THIS PERIOD (c) AMOUNT PAID THIS PERIOD (d) OUTSTANDING BALANCEATCLOSE OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD Nikki Stone Palm Springs, CA 92262 CNS, Consulting fee $1,500.00 $1,500.00 $0.00 * Payments that are contributions or independent expenditures must also be C3TOTALS $� ,SOD.00 $ 0.00 summarized on Schedule D. SU$1,500.00 $ $ 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 $ 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 $ 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and $0.00 $1, 500.00 onthe Summary Page, Column A, Line 9.) ............................................................................................................................................................................... ... NET $ -$1,500.00 May be a negative number FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule I Miscellaneous Increases to Cash DATE RECEIVED 111 /2016 1/1/2016 FULL NAME ANDADDRESS OF SOURCE (IF COMMITTEE,ALSO ENTER LD. NUMBER) City of Palm Springs 3200 Tahquitz Canyon Way Palm Springs, CA Various Amounts may be rounded to whole dollars. Statement covers period from 1/1/2016 threuah 6/30/2016 DESCRIPTION OF RECEIPT 110315 election fee refund Uncashed expense checks SCHEDULEI Page of I.D. NUMBER 1376802 AMOUNT OF INCREASE TO CASH $78.97 $359.32 Attach additional information ors appropriately labeled continuation sheets. SUBTOTAL $ $438.29 Schedule I Summary 1. Itemized increases to cash this period ................................ $438.29 2. Unitemized increases to cash of under $100 this period ........................................... .....................$ $0.00 3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).)... ...... ......... ..................... $ $438.29 4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the SummaryPage, Line 14.)............................................................................................................................. TOTAL $ $438.29 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov