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2018-07-23 Form 460 - MiddletonRecipient Committee Campaign Statement Cover Paae SEE INSTRUCTIONS ON REVERSE Statement covers period from 1/1/2018 through 6/30/2018 1. Type of Recipient Committee: All Committees- Complete Parts 1.2,3, and4. ✓❑Officeholder, Candidate Controlled Committee ❑State Candidate Election Committee ❑Recall (Also Complete Part 5) ❑General Purpose Committee ❑Sponsored ❑Small Contributor Committee ❑POlittcal Party/Central Committee 3. Committee Information ❑ Primarily Formed Ballot Measure Committee ❑Controlled ❑Sponsored (Also Complete Part 6) ❑Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Lisa Middleton for Palm Springs City Council 2017 STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODEIPHONE Palm Springs CA 92264 ( MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODEIPHONE Palm Springs CA 92263 ( In the attached schedules is true and complete. I certify By SIGNATURE OF CONTROLLING OMICBMUDER, CANDIDATE, OR STATE MEASURE FROPoNENT By SIGNATURE OF CONTROLLING OFFICEHMDEk COMIMTE OR STATE MEASURE PROPONENT FPPC Form 460 (dan/2016) FPPC Advice: advice@fppc.ca.gov (866/2753772) www.fPPc.ca.gov Recipient Committee Campaign Statement Cover Page -Part 2 NAME OF OFFICEHOLDER OR CANDIDATE Lisa Middleton OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Held: City Council Member Member City City of Palm Springs 36 RESIDENTIALIBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP 640 E.Biltmore Place Palm Springs CA 92264 Related Committees Not Included In this Statement: List 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 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 COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? YES NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODEIPHONE COVER PAGE -PART 2 I Page 2 of 8 6.Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION FI SUPPORT OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHLOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD 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 (866/275-3772) www.fppc.ca.gov Campaign Disclosure Statement Amounts may be rounded SUMMARY PAGE to whole dollars. Statement covers periodrPage3 Summary Page1/1/2018from of 8 SEE INSTRUCTIONS ON REVERSE through 6 / 3 0 / 2 018 NAME OF FILER I.D. NUMBER Lisa Middleton for Palm Springs City Council 2017 11394265 Contributions Received Column A Column B Calendar Year Summary for Candidates Total This Period CALENDAR YEAR Running in Both the State Primary and (FROM ATTACHED SCHEDULES) TOTAL TO DATE General Elections 1. Monetary Contributions .............................................. Schedule A, Line 3 $ 3 7 0• 0 0 $ 3 7 0.0 0 1/1 through 6/30 7J1 to Date 2. Loans Received......................................................... Schedule B, Line 3 $0.00 $ 0.00 20. Contributions 3. SUBTOTAL CASH CONTRIBUTIONS ........................... Add Lines 1 + 2 $ 3 7 0.0 0 $ 3 7 0.0 0 Received 4. Nonmonetary Contributions .................................... Schedule C, Line 3 $0.00 $0.00 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ..................... Add Lines 3 + 4 $ 3 7 0.0 0 $ 3 7 0.0 0 Made Expenditures Made 6. Payments Made ........................................................ Schedule E, Line 4 7. Loans Made............................................................... Schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6 + 7 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 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 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, 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 $2,732.07 $2,732.07 $0.00 $0.00 $2,732.07 $2,732.07 $0.00 $0.00 $0.00 $0.00 $2,732.07 $2,732.07 $7,684.66 $370.00 $0.00 $2,732.07 $5,322.59 $0.00 $0.00 $0.00 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 cant' over the amounts from Lines 2, 7, and 9 (if any). Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made ' (It Subject to voluntary Expenditure Limit) Date of Election Total to Date (mmlddlyyyy) 'Amounts in this section may be different from amounts reported in schedule B. FPPC Form 460 (Jan12016) FPPC Advice: adviceoppc.ca.gov (8661275-3772) www.fppc.ca.gov Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE Lisa Middleton for Palm Springs City Council 2017 Amounts may be rounded to whole dollars. Statement covers period from 1/1/2018 through 6/30/2018 SCHEDULEA Page 4 of 8 D. NUMBER 3 Q d2FS DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMRTEE, ALSO ENTER I.D. NUMBER) CODE ` OCCUPATION AND EMPLOYER (IF � MD E!TrER�E RECEIVED THIS CALENDAR YEAR TO DATE tlF euePlEss) PERIOD (JAN. 1-DEC. 31) (IF REQUIRED) OIND Kathleen Cohn ❑COM 04/23/2018 276 N Debby Dr ❑OTH Retired $250.00 $250.00 Palm Springs, CA 92262-6813 ❑PTY Retired scC O IND Jeff Denean Jones ❑COM Business Analyst I 01/03/2018 2500 E Palm Canyon Dr ❑OT8 AIDS Regional $20.00 $120.00 Apt 88 Information & Palm Springs, CA 92264-4881 ❑PTY Evaluation System - ❑ScC ARIES J❑IND Jeff Denean Jones ❑CAM Business Analyst I 02/02/2018 2500 E Palm Canyon Dr ❑OTH AIDS Regional $20.00 $120.00 Apt 88 Information & Palm Springs, CA 92264-4881 ❑PTY Evaluation System - ❑SCC ARIES QIND Jeff Denean Jones ❑CoM Business Analyst I 03/02/2018 2500 E Palm Canyon Dr ❑OTH AIDS Regional $20.00 $120.00 Apt 88 Information & Palm Springs, CA 92264-4881 ❑ PTY Evaluation System - ❑SCC ARIES 1. Amount received this period -itemized monetary contributions. (Include all Schedule A subtotals.)........................................................................ 2. Amount received this period-unilemized monetary contributions of less than $1 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here on the Summary Page, Column A, Line 1.)........ SUBTOTAL $310.00 $370.00 $0.00 TOTAL $370.00 IND- Individual COM- Redpienl Committee (other than PTV or SCC) OTH- Other (e.g., business entity) PTY- Polilleel Party SCC- Small Contributor Committee FPPC Form 460(JeN2016) FPPC Advlae: advice@fppc.w.gov (S66rl753772) www.fppaea.Bay Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE Lisa Middleton for Palm Springs City Council 2017 Amounts may be rounded to whole dollars. Statement coven period from 1/1/2018 through 6/30/2018 SCHEDULEA Page 5 of 8 D. NUMBER DATE FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL. ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE. ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER aFaELFfMROYEg, ENTER wuJE RECEIVED THIS CALENDAR YEAR TO DATE orouewEesl PERIOD (JM. 1-DEC. 31) (IF REQUIRED) OIND Jeff Denean Jones ❑ COM Business Analyst I 03/28/2018 2500 E Palm Canyon Dr ❑OTH AIDS Regional $20.00 $120.00 Apt 88 Information & Palm Springs, CA 92264-4881 [—]PTY Evaluation System - [-]SCC ARIES ❑✓ IND Jeff Denean Jones ❑COM Business Analyst I 09 /28/2018 2500 E Palm Canyon Dr ❑OTH AIDS Regional $20.00 $120.00 Apt 88 Information & Palm Springs, CA 92264-4881 ❑PTY Evaluation System - ❑SCC ARIES OIND Jeff Denean Jones ❑coM Business Analyst I 05/28/2018 2500 E Palm Canyon Dr ❑OTH AIDS Regional $20.00 $120.00 Apt 88 Information & Palm Springs, CA 92264-4881 ❑PTY Evaluation System - ❑SCC ARIES SUBTOTAL $60.00 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 on the Summary Page, Column A, Line 1.)........................................................ TOTAL $370.00 $0.00 $370.00 IND- Individual COM. Redptenl Committee (other than PTY or SCC) OTH. Other (e.g.. business entity) PTY- Political Pony SCC- Small Contributor Committee FPPC Form 460 (Jan12016) FPPC Advice: advlce(Mfppc.ca.goov((8fppc -3772)) Amounts maybe rounded SCHEDULE E Schedule E to whole dollars. Statement covers period Payments Made from 1/1/2018 SEE INSTRUCTIONS ON REVERSE through 6/30/2018 FPa90"of 8 NAME OF FILER I.D. NUMBER Lisa Middleton for Palm Springs City Council 2017 11394265 uuut=5: IT one of the roilowing codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphemalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetarv)' OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filinn/ballot fees PhlO 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 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 CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Bluehost 1958 S 950 E WEB Website hosting $191.76 Provo, UT 84606-6200 Kathleen Cohn 276 N Debby Dr RFD Return of non -recurring contribution $250.00 Palm Springs, CA 92262-6813 Kathleen Cohn 276 N Debby Dr RFD Return of non -recurring contribution $250.00 Palm Springs, CA 92262-6813 • Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 691 .7 6 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.).................................................................................................................................................... $2, 531 7 6 2. Unitemized payments made this period of under $100................... ............_ $ 2 0 0. 31 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 $2, 732. 07 FPPC Form 460 (Jan/2016) FPPC Advice: advlce@fppc.ca.gov t66/27 -3 goy Amounts maybe rounded SCHEDULE E Schedule E to whole dollars. statement covers period . . NI IF Payments Made 4161110 from 1/l/2018 SEE INSTRUCTIONS ON REVERSE through 6/30/2018 Page 7 °f 8 NAME OF FILER I.D. NUMBER Lisa Middleton for Palm Springs City Council 2017 11394265 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphemalialmisc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetarv)• OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filinq/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 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 technologv costs (Internet. e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Desert Stonewall Democrats PO Box 4536 Palm Springs, CA 92263-4536 CVC Conrtibution $200.00 ID: 1220539 NGP VAN, Inc 1101 15th St NW Ste 500 WEB Software $450.00 Washington, DC 20005-5006 NGP VAN, Inc 1101 15th St NW Ste 500 WEB Software $450.00 Washington, DC 20005-5006 Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $1, 10 0 . 0 0 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.).................................................................................................................................................... $2, 531 7 6 2. Unitemized payments made this period of under$100.................................................................................................................................................................................. $ 2 0 0 31 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 $2, 732.07 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov Schedule E Payments Made Amounts may be rounded to whole dollars. Statement covers period i1 /Iint n SCHEDULE E from ii L/ 4V.L0 SEE INSTRUCTIONS ON REVERSE through 6/30/2018 Page 8 of 8 NAME OF FILER I.D. NUMBER Lisa Middleton for Palm Springs City Council 2017 1394265 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphematia/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 fling/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 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 CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Ricardo Lara for Insurance Commissioner 2018 5419 Hollywood Blvd Ste C135 CVC Campaign contribution $100.00 Los Angeles, CA 90027-3480 ID: 1393932 Tammy Baldwin for Senate PO Box 696 Madison, WI 53701-0696 CVC Contribution $500.00 ID: C00326801 US Post Office 1775 E Palm Canyon Dr Ste 605 OFC Mail box $140.00 Palm Springs, CA 92264-1651 * Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 7 4 0 . 00 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.)..................................................................................................................................................... $2, 531 .76 2. Unitemized payments made this period of under $100................,......_................_.._...,..,.,............................_... $200.31 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 $2, 7 32.07 FPPC Form 460 Clan/2016) FPPC Advice: advlce@fopc.ca.gov