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2020-07-30 Form 460 - MiddletonCOVER PAGE Recipient Committee rOE6 Sit Campaign StatementCITY OF PA F1 S P i e, Cover Page Statement covers period Date of eleeWn If eppitable: 20 JUL 3 0 Pi 1 01/01ram Oft1h, Day, Year) 1 1 4e of 24 front 08/9orL02o 1� is312"��0 "FILE OF T11Z C I T YILCµ. For Official Use Only thmugh 1. Type of Red*M Commlitee: Ail Committees - Complete Parts 1, 2, 3, and 4 2. Type of StOWOM. Q Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑ Preelection Statement ❑ Quarterly Statement ❑ State Candidate Election Committee Committee nX Semi-annual Statement ❑ Special Odd -Year Report ❑ Recall ❑ Controlled ❑ Termination Statement (Also Complete Part 5) ❑ Sponsored (Also file a Form 410 Termination) ❑ General Purpose Committee (Also Complete Part ti) ❑ Amendment (Explain Below) ❑ Sponsored ❑ Primarily Formed Candidate/ ❑ Small Contributor Committee Officeholder Committee (Also Complete Part 7) ❑ Political Parry/Central Committee 3. Commlttee Inforrrodon I I.D NUMBER 1394m Tremfer(s) COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER Kathleen Wermiuk Lisa Middleton For Palm Springs City Council District 5, 2020 MAILING ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODEIPHONE Palm Springs, CA 92262 CITY STATE ZIP CODE AREACODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY Palm Springs, CA 92264 Joshua Friedes MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODEIPHONE Palm Springs, CA 92263 Palm Springs, CA 92264 OPTIONAL: FAX / E-MAIL ADDRESS OPTIONAL: FAX / E-MAIL ADDRESS 4. Vedfic atlon I have used all reasonable diligence in preparing and reviewing this statement and to the best Officer of Sponsor Executed on DATE Executed on DATE Powered by ISPolltical.com By Signature of Controlling Officeholder, Candidate, State Measure Proponent Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 4W (Jen12018) FPPC Advice: radvlce@fppr c&gw (88W75-8772) rlftfrw.fppcA&gov Reapient 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) City Council Member #5 RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP 840 East Biltmore Place Palm Springs, CA 92264 Related Commtdoes Not Included In toffs Stacernent:ust any cm=xees not included in this staten;eW that are conftiled by you orate primarily formed to receive oontrfthons or male expern8tums on beftaHof your candidacy COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? YES NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOA CITY STATE ZIP CODE AREACODEIPHONE COMMITTEE NAME I-D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOA CITY STATE ZIP CODE AREA CODE/PHONE Powered by ISPallllcal.com COVER PAGE - PART 2 pap 2 of 24 6. Primady Formed Ballot Measure Commlttse NAME OF BALLOT MEASURE BALLOT NO. OR LETTER (JURISDICTION I SUPPORT OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, If any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD ( DISTRICT NO. IF ANY 7. Primarily Formed CandidatailCOosholder Committee List names of 01behabWo) or CAn {a) for whfch dft Oomm/C8e l8 pdmadly forted. 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 FPPC Form 4W (JwM18) FPPC Advlm: advfc9Qfppo.0a.gov (866WS-3772) www.tppc.c Lgov Campaign Disclosure Statement Summary Page Amounts may be rounded to whole dollars. statement covers perlod from 01 to12m SUMMARY PAGE F mm through 08�2020 Page 3 of24 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Lisa Middleton For Palm Springs Clty Council District 5, 2020 1394265 Column A Column B Contributions Received TOTALTHIS PERIOD CALENDAR YEAR Calendar Year Summary for Candidates (FROM ATTACHED SCHEDULES) TOTAL TO DATE Running in Both the State Primary and 1. Monetary Contributions ....................................... schedule A, Line 3 $ 28,795.95 $ 28,795.95 General Elections 2. Loans Received ................................................. Schedule 6, Line 3 .00 .00 1/1 through 6/30 7/1 to Date 3. SUBTOTAL CASH CONTRIBUTIONS ........................ Add Lines 1 +2 $ 28,795.95 $ 28,795.95 20. Contributions $ .00 $ .00 Received 4. Nonmonetary Contributions .................................. Schedule Line 137.50 137.50 5. TOTAL CONTRIBUTIONS RECEIVED ...................... Add Lines 3+4 $ 28,933.45 $ 28,933.45 21•Expenditures $ 00 $ 00 Made Expenditures Made 6. Payments Made ................................................ schedule E, Line 4 $ 869.76 $ 869.76 7. Loans Made ..................................................... schedule H, Line 3 .00 .00 8. SUBTOTAL CASH PAYMENTS ............................... Add Lines 6+7 $ 869.76 $ 869.76 9. Accrued Expenses (Unpaid Bills) .......................... ScheduleF, Line 1,918.00 1,918.00 10. Nonmonetary Adjustment .................................. Schedule QLine 3 137.50 137.50 11. TOTAL EXPENDITURES MADE,,,,,,,,,,,,,,,,,,,,,,,,, Add Lines 8+9+ 10 $ 2,925.26 $ 2,925.26 Current Cash Statement To calculate Column B, 12. Beginning Cash Balance ,,,,,,,,,,,,,,,,,,,,, Previous Summary Page, Line 16 $ 00 add amounts in ColumnAtothecorresponding 13. Cash Receipts.............................................Column A, Line 3above 28,795.95 amounts from Column B of your last report. Some 14. Miscellaneous Increases to Cash ......................... schedule 1, Line 4 .00 amounts in Column A may be negative figures that 15. Cash Payments...........................................column A, Line 8above 869.76 should be subtracted from 16. ENDING CASH BALANCE Add Lines 12+ 13+ 14, then subtract Line 15 $ 27,926.19 previous period amounts. If this is the first report being If this is a termination statement, Line 16 must be zero. filed for this calendar year, only carry over the amounts 17. LOAN GUARANTEES RECEIVED ......................... Schedule B, Line $ .00 from Lines 2, 7, and 9 (if any). Cash Equivalents and Outstanding Debts 18. Cash Equivalents ............................ See instructions on reverse $ .00 19. Outstanding Debts ............... Add Line 2 + Line 9 in Column B above $ 1,918.00 Powered by ISPoIIUcal.com Expenditures Limit Summary for State Candidates 22. Cumulative Expertdlwres Made• (It subject to voluntary Expenditure Limit) Date of Election Total to Date (mm/dd/yy) `Amounts in this section may be different from amounts reported in Column B. FPPC Form 480 (JNIMM 6) FPPC Advice: adWce@fppo.ca gov (68827641778) Schedule A Amounts may be rounded SCHEDULE A Monetary Contributions Received to whole dollars. Statement covers period e _ , from 01/01/2020 e • • through 01500M020 page 4 of 24 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Lisa Middleton For Palm Springs City Coundl Dls d 5, 2020 1394M DATE FULL NAME, STREETADDRESS AND ZIP CODE OF CONTRIBUTOR IF INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED CUMULATIVE TO DATE PER ELECTION TO DATE RECEIVED CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE (IF SELF- EMPLOYED, ENTER THIS PERIOD CALENDAR YEAR (JAN. 1 -DEC. 31) (IF REQUIRED) NAME OF BUSINESS) Charles Aguanno ® IND Retired 500.00 500.00 1179 Primer Circle ❑ COM Retired 500.00 G-2020 06/17/2020 ❑ OTH Palm Springs, CA 92262 ❑ PTY ❑ SCC Daniel Barber ® IND Retired 250.00 250.00 1461 South San Joaquin Drive ❑ COM Retired 250.00 G-2020 06/15/2020 ❑ OTH palm Springs, CA 92264 ❑ PTY ❑ SCC Thomas Becktold ® IND Marketing Consultant 100.00 100.00 800 East La Verne Way ElCOM Self 100.00 G-2020 06/22/2020 ❑ OTH Palm Springs, CA 92264 ❑ PTY ❑ SCC Jeffrey Bernstein ® IND Business Owner 100.00 100.00 2471 E Camino Pelican ❑ COM Destination PSP 100.00 G-2020 06/24/2020 ❑ OTH Palm Springs, CA 92262 ❑ PTY ❑ SCC Thomas V. Bettinger ® IND Retired 100.00 100.00 496 North Calle El Segundo ❑ COM Retired 100.00 G-2020 06/13/2020 ❑ OTH Palm Springs, CA 92262 ❑ PTY ❑ SCC SUBTOTAL$ 1,050.00 Powered by ISPomk:al.omn FPPC Form 4W (JarMIG) FPPC Adults: adA w6fW.ca.gou (8B W,%% M www.tp —mgm Schedule A Amounts may be rounded SCHEDULE A Mon QnMbul�ons Received to whole dollars. etary Sfaternenl covers pedod � , from 01/01/2020 F. Otrough 015MO 020 5 24 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Liss Middleton For Palm Springs City Coundi District 5, 2020 1394M DATE FULL NAME, STREETADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED CUMULATIVE TO DATE PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE (IF SELF- EMPLOYED, ENTER THIS PERIOD CALENDAR YEAR (JAN. 1 - DEC. 31) (IF REQUIRED) NAME OF BUSINESS) Eric Borsum ® IND Retired 1,000.00 1,000.00 1775 East Palm Canyon Drive ❑ COM Retired 1,000.00 G-2020 06/13/2020 ❑ OTH Palm Springs, CA 92264 ❑ PTY ❑ SCC Cecilia Cabello ® IND Campaign Consultant 100.00 100.00 1485 112 Scott Avenue ❑ COM Self Employed 100.00 G 2020 06/21 /2020 ❑ OTH Los Angeles, CA 90026 ❑ PTY ❑ SCC Carolyn Caldwell ® IND CEO 500.00 500.00 2005 S. Camino Monte ❑ COM Dignity Health, St Mary Medical 500.00 G-2020 06/16/2020 Palm Springs, CA 92264 ❑ OTH Center Long Beach ❑ PTY ❑ SCC Art Copleston ® IND Retired 250.00 250.00 1581 Concha Circle ❑ COM Retired 250.00 G-2020 06/16/2020 ❑ OTH Palm Springs, CA 92264 ❑ PTY ❑ SCC Sidney Craig ® IND Retired 100.00 100.00 2240 Miramonte Circle, Unit C ❑ COM Retired 100.00 G-2020 06/27/2020 ❑ OTH Palm Springs, CA 92264 ❑ PTY ❑ SCC SUBTOTAL $ 1,9W.00 FPPC Form 400 (JarM18) FPPC Advice: advlceC+9ippc.ce.gov (88627643772) Powered by ISPolntcal.00m www.fppr-ca.gov Schedule A Amounts may be rounded SCHEDULE A MonebW COf'Mbudons Received to whole dollars. stem, bmil, covers period from 01/01C2020 through 06J3Gr2020 Page 6 of 24 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Lisa Mlddletan For Palm Springs City Coundl DlWct 5, 2020 1394M DATE FULL NAME, STREETADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED CUMULATIVE TO DATE PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE (IF SELF- EMPLOYED, ENTER THIS PERIOD CALENDAR YEAR (JAN. 1 - DEC. 31) (IF REQUIRED) NAME OF BUSINESS) Aftab Dada ® IND Vice President 1,500.00 1,500.00 400 East Tahquitz Canyon ❑ COM Hilton Palm Springs 1,500.00 G-2020 06/29/2020 ❑ OTH Palm Springs, CA 92262 ❑ PTY ❑ SCC Doug Donenfeld ® IND Retired 500.00 500.00 255 N Via Las Palmas ❑ COM Retired 500.00 G-2020 06/21/2020 ❑ OTH Palm Springs, CA 92262 ❑ PTY ❑ SCC David Freedman ® IND Retired 250.00 250.00 ay Canyon Drive 1350 East MurrayOM ❑ Retired 250.00 G-2020 06/24/2020 ❑ OTH Palm Springs, CA 92264 ❑ PTY ❑ SCC Leslie Gardiner ® IND Retired 250.00 250.00 1500 East Ocotillo Avenue ElCOM Retired 250.00 G-2020 06/19/2020 El OTH Palm Springs, CA 92264 ❑ PTY ❑ SCC Gregory Gilman ® IND Retired 100.00 100.00 1887 Torchlight Lane ❑ COM Retired 100.00 G-2020 06/25/2020 ❑ OTH Palm Springs, CA 92264 ❑ PTY ❑ SCC SUBTOTAL $ 2,6W.00 Powered by ISPolhical.00m FPPC Form 460 (Jan12018) FPPC Advice: advloe®fppc.ca.gov (866/275-3772) WWW.Tppo.ca.gov Schedule A Amounts may be rounded SCHEDULE A MOnebuy Contlibutlons Received to whole dollars. 5tsbemetrl covers period ' from 01101/2020 • throughpage 7 24 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Lisa Middleton For Palm Springs City Coundl District 5, 2020 1394M DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR IF INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED CUMULATIVE TO DATE PER ELECTION TO DATE RECEIVED CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER} CODE (IF SELF- EMPLOYED, ENTER THIS PERIOD CALENDAR YEAR (JAN. 1 -DEC. 31) (IF REQUIRED) NAME OF BUSINESS) Robert Gleason ® IND Owner 100.00 100.00 5335 Le Barron Road ❑ COM Evans Hotels 100.00 G-2020 06/30/2020 ❑ OTH San Diego, CA 92115 ❑ PTY ❑ SCC Doug Hairgrove ® IND Retired 100.00 100.00 1464 E Andreas Road El COM Retired 100.00 G-2020 06/30/2020 ❑ OTH Palm Springs, CA 92262 ❑ PTY ❑ SCC Christine Hammond ® IND Retired 100.00 100.00 2499 East Sonora Road El COM Retired 100.00 G-2020 06/18/2020 ❑ OTH Palm Springs, CA 92264 ❑ PTY ❑ SCC Robert Heinbaugh ® IND Retired 100.00 100.00 3040 N Redwood Drive ❑ COM Retired 100.00 G-2020 06/17/2020 El OTH Palm Springs CA, GA 92262 ❑ PTY ❑ SCC David Hood ® IND Retired 1,000.00 1,000.00 4815 HWY 49 S ElCOM Retired 1,000.00 G-2020 06/19/2020 ❑ OTH Yazoo City, MS 39194 ❑ PTY ❑ SCC SUBTOTAL$ 1,400.00 Powered by ISPoIRIoal.00m FPPC Form 460 (Jan12018) FPPC Advice: advloe44ippc.ce.gov (8881275%T12) WWW.1W—oa.gW Schedule A Amounts may be rounded SCHEDULE A Monetary Contributions Remived to whole dollars. StaeBr wrill were period A_ , from 0110i 2020 • through 06J30/2020 Page 8 d 24 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Lisa Middleton For Palm Springs City Council D1WCt 5, 2020 1394M DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR IF INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED CUMULATIVE TO DATE PER ELECTION TO DATE RECEIVED CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE (IF SELF- EMPLOYED, ENTER THIS PERIOD CALENDAR YEAR (JAN. 1 -DEC. 31) (IF REQUIRED) NAME OF BUSINESS) Al Jones ® IND Independent Education Consultant 250.00 250.00 1112 Village Court ElCOM DBA AGJ Consulting 250.00 G-2020 06/23/2020 ❑ OTH Palm Springs, CA 92262 ❑ PTY ❑ SCC Hal Keasler ® IND Owner 500.00 500.00 275 Camino Norte ElCOM Sea Haven View Inn 500.00 G 2020 06/15/2020 ❑ OTH Palm Springs, CA 92262 ❑ PTY ❑ SCC Mark Leno ® IND Owner 500.00 500.00 590 Clipper St. El COM Budget Signs 500.00 G-2020 06/27/2020 ❑ OTH San Francisco, CA 94114 ❑ PTY ❑ SCC Lisa Middleton for Palm Springs City Council 2017 ❑ IND 1,000.00 1,000.00 840 East Biltmore Place ® COM 1,000.00 G 2020 06/09/2020 El OTH Palm Springs, CA 92264 ❑ PTY ID: 1394265 ❑ SCC Lisa Middleton for Palm Springs City Council 2017 ❑ IND 315.95 1,315.95 840 East Biltmore Place ® COM 1,315.95 G-2020 06/17/2020 ❑ OTH Palm Springs, CA 92264 ❑ PTY ID: 1394265 ❑ SCC SUBTOTAL $ 2,565.95 Powered by ISPolllral.com FPPC ram 4W (JarM18) FPPC Woe: advice@"moa.gov (86&W&3M) WWW- pp-oa.gov Schedule A Amounts may be rounded SCHEDULE A Mon Contributions Received to whole dollars. etary Statement covers period � - , trom 0110i/2020 - • through 0660I2020 page 9 of 24 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Lisa Middleton For Palm Springs City CounW MUM 5, 2020 1394M DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED CUMULATIVE TO DATE PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE (IF SELF- EMPLOYED, ENTER THIS PERIOD CALENDAR YEAR (JAN. 1 - DEC. 31) (IF REQUIRED) NAME OF BUSINESS) Harold Matzner ® IND Chairman 5,000.00 5,000.00 555 North Patencio Road ❑ COM Palm Springs International Film 5,000.00 G-2020 06/10/2020 ❑ OTH Festival Palm Springs, CA 92262 ❑ PTY ❑ SCC Alex McCune ® IND Retired 100.00 100.00 845 Village Square N El COM Retired 100.00 G 2020 06/21 /2020 ❑ OTH Palm Springs, CA 92262 ❑ PTY ❑ SCC Lisa Middleton ® IND City Councilor 500.00 500.00 840 East Biltmore Place ❑ COM City of Palm Springs 500.00 G-2020 06/09/2020 ❑ OTH Palm Springs, CA 92264 ❑ PTY ❑ SCC James Moje ® IND Owner 1,000.00 1,000.00 1236 Colony Way ❑ COM The Hacienda 1,000.00 G-2020 06/25/2020 El OTH Palm Springs, CA 92262 ❑ PTY ❑ SCC Fera Mostow ® IND Retired 200.00 200.00 40363 Camino El Destino ❑ COM Retired 200.00 G-2020 06/23/2020 ❑ OTH Indio, CA 92203 ❑ PTY ❑ SCC SUBTOTAL $ 6,600.00 Powered by ISPolllhal.00m FPPC Forth 48D (Jan=16) FPPC Advice: advim@fppo.ca.gov (88OW5-3772) WWW-1ppo.ca.gov Schedule A Amounts may be rounded SCHEDULE A Monetary Contributions Received to Whole dollars. Stailarnent covers period s ' from 01I01)2020 through � page 10 of 24 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Lisa Middleton For Palm Springs City Council MOO 5, 2020 1394285 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR IF INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED CUMULATIVE TO DATE PER ELECTION TO DATE RECEIVED CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE (IF SELF- EMPLOYED, ENTER THIS PERIOD CALENDAR YEAR (JAN. 1 - DEC. 31) (IF REQUIRED) NAME OF BUSINESS) James E. Murphy ® IND Owner 500.00 500.00 275 Camino Norte ElCOM ModMansions Vacation Rentals 500.00 G-2020 06/22/2020 ❑ OTH Palm Springs & Seaview Inn Palm Springs, CA 92262 ❑ PTY Manhattan Beach ❑ SCC David Myers ® IND Retired 250.00 250.00 6810 Colorado Ave ❑ COM Retired 250.00 G-2020 06/30/2020 ❑ OTH La Mesa, CA 91942 ❑ PTY ❑ SCC Miguel Navarro ® IND Community Engagement Manager 100.00 100.00 248 Villorrio Drive West ❑ COM The LGBT Community Center of 100.00 G-2020 06/30/2020 OTH the Desert Palm Springs, CA 92262 ❑ PTY ❑ SCC Frederick Noble ® IND CEO 5,000.00 5,000.00 38054 Via Roberta ❑ COM Wintek Energy 5,000.00 G-2020 06/15/2020 ❑ OTH Palm Springs, CA 92264 ❑ PTY ❑ SCC Brian Rix ® IND Owner & Partner 100.00 100.00 431 S. Palm Canyon Dr., Suite 206 ❑ COM Burke Rix Communications, LLC 100.00 G-2020 06/21/2020 El OTH Palm Springs, CA 92262 ❑ PTY ❑ SCC SUBTOTAL $ 5,950.00 FPPC Form 40D (Janft16) FPPC Advice: advloeMpimca.gov (Bt3W75-3772) Powered by ISPolnk:almom y ww.jppr-op,guv Schedule A Amounts may be rounded SCHEDULE A Monetary CorMbutions Received to whole dotlara. S'taftmerrt covem pedod • ' from 01/01)2020 thrrn�gh 06 30&= Page 11 of 24 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Usa MlddWon For Palm Spdrgs City Council Dlshlct 5, 2020 1394M DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR IF INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED CUMULATIVE TO DATE PER ELECTION TO DATE RECEIVED CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE (IF SELF- EMPLOYED, ENTER THIS PERIOD CALENDAR YEAR (JAN. 1 - DEC. 31) (IF REQUIRED) NAME OF BUSINESS) Brian Rix ® IND Owner & Partner 400.00 500.00 431 S. Palm Canyon Dr., Suite 206 ElCOM Burke Rix Communications, LLC 500.00 G-2020 06/23/2020 El OTH Palm Springs, CA 92262 ❑ PTY ❑ SCC Diane Ross ®IND Retired 100.00 1o0.00 1555 Sagebrush Road ❑ COM Retired 100.00 G-2020 06/23/2020 ❑ OTH Palm Springs, CA 92264 ❑ PTY ❑ SCC Ann Sheffer ® IND Retired 1,000.00 1,000.00 3220 Avenida Sevilla ❑ COM Retired 1,000.00 G-2020 06/21 /2020 ❑ OTH Palm Springs, CA 92264 ❑ PTY ❑ SCC Cosette Simon ® IND Retired 100.00 100.00 1529 S Calle Pala Fierro ❑ COM Retired 100.00 G-2020 06/28/2020 ❑ OTH Palm Springs, CA 49686 ❑ PTY ❑ SCC Peter Sipkins ® IND Retired 250.00 250.00 161 Desert Lakes Drive ❑ COM Retired 250.00 G-2020 06/09/2020 ❑ OTH Palm Springs, CA 92264 ❑ PTY ❑ SCC SUBTOTAL $ 1,1350.00 Powered by ISPolhIcal.com FPPC Form 460 (JaYM18) FPPC Advice: adyW6f pc.ca.gov (88&275-3M) w1Nw.1ppC.ca.gav Schedule A Amounts may be rounded SCHEDULE A Mo Contributions Received to whole dollars. n®tarY Sta:11e lerd Clovers period ' from 01/01mm - • throtigh 0613Q/ = Page 12 of 24 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Lisa Middle w For Palm Springs City Coundl Dlsdlct 5, 2020 1394M DATE FULL NAME, STREETADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED CUMULATIVE TO DATE PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER LID. NUMBER) CODE (IF SELF- EMPLOYED, ENTER THIS PERIOD CALENDAR YEAR (JAN. 1 - DEC. 31) (IF REQUIRED) NAME OF BUSINESS) Wallace Skok ® IND Retired 250.00 250.00 1056 Monte Verde ❑ COM Retired 250.00 G-2020 06/30/2020 ❑ OTH Palm Springs, CA 92264 ❑ PTY ❑ SCC Eileen Stern ® IND Marketing Consultant 100.00 100.00 64460 Via Amante ❑ COM Frank &Stern INC 100.00 G 2020 06/27/2020 El OTH Palm Springs, CA 92264 ❑ PTY ❑ SCC Naomi Stone ® IND Retired 250.00 250.00 1044 E. San Jacinto Wy ❑ COM Retired 250.00 G-2020 D6121/2020 ❑ OTH Palm Springs, CA 92262 ❑ PTY ❑ SCC The Monahan Trust Dated Feb 12, 2001 ❑ IND 1,000.00 1,000.00 1550 Avenue Sevilla ❑ COM 1,000.00 G-2020 06/15/2020 ® OTH Palm Springs, CA 92264 ❑ PTY ❑ SCC The Shelley M Kaplan Trust ❑ IND 250.00 250.00 67785 Foothill Road ❑ COM 250.00 G-2020 06/22/2020 ® OTH Cathedral City, CA 92234 ❑ PTY ❑ SCC SUt3TOTAL$ 1,850.00 FPPC Form 4W (Jan=16) FPPC A&A*: advloeMppc.ca.gov (NOW54TM) Powered by 1SPo ftM.wrn may."noe-gpy Schedule A Amounts may be rounded SCHEDULE A Monetary Contributions Received to whole dollars. Stallsa d coYers period • , from 01101mm • through 06f30�020 page 13 of 24 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Lisa Middleton For Palm Springs City Couni ll Dlat d 5, 2020 1394M DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR IF INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED CUMULATIVE TO DATE PER ELECTION TO DATE RECEIVED CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE ff SELF- EMPLOYED, ENTER THIS PERIOD CALENDAR YEAR (JAN. 1 -DEC. 31) (IF REQUIRED) NAME OF BUSINESS) Jonathan Vrban ® IND Retired 250.00 250.00 43 Olympia Hills Circle ❑ COM Retired 250.00 G-2020 06/15/2020 El OTH Las Vegas, NV 89141 ❑ PTY ❑ SCC Richard Weissman ® IND Director 1,000.00 1,000.00 1505 Avenue Sevilla ❑ COM The Richard Norris Weissman 1,000.00 G-2020 06/09/2020 Palm Springs, CA 92264 ❑ OTH Charitable Fund ❑ PTY ❑ SCC Kathy Weremiuk ® IND Retired 100.00 100.00 699 Wilson Lane El COM Retired 100.00 G-2020 06/21/2020 ❑ OTH Palm Springs, CA 92262 ❑ PTY ❑ SCC James Williamson ® IND Retired 250.00 250.00 1455 N.Vine Ave El COM Retired 250.00 G-2020 06/22/2020 El OTH Palm Springs, CA 92262 ❑ PTY ❑ SCC Les ZendIe ® IND Retired 1,000.00 1,000.00 1080 East Granvia Valmonte ❑ COM Retired 1,000.00 G-2020 06/30/2020 ❑ OTH Palm Springs, CA 92262 ❑ PTY ❑ SCC SUBTOTAL $ 2,600.00 Powered by ISPolnoW.mm FPPC Form 480 (JaM2010) FPPC Advloe: adv1ce41fppc.ca.goV (8881275-3772) livww.fppo.ca.gov Schedule A Amounts may be rounded SCHEDULE A Mon Contributions Received to Whole dollars. etary Statiamerrt covers period from 01/012020 through 06PSI 020 7!7 SEE INSTRUCTIONS ON REVERSE NAME OF FILER Use Middleton For Pelt Springs City Coundi District 5, 2020 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED CUMULATIVE TO DATE PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE (IF SELF- EMPLOYED, ENTER THIS PERIOD CALENDAR YEAR (JAN. 1 - DEC. 31) (IF REQUIRED) NAME OF BUSINESS) ❑ IND .00 ❑ COM ® OTH ❑ PTY ❑ SCC ❑ IND 00 ❑ COM ® OTH ❑ PTY ❑ SCC Schedule A Summary 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.)_ — — — — — _ _ _ _ _ _TOTAL $ 28,615.95 180.00 28,795.95 " 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 SUBTOTAL $ .00 FPPC Forth 480 (Jan=16) FPPC Advice: advice@fppc.ce.gov (WSW54TP2) Pommd by ISPolllkal.com WWW,'W—C&gW Schedule B - Pan 1 Amounts may be rounded SCHEDULE B - PART 1 Loans Received to whole dollars. Simmer t coars period pe �.11 01/01J2020 • ' from 08/30@020 15 24 through Page of SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Lisa Middleton For Palm Springs City Coundl District 5. 2020 1394M FULL NAME, STREET ADDRESS AND IF INDIVIDUAL, ENTER (a) OUTSTANDING (b) AMOUNT (c) AMOUNT PAID (d) OUTSTANDING (e) INTEREST (0 ORIGINAL (g) CUMULATIVE ZIP CODE OF LENDER OCCUPATION AND EMPLOYER BALANCE RECEIVED THIS OR FORGIVEN BALANCE AT PAID THIS AMOUNT OF CONTRIBUTIONS (IF COMMITTEE, ALSO ENTER I.D. NUMBER) (IF SELF- EMPLOYED, ENTER BEGINNING THIS PERIOD THIS PERIOD ** CLOSE OF THIS PERIOD LOAN TO DATE NAME OF BUSINESS) PERIOD PERIOD ❑ PAID CALENDAR YEAR $ $ / $ PER ELECTION'• ❑ FORGIVEN RATE $ $ $ $ '[IIND ❑ COM ❑OTH [:1PTY ❑ SCC DATE DUE DATE INCURRED Schedule B Summary 1. Loans received this period ————— ————————————————— ———— —————_ $ (Total Column (b) plus unitemized loans of less than $100.) 2. Loans paid or forgiven this period _ _ _ _ _ _ _ — _ — _ — — — — _ . $ --————— — — — — —— (Total Column (c) plus loans under $100 paid or forgiven) (Include loans paid by a third parry that are also itemized on Schedule A.) 3. Net change this period. (Subtract Line 2 from Line 1.) — — _ NET $ — — — — — — — — — — — — — — — — — Enter the net here and on the Summary Page, Column A, Line 2 .00 .00 .00 (May be a negative number) SUBTOTALS $ $ $ $ *Amounts forgiven or paid by another party also must be reported on Schedule ** If required. Powered by ISPoINW.com * 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 (Enter (a) on Schedule E, Line 3) FPPC Form 480 (Jan=18) FPPC A&Ace: at oer(I fppc.ca.gov (888/275 3M) Www.1ppmoa.gov Schedule B - Part 2 Amounts may be rounded SCHEDULE B - PART 2 LDWS Received to whole dollars. Stallernent covers period , from 01/012020 • ugh 06�1302020 16 of 24EE IN RUCTIONS ON REVER E 7TO NAME OF FILER ERLisa MiddMw For Palm Springs City Cound District 5,2020 1394265FULL NAME, STREET ADDRESS AND ZIP CODE OF GUARANTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER LOAN AMOUNT GUARANTEEDDATE LATIVE BALANCE OUTSTANDING (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE (IF SELF-EMPLOYED, ENTER THIS PERIOD TO DATE NAME OF BUSINESS) LENDER CALENDAR DATE ❑ IND $ PER ELECTION ❑ COM (IF REQUIRED) ❑ OTH ❑ PTY DATE ❑ SCC SUBTOTAL $ Enter on Summary Page. Line 17 only. FPPC Form 46D (Jan=16) Powered by ISPolitical.com FPPC Adldoe: advloe®ippc.ca gov (666/2754M) WWW.Tppc.ca.gov Schedule Ci Amounts may be rounded SCHEDULE C Nonmonebuy Contributions Received to whole dollars. s>atemem were pew 10 • ' from 01/01/2020 through06/30M0 page 17 of 24 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Lisa MiddMm For Palm Spdrgs CRY C0uW1 DlsG W 5, 2020 1394M DATE FULL NAME, STREET ADDRESS CONTRIBUTOR IF INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER DESCRIPTION OF AMOUNT/ FAIR CUMULATIVE TO PER ELECTION RECEIVED AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE (IF SELF- EMPLOYED, ENTER GOODS OR SERVICES MARKET VALUE DATE CALENDAR YEAR TO DATE (IF REQUIRED) NAME OF BUSINESS) Lisa Middleton ® IND City Councilor 137.50 637.50 840 East Biftmore Place ❑ COM 637.50 G-2020 06/15/2020 Palm Springs, CA 92264 ❑ OTH City of Palm Springs Candidate funded campaign expense - ❑ PTY mailing to 250 people ❑ SCC Schedule C Summary 1. Amount received this period - itemized nonmonetary contributions. (Include all ScheduleCsubtotals.) —————————————— — — — — ———————— — — — — —$ 2. Amount received this period - unitemized nonmonetary contributions of less than $100 _ _ _ _ _ _ _ _ _ _ _ - $ 137.50 00 3. Total nonmonetary contributions received this period. 137.50 (add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.) — _ _ _ _ _ _ _ TOTAL $ ' 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 SUBTOTAL$ FPPC Form 480 (JarM18) FPPC Advice: advloeMW-ca.gov (811IMS3772) Powered by ISPolltical.00m y WW- ce, gov Schedule D Amounts may be rounded SCHEDULE D Summary of Expenditures to whole dollars. Stamwd cams perW• - � Supporting/Opposing Other 01/01r2m - from Candidates, Measures, and Committees through 06rdomm Pie 18 of 24 NAME OF FILER I.D. NUMBER Lisa Middleton For Palm Spdnp City Courrd DtsM 5, 2= 1 S94M DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR DESCRIPTION AMOUNT CUMULATIVE TO DATE PER ELECTION TO MEASURE NUMBER OR LETTER AND JURISDICTION, TYPE OF PAYMENT (IF REQUIRED) THIS PERIOD CALENDAR YEAR DATE OR COMMITTEE (JAN. 1 - DEC. 31) (IF REQUIRED) Monetary Contribution Nonmonetary Contribution Independent Expenditure Support Oppose SCHEDULE D SUMMARY 1. Itemized contributions and independent expenditures made this period. (Include all Schedule D subtotals.) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ $ .00 2. Unitemized contributions and independent expenditures made this period of under $100 _ _ _ .00 3. Total contributions and independent expenditures made this period. Add Lines 1 and 2. Do not enter on the Summary Page.) TOTAL $ .00 P P P ( rY 9 ) -------- SUBTOTAL $ FPPC Form 480 (Jan/2018) Powered by ISPoBticW.=n FPPC AN= &dvIce@fppr-ca4 oV (88812754M) www.ippo.ce.gM Schedule E Payments Made Lisa MiddWw For Patin Springs Chy Council Dis d 5, 2020 Amounts may be rounded to whole dollars. Statement covers period from 011010M through CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia/misc. CNS campaign consultants CTB contribution (explain nonmonetary)` CVC civic donations FIL candidate filing/ballot fees FND fundraising events IND independent expenditure supporting/opposing others (explain)` LEG legal defense LIT campaign literature and mailings MBR member communications MTG meetings and appearances OFC office expenses PET petition circulating PHO phone banks POL polling and survey research POS postage, delivery and messenger services PRO professional services (legal, accounting) PRT print ads SCHEDULE E NM Page 19 of 24 I.D. NUMBER 1394285 RAID radio airtime and production costs RFD returned contributions SAL campaign workers' salaries TEL t.v. or cable airtime and production costs TRC candidate travel, lodging, and meals TRS staff/spouse travel, lodging, and meals TSF transfer between committees of the same candidate/sponsor VOT voter registration 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 Morel Ink 4824 Northeast 42nd Avenue Printing of remit envelopes Portland, OR 97218 CMP 364.95 Wix 100 Gansevoort Street Hosting website fees New York, NY 10014 WEB 264.00 Wix 100 Gansevoort Street expanding # of e-mail accounts New York, NY 10014 WEB 120.00 Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 748.95 Powered by ISPolftal.com FPPC Form 460 (JarM16) FPPC Advice: advloe®fppc.ca.gov (OMM15-9772) www.fppr.ca.gov Schedule E Payments Made Amounts may be rounded to whole dollars. from come peso oiroi/2020 SCHEDULE E through 0600MM I Page 4 Of 24 NAME OF FILER I.D. NUMBER Usa Middleton For Palm Sprirga City CouncH DtWct 5, 2020 1 1394265 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia/misc. CNS campaign consultants CTB contribution (explain nonmonetary)* CVC civic donations FIL candidate filing/ballot fees FNID fundraising events IND independent expenditure supporting/opposing others (explain)* LEG legal defense LIT campaign literature and mailings MBR member communications MTG meetings and appearances OFC office expenses PET petition circulating PHO phone banks POL polling and survey research POS postage, delivery and messenger services PRO professional services (legal, accounting) PRT print ads RAD radio airtime and production costs RFD returned contributions SAL campaign workers' salaries TEL t.v. or cable airtime and production costs TRC candidate travel, lodging, and meals TRS staff/spouse travel, lodging, and meals TSF transfer between committees of the same candidate/sponsor VOT voter registration WEB information technology costs (internet, e-mail) 1 NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _$ 748.95 2. Unitemized payments made this period of under $100 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ $ 120.81 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).)_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ $ .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 $ 869.76 Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ •00 FPPC Form 460 (Jan=16) FPPC AM*: edvlw@fppc.ca.gov (6681275-3772) Powered by ISPoIIIIcal.com www.fppc.ca.gw Schedule F Accrued Expenses (Unpaid Bills) Use IuElddletort For Palm Springs CRy Coundl Dist idd 5, 2020 Amounts may be rounded to whole dollars. StswinBrn cavers from 01101rm through 06J50MIM) CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. SCHEDULE F ••. . FA TA 11111111 =1 k Mm- 19% Page 21 of 24 I.D. NUMBER 1394265 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 surrey 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 CREDITOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT (a) OUTSTANDING BALANCE BEGINNING OF THIS PERIOD (b) AMOUNT INCURRED THIS PERIOD (c) AMOUNT PAID THIS PERIOD (ALSO REPORT ON E (d) OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD Joshua Friedes PRO 2347 East Sonora Road Palm Springs, CA92264 Preparation of Disclosure .00 1,750.00 .00 1,750.00 Statement and maintaining of financival Lisa Middleton POS 840 East Biltmore Place Palm Springs, CA 92264 .00 168.00 .00 168.00 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 on the Summary Page, Column A, Line 9.)— _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ NET $ * Payments that are contributions or independent expenditures must also be SUBTOTALS $ $ $ $ summarized on Schedule D. Powered by ISPolillcel.00m 1,918.00 .00 1,918.00 FPPC Form 4W (JaM2018) FPPC Advice: adrloe•fppc caQav (S 275-9772) vrww.fppaca.gov Schedule G Payments Made by an Agent or Independent Contractor (on Behalf of This Committee) Lisa Middleton For Palm Springs City Coundl DWct 5, 2020 NAME OF AGENT OR INDEPENDENT CONTRACTOR Amounts may be rounded to whole dollars. Statement covers perlod from 01/01r2m through m SCHEDULE G 0114 • 1 Page 22 of 24 I.D. NUMBER 13942M 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 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 FIND 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 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. TMAL ** Do not transfer to any other schedule or to the Summary Page. This total may not equal the amount paid to the agent or FPPC Form 40D (JarM16) independent contractor as reported on Schedule E. FPPC Adow: ® caQm (8ftV5,VM) Powered by ISPolitioal.00m glWW-"c4Lgov Schedule H Amounts may be rounded SCHEDULE H Loans Made to Others* to whole dollars. Staiternent covers period • - �•1 01/01P2020 • ' from through OBf3W= Page 23 of 24 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Lisa Middleton For Palm Springs City Council DisMct 5, 2= 1394M FULL NAME, STREET ADDRESS AND IF INDIVIDUAL, ENTER (a) OUTSTANDING (b) AMOUNT (c) REPAYMENT (d) OUTSTANDING (e) INTEREST (0 ORIGINAL (g) CUMULATIVE ZIP CODE OF RECIPIENT OCCUPATION AND EMPLOYER BALANCE LOANED THIS OR FORGIVENESS BALANCE AT RECEIVED AMOUNT OF LOANS TO DATE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) (IF SELF- EMPLOYED, ENTER BEGINNING THIS PERIOD THIS PERIOD CLOSE OF THIS LOAN NAME OF BUSINESS) PERIOD PERIOD ❑ PAID CALENDAR YEAR $ $ % $ PER ELECTION` FORGIVEN RATE $ $ $ $ DATE DUE DATE INCURRED SUBTOTALS $ $ $ $ that are contributions to another candidate or committee must also be rized on Schedule D. Loans forgiven must also be reported on Schedule E Powered by ISPoIMlcal.=n FPPC Form 400 (JarVM18) FPPC Advice: edvlce(101ppc.ca gov ( 15=75,31M) vwrw."Mca.gov Schedule I Amounts may be rounded SCHEDULE 1 Miscellaneous Increases to Cash to whole dollars. Statemern covem period e . from 01/01R020 • LA through 0=0/2020 Pape 24 of 24 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Lin Middleton For Palm Spdnp City Cwry l DWbict 5, 2020 1394M DATE FULL NAME AND ADDRESS OF SOURCE AMOUNT OF RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) DESCRIPTION OF RECEIPT INCREASE TO CASH Schedule I Summary 1. Itemized increases to cash this period. — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — $ 00 2. Unitemized increases to cash of under $100 this period. — — — — — — — — — — — — — — — — — — — — — — — — — — — $ .00 3. Total of all interest received this period on loans made to others. Schedule H, Column e . — .00 4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Line 14.)_---------_ _____________ TOTAL $ .00 SUBTOTAL $ FPPC Form 460 (JeN2010) Pamrod by ISPalircal.com FPPC Advice: adviceMppo.cagov (88M2754TM vrww.fpPa0a90V