2019-01-16 Form 460 - PS Fire ManagementRecipient Committee
Campaign Statement
Cover Page
SEE INSTRUCTIONS ON REVERSE
Statement covers period
from ___ 0_7_10_1_12_0_1_8 __
12/31/2018
through---------
1. Type of Recipient Committee: All Committees-Complete Parts 1, 2, 3, and 4.
0 Officeholder, Candidate Controlled Committee
0 State Candidate Election Committee
0 Recall
(Also Complete PINt 5}
~ General Purpose Committee
®Sponsored
0 Small Contributor Committee
0 Political Party/Central Committee
3. Committee Information
NAME(OR
0 Primarily Formed Ballot Measure
Committee
0 Controlled
0 Sponsored
(Also Complete P/!116}
0 Primarily Formed Candidate/
Officeholder Committee
(Also Complete PINt 7}
I.D. NUMBER
1248897
Palm Springs Fire Management Association
STREET ADDRESS (NO P.O. BOX)
CITY
Palm Springs
STATE
CA
ZIP CODE
92262
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
Palm Springs
OPTIONAL: FAX I E-MAIL ADDRESS
4. Verification
STATE
CA
ZIP CODE
92263
AREA CODE/PHONE
(
AREA CODE/PHONE
. \
.~
. .. ...
Date Stamp ~ ; ..
CALIFORNIA 460
Date of election if applicc.f!l~
(Month, Day, Year)
I -, aL
2. Type of Statement:
0 Preelection Statement'
!;21 Semi-annual Statement
0 Termination Statement
,.. :-:-;-4, !-..
1,' I I • f
td~ 16
(Also file a Form 410 Termination)
0 Amendment (Explain below)
Treasurer(s)
NAME OF TREASURER
Ron Beverly
MAILING ADDRESS
CITY
Palm Springs
NAME OF ASSISTANT TREASURER, IF ANY
MAILING ADDRESS
CITY
OPTIONAL: FAX I E-MAIL ADDRESS
FORM
Page __ _ of 3
Ar·1 8: I 6 For Official Use Only
; t
0 Quarterly Statement
0 Special Odd-Year Report
STATE ZIP CODE AREA CODE/PHONE
CA 92262 (
STATE ZIP CODE AREA CODE/PHONE
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.
certify under penalty of perjury under the laws of the State of California that the foregoing is true and
Executed on 01/16/2019
Date
Executed on
Date
Executed on Date
Executed on
Date
BY-----~S~ig-na~tu-re-o~fC~o-n~tro~lli~ng~O~ffi~l~~h-o~lde-~~C~a-nd~id~at~e.~S~ta~le~M~e-as-ur-e~P-ro-po-ne-n~t---------
BY----------~S~ig-na~tu-re-o~fC~o~nt~ro~lli-ng~O~ffi~~~h~ol~de-~~C~an~d~id~at-e.~S~ta~te~M~ea-s-ur-e~Pr-op-o-ne-n~t-----------
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Campaign Disclosure Statement
Summary Page
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Palm Springs Fire Management Association
Contributions Received
1. Monetary Contributions................................................... Schedule A, Line 3 $
2. Loans Received................................................................ Schedule a. Line 3
3. SUBTOTAL CASH CONTRIBUTIONS.............................. Add Lines 1 + 2 $
4. Nonmonetary Contributions............................................ Schedule c. Line 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.......................................... 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........................................................... ColumnA, Line 3 above
14. Miscellaneous Increases to Cash.................................. Schedule 1. 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. Part2 $
Cash Equivalents and Outstanding Debts
18. Cash Equivalents................................................ See instructions on reverse $
19. Outstanding Debts.............................. Add Line 2 +Line 9 in Column B above $
Amounts may be rounded
to whole dollars.
ColumnA
TOTAL THIS PERIOD
(FROM ATTACHED SCHEDULES)
573.46
0.18
573.64
SUMMARY PAGE
Statement covers period CALIFORNIA 460
FORM from ___ 0_7_10_1_1_20_1_8 __
12/31/2018 through--------
2 3 Page---of __ _
$
$
$
$
$
$
Column B
CALENDAR YEAR
TOTAL TO DATE
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).
I.D. NUMBER
1248897
Calendar Year Summary for Candidates
Running in Both the State Primary and
General Elections
1/1 through 6/30 7/1 to Date
20. Contributions
Received $-----$ ____ _
21. Expenditures
Made $ ____ _ $ ____ _
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made*
(If Subject to Voluntary Expenditure Limit)
Date of Election
(mmlddlyy)
__}___/ __
__}___/ __
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.ca.gov
Schedule I
Miscellaneous Increases to Cash
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Palm Springs Fire Management Association
DATE
RECEIVED
FULL NAME AND ADDRESS OF SOURCE
(IF COMMITTEE, ALSO ENTER J.D. NUMBER)
Attach additional information on appropriately labeled continuation sheets.
Schedule I Summary
Amounts may be rounded
to whole dollars. Statement covers period
from __ 0_7_10_1_12_0_1_8 __
through __ 1_2_/3_1_/2_0_1_8 __
DESCRIPTION OF RECEIPT
SUBTOTAL$
1. Itemized increases to cash this period ............................................................................................................................ $ _____ 0_._18_
2. Unitemized increases to cash of under $100 this period ................................................................................................. $ _____ _
3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).) ....................................... $ ------
4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the
Summary Page, Line 14.) ............................................................................................................................. TOTAL $ _____ 0._18_
SCHEDULE I
CALIFORNIA 460
FORM
Page _3 __ of _3 __
I.D. NUMBER
1248897
AMOUNT OF
INCREASE TO CASH
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov