2020-01-23 Form 460 - PS Fire Management,Recipient Committee
Campaign Statement
Cover Page
Statement c o vers period
from 07/0 1/20 19
SEE INSTRUCTION S ON REVERSE through
12/31/2019
1. Typ e of Recipient Committee: A ll Committees -Complete Parts 1, 2, 3 , and 4.
3 .
• Officeholder, Candidate Controlled Committee • Primarily Formed Ballot Measure
0 State Candidate Election Committee Committee
0 Recall 0 Controlled
(Also Completo PM 5) 0 Sponsored
(Also Complele Pat! 8)
• General Purpose Committee
® Sponsored • P r imarily Formed Candidate/
0 Small Contributor Committee Officeholder Committee
0 Political Party/Central Comm ittee
(Also Complete Pan 7J
Committee Information I I.D.NUMBER
1248897
COMMITTEE NAME (O R CAND IDATES NAME IF NO COMMITTEE)
Pa l m S prin gs Fire Management Association
STREET ADDRESS (NO P.O. BOX)
CITY
Pa lm S pring s
STATE ZIP CODE
CA 92262
MAILING ADDR ESS (IF DIFFERENT) NO . AND STREET OR P.O. BOX
CITY STATE ZIP COD E
Palm Springs CA 92263
OPTIONAL: FAX / E-MAIL ADDRESS
AREA CODE/PHONE
AREA CODE/PHONE
4. Verification
~ COVER PAGE
Date Stamp 'J~ CALIFORNIA 460
FORM
RECEIVE D r. I y 1 3
Date o f e l ection if applicable: OF pt, LH SPRING< Page of
2.
(Month, Day, Year) 20 ~a JAN 23 PH ~: 26
For Official Use On ly
OFF CE OF TH£ CI TY CLE f ;
Type of Statement:
• P reelection Statement
I.a Semi-annual Statement
• Termination Statement
(Also file a F orm 410 Termination)
• Amendment (Explain below)
Treasurer(s )
NAME OF TR EASURER
Mi chael S mith
MAILIN G ADDRESS
CITY
Indio
NAME OF ASSISTANT TREA SURER. IF ANY
MAILING ADDRESS
CITY
OPTI ONAL: FAX/ E-MAIL ADDRESS
• Quarterly Slalemenl
• Special Odd-Year Report
STATE ZIP CO DE AREA CODE/PHONE
CA 922 01
STATE ZIP CO DE AREA CODE/PHONE
I have used all reasonable diligence in preparing and reviewing this statement and to
.
Executed on 0 1/23/2020
Dale
Executed on
Dale
Ex ecuted on
Dalo
Executed on
Dale
By
By
By
By
S,gnarure of Controlling Officeholder. Candidalo. Stale Measure Proponent or Responsible Officer of Sponsor
S,gnal uro of Controlling Officeholder. Candidate . State Measure Propononl
Signature o r Controlling Officeholder. Candidate. Stale Measure Proponent
FPPC Form 460 (Jan/2016)
FPPC A dvice: a dvice@fppc.ca .gov (866/275-3772)
Campaign Disclosure Statement
Summary Page
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Palm Springs Fire Management Association
Amounts may be rounded
to whole dollars.
Column A
Contributions Received TOTAL THIS PERIOD
(FROM ATTACHED SCHEDULES)
1. Monetary Contributions................................................... Schedule A, Line 3 $
2. Loans Received................................................................ Schedule B, Une 3
3. SUBTOTAL CASH CONTRIBUTIONS .............................. AddUnes1+2 $
4. Nonmonetary Contributions............................................ Schedule c, Une 3
5. TOTAL CONTRIBUTIONS RECEIVED ................................... Add Lines 3 + 4 $
Expenditures Made
6. Payments Made................................................................ Schedule E, Une 4 $
7. Loans Made....................................................................... Schedule H, Une 3
8. SUBTOTAL CASH PAYMENTS .......................................... Add Lines 6 + 7 $
9. Accrued Expenses (Unpaid Bills) .......................................... Schedule F. Line 3
10. Non monetary Adjustment.. ....... , ............................................... Schedule c. Line 3
11. TOTAL EXPENDITURES MADE ...................................... Addlines8+9+10 $
Current Cash Statement
12. Beginning Cash Balance ............................ Previous Summary Page, Line 16 $ 573.70
13. Cash Receipts ........................................................... Column A, Une 3 above
14. Miscellaneous Increases to Cash.................................. Schedule I, une 4 0.12
15. Cash Payments......................................................... Column A, Line B above
16. ENDING CASH BALANCE .................. Add Unes 12 + 13 + 14, then subtract Line 15 $ 573.82
If this is a termination statement, Line 16 must be zero.
17. LOAN GUARANTEES RECEIVED ................................ Schedule B, Parl 2 $
Cash Equivalents and Outstanding Debts
18. Cash Equivalents................................................ See instructions on reverse $
19. Outstanding Debts.............................. Add Line 2 + Une 9 in Column B above $
SUMMARY PAGE
Statement covers period CALIFORNIA 460
FORM 07/01/2019 from _________ _
2 3 12/31/2019 through ________ _ 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 SubJoct to Voluntary Expondllure Limit)
Date of Election
(mm/dd/yy)
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 (866/275-317~
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 I.D. NUMBER)
Attach additional information on appropriately labeled continuation sheets.
Schedule I Summary
Amounts may be rounded
to whole dollars. Statement covers period
from _ ____c0:c.:7.:../0:_1:..:./2=-0=-1'-'9'---
lhrough __ 1:.:2::../3:..1:..:./2:::0:..1:..:9:..__
DESCRIPTION OF RECEIPT
SUBTOTAL$
1. Itemized increases to cash this period ............................................................................................................................ $ _____ Oc.:·_:_12:c.
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 ·:..:.1=-2
SCHEDULE I
CALIFORNIA 460
FORM
Page ___ 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)
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