2018-07-30 Form 460 - PS Fire SafetyCOVER PAGE
Recipient Committee
Date Stamp
Campaign Statement
•
Cover Page
r,LCEl'r i
�
Date of election if applicable:
F P A L f9 `
Page 1 of 6
Statement covers period
from January 1, 2018
(Month, Day, Year) 21
18 JUL30 Ail 8: 35
ForOfcialUseOnly
SEE INSTRUCTIONS ON REVERSE
July 31, 2018
through
1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4.
2. Type of Statement:
❑ Officeholder, Candidate Controlled Committee
❑ Primarily Formed Ballot Measure
❑ Preelection Statement ❑ quarterly Statement
O State Candidate Election Committee
Committee
Semi-annual Statement ❑ Special Odd -Year Report
0 Recall
O Controlled
❑ Termination Statement
(am complete Pee 5)
O Sponsored
(Also file a Form 410 Termination)
0 General Purpose Committee
(mso complete Pad 6)
❑ Amendment (Explain below)
® Sponsored
❑ Primarily Formed Candidate/
• Small Contributor Committee
Officeholder Committee
• Political Party/Central Committee
(Nm Complete Pad 7)
3. Committee Information I I.D. NUMBER
881536
Palm Springs Fire Safety Association PAC
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODEIPHONE
Temecula CA 92592
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX/E-MAIL ADDRESS
4. Verification
Treasurer(s)
NAME OF TREASURER
Damien Myers
MAILINGADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE
Temecula CA 92592
NAME OF ASSISTANT TREASURER, IF ANY
Brian Davis
CITY STATE ZIP CODE AREA CODE/PHONE
Winchester CA 92591
OPTIONAL: FAX /E-MAILADDRESS
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.
7/26/2018
Executed on
Executed on
Executed on
Executed on
Date
By
By
Signature of Controlling Officeholder, Candidate, Slate Measure Proponent or Responsible Officer of Sponsor
By
Signature of Controlling Officeholder, Candidate, State Measure Proponent
By
Signature o/ Controlling Offxxholtlar, Candidate, Slate Measure Proponent
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275.3772)
Campaign Disclosure Statement Amounts may be rounded SUMMARY PAGE
Summary Page to whole dollars. Statement covers period ,
January 1, 2018 •
from
July 31, 2018
2 6
SEE INSTRUCTIONS ON REVERSE
through
Page of
NAME OF FILER
I.D. NUMBER
Palm Springs Fire Safety Association PAC
881536
Contributions Received
Column A
TOTAL THIS PERIOD
Column B
YEAR
Calendar Year Summary for Candidates
(FROM ATTACHED SCHEDULES)
CALENDAR
TOTAL TO DATE
Running in Both the State Primary and
$1689.68
$1689.68
General Elections
1. Monetary Contributions...................................................
Schedule A, Line 3
$ $
1/1 through 6/30 7/1 to Date
2. Loans Received................................................................
Schedule B, Line 3
1689.68
$1689.68
20. Contributions
3. SUBTOTAL CASH CONTRIBUTIONS ..............................
.add Lines 1 + 2
$ $
Received $ $
4. Nonmonetary Contributions ............................................
Schedule C, Line 3
21. Expenditures
$1689.68
$1689.68
Made $ $
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........................................................... Column A, 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, 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 $
$1,102.00 $
0
$1,102.00 $
$1,102.00 $
$973.83
$1689.68
$0.12
$1,102.00
1,561.63
$1,102.00
$1,102.00
$1,102.00
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 carry over the amounts
from Lines 2, 7, and 9 (if
any).
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made*
(if Subject to Voluntary Expenditure Limit)
Date of Election Total to Date
(mm/dd/yy)
J $
*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 A Amounts may be rounded SCHEDULE A
Monetary Contributions Received To whole dollars'
Statement covers period
�� I
January 1, 2018
•
from
• _
July 31, 2018
3 6
through
Page Of
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
I.D. NUMBER
Palm Springs Fire Safety Association PAC
881536
DATE
FULL NAME, STREETADDRESS AND ZIP CODE OF CONTRIBUTOR
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
CODE*
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN.1-DEC. 31)
(IF REQUIRED)
OF BUSINESS)
Yes on D Refund
❑ IND
4/25/18
400 E Tahquitz Cyn Way
❑ COM
159.68
Palm Springs, CA 92592
❑ OTH
❑ PTY
❑ SCC
Palm Springs Fire Safety Association
❑ IND
7/20/18
❑ COM
$1,530
❑ OTH
❑ PTY
❑ SCC
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
SUBTOTAL $ $1689.68
sly
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.).......
$ $1689.68
M.
TOTAL $
0.12
$1689.80
'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
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule D
SCHEDULE D
Summary of Expenultures Amounus may oe rounaeo
Statement covers period
to whole dollars.
Supporting/Opposing Other
January 1, 2oisCandidates,
Measures and Committees
from
July31,2018
71.DNUMBER
SEE INSTRUCTIONS ON REVERSE
through
of
NAME OF FILER
DATE
NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR
MEASURE NUMBER OR LETTER AND JURISDICTION,
TYPE OF PAYMENT
DESCRIPTION
REQUIRED)
AMOUNTTHIS
CUMULATIVE TO DATE
CALENDARYEAR
PER ELECTION
TO DATE
OR COMMITTEE
(IF
PERIOD
(JAN.1-DEC. 31)
(IF REQUIRED)
Steiner for Corona City Council District 4
® Monetary
7/21 /18
Contribution
$1,000
$1,000
❑ Nonmonetary
Contribution
❑ Independent
* Support ❑ Oppose
Expenditure
❑ Monetary
Contribution
❑ Nonmonetary
Contribution
❑ Independent
❑ Support ❑ Oppose
Expenditure
❑ Monetary
Contribution
❑ Nonmonetary
Contribution
❑ Independent
❑ Support ❑ Oppose
Expenditure
SUBTOTAL $ $,1000
Schedule D Summary
1. Itemized contributions and independent expenditures made this period. (Include all Schedule D subtotals.).
2. Unitemized contributions and independent expenditures made this period of under $100...........
3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.) ..
$1,000
................. $
.... TOTAL.. $ $1,000
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/2753772)
www.fppc.ca.gov
Schedule E
Payments Made
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Palm Springs Fire Safety Association PAC
Amounts may be rounded
to whole dollars.
Statement covers period
from January 1, 2018
through
July 31, 2018
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
SCHEDULE E
Page 5 of 6
I.D. NUMBER
881536
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
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 LID NUMBER)
CODE OR DESCRIPTION OF PAYMENT
AMOUNT PAID
Damien Myers
Parking
44719 Johnston Dr
TRS
$52.00
Temecula, CA 92592
Secretary of State
Government Code Section 84101.5
Political Reform Division
Statement of Organization Payment
$50.00
P M B 1467
Scacramento, CA 95812-1467
* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $
Schedule E Summary
1. Itemized payments made this period. (Include all Schedule E subtotals.)............................................................................................................. $ 102.00
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 $ 102.00
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule I Amnnn4� YM *& MA SC:HF=niii F I
Miscellaneous Increases to Cash to whole dollars.
SEE INSTRUCTIONS ON REVERSE
Statement covers period
January 1, 2018
from
July 31, 2018
through
• . ,
• .1
6 6
Page of
NAME OF FILER
Palm Springs Fire Safety Association PAC
I.D. NUMBER
881536
DATE
RECEIVED
FULL NAME AND ADDRESS OF SOURCE
(IF COMMITTEE. ALSO ENTER I.D. NUMBER)
DESCRIPTION OF RECEIPT
AMOUNT OF
INCREASE TO CASH
Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $
Schedule I Summary
1. Itemized increases to cash this period............................................................................................................................$
2. Unitemized increases to cash of under $100 this period.................................................................................................
$ 0.12
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 0.12
SummaryPage, Line 14.)......................................................................................................................... TOTAL $
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fnnc.ca.eov