2018-09-24 Form 460 - PS Fire SafetyRecipient Committee
Campaign Statement
Cover Page
SEE INSTRUCTIONS ON REVERSE
Statement covers period
from August 1, 2018
through
September 27, 2018
1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4.
❑ Officeholder, Candidate Controlled Committee
❑ Primarily Formed Ballot Measure
0 State Candidate Election Committee
Committee
0 Recall
0 Controlled
(Also Cmnplefe Part 5)
O Sponsored
0 General Purpose Committee
(Alm complete Pad 6)
® Sponsored
❑ Primarily Formed Candidate/
O Small Contributor Committee
Officeholder Committee
O Political Party/Central Committee
IAlso Complete Pad 7)
3. Committee Information
Palm Springs Firefighters Association PAC
CITY STATE ZIP CODE AREA CODE/PHONE
Palm Springs CA 92262 (
MAILING ADDRESS OF DIFFERENT) NO. AND STREET OR P.O. BOX
CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX E-MAILADDRESS
4. Verification
COVER PAGE
Date Stamp
Date of election ifapplicablep:
Page 1 of
(Month, Day, `(yard Sl l (� F. � 10. 3� For Official Use
2. Type of Statement:
2 Preelection Statement ❑ Quarterly Statement
❑ Semi-annual Statement ❑ Special Odd -Year Report
❑ Termination Statement
(Also file a Form 410 Termination)
❑ Amendment (Explain below)
Treasurer(s)
NAME OF TREASURER
Brandon Wright
MAILING ADDRESS
CITY
STATE
ZIP CODE
AREA CODEIPHONE
Yucaipa
CA
92399
(
NAME OF ASSISTANT TREASURER, IF ANY
Damien Myers
MAILINGADDRESS
CITY
STATE
ZIP CODE
AREA CODEIPHONE
Temecula
CA
92592
(
OPTIONAL: FAX / E-MAIL ADDRESS
I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained
certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. .-
9/23/18
Executed on
Date
Executed on
Date
Executed on
Executed on
By
and in the attached schedules is true and complete. I
By
Signature of Controlling Ofgceholtler, Candidate, State Measure Proponent or Responsible Officer of Sponsor
By Signature of Controlling Officeholder, Candidate, State Measure Proponent
By
Signature of Controlling Offireholder, CarWitlate, State 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 to whole dollars.
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Palm Springs Firefighters Association PAC
Contributions Received
1. Monetary Contributions................................................... Schedule A, Line $
Column A
TOTAL THIS PERIOD
(FROM ATTACHED SCHEDULES)
$3215.01
2. Loans Received................................................................ Schedule B, Line 3 3215.01
3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 1 +2 $
4. Nonmonetary Contributions ............................................ Schedule C, Line 3
$3215.01
5. TOTAL CONTRIBUTIONS RECEIVED....................................Add tines 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 $
SUMMARY PAGE
Statement covers period CALIFORNIA
from August 1, 2018 FORM 4111111`
September 27, 2018 2 6
through Page of
I.D. NUMBER
881536
Column B Calendar Year Summary for Candidates
CALENDAR YEAR
TOTAL TO DATE Running in Both the State Primary and
$4904.69 General Elections
1/1 through 6/30 7/1 to Date
4904.69
$ $4904.69
594.81 $
594.81 $
594.81 $
1561.63
3215.01
0.02
594.81
4681.85
1696.81
1696.81
1696.81
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).
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 Total to Date
(mm/dd/yy)
*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
-_L__
Monetaryw wnvContributions Received ie avnars'
Statement covers period
a
August 1, 2018
from
September 27, 2018
3 6
SEE INSTRUCTIONS ON REVERSE
through
Page of
NAME OF FILER
I.D. NUMBER
Palm Springs Firefighters Association PAC
881536
FULL NAME, STREETADDRESS AND ZIP CODE OF CONTRIBUTOR
TRIBUTOR NTRIBUTOR
CON
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
RECEIVED
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE *
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
Palm Springs Firefighters Association
❑ IND
9/27/18
180 N Luring Dr
❑ COM
$1530
Palm Springs, CA 92262
OTH
PTY
❑ SCC
Palm Springs Firefighters Association
❑ IND
9/23/18
180 N Luring Dr
❑ COM
$1680
Palm Springs, CA 92262
X OTH
❑ PTY
❑ SCC
❑ IND
D COM
❑ OTH
❑ PTY
❑ SCC
Sun Community Federal Credit Union
❑ IND
8/27/18
❑ COM
$5.01
OTH
Ij PTY
❑ SCC
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
SUBTOTAL $ $1689.68
9
Schedule A Summary *Contributor Codes
1. Amount received this period — itemized monetary contributions.
(Include all Schedule A subtotals.).........................................................................................................$
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 and on the Summary Page, Column A, Line 1.)......................TOTAL $
$3215.01
W
$3215.03
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 OT Expenditures Amounts may De rounae0
Statement covers period7I.DNUMBER!
to whole dollars.
Supporting/Opposing Other
•
August 1, 20180
-.4
Candidates, Measures and Committees
from
September 27, 2011
4 5
SEE INSTRUCTIONS ON REVERSE
through
NAME OF FILER
DATE
NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR
TYPE OF PAYMENT
DESCRIPTION
AMOUNT THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
MEASURE NUMBER OR LETTER AND JURISDICTION,
(IF REQUIRED)
PERIOD
(JAN.7-DEC. 31)
(IF REQUIRED)
OR COMMITTEE
Russ Bogh for County Supervisor
® Monetary
9/19/18
217 W 4th St
Contribution
$500.00
$500.00
Beaumont, CA 92223
❑ Nonmonetary
Contribution
❑ Independent
21 Support ❑ Oppose
Expenditure
❑ Monetary
Contribution
❑ Nonmonetary
Contribution
❑ Independent
❑ Support ❑ Oppose
Expenditure
❑ Monetary
Contribution
❑ Nonmonetary
Contribution
❑ Independent
❑ Support ❑ Oppose
Expenditure
SUBTOTAL $ $500
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.................................................................................... $
$500
3. Total contributions and independent expenditures made this period. Add Lines 1 and 2. Do not enter on the Summary Page.) $500
P P P ( ry 9) �� TOTAL.. $
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule E
Payments Made
SEE INSTRUCTIONS ON REVERSE
AE OF FILER
Palm Springs Firefighters Association PAC
Amounts may be rounded
to whole dollars.
Statement covers period
from August 1, 2018
through'eptember 27, 2011 Page 5
I.D. NUMBER
881536
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
SCHEDULE E
of 6
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 I-D. NUMBER)
CODE OR DESCRIPTION OF PAYMENT
AMOUNT PAID
Damien Myers
Office Supplies
44719 Johnston Dr
OFC
51.49
Temecula, CA 92592
Staples
Office Supplies
32120 CA-79
OFC
$43.32
Temecula, CA 92592
* 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.)............................................................................................................. $
94 81
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 $ $94.81
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule I Am^vsmf� ., %# he SCHEDULE I
Miscellaneous Increases to Cash to whole dollars.
SEE INSTRUCTIONS ON REVERSE
Statement covers period
August 1, 2018
from
September 27, 201 �
through
• . ,
• - .1
6 6
Page of
NAME OF FILER
Palm Springs Firefighters 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.
Schedule I Summary
1. Itemized increases to cash this period . ........................................................................................................................... $
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
SummaryPage, Line 14.)............................................................................................................................. TOTAL $
SUBTOTAL $
0.02
0.02
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fnnc.ca.eov