2018-10-25 Form 460 - PS Fire SafetyRecipient Committee
Campaign Statement
Cover Page
SEE IN STRUCTIONS O N REVERSE
Statement cove r s period
from Septemb er 23, 2018
October 20, 2018
through ----------
1. Type of Recipient Comm ittee : All Committees -Complete Parts 1, 2, 3, and 4 .
0 Officeholder, Candid ate Controlled Comm ittee
0 State Candidate Electio n Committ ee
0 Reca ll
(Also Complete Pan 5)
10 General Purpose Co mm ittee
® Sp onso red
0 Small Contributor Committee
0 Pol itical Party/Central Committee
3 . Committee Informati on
COMMITIEE NAME (OR CAN DI DATE'S
Pa lm Springs Firefighters Associa tion PAC
STREET ADDRESS (NO P.O . BOX)
STATE ZIP CODE AREA CODE/PHONE
Pa lm Springs CA 92262 (
MAILING ADDRESS (IF D IFFERENT) NO. AND STREET OR P.O. BOX
CITY STATE ZIP CODE AREA CODE/PHONE
OP TI ONAL: FAX I E-MAI L ADD RESS
4. Verification
Date Stamp
--: ~c u·; ;..
. I· P .'.LH S
Date of election if appticable 2 18 OCT 25
(Month, Day, Year)
t:C: ...;,· ~t.~ Car I
November 6, 2018
2. Type of Statement:
For Official U se Only
~ Preelecti on Statement
0 Semi-annual Statement
0 Terminatio n Statement
0 Quarterly Statement
(Also file a Form 4 10 Termination)
0 Amendment (Explain below)
Treasurer(s)
NAME OF T REASURER
Bran do n Wright
MAILIN G ADDRESS
CITY
Yuca ipa
NAME OF ASSISTANT TREASURER , IF ANY
Damien Myers
CI TY
Temecula
OP TI ONAL: FAX I E-MAIL ADDR ESS
0 Specia l Odd-Year Rep ort
STATE ZI P CODE AR EA CODE/PHO NE
CA 92399 (
STATE ZIP CODE AREA CODE/PHONE
CA 92592 (
1 have used all reas on able diligence in preparing and re viewi ng this stateme nt an d to the best of my knowledge the information con tained herei n and in the atta ched sched ules is tru e and complete.
certify under penalty of perjury und er the l aws of the State of California that the forego ing is
Executed on 10/24/18
Date
Execu te d on
Date
Execut ed on
Date
Executed on
Date
By
By
By
By
Signature of Controlling Olfice holder, Candidate, S tate Measure Proponent or Responsible Officer of Sponsor
Signature of Controlling Officeholder. Candidate. State Measure Proponent
S~nature of Controlling Officeholder, Candida te. State Measure Proponent
FPPC Form 460 (J an/2016)
FPPC Advice: advi ce@ fpp c.ca.gov (866/275-3772)
www.fppc.ca .gov
Campaign Disclosure Statement
Summary Page
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Palm Springs Firefighters Association PAC
Contributions Received
1. Monetary Contributions................................................... Schedule A, Line 3
2. Loans Received................................................................ Schedule B. 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 ..................... ........ .............................. 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, Une 16 must be zero.
17. LOAN GUARANTEES RECEIVED................................ Schedule B, Part 2 $
Cash Equivalents and Outstanding Debts
Amounts may be rounded
to whole dollars.
ColumnA
TOTAL THIS PERIOD
(FROM ATTACHED SCHEDULES)
$1680
$1680
$1680
$500
$500
$500
4681.85
1680
500
5861.85
18. Cash Equivalents................................................ See instructions on mverse $
19. Outstanding Debts.............................. Add Line 2 +Line 9 in Column B above $
SUMMARY PAGE
Statement covers period
from September 23, 2018
CALIFORNIA 460
FORM
October 20, 2018 through--------Page __ 2 __ of __ 6_
$
$
$
$
$
$
Column B
CALENDAR YEAR
TOTAL TO DATE
$6584.69
$6584.69
$6584.69
$2196.81
$2196.81
$2196.81
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).
I.D.NUMBER
881536
Calendar Year Summary for Candidates
Running in Both the State Primary and
General Elections
111 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
(mm/dd/yy)
__J__j __
__J__j __
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 A Amounts may be rounded
to whole dollars.
SCHEDULE A
Monetary Contributions Received
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Palm Springs Firefighters Association PAC
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
(IF COMMITTEE. ALSO ENTER 1.0. NUMBER) CODE *
Palm Springs Firefighters Association PAC
10/15/18
Schedule A Summary
DIND
0COM
DOTH
DPTY
Osee
DIND
0COM
DOTH
DPTY
Osee
DIND
DcoM
DoTH
DPTY
Osee
DIND
0COM
DOTH
DPTY
Osee
DIND
0COM
DOTH
OPTY
Osee
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF·EMPLOVEO. ENTER NAME
OF BUSINESS)
SUBTOTAL$
Statement covers period
from September 23, 2018
CALIFORNIA 460
FORM
through October 20, 2018 Page _3 __ of __ 6 _
AMOUNT
RECEIVED THIS
PERIOD
$1680
1680 1
I.D. NUMBER
881536
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1-DEC. 31}
4895.01
PER ELECTION
TO DATE
(IF REQUIRED)
*Contributor Codes
IND -Individual 1. Amount received this period -itemized monetary contributions.
(Include all Schedule A subtotals.) ......................................................................................................... $ _____ 1_6_8_0 COM -Recipient Committee
(other than PTY or SCC)
OTH-Other (e.g., business entity)
PTY -Political Party 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 $ _____ 1_6_8_0
SCC -Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advlce@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
I
ScheduleD
Summary of Expenditures
Supporting/Opposing Other
Candidates, Measures and Committees
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Palm Springs Firefighters Association PAC
DATE
10/20/18
NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR
MEASURE NUMBER OR LETTER AND JURISDICTION,
OR COMMITTEE
Chad Mayes for Assembly 2018
921 11th St. Ste 701
Sacramento, CA 95814
I2J Support 0 Oppose
D Support D Oppose
D Support D Oppose
Schedule D Summary
Amounts may be rounded
to whole dollars.
TYPE OF PAYMENT
i2l Monetary
Contribution
D Nonmonetary
Contribution
D Independent
Expenditure
D Monetary
Contribution
D Nonmonetary
Contribution
D Independent
Expenditure
D Monetary
Contribution
D Nonmonetary
Contribution
D Independent
Expenditure
DESCRIPTION
(IF REQUIRED)
SUBTOTAL $
Statement covers period
from September 23, 2018
through October 20, 2018
SCHEDULE 0
I CALIFORNIA 460
FORM
Page __ 4_ of __ 6_
I.D. NUMBER
881536
AMOUNT THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 ·DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
$500
500 1.
1. Itemized contributions and independent expenditures made this period. (Include all Schedule D subtotals.) ....................................................... $ -------=-50;;...;:0~
2. Unitemized contributions and independent expenditures made this period of under $100 .................................................................................... $ ____ .....;:0~
3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.) .......... TOTAL .. $ -----=5.:..:00=--
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
SCHEDULE E
Schedule E
Payments Made
Amounts may be rounded
to whole dollars. Statement covers period
from September 23, 2018
CALIFORNIA 460
FORM
SEE INSTRUCTIONS ON REVERSE
through October 20, 2018 Page _5 __ of_6 __
NAME OF FILER 1.0. NUMBER
Palm Springs Firefighters Association PAC 881536
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 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 COMMITIEE. ALSO ENTER 1.0. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
*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.) ............................................................................................................. $ _____ _
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).) ............................................................................. $ _____ _
0 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ........................... TOTAL $ _____ _
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 Firefighters Association PAC
DATE
RECEIVED
FULL NAME AND ADDRESS OF SOURCE
(IF COMMmEE. 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 September 23, 2018
through October 20, 2018
SCHEDULE I
CALIFORNIA 460
FORM
Page_6 __ of_6 __
I.D.NUMBER
881536
DESCRIPTION OF RECEIPT
SUBTOTAL$
AMOUNT OF
INCREASE TO CASH
0
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
Summary Page, Line 14.) ............................................................................................................................. TOTAL $ ______ o
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov