2019-07-01 Form 460 - PS Fire Safety;
Recipient Committee
Campaign Statement
Cover Page
SEE INSTRUCTIONS ON REVERSE
Statement covers period
from ____ 1_/1_/_20_19 __ _
6/30/2019 through ________ _
1. Type of Recipient Committee: All Committees -Complete Parts 1, 2, 3, and 4 .
0 Officeholder, Candidate Controlled Committee
0 S tate Ca nd ldal e Eleclion Committee
0 Reca ll
(Also Complete Plt1 SJ
llJ General P urpose Committee
® Sponsored
0 Small Contributor Committee
0 Political Party/Central Committee
3. Committee Information
0 Primarily Formed Ballot Measure
Committee
0 Controlled
0 Sponsored
(Also Complete P1111 &}
0 Primarily Formed Candidate/
Officeholder Committee
(Also Complete P1t1 7)
1.0. NUMBER
881536
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
Pa lm Springs Fire Safety Associa ti on PAC
CITY
Palm Springs
STATE ZJP CODE
CA 92262
MAI LING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
CITY STATE ZIP CODE
OPTIONAL: FAX I E-MAIL ADDRESS
4 . Verification
AREA CODE/PHONE
AREA CODE/PH ONE
COVER PAGE
Date Stamp
CALIFORNIA 460
FORM
Date of election If applicable:
(Monlh, Day, Year) 201
N/A
2. Type of Statement:
0 Preelection Statement
QI Semi-annual Statement
0 Termination Statement
JUL -I
(Also file a Form 410 Termination)
0 Amendment (Explain below)
Treasurer(s)
NAME OF TREASURER
Brandon Wright
MAILING ADDRESS
CITY
Y ucaipa
NAME OF ASSISTANT TREASURER, IF A NY
Damien Myers
MAILING ADDRESS
CITY
T emecula
OPTIONAL: FAX I E-MAIL ADDRESS
Pag e __ 1 __ of _5_
f\tl 10: 27 For Official Use Only
0 Quarterly S tatement
D Special Odd -Year Report
STATE ZIP CODE
CA 92399
STATE
CA
ZIP CODE
92592
AREA CODE/PHONE
AREA CODE/PHONE
I have used all reasonable diligence in preparing and reviewing this statement and to the best of
Executed on 6/30/2019
Date
Executed on
Date
Executed on
Date
Executed on
Date
By
By
By
By
Signature or Controlling Ofllceholder, C andidate, State Measure Proponent or Respcns1ble Officer of Spansor
Signature of Controlling Offtceholder, Candidate, State Measure Propanent
Signature or Controlling Olfoceholder. Candidate. State Mea sure Propanent
FPPC Form 460 (J an/2016 )
FPPC Advice: advice@fppc.ca .gov (86 6/275-3 772)
www.fppc.ca.gov
( ,.
Campaign Disclosure Statement
Summary Page
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Palm Springs Fire Safety Association PAC
Contributions Received
1. Mon·etary Contributions ........ ----························ Schedule A, Line 3
2. Loans Received ................. :.............................................. Schedule B, Line 3
$
3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Unes 1 + 2 $
4. .Nonmonetary Contribution,._ ___ ······---····· Schedule C, Line 3
5. TOTAL CONTRIBUTIONS RECEIVED _____ ~dd Unes 3 + 4 $
Expenditures Made
Amounts may be rounded
to whole dollars.
Column A
TOTAL THIS PERIOD
(FROM ATTACHED SCHEDULES)
9960
9960
9960
6. Payments Made .. :............................................................. Schedule E. Une 4 $ ____ 1,.,6"'8"'5"-.5"-9"-
7. Loans-Made ....................................................................... SchedulaH. Line3
T L 1685.59 8. SUBTO,A CASHPAYMENTS·---·························· AddUnes6+7 $ ----===
9. Accrued Expenses (Unpaid Bills)----·---Schedule F, Une 3
10. Non monetary Adjustment.. ....................................................... Schedule c, Una 3
11. TOTAL EXPENDITURES MADE. ........ _____ . Add Unes a+ 9 + 10 $ ____ 1,.,6~8~5~.5~9~
Current Cash Statement
12. Beginning Cash Balance ............................ Previous Summary Paga, Una 16 $ 8721.85
13. Cash Receipts ........................................................... ColumnA. Una3abava 9960
14. Miscellaneous Increases to Cash····---.. ··"·····--Schedule I, Line 4
15. Cash Payments ......................................................... Column A, Una B above 1685.59
16. ENDING CASH BALANCE .................. Add Lines 12 + 13 + 14, then subtract Une 15 $ 16996.26
lfthiS is a tennination statement, Une 16 must be zero.
17. LOAN GUARANTEES RE:CEIVED ................................ ScheduleB,Parl2 $
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ... _______ .......... Seainstructionsonreverse $
19. Outstanding Debts.............................. Add Line 2 + Line 9 in Column B above $
SUMMARY PAGE
Statement covers period CALIFORNIA 460
FORM .,,om ___ 1_11_12_0_1_9 __ _
6/30/2019 through ________ _ Page __ 2 __ 01 __ 5_
$
$
$
$
$
$
Column B
CALENDAR YEAR
TOTAL TO DATE
9960.
9960
9960
1685.59
1685.59
1685.59
To calculate Column B,
add a·mounts 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).
1.D. NUMBER
881536 .
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 Umll)
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 (866/275-3772)
www.fppc.ca.gov
I'
)
'
Schedule A
Monetary Contributions Received
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Palm Springs Fire Safety Association PAC
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
(IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE *
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
1/15/2019
2/15/2019
3/15/2019
4/15/2019
5/15/20.19
Palm Springs Firefighters Association
180 N Luring Dr.
Palm Springs, CA 92262
ID#881536
Palm Springs Firefighters Association
180 N Luring Dr.
Palm Springs, CA ·92262
ID#881536
Palm Springs Firefighters Association
180 N Luring Dr.
Palm Springs, CA 92262
ID#881536
Palm Springs Firefighters Association
180 N Luring Dr.
Palm Springs, CA 92262
ID#881536
Paim Springs Firefighters Association
180 N Luring Dr.
Palm Springs, CA 92262
ID#881536
Schedule A Summary
•IND •COM
00TH •PTY •sec
•IND •COM
00TH •PTY •sec
•IND •COM
DOTH •PTY •sec
•IND •COM
00TH •PTY •sec
•IND •COM
00TH •PTY •sec
SUBTOTAL$
SCHEDULE A
Statement covers period
CALIFORNIA 460
FORM from ___ 1_/1_/2_0_1_9 __ _
th h 6/30/2019 roug _______ _ Page __ 3_ of __ 5 __
AMOUNT
RECEIVED THIS
PERIOD
$1650
$1650
$1650
$1620
$1620
I.D. NUMBER
881536
CUMULATIVE TO DATE
. CALENDAR YEAR
(JAN. 1 -DEC. 31)
$1650
$3300
$4950
$6570
$8190
. PER ELECTION
TO DATE
(IF REQUIRED)
*Contributor Codes
IND -Individual 1. Amount received this period -itemized monetary contributions.
(Include all Schedule A subtotals.) ...................................................•..................................................... $ ____ $_9_9_6_0 COM -Recipient Committee
(other than PTY or SCC)
0TH -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 $ _____ $:...9c.:9c.:6_:_0
sec -Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
•
s'ctiedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
Palm Springs Fire Safety Associatiori PAC
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND zIp·cooE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
(IF COMMITTEE, ALSO ENTER 1.D. NUMBER) CODE *
6/15/2019
Palm Springs Firefighters Association
180 N Luring Dr.
Palm Springs, CA 92262
ID#881536
•contributor Codes
IND -Individual
COM -Recipient Committee
(other than P1Y or SCC)
0TH -other (e.g., business entity)
PTY -Political Party
sec -Small Contributor Committee
•IND •COM
DOTH
OP1Y' •sec
•IND •COM
DOTH
OP1Y •sec
•IND •COM
DOTH
OP1Y •sec
•IND •COM
DOTH •P1Y •sec
•IND •COM
DOTH
OP1Y •sec
SUBTOTAL$
SCHEDULEA (CONT.)
Statement covers period CALIFORNIA 460
FORM from ___ 1/_1_/2_0_1_9 __ _
through __ 6_/3_0_/2_0_1_9 __ 4 5 Page ___ of __ _
AMOUNT
RECEIVED THIS
PERIOD
$1770
•$9960
I.D. NUMBER
881536
CUMULATIVE TO DATE
CALENDAR YEAR
, (JAN. 1 -DEC. 31)
r
$9960
PER ELECTION
TO DATE
(IF REQUIRED)
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
NAME OF FILER
Palm Springs Fire Safety Association PAC
Amounts may be rounded
to whole dollars. Statement covers period
from ___ 1_/_1 /_2_0_19 __ _
lhrough __ 6/_3_0_/2_0_1_9 __
SCHEDULEE
CALIFORNIA 460
FORM
Page _5 __ ·01_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.
campaign paraphernalia/misc.
campaign consultants
contribution (explain nonmonetary)*
civic donations ·
candidate filing/ballot fees
fundraising events
CMP
CNS
CTB
eve
FIL
FND
IND
LEG
LIT
independent expenditure supporting/opposing others (explain)"'
legal defense
campalgn·literature and mailings
-
NAME AND ADDRESS OF PAYEE -(IF COMMITTEE,ALSO ENTER 1.D. NUMBER)
Secretary of State
1500 11th St -
Sacramento, CA 95814 \
Misc. PAC expenses
' -
MBR
MTG
OFC
PET
PHO
POL
POS
PRO
PRT
member communications
meetings and appearances
office expenses
petition circulating
phone banks
polling and survey research
postage, delivery and messenger services
professional services (legal, accounting)
print ads
CODE OR
RAD radio airtime and production costs
RFD retui-ned contributions
SAL campaign workers' salaries
TEL t.v. or cable airtime and production costs
TRC · candidate travel, lodging, and meals
TRS staff/spouse travel, lodging, and meals
TSF transfer between committees of the same candidate/sponsor
VOT voter registration
WEB information technology costs (internet, e-mail)
DESCRIPTION OF PAYMENT AMOUNT PAID
Annual PAC registration
VOT $50
-
IAFF LEGCON travel, room, and meals
TRS $1635.59
* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTO_TAL$ 1835.59
Schedule E Summary
1835.59 . 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 amoun_t from Schedule B, Part 1", Column (e).) ............ 0 ................................................................ $ _____ _
1835.59 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the $ummary Page, Column A, Line 6.) ......................... :. TOTAL $ _____ _
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fpPc.ca.gov