2022-02-03 Form 460 - PS Fire ManagementRecipient Committee
Campaign Statement
Cover Page
SEE INSTRUCTIONS ON REVERSE
Stateme t co em period
from ` LI
through 11/It /1-0 Z(
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 Complete Pert5) 0 Sponsored
(Also Complete Pat 6)
General Purpose Committee
0 Sponsored ❑ Primarily Formed Candidate/
0 Small Contributor Committee Officeholder Committee
0 Political Party/Central Committee (Also Complete Pat n
3. Committee Information
I.D. NUMBER
I Z q !e pf I-
�al,� ,s e r)'3 S I—r'.� MAI-t14--. 4-
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREACODE/PHONE
P"') • SPA : �1 s <::�A 1p 2 z� Z
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
CITY STATE ZIP CODE AREACODE/PHONE
r (n i�rris C�a 9 Z Zip
OPTIONAL: FAX / E-MAILADDRESS
4. Verification
Date of election if applicable:
(Month, Day, Year)
2. Type of Statement:
❑ Preelection Statement
Semi-annual Statement
Termination Statement
(Also file a Form 410 Termination)
❑ Amendment (Explain below)
Treasurer(s)
NAME OF TREASURER
COVER PAGE
Date Stamp
CITY OF
M2FEB.,rro
3 r Official Use Only
ClHE T r
❑ Quarterly Statement
❑ Special Odd -Year Report
W
-
AREA CODE/PHONE
NAME OF ASSISTANT TREASURER, IF ANY/
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX/E-MAIL ADDRESS
have used all reasonable diligence in preparing and reviewing this statement and to the
on By
Date Signature of Controlling Officeholder, Candidate, State Measure Proponent or Responsible Officer of Sponsor
Executed on By
Date Signature of Controlling Officeholder, Candidate, State Measure Proponent
Executed on By
Date Signature of Controlling Officeholder, Candidate, State Measure Proponent
FPPC Form 460 (Jan/2016))
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Campaign Disclosure Statement Amounts may be rounded SUMMARY PAGE
to whole dollars. Statement cov rs period • .
Summary Page ���CEI RECEIVED
CITY OF PALM SPRINGS from• -
SEE INSTRUCTIONS ON REVERSE 2022 FEB "3 AM 1 1 ;92 through / � 7'/ Page � of
NAME OF FILER 14 I.D. NUMBER
A" FIC'E OF 1 HFF CITY CLE;;'
Contributions Received
1. Monetary Contributions................................................... Schedule A, Line 3
2. Loans Received................................................................ Schedule a, 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 SummaryPage, 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 tines 12 + 13 + 14, then subtract Line 15
If this is a termination statement, Line 16 must be zero.
Column A
TOTAL THIS PERIOD
(FROM ATTACHED SCHEDULES)
Aro
$ $
$ Ael� $
5
17. LOAN GUARANTEES RECEIVED ................................ Schedule B, Part2 $
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ................................................ See instructions on reverse $
19. Outstanding Debts .............................. Add Line 2 +Line 9 in Column B above $
.2L
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).
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*
(U 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
Srhprfi 1p I SCHEDULE I
Miscellaneous Increases to Cash to whgie dollars.
f C�E i U
Statement covers period
.
. 1
(-,IT Y OF P p,[,;A SPRINGSfrom
20�
C m
FEB y� i�l� � � : 3 �
through
Page —2 of
SEE INSTRUCTIONS ON REVERSE f
NAME OF FILER
I.D. NUMBER
DATE
FULL NAME AND ADDRESS OF SOURCE
DESCRIPTION OF RECEIPT
AMOUNT OF
RECEIVED
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
INCREASE TO CASH
�Z l/ lbw
,tiw�
�Vir z'40
�
fin/ 7
Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $
Schedule I Summary
1. Itemized increases to cash this period. ............. ...................... $ 2
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 Z 7,
Summary Page, Line 14.) ..................... TOTAL $ 1 FPPC Form 460 (Jan/2016))
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov