2022-08-08 Form 460 - PS Fire ManagementRecipient Committee
Campaign Statement
Cover Page
SEE INSTRUCTIONS ON REVERSE
COVERPAGE
RECEIVED '
CIT) OF PALM SPRINGS
Statement covers period Date of election if applicat��jq A f�U i) Page of 3
from
—/,— 7-[h
Z (Month, Day, Year) , —U Hrl II- I For Official Use Only
through 6 _30 Z 2
1. Type of Recipient Committee: All Committees —Complete Pans 1, 2, 3, and 4.
❑ Officeholder, Candidate Controlled Committee
0 Slate Candidate Election Committee
0 Recall
❑ Primarily Formed Ballot Measure
Committee
Controlled
(Alm CM*W PaR 5)
Sponsored
U General Purpose Committee
(Also Complete PaR 6)
El Primarily Formed Candidate/
§Sponsored
lJ Small Contributor Committee
Officeholder Committee
Political Party/Central Committee
(X:o comprete Pal 7)
3. Committee Information
I.D. NUMBER 1 2. Ll 98 i 7
Pe,levi 5Pr�n,55 F.rc ManayenA eA4- AISoZ.
STREETADDRESS (NO P.O. BOX)
300 W E(- Cfe.to
Ac).
323
CITY
pe,I, SORAl5
STATE
GA
ZIP CODE AREA CODE/PHONE
922(_2
MAILING ADDRESS (IF DIFFERENT) NO. AND
STREET OR P.O. BOX
A Box 1761
CITY
Pet(,,,
STATE
ZIPCODE AREACODOPHONE
S01i vis
CA
y27-f-3
OPTIONAL: FAX/ E-MAI ADDRESS
4. Verification
OFF IIE OF THE CITY CLE!;�
2. Type of Statement:
❑ Preelection Statement ❑ Quarterly Statement
X Semi-annual Statement ❑ Special Odd -Year Report
❑ Termination Statement
(Also file a Form 410 Termination)
❑ Amendment (Explain below)
Treasurer(s)
NAME OF TREASURER
LyCc,
wmLiNGADDRE„
'?ea /v C0 6i.i
CITY STATE ZIP CODE AREACODE/PHONE
Cd 9226z
NAME OF ASSISTANT TREASURER_IFANY
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE
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
certify under penalty of perjury nder the laws of the State of California that the foregoing is true and correct.
Executed on y Z 2 By /
DalegrFm
contained herein and in the attached schedules is true and complete. I
Executed on By
Date Signature of Controlling Oificeholdoq Candidate, Siete Measure Proponent or Responsible ORcer of Sponsor
Executed on Data By Signature of Controlling Officeholder, Candidate, State Measure Proponent
Executed on By
Date Signature of Controlling Officeholder, Candidate, Stale 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
Summary Page to whole dollars. Statement covers period •. I
from �'� Z 2 • 1
SEE INSTRUCTIONS ON REVERSE through 30 2— -2- Page Z of
NAME OF FILER I.D. NUMBER
Contributions Received
1. Monetary Contributions...................................................
ScheduleA, 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 lLine 4 $
7. Leans Made.......................................................................
Schedule H, Line 3
8. SUBTOTAL CASH PAYMENTS .......................................
Add Lines 6+7 $
9. Accrued Expenses (Unpaid Bills) ..........................................
schedule F Line
10. Nonmonetary Adjustment.........................................................
Schedule C, Line 3
11. TOTAL EXPENDITURES MADE ....................................
AddLmas6+9+ 10 $
ColumnA Column B
TOTAL THIS PERIOD CALENDARVEAR
(FROM ATTACHED SCHEDULES) TOTAL TO DATE
Current Cash Statement 53
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 ZZ
15. Cash Payments......................................................... Column A, Line eabove
16. ENDING CASH BALANCE ..................Add Lines 12+ 13 + 14, then subtract line 15 $ 7 ��•
If this is a termination statement, Line 16 must be. zero.
17. LOAN GUARANTEES RECEIVED ................................ SLheduleB,Pan2 $ C
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ................................................ See instructions on reverse $
19. Outstanding Debts .............................. Add Line 2+ Line 9 in Column B above $
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
fled 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
111 through 6130 711 to Date
20. Contributions
Received $ $
21. Expenditures
Made $ $
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made*
(If Subject to VolunUry Expenditum Limit)
Dale 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
SChP_fltl l)P t _.._a.,w SCHEDULE 1
Miscellaneous Increases to Cash to whole dollars.
Statement covers period
e . '
from /^/— Z.Z
• -
through r o Z
page 3 of
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
�aIM SPf,'��S T1%'G /"/Lr�✓¢�n�r�T �iI�L..
I.D. NUMBER
DATE
FULL NAMEAND ADDRESS OF SOURCE
DESCRIPTION OF RECEIPT
AMOUNTOF
RECEIVED
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
INCREASE TO CASH
51" 6M,", a�"1"7 F�I/
P/3o/Z2
6,9X �/Z/o
yzz7-f y zio
Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $
Scheduleum 2
Z
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 $
FPPC Form 460 (Jan/2016))
FPPC Advice: advice@fppc.m.gov (866/275-3772)
www.fppc.ca.gov