HomeMy WebLinkAbout2017-06-30 Form 460 - KellyRecipient Committee
Campaign Statement
Cover Page
Statement covers period Date of election if applicable:
from _ 11 1 l o (Month, Day, Year)
Date Stamp
RECEIVED
'Y CLERK'S OFFICE
ALM DESERT, CA
JUL .2B AM 10= 00
SEE INSTRUCTIONS ON REVERSE thigh ID BID 1 17 I1 big I 1
1- Type of Recipient Committee: All Committees- Complete Parts 1, 2, 3, and 4. 2. Type of Statement:
U14f oaholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑ Preelection Statement
O Stale Candidate Election Committee Committee Semi-annual Statement
O Recall O Controlled
l��s) O Sponsored ❑ Termination Statement
(naot�rnnvrePadel (Also file a Form 410 Termination)
❑ General Purpose Committee ❑ Amendment (Explain below)
O Sponsored ❑ Primarily Formed Candidate/
O Small Contributor Committee Officeholder Committee
O Political Party/Central Committee fAtcaCo7oftParl7l
3. Committee Information I 1.0 NUMBER
t�ayclleen' Rell� truer PzAm beber� Cti�-t�
C0an(-,i` 'V)I p
STREETADDRESS (NO RO BOX)
-
Calm •D e Se-&C (, � �P CODE
t)RrnVL
CITY STATE ZIP CODE AREA CODEIPHONE
Treasurer(s)
Page
COVER PAGE
off
Use Only
❑ Quarledy Statement
❑ Special Odd -Year Report
N ME OF TREASURER
4er R+ enlio�
MAILING ADDRESS
vyl 5pri ►nq 5, C
IF ANY
IIkark III elen Ke11U
MAILINGAD SS r
(a-1b�S 8��raw�ed L.a�n�
766) 464- 4PS95
-RAm CPI R Gov) W qoa - I4` A
OPTIONAL. FAX I E-
4. Verification
I have used all reasonable diligence in preparing and reviewing this statement and to the hest of my knowledge the information contained herein and in the attached schedules is [rue and complete.
certify under penalty of pe4u under the laws of the State of California that the foregoing 'L5j rue and correct.
Executed on i g$ I gy (4�L 1/1 — I
+� CDrat lure ar T e s Tr carer
Executed on I a 1 By
Dal Smoture of Conrmllma tdar Carol da R!wa Maawra Pny..wnr,s !] vrr M, n imr of R-
Executed on
Date
Executed on
Date
ay
sgnature of ControlWo Ofrrceholder, candidate, State Meawre Prapwmt
By
Sgnature of Controlling Gf K*mlder, Candidato, State Measure Piaponeal
FPPC Form 460 (Jan/2016)
FPPC Advice: adviceL1Dfppc.ca.gov (866/275-3772)
Recipient Committee
Campaign Statement
Cover Page — Part 2
5. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE
\�a",1een lAell
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
Poly" -De�er� WCouncil
Kt:b1MN I IALIBUSINE55 AUORE55 (NO. AND STREM CITY STATE ZIP
46-Wb 'BUTTbLL eed U Pdrn -Debev OR cl"'Mbb
Related Committees Not included in this Statement: List any committees
not Included in this statement that are controlled by you or are primarily formed to receive
conMbutions or make expenditures on behalf of your candidacy.
I.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE7
n YES ❑ NO
ADDRESS STREET -ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREACODEIPHONE
COMMITTEE NAME
I.D. NUMBER
NAME OF TREASURER I CONTROLLED COMMITTEE?
❑ YES ❑ NO
COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREACODEIPHONE
COVER PAGE - PART 2
Page �r of
6. Primarily Formed Ballot Measure Committee
NAME OF BALLOT MEASURE
BALLOT NO OR LETTER JURISDICTION
❑ SUPPORT
❑ OPPOSE
Identify the controlling officeholder, candidate, or state measure proponent, if any.
NAME OF OFFICEHOLDER. CANDIDATE, OR PROPONENT
OFFICE SOUGHT OR HELD DISTRICT NO IF ANY
7. Primarily Formed Candidate/Officeholder Committee Lest names of
officeholder(s) or candidetefs) for which this committee is primarily former.
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
❑ SUPPORT
❑ OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
❑ SUPPORT
❑ OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
❑ SUPPORT
❑ OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
❑ SUPPORT
❑ OPPOSE
Attach continuation sheets If necessary
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gou (966/275-3772)
www.fppc.ca.gov
Campaign Disclosure Statement Amounts may be rounded SUMMARY PAGE
to whole dollars. Statement covers period .
Summary Page r� � , � �
from � # r _ e
SEE INSTRUCTIONS ON REVERSE
through , Page of
NAME OF FILER I.D. NUMBER
l�t�rhl een e ll far Pa9�m b e� t�(�}- C i+ Ca tm c i a a 1 g (a8q
Column A Column B Calendar Year Summary for Candidates
Contributions Received TOTAL THIS PERIOD CALENDARYEAR
IFROMATTACHED SCHEDULES► TOTAL TODATE Running in Both the State Primary and
General Elections
1. Monetary Contributions .............. ....... »...-.-.......,-,,,......... schedule A. Line 3
2. Loans Received . ...................................................... Schedule B, Line 3
3. SUBTOTAL CASH CONTRIBUTIONS... ........................... Add Lines I+2
4. Nonmonetary Contributions ...................,-.-..,,....--........... ScheduleC, Linea
5. TOTAL CONTRIBUTIONS RECEIVED- ......... Add Lines3+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 Lanes a + 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 a above
16. ENDING CASH BALANCE ................Add Lines 12 + 13 + 14, then subbact Line 15
If this is a termination statement, Lime 16 must be zero.
$
$
$
56.Oo $ 156.00
$ $
$ sa,00 $ 50.00
$ 3Diril
_.
G6 . or')
$ asa.E;+-
17. LOAN GUARANTEES RECEIVED ................................ Schedules. Part2 $
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ............................................... see instructions on reverse $
19. Outstanding Debts .............................. Add Line 2 + Line 9 in Column a 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
filed for this calendar year,
only cant' over the amounts
from Lines 2, 7, and 9 (if
any).
1i1 through 6130 7r1 to Date
20. Contributions
Received $ $
21. Expenditures
Made $ $
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made'
lit subject to Wuntery Expenditure Limit)
Date of Election Total to Date
(mmiddiyy)
'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 E
Payments Made
SEE INSTRUCTIONS ON REVERSE
Amounts may be rounded
to whole dollars.
Statement covers period
from i f
through 1 r
SCHEDULE E
Page -1 of
W. NUMULK
_'�a�hleen k4e.11� far Pclm beberf 04+ Gounc, j a6tI�
CODES: if one of the following codes accurately describes the payment, you may enter the code
CMP
campaign paraphernalialmisc.
MBR
member communications
CNS
campaign consultants
MTG
meetings and appearances
CTB
contribution (explain nonmonetary)•
OFC
office expenses
CVC
civic donations
PET
petition circulating
FIL
candidate filing/ballot fees
PHO
phone banks
FND
fundraising events
POL
polling and survey research
IND
independent expenditure supportinglopposing others (explain)'
POS
postage, delivery and messenger services
LEG
legal defense
PRO
professional services (legal, accounting)
LIT
campaign literature and mailings
PRT
print ads
Otherwise, describe the payment.
RAD radio airtime and production costs
RFD returned contributions
SAL campaign workers' salaries
TEL Lv 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 (internal. e-mail)
NAME AND ADDRESS OF PAYEE
(IF COMMITTEE, ALSO ENTER I.D. 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. Uniternized payments made this period of under $100...... +�R�. .. 1. `� In �t4e
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 $ 56 • D
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov