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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