HomeMy WebLinkAbout2017-12-31 Form 460 - KellyRecipient Committee Date Stamp COVER PAGE_
e •
Campaign Statement RECEIVED
Cover Page CITY CLERK'S OFFIC
PALM DESERT, Ct,
Stateme t Tvers period Date of election If applicable: +_Page of4
horn1T 1n (Month, Day, Year) 018 JAN 31 AN 7: y For Official Use Only
r�
SEE INSTRUCTIONS ON REVERSE through 1� -3 1 I it 1 os_�1
1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4.
�( Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure
0 Stale Candidate Election Committee Committee
0 Recall 0 Controlled
(AWCWvWePat 5) 0 Sponsored
(MG CaMp,irle rart 61
❑ General Purpose Committee
0 Sponsored ❑ Primarily Formed Candidate/
Small Contributor Committee Officeholder Committee
0 Political Party/Central Committee rA°°Fad rr
3. Committee Information LD NUMB%(g (?q
C MMITTEE NAME (O CA DID TE'S N IF E NO COMMITTEE)
oihlee,n RP-. rrr .m `DeSer� Cl} Co"Cl &61 p
STREET ADDRESS (NO P.O. BOX)
%-100 _
�� be�zr STATE ZJP CODE AREA CODEWHONE
R C -jka, e o C7W)
(IF DIFFERENT) NO AND STREET OR P 0. BOX
SRm �
CITY STATE ZIP CODE AREA CODEIPHONE
OPTIONAL: FAX / E-MAIL ADDRESS
4. Verification
I have used all reasonable diligence in preparing and reviewing this statement and to the best
certify under penalty of perjury under the thaws of the Slate of California that the foregoing
Executed an y bate t a gy
Executed on — i 3i 1 - By .
Date sionehre
Executed on By
Date
2. Type of Statement:
❑ Preelection Statement
Semi-annual Statement
❑ Termination Statement
(Also file a Form 410 Termination)
❑ Amendment (Explain below)
Treasurer(s)
❑ Quarterly Statement
❑ Special Odd -Year Report
NAME OF TREASURER
NJer R t 4en l 0-u b f-
MAILING ADDRESS
4160-
696'Rg5 , CA qT), C'r61'444- s
NAME OF ASSISTANT TREASURE IF ANY
Mourl{ 4elen e1W
MAILINGAD ESS
4G-
Cio)
the information contained herein and in the attached schedules is true and complete. I
or
Executed on By Date 57tature of Controlling Officeholder, CiaWKIals, State Meatwre Proponent
FPPC Form 460 Ilan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
Recipient Committee
Campaign Statement
Cover Page — Part 2
6. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE
1 QAAI\een bell
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
Pot m `Debe�T+ C 1, CC-Lm c I 1
ADDRESS
1, Poim`Deber� CA 9aaW
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
contributions or make expenditures on behalf of your candidacy.
COMMITTEE NAME I I.D. NUMBER
NAME OF TREASURER I CONTROLLED COMMITTEE?
❑ YES ❑ NO
COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODEIPHONE
COMMITTEE NAME I.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE7
❑ YES ❑ NO
COMMITTEE ADDRESS STREETADDRESS (NO PO. BOX)
CITY STATE ZIP CODE AREA CODEIPHONE
Page
6. Primarily Formed Ballot Measure Committee
NAME OF BALLOT MEASURE
COVER PAGE - PART 2
of
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 CandidatelOfficeholder Committee Listnames of
officeholder(s) or candidates) for which this committee is primarily formed.
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 (lan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Campaign Disclosure Statement Amounts may be rounded SUMMARY PAGE
covers period
to whole dollars. Statement cov
Summary Page h • - � , � �
from —
SEE INSTRUCTIONS ON REVERSE through 3 1 r Page of
T
OF FILER
abl\ee►n \- dl �Cr Pam'De�r�- ci Council a01� I.D.NUMBER
13�5 �a$q5
Column A Column B Calendar Year Summary for Candidates
Contributions Received TOTAL THIS PERIOD CALENDAR YEAR
(FROM ATTACHED SCHEDULES) TOTAL TO DATE Running in Both the State Primary and
General Elections
1. Monetary Contributions................................................... schadfrie A, Lino 3
2. Loans Received..............—._.._,,,....__,,,,,,.,___,,................... Schedule B, Line 3
3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 1 +2
4, Nonmonetary Contributions.............................�....._.,..... Schedule C. Li'ne 3
5. TOTAL CONTRIBUTIONS RECEIVED,__.,__ .................... Add Lines 3 + 4
Expenditures Made
6. Payments Made................................................................
schedule l:, Line 4
7. Loans Made .. ........................................... .,.................
scheduler, Linea
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 9 + 9 + io
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 subtract Line 15
If this is a termination statement, Line 16 must be zero.
5
S
S
$ S
$ 1a. 00 $ (Os -eio
$
$ M-06$ �a.00
$ asa.54
M. 66
$ ayo . 54
17. LOAN GUARANTEES RECEIVED ................................ Schedule B, Part 2 $
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ................................................ see instructions on reverse S
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
filed for this calendar year
only carry over the amounts
from Lines 2, 7, and 9 (if
any).
1l1 through 6130 711 to Date
20. Contributions
Received $ $
21 Expenditures
Made $ $
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made'
Ili Subject to Voluntary Expenditure Urnil)
Date of Election
(mmlddtyy)
J. $
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
Schedule E Amounts may be rounded
Payments Made to whole dollars.
from 17
covers
I.1 .i4911144=
SEE INSTRUCTIONS ON REVERSE
through l� 3` Page of
NAME OF FILER
I.D. NUMBER
1 af-hleen lkel(� for kyn Z7e5efv C t � Colnci � a01 ip lag (agq5
CODES: If one of the following codes accurately describes the payment, you may enter the code.
CMP
campaign paraphemalia/misc.
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 filingiballot fees
PNO
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 (Internet, e-mail)
NAME AND ADDRESS OF PAYEE
(IF COMMITTEE, ALSO ENTER I.D. NUMDMR
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. Unitemized payments made this period of under $100........g�k �eCJl $
..................................................................................................
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 $
lq.66
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275.3772)
www.fppc.ca.gov