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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