HomeMy WebLinkAbout2018-12-31 Form 460 - KellyRecipient Committee
Campaign Statement
Cover Page
SEE INSTRUCTIONS ON REVERSE
Stateme t covers period
from , k s
through \ bt kg
9 . Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4.
Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure
O State Candidate Election Committee Committee
Q Recall O Controlled
ISO ° Part 5) 0 Sponsored
(Also CORN" Pat 6)
❑ General Purpose Committee
O Sponsored ❑ Primarily Formed Candidate/
O Small Contributor Committee Officeholder Committee
O Political Parry/Central Committee INwCM&OP311171
3. Committee Information
°E NAME (OR CANDID
teen &I �
I.D. NUMB(
fl. &01
P�.vri bei%--r� Qi� Cc vnci I aD� fa
STREET ADDRESS (NO PO. BOX)
MAILING ADDRESS (IF DIFFERENT) NO, AND STREET OR P.O. BOX
CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL. FAX IE-MAIL ADDRESS
Date of election If applicable:
(Month, Day, Year)
2. Type of Statement:
Date Stamp
RECElYED
CITY CLERK'S OFF
PALM DESERT ( Page
2019 JAN 23 AM 8: h
❑ 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 TREASURE
%r R i*enhoUSe
MAILING ADDRESS
(
COVER PAGE
of
eber� qof 5p6 nGs , cA 0 aAD
IF
i i tar ttet6y)
MAILINGA RESS
%- w) -Burrs taet I -
ever' , C.
4. Verification
I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein and in the attached schedules is true and complete. I
certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. 1
Executed on a3 ` gy "I't, `
1 iota{S of reasurer or Asststant Tre r
B
Executed on ` �3 yKA .
le Y Signature of Controllna Ofteholder. Ca date. State Websure Pr000nanl ar Res to Offr" or Saonser
Executed on
Dale
Executed on
Date
By Sgnature of ControllnV Officeholder, Canddala, State Measure Proponent
By
Sgnature of Controlling OfSceholder, Candidate, Slate Measure Proponent
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275.3772)
......... r_"_ -- _-..
Recipient Committee
Campaign Statement
Cover Page — Part 2
S. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE
I�a�h�ee� bell
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
Pas,m -0e5ert C i Cats) C i �
RESIDENTIALlBUSINESSADDRFSS INO ANff.qTPFPn r_fry sretc nn
- . Myn `beber+ Cf1 't�aaW
Related Committees Not Included in this Statement: List any committees
not included in this statement that are controlled byyou or are primarily formed to receive
contributions or make expenditures an behalf of your candidacy.
COMMITTEE
NAME OF TREASURER
STREETADDRESS
ID NUMBER
❑ YES i-�] NO
CITY STATE ZIP CODE AREA CODEIPHONE
COMMITTEE NAME
NAME OF TREASURER
I.D. NUMBER
(NO P.O BOX)
❑ YES ❑ NO
CITY STATE ZIP CODE AREA CODEIPHONE
COVER PAGE - PART 2
Page 9 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
SOUGHT OR HELD
DISTRICT NO IF ANY
7. Primarily Formed Candidate/Officeholder Committee Listnames or
officeholders) or candidate(s) 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 {Jan/2016)
FPPC Advice: advice@fppc.ca.gov (M/275-3772)
www.fppc.ca.gov
Campaign Disclosure Statement
Summary Page
SEE INSTRUCTIONS ON REVERSE
Amounts may be rounded
to whole dollars.
OF FILER
Ahleem �e,0 Lr �ar Palm `oe5ey+ C i Cnmc 4 l old 1
Contributions Received
1. Monetary Contributions ............................................... .. Schedule A, Line 3
2. Loans Received................................................................ Schedule B, 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 E, Line 4
7. Loans Made......................................................................
schedule H, Line 3
B. SUBTOTAL CASH PAYMENTS .........................................
Add Lines 6+ 7
9. Accrued Expenses (Unpaid Bills) .
...................................... Schedule F Line 3
14. Nonmonetary Adjustment ...... ........
................. ....... Schedule c, Line 3
11. TOTAL EXPENDITURES MADE ...........................
.. Add Lines 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, tine 4
15. Cash Payments .................................................... Column A. We a above
16. ENDING CASH BALANCE ........ . Add Lines 12 + 13 + 14. then subtract Line 15
If this is a lennination statement, Line 16 must be zero.
Column A
TOTAL THIS PERIOD
{FROM ATTACHED SCHEDULES)
S 50d •
5
S
5t
Statement covers period
from 7 � � 00
through 1k; 1
Column B
CALENDAR YEAR
TOTAL TO DATE
S
$ Sm
5 �a -" $ 14 t
q
ns s4
Sao . o D
tallI--•60
S — �61Q -6
17_ LOAN GUARANTEES RECEIVED ................................ Schedule B, Part $
Cash Equivalents and Outstanding Debts
18. Cash Equivalents .. ..................................... ..... See instructions on reverse S
19. Outstanding Debts .............................. Add tine 2.+ Line gin column s above S
S
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
riled for this calendar year,
only carry over the amounts
from Lines 2, 7, and 9 (if
any,
SUMMARY PAGE
Page 3 of
LD NUMBER
Calendar Year Summary for Candidates
Running in Both the State Primary and
General Elections
111 through 6/30 7/1 to Date
20, Contributions
Received S $
21. Expenditures
Made $ $
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made'
lit Subject to voluntary Expancliture Limttj
Date of Election
(mm/ddtyy)
1 1 $
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 (8661275-3772)
www.fppc.ca.gov
Schedule A Amounts may be rounded SCHEDULE A
Monetary Contributions Received LQ W110Iff ""'la".
Statema t jovers period
from
• �
�j
4 S
SEE INSTRUCTIONS ON REVERSE
through
Page of
NAME OF FILER
RoPInleen Neil �c (%'OLyn Opner� Cif Calmci l aol o
I.D. NUMBER
1'6$ �'09S
DATE
RECEIVED
FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
IIF COMMITTEE, ALSO ENTER J.D. NUMBER)
CONTRIBUTOR
CODE *
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
pF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
Cmmmi*ee to Re-t- tect-
❑CND
; ie el VD-W 1311070
0T
OH'Bob
❑❑ PTY
aqua "del R �r Ram CA
a
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
❑ IND
❑ COM
❑ OTH
❑ PTY
0 SCC
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
SUBTOTAL_ $
Schedule A Summary
I. Amount received this period — itemized monetary contributions.
(Include all Schedule A subtotals.)............................................................
............................. $
2. Amount received this period — unitemized monetary contributions of less than $100
3. Total monetary contributions received this period.
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.)........
.......TOTAL $ S60 ,I
'Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: adviceCMfppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule E
Payments Made
SEE INSTRUCTIONS ON R£VERSF
Amounts may be rounded Statement covers period SCHEDULE E
,
to whole dollars. , S
from ` e
RM
through a' 3 i Page S of
�c niee� �e�l j 3 or Ptalm � erg Ci C6LMCA al j 13$ �ag� s
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CMP
campaign paraphernalia/misc.
MBR
member communications
RAID
radio airtime and production costs
CNS
campaign consultants
MTG
meetings and appearances
RFD
returned contributions
CTB
contribution (explain nonmonetary)'
OFC
office expenses
SAL
campaign workers' salaries
CVC
civic donations
PET
petition circulating
TEL
t.v. or cable airtime and production costs
FIL
candidate filing/ballot fees
PMO
phone banks
TRC
candidate travel, lodging, and meals
FND
fundraising events
POL
polling and survey research
TRS
staff/spouse travel, lodging, and meals
IND
independent expenditure supportinglopposing others (explain)'
POS
postage, delivery and messenger services
TSF
transfer between committees of the same candidate/sponsor
LEG
legal defense
PRO
professional services (legal, accounting)
VOT
voter registration
LIT
campaign literature and mailings
PRT
print ads
WEB
information technology costs (Internet, e-mail)
NAME AND ADDRESS OF PAYEE
(IF COMMITTEE, ALL ENTER 10 NUMBER)
CODE OR
* Payments that are contributions or independent expenditures must also be summarized on Schedule D.
Schedule E Summary
DESCRIPTION OF PAYMENT
SUBTOTAL$
1, Itemized payments made this period. (Include all Schedule Err subtotals.)............................................................................................... $
2, Unitemized payments made this period of under $100.........`lV�ee............................................................... $
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 $
AMOUNT PAID
1 a .00
ka-015
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov