HomeMy WebLinkAbout2016-10-22 Form 460 - KellyCOVER PAGE
Recipient Committee
Campaign Statement
Cover Page
SEE INSTRUCTIONS ON REVERSE
Stah me covers period
from R at 1
through ►ua' 4
1. Type of Recipient Committee: All Committees —Complete Parts 1, s, 3, and 4.
J�r Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure
O State Candidate Election Committee Committee
O Recall O Controlled
Oka cWF1*Pail 0) 0 Sponsored
ON P.I W
❑ General Purpose Committee
O Sponsored
0 Small Contributor Committee
0 Political Party/Central Committee
3. Committee Information
l�o.l,lezv� belly -�Crr
C, C c-Ln1 c i 1 am1
R EMWD CALIFORNIA
CITY CLERK'S OFFIC FORM
ALM DESERT. CA
Data of election If apolcable• Page of
(Month, Day, Year) 2 16 OCT 27 AM IO: 25 For Offfr-W Use
I.i 16S.
2. Type of Statement`.:
Preelection Statement ❑ Quarterly Statement
❑ Semi-annual Statement ❑ Special Odd -Year Report
❑ Termination Statement
(Also file a Form 410 Termination)
❑ Amendment (Explain below)
❑ Primarily Formed Candidate/
Officeholder Committee
MW copw PM n
I.D. NUMBER Treasurer(s)
�3gld��i5
10 COMMTfEEI NAME OF TREASURER
?cam 1De5e-rt Pterex R L k�er iicja
MAILING ADDRESS
41661D
(NO P.O. BOX)
46 -
'U e; ex� CR q`amo D MO)
CITY STATE ZIPCODE AREACOOEIPHONE
_ADDRESS
e
Gpri�c{5 CR 9 `kla
AME�ANTTREPSURER IFANY
'Acu-CU 44,4ke.n hell
IAILINGA RESS
4�- lob '
r� CR
L- FAX IE-MAILADDRESS
b 0106) w -
n;auue
I have used all reasonable diligence in preparing and reviewing this statement and to the best of 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 for
Executed on . I By Bwift a
=Ue Ofrtcer of Spaneor
Executed an By
Date Signature of Conmov Wcand( er, Candidate. St81e M685w Proponent
Exeetilad an Data By Stpratm d ContdLkV Olfiee %g&r. Candwata. score Me— Proponent
FPPC Form 450 {!an/2015]
FPPC Advice: advice ftpc.ca.gov (966/275-3772)
trrww3ppc.ca.gov
Recipient Committee
Campaign Statement
Cover Page -- Part 2
S. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE
�Cx-"- tiet✓n RPWL1 -
OFFICE SOUGHT OR HELD (INCLUDIE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
e0bn -Oehe"r� CibA CaLMCL*i
, VoAm `De5er�.—CR c=46
Related Committees Not Included in this Statement: ust any committees
not included in this smtwmt that are controtted by you or are primemy formed to receive
conMbudons or make expenditures on behalf of your candidacy.
CRY STATE ZIPCODE AREACODEIPHONE
COMMITTEE NAME 1 I.D. NUMBER
NAME
❑ YES ❑ NO
CRY STATE ZIP CODE AREA CODEIPHONE
COVER PAGS - PART 2
Page 3� of 11
6. Primarily Formed Ballot Measure Committee
NAME OF BALLOT MEASURE
BALLOT NO, OR LETTER JURISDICTION ❑ SUPPORr
❑ 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 ustnernesof
omcehoide4s) or candidates) for which this committee is primerMy 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
(3 OPPOSE
Attach continuation sheets if necessary
FPPC Form 460 ()an/2016)
FPPC Advice: advice@fppc.ca.gov (VA/275-3772)
WW W.fppGta.gov
Campaign Disclosure Statement
Amounts may be rounded
SUMMARY PAGE
Summary Page
9
to whole dollars.
Statement covers period
)
from 9 f ° -S f` tip
'
s . •
SEE INSTRUC71CN5 ON REVERSE
through d 'da 4 Page 3 of
NAME OF FILER I.D. NUMBER
LNomrlket:,A 1�e11 �"T %m leber� ci-tCoLrocil a6t6 VN6S95
Contributions Received
Column A Column B
TOTAL THI9 PERIOD CALENDAR VW
(FROM ATTACHEDSCHEOULF51 TOULTOOATE
1. Monetary Contributions ................................................... scheddeA, Una 3 $ ti + , r $
2. Loans Received................................................................ schedule e, Line 3 0 a
4 �. t 3 1. r 1 �V -�1V
3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines T + 2 $ $ V� -
4. Nonmonetary Contributions .......................
..................... schedule C, Line 3 ao 8 ,'3 5 50 . !s
5. TOTAL CONTRIBUTIONSRECEIVED .......................... ...Add Lkm 3 + 4 $ i i � 5 � S $ R% "4- ►S
Expenditures Made
6. Payments Made................................................................
schedule F- 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
10. Nonmonstary Adjustment.........................................................
schedule C, Line 3
11. TOTAL EXPENDITURES MADE ........................................
Add Unes e + 9 + 10
Current Cash Statement
12. Beginning Cash Balance ............................ PrevAws summary Page, Line re
13. Cash Receipts........................................................... Column A, Line 3 above
14. Miscellaneous Increases to Cash .................................. schedule 1, Lira 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.
$ %I6a. ag $ 1q,51am
$ t'1loa.�8 $ RSga.s8
a,09 2�5 3b IS
$ q,91 A3 $ 1%G�5.03
$.t 1(0 a. Q O
$ 15
17. LOAN GUARANTEES RECEIVED ................................ schedule 9. Pert 2 $
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ................................................ see Mstnwiions on reverse
19. Outstanding Debts .............................. Add Una 2 + Line 9 in Column 8 above
To calculate Column B,
add amounts in Column
A to the corresponding
amounts from Column 6
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).
Calendar Year Summary for Candidates
Running in Both the State Primary and
General Elections
111 tkuouph 613D 7r1 to Date
20. Contributions
Received $ $
21. Expenditures
Made $ $
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made"
III Subjtd to veluntery EependRure UmH)
Date of Election Total to Dale
(mmlddlri)
1 _-_ __ . $
`Amounts in this section may be different from amounts
reported In Column 8.
FPPC Form 460 (Jan/2016)
FPPC Advice: advtceI@Dfppcca.gov (N6/275-3772)
www.fppc.ca.gov
w
91
10
la
10
Schedule A Amounts may be rounded SCHEDULE A
Monetary Contributions Received `" """'" """"'a'
Slaloms tcovem period e _
kc 1511 .
through a ( Page L'i1
SEE INSTRUCTIONS ON REVERSE
of ' t_�
F FLER I.D. NUMBER
NAMRatVntee,n Dell tar Pc4m -Deyey+ Ci Cotmek- l ;10IP BSM 5
DATE
RECEIVED
FULL NAME, STREETADDRESS AND ZIP CODE OF CONTRIBUTOR
OF COMMITTEE. ALSO ENTER LD. NUMBER)
CONTRIBUTOR
CODE
IFAN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
pFSELF-EMPLorED.ENTER NAME
OF BUSINESS)
PERIOD
(,IAN. 1- DEC. 3f)
(IF REQUIRED)
JAI/
will 10.1f'i1 U . C� 2�
'-
❑scc
I-
iI
�., nd e kko- Mana�r
� ��'� �'G,.
❑
❑OTHTH
Refired
�4D ,�
� oLDO ..�
❑PTY
❑scc
';] �} L
171 Ct�1rTC Il 1 �iaQl:r C l @J y TvIc ,
❑ IND
❑ COM
a55 P�,oLL;et4Dr.
&OTHI�Ot�o_'l�Odb,
Palm -e5Cr�1 Cis c`44Ib
00PTY
ScC
COA T CCUTr 1 1CW t
jR'ND
(ices a env
31 jP
%A
tiC.
=nc•
is W t Ir; t P ace
DIND
°H
ADD
Qjm 'DebeY I OR 9!k9k0
❑PTY
❑ scc
SUBTOOTAL $
Schedule A Summary
1. Amount received this period — itemized monetary contributions.
(include all Schedule A subtotals.).........................................................................................................$ -
2. Amount received this period — unitemized monetary contributions of less than $100 ...........................$ $0
9
3. Total monetary contributions received this period.
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, tine 1.)......................TOTAL $ ..._.� ,� 3�{
"Contributor Codes
IND -- Individual
COM -- Recipient Committee
(other than PTY or 5CC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
FPPC Form 460 {Ian/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppC-Ca.gov
I
t1.
Schedule A (Continuation Sheet) Amounts may be rounded SCHt=DULEA
Monetary Contributions Received to whole dollars. Statement covers period
from
through kA SLID, 1 Page of X�
rwe+nn yr rIUM
D. NUMS
I�ckhleeq �c:11 -t6r ebert CCavmci� �l�p 13$6$g5
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZtP CODE OF CONTRIBUTOR
(IF COM►Ir1TEE.ALSO ENTER f.D.MUMMI
CONTRIBUTOR
CODE
'FAN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
IIF®ELF N1 NAME
AMOUNT
RECEIVE.DTHIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
0FO-
u
PERIOD
(JAN.1 - DEC. 31)
(IF REWIRED)
17 . IAAb 10 cur (
]$IND
(�
�in wri c 1t�It. � 14 n ne
�/3
�
R•�• E�ubbard
� SDI. `
� �0 .
poiyn -
❑SCc
3of 1
l,DA 4. 'Be n bt'?Yl
31 Gil
v . Smith
0IND
i �''{' LJ 1 Ct lil'lt
2) /k�
V
_,}❑COM
�q 01
.
C R 1_40 0
❑ IND
gCSo �I
. ifn IQ eol t5tae pftc
❑IND
CXV Wn 6�Rea9.fary�,lU 8a01�)tRcom
°H
_
5a5 6 . Vit�tl Ave' LIN UbkL)
DPTY
❑ SCC
SUBTOTAL $ `v1 3 0
"Contributor Codes
IND — Individual
COM— Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political party
SCC —Smafl Contributor Committee
FPK Form 460 (Jan/2036)
FPPC Advice: advice@jfppc.ca.gov {B66r175-3772}
www.fppc.ca.gov
Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULE A (CONT.)
Monetary Contributions Received to whole dollars.
Statement covers period
q 15 1 �
, .
6 • 1
from
through 1 d�
Page of
NAME OF FILER
RdMeen Qell �7r Paim 4De,eO Ci� Co mei l ab t �
D1313 6S TS
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
(IF cow lrrreEuse ENTER I.D. NtfIkSENI
CONTRIBUTOR
CODE *
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
lIF SI&F-EMPLOYED, ENTER NAME
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN, 1- DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
OF BUSINESS)
0 1'3kip
CUQGhlellq-�mPeric ��Ilet� 5
51ra'kec�te Pf�C g51D6 medt'�er�znea
❑IND
poi
1 bDD.�
L)Oab(gym
q} bcrtCR gtAli
❑PTY
1D #' 1351ta3
❑SCC
i1
Ikwr� ld nm_cL.
rx-1mnclo
S Rc:Stat,M
-Turn 1 obte
aLgjgt-1
��1�}r lip
S c�de-lte RO A-1!3�ein
43-155
,�irtr
�ll'7�l{p
YYl 1 c1� pe,� i �m n eC"
431-ab
$
'Contributor Codes
IND — lndtvldual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
FPPC Farm 460 Ilan/2026)
FPPC Advice: advice@fppc ca.gov (666/275-3772)
www.fppc.ca.gov
tC
Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULE (CONT)
Monetary Contributions Received to whale dollars.
Statemen Cove period
CALIFO_ , NI I 01
C) �5 1
from
FORM •
through t as
Page of l
NAME OF FILER
�*Ikeen �er Pdrn -Deber� Ci cercm6l qwl(
I.D. NUMBER
�3�6'19.5
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
(iFCOMMnTEE,ALSOENTERI.D.NUMSERI
CONTRIBUTOR
CODE *
IF AN INDIVIDUAL, ENTER
OCCUPATIONAND EMPLOYER
pF SELF-EMPLOYED, ENTER N"
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. t - DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
OF BUSINESS)
Q 5U L'ri�
U1�d111COM
AC (.,1� 7'�1`7 3
❑IND
Cali
St� suit e W6
LJ OTH
5t5 S . ri L�eroct ,
❑PTY
ls�h Rt� ete CR C �00 t
❑SCC
)11 Q l t (o
CL.RRO Poa5
4'11(0 ► Beo ce n I-� � l t '
❑CO
ROTH
� sod
-) e5er� I C R CAal l - 51U8
o PTY
❑SCC
yPc�Q}-►�1
3e7��I E)wai3rl- T� ka(
®IND
U
1�
`11$
❑SCC
Pr�,�►0- TA, 1-ne
e � C . 3ax�e rNo
�8b�,OCL
❑coarn)Iaoho
OOTH
-De5ert
Q-4 ter t�8
Pa9�+m t CR gda(I--4761
❑SCC
�- O a n d(x a)nn
C � rcle
.
SUBTOTAL $
"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 (!an/20161
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
V
kC
I
Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULE A (CONT.)
Monetary Contributions Received to whole dollars.
Statement covers period
from
CALIFORNIA
O. f
through xa
a
Page p of
NAME OF FILER
��akhle�n �ett �e-r VcL.t-n '-peser} Cik� Co.rnei 1 ad 1�
I.D. NUM13CA
I?) (1P S
DATE
RECEIVED
FULL NAME, STREETADDRE53 AND ZIP CODE OF CONTRIBUTOR
R COMMI O E SS AND ZIP
I.D.NUMBER) OF
CONTRIBUTOR
CODE *
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
ffaaP•EMPLorED, ENTER NAME
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 - DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
opeusmessl
��n & �lt✓X�� �lar�
�Co IND
j
❑PTY
❑ SCC
Ru�selt c�a.1�e CamPbel
C1cOM
'
PTY
❑SCC
F+
Y�
(f
b anvic- G LTMCZ,
��
❑SCC
81o.3s 10/1q
la6 b�
Sc-mdra t�lcssrdin
`
❑SCc
f��10'1b
Rnt ILTri Mite-nco
Os C
Vine- tarr�S
SUBTOTAL.$
`Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
QTH — Other (e.g.. business entity)
PTY — Political Party
SCC — Smell Contributor Committee
FPPC Form 460 (]an/2016)'
FPPC Advice: advke@fppc.ca.gov 1866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULE (CONT.)
Monetary Contributions Received to whole dollars.
Statement cove period
;7
CALIFORNIA 460
from ga
FORM
through da ,
[�
Page f t of
NAME OF FILER
i� ►iet~�� Rell� Vn-r PGAM Cou-lci � �-01 (0
I.D. NUMBER
09 5
DATE
RECEIVED
FULL NAME, STREETADDRESS AND TIP CODE OF CONTRIBUTOR
pFcoAMIn7EEALSOENiERI.Q.NUA�BER1
CONTRIBUTOR
COOED
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT
RECEIVEDTHIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
(IF SELF•EAIPLOYEO.ENTER NAME
OF BUSINESS)
PERIOD
(JAN.1- DEC. 31)
(IF REQUIRED)
}
Reed 01Ne-f
IND
�14� 12p
'
❑SCC
Vho1a 1,
8rIND
,Y)baq
El COM
0Pn
�eti�ed
35.
135
❑ SCC
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
SUBTOTAL$
'Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entily)
PTY — Political Party
SCC — Small Contributor Committee
FPPC Form 460 Ilan/2016)
FPPC Advice: advice@fppcca.gov (866/275-3772)
www.fppc.ca.gov
er.....u.rn ...e.. hn—iinana
SCHEDULE B - PART 1
Schedule B — Part 'I t
to wholedollars.
Statement covers period
Loans Received
9/25/16
-
from
.
10/22/16
1 1
pegs 4 6
SEE INSTRUCTIONS ON REVERSE
through
of.�..]—
NAME OF FILER
I.D. NUMBER
Kathleen Kelly for Palm Desert City Council 2016
1386895
FULL NAME, STREET ADDRESS AND ZIP CODE
11 AN INDIVIDUAL. ENTER
OCCUPATION AND EMPLOYER
OUTSTANDING
AMOUNT
{N
AMOUNT PAID
OUTSTA DING
INTEREST
ORIGINAL
9
CUMULATIVE
OALOENTE
(� CalrawrTEE, ALSO ENTER I.D. NUMBER)
(IF R
OF BU�
BALANCE
BEGINNING THIS
RECEIVEDTHIS
PERIOD
OR
BALANCE AT
CLOSE OF THIS
PAID THIS
AMOUNT OF
CONTRIBUTIONS
NAME ESSI
PERIOD
THIS PERIOD
S PERIOD
PERIOD
PERIOD
LOAN
TO DATE
Kathleen .Kelly
Businesswoman
0 PAID
CALENDAR YEAR
46-
Golf Ventures,
s
�
_
LLC
❑FORGIVEN
PER ELECTION"
0
3,500
t la IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
s
s
f
s
DATE INCURRED
s
DATE DUE
❑ PAN3
CALENDAR YEAR
$
f
%
S
f
❑ FORGIVEN
RAM
PER ELECTION"
t ❑ IND [I COM (:IOTH [3 Fry ❑ SCC
f
f
f
f
DATE INCURRED
f
DATE DUE
❑ PAID
CALENDARYEAR
$
❑ FORGIVEN
RATE
PER ELECTION"
t ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
f
S
f
DATE INCURRED
f
DATE DUE
SUBTOTALS $ $ $ $
Schedule B Summary
1. Loans received this period....................................................................................................................$ a -5nn
(Total Column (b) plus unitemized loans of less than $100.)
2. Loans paid or forgiven this period.........................................................................................................$
(Total Column (c) plus loans under $100 paid or forgiven.)
(Include loans paid by a third party that are also itemized on Schedule A.)
3. Net change this period. (Subtract tine 2 from Line 1.).............................................................. NET $
Enter the net here and on the Summary Page, Column A, Line 2. (May be■negaWeromba)
'Amounts forgiven or paid by another party also must be reported on Schedule A.
" If required.
(Enter (e) -
SchedWe E. Lim 3)
fContribulor 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 Farm 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule C Amounts may be rounded SCHEDULE C
Nonmonetary Contributions Received to wnvis aoirars.
statemperiod t covers rind
CALIFORNIA
6
from l a~J
FORM
through 6 a P
Pagel of L 4
SEE INSTRUCTIONS ON REVERSE
—1
NAME OF FILER
1�cart%lee.1 I�elt �LTr Polm I�e5a�" C ti�`� Cctmci l a 01�
I.D. NUMBER
IM8 00 g5
DATE
FULL NAME, STREETADDRESS AND
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
DESCRIPTION OF
AMOUNT!
FAIR MARKET
CUMU ATE TO
PER ELECTION
TO DATE
RECEIVED
ZIP CODE OF CONTRIBUTOR
trcouunTEE.ALSO ENTER I.D.NUMBER)
CODE *
IFs�EuPLarEp,ENTER
NAMEOFBUBINESS)
C4DODS OR SERVICES
VALUE
CALENDAR YEAR
(JAN 1-DEC 31)
(IF REQUIRED)
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
❑ IND
❑ COM
❑ OTH
❑ PTY
p SCC
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
❑ IND
❑ coM
p OTH
❑PY
❑ SCC
Attach additional lntbrmatlon on appropriately labeled continuation sheets. SUBTOTAL $
Schedule C Summary
1. Amount received this period — itemized nonmonetary contributions.
(Include all Schedule C subtotals.).....................................................................................................................$
2. Amount received this period — unilemized nonmonetary contributions of less than $100 ....$�$ • S
3. Total nonmonetary contributions received this period.
Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10. TOTAL $ $ • 35
'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 f tan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fppr-ca.gov
Schedule E
Amounts may be rounded
SCHEDULE E
Statement covers period
Payments Made
to whole dollars.
from �aI5
.. ,
. - A g
« 1
Ixa
a, �4
1 r
SEE INSTRUCTIONS ON REVERSE
ugh
through
Page of
NAME OF FILER
I.D. NUMBER
` of -�vr palm -0V-5er+
C4-
Ca mci I abl(Q
1-319 095
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CMP campaign paraphemalkdmisc.
MBR
member communications
RAD radio alrtlme 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 airline and production costs
Fli_ candidate filinglballot fees
PHO
phone banks
TRC candidate travel, lodging, and meals
FIND fundraising events
POL
polling and survey research
TRS slafflapouse travel, lodging, and meals
IND independent expenditure supportinglopposing others (explain)"
POS
postage, delivery and messenger services
TSF transfer between committees of the some 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
OF COMMaTEE, ALSO ENTER LD. NUMBER)
CODE OR DESCRIPTION OF PAYMENT
AMOUNT PAID
CRLSRI- Nfc eV' Gui e
IR54 0. Ccut T5, svi-- ' 'b
L I T
Vor iriclLS�(SR in m��gs
50.
o,rr�-nce t Cfl gd5o I
ELIEc.TwN bIGCST
ja54 L.N, CO:.T50n 6UiI'-e 110
l..l'T
far inCluS;a-n in
4450,."'
)
Torram ee CR 36601
t� eb . cm
1a$og Gran'ePa,r1 00-
���� ���� �► �It~ V L ?i aaS19
' Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL, $ $ � , 915
Schedule E Summary
1. Itemized payments made this period. (Include all Schedule E subtotals.)............................................................................................................. $ $ 0
2. Unitemized payments made this period of under$100.......................................................................................................................................... $
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_ $
FPPC Form 460(Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8"/275-3772)
www.fppc.ca.gov
Schedule E Amounts may be rounded
(Continuation Sheet) to whole dollars.
Payments Made
SEE INSTRUCTIONS ON REVERSE
covers
from O�
through a
SCHEDULE E= (CONT.)
Page ILof Vi
rv`rmc ur rn.an
�QAhleen l�elly� Pa�,rn l�e��r} Ci Cau-i1ci� �.vl� 1$b�aS
CODES: If one Of the following codes accurately describes the payment, you may enter the code.
Otherwise, describe the payment.
CMP
campaign paraphemalia/misc.
MBR
member communications
RAO
radio aldime and production costs
CNS
campaign consultants
MTG
meetings and appearances
RFD
SAL
retumed contributions
campaign workers' salaries
CTB
CVC
contribution (explain nonmonetary)•
civic donations
OFC
PET
office expenses
petition circulating
TEL
Lv, or cable airtime and production costs
FIL
candidate filing/ballot fees
PHO
phone banks
TRC
candidate travel, lodging, and meals
FND
IND
fundraising events
Independent expenditure supportinglopposing others (explain)*
POL
POS
polling and survey research
postage, delivery and messenger services
TRS
TSF
stag/spouse travel, lodging, and meals
transfer between committees of the same candidale/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
(W COMMITTEE. ALSO ENTER I.D. NUMBER)
-De-s i'f1Ub►1e 1A me %reins
LA Lgc19 "C�0cura'-. Ctik
p.,rn-QP5Qrt1 CR qua 0
(-t�,rt� '17e�er� area Ch�rnbcr Ccsrnrnerce
na_sSq lk'ghw Ikt
Palm 'Deberf, cR
PUvn -Desert Rrea
7a-h5q ��li�h�t�
PAa m, Uebert t R
q'3,a6 0
Chav-nber c
111
Ct Zalo a
CODE OR DESCRIPTION OF PAYMENT I AMOUNT PAID
PR`T i �d Piace�rne�t � $ I13�:(9.
PR' I Pia Placevnent 14 a6b .
Cam rnerc �
Y�(1�C G v�► h^� Vee tar Got- C° ax t
&-f c�.a e
t-Educo e `door V&te k ial
34�1 C%V0%)lo RAOTr1))Car�b0,8 R -atz L1�ar �nclu5niir�5
)CPceS� G�PInicS it
LIT Corn Patch
Pam `Oesert, CR a-Aa-11
IV Ito, ___
k asa._.'
4 -66g .$7
' Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL $ - ,-`��
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppe.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule E
SCHEDULE E (CONT.)
(Continuation Sheet)
may be rounded
to whole dollars.
Statement covers parted •'
Payments Made
from q NsA
through f d as i
SEE INSTRUCTIONS ON REVERSE
Page of
NAME OF FILER
V�I:,A,�tren Dell �&r PCIM `DeSur+
C'i�-
COtTnCit �k6lf
I.D. NUMBER
i3�b�g5
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CMP campaign paraphemallalmisc.
MBR
member communications
RAD radio airtime and production costs
CNS campaign consultants
MTG
meetings and appearances
RFD returned contributions
CTB contribution (explain nonmonetery)`
OFC
office expenses
SAL campaign workers' salaries
CVC civic donations
PET
petition circulating
TEL Lv. or cable eirtima and production costs
FIL candidate filinglballot fees
PHO
phone banks
TRC candidate travel, lodging, and meals
FIND fundraising events
POL
polling and survey research
TRS stafflspouse 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
WES information technology costs (Internet, e-mail)
NAME AND ADDRESS OF PAYEE
(IF COidMnTEE, ALSO EMER J.D. NUMBER)CODE
OR DESCRIPTION OF PAYMENT
AMOUNT PAID
LoLwe
2)5g60 MO-O " cep live.
poll n 1)e5ext, C1A a`Aa!I
�1�flQ
C�1c�Nxtc��a rrc��r Sian i t5iai�c inn
a0.$q
I4iS\i Tech C�lail h 5ervt`ceS
115611 5t, 00CM e, Place
r,61M �e��:r�-, OR alaail
UT
M a-i 1 er to all vofer5
5� (QG g .20
` Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ � t �$ q � '-
FPPC Form 460 Pan/20161
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov