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Home My WebLink About2022-10-22 Form 460 - Yes on B Palm DesertRecipient Committee Campaign Statement Cover Page Statement covers period from 9/25/22 SEE INSTRUCTIONS ON REVERSE I through 10/22/22 1. 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 CC�ommittee 0 Recall Controlled (Also complete Ped s) - Sponsored (Also Complete Part B) ❑ gneral Purpose Committee Sponsored Small Contributor Committee Political Parry/Central Committee 3. Committee Information Yes On B Palm Desert ❑ Primarily Formed Candidate/ Officeholder Committee (Also Complete Pad 7) 1455654 STREETADDRESS (NO P.O. BOX) 12 Araby St CITY STATE ZIP CODE AREA CODE/PHONE Palm SDrinlas CA 92264 760 625-0585 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREACODE/PHONE OPTIONAL: FAX/E-MAIL ADDRESS Date Stamp �ce;,) ..3 Date of election If applicable: (Month, Day, Year) 11/8/22 2. Type of Statement: ® Preelection Statement ❑ Semi-annual Statement ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) COVER PAGE Page 1 of 5 For Official Use Only ❑ Quarterly Statement ❑ Special Odd -Year Report Treasurer(s) NAME OF TREASURER Gary Bennett MAILING ADDRESS 73471 Palm Greens Pkwy CITY STATE ZIP CODE AREA CODE/PHONE Palm Desert CA 92260 949 234-0234 NAME OF ASSISTANT TREASURER, IF ANY MAI LING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX/E-MAIL ADDRESS 4. Verification have used all reasonable diligence in preparing and reviewing this statement and to the best of•-8wledge the information contained herein and in the attached schedules is true and complete. certify under penalty of perjury under the laws of the State of California that the foregoing is tru Executed on By and rrect. 10/27/22 Executed on Date By signature asurerwAssistant Treasurer Date Signature of Controlling officeholder, Candidate, State Measure Proponent or Reapona a Officer -of Sponsor Executed on Date By Signature of Controlling Otfi;ho der, Candidate, State Measure Proponent Executed on Date By Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Recipient Committee Campaign Statement Cover Page -- Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHTOR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) RESIDENTIAUBUSINESS ADDRESS (NO.AND STREET) CITY STATE ZIP 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 P.O. ❑ YES ❑ NO CITY STATE ZIP CODE AREA CODEIPHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO CITY STATE ZIP CODE AREA CODE/PHONE COVER PAGE - PART 2 Page 2 of 5 S. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE Measure B - Advisory Vote BALLOT NO. OR LETTER JURISDICTION B Palm Desert ®SUPPORT ❑ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, If any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT DISTRICT NO. IF ANY 7. Primarily Formed Candidate/Officeholder Committee List names of officeholder(s) 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 ff necessary FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Campaign Disclosure Statement Amounts may be rounded to whole dollars. Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF FILER Yes On B Palm Desert Statement covers period from 9/25122 through 10/22/22 I Page 3 of 5 Column A Column B Contributions Received TOTALTHIS PERIOD CALENDARYEAR (FROM ATTACHED SCHEDULES) TOTAL TO DATE 1. Monetary Contributions................................................... schedule A, Line 3 $ 2739.12 $ 2739.12 2. Loans Received................................................................ schedule B, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 1 +2 $ 2739.12 4. Nonmonetary Contributions ............................................ schedule c, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED................................Add Lines 3+4 $ 2739.12 Expenditures Made 6. Payments Made ........................ .................... Schedule E Line 4 $ 1800.00 7. Loans Made....................................................................... Schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS ....................................... Add Lines 6+7 $ 1800.00 9. Accrued Expenses (Unpaid Bills) .......................................... Schedule Line 3 10. Nonmonetary Adjustment......................................................... Schedule C, Line 3 11. TOTAL EXPENDITURES MADE....................................Add Lines ,8+9+10 $ 1800.00 Current Cash Statement 12. Beginning Cash Balance ............................ Previous Summary Page, tine 16 $ 2739.12 13. Cash Receipts........................................................... Column A, Line 3 above 14. Miscellaneous Increases to -Cash .................................. schedule 1, Line 4 15. Cash Payments......................................................... Column A, Line aabove 1800.00 16. ENDING CASH BALANCE Add Lines 12 + 13 + 14, then subtract tine 15 $ 939.12 If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ................................ Schedule a, Part 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ................................................ See instructions on reverse $ 19. Outstanding Debts .............................. Add Line 2 + Line 9 in Column B above $ $ 2739.12 $ 2739.12 $ 1800.00 $ 1800.00 $ 1800.00 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). 1455654 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 through 6/30 7/1 to Date 20. Contributions Received $ $ 21. Expenditures Made $ $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (H Subject to Voluntary Expenditure Limit) Date of Election Total to Date (mm/dd/yy) *Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (Jan/2036)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A Amounts may be rounded SCHEDULE A Monetary Contributions Received to whole dollars. Statement covers period I ' from 9/25/22 through 10/22/22 Page 4 of 5 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Yes On B Palm Desert 1455654 DATE FULL NAME, STREETADDRESS AND ZIP CODE OF CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED CONTRIBUTOR CODE * OCCUPATIONAND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME RECEIVED THIS CALENDARYEAR TO DATE OF COMMITTEE, ALSO ENTER I.D. NUMBER) OF BUSINESS) PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) Qf IND 10/14/22 The Albert J Carvalho and Shelly M Kaplan Trust El COM onsuCltant, Shelly Kaplan 500.00 500.00 67785 Foothill Rd, Cathedral City CA 92234 ❑ OTH ❑ PTY ❑SCC ❑ IND 10/7 Palm Desert Greens Democratic Club Z COM 1200.00 1200.00 73340 Palm Greens Pkwy, Palm Desert CA 92260 ❑ OTH FPPC # 1455219 ❑ PTY ❑ SCC ❑ IND 10/7 Drive For Five m COM 1019.12 1019.12 73935 Shadow Mtn Dr. #4, Palm Desert, CA 92260 ❑ OTH FPPC # pending ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL $ Schedule A Summary Amount received this period — itemized monetary contributions. 2719.12 (Include all Schedule A subtotals.).........................................................................................................$ 2. Amount received this period — unitemized monetary contributions of less than $100 ...........................$ 20.00 3. Total monetary contributions received this period. 27.39.12 (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.)......................TOTAL $ "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: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov ,. 40 Schedule E Payments Made ON Yes On B Palm Desert Amounts may be rounded to whole dollars. Statement covers from 9/25/22 through 10/22/22 I Page 5 1455654 SCHEDULE E Of 5 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 RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTS 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 PHO 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 supporting/opposing 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 (intemet, a -mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID OF COMMITTEE, ALSO ENTER I.D. NUMBER) Uribe Printing Inc 2020 I 1 LIT I I 1800.00 2900 Adams St, A-25, Riverside, CA 92504 " 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. 1800.00 2. Unitemized payments made this period of under$100.......................................................................................................................................... $ 0 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 $ 1800 FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov