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460 Fitzpatrick 2016 from 10/23 to 12/24 TerminationRecipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE COVER PAGE Date Stamp I IF ll RECEIVED {� • Statement covers period Date of election If applicable: DEC 2 7 2016 P go- 1 of 6 from 10/23/2016 (Month, Day, Year) For orndel use only through 12/24/2016 1- Type of Recipient Committee: All Committees -Complete Parts 1, z, 3, and 4. Q Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure O State Candidate Election Committee Committee O Recall O Controlled (Also Complete Part 5) O Sponsored (Also Complete Part 6) ❑ General Purpose Committee O Sponsored ❑ Primarily Formed Candidate/ O Small Contributor Committee Officeholder Committee O Political Party/Central Committee (Alen Complete PM 7) 3. Committee Information I.D. NUMBER 1357072 Kathleen Fitzpatrick for La Quinta City Council 2016 STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE La Quinta CA 92253 ( MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX/ E-MAIL ADDRESS CITY OF LA QUINTA 11/8/2016 CITY CLERK DEPARTMENT 2. Type of Statement: ❑ Preelection Statement ❑ Quarterly Statement ❑ Semi-annual Statement ❑ Special Odd -Year Report l� Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) Treasurer(a) NAME OF TREASURER Louise West MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE La Quinta CA 92253 ( NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX/ E-MAIL ADDRESS 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 peduryyunder the laws of the State of California that the foregoing is true and correct. rs/+t: Executed on � By Ill aiu raasurer orAs slant Treaauror �__�_ Executed on -t7 to BY —Sionstbre of Conlrorlino Officeholder. candkiatd. SM Measure Proponent or Responsible Orrrcer of Sponsor Executed on Date Executed on Date By Signature of Controlling Officeholder, Candidate, State Measure Proponent By Signature of Controlling Officeholder, Candidate, Stets 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 Kathleen Fitzpatrick OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) City Council La Quinta RESIDENTIALBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP La Quinta CA 92253 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. I.D. NUMBER NAME OF TREASURER ❑ YES ❑ NO ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME NAME OF TREASURER I.D. NUMBER ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COVER PAGE - PART 2 Page 2 of 6 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION LEO] 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 Candidate/Officeholder Committee ustnames of 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 (866/275-3772) www.fppc.ca.gov Campaign Disclosure Statement Amounts may be rounded Summary Page to Whole dollars. from Statement covers period 10/23/2016 SUMMARY PAGE Expenditures Made 6. Payments Made................................................................ schedule E, Line 4 $ 5795.62 7. Loans Made....................................................................... schedule N, Line 3 8. SUBTOTAL CASH PAYMENTS .......................................... Add Lines 6 + 7 $ 5795.62 9. Accrued Expenses (Unpaid Bills) .......................................... schedule F Line 3 10. Nonmonetary Adjustment......................................................... schedule C, Line 3 11. TOTAL EXPENDITURES MADE ........................................ Add Lines 8 + 9 + 10 $ 5795.62 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 8 above 16. ENDING CASH BALANCE ..................Add Cines 12 + 13 + 14, then subtract Line 15 $ If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ................................ schedule s, 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 $ -724.94 6520.56 5795.62 0 $ 18351.43 $ 18351.43 $ 18351.43 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). Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (H Subject to Voluntary Expenditure Limit) Date of Election Total to Date (mmiddfyy) *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 through 12/24/2016 Page 3 of 6 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Kathleen Fitzpatrick 1357072 A Column B Calendar Year Summary for Candidates Contributions Received TOTAL THIS PERIOD CALENDAR YEAR Running in Both the State Primary and (FROM ATTACHED SCHEDULES) TOTAL TO DATE General Elections 6520.56 18351.43 1. Monetary Contributions................................................... schedule A, Line $ $ 1/1 through 6/30 711 to Date 2. Loans Received................................................................ schedule e, Line 3 20. Contributions 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 1 +2 $ $ Received $ $ 5035.002i. 4. Nonmonetary Contributions ............................................ schedule c, Line 3 Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED .................................... Add Lines 3 + 4 $ 6520.56 $ 23386.43 Made $ $ Expenditures Made 6. Payments Made................................................................ schedule E, Line 4 $ 5795.62 7. Loans Made....................................................................... schedule N, Line 3 8. SUBTOTAL CASH PAYMENTS .......................................... Add Lines 6 + 7 $ 5795.62 9. Accrued Expenses (Unpaid Bills) .......................................... schedule F Line 3 10. Nonmonetary Adjustment......................................................... schedule C, Line 3 11. TOTAL EXPENDITURES MADE ........................................ Add Lines 8 + 9 + 10 $ 5795.62 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 8 above 16. ENDING CASH BALANCE ..................Add Cines 12 + 13 + 14, then subtract Line 15 $ If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ................................ schedule s, 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 $ -724.94 6520.56 5795.62 0 $ 18351.43 $ 18351.43 $ 18351.43 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). Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (H Subject to Voluntary Expenditure Limit) Date of Election Total to Date (mmiddfyy) *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 A Amounts may be rounded SCHEDULE A Monetary Contributions Received to whole dollars. Statement covers period from 10/23/2016 01 s - 12/24/2016 4 6 through Page of SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Kathleen Fitzpatrick 1357072 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR IFAN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) V! IND 11/04/2016 LesleyWide nski ry CI Com Retired 100.00 100.00 ❑ OTH Indio, CA 92303 ❑ PTY ❑ SCC m IND various Kathleen Fitzpatrick ❑ COM Retired 5921.56 10785.43 ❑ OTH La Quinta, CA 92253 ❑ PTY ❑ SCC 0 IND 12/19/2014 City of La Quinta ❑ COM 400.00 400.00 QI OTH La Quinta, CA 92253 ❑ PTY El SCC ❑ IND ❑ COM ❑ OTH ® PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL $ 6421.56 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 $100 ...........................$ 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.)......................TOTAL $ 6421.56 6520.56 `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 ftpc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E Payments Made Amounts may be rounded to whole dollars. Statement covers period from 10/23/2016 SCHEDULE E SEE INSTRUCTIONS ON REVERSE through 12/24/2016 Page 5 of 6 NAME OF FILER I.Q. NUMBER Kathleen Fitzpatrick 1357072 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 RAD 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 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 (Internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Google cc@google.com CA PRT 1100.00 Zoo Printing 500 Bandini Blvd. CMP 106.47 Commerce, CA90040 Voter Gravity LLC 121 E. Main Street POL 300.00 Purcellville, VA 20132 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 1506.47 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.)............................................................................................................. $ 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 $ 5701.13 94.49 5795.62 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E Amounts may be rounded (Continuation Sheet) to whole dollars. Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Kathleen Fitzpatrick Statement covers peril from 10/23/2016 through 12/24/2016 SCHEDULE E (CONT.) CALIFORNIA .1 FORM Page, 6 of 6 I.D. NUMBER 1357072 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 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 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 (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID United State Postal Service 79125 Corporate Center Drive POS 2731.16 La Quinta, CA 92253 The Desert Sun 750N Gene Autry PRT 1050.00 Palm Springs, CA 92262 Facebook Facebook.com PRT 167.58 Big Rig Media 10153 1/2 Riverside Drive #119 CMP 145.92 Toluca Lake, CA 91602 Mail Chimp Mailchimp.com POS 100.00 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 5094.66 FPPC Form 460 (Jan/2026) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov