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460 Fitzpatrick 2016 from 09/25 to 10/22Recipient Committee ,Campaign Statement Cover Page Statement covers period from 09/25/2016 C Date of election If applic: (Month, Day, Year) OF LX'QUn WFORNIA 25 AM il: 40 COVER PAGE Page 1 of At— For Official Use Only SEE INSTRUCTIONS ON REVERSE through 10/22/2016 11/08/2016 1. �Type of Recipient Committee: All committees -Complete Parts 1, 2, 3, and 4. 2. Type of Statement: Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ® Preelection Statement 2 ❑ Quarterly Statement O State Candidate Election Committee Committee ❑ Semiannual Statement ❑ Special Odd -Year Report O Recall O Controlled ❑ Termination Statement {Aha C-pbbPet5) O Sponsored (Also file a Form 410 Termination) (Also Compleis PM e) ❑ General Purpose Committee ❑ Amendment (Explain below) O Sponsored ❑ Primarily Formed Candidate/ O Small Contributor Committee Officeholder Committee O Political Party/Central Committee (Aho C-0bPal 7) 3. Committee Information 4. I.D. NUMBER 1387072 Kathleen Fitzpatrick for La Quinta City Councvil 2016 STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE La Quinta CA 92253 MAILINGADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX/ EMAILADDRESS Treasurer(a) NAME OF TREASURER Louise West MAILING ADDRESS CITY STATE ZIP CODE AREA CODEIPHONE La Quinta CA 92253 NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREACODEIPHONE OPTIONAL: FAX I E-MAIL ADDRESS 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 certify under penalty of periury under the flaws of 11he State of Califomia that the foregoing is true and correct. Executed on � ! G)L By - DateZT4reasurer orAsslsrant Treasurer _ Executedon"/6ze� -T Dole Executed on Date Executed on Date BY By Slgltaiure M Controlling ow4efiowk Ca dale, Slate Measure pmponem By Signature of Controlling Officeholder, Candidate, slate Measure Proponent FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/27S-3772) www.fppc.ca.gov Recipient Committee Campaign Statement Cover Page — Part 2 S. 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 RESIDENTIALIBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP La Quinta CA 92253 Related Committees Not Included in this Statement: Listanycommittees not included in this statement Met are controlled by you or are pdmarlly formed to receive contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREACODE/PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREACODE/PHONE COVER PAGE - PART 2 Page 2 - of 7 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION ❑ SUPPORT _ I ❑ 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 List names of officeholder(s) or candidete(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 shoats 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 Summary Page to whole dollars. Statement covens periode . I from 09/25/2016FORM' • - • / Expenditures Made 6. Payments Made...............-....,,,...................................,,. schedule E, Line $ 6791.47 through 10/22/2016 Page 3 of 4 - SEE INSTRUCT(ONS ON REVERSE 9. Accrued Expenses (Unpaid Bills) .......................................... schedule F Line 3 10. Nonmonetary Adjustment......................................................... schedule C, Line 3 11. TOTAL EXPENDITURES MADE ........................................ Add Lines a +9 + 10 $ 6791.47 NAME OF FILER I.D. NUMBER Kathleen Fitzpatrick 1387072 Contributions Received Column A Column B Calendar Year Summary for Candidates TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) CALENDAR YEAR TOTAL TO DATE Running in Both the State Primary and General Elections 1. Monetary Contributions................................................... schedule A, Linea 3923.00 $ $ 11830.87 9/1 through 8/30 7/1 to Date 2. Loans Received................................................................ schedule B. Line 3 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines i +2 3923.00 $ $ 11830.87 20. Contributions Received $ $ 4, Nonmonetary Contributions ............................................ schedule c, Line 3 5035.0021. Expenditures & TOTAL CONTRIBUTIONS RECEIVED....................................Add Lines 3+4 $ 3923.00 $ 16865.87 Made $ $ Expenditures Made 6. Payments Made...............-....,,,...................................,,. schedule E, Line $ 6791.47 7. Loans Made....................................................................... schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS .......................................... Add lines 6 +7 $ 6791.47 9. Accrued Expenses (Unpaid Bills) .......................................... schedule F Line 3 10. Nonmonetary Adjustment......................................................... schedule C, Line 3 11. TOTAL EXPENDITURES MADE ........................................ Add Lines a +9 + 10 $ 6791.47 Current Cash Statement 12. Beginning Cash Balance ............................ Previous summary Page, Line 16 $ 2143.53 13. Cash Receipts ... Column A, Line 3 above 3923.00 14. Miscellaneous Increases to Cash .................................. schedule 1, Line 4 15. Cash Payments Column A, Line a above 6791.47 16. ENDING CASH BALANCE Add Lines 12 + 13 + 14, then subtract Line 15 $ -724.94 If this is a termination statement Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ................................ Schedule &, Part 2 $ Cash Equivalents and Outstanding Deists 18. Cash Equivalents ................................................ See instructions on reverse $ 19. Outstanding Debts .............................. Add cine 2 + Line 9 in Column 8 above $ $ 12555.81 $ 12555.81 $ 1255.81 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 lanes 2, 7, and 9 (if any). Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* IN Subject to Voluntary Expenditure Unit) Date of Election Total to Date (mm/dd/yy) $ I I $ *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 TO whole dollars. .Monetary Contributions Received Statement covers period from 09/25/2016 - SEE INSTRUCTIONS ON REVERSE 10/22/2016 h through pa e 4 of 9 NAME OF FILER I.D. NUMBER Kathleen Fitzpatrick 1387072 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF 6ELF-EMPLOYED,ENTER NAME PERIOD (JAN.1-DEC. 31) (IF REQUIRED) OF BUSINESS) 9/26/2016 Mark Johnson W1 IND El COM Engineer/CVWD 100.00 200.00 ❑ OTH 7515 Hovley La Quinta, CA 92253 ❑ PTY Palm Desert,CA 92211 Cl SCC ❑ IND 10/1/2016 Robert Roark El COM Z OTH On Time Performance 100.00 100.00 Rancho Mirage, CA 92270 ❑ PTY ❑ SCC ® IND 101/2016 Kay Wolff ❑ COM ❑ OTH Retired 100.00 100.00 La Quinta, CA 92247 ❑ PTY ❑ SCC 10/1/2016 Desert Paradise Group ❑ IND Cl COM Real Estate Agent OTH 200.00 700.00 La Quinta, CA 92247 ❑ PTY ❑ SCC Patricia Mohr Sanford ® IND ❑ COM Retired 10/12/2016 ❑ OTH 100.00 100.00 La Quinta, CA 92253 ❑ PTY ❑ SCC SUBTOTAL $ 600.00 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 $ 3550.00 373.00 3923.00 *'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 Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULE (CONT.) monetary contributions Received to whois dollars. Statement covers period , from 09/25/2016 • - through 10/22/2016 Page 5 of NAME OF FILER I.D. NUMBER Kathleen Fitzpatrick 1387072 DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER)CODE CONTRIBUTOR * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) Deborah Degan ® IND ❑Com La Quinta Olive Oil Co. 10/12/2016 ®OTH 200.00 200.00 La Quinta, CA 92247 ❑ PTY El SCC Coachella -Imperial Valleys Strategy ❑ IND ®coM PAC Account 10/14/2016 O OTH 1000.00 1000.00 Palm Desert, CA 92211 p PTY ❑ SCC California Association of Realtors IND Com CA Real Estate PAC 10/14/2016 ®OTH 1000.00 1000.00 Los Angeles, CA 90020 Cp PTY p SCC BIA of Southern California ❑ IND PAC AOcomccount 10/20/2016 OTH Los Angeles, CA 90071 p PTY El SCC Intl Brotherhood of Electrical Workers 0 IND El COM Local Union 440 10/03/2016 I� OTH 250.00 250.00 Riverside, CA 92507 PTY ❑ SCC SUBTOTAL $ 2950.00 `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 Schedule E Amounts may be rounded from SCHEDULE E to whole dollars. Statement covers period � s . a , • , Payments Made 09/25/2016 SEE INSTRUCTIONS ON REVERSE through 10/22/2016 Page 6 of NAME OF FILER I.D. NUMBER Kathleen Fitzpatrick 1387072 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 candidatelsponsor 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 XPress Graphics 42215 Washington Street, Suite A CMP 104.81 Palm Desert, CA 92211 Voter Gravity LLC 121 E. Main Street POL 300.00 Purcellville, VA 0132 Zoo Printing 500 Bandini Blvd. CMP 2191.32 Commerce, CA 90040 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. Schedule E Summary SUBTOTAL $ 2596.13 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 $ 6680.34 6791.47 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc ca.gov (866/275-3772) www.fppc.ca.gov Schedule E OR DESCRIPTION OF PAYMENT AMOUNT PAID SCHEDULE E (CONT.) Amount: may be rounded Statement covers period • - IiConti1' uatIOC1 Sheet) to whole dollars. Raymelnts Made Boston, MA 02284 09/25/2016FORM • Dennis Wylie/Egg Cafe from 50855 Washington Street SEE INSTRUCTIONS ON REVERSE 185..00 through 10/22/2016 Page 7 of NAME OF FILER United States Postal Service I.D. NUMBER Kathleen Fitzpatrick 79125 Corporate Center Drive POS 1387072 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 (intemet, email) NAME AND ADDRESS OF PAYEE (IF COMMITTEE. ALSO ENTER I.D. NUMBER)CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Vistaprint P.O. Box 842282 CMP 118.15 Boston, MA 02284 Dennis Wylie/Egg Cafe 50855 Washington Street FND 185..00 La Quinta, CA 92253 United States Postal Service 79125 Corporate Center Drive POS 2731.06 La Quinta, CA 92253 The Desert Sun 750 N. Gene Autry PRT 1050.00 Palm Springs, CA 92262 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTALS 4084.21 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov