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460 Fitzpatrick 2020 from 07/01 to 09/19Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement covers period from July 1, 2020 through September 19, 2020 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. ®Riceholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure State Candidate Election Committee Recall mmittee Controlled (Also CompklePert5) Sponsored (Also Compkte Part6) neral Purpose Committee Sponsored ❑ Primarily Formed Candidate/ Small Contributor Committee Officeholder Committee Political Party/Central Committee (AboCompktePart 7) 3. Committee Information ID NUMBER 1426501 Kathleen Fitzpatrick for La Quinta City Council 2020 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 79405 Hwy 111 CITY STATE ZIP CODE AREACODEIPHONE OPTIONAL. FAX 1 E-MAIL ADDRESS 4. Verification COVER PAGE RECEIVED 5' Date of election if applicab :r 2�2� 7F1., of 9 (Month, Day, Year) Official Use Only CITY OF LA QUINTA TY CLERK DEPARTMENT 2. Type of Statement: Preelection Statement B Quarterly Statement Semi-annual Statement Special Odd -Year Report Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) Treasurer(s) NAME OF TREASURER Qimin Wang MAILING ADDRESS 79405 Hwy 111 CITY STATE ZIP CODE AREA CODEIPHONE La Quinta NAME OF ASSISTANT TREASURER, I F ANY N/A MAI Ll NG ADDRESS CA 92253 CITY STATE ZIPCODE AREACODEIPHONE OPTIONAL: FAX IE -MAIL ADDRESS 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 perjury under the laws of the State of California that the foregoing is true and correct. Executed on 14 1 zn o By. Dam �I Executed on By aoe Signature of onuo inq.otficeholder, C a measure pan or Responaoia ref or Sponsor Executed on Date Executed on Date By Signature of Controlling Ottiicenoloer, Candioate, State Measure Proponent By Signature of Controlling Officeholder, Candidate. State Measure Proponent FPPC Form 496 (Feb/2019) 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) La Quinta City Council RESIDENTIAL/BUSINESS 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. COMMITTEE NAME I D NUMBER N/A NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I.D. NUMBER N/A NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COVER PAGE - PART 2 Page 2 of 9 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE N/A BALLOT NO. OR LETTER JURISDICTION ❑ SUPPORT N/A ❑ 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 Listnames of officeholder(s) or candidate(s) for which this committee is primaidy fanned. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT N/A ❑ 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 Cam al n Disclosure Statement Amounts may rounded p g to whole dollars. lars. Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF FILER Kathleen Fitzpatrick for La Quinta City Council 2020 Statement covers period from July 1, 2020 through September 19, 2020 SUMMARY PAGE Page 3 of 9 I D NUMBER Expenditures Made Column A Column B Calendar Year Summary for Candidates Contributions Received 2169.81 TOTAL THIS PERIOD CALENDAR YEAR Running in Both the State Primary and 0 0 (FROM ATTACHED SCHEDULES) TOTAL TO DATE 2169.81 $ 2169.81 9. Accrued Expenses (Unpaid Bills) .... .................. ........ .......... ,. schedule F Line 0 General Elections 1. Monetary Contributions .. .......... .......... ............................ Schedule A, Line $ 2450. 00 $ 2450.00 1/1 through 6130 7/1 to Date $ 2169.81 664.00 5664.00 2. Loans Received................................................................ Schedule B, Line $ 4970.02 To calculate Column B, 13. Cash Receipts ............... . Column A, Line 3 above 3114 00 8114.00 20. Contributions 3. SUBTOTAL CASH CONTRIBUTIONS..........-.. ................. Add lines 1 +2 $ $ Received $ $ 4. Nonmonetary Contributions .................. ............. __ ....... schedule C, Line3 0 0 21. Expenditures 2169.81 of your last report. Some amounts in Column A may 3114. 00 8114.00 Made $ $ 5. TOTAL CONTRIBUTIONS RECEIVED .. ...... ........... ............ Add Lines 3+4 $ $ should be subtracted from Expenditures Made 6. Payments Made................................................................ Schedule E, Line $ 2169.81 $ 2169.81 7. Loans Made ...... ...... :.::.:...:.........:.:................................... schedule H, Line 3 0 0 8. SUBTOTAL CASH PAYMENTS_____ Add Lines 6+7 $ 2169.81 $ 2169.81 9. Accrued Expenses (Unpaid Bills) .... .................. ........ .......... ,. schedule F Line 0 0 ::::. . schedule c, Line 10. Non monetary Adjustment .... ....... :...... 0 0 11. TOTAL EXPENDITURES MADE .....:...................... Add Lines 8+9+10 $ 2169.81 $ 2169.81 Current Cash Statement 12. Beginning Cash Balance .............• . Previous summary Page, Line 16 •••-•••-•••• $ 4970.02 To calculate Column B, 13. Cash Receipts ............... . Column A, Line 3 above 3114.00 add amounts in Column 0.41 A to the corresponding 14. Miscellaneous Increases to Cash ......... ....... _............ ... schedule/, Line amounts from Column B 15. Cash Payments......................................................... Column A, Line 8 above 2169.81 of your last report. Some amounts in Column A may 16. ENDING CASH BALANCE .............. ._.Add Lines 12+ 13+ 14, then subtract Line 15 $ 5914.62 be negative figures that should be subtracted from If this is a termination statement, Line 16 must be zero. previous period amounts. If this is the first report being 17. LOAN GUARANTEES RECEIVED_ _------------_-------- schedules, Parte $ 664 filed for this calendar year, only cant' over the amounts from Lines 2, 7, and 9 (if Cash Equivalents and Outstanding Debts 0 any)' 18. Cash Equivalents ................................................ see instructions on reverse $ 19. Outstanding Debts . ............. Add Line 2+ Line 9 in Column a above $ 5664.00 Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (If Subjectto 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 496 (Feb/2019) 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 CALIFORNIA , from July 1, 2020 - • through September 16, 2020 Page 4 of 9 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D, NUMBER Kathleen Fitzpatrick for La Quinta City Council 2020 FULL NAME, STREET ADDRESS AND ZIP CODE OF IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE CONTRIBUTOR CONTRIBUTOR * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I D NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN 1 -DEC 31) (IF REQUIRED) 8/26/2020 Geri Dardi MIND Realtor $500 La Quinta 92253 ❑COM Pacific Sotheby []OTH 78015 Main St, La Quinta, ❑ PTY CA 92253 ❑ SCC 7/20/2020 Edie Hylton MIND Retired $100 La Quinta, 92253 [3Com []OTH ❑ PTY []SCC 8/13/2020 Patty Mohr MIND Retired $100 La Quinta 92253 ❑COM ❑ OTH ❑ PTY ❑ SCC 8/13/2020 Orrin Vincent MIND Retired $500 , La Quinta 92253 [3Com ❑ OTH ❑ PTY ❑ S CC 8/21/2020 George Batavick RIND Retired $500 La Quinta 92253 ❑Com ❑ OTH ❑ PTY ❑ SCC SUBTOTAL $ 1700.00 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.) ............... 2100.00 $ 350.00 TOTAL $ 2450.00 '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 496(Feb/2019) 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 whole dollars. Statement covers period CALIFORNIA from July 1, 2020 FORM through September 19, 2020 Page 5 of 9 NAME OF FILER I.D. NUMBER Kathleen Fitzpatrick for La Quinta City Council 2020 1426501 FULL NAME, STREET ADDRESS AND ZIP CODE OF IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME) PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) 8/26/2020 Sharrell Blakeley ®IND Retired $200 La Quinta 92253 ❑COM []OTH ❑ PTY ❑SCC 8/26/2020 Gayl Biondi ®IND Retired $100 La Quinta ❑COM [] OTH ❑ PTY ❑ SCC 8/26/2020 Deb Degen ®IND Retired $100 La Quinta 92253 ❑coM []OTH ❑ PTY []SCC ❑IND ❑ CO M []OTH ❑ PTY ❑ SCC []IND ❑COM []OTH ❑ PTY SCC SUBTOTAL $ 400.00 '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 496 (Feb/2019) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov SCHEDULE B - PART 1 A111UMILb 1116Y UC 1UU11UCU Schedule B — Part 1 to whole dollars. Statement covers period CALIFORNIA Loans Received from July 1, 2020 FORM through September 19, 2020 Page ti of 9 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Kathleen Fitzpatrick for La Quinta City Council 2020 1426501 FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER OUTSTANDING BALANCE AMOUNT RECEIVED THIS AMOUNT PAID OR FORGIVEN OUTSTANDING BALANCE AT INTEREST PAID THIS ORIGINAL AMOUNT OF CUMULATIVE CONTRIBUTIONS OF LENDER (IF COMMITTEE, ALSO ENTER I.D. NUMBER) (IF SELF-EMPLOYED, ENTER IBEGINNING THIS PERIOD THIS PERIOD. CLOSE OF THIS PERIOD LOAN TO DATE NAME OF BUSINESS) PERIOD PERIOD PAID CALENDARY R Ron Fitzpatrick Retired s PER ELECTION** La Quinta, CA 92253RATE FORGIVEN 0 664 s a s s s DATE DUE DATE INCURRED tQ IND ❑ COM ❑ OTH PTY SCC —CYPAID CALENDAR YEAR FORGIVEN PER ELECTION' RATE S S S DATE DUE DATE INCURRED t❑ IND I] COM ❑ OTH ❑PTY [:1 SCC $ 0 PAID CALENDAR YEAR FORGIVEN PER ELECTION' RATE S S 5 5 5 DATE INCURRED t[]IND ❑ COM ❑ OTH PTY ❑ SCC DATE DUE SUBTOTALS $ 664 $ $ $ Schedule B Summary 1. Loans received this period....................................................................................................................$ (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 Line 2 from Line 1.).............................................................. NET $ Enter the net here and on the Summary Page, Column A, Line 2. *Amounts forgiven or paid by another party also must be reported on Schedule A. ** If required. 664 0 664 (Maybe a negative number) �En[er (e) on SCnedule E, :lnr- o) tContributor 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 496 (Feb/2019) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE Kathleen Fitzpatrick for La Quinta City Council 2020 Amounts may be rounded to whole dollars. Statement covers period from July 1, 2020 through September 19, 20201 Page 7 of 9 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment 1426501 DULE 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 (intemet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALSO ENTER ID NUMBER) Express Graphics Envelopes, donation and thank you $223.79 42215 Washington Ste A, PD 92211 City of La Quinta Candidate statement $600.00 78495 Calle Tampico, La Quinta, CA 92253 Express Graphics Promo Pens $129.17 42215 Washington Ste A, PD 92211 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 952.96 Schedule E Summary 2042.96 1. Itemized payments made this period. (Include all Schedule E subtotals.)............................................................................................................. $ 2. Unitemized payments made this period of under $100.......................................................................................................................................... $ 126.85 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e).)................................................. 0 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ........................... TOTAL $ 2169.81 FPPC Form 496 (Feb/2019) 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 for La Quinta City Council 2020 Statement covers period from July 1, 2020 SCHEDULE E (CONT.) through September 19_ 2020 page 8 of 9 I D NUMBER 1426501 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 (intemet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Kelly R. Musson 2800 E. San Angelo RD, Palm Springs Social Media Services $520.00 City of La Quinta 78495 Calle Tampico, La Quinta, CA 92253 Sign Permit $570.00 ' Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 1090.00 FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Q^k0%A111e 1 SCHFDULEI to whole dollars. Miscellaneous Increases to Cash SEE INSTRUCTIONS ON REVERSE Statement covers period from July 1, 2020 through September 19, 2020 , • . , ' • ' Page 9 of 9 NAME OF FILER Kathleen Fitzpatrick for La Quinta City Council 2020 I.D. NUMBER 1426501 DATE RECEIVED FULL NAME AND ADDRESS OF SOURCE (IF COMMITTEE, ALSO ENTER I D. NUMBER) DESCRIPTION OF RECEIPT AMOUNT OF INCREASE TO CASH Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 1. Itemized increases to cash this period.................................................................................................... .-w---- - .$ 0 2. Unitemized increases to cash of under $100 this period........................................................ $ 0.41 3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).) ............ 0 4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the 0.41 SummaSumma , Line 14. . TOTAL $ ry Page, 9 )............................................................................................................................ FPPC Form 496 (Feb/2019) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov