460 Fitzpatrick 2021 from 01/01 to 06/30 RefundCOVER PAGE
Recipient Committee
Campaign Statement
Cover Page
SEE INSTRUCTIONS ON REVERSE
Statement covers period
from January 1, 2021
through June 30, 2021
RECEIVED
Date of election if applicable: JUN 2 O 2021 IPage 1 of 5
(Month, Day, Year) vt_ For Official Use Only
CITY OF LA QU!NTA
CITY CLERK DEPARTIA ENT
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 ❑ Quarterly Statement
0 State Candidate Election Committee Committee X Semi-annual Statement ❑ Special Odd -Year Report
0 Recall 0 Controlled ❑ Termination Statement
(Also Complete Part5) 0 Sponsored (Also file a Form 410 Termination)
(Also Complete Pad 6)
❑ General Purpose Committee ❑ Amendment (Explain below)
0 Sponsored ❑ Primarily Formed Candidate/
0 Small Contributor Committee Officeholder Committee
0 Political Party/Central Committee (Also Complete Part 7)
3. Committee Information I.D. NUMBER
1426501
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
Kathleen Fitzpatrick for La Quinta City Coucil 2020
STREET ADDRESS (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
N/A
CITY
STATE ZIP CODE
AREA CODE/PHONE
OPTIONAL: FAX / E-MAIL ADDRESS
Treasurer(s)
NAME OF TREASURER
Qimin Wang
MAILING ADDRESS
79405 Hwy 111 Ste 9-318
CITY STATE ZIP CODE AREA CODE/PHONE
La Quinta CA 92253
NAME OF ASSISTANT TREASURER, IF ANY
N/A
GADDRESS
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
certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Executed on 07/20/2021 By T
Date
Executed on 07/20/2021
Date
Executed on
Executed on
Date
By-
STATE
AREA CODE/PHONE
herein and in the attached schedules is true and complete. I
or
By
Signature of Controlling Officeholder, Candidate, State Measure Proponent
By Signature of Controlling Officeholder, Candidate, State Measure Prcnoncrt
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
COVER PAGE - PART 2
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 IFAPPLICABLE)
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 STREETADDRESS (NO P.O BOX)
CITY STATE ZIP CODE AREACODE/PHONE
COMMITTEE NAME ID NUMBER
N/A
NAME OF TREASURER CONTROLLED COMMITTEE?
❑ YES ❑ NO
COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX)
Page 2 of 5
6. Primarily Formed Ballot Measure Committee
NAME OF BALLOT MEASURE
N/A
BALLOT NO. OR LETTER JURISDICTION ❑ 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 Listnamesof
officeholder(s) or candidate(s) for which this committee is primarily formed.
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
CITY STATE ZIP CODE AREA CODE/PHONE 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
Summary Page
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Kathleen Fitzpatrick for La Quinta City Coucil 2020
Amounts may be rounded
to whole dollars.
Statement covers period
from January 1, 2021
through June 30, 2021
SUMMARY PAGE
Page 3 of 5
I.D. NUMBER
1426501
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
0
7900
1. Monetary Contributions . ................. ... ..... ....._................
Schedule A, Line
$ $
1/1 through 6/30 7/1 to Date
0
5664
2. Loans Received................................................................
Schedule a, Line 3
0
13564
20. Contributions
3. SUBTOTAL CASH CONTRIBUTIONS_................ ..............
Add Lines 1 + 2
$ $
Received $ $
0
0.
4. Nonmonetary Contributions ............................................
Schedule C, Line 3
21. Expenditures
0
13564
Made $ $
5. TOTAL CONTRIBUTIONS RECEIVED .........................
. Add Lines 3 + 4
$ $
Expenditures Made
6. Payments Made................................................................
Schedule E, Line 4 $
7. Loans Made......................................................................
Schedule H, Line 3
8. SUBTOTAL CASH PAYMENTS........ ...................................
Add Lines 6 + 7 $
9. Accrued Expenses (Unpaid Bills) ..............
......... Schedule F Line 3
10. Nonmonetary Adjustment............................................„„rr„..
Schedule C, Line 3
11. TOTAL EXPENDITURES MADE ......................................
Add Lines 8 + 9 + 10 $ _
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 Lines 12 + 13 + 14, then subtract Line 15 $
If this is a termination statement Line 16 must be zero.
17. LOAN GUARANTEES RECEIVED ........ ............. Schedule B, Part $
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ................................................ See instructions on reverse $
19. Outstanding Debts........ ,.: ............... Add Line 2 + Line 9 in Column B above $
0 $
240.48
0 $
0
U $
8513.09
0
0
I
►'J
0
To calculate Column B,
0
add amounts in Column
Ato the corresponding
amounts from Column B
240.48
0
of your last report. Some
amounts in Column A may
0
be negative figures that
should be subtracted from
previous period amounts. If
this is the first report being
0
filed for this calendar year,
only carry over the amounts
from Lines 2, 7, and 9 (if
0
any).
925.06
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made*
(If Subject to Voluntary Expenditure Limit)
Date of Election Total to Date
(mm/dd/yy)
1� $
*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 H
Loans Made to Others*
SEE INSTRUCTIONS ON REVERSE
Amounts may be rounded
to whole dollars.
Statement covers period
from
January 1, 2021
—
through June 30, 2021 Page
NAME OF FILER LD NUMBER
Kathleen Fitzpatrick for La Quinta City COUCH 2020 1426501
SCHEDULE H
Of 5
ta) I (b)
(c)
(d)
(e)
()i
ig)
FULL NAME, STREETADDRESS AND ZIP CODE
IFAN INDIVIDUAL, ENTER
OUTSTANDING AMOUNT
REPAYMENT OR
OUTSTANDING
INTEREST
ORIGINAL
CUMULATIVE
OF RECIPIENT
OCCUPATION AND EMPLOYER
BALANCE LOANED THIS
FORGIVENESS
BALANCEAT
RECEIVED
AMOUNT OF
LOANS
(IF COMMITTEE, ALSO ENTER I D NUMBER)
(IF SELF-EMPLOYED, ENTER
NAME OF BUSINESS)
BEGINNING THIS PERIOD
"
CLOSE OF THIS
LOAN
TO DATE
PERIOp
PERIOD
PERIOD
Ron Fitzpatrick
Retired
�TIHIS
la PAID
CALENDAR YEAR
$ 240.48
$
%
$
$
La Quinta, CA 92253
RATE
PER ELECTION*"
❑ FORGIVEN
$
$
$
$
DATE DUE
DATE INCURRED
*Loans that are contributions to another candidate or committee must
also be summarized on Schedule D. Loans forgiven must also be
reported on Schedule E.
❑ PAID CALENDAR YEAR
❑ FORGIVEN RATE PER ELECTION"
$ $ DATE DUE $ DATE INCURRED $
SUBTOTALS $
$ Is $
(Enter (e) on
Schedule I, Line 3)
Schedule H Summary
1. Loans made this period....................................................................................:........,..:::.....:._,.... $
(Total Column (b) plus unitemized loans of less than $100.)
2. Payments received on loans............................................................
(Total Column (c) plus unitemized payments of less than $100.)
3. Net change this period. (Subtract Line 2 from Line 1.) .....................
(Enter the net here and on the Summary Page, Column A, Line 7.)
**If Required
.......... I... .......... ,.................... I ................. $
..................... ............................. NET $ 240.48
(May be a negative number)
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule I
Miscellaneous Increases to Cash
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Kathleen Fitzpatrick for La Quinta City COUCH 2020
DATE
RECEIVED
FULL NAME AND ADDRESS OF SOURCE
(IF COMMITTEE, ALSO ENTER I.D NUMBER)
City of La Quinta
06/0749
/2021 785 Calle Tampico,
La Quinta, CA 92253
Attach additional information on appropriately labeled continuation sheets.
Amounts may be rounded
to whole dollars.
Statement covers period
fromJanuary 1, 2021
through June 30, 2021
I
DESCRIPTION OF RECEIPT
Schedule I Summary
1. Itemized increases to cash this period........................................................................................... >.....:................. .,....... $
2. Unitemized increases to cash of under $100 this period....................................................................... ,.,.:.,...:............... $
3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).)........... ................ ......... ...$
4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the
SummaryPage, Line 14.)........................................................................................................................... TOTAL $
SCHEDULEI
Page 6 of5
I D NUMBER
1426501
AMOUNT OF
INCREASE TO CASH
SUBTOTAL $
0
0
0
240.48
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fooc.ca.eov