HomeMy WebLinkAbout2021-02-03 Form 410 - WeberStatement of Organization
Oate5tamp 1
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Recipient Committee
I
• -
Statement Type ❑ initial ❑ Amendment
® Termination — See Part 6
For Official Use Only
Q Not yet qualified
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FEB — 3
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or
O Date qualification threshold met Date qualification threshold met
Date of termination
12/ 31 2020
Committee1. • • 01411111110
2. Treasurer and Other
Principal
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NAME OF COMMITTEE
NAME OF TREASURER
Elect Susan Marie Weber
J. Leo Sullivan
Palm Desert City Council District 12020
STREET ADDRESS (NO P.O. BOX)
STREET ADDRESS (NO P.O. BOX)
CITY
STATE
ZIP CODE AREA CODE/PHONE
Palm Desert
CA
92260
CITY STATE ZIP CODE AREA CODE/PHONE
NAME OF ASSISTANT TREASURER, IF ANY
Palm Desert CA 92260
Susan Marie Weber
FULL MAILING ADDRESS(IF DIFFERENT)
STREET ADDRESS (NO P.O. BOX)
E-MAIL ADDRESS (REQUIRED)/PAX (OPTIONAL)
CITY
STATE
ZIP CODE AREA CODE/PHONE
Palm Desert
CA
92260
COUNTY OF DOMICILE
JURISDICTION WHERE COMMITTEE IS ACTIVE
NAME OF PRINCIPAL OFFICER(S)
Riverside
Palm Desert
STREET ADDRESS (NO P.O. BOX)
Attach additional information on appropriately labeled continuation sheets.
CITY STATE
ZIP CODE AREA CODE/PHONE
Verification3.
1 have used all reasonable diligence in preparing this statement and to the best of my knowledge the information contained herein is true and complete. I certify under
penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Executed on Jan. 31, 2021 By �^ _ (�,�„
OR STATE MEASURE PROPONENT
Executed on By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
Executed on
DATE
By
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 410 (August/2018)
FPPC Advice: advice0fgpc-ca-gov (866/275-3772)
www.fooc.ca-rtov
Statement of Organization CALIFORNIA1
Recipient Committee • -
INSTRUCTIONS ON REVERSE
Page 2
COMMITTEE NAME I.D. NUMBER
Elect Susan Marie Weber Palm Desert City Council District 12020 1291446
• All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION AREA CODE/PHONE BANK ACCOUNT NUMBER
US Bank 760.773.2300
ADDRESS CITY STATE ZIP CODE
74010 El Paseo Palm Desert CA 92260
• List the name of each controlling officeholder, candidate, or state measure proponent. If candidate or officeholder controlled,
also list the elective office sought or held, and district number, if any, and the year of the election.
• List the political party with which each officeholder or candidate is affiliated or check "nonpartisan" Stating "No party preference" is acceptable
• If this committee acts jointly with another controlled committee, list the name and identification number of the other controlled committee.
ELECTIVE OFFICE SOUGHT OR HELD YEAR OF PARTY
NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) ELECTION CHECK ONE
Susan Marie Weber
Member of Palm Desert City Council District 1
2020
Nonpartisan
Of
Partisan
(list political party below)
Nonpartisan
Partisan
(list political party below)
• Primarily formed to support or oppose specific candidates or measures in a single election. List below:
CANDIDATE(S) NAME OR MEASURE(S) FULL TITLE (INCLUDE BALLOT NO. OR LETTER) CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION
IF A RECALL, STATE "RECALL- IN FRONT OF THE OFFICEHOLDER'S NAME. (INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE) CHECK ONE
SUPPORT OPPOSE
SUPPORT OPPOSE
FPPC Form 410 (August/2018)
FPPC Advice: advice@fPPc.ca.gov (866/275-3772)
www.fppc.ca-Rov