HomeMy WebLinkAbout2021-01-05 Form 410 - Trubeeninny
Statement of Organization V V r
Date Stamp
Recipient Committee �'`'"j
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Statement Type [] initial ®Amendment
❑Termination —See Part 5
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Date of termination ; ,
JAN 22 2021
11 08 2022
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1. • I.D. iZIM-M-1:4
2. Treasurer and
Other Principal Officers
I a Ilmble
NAME OF COMMITTEE
NAME OF TREASURER
Evan ,rrubee For Palm Desert City Counci12022
Juan Mireles
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
Erika Sharp
LULL MAILING ADDRESS (IF DIFFERENT)
STREET ADDRESS (NO P.O. BOX)
Palm Desert, Ca. 92260
E-MAIL ADDRESS (REQUIRED) / FAX (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
City of Palm Desert, District 2
Evan Trubee
STREET ADDRESS (NO P.O. BOX)
Attach additional Information on appropriately labeled continuation sheets.
CITY
STATE
ZIP CODE
AREA CODE/PHONE
3. Verification
Palm Desert
Ca.
92260
I have used all reasonable diligence in preparing this statement and to the est o my knowledge the information contained erein is true an complete
penalty of perjury under the laws of the
DATE
Executed on 1/05/2021
DATE
Executed on By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
i Certi y under
Executed on By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 410 (August/2018)
FPPC Advice: advice@fppc.ca.aov (866/275-3772)
www.fanc.ca.aov
Ck
Statement of Organization CALIFORNIA
Recipient Committee FORM
INSTRUCTIONS ON REVERSE
Page 2
COMMITTEE NAME I.D. NUMBER
Evan Trubee For Palm Desert City Council 2022 1431996
All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION AREA 'O`F;'P�-GNk BAN k ACCOU HT NL LI B- 9
Community Valley Bank 760 200-1794
ADDRESS CITY STATE ZIP CODE
39-575 Washington Street, Suite 101 Palm Desert Ca. 92211
• 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
Evan Trubee
Palm Desert City Council, District 2
Nonpartisan
Partisan
(list political party below)
It
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($) FULL TITLE (INCLUDE BALLOT NO. OR LETTER)
IF A RECALL, STATE "RECALL" IN FRONT OF THE OFFICEHOLDER'S NAME.
CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION
(INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE)
CHECK ONE
SUPPORT OPPOSE
SUPPORT OPPOSE
FPPC Form 410 (August/2018)
FPPC Advice: adviceMpyc.ca.gov (866/275-3772)
www.fooc.ca.gov
Statement of Organization
Recipient Committee MR4
INSTRUCTIONS ON REVERSE
Page 3
COMMITTEE NAME I.D. NUMBER
Evan Trubee For City Council 2022 1431996
Not formed to support or oppose.specific candidates or measures in a single election. Check only one box:
is CITY Committee ❑ COUNTY Committee ❑ STATE Committee
PROVIDE BRIEF DESCRIPTION OF ACTIVITY
To support Evan Trubee in his campaign to win a seat on the Palm Desert City Council 2022
List additional sponsors on an attachment.
NAME OF SPONSOR
GROUP OR AFFILIATION OF SPONSOR
STREET ADDRESS NO. AND STREET CITY STATE ZIP CODE AREA CODE/PHONE
❑ 1 1"
Date quallHed
Termination5.
• This committee has ceased to receive contributions and make expenditures;
• This committee does not anticipate receiving contributions or making expenditures in the future;
• This committee has eliminated or has no intention or ability to discharge all debts, loans received, and other obligations;
• This committee has no surplus funds; and
• This committee has filed all campaign statements required by the Political Reform Act disclosing all reportable transactions.
— There are restrictions on the disposition of surplus campaign funds held by elected officers who are leaving office and by defeated candidates. Refer to
Government Code Section 89519.
— Leftover funds of ballot measure committees may be used for political, legislative or governmental purposes under Government Code Sections 89511-
89518, and are subject to Elections Code Section 18680 and FPPC Regulation 18521.5.
FPPC Form 410 (August/2018)
FPPC Advice: advice@fPRc.ca.aov (866/275-3772)
www.fpoc.ca.aov