HomeMy WebLinkAbout2020-07-18 Form 410 - Kellyr
Statement of Organization
Recipient Committee
CALIFORNIA FORM �1 O 11
I
Statement Type
❑ Initial
® Amendment
❑ Termination — See Part 6
forOfficial Life or y
O Not yet qualified
_
or
O Date quatilicaton threshold met
Date qualification threshold met
Date of termination
LD. Number 1386895
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NAVY of TREASURER
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veucIXrl
NAMECICOMMUTE!
Kathleen Kelly for Palm Desert City Council 2020
Mary I lelen INiteles
CI IQJ f1 e
(Wdesignation)
SIA[RT AODPfS3lN0 PO. EAR)
STREET ADDRESS ENO P.O. CORE
CITY
STATE
CA
LIPCODI
922611
A ACODIIPNONI
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PaltllDE-so l
CITY STAY AP coot AREA COOgINONI
NAME OF ASSISTANT TREASURER, 11 ANY
Patin Desert CA 92260 (760)
Helen Kelly
I Ull MMUNOADDRISS Of DUIIRI FIT)
STREET ADDRESS INO P.O. SOXI
46-
DMMIADOPIM[AtOUIRID)IFUJOPTION LI
CITY
STATE
:VCODt
ARIA COOtIPNONt
kelly4pdC`
Desert
CA
92260
(760)
OF DDMICIII
JURISDICTION"IRI COMMITTEE 15 ACTIVE
NAME OF PMNOPAt oAKIR(S)
Rh erside
Clly of Rahn Desert
STREET ADDRESS ENO P O. DORE
CITY STATE [IPCODE
AX(ACCOEIPNONE
Attach additional information on appropriately labeled continuation sheets.
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I have used all reasonable diligence in preparing this statement and to the best of my knowledge the Information contained herelr
penalty of perjury under the laws of the 5
Executeden hdy 18, 2020 BY
DATE
Executed on July 18.2020 By
DALE
Executed on By
Odif SIGNATURE OrC0NT0.0llIN0 OpICENOIDIA CANDIDATE. OR $TRTIMGSUAE IROPONIXI
Executed On
is true and complete. I certify Lin er
sy
DALE SIDNAtVR[ OP CONTPOtIINo Of NfINOIDEA CAND.DdII, OR Stdt[ MIAW RE PROPONENT
FPPC Form 410 (Augurt/2018)
FPPC Advice: S2X-(Bfifi/2753772)
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Statement of Organization
• ' ,
10
Recipient Committee
• "
INSTRUCTIONS ON REVERSE
Page R
COMANTTE[ NAME
I D NUMBER
Kathleen Kelly for Palm Desert City Council 2020
• All committees must list the financial Institutlon where the campaign bank account is located.
NAME OF IIIUNCIAI INSiITYTEON
MACO0[/PIIONE
ANK ACCOUNT NUMBER
FIRSITANK
I-60b-96d-3d41
ADDRESS
CITY
STATE OP COOL
73000 HLKhway 11I
Palm Desert
CA 92260
.•M a W.M.,
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 NEED YEAR OF PARTY
NAME orCANDIDATEJOFFICEHOLDERJSTATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) ELECTION CRICK ONE
Kathleen Keliv
CoU ICllmember, City of PaIIII Desert
2626
Nenpamun
PUMae
IE%POMUCal "ITTD I
NDnpamun
Pullian
IRM PO6TICI1-11 Dewwl
Primarily formed to support or oppose specific candidates or measures in a single election. List below:
CANDIDATEIS) NAME OR MEASURE(S) FULL TITLE (INCLUDE BALLOT NO. OR LETTER)
un. nan < NARW
CANDIDATEISI OFFICE SOUGHT OR HELD OR MEASURE(SI JURISDICTION
[INCLUDE DISTRICT NO.. CITY OR COUNTY. AS APPLCABLE)
CHIe osc<
SUPPORT
OPPOSE
ij
SUPPORT („
,OPPOSE
I
FPPC Form 410 (August/2018)
FPPC Advice: a Qyit_c@-fppS.S.a ggit(866/275-3772)
Www.f?Oc.CJ.P.OY
Statement of Organization -
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.
Recipient Committee
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i
Statement Type D Initial � Amondmont
0 Termination — See Part 5
n the office of the Secretary Of St SE
1i Official We OTao
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ofthe State of Califomla
a
0 Not yet qualified
or
0 Date gUalificaFton threshold Inet Q I le qualification threshold met
[?ate of termination
JUL 23 2020
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I.D. Number � l`3`30g`15
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P a�r.�rcClr➢ -
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NAASL Of COMMittE 1,
Kathleen Kelly for Pahn Desert City Council 2020
hAPAL fit IM AILINLR
Mary l-h.-lettN i.reles
� � � � CL--(A (; ��
- •• '•3 -^j
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(Redesiguatlon)
SthY. EEF AODAESStNp O.dUls)
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73470 Slesta
Bold
City
STATE
ZIPCOOE
A t ACOOI/F+foNE
46-100
CA
92260.,,
' C��(a
J,P CODE ARLACtix3LJPHOU&
NAME Of ASSISHAW MASORA. If ANY
„• -'y"'
Palm Desert CA 92260 (760) 399-
Kelly
FULL WILINGADOWES1 JIF DIFFERENT)
SIREEf ADDRESS tNO P.O-BO.k)
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SAME
46-100
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City
SPATE
ZIPCODL
- -. - AREA CDOLJP.DM
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CA
MOO
(7160) :140-
OOMICILI
S...-I'Moh VYnINE COF.I411i 1LE is AC TIVL
NAME Of P'AUNCIPAL OIFiCERIMRiverside
[Cityof Pa➢ n Desert
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STRkEF d..DOAfS3 tt:O P.G_b01)
-
-
Attach additional information on appropriately lobeled continuation sheets.
City - - STATE ZIP CGut.
., AMA CODE/PHONE
k
t have used all reasoname onlgence to preparing
penalty of perjury under the laws of the State of
Executed on hly ltt. 20?0 By
DATE
Executed on July 18; 2020 By
Mete. i eeii unaer
DATE I SIGtd%Jufd Of MiASUFU PRUPOULNT
Executed on By
CHIC I _ SIGUAI UNEOI CUNT RHO L LING OF I ICE HJLDE R. CANDIVA; 1. 0,1 STAP L MEASURI PROPON I.% P _
Executed on By
DATE SIGNAL URE OF CONI WOLLING OffICtMOLDIlk CANOIDAT E. ON$TAT EIAEASUAL PnOPON Eta t
FPPC Form 410 (August{2018)
j FPPC Advice: clvije frsgC4gave (66G{275-3772)
wwI,-jJpnc.ca.dtov
1
Statement of Organization
RAr_inient Committee
CALIFORNIA w 0
1:nRM 4t
INSTRUCTIONS ON REVERSE
Pose 2
COMMITTEE NAME
LD. NUMBER
Kathleen Kelly for Pahn Desert City Council 2020 i
• All committees must list the financial institution where the campaign bank account Is located.
NAW OF FINAACEALINSTITUT/UN I
AREACODE/PHONE11413212,
iAs-K ACCOUNT NUMEtiK
FIRSITANK
1-800-964-3444
ADORES$ City
STATE ZIP CODE
73000 l lig1J%VAy I I I I'aluJ Desert
CA 92260
e s • • E tr i -
• 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.
i
ELECTIVE OFFICE SOUGHT OR HELD YEAR OF PARTY
NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) ELECTION CNECKONE
Kathleen Kelly �
I
COFJIICiIIElellllxlr, City of l'.Jlnt Desert
2(� J�j
Nanpanlsan
Partisan
p-,PE Pt mcdl pally boiiw)
i
NDnpa+tisan
Patiaan
(61d ywN-tica; party i;rlu•")
Primarily formed to support or oppose specific candidates or measures in a single election. List below:
f
CANDIDATES) NAME OR MEASURES) FULL TITLE (INCLUDE BALLOT No. OR LETTER)
IF A RECALL, STATE "RECALL' IN FRONT OF THE OFFICEHOMER'S NAME.
CANDIDATE($) OFFICE SOUGHT OR HELD OR MEASURE($) JURISDICTION
(INCLUDE DISTRICT NO., CITY OR COUNTY. AS APPLICABLE) CHECK ONE
SUrP03T Q/•FUSt
SUPPORT I OPPOSE
FPPC Form 410 (August/2018)
FPPC Adwiee:civlcc��caov (866/275,-3772j
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