HomeMy WebLinkAbout2020-07-28 Form 410 - KellyI
`'' I l S P P
Statement of Organization _
Recipient Committee
Date Stamp
A• '
��p fttaD �L��Q
of the ry of State
State of California
JUL 31
` ' "Use
2�Q O AM �-
RE l T AR OF' VO f E�.:
.,COUNTY OF
Statement Type
0 Initial
Not yet qualified
or
Q Date qualification threshold met
® Amendment
Date qualification threshold met
❑ Termination — See PaR
in th
Date of termination
• • I.D.IVumber 1386895000'0
I o Ilcable (
-
—
7NAMEOFTREASURERNA7Kathleen
_ —
ME OF COMMITTEE
Kelly for Palm Desert City Council 2020
y Helen Mireles
_
STREET ADDRESS (NO P.O. BOX)
I
STREET ADDRESS (NO P.O. BOX)
CITY STATE
ZIP CODE _ AREA CODE/PHONE
Palm Desert CA
92260
CITY STATE ZIPCODE AREA CODE/PHONE
NAMEOF ASSISTANT TREASURER, IF ANY
-
Palm Desert CA 92260 760-
Helen Kelly
FULL MAILING ADDRESS (IF DIFFERENT) I
STREET ADDRESS (NO P.O. BOX)
SAME
46-
E-MAIL ADDRESS (REQUIRED)/FAX (OPTI O NAL)
CITY I STATE
ZIPCODE- - - AREACODE/PHONE
Palm Desert i CA
92260 760-
OF DOMICILE
JURISDICTION WHERE COMMITTEE IS ACTIVE
NAME OF PRINCIPAL OFFICERS) I
-
Riverside
City of Palm Desert
•
.
STREET ADDRESS (NO P.O. BOX)
--
�
Attach additional information on appropriately.Vabeled continuation sheets.
eriflica ti e
I
CITY STATE
'1
ZIPCODE AREA CODE/PHONE
) nave used aii reasonaDle aingence In preparing finis statement anu to ine DesL UI [fly KlIUwleU1ge Lne IIIIU1 IIIdLIUFI L.UFILdH IOU I MI cD I U UC OI IU 1I Y a+
penalty of perjury under the laws of the State`, f Californila( correct.
Executed on
July 28, 2020
By '
?
DATE
')
S NATURE OF OR ASSISTANT TREASURER
Executed on
July 28,2020
By f
TfSCRER
DATE
{
CONTROLLING FFICEHOLDER IDATE, OR STATE MEASURE PROPONENT
'
Executed on
By I
-
DATE
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
-
Executed on
By
DATE
i'
l
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 410 (August/2018)
f
)'
FPPC Advice: adviceinsfpoc.ca.gov (866/275-3772)
www.faoc.ca.rov
�I
.Re(;j.lVEv) a cUORKICE
's I'll �',
J. jD ALM DESERT. C' r
mt wc, 31 W 11, 31
w
Statement of Organization ALIFORNIA '
Recipient Committee • -
INSTRUCTIONS ON REVERSE
Page 2
COMMITTEE NAME I.D. NUMBER
Kathleen Kelly for Palm Desert City Council 2020 11386895
All committees must list the financial
where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION AREA CODE/PHONE BANK ACCOUNT NUMBER
FIRSTBANK 760-836-3518
ADDRESS _ I CITY -STATE ZIP CODE
73000 Highway 111 j. 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
_ Y
• 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
Kathleen Kelly
Councilmember, City of Palm Desert
2020
Nonpartisan
Partisan
(list political party below)
Nonpartisan
Partisan
(list political party below)
FormedPrimarily Primarily forme cj 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) CANDIDATES) 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: adviceC@fppc.ca.Jtov (866/275-3772)
www.fp0c.ca.g0v