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Home My WebLink About2016-07-15 Form 410 - KellyStatement of Organization Recipient Committee Statement Type ❑ Initial ® Amendment Not yet qualified ❑ or List I.D. number: #1386895 t 0�0�2016 Date qualined ae committee Date qualified as committee llf applkable) 1. Committee Information NAME OF COMMITTEE Kathleen Kelly for Palm Desert City Council 2016 ❑ Termination — See Part 5 List I.D. number: �� Date of Termination STREET ADDRESS (NO ;.0. BOX) CITY STATE ZIPCODE AREA CODE/PHONE Palm Desert CA 92260 ( MAILING ADDRESS (IF DIFFERENT) same FAX / E•MA iL ADDRESS Rivrside of Palm Desert 2. Treasurer and Othe NAME OF TREASURER Peter Rittenhouse STREET ADDRESS 4NO P.O. BOX) CITY Ca Rx 'SE PALM DESERT r1 2019 JUL 19 PM 4: 0 ,or OHictat use oniV CITY STATE ZIP COLA A HON Palm Springs CA 92264 (760)464-6595 NAME OF ASSISTANT TREASuRER, IF ANY Mary Helen Kell STREETADDRESS (NO P.O. BOX) CIIY iTATE ZIP CODE AREACOOE/PHONE Palm Desert CA 92260 NAME OF PRINCIPAL 0 FFICERIS) Kathleen Kelly _ STREET ADDRESS (NO P.O. BOXi CITY STATE 2IP C00 AREA CODE/PIIONE Attach additional Information on appropriately labeled continuation sheets. Palm Desert CA 92260 ( 3. Verification I 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 Executed on 07/15/2016 BY DATE..� .«..- ..- ......� .� ........... ...�..- Executed on By I.— 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 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE Pace 2 rya hr een Kelly for Palm Desert City Council 2016 I D. NUMBER 11386895 • All committees must list the financial Institution where the campaign bank account is located. NAME OF FINANCIAL INSTITUTION FirstBank ADDRESS AREA CODE/PHONE (760)836-3510 CITY BANK ACCOUNT NUMBER STATE ZIP CODE 73000 Highway 111 Palm Desert CA 92260 4. Type of Committee Complete the applicable sections. Controlled Committee • 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:' • If this committee acts Jointly with another controlled committee, list the name and identification number of the other controlled committee. NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT ELECTIVE OFFICE SOUGHT OR HELD IINCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PARTY Kathleen Kelly Palm Desert City Council 2016 0 Nonpartisan ❑ Nonpartisan Primarily formed to support or oppose specific candidates or measures in a Single election. List below: CANDIDATE(S) NAME OR MEASURE(S) FULL TITLE IINCLUDE BALLOT NO. OR LETTER) CANDIDATEIS} OFFICE SOUGHT OR HELD OR MEASURE(S)JURISDICTION IINCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE) CHECK ONE SUPPORT OPPOSE SUPPORT El OPPOSE EL FPPC Form 410 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Statement of Organization CALIFORNIA Recipient Committee FORM 410 INSTRUCTIONS ON REVERSE Pale 3 Mfgfflri Kelly for Palm Desert City Council 2016 I.D. NUMBER 1386895 4. Type of Committee (Continued • Not formed to support or oppose specific candidates or measures in a single election. Check only one box: ❑ CITY Committee ❑ COUNTY Committee ❑ STATE Committee PROVIDE BRIEF DESCRIPTION OF ACTIVITY • List additional sponsors on an attachment. NAME OF SPONSOR INDUSTRY GROUP OR AFFILIATION OF SPONSOR STREETADDRESS NO, AND STREET CITY STATE aiprt01)- t t Dale qualified S. Termination Requirements By signing the Verification, the treasurerassistant treasurer and/or candidate, officeholder, or proponent certify that all of the following conditions have been met: • 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 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Statement of Organization Recipient Committee Statement Type ❑ Initial Not yet qualified ❑ or Date as committee ® Amendment List I.D. number: a 1386895 0�0�2016 Date qualified as committee III applicable) ❑ Termination — See Part 5 List I.D. number: Date of Termination 1. Committee Information Z• NAME OF COMMITTEE Kathleen Kelly for Palm Desert City Council 2016 STREET ADDRESS (NO P.O. BOX) CITY STATE ZIPCODE AREACODE/PHONE Palm Desert CA 92260 ( MAILING ADDRESS IIF DIFFERENT) same FAX / F-MAIL ADDRESS COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE IS ACTIVE Rivrside City of Palm Desert NAME OF TREASURER Date Stamp RE EIVED AND FILED In the ifice of the Secretary of state of the stela of Califomia JUL 18 2016 Peter Rittenhouse STREET ADDRESS (NO P 0. BOXI For Offidal Use only CITY STATE ZIPCODE AREACODE/PHONE Palm Springs CA 92264 ( NAME OF ASSISTANT TREASURER, IF ANY Mary Helen Kell STREET ADDRESS (NO PO. BOX) CITY STATE ZIPCODE AREACOOE/PHONE Palm Desert CA 92260 760 902-1442 NAME OF PRINCIPAL OFFICERS) Kathleen Kell STREET ADDRESS {NO P.O. BOX) CITY STATE ZIP CODE AREACODE/PHONE Attach additional information on appropriately labeled continuation sheets. Palm Desert CA 92260 760 399-7225 3. Verification. -- I 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 '0 Irue and cor t. 07/15/2016 Executed on By DATE t/J_ Executed on By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER. CANDIDATE. OR STATE MEASURE PROPONENT QLrl -'ri l' rFI 47 - Executed an yVO C DATE SIGNATURE OF CONTROLLING OFFICEHOLDER. CANDIDATE, OR STATE MEASURE PROPONENT J Q H -� d I-rt � ffC Fvftn 410 (Jan/2016] 01 J J 0 S, M 8310 A 113 FPPC Advice: adviceww-ca4W (866/275-3772) n 3 A I33,18 r'} E-73 —ill►ww.fppc.ra.gov Statement of Organization • Recipient Committee • INSTRUCTIONS ON REVERSE Page 2 1 D. NUMBER kaih�eenEKelly for Palm Desert City Council 2016 11386895 a All committees must list the financial institution where the campaign bank account is located. NAME OF FINANCIAL INSTITUTION FirstBank ADDRESS AREA coDE/PHONE (760)836-3510 CITY BANK ACCOUNT NUMBER STATE ZIP CODE 73000 Highway 111 Palm Desert CA 92260 4. Type of Committee Complete the applicable sections. 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." 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 NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION Kathleen Kelly iPaim Desert City Council 12016 Primarily formed to support or oppose specific Candidates or measures in a single election. List below: CANDIDATEIS) NAME OR MEA5URE(5) FULL TITLE {INCLUDE BALLOT NO. OR LETTER) CANDIDATES) OFFICE SOUGHT OR HELD OR MEASUREW JURISDICTION (INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE) PARTY Nonpartisan Nonpartisan CHECK ONE i OPPOSE FPPC Form 410 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Statement of Organization • - ' Recipient Committee FORM INSTRUCTIONS ON REVERSE Page 3 I.P. NUMBER CROWN Kelly for Palm Desert City Council 2016 11386895 4. Type of Committee (Continued) _.---_ Not formed to support or oppose specific candidates or measures In a single election. Check only one box: ❑ CITY Committee ❑ COUNTY Committee ❑ STATE Committee PROVIDE BRIEF DESCRIPTION of ACTIVITY List additional sponsors on an attachment. NAME OF SPONSOR STREET ADDRESS NO. AND STREET CITY GROUP OR AFFILIATION OF SPONSOR STATE ZIP CODE Date gaaARed S. Termination Requirements By signing the verification, the treasurer, assistant treasurer and/or candidate, officeholder, or proponent certify that all of the following conditions have been met: • 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 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov