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HomeMy WebLinkAbout2013-10-09 Form 410 - JonathanStatement of Organization Recipient Committee Statement Type ❑ Initial Not yet qualified ❑ or —'/—_/ Date qualified as committee 1. Committee NAME OF COMMITTEE 17 Amendment List I.D. number: # 1361137 1_ 102013 Date qualified as committee (N appllablel ❑ Termination — See Part S List I.D. number: # —./—�/ Date of Termination Committee to Elect Sabby Jonathan to P.D. City Council - 2014 STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE Palm Desert CA 92260 ( MAILING ADDRESS (IF DIFFERENTI FAX / E-MAIL ADDRESS COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE IS ACTIVE Riverside Citv of Palm Desert CI Y CLERK'57 FFICE PALM DF�'I. CA For Official Use Only OCT I I PM 2� 50 Treasurer and Other Principal Officers NAME OF TREASURER Sabby Jonathan STREET ADDRESS (NO P 0. BOXI CITY STATE ZIP CODE AREACODE/PHONE Palm Desert CA 92260 ( NAME OF ASSISTANT TREASURER, IF ANY STREET ADDRESS (NO P.O. BOX) CITY STATE ZIPCODE AREACODE/PHONE NAME OF PRINCIPAL OFFICER(SI Sabby Jonathan Attach odditiona! information on appropriately labeled continuation sheets. STREET ADDRESS (NO P.O. BOXI73301 CITY STATE ZIP CODE AREA CODE/PHONE Palm Desert CA 92260 ( . Verification I have used all reasonable diligence in preparing is statem nt to the best f my knowledge the information contained herein is true and complete. I certify under penalty of perjury un r th laws of the State CANDIDATE, OR STATE MEASURE PROPONENT Executed on By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT Executed on By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER. CANDIDATE, OR STATE MEASURE PROPONENT FPPC Form 410 (Dec/2012) FPPC Advice: advice@fppc.ca.gov (866/27S-3772) www.fppc.ca.gov Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE Page 2 COMMITTEE NAME I.D. NUMBER Committee to Elect Sabby Jonathan to P.D. City Council - 2014 11361137 • All committees must list the finandal institution where the campaign bank account is located. NAME OF FINANCIAL INSTITUTION ADDRESS 4. Type of Committee Complete the applicable sections. CITY BANK ALLUUNI NUMULK STATE ZIPCOOE • 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 (INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PARTY Sabby Jonathan Palm Desert City Council 2014 © 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 (INCLUDE BALLOT NO. OR LETTER) CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION (INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE) SUPPORT 1:1 OPPOSE El SUPPORT OPPOSE FPPC Form 410 (Dec/2012) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE Page 3 COMMITTEE NAME I.D NUMBER Committee to Elect Sabby Jonathan to P.D. City Council - 2014 11361137 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 GROUP OR AFFILIATION OF SPONSOR STREETADDRESS NO. AND STREET CITY STATE ZIP CODE ❑ .1 1 Date qualified 5. 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 (Dec/2012) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov