HomeMy WebLinkAbout2012-04-16 Form 410 - Spiegel~ :atement of Organization !cipient Committee Type or print In ink STATEMENT OF ORGANIZATION CALIFORNIA 41 0 1 FORM RE8cll~ED rtement Type 0 Initial Not yet qualified 0 or ~Amendment L!stl D. number: 0 Termination-See PartS List 1.0. number: CITY CLERK ·s OfF I PALH OESERT. CA 281! APR I 6 AM 8: It t • " .. : : • ly # 1311070 # ______ _ -----J-----~'-----~ 16 /~ Date qualified as committee Date qualified as committee {ff applicable) Committee Information NAME OF COMM11TEE Committee to Reelect Bob Spiegel PO Counci12012 STREET ADDRESS (NO P.O. BOX) 72-922 Bel Air Road CITY Palm Desert MAILINGAOORESS OF DIFFERENT) OPTIONAL: FAA/ E-MAIL ADDRESS COUNTY OF DOMICILE Riverside STATE ZIP CODE AREA CODE/PHONE CA 92260 760-340-6852 COUNTY 'M-fERE COMMITTEE IS ACTIVE IF DIFFERENT THAN COUNTY OF DOMICILE Attach additional information on appropriately labeled continuation sheets. Verification Date of Termination 2. Treasurer and Other Principal Officers NAME OF TREASURER Allan Nyman STREET AOORESS (NO P.O. BOX) 18 Glen Eagle Drive CllY Rancho Mirage NAME OF ASSISTANTTREASURER~ IF ANY Sharon Spiegel STREET ADORESS (NO P.O. BOX) 72-922 Bel Air Road CllY Palm Desert NAME OF PRINCIPAL OFFICER(S) STREET ADDRESS (NO P.O. BOX) CITY STAlE ZIP COOE CA 92270 STAtt ZIP CODE Ca 92260 STAlE ZIPCOOE AREACOOEIPHONE 760-770-2056 AREA CODE/PHONE 760-340~6852 AREA CODE/PHONE 1 have used all reasonable diligence in preparing this statement and to the best of my knowledge the information contained hereinds true and COf'!'lplete. I certify under penalty of pe~ury under the laws of the State of California that the foregoing is true and correct. Executed on 4/16/2012 By <>..< , ~,.... ~, -~._..Jfi -ssftl' .o ) _ • 1 ~IGNATURE OF [jfu OR A fll1 TREASURER 't. !J 6 L :L o-;v Executed on DATE Executed on Executed on DATE By By By Nti--IT SIGNATURE OF COI--ITROllfNG OFFICEHOLDER, CAND4DATE, OR STATE MEASURE PROPONENT SIGNATURE OF CONT ROCUNG OFFICEHOLDER, CANOl DATE, OR STA~ FPPC Fonn 410 (April/2011) FPPC Toll..free Helpline: 866/ASK..fPPC (8681276-3772)
, Statement of Organization Recipient Committee STATEMENT OF ORGANIZATION CALIFORNIA 41 0 FORIVl INSTRUCnONS ON REVERSE COMMITIEE NAME Committee to Reelect Bob Spiegel PO Council 2012 4. Type of Committee Complete tiM! applicable sections. Contro/lf!d Commtttee !.D. NUMBER 1311070 • 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 •non-partisan." • If this committee acts jointly with another controlled committee, list the name and identification number of the other controlled committee. NAME OF CANOIDATEIOFFICEHOLOERJSTATE MEASURE PROPONENT Robert A. Spiegel ELECTlVE OFFICE SOUGHT OR HELD (INCLUDE DISTRICT NUMBER IF APPLICABLE) City Councilman YEAR OF ELECllON 2012 • List the financial institution where the campaign bank account is located {controlled "candidate election• committees only) NAME OF FINANCIAl.INSllTUllON AREACODEIPHONE BANK ACCOUNT NUMBER Palm Desert National Bank 760-340-1145 783876531 ADDRESS CITY STAlE ZJPCODE 73-745 El Paseo Palm Desert CA 92260 Primarily Formed Committee Primarily formed to support or oppose specific candidates or measures in a single election. List below: CANDIOATE(S} NAME OR MEASURE{S) FULL lln.E (INCLUDE BALLOT NO. OR L£TI"ER} CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE($) JURISDICllON QNCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE) PAR1Y 181 Non-Partisan 0 Non-Partisan CHECK ONE r--------r~PORT ]0Pro5E ~---~~-___ rORTrPPO~ FPPC Fonn 410 (Aprll/2011) FPPC Toll.free Helpline: 868/ASK-FPPC (886/275-3n2)