HomeMy WebLinkAbout2012-05-07 Form 410 - Spiegel.. Statement of Organization Recipient Committee Statement Type O Initial Not yet qualified 0 or ____}. ,_ Date qualified as committee 1. Committee Information NAME OF COMMITTEE Type or print In Ink ~Amendment List 1.0. number: # 1311070 ~ 16 ,2012 Date qua lifled as comnJtlee (1f apPilcal:lle) Committee to Reelect Bob Spiegel Palm Desert City Council 2012 STREET AOORESS (NO P.O. BOX) 72-922 Bel Air Road £:;) Tennlnatlon -See P8fl.Ge l1st 1.0. number: ZUit # ______ _ ____J.I _ ___,J Date of Termination -7 PH 1:01 2. Treasurer and Other Principal Officers NAME OF TREASURER Allan Nyman STREET ADDRESS 18 Glen Eagle Drive CITY STATE ZJPCOOE Rancho Mirage CA 92260 AREA CODEJPHONE 760-770-2056 CITY STATE ZIPCODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER. IF ANY Sharon Spiegel Palm Desert MAILING ADCRESS (IF DIFFERENn OPltONAL: FAX I E·MArL ADDRESS COUNTY OF DOMICILE Riverside CA 92260 760-340-6852 COUNTY~ERE COMMITTEE IS ACTIVE IF DIFFERENT THAN COUNTY OF DOMICft..E Att1ch 1dditional information on tJppropriatrlly labeled contiiiUIItion sheets. 3. Verification STREET ADDRESS 72-922 Bel Air Road CITY Palm Desert STATE CA ZIP CODE 92260 NAME AND POSITION OF OTHER PRINCIPAL OFFICER(S), IF APPLICABLE MAILING AODRESS CITY STATE ZIPCOCE A.REA COOEJPHONE 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 herein is tnJe perjury under the laws of the Stete of California that the foregoing is tnJe and correct. · mplete. I certify under penalty of Executed on 5/5/2012 DATE Executed on d~oz-/ Executed on DATE Executed on DATE By By By By URER SIGNATURE OF CONTROI.UNG OFFlCEHO!.~IOAlC:, OlfsTA"'TE" MEASURE PROFONENT FPPC Form 410 (January/05) FPPC Toll·free Helpline: 868/ASK·FPPC (8661276-3772)
Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE COMMITTEE NAME Committee to Reelecl Bob Spiegel Palm Desert City Council 2012 4. Type of Committee Complete the applicable sections. Controlled Committee STATEMENT OF ORGANIZATION CALIFORNIA 41 0 FORM 1.0 NUMBER 1311070 • List the name of each controlling officeholder, candidate, or state measure proponent. If candidate or officeholder controlled, also I 1st the elecbve office sought or held, and district number, if any, and the year of the election. • List the political party with which each officeholder orca ndidate 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 CANOIDATEIOFFICEHOLOERISTATE MEASURE PROPONENT Robert A. Spiegel ELECTNE OFFICE SOUGHT OR HELD (INCLUDE DISTRICT NUMBER IF APPLICABLE) City Councilman VEAR Of ELECTION PAR TV ~ Non·Part1san 2012 0 Non-Partisan • List the financial institution where the campaign bank account is located (controlled "candidate election" committees only) NAME OF FINANCIAL INSTITUTION AREA OODEIPHONE BANK ACCOUNT NUMBER Palm Desert National Bank 760-340-1145 783876531 ADDRESS CITY STATE ZIPOODE 73-745 El Paseo Palm Desert CA 92260 Primarily Fanned Committee Primarily formed to support or oppose specific candidates or measures in a single election. List below: CANDtDATE(S) NAME OR MEASURE IS) FULL TITLE (OCLUDE BALLOT NO. OR LETIER) CANDIOATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION , INCLUDE DISTRICT NO., CITY OR OOUNTY, AS APPLICABLE) CHECK ONe t ~-~-------I SuPPORT J 0~ ,-~ ~ ·--------. ~ l SUPPORT I OPPOSE FPPC Form 410 (January/05) FPPC Toll-Free Helpline: 866/ASK·FPPC (866/275·3772)