HomeMy WebLinkAbout2022-08-12 Form 410 - TrubeeDate
Statement of Organization - '
Recipient Committee
Statement T e REDEIVED.AND FIL For,bf(iciai.. Only
YP ❑Inal ®Amendment ❑ Terminatiori —See Part 5
Not et qualified In the office of the Seor®tN q� tSE f
Y q of the State of (:allfo
or ! ,
O Date qualification threshold met Date qualification threshold met Date of termination
AUG 30 2022,F�r�_,s 11,1r TY r?�j.'R G
f RIVE
I.D. Number
.. lif anplicableJ
NAME OF COMMITTEE
NAME OF TREASURER
Evan Trubee for Palm Desert City Council, 2022
Jennifer Mitchell
STREET ADDRESS (NO P.O. BOX)
3649 Mission
P.O. BOX) -
CITY STATE ZIP CODE AREA CODE/PHONE
3649 Mission
92501 951-7424886,
ZIP CODE AREA CODE/PHONE
NAME OF ASSISTANT TREASURER, IF ANY
Riverside CA 92561 951-742-
ADDRESS (IF DIFFERENT)
STREET ADDRESS (NO P.O. BOX)
E-MAIL ADDRESS (REQUIRED)/ FAX (OPTIONAL)
CITY STATE ZIP CODE - - "AREA CODE/PHONE
jsims@campaignfinanceservices.net
DOMICILE
JURISDICTION WHERE COMMITTEE IS ACTIVE -
NAME OF PRINCIPAL OFFICERIS)
Riverside
City of Palm Desert
STREET ADDRESS IND P.O. BOX)
Attach additional information on appropriately labeled continuation sheets.
CITY STATE ZIP CODE AREA CODE/PHONE
,,
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 certi FWr nd y ,
penalty of perjury u der the laws of the State of California that the foregoing is true and correct.
m
_�
Executed on t rs.
DATE
Z SIGN ATU
MEASURE PROPONENT
'f1
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 (August/2018)
_..._ ... FPPCAdvice: advicePfppc.ca.rov (866/275-3772)
www.fppc.ca.Qoy
Statement of Organization
CALIFORNIA''
Recipient Committee
• -
INSTRUCTIONS ON REVERSE
_
Page 2
COMMITTEE NAME
I.D. NUMBER
Evan Trubee for Palm Desert City Council, 2022
• All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION
AREA CODE/PHONE
BANK ACCOUNT NUMBER
Provident Bank
951-782-6177
ADDRESS .
CITY
STATE ZIP CODE
6570 Magnolia Ave
Riverside
CA 92506
NO a
MOM
• 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
• 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
Evan Trubee
Palm Desert City Council, District 2
2022
Nonpartisan
✓
Partisan
.
(list political party below)
Nonpartisan
Partisan
(list polltical party below)
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)
IF A RECALL, STATE "RECALL" IN FRONT OF THE OFFICEHOLDER'S NAME.
CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION
(INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE)
CHECK ONE
SUPPORT OPPOSE
SUPPORT OPPOSE
FPPC Form 410 (August/2018)
FPPC Advice: advice0Dfppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Statement of Organization • o • I, '
Recipient Committee • -
INSTRUCTIONS ON REVERSE A
Page 3
COMMITTEE NAME I.D. NUMBER
Evan Trubee for Palm Desert City Council, 2022
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
STREETADDRESS NO. AND STREET
❑
CITY
GROUP OR AFFILIATION OF SPONSOR
STATE ZIP CODE AREA CODE/PHONE
Date qualified
-1:17.. . .ice. s.uf�
. 111a Oil, U ;e '_ S, -BYrsi n!1�&. X genficat�on ;that easur�r, as�stant f eas r d/o t@�dl �[e o 'tehgl er; v onenicer fy t at;' Il of'tk ehoyal condlt�n s )ja�re=• 'e , j C ,. 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 (AugusV2018)
FPPC Advice: advice@fppc.ca.eov (866/275-3772)
www.fppc.ca.sov