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HomeMy WebLinkAbout2023-12-13 Form 410 - QuintanillaStatement of Organization Recipient Committee Statement Type Initial ® Amendment i Q Not yet qualified or ° 0 Date qualification threshold met Date'qualification threshold met I.D. Number 1433092 NAME OF COMMITTEE Karina Quintanilla for'PalinDesert City Council District 12024 STREET ADDRESS (NO P.O. BOX) CITY STATE Palm Desert CA FULL MAILING ADDRESS (IF DIFFERENT) E-MAILADDRESS OF COMMITTEE (REQUIRED) / FAX (OPTIONAL) COUNTY OF DOMICILE JURISDICTION WHEF Riverside Palm Desert ZIP CODE AREA CODE/PHONE 92260 COMMITTEE IS ACTIVE Attach additional, information on appropriately labeled continuation sheets R Date Stamp _ 44'r1:VJED AND FILED _ in the i►>ce of the Secretary of State the -state of Californi Termination — See Part 5 For Official Use Only 2 Date of termination _ 2, Treasurer . Other Principal Officers NAME OF TREASURER Frank Figueroa STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE Coachella CA 92236 EMAIL ADDRESS OF TREASURER(REQUIRED) AREA-CODE/PHONE ,. . NAME OF ASSISTANT TREASURER, IF ANY Karim Quintanilla STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE Palm Desert CA 92260 EMAILADDRESS OF ASSISTANT TREASURER (REQUIRED) AREA CODE/PHONE '' NAME OF PRINCIPAL OFFICER(S) STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE EMAIL ADDRESS OF. PRINCIPAL OFFICER(S) (REQUIRED) .. 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 certify under penalty of perjury under the laws of the State of California at:the foregoing rrect. TREASURER _ Executed on `0131�a ^-3 By - DATE SIGNATNRF nF CONTROI I INr nccircuni nco rnuninnrc no crnTc nncnci ioc oonnnsm.. 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 (October/2023) FPPC Advice: adviceMapc.ce.eov (866/275-3772) www.fpnc.ca.sov Statement of Organization CALIFORNIA Redpient-Committee • - INSTRUCTIONS ON REVERSE Page 2 COMMITTEE NAME I.D. NUMBER Karina Quintanilla for Palm.Desert City Council District 1 1433092 • All „committees must list the financial institution where the campaign bank account is located and the person(s) authorized to obtain bank records., NAME OF FINANCIAL INSTITUTION AND PERSON(S) AUTHORIZED TO OBTAIN BANK RECORDS.., AREA CODE/PHONE BANK ACCOUNT NUMBER Wells Fargo 760-321-7601 .. , • .. ` ADDRESS OF FINANCIAL INSTITUTION . CITY - - > _ . STATE' ZIP CODE' 34340, Monterey Avenue Palm Desert CA 92211 . • opplicablesections 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." 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 Nonpartisan Partisan (list political party below) Nonpartisan Partisan .(list political party below) FormedPrimarily Primarily.formed to support or oppose specific candidates 'or measures in a single election. List below: CANDIDATE(S) NAME'OR MEASURES) FULLTITLE(INCLUDE BALLOT NO. OR LETTER) CAN DIDATE(S) OFFICE SOUGHT OR'HELD OR MEASURE(S) JURISDICTION IF A RECALL STATE!','RECALL" IN FRONT OF THE OFFICEHOLDER'S NAME. (INCLUDE DISTRICT NO., CITY:OR 000NTY AS APPLICABLE) ' CHECK ONE " SUPPORT - OPPOSE SUPPORT OPPOSE i+r 6 k FPPC Form 410 (October/2023) FPPC Advice: advice@ fppc.caaoV_(866/275-3772) www.fppc.ca.gov Statement of 'OrganizationCALIFORNIA Recipient Committee _FO- 1 INSTRUCTIONS ON REVERSE , Page 3 COMMITTEE NAME I.D. NUMBER z ty33o���; GeqeraNot 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 S STREET ADDRESS NO. AND STREET, CITY STATE ZIP CODE AREA CODE/PHONE Small Contdbutor Committee Date aualified • 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 Foim 410 (October/2023) FPPC Advice: adviceCa fppc:ca.eov (iNh75-3772); www.fDpc.ca.gov Statement of Organization Recipient Committee Statement Type ❑ Initial ® Amendment Q Not yet qualified or Q Date qualification threshold met Date qualification threshold met I.D. Number 1433092 NAME OF COMMITTEE Karina Quintanilla for Palm Desert City Council District 12024 STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE Palm Desert CA 92260 FULL MAILING ADDRESS (IF DIFFERENT) Coachella, CA 92236 E-MAIL ADDRESS OF COMMITTEE (REQUIRED) / FAX (OPTIONAL) COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE IS ACTIVE Riverside I Palm Desert Attach additional information on appropriately labeled continuation sheets. ❑ Termination — See Part 5 For official Use only RI DEC f 3 P� 152 Date of termination NAME OF TREASURER Frank Figueroa STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE Coachella CA 92236 EMAILADDRESS OF TREASURER (REQUIRED) AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY Karina Quintanilla STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE Palm Desert CA 92260 EMAIL ADDRESS OF ASSISTANT TREASURER (REQUIRED) AREA CODE/PHONE NAME OF PRINCIPAL OFFICER(S) STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE EMAIL ADDRESS OF PRINCIPAL OFFICER(S) (REQUIRED) AREA CODE/PHONE 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 Calif ' that the fore is true and correct. Executed on 12/13/2023 By DATE _ Executed on1-241?BY ATE SIGNATURE OF CON'"OL11NG OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT Executed on I By DATE Executed on By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT FPPC Form 410(October/2023) FPPC Advice: advice@fppc.ca.eov (866/275-3772) www.fppc.ca.eov Statement of Organization Rpr-inient iCnmmiffP_P_ CALIFORNIA 410 FORM INSTRUCTIONS ON REVERSE Page 2 COMMITTEE NAME I.D. NUMBER Karina Quintanilla, for Palm Desert City Council District 1 1433092 • All committees must list the financial institution where the campaign bank account is located and the person(s) authorized to obtain bank records. NAME OF FINANCIAL INSTITUTION AND PERSON(S) AUTHORIZED TO OBTAIN BANK RECORDS AREA CODE/PHONE BANK ACCOUNT NUMBER Wells Fargo 760-321-7601 ADDRESS OF FINANCIAL INSTITUTION CITY STATE ZIP CODE 34340 Monterey Avenue Palm Desert CA 92211 •' •.6mmittee Cbmplete�thea•TlkceleS. • 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 Nonpartisan Partisan (list political party below) Nonpartisan Partisan (list political party below) FrimaPrimarily formed to support or oppose specific candidates or measures in a single election. List below: CANDIDATE(S).NAM E OR_MEASURE(S)_FULLTIILE_(INCLUDE_BALLOT NO. QR_LETTER)_ CANDIDATE(S)_OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION IF A RECALL, STATE "RECALL" IN FRONT OF THE OFFICEHOLDER'S NAME. (INCLUDE DISTRICT NO,, CITY OR COUNTY, AS APPLICABLE) CHECK ONE SUPPORT OPPOSE SUPPORT OPPOSE FPPC Form 410 (October/2023) FPPC Advice: advice@fppc.ca.eov (866/275-3772) www.fppc.ca.gov Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE COMMITTEE NAME Not formed to support or oppose specific candidates or measures in a single election. Check only one box: ❑ CITY Committee PROVIDE BRIEF DESCRIPTION OF ACTIVITY List additional sponsors on an attachment. NAME OF SPONSOR STREET ADDRESS NO. AND STREET ❑ ❑ COUNTY Committee ❑ STATE Committee CITY NDUSTRY GROUP OR AFFILIATION OF SPONSOR Page 3 I.D. NUMBER STATE ZIP CODE AREA CODE/PHONE Date qualified 5. Termination Requirements By signing the verification, the treasurer assistant treasurer and/or candidate, officeholder, or ponent 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 (October/2023) FPPC Advice: advice@fPPc.ca.eov (866/275-3772) www.foac.ca.aov