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