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Home My WebLink About2024-02-20 Form 410 - SmithStatement of Organization Recipient Committee Statement Type ❑ Initial Amendment Q Not yet qualified or 0 Date qualification threshold met Date qualification threshold met 02 / 1 2024 I.D. Number if NAME OF COMMITTEE i Anyse Smith for Palm Desert City Council 2024I Date Stamp DIGITALLY RECEIVED AND FILED ❑ Termination — See Part 5 in the office of the California secretary of State February 16, 2024 Date of termination STREETADD RESS (NO P.O. BOX) 5445 STATE ZIP CODE AREA CODE/PHONE Sacramento CA 95841 (916) MAILING ADDRESS (IF DIFFERENT) i E-MAILADDRESS OF COMMITTEE (REQUIRED)/ FAX (OPTIONAL) campaigns@rcbs. OF DOMICILE JURISDICTION WHERE COMMITTEE IS ACTIVE Sacramento City of Palm Desert Attach additional information on appropriately labeled continuation sheets. I have used all reasonable diligence in preparing this si penalty of perjury under the laws of the State of Califo Executed on 02/12/2024 By DATE Executed on 02/12/2024 By Executed on NAME OF TREASURER Denise Lewis STREET ADDRESS (NO P.O. BOX) I CITY 5445 EMAIL ADDRESS OF TREASURER (REQUIRED) denise@rcbs- OF ASSISTANT TREASURER, IF ANY Marissa Russell STREET ADDRESS (NO P.O. BOX) I CITY 5445 i EMAIL ADDRESS OF ASSISTANT TREASURER (REQUIRED) marissa@rcbs. NAME OF PRINCIPAL OFFICER(S) STREET ADDRESS (NO P.O. BOX) CITY i EMAIL ADDRESS OF PRINCIPAL OFFICER(S) (REQUIRED) I For Official Use Only STATE ZIP CODE CA 95841 AREA CODE/PHONE (916) ZIP CODE CA 95841 AREA CODE/PHONE (916) ZIP CODE AREA CODE/PHONE ement and to the best of my knowledge the information contained herein is true and complete. I certify under is that the foregoing is true and correct. t SIGNATURE OF TREASURER OR ASSISTANT DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT DATE Executed on DATE neffile.com 1 I By i SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT By I SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONEN FPPC Form 410 (October/2023) ( FPPC Advice: adyiceCla fppc ca gov (866/275-3772) I www.fppc.ca.gov Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE COMMITTEE NAME Anyse Smith for Palm Desert City Council 2024 Page 2 of 3 I.D. NUMBER • 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 First Foundation Bank (916)283-8043 ADDRESS OF FINANCIAL INSTITUTION CITY STATE ZIP CODE 18101 Von Karman Ave., Suite 750' Irvine CA 92612 • 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 CAN DI DATE/OFF ICEHO LDER/STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) ELECTION CHFrK nNF Anyse R. Smith City Council Member City of Palm Desert District 3 ;,,2024 Nonpartisan X Partisan (list political party below) i Nonpartisan Partisan (list political party below) FormedPrimarily Committee Primarily formed to support or oppose specific candidates or measures in a single election. List below: CANDIDATE(S) NAME OR MEASURE(S) FULLTITLE (INCLUDE BALLOT NO. OR 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 1 SUPPORT OPPOSE FPPC Form 410 (October/2023) FPPC Advice: advice@foac.ca.gov (866/275-3772) www.fppc.ca.gov Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE COMMITTEE NAME Anyse Smith for Palm Desert City Council 2024 4. • - of • General Purpose Committee Not formed to supp ❑ CITY Committee PROVIDE BRIEF DESCRIPTION OF ACTIVITY or oppose specific candidates or measures in a single election. Check only one box: ❑ COUNTY Committee ❑ STATE Committee I F Sponsored Committee List additional sponsors on an attachment. NAME OF SPONSOR STREET ADDRESS NO. AND STREET i Date qualified CITY INDUSTRY GROUP OR AFFILIATION OF SPONSOR • This committee has ceased to -receive contributions and make expenditures; Page 3 of 3 NUMBER STATE ZIP CODE AREA CODE/PHONE • 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; I • 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 disposiiion 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. J j FPPC Form 410 (October/2023) I FPPC Advice: advice(&fppc.ca.gov (866/275-3772) I www.fppc.ca.eov CA410-A Anyse Smith for Palm Desert City Council 2024 Final Audit Report 2024-02-16 Created: 2024-02-15 By: Denise F Lewis ( Status: Signed Transaction ID: CBJCHBCAABAAUFKd_twLlUOwF77nllg7MuiZbLPrzyut "CA410-A Anyse Smith for Palm Desert City Council 2024" Histo ry 5 Document created by Denise F Lewis ( 2024-02-15 - 8:50:13 PM GMT �'. Document emailed to for signature 2024-02-15 - 8:50:37 PM GMT Email viewed by 2024-02-16 - 7:28:47 PM GMT F3� Signer entered name at signing as Anyse Smith 2024-02-16 - 7:29:12 PM GMT LYo Document e-signed by Anyse Smith ( Signature Date: 2024-02-16 - 7:29:14 PM GMT - Time Source: server Pw Document emailed to Denise F Lewis ( for signature 2024-02-16 - 7:29:15 PM GMT Email viewed by Denise F Lewis ( 2024-02-16 - 7:51:54 PM GMT IYQ Document e-signed by Denise F Lewis ( Signature Date: 2024-02-16 - 7:52:14 PM GMT - Time Source: server Agreement completed. 2024-02-16 - 7:52:14 PM GMT a Adobe Aaobbt.Sign Statement of Organization Recipient Committee Statement Type ❑ Initial ®-Amendment 0 Not yet qualified or 0 Date qualification threshold met Date qualification threshold met f I _ 02 / 11^ 2024 I.D. Number NAME OF COMMITTEE Anyse Smith for Palm Desert City Council 2024 ,t; late SUmji n x� DE $:EP r "'A ❑ Termination — See Part 5 STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE Sacramento CA 95841 ( FULL MAILING ADDRESS (IF DIFFERENT) E-MAIL ADDRESS OF COMMITTEE (REQUIRED) / FAX (OPTIONAL) COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE IS ACTIVE Sacramento City of Palm Desert FEB 20 PH 2: 5e Date of termination NAME OF TREASURER Denise Lewis STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE Sacramento CA 95841 EMAIL ADDRESS OF TREASURER (REQUIRED) AREA CODE/PHONE ( NAME OF ASSISTANT TREASURER, IF ANY Marissa Russell STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE Sacramento CA 95841 EMAIL ADDRESS OF ASSISTANT TREASURER (REQUIRED) AREA CODE/PHONE ( NAME OF PRINCIPAL OFFICER(S) STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE Attach additional information on appropriately labeled continuation sheets. EMAIL ADDRESS OF PRINCIPAL OFFICER(S) (REQUIRED) AREA CODE/PHONE 3. Verification 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 that the foregoing is true and correct. Executed on 02/12/2024 By•�`� DATE SIGNATURE Of TREASURER OR ASSISTANT TREASURER Executed on 02/12/2024 By DATE SIGNATURE Of CONTROLLING OF ICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT Executed on By DATE SIGNATURE Of CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT Executed on DATE By SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT FPPC Form 410 (October/2023) FPPC Advice: vice@faac.ca.gov (866/275-3772) www.fooc.ca.Rov netfile.com Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE ITTEE NAME e Smith for Palm Desert City Council 2024 2 of 3 I.D. NUMBER 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 First Foundation Bank ADDRESS OF FINANCIAL INSTITUTION 18101 Von Karman Ave., Suite 750 AREA CODE/PHONE BANK ACCOUNT NUMBER (916)283-8043 1 CITY STATE ZIP CODE Irvine CA 92612 • 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/OF FICEHOLDER/STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) ELECTION CHECK ONE Anyse R. Smith City Council Member City of Palm Desert District 3 2024 Nonpartisan X Partisan (list political party below) Nonpartisan Partisan (list political 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) 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.r-a.gov (866/275-3772) www.fppc.ca.aov Statement of Organization • - 11 Recipient Committee FORM INSTRUCTIONS ON REVERSE Faye 3 of 3 COMMITTEE NAME I.D. NUMBER Anyse Smith f«i Palm Desert City Council 2024 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 STREET ADDRESS NO. AND STREET Small Contributor Committee CITY NDUSTRY GROUP OR AFFILIATION OF SPONSOR STATE ZIP CODE AREA CODE/PHONE ..-. 55. Termination Requirements By signing the verification, the treasurer, assistant treasurer and/or candidate, officeholder, or ponent certify that all oft he following conditions have been met: committee. This . 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: adyicecAboc ca gov (866/275-3772) www.fooc.ca.aov CA410-A Anyse Smith for Palm Desert City Council 2024 Final Audit Report Created: 2024-02-15 By: Denise F Lewis ( Status: Signed Transaction ID: CBJCHBCAABAAUFKd tWL1UOwF77nIIg7MuiZbLPrzyut 2024-02-16 "CA41 O-A Anyse Smith for Palm Desert City Council 2024" Histo ry Document created by Denise F Lewis ( 2024-02-15 - 8:50:13 PM GMT 12+ Document emailed to com for signature 2024-02-15 - 8:50:37 PM GMT 63 Email viewed by 2024-02-16 - 7:28:47 PM GMT d® Signer com entered name at signing as Anyse Smith 2024-02-16 - 7:29:12 PM GMT t Document e-signed by Anyse Smith ( Signature Date: 2024-02-16 - 7:29:14 PM GMT - Time Source: server Ely Document emailed to Denise F Lewis ( for signature 2024-02-16 - 7:29:15 PM GMT 62 Email viewed by Denise F Lewis ( 2024-02-16 - 7:51:54 PM GMT 6® Document e-signed by Denise F Lewis ( Signature Date: 2024-02-16 - 7:52:14 PM GMT - Time Source: server 0 Agreement completed. 2024-02-16 - 7:52:14 PM GMT 0 Adobe Acrobat Sign