HomeMy WebLinkAbout2024-02-27 Form 410 - KellyStatement of Organization
Recipient jCommittee
Statement Type ❑ Initial ® Amendment
Q Not yet qualified
or
0 Date qualification threshold met Date qualification threshold met
LD. Number 1386895
«- -
NAME OF COMMITTEE
-Kathleen'- Kelly.f6r-Palm Desert City Council 2024 (District 2)
❑ Termination —See
Date of termination
Date Stamp
ENEU AND HLE
iibe of the SOWWY 61 Sfgte
fha C' -i!Q of P"alifnrnia
MAR ® 4 2024J
NAME OF TREASURER
Mary Helen Mireles
STREET ADDRESS (NO P.O. BOX) CITY
Palm Desert
UPDATED
EMAIL ADDRESS OF TREASURER (REQUIRE[
-
STREET ADDRESS (NO P.O. BOX)
NAME OF ASSISTANT TREASURER, IF ANY
teary Helen KDlly ,
CITY STATE "ZIP CODE AREA CODE/PHONE —
Palm Desert CA 92260
STREET ADDRESS (NO P.O. BOX)
FULL MAILING ADDRESS (IF DIFFERENT)
SAME
EMAIL ADDRESS OF ASSISTANT TREASURER
E-MAIL ADDRESS OF COMMITTEE (REQUIRED) / FAX (OPTIONAL)
NAME OF PRINCIPAL OFFICERS)
COUNTY OF DOMICILE JURISDICTION WHERE.COMMITTEE IS ACTIVE
Riverside City of Palm Desert . STREET ADDRESS (NO P.O. BOX)
EMAIL ADDRESS OF PRINCIPAL OFFICER(S) (REQUI
Attach additional information on appropriately labeled -continuation sheets.
CITY
Palm Desert
ED)
CITY
20?4 MAR 14 AM 11: 22
Orz
STATE ZIP CODE
CA 92260.
AREA CODE/PHONE
STATE ZIP CODE
:CA 92260
AREA CODE/PHONE
STATE ZIP CODE
%REA 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 Calif rnia t at he foregoing is true and correct. ,
Executed on By
ATE
SURE PROPONENT
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`416 (Oct6ber/2d23)
FPPC Advice: advice@fbiic.ca.gov(866/215-3772)
www.fppc.ca.gov
Statement of Organization CALIFORNIA '
Recipient-Committee..FORM
INSTRUCTIONS ON REVERSE
Page 2 ,
COMMITTEE NAME I.D. NUMBER
Kathleen Kelly for Palm Desert City Council 2024 (District 2) 1386895
• All committees, must list the financial. institution. where the cam paign.bankacco'unt-is located and the.person(s).autholrized to obtain bank records.
NAME OF FINANCIAL INSTITUTION AND PERSON(S) AUTHORIZED TO OBTAIN BANK RECORDS - AREA CODE/PHONE BANK ACCOUNT NUMBER
FIRSTBANK; 760-836-3518,
,ADDRESSOF FINANCIAL INSTITUTION;" r i CITY; STATE-. ZIP CODE
73000 Highway 11 T Palm Desert CA 92260: ;
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
.Kathleen. Kelly, -,
Councilmember (District 2), City of Palm
Desert
2024
Nonpartisan
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(5) NAME OR MEASURE(S)'FULLTITLE (INCLUDE BALLOT NO: OR LETTER) CANDIDATE(S) OFFICE. SOUGHT OR HELD.OR MEASURE(S).JURISDICTION'
IFA-RECALL,'STATE "R.ECAl.r.,IN'FRONT-OF THE OFFICEHOLDER'S NAME. (INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE)' _ CHECK ONE
SUPP0 R
.. ......... .. .. .. ._ .,.... ... . 'T •OPPOSE.
.:SUPPORT OPPOSE
FPPC Form 410.(pctober/2023)
FPPC Advice:' advifppc:ca:gov (866 ce(c@/2754772)
www.fppc.ca.gov
Statement of,Organization
RE
RECEIVED
° t P
WN AILED
• -
Rlecipienf Committee
in theoffice
of the Secretary of State
'
• -
f the State of California
Statement Type
❑: Initial
® Amendment
❑Termination — See Part 5
For Official Use Only
_... - _.
Q Not yet qualified
_ .... _.
FEB 1'2 .202,+ •..
r) i ,� l n
i; 3
or
i i I.3` 2, I r;
Q Date qualification threshold met
Date qualification threshold met
Date of termination
'1I Committee Information ID: Number 1386895
Other
PrincipalOfficers
(11 oPPI1ca61eJ -
NAME OF COMMITTEE
NAME OF TREASURER
Kathleen:Kelly:for Palm Desert City Council 2'k4 (District2)
M ;a HelenMireles-•
'�
„ .,...',
STREET ADDRESS (NO P.O. BOX) CITY
STATE ` '` ZIP CODE
Palm Desert
CA" 92260
UPDATED... ..._...
-
'_ '.
EMAIL ADDRESS OF TREASURER(REQUIRED)
AREA CODE/PHONE.,.,,
STREET ADDRESS (NO P.O; BOX). ..
_.........
.
NAME OF ASSISTANT TREASURER, IF ANY
CITY...., _. STATE -ZIP CODE AREA CODE/PHONE
M ary Helen Kelly
Palm Desert CA '92260
.
STREET ADDRESS (NO P.O. BOX) CITY
STATE ZIP CODE
FULL MAILING ADDRESS (IF DIFFERENT)
Palm Desert
CA 92260
SAME
IS AN U(REQUIRED) EMAILADDRESS OFASS T TTREAS TREASURER
AREA CODE/PHONE
E-MAIL ADD RESSOF.COMMITTEE(REQUIRED)/FAX(OPTIONAL)
NAME OF PRINCIPAL OFFICER(S)
COU.NTY'OF!DOMICILE
JURISDICTION'WHERECOMMITTEEIS'ACTIVE
Riverside ..
'City of Palm'Desert
STREET ADDRESS (NO P.O. BOX)• CITY
STATE ZIP CODE
EMAIL_ADDRESSOFPRINCIPAL OFFICER($) -(REQUIRED)
AREA CODE/PHONE,,
ch dditional informat.on on.appropriately labeled cont(nuddomsheets Attda
�
t
I Kaye used all reasonable' diligence in preparing this statement and to the best of my. knowledgeinformation contained herein:is true and complete. I certify under
penalty of perjury under the laws of the State of )alifornia that the
.. l// _.
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT - -
Executed on By
. DATE,,-
. �. <...
Statement of Organization
Recipient.Committee.>" r
INSTRUCTIONS ON REVERSE'
COMMITTEE NAME
I Page 2
I.D. NUMBER
Kathleen Kelly fof Palm, Desert City Council 2024 (District 2) 1386895, ,
_.
All committees must list.the financial institution • where�the _campaign bank account lslocated and the person(s) authorized to obtain bank records.,
NAME OF FINANCIAL INSTITUTION AND PERSON(S) AUTHORIZED TO OBTAIN B kNK RECORDS AREA CODE/PHONE BANK ACCOUNT NUMBER
FM— ,-.8.36-3518 r , . TBANK , ; � L 760 ,
CITY I STATE Zlh U C
92260
736
Palm Desert
CA
Controlled Committee
I
`List thename.of each controlling officeholder candidate or state measure proponent: If candidate'or officeholder -controlled
also lis-
t the elective office, sough't:or, held,' and, district: n . mber, if.lany, and the year of the election.
List the optical art with which each or candidate is affiliated or check non artisan. • p. p y p ".Stating "No party preference" is acceptable. -
Ifthis committee acts Jointly with another cohtrolled committee, list the name and identification 'number of the other controlled committee.
ELECTIVE OFFICE SOUGHT OR HELDYEAR OF I PARTY
NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER (F APPLICABLE) ELECTION
CHECK ONE
Kathleen Kelly
Councilmei- ber (District 2), Crty_of Palm
2020
Nonpartisan
Partisan
(list political party below)
Desert
_..__.
i
II
3
'Nonpartisan
Partisan
• (listpolitical OR glow)
PrimOrily Formed `'prt or o'pposeispecific candidates ormeasures'in a single election. on. Listbelow:
CAND,IDATE(S),NAME OR MEASURES) FULLTITLE'(INCLUbE"BALLOT No.OR LETTER) ""`" CANDID y
ATE(S)OFFICE.SOUGHT ORHELD O.R MEASURE(S)JURISDICTION
IF A RECALL, STATE . R'ECALL";IIN'ORONTOF THE OFFICEHOLDER'S NAME. (INCLUDE,DISTRICT;.NO,;CITY_QR CO.UNT_Y, A APP:LICQBLE) CHECK ONE•i
--_:: .. -. _.-., _ ._-. .... _..
.- ... ...._
... .._: .. .. ... ._., _...... •.. . ..,. ., :. .... ..
OR
OPPOSE
SUPPORT
OPPOSE
t
xy
.'FPPC Form 410 (October/2023)
...:'.: is ....., S ..
FPPC Advice advice fpdt'.ta gov`(866/275-3712),
_--
www.fppc.ca.gov
Statement of Organization
Recipient Committee
Statement Type ❑ Initial ® Amendment
Q Not yet qualified
or
0 Date qualification threshold met Date qualification threshold met
"n . ' ,1I.D. Number 1386895
NAME OF COMMITTEE
Kathleen Kelly for Palm Desert City Council 2024 (District 2)
UPDATED
STREET ADDRESS (NO P.O. BOX)
46-
STATE ZIP CODE AREA CODE/PHONE
Palm Desert CA 92260 760-
MAILING ADDRESS (IF DIFFERENT)
SAME
E-MAIL ADDRESS OF COMMITTEE (REQUIRED) / FAX (OPTIONAL)
kelly4pd@gmail.
OF DOMICILE JURISDICTION WHERE COMMITTEE IS ACTIVE
Riverside I City of Palm Desert
01
❑ Termination — See Part 5
Date of termination
NAME OF TREASURER
Mary Helen Mireles
Date Stamp
,Aj_1`f 0 E.S'ER I'. CA
FEB 27 FM 1: 36
For Official Use Only
STREET ADDRESS (NO P.O. BOX) CITY
STATE ZIP CODE
73476 Desert
CA 92260
EMAIL ADDRESS OF TREASURER (REQUIRED)
AREA CODE/PHONE .
kelly4pd@ginail.
OF ASSISTANT TREASURER, IF ANY
Mary Helen Kelly
STREET ADDRESS (NO P.O. BOX) CITY
STATE ZIP CODE
46- Desert
CA 92260
EMAIL ADDRESS OF ASSISTANT TREASURER (REQUIRED)
AREA CODE/PHONE
kelly4pd@gmail.
OF PRINCIPAL OFFICER(S)
STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE
EMAIL ADDRESS OF PRINCIPAL OFFICER(S) (REQUIRED) AREA CODE/PHONE
Attach additional information on appropriately labeled continuation sheets.
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 tha the foregoing is true and correct.
-a �'a'TExecuted on I a Q aq By
.SIGATREOFTSUR
Executed on
DATE
By
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
By
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 410 (October/2023)
FPPC Advice: advice @fppc.ca.goy (866/275-3772)
www.fppc.ca.sov
Statement of Organization CALIFORNIA
Recipient Committee FORM
INSTRUCTIONS ON REVERSE
Page 2
COMMITTEE NAME I.D. NUMBER
Kathleen Kelly for Palm Desert City Council 2024 (District 2) 1386895
• 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
FIRSTBANK 760-836-3518
ADDRESS OF FINANCIAL INSTITUTION CITY STATE ZIP CODE
73000 Highway 111. Palm Desert CA 92260
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 parry 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 MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) ELECTION CHECK ONE
Kathleen Kelly.
Councilmember(District 2), City. of Palm
Desert
2024
Nonpartisan'
Partisan
(list political party below)
Nonpartisan
Partisan
(list political party below)
PrimaPrimarily 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
SUPPORT OPPOSE
FPPC Form 410 (October/2023)
FPPC Advice: adviceCdDfPPc.ca.gov (866/275-3772)
www.fppc.ca.gov