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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