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Home My WebLink About2024-04-11 Form 410 - ScottR 33 1468628 Date stain Statement of Organization L P Recipient Committee DIGITALLY Statement Type RECEIVED AND ® Initial ❑Amendment ❑Termination —See Part 5 FILED 11* Not yet qualified in the office of the or California Q Date qualification threshold met Date qualification threshold met Date of termination Secretary of State APR 12 2024 NAME OF COMMITTEE NAME OF TREASURER Chris Scott for City Council 2024 Jennifer Mitchell STREET ADDRESS (NO P.O. BOX) CITY Riverside EMAIL ADDRESS OF TREASURER (REQUIRED) STREET ADDRESS (NO P.O. BOX) NAME OF ASSISTANT TREASURER, IF ANY CITY STATE ZIP CODE AREACODE/PHONE Riverside CA 92501 ( STR EET ADDRESS (NO P.O. BOX) CITY FULL MAILING ADDRESS (IF DIFFERENT) EMAIL ADDRESS OF ASSISTANT TREASURER (REQUIRED) E-MAIL ADDRESS OF COMMITTEE (REQUIRED) / FAX (OPTIONAL) NAME OF PRINCIPALOFFICER(S) COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE IS ACTIVE Riverside I Palm Desert I STREET ADDRESS (NO P.O. BOX) CITY Attach additional information on appropriately labeled continuation sheets. I EMAIL ADDRESS OF PRINCIPAL OFFICER(S) For Official Use Only - 2674 2y R/J M STATE ZIPCODE CA 92501 AREA CODE/PHONE (951) ZIP CODE AREA CODE/PHON E 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. Executedon 04/11 /2024 By CM DATE OF TREASURER OR ASSISTANT TREASURER 04/11/2024 (J* 's{` CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE 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 410 (October/2023) FPPC Advice: adviceliftioc cajov (866/275-3772) moves fmca.8�+ Statement of Organization CALIFORAIA , 10 Recipient Committee FORM INSTRUCTIONS ON REVERSE Pale 2 COMMITTEE NAME LD. NUMBER Chris Scott for City Council 2024 • 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 I AREA CODE/PHONE I BANK ACCOUNT NUMBER Pending ADDRESS OF FINANCIAL INSTITUTION CITY • 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. STATE ZIP CODE • 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 IINCLUDE DISTRICT NUMBER IF APPLICABLE) ELECTION CHECK ONE Chris Scott Palm Desert City Council District 1 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: CANDIDATES) 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 lOctober/2023) FPPC Advice: adriceftff ca.gov (866/27S-3772) www.fuoc.ca.aoy Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE Page 3 Chris Scott for City Council 2024 General Purpose Committee 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 Sponsored Committee List additional sponsors on an attachment. NAME OF SPONSOR INDUSTRY GROUP OR AFFILIATION OF SPONSOR STREET ADDRESS NO. AND STREET CITY STATE ZIP CODE AREA CODE/PHONE S. Termination Requirements By signing the verification, the treasurer, assistant treasurer and/or candidate, officeholder, or ponert 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: advicel®fooc ca.aav [866/275-3772) www.foac.ca•gov A R 14A8628 33 Statement of Organization L Recipient Committee Statement Type ® initial ❑ Amendment ❑ Termination — See Part 5 Not yet qualified or O Date qualification threshold met Date qualification threshold met Date of termination Number NAME OF COMMITTEE Chris Scott for City Council 2024 3649 Mission Inn Ave FI 2 CITY ' STATE Riverside CA FULL MAILING ADDRESS (IF DIFFERENT) E-MAIL ADDRESS OF COMMITTEE IREQLIRED) 1 FAX 'OPTIONAL) iennifer(a-)campaignfinanceservices.net Riverside Palm Desert NAME OF TREASURER Jennifer Mitchell Date Stamp CALIFORNIA DIGITALLY _ I RECEIVED AND FILED 70 or Official use ohTy� � AFRI 2 in the office of the California Secretary of State APR 12 2024 R/JM STK ET ADDRESS tNO RO. BOX) CI rr STATE :IP CGOI 3649 Mission Inn Ave FI 2 Riverside CA 92501 EMAIL ADDRESS OF TREASURER (REQUIRED, AREA CODE,+PHONE jennifer@campaignfinanceservices.net (951) 742-7886 NAME OF ASSISTANT TREASURER, IF ANY ZIP CODE ' AREEA CODE/PHONE ' ( 92501 �951) 742-7886 STREET ADDRESS (NO P.O. BOX) CITY EMAIL ADDRESS OF ASSISTANT TREASURER (REQUIRED) NAME OF PRINCIPAL STREET ADDRESS INO P.O. BOX) CITY Attach additional information on appropriately labeled continuation sheets. I EMAIL ADDRESS OF PRINCIPAL OFFICERISI(REQUIRED) �-AT= ?IFC.,L'+ AREA CODElPHONE 5IATL ZIPCODE AREA 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 04/11 /2024 By Crk DATE SIGNATURE OF TREASURER OR ASSISTANT TREASURER 04/11 /2024 Clrj-iC &Ott Executed on By • YL. "-,.,w _ DATE SIGNATURE OF CONTROLLING 0FFICEHOI OER, CANDIDATE, OR STATE MEASURE PROPONENT Executed on By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT Executed on DO-E By SIGNATURE OF CONTROLLING OF FICEHOLOER, CANDIDATE, OR STATE MEASURE PROPONENT FPPC Form 410 (October/2023) FPPC Advice: advice0foric.Ca.gov (866/275-3772) www.fooc.ca.gov Statement of Organization Recipient Committee • INSTRUCTIONS ON REVERSE Page 2 COMMITTEE NAME ] D. NUMBER Chris Scott for City Council 2024 • 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 I AREA CODE/PHONE I BANK ACCOUNT NUMBER Pending ADDRESS OF FINANCIAL INSTITUTION iffy • 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. srA7F fly COO£ • 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 OFF CE SOUGHT OR HELD YEAR OF PARTY NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT (INCLUDE D15TRICT NUMBER IF APPLICABLE) ELECTION HECK C-NE Chris Scott Palm Desert City Council District 1 2024 Nonpartisan Partisan ;' st political party below) Nonpartisan Partisan (list political party below) Primarily Formed Committee Primarily formed to support or oppose specific candidates or measures in a single election. List below: CANDIDATE($) NAME OR MEASURE($) FULL TITLE (INCLUDE BALLOT NO. OR LETTER{ CANDIDATES) OFFICE SOUGHT OR HELD OR MEASURES) 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@fooc.ca.gov (966/275-3772) www.fppc.ca.gov Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE Page 3 I.D. NUMBER Chris Scott for City Council 2024 General PurposeNot 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 - STREET ADDRESS NO AND STREET CITY STATE ZIP CODE AREA CODE/PHONE Date qualified • 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/20231 FPPC Advice: advicedDfRpc.ca.gov (866/275-3772) www.fppc.ca.eov