HomeMy WebLinkAbout2019-07-01 Form 410 - PettitRECEIVED JUL 1 5 2019
Statement ot Organization
Recipient com.-m_itt_e_e _____ ___,.--------.---------'1-"-!t"CEIVED AND FILE
Sta tement Type D Initi al 0 Amendment D Termination -Se e Part1S e o~ of the Secretary of Stat
0 Not yet qualified of the State of California
or
0 Date quc1lificat1on threshold met Da te qualification threshold met
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1. Committee Information I.D. Number
(if applicable)
NAMl OF :flMMITH(
Alfie Pettit for City Cou11r1I District 3, 2019
Date of termination JUL 01 2019
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2 . Treasurer and Other Principal Officers
NAM[ or TREASURER
Michael McCulloch
ZIP COO[ A"f -1 l JC£ ,.,'IONE
71PCO0E AR[A CODE 'PtiON(
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• Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
COMMITTEE NAME
Alfie Pettit for City Council, District 3, 2019
• All committees must list the financial institution where th'e campaign bank account is located.
NAME OF FINANCIAL INSTITUTION
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• 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, arid the year of the election.
" List the political party with which each officeholder or candidate is affiliated or check "nonpartisan." Stating "No party preference'1 is acceptable.
o lf this committee acts jointly with another controlled.committee, list the name and identification number of the other controlled committee.
NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT
ELECTIVE OFFICE SOUGHT OR HELD
(INCLUDE DISTRICT NUMBER IF APPLICABLE)
YEAR OF
ELECTION
PARTY
CHECK ONE
Nonpartisan Partisan
Alan P Pettit Councilmember, Palm Springs, District 3 2019 0 • Nonpartisan
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Primarily formed to support or oppose specific candidates or measures in a single election. List below:
CANDIDATE($) NAME OR MEASURE(S) FULL TITLE (INCLUDE BALLOT NO. OR LETTER)
IF A RECALL, STATE "RECALL" IN FRONT OF THE OFFICEHOLDER'S NAME.
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CANOIOATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION
(INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE)
Partisan •
(list political party below)
(list political party below)
CHECK ONE
SUPPORT OPPOSE • • SUPPORT
TPOS1 •
FPPC Form410 jAugust/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
• Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
COMMITTEE NAME
Alfie Pettit for City Council, District 3, 2019
(Continued}
Page 3
1419242
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Not formed to suppOrt or oppose specific candidates or measures in a single election. Check only one box:
D CITY Committee:: D COUNTY Committee D STATE Committee
PROVIDE SRIEF DESCRIPTION OF ACTIVITY
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list additional sponsors ori an attachment.
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NAME OF SPONSOR INDUSTRY GROUP OR AFFILIATION OF SPONSOR
STREi:T ADDRESS N.:>. ANO STREET C!TY STATE ZJP CODE AREA CODE/PHONE
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Si re'ri'niriatiO:n R~q'uirerl1ents ~~ BY s18nfng the ve,mcatlOn, thetreasur!:r, ~ssistarit freasurenmd/or Candidate, offic€holder, or prOponen(certlfv, tliat"all of the following CO,!ldltions-ha~e been met.
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• This committee has ceased to receive contributiolls and make expenditures;
• This committee does not anticipate receiving confributions or making expenditures in the future;
• This committee has eliminated or has no intentiorl or ability to discharge all debts, loans received, and other obligations;
I • T_his committee has no surplus funds; and 1
• 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 ahd by defeated candidates. Refer to Government
Code Section 89519. J _
Leftover funds of ballot measure committees may be used for political, legislative or governmental purposes under Government Code Sections 89511-895181 and are
I ' subject to Elections Code Section 18680 and F,PC Regulation 18521.5.
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FPPC Form 410 (August/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov