HomeMy WebLinkAbout2019-07-09 Form 410 - WoodsStatement of Organization
Recipient Committee =---------~--------=-----------, Statement Type ['.] Initial i2l Amendment D Termination -See Part 5
0 Not yet qualified
Date Stamp CALIFORNIA_ ·41 Q . :
FORM ,
For Offic(al Use Only
or e Date qualification threshold met Date qualification threshold met Date of termination ~ . CEIVED JUL -9 201
06 I 20 I 2019 ---------
NAME OF COMMITTEE
Dennis Woods for Palm Springs City Council District 2, 2019
STREET ADDRESS (NO P.O. BOX]
CITY STATE l!P CODE
Palm Springs Ca 92262
FULL MAILING ADDRESS {IF DIFFERENT)
E-MAIL ADDRESS (REQ,UIRED) / FA)( (OPTIONAL)
COUNTY OF DOMICILE
Riverside
JUJllSDICTION WHERE COMMITTEE !S ACTIVE
Palm Springs
AREA CODE/PHONE
Attach additional information on appropriately labeled continuation sheets.
_f __ , __
NAME OF TREASURER
Robert Rotman
STREET AOORESS (NO P.O. BOX)
cm
Palm Springs
NAME OF ASSISTANT TREASURER, IF ANY
STREET ADDRESS (NO P.O. BOX)
CITY
NAME OF PRINCIPAL OFFICER[S)
Dennis Woods
STREET ADDRESS l~O P.O. BOX]
CITY
Palm Springs
STATE ZIP CODE AREA CODE/PHONE
CA 92262
STATE ZIP CODE AREA CODE/PHONE
STATE ZIP CODE AR£A CODE/PHONE
CA 92262
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I have used all reasonable diligence in pr · ·
STATE MEASURE PROPONENT
Executed on By
DATE SIGNATURE OF CONTROLtlNG OFFICEHOLDER, CANDIDATE, OR STATE Ml:ASURE PROPONENT
Executed on By
DATE SIGNATURE OF CONTROLLlNG OFFICEHOLDER. CANDIDATE, OR STATE MEASURE PROPDNENf
FPPC Form 410 {August/2018)
FPPC Advice: advice@fppc.ca.gov {866/275-3772)i
www.fppc.ca.gov
Statement of Organization
Recipient Committee
CALIFORNIA 41 Q
FORM
INSTRUCTIONS ON REVERSE
COMMITTEE NAME 1.0. NUMBER
Dennis Woods for Palm Springs City Council District 2, 2019
• All committees muSt list the financial Institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION AREACOOE/PHCNE BANK ACCOUNT NUMBER
Bank of America 760.864.8611 325116976114
ADDRESS '"' STATE ZIPCOOE
588 S. Palm Canyon Drive Palm Springs Ca 92264
fontrolled Coll!mltt_ee
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 th_e other controlled committee.
NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT
ELECTIVE OFFICE SOUGHT OR HELO
(INCL-UDE DISTRICT NUMBER IF APPLICABLE)
YEAR OF
ELECTION
PARTY
CHECK ONE
Nonpartisan
Dennis Woods Palm Springs City Council District 2 2019 0
Nonpartisan •
Primarily Formed Committee Primarily formed to support or oppose specific candidates or measures in a single election. List below:
CANDIDATE(S) NAME OR MEASURE(S) FULL TITtE {INCLUDE BALLOT NO. OR LETTER)
IF A RECALL, STATE "RECALL" IN FRONT OF THE OFFICEHOLDER'S NAME.
CANDIDATE{S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION
(INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE)
Partisan • Partisan •
(list political party below)
(list political party below)
CHECK ONE
OPPOSE •
FPPC Form 410 (August/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772}
www.fppc.ca.gov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
COMMITTEE NAME
Den-nis Woods for Palm Springs City Council District 2, 2019
i
CALIFORNIA 41 Q
FORM
1.0. NUMBER
Geneial Purpos(! Committee Not formed to suppcirt or oppose specific candidates' or measures in a single election. Check only one box:
0 CllY Committee O COUNlY Committee O 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
,Small Contributor Committee D_; __ ; __
Date qualified·
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This committee has ceased to receive contributio~s 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 received1 and other obligations;
This committee has no suiplus 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 (August/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca,gov