HomeMy WebLinkAbout2019-08-19 Form 410 - Woods (2)Statement of Organization REC IVED A~t~LED
Recipient Committee lnthe o lceot t heSecretaryotState
.-------------r------------.-------------'-J the State of Cellfornla
Statement Type D Initial Ill Amendment D Termination -See Part 5
0 Not yet qualified AUG 19 2019
or
0 Date qualification threshold met Date qualification threshold met Date of termination
_6 _ __,, 20 1 2019
1419200
NAME OF COMM ITTEE
Dennis Woods for Palm Springs City Council District 2 , 2019 Peter F East
ST REET ADDRESS (NO P.O. BOX)
STREET ADDR ESS (ND P O. BOX) CITY STATE
Palm Springs CA
CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREAS URER, IF ANY
Palm Springs CA 92262 (760) 459-5722 Robert Rotman
FUL L MAILIN G ADD RESS (IF DIFFERENT) STR EET ADDRE SS (NO PO. BOX)
E·MAIL AD DRESS (RE QUIR ED )/ FAX (OPTIO NAL) CI TY STATE
Palm Springs CA
COU NTY O F DO MICILE JUR ISD ICTION WHERE COMM ITTEE IS ACT IVE NAM E OF PR INCIPAL OFFIC ER(S)
Riverside City of Palm Springs Dennis W oods
STREET AD DRESS (NO P.O. BOX)
CITY STATE
Attach additional i nformation on appropriately labeled contin uation sheets. Palm Springs CA
CALIFORNIA 41 0
FORM
For Officia l Use Onl y
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ZIP CODE AREA CODE/PHONE
92262 (
ZIP CODE AREA CODE/PHONE
92262 (
ZIP CODE AREA CODE/PHONE
92262 (
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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 .
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I certify under
penalty of perjury under the laws of the State of Cali fornia
8/14/2019 ~ becuted on __________ By __________ ..,......,-:._.,::......~~~::....---::....~-------------------~~~ I;j DATE
Executed on 8/14/2019 By
DATE
Executed on By
DATE SIGNATURE OF CONTRO LLI NG OFFICEHOLDER , CAND IDATE , O R STATE MEAS URE PROPONE NT
Executed on By
DATE SIGNATUR E OF CO NTROLLING OFF ICE HOLDER, CA NDIDATE, OR STATE MEASURE PRO PONENT
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FPPC fol:!:'! 410 (August/2018)
FPPC Advice : advice@fppc.ca.gov (866/275-3772)
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Statement of Organization
Recipient Committee
CALIFORNIA 41 Q
FORM
INSTRUCTIONS ON REVERSE
COMMITTEE NAME /
Dennis Woods for Palm Springs City Council District 2, 2019 . '
1,
• All committees must list the financial institution where the campaign bank account is located.
1i
NAME OF FINANCIAL INSTITUTION
Bank of America
ADDRESS
588 S Palm Canyon Dr
~-Type of-Committee Complete the applicable sections.
Controlled Committee
AREA CODE/PHONE
(760) 864-8811
CITY
Palm Springs
BANK ACCOUNT NUMBER
I
325116976114
STATE
CA
1.D,NUMBER
1419200
ZIP CODE
92264
• 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.
I
• 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 ~ontrolled 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
''
Dennis Woods Palm Springs City Council District 2 :2019 0
Nonpartisan
' • I
'
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 TITLE (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)
FPPC Form 410 (August/20181
FPPC Advice: advice@fppc.ca.gov (866/275-37721
www.fppc.ca.gov
(' • r~
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
COMMITTEE NAME
Dennis Woods for Palm Springs City Council Distfict 2, 2019
' ~-Tv.11e of Coniniittee (Continued) j
CALIFORNIA 41 Q
FORM
l,D,NUMBER
1419200
Not formed to suppbrt or oppose specific candidates or measures in a single election. Check only one box:
D CITY Committee 1 D COUNTY Committee D STATE Committee
General Purpose Committee
PROVIDE BRIEF DESCRIPTION OF ACTIVITY
Sponsored Committee List additional sponsors on an attachment.
NAME OF SPONSOR
STREET ADDRESS NO. AND STREET
Small Contributor Committee • _ ___,, _ ___,_, __
Date qualifi~d
I
INDUSTRY GROUP OR AFFILIATION OF SPONSOR
CITY STATE ZIP CODE AREA CODE/PHONE
5. Termination 'Req,:::u:.::ir:.:e::m=e::n;;t::S:.....__..:B::,Vc:S::,lge.:n:::ln,,_g .::lh::•c.:'::;dn::.:'fi=ca:::ti::' D:::nc;, l::.:h::.• =-tre=•='="'c:":,,'•::.•'='::ist;:a::.:nl:.:tr:c•::•::;'"::'::"'c:•::.:"::,df.:;o::..r ca=n=di::.da:;t,,•,:;:o:;;ffi::.:c::.•h:;;o::ld::•:.::'•c:O;:_r ,:P'°=PO::";-;"::.:"':.:c::•:.:"':.:.'fyc;, l:::h=•':.:•:::11::.o:..;f l:::h::.• =fo::.:llow=i:,nge.:c::o::.:n::di:::tio::n::;s.:;h::av:;:•c:b::.••=n;.;m=•I::..: __ ....J
• This committee has ceased to receive contributions and make expenditures; :
• This committee does not anticipate receiving contributions or making expenditures in the future; 1
• This committee has eliminated or has no intentiln or ability to discharge all debts, loans received, and other obliga~ons; . .
• 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 sJplus campaign funds held by elected officers who are leaving office and by defeated candidates. Refer to Government
Code Section 89519. I
Leftover funds of ballot measure committeeslmay 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/20181
FPPC Advice: advice@fppc.ca.gov (866/275-37721
www.fppc.ta.gov