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HomeMy WebLinkAbout2019-12-09 Form 410 - WoodsStatement of Organization Recipient Committee Dalla Stamo '0 F1' c RF _;s:,vFo ,,· j~· o sta CALI FORNIA 41 0 FORM Statement Type O Initial Not vet quallhed Dor D Date quallfled as committee Dato qualified as commrttoe 1. Committee infonnatlon ID .N\ffll181' (If appl/cable) NAME OF COM"'11TTEE I!) Amendment Date quaijfied as commlttoo (It amoodlng to prov>do this date) 1419200 Dennis W oods For Palm S prings City Council Dist nct 2 2019 0 Tennlnation -See Part 5 inti\ Q I fvv~C•-\, oi lhta State. oi l,._h101 i11a Dalo of termination 2. Treasurer and Other Principal Officers NAME OF TREAS\JflEA Peter F. East SIBEET AOOAfSS (NO P O BOX) CITV STATE ZIPCOOF ,, .,,_ °' ;;or < ::::,,, rr1 · ::::: ;o (" 0 ,., C) rn :::t, a (.,; AREA CITV Palm Springs, CA 92262 MAJL ING IIOOAESS (IF DIFFEAE'N n FAX E MAIi AODRFSS STATE ZJPCOOc AREA CODE/PHONE ( Palm Springs, CA 92262 NAME Of' IISSlST ANT TREASURER IF ANY Robert Rotman S TREET ADDRESS (NO PO BOX) CITV STATE /IP CODE AAEcA COOCJP•10Nf Palm Spnngs, C A 92262 ( COUNTY or IYJMICILE Riverside JURISDICTION WHEA£ COl'AMTTEr IS ACTIVF Palm Spnngs Attach add1t1onal ,ntormalton on appropriately labeled continuation s h eets NAMt Of PAII-IC!PAI 0ffl<-t:H1S1 s mEET ADDRESS (NO PO BOX) CITY STATE ZIP CODE AREA COOEIPHONE 0 3. Vertflcatton 2! c:, I have used all reasonable diligence in preparing this s tate ment and to the best of my knowledge the information contained herein is true and comp lete. I cert1f~nd!b penalty of perjury under the laws o f the TREASURFR OR ASSIST•NT TREASUAEft • · • By---------------------------------------SIGNATVAC or CONTAOUJNO OfflCI HOI.OER CANOl['),lffC on STATE MEASURC PllOPONENT By-----------------------------------s1GNATVAE OF CONTROLLING OFFICEHOI.DER C,.NOIDATE 0A STATc MEASURE PROPONENT C, ):> -i :::i:: -< -J CJ1 w ~ -< 0 ~ ..., rr, ""0 (") >n, ,_ :J:< v,f11 -oO :x:, z C> V, FPPC Fonn 410 lMayfZ017) FPPC Advice. advk:e Ofppc.cs gov (866.1275-3772) www.fppc.ca.gov Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE C OMMITTEE NAMf Dennis W oods For Palm Spnngs C ity Council DIstnct 2, 2019 • N I committees must list the financial Institution where the campaign bank account Is located. NAME or FINANCIAL IN STfTUTION Bank Of America, N .A AOORCSS 1801 East Palm Canyon Drive 4. Type of Committee Complete the applicable sections. Conrrol'ed Comm,ttee AREA COOEIPHONE (760) 864-8584 CITY Palm Springs, CA 92264 BANK ACCOUN1 NUMBER 325116976114 STATE ZIP CODE CALIFORN IA 41 0 FOR M ..... ID NUMB CA 1419200 • List the name of each cont rolling offuceholder, candidate or s tate measure proponent If candidate or officeholder controlled , alsohsl the electNe office sought or h eld and d1 stn c t number, 1f any, and the year o f the eleci1on • List th e political party w ith which each o tt,ceholder or candidate Is a ffilia ted or check ·nonpartisan • • If this committee acts JOtntl y with another controlled committee, lis t the name and 1den1JfIcal lon number o f the o ther controlled committee NAME OF CANOIOATEIOfFICEHOI UEHISTATE MEASURE PROPONEHI Denni s L . Woods ELECTIVE OFFICC SOUGHl OH HELO (INCLUDE OISTfUCT NUMOCR tr APPUCABlL) C ity Council M ember DISTR ICT N O.: 2 VEAR OF ELECTION 2019 Primarily t rmed to support or oppose specific candidates or measures in a single elation List below CANOIOAlE(S) NAME OR MEASVRE(SI FUU. TITLE (INCLUDE BAU.OT NO 0A LETTER) CANOIOATE(SJ OFFICE SOOGHl OR HELO OR MEASURE(Sl JURISDICTION (INCWOE DISTRICT NO CITY 0A COUNTY AS APPLLICABLE) PART)· [g] Nonpartisan 0 Nonpartisan CHECK ONE OPPOSt • OPPOSE • -by ISPollllcal.com FPPC Form 410 (May/2017) FPPC Advice adviceOtppc.ca.gov (86&'275-3772) www .fppc.ca.gov Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE COMMITTEE NAME Dennis Woods For Palm Sp nng s City Council D1stnct 2, 2019 4. Type of Committee (Cominuedl CALIFORNIA 41 0 FORM ID NUMBER 1419200 General Pu ose Co,rm,ttec N ot formed to support or opp se spec1f1c candidates or measures 1n a single election. Check only one box . 0 CITY Committee O COUNTY Committee O STATE COmmlttee PROVIDE' BRn:r orSCAIPTION or IIC'TI\IITV Sponsored Committee List add1 t1onal sponsors on an a ttachment. NAME or SPONSOR 11Nousm v GROUP or AIT1u11110N or SPONSOR STREeT "OOAESS NO ANOSTREE"I CITY ',TAT[ l lP COOE Small Contnbt,101 Comm ittee •------- Date Oualilled 5. Termination Requirements Sy signing the venficatlQl'l , the treasurer. asslSlaot treasurer anG'or canchdate, oflk:eholdor. or proporlefll certify lha1 all ot the loPowing C!W1dttlons ha11e b&e!l met: • This committee has ceased to receive contributions and make expenditures, • This committee does not anticipate receiving contributions or making expenditures 1n the future. • This committee has eliminated or has no Intention or ab1 1tty to discharge all debts loans received, and o ther obligations, • This committee has no surp lus funds, a nd • This committee has flied all campaign statements required by the Political Reform Act disclosing all reportable transacttons --There are restnct,ons on the disposition o f su rplus campaign funds held by e lec ted officers who are leaving office and by defeated ca ndidates . Reier to Government Code Secti on 89519 Leftover funds of ballot measure committees may be used for pollt1cal , legislative or governmental purposes under Government Code Sections 89511 -89518, and are subJect to Electi o ns Code Section 18680 and FPPC Regulation 18521 .5 FPPC Fom1 410 (May/2017) FPPC Advice . advlceOlppc.ca.gov (86&'275-3n2) www.fppc .ca.gov