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HomeMy WebLinkAbout2021-01-27 Form 425 - Palm Springs ForwardSemi -Annual Statement of No Activity Type or print in ink. For use by recipient committees that have not received any contributions and have not made any expenditures during the six-month period covered by a semi-annual statement. Candidate controlled committees formed for an elective office may not use this form. See the Information Manual on Campaign Disclosure Provisions of the Political Reform Act for additional information and information required to be provided to you pursuant to the Information Practices Act of 1977. 1. Committee Information Palm Springs Forward 1399524 STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE Palm Springs CA 92262 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET CITY OPTIONAL: FAX/E-MAIL ADDRESS 2. Period of No Activity STATE ZIP CODE AREA CODE/PHONE Treasurer(s) NAME OF TREASURER John Shay MAILING ADDRESS STATEMENT OF NO ACTIVITY ;IT Y OFrPA L 1 S�PRI 2021 A14 27 AM 8: 9 TICE OF THE CITY CL CITY STATE ZIP CODE AREA CODE/PHONE Palm Springs CA 92262 NAME OF ASSISTANT TREASURER, IF ANY Chris Lucker MAILING ADDRESS CITY STATE ZIP CODE AREACODE/PHONE Palm Springs CA 92262 OPTIONAL: FAX/E-MAIL ADDRESS No contributions have been received and no expenditures have been made during the period covering the dates below: Check one of the following boxes and complete the year. ❑ January 1, through June 30, 20 m July 1, through December 31, 20 20 3. Verification I have used all reasonable diligence in preparing this statement. I have reviewed the TREASURER FPPC Form 425 (Jan/01) FPPC Toll -Free Helpline: 866/ASK-FPPC 866/275-3772 Semi -Annual Statement of No Activity Type or print in ink. Date Stamo STATEMENT OF NO ACTIVITY For use by recipient committees that have not received any contributions and have not made any expenditures during the six-month period covered by a semi-annual statement. Candidate controlled committees formed for an elective office may not use this form. See the Information Manual on Campaign Disclosure Provisions of the Political Reform Act for additional information and information required to be provided to you pursuant to the Information Practices Act of 1977. 1. Committee Information Palm Springs Forward 1399524 STREET ADDRESS (NO P.O. BOX) 400 East Tahquitz Canyon Way CITY STATE ZIP CODE AREACODE/PHONE Palm Springs CA 92262 MAILING ADDRESS (IF DIFFERENT) NO, AND STREET CITY OPTIONAL: FAX/E-MAIL ADDRESS clucker@luckeranderson.com 2. Period of No Activity STATE ZIP CODE AREACODE/PHONE Treasurer(s) NAME OF TREASURER John Shay MAILING ADDRESS 400 East Tahqiotz Canyon Way CITY STATE ZIP CODE AREACODE/PHONE Palm Springs CA 92262 NAME OF ASSISTANT TREASURER, IF ANY Chris Lucker MAILING ADDRESS 1801 East Tahquitz Canyon Way CITY STATE ZIPCODE AREACODE/PHONE Palm Springs CA 92262 310 489 1605 OPTIONAL: FAX I E-MAIL ADDRESS No contributions have been received and no expenditures have been made during the period covering the dates below: 20 Check one of the following boxes and complete the year. ❑ January 1, through June 30, 20 m July 1, through December 31, 20 — 3. Verification _ I have used all reasonable diligence in preparing this statement. I have reviewed the statement and to the of is true and complete. I certify under penalty of perjury under the laws of the State of California that tke foy§gbing i Executed on January 18, 2021 DATE By !dge the information contained herein correct. R/ASSISTANT TREASURER FPPC Form 425 (Jan/01) FPPC Toll -Free Helpline: 866/ASK-FPPC 866/275-3772 Semi -Annual Statement of No Activity Type or print in ink. Date Stamp STATEMENT OF NO ACTIVITY For use by recipient committees that have not received any contributions and have not made any expenditures during the six-month period covered by a semi-annual statement. Candidate controlled committees formed for an elective office may not use this form. See the Information Manual on Campaign Disclosure Provisions of the Political Reform Act for additional information and information required to be provided to you pursuant to the Information Practices Act of 1977. 1. Committee Information Palm Springs Forward 1399524 STREET ADDRESS (NO P.O. BOX) 400 East Tahquitz Canyon Way CITY STATE ZIP CODE AREA CODE/PHONE Palm Springs CA 92262 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX/E-MAIL ADDRESS clucker@luckeranderson.com 2. Period of No Activity Treasurer(s) NAME OF TREASURER John Shay MAILING ADDRESS 400 East Tahqiotz Canyon Way CITY STATE ZIP CODE AREA CODE/PHONE Palm Springs CA 92262 NAME OF ASSISTANT TREASURER, IF ANY Chris Lucker MAILING ADDRESS 1801 East Tahquitz Canyon Way CITY STATE ZIP CODE AREA CODE/PHONE Palm Springs CA 92262 310 489 1605 OPTIONAL: FAX/E-MAIL ADDRESS No contributions have been received and no expenditures have been made during the period covering the dates below: Check one of the following boxes and complete the year. ❑ January 1, through June 30, 20 0 July 1, through December 31, 20 20 3. Verification /I have used all reasonable diligence in preparing this statement. I have reviewed the statement and to is true and complete. I certify under penalty of perjury under the laws of the State of Californiajhpyfhe Executed on January 18, 2021 DATE By t of my kp6wledge the information contained herein ng is trA a ecorrect. OF TREASURER/ASSISTANT TREASURER FPPC Form 425 (Jan/01) FPPC Toll -Free Helpline: 866/ASK-FPPC 866/275-3772 Semi -Annual Statement of No Activity Type or print in ink. p,AL'H SPRINGS For use by recipient committees that have not received any contributions and have not made any expenditures A �� O O during the six-month period covered by a semi-annual statement. Candidate controlled committees formed fokffil J W 27 elective office may not use this form. See the Information Manual on Campaign Disclosure Provisions of the Political Reform Act for additional inform �tib� F THE CITY CLU'; and information required to be provided to you pursuant to the Information Practices Act of 1977. 1. Committee Information Palm Springs Forward 1399524 STREET ADDRESS (NO P.O. BOX) 400 East Tahquitz Canyon Way CITY STATE ZIP CODE AREACODE/PHONE Palm Springs CA 92262 MAILING ADDRESS (IF DIFFERENT) NO, AND STREET CITY OPTIONAL: FAX/E-MAIL ADDRESS clucker @ luckeranderson .com 2. Period of No Activity STATE ZIP CODE AREA CODE/PHONE Treasurer(s) NAME OF TREASURER STATEMENT OF NO ACTIVITY John Shay MAILING ADDRESS 400 East Tahqiotz Canyon Way CITY STATE ZIP CODE AREACODE/PHONE Palm Springs CA 92262 NAME OF ASSISTANT TREASURER, IF ANY Chris Lucker MAILING ADDRESS 1801 East Tahquitz Canyon Way CITY STATE ZIP CODE AREA CODE/PHONE Palm Springs CA 92262 310 489 1605 OPTIONAL: FAX / E-MAILADDRESS No contributions have been received and no expenditures have been made during the period covering the dates below: Check one of the following boxes and complete the year. ❑ January 1, through June 30, 20 m July 1, through December 31, 20 20 3. Verification have used all reasonable diligence in preparing this statement. I have reviewed the statement and is true and complete. I certify under penalty of perjury under the laws of the State of California;hJt\l Executed on January 18, 2021 DATE By t of rryylnowle a the information contained herein ng i tr e arWcorrect. E OF 11REASURERIASSISTANT TREASURER FPPC Form 425 (Jan/01) FPPC Toll -Free Helpline: 866/ASK-FPPC 866/275-3772