HomeMy WebLinkAbout2022-01-27 Form 410 - PettitStatement of Organization
Recipient Committee
Statement Type ❑ Initial ❑ Amendment ® Termination — See Part 6
Q Not yet qualified
or
O Date qualification threshold met Date qualification threshold met i Date of termination
I.D. Num
NAME OF COMMITTEE
Alfie Pettit for City Council, District 3, 2019
STREET ADOKESS IN,; PO SOX)
CITY SWE ZIP CODE AREA CODE/PHONE
Palm Springs CA 92262
LILL MAILING ADDRr:SS (IF DIFFERENT)
E-MAIL ADDRESS IhEQUIRE D) / FAX (OPTIONALI
COLIN rY OF DOMI+.ILC /URI5DI1WIN WHC.RF. COMMITTEE. IS ACTIVE
Riverside Palm Springs
Attach additional information on appropriately labeled continuation sheets.
of '1 1 fi5 zi
I have used all reasonable diligence in preparing
penalty of perjury u der th aws of the State
on By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MCASURC PROPONENT
Executed on By
DATE SR.NATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
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
Alfie Pettit for City Council, District 3, 2019
• All committees must list the financial institution where the campaign bank account is located.
Wells Fargo
BANK ACCOUNT NUMBER
Pending
ADDRESS CITY STATE ZIP CODE
Palm Springs CA 92264
�y�fl;.lrrtrr `C lote the applic�bi� sec#Tons _�
Page 2
I.O. NUMBER
1419242
• 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 the other controlled committee.
ELECTIVE OFFICE SOUGHT OR HELD YEAR OF PARTY
NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) ELECTION CHF.CKONE
Nonpartisan
Partisan
(list political party below)
Alan P Pettit
Councilmember, Palm Springs, District 3
2019
F
Nonpartisan
Partisan
(list political party below)
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)
SUPPORT
EL
OPPOSE
SUPPORT
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
Alfie Pettit for City Council, District 3, 2019
General Purpose Committee Not formed to support or oppose specific candidates or measures in a single election. Check only one box:
LoMmirtee U COUNTY Committee U STATE Committee
PROVIDE BRIEF DESCRIPTION OF ACTIVITY
List additional sponsors on an attachment.
NAME OF SPONSOR
STREET ADDRESS NO .AND STREET
Small Contributor Committee
Uate quah8ed
CITY
GROUP OR AFFILIATION OF SPONSOR
Page 3
1.6. NUMBER
1419242
STATE ZIPCODE AREA CODE/PHONE
5 ..►wsl ts) e, `'i, > tyswT s a rx o • ar a stern o , erc a a t t zh i bt ruin'` -tia beef mitt
g R �,.r.
• This committee has ceased to receive contributions 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 received, and other obligations;
• 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 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