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HomeMy WebLinkAbout2022-08-29 Form 410 - MeredithStatement of Organization Date Stamp , • . , Recipient Committee RECEIVED • Statement Type ❑Initial ®Amendment El Termination —See Part 5 r v I F " I 1 S R I G $ For Offidal Use Only Q Not yet qualified 2022AUG3 29 f r'1 2: 3 or O Date qualification threshold met Date qualification threshold met Date of termination 08 / 18 2022 Committee1. I.D. Number • • - •fficers 1 aP Nca6le NAMEOFCOMMITTEE NAME OF TREASURER Joy Meredith for Palm Springs Council District 3 2022 Scott Meredith STREET ADDRESS (NO P.O. BOX) 266 N Palm Canyon Drive STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE 266 N Palm Canyon Drive Palm Springs Ca 92262 760-333-4027 CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY Palm Springs CA 92262 760-333-6820 FULL MAILING ADDRESS (IF DIFFERENT) STREET ADDRESS (NO P.O. BOX) E-MAIL ADDRESS (REQUIRED)/FAX (OPTIONAL) CITY STATE ZIP CODE AREA CODE/PHONE psca@msn.com COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE IS ACTIVE NAME OF PRINCIPAL OFFICER(S) Riverside Palm Springs Joy Meredith STREETADDRESS (NO P.O. BOX) 266 N Palm Canyon Drive CITY STATE ZIP CODE AREA CODE/PHONE Attach additional information on appropriately labeled continuation sheets. Palm Springs CA 92262 760-333-6820 3. Verification I have used all reasonable diligence in preparing this statement penalty of perjury under the laws of the State a I ornia t a e Executed on 01 �v� By D Executed on By DAT Executed on DATE By to the best of my knowledge the information contained herein is true and complete. I certify under 'orQeoiwe is4rue and correct. i SIGNATURE OF TREASURER OR ASSISTANT TREASURER OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT NATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT Executed on By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT FPPC Form 410 (August/2018) FPPC Advice: adviceC5Dfppc.ca.eov (866/275-3772) www.fPvc.ca.eov Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE Page 2 COMMITTEE NAME I.D. NUMBER Joy Meredith for Palm Springs Council District 3 2022 188-3341864 All committees must list the financial institution where the campaign bank account is located. NAME OF FINANCIAL INSTITUTION Mechanics Bank ADDRESS 500 S Palm Canyon Drive AREA CODE/PHONE 760-320-8214 CITY Palm Springs BANK ACCOUNT NUMBER 121102036 3505391205 STATE ZIP CODE CA 92262 • 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 CHECK ONE Joy Meredith Palm Springs City Council District 3 2022 Nonpartisan Partisan (list political party below) Nonpartisan Partisan (list political party below) 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) CHECK ONE SUPPORT OPPOSE SUPPORT OPPOSE FPPC Form 410 (August/2018) FPPC Advice: advice@fppc.ca.eov (866/275-3772) www.fppc.ca.gov 3 Statement of Organization Recipient Committee • INSTRUCTIONS ON REVERSE Page 3 COMMITTEE NAME I.D. NUMBER Joy Meredith for Palm Springs Council District 3 2022 88-3341864 GeneralNot formed to support or oppose specific candidates or measures in a single election. Check only one box: ® CITY Committee ❑ COUNTY Committee ❑ STATE Committee PROVIDE BRIEF DESCRIPTION OF ACTIVITY Palm Springs City Council District 3 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• • •r Committee❑ �� Date quallfled 5. Terminal tion RequirementS By signing the verification, the treasurer, assistant treasurer and/or candidate, officeholder, or ponent certify that all of the following conditions have been nnet: • 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.fPRc.ca.gov