2021-07-05 Form 410 - MAPS PACStatennent vf Organization
Date Stamp
Recipient Committee
V
� � � � � � �
SOfficial
Statement Type Initial ® Amendment
P R I N❑
❑ Termination — See Part 5 C I T Y 0 F P A L 1.1 5
FFor Use Only
Q Not yet qualified
or
2021 JUL 21 FM 2: 2
0 Date qualification threshold met Date qualification threshold met
Date of termination
ter F10E OF THE. CITY CL
;
07 os 2021
Committee1. • • I.D. Number L4162572.
Treasurer and Other Principal Officers
o ,row
NAME OF COMMITTEE
NAME OF TREASURER
Management Association of Palm Springs - MAPS PAC
Dolores Olvera
STREET ADDRESS (NO P.O. BOX)
STREET ADDRESS INO P.O. BOX)
CITY STATE
ZIP CODE AREA CODE/PHONE
Palm Springs CA
92262
CITY STATE ZIP CODE AREA CODE/PHONE
NAME OF ASSISTANT TREASURER, IF ANY
Palm Springs CA 92262
FULL MAILING ADDRESS (IF DIFFERENT)
STREET ADDRESS NO P.O- BOX)
E-MAIL ADDRESS (REQUIRED)/FAX (OPTIONAL)
CITY STATE
ZIP CODE AREA CODE/PHONE
COUNTY OFOOMICILE
JURISDICTION WHERE COMMITTEE 15 ACTIVE
NAME OF PRINCIPAL OFFICER(S)
Riverside
Palm Springs
Leigh Gdeno PAC and Board President
STREET ADDRESS INO P.O. BOX)
CITY STATE
ZIP CODE AREA CODE/PHONE
Attach additional information on appropriately labeled continuation sheets.
Palm Springs CA
92262
Verification3.
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. I certify under
penalty of perjury under the laws of the State of Califoyntj-0tgt-*e foregoing is trueand "oect.
Executed on 07-05-2021 By
DATE
Executed on By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
Executed on By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
Executed on
DATE
BY
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 410 (August/20181
FPPC Advice: advice0focc.ca.aov (866/27S-37721
www.fppc.ca.gov
Statefrient of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
Pace 2
COMMITTEE NAME I.D. NUMBER
Management Association of Palm Springs - MAPS PAC 1 1416257
All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION AREA CODE/PHONE BANK ACCOUNT NUMBER
Bank Of America
ADDRESS CITY STATE ZIP CODE
Palm Springs CA 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.
• 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
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) CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION
IF A RECALL, STATE -RECALL? IN FRONT OF THE OFFICEHOLDER'S NAME. (INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE) CHECK ONE
SUPPORT OPPOSE
SUPPORT OPPOSE
FPPC Form 410 (August/2018)
FPPC Advice: advice@fuRc.ca.gov (866/27S-3772)
www.fuoc.ca.¢ov
Statemerit,of Organization
Recipient Committee
INSTRUCTIONSON REVERSE
Page 3
Management Association of Palm Springs - MAPS PAC 11416257
Generol PurposeNot 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
To support this organization in advocating for the betterment of its membership and the community
List additional sponsors on an attachment.
NAME OF SPONSOR
GROUP OR AFFILIATION OF SPONSOR
STREET ADDRESS NO. AND STREET CITY STATE ZIP CODE AREA CODE/PHONE
Date gwliMed
Requirements5. Termination
• 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@fRRc ca.gov (866/275-3772)
www.fPPc.ta•QOV