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2021-07-22 Form 410 - CReMAEIVED CITY OF P : Lti SPRINGS 2021 JUL 22 PM 2: 21 Statement of Organization OFFICE Of THE M11""CI`EINl' Recipient Committee Statement Type ❑✓ Initial ❑ Amendment ❑ Termination - see Part 5 Not yet qualified © or List 1 D numher List I D nDlnhef Pending / / Dale qualified as committee Date qualified as committee Date of 1R.— atlon :I(RFRuI rhR.l 1. +~oit>Imftt Fnfartna�len °: NAMF. Or LOMMITTF.F Committee to Relocate Marilyn (CReMa) 5TRFfTADDRF.55(NO R O FOX) Tile Stall nrl Or, AN A I Ol`I 11II4111 Palm Springs, CA 92262 MAILING ADDRESS (If DIFFERENT I FAX! E MAIL ADDRF51 COUNTY OF DOMIrIIF )IIRISUII FION w IFRE COMMIT i IF IS All Iff Riverside Palm Springs NAME Or IRFAlORFR Chris Lucker Fo, OFFIr,IAI I/se prdy STRrrt ADDIif55(NOII0 ROM ,ITT IAII Irm l 11U, AIIIAIOINfRIION1 Palm Springs, CA 92262 310-489-1605 NAME OF AISI TAN I TR.EA5URER, IF AN1' 5 FREET ADD RES5 (NO PO 110X) ray —ir iif,n01 ANI A 1 ODrll'II ONF NAMF OF eRIN' IeAI OFI IT F11(11 Mark Anderson STRLL I ADUREr IN" PO RDXI Attach additional information on appropriately labeled continuation sheets. ,if, 1-1 /R 1.1.. ARI'AI OI11-/RIIONF Im Springs CA 92262 I have used all reasonable diligence in preparing Executed �[^ �yof�[the f By� U `�fi� on llnT ili.NAiI1Rf' OI' IRF ASORTR T)F ASSI1 rnN I Im nSUlu 11 Executed on By 111,14 I I1RF OF FnN I ROl L—, ",I If 1I1011)1 It. ( ANDIDAI F, nR 51A11 MI ASURF PROPONENT nATF Executed on By SI(•NAI URF 01 r0N I ROI I IN -OF rill ioi III R, l ANDIDAI F, 0R SIAI I MI A4URF VIIORI)NI N I f ATf Executed on BY IAO SI(•NAi11NF 01 (ONI ROII INla OFF 1(IIIOI DFR (ANnIDAIF (II151AIf MFASIIe.F F•FOeDNFNI FPPC Form 410(Dec/2012) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE Page 2 COMMITTFF NAME In NUMBFR Committee to Relocate Marilyn (CReMa) Pending e All committees must list the financial institution where the campaign bank account is located. NAME NI 1 INAN( IAI. INSTITII I ION Pending ARMNLaS TI1Y STATF. JIP co OF. 40. Ty 7 a 17111 11 t . pTYrpl fit@ t#t� Bppli bie 52C iU[3S. • 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" • If this committee acts jointly with another controlled committee, list the (Tame and identification number of the other controlled committee. ELECTIVE OFFICE SOUGHT OR HEID NAME OF CANDIDATE/OFFICEIIOLDER/STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF AFTER ABLE) YEAR OF ELECTION PARTY ❑ Nonpartisan ❑ Nonpartisan Primarily formed to support or oppose specific candidates or measures in a single election. List below: CANDIDAI'E(S) NAME OR MEASUREIS) FULL IITLE (INCLUDE BALLOI NO. OR LET I LET CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASUREIS) JURISDICTION (INCLUDE DISTRICT' NO., CNY OR COUNTY. A5 APPLICABLE) 11111 K ONT SUI'I'�lRl 111`rn51 SIMII❑JlJ�$HI1I1 IIn FPPC Form 410(Dec/2012) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Statement of Organization CALIFORNIA' Recipient Committee • - INSTRUCTIONS ON REVERSE Page 3 COMMITTEE AVENI.D. NUMBER Committee to Relocate Marilyn (CReMa) Pending :j►�rw3lxff[1dt�ifx „' (pnNrwafl Not formed to support or oppose specific candidates or measures in a single election. Check only one box: ❑✓ CITY Committee ❑ COUNTY Committee ❑ STATE Committee PROVIDE REIFF DF5CRIPTION Or ACTIVITY Citizens Advocacy Group List additional sponsors on an attachment. NAMF Or 5FONION GROUP OR urmixTIoN or sro NsoR STREET AGGRESS NO. AND STREFT CITY —F IIr CODE n.N Ilakfi.p p.�.� :. ,..: '.,ReN�• re�ifef>Its lly �t�ing the ra!rificak3nfl,lhE! treasErrnr, ��srttalE{#:treasrrrTr�EiilJr»` 00,1 ditr., QM NAd'm or pr*onenk r,Rfity that &W the 16e owing candiii6m have bren luft'. .;.` • This committee has ceased to receive contribltions 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 19521.S. FPPC Form 410 (Dec/2012) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov