2019-02-19 Form 410 - Garner (2)Statement of Organization
Recipient Committee
· .. ! . ;Date Stamp ·
: .. " ' ..) •.. 1 : ~ . CALIFORN.IA 410
FORM
~--------------------~~-------------------,----------------------~ Statement Type D Initial
0 Not yet qualified
li2l Amendment 0 Termination-See Part~ 19 FEB I 9 f\ii 9: 4 O For Official Use Only
or
0 Date qualification threshold met Date qualification threshold met
02 14 2019
--1--1-----1--1--
NAME OF COMMITTEE
Grace Garner for Palm Springs City Council District 1, 2019
STREET ADDRESS (NO P.O. BOX)
CITY
Palm Springs
FULL MAILING ADDRESS (IF DIFFERENT)
E·MAIL ADDRESS (REQUIRED)/ FAX (OPTIONAL)
COUNTY OF DOMICILE
Riverside
STATE ZIP CODE AREA CODE/PHONE
CA 92261
JURISDICTION WHERE COMMITTEE IS ACTIVE
Palm Springs
Attach additional information on appropriately labeled continuation sheets.
Date of termination 1 • • ,:.:. · • , ; • ·~ ·.~
--1--1--
NAME OF TREASURER
Scott Gordon
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
Palm Springs CA 92262
NAME OF ASSISTANT TREASURER, IF ANY
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
NAME OF PRINCIPAL OFFICER(S)
Grace Garner
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
Palm Springs CA 92262
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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 California that the foregoing is true and correct.
Executed on By
DATE
Executed on
DATE
By
Executed on
DATE
By
Executed on By
DATE
. RE OF TREASURER OR ASSISTANT TREASURER
G OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
SIGNATURE 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
Grace Garner for Palm Springs City Council District 1, 2019
I
CALIFORNIA 410
FORM
I.D. NUMBER
1415211
• All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION AREA CODE/PHONE BANK ACCOUNT NUMBER
Sun Community Federal Credit Union 760-337-4200 9085572020
ADDRESS CITY STATE ZIP CODE
1717 E Vista Chino, Suite J-1 0 Palm Springs CA 92262
Controlled Committee .
• 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.
NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT
ELECTIVE OFFICE SOUGHT OR HELD
(INCLUDE DISTRICT NUMBER IF APPLICABLE)
YEAR OF
ELECTION
PARTY
CHECK ONE
Nonpartisan
Grace Garner City Councilmember, District 1 2019 0
Nonpartisan
D
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 LEITER)
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)
Partisan
D
Partisan
D
(list political party below)
Democratic
(list political party below)
CHECK ONE
[jRT OLl
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
Grace Garner for Palm Springs City Council District 1, 2019
CALIFORNIA 410
FORM
I. D. NUMBER
1415211
General Purpose Committee Not formed to support or oppose specific candidates or measures in a single election. Check only one box:
D CITY Committee D COUNTY Committee D STATE Committee
PROVIDE BRIEF DESCRIPTION OF ACTIVITY
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 Contributor Committee o __ ; __ f __
Date qualified
5 .• Termination R~~~r~J1len~ ay slgnt~s ~ ~riftcatton, the. ~surer, ass~nttreasurer and/or.candJdate, o~ce~older,·orpropOnent certffvthat all of the following conci1ttons have been met:
• 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: advlce@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov