2019-02-19 Form 410 - GarnerStatement of Organization
Recipient Committee .,
Statement Type D Initial 0 Amendment
0 Not yet quali fied
or
0 Date qualification threshold met Date qualification thresho ld met
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02 14 20 19
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1. Committee Information II.D. Number
(if applicable) 1415211
NAME Of CO MMI TTEE
Grace Garner for Pa lm Springs City Council District 1, 2019
STRE[T ADDRESS (NO P.O. BOX)
CITY
Palm Springs
FUll MAILING ADDRESS (IF DIFFERENT)
E·MAIL ADDRESS (REQUIRED)/ FAX (OPTIO NAL)
COUNTY OF DOMICILE
Riverside
STATE ZIP CODE AREA CODE/PHONE
CA 92261
IURISDICTION WHERE COMMIITEE IS ACTIVE
Palm Springs
Attach additional information on appropriately labeled continuation sheets.
3.
Execu ted on By
DATE
Executed on By
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410
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Te rmination-See P "rh~~· ol ._ oft' c.,c;~t ry of State
of t11c St~iP.fli Cahiornia
Date of te rm ination FEQ 19 2019
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I 2. Treasurer and Other Principal Officers
NAM E Of TREASURER
Scott Gordon
STREET ADDRESS (NO P.O. BOX)
CITY
Palm Springs
NAME Of ASSISTANT TREASURER, If ANY
STR EET ADDRESS (NO P.O BOX)
CITY
NAME Of PRINCIPAL O ff iCER(S)
Grace Garner
STREET ADDRESS (NO P.O. BOX)
CITY
Palm Springs
STATE
CA
STATE
STATE
CA
FORM
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ZIP CODE AREA CODE/PHONE
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ZIP CODE AREA CODE/PHONE
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ZIP CODE JIR EA CODE/PHONE
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DATE SIGNATURE OF CONTROlliNG OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPOr~EtH
Execu te d on By
DATE SIGNATURE OF CO NTROLLING OFFICEHOLDER, CANDIDATE, OR STAlE MEASURE PROPON£NT
FPPC Form 410 (Au gust /2018)
FPPC Advice: advi ce@ f ppc.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
CALI~ORNIA 41 0
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.
ELECTIVE OFFICE SOUGHT OR HELD
(INCLUDE DISTRICT NUMBER IF APPLICABLE)
YEAR OF
ELECTION
PARTY
NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT 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 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)
Partisan
D
Partisan
D
(list political party below)
Democratic
(list political party below)
CHECK ONE
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
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 or SPONSOR INDUSTRY GROUP OR AFFiliATION OF SPONSOR
STREET ADDRESS NO. AND STREET CITY STATE ZIP CODE AREA CODE/PHONE
Small Contributor Committee D--1--1--
Date qualified
5. TerminatiorfRequirements . . . . . .· ''tl '" ' rc· . ·. . . . . . .. ·: . . .. . . :. ... . . ·. ~" ., ~ • ,. . ... . . . . . . . . ., .
By slgningtfi~verlflr.a~oni. the ~surer, assistant~~rer and/or candidate; offtceholder,·or proponent ~~;~ata~l (Jf,the:fotlowlng condlttons 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: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov