2019-02-04 Form 410 - MAPS PACStatement of Organization
Recipient Committee
Date Stamp CALIFORNIA 41 0
FORM
c=------------------~~---------------=~--------------__, Statement Type 0 Initial 0 Amendment 0 Termination-See Part 5 For Official Use Only
0 Not yet qual ified I '
or e Date qualifi cation threshold met Date qualification th reshold m et Date of ter min ation 2019 FEB -l~ Pi1 12 SO
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1. Committee Information 1.0. Number
(if app licable) 992012 (previously clo sed)
1
2. Treasurer and Other r incipal Officers
NAME OF COMM ITTEE
Management Ass ociati on of Palm Spring s -MAPS PAC
STREET ADDRESS (NO P.O . BOX)
CITY
Palm ~prings
FU ll MAILING AOORE5S (IF DIFFERENT}
E·MAIL ADDRESS (REQUIRED)/ FAX (OPTI ONAL)
COUNTY OF DOMICILE
Riverside
STATE ZIP CODE
CA 922 62
JURIS DICTION WHERE COMM ITTEE IS ACTIVE
Palm Springs
AREA CODE/PHONE
Attach addition al information on appropriate ly labeled continuation s h eets.
3. Verification
NAME OF TREASURER
Catherine Salazar-Wil son
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 PRIN CIPAl OFFICER(S)
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
I ha ve used all reas onable d i ligence in pre parin t hi s statement and t o the bes t of my knowledg e the i nform ation contained herei n is true and compl et e. I certify under
penalty of perj ury under the la w s of the St at
Executed o n 2-3-2019
DAT E
Executed on By
DATE
Executed on By
DATE
Executed o n By
DATE
SIGNATURE OF CONTROlliNG OF FICEHO LDER, CANDIDATE, OR STATE MEASURE PROPONENT
SIGNATURE Of CONTROlliNG OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
SIGNATURE OF CO NTROlli NG OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 410 (August/2018)
FPPC Advice: advlce@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
CO MMITTEE NAME
Management Association of Palm Springs-MAPS PAC
CALIFORNIA 41 0
FORM
1.0. NU MBER
992012 (previously closed)
• All committees must list the financial institution where the campaign ba nk account is located.
NAME Of FINAN CIALINSTJTUTION AR EA CO DE/PHONE BAliK ACCOU NT NUMBER
Bank of America 760-864-8611 325113541173
ADDRESS CITY STATE ZI P CO DE
588 South Palm Canyon Palm Springs CA 92264
4 . Type of Committee Complete the applicable sections.
Controlled Committee
• List the name of each controlling officeholder, candidate, or state measure proponent. If candidate or officeh older 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 preferen ce" is acceptable.
• If this committee acts jointly with another con tro ll ed committee, list the nam e and identification number of the other controlled committee.
NAME OF CANOl DATE/OFF ICEHO LDE R/STATE MEASURE PROPONEN T
~
ELECTIVE OFFICE SOUGHT OR HElD
(INClUDE DISTRICT NUMBER IF APPLICABlE)
YEAR OF
ElECTION
PARTY
CHECK ONE
Nonpartisan Partisan
D D
Nonpartisan Partisan
D D
(list political party below)
(list political party below)
Primarily Farmed Committee Primarily formed to support or oppose specific candidates o r measures in a sing le election. Li st be low:
CANDIDATE(S) NAME OR MEASURE(S) FULl TITlE (INCLUDE BAlLOT NO. OR lETIER)
IF A RECAll, STATE •RECALl• IN FRONT OF THE OFFICEHOlDER'S NAME.
CANDIDATE(S) OFFICE SOUGHT OR HElD OR MEASURE(S) JURISD ICTION
(INClUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE) CII ECK ONE
I ISDT 1°0
1 --l oTI Ou
FPPC Form 410 (August/2018}
FPPC Advice: advlce@fppc.ca.gov (866/275-3772}
www.fppc.ca.gov
OPY
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERS E
CO M M I TIEE NA M E
Manag ement Association of Palm Springs-MAPS PAC
CALIFORNIA 41 0
FORM
I.D. NUM BER
General Purpose Committee Not formed to support or oppose spec ific ca nd idates or measures in a si ngle e lection. Check o nly one box:
i2J CITY Committee 0 COUNTY Committee 0 STATE Committee
PROVI DE BRI EF DESCR IPTION OF ACTIVITY
To supp ort th is Organization in advocatin g for the betterment of its membership and th e comm unity.
Sponsored Committee List additional spon so r s on an attac hment.
NAME O F SPONSOR IN DUST RY GRO UP OR AFFI LIATION O F SPONSO R
STR EET ADDRESS N O. A N D STRE ET CI TY STATE ZIP CODE A REA CODE/PHONE
Small Contributor Committee D __ ; ; __
oatc qualified
• Thi s comm ittee has ceased to r ece ive contributions and make expen d itures;
• Thi s committee does not anticipate receiving co ntributi ons or makin g expenditures i n the future;
• This committee has el imi nated or has no intention or ab ility to discha rg e all d ebts, loa ns rece ive d, and oth er obligatio ns;
• This comm ittee ha s no surplu s funds; and
• Thi s co mmittee has fi led all ca mpaign statem ents required by t he Po li tica l Reform Act d isclosing all reportabl e tran sac ti ons.
There are r est ri ctions o n th e dispos ition of surplus campaig n fun ds held by e lec t ed officers w ho ar e leaving office and by defeated can di dates. Ref er t o Gove rnm ent
Co d e Section 89S19.
Leftove r f unds of ballot measure committees may be used for pol iti cal, legis lative or gove rn mental purposes under Governm e nt Code Se ctio ns 89511 -89518, and are
su bject to Elections Code Sectio n 18680 and FPPC Regulation 1 8521.5.
FPPC Form 4 10 (August/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca .gov