2019-02-25 Form 410 - MAPS PACt
Statement of Organization
Recipient Committee
Date Stamp CALIFORNIA 41 0
FORM
I s~~ment~pe ~~~,n-~-ia-,~~~~~~~0~-A-m-e-nd_m_e_n_t~~~~D~~-e-rm~in-~-io_n ___ s_e_e_P_a_rt_s~,. ECEIVEDANDFILE
the office of the Secretary of St e
0 Not yet qualified of the State of Ca li forn i a
or e Date qua li fication threshold met Date qua li fica ti on th resho ld m et Da te of terminat ion FEB 2 5 2019
_2_, 3 /2019 ---1---1---
Committee Information J.D. Number
(if applicable) 992012 (previou sly closed) 2. Treasurer and Other Principal Officers
NAM E OF COMMITTEE NAM E OF TREASURER
Management Associati o n of Palm Spring s-MAPS PAC Cath erine Salazar-Wilson
STREET ADDRESS (NO P.O. BOX)
STREET ADDRESS (NO P.O. BOX) CITY
STATE ZIP CODE AREA CODE/PHONE NAME OF ASS ISTANT TRE ASURER , IF AN Y
Palm S prings CA 92262
FU LL MAILING ADDRESS (IF DI FFE RE NT! STREET ADDRESS (NO P.O. BOX)
E-MAIL ADDR ESS (REQU IRED )/ FAX (O PTIONAL) CITY
CO UNTY OF DOM ICILE JUR ISDICTI O N WHER E COMMITTEE IS AC TIVE NAM E OF PRINCIPAL OFF ICER(S)
Ri ve r sid e Palm Sp ri ngs Cath erine Salazar-Wilson
STREET ADDRESS )NO P.O. BOX)
CITY
Attach addition al information on a pp ropriately lab eled con tinuation sheets. Palm Sp r ings
SIGNAl URE O F CONTROLL ING OFF ICEI IOLD ER, CANDIDATE, OR STATE MEASURE PR OPO NENT
SIGNATURE OF CON TROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASUR E PROPONE NT
SIG NAT UR E OF CONTROLLING OFFICE II OLDER, CANDIDATE, OR STATE MEASURE PROPONENT
STATE ZIP CODE AREA'CODE/PHON E
CA 92 262
STATE ZIP CODE AREA CODE/PHONE
STATE ZIP CODE ARE A COD E/PHON E
CA 92262
I certify un de r
.,
FPPC FornA'iO (August/2018 )
FPPC Advice: advice@fppc.ca.~"v (866/275-3772)
www.fppc.ca.gov
Statement of Organization
l Recipient Committee
INSTRUCTIONS O N REVERSE
COMMITT EE NAME
Management Association of Palm Springs -MAPS PAC
CALIFORNIA 410
FORM
1.0. NUMBER
9920 12 (previou sly closed)
• All committees must Jist the financial institution where the campaign bank account is located.
NAME O F FINANC IAL INSTITUTION AREA COOE/PiiONE BANK ACCOUNT NUMBER
Bank of America 760-864-8611 3251 1354 1173
AD DRESS CIT Y STATE ZIP CODE
588 South Palm Canyon Palm Sp ring s CA 92264
~-Type of Committee Complete the applicable sections.
Controlled Committee
• Li st the name of each control ling office holder, candidate, or state m eas ure proponent. If can didate or office holde r co ntrolled, al so li st the elective office sought or held, and
district number, if any, and the year of the election.
• Li st th e politica l party with which ea ch officeho ld er or candidate is affiliat ed or ch ec k "nonpartisan." Stating "No pa r ty prefer ence" i s acce ptable.
• If this committee acts jointly w ith anothe r controlled committee, list the name and ide ntification nu mber of the oth er controlled comm ittee.
NAME OF CA NDIDATE/OFFICEHOLDER/STATE MEASURE PROPON ENT
ELEC TI VE OFFICE SOUGHT OR HELD
(INCLUDE DISTRICT NUMBER IF APPLICABLE)
YEAR OF
ELECTION
PARTY
CHECK ONE
Nonpartisan Partisan
D D
Nonparti san Partisan
D D
(li st poli tical party below)
(list p olitical party below)
Primarily Formed Committee Prim ari ly formed to support o r oppose sp ecific ca ndidat es o r meas ures in a sing le e l ec tion. Li st b e low:
CANDIDATE($) NAME OR MEASURE(S) FU LL T ITLE (INCLUDE BALLOT NO. OR LETTER)
IF A RECALL. STATE "RECA LL" IN FR O NT OF THE OFF I CEHOLDER'S N AME.
CANDIDATE($) OFFICE SOUGH T OR HELD OR MEASURE(S ) JURISDICTIO N
(INCLUDE D I STRICT NO., CITY OR COUNTY, AS APPLI CABLE) CHECK ONE
FPPC Form 410 (August/2018)
FPPC Advic e: advice@fppc.ca.gov (8 66/275-3772)
www.fppc.ca.gov
Statement of Organization
• Recipient Committee
INSTRUCTION S ON REVERSE
COMMITIEE NAME
Managem en t Association of Palm Sprin gs -MAPS PAC
4. Ty,pe of Co..mmittee (Continued}
CALIFORNIA 410
FORM
1.0. NUMBER
9920 12 (previously closed)
General Purpose Committee Not form ed to support or oppose speci fic candidates o r meas ures in a si ngle election . Check only one box:
M CITY Committee 0 COUNTY Committee 0 STATE Committee
PROV IDE BRIE F DESCRIPTIO N OF ACTIVITY
To support this Organization in advocating for th e betterment of its membersh ip and the commun ity.
Sponsored Committee List additional sponsors on an attachm ent.
NAME OF SPONSOII INDUSTRY GRO UP OR AFFILIAT ION OF SPONSOR
STREET ADDRESS NO. AND ST REET CITY STATE ZIP CODE AREA CODE/PHONE
Small Contributor Committee 0 1--1--
Date qualified
?·Termination Requirements By sig nin g the verification, the treasurer, assi stant treasure r and/or candidate, officeholder, or proponent certify that all o f the follo win g con d itions have been met:
• This co mmittee has cease d to re ce ive contributions and make expenditures;
• Thi s committee does not anticipate r eceiving contributions or maki ng expenditures in the fu ture;
• This committee has eliminated or ha s n o in tention o r ability to disc harge all deb ts, loans received, and other ob ligations ;
• Thi s com mittee ha s no surplus fund s; an d
• This comm ittee has filed all ca mpaign statem e nts r equired by the Po li tica l Reform Act disclo sing all reportable transac tions.
There are r estrictions on the d i sposition of surplu s ca mpaign funds held by elected officers who are le avin g office and by defeated candidates. Refer to Government
Code Sectio n 89519.
Leftover funds of bal lot mea sure com m ittees may be used for political, leg isl ative or governmenta l purposes un der Gove rnm ent Code Sections 895 11 -895 18, and are
subj ect to Elections Co de Sec tion 1868 0 and FPPC Reg ulation 18521.5 .
FPPC Form 410 (August/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
List of other Principal Officers for Management Association of Palm Springs -MAPS
PAC
Rick Mozzillo -President of MAPS
Mark Jucht-Secretary of MAPS
David Newall -Treasurer of MAPS
Jarvis Crawford -Member at Large of MAPS
Address for all above is:
3200 East Tahquitz Canyon Way
Palm Springs, CA 92262
760-333-6854 for all
2-21-2019