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2021-02-16 Form 410 - MAPSStatement of Organization we sump Recipient Committee EL EDFEMI Statement Type ❑ initial ® Amendment ❑ Termination —See Part 5 fTi 0F PtLFl SPRINor OMdal Use only Q Not yet qualified or 2021 FEB 16 PM 5: 18 Q Date qualification threshold met Date qualification threshold met Date of termination 1FlCE OF THE CITY CLE. 2019 �� Co1. crmatlon2. TreaSUrer and Other NAME OF COMMITTEE NAME OF TREASUREA Management Association of Palm Springs - MAPS PAC Dolores Olvera STREET ADDRESS (NO P.O. BOX) STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA COVE/PHONE Palm Springs CA 92262 CITY STATE ZIP CODE AREACODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY Palm Springs CA 92262 760-323-8225 FULL MAILING ADDRESS II F DIFFERENT) STREET ADDRESS INC PO BOX] E-MAIL ADDRESS (REQUIRED)/FAX (OPTIONAL) cm STATE zip CON AREACOOE/PHONE COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE IS ACTIVE NAME OF PRINCIPAL OFFICERIS) Riverside Palm Springs Leigh Gileno PAC President plus Board STREET ADDRESS (NO P.O. BOX) Attach additional information on appropriately labeled continuation sheets. CITY STATE ZIP coot AREACOOE/PHONE Palm Springs CA 92262 1 have used a reasons a Bence in preparing this statement and tote est o my know e t invormation contains erein is true an penalty of perjury under the laws of the State OR ASSISTANT TREASURER Executed on By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, LAND` -DATE, OR STATE MEASURE PROPONENT Executed on BY DATE SIGNATURE OF CONTROLLING OFF CEHOWER. CANDIDATE, OR STATE MEASURE PROPONENT Executed on DATE BY S GNATURE OF CONTROLL NG OFFICEHOLDER, CANDIDATE OR STATE MEASURE PROPONENT FPK Form 410 (August/2018) FPK Advice: advke@fomca.aov rti66/27S-3m) www.fopc.ca.sov Statement of Organization CALIFORNIA Recipient Committee FORM INSTRUCTIONS ON REVERSE pap COMMITTEE NAME I.D. NUMBER Management Association of Palm Springs - MAPS PAC 11416257 All committees must list the financial institution where the campaign bank account is located. NAME OF FINANCIAL INSTITUTION AREA CODE/PHONE BANK ACCOUNT NUMBER Bank of America 760-864-8611 3251 13541173 ADDRESS CITY STATE ZIP CODE 588 South Palm Canyon Palm Springs CA 92264 • 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 YEAR OF PARTY NAME OF CAN DIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT (INCLUDE OIVRICT NUMBER IF APPLICABLE) ELECTION CHECK ONE Nonpartisan Partisan (list political party below) Nonpartisan Partisan(list political party below) 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. CAN DIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION (INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE) CHECK ONE SUPPORT OPPOSE SUPPORT OPPOSE FPPC Form 410 (August/2018) FPPC Advice: adviceififoDc.ca.aov (M/275-3172) ffWffifrJnc.ca.eoy Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE Page 3 COMMITTEE NAME 10. NUM DER Management Association of Palm Springs - MAPS PAC 1416257 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 BRIEF DESCRWTM of ACTIVITY To support this organization in advocating for the betterment of its membership and the community. List additional sponsors on an attachment. NAME OF SPONSOR GROUP OR AFFILIATION OF SPONSOR STREET ADDRESS NO. AND STREET CITY STATE ZIP CODE AREA ❑ .-,1 S_ 1 err I natlor4 Requirements Fy si# I Ir.;; thr= vrrih[ahon, the treasurer, nws -tart treasurer and/or tanLiir�att-, othceiia lser, or ponent certify th mt ,1I1 ai th v'p llo.•;i g CC n--lilorIs h.I vil t)FEr) 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( Mfia,9" (866/27S-3772) www.fJDMCa.¢ov