2018-09-17 Form 410 - PS Fire Safety (Amended)Statement of Organization
Recipient Committee
Statement Type 0 Initial
0 Not yet qualified
Of
0 Date qualified as committee
NAME OF COMMITI_!r Palm Springs r refighters Association PAC
STREff ADDRESS (NO P.O. BOX I
CITY STATE
Palm Springs CA
MAi liNG ADDRESS (I F Dif FERENT )
E·MAil ADDRESS (REQUIRED)/ FAX (O PTIONAl)
~ OateSta mp CALIFORNIA 41 0
FORM
i2J Amendment
~-f: c fl 1 ~~ ~.. .. p I I ECEIVED AND FILE CJ , Term Ina ion--'See Part 5 1r ttie ollite of the Secretary of Stat • For Official Use Only
08 06 1988
----~! , _____ _
Date qualified as committee
(If amendong to poovide lh•• dale)
2011 SEP 21 AM 8: 43
--~! 1----
,oate of te~ination , • l ~'l """L..'•H ·•--
NAME OF TREASURER
Brandon Wright
STREff ADDRESS (N O P.O. BDXI
ClfY
Yucaipa
of the State of ~llfomil\
SEP 17 2~18
t..
ZIP COD E AUA CODE/PIIONE NAM E Of ASSISTA NT TREASURER, IF ANY
92262 (
STREET ADDRESS (NO P.O BOX)
CITY STATE
ZIP CODE AREA CODE/PHONE
92399 (
ZIP CODE AREA CODE/PHD HE
JUR ISDICTIO N WHERE CO MM ITIEE IS II CTIVE NAME OF PRIIICIPAL O FFICER(SI
Damian Myers
STRE£T ADDRESS (N O P.O , BOX I
CITY
Attach additfonal information on appropriately labeled continuation sheets. Temecula
DAlE
Executed on By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CAND IDATE, OR STATE MEASURE PROPONENT
Executed on By
DATE SIGNATURE OF CONTROLLING O FfiCEHOLDER. CANDIDATE, OR STATE MEASURE PltOPONENT
Executed on By
DATE SIGNATURE OF CONTROLLING O ffiC[IlOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
m>COOE AREA C:OO E/PH ONE
92592 (
FPPC Form 410 (May/20171
FPPC Advice : advh:e@fppc.c:a.gov (866/275-37721
www.fppc.ca.gov
.. Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
COMMITTU NAME
Palm Springs Firefighters Association PAC
• All committees must list the financial Institution where the campaign bank account Is located.
NAME Of fiNANCIAl INSTITUTION AREA CODE/PHONE
Firefighters First Credit Union (800) 231-1626
ADDRESS CITY
P.O. Box 60890 Los Angeles
Controlled Committee
BANK ACCO:UNT NUMBER
10002679256
STAlf ZiP CODE
CA 90060-0890
CALIFORNIA 41 0
FORM
1.0 NUMBER
881536
• 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 cand idate Is affiliated or check "nonpartisan."
• If this committee acts jointly with another controlled committee, list the name and identification number of the other controlled committee.
NAME OF CANDIDAT£/OfFICEHOLOER/STATE MEASURE PROPONENT
ELECTIV E OFFICE SOUG HT OR HELD
(INCLUDE DIS TRI CT NUMB ER IF APPLIC AB LE) YEAR OF ElECTIO N
Primarily Formed Committee Primarily formed to support or oppose specific candidates or measures in a single election. list below:
CANDIDATE($) NAME OR MEASUREIS) FUll TITLE (INCLUDE BAllOT NO. OR LETIER) CANDIDATE($) OFFICE SOUGIIT OR HELD OR MEASURE(S) JURISDICTION
(INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE)
PARTY
D Nonpartisan
D Nonpartisan
CHECICONE I .,..... I ...... ~· ··§
FPPC Form 410 (May/2017)
FPPC Advice: advlce@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
·statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
COMMITTEE NAME
Palm Springs Firefighters Association PAC
CALIFORNIA 41 Q
FORM
1.0. NUMBER
881536
General Purpose Committee Not formed to support or oppose specific candidates or measures in a single election. Check only one box:
i2J CITY Committee 0 COUNTY Committee 0 STATE Committee
PROVIDE BRIEF DESCRIPTION OF ACTIVITY
Support Candidates and Measures within the City during a single election.
Sponsored Committee List additional sponsors on an attachment.
NAME OF SPONSOR INDUSTRY GROU P OR AFFILIATIO N Of SPO NSOR
Palm Springs Firefighters Association PAC Palm Springs Firefighters Association
STREET ADDRESS NO AND STREET CITY UAH ZIP COli.( AREA CODE/PHONE
180 N. Luring Dr Palm Springs CA 92262 (760)861 -1230
Small Contributor Committee
• 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 (Mayf 2017t
FPPC Advice: advlce@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov