2020-07-28 Form 425 - Palm Springs ForwardSemi -Annual Statement of No Activity Type or print in ink. STATEMENT OF NO ACTIVITY
Date S
For use by recipient committees that have not received any contributions and have not made any expenditures
during the six-month period covered by a semi-annual statement. Candidate controlled committees formed for an
elective office may not use this form.
See the Information Manual on CamDaian Disclosure Provisions of the Political Reform Act for additional information
and information required to be provided to you pursuant to the Information Practices Act of 1977.
1. Committee Information
NAME
Palm Springs Forward
1399524
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREACODE/PHONE
Palm Springs CA 92262
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET
CITY
OPTIONAL: FAX/E-MAIL ADDRESS
2. Period of No Activity
STATE ZIP CODE AREA CODE/PHONE
Treasurer(s)
NAME OF TREASURER
John Shay
MAILING ADDRESS
CITY OF PALM
2020 JUL 28 AM 18: 4
OFFICE OF THE. Ci1Y CLEM
CITY
STATE ZIP CODE AREACODE/PHONE
Patin Springs CA 92262
NAME OF ASSISTANT TREASURER, IF ANY
Chris Lucker
MAILING ADDRESS
CITY STATE ZIP CODE AREACODE/PHONE
Palm Springs CA 92262
OPTIONAL: FAX/E-MAIL ADDRESS
No contributions have been received and no expenditures have been made during the period covering the dates below:
Check one of the following boxes and complete the year. m January 1, through June 30, 20 20 ❑ July 1, through December 31, 20
3. Verification %
FPPC Form 425 (Jan/01)
FPPC Toll -Free Helpline: 866/ASK-FPPC
866/2753772