2019-01-28 Form 410 - Protect our NeighborhoodsStatem ent o f Organizati on
Recipient Committee
1 1 Date Stamp
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S t ate m e n t Type O In itial 0 A mendment IZl Terminatio n -See Pa rt21J 9 J J~I l 2 B
0 Not yet qualifi ed
or
Date qualifi cation threshold met Date qualification th reshold met Date of terminat ion . I • L
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1. Co m mi ttee Information (if applicable) 1374199 Treasurer and Othe r Principal Officers
NAM E OF COMMITTEE NAM E OF TREASU RER
PR OT ECT OUR NEIGHBORHOODS MARK W. EDELST EIN
STREET ADDRESS (NO P.O. BOX)
STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PUONE
PALM SPRINGS CA 9226 2
CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER. IF ANY
PALM SPRIN GS CA 92262
FUll MAILING ADDRESS (I F DIFFERE NT) STREET ADDR ESS (NO P.O. BOX)
E·MAIL ADDRESS (REQUIRED) f FAX (OPTIONAL) CITY STATE ZIP CODE AREA CODE/PHO NE
COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE IS ACT IVE NAME OF PRINCIPAL OFFICER($)
STREET ADDRESS (NO P.O . BOX)
CITY STATE
Attach a dditional information on appropriately la beled
corre ct.
SIGNATURE OF CON TROLLING OFFICEHOLDER. CANDIDATE. OR STAT£ MEASURE PROPONENT
SIGNATURE OF CONTROlliNG OFF ICEHOLDER. CANDIDATE, OR STATE MEASURE PROPONENT
SIG NATURE OF CO NT ROlliNG OFFICEHOLDER, CANDIDATE , OR STATE MEA SURE PROPONENT
FPPC Form 410 (Augu st/2018}
FP PC A d vice: ad v ice@fppc.ca .gov (866/275-3772}
www.fppc.ca.gov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
COMMITTEE NAME
PROTECT OUR NEIGHBORHOODS
CALIFORNIA 41 0
FORM
I.D. NUMBER
1374199
• All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION AREA CODE/PHONE BANK ACCOUNT NUMBER
ADDRESS CITY STATE ZIP CODE
Controlled Committee
• 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.
NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT
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 Formed Committee 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 LEITER)
IF A RECALL, STATE "RECALL" IN FRONT OF THE OFFICEHOLDER'S NAME.
CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION
(INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE) CHECK ONE
I'D' 1:8
FPPC Form 410 (August/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
COMMITTEE NAME
PROTECT OUR NEIGHBORHOODS
4. Typ.e of Committee· (Continued) .
CALIFORNIA 410
FORM
I.D. NUMBER
1374199
General Purpose Committee Not formed to support or oppose specific candidates or measures in a single election. Check only one box:
Ill CITY Committee 0 COUNTY Committee 0 STATE Committee
PROVIDE BRIEF DESCRIPTION OF ACTIVITY
NEIGHBORHOOD ADVISORY GOUP
Sponsored Committee List additional sponsors on an attachment.
NAME OF SPONSOR INDUSTRY GROUP OR AFFILIATION OF SPONSOR
STREET ADDRESS NO. AND STREET CITY STATE ZIP CODE AREA CODE/PHONE
Small Contributor Committee D '-1--
Date qualified
5. T~rmination_ Req~ire~ents __ . __ By slgnln~ the verifieatlon, the tr~~urer, a~s~nt treasu~r and/o_r candidate, offic~t\o_lder, or proponent certi~tha~ all of the following _conditions have be~n met:
• 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@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov