2021-08-12 Form 410 - CReMACITY F PALM SPRINGS
2021 AUG 12 PM 2: 35
Statement of Organization
OF
ICE 0r'Tr--r, CITY
Recipient Committee
IW7
Statement Type
❑ Initial
® Amendment
❑ Termination — See Part 5
QD Not yet qualified
or
Q Date qualification threshold met
Date qualification threshold met
Date of termination
Number 1439811
o fiw1,1
• •
NA ME OF rOMMITTEE
Committee to Relocate Marilyn (CReMa)
NAME OF IREASURER
Chris I-ucker
STHFF I ADDRESS (NO I' IF ROO
Palm Springs CA
92262 (
CITY STALE LIP CU DE AREACUDEJPUCINE
Palm Springs, CA 92262 (
NAMF Or A4SiSTANT TREASURER, IF ANY
1 OF MAIL x,R; ADIIRE SGEF OIL L(R(NT)
51REETAUDRFSSINOPO. BOX)
EMAILAODRESS(REUUIRED)/fAX1OPnONALI
lily STATE
TIP CODE AREA CODF/PIIONF.
COUNTY OF DOMICILE
IUfl110CIIONWHERECOMMITTEEISACIIYE
NAMF Of PRINCIPAL OFFICERISI
Riverside
Palm Springs
Mark Anderson
STREF) ADORE 55 (NO PO. PIA)
Attach additional information on appropriately labeled continuation sheets.
[FTY STAIF
nP COOT AREA CODEIPFIONE
Palm Springs CA
92262 (
I have used all reasonable diligence in
UAIE
SIGNATURE OF TREASURER OR ASS15TANI TREASURER
Executed on
By
DATE
SIGNATURE Or CONTROLLING OFFICEHOLDER, CANDIUAFF, OR STATE MEASURF PROPONENT
Executed on
By
DATE
SIGNATURE OF CONTROL LING OFFICE1101 DER, CANDIIIAIF. OR STAI E MEASURF PRDPONFNI
Executed on
By
DATE
SIGNATURE OF CONTROLLING OFFICEIIOI DF.R, CANDIDATE. OR STATE MEASURE PROPONENT
FPPC Form 410 (August/2018)
FPPC Advice: n{ vien[ilfpj?f .;e_!:ggv,(866/275-3772)
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Statement of Organization CALIFORNIA,
Recipient Committee • -
INSTRUCTIONS ON REVERSE
Page 2
COMMITTEE NAME 1. V. NUM9EP
Committee to Relocate Marilyn (CReMa) 1439811
All committees must list the financial institution where the campaign bank account is located.
NAME OF FIN NCIALINSTITUUON AREACOOE/P9ONE l41NK ACCOONi NUA)9FR
Pacific Premier Bank 760-660-4544 Pending
ADDRE55 CITY S-E ZIP LOVE
901 East Tahquitz Canyon Way Palm Springs CA 92262
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 CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT IINCLUDE DISTRICT NUMBER IF APPLICABLE) ELECTION CHECK ONF
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) FULLTITLE (INCLUDE BALLOT NO. OR LETTER) CANDIDATEIS) OFFICE SOUGHT OR HELD OR MEASURES) JURISDICTION
IF A RFCAI.I. STAFF "RFCAil" IN FRONT OF THE OFFICEHOLDER'S NAME. (INCLUDE DISTRICT NO.. CITY OR COUNTY. AS APPLICABLE)
SUPPORT
OPPOSE
SUPPORI
OPPOSE
FPPC Form 410 (August/2018)
FPPC Advice: advil Tf4)ttc,c ,gnv.(866/2753772)
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
Page 3
R,VMMD IEE NAME IO kI/MNER
Committee to Relocate Marilyn (CReMa) 1439811
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 DESCRIPTION OF ACTIVITY
Citizens Advocacy Organization
List additional sponsors on an attachment.
NAME OF SPONSOR 1110"11"11101" OR AFFILIATION OF SPONSOR
STREET ADDRESS NO. AND 51REEt at S—F 71P CODE AREA CODF/PIIONE
u
Dale qualiDed
Rtt
• 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: t{yicraji�fi,{�{>.c,t.{;}5pv.(866/2753772)
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