2022-02-23 Form 410 - GarnerStatement of Organization
Date Stamp
, • ■
Recipient Committee
K93 -
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Statement Type ❑ Initial ® Amendment
❑ Termination — See Part 5
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Q Not yet qualified
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Q Date qualification threshold met Date qualification threshold met
Date of termination
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02 14 2019
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Committee1. • •n 1152� 0
Other
Officers
1 a flCpble
NAMEOFCOMMITTEE
NAME OF TREASURER
Grace Garner for Palm Springs City Council District 1, 2022
Grace Garner
STREET ADDRESS (NO P.O. BOX)
751 N. Los Felices Circle W, M207
STREET ADDRESS (NO P.O. BOX)
CITY
STATE
ZIP CODE
AREA CODE/PHONE
751 N. Los Felices Circle W, M207
Palm Springs
CA
92262 760-831-3818
CITY STATE ZIPCODE AREACODE/PHONE
NAME OF ASSISTANT TREASURER, IF ANY
Palm Springs CA 92262 760-831-3818
FULL MAILING ADDRESS (IF DIFFERENT)
STREET ADDRESS (NO P.O. BOX)
E-MAIL ADDRESS (REQUIRED)/ FAX (OPTIONAL)
CITY
STATE
ZIP CODE
AREA CODE/PHONE
grm@wewinwithgme.com
COUNTY OF DOMICILE
WHERE COMMITTEE IS ACTIVE
NAME OF PRINCIPAL OFFICERS)
TJU—RISIICTION
Riverside
alm Springs, CA
STREET ADDRESS (NO P.O. BOX)
Attach additional information on appropriately labeled continuation sheets.
CITY STATE ZIP CODE
AREA CODE/PHONE
3. Verification
M576113MATWOMMTMI lgence in preparing t s statement an tote est ot my now a ge t e n ormatton contame ere n (s true an compete. ce un er
penalty of perjury under the laws of the State of California that the r going is true and correct.
Executed on OV23/2022 By0—
DATE /
SIGNATURE nF TRFASIJRFR no AWRTANT TRFA[IJRFR
Executed on By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
Executed on BY
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
Executed on
By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 410 (August/2018)
FPPC Advice: advlceCc0fpac.ca.aov (866/275.3772)
www.faac.ca.aov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
COMMITTEE NAME
All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION AREA CODE/PHONE BANK ACCOUNT NUMBER
Sun Community Federal Credit Union 760-336-8711
ADDRESS CITY STATE ZIP CODE
1717 East Vista Chino Rd, Suite J-10 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,
Page 2
I.D. NUMBER
• 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 (INCLUDE DISTRICT NUMBER IF APPLICABLE) ELECTION CHECK ONE
Qraw Elena Claimer
Palm Springs Council Member, District 1
2019
Nonpartisan
It
Partisan(list
political party below)
Nonpartisan
Partisan(list
political party a ow
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)
IF A RECALL, STATE "RECALL" IN FRONT OF THE OFFICEHOLDER'S NAME,
CANDIDATE(S)OFFICE SOUGHTOR 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: advice0fooc.ca,gov (866/275.3772)
www.fn0c.0O3Eov