2022-03-24 Form 410 - GarnerStatement of Organization
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Date of termination
MAR 0 7 2022
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CommitteeREG
1. INNIT umber i y c ` `
• Officers
1 a llcnble
NAMEOFCOMMITTEE
NAME OF TREASURER
Grace Garner for Palm Springs City Council District 1, W22
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 ZIP CODE AREA CODE/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
gmce@wewinwithgrace.com
COUNTY OF DOMICILE
JURISDICTION WHERE COMMITTEE IS ACTIVE
NAME OF PRINCIPAL OFFICER(S)
Riverside
Palm Springs, CA
STREET ADDRESS (NO P.O. BOX)
Attach additional information on appropriately labeled continuation sheets.
CITY STATE
21P CODE AREA CODE/PHONE
3. Verification
ave use a reasons a gene n prepay ng t s statement an tote est o my a now ge t e n rma on conta ne ere n is true an compete. ce un er
penalty of perjury under the laws of the State of alifornia that the f r going is true and correct.
02/23/2022 ?Ay!
Executed on By _ ,�
E SIGNATURE OF TREASURER OR ASSISTANT TREASURER
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: advice@faac.ca.sov (866/275-3772j
www.fPPc.ca-Rov
Statement of Organization CALIFORNIAi
Recipient Committee ��.>• -
INSTRUCTIONS ON REVERSE
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COMMITTEE NAME I,D. NUMBER
2022 MAR 21 PM z2� 33
All committees must list the financial institution where the campaign bank c SS
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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.
• 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/OFFI CEHOLDER/STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) ELECTION CHECK ONE
Grace Elena Garner
Palm Springs Council Member, Distfict 1
2019
Nonpartisan
Partisan
(list political party below)
Nonpartisan
Partisan
Ist pol iticaI parry a ow
Primarily formed to support or oppose specific candidates or measures in a single election. List below:
CANDIDATES) NAME OR MEASURES) FULL TITLE (INCLUDE BALLOT NO. OR LETTER)
IF A RECALL, STATE "RECALL" IN FRONT OF THE OFFICEHOLDER'S NAME.
CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURES) JURISDICTION
(INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE)
CHECK ONE
SUPPORT OPPOSE
SUPPORT OPPOSE
FPPC Form 410(August/2018)
FPPC Advice: advice00plac.ca.aov (866/275.3772)
www.fppc.ca.gov