2022-03-18 Form 410 - GarnerStatement of Organization
Date Stamp
Recipient Committee
R E i', Ei 'r/ EDStatement
MF.rOftlal
Type Initial
❑ ®Amendment
❑Termination —See Parts
I T Y 0 E PA L N S P R I
G S Use Only
O Not yet quarried
2022 MAY -4 AN 10_ 1
or
Q Date qualification threshold met Date qualification threshold met
Date of termination
_1 14 2019
_/
CommitteeFICE
1. • • I.D. Number 14152112.
Treasurer and
Other PrincipalOfficers
1 0 llrn6le
NAME OF COMMITTEE
NAME OF TREASURER
Grace Garner for Palm Springs City Council District 1, 2022
Grace Garner
STREET ADDRESS (NO RO, BOX)
751 N. Los Felices Circle West
STREET ADDRESS (NO P.O. BOX)
CITY
STATE
ZIP CODE AREA CODE/PHONE
751 N. Los Felices Circle West
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
ZIPCODE AREA CODE/PHONE
COUNTY OF DOMICILE
JURISDICTION WHERE COMMITTEE IS ACTIVE
NAME OF PRINCIPAL OFFICER(S)
STREET ADDRESS (NO P.O. BOX)
Attach additional information on appropriately labeled continuation sheets.
CITY
STATE
ZIP CODE AREA CODE/PHONE
3. Verification
I have used all reasonable diligence in preparing this statement and to the best of my knowledge the Information contained herein is true and complete. I certify under
penalty of perjury under the laws of the State of Caiifo is that the fore in is true and correct.
Executed on 03/18/2022 By
DATE 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@fPPc.ca.eov (866/275-3772)
www.fepc.ca.gov
Statement of Organization CAUFORNIA'
Recipient Committee • -
INSTRUCTIONS ON REVERSE
Page 2
r
MMITTEE NAME LD. NUMBER
race Garner for Palm Springs City Council District 1, 2022 1415211
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) 337-4200
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.
a 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 ORHELD YEAR OF PARTY
NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) ELECTION CHECK ONE
Grace Elena Garner
Palm Springs Council Member, District 1
2022
Nonpartisan
Partisan
(list polWcal party below)
Nonpartisan
Partisan(list
po ltical partybelow)
Primarily formed to support or oppose specific candidates or measures in a single election. List below:
CANDIDATES) NAME OR MEASURE(S) FULL TITLE (INCLUDE BALLOT NO. OR LETTER)
IF A RECALL, STATE "RECALL' IN FRO NTOF THE OFFICEHOLDER'S NAME,
CANDIDATE(S) OFFICE SOUGHT OR 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: adviceC2fppc.ca.eov (866/275-8772)
wwur.fppc.ca.B:ov