2022-08-29 Form 410 - MeredithStatement of Organization
Date Stamp
, • . ,
Recipient Committee
RECEIVED
•
Statement Type ❑Initial ®Amendment
El Termination —See Part 5
r
v I F " I 1 S R I
G $ For Offidal Use Only
Q Not yet qualified
2022AUG3 29 f r'1 2:
3
or
O Date qualification threshold met Date qualification threshold met
Date of termination
08 / 18 2022
Committee1. I.D. Number
• • - •fficers
1 aP Nca6le
NAMEOFCOMMITTEE
NAME OF TREASURER
Joy Meredith for Palm Springs Council District 3 2022
Scott Meredith
STREET ADDRESS (NO P.O. BOX)
266 N Palm Canyon Drive
STREET ADDRESS (NO P.O. BOX)
CITY STATE
ZIP CODE AREA CODE/PHONE
266 N Palm Canyon Drive
Palm Springs Ca
92262 760-333-4027
CITY STATE ZIP CODE AREA CODE/PHONE
NAME OF ASSISTANT TREASURER, IF ANY
Palm Springs CA 92262 760-333-6820
FULL MAILING ADDRESS (IF DIFFERENT)
STREET ADDRESS (NO P.O. BOX)
E-MAIL ADDRESS (REQUIRED)/FAX (OPTIONAL)
CITY STATE
ZIP CODE AREA CODE/PHONE
psca@msn.com
COUNTY OF DOMICILE
JURISDICTION WHERE COMMITTEE IS ACTIVE
NAME OF PRINCIPAL OFFICER(S)
Riverside
Palm Springs
Joy Meredith
STREETADDRESS (NO P.O. BOX)
266 N Palm Canyon Drive
CITY STATE
ZIP CODE AREA CODE/PHONE
Attach additional information on appropriately labeled continuation sheets.
Palm Springs CA
92262 760-333-6820
3. Verification
I have used all reasonable diligence in preparing this statement
penalty of perjury under the laws
of the State a I ornia t a
e
Executed on 01 �v� By
D
Executed on By
DAT
Executed on
DATE
By
to the best of my knowledge the information contained herein is true and complete. I certify under
'orQeoiwe is4rue and correct. i
SIGNATURE OF TREASURER OR ASSISTANT TREASURER
OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
NATURE 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: adviceC5Dfppc.ca.eov (866/275-3772)
www.fPvc.ca.eov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
Page 2
COMMITTEE NAME I.D. NUMBER
Joy Meredith for Palm Springs Council District 3 2022 188-3341864
All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION
Mechanics Bank
ADDRESS
500 S Palm Canyon Drive
AREA CODE/PHONE
760-320-8214
CITY
Palm Springs
BANK ACCOUNT NUMBER
121102036 3505391205
STATE ZIP CODE
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 (INCLUDE DISTRICT NUMBER IF APPLICABLE) ELECTION CHECK ONE
Joy Meredith
Palm Springs City Council District 3
2022
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) 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 MEASURE(S) JURISDICTION
(INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE)
CHECK ONE
SUPPORT OPPOSE
SUPPORT OPPOSE
FPPC Form 410 (August/2018)
FPPC Advice: advice@fppc.ca.eov (866/275-3772)
www.fppc.ca.gov
3
Statement of Organization
Recipient Committee •
INSTRUCTIONS ON REVERSE
Page 3
COMMITTEE NAME I.D. NUMBER
Joy Meredith for Palm Springs Council District 3 2022 88-3341864
GeneralNot 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
Palm Springs City Council District 3
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• • •r Committee❑ ��
Date quallfled
5. Terminal tion RequirementS By signing the verification, the treasurer, assistant treasurer and/or candidate, officeholder, or ponent certify that all of the following conditions have been nnet:
• 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.fPRc.ca.gov