HomeMy Public PortalAboutForm 410 Douglas Hanson 2023Statement of Organization
Recipient Committee
Statement Type ® Initial
o Not yet qualified
or
Date qualification threshold met
8 , 24 , 2022
1. Committee Information
NAME OF COMMITTEE
❑ Amendment
Date qualification threshold met
ID. Number 1453288
(1 a••fitubk.
Termination — See Part 5
Date of termination
01 / 15 2023
Committee to Elect Hanson City Council 2022
STREET ADDRESS INC P.O. BOX)
Fo
Officia
Use Only
JAN 3 0 21)23
. Treasurer and Other Principal Officers
NAME OF TREASURER
Douglas H Hanson
STREET ADDRESS (NO P0. 505)
75362 Desert Park Dr.
ZIP CODE
AREA CODE/PHONE
75362 Desert Park Dr.
CITY STATE ZIP CODE AREA CODE/PHONE
Indian Wells CA 92210 760 799 1604
FULL MAILING ADDRESS (IF DIFFERENT)
CITY
Indian Wells
STATE
AME OF ASSISTANT TREASURER, IF ANY
CA. 92210 760 7991604
E-MAIL ADDRESS (REQUIRED) / FAX {OPTIONAL)
doug@electhanson.com
COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE IS ACTIVE
Riverside _ I City of Indian Wells
TREET ADDRESS 'NO P.O. BOX)
CITY
STATE ZIP CODE AREA CODE/PHONE
Attach additional information on appropriately labeled continuation sheets.
NAME OF PRINCIPAL OFFICER'S)
Douglas H. Hanson
STREET ADDRESS INC P.O, RCA)
75362 Desert Park Dr.
CITY
Indian Wells
.STATE ZIP CODE AREA CODE/PHONE
CA. 92210 760 799 1604
I have used all reasonable diligence in preparing this stat-ment 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 Stat
OR ASSISTANT TREASURER
SIGNATURE OF CONTROLLING OF OLDER, CANDIDATE, OR STATE MEASURE PROPONENT
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 410 (August/2418)
FPPC Advice: advice f pc.ca.g_av (866/275-3772)
www fppc.ca.gov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
COMMITTEE NAME
Committee to Elect Hanson City Council 2022
• AU committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION
Mechanics Bank
ADORESS
41990 Cook St.
AREA CODE/PHONE
760 346 0228
CALIFORNIA
ORM V
Page 2
I.D. NUMBER
1453288
BANK ACCOUNT NUMBER
3505389670
4. Type of Committee Complete the applicable sections.
Controlled Committee
CITY
Palm Desert
STATE
ZIP CODE
CA, 92210
• List the name of each controlling officeholder, candidate, or state measure proponent. If candidate or officeholder controlled,
also fist 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.
NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT
Douglas H Hanson
ELECTIVE OFFICE SOUGHT OR HELD
(INCLUDE DISTRICT NUMBER IF APPLICABLE)
City Council
Primarily Formed Committee
YEAR OF
ELECTION
PARTY
CHECK ONE
2022
Nonpartisan
Partisan
illst 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(5) 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 SOUGHTOR HELD OR MEASURE(5)JURISDICTION
(INCLUDE DISTRICT NO., CITY 011 COUNTY, AS APPLICABLE)
CHECK ONE
SUPPORT
OPPOSE
SUPPORT
OPPOSE
FPPC Form 410 (August/2018)
FPPC Advice: advice@fppc.ca.>?ov (866/275-3772)
www.fppc.ca.gov
General Purpose Committee
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
COMMITTEE NAME
CALIFORNIA 410
FORM
Page 3
Committee to Elect Hanson City Council 2022
4. Type of Committee
(Continued)
Not formed to support or oppose specific candidates or measures in a single election. Check only one box:
0 CITY Committee 0 COUNTY Committee ❑ STATE Committee
PROVIDE BRIEF DESCRIPTION OF ACTIVITY
C.D. NUMBER
1453288
Sponsored Committee
NAME OF SPONSOR
STREET ADDRESS
List additional sponsors on an attachment.
NO.. AND STREET
Small Contributor Committee
Date qualified
CITY
JIINDUSTRy GROUP OR AFFILIATION OF SPONSOR
STATE
ZIP CODE AREA CODE/PHONE
5. Termination Requirements By signing the verification, the treasurer, assistant treasurer and/or candidate, officeholder, or ponent certify that all of the following conditions have been met:
• 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: adv'tcePfpoc.ca.eov (866/275-3772)
www.fppc.ca.gov