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HomeMy Public PortalAboutForm 410 TerminationStatement of Organization Recipient Committee Statement Type ID Initial Amendment ® Termination — See Part 5 rX Z: U E!J VLZ SAN 2 1 2020 0 Not yet qualified CI,,, or O Date qualification threshold met Date qualification threshold met Date of termination T -Y O� CL CL 12 r 31 1 2019 ARE'//®W I.D. Number L. -Committee Information: 1419897 2. Treasurer and Other Principal Officers (if opplicoble) . NAME OF COMMITTEE NAME OF TREASURER Yes! For Claremont — The Committee to Support Measure CR Simon Brown STREET ADDRESS (NO P.O. BOX) 2058 N Mills Ave, #333 STREET ADDRESS (NO P.O. BOX) 310 W. Radcliffe Drive CITY STATE ZIPCODE AREACODE/PHONE Claremont CA 91711 626-720-7798 FULL MAILING ADDRESS (IF DIFFERENT) 2058 N Mills Ave, #425, Claremont, CA 91711 E-MAIL ADDRESS (REQUIRED) / FAX (OPTIONAL) YesForClaremont@gmail.com COUNTY OF DOMICILE JIURIIDICTION WHERE COMMITTEE IS ACTIVE Los Angeles Claremont, CA For Official Use Only CITY STATE ZIP CODE AREACODE/PHONE Claremont CA 91711 909-625-5350 NAME OF ASSISTANT TREASURER, IF ANY STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREACODE/PHONE NAME OF PRINCIPAL OFFICER(S) Laura Roach STREET ADDRESS (NO P.O. BOX) 310 W. Radcliffe Drive CITY STATE ZIP CODE AREACODE/PHONE Attach additional information on appropriately labeled continuation sheets. Claremont CA 91711 626-720-7798 1 Verification, . I have used all reasonable diligence in preparing this sta a and to thees)Xe my knowledge the information contained herein is true and complete. I certify under 'a penalty of perjury unde7Z2va-0-.'- e laws of the State of Califor ttia�Ahe forego(n and correct. Executed on �/ ATE 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.gov (866/275-3772) www.fppc.ca.gov Statement of Organization ' Recipient Committee INSTRUCTIONS ON REVERSE Page 2 COMMITTEE NAME I.D. NUMBER Yes! For Claremont — The Committee to Support Measure CR • All committees must list the financial institution where the campaign bank account is located. NAME OF FINANCIAL INSTITUTION ADDRESS Cm BANK ACCOUNT NUMBER STATE ZIP CODE 1419897 4. Type of Committee.• Complete the applicable sections: • 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 �iimarily Formed Committee Primarily formed to support or oppose specific candidates or measures in a single election. List below: CANDIDATE(S) NAME OR MEASURES) FULL TITLE (INCLUDE BALLOT NO. OR LETTER) . —1.. 1 r — ua —.ur-- ncnrcunl ncn•c uAKAK CANDIDATEW OFFICE SOUGHT OR HELD OR MEASURES) JURISDICTION (INCLUDE DISTRICT NO.. CITY OR COUNTY. AS APPLICABLE) rurry mr Claremont, CA SUPPORT ❑✓ Nonpartisan Partisan (list political party below) - F1 0 El I OPPOSE 11:1 Nonpartisan Partisan (list political party below) El - �iimarily Formed Committee Primarily formed to support or oppose specific candidates or measures in a single election. List below: CANDIDATE(S) NAME OR MEASURES) FULL TITLE (INCLUDE BALLOT NO. OR LETTER) . —1.. 1 r — ua —.ur-- ncnrcunl ncn•c uAKAK CANDIDATEW OFFICE SOUGHT OR HELD OR MEASURES) JURISDICTION (INCLUDE DISTRICT NO.. CITY OR COUNTY. AS APPLICABLE) rurry mr FPPC Form 410 (August/2018) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Claremont, CA SUPPORT ❑✓ OPPOSE L1 Measure CR - SUPPORT El I OPPOSE 11:1 FPPC Form 410 (August/2018) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov W. Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE Page 3 Yes! For Claremont — The Committee to Support Measure CR I 1419897 4. Type of Committee : (continued) CoGenera I Purpose. Not 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 •. 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 Date qualfied S. Termination Requirements By signing the verification, the treasurer, assistant treasurer and/or candidate, officeholder, or proponent certify that all ofdhe 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: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov