HomeMy Public PortalAboutForm 410 TerminationStatement of Organization
Recipient Committee
Statement Type ID Initial
Amendment
® Termination — See Part 5
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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