HomeMy Public PortalAboutForm 410 InitialStatement o Organization
Date Stamp
• -
'
Recipient Committee
�� �'�
• -
Statement Type 0 Initial ❑ Amendment
El Termination — See Part 5
For Official Use Only
Not yet qualified
AUG 0 6 2020
or
❑ Date qualification threshold met Date qualification threshold met
Date of -termination
CITY CLERK
-/--/ --1
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CITY OF CLA►REM®
Fy-• I.D. Number
• • • •cers
(if applicable)
NAME OF COMMITTEE
NAME OF TREASURER
Bennett Rea for Claremont City Council 2020
Elise Roberts
STREET ADDRESS (NO P.O. BOX)
535 S College Avenue
STREET ADDRESS (NO P.O. BOX)
CITY
STATE
ZIP CODE AREA CODE/PHONE
535 S College Avenue
Claremont
CA
91711 909.912.2445
CITY STATE ZIP CODE AREA CODE/PHONE
NAME OF ASSISTANT TREASURER, IF ANY
Claremont CA 91711 412.389.6110
FULL MAILING ADDRESS (IF DIFFERENT)
STREET ADDRESS (NO P.O. BOX)
E-MAIL ADDRESS(REQUIRED)/FAX(OPTIONAL)
CITY
STATE
ZIP CODE AREA CODE/PHONE
bennettforclaremont@gmail.com
_
COUNTY OF DOMICILE
JURISDICTION WHERE COMMITTEE IS ACTIVE
NAME OF PRINCIPAL OFFICER(S)
Los Angeles
Claremont
STREET ADDRESS (NO P.O. BOX)
Attach additional information on appropriately labeled continuation sheets.
CITY STATE
ZIP CODE AREA CODE/PHONE
•
I have used all reasonable diligence in preparing this statement and to the best of my knowledge the information contained herein is true and compete. I certify under
penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Executed on 8.4.2020 By YW
DATE SIGNATURE OF TREASURER OR ASSISTANT TREASURER
Executed on 8.4.2020 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: adviceMppc.ca.eov (866/275-3772)
www.fppc.ca.goV
Statement of Organization
Claremont City Council, District 5
2020
CALIFORNIA'
Recipient Committee
(list political party below)
• -
INSTRUCTIONS ON REVERSE
Page 2
COMMITTEE NAME
(list political party below)
I.D. NUMBER
Bennett Rea for Claremont City Council 2020
• All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION
AREA CODE/PHONE
BANK ACCOUNT NUMBER
Wells Fargo
9093981140
5302861728
ADDRESS
CITY
STATE ZIP CODE
203 Yale Avenue
Claremont -
CA 91711
. - . ..
• 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
Bennett Rea
Claremont City Council, District 5
2020
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: adviceMpoc.ca.eov (866/275-3772)
www.faac.ca.gov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
Page 3
I.D. NUMBER
Bennett Rea for Claremont City Council 2020
General Purpose Committee 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
Smalle • •r Committee❑ ��
Date quallfled
• 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.Roy (866/275-3772)
www.fppc.ca.gov