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Home My Public Portal AboutForm 410 Amendmente CITY STATE ZIP CODE AREA CODE/PHONE Attach additional information on appropriately labeled continuation sheets. I have used all reasonable diligence in preparing this statement 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 State of Ca ifornia that the foregoin is true and correct. Executed on / 7 / —Z 0 2 a By SIGN A/TURF OF TREASU OR SSISTANT TREASURER Executed on (� 7 V y(J By D4TE SIGNATURE OF CO TROLLING OFF I H , CANDIDATE, OR STATE MEASURE P ENT Executed on By DATE SIGNATURE OF CONTROLLING OFfI OLDER, 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: advicePfpcp ca.gov__(866/275-3772) www.fppc.ca.gov yY\ C/YN R;UIE-1VED BY Stamp Statement of Organization '-�� Recipient Committee i G'S ANGELES "�1 Date AVED AfVO FILEDc�yt • 'WcallseOnly Statement Type ❑ Initial m Amendment n j?Tu S"ir —pro "art ffice of the Secretary of State f the State of California For Off i� Not yet qualified p ( t 1u V t Date of to minatiorf� ` t ®' I(� a ' "�`� i 2020 ❑ Date qualification threshold met Date qualification threshold met 0--/ 07 _/_2020 • I.D. Number • • i o licable NAME OF COMMITTEE - NAME OF TREASURER Zach Courser for Claremont City Council 2020 Linda Moore STREET ADDRESS (NO P.O. BOX) 413 Willamette Dr. STREET ADDRESS (NO P.O. BOX) ., CITY STATE ZIP, CODE AREA CODE/PHONE 1 142 N Cambridge Ave Claremont CA 91711 (909) 210-3704 CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY _ Claremont CA 91711 (617) 901-8787 FULL MAILING ADDRESS (IF DIFFERENT) STREET ADDRESS (NO P.O. BOX) , E-MAIL ADDRESS(REQUIRED)/FAX(OPTIONAL) CITY STATE ZIP CODE AREA CODE/PHONE zcourser@gmail.com COUNTY OF DOMICILE - IURISDICTION WHERE COMMITTEE IS ACTIVE NAME OF PRINCIPAL OFFICER(S) Los Angeles City of Claremont STREET ADDRESS (NO P.O. BOX) , CITY STATE ZIP CODE AREA CODE/PHONE Attach additional information on appropriately labeled continuation sheets. I have used all reasonable diligence in preparing this statement 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 State of Ca ifornia that the foregoin is true and correct. Executed on / 7 / —Z 0 2 a By SIGN A/TURF OF TREASU OR SSISTANT TREASURER Executed on (� 7 V y(J By D4TE SIGNATURE OF CO TROLLING OFF I H , CANDIDATE, OR STATE MEASURE P ENT Executed on By DATE SIGNATURE OF CONTROLLING OFfI OLDER, 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: advicePfpcp ca.gov__(866/275-3772) www.fppc.ca.gov r Statement of Organization CALIFOR1,111A 410 Recipient Committee FORM INSTRUCTIONS ON REVERSE Page 2 COMMITTEE NAME I.D. NUMBER Zach Courser 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 (909) 398-1140 5302825889 ADDRESS CITY STATE ZIP CODE 203 Yale Ave . 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 CHECKONE Nonpartisan Partisan (list political party below) Nonpartisan Partisan (list political party below) Primarily Formed Committee 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) CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION IF A RECALL, STATE "RECALL" IN FRONT OF THE OFFICEHOLDER'S NAME. (INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE) CHECK ONE SUPPORT OPPOSE SUPPORT OPPOSE FPPC Form 410 (August/2018) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov