HomeMy Public PortalAboutForm 410 Initiala
Statement of OrganizationI l `
OateStalnp
Recipient Committee
Statement
,1_ l
—CE1V� D AND FILE
Use
Type ®Initial
[1:_Amendment
❑ Termination —See Part
_
be office of the Secretary of St
For O
Official Only
Not yet qualified
of the State of California 1l2�AUG
10 PM 4:52
or
O Date qualification threshold met
Dak-qualification threshold met
q
Date of termination
JUL 1 o zozo
.. n
`
I.D. Number 79390
(iJ apphcablel
NAM[ OF COMMITTEE.
NO OF TREASURER
Ceraso for Claremont City Council 2020
Elizabeth Emerald
STREET ADDRESS INO P.O. BOX)
1409 Camper Drive
S1 REET ADDRESS (NO P.O. BOX)
CITY
STATE
ZIP CODE
AREA CODF/PHONE
580 Hendrix Avenue
-
West Covina
CA
91792
626"383.7387
CITY STATE ZIP CODE. AREA CODE/PHONE
NAME OF ASSISTANT 1REASURER, IF ANY
Claremont CA 91711 626.257.8991
FULL MAILING ADDRESS IIF LIIFP TRENT)
STREET ADDRESS (NO P.O. BOX)'
C --MAIL ADDRESS (REQUIRED)] /+,F X (OPTIONAL)
CITY
STATE
7.IP CODE
AREA CODE/PRONE
COUNTY OF DOMICILE
JURISDICTION WHERE COMMII''.:'i.: IS ACTIVE
NAME OF PRINCIPAL. OFFICER(S)
Los Angefcs
ClaremontElizabeth
Emerald
STREET ADDRESS (NO P.O. BOX)
1409 Camper Drive
Attach additional informotion on appropriately lobeleO continuation sheets.
CITY
STATE
ZIP CODE
AREA CODE/PHONE "
West Covina
CA
91792
626.383.7387
rIa' ri .,�,^n.. ._ :� _.s�k9,a�a, ._�', 1r` -.�-.,-,�:r_ :" .� ".�=°.i,•
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have used all reasonable diligence in preparing this:_<tatement and to the best of my knowledge the information contained herein is true and complete. I certify under
penalty of perjury under the lawsofthe State of California that the foregoing is true and correct.
j
Executed on ` /(' /Z0 -0 By �Y
/DATE T� SIGNATURE OF TREASURER OR ASSISTANT TREASURER
Executed on By
DATE
Executed on By
DATE
Executed on
DATE
By
-•,.� �. 11—LINU U111R.LHOLUER, 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/2018)
FPPC Advice: advice@fppc.ca.gov_(866/275-3772)
wwwppc.ca.r ov
t
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
COMMITTEE NAME
Ceraso for. Claremont City Council 2020
• All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION AREACOD E/PHONE BANK ACCOUNT NUMBER
ADDRESS CITY STATE ZIP CODE
'71-7 (rte y�fi' - (,mss' - g c:
Page 2
I.O. NUMBER
55-1739390
• 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.
NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT ELECTIVE OFFICE SOUGHT OR HELD YEAR OF PARTY
HNCLIJDF DISTRICT NI INIRFR IF APPI ICARI F1 0, —1-1
Michael Ceraso
Claremont City Council
2020
Nonpartisan
Partisan
(list political party below)
SUPPORT
OPPOSE
✓
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) CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION
IF A RECALL, STATE "RECALL" IN FRONT OF THE OFFICEHOI. DER'S NAME 1-- — nuc-- — —r.. — —1...", .- . _.... _. _.
FPPC Form 410 (August/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gpv
_ _. _.. _.. _.. ___... .".... ... �...... �..i
LHLLK
SUPPORT
UNt
OPPOSE.
SUPPORT
OPPOSE
FPPC Form 410 (August/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gpv
Statement of Organization •
Recipient Committee e
INSTRUCTIONS ON REVERSE
-
Page 3
COMMITTEE NAME
I.D. NUMBER
Ccraso for Claremont City Council 2020
85-1739390
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
Cndidate running for Claremont City Council.
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
`tlfTSmdHEContritiutorConim�ttee�y�� �
_,. ____—_
.,_z '^.;9fi 'Ek'F ,.e^: w� S7
t'%I1t1101t )iECIRElYl2tlt5 By signing; he,yenfic�aAon fhe trea`rer}i�ssist` ariteasurer,and/Sorcantlidai ;7otficphold' arponent:certi that all°of th�eafo�iovvin? conditions ave, :stavrnseg _.W. -This ..ra..,.. ; �.•
committeeThis committee has ceased to receive contributions and make expenditures;
This committee does not anticipate receiving contributions or making expenditures in the future;
eliminated or • intention or ability to discharge all debts,•.received,e other • •
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.E ov (866/275-3772)
www_fppc_ca.gov