HomeMy Public PortalAboutForm 410 TerminationOvema&
Statement of Organization
Date Stamp
Recipient CommitteeStatement
C�I�� ��D FILE
a office Of the Secretary of Sta
pForOfficia�W�se,Dnly. .;
Type Initial
❑ Amendment
®Termination — See Pa
Q Not yet qualified
of the State of California
or
O Date qualification threshold met
Date qualification threshold met
Date of termination
DEC Q 2020
12/ 01 / 2020
• I.D. Number 1427899
°
aPnficable)
4+ .
T'1 s•
NAME OF COMMITTEE
NAME OF TREASURER
.. ..
Ceraso for Claremont CityCouncil 2020
Elizabeth Emerald
STREET ADDRESS (NO P.O. BOX)
1409 Camper Drive
STREET ADDRESS (NO P.O. BOX)
.: CITY
STATE
ZIP CODE AREA CODE/PHONE
580 Hendrix
West Covina
CA
91792 626.383.7387
CITY STATE ZIP CODE AREA CODE/PHONE
NAME OF ASSISTANT TREASURER, IF ANY
_
Claremont CA 91711 626.257.8991
FULL MAILING ADDRESS (IF DIFFERENT)
STREET ADDRESS (N0 P.O. BOX)
E-MAIL ADDRESS (REQUIRED) / FAX (OPTIONAL)
CITY
STATE
ZIP CODE AREA CODE/PHONE
mlchaelceras0@gmall.co.m
COUNTY OF DOMICILE
JURISDICTION WHERE COMMITTEE 15 ACTIVE
NAME OF PRINCIPAL OFFICER(S)
Los Angeles
Claremont, CA
STREET ADDRESS (NO P.O. BOX)
Attach additional information on appropriately labeled continuation sheets.
•• -.:CITY STATE
ZIP CODE AREA CODE/PHONE
penalty of perjury under -the laws of the State of
Executed on 12/2/2020
DATE By
1
12/2/2020
Executed on Ftv
DATE
l'ICI OIII I� 11 UC dI IU L.UIIIIJICLtf. I Rerrlly LJnuer.--.
I�ornia that the foregoing is true and correct.
SIGNATURE OF TREASURER OR ASSISTANT TREASURER
SIGN RE 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 -
FPPCForm 410(August/2018)
FPPC Advice: advice Ccpfppc.ca. gov(866/-75-3772)
www.fPPC.ca.gov