HomeMy Public PortalAbout410 Termination ( Dec 31 2020)Statement of Organization
Recipient Committee
Statement Type ❑ initial
❑ Amendment
Q Not yet qualified
or
Q Date qualification threshold met Date qualification threshold met
•lallellisragraMI.D. Number 1425517
NAME OF COMMITTEE
Corey Calaycay for Claremont City Council 2020
STREET ADDRESS (NO P.O. BOX) -
1555 W Baseline Road
CITY
STATE ZIP CODE AREA CODE/PHONE
Claremont
CA 91711 909-593-5913
FULL MAILING ADDRESS (IF DIFFERENT)
2058 N Mills Ave #722, Claremont, CA 91711
E-MAIL ADDRESS (REQUIRED) / FAX (OPTIONAL)
corey@coreycalaycay.com
COUNTY OF DOMICILE
JURISDICTION WHERE COMMITTEE IS ACTIVE
Los Angeles
Claremont, CA
Attach additional information on appropriately labeled continuation sheets.
RECI
in the of
of
® Termination —See Pai
Date of termination
12 / 31 / 2020
NAME OF TREASURER
Susan Pearson
Clarem m t
the Secretaryof State _
ate,, of Califom)a
(` P�
:I+&OHi`GalMJT N i Y
21 FEB 11 AM 10: 07
-�P•IPAIGN FINANCE
STREET ADDRESS (NO P.O. BOX)
2461 San Jacinto Ct
CITY STATE ZIP CODE AREA CODE/PHONE
Claremont CA 91711 909-921-4357
NAME OF ASSISTANT TREASURER, IF ANY
STREET ADDRESS (NO P.O.
CITY STATE ZIP CODE AREA
NAME OF PRINCIPAL OFFICERS)
STREET ADDRESS (NO P.O. BOX)
CITY
STATE ZIP CODE AREA CODE/PHONE
I nave used all reasonable diligence in preparingth' state t 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 (at at the foregoing is true and correct.
Executed on 1/11/2021
By
Executed on 1/11/2021
DATE SIGNATURE OF TREASURER OR ASSISTANT TREASURER
( ^
DATE By 1—�-�
SIGN URE OF CONTROLLING OFFIC OLDE CANDIDATE,
R STATE 7URE PROPONENT
Executed on By
DATE SIGNA OF CONTROLLING OFFICEHOLDER, C (DATE, OR STATE IQMAkZE PROPONENT
Executed on By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 410(August/2018)
FPPC Advice: advicePfppc.ca.eov (866/275-3772)
www.fppc.ca.gov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
COMMITTEE NAME
Corey Calaycay for Claremont City Council 2020
All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION
OneWest Bank
ADDRESS
2111 Bonita Avene
AREA CODE/PHONE BANK ACCOUNT NUMBER
909-593-4944 1203035044
CITY STATE
ZIP CODE
La Verne CA 91750
Page 2
I.D. NUMBER
1425517
Controlled
• 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
(INCLUDE DISTRICT NUMBER IF APPLICABLE) ELECTION CHECK ONE
Corey Calaycay City Council Member 2020 Nonpartisan
Nonpartisan I
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)
itical party
CHECK ONE
)RT I OPPOSE
SUPPORT I OPPOSE
FPPC Form 410 (August/2018)
FPPC Advice: advicePfppc.ca.gov (866/275-3772)
www.fppc.ca_gov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
COMMITTEE NAME Page 3
I.D. NUMBER
Corey Calaycay for Claremont City Council 2020 1425517
ee Continued),
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
Sponsored Committee List additional sponsors on an attachment.
INDUSTRY GROUP OR AFFILIATION OF SPONSOR
> I — I Huune» NO. AND STREET CITY
STATE ZIP CODE AREA CODE/PHONE
Small Contributor Committee
Date qualified
erCillr1dt10n RECjulCet71ent5 By signing the:verification, the treasurer, assistant treasurer and/or candidate; officeholder, orponent certify that all of,the 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(@fnoc.ca.gov (866/275-3772)
www.fnoc.ca.gov