HomeMy Public PortalAbout01. Form 410 InitalC I ore-oia?-1-
Statement of Organization r�, / ?�� L�
REC ffE 3'�een
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Recipient Committee �, I `
in the office of the ®ry o
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of the State of Crallfoml
Statement Type Initial
® �] Amendment Termination —See Part 5
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tial Use Only
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JUL 12 2021
Not yet qualified
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Q Date qualification threshold met .Date qualification threshold met
Date of termination
• I.D. Number
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MONNUM CfQPPli-ble)
NAME OF COMMITTEE
NAME OF TREASURER
Jed Leano for City Council 2022
Phillip Arce
STREET ADDRESS (NO P.O. BOX)
605 South Colt Street
STREET ADDRESS (NO P.O. BOX)
CITY
STATE
ZIP CODE
AREA CODE/PHONE
1570 N Town Ave
Anaheim
CA
92806 714-349-2425
CITY STATE ZIP CODE AREA CODE/PHONE
NAME OF ASSISTANT TREASURER, IF ANY
Claremont CA 9171.1 714-612-5871
Natalie Andres
FULL MAILING ADDRESS (IF DIFFERENT)
STREET ADDRESS (NO P.O. BOX)
4420 Los Feliz Blvd, #107
E-MAIL ADDRESS(REQUIRED)/FAX(OPTIONAL) -
CITY
STATE
ZIP CODE
AREA CODE/PHONE
jedforclaremont@gmail.com
Los Angeles
CA
90027 678-591-6548
COUNTYOF DOMICILE
JURISDICTION.WHERE COMMITTEE ISACTIVE
NAME OF PRINCIPAL OFFICER(S)
Los Angeles
Claremont, CA
STREET ADDRESS (NO P.O. BOX)
Attach additional information on appropriately labeled continuation sheets.
111111111 MISS! I Ilgl
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 complete. I certify under
penalty of perjury under the laws of the State of California that the foregoing is tr and correct.
Executed on
. ° ""1 / 2-02- 1.
lay
ATE / SIGNATURE OF TREASURER OR ASSISTANT TREASURER
Executed on
DATE
SIGNAT E OF CONTROLLING OFFICEHOLDER,CANDIDATE, OR STATE MEASURE PROPONENT
Executed on
DATE
By
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
Executed on By
DATE SIGNATURE OF CONTROLLING OFFICE HOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 410(August/2018)
FPPC Advice: advice@fPPc.ca.gov (866/275-3772)
www.faac.ca.gov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
Page 2
COMMITTEE NAME I.D. NUMBER
Jed Leano for Claremont City Council 2022
All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION AREA CODE/PHONE BANKACCOUNT NUMBER
Wells Fargo 904-398-11403-5O Sf 3' W -0
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.
NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT
ELECTIVE OFFICE SOUGHT OR HELD YEAR OF PARTY
(INCLUDE DISTRICT NUMBER IF APPLICABLE) ELECTION 1-11 nuc
Wilfred Joseph Leano
City Council, District 4
2022
Nonpartisan
Partisan
(list political party below)
✓
Nonpartisan
Partisan
(list political party below)
'IyFormed 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