HomeMy Public PortalAbout01. Form 410 TerminationStatement of Organization
Recipient Committee
Statement Type
or
0 Date qualification thr eshold met
NAME OF CO MMITTEE
Jed Leano for City Cou ncil 2022
STREET ADDRESS (NO P. O. BOX)
1570 N Towne Ave
rry
Cla remo nt
FULL M AILING ADDRESS (IF DIFFERENT)
E-MAIL ADDRESS (REQUIRED)/ FAX (OPTIO NAL)
j edfo rcla remo nt@gmail. com
COUNTY OF DOMICILE
Los Angeles
STATE ZIP CODE AREA CODE/PH ONE
CA 91711 714-612-5871
JURISDICTION WHERE COMMITTEE I5 ACTIVE
Claremont, CA
Attach additiona l info rmation on appropriately labele d con tinuation sheets.
STREET ADDRESS (N O P .O . BOX)
4420 Los Feliz Blvd . #107
NAME OF ASSISTANT TREASURER , IF ANY
STREET ADDRESS (NO P .O. B OX)
CITY STATE ZIP CODE AREA CODE/PH ONE
NAME OF PRINCIPAL OFFICER(S)
STREET ADDRESS (N O P. O. BOX)
penalty of perjury u nder the laws of the State of California that the foregoing is true and correct.
Executed on 7/19/2023
DATE
Executed on 7/19/2023
DA TE
By
By
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. l certify under
SIGNATURE OF THE URER O RA SSISTANT TREASURER
SIGNATURE OF CONTROLLING OPEHO LDEV, CANDIDATE, OR STATE MEASURE PR OPONENT
Executed on By
SIGNATURE OF CO#TROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
DATE
Executed on By
DATE
SIGNATURE OF CO NTRO LLING OFFICEHO LDER, CANDIDATE, OR STATE MEASURE PROPONENT
FPPC F orm 410 (August/2018)
FPPC Advice: advice @fppc .ca .eov (866/275-3772)
www.fppc.ca .eo v
Statement of Organizati on
Recipient Committee
INSTRUCTIONS ON REVERSE
COM MITTEE NAME
Jed Leano tor Claremont City Council 2022
CALIFORNIA A
FORM
I .D . NUMBER
All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTIO N
Wells Fargo
AREA C ODE/PHONE
909-398-1140
B ANK ACC OUNT NUMBER
3302834670
A DDRESS
203 Yale Av e
CITY
Clarem ont
STATE
CA
ZIP CODE
91711
e ofCommittee Co mplete the attplita
Co ntro lled Committee
List the name of each controlling o fficeholder, candidate, or state measure pr oponent . If candidate or officeholder contr olled,
also list the ele ctive o ffice so ught 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
(INCLUDE DISTRICT NUMBER IF APPLICABLE)
YEAR OF
ELECTION
PARTY
CHECK ONE
Jed Leano
City Co uncil, District 4
2022
N onpartisan
Partisan
(list political party below)
Nonpartisan
Partisan
(list p olitical party below)
Prima rily Fo rmed Co mmittee
Primarily formed to support or oppose specific candidates or measures in a single election . List below:
CANDIDATE(S) NAM E OR M EASURE(S) FULL TITLE (INCLUDE BALLOT NO. OR LETTER)
IF A RECALL, STATE "RECALL" IN FRONT OF THE OFFICEHOLDER'S NAME.
CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION
(INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE)
CHECK ONE
SUPPORT
OPPOSE
SUPPORT
OPPOSE
FPPC Form 410 (August/2018)
FPPC Advice: advice @foDc .ca .g ov (866/275-3772)
www.fppc .ca .g ov