HomeMy Public PortalAbout01. Form 41019
Statement of Organization
Recipient Committee
Statement Type ®Initial
Not yet qualified
or
0 Date qualification threshold met
1. Committee Information
NAME OF COMMITTEE
Rachel Forester tor Claremont t.ty Council 2024
0 Amendment
Date of termination
Date qualification threshold met
I.D. Number
/1 •, rob.
PEET ADDRE55 (NO P.D. BOx1
1660 W. Bonita Ave. l9h
aremont
FULL MAILI
6 ADDRESS (IF DIFFERENT)
STATE ZIP CODE
AREA CODE/PHONE
051--
RECEIVED AoD FILED
in the Office of the Secretary of State
of t
❑ Termination — See Pa
v `�� —bate Stamp
IL 31 2023
2. Treasurer and Other Principal Officers
NAME OF TREASURER
Bonnie Emadi
STREET ADD 55 (NO PO. BO
4205 Oak Hollow Rd.
'Claremont
NAME OF ASSISTANT TREASURER, IF ANY
RECEIVED BY
ANGELES CC!''
2023 AUG -7 PM 3: 02
STATE ZIP CODE AREA CODE/PHOIII
91711
((909)451-1904
-MAIL ADDRE551REQUIREDIIFAX (OPTIONAL)
Irachelleighforester@gmail.com
COUNTY OF DOMICILE
Los Angeles
IURISDICTION WHERE COMMITTEE IS ACTIVE
''Claremont
Attach additional information on appropriately labeled continuation sheets.
3. Verification
1 ave use a reasona e • i igence in preparing t is statement and to t e .est o my nowle. ge t e in ormation contained erein is true an. comp ete. I certi under
penalty of perjury under the laws of the State of Californi • that the foregoing is true and corr
(07-20-2023
DAIS
j07-20-2023
DATE
J07-20-2023
DATE
STREET ADDPESS (NO P.O. 9091
CITY
NAME OF PRINCIPAL 09(1(E9(51
'Anne Turner
STREET ADDRESS (NO P.O
J/90 Santa Barbara Dr.
CITY
'Claremont
STATE ZIP CODE AREA CODE/PHONE
STATE
CA
ZIP CODE
91711
AREA CODE/PHONE
(909)630-2535
Executed on
Executed on
Executed on
Executed on By
•
L
By
DATE
By
GNATURE OF TREASURER OR ASSISTANT TREASURER
ATURC OF EDER, CANDIDATE, OR STATE MEASU RENT.
SIGNATURE OE CONTROLLING OFFICEHOLDE , CANDIDATE, OR STATE MEASURE PROPONENT
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
L
FPPC Form 410 (August/2018)
FPPC Advice: advice@ippc.ca.sov (866/275-3772)
www.fppc.ca.eov
/ j' ,L
Statement of Organization
Rdcipient Committee
INSTRUCTIONS ON REVERSE
COMMI TI'EE NAMF
IRkchel Forester for Claremont City Council. district I
All committees must fist the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION
•
•
ARE4:ODF/PHONL
CITY
Page 2
I. D. NUMBER
BBANKACCOUNI NUMBER
Controlled Committee
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/OFFICEHOI.OF2/SIA1 E MEASURE PROPONENT
ELECTIVE OFFICE SOUGHT OR HELD
(INCLUDE DISTRICT NUMBER IF APPLICABLE)
YEAR OF
ELECTION
PARTY
CHEW/NE
ac a orester
City Council Member, district 1 I
'
70221
( Nonpartisan
Partisan
(list political party below)
d1rvG� Tan
1
1
Partisan
(list political party below)
-
iffy' 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 LE1T(R1 CANDIOATEIS) OFFICE SOUGHT OK HELD OP MEA.SURE(S)!1IRISDICTION
IF A RECALL, STATE "RECALL" IN FRONT OF THE OFFICEHOLDER'S NAME. (INCLUDE DISTRICT NO., CITY OR COUNTY, A5 APPLICABLE)
SUPPO
CHECK ONE
OPPOSE
UPPORT
OPPOSE
FPPC Form 410 (August/2018)
FPPC Advice: adviceUfnpc.ca.gmv_.(866/275-3772)
www.fppc;ca:.gtty
Statement of Organization
Recipient Committee
Statement Type Initial Amendment
Not yet qualified
or
jo
Date qualification threshold met Date qualification threshold met
wr=ns
Attach additional information on appropriately labeled continuation sheets.
Termination — See Part 5 For Official se Only
Date of termination ICITY CLERK
nie Emadi
c - -- 3W-E ZIP CODE 1w,1.
Cj w-r3e POW
i gave us€d d!1 reasvna 'e diligenc e r preparing this stater' ent and to the best, of my knowledge the •rtarntarion
penalty of € e(jury under the laws of the State of lifer -that the foregoing is true and
Executed on
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By
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Executed on
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Executed on
BY
____ ___
DATE
FPPC Form 410(August/2018)
FPPC Advice: advice: �ioAc.ta.wov (866/27S-3772)
www.fooc-ca.eov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
HE
All committees must list the financial institution where the campaign bank account is located.
List the name of each controlling officeholder, candidate, or state measure proponent. Ifcandidate 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 control ied committee, list the name and identification number of the other Controlled committee.
ELECTIVE OFFICE SOUGHT OR HELD YEAR OF PARTY
NAME OF CANDIDATE/0MCEHOLDER/STATE MEASURE PROPONENT {INCLUDE DISTRICT NUMBER IF APPLICABLEI ELECTION CH.FC'g ONE
Primarily formed to support or oppose specific candidates or measures in a single election. List below:
CAN D:'D-- (53 NA-M, E C R M FASU RE.S) -U: T DR HELD DK " AS ' U SD C- C'
jp� �) 4 `1: — : 1
T N LEIT R-] CANDIDATEZSIOtqCE5OJG
No -'-y 0- A- APP WAW q
4 NCLUDE MTRICT - OR
FPPC For— A10 'A---UM/2018'
1-9PC Advice- mrqy � 2 722)
-(866 75-37