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HomeMy WebLinkAboutForm 410 - Amendment - Low, Ruth - 2015.09.03Statement of Organization Recipient Committee Statement Type © Initial ❑ Amendment ❑ Termination — see Part 5 Fm List I.D. number: ,� List I.D. number: Yds (il t Not yet qualified El or _ - 08 /22 /2015 Date qualified as committee Date qualified as committee (If applicable) Date of Termination 1. Committee Information NAME OF COMMITTEE Committee to Elect Ruth Low to City Council 2015 STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE ( MAILING ADDRESS (IF DIFFERENT) FAX / E-MAIL ADDRESS COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE IS ACTIVE Los Angeles Attach additional information on appropriately labeled continuation sheets. Date Stamp iu ce of the a 1 I fi / tv ' f rho Stce. ? AUG26 2015 2015 SEP --3 PM 5: 22 CAHP/,1 G N F IN AP,,TE •II�P� 2. Treasurer and Other Principal Officers NAME OF TREASURER Richard M. Rogers STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE ( NAME OF ASSISTANT TREASURER, IF ANY STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE NAME OF PRINCIPAL OFFICER(S) STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE 3. Verification I have used all reasonable diligence in preparing this statem nta d t he best of my_k owledge the information contained herein is true and complete. I certify under penalty of perjury under the laws of the State of Califor is at Ie ffI goin is rGe and correct. Executed on 08/25/2015 By DATE SI TUBE OF TR SUR ASSISTANT TREASURER Executed on 08/25/2015 By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR sTATET,71EASURE PROPONENT Executed on DATE Executed on DATE By SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONEQT By SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT FPPC Form 410(Dec/2012) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Statement of Organization CALIFORNIA' Recipient Committee • - INSTRUCTIONS ON REVERSE Page 2 COMMITTEE NAME I.D. NUMBER Committee to Elect Ruth Low to City Council 2015 • All committees must list the financial institution where the campaign bank account is located. NAME.OF FINANCIAL INSTITUTION AREA CODE/PHONE BANK ACCOUNT NUMBER US Bank ( ADDRESS CITY STATE ZIP CODE 4. Type of Committee Complete the applicable sections: • 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." • 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 Ruth Low Member of the City Council 2015 ❑✓ Nonpartisan El SUPPORT ❑ Nonpartisan 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 N0, OR LETTER) CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION (INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE) CHFCK ONF FPPC Form 410 (Dec/2012) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov SUPPORT OPPOSE El SUPPORT OPPOSE FPPC Form 410 (Dec/2012) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE Pege 3 COMMITTEE NAME I.D. NUMBER Committee to Elect Ruth Low to City Council 2015 4. Type of Committee (Continued) 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 List additional sponsors on an attachment. NAME OF SPONSOR INDUSTRY GROUP OR AFFILIATION OF SPONSOR STREETADDRESS NO. AND STREET CITY STATE ZIP CODE Date qual&4 5. Termination Requirements By signing the verification, the treasurer, assistant treasurer and/or candidate, officeholder, or proponent 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(Dec/2012) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov