HomeMy WebLinkAbout410 08/30/2018 Statement of Organization Recipient Committee InitialStatement of Organization
.Recipient Committee 1 J
Statement Type R1 initial l/ ❑ Amendment
Not yet qualified
or
()Date qualified as Committee /-/
Date qualified as committee
(if applicable)
NAME OF COMMITTEE
Safety First Seal Beach
❑ Termination — See Part 5
STREET ADDRESS (NO PO. E OX)
STATE ZIPCOOE
E -MAIL ADDRESS (REQUIRE O) / FAx (OPTIONAL)
COUNTY OF DOMICILE
Orange
Beach
Attach additional information on appropriately labeled continuation sheets.
Date of termination
NAME OF TREASURER
Date Stamp
of the state of caul
JUL 19 20 JUL 2/7 2018
Barbara E. Barton I AUG 3 0 201
) CtfY CLEr.>
CA
90740
(562) 596 -3497
NAME OF ASSISTANT TREASURER. IF ANY
Executedon
J& "te-s �; «<SE,
;
1
STREET ADDRESS (NO PO. BO %1
DIDATE,
STATE MEASURE PROPONENT
Executed on
By
I
DATE
SIGNATURE OF CONTROLLING OFFICEHOLDER. CAN
R STATE MEASURE PROPONENT
Executed on
DATE
By
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 410 (Febmary/2018)
FPPC Advice: advice @fppc.ca.gov (866/275 -3772)
www.fppc.ca.gov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
COMMITTEE NAME
I.O. NOMBEp
Safety First Seal Beach
• All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION AREA
Pending
ADDRESS CITY
STATE ZIP CODE
ofCommlttee Complete.the, applicablesecftons.
• 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.
ELECTIVE OFFICE SOUG HT OR HELD YEAR OF
NAME OF CAN DIOATE /OFF)CEHO LOER /STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) EI 1171n1
PARTY
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)
IF A RECALL, STATE "RECALL" IN FRONT OF THE OFFICEHOLDER'S NAME,
CAND)DATE(S) OFFICE SOUGHT OR HELD OR M EASURE(S) JURISDICTION
(INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE)
Safety First Seal Beach (Ballot # pending) will amend when received
City of Seal Beach (Sales tax increase)
SUPPOpi
a
.
OHE
Nonpartisan
Partisan
(list political party below)
E]
Nonpartisan
Partisan
(list political party below)
❑
0
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)
IF A RECALL, STATE "RECALL" IN FRONT OF THE OFFICEHOLDER'S NAME,
CAND)DATE(S) OFFICE SOUGHT OR HELD OR M EASURE(S) JURISDICTION
(INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE)
Safety First Seal Beach (Ballot # pending) will amend when received
City of Seal Beach (Sales tax increase)
SUPPOpi
a
V OPPOSE
.SUPPORT
OPPOSE
FPPC Form 410 )February/2018)
FPPC Advice: advice @fppc.ca.gov )866/275 -3772)
www.fppc.ca.gov
Statement of Organization
12ecipient Committee
INSTRUCTIONS ON REVERSE
Safety First Seal Beach
Not formed to support or oppose specific candidates or measures in a single election. Check only one box:
❑ CITY Committee ❑ COUNTY Committee ❑ STATE Committee ❑ Political Party /Central Committee
PROVOE BRIEF DESCRIPTION OF ACTIVITY
List additional sponsors on an attachment.
NAME OF SPONSOR
STREET ADDRESS NO. AND STREET
Small Contributor Committee N
Date qualified
OFSPONSOR
• 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.
Page 3
LD. NUMBER
AREA
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(February /2018(
ClearPage� Print __ f
FPPC Advice: advice @fppaca.gov(866 /275 -3772)
www.fppc.ca.gov