HomeMy WebLinkAbout410 09/06/2018 Statement of Organization Recipient Committee Amendment - Safety First Seal BeachStatement of Organization Date Stamp
Recipient Committee REGEiV1 AND F!1
Statement Type 0 Initial ® Amendment ❑ Termination — See Part 5 in the office of cr of
• Not yet qualified of the Sta o II nla
oT 07 19 2016 AUG 2018
• Date qualed as committee —�( --/ —� ✓ —✓
07 19 2018 Date qualified as committee Date of termination p
1 Commltt ee Information LD. Number
1407843 2 Treawrer and.Other principal "Pe
. v u ( /aPPlicoble) - Tre
. t.
NAME OF COMMITTEE , NAME OF TREASURER
Safety First Seal Beach Barbara E. Barton
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE
MAILING ADDRESS (IF DIFFERENT)
COUN I Ym DO MICI LE I U RISDICTION WHE RE COMMITTEE IS ACTIVE
Orange eal Beach
Attach additional information on appropriately labeled continuation sheets.
Seal
G 31 2018
SEP 0 S '1018
U! f CLERK
CITY
STATE
Zld ^ ^ ^� v
AflEAE99E/PXONE - -I
CA
90740
(562) 596 -3497
NAME OF ASSISTANT TREASURER, IF ANY
James Brady
STREET ADDRESS (NO EO. BOX)
210 5th Street
CITY
STATE
ZIP CODE
AREA CO DE /PHONE
CA
90740
(714) 791 -3322
NAME OF PRINCIPAL OFFICER(S)
James Brady
STREET ADDRESS (NO P.O. BOX)
210 5th Street
CITY
STATE
ZIP CODE
AREA CODE /PHONE
3: Verification,
I have used all reasonable diligence in preparing this statement and to t of my knowledge the information contained herein is true and complete. I certify under
penalty of perjury under the laws of the State of
Executed on 8/14/2018
By
DATE
Executed on By
DATE
Executed on
DATE
SIGNATURE OF
By
SIGNATURE Of CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
Executed on By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER. CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 410 (February/2018)
FPPC Advice: advice@fppc.ca.gov (866/275 -3772)
www.fppc.ca.gov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
NUMBER
Safety First Seal Beach
• All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INiTFUTION
Opus Bank
AREA CODE /PHONE
(
ADDRESS CITY STATE ZIP CODE
4.,Ty 6 Of. CorffmittfC, 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" 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 SOUGHT OR HELD YEAR OF PARTY
NAME OF CANDIDATE /OFFI CEHOLDER /STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLI CABLE) ELECTION
Primarily formed to support or oppose specific candidates or measures in a single election. List below:
CANDIDATE(S) NAM E OR MEASURE(S) FULL TITLE (INCLUDE BALLOT N0, 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)
fNGfC nNP
Nonpartisan
Partisan
(list political party below)
SUPPORT
0
OPPOSE
I El-
El
Q
l OPPOSE
I El
Nonpartisan
Partisan
(list political party below)
El
El
Primarily formed to support or oppose specific candidates or measures in a single election. List below:
CANDIDATE(S) NAM E OR MEASURE(S) FULL TITLE (INCLUDE BALLOT N0, 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)
fNGfC nNP
FPPC Form 410 (February /2018)
FPPC Advice: advice @fppc.ca.gov (866/275 -3772)
www.fppc.ca.gov
Safety First Seal Beach Ballot Letters BB
City of Seal Beach (Sales Tax Increase)
SUPPORT
0
OPPOSE
I El-
SUPPORT
ED
l OPPOSE
I El
FPPC Form 410 (February /2018)
FPPC Advice: advice @fppc.ca.gov (866/275 -3772)
www.fppc.ca.gov
• Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
Safety First Seal Beach
PROVIDE BRIEF DESCRIPTION OF ACTIVITY
(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 ❑ Political Party /Central Committee
List additional sponsors on an attachment.
IIHUIIg1Ul1I /Irlll(9I R4liI]JIIIYa
❑
Page 3
If
Date yualiPed
S. Terminatidn 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 maybe 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.
Clear Pa el Pfmt FPPC Form 410(Febmarv/2018(
FPPC Advice: advice @fppc.ca.gov (866/275 -3772)
v/ww.fppc.ce.gov