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Home My WebLink About410 11/19/2018 Statement of Organization Recipient Committee AmendmentStatement of Organization Recipient Committee Statement Type ❑ Initial Not yet qualified or Date qualification threshold met T.. Committee Information I.u. Ivumne fif applicable/ NAME OF COMMITTEE Safety First Seal Beach - -Yes on BB Date Stamp Amendment ❑ Termination — See P41*1,EIVED AND FIL in the of the State of Cailfon l B qualification threshold met Dale of termination OCT O 2J�� 07 . 19 .2018 Ji 1407843 I 2 Treasurer and :Other Prihcipal, STREET ADDRESS (NO PO. BOX) CITY STATE E-MAIL ADDRESS (REQUIRED) If FAX(OPTIONALI wuNIYUFDUMIEILE JURISDICTION WHERE COMMITTEE IS ACTIVE Orange Seal Beach Barbara E. Barton STREET ADDRESS (NO PO. BOX) Seat 5el"' OCT r .c,- - QW - 7-,� 71P CODE r5___ "--- - - - -_.� ci 14U 1 111 (EJ CITY Cl R CITY OF SEAL BEACI i ptity CITY STATE 71P CODE AR EA CODE /PHONE CA 90740 (562) 596 -3497 NAME OF ASSISTANT TREASURER, IF ANY James Brady STREET ADDRESS (NO P.O. BOX) 210 5th Street CITY STATE ZIP CODE AREA CODE /PHONE CA 90740 (714) 791 -3322 NAME OF PRINCIPAL OFFICIALS) James Brady STREET ADDRESS (NO P.O. BOX) Attach additional information on appropriately labeled continuation sheets. CITY STATE ZIP CODE AREA CODE /PHONE 3. Verification I have used all reasonable diligence in preparing this statement the best of my knowledge the information contained herein is true and complete. I certify under penalty of perjury under the laws of the State Executed on By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT Executed on DATE By SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT FPPC Form 410 (August /2018) FPPC Advice: advice@fppc.ca.gov (866/2753772) www.fppc.a.gov Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE COMMITTEE NAME Safety First Seal Beach - -Yes on BB • All committees must list the financial institution where the campaign bank account is located. NAME OF FINANCIAL INSTITUTION AREA CODEIPHOZ117 BANK ACCOUNT NUMBER Opus Bank ( ADDRESS CITY -- STATE 31P CODE NUMBER 1407843 4. Type OfCornrnittee Con plete'ttie 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/ OFFICEHOLDER /STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) ELECTION 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) CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION IF A RECALL, STATE'RECALC IN FRONT OF THE OFFICEHOLDER'S NAME. (INCLUDE DISTRICT NO CITY OR COUNTY AS APPI ICARI 0 LXtCR Nonpartisan VPartisan (list political party below) SUPPORT R] OPPOSE ❑ SUPPORT pppgSE Nonpartisan iParfisan (list political party below) 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) CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION IF A RECALL, STATE'RECALC IN FRONT OF THE OFFICEHOLDER'S NAME. (INCLUDE DISTRICT NO CITY OR COUNTY AS APPI ICARI 0 FPPC Form 410 (August /2018) FPPC Advice: advice@fppc.ca.gov (866/275 -3772) www.fppc,w.gov LXtCR Vnt Safety First Seal Beach —Yes on BB SUPPORT R] OPPOSE ❑ SUPPORT pppgSE FPPC Form 410 (August /2018) FPPC Advice: advice@fppc.ca.gov (866/275 -3772) www.fppc,w.gov .. Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE Safety First Seal Beach - -Yes on BB e of Committee . _. _ c ` IennnNed) ti- 3 1407843 - 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. nPM[V[JVVIi]VF Smoll Contributor Committee OR AFERIATION OF SPONSOR AREA Dale qualified nts • By signing the verification, the treasurer, assistant treasurer and /or Candidate, officeholder, or proponent cerfifyth' all of the following conditions have been met: 5. Termination Re Q uir, _ eme. • 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. FPPC Form 410 (August/2018) FPPC Advice: advice@fppc.ca.gov (866/275 -3772) www.fppc.ca.gov