HomeMy WebLinkAbout410 12/24/2018 Statement of Organization Recipient Committee Termination - Clean Beaches Committee, Supporting Scott Levitt Statement of Organization �/I'\ 7CALIFORNIA
Recipient CommitteU V ^A FORM410
Statement Type ❑Initial 0 Amendment ® Termination—See Part FDr°MElelUse Only
O hot yet qualified Fr 2 7 2018
or
O Date quahficaoon threshold met Date qualification threshold met Date of termination
CITY CLERK
12 �?a, 2018 CITY OF SEAL BEACH
1. Committeeilnformation I.D.Number 2. Treasurer and Other Principal Officers
(if opplicoble)
NAME Of COMMIi'fE NAME Of TREASURER
Clean Beaches Committee,Supporting Scott Levitt for Seal Beach City Adam Eramian
Council District 1 2018 STREE'A0ORE1S IRO P O 110R1
STREET ADDRESS IND P.O.FOOL CIT/ SERIE IIP CODE AREA CODE/PNONE
CITY STATE ZIP COOS AREA CCCE'dEOnl NAME CE ASS.STANT TREASURER.If ANY
FULL MAILING ADDRESS OF OIFEFEEN'I STREET ADDRESS(NO PO SOA)
E-MAIL ADDRESS(REQUIRED)/FAR(OPTIONAL) CITY STATE ZIP CODE AREA CODE/PHONE
COUNTY OF DOMICILE loR SUCTION WHERE COMMITTEE SACTIVE NAME OE PRINCIPAL OFFICERS)
Scott Schmidt
STREET ADDRESS(NO P O.ROGI
CITY STATE ZIP CODE AREA CODE/PHONE
Attach additional information on appropriately labeled continuation sheets.
3. Verification )
1 have used all reasonable diligence in
Executed on By
DATE SIGNATURE OF CONTEOI LINO OI EIDE HOI of R.CANDIDATE.CASEATE MEASURE PROPONENT
Executed on By
DATE SIGNATURE OF CONTROLLING OfEICENCLOER.CANDIDATE.OR STATE MEASURE PROPONENT
FPPC Form 410(August/2018)
FPPC Advice:advice@fppc.ca.gov(866/275-37721
www.fppc.ca.gov
Statement of Organization CALIFORNIA 41 0
Recipient Committee FORM
INSTRUCTIONS ON REVERSE
Page 2
COUMITTEE NAME
LU NUMBER
Clean Beaches Committee,Supporting Scott Levitt for Seal Beach City Council District 1 2018
• All committees must list the financial institution where the campaign bank account is located.
NAME Of FINAE4CJAL INSTTUTON AREA CCCI,P"ovi BAf1AACCCLN'nUM$IR
AODRISf STAT 2:R000E
4.Type of Committee Complete the applicable sections.
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.
ELECTIVE OFFICE SOUGHT OR HELD YEAR OF PARIS
NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) ELECTION CNEC<ONE
Nonpartisan Partisan (list political party below)
n n
Nonpartisan Partisan (list political party below)
n
Primordy Formed Committee Primarily formed to support or oppose specific candidates or measures in a single election. List below:
CANDIDATE(S)NAME OR MEASURES)FULL TITLE(INCLUDE BALLOT NO.OR LETTER) CANDIDATEISI OFFICE SOUGHT OR HELD OR MEASURE(S)JURISDICTION
IF A RECALL,STATE"RECALL'IN FRONT OF THE OFFICEHOLDER'S NAME- (INCLUDE DISTRICT NO,CITY OR COUNTY.AS APPLICABLE)
CHECK ONE
SUPPORT OPPOSE
Scott Levitt Seal Beach City Council District 1 Y/ n
,JPPORT C.nr^',�f
FPPC Form 410(August/2018)
FPPC Advice:advice@fppc.ca.gov(866/275.37721
www.tppc.ca.gov
Statement of Organization CALIFORNIA 41 0
Recipient Committee FORM
INSTRUCTIONS ON REVERSE
COMMITTEE NAME PAee 3
10 NUMBER
Clean Beaches Committee,Supporting Scott Levitt for Seal Beach City Council District 1 2018
4.Type of Committee (Continu.d)
General Purpose Committee Not formed to support or oppose specific candidates or measures in a single election. Check only one box:
0 CITY Committee 0 COUNTY Committee 0 STATE Committee
PROVIDE INNER DESCRIPTION OF ANNUITY
Sponsored Committee List additional sponsors on an attachment.
HANE OR SPONSOR INDUSTRY GROUP OI AEEIIATION OF SPONSOR
STREET ADDRESS NO.05.0 STREET CITY STATE ZIP CODE AREA CODE/PRONE
Small Contributor Committee
DNR RWUPP,
5.Termination Requirements Sy signing the verification,the treasurer,assistant treasurer and/or candklatg,offfeehokler,or proponent certify that ad of the following condltkes havebeenmet;
• 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(August/2018)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov