HomeMy WebLinkAbout410 04/26/2019 Statement of Organization Recipient Committee Amendment Clean Beaches Committee Supporting Scott Levitti
eStatement of Organization
Recipient Committee
Statement Type tial 66 Amendment
Q Not yet qualified
or
Date qualification threshold met Date qualification threshold met
09 271 2018 Z / 27 / 2018
I.D. Number
(if applicable)
NAME OF COMMITTEE
Clean Beaches Committee, Supporting Scott Levitt for Seal Beach City
Council District 1 2018
STREET ADDRESS (NO P.O. BOX)
1101 Seal Way
CITY STATE ZIP CODE AREA CODE/PHONE
Seal Beach CA 90740 310-498-4088
FULL MAILING ADDRESS (IF DIFFERENT)
8857 Santa Monica BI., West Hollywood, CA 90069
E-MAIL ADDRESS (REQUIRED) / FAX (OPTIONAL)
scottschmidt@gmail.com
COUNTY OF DOMICILEJ�ra
ISDICTION WHERE COMMITTEE IS ACTIVE
Los Angelesange
Attach additional information on appropriately labeled continuation sheets.
❑ Termination —See
Date of termination
Date Stamp
:I�rn 1 f
ice tne" ctetary 6
the St_- to of California qq
OCTMB
OF
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For bificial Use Only
I
NAME OF TREASURER
APR 2 6 2019
Adam Eramian
STREET ADDRESS (NO P.O. BOX)
CITY CLEIRIK
8857 Santa Monica Blvd.
CITY OF SEAL 111 CH
CITY
STATE ZIP CODE AREA CODE/PHONE
West Hollywood
CA 90069 310-657-1176
NAME OF ASSISTANT TREASURER, IF ANY
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
NAME OF PRINCIPAL OFFICER(S)
Scott Schmidt
STREET ADDRESS (NO P.O. BOX)
8821 DeLongpre Ave #9
CITY STATE ZIP CODE AREA CODE/PHONE
West Hollywood CA 90046 310-498-4088
I have used all reasonable diligence in preparing t s tement and to est of my knowledge the information contained herein is true and complete. I certify under
penalty of perjury under the laws of the State o Cal' orni hat the fo going is true and correct.
Executed on 10/11/2018 By
DATE SIGNATUR OF TREASURER ASSISTANT TREASURER
Executed on 10/11/2018 By
7
DATE
SIGNATURE OF CONT LING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
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 (866/275-3772)
www.fppc.ca.gov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
Page 2
COMMITTEE NAME I.D. 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 FINANCIAL INSTITUTION AREA CODE/PHONE BANK ACCOUNT NUMBER
Bank of America 424-204-4941 325106800368
ADDRESS CITY STATE ZIP CODE
8921 Santa Monica Blvd. West Hollywood CA 90069
• 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 CHECK ONE
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 "RECALL" IN FRONT OF THE OFFICEHOLDER'S NAME. (INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE)
CHFCK ONF
Scott Levitt
Seal Beach City Council District 1
SUPPORT
Fv1
Nonpartisan
Partisan
(list political party below)
SUPPORT
OPPOSE
El
Nonpartisan
Partisan
(list political party below)
El
1:1
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 "RECALL" IN FRONT OF THE OFFICEHOLDER'S NAME. (INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE)
CHFCK ONF
Scott Levitt
Seal Beach City Council District 1
SUPPORT
Fv1
OPPOSE
E
SUPPORT
OPPOSE
FPPC Form 410(August/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
Page 3
COMMITTEE NAME I.D. NUMBER
Clean Beaches Committee, Supporting Scott Levitt for Seal Beach City Council District 1 2018
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
STREET ADDRESS NO. AND STREET CITY STATE ZIP CODE AREA CODE/PHONE
❑ �t
Date qualified
• q
i i
• 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