HomeMy WebLinkAbout410 09/03/2020 Statement of Organization Recipient Committee Rcvd from OC Registrar of Voters<' Q_G-C P
Statement of Organization ` C7
/ Date Stamp
Recipient / •
p Committee L _
Statement Type ®Initial
❑ Amendment ❑ Termination —see Pa 5 Fo u5
i
Q Not yet qualified t
or r c .il
�AUG 1 4 ���
Date qualification threshold met Date qualification threshold met Date of termination
7 21 1 2020 JUL 24 20+2
REGISTRAR OF VOTERS
• I.D. Number
(Tapplicable)
licable
NAME OF COMMITTEE
NAME OF TREASURER
Thomas Moore for Seal Beach City Council 2020 Robert L. Moore
STREET ADDRESS (NO P.O. BOX)
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
CITY
STATE ZIP CODE AREA CODE/PHONE
NAME OF ASSISTANT TREASURER, IF ANY
Seal Beach CA 90740
FULL MAILING ADDRESS (IF DIFFERENT) STREET ADDRESS (NO P.O. BOX)
E-MAIL ADDRESS (REQUIRED) / FAX (
STATE ZIP CODE AREA CODE/PHONE
SEP 0 3 2020
COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE IS ACTIVE
NAME OF PRINCIPAL OFFICER(S)
Orange Seal Beach CITY CLE"
STREET ADDRESS (NO P.O. BOX)
Attach additional information on appropriately labeled continuation sheets. CITY STATE ZIP CODE AREA CODE/PHONE
i nave usea all reasonable diligence in preparing this statement and to the best of my knowledge the information contained
penalty of perjury under the laws the State
herein is1rue and complete. I certify under
of
CANDIDATE, OR STATE MEASURE PROPONENT
Executed on
By
DATE
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 (August/2018)
FPPC Advice: advice a@fppc.ca aov (866/275-3772)
www.fppc.ca Qov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
COMMITTEE NAME
Page 2
Thomas Moore for Seal Beach City Council 2020 I.D. NUMBER
All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION
Farmers & Merchants Bank
ADDRESS
12535 Seal Beach Blvd
AREA CODE/PHONE BANK ACCOUNT NUMBER
(
CITY STATE ZIP CODE
Seal Beach CA 90740
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.
NAME OFCAN DIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT ELECTIVE OFFICE SOUGHT OR HELD YEAR OF PARTY
(INCLUDE DISTRICT NUMBER IF APPLICABLE) ELECTION CHECK ONE
Thomas J. Moore Seal Beach City Council, District 2 2020 Nonpartisan I Partisan (list political party
CommitteePrimarily Formed Primarily formed to support or oppose specific candidates or measures in a single election. List below:
CAN 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., CITU OR COUNTY, AS APPLICABLE) CHECK ONE
SUPPORT I OPPOSE
SUPPORT I OPPOSE
FPPC Form 410 (August/2018)
FPPC Advice: adviceC@fPPc.ca.gov (866/275-3772)
www.fnac.ca eov
I
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
COMMITTEE NAME
Thomas Moore for Seal Beach City Council 2020
PurposeGeneral 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
SponsoredList additional sponsors on an attachment.
NAME OF SPONSOR
IV U.A UJI HttI
MENNEN
Small Contributor Committee o
CITY
INDUSTRY GROUP OR AFFILIATION OF SPONSOR
• This committee has ceased to receive contributions and make expenditures;
Page 3
I.D. Nur
STATE ZIPCODE AREA CODE/PHONE
• 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: advicepfppc ca aov (866/275-3772)
www.fPPc.ca.gov