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HomeMy WebLinkAboutForm 410 - 07-31-2025 Candidate Intention Statement Termination - redactedStatement of Organization Recipient Committee Statement Type ❑ Initial ❑ Amendment Q Not yet qualified or Q Date qualification threshold met Date qualification threshold met I.D. Number (if applicable) 1465532 NAME OF COMMITTEE Senecal for Seal Beach City Council 2024 STREET ADDRESS (NO P0. BOX) c/o Lysa Ray C17Y STATE ZIP CODE AREA CODE/PHONE Santa Ana CA 92704 FULL MAILING ADDRESS (IF DIFFERENT) OrangeUNFY CountyCoantyLE IJURISDICTION HEach WHERE COMMITTEE 15 ACTIVE Attach additional information on appropriately labeled continuation sheets. Termination — See Part 5 Date of termination 06 , 30 / 2025 NAME OF TREASURER Lysa Ray Date Stamp RECEIVE® JUL 3 1 2025 Cl 7 CLERK :ITY OF SEAL BEACH For Official Use Only STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE Santa Ana CA 92704 EMAIL ADDRESS OF TREASURER (REQUIRED) AREA CODE/PHONE NAME OF ASSISTANTTREA5URER, IF ANY STREET ADDRESS (NO P.O. EMAIL ADDRESS OF ASSISTANT TREASURER (REQUIRED} NAME OF PRINCIPAL OFFICE STREET ADDRESS (NO P.O. EMAIL ADDRESS OF PRINCIPALOFFICER(5) (REQUIRE CITY CITY STATE ZIP CODE AREA CODE/PHONE STATE ZIP CODE AREA CODE/PHONE I have used all reasonable diligence in preparing this statement and to 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 of California that the foregoing �s t_ruc rld c�e�t� Digitally signed by Ly5a Ray Executed on 07/23/2025 By LYJa a Rate: 2025.07.23 i1:55:44-0T00' DATE SIGNATURE OF TREASURER OR ASSISTANT TREASURER Executed on 07/23/2025 By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT Executed on By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT Executed on By DATE SIGNATUREOF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT FPPC Form 410 (October/2023) FPPC Advice: advice Pfuoc.ca.eov 1866/275-3772) www.fppc.ca.gov netfile. corn Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE NAME for Seal Beach City Council 2024 Page 2 of 3 I.D. NUMBER 1465532 All committees must list the financial institution where the campaign bank account is located and the person(s) authorized to obtain bank records. NAME OF FINANCIAL INSTITUTION AND PERSON(S) AUTHORIZED TO OBTAIN BANK RECORDS AREACODE/PHONE BANKACCOUNT NUMBER Bank of America 1 (714)708-6919 1 325191005440 ADDRESS OF FINANCIAL INSTITUTION 3730 S Bristol SC CITY Santa Ana • 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. STATE ZIP CODE CA 92704 • 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 CANDI DATE/OFFICEHOLDER/STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER I F APPLICABLE) ELECTION CHECK ONE Patty Senecal City Council Member Seal Beach District 4 2024 Nonpartisan y, Partisan (list Dolitical parry below) Nonpartisan Partisan (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) IF A RECALL, STATE "RECALL" IN FRONT OF THE OFFICE HOLDER'S NAME. CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION (INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE) CHECK ONE SUPPORT OPPOSE SUPPORT OPPOSE FPPC Form 410 (October/2023) FPPC Advice: adviceCdfooc.ca.gov (866/275-3772) www.fooc.ca.gov Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE Beach City Council 2024 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 STREET ADDRESS NO. AND STREET ❑ —1—/ CITY NDUSTRY GROUP OR AFFILIATION OF SPONSOR Page 3 of 3 STATE ZIP CODE AREA CODE/PHONE S.Termination Requirements By signing the verification, the treasurer, assistant treasurer and/or candidate, officeholder, or parent 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 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 (October/2023) FPPC Advice: advice(dfrIDc.ca.eov (866/275-3772) www.fooe.ca.gov