HomeMy WebLinkAboutForm 410 Matt Smith - Statement of OrganizationStatement of Organization
Recipient Committee
Statement Type ® initial ❑ Amendment ❑ Termination —See Part 5
Not yet qualified
or
Q Hate qualification threshold met Dale qualification threshold met Date of termination
I I I 1 I 1
- - - - - - - - I.D. Number
Date Stamp
REULIVEI
SEP 2 5 2626
CITY CLERK
CITY OF SEAS_ BEA(
NAME OF COMMITTEE NAME OF TREASURER
Matt Smith
Matt Smith for Seal Beach City Council 2026 STREET ADDRESS (NO P.O. BOX)
EMAIL ADDRESS OF TREASURER (REQUIRED)
STREET ADDRESS (NO P.O- BOX) ChriS@Thomdsandassociates.org
NAME OF ASSISTANT TREASURER, IF ANY
CITY STATE ZIP CODE AREA CODE/PHONE Christopher Thomas
Long Beach CA 90802 (562) 590-5550 STREET ADDRESS (NO P.O. BOX)
FULL MAILING ADDRESS (IF DIFFERENT)
E-MAILADDRFSS OF COMMITTEE (REQUIRED)/ FAX (OPTIONAL)
Chris@Thomasandassociates.org / (562)590-8400
COUNTYOF DOMICILE JURISDICTION WHERE COMMITTEE IS ACTIVE
Orange I Seal Beach
Attach additional information on appropriately labeled continuation sheets.
I have used all reasonable diligence in preparing this
penalty of perjury u/J�1der the laws of the State of Cali
Executed on FT <4`f2-4- By
DATE
Executed on 6Z By
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Executed on
DATE
Executed on
DATE
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EMAIL ADDRESS OF AS5ISTANT TREASURER (REQUIRED)
Chris@Thornasandassociates.org
NAME OF PRINCIPAL OFFICFR(S)
STREET ADDRESS (NO P.O.
CITY
Long Beach
CITY
Long Beach
CITY
For Official Use Only
STATE ZIP CODE
CA 90802
AREA CODE/PHONE
(562)590-5550
STATE ZIP CODE
CA 90802
AREA CODE/PHONE
(562)590-5550
STATE ZIP CODE
EMAIL ADDRESS OF PRINCIPAL OFFICER(S) (REQUIRED) AREA CODE/PHONE
—e information contained herein is true and complete, t certify under
MtAy Wit PROPONENT
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
By
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 410 (Octpber/2023)
FPPC Advice: advice@fnac.ca.gov (966/275-3772)
www.fppc.ca.gov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
COMMITTEE NAME
Matt SmitYl for Seal Beach City Council 2026
Page 2 of 3
I.D. NUMBER
• 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
ADDRESS OF FINANCIAL INSTITUTION CITY
AREA CODE/PHONE I BANK ACCOUNT NUMBER
STATE ZIP CODE
• 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
Nonpartisan Partisan (list political party 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) FULLTITLE (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) CHECK ONE
SUPPORT OPPOSE
SUPPORT OPPOSE
FPPC Form 410 (October/2023)
FPPC Advice: advice@fnoc.ca.Rov (866/275-3772)
www.fnnc.ca.gov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
COMMITTEE NAME
Matt Smith for Seal Beach City Council 2026
Page 3 of 3
I.D. NUMBER
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
• • List additional sponsors on an attachment.
NAME OF SPONSOR I INDUSTRY GROUP OR AFFILIATION OF SPONSOR
STREET ADDRESS NO. AND STREET CITY STATE ZIP CODE AREA CODE/PHONE
❑ 1 1
Date cluplified
5. Termination Requirements By signing the verification, the treasurer, assistant treasurer and/or candidate, officeholder, or ponent certify that all of the following conditions have been met:
committee. This • to receive contributions
• 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@fooc.ca.eov (866/275-3772)
www.fppc.ca.gov