Reid Lerner - Form 410 Amendment (2018)Statement of Organization
Recipient Committee
Statement Type ❑ Initial ® Amendment
Q Not yet qualified
or
O Date qualified as committee
Date qualified as committee
❑ Termination —See Part 5F
In
Date of termination
Date Stamp
VVED AND FILE
office of the Secretary of Sty
of the State of Califomia
AUG 15 2018
1. Committee Information I I.D. Number 1391468 2. Treasurer and Other Principal Officers
(if applicable)
NAME OF COMMITTEE
Reid Lerner for Gilroy City Council 2018
STREET ADDRESS (NO P.O. BOX)
MAILING ADDRESS (IF DIFFERENT)
E -MAIL ADDRESS (REQUIRED) / FAX (OPTIONAL)
COUNTY OF DOMICILE riRlIDICT11INWHERE COMMITTEE IS ACTIVE
Santa Clara ty of Gilroy
Attach additional information on appropriately labeled continuation sheets.
NAME OF TREASURER
Rick Chehab
STREET ADDRESS (NO P -O. BOX)
AREA CODE /PHONE
STATE ZIP CODE AREA CODE /PHONE
3. Verification
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
CANDIDATE, OR STATE MEASURE PROPONENT
Executed on
DATE
Executed on
DATE
By
By
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 410(February /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
Reid Lerner for Gilroy City Council 2018 1391468
• All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION
Pinnacle Bank
ADDRESS
AREA CODE /PHONE
4088428200
CITY
BANK ACCOUNT NUMBER
201004389
STATE ZIP CODE
7597 Monterey Street Gilroy CA 95020
4. Type of Committee Complete the applicable sections s,f,
• 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 CAN 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:
CAN DIDATE(S) NAME OR MEASURES) FU LL TITLE (INCLUDE BALLOT NO. OR LETTER)
IF A RECALL, STATE "RECALL" IN FRONT OF THE OFFICEHOLDER'S NAME.
CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION
(INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE)
SUPPORT
F-1
Nonpartisan
Partisan
(list political party below)
Reid Lerner
Gilroy City Council
2018
I❑
Nonpartisan
Partisan
(list political party below)
El
Primarily formed to support or oppose specific candidates or measures in a single election. List below:
CAN DIDATE(S) NAME OR MEASURES) FU LL TITLE (INCLUDE BALLOT NO. OR LETTER)
IF A RECALL, STATE "RECALL" IN FRONT OF THE OFFICEHOLDER'S NAME.
CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION
(INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE)
FPPC Form 410(February /2018)
FPPC Advice: advice @fppc.ca.gov (866/275 -3772)
www.fppc.ca.gov
SUPPORT
F-1
OPPOSE
El
SUPPORT
1:1
OPPOSE
EI-
FPPC Form 410(February /2018)
FPPC Advice: advice @fppc.ca.gov (866/275 -3772)
www.fppc.ca.gov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
COMMITTEE NAME I I.D. NUMBER
Reid Lerner for Gilroy City Council 2018 1391468
4. Type of Committee (Continued)
Not formed to support or oppose specific candidates or measures in a single election. Check only one box:
❑ CITY Committee ❑ COUNTY Committee ❑ STATE Committee ❑ Political Party /Central Committee
PROVIDE BRIEF DESCRIPTION OF ACTIVITY
List additional sponsors on an attachment.
NAME OF SPONSOR
STREET ADDRESS NO. AND STREET
CITY
INDUSTRY GROUP OR AFFILIATION OF SPONSOR
STATE ZIP CODE AREA CODE /PHONE
�• Tii771 Lir�7ifi717Til�Ti�i7i�T -7� ❑
Date qualified
5 Termination Requirements By signing the verification, the treasurer, assistant treasurer and /or candidate, officeholder, or proponent 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(February /2018)
Clear Page Print FPPC Advice: advice @fppc.ca.gov (866/275 -3772)
www.fppc.ca.gov
Executed on
DATE
By
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 410(February /2018)
FPPC Advice: advice @fppc.ca.gov (866/275 -3772)
www.fppc.ca.gov
A111111111111k 234
0 F,' AMA
Statement of Organization
Date StainP CALIFORNIA
,
Recipient Committee
u FORM
k'`''
Statement Type El ®Amendment El —See Part 5 1 —
For Official Use Only
v
0 Not yet qualified
CIF
OFFICE
or
GILERK
/ / / / � , Cq
O Date qualified as committee
Date
qualified as committee Date of termination
1. Committee Information
I.D. Number
1391468
2. Treasurer and Other Principal Officers
(if applicable)
NAMEOFCO M MITTEE
NAME OF TREASURER
Reid Lerner for Gilroy City Council 2018
Rick Chehab
STREET ADDRESS (NO P.O. BOX)
7660 Monterey Street
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE
AREA CODE /PHONE
7680 Monterey Street #105
Gilroy CA 95020
4089811565
CITY STATE ZIP CODE
AREA CODE /PHONE NAME OF ASSISTANT TREASURER, IF ANY
Gilroy CA 95020
4088429942
MAILING ADDRESS (IF DIFFERENT)
STREET ADDRESS (NO P.O. BOX)
E -MAIL ADDRESS (REQUIRED) /FAX(OPTIONAL)
CITY STATE ZIP CODE
AREA CODE /PHONE
reid @reidlerner.com
COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE IS ACTIVE NAME OF PRINCIPAL OFFICER(S)
Santa Clara 1C ity of Gilroy
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE
Attach additional information on appropriately labeled continuation sheets.
AREA CO DE /PHONE
3. Verification
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 f Ca
or that the regoing is true and correct.
Executed on Lisl "A By
DATE
SIG TURE OF TREASURER OR ASSISTANT TREASURER
��
Executed on By
GATE
SIGNATURE OF CONTROLLING 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(February /2018)
FPPC Advice: advice @fppc.ca.gov (866/275 -3772)
www.fppc.ca.gov
Statement of Organization
CALIFORNIA
Recipient Committee
'
FORM
INSTRUCTIONS ON REVERSE
Page 2
COMMITTEE NAME
I.D. NUMBER
Reid Lerner for Gilroy City Council 2018
1391468
• All committees must list the financial institution where the campaign bank account is I I Icated.
NAME OF FINANCIAL INSTITUTION
PHbNE
BANK ACCOUNTNUMBER
Pinnacle Bank
FAREACOD2
82100
201004389
ADDRESS CITY
STATE ZIP CODE
7597 Monterey Street Gilroy
CA 95020
4. Type of Committee Complete the applicable sections.
• List the name of each controlling officeholder, candidate, or state measure propc
nent. 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 a
d identification number of the other controlled committee.
ELECTIVE
NAME OF CANDIDATE /OFFICEHOLDER /STATE MEASURE PROPONENT (INCLUDE
OFFICE SOUGHT OR HELD YEAR OF PARTY
DISTRICT NUMBER IF APPLICABLE) ELECTION
CHECK ONE
Nonpartisan
Partisan
(list political party below)
Reid Lerner
Gilroy City Council
2018
❑El
Nonpartisan
Partisan
(list political party below)
E]
Primarily Formed Committee 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) CHECK ONE
SUPPORT
OPPOSE
F-1
El
SUPPORT
OPPOSE
FPPC Form 410(February /2018)
FPPC Advice: advice @fppc.ca.gov (866/275 -3772)
www.fppc.ca.gov
Statement of Organization CALIFORNIA
Recipient Committee FORM
INSTRUCTIONS ON REVERSE
Page 3
COMMITTEE NAME I.D. NUMBER
Reid Lerner for Gilroy City Council 2018 1391468
4. Type of Committee (Continued)
General Purpose Committee , Not formed to support or oppose specific candidates or measures in a single election. Check only one box:
❑ CITY Committee ❑ COUNTY Committee ❑ STATE Committee ❑ Political Party /Central 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
l7 �iI�IILS�LI { {I�IU {�liUAiliilG {4 =� ❑
Date qualified
5. Termination Requirements By signing the verification, the treasurer, assistant treasurer, and /or candidate, officeholder, or proponent certify that. aII of the following conditi ons 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.
Clear Page Form 410(February /2018)
Print FPPC Advice: advice @fppc.ca.gov (866/275 -3772)
www.fppc.ca.gov