HomeMy WebLinkAboutLerner, Reid - Form 410 (Mayor 2020)Statement of Organization
Recipient Committee
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CALIFORNIA 410
FORM
For Officia l Use On ly
fl) Not ye t qua lifi ed
or
0 Date quali ficat ion thres hol d met Date qu alific at ion thre shol d met Dat e of term inat io n
AU G -, 2'.l2 0
CITY CL ERl<.'S r I r;c E
~
NAME OF COMMITTE E
---1---I---
Re id Lern er for Gilroy Mayor 2020
STREET AD DRESS (NO P.O. BO X)
JUR ISD ICT ION WHERE COMMITTEE IS AC TIVE
Cit y of Gil roy
A ttach additional information on appropriately labeled continuation shee ts.
NAME Of TREASURER
Ri ck Cheh ab
STREET ADDRESS (NO P.O. BOX)
STATE ZI P CODE AREA CODE/PHONE
STATE ZIP CODE AREA CODE/PHONE
I have use d all re asonab le d i ligence in preparing th is statement and to the best of my knowledge the information contained herein is true and complete.
pe nalt y of pe rjury unde r th e laws of the State of Californi
PROPONENT
Exec uted o n By
DATE SIGN ATURE Of CONTROLL ING OFF ICEHO LDER , CAN DIDATE , OR STATE MEASURE PROPONENT
Exec uted o n By
DATE SIGNATURE Of CONTROL LI NG OFFICEHO LDER, CAND IDATE, OR STATE MEASURE PROPONENT
FPPC Form 410 {August/2018}
FPPC Advice : ad vi ce @fQPc.ca .go v {866/275-3772}
w ww.fppc .ca.gov
Statement of Organization
Recipient Committee
CALIFORNIA 41 Q
FORM
INSTRUCTIONS ON REVERSE
Page 2
COMMITTEE NAME l.D , NUMBER
Reid Lerner for Gilroy Mayor 2020
• All committees must list the financial institution where the campaign bank account is located.
NAME OF FINAN CIAL INSTITUTION AREA CODE/PHONE BANK ACCOUNT NUMBER
Pinnacle Bank 4088428200
ADDRESS CITY STATE ZIP CODE
7597 Monterey Street Gilroy CA 95020
· 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,
• Li st 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 OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT
ELECTIVE OFFICE SOUGHT OR HELD
(INCLUDE DISTRICT NUMBER IF APPLICABLE)
YEAR OF
ELECTION
PARTY
CHECK ONE
Nonpartisan
✓
Nonpartisan
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)
IF A RECALL, STATE "RECALL" IN FRONT OF THE OFFICEHOLDER'S NAME.
Reid Lerner
CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION
(INCLUDE DISTRICT NO ., CITY OR COUNTY, AS APPLICABLE)
Mayor, City of Gilroy
Partisan
Partisan
(list political party below)
(list political party below)
CHECK ONE
SUPPOHT OPPOSE
✓
SUPPORT OPPOSE
FPPC Form 410 (August/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fp pc.ca.gov
Statement of Organization
Recipient Committee
IN STRUCT ION S ON REVER SE
COMMITTEE NAM E
CALIFORNIA 41 Q
FORM
General Purpose Committee Not formed to support or oppose specific candidates or measures in a single election . Check only one box :
0 CITY Committee O COUNTY Committee O STATE Committee
PROV IDE BRIEF DES CRIPTI ON OF AC TI VIT Y
;, Sponsored Committee . , Li st additional sponsors on an attachment .
NAME OF SPONSOR INDUSTRY GROUP OR A FFILI ATION OF SPONSOR
STREET A DDRESS NO. A N D STREET CITY STATE ZIP CODE AREA CODE/PHONE
-Small Contributor Committee ·. □ ---1---.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 leav i ng 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