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Home My WebLink About2021 Statement of Organization Date Stamp • . ri Recipient Committee RMEpM • - � Statement Type ❑Initial ❑ Amendment ® Termination—See Part 5 1 For Official Use Only Not yet qualified BAN 0 7 2021 , or Q Date qualification threshold met Date qualification threshold met Date of termination C EW8 DE t Committee1. . 91 2. Treasurer and Other Principal i o licable NAME OF COMMITTEE NAME OF TREASURER ADAM A.RUIZ FOR TEMECULA CITY COUNCIL 2020 JODY D.NOTTINGHAM STREET ADDRESS(NO P.O.BOX) 43460 RIDGE PARK DRIVE,STE 240 STREET ADDRESS(NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE 39785 GOLDEN ROD ROAD TEMECULA,CA 92590 951 296-1698 CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER,IF ANY TEMECULA,CA 92591 951 326-4698 YOLANDA OROZCO FULL MAILING ADDRESS(IF DIFFERENT) STREET ADDRESS(NO P.O.BOX) 43460 RIDGE PARK DRIVE,STE 240 E-MAIL ADDRESS(REQUIRED)/FAX(OPTIONAL) CITY STATE ZIP CODE AREA CODE/PHONE ADAMPADAMARUIZ.COM TEMECULA,CA 92590 951 296-1698 COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE IS ACTIVE NAME OF PRINCIPAL OFFICER(S) RIVERSIDE TEMECULA STREET ADDRESS(NO P.O.BOX) Attach additional information on appropriately labeled continuation sheets. CITY 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 of Califor 'a that the foregoing is true and correct. Executed on 1/04/202.1 By DATE F REAS ER OR SISiip TA TREASURER Executed on �7 I-J��` �'"�) 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 SIGNATURE OF CONTROLLING OFFICEHOLDER,CANDIDATE,OR STATE MEASURE PROPONENT FPPC Form 410(August/2018) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov Statement of OrganizationCALIFORNIAt Recipient Committee • - INSTRUCTIONS ON REVERSE Page 3 COMMITTEE NAME I.D.NUMBER • • • • 716-n�tWe-df-7�— General PurposeNot 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 Sponsored Committee 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 Small Contributor Committee ❑ �� Date qualified 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: • 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(August/2018) FPPC Advice:advice @fppc.ca.eov(866/275-3772) www.fppc.ca.Rov Statement of Organization CALIFORNIA ' Recipient Committee • - INSTRUCTIONS ON REVERSE Page 2 COMMITTEE NAME I.D.NUMBER ADAM A.RUIZ FOR TEMECULA CITY COUNCIL 2020 1384102 • All committees must list the financial institution where the campaign bank account is located. NAME OF FINANCIAL INSTITUTION AREA CODE/PHONE BANK ACCOUNT NUMBER FIRST CITIZENS BANK 951 506-1271 001064435892 ADDRESS CITY STATE ZIP CODE 44575 AVENIDA DE MISSIONES TEMECULA CA 92592 4. . - . • 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 ADAM A.RUIZ TEMECULA CITY COUNCIL,DISTRICT 4 2020 Nonpartisan Partisan (list political party below) If Nonpartisan Partisan (list political party below) CommitteePrimarily Formed 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 MEA5URE(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(August/2018) FPPC Advice:adyice@fppc.ca.goy(866/275-3772) www.fppc.ca.goy