HomeMy WebLinkAbout2021 Statement of Organization lem `"qy Date Stamp . • -
Recipient Committee p • -
Statement Type El Initial Amendment ❑ Termination—See Part 5 For Official Use Only
Q Not yet qualified JAN 2 5 2021
or
Q Date qualification threshold met Date qualification threshold met Date of termination CITY CLEWS NWT
07 / 03 / 2020
1. Committee Information I.D. Number 427so3 2. Treasurer and Other Principal Officers
(if applicable)
NAME OF COMMITTEE NAME OF TREASURER
WILKINS FOR CITY COUNCIL 2024 Cine D. Ivery
STREET ADDRESS(NO P.O.BOX)
111 N. La Brea Ave., Suite 408
STREET ADDRESS(NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE
41765 Rider Way Inglewood CA 90301 (310)817-6679
CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER,IF ANY
Temecula CA 92590 (310)817-6679 Michelle Moore Sanders
FULL MAILING ADDRESS(IF DIFFERENT) STREET ADDRESS(NO P.O.BOX)
111 N. La Brea Ave., Suite 408 Inglewood, CA 90301 111 N. La Brea Ave., Suite 408
E-MAIL ADDRESS(REQUIRED)/FAX(OPTIONAL) CITY STATE ZIP CODE AREA CODE/PHONE
cine@politicalreportingplus.com / (310)672-6679 Inglewood CA 90301 (310)817-6679
COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE IS ACTIVE NAME OF PRINCIPAL OFFICER(S)
Riverside City of Temecula
STREET ADDRESS(NO P.O.BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
Attach additional information on appropriately labeled continuation sheets.
3. Verification
I have used all reasonable diligence in preparing this statement and the best of m knowledge the information contained herein is true and complete. I certify under
penalty of perjury under th I ws of the State of California that t regoing is t e nd corr`ect.
BAN 2 0 ���
Executed on 8y
ATE �AIU
GNATU TREASURER OR ISTA TREA R
Executed on / / By t
TE ROL HOLDER,CANDIDATE,OR STAT EASURE PROPONENT
Executed on By
DATE SIGNATURE OF CONTROLLING OFFICE ER,CANDIDATE,OR STAT EASURE 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
netrile.com
Statement of Organization CALIFORNIA ,
Recipient Committee FORM
INSTRUCTIONS ON REVERSE
Page 2 of 3
COMMITTEE NAME I.D.NUMBER
WILKINS FOR CITY COUNCIL 2024 1427503
• All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION AREA CODE/PHONE BANK ACCOUNT NUMBER
California Bank & Trust (213)228-1700 5798049390
ADDRESS CITY STATE ZIP CODE
550 S Hope Street, Suite 100 Los Angeles CA 90071
4.Type of Committee Complete the applicable sections.
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.
• 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
City Council Member Temecula District 2 Nonpartisan Partisan (list political party below)
Dr. Alisha Wilkins 2024 X
Nonpartisan Partisan (list political party below)
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
SUPPORT OPPOSE
FPPC Form 410(August/2018)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov
Statement of Organization CALIFORNIA
Recipient Committee 4
• -
INSTRUCTIONS ON REVERSE
Page 3 of 3
COMMITTEE NAME I.D.NUMBER
WILKINS FOR CITY COUNCIL 2024
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
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 • ❑
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(August/2018)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov