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Home My WebLink About410 - 08/16/2021_ Redacted (JL)Statement of Organization REC&° CALIFORNIA Recipient Committee FORM Statement Type ® initial ❑ Amendment ❑ Termination — See Part 5 For ofncla)useon)y 0 Not yet qualified AUG 1 6 2021 or Q Date qualification threshold met Date qualification threshold met Date of termination CfTY OF ,LERK IA • „ „ M I.D. Number Other Principal ' fficers N RriIE OF COMMITTEE name ur i n uncm LEE FOR COUNCIL 2022 Jason J. Lee STREET ADORM (NO P.O. BOX) 1320 S 2nd Avenue STREET ADDRESS (NO P.O. BO)) CITY STATE ZIP CODE AREA CODE/PHONE 1320 S 2nd Avenue Arcadia CA 91006 626-396-9397 CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY Arcadia CA 91006 626-396-9397 FULL MAILING ADDRESS (IF DIFFERENT) STREET ADDRESS (NO P.O. BOX) E•MAI L ADDRESS IREOUIRED)/FAX (OPTIONAL) CITY STATE LP CODE AREA CODE/PHONE jason@leelawla.com COU NTY O F DO W CI I f 1UI45131 COON WHERE COMMJTTEE 15 ACTIVE NAM E OF PRI NCI PAL OF FI CERS) Los Angeles City of Arcadia Jason J Lee STREET ADDRESS (NO P.O. BOX) 1320 S 2nd Avenue Attach additional information on appropriately labeled continuation sheets. CITY Arcadia STATE CA ZIP CODE 91006 AREA CODE/PHONE 626-396-9397 I ave used all reasonable diligence in preparing this statement and to the best of my knowledge the information contalned herein is true and complete. I certify under penalty of perjury under the laws of the State of Califor ' at the foregoing is true and correct. Executed on August 12, 2021 DATE SIGNATURE OF TREASURER OR ASSISTANT TREASURER Executed on August 12, 2021 By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT Executed on BV SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT _ DATE Executed on By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT FPPC Form 410 (August/2018) FPPC Advice: advlce@0fppc.ca.gov (866/275.3772) Telww,fpuC.Ca.gQv Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE COMMITTEE NAME LEE FOR COUNCIL 2022 All committees must list the financial Institution where the campaign bank account is located. NAME OF FINANCIAL INSTITUTION f i AREA CODE/PHONE BANK ACCOUNT NUMBER ADDRESS CITY STATE ZIP CODE Page 2 I.D. NUMBER • 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 JASON J. LEE Arcadia City Council District S 2022 Nonpartisan if 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) FULL TITLE (INCLUDE BALLOT NO. OR LETTER) CANDIDATES) 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: adviceWpoc.ca.gov {866/275-3772) www.fDPC-Ca.eoV Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE Page 3 LEE FOR COUNCIL 2022- � General Purpose ComrnitNm l Not formed to support or oppose specific candidates or measures in a single election. Check only one box: ® CITY Committee ❑ COUNTY Committee ❑ STATE Committee DESCRIPTION OFACTIVITY TO RAISE AND RECEIVE CONTRIBUTIONS TO THE CANDIDATE'S CAMPAIGN FOR ARCADIA CITY COUNCIL ELECTION 2022 List additional sponsors on an attachment. NAME OF SPONSOR GROUP OR AFFILIATION OF SPONSOR STREET ADDRESS NO. AND STREET CITY WAM ur �vuc AREA CODE/PHONE S. Termination Requirements ey signing the verification, the treasurer, assistant treasurer and/or candidate officeholder, or ponent certify thatsll of the following conditions have been met: ceasedThis committee has 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 fpm- ca.eov (866/275-3772) www,fouc,ca.gov