HomeMy WebLinkAbout410 - 10/01/2021 - Amendment_ Redacted (JL)Statement of Organization
Date Stamp
,
Recipient Committee
FORM
Statement Type ❑ Initial ® Amendment
❑ Termination — See Part 5
For Official Use only
Q Not yet qualified
VAC3 221
or
O Date qualification threshold met Date qualification threshold met
Date of termination
CITY OF ARCADIA
0— 9 / 2_4 -/ 2021
CITY CLERK
• • I.D. Number 1440480
' ' ° • •
If applicable)
NAME OF COMMITTEE
NAME OF TREASURER
Jason J Lee
LEE FOR COUNCIL 2022
STREET ADDRESS (NO P.O. BOX)
1320 S 2nd Avenue
STREET ADDRESS (NO P.O. BOX)
CITY STATE
ZIPCODE AREACODE/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)
EMAIL ADDRESS (REQUIRED)/ FAX (OPTIONAL)
CITY STATE
ZIP CODE AREA CODE/PHONE
jason@leelawla.com
COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE IS ACTIVE
NAME OF PRINCIPAL OFFICERIS)
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 STATE ZIP CODE AREA CODE/PHONE
Arcadia CA 91.006 626-396-9397
• a.
I have used all reasonable diligence in preparing this statement and to the best of my knowledge the information contained ierein is true and complete. I certify under
penalty of perjury under the laws of the State of California that the foregoing is true and correct.
September 28, 2021 t
Executed on 8y o
DATE SIGNATURE OF TREASURER OR ASSISTANT TREASURER
Executed on September 28, 2021 By
DATE G TURE OF CONTR ING OFFICEHOLDER CANDIDATE OR STATE MEASURE PROPONENT
Executed on
DATE
Executed on
DATE
NA OLL ,
By
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
By
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 410 (August/2018)
FPPC Advice: advice fpoc.ca.eov (866/275-3772)
www.fonc.ca,eov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
COMMITTEE NAME
LEE FOR COUNCIL 2022
1
I • All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION
Wells Fargo Bank
ADDRESS
1.200 S Baldwin Avenue
AREA CODE/PHONE
626445-431 l
CITY
Arcadia
BANK ACCOUNT NUMBER
2135353486
STATE ZIP CODE
CA 91007
Page 2
I.D. NUMBER
1440480
• 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.
NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT ELECTIVE OFFICE SOUGHT OR HELD YEAR OF PARTY
(INCLUDE DISTRICT NUMBER IF APPLICABLE) ELECTION ... --.
JASON J. LEE
Arcadia City Council District 5
2022
Nonpartisan
Partisan
(list political party below)
Nonpartisan
partisan
(list political party below)
PrimarilyPrimarily 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 nR rmINTY Ac Aral IrARI FI
SUPPORT
OPPOSE
SUPPORT
OPPOSE
FPPC Form 410 (August/2018)
FPPC Advice: aduiceft)Dc.ca.aov {866/275-3772)
www.fopC.ca.gOV
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
COMMITTEE NAME
LEE FOR COUNCIL 2022
Gen ercl • 1 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
Page 3
I.D. NUMBER
1440480
To raise and receive contributions from others and to receive loans and contributions from Candidate's own funds to aid campaign for Arcadia City Council D5 2022
List additional sponsors on an attachment.
NAME OF SPONSOR
STREET ADDRESS NO. AND STREET
— CITY
INDUSTRY GROUP ON AFFILIATION OF SPONSOR
STATE ZIP CODE AREA CODE/PHONE
1
Date qualified
wS
• 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.S.
FPPC Farm 410 (August/2018)
FPPC Advice: advice @fffppc.ca.gov (866/275-3772)
wwy,dppc.ca.go.v