HomeMy WebLinkAbout410 - 07/28/2022 - Amendment_Redacted (MC)Statement of Organization
Recipient Committee
Statement Type El Initial Amendment
Q Not yet qualified
or
O ❑ate qualification threshold met bate quailficatton threshold met
-I --I I2__/ 16 2021
1. Cornmi#ee information I.D. Number
(if applicable) 1443037
NAME Of COMMITTEE
Cao 4 Arcadia City Council 2022
SIRE ET A DORESS I NO PO. BOX]
CfTY STATE ZIP CODE AREACODE/PHONE
Norwalk CA 90650
FULL MAILING ADDRESS (IF DI FFERE NTI
E-MAIL ADDRESS IR EQUI R [D)/ FAX (OPTIONAL)
15 ACTNlE
Los Angeles I Arcadia
Termination — See Part 5
Date of termination
RECEIVED
JUL [g 2M
C17Y OF A PCAr)IA
CITY -
2. Treasurer and Otter Principal Officers
4
NAME OF TREASURER
Far Official Use Only
Miahaol Cao
STREETADDRESS tN❑ P.O. BOX)
STATE ZIP cc DE AREACOWPHONE
NAME OF ASSI5TANTTREASURER, IF ANY
David Gould
STREET A DD RESS I NO P.O. BOX)
9177
STATE ZIPCDOE
Norwalk CA 90650
NAME OF PRINCIPAL oFncER(s)
Ingrid drellana
STATE LIP CODF AREA CODE./PHONL
Attach
additional information on appropriately labeled earltin r�Qtiarr sheets_
I have used all reasonable diligence in preparing this statement and to the best of my knowledge the i
penalty of perjury under the laws of the State of Californ'
Executed on 7 ~ 'Z C — -Z -t' By
DATE
Executed on —7[ 2o Z q- ._ By
DATE
Executed on By
DATE
Executed on
DATE
By
'mai xgcontained herein is true and complete
CANDIDATE, OR STATE MEASURE PROPONENT
515 NATO R E OF CONTROLLING OFF1 CEHOLDER, CANOIDATE, OR STAT E IU EASuRE PROPON ENT
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE,OR STATE MEASURE PROPONENT
F P P C Forrn 410 (Augustj2018)
F P P C Advice: advice@fppc.ca.gov (8661275-3772)
wwiw.fppc.ca.gov
neflile.com
Statement of Organization
Recipient Committee
INSTRUCTION5 ON REVERSE
*O RM 410
Page 2 of 4
COMMITTEE NAME
I.D. NUMBER
Gao 4 Arcadia City Council 2022
1443037
Za. Additional Officers 1 Assistant Treasurers
NAME
NAME
Nadia Moaesto
MAILING ADDRESS
MAILING ADDRESS
CITY
STATE
ZIP CODE
AREACODEIPHONE
CITY
STATE
ZIP CODE AREACODEIPHONE
Norwalk
CP.
90650
NAME
NAME
MAILING ADDRESS
MAILING ADDRESS
G"
STATE
ZIPCODE
AREA CODEIPHONE.
CI7Y
STATE
ZIPCODE AREACODEIPHONE
NAME
NAME
MAILING ADDRESS
MAILING ADDRESS
CITY
STATE
ZIP CODE
AREACCuSIPHONE
CITY
STATE
ZIPCODE AREACOOEIPHONE
NAMC
NAME
WAILING ADDRESS
MAILING ADDRESS
CITY
STATE
ZIP CODE
AREA OODEJPHONE
CITY
STATE
ZIP CODE AREA CODEIPHOME
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
COMMITTEE NAME
Cac 4 Arcadia City Council 2022
■ AIJ committees must list theifinancial institution where the campaign bankaG00unt is located.
NAME OF FINANCIAL INSTlTUVON
California Bank & Trust
ADDRE55
ARTACOPE/M ONE
CITY
ISAN K ACCO U NT N U M9EFt
STATE
550 S. Hope Street Ste. 100 Los Angeles CA 90071
`riJMlee Complete Lhe appficale i9tns, _ N ' 4
LD. NUMBER
3 of 4
1443037
■ List the name of each controlling officeholder, candidate, or state measure proponent. If candidate or officeholder controlled, also list the elective office sought or field, and
district number, if arty, 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 MELP YEAR Of PARTY
NAME OF CANDIDATE/QFf1rt VLDERf5TATEMEASUREPROPONENT (INCLUDEDISTRICTNUMBERIFAPPLICABLE) ELECTION CHECIGDNE
Michael Cao
City Council Moah*r Arcadia District 5
2022
Nonpartisan
x
Partisan
(list political party below)
Nonpartisan
Partisan
Pist political party heiow)
Formed Committee Primarily formed to support or oppose specific Candidates or measures in a single election. List below:
CANPIDATEW NAME OR MEASURE(S) FULL TITLE (INCLUDE 6ALLOT NO. OR LETTER)
IF A RECALL. STATE 'RECALL" IN FRONT OF TH E OF F I C E H O L D E R'S NAME.
CANDIOATEIS)OFFICE SOUGHT OR HELD OR MFASURE(S)JURISDICTION
( INCLUDE DISTRICT NO,, CITY OR COUNTY, AS APPLICABLE)
CHECSONE
T TOPPOSE
OPPOSE
FPPC Farm 410 (Augustl2018)
FPPC Advice: advice@fppC.ca.gav (866/275-3772)
www.fppC.ca.gaV
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
C'OWUAME NAME
Cau 4 Arcadia City Council 2022
�•� ` . #tee icarls�rl,�edl
General Purpose Not formed to support nr oppose specific candidates or measures in a single election. Chuck only one box:
❑ My Committee ❑ COUNTY Committee ❑ STATE Committee
PROVIDE BRIEF DESCRIPTION OF ACTIVITY
List additional sponsors on an attachment,
N RM t Uk Wuh 50R
W KM I ADOR= NO. AND STREET
S.
Small Con rrihutor Comrnittee M.
CITY
GROUP OR AFFILIATION OF SPONSOR
Page 4 of 4
NUMBER
STATE 2IP CODE AREACROElPNnME
1. rerrrr flrri f@ $ystgnir� tJzevrerlfleatiDrer 1rEvasarer, 13taRr eBdStjrCldT1 clr�mdidate a oefRirlder
�..-- �- - _. _...:..._ Ix. _ ... � �... `-�'_��
• This committee has ceased to receive contributions and make expenditures; -'�
■ This committee does not anticipate receiving contributions or making expenditures in the future;
a 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 Cited all campaign statements required by the Political Reform Act disclosing all reportable transactions.
-- There are restrictions on the disposition of surplus campaign funds he#d 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 FPK Regulation 18521.5-
FPPC Form 41Q (Augustpola)
FIPPC Advice: a rMCOWPPIC-0.gav CUS/275-37721
vvww.iipPC.Ca.gOV