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Sandra Armenta - 410
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Committee NAME OF COMMITTEE ❑ Initial Not yet qualified ❑ or Date qualified as committee ❑ Amendment List I.D. number: Date qualified BS Committee (Ifapplicable) Sandra Armenta for Rosemead City Council 2017 0 Termination —See Part List I.D. number: #1314288 09 /10 /2015 Date of Termination 2. Treasurer STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE /PHONE Rosemead Ca 91770 ( MAILING ADDRESS (IF DIFFERENT) FAX/ E -MAIL ADDRESS sandralarmentaaamail.cnm Los Angeles Attach additional information on appropriately labeled continuation sheets. NAME OF TREASURER DeAndre Valencia STREETADDRESS(NO P.O. BOX) Date Stamp RECEIVED CET'Y OF RCSEMEAD SEP 10 2015 CITY C ERK'S )FFlCE F31':_____- -- -__�____ —_ Official Use Only CITY STATE ZIP CODE AREA CODE /PHONE Pomona CA 91791 ( NAME OFASSISTANT TREASURER, IFANY STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE /PHONE NAME OF PRINCIPAL OFFICER(S) STREETADDRESS 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 California that the foregoing is true and correct. Executed on By DATE Executed on 09/1012015 By DATE Executed on By GATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT Executed on By GATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CA, DATE, OR STATE MEASURE PROPONENT FPPC Form 410 (Dec /2012) FPPC Advice: advice @fppc.m.gov (866/275 -3772) . www.fppc.ca.gov Statement of Organization _ Recipient Committee ; I) INSTRUCTIONS ON REVERSE SUPPORT Page 2 COMMITTEE NAME I.D. NUMBER Sandra Armenta for Rosemead City Council 2017 1314288 • All committees must list the financial institution where the campaign bank account is located. NAME OF FINANCIAL INSTITUTION AREA CODE /PHONE BANK ACCOUNT NUMBER US Bank ADDRESS (909)397 -7280 CITY STATE ZIP CODE 101 W. Mission Blvd. Ste 105 Pomona CA 91766 4. Type of Committee Complete the applicable sections. • 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." • 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 (INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PARTY 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 (INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE) FPPC Form 410 (Dec /2012) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov SUPPORT V OPPOSE SUP In FPPC Form 410 (Dec /2012) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov Statement of Organization STATEMENT OF ORGANIZATION Type m print In Ink pare Slemp Recipient Committee � , 1 Statement type ❑ Initial Not yet qualified ❑ or _ I I Date qualified as committee ® Amendment List I . number'. # 1314288 11 I Ol r 2009 Date qualified as Committee (I=Pnm.me) ❑ Termination — See Part 6 List LD. number: _J (- Date of Termination 1. Committee Information 2. Treasurer and Other Principal Officers NAMEOFCOMMITTEE NAME OF TREASURER Sandra Armenia for Rosemead City Council 2017 DeAndre Valencia STREET ADDRESS (NO PO. 80X) CITY STATE ZIP CODE AREA CODEPHONE Rosemead CA 91770 MAILING ADDRESS (IF DIFFERENT) OPTIONAL: FAX IE-MAIL ADDRESS COUNTY OF DOMICILE COUNTY WHERE COMMITTEE IS ACTIVE I F DIFFERENT THAN COUNTY OF DOMICILE Los Angeles Anal additional sdonni non on appmpdetely Isdeled Continuation sheets. STREET ADDRESS CITY STATE ZIP OOOE AREA CODEIPHONE Pomona CA 91766 NAME OF ASSISTANT TREASURER. IF ANY STREET ADDRESS CITY STATE ZIPCOCE AREA COOHPHONE NAME AND POSITION OF OTHER PRINCIPAL OFFICER(S), IFAPPLICA6LE MAILING ADDRESS CITY STATE DECODE AREA CODEIPHONE 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- perjury under the laws of the State of California that the foregoing is true =GH =OTTOH,, Executed an 411114 DATE Executed on 411114 Executed on DATE Executed on I certify under penalty of By SIGNATURE OF CONTROLLING OFFICENOLDER, CANDIDATE OR STATE MEASURE PROPONENT By SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT FPPC Form 418 (January/05) FPPC TOIL -Free Helpllne: 8661ASK -FPPC (866x75-3772) Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE Sandra Armenia For Rosemead City Council 2017 4. Type of Committee Complete the applicable sections . 1314288 • List the name of each controlling officehclder, candidate, or state measure proponent. If candidate or officeholder controlled, also list the elective once 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 "non-partisan • 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 MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PARTY Sandra Armenta Rosemead City Council 2017 ® Non - Partisan ❑ Non - Partisan • List the financial institution where the campaign bank account is located controlled "candidate election" committees only) Wells Fargo (626) 732 -7000 ADDRESS CITY STATE ZIP CODE 100 N Barranca Street, Suite #101 West Covina CA 91791 gJZZ NrallrealYarYYY� Pdmadly formed to support or oppose specific candidates or measures in a single election. List below: CANDIDATE(S) NAME OR MEASURES) FULL TITLE (INCLUDE BALLOT NO ORLETTER) CANDIDATE(a) OFFICE SOUGHT OR MELD OR MEASURE(5) JURISDICTION (INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE) FPPC Form 410 (January108) FPPC Toll -Free Helpllne: 8881ASK -FPPC (888878 -3772) Statement of Organization Recipient Committee Statement Type ❑ Initial Not yet qualified ❑ or Type or print in ink Amendment ❑ Termination — See Part s ' -i- - -- - -. List I.D. number: List I.D. number: I d # 1314288 # J UL STATEMENT OF ORGANIZATION 11 ) 01 ) 2009 1 1 1 0 CiLE. 0 _ . 3', Date qualified as committee Date qualified as committee Date of Termination 1 BY I (If applicable) I 1. Committee Information 2. Treasurer and Other Principal Officers NAMEOFCOMMITTEE NAME OF TREASURER Sandra Armenta for Rosemead City Council 2013 DeAndre Valencia STREET ADDRESS 2149 E. Garvey Ave N. Suite 201 STREETADDRESS(NO P.O. BOX) CITY STATE ZIPCODE AREA CODE/PHONE 9428 Olney Street West Covina CA 91791 626.478.3471 CITY STATE ZIP CODE AREA CODE /PHONE NAME OFASSISTANT TREASURER, IFANY Rosemead CA 91770 626 - 676 -3965 STREET ADDRESS MAILINGADDRESS(IFDIFFERENT) CITY STATE ZIP CODE AREA COOE/PHONE OPTIONAL: FAX /E -MAIL ADDRESS NAMEAND POSITION OF OTHER PRINCIPAL OFFICER(S), IF APPLICABLE COUNTY OF DOMICILE COUNTY WHERE COMMITTEE IS ACTIVE IF DIFFERENT THAN COUNTY OF DOMICILE MAILING ADDRESS Los Angeles 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 to the best of my know) ge the information contained herein 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. Executed on July 29,2013 By DATE SIGNATU TREASURE SISTANT TREASURER July 29, DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, DIDATE, OR STATE MEASURE PROPONENT Executed on By T 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 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772) w � m � N « � V • z R ❑ a - CO 0 N �U J O U c 0 d N m a V 6 v W n E U d Y w 4 P iii Q fT C N O D_ D_ N N N N E 44 a� m v `a c c M O U '« U O t U O O �p � T N o c a U lU U � �w o m W E � m � c c L �1 N N J SI � C a N a C a c Z z 0 f W W O W a W ❑m J U W_ - 2 Wa O¢ r W xc W , 0 0 O� N z W Z U r LLV Ow wr �o ,W w❑ J � W J C) N �U C J O U U U t0 E N O W N E Q m C f0 N N C a C Z W O U ++ i6 t0 m N p) r P- E C N U N CD R rC W a G G W w `o LL O O U O) N r« z o W E d z z Q EW 3 0 o co w 0 co J r Q z 'o 0 x ❑ N O W M ¢ N U N r c m m m 'c 0 w N U a N N D) Q N O J O 0 N a) 0 0 O N N z 0 F V_ ❑ W N J � 0 � U N J a wa K a �N Na w 00 O U W 0 x0 rc� OU r - S Q W Z or OU w wr U y ,a OW N Uj W U 0 ? z a U N N O h Pi � N C � q N o.. N O s v0 Ea G LL LL Y V N LLa a� LL m d c n d 2 d 4 f U a a LL .ement of Organization STATEMENT of ORGANIZATION a s � ��i{ , Type or print In ink ipient Committee fi.%'a,� I a; 3gI�� tPivY1T, �jj '' < �..�.. '" :mentType F-1 Initial Amendment ❑ Termination— SeePart5 ForOfficialUseOnly Not el qualified or - y q ❑ i List I.D. number. List I.D. number. ' IAN 2 k 2012 # 1319288 # 11/01/2009 I fit . ':V yy�� ,fit a ,r-' "L` i {II: �`.� 0b�L� �1.� Date qualified as committee Date qualified as committee Date of Termination (It epplir ) - ommittee Information 2. Treasurer and Other Principal Officers ,ME OF COMMITTEE NAME OF TREASURER Sandra Armenta for Rosemead City Council 2013 Yolanda Miranda STREET ADDRESS - FEET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE /PHONE Covina, CA 91722 ry STATE ZIPCODE AREA CODE /PHONE NAME OF ASSISTANTTREASURER, IF ANY iosemead, CA 91770 STREET ADDRESS MLING ADDRESS (IF DIFFERENT) - - CITY STATE ZIP CODE AREA CODE /PHONE 'TIONAL: FAX / E -MAIL ADDRESS - NAME OF PRINCIPAL OFFICER($) )UN1Y OF DOMICILE COUNTY WHERE COMMITTEE IS ACTIVE IF DIFFERENT THAN COUNTY OF DOMICILE MAILING ADDRESS Los Angeles - CITY STATE ZIPCODE AREA CODE /PHONE Mach additional information on appmpriatelylabe/ed continuation sheets 'erification lave used all reasonable diligence in preparing this statement and to the b5lit-of mglknowledge the information c ntained herein is true and complete. I certify under penally of :rjury under the laws of the State of California that the foregoing is true a ' coned�. // (ecutedon 01/16/2012 a, AT E SSISTANT TREASURER (ecutedon 01/16/2012 By DATE clrueTlloc nF1nuTR 1 11111 OFFICFHOIr1FR 14.NRATF OR STATF UFAFIIRF PRnPONFNT cecuted on DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT (ecuted on DATE SIGNA URE OF CONTROLLING OFFICEHOLDER, CANDIDATE, A MEASURE PR IQqffNT"_ . FPPC Form 410 (June/09) ww.netfile.com - FPPC Toll -Free Helpline: 8WASK -FPPC a atement of Organization :cipient Committee TRUCTIONS ON REVERSE indra Armenta for Rosemead City Council 2013 Type of Committee Complete the applicable sections. 2 of 3 1314288 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 "non- partisan." 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 NAME OF CANDID/WE /OFFICEHOLDER /STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PARTY List the financial institution where the campaign bank account is located ( controlled "candidate election" committees only) FINANCIAL INSTITUTION California Dank & Trust ADDRESS CITY STATE ZIP CODE 550 S. Hope Street, Ste. 100 - Los Angeles CA 90071 Pdmarily formed to support or oppose specific candidates ormeasures in a singleelection. List below: CANDIDATE(S) NAME OR MEASURE(S) FULL TITLE ( INCLUDE BALLOT NO. OR LETTER) CANDIDATES) OFFICE SOUGHTOR HELD OR MEASURE(S) JURISDICTION (INCLUDE DISTRICTNO., CITY OR COUNTY, AS APPLICABLE) CHECK ONE SUPPORT i OPPOSE SUPPORT OPPOSE FPPC Form 410 (Junel09) vw.netlfle.com FPPC Toll -Free Helpline: 866 /ASK -FPPC Date qualified as committee Dat�ifie�mmittee Daet ofTennin lio - �.! h S 0F..2 �C (if appllwble) t31 Committee Information 2. Treasurer and Other Principal Ofi NAME OF COMMITTEE NAME OF TREASURER Sandra Armenta for Rosemead City Council 2009 Yolanda Miranda STREET ADDRESS STREET ADDRESS (NO RO. BOX) NAME OF ASSISTANTTREASURER, IF ANY STREET ADDRESS CITY STATE ZIP CODE AREACODE /PHONE NAME AND POSITION OF OTHER PRINCIPAL OFFICER(S), IF APPLICABLE MAILING ADDRESS CITY STATE ZIP CODE AREA CODE /PHONE Verification I have used all reasonable diligence in preparing this statement and to the best of knowledge the information contained herein is true and complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is true an rr Executed on 06/22/2010 Executed on 06/22/2010 Bi Executed on By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE. OR STATE MEASURE PROPONENT Executed on By DATE SIGNMUR5 OF CONTROLLING OFFICEHOLDER CANDIDATE. OR STATE MEASURE NENT FPPC Form 410 (J unel09) www.netfile.com FPPC Toll -Free Helpline: 866 /ASK -FPPC 5wmiM tatement of Organization /I Type in ink f9 T STATEMENT OF ORGANIZATION 1 1!'tlj,. )tle ;CAR t., d T CALIFORNIA or print ecipient Committee 1 ? a CITE �7; U2()51 atement Type Initial Amendment To inatio i — Se rE5 "vr F t I r c cre ary A:v+ 010 Jll 28 PM I �P Not yet qualified ] or List I. D. number: List I.D. umber L_ to e o c aliforn 1314zae # # �'9¢��' L�.E�idG'fi -p^ iF,iuii � IP #!'- .'i�_�. UN 2 A 10 Z ZO .. ��LIL�J�]P �= (� \L 11 t01 �_ =�_— _—j DEBRA BOWS Date qualified as committee Date qualified as committee Date ofTerminatlon Secretary of St'at Committee Information 2. Treasurer and Other Principal Officers NAME OF COMMITTEE NAME OF TREASURER Sandra Armenta for Rosemead City Council Yolanda Miranda STREET ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIPCODE AREA CODE /PHONE - Covina, CA 91722 CITY STATE ZIP CODE AREA CODE /PHONE NAME OF ASSISTANT-TREASURER, IF ANY Rosemead, CA 91770 MAILING ADDRESS (IF DIFFERENT) STREET ADDRESS CITY STATE ZIPCODE AREA CODE /PHONE OPTIONAL: FAX / E -MAIL ADDRESS NAME AND POSITION OF OTHER PRINCIPAL OFFICER(S), IF APPLICABLE COUNTY OF DOMICILE COUNTY WHERE COMMITTEE IS ACTIVE IF DIFFERENT THAN COUNTY OF DOMICILE MAILING ADDRESS Los Angeles CITY STATE ZIPCODE AREA CODE /PHONE Attach additional information on appropriately labeled continuation sheets. Verification I have used all reasonable diligence in preparing this statement and to t' e b of knowledge the information contained herein is true and complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is true C Executed On 05/20/2010 ATE IGNATUR[ TREASURER OR ASSISTANT TREASURER Executed On 05 /20 12010 B1 Z,n DATE SIGNATURE OF CONTROLLING 9FFICEHOLDER. CANDIDATE. OR STATE MEASURE PROPONENT Executed on By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE OR STATE MEASURE PROPONENT Executed on BA, DATE SIGNANJRE OF CONTROLLING OFFICEHOLDER, CANDIDAHE, OR STATE MEA URE P P NENT FPPC Form 410 June /09 www.netfile.cam FPPC Toll -Free Helpline: 866 /ASK -FPPC Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE OMMITTEE NAME Sandra Armenta for Rosemead City Council 4. Type of Committee Complete the applicable sections. 2 of 3 1314288 • 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 "non- partisan." • If this committee acts jointly with another controlled committee, list the name and identification number of the other controlled committee. NAME OF CANDIDATEIOFFICEHOLDERISTATE MEASURE PROPONENT ELECTIVE OFFICE SOUGHT OR HELD (INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PARK Sandra Armenta City Council Member City of Rosemead 2009 Q Non - Partisan ❑ Non - Partisan • List the financial institution where the campaign bank account is located (Controlled "candidate election" committees only) NAME ADDRESS CITY STATE ZIP CODE • 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 SOUGHTOR HELD OR MEASURE(S) JURISDICTION (INCLUDE DISTRICTNO., CITY OR COUNTY, ASAPPLICABLE) CHECK ONE U]2ZIX1i FPPC Form 410 (June /09) www.netiile.com FPPC Toll -Free Helpline: 866 1ASK -FPPC tatement of Organization ecipient Committee atement Type ❑ Initial Not yet qualified I ] or 1 Type or print in ink J on DATE SIGMA URE OF ONTROLLIN OFFICEHOLDER. CANDIDATE, OR STATE MEASURE PROPONENT Executed on GATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT Executed on BY DATE SIGNATURE OF CONTROLLING CANDIDATE. A MEASURE NENT FPPC Form 410 (June /09) www.netfile.com FPPC Toll -Free Helpline: 8661ASK -FPPC Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE 2 of 3 Sandra Armenta for Rosemead City Council 2009 1 1314288 4. Type of Committee Complete the applicable sections. • 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 "non- partisan." • 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 (INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PAR TV Sandra Armenia City Council Member City of Rosemead 2009 ❑X Non- Parfisan ❑ Non - Partisan • List the financial institution where the campaign bank account is located (controlled "candidate election" committees only) NAME OF FINANCIAL INSTITUTION AREA CODEIPHONE BANK ACCOUNT NUMBER California Bank & Trust 213 - 2281716 ADDRESS CITY STATE ZIP CODE 550 S. Hope Street, Ste. 100 Los Angeles CA 90071 SMEUSEEZEMPrimarily formed to support or oppose specific candidates or measures in a single election. Lislbelow: CANDIDATE(S) NAME OR MEASURE(S) FULL TITLE (INCLUDE BALLOT NO. OR LETTER) CANDIDATE(S) OFFICE SOUGHTOR HELD OR MEASURE(S) JURISDICTION (INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE) CHECK ONE FPPC Form 410 (June /09) www.netfile.com FPPC Toll -Free Helpline: 866 /ASK -FPPC itement of Organization Typeorprintin ink cipient Committee Cement Type Initial R Amendment Not yet qualified ] or List I.D. number: # 1314288 I 11 1OJ?442 Date qualified Date qualified as committee (If applicable) _�[[t h -', .' STATEMENT OF ORGANIZATION j;i_lJL!`I -`l t i Date Slamp m In t office of the Secretary of ❑ Termination - See Part 5 State of California List I.D. numbe€010 JUN 15 �f f I - JUN, 09 2010 t:LrS k E GE�IVED AND FIL .77 # 1. (' flnl�� FIB!? RA BOWEN J_ �� r I (/fi�n C ,�,.•33 baleofTe u�awnlw "' Sr 96 etary.of Slate ,ommittee Information 2. Treasurer and Other Principal Officers DAME OF COMMITTEE NAME OF TREASURER Sandra Armenta Eor Rosemead City Council Yolanda Miranda STREET ADDRESS ;TREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODEIPHONE Covina, CA 91722 )ITY STATE ZIPCODE AREA CODE /PHONE NAME OF ASSISTANT TREASURER. IF ANY Rosemead, CA 91770 STREET ADDRESS AAILING ADDRESS (IF DIFFERENT) CITY STATE ZIPCODE AREA CODE /PHONE )PTIONAL: FAX I E -MAIL ADDRESS NAME AND POSITION OF OTHER PRINCIPAL OFFICER(S), IF APPLICABLE ;OUNTY OF DOMICILE COUNTY WHERE COMMITTEE IS ACTIVE IF DIFFERENT THAN COUNTY OF DOMICILE MAILING ADDRESS Los Angeles CITY STATE ZIPCODE AREACODEIPHONE Ittach additional information on appropriatelylabeled continuation sheets. Verification have used all reasonable diligence in preparing this statement and to the b� of knowledge the information contained herein is true and complete. I certify under penalty of )erjury under the laws of the State of California that the foregoing is true atfd corr 2xecutedon 05/20/2010 DATE DATE SIGNATURE OF CONTROLLING 9FFICEHOUDER. CANDIDATE, OR STATE MEASURE PROPONENT ?xecuted on B/ DATE 81GNIPURE OF CONTROLLING OFFICEHOLDER, CANODRE. OR STATE MEASURE PROPONENT xecuted on Bl DATE NATURE OF CONTROLLING OFFEEHOUDER CANDIDAE. OR STATE MEASURE PR NEN FPPC Form 410 (June /09) Hww.netfile.com FPPC Toll -Free Helpline: 866 /ASK-FPPC Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE 2 of 3 Sandra Armenia for Rosemead City Council I 1314288 4. Type of Committee Complete the applicable sections. • 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 "non- partisan." • 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 NAME OF CANDIDATE /OFFICEHOLDER /STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PARTY Sandra Armenia City Council Member City of Rosemead 2009 ❑% Non- Partisan ❑ Non - Partisan • List the financial institution where the campaign bank account is located (Controlled "candidate election" committees only) ADDRESS CITY STATE ZIP CODE Primarily formed to support or oppose specific candidates or measures in a single election. LislbBlow: CANDIDATE(S) NAME OR MEASURE(S) FULL TITLE (INCLUDE BALLOT NO. OR LETTER) CANDIDATE(S) OFFICE SOUGHTOR HELD OR MEASURE(S) JURISDICTION (INCLUDE DISTRICTNO., CITY OR COUNTY, ASAPPLICABLE) CHECK ONE FPPC Form 410 (June /09) www.netfile.com FPPC Toll -Free Helpline: 866/ASK-FPPC atement of Organization cipient Committee Type orprintin ink tement Type ❑ Initial ❑x Amendment Not yet qualified I ] or List I.D. number: # 1314288 /J 11 1,01 J 2009 Date qualified as committee Date qualified as committee (it apphwWe) Committee Information VAME OF COMMITTEE Sandra Armenta for Rosemead City Council 2009 iTREET ADDRESS (NO PO. BOX) STATEMENT OF ❑ Terminatio — S10 Lis( I.D, number. ;ITV STATE ZIPCODE AREA CODE /PHONE Rosemead, CA 91770 SAILING ADDRESS (IF DIFFERENT) FAX / E -MAIL ADDRESS z :3 2010 Is OFFICE 2. Treasurer and Other Principal Officers NAME OF TREASURER Yolanda Miranda STREET ADDRESS CITY STATE ZIP CODE AREA CODE /PHONE Covina, CA 91722 NAME OF ASSISTANTTREASURER, IF ANY STREET ADDRESS CITY STATE - ZIPCODE AREA CODE /PHONE NAME AND POSITION OF OTHER PRINCIPAL OFFICER(S), IF APPLICABLE :OUNTV OF DOMICILE (COUNTY WHERE COMMITTEE IS ACTIVE IF DIFFERENT THAN COUNTY OF DOMICILE MAILING ADDRESS LOS CITY STATE ZIP CODE AREA CODE /PHONE lttach additional information on appropriatelylabeled continuation sheets. Verification have used all reasonable diligence in preparing this statement and to the best of knowledge the information contained herein is true and complete. I certify under penalty of )erjury under the laws of the State of California that the foregoing is true an « _xecuted on 06/22/2010 B , A ,TREASURER OR ASSISTANT TREASURER =_xecuted on 06/22/2010 DATE - i.oc nc naroni ini ncnrcuni nco reunincrc no merc .c.ci.oc oo�o..uc.r xecuted on DATE BY SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT xecuted on DATE SIGNArURE OF CON I ROLLING FFI EH LDER, CANDI DR E, OR STATE MEASURE PROPON N FPPC Form 410 (June /09) vww.net�le.com FPPC Toll -Free Helpline: 866 /ASK -FPPC itement of Organization I I T Type or print ink - - . 1 cipient Committee M'V O ( cf'-M-EA t)ale amP r--_- f�-_._- Cement Type ❑Initial Q Amendment ❑ Ter inatioq - Seel rti5 .4w Not yet qualified or List I.D. number: List I.D. umber: ] �ry c L pp--..Igg # 1314288 # X'MV..' i, .2:. dA'.�0 F IFICE t Date qualified as committee Date qualified as committee Date ofTerminatlon (if applicable) :.ommittee Information- 2. Treasurer and Other Principal Officers JAMS OF COMMITTEE Sandra Armenta for Rosemead City Council iTREET ADDRESS (NO P.O. BOX) ;ITV STATE ZIPCODE AREA'CODE /PHONE STATEMENT OF ORGANIZATION For Official Use Only NAME OF TREASURER Yolanda Miranda STREET ADDRESS CITY STATE ZIP CODE AREA CODE /PHONE Covina, CA 91722 NAME OF ASSISTANT TREASURER, IF ANY Rosemead, CA 91770 STREET ADDRESS RAILING ADDRESS (IF DIFFERENT) CITY STATE ZIP CODE AREACODEIPHONE )PTIONAL: FAX / E -MAIL ADDRESS NAME AND POSITION OF OTHER PRINCIPAL OFFICER(S), IF APPLICABLE :OUNTY OF DOMICILE COUNTY WHERE COMMITTEE IS ACTIVE IF DIFFERENT THAN COUNTY OF DOMICILE MAILING ADDRESS Los Angeles CITY STATE ZIP CODE AREA CODE /PHONE lttach additional information on approphatelylabeled continuation sheets. Verification have used all reasonable diligence in preparing this statement and to the b of knowledge the information contained herein is true and complete. I certify under penalty of )erjury under the laws of the State of California that the foregoing is true d cor Xeruted On 05/20/2010 . DATE IGNATURVF,TREASURER OR ASSISTANT TREASURER Executed on os /zo /zolo ; �}, DATE SIGN/PURE OF CONTROLLING 9FFICEHOUDER. CANDIDNE, OR STATE MEASURE PROPONENT _ xecuted on B/ PATE SIGN/PURE OF CONTROLLING OFFICEHOLDER. CANDID/PE, OR STATE MEASURE PROPONENT xecuted on B/ DATE SIONAHURE OF CONTROLLING OFFICEHOLDER. CANDID E, OR STATE MEASURE PROPONENT FPPC Form 410 (June /09) vww.netfle.com FPPC Toll -Free Helpline: 866/ASK-FPPC Statement of Organization STATEMENT of ORGAI Recipient Committee • - INSTRUCTIONS ON REVERSE 2 of 3 COMMITTEE NAME I. D. NU MBER Sandra Armenta for Rosemead City Council 1314290 4, Type of Committee Complete the applicable sections. • List the name of each controlling officeholder, candidate, or slate 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 "non- partisan." • 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 NAME OF CAN DIDA E /OFFICEHOLDERISTATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PARTY Sandra Armenta City Council Member City of Rosemead 2009 ❑X Non - Partisan ❑ Non - Partisan • List the financial institution where the campaign bank account is located (controlled "candidate election" committees only) NAME OF FINANCIAL ADDRESS CITY STATE ZIP CODE Primahly formed to support or oppose specific candidates or measures in a single election. Listbelow: CANDIDATE(S) NAME OR MEASURE(S) FULL TITLE (INCLUDE BALLOT NO. OR LETTER) CANDIDATE(S) OFFICE SOUGHTOR HELD OR MEASURE(S) JURISDICTION (INCLUDE DISTRICTNO., CITY OR COUNTY, ASAPPLICABLE) CHECK ONE FPPC Form 410 (June/09) www.netfile.com FPPC Toll -Free Helpline: 866/ASK-FPPC M, AwM44-c"i tement of Organization :ipient Committee Type or print In Ink Date Stamp :ment Type KInitial ❑ Amendment ❑ TerminatiocriQ'rt7l \\ NOt yetqualifed ❑ or List I.D. number: List I.D. nurirb�r5 # # 29 i IAN I I PFi 14: 46DEC 0 z 'Date qualified as committee Dale qualified as committee Date of e'r�iina0 F (It applicable) I�LTs UR ;ommittee Information 2. Treasurer andbt tamer prilnclpa -Ofi AMEOFCOMMITTEE NAME OF TREASURER ITV �„� STATE ZIPCODE AREA CODEIPHONE RoSEVne_aci CA 6117 -10 AILING ADDRESS (IF DIFFERENT) PTIONAL: FAX /E- MAILADORESS tech additional information on appropriately labeled continuation sheets: STATEMENT OF ORGANIZATION STREET ADDRESS CITY. STATE ZIP CODE AREA CODEIPHONE NAME AND POSITION OF OTHER PRINCIPAL OFFICER(S), IF APPLICABLE MAILING ADDRESS CITY STATE ZIP CODE AREA CODOPHONE 'erification iave used all reasonable diligence in preparing this statement and to the best of my contained herein is true and complete. I certify under penalty of ;rjury under the laws of the State of California that the foregoing is true and correct. cecuted on 12 / -1 1 ©� By ` � DATE ISTANT TREASURER cecuted on ], 7— Q ? By ROA DATE - OR STATE MEASURE PROPONENT cecuted on By ., - DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT cecuted on By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT FPPC Form 410 (January/06) FPPC Toll -Free Helpline: 866IASK -FPPC (86612759772) tement of Organization :ipient Committee :ment Type ]Initial Not yet qualified ❑ or Dale qualified as committee :ommittee Information AME OF COMMITTEE Type or print In Ink E] Amendment List I.D. number: a Date qualified as committee (If applicable) ❑ Termination —See Pa Llst I.D. number: Date of Termination 2. Treasurer a NAME OF TREASU ITY __j STATE ZIPCODE AREA CODE /PHONE Rai �nP a d CA: q1,710 AILING ADDRESS (IF DIFFERENT) PTIONAL: FAX /E -MAIL ADDRESS COUNTY WHERE COMMITTEE IS ACTIVE IF DIFFERENT THAN COUNTY OF DOMICILE ttach additional information on appropriately labeled continuation sheets. ADDRESS Date Stamp DEC D x ; C °" ''y" w _ z' � 4 r' STATEMENT OF ORGANIZATION For Official Use Only ZIP CODE AREA CODE /PHONE CITY STATE ZIP CODE AREA CODE/PHONE NAME AND POSITION OF OTHER PRINCIPAL OFFICER(S), IF APPLICABLE MAILING ADDRESS STATE ZIP CODE AREA CODEIPHONE rerification nave used all reasonable diligence in preparing this statement and to the best of my know l e I m lion contained herein is true and complete. I certify under penalty of erjury under the laws of the State of California that the foregoing is true and correct. Kecuted on a -11 d n By /j �D/ATE RASSISTANT TREASURER Kecuted on • -7 4) J By DATE SIGNATURE OF CONTROLCING OFFICEHOLDQR, CANDIDATE, OR STATE MEASURE PROPONENT Kecuted on Kecuted on DATE By SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT By SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT FPPC Form 410 (January/05) FPPC Toll -Free Helpline: 866 1ASK -FPPC (8661275.3772)