Margaret Clark - 410-
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- CALIFORNIA _ ,
Recipie
t ommittee
410
_
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Statemen
Ty a ❑initial El Amendment
® Termination — See Part 5
For Dfficial Use Only
Q Not yet qualified
or
O Date qualification threshold met Date qualification threshold met
Date of termination
01 13 2022
•
• • I.D. Number 1392530
• •
if applicable)
NAME OFC
MMI TEE
OF TREASURER
Comm'
ee to Re-elect Margaret Clark to Rosemead City Council 2017
711AME
ulie Gentry
TREET ADDRESS (NO P.O. BOX)
STREETADESS NO P.O. Box)
CITY STATE
ZIP CODE AREA CODE/PHONE
Rosemead CA
91770
CITY STATE ZIP CODE AREA CODE/PHONE
NAME OF ASSISTANT TREASURER, IF ANY
Rosemead CA 91770
FULL MAILIP G AD KESS (IF DIFFERENT)
STREET ADDRESS (NO P.O. BOX)
E-MAIL ADD IESS( EQUIRED)/FAX(OPTIONAL)
CITY STATE
ZIP CODE AREA CODE/PHONE
COUNTY OF OMICILE
JURISDICTION WHERE COMMITTEE IS ACTIVE
NAME OF PRINCIPAL OFFICER(S)
STREET ADDRESS (NO P.O. BOX)
Attach c ddi ional information on appropriately labeled continuation sheets.
CITY STATE
ZIP CODE AREA CODE/PHONE
l nave urea all reasonable diligence in preparing this sl
penalty of erjurrJ1y under the laws of the State of Califo
Executed n ` S v �Lry;1 � By
DAT
nent and to the best of my knowledge the information contained herein is true and complete. I certify un
that the f9r5going is Sue and correct.
, hIRtASURER UR ASSIS IAN I I REASURER
Executed n = - 112 Z.- By
DATE
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
Executed
Executed
UAIL
By
By
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 410(August/2018)
FPPC Advice: advice( fppc.ca.eov (866/275-3772)
www.fDPc.ca.¢ov
Statement
of Organization
Recipie
CALIFORNIA
410
t
ommittee _
I M
INSTRUCTIONS
ON
'
IEVERSE
Page 2
COMMITTEE NA
E
I.D. NUMBER
Committee
t
Re-elect Margaret Clarlc to Rosemead City Council 2017
1392530
• All com
ni
ees must list the financial institution where the campaign bank account is located.
NAME OF FINA
CIAL
INSTITUTION
AREA CODE/PHONE
BANK ACCOUNTNUMBER
ADDRESS
CITY STATE ZIP CODE
Type
Committee4.
of • • applicable Secti•
each controlling officeholder, candidate, or state measure proponent. If candidate or officeholder controlled,
ctive office sought or held, and district number, if any, and the year of the election.
T1heof
al party with which each officeholder or candidate is affiliated or check "nonpartisan." Stating "No party preference" is acceptable
ee acts jointly with another controlled committee, list the name and identification number of the other controlled committee.
NA
E Of
ELECTIVE OFFICE SOUGHT OR HELD YEAR OF PARTY
CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IFAPPLICABLE) ELECTION
CHECK ONE
Margaret I
larlL
City Council Member, Rosemead
2022
Nonpartisan
Partisan
(list political party below)
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:
CANIDA
E(S) NAME OR MEASURE(S) FULL TITLE (INCLUDE BALLOT NO. OR LETTER) CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(5) JURISDICTION
IF /,
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: advice9fuac.ca.¢ov (866/275-3772)
www.fopc.ca.gov
r�ost�,rnEl�
tatement of Organization I STATEMENT OF ORGANIZATION
Type or print In Ink
:ecipient Committee p �;.n�,(;:jved h� Date Stamp
CALIFORNIA
Lo >vr; ael< . • 1
atement Type ❑ Initial Amendment ❑ Termination —See art y. , of )la �al�'F,f`�
Not yet qualified ❑ or List I.D. number: List I.D. number: in 11 office of the SeCretp c:f
a � 3 9 � � G # 2MB J ;' I 0 P,`1 'Q: 3 3 D ^^^ of the state of C8140rnia
Z, � _7
nnlvi r. F-T, nra I DEC 0 3 2007
Date qualified as committee Date qualified as committee Dale of Term' r� x•.f%' S ��• �' f�
(if ePP�mble) DO u ,j „. v tG 16EBRA BOWER
Committee Information 2. Treasurer an t —er'Pnn oretary oir $783
NAME OF COMMITTEE NAME OF TREASURER
Ce07rylr'A7 '4 el"l 4'L13E IZ-rq D. LAwLeErr
1/2a_2 "x /i�rK STREET ADDRESS
-'
STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE
STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY
MAILING ADDRESS (IF DIFFERENT)
OPTIONAL: FAX/ E-MAIL ADDRESS
COUNTY OF DOMICILE COUNTY WHERE COMMITTEE IS ACTIVE IF DIFFERENT
THAN COUNTY OF DOMICILE
/D-7 �ln�f���5
Attach additional intonation on appropriately labeled continuation sheets.
STREET ADDRESS
CITY STATE ZIP CODE AREA CODE/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 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 ZZ - O %
DATE
Executedon 07
DATE
Executed on
Executed on
By
By
_
U Q i VMCV�VVNIHVLUNGU "IULHULDER, CANDIDATE, OR STATE MEASURE PROPONENT
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 /ASK -FPPC (8661275-3772)
atement of Organization
Dcipient Committee
itement Type ❑ Initial
Not yet qualified ❑ or
Dale qualified as committee
Committee Information
NAME OF COMMITTEE
Type or print in ink
[5 Amendment
List I.D. number:
u
Date qualified as committee
(I( aypl'cebis)
❑ Termination — See
List I.D. number:
Date of Termination
c"'')YIA7Ye-a- it Rc3- e4lecf
/'! a_'- a r-z-t Cl _r_l<
STREET AD DRESS (NO P.O. 60X)
CITY STATE ZIP CODE AREA CODE/PHONE
c5rll ���C CA ?/770
IF DIFFERENT)
OPTIONAL: FAX /E- MAILADDRESS
STATEMENT OF ORGANIZATION
Date Stamp
For Official Use Only
OED FI
2. Treasurer and Uther nnc
NAME OF TREASURER
4L _G�GR -rq B. L(-I WLt?F
STREET ADDRESS
CITY STATE ZIP CODE AREA CODEIPHONE
r U5 EY7-lE AD c_P 91-7`76
NAME OF ASSISTANT TREASURER, IF ANY
STREET
CITY STATE ZIP CODE AREA CODE/PHONE
NAMEAND POSITION OF OTHER PRINCIPAL OFFICER(S), IF APPLICABLE
COUNTY OF DOMICILE COUNTY WHERE COMMITTEE 15 AC nvE lr Ulrrcncnl
THAN COUNTY OF DOMICILE MAILING ADDRESS
,a =} An q e 1— -5 .
STATE
Attach additional information on appropriately labeled continuation sheets.
AREA CODE/PHONE
Verification
I have used all reasonable diligence in preparing this statement and to the best of my knowledge the information contained her 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 // - //' C) % By
OF TREASURER OR ASSISTANT TREASURER
Executed on �� — �/" 07 ( BY '�` -�'�
OFFICEHOLDER, CANOIUATE, OR STATE MEASURE PROPONENT
Executed on
Executed 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 /ASK -FPPC (8661275-3772)
ttement of Organization CITY Off" PCC? E.f1.�EAD
Type or print in ink
cipient Committee Ni0V 01. 2001
lement Type ❑ Initial ❑ Amendment ❑ Termination - See Part 5
Not yetqualilied® Or
List 1.D. number. List 1.D.nr4TV r;I F?- 1 47 OI=r'C(
A N
Dale qualified ascommillee Dale qualified as committee Dale of Termination
III applicable)
Committee Information
NAME OF COMMITTEE
c//7
v/Yl r%') iW;Q ti h lee —d&cf
��CCI G�s2ru� C�urk - -
STREET.A'DDRESS (NO PA. BOX)
'
CITY
MAILING ADDRESS (IF
OPTIONAL: FAX /E -MAIL ADDRESS
STATE ZIP CODE AREACODE/PHONE
COUNTY OF DOMICILE I COUNTY WHERE COMMITTEE IS ACTIVE
THAN COUNTY OF DOMICILE
Attach additional information on appropriately labeled continuation sheets.
Treasurer and Other Principal Officers
NAME OF TREASURER
MAILING
ADDRESS
IF ANY ,
STATEMENT OF ORGANIZ.
only
AREA CODE/P
CITY - STATE ZIP CODE AREA CODE/F
NAME AND POSITION OF OTHER PRINCIPALOFFICER(S), IF APPLICABLE
MAILING
CITY
STATE
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 law of 1 e State of California that the foregoing is true and correct.'
Executed on « i d Oy
DATE SIGNATUR2EOFTREASURERORA ISTANTTREASURER
Execuledon BY %
OFFICEHOLDER, CANDIDATE, OR STATE MEASURE
Executed on
Executed on
DATE
AREACODE/I
I certify under pens
BY SIGNATURE OF CONTROLLING OFFICEHOLDER. CANDIDATE. OR STATE MEASURE PROPONENT
By
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 41
For Technical Assistance: 916/3
>tatement of Organization
tecipient Committee
JSTRUC1 IONS ON REVERSE
G. Type of Committee Complete the applicable sections.
STATEMENT OF
Page 2
• List the name of each controlling officeholder, candidate, or stale measure proponent. It candidate or officeholder controlled, also list the elective office sought or held,
district number, it 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
NO ,t ('�zrk
�un nveMG�� �1.5e�/ea
.1001
Non - Partisan
`l
r
it Non - Partisan
List the financial institution and the disposition of surplus funds (controlled "candidate election" committees only)
NAME OF FINANCIAL INSTITUTION AREACODE/PHONE BANKACCOUNTNUMBER DATE OPENEI
,/ ,erict r%. man G2ir) 53-51•/0a 5�a l,
ADDRESS CITY STATE - ZIP CODE DISPOSITION OF SURPLUS FUNDS
6A 91 z113-1—coe)
1:17 =- /l7IZ7-77j7T,&qTiiTU7hl Primarily formed to support or oppose specific candidates or measures In a single election. List below:
CANDIDATE(S) NAME OR MEASURE(S) URE(B) FULL TITLE (INCLUDE BALLOT NO. OR LETTER) CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION
(INCLUDE YISTRICT NO., CITY OR COUNTY, AS APPLICABLE)
FPPC Form 4
For Technical Assistance: 9161
'u 'a ', V. I V. V, yN„1L"l IWI I
=clpient Committee e 1'
vernmenl Code Sections 64101- 84103) REC�.�
A�
amendment CITY OF'PO�
] Check box It an Amendment
and enter I.D. number:
If
AUCTIONS ON REVERSE
Committee Information
late Qualified as Committee _
JUT! 0 1997
/O 7(A Dale SlaMp
WHERETO FILE: { 1 444
File original and one copy with-
Secretary fff��� ///��� A
cal Ref State � I P L1 1 C 7\ cD�D MD FIf
Political Reform Division I. v H r CAL F[F.D��,I Di
Sac Box 7467 F:rll c` QT SECP,ci /p t
Sacramento, CA 85012 -1467
STATEMENT OF ORGAN]'
If applicable, file one copy with:? JUN j 6 ^ .
The city or county officer, if any, who receives the AN 10: Ayt, 9
CITY CLERK'S OFFICE committee's original campaign disclosure statements.
❑ Check box it not yet qualified
tMonlh, Dag Yea,
AME OF COMMITTEE
vrr'rcL i�a�0�� eoM/'t(TTeC Fern,
A-k r ciit,P, (�,
)DRESS OF COMMITTEE (NOT P.O. BOX) NO. AND STREET
'PC) 5C- E/+-0 (2 A-
-0S 4 NG'(- 4-5
STATE
AREA CODE /PHONE NUMBF
-
THAN COUNTY OF DOMICILE
BOX
rY STATE ZIP CODE AREA CODE /PHONE NUMBER
2. Treasurer and
ZF Oulclal
P� ED
�? 48 PM `97
L"fTeunc-
NAME OF TREASURER
MAILING ADDRESS
C
STATE ZIP
NAME AND POSITION OF OTHER PRINCIPAL OFFICER(S), IF APPLICABLE
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE /DAYTIME PHONI
Attach addilional infomtation on appropriately labeled continuation sheets.
lerification
have used all reasonable diligence in preparing this statement and to the best of my knowledge the information contained herein is frHP- and Cmmnlata
nder penalty of perjury under the laws of the Slate of California Ihl
cecuted on (Ei� `.7i X4'7
T/ DATE BY
cecutedon By
DATE
:eculed on
I '.Hi
By
SIGNATURE OF CONTROLLING OFFICEHOLDER. CANDIDATE, OR STATE MEASURE PROPONENT
ecuted on B
Y
DATE SIGNATURE OF CONTR LUNG OFFICEHOLDER, CANDIDATE, OR STgTE MEASURE PROPONENT
'ORMATION REWIRED TO BE PROVIDED TO YOU PURSUANT TO THE INFORMATION PRACTICES ACT OF 1977, SEE INFORMATION M NUL ON CAMPAIGN DIS=51,7EE_PRO Ij1 Ma-9EjllE POLITICAL REFORM ACj,
FPPC Form 410 (1
For Technical Assistance: 9161322 -!
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
Page 2
4. Type of Committee: Complete the applicable sections.
Controlled committee
List the name of each controlling officeholder, candidate, or stale measure proponent. It candidate or officeholder controlled,
also list the elective office sought or held, and district number, If any
List the political party with which each officeholder or candidate Is affiliated. An officeholder or candidate not holding or seeking a partisan office must indicate 'non-partisan.
If this committee acts (oinlly with another controlled committee, list the name and identification number of the other controlled committee.
List the disposition of surplus funds.
NAME OF CANDIDATE /OFFIC EHOLD ER/STATE MEASURE PROPONENT:
OFFICE SOUGHT OR HELD (INCLUDE DISTRICT NUMBER IF APPLICABLE) i PARTY
Primarily formed to support or oppose specific candidates or measures In a single election. List below:
CANDIDATE'S NAME OR MEASURE'S FULLTITLE (INCLUDE BALLOT NO. OR LETTER) CANDIDATE'S OFFICE SOUGHTOR HELD OR MEASURE'S JURISDICTION
(INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE)
Not formed to support or oppose specific candidates or measures In a single election. Check only one box: iI CITY Committee
PROVIDE BRIEF DESCRIPTION OF ACTIVITY
. Committee Category: Complete one or both categories, it applicable.
Provide additional sponsors on an attachment.
mne.vw nuumtbb: NO. AND STREET
J IAIt
)USTRY GROUP OR
SPONSOR:
ZIP CODE
El COUNTY Committee ❑ STATE Commit)
8ma1l.;C0n1r1bu10r Committee
ij Dale qualified as a small contributor committee
(Month. Day, Year)
(] No longer qualifies as a small contributor comm
FPPC Form 410
For Technical Assistance: 916/32