460 Hassett 2015 from 01/01 - 06/304. Verification
I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein and in the attached schedules 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 L X15 By
Date 1/ tune of as r—a is Tre i urer
Executed on --(-I + ~ t 7 " By \A 4
Date 64pfatureofCo llinq Officeholder, Candidate,'StO Measure Proponent rResponsibleOf oerofSponsor
Executed on By
Date Signature ofControlling Officeholder, Candidate, State Measure Proponent
Executed on 460 By
Dale Signature ofControlling Officeholder, Candidate, State Measure Proponent FPPC Form (June/01)
FPPC Toll -Free Helpline: 866/ASK-FPPC
State of California
RecipientCommittee
CITYR� 1 A
11 COVERPAGE
Campaign Statement
Type or print in ink.
Type
CA
Aamp -
Cover Page
.
(Government Code Sections 84200-84216.5)
2
9:10 2
Statement covers period
Date of election if app scab e:1
4
01-01-2015
(Month, Day, Year)
Page of
from
For Official Use Only
SEE INSTRUCTIONS ON REVERSE
through 06-30-2015
NA
1. Type of Recipient Committee: All Committees — complete Parts 1, 2, 3, and 4.
2. Type of Statement:
® Officeholder, Candidate Controlled Committee
❑ Ballot Measure Committee
❑ Preelection Statement
❑ Quarterly Statement
0 State Candidate Election Committee
0 Primarily Formed
® Semi-annual Statement
❑ Special Odd -Year Report
0 Recall
0 Controlled
❑ Termination Statement
E] Supplemental Preelection
(Also Complete Part 5)
Sponsored
0 Sponsored
E] Amendment (Explain below)
Statement - Attach Form 495
(Also Complete
❑ General Purpose Committee
0 Sponsored
❑ Primarily Formed Candidate/
0 Small Contributor Committee
Officeholder Committee
0 Political Party/Central Committee
(Also Complete Part 7)
3. Committee Information
I.D. NUMBER
1368066
Treasurer(s)
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
NAME OF TREASURER
Campaign to Elect Doug Hassett - La Quinta City Council
Cindy Hassett .
MAILING ADDRESS
54800 Avenida Rubio
STREET ADDRESS (NO P.O. BOX)
CITY
STATE ZIP CODE AREA CODE/PHONE
54800 Avenida Rubio
La Quinta
CA 92253 760-564-5809
CITY STATE
ZIP CODE AREA CODE/PHONE
NAME OF ASSISTANT TREASURER, IF ANY
La Quinta CA
92253 760-564-5809
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
MAILING ADDRESS
CITY STATE
ZIP CODE AREA CODE/PHONE
CITY
STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX / E-MAIL ADDRESS
OPTIONAL: FAX / E-MAIL ADDRESS
4. Verification
I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein and in the attached schedules 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 L X15 By
Date 1/ tune of as r—a is Tre i urer
Executed on --(-I + ~ t 7 " By \A 4
Date 64pfatureofCo llinq Officeholder, Candidate,'StO Measure Proponent rResponsibleOf oerofSponsor
Executed on By
Date Signature ofControlling Officeholder, Candidate, State Measure Proponent
Executed on 460 By
Dale Signature ofControlling Officeholder, Candidate, State Measure Proponent FPPC Form (June/01)
FPPC Toll -Free Helpline: 866/ASK-FPPC
State of California