240808 Form 410 Plager 2024 (Amendment)Date Stamp CALIFORNIA A 4 -
I' FORM 411.
SND IL
office of the Secretary of Statei °
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of Californiathe State C IE
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JULJUL 15 2024 2 5 2024
BY:
other PrincipalOfficers
NAME OF TREASURER
Jon Peat
STREET ADDRESS (NO P.O. BOX)
5612 Karen Avenue
CITY STATE ZIP CODE AREA CODE/PHONE
Cypress CA 90630 714-713-5153
NAME OF ASSISTANT TREASURER, IF ANY
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
NAME OF PRINCIPAL OFFICER(S)
Mark H Plager
STREET ADDRESS (NO P.O. BOX)
9807 Fonte Road
CITY STATE ZIP CODE AREA CODE/PHONE
Cypress CA 90630 714-827-1295
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NAME OF COMMITTEE
Plager for Cypress City Council 2024
STREET ADDRESS (NO P.O. BOX)
9807 Fonte Road
CITY STATE ZIP CODE AREA CODE/PHONE
Cypress CA 90630 714-827-1295
FULL MAILING ADDRESS (IF DIFFERENT)
E-MAIL ADDRESS (REQUIRED) / FAX (OPTIONAL)
mark4cypress2024@gmail.com
JURISDICTION WHERE COMMITTEE IS ACTIVE
City of Cypress
Attach:additional information on appropriately labeled continuation sheets.
• 3. Verification
COUNTY OF DOMICILE
Orange
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CALIFORNIA
FORM 410
Page 2
i.D. NUMBER
/417 Or Fi7-i3
• All committees must list the financial institution where the campaign bank account is located.
BANK ACCOUNT NUMBER
8000626857
ADDRESS CITY STATE ZiP CODE
4957 Katella Avenue, Suite Los Alamitos CA 90720
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Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
COMMITTEE NAME
Plager for Cypress City Council 262.1.
AREA CODE/PHONE
714-252-6544
NAME OF FINANCIAL INSTITUTION
Pacific Premier Bank
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If candidate or officeholder controlled,
List the political party with which each officeholder or candidate is
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If this committee acts jointly with another controlled committee, list the name and identification number of the other controlled committee.
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ELECTIVE OFFICE SOUGHT OR HELD
(INCLUDE DISTRICT NUMBER IF APPLICABLE)
NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT
(list political party below)
(list political party below)
Nonpartisan
Nonpartisan
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Cypress City Council, District 3
n a single election.
Primarily formed to support or oppose specific candidates or measures
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PROVIDE BRIEF DESCRIPTION OF ACTIVITY
List additional sponsors on an attachment.
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NAME OF SPONSOR
AREA CODE/PHONE
NO. AND STREET
STREET ADDRESS
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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;
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This committee has no surplus funds; and
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