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? NOV 27 20I? I 0 2-3) .LR SEemD
Statement of Organization 33 RECEIVED AND FILED CALIFORNIA1
Recipient Committee N rlr It"LAUMP ptyy, in the ffice of the Secretary of State FORM
Statement Type 0 Initial ❑ Amendment ❑ Termination—See Part 5 the State of California For 01IgBI U.Ofilr
Not yet qualified
or NOV 15 2017
O Date qualified as committee —� /— --f—�
Date qualified as committee Dale of termination
1. Committee Information I.D. Number 2. Treasurer and Other principal Officers
(if applicable)
NAM E Of COMMIT TEE NAME OF nUASURLII
Zak Schwenk for Council 2018 Jennifer Schwank
STREET ADDRESS(NOP.O.BOq
28785 Bristol Road
STRf ETADDRESSINORO.BOXI CITY STATE ZIP CODE AREACODE/PHONE
28785 Bristol Road Temecula CA 92591 951-514-5504
CITY STATE ZIP CODE AREA CODE)PHONE NAME OF ASSISTANT TREASURER,IF ANY
Temecula CA 92591 951-326-9245
MAILING ADDRESS IF OIL FERENTI STREET ADDRESS(NO RO.BOX(
EMAIL ADDRESS(REQUIRED)/FAX(OPTIONAL( CITY STATE ZIP CODE AREA CODE/PHONf
zakschwank@gmaii.com
COUNTY OF DOMICILE $DICTION WHERE COMMRTEE IS ACTIVE NAME OF PRINCIPAL OFFICERISI
Riverside ity of Temecula
STREET ADDRESS INO PO.BOX)
CITY STATE ZIP CODE AREA CODE/PHCNL
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 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.
11/8/17
Executed on ay
OR[ 1 SIG iUR OF TREASURER OR ASSISTANT TREASURER
Executed on 11 B/17 By
DATE 7 SIGNATURE OF CONTROLLING OFFICEHOLDER.CANDIDATE,OR STATE MEASURE PROPONENT
Executed on By
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(October/2017)
FPPC Advice:advice@fppaca.gov(866/275-3772)
Yvww.fppc.ca.gov
Statement of Organization CALIFORNIA '
Recipient Committee FORM
INSTRUCTIONS ON REVERSE
RFW t
COMMITTEE NAME LD.NUM""Zak Schwenk for Council 2018
• All committees must list the financial institution where the campaign bank account Is located.
NAME OF FINANCIAL INSTITUTION 41iIl('1111/I'I.1I N! BANK ACCOUNT NUMBER
ADDRESS STATE ZIP CODE
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." Stating"No party preference' is acceptable.
• If this committee actsjointly with another controlled committee,list the name and identification number of the other controlled committee.
ELECTIVE OFFICE SOUGHT OR HELD YEAR OF PARTY
NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) ELECTION CHECK ONE
Nonpamsan Parnsan(list political party below)
Zachary Schwenk City of Temecula District 5 Council Member 2018 ✓
Nonpamsan Pamsan list political party IOw)
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) CANDIDATEIS)OFFICE SOUGHT OR HELD OR MEASURE(S)JURISDICTION
IF A RECALL,STATE-RECAW IN FRONT OF THE OFFICEHOLDER'S NAME. (INCLUDE DISTRICT NO.,CITY OR COUNTY,AS APPLICABLEI CHECK ONE
SUPPORT OP Post
SUPPORT OPPOSE
FPPC Form 410(October/2017)
Clear Page Print FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.W.gov