HomeMy WebLinkAbout2018 _ RECEIVED AND FILED
in the office of the Secretary of State
Statement of Organization of the Slate of Date stamp
R6cipient Committee ���� APR 05 017 177
StatementType ❑Initial LH"Amendment ❑ Termination—See PartS RECEIVED
Notyetquallfied ❑ or List I.D.number: List I.D.number:
> 377�09 MAR 3 01017
ITy CLERKS DEPT.
Date qualified as committee Date qualified as committee Date of Termination
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NAME OF COMMITTEE NAME OF TREASURER
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STREET ADDRESS(NO P.O.BOX)
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STREET ADDRESS(NO P.O.BOX) CITY STATE ZIP CODE AREACODE/PHONE
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CITY STATE ZIP CODE AREA CO DE/PHONE NAM E OF ASSISTANT TREASURER,I F ANY
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MAILING ADDRESS(IF DI FEE REBEL STREET ADp0.ESS(NO P.O.BOX)
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CITY STATE ZIP CODE AREA CODE/PHONE
FAX/E-MAIL ADDRESS
COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE IS ACTIVE NAME OF PRINCIPAL OFFICER(S)
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1T0.EET ADDRESS(NO P.O.BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
Attach additional information on appropriately labeled continuation sheets.
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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—bcert"un
penalty of perjury under the laws of the State of California that the foregoing is true and correct. C
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Executed on M C H 110 LOI7 By 2211 (Q p YK Z1 C / /
DATE SIGNATURE of TREASURER OR A551STANT TREASURER ]
Executed on WW I� 3Uj 'O02 By /sl / 9C LAVC
PATE SIGNATURE OF CONTROLLING OFFICEHOLDER,CANDIDATE,OR STATE MEASURE PROPONENT
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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(Jan/2016)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov
Statement of Organization CALIFORNIA
Recipient Committee _
INSTRUCTIONS ON REVERSE
Page 1
COMMITTEE NAME I.O.NUMBER
m l C(nae/ rC MCW CIS ,�-) -1—bynCcuJ OTY C0u0C11 ?-0 3--�77 D
• All committees must list the financial institution where the Campaign bank account is located.
NAME OF FINANCIAL INSTITUTION AREA CODE/PHONE BANK ACCOUNT NUMBER
w Z LC S �-1R ?sl r 76 S( o 2 3- P 7 Ss- -33' 3 7
ADDRESS CITY STATE LIP CODE
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4.,T,ypEOfjCOmI111ttEE,Chesapplicabletsectons: �<,,, vI, a,,;E xy
• 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.
ELECTIVE OFFICE SOUGHT OR HELD
NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT
(INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PARTY
onpardsan
i'1'ltc�,ael � /YIcC/Z�c(5eN CITY Gotncr� rn � /��'n 2a18
❑ Nonpartisan
Primarily formed to support or oppose specific candidates or measures in a single election. List below:
CAN DI DATE(S)NAME OR MEASURE(S)FULL TITLE(INCLUDE BALLOT NO.OR LETTER) CANDIDATE(S)OFFICE SOUL HT OR HELD O R MEASURES)I UR ISO ICTION
(INCLUDE DISTRICT NO.,CITY OR COUNTY,AS APPLICABLE) CHECK ONE
SUPPORT OPPOSE
SUPPORT I OPPOSE
FPPC Form 410(lan/2016)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov