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HomeMy WebLinkAbout2016 ' V` Statem�nt of Organization ,, R CEIVED te51amP , � . � 1 Recipient Committee ��q� AND FILEI, • - Stateinent Type a��«he�Cfe1ary ot Sta�< Por OHicla�Use Onl ❑Initial � Amendment ❑ TerminaHon—SeePartS MPSfT}g�r�;t���� v Notyetqua�ifed ❑ or �ist I.D,number. List I.D.number: , RECE�VED # 1384102 � �UL 2 7 2016 0�13 �2016 �_� _�_� AU6 221016 Dale qualifed as commiflee Date qualified as committee Date of Terminatlon � Cm/C�S li�aaou<nmel �1.�Comrtiittee I'n"formativ"fi ` . '� , 2? T�su'�er nd�Ofher.PFinef�'a Officers a. � NAME Of COMMITTEE ' NAME OF TPEASUNFR ADAM A. RUIZ FOR TEMECULA CITY COUNCIL 2016 JODY D. NOTTINGHAM SiflEEi ADOPE55�NO P 0.BO%� 43460 RIDGE PARK DRIVE, STE 240 SiREETA��flE55INOP.O.BO%� CIiV STATE 21PCO�E �flEACODE/PHONE 37985 GOLDEN ROD ROAD TEMECULA CA 92590 (951)296-1698 CRY STAiE ZIV(OOE APEACOOE/PHONE NAMEOFASSISTANTTPEASUflEfl,IFqNY TEMECULA CA 92591 (951)326-4698 EDWARD A. CHANDLER MAILING AODRESS(IF DIFFERENT) SiPEET ADONESS�NO P.O.BO%� 40335 WINCHESTER ROAD, STE E140, TEMECULA CA 92591 43460 RIDGE PARK DRIVE, STE 240 FA%/E'MNlA�O0.F55 CITV STATE 21PCOOE A0.EPCO�E/PHONE ADAM@1STACTIONREALESTATE.COM TEMECULA CA 92590 (951)296-1698 COUNTYOFDOMIQLE IDHISOIQIONWHEPECOMMIiTEEISACtIVE NAMEOFFqINCIPALOFPCER�S) RIVERSIDE CITY OF TEMECULA SiflEEi 4DOPE55�NO F O.BO%1 � ��1Y STlSE ZIPCOOE ANEFCOOE/PHONE F�rtach additional information on appropriately/abeled cantlnuatlon shee[s. 3:' VeYi 'cat�on. : , . ..y,; , >� ,. � . ' . 4�. . . i have used all reasonable diligence in preparing this statement and to the best of my knowledge the information wntained herein is true and complete. I�r�un�'er �1 penalty of perjury under the laws of the State of California that the fore � is-tcuea.dd corr . —'' —" � � � '' � ('7 Exemted on 07�2��20�6 gy o'^'� — l�l DATE SIGNATURE TREASUAENONASSISTANTTNEASURER N C., � � Exe<uted on 07�2��2��6 gy G T a ;T ��TE SIGNr1Tp FCONTFOLLINGOiFl[EHOLOER,CANOIDATEORSTAiEMEASUflEFqOFONfNT �Go :�J VJ"-"� - Execu[ed on By �r—',�- .�' . DAiE SIGNATUqEOFCONTqOLLINGOFFlCEHOLOER,CANDIDAiE,ORST�TEMEAStIPEPPOPONENT TC.:. , fV Executed on By �AiE SIGNAiOPE OF CONTNOILING OFFlCEHOLDEP,CANDI�ATE,OR SiAtE MEASUflE PflOPONENT ' FPPC Form 410(lan/2016) FPPC Advice:advice@fppc.ca.gov(866/2753772) www.fppc.ca.gov � Statemgnt of Organization • - � � , Recipient Committee • • INSTRUETIONS ON ftEVERSE � Page 2 :�`l°q'A�I�1`I"�"` RUIZ FOR TEMECULA CITY COUNCIL 2016 i.o.nuMeea 1384102 • All committees must list the financial insHtuHon where the campaign bank account is lacated. NHmE OF FINANCIALINSTITUTION ANEACO�E/PHONE BNNMpC<OUNTNUMBEP FIRST CITIZENS BANK (951)506-1271 1064435892 AODPE55 UiY ST�iE 21PCODE 44575 AVENIDA DE MISSIONES TEMECULA CA . 92592 . ., � - v - . 4'.�,;Ty,pe�,ofaCommitEee Complete,the applleable�sections._ , � ' � • List the name of each controlling officeholder,candidate,or state measure proponent. If candidate or oNiceholder 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 aHiliated or check"nonpartisan:' . • li this committee acts jointly with ano[her controlled committee, list the name and identification number of the other controlled committee. - ELECiNE OFFICE SOUGHT OR HEL� NAMEOFCANDIDATE/OFFICEHOLDER/STATEMEASUREPROPONENT �INCLUDE�ISTRICTNUMBERIFAPPLICABLE� YEAROFELEQION PARTY � Nonpartisan ADAM A. RUIZ TEMECULA CITY COUNCIL 2016 . ❑ Nonpartisan Primarily formed to support or oppose specific candidates or measures in a single election. List 6elow: CANDIDATE(S�NAMEORMEASURE�S�FULLTITLE�1NCLUDEBALLOTNO.ONLETTER) C�NOIDATE(S�OFFlCESOUGHTORHEL�ONMEASUREIS�JURISDICTION �INC W OE DISTRIQ NO„QTV OR COUNTV,AS APFLICABLE� CHECK ONE SUPPOPi OPPOSE SUVPORT OPPOSE ❑ ❑ FPPC Farm 410(Jan/2D16) FPPC Advice:advice[alfppc.ca.gov(866/2753772) www.fppc.ca.gov Statem�nt of Organization . � - Recipient Committee � - � � INSTRU�TIONS ON REVERSE Vage 3 `Y�:C�A`fJl"p;. RUIZ FOR TEMECULA CITY COUNCIL 2016 '° "°"'aE" 1384102 . -, ..�.�. , ..._.,...._ _. . . -�� � - ,�; �YrPeRof�@ommiitee �Ico"6��ed1 _ �., � �,µ,„,2;r� .. � ,. � Not formed to suppnrt or oppose specific candidates or measures in a single election. Check only one box: ❑ CITY Committee ❑ COUNTY Committee 0 STATE Committee VflOVIDE BflIEF OESCRIPTI ON OF NCTIVItt List additional sponsors on an attachment. M1AME OF SPONSON INOVSiRY GROUV OR ALqIIATION OF SVON50F STREETAD�0.ESS NO.ANDSTflEEi CITV STATE ZIVCOOE ❑�� DateQuallfied hT""+T'�S«.9:M` +Re4aL�R*3AK5m"a*SmT."✓`n. 'Y� F��/T{t�+ �yCq S'�T(8ff111110T:1U�R2GUIG8R1E�1 i , Byslg Ingthe�vetlficationpthetreasuref,assistaMtreasuterandJorcandidate,offi��'eTiolder;o proponen :6ertify;thafall6f'thefo�lowing�`aor�tl 'ons�.ha`e6een'�m : • This committee has ceased to receive contributions and make expenditures; • This committee does not anticipate receiving contributlons or making expendi[ures in the future; • This committee has eliminated or has no intention or ability to discharge all debts,loans received,and other o6ligations; • This committee has no surplus funds;and • This committee has filed all campaign statements required by the Political Reform Act disclosing all reportable transactions. -- There are restrictions on the disposition of surplus campaign funds held by elected officers who are leaving office and by defeated candidates. Refer to Government Code Section 89519. -- Leftover funds of ballot measure committees may be used for political, legislative or governmental purposes under Government Code Sections 89511-89518,and are subject to Elections Code Section 18680 and FPPC Regulation 18521.5. FPPC Form 410(lan/2016� FPPC Advlce:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov Statement of Organization DateS[amp , � . , Recipient Committee � . � � StatementType �Initial � Amendment ❑ TerminaHon—SeePartS ForO(ficlalUseOnly Nolyetqualifed ❑ or Listl.D.number: Listl.D.number: RECE��� #1384102 # 07 13 2016 ��� 25 � —/—/ /—/ —/—/ Date qUalifed as committee Date qualified as committee Date of Termination �ilappuaoie� �R1'CLERKS DEPT. 1�Gommitteelnformatio�,��' t �F���.,.;�T��'�'F�'„��'P"���T}"�_2�3Tr,easurer.and�QtherP,qin'cipal�Officers -p,"� +�s NAME OF COMMITfEE NAME OG TREASOqER ADAM A. RUIZ FOR TEMECULA CITY COUNCIL 2016 ,IODY D. NOTTINGHAM STPEET ADDRE55�NO P.O.BOX� 43460 RIDGE PARK DRIVE, STE 240 STNEETROOflE55(NOP.O.BO%1 CIiY STRTE ZIPCODE ARERCODE/VNONE 37985 GOLDEN ROD ROAD TEMECULA CA 92590 (951)296-1698 CITY STATF 21PCO�E AREACOOE/VNONE NAMEOFASSISTANTTXEASUflER,IFANY TEMECULA CA 92591 (951)326-4698 EDWARD A. CHANDLER MRIIING AOOPE55(IF OIFFERENT� STREET AODNE55�NO P.O.BO%1 40335 WINCHESTER ROAD, STE E140, TEMECULA CA 92591 43460 RIDGE PARK DRIVE, STE 240 fA%/E-MRILADDPESS CITV STRTE ZIPCODE qREACOOE/PHONE ADAM@1STACTIONREALESTATE.COM TEMECULA CA 92590 (951)296-1698 COUNTYOFD�MICILE IUPISDIRIONWHERECOMMITfEEISACTIVE NAMEOFPRINCIPALOFFICERI51 RIVERSIDE CITY OF TEMECULA STPEETRODRESS�NO P.O.BO%� ��T1' STATE ZIPCOOE ARFACOOE/PHONE Attach addidonal informotian on appropriately labeled contlnuation sheets. 3�..�/Qri caLl"on r w > s f3. �,� � � � a �"""��„ +� e ne.� ' in,an�+�.` "�.�"'.�"'"�'.r����'^ '���'���'r� 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 fore ' g-istweapd corr . Executed on �7�2��2��6 gy � OFTE SIGNFTURE TREASIIRENORN5515TANTTPEASUREP Execu[ed on 07/20/2016 ey OATE SIGN T OFCONTROLLINGOFFICEHOlOER,CNN0�0ATE,ORSTATEMEA5U0.EPROPONENT Executed on gy OATE SIGNATURE OF CONTROLLING OiiICEHOlOEP,CANOIOATE,OR STATE MERSUPE PROPONENT Executed on By ORTE SIGNATUPE OF CONT0.0lLING OFFICEHOLOEA,CANDI�ATE,O0.STATE MERSUflE V0.0PONENT FPPC Form 410(Jan/2016) FPPC Advice:advfce@fppc.ca.gov(866/2753772) www.fppc.ca.gov X Statement of Organization . • - ' Recipient Committee • - � INSTRUCTIONS ON HEVENSE Vage 2 Y�`�$'%�I�I"�," RUIZ FOR TEMECULA CITY COUNCIL 2016 I.D.NUMBEP 1384102 • All committees must list the financial institution where the campaign bank account is lowted. NAME OF FINpNCIALINSTITUTION AflEACOOE/PHONE BRNNACCOUNTNUMBEA FIRST CITIZENS BANK (951)506-1271 1064435892 �AODRESS [ITY STATE 21FCODE 44575 AVENIDA DE MISSIONES TEMECULA CA 92592 4.�'s1Ty,pe_ofdCommittee Complete the applicable,sections t„ „y�e�,��_,����,,�`*"�"fw�,�'r�`��s`�'`�'�y'�'"",� '��' � � � ��t�a��`.�'�y�.�{�� • List the name of each controlling officeholder,candidate,or state measure proponent. If candidate or oNiceholder 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 officeho�der 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 SOU6HT OR HELD NAMEOFCANDIDATE/OFFICEHOLDER/STATEMEASUREPROPONENT (INCLUDEDISTHICTNUMBERIFAPPLICABLE) YEAROFEIECTION PARTY � Nonpartisan ADAM A. RUIZ TEMECULA CITY COUNCIL 2016 ❑ Nonpartisan Primarily formed to support or oppose specific candidates or measures in a single election. List below: CANDIDATE�S�NAMEORMEASURE�S�FULLTITLE�1NCLUDEBALLOTNO.ORLETTER� �ANOIDATE�S�OFFICESOUGHTORHELDOflMEASUREIS�JURISDICTION (INCLUDE DISTRICT NO.,QTV OR COUNTY,AS APPLICABLE) CHECK ONE SUPPORT OVPOSE SUYPOPT OVPOSE ❑ ❑ FPPC Form 430(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppaca.gov - Statement of Organization . � • ' Recipient Committee • - � INSTRUCTIONS ON HEVERSE Page 3 `RY�J'�A`fJI""�. RUIZ FOR TEMECULA CITY COUNCIL 2016 I.O.NIIMBEP 1384102 �?Y,Pe of Gommittee: • �a�eo�n�oeai ` i->v ra"�*y�}�q�'�"=5 '1�F=y�s r .:�: .,� a2:ras.y+7 n � � ��t s ::,k,q Not formed to support or oppose specific candidates or measures in a single election. Check only one box: ❑ CITY Committee ❑ COUNTY Committee❑ STATE Committee VROVIOE 9RIEF OESCRIPTION OF ACTIVITY List additional sponsors on an attachment. NAME Oi SPONSOR INDUSTPY GPOUP OP Pii1LIAT10N OF SVONSOR STREETADOPE55 NO.RNUSTRfET CITY STATE 21PCOOE ��� Dateyualifletl 5?aTie�mi nation�Requirements;-,t K By signing,[he vedficatlon,the treasurer,�assis[ant,treasurer and/or candidate,officeholder,loyproponent certify�that aII o�theifollowingtondltlans have 6een meP."'�-1i� • 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; • This committee has no surplus funds;and • This committee has filed all campaign statements required by the Political Reform Act disclosing all reportable transactions. -- There are restrictions on the disposition of surplus campaign funds held by elected officers who are leaving office and by defeated candidates. Refer to Government Code Section 89519. -- Leftover funds of ballot measure committees may be used for political, legislative or governmental purposes under Government Code Sections 89511-89518,and are subject to Elections Code Section 18680 and FPPC Regulation 18521.5. FPPC Form 410(Jan/2016) fPPC Advice:advfce@fppc.ca.gov(866/275-3772) www.fppc.ca.gov ,_ .:.CCtsG�r Y-v r•••� • ot State , � �'s��0��� in�he ofOce ot lhe Secretery � _ a(Ne State ot Califomia � statement of organization APR 2 i 2016 �pR 14 201fi o3t<Stamp � . Recipient Committee ��.�.��� �p. � � . � � 1 �.� ��P91'a ��- StatementType ❑ Initial � Amendment '— ' "' `Fcroticiaiuseori•: ❑ Terminarion—SeePartS ������� N¢iye?qua6fi:d ❑ nr tist Lq pumber. Lis:I.D.number. � � ���'� � P�i I � 52 � 13a�-1�o2 � Ap� n 7 2D i' . _ � a OS �m� r��l,i'�I i', �.li iit VI]j[lis Datequeitledascommittee Catequal edas�o/�,�r,ce wc=/ � �8�' CI.�ROCS ¢91�1��A'%r ��r f���iE�S��E, ot Terminatian p�accL:ae'�zi 1� Corrimittee Informat�on��s �,`�����'�'.�„� ��;�����,r�'�-��"�.�s!'��2:-�;Treasurer,ariiiiOtlierPrincip'alEOfficers`�° ����^�*" �';;�,^ _�,��_• �� _��t�y �. �1�"���CAPrI� r.ee;;eeaess fNu eo.aox) A1�AM R t2��� Fo(� \tM�a�.A CiZ�I Cu��+c�� 2oi� y3��,o �.�oc.f Paa�c ��- # 240 STF'ccTAD05E55�Y.06G.R0%I . OH SIDiE 21PfOCE qflE.CGDS;'PiOlv'c 3��1QJS �-�iCI,AC� P-fl� �-�A� TEME�v'�A CA qZS90 qSl .29� 11oG8 Cii{ �50.:2 Zff[CDE 4RE4rpp,1=ifi0YE T.KMECFki515SLlIiTFESSU�EP.!F4HY TE�Ec„� C� �lisa� 9S� 32e at��� r�w��� c�1aN��E� idAM1l;i a nOD�:S(Is DiFs REYT) .TS=ETSOv'dF'S(NC F.O,BCc; �G335 U,\+�C�1tS-�� Q-�P�D , s•t�tt E - l4b TEn�ecv.,�, ('A 925`il �3`i�o '��DL-E Q P�Q�C D�- � Z�19. fARIEYdcLLAOLF�S . . C:TF STATE :IiCCDE �nEnCO=J`JP?iOFE A��M e �s��-�oa�tesa�. co� T�nr,�cu�.o. , CA qzs�o c�si 29� 1�9� COUNTYO€DOId�4fL �gA1<pIC'tGN4YE,RfiOMUiiiE:ISqC➢VE EJ4R1%9FtattJC�PA!Pifli=.nfl � P_\��(LS1�E Ci��I OF IEMECo�A - s�;[:na;�ss fn�v.o,ao J � i:. v-aTi tlatcLE „�_.._.._c._.,..c Attach additional rnfonnntlon on np�ropria[ely labeled contlnuntia�sheets. 3`E��V21'I C3CIOt1 �ka�e�f�,?. �M��i�I' s � ����.> ivdu+�,�,�. ��'c� ^ ;� +�,�va���,��yhtrr �� `k`� 3 M.�'@r�� E ra :.:� �.�v'k Ih a'' ��x�'„ kS �i�ax �.:JrP� ��:� � >. �2r�pppfl ... .uc _......__., H.....e.�,,..n�.su»..,it�..5iv6.td�3aS3.,..rw,az:,.,.,,a.,.:&..,..u......1.i��et,.„�... �,...c,.....u�e,....L+.l,.�.„„s.�t .r�.Nwsr.,. .�„urn,.r,��.siG�i�iu.Yr s.n,�,a;r.I,t.,a zi...�t . �'. �:' iu,adbuEP.Jk7�u�#t�.S.a7.rn:....�nw,r ,.�r..,,K.,.1+., h� , I have used ail reasonable diligence in preparing thls statement and to the best of my knowledge the informatioE�contained herein is true and compleee. I certi'ry under ' penalty of perjury under the laws o�the State of Calif nia that the foregoing is[ ue a d correci. Execatedon � Y' l�J gy ,/�� - .�TT° / SIG4.iUS:GFTnE-iVF 4Gd45515tiNTi0.E=iJ4E- Execu;edon ��Il� �o� ZO�V g4' _ . �"�'T' 9 �'A- :Oe�pfJ .� ❑t' ..FrlEc . _..C.Npi[:A : OReiR� t.4 � rd0`rONENi Executedon �y - . DAT� �t[ � �,EOFCGNi0.�� J�.,FFtL:tC�D.F,CFN�ICA�„OnStni�F.EA �: ..^.CFONENi Ex?cut=sl or� Bv - .ere �i �. ._acc> x.� .:.tc=:�e . . .. .ne.5s ,_.-en: _..:c.c��;erc ' ' � . FPPC Form 410{7anJ2016) � � , FPPC Advice:advice@fppc.ca.gov(866(275-3772� www.fppc.ca.gov . X Statement of Organization - . - Recipient Committee . - ' � INSTfiURIONS�NREV:FSE . vage 2 Nh.tdlil'cE 1:ANIE r.o-uuwe:a ��l�M � - ��� ��. EMEc�� C�S�1 Co�Nc�� Zot� � �� /U a • All committees must list the finantlal insHtution where the campaign bank account is lotated. Ix'4ME Of FlN+RriCIINSiITJIIOR =�ipLEIGnONi dAM:<UOVHTM1ifi.L`E: �IR�i � �T��f^�5 (J��W�L �S � S�� 12"I� ooiov'1�13��52 ;,00aess p..-v srale z.acoo= �{�SIS �.fF��oq br" N1� s.S�uacS jCMEc�w� ('A �zS� 2 � n.,�,,.— .�ro�^rmme.re-' iI-' «n.-� -t ^,r,*"m�. i`'� x�: f r '[G' i WPF� (�: �c+^rr -4t ii 1¢• t 1y�4tr rn n.m sn�F v 4 9T 8:Of5COfft(T11�2�COfT7 �2t0tf18d pjlCd��e�$2Gt10�P' .ri^ �� � (� Y .t� i iR�u .. f£�,ia,Vr`S;*1 �i . �, a y'"„�=.,tr '� Ix;p,� ,�� 5� i..:l�l� t n k`�'� � �nvg. � .,.�Yp,�,M,,,a...:�.v. x,�,,..p,.. ..���,�?.,.h_.�x�.�...�.,����t�� .�n��,.�;�4;;��, '�' `��`u u" �'�� W, �, � � .z�p �`-u.�a� .,u�.._...� 4i i� r�' ��• m�} G t�eutla.uu`u... �.a.._.,..:,it.,ww.sa� ev,�uV..w w. ., 'z....�+ .�s� 'c�.»u't�.s,�.u.a.n • List the name of each convolling officehoider,candidate, or state measure proponent. If candidate or officeholder controlied,also lis[the ele�tive of#ice sought or held,and .disa ict number, if any,and the year of the efection. • List the political party with which each officeholder or candidate is atiiliated or check"nonpartisan." • If this committee acts jointly with another controlled committee,list the na�ne and icEentiHcallon number of the other controlled �ommittee. � - ELELLNEOFFlCESOUGMTORHELO � fdAMiQFCat:�Ji�ATiJOFFlCEHGLDERIS?8TEPIEASUAE'�ROPONEIJT (INCLVDE715iR{Qfv'Vh59ERIFAPPLICABLc) YEAROFELECTIOH PARTY -' `1 `1 � Nonpartlzan A-. ��1�� 11V �� EMECJ'�-A C��V �OUrJGL ZO��o ❑ Nonpar�san Primarily formed to support or o�pose specific candielates or Eneasw�es in a single election. List below: CAR2JI�4icfS�OFFIiE SOLGH i OP,flELD 6ft MfkStiRE�SI)UR601QICN CANDI7C-5(SS NAM1IE OR fJ�EASVREISE F�AL�:Ttc ZItJCLVDE 3ALLOT N0,OB lE?':'P� �;rv{LUD'.DIS i RIC7 WO..CITY OR COUNTY.AS AGPLIC48LEI �;C+U�tE ' iL':%J�i C9?CSE ❑ SU?=CBi p�?q5= ❑ ❑ FPPC Form 410(Janf 2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov � � I� � �-I� i �Z ,;fatement of Organization ;;, . � DateShmp , � . , Recipient Committee ,- 4� � 0 (; • - StatementType �(Inftial `'"��r� „C�� ❑ Amen�f ❑ ,TerminaHon—SeePartS R CEIVEDAND�FIL� �� �����s_�y��o�ry � Not yel qualified �or List i.D.number Ay (��i�tjl�.number: III e otfice M the 9ecre B��ai V 6�� ' �` � �6 FiAR 31 ��" of the State d CaNfoTte � 201fi , - , � �—,— i�)�;��E"aSl��� MAR 21201B MAR 8 Dalequalifiedascommi�tee Datequa� ee � � Dateo/Terminatlon �y�'rYC��R�� pEp- � ���I�applloble� 1 �,�Gommittee.Infartl�a�Pn't����`�� �r�'` : �� ,:� :<. �y ,• . ,;i ...�r, �;2. T�J�y�; �p, � n (�`h p` n.. p q � f�.� NAME OF COMMITTEE . �4Y��S..iE�ll�.oML!!PS�y,R�A+{�PT.�:,.,YQ�CE�S��i+i�':��`���C�'���..:.^uA�r.'��3�`�'.iS NAMf �f TRFASUNEN ��AM (� ��1� �� IEMEcv�� CiZ� Co�ac,� 2n�b S�c3v � � /I�O���n �'�1�►'n STREfTRODRFS �NOPO.80%) STPFETAD�PESS�NOVO.90%� [����� �'�a� P�S�E �I�OOE����CODE/PNONE 3q��s Co��t,� R�� QoP� g"�m ecJ�a C� q2S4� �`5J aq�b/69'� CITY STAiE ZIGCOpE AqEACODE/YNONE ' �NAMfOFA5515TANTTRFFSUpEq,IF NY� t '/ �{MEC��A ('A �25q1 �15� 3z� 4L98 �o�GtJd4"c✓ �llrLflGf��P�/' MAIIINGAU0RE55�IF01FFERfNT� ' ST/P�F�EtA00RES51NOV0.90%I/� J � /�) U/� /°�I+�9V �/Y/ � �1 Of ��/ OE/VHONf Gh%/FMAIL AOOPE55 qiY f p��,t.n � 1s�Ac-�o�a�a�rs-�-ce � c:�rn �'-�m ecJl� G1� 92-54'd 9s/ aq6 /6�� COUNTYOFDOMICIL[ IURISp1410NWNEPE[OMMITTEEISFCTrvE NFME�FVRINCIPAIOFRCFR�S� / �2��EQS��e C�t�l oF 1 EMec��A ARfEiADDRES51NOP0.90%� ' ���TY StATE 21P[Opf AqEACOOE/PXONE Attach additional info�ma[ion on appropriately labeled conNnuation sheets. 3:T�en CdR10I1»'�7�tA.k`3�s'�dw�,� -r,a .� {�tiw::-ri���rs�b���.5e`*�T.id"t7�� .'9S^�P'+�5."�a_us.. �'r�t1- a -,. . �a' .'rn=n—�—+�:s=':cw��c,+r.�•cr,�at '�j�X I have used all reasonable diligence in preparing[his statement and to the best of my knowledge the informatlon contained herein is true and complete. I tertify under penalty of peryury under the laws of the State of California that the foregoing is true and correct. � Executedon /� �]l.�(jl�o��� �(D�/7 By �,A�, � 1 {� 51 NATUREOfiqEA511REROqP5515TPNTiPEA511qER Enecutedan 1`�N��M 1✓. ��� BY oar[ SIGNAiUPEOFt ROLIINGOfFlCENOLOfR,UN0IDATE,OqSTATFMEASIIpEVROPDNFNi EKem[ed on gy OATf SIGNRTORE OF CONTROIIING OFPCFHOIUEN,[�NDIOAiF,00.STRE MERSU0.E VROPONFNT . E�eemted on gy OAiE SIGNATURF Of CONTqOLLING OiqCEHOI�EP,CqND10AiF,Oq STRTE MEASORE PPOFONENT FPPC Form 410(Jan/2016) . FPPC Advice:advlce�,Dfppc.ca.gov(666/2753772) www.fppc.w.gov X Statement of Organization � � o • ' ReC:pieni Committee • • � � INiTRUCTIONS ON REVEFSE Vage t Ci:MM1M1It i°E�;4h1E v'_NUht?.P �' V�� C � FCII� 1���� l�if�ll. C1+��0 , . • All committees must Iist the Nnanoial institution where the campaign bank account Ic located. R4IdE OF fiN4M1GaL INSTITUitOG :.iEA COLE/:l10Ni B=NH=.CC6U�T t�1fA9FP A9�:i55 ❑T� STATE LPCJDE a,.;�TYPe;ofCommlttee'��Gompleet the pa piic8f11B�52ClOW�d'���ni�y���EttNa+ *t �"tttd.�7���„�f��,�i''�9ii—'��5����i'a7r�Lm�r�{% `��'uW�����:�#�a�����u: 5x«.z���"�i, �r7,'(�2't m111rllltl�lr W II�111�� • List the name of each controlling offiwholder,candidate,or state measure proponent. If candidate or officeholder concrolled,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 officehoider or candidate is affiliated or check"nonpartisan." • If this committee acts joindy with another controlled committee, list the name and identlfication number of the other mntrolled committee. EIfCDV'c OFFICE SOUGHT Oft HELO NFME JF C4HDi�ATE/OPFlCcHOLDER/STATE MEASUNE CROFGNENT QNCLU�E DIiTRICT NUM1IBER IF APPLICABLEj YE4R OF ElER10N PdRTY � Plonpartisan PDAM A- R��� C1T`i o� TEnn�c��� CiN Cov�c�� 20�1� � ❑ Nonpartlsan Primarily formed to support or oppose specific candidates or measures in a single election. List below: CFNDIJkT"ci5!PoaFI"c OR h1EASURE(i)f UCLTf7L'_�INQUDE 9AL!OT GO.OH iEl?E0.j CA�¢OILATEIS)OFFICE SGUGHT OR PECD aft MEdSURE(SI lUAISDICTION {INCLUDE DISTqiGT tJO.,QT''�R COVN iY,AS C4PlICaBLEj __��et3. ' SL'?FGc.i Goc-S� . S:i>.CS� n>�>i5� ❑ ❑ FPPC Form 410(1an/2016) FPPC Advice:advice@fppaca.gov(865/2753772) �. www.fppc.ca.gov