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HomeMy WebLinkAbout2016 Statement of Organization Date Slamn CALIFORNIA Recipient Committee 0L1r � L ,t.. FORM statement Type R ce.I For Official Use Only El Amendment Termination Parts �!E 6 List I.D.number: List I.D.number: r, "s AND Not yet qualified ❑ or �M) µ�G�, I r•ilt it T�-^�� .r��A7 VY.d � QQ uI o in he office of the 5ecrelary of State ` U Qi2O1�j of the State of ra forma ULJ i I I eraw�s�i AUG 10 2015 Date qualified as committee Date qualified as committee Date of Termination y� )I(aVVliuLle) 1.. Cornmittee"slnformatton .! 3 3.:Ys.J 1 V; P��1I i, "..�1 5- r _ . ` 2TreasurerandtOtheraPrmcl at GAME OF COMM IT TEE 20/ k NAME OF TREASURER Mfcdtae/ sq. niccfegcKel,r , E�-Lwcuov rrrYcv"W,160111� ✓YIR DAMES mO(Acc STREET ADDRESS(NO PO.BOX) STREET ADDRESS(NO PO.BOX) L1301A C,,o2TE 01lvlL✓a 3A7Go SKY CAjL014 Oft or CITY STATE ZII CODE AREA CODE/PHONE CITY STATE ZIPCOOE AREA CODE/PHONE 7i-)T'ECU n e_/- R.�sga (Qs) 31:e-S�-31 MufCIE7-li Cal V 5-63 (I251 IT"10 MAILING ADDRESS(IF DIFFERENT) NAME OF ASSI5TANT TREASURER,IF ANY -54/PE A -4 Ago✓E FAX/E-MAIL ADDRESS STREET ADDRESS INO PO.BOXI rnI cAeti iocc c ett fAn�/ COUNTY OF DOMICILE WRISDICTION WHERE COMMITTEE 15 ACTIVE CITY - STATE ZIPCODE AREA CODE/PHONE R S!DE CACAI(T"'l NAME OF PRINCIPAL OFFICEUS) STREET ADDRESS(NO PO.BOX) Attach additional information on appropriately labeled continuation sheets. `/ CITY ,1SITTATFEE �pZ IIIVP CODE AREA CO DE/ PHONE 3 3 VerI11�aL1�n :L 11T37 It i: 4 sLkiMr�•"Jpv) 1YCP uh��a xl .rnA..TYI By Tf p) t fF.AUt"A.1 1GA'PT IA� . A . f f.ti' Y1l P.N�I 1 { Z }jl .4 R T 1 �A M'a "'•'yX v 7 � X A'� T� -.iF4 IP�fi Y� � H � _ #n..A,.: _:m. xu 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 foregoing is true and correct. Executed on �UI'� 3 t z l 5 By 1.1 �� '�T'o'("F �DATE ,�,Es�f �7 �A/� �p yF� /� /SSIIGNATURE OF TREASURER OR ASSISTANT TREASURER Executed on JUG 7�/ZDI S By 111A �I T/� A W L— OAiE SIGNATURE OF CONTROLLING OFFICEDOLOER,CANDIDATE,OR STATE MEASURE PROPONENT Executed on 8y DATE SIGNAL LIRE OF CUNT ROLL ING OFFICEHOLDER,CANDIDATE,OR SIAIE MEASURE PROPONENT Executed on By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER,CANDIDATE,OR STATE MEASURE PROPONENT FPPC Form 410(Dec/2012) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov ^I 1 Statement of Organization CALIFORNIAt Recipient Committee • - INSTRUCTIONS ON REVERSE Page 2 COMMITTEE NAME I.D.NUMBER mi �l mCc21glKiI v OCCOCITY cdu o c i 3 77? D • All committees must list the financial institution where the campaign bank account is located. NAME OF FINANCIAL INSTITUTION 6R5 A CODE/PHONE BANK ACCOUNT NUMBER wfbcS GRf- �o l� 1�- 5� p a g � 7 � 3 3 ;� 3 7 ADDRESS CITY STATE ZIP CODE � 7G3o yrlEZRn lt-lnc<ucA Z-A 9tp, s q � IKUITR of,`Committee Complete the`appllcable sechonsx4 $ sh 'a '� e. ' "� k t� � Aa >asaa-,'... :m�au�csr.,..saa,,...-s::: a:.z,..vaa...xarr��erc- .vurr5•x.az•a.awxa+rrra "a`i$ct�.r3'�. Y4 Rt 3.ft� a � �i a:.,. �`'.RY�.���d 4» • 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 onpa rtisan ❑ Nonpartisan 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 BALLOTNO.OR LETTER) CANDIDATE(S)OFFICESOUGHTOR HELDOR MEASURE(S)JURISDICTION (INCLUDE DISTRICT NO.,CITY OR COUNTY,AS APPLICABLE) CHECK ONE SUPPORT OPPOSE ❑ ❑ SUPPORT OPPOSE FPPC Form 410(Dec/2012) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov 15 JUN -? AN H : 28 RECEiY,ED AN F%E in the o}fire p(.tj e Seorl�l�t $I � b1.lh�e'6lalea!tGe.+fmtru25J'1t. � JUN 012015 Statement of Organization oaLsamD70q7 Recipient CommitteeStatementType ®Initial ❑ Amendment ❑ Termination-SeeParts Notysiquelfied is or List I.D.number: List I.D.number: N g Date qualified as committee Dee qualified as committee Date o/TerminaXon III.I.L,.IG) COMMITTEENAME OF TREASURER tOthe�Princfpal'Offi ei-sue ± "..`a '-- MichaelR. McCracken,Temecula City Council 2016 Michael R. McCracken STREET,O..is INOe.O.Hon STREET noocEiSI.I.I .eoxl 43012 Corte Davila 43012 Corte Davila CITY STATE III AREA CODEIPHONE OTY STATE nICOOE ,REACODE/PHONE Temecula CA 92592 (951)302-8532 Temecula CA 92592 (951) 302-8532 JMAILING ADDRESS CIE OFFIT NTI NAME OE ASSISTANT TREASURER.IF ANY Same as above N/A \ A"EMAIL ADDRESS STREET ADDRESS(NO E.D SOFT michael.mccracken@citycouncil.org N/A COUNTY or DOMICILE uRlsmalONwxERE cgnmomEn Aaln CITY STATE "I coot AREA ED.11 NE Riverside Riverside County N/A NAME D.IRINEII,L OErICERIn N/A ADDRESS 1 1 Attach additional information on appropriately labeled continuation sheets. STREET INC P.D.eon N/A CITY STAN Ce CDOE ,RE,CODE/PHONE N/A F-Verification I have used all reasons hle 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 lifornia th t the regoing is true and correct. Executed on (J/S evAA SURE""""' TRt,:DRtR Executed On rn� Hof S' sy �i- SmnATOREorc INDonICEN......1NxDAYr...IATEMEMuet MoraNENT Executed on ey OAT, SIGNATURE OF CONTROLLING OFFICEHOLDER.CANDIDATE.OR STATE MEASURE PROPONENT Executed on By DATE SIGNATURE OFCONTROLUNG OFFICEHOLDER,CANDIDATE.OR STATE MEASURE PROPONENT FPPC Form 410(Dec/2012) FPPC Advice:advice@fppc.ca.gov(866/225-3T22) svww.fppc.ca.gov Statement of Organization - Recipient Committee - INSTRUCTIONS ON REVERSE Poae E COMMITTEE NAME MOEP Michael R. McCracken, Temecula City Council 2016 • All committees must list the financial institution where the campaign bank account is located. NAME OF FINANCIAL NSTITUTION AREA 101E11100E xYL«ovxl xumeLF ADDnEMM CITY MATE zl1 mOF ff,%T,ype o tCo mittee eompfete tthe:ap'licati ef"�sernon"sti LkKF - � ,y • List the name of each contra Iling 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 SON GNT OR HELD NAME OF CAN DI DATF/OFP ICE NO LDER/STATE M EASURE PROPO HE NT IINCLU DE D ISTRICT NU MR ER IF APPLICABLE) YEAR OF ELECTION PARTY ®Nonpartsan Michael R. McCracken Temecula City Council 2016 ❑Nonpartisan Primarily formed to support or oppose specific candidates or measures in a single election. List below: CANDIDATE(S)NAME OR MEA5URE(S)FULL TITLE IINCLUDE BALLOT No,OR LETTER) CANDIDATEIS)OFFICE SOUGHT ORHELDOR MEASURED)JURISDICTION (INCLUDE DISTRICT NO.,CITY OR COUNTYAS APPLICABLE) [xEcr OxF 'Un O❑ MVvancT OVnnSF FPPC Form 410(Dec/2012) FPPC Advice:advice@fppc.aa.gov(866/275-3172) www.fppc.ca.gov