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Home My WebLink About2020-09-15 Form 410 - Nestandetatement of Organization S DPP � Committee :' CL-ERIK's o, is t� REST• GAStatement Type .:. ®.Inwal Ainendment - : 0 Termination ==See Rare 5 � .' ..se Lest 1 D. number. Ust'l.D. number. - Not yet:qualilied ❑ or 20� SEP 16 PM 12= 55. L7q #.. Date qualified as committee ' 'Date.qualified 'as committee, Date ofi'ermination :. .. .. .. .. .. .. .: :. .. .. .. (IfaPPkaDIe}:INNS �Recipient oilyu prdal - • ,P ... :NAME'OF COMMITTEE' : ... ..' .. NAME OF TREASURER ... .. .. (L% f'� �-- 1=`- � ..t� +" '�'• � "� ` F - Jj `��/� �^�y,� � , /per .. - STREET ADDRESS (NO BOX) .. .. .. :. P.O.. � AREA CODE/PHONE _ � f.. '- CITY ""� STATE ZIPCODE ". AREA CODE/PHONE ". " NAME OF ASSISTANT-TREASURER,AF ANY ' STREET ADDRESS (No P.O..Box) .", ... ... ... . FAX/E�MAiL.AODRE55 : . CITY. STA7£ ••: -7/nC.�. • � { rndg� ...... U� 21P CODE AREA CODEfPHONE ; .COUNTY-OFpWMICl/LE� .. JURRI/SSDICCTIOj,N,WHERE %COMMIrTTEEEE/IS'ACTN .. NAME O`FPPR�INCIPALOFFICERO) �� (� ,[ .'ltj%�((✓f . STREET ADDRESS O P.O..80x)- ... . .. .. .. ..... ... ^� ..' .. �� LI C.-. . .. .CITY. ..� .-STATE,ZtP Attach additional. information on appropriately labeled continuation sheets. - CODE: ."- AREACODE/PHO E' 1 have used.all reasonable diligence in.preparing this statement and.to the: best -of my knowledge the'information:contained:herein is•true,and complete...1 certify under . penalty of.perjvry under laws -of State of. California that the foregoin ' true::a Executed on , . . _DATE ... - MEASURE PROPONENT ..... .. ....... ....... .......' Executed on . 8 ; : _ .. . .. .. .. Y • • - .., DATE.. ... ... SIGNATURE OF CONTROLLING OFFICEHOLDER CANDIDATE, QR•57ATE MEASURE PROPONENT: ... , Executed on :gy SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR.STATE MEASURE PROPONENT .. :.... ..... ....... ......' .......' ....... ..... . .......' .... ...... FPPG Fortn=410.(!an/2016)' ... . FPPC=Advice:advice@ippcca.gov (866(275-3772} ... .. pc .. wt�Fwfp ca.gov... mom • • Not formed to support or oppose specific candidates ormeasures_in: a single, election. Check only one, box: _.._ . [C1fiX.CommitEee. El. COUNTY Committee ❑ STATE Committee . PROVIDE BRIEF DESCRIPTION OFACTPVI7Y - .. .. .. -- . . -- .... .. ., .. .. _- - .. .. . rVI • • �' �• I -List additional sponsors on an attachment.. . NAME OF SPONSOR .. - .. , . .. .. .. ..... ... .. .. .. . , .: , , -.INDUSTRY GROUP.OR AFFIl1A710N.OF:SPONSOR; ..:... ' ....' STREETADDRESS. :. NO,AND STREET CITY .. .. .. STATE ... -zip CODE'• .: .. .. ... .. .. . . .. .. :DatequaliRed.. .. .. . ' ++�ay.�ex. .t ,, cr-:... �;,.:.„-^•r... . •^,ae',:-...r--.c,�* �v," . �atiez:'.- `r.r-- '=..:.';`� '��::S.a,?f5;5, •.,. . .u"A^,'•'+,`? .a5 . s.:;Q 'ram . T'=�Q,:. :.E :.s.�'.. ",. s ,��::' - �"4^3a`E:*„ , �'3Zi*�':"`,' a; csF'"Fr • 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: :e'liminated. or has no intention or abilityto discharge all debts, loans received, and.other obligations; . • This.comrnittee has no.surpliis funds; and .. ... • This -committee has filed all campaign statements required by the Political Reform Act disclosing -ail 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.bailot measure committees maybe; 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.S. FPPC; Form 410 (13n/2016). .. ... ERPC Advice- ad VIC • " e@.fppc.ca.gov (866/275 3772) _... .... ....... wwwfppc. a.gov' :' ....... ...... ... .. ...... .... ...... 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: th. a year.of the election. " ' ' List the political parry 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 5000MT OR HELD :... .. ..... ...... NAME Of CANDIDATE/OFFICEHOLDER/STATE-MEASURE PROPONENT (INCLUDE MT- RICT NUMBER"1FAPPLICABLE)- . YEAR OF ELECTION : PARTY . L Nonpartisan . . . _ ❑ No artisan: npa Pnmarly fnrmecl to support or.oppo5e. specific candtd�fes or measures in a single election,, .1ist.below, , .. CANDIDATE(S) NAME OR MEASURE(S) FULL TITLE (INCLUDE BALLOT NO. OR LETTER) CANDIDATE(3)OFFICE SOUGHT OR, HELD OR MEASURE(S) JURISDICTION .(INCLUDE DISTRICT NO., CITY OR COUNTX.AS APPLICABLE) CHECK ONE ..... ....... ..... ....... ...... ...... ...... .. .. .. ... .. .. '.' ::� ...... ..... ...... ...... ....... .... - .... SUPPORT-" '�. `OPPOSE' ❑ ... .. .. .. .. .. .. .. .. .. .. .. :. .. .. .. .. .. suirwOPPOSE. iatennent of Organization Recipient Committee Statement Type ❑ Initial Not yet qualified ❑ or Date as committee 1. Committee NAME OF COMMITTEE 9 Amendment List I.D. number: �? 7 5q Date qualified as committee (If applicable) 9 E C E I p E i j Date Stamp f� AP-1 d''j C SJ I'; ry T paTerm �nation —See Part 5 REC VEDAND FILED fwrO"cialUse Only 1 D! nGmTie�: ot.1 (�: C 2 in the a ice of the Secretary of State o the State of California _I I SEP 22 2020 Date of Termination C-7 7 2 ( (IF DIFFERENT) FAX / E-MAIL ADDRESS DC U,pi Attach additional information on appropriately labeled continuation sheets. 2. Treasurer and Other Principal Officers NAME OF TREASURER STREET ADDRESS -! BDxe7 (�/!/-7 NAME OF ASSISTANT TREASURER, IF ANY STREET ADDRESS (NO P.O. BOX) CITY f STATE ZIP CODE AREA CODE/PHONE /vtd�_' NAME OF PRINCIPAL OFFICER(S) STREET ADDRESS W01P.O. BOX) 7-5- 0,�re-e-r CITY STATE ZIP CODE AREACODE/PHONE 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 foregoiq&js true Executed on 7 DATE SIG -NATURE l DATE � BY SIGNATURE OF CONTROLLING OFFICEHOLDER. CANDIDATE. OR STATE MEASURE PROPONENT Executed on By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT Executed on DATE By SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT FPPC Form 420 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/27S-3772) www.fppe.ca.gov Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE Page 2 COMMITTEE NAME I.D. NUMBER • All committees must list the financial institution where the campaign bank account is located. NAME OF FINANCIAL INSTITUTION AREA CODE/PHONE BANK ACCOUNT NUMBER UUoS Poo �Z37- �� 8 z-- ADDRESS CITY STATE ZIP CODE 3 9 LPL pSl 4e-o / ii 44i( PG-��'��7� CGS �� ? G 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" • If this committee acts jointly with another controlled committee, list the name and identification number of the other controlled committee. NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT ELECTIVE OFFICE SOUGHT OR HELD (INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PARTY Nonpartisan ❑ 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 BALLOT NO. OR LETTER) CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION (INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE) rucrr nuc SUPPORT OPPOSE SUPPORT 011 FPPC Form 410 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Statement of Organization CALIFORNIA 410 Recipient Committee FORM INSTRUCTIONS ON REVERSE Page 3 COMMITTEE NAME - (aW � � ��`�� G� I.D. NUMB n 7 (-I � ��f Ate, r 6 4. Type of Committee (Continued) General Purpose Committee Not formed to support or oppose specific candidates or measures in a single election. Check only one box: CITY Committee ❑ COUNTY Committee ❑ STATE Committee PROVIDE BRIEF DESCRIPTION OF ACTIVITY L90 • List additional sponsors on an attachment. NAME OF SPONSOR INDUSTRY GROUP OR AFFILIATION OF SPONSOR STREET ADDRESS NO. AND STREET CITY STATE ZIP CODE Date qualified 5. Termination Requirements By Signing the verificatioo,thetreasurer,assistant treasurer and/or candidate, officeholder, or proponent certify that all of the foilovingconditionshave been met: • 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: advice@Dfppc.ca.gov (866/275-3772) www.fppc.ca.gov