HomeMy WebLinkAboutMERRILL 410 AMEND 3/7/16Statement of Organization
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CLERK MAR 08 2016
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aTR SMI ATURE OF CONAOLLINO OFFICEHOLDER, MNDIDAT[, OR STATE MEASURE PROMINEM
FIRPC 111450 pan/7036)
FPPC AdvIN: advkeeflape.O.BmT 186SMSd7731
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Statement of Organization
If Recipient Committee
INSTRUCTIONS ON REVERSE
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• AllcommMan must list the Amadal Institution where the campaign bank account is located.
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• 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 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.
NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT ELECTIVE OFFICE SOUGHT OR HELD
UNCJUDE DISTRICT NUMBER IF APPLICABLO YEAR OF ELECTION PARTY
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❑ Nonparnlan
Primarily formed to support or oppose specific candidates or measures in a single election. List below:
CANDMATEISI NAME OR MILL IBI FULL TITLE (INCLUDE BALLOT NO. OR LETTER) CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION
PPP[ Farm 420 (Ian/2016)
FPPC Advice: adwcWppc.ca.gov (866/2753'/2)
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FPPC Advice: adwcWppc.ca.gov (866/2753'/2)
www.fPPC.cEI
Statement of Organization
Recipient Committee
INSTRUCTIONS ON RWERSE
FEMME BRIEF DOON"ON OF EV-nI
Not formed to support or oppose specific candidates or measures in a single election. Check only one box:
❑CITYCommHtee []COUNTY Committee [3 STATE Committee
List additional sponsors on an attachment.
o'Vr is 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 Pon/2016)
FBEK Advice: advlm@fppc.o401v (666/275-3772)
www.fp" -8ov