HomeMy WebLinkAboutCARTER 410 AMEND 3/28/16Statement of Organization
1 er ..ent Committee
Statement Type D initial
Amendment ❑ Termination -See Parts
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Attach additional information on appropriately labeled continuation sheets. OILY STATE ZIP CODE AREA CODE/PIIONE
I have used all reasonable diligence in preparing this statement and to the best of in knowledge the information contained herein is, rue and complete. I certify under
penalty of perjury under the laws of the State of /Cali 74a -e f re g is h d correct.
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GATE '--J OF CONTEO LLING OFFICEHOLDER, TNDIDATE, DR STATE MEASURE PROPON ENT
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DATE IFOUU URE OP CONTROLLING) FBRXDLDER, CANDIDATEOR STATE MEAS DR EPRDPONENT
FISK Form 410 (Jan /2016)
FPPC Advice: advice@fPPC.o.gov (866/2154112)
www.fppC.ra.gov
Statement of Organization
as ROcipient Committee
INSTRUCTIONS ON REVERSE
• All committees must list the financial institution where the campaign bank account is located.
NAME OF FEANCIAL INSTUIION
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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 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 /DFFICEHOLDER /SWE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF HELD
IIN< ELECDISTRICT NUMBERT APPLICABLEI YEAR OF ELECTION PARiY
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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) CANOIUATEiS10FFICE SOUGHT OR H OLD OR MEASUREISI JURISDICTION
(INCLUDE DISTRICT NO.. CITY OR COUNTY AS APPLICABLE)
FPPC Form 410 ()an /2016(
FPPC Advice: advica@fppc.ca.gw (1166/215-3772)
www.fppc.ca.gov
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FPPC Form 410 ()an /2016(
FPPC Advice: advica@fppc.ca.gw (1166/215-3772)
www.fppc.ca.gov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
Not formed to support or oppose specific candidates or measures in a single election. Check only one box:
QTY Committee ❑ COUNTY Committee ❑ STATE Committee
List additional sponsors on an attachment.
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fj€S IiYt die. dl`i'ra4�p;$ icgslyieo .. SrnanNeraulfilk Officeholder, 'apraPoilk+lc Frervtnatallottn MIERVing mlvirldi have 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 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 18521.5.
FPPC Form 410(1an/2016)
FPPC Advice: advice@fppc.o.g n, (866/215 -3112)
www.fppc...gov