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HomeMy WebLinkAboutROBINSON 410 INITIAL 2/25/1620 \la AND FILED Secretary of State Of calhmia rtaY®� vv�s�,+� StaTnLoni c� OTI Attach additional information on appropriately labeled continuation sheets . true penalty of ppee�rjurrr), u=n�;d//erJJ�/ he laws of the t to fCa ania that a egoing is true and Corr OF Executed an � BY SIGNATURE OF COxTROLIREOFFNEEx¢VXER On CANDIDATE, DR STAFF DISTANTTUATEOR SU EM[uI¢tl On ° Ems. By OE0.<PN RLE MEPSUXE YPOVOxExi EI[¢CYEed on DATE By SIGXPIURF OECONTRO[LIH6 oifICFHOLRG, GXGIOFTEOP SIRE MFiSVXF VR°VOXf Ni Ex¢cutedon By DATE smnnrunE OF COxrnaumG OErmmomG .uxDlvnre. on smTEMwunE rnor.NENT FPPC Form 410 (Jan/2026) FPPC Advice: advice @fppe.ca.gov (866 /275 -3772) www.fPPc.o.gav Statement of Organization Recipient Committee In5TRUCTIONS ON REVERSE All cummlltees must lilt the financial Institution when the campaign bank account is located. NFME pF FINAROM W� 1 AcLn GO RAO-, N. q , / • 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. ELECTIVE OFFICE SOUGHT OR HELD NAME OFCAxDIDRTE(OFFICEHOLOEIVSTATE MEASURE PROPONENT UNCWDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PART Primarily formed to support or oppose specific Candidates or measures in a single election. list below: ____,__.____ ___.___.,__,_•.,,,, ..... „ ........ ..e_.- --- CANmDATE(S)OFFIa SOUGNTORNEL DORMEASURE(SUURISDICTION cx[cmxF NpnPartWn VYDRI 5 ❑ n❑ ❑ NonpsitSFPn Primarily formed to support or oppose specific Candidates or measures in a single election. list below: ____,__.____ ___.___.,__,_•.,,,, ..... „ ........ ..e_.- --- CANmDATE(S)OFFIa SOUGNTORNEL DORMEASURE(SUURISDICTION cx[cmxF VYDRI 5 ❑ n❑ "0 1 "M FPPC Farm 610 Van /2016) FPPC Advice: adv1CA @fpp,.a.,Bv (066/2]5 -3112) ,,,JpPC.a.gov Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE 1� Not formed to support or oppose specific candidates or measures in a single election. Check only one box: ❑ CITY CommRtee ❑ COUNTY Committee❑ STATE Committee 03lf1N71wYWW1Y� List additional sponsors on an attachment. orNa.+wva • 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 iJan /2016) FPPC Advice: advice @fppc.ca.gm, (866/275 -3772) www.fppc.Ca.gov