HomeMy WebLinkAboutMARTINEZ 410 INITIAL 05/04/16..Statement of liganization
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Attach additional information on appropriately labeled continuation sheets.
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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 Calif ornI a foregoing is true and c .t.
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FPPC Farm 410 pec /2012)
FPPC Advice: advire@fppc.ca.gov (866 /275 -3772)
www.fppc.ca.gov
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Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
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All committees must list the financial institution where the campaign bank account is located.
FINANCIAL INSTITUTION
.oDRZSS r ' CITY .
—"
IF 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 If this committee acts jointly with another controlled committee, list the name and identification number of the other controlled committee.
ELECTIVE OrRCE SOUGHT OR HELD
NAME OF XDIDATE/ OFFICEHOLDER /STATE MEASURE PROPONENT )INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PARTY
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❑ Nonpartisan
Primarily formed to support or oppose specific candidates or measures in a single election. List below:
CANDIDPTE(S) NAME OR MEASURES) FULL TITLE (INCLUDE BALLOT NO, OR LETTER) CANOIDAT1 S) OFFICE SOUGH III HELD O R NEASURE1S1JURISDICTION
TY AS APPLICABLE) FF
FPPC Form 410 (Jan /2016)
FPPC Advice: advice@fppc.ca.gov (866/2]5 -3)72)
www.fPPc.ca.goV
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FPPC Form 410 (Jan /2016)
FPPC Advice: advice@fppc.ca.gov (866/2]5 -3)72)
www.fPPc.ca.goV
Statement of e!gdnization
Recipient Committee
asniuRIONS ON REVERSE page i
Not formed to support or oppose specific candidates or measures in a single election. Check only one box:
Oiff CITY Committee ❑ COUNTY Committee ❑ STATE Committee
i/+71f1'l1i�i1YYY11ii� List addid.n.1 sponsors on an attachment.
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• 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 an 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 (Dec /2012)
FPPC Advice: advice @fPP1...g.v 1666 /215 -32721
www.fppc.ca.gov