HomeMy WebLinkAboutMARTINEZ 410 TERM 07/30/16,i&tatement of Organization
Recipient Committee
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Statement Type [] Initial [I Amendment ❑ Termination — See Part5 For oficlal use only
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Attach additional information on appropriately labeled continuation sheets.
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NAME OF PRINCIPAL GFFICER M
I have used all reasonable diligence in preparing this statement and to the hest 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 foregoing ue correct.
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DATE SIGNATURE OF CONTROLLING PCOENDLDER. CANDIDATE, OF ELATE M EnzuxE 11.1NAE1T
Executed on By
PC 5IGNATUT OF CONTROLLING GFFICExomee CANDIDATE , ox EFATE MEASURE V ROVONENT Fpp[FOrm 430 (lan /2016)
FPVC Advice: advice @fppc.ca.gov (966/275 -3773)
www.fppc.cil
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
MMiRFF NAME
All committees must list the financial Institution where the campaign bank aaount 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 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 CANDI GATE /OFFICEHOLDER /STATE MEASURE PROPONENT so MT OR HELD
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Nonpartsan
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❑ Nonpartsan
Mai Primarily farmed to support or oppose specific candidates or measures in a single election. List below:
CANDIDATEISI NAME OR MEASUREISI FULLTITLE (INCLUDE BALLOT NO. OR LETTER) CANDIDATE(S)OFFICE SOUGHTOR HELD OR MEASUBUS) JURISDICTION
FPPC Form 010 (Jan /2016(
FPPC Advice: adWi @fppc.ca.gov(866 /2]5 -37]2(
www.fppc.ra.gov
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FPPC Form 010 (Jan /2016(
FPPC Advice: adWi @fppc.ca.gov(866 /2]5 -37]2(
www.fppc.ra.gov
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Statement of Organization 77�1
• Recipient Committee • _ INSTRUCTIONS nN REVERSE
[ MI}iEE NAME
Pog 3 IIMBFP -fon acki r r D1385
4. Type of Committee iC.nanDeal
Not formed to support or oppose specific candidates or measures in a single election. Check only one box:
❑ CITY Committee [:COUNTY Committee ❑ STATE Committee
PPOVInE BMEf DESCPiPTI ON C. ALI Ri V
List additional sponsors on an attachment.
NnmE OE SPONSOR
NOb'ETPV GPDIIP OR AFFILIATION OF SPONSOR
STREET ADDRESS NO AND STREET CITY
STATE LIP CODE
wrew.S.
5. Termination Requirements By signing the vedficavon, the treasurer, aasktant treasurer and /or Candidate, officeholder, or Proponent mrtfy that all of the following Conditions 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 (Jan /2016(
FPPC Advice: advice0fppc.ca.gov (866/275 -3772(
www.fppc.ca.eav