HomeMy WebLinkAboutSULLIVAN SEMIANN16(1) AMENDRecipient Committee
Campaign Statement
Cover Page
SEE INSTRUCTIONS ON REVERSE
Statement covers period
from .11 /To 1I?
through 6 3o I
1. Type of Recipient Committee: NlOammat.e. - Complete Pam 1, 2,3, and 4.
❑ Offlceholder, Candidate Controlled Committee
0 State Candidate Election Committee
0 RcI
IMOrvrpswl,'R
❑ Genial Purpose Committee
0 Sponsored
0 Small Contributor Committee
0 Political Party/Central Committee
3. Committee Information
❑ Primarily Formed Ballot Measure
Committee
0 Controlled
0 Sponsored
Wm COmAM PM 6)
❑ Primarily Formed Candidate/
Officeholder Committee
Wm CPPA RP.dp
7O,C',tr'e S'WiMo,- -C'r C;ty
STREET ADDRESS (NO P.O. BOX)
MAILINGADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
CITY STATE DECODE AREACODE?HONE
OPTIONAL: FAA I E-MAILAUDRESS
Date of election If applicable:
(Month, Day. Year) 16 1
iii K;
Date Stamp a . I
• a.
Page of
P 20 PN 2: 02 ForOmnialUseOnly
":. - 61 I Y L,(.IaiH
rype of Statement:
❑ reelection Statement El Ouaderiy Statement
C7 Semi - annual Statement ❑ Special Odd-Year Report
❑ Termination Statement
(Al.. file a Form 410 Temenalmn)
® ♦Am�endment(Explain below)
A)2W Tfe 0.Surer
Treasurer(s)
NAME OF TREASURER
Litda/I ac> I�odLZp
MAILING ADDRESS
NAME OF ASSISTANT TREASURER, IF ANY
CITY STATE ZIPCODE AREACODEIPHONE
OPTIONAL TAX IE-MAIL ADDRESS
4. Verification
have used all reasonable diligence in preparing and reviewing this statement and to the est of kn0 ledge the in�iml lion co road he ein anti in the attached schedules is true and complete. I
certify under penalty of perjury under the laws of the State of California that the foreg Ing rid act. IIV, NR 9/2 d4 /6
Executed on . wre BY slgrewrew a vA, :tzm trees
Exewled On _r Dare ey sly eowommu onranola.r. canaena.sma aea�m vraponam mReaPOnnlaa om=..el spansw
EmUrted on Date Ry $lynemre acenuallny oR enaaec ceeaame. score vacs— Propmanl
Executed on Dale By Signature of CwWh,P =.Y,e.' cendga. Slate Meeeme Pmyrent
FPPC Form 460 (Jan /2016)
FPPC Advice: advice @fppaca.8ov (8661275 -3272)
www.fppc.rz.80v