HomeMy WebLinkAboutOLIVER 410 INITIAL 06/05/18e Statement of Organization
Recipient Commigee
Statement Type II ❑ Amendment
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Attach additional information on appropriately labeled continuation sheets.
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CIT. STATE PIPGDDE REG DEE/11ONI
NAME OF PRINCIPAL OEEICERISi
By SIGNATURE or cox.xoulrvG OEElccxoiLeR.uxLILATeare s*ATL MEazuRE vreovourx.
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LATE SIGNATURE DE CONTROLLING OFEICExOLDEe.CANDIDATE. OR STATE MEASLMI P ROPON ENT
FPPC Form 910 (February/2018)
FPPC Advice: advice@fppc.ca.gov (866/275d772)
www.fppc.ca.gnv
Statement of Organization
Recipient Committee
I NSTRNRIn N50N REVERSE 'JN
ied to support or oppose specific candidates or measures in a si��l€ election. Check only one box:
Committee [I COUNTY Committee El Committee lltical Party/Central Committee
PROVIDE BRIErecla\ION OFAI71PVIO,,
List additional 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 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.
Clear Page PrintFPPCForm 410)February/2018)
FPPC Advice: advic
e@fppc.cagov (866/275-3772)
www.fppeca.gyv
statement of Organization
Recipient Committee
INSTROCEIONS ON REVERSE
All Committees must list the financial institution where the Campaign bank account Is located.
NAME OF NNANCIALIESTITINTION
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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 parry with which each officeholder or candidate is aNiliated or check "nonpartisan." Stab ng"No party preference" is acceptable.
• If this committee acts jointly with another Controlled committee, list the name and identification number of the other Controlled committee.
ELECTIVE OFFICE SO LEFT OR HELD V'An OF PARTY
.uuc tic �numnme,n¢vcunl nonIRTAX ARAIL111 111.1PINEOT )INCLUDE DISTRICT NUMBER IF APPLICABLE) ELECTION
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Primarily formed to support a oppose specific candidates or measures in a single alection. List be low:
CAN DIOATE(S) NAME OR M EASU REN FU LL TITLE INCLU OF BALLOT NO, OR LETTER) CANDIDATES) O PRICE SOU GIFT OR HE LD OR M EASUREISI I TRIED )LOTION
IF A RECALL, STATE"REIALL" IN FRONT OF TIF E OFFICEHOLDE R'S NAME (INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE)
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FPPC Form 410 (February/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
0 www.fPPc.ca.gOV
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