HomeMy WebLinkAboutTATUM 410 09/08/2020I i i "I A •7 lr9 ; !
Statement of Organization U I
Date Stamp CALIFORNIA
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Recipient Committee
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NAME OF COMMITTEE/ �iC
NAME OF TREASURER
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STREET ADDRESS (NO P.O. BOX)
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STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODEAREA
CODE/PHONE
CITY STATE ZIP CODE AREA CODE/PHONE
NAME OF ASSISTANT TREASURER, IF ANY
FULL MAILING ADDRESS (IF DIFFERENT)
STREET ADDRESS (NO P.O. BOX)
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E-MAIL ADDRESS(REQUIRED)/FAX(OPTIONAL)
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CITY STATE ZIP CODE
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AREA CODE/PHONE
COUNTY OF DOMICILE
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JURISDICTION WHERE COMMITTEE IS ACTIVE
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NAME OF PRINCIPAL OFFICER(S)
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STREET
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Attach additional information on appropriately labeled continuation sheets.
CITY STATE ZIP CODE
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I nave uses aN reasonaDle an)gence in preparing tnls statement ano to the nest or my Icnowleuge Lne 1FIIUr11IduLJn cunLdlnea nereln Is Lrue dnu L UIlIP MU. I L:er my unuer
penalty of perjury. under the lawsofthe State of Cali nia t the foregoing is true and correct.
Executed on _ d D o2D By
� DATE / SIGNATUREOF SURER EARASSISTANTTREASURER
Executed on / r i f 2_D 2.O By
DATE S GNATURE OF CONTROLLING OFFICEHOLDER, ANDIDATE OR STATE MEASURE PROPONENT
Executed on By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
Executed on By ,-
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 410 (August/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
COMMITTEE NAME
• All committees must list the financial institution where the campaign bank account is located.
Page 2
I.D. NUMBER
NAME OF FINANCIAL INSTITUTION AREA CODE/PHONE BANK ACCOUNT NUMBER
V� #� S #'�� ��`e�%� uhi Z5 ..�'
ADDRESS CITY STATE ZIP CODE
• 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." Stating "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 SOUGHT OR HELD YEAR OF PARTY
NAME OFC NDIDAT /OFFICEHOLDER/STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) ELECTION CHECK ONE
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SUPPORT
Nonpartisan
Partisan
(list political party below)
SUPPORT
OPPOSE
Nonpartisan
Partisan
(list political party below)
PrimarilyPrimarily formed to support or oppose specific candidates or measures in a single election. List below:
NDI NAME OR MEASURE(S) FULL TITLE (INCLUDE BALLOT NO. OR LETTER) CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S)'JURISDICTION
IF A RECALL, STATE "RECALL" IN FRONT OF THE OFFICEHOLDER'S NAME. (INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE) CHECK ONE
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SUPPORT
OPPOSE
'
SUPPORT
OPPOSE
FPPC Form 410 (August/2018)
FPPC Advice: adviceCcDfPPc.ca.eov1(866/275-3772)
www.fppc.ca.gov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
COMMITTEE NAME
-ter oliS f�iGf -Z
'Y`7 C �unG �- Zv SCJ
Page 3 . '
I.D. NUMBER
General Purpose Committee Not formed to support or oppose specific candidates or measures in a single election. Check only one box:
CITY Committee ❑ COUNTY Committee ❑ STATE Committee
PROVIDE BRIEF DESCRIPTION OF ACTIVITY
-,2-026
NAME OF SPONSOR
List additional sponsors on an attachment.
All )9
INDUSTRY GROUP OR AFFILIATION OF SPONSOR
STREET ADDRESS NO. AND STREETN / ^ CITY STATE ZIP CODE AREA CODE/PHONE
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Small Contributor Committee El
. Date auallfied
• 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 may be -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 (August/2018)
FPPC Advice: advice@fppc.ca.Rov; (866/275-3772)
www.fppc.ca.gov