HomeMy WebLinkAboutRUSSO FORM 410 TERM
STATEMENT OF ORGANIZATION
Statement of Organization
Recipient Committee
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Statement Type
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Date of Tennination
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Date qualified as committee
(If applicable)
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Date qualified as committee
2. Treasurer and Other Principal Officers
Committee Information
NAME OF COMMITTEE
1
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NAME OF TREASURER
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STREET
12.ø65/U' Qu>.rO
cÞfYtm.t~6" Tö E;(£"CÎ
STREET ADDRESS (NO PO. BOX)
AREA
STREET ADDRESS
AREA CODE/PHONE
ZIP CODE
IF APPLICABLE
STATE
NAME AND POSITION OF OTHER PRINCIFAl OFFICER(S)
CITY
COUNTY WHERE COMMITTEE IS ACTIVE IF DIFFERENT
THAN COUNTY OF DOMICilE
E-MAIL ADDRESS
COUNTY OF DOMICilE
OPTIONAl: fAX
MAILING ADDRESS
AREA CODE/PHONE
ZIP CODE
STATE
CITY
certify under penalty of
owledge the information contained herein is true and complete.
~
SIGNPlURE OF TREASURER OR ASSISTANT TREASURER
Attach additional information on appropriately labeled continuation sheets.
Verification
I have used all reasonable diligence in preparing this statement and to the best of
pe~ury under the laws of the State of California that the foregoing is true and corr.
3.
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Executed on
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If
Executed on
PROPONENT
FPPC Form 410 (Jan/03)
FPPC Tnll.FrAA HAlnlinA~ 86ß/ASK.FPPC
CANDlDJIlE. OR STATE MEASURE
SIGN lfURE OF CONTROLLING OFFICEHOLDER, CANOIDJIlE, OR STATE MEASURE PROPONENT
SIGNAJURE OF CONTROLLING OFFICEHOLDER,
Elf
Elf
DATE
DATE
DATE
Executed on
Executed on
Statement of Organization
Recipient Committee
-¡(.
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INSTRUCTIONS ON REVERSE
COMMITTEE NAME
CøM.MCCíE 10 6œO 1(0 (!,e-êì ~SSÓ
4. Type of Committee Complete the applicable sections.
list the elective office sought or held, and
candidate or officeholder controlled, also
If
List the name of each controlling officeholder, candidate, or state measure proponent
district number, if any, and the year of the election.
List the political
·
candidate is affiliated or check "non~partisan.
jointly with another controlled committee, list the name and identification number
party with which each officeholder or
fthis committee acts
·
·
of the other controlled committee.
YEAR OF elECTION PAR TY
+ -
on-Partisan
o Non-Partisan
ELECTIVE OFFICE SOUGHT OR HELD
(INCLUDE DISTRICT NUMBER IF APPLICABLE)
"IDe.
M
OF CANDIDArE/OFFICEHOLDERISTATE MEASURE PROPONENT
u.çs ö
Dd.6¿T
NAME
the financial institution where the campaign bank account is located (controlled "candidate election" committees only)
BANK ACCOUNT NUMBER
)..-- - ()
AREA
INSTITUTION
List
.
!
Primarily formed to support or oppose specific candidates or measures in a single electi
{IN{jLUUt: UISTRICT NO., CITY OR COUNTY, AS APPLICABLE) CHECK ONE
SUPPORT OPPOSE
SUPPORT OPPOSE
FPPC Form 410 (Jan/03)
FPPC Toll-Free Helpline: 866IASK-FPPC
NAME OR MEASURE(S)
CANDIDATE(S)