HomeMy WebLinkAboutMORSE 410 07/06
Statement of Organization
Recipient Committee
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Type or print in ink
Statement Type ~nitial
Not yet qualified 0 or
o Amendment
List 1.0. number:
#
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Date qualified as committee
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Date qualified as committee
(If applicable)
1. Committee Information
NAME OF COMMITTEE
FR#iST W1~~SL r- PI<-
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Un I I ~L" 'i Date Stamp
BY__.
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List 1.0. numW:1U !lUG 29 P/i Il08SUl28 PH I: 5
# t1Cl.:tIVED:_ AKERSFIElD CI f Y Cl.
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Date of Tflttfi~n
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STATEMENT OF ORGANIZATION
CALIFORNIA 41 0
FORM
For OIIicial Use Only
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2. Treasurer and Other Principal Officers
~URE' ~ Q
. PerU IOLA 'AN f() R.GF-
STREET ADDREss
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STREET ADDRESS (NO P.O. BOX)
CITY
opnONAl: FAX I E-MAIL ADDRESS
AREA CODElPHONE
COUNTY OF DOMICilE
COUNTY WHERE COMMITTEE IS ACTIVE IF DIFFERENT
THAN COUNTY OF DOMICilE
k- ~ "- A.I
MAILING ADDREss
CITY
STATE
AREACODEIPHONE
Attach additional information on appropriately labeled continuation sheets.
3. Verification
I have used all reasonable diligence in preparing this statement and to the
perjury under the laws of the State of California that the foregoing is true an
Executed on 07 / z, 7 Z 114 r By
DATE
Executed on " 7 / L 4> /2.. 1161 ~ By
I1ATE
Executed on
By
SIGNATURE OF CONTROLLING OFFICEHOlDER. CANDIDATE. OR STATE MEASURE PROPONENT
DATE
Executed on
By
DATE
ZIP CODE
=
I certify under penaltY of
SIGNATURE OF CONTROLLING OFFICEHOlDER. CANDIDATE. OR STATE MEASURE PROPONENT
FPPC Fonn 410 (JanuarylO5)
FPPC ToIl-Free Helpline: ~66fASK-FPPC (8661275-3772)
Statement of Organization
Recipient Committee
STATEMENT OF ORGANIZATION
INSTRUCTIONS ON REVERsE
CAliFORNIA 41 0
f'Of.<r:
COMMITTEE NAME
€".LNer'M I~
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I.D. NUMBER
4. Type of Committee. Complete the 8A?'icable sections.
C,){1(lul/",! CUII/III/UI"
· Ust 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.
· Ust the political party with which each officeholder or candidate is affiliated or check .non-partisan."
· If this committee acts jointly with another controlled committee, list the name and identification number of the other controlled committee.
NAME OF CANOIDATElOFFICEHOlDERlSTATE MEASURE PROPONENT
ELECTIVE OFFICE SOUGHT OR HELD
(INCLUDE DISTRICT NUMBER IF APPLICABLE)
YEAR OF elECTION
PARTY
E Je.^'ES I JI. /1'1 ~~~r it: I r~ C ~~C/~ fA,A~'P J Z. OO~ p\ Non-Partisan
o Non-Partisan
..
· Ust the financial institution where the campaign bank account is located (controlled .candidate election" committees only)
NAME OF FINANGIAlINSTITUTION
.. ..
. .
AREA COOEIPHONE
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P'/"'-I"l'll, F( or 'TlI I ('( Irrlo"tt~.
Primarily formed to support or oppose specific candidates or measures in a single election. list below:
CANOIDATE(S) NAME OR MEASURE(S) FUll TiTlE (INClUDE BAllOT NO. OR lETTER)
CANDIDATE(S) OFFICE SOUGHT OR HELD ORMEASURE(S) JURISDICTION
(INClUDE DISTRICT NO., CITY OR COUNTY, AS ~lICABLE)
CHECK ONE
. .
SUPPORT OPPOSE
SUPPORT OPPOIE
FPPC Form 410 (J....8ryI05) /
FPPC ToII-F.... Helpline: 861/ASK-FPPC (8HI275-3772)