HomeMy WebLinkAboutSULLIVAN 410 AMEND 07/31/02 i -;;4@•
Statement of Organization
Recipient Committee
Statement Type ❑Initial
Not yet qualified or
—JJ
Date qualified as committee
1. Committee Information
Type or pant M ink
Amendment
Isl 1.D.nnumber.e
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Date qualified as committee
(11 W"W-)
STATEMENT OF ORGANIZATION
Termination-See Part 5
LiStI.D.number. 0 JUL 31 Pit 4: 58
It
J—J
Date of Termination
NAMEGFCOMMITTEE J/1
JC( 1 1 f sl.t u vro,
23
STATE ZIP CODE
AREA CODEIPHONE
BAKI[RSFIEL.D CITY CLERK
2. Treasurer and Other Principal Officers
NAME OF TREASURER
STREET ADDRESS)
4I coo -r;TLxK L, A :� 21 o
CITY -
STREET ADDRESS
CITY STATE ZIP CODE AREACODEIPHONE
NAME AND POSITION OF OTHER PRINCIPAL OFFICER(S),IF APPLICABLE
COUNTYOF DOMICILE COUNTY WHERE COMMITTEE IS ACTNE IF DIFFERENT
THAN COUNTY OF DOMICILE
MAILING ADDRESS
Attach alditional information on appropriately labeled continuation sheets.
3. Verification
1 have used all reasonable diligence in preparing this statement and to the best of
perjury under the laws of the State of California that the foregoing is tn�
ExecuWon 71q 9,:� — By
DATE
Exec„tedd„ 7/5/ Ord
DATE
CITY STATE ZIP CODE AREACODEPHONE
the Information contained herein is true and complete. I certify under penalty of
EXecutedon - -
DATE 841 SIGNATURE OF CONTROLLWG OFFR:E/IOIDER,CANDIDATE,OR STALE MEASURE PROPOfEW
Exea,fedon BY
DATE SIGNATURE OF COWROWNG OFFICEHOLDER CANDIDATE.OR STATE MEASURE PROPONENT
FPPC Form 410(Jan/01)
FPPC Toll-Free Helpline:SWASKFPPC
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Statement of Organization
Recipient Committee
INSTRUC71ONS ON REVERSE
3
4.Type of Committee complete the
Cmreolled Committee
• Lisl 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
distict number, 9 any, and the year of the election.
• List the political patty with which each officehotder or candidate is aff hated or check"non-parlisan"
• If the committee acts jointly with another controlled committee, list the name and identification number of the other controlled committee.
ELECTIVE OFFICE SOUGHT OR HELD
NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PARTY
• List he financial institution where the campaign bank account Is located(controlled"candidate election'committees only)
STATE ZIP CODE
-. .
Primarily formed to support or oppose specific candidates or measures in asirgle election. Listbelow:
CANDIDATE(S)NAME OR MEASURE(S)FULL TITLE(INCLUDE BALLOT NO.OR LETTER)
2FICE SOUGHT OR HELD OR MEA
DISTRICT NO.,CITY OR COUNTY.
FPPC Form 410(JM Mt)
FPPC TON-Free H II.SWABK*PPC
❑Non-Partisan
❑Non-Partisan
• List he financial institution where the campaign bank account Is located(controlled"candidate election'committees only)
STATE ZIP CODE
-. .
Primarily formed to support or oppose specific candidates or measures in asirgle election. Listbelow:
CANDIDATE(S)NAME OR MEASURE(S)FULL TITLE(INCLUDE BALLOT NO.OR LETTER)
2FICE SOUGHT OR HELD OR MEA
DISTRICT NO.,CITY OR COUNTY.
FPPC Form 410(JM Mt)
FPPC TON-Free H II.SWABK*PPC