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HomeMy WebLinkAboutSULLIVAN 410 TERM 06/30/02Statement of Organization ~Re(~pient,Corr[mittee Type or print in ink Date Stamp STATEMENT OF ORGANIZATION Statement l~/pe [] Inldal [] Amendment Not yet qualified [] or List I.D. number~ I I Date qualified as committee Date qualified as committee tif ap~ica~) 1. Committee Information ~] Termination - See Part List I.D. number:. Date of Termination C ,! ZIP E MAILING ADDRESS (IF DIFFE~NT) OPTIONAL: FAX / E-MAIL ADDRESS JUL 31 P, I 56 !RSFIELD CITY CLERK COUNTY OF DOMfCILE 2, Treasurer and Other Principal Officers ST:RE'ET ADDRESS ~ ' 0 ~' STAT E~ ZIP ~DE ~ COD~H~E A#ach addi#Dnal information on appropriately labeled con~Duation $/~eels. CITY STATE ZIP CODE AREA CODE/PHONE NAME AND POSITION OF OTHER PRINCIPAL OFFICER(S), IF APPLICABLE MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE 3. Verification I have used all reasonable diligence in preparing this statement and to the best of my knowledge the information/cpntalned herein is true and complete. perjury under the law~ of the State of California that the foregoing is tree and correct. Executed on I certify under penalty of FPPC Form 4tO (Jan/01) FPPC Toll-Free Heleline: 866JASK-FPPC State .merit of Organization keciplent C6mmittee INSTRUCTIONS ON REVERSE 4. Type of Committee Cornpiete the applicable sections. STATEMENT OF ORGANIZATION · 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 'non-partisan." · If this committee acts jointly w~lh another controlled committee, Fist the name and identification number of the other controlled committee. ELECTIVE OFFICE SOUGHT OR HELD NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBE [] Non. Pa~san · L~st the financial ~nstitut~on where the campaign bank account is located (controlled ,,candidate election, committees only) NAM~ FINANCIAL INSTITUTION AREA CODE~°HONE ~ BANK ACCOI~NT · / CANDIDATE(S) NAME OR MEASURE(S) FULL TITLE (INCLUDE BALLOT NO. OR LETTER) CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION (INCLUDE DISTRICT NO., cl'r~ OR COUNTY, AS APPLICABLE) CH~(K ONE FPPC Fon~ 4t8 (Jan/01) FPPC Toll-Free Hell]lire: 8~/ASK-FPPC