HomeMy WebLinkAboutSULLIVAN 410 AMEND 09/26/16Statemten4of Organization
Recipient Committee
Statement Type ❑Initial 0 Amendment
Nolyelqualified 0 or list I.D. number:
#950347
00916 2016
Date qualified as committee Date qualified as rommilue
1. CoMMIttee) fkft4tion�,:'�°t k�*�'"?',
SAME ? 'COMMITTEE
Jacquie Sullivan for City Council 2016
0 Termination —See Part
list I.D. number:
If
Date of Termination
ITTIETA.DUSSUDREEMYE)
MAUNA ADDRESS (IE DIFFERENT)
Attach additional information on appropriately labeled continuation sheets.
I have used all reasonable diligence In pre
penalty of perjury under the laws of the 5
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NAME DE TREASURER
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LaDonna Dodge
STREET ADDRESS (NO P.D. sort
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STATE ��
XAMEDE A5515TANT TREASURER, If ANY
Mary Wood
STREET ADDRESS (NO RD. FORT
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STATE .1P Co.,
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freN[ed GD DATE gy SIGNATURE OF CONTROLLING GFICENYLDER, CANDIDATE. OR STATE MEASURE PRDPGMEXT
ExeCUtedon By
DATE s16NATURE arcoxTROUmG DrncENOmsR, cnxDlDATe. Dn STATE MurvR, PROROxExT
FPP[ Farm 410 Ilan /20161
FPPC Advice: advIoU§ fppc.ca.gov 1866/275 -37721
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Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
for City Council 2016
• All committees mug ligth, financial institution where the campaign bank getunt is located.
Bank of the Sierra 1(
n ST."
a
• 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 parry with which each officeholder or candidate is affiliated or check "nonpartisan."
• 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 ELECTION PARTY
_.._ ... . --T Hun l IFF 06TWR NUMBER IF APPLICABLE)
Primarily formed to support or oppose specific candidates or measures in a single election. List below:
CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION
CANDIDATE(s)NAME ORMEASUREIS)FULL TITLE (INCLUDE BALLOT No. oR LLIIEK)
NNCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICRBLLI
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FPK Form 410 flan /20161
FPPC Advice: advlce®fppt.tegov 1866/275 -37721
www.tPPC.p.gev