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HomeMy WebLinkAboutKC CITIZENS AGAINST POT SHOPS 410 INITIAL (2)Statement of Organization Recipient Committee NSTRUCTIONS ON REVERSE 1 AS ! HOT S (rild ii5 AciR k,5 -X aNI' All committees must list the financial institution where the campaign bank account is located. EASE L nITUnoN MEIor F NRN IAN S E (�Af11� List the name of each controlling officeholde-, 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 "nonpartisan." Stating "No party preference" is acceptable. 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 OP PARTY NAME OF CAN OIOATE/OFFICEHO LGE R/STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) ELECTION CHECK ONE Primarily formed to support or oppose specific candidates or measures in a single election. List below: CANDIOATEISI NAME OR MEASURNS)FULL TITLE UNCUL OE BALLOT NO. OR LETTER( CANOIOATE(s)0FFICE SOUGHT OR H EEO OR MEAWRE(a AD RISOICTION IFARECALL STATE"R ECALC I N F RONT O F THE OFFICEHOLDERS NAME. (INCLUDE DISTRICT NO., CIN OR COUNTY AS APPLICABLE) FPPC form 610 (0crober/2017) Print fPPC Advice:dPkCa@fppGG..gov (866/275-3772) Clear Page;, Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE Fares I FINE, Not formed to support or oppose specific candidates or measures in a single election. Check only one box: P CITY Committee ❑ COUNTY Committee ❑ STATE Committee i] Political Parry/Central Committee PROVIDE AFIEF DESCRIPTION OF ACTIVITY STREET ADPRrS5 List additional sponsors on an attachment. E3 • This committee has ceased to receive contributions and make expenditures; • This committee does not anticipate receiving contributions or making expenditures in the future; • This committee has eliminated or has no intention or ability to discharge all debts, loans received, and other obligations; This committee has no surplus funds; and This committee has filed all campaign statements required by the Political Reform Act disclosing all reportable transactions. -- There are restrictions on the disposition of surplus campaign funds held by elected officers who are leaving office and by defeated candidates. Refer to Government Code Section 89519. Leftover funds of ballot measure committees may be used for political, legislative or governmental purposes under Government Code Sections 89511- 89518, and are subject to Elections Code Section 18680 and FPPC Regulation 18521.5. FPPC Form 010 (October/2011) C(OaFf age ._Prim FPPC Advice: advice@Efppera.gov(866/275-3772) wwmfppc.ca.gov