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HomeMy WebLinkAboutPLUMBERS AND STEAMFITTERS 410 AMEND (2)Statement of Organization Recipient Committee Statement Type F7 Initial Not yet qualified D or Date qualified as Committee 1. Committee Information NAME OF COMMITTEE P_uni•r cs ood ELCanta Lars LcceL 4aU P.:,. STREET ADDRESS I— PO. PDX) l71 Amendment List I.D. number # 1'9026 °. p2 I 1] / [OL F. Date qualified as committee I, aeWAnMe) D Termination - See Part 5 List I.D. number: �—� Date OfTermination LITV STATE ZIP LODE AREA COOEIPHONE M AILING AUcnEsS (IF DIFFERENT) FAX I EMAIL ADDRESS COUNTY TY O OF F DOMICILE JURISDICTION WHERE COMMITTEE IS ACTIVE -i Ly cf 9akcce Cield Attach additional information on appropriately labeled continuation shoals. FIR 12 Ali 10:59 2. Treasurer and Other Principal NAME OF TREASURER i M. L�loe e STREET ADDRESS (NO P O. BOX) NAME OF ASSISTANTTREASURER. T ANY ADDRESS)NO CITV STATE 216 CODE AREA COUF1PHONE NAME OF PRINCIPAL OFF) CER(5) CLers•o M. Lco�a =. Pd adpal Otti car STREET ADDRESS )NO P.0. 90X) CITY STATE ZIP CODE AREA OODEPHONE [ , 3. Verification I have used all reasonable diligence in preparing this statement and to the best of my knowledge the information contained herein is true and complete. I certify under penalty of perjury under the laws of the State of Californi��l the foregoin - true and Correct. Executed on A"` 0 7 1017 �' ti �N RFASU slsT rvrT u Executed on slcrvRURE OF CONTROLUrvG OFncsnolDER CnNDIDRE. oR STATE MEASURE PROPONENT DATE Executed On ®J SIGNWU0.E OF CONTROLLING OFFICEMOLOER CPNDIDWE OR STATE MEASURE PROPONENT OATS Executedon pATF SIGNRURE OF CONTROLLING OFFICEHOLDER, LANDIDW9 LR STATE MEASURE PROPONENT FPPC Form 410 (dan12816) www.neHile.com FPPC Advice: advice @fppo.ca.gov (8661 wwwlppo-ca.9av Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE 2a. Additional Officers / Assistant Treasurers Jesse R. Roman, Principal Officer MAILING ADDRESS CITY STATE 21.000E AREACODE /PHONE NAME Edward Azambula, Jr., Principal offieer MAILING ADDRESS Clil, STATE ZIP CODE AREA CODE /PHONE NAME MAILING ADDRESS CITY STATE 21P CODE AREACWE /PHONE NAME MAILING ADDRESS CITY STATE ZIP CODE AREA CODEIPHONE Ww netfile.com Page 2 Of 4 1280263 Cltt STATE ZIPCODE AREA CODE /PHONE MAILING ADURE55 CITY STATE ZIP CODE AREACODE /PHONE Clry STATE ZIP CODE AREACODE /PHONE NAME MAILING ADUHeSJ CITY STATE DECODE AREACODE/PHONE FPPC Form 410 (Jan12016) FPPC AdMII advice@fppc.w.gov (866127 3112) v Jppc.w.gov Statement of Organization Recipient Committee INSTRUCTIONS ON RE VERSE Steamfittere Local 460 PAC • All committees must list the financial institution where the campaign bank amount is located. Wells Fargo Bank STATE Page 3 of 4 4.TypeofCommittee Complete the applicable Sections. • List the name of each controlling officeholder, candidate, or slate 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." • 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 NAME OF CANDIDHNOFFICEHOLDER JSTATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PARTY Nonpartisan Nonpartisan Primany fomledtosePPOd oroppose swurficcandidates ormeasores in a single election. Listbelow: • , CANDIDATE(S) OFFICE SOUGHTOR HELD OR MEASURE(S) JURISDICTION CANDIDATE(S)NAME OR MEASURE(S) FULL TITLE (INCLUDE BALLOT NO. OR LETTER) (INCLUDE DISTRICT NO.. CITY OR COUNTY, AS APPLICABLE) .Y FPPC Form 410 (Jan/2016) www.netfite.rom FPPC AWlce: advlce@fppc.ca.gov (86612753772) www.fpPc.ca.gov Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE Plumbers and Steamfitcena Local 460 PAC 4. Type of Committee (Continued) Not formed to support or oppose specific candidates or measures in a single election. Check only one box' E] CITY Committee ❑ COUNryCommittee ❑ STATECommittee To support or appose state and local candidates List additional sponsom on an attachment. NAME OF Small Contributor Committee Page 4 of 4 1280263 5.Termination Requirements By signing the verification, the treasurer, assistant treasurer and/orcandidate, officeholder, orproponent cediry that all of the following conditions have been met. • 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 fled 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 Cade Section 18680 and FPPC Regulation 18521.5. FPPC Form 410 (Jan/2016) www.netfilacom FPPC AMice: advice @fpPc.Ca.gov (86612153112) www.fpPC.Ca.gov