HomeMy WebLinkAboutGOH 410 INITIAL 3/7/16— Skltement of Organization
Recipient Committee
Statement Type 0Initial
16 APR 14 P; 1"Idifiatl 11(TA
❑ Amendment ❑ Termin:e,'
un LD. number Uot l D. number [6116 li
Date qualifies as committee Date qualifieIRM..) ittee
In.PdNapel
Karen Gain for Mayor 2016
bateof Termination
Attach additional information on appropriately labeled continuation sheets.
Shawn Kell
oa*SGmp
116s't 9GIC11 etle ta it/ED AND FILED
ce MAR 14 2016 oflhea;zM%C Hof State
MAR 23 2016
STREET ADDRESS (NO P.O. 60M1
STREET ADDRRSa (NO PO. ROT)
CITY STATE ➢P CODE ARIA CGLUFFONE
NAME OF PRINCIPAL OFFICERS)
STREET ADDRESS IND PO, Mo
CITY .1 IF .BE AREA[DOEryxOryE
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 C li omia that a forego' g is and correct.
ExecNedon 0310712016
By
03/07/20166 n^ n ^ T"EAEDRERORAUISraryrTREAEGRER
a
Exerea On By �F
ARGEC
ERecutedon
Executed On
By
SIGNATURE OF CONTROLLING CrrCGHOLDER CANDIDATE OR STATE MEASURE PROPONENT
By
SGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Farm 410 (Jan /2016)
FPPC Advice: adNe @h M.w.gw)866/2753772)
www.fpPC...gov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
Karen Gob for Mayor 2016
All Committees mug list the financial Institution where the Campaign bank account Is lammed.
Valley Republic Bank
ADDRESS STATE ZIP CODE
• 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.
R List the political party with which each officeholder or candidate is affiliated or check "nonpartisan."
F If this Committee acts jointly with another controlled committee, list the name and identification number of the other controlled Committee.
NAME OF"N010ATE /OFFICENOLOER/STATE MEASURE PROPONENT
(INCLUDE OISTRICi NUMNER IF APPUGRLE) YEAR OF EJECTION Pgptt
Karen Goh
Mayor
2016
9 NanWnisan
r -.. --
If NonwraFRn
Primarily formed to support or oppose specific Candidates or meawres in a single election. list below:
CANOIDATEISI NAME OR MEASUREISI FULL TITLE (INCLUDE BALLOT NO. OR LETTER) CANDIDATED) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION
IINCLUDE DISTRICT NO, CITY OR COUNTY AS APPLICABLE)
FPPC Form 610 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov )866/275 -3772)
www.fppc.ca.gov
MF[R
O
SUPPORT
n
OPPOSE
n
POq}
DD
FPPC Form 610 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov )866/275 -3772)
www.fppc.ca.gov