HomeMy WebLinkAboutFREEMAN 410 AMEND 04/21/17Statement of Opanization
Recipient C'ofTiMittee
Statement Type [J Initial ® Amendment
HiclMqual"I List I.E. number:
a 1394672
Date qualified ascommittae Dale qualified as
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NAMEOECOMMITTEE
Freeman for City Council 2017, Bruce
STREET RDDRESS IHO e0. Rml
❑ Termination - See Part 5
List I.D. number:
a 7017 MAY I I AM
Date of lerminaFOn
CITY
STATE EIP Co., AREA COCE)PHONE
MAIL NO ADDRESS (IF DIFFERENT)
DATE
SIGNATURE OF TREASURER O R Ap. iRE <SUREP
fAXr E- MAIL ADDRESS
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Attach additional information on appropriately labeled continuation sheets.
ECENED AND FI
he fthesm Social (
50NAY 012017
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NAME OF TREASURER
Thomas Montoome
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STREET aooerss INa r.G. Raxl
CITY STATE IIICODE AREA ClODIDUPNONE
STREET ADDRESS (NO RO. BOX)
CITY STATE III CODE AREA CODEIPHONE
NAME OF PR IHCI PAL OFFICERW
INO PO.
CITY STATE ZIP CODE AREA CODNPNOHE
I have used all reasonable diligence in preparing this statement and to the best of my knL
penalty of perjury under the laws of the State of California that the foregoing is true and
I Certify under
Executed on
0412112017
By
Thomas Mont ome -- -
DATE
SIGNATURE OF TREASURER O R Ap. iRE <SUREP
Executed on
04/21/2017
By
Bruce Freeman
DATE
SIGNATURE OF CONTROLLING OFFICEHOLDER, RANADIREAPE, REMERSURE Pmr
NT T
Executed on
By
ORTE
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE "C'Em"m
EX2CUEed on By
DATE SIGNATURE OF CONTRO LUNG OFFICEHOLDE B, CANDI DATE, OR STAFF MEASURE PROPONENT
fpp form 410(Dec /2012)
FPPC Advial ica'(eee am (US/275-3772)
S�+a�� www.fPPE -w.gov
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Statement of organization
Recipient CohAittee
INSTRUCTIONS ON REVERSE
Freeman for City Council 2017, Bruce ' 1394672
Not formed to support or oppose specific candidates or measures in a single election. Check only one box:
❑ CITY Committee []COUNTY Committee ❑ STATE Committee
List additional sponsors on an attachment.
❑ —.. / -------------
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• 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 410 (Dec/2012)
FPPC Advice: advice~ca.gov(866 /275 -3772)
www.fpPc.CE.gov
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