HomeMy WebLinkAboutKC CITIZENS AGAINST POT SHOPS 410 TERMFPPC Advice: advice@fppc.ce.gw, 18661275-37721
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Statement of Organization
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Attach additional information on appropriately labeled continuation sheets.
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 California that the foregoing is true and correct.
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SIGNATURE OF iPF45VPEP OF ASSISiG
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SIGNATURE OF CONTPOLONG OFFICEHOLOE.. CANUIDR40P SIRE MEASWE PROPONENT
FPPC Advice: advice@fppc.ce.gw, 18661275-37721
www.fPpc.w.g-
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
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All Committees must list the financial institution where the Campaign bank account is located.
CITY
• 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 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 OF EARLY
AME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT IINCLUCE DISTRICT NUMBER IF APPLICABLE) ELECTION
Primarily formed to support or oppose specific candidates or measures in a single election. List below:
CANOIDAT05)NAME OR MEASUREIS)FULLTITLE(INCLUDE BALLOT NO. OR LETTER) CANDIDATES) OFFICE SOUGHT OR HELD OR MEASURE1511URISDICTION
If A RECALL, STATE"RECALC IN FRONT OF THE OFFICEHOLDER SNAME . (INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE)
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Nonpartisan
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(list polinwl party below)
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Nonpartisan
Partisan
Qist poliHTal party below)
Primarily formed to support or oppose specific candidates or measures in a single election. List below:
CANOIDAT05)NAME OR MEASUREIS)FULLTITLE(INCLUDE BALLOT NO. OR LETTER) CANDIDATES) OFFICE SOUGHT OR HELD OR MEASURE1511URISDICTION
If A RECALL, STATE"RECALC IN FRONT OF THE OFFICEHOLDER SNAME . (INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE)
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FPPC FOOD 410 (August/2019)
FPPC Advice: advice efppca.gov (M/2]5-31]2)
w 1ppc.a.gov
Statement of Organization /�
Recipient Committee
INSTRUCTIONS ON REVERSE IR-!
Nqt formed to support or oppose specific candidates or measures in a single election. Check only one box:
CITY Committee ❑ COUNTY Committee ❑ STATE Committee
.Roams enrr DTs.RIvnoN Cl Arnvlry
NAmr or sroxsDR
List additional sponsors on an attachment.
No. AND STREET
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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 maybe 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(August/2019)
FPPC Advice: adv1ce0afppc.w.gov (M/275-3"2)
www.fppc.a.gov