HomeMy WebLinkAboutSTEVENS 410 INITIAL 09/23/20Statement of Organization
Recipient Committee
Statement Type
I have used all reasonable"diligence In preparin this stat err'
ent and to the best of m
penalty of perj ry "nd r the laws of the State y knowled e t
f alifor i g he inforhe•.�.�.� ti`;.«' ,.,:.�t; �� i :. .._._��.
j �] �J t t the foregoing is true and correct. mation contained rein is true and complete. I certify under
Executed on.
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Executed on 1 lJ /iV2�
DATE
SIGNATURE OF TREASURER OR ASSISTANT TREASURER
Executed on
DATE By
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
Gxec;III vrl (In
By
DATE
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, Oq STATE MEASURE PROPONENT
SIGNATURE OF CONTROLLING)FFICEHOLDER, CANDIDATE, OR STATEMEASURE PROPONENT
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Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
COMMITTEE NAME
Ccx� C,r
All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIALIN5T UTION
Page 2
I.D. NUMBER
Controlled Committee
• 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.
• I,Ist the political party with which each officeholder or candidate is affiliated or check "nonpartisan." Stating "No party preference" is acceptable.
• II 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 PARTY
r OCTIrIN 1-1.-1.
NAME QI' CAN DIDATE/OFFICEHOLUEH/b1A1 t IvitH}Vnt rnur--
d
\I . ��v • �• •-•••--•• •• • • - ---•
Nonpartis
Partisan
(list political party below)
C� C� �� I ��
���
below)
" �r /
Nonpartisan
Pan
(list politica party
Primarily Formed committee Primarily formed to support or oppose specific candidates or measures in a single election. List below:
CANDIDATE(S) NAME OR MEASURE(S) FULL TITLE (INCLUDE BALLOT NO, OR LETTER) CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURES) JURISDICTION
(INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE) CHECK ONE
L
FPPC Form 410 (August/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
I 1,
jatement of Organization
ecipient Committee
-Ili IICrIDNS ON REVERSE
I11; NAME
General Purpose Committee Not formed to support or oppose specific candidates or measures in a single election. Check only one box:
❑ CITY Committee ❑ COUNTY Committee ❑ STATE Committee
VIIIL MIKA DESCRIPTION OF ACTIVITY
List additional sponsors on an attachment.
r I ill '.PUNS01t
GROUP OR AFFILIATION OF SPONSOR
Page 3
71-1 AIIDIII SS NO. AND STREET CITY STATE ZIP CODE AREA CODE/PHONE
Sniall Contributor❑
Date qualified
r' r ievo ceder ar` k to hat: I thefolltwln eo ditibnsia been
a o the'h' o ficanorf�, f a user, as9istafittr asa <a�d 'cari 0, ff1 �d prQ dja .nt, Ke In
Term n tiw n r„... , �:,.. R,,9� _ �!,.u.� ;:. w<..r_ �. ,,....>� :.,.,•..t!r=.. ; ri ., _,... 1.a .,
'I•Itl:'s Committee has ceased to receive contributions and make expenditures;
• I lds c m miave does not anticipate receiving contributions or making expenditures in the future;
• I MI's cimimitiee has eliminated or has no intention or ability to discharge all debts, loans received, and other obligations;
• '1 his committee has no surplus funds; and
I'Ills committee has filed all campaign statements required by the Political Reform Act disclosing all reportable transactions.
Thore 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.
Lultover 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 (August/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov