HomeMy WebLinkAboutPRICE 410 TERM 12/31/00 - - STATEMENT OF ORGAN[ZA'TION
Statement
of
r~, i fivruan.za..on Tm er print in ink Oat, same
Reeipient Committt~
Statement Type [] Initial
Not yet quaJilied [] or
[] Amendment
List I.D. number.
I
Date qualified as committee Date qualified as committee
1. Committee Information
NAME OF COMMITTEE
STREET ADDRESS (NO P.O. BOX)
CITY
MAILING ADDRESS (IF DIFFERENT)
Ol~qONAt~ FAX / E-MAIL ADDRESS
STATE : ZIP CODE
AREA CODE/PHONE
COUNTY OF DOMICILE
At. ch ao~tk~'~al informaUon on appropriately ~ continuatio~ s~eete.
Termination - See Part 5
list I.D. number:.
/.Z I J~
Date of Temwna§on
2. Treasurer and Other Principal Officers
NAME OF TREASURER
MAILING ADDRESS
CITY
NAME OF ASSISTANT TREASURER, tF ANY
STATE ZIP CODE AREA CODE/~HONE
MAIUNG ADDRESS
CiTY STATE ZiP CODE AREA CODE/PHONE
NAME AND eosmOU OF OTHER PRINCIPAL OFFICER(S), IF APPUCABLE
crrY STATE ZIP CODE AREA CODE/PHONE
3. Verification
I have used all reasonable diligence in preparing this statement end to the best of my knowledge the information contained herein is tree and complete. I cedity under penalty of
perjury under the laws of the State of California that the tomgoing is true and correct.
DATE
./- 12,-
Execution
' ' FPPC Form 410
For Technical Asslstence: 916/322-5660
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
STATEMENT OF ORGANIZA~ON
4. Type of Committee complete the applicable sections.
· 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 olficeholder or candidate is affiliated or check 'non-partisan.'
· If this committee acts jointly with another controlled committee, list the name and identification number of the other co-ntrolied committee.
ELECTIVE OFFICE SOUGHT OR HELD
NAME OF CAN DID ATE/OFFICEH OLD E R/~TATE MEASURE PROPONENT {INCLUDE DISTRICT NUMBER IF APPUCABLE) YEAR OF ELECTION PARTY
,~ NomPartisan
[] Non-Partisan
· List the financial institution and the disposition of suq~lus tunds (controlled 'candidate election' committees only)
NAME OF FINANClALINSTITUTION
ADDRESS CITY ~TATE ZIP CODE
/~- /.~ /7-=z ...~ ,z~,~ /~ ~,c.-~ ~ / ~ ~ ~ ~,4.
BANK ACCOUNT NUMBER
DISPOSITION OF SURPLUS FUNDS
DATE OPENED
· .. o . -. ... - - Pdmafilyfmmedtosupponoropposespectficcam:r~datesormeasuresinasingleelecti~. Listbelow:
CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION
CANDIDATE{S) NAME OR MEASURE(S) FULL TITLE (INCLUDE BALLOT NO. OR LI= I I t'.Hi (INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPUCABLE) CHECK ONE
FPPC Form 410 (8/99)
,, ForTechnical A~lstance: g16~322.5660
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVER~E
STATEMENT OF ORGAN~AT/ON
COldku I ~ == NAME I.D. NUMBER
4. Type of Committee
l~.~r.~.;dM,~,.~o~y-..Z~'o,.,,,(-.z-.m Notformedtosupportoropposespec~ccandidatesormeasuresinasin~eeleofJon. Cbeckon)¥onebox;
[] CITY Commltt.~ r'l COUNTYCommltt~ [] STATE Cm'nmltt~
NAME OF SPONSOR
List additional sponso;s on an attanhmenL
IINDUSTRY GROUP OR AFFIUATION OF SPONSOR
CiTY STATE
~PCODE
NO. AND S~t:= i
~ [] (For pui~oses of special elanflon contribu~on limits)
5, Termination Requirements Byalgning~heve~ca~thetre~urer.e.~c~;~.~nttmasumrand~.~rcandida~t~iceh~er.~rpr~p~nentcer~ff7~hata~f~he~:)w~c~cr~r~sha~ebeenmet:
- This committee has ceased to receive contributions and make expenditures;
· This comm~tee 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 receive{I, 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 lun{ls held by elected officers who are leaving office and by defeated candidates. Refer to
the Information Manual on Camoaian Disclosure Provisions of the Pol/tical Reform Act. for Elected Officers. Candidates and their Controlled Committees
(Manual A). ..
- Additional filing obligations will be incurred if, after terminating, the committee receives or spends any funds, or receives the forgiveness of a loan,
repayments of loans made to others, or any other receipts.
FPPC Form 410 (8/99)
For Technical A~Mstanee: 916/3122-5660