HomeMy WebLinkAboutJOHNSON 410 AMEND 07/30/14I
Statement of Organization
Recipient Committee
Statement Type ❑ Initial
Not yet qualified ❑ or
® Amendment ❑ 0
List I.D. number: List 1. NG f g PV 11 :j4
Date stamp
FILED
office of the Secretary of
of the State of Caldomia
RECEI V
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1325514
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AUG 0 4 2014
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07 01 2011 is ERN COUNTY ELECTIONS
-7 _1 Page 1 of 4
Date qualified as committee Date qualified as committee Dote of Termination .
(If applicable)
NAME OF COMMITTEE NAME OF TREASURER
Russell Johnson for Council 2014 Evette Bakke
STREET ADDRESS (NO P.O. BOX) STREETADDRESS (NO P.O. BOX)
COUNTY OF DOMICILE I JURISDICTION WHERE COMMITTEE IS ACTIVE
Kem I Kem
Attach additional information on appropriately labeled continuation sheets.
NAME OF ASSISTANT TREASURER, IF ANY
STREETADDRESS (NO P.Q. BOX)
CITY STATE ZIP CODE AREA CODE /PHONE
NAME OF PRINCIPAL OFFICER(S)
STREET ADDRESS (NO P.D. BOX)
CITY
I have used all reasonable diligence in preparing this statement and to the best of my kna
penalty of perjury un er the I ws of the State of California that the foregoing is true and c
Executed on By Evette Bakke
DATE SIGNATURE OF IM
Executed on —7 j -7a ` % /4f By Russell Johnson
DATE ... ,....._...........
Executed on By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
Executed on
DATE
IBr+ect--117l�M
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By
SIG NATU RE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASU RE PROPONENT
STATE ZIP CODE
i is true and corr
AREA CODE /PHONE
ete. I certity un
FPPC Form 410 (Dec /2012)
FPPC Advice: advice@fppc.ca.gov (866/275 -3772)
www.fppc.ca.gov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
Page 2 of 4
COMMITTEE NAME I.D. NUMBER
Russell Johnson for Council 2014 1 1325514
• AN committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION
ADDRESS
• 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."
• 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
NAME OF CAN MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PARTY
Russell Johnson
Hold: I ounce Member
City- Ward 7
2014
Im Nonpartisan
SUPPORT
❑ Nonpartisan
Primarily formed to support or oppose specific candidates or measures in a single election. List below:
CANDIDATE(S) NAME OR MEASURE(5) FULL TITLE (INCLUDE BALLOT NO. OR LETTER) CANDIDATES) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION
(INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE)
r HFCK ONF
FPPC Form 410 (Dec /2012)
FPPC Advice: advice @fppc.ca.gov (866/275 -3772)
www.fppc.ca.gov
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SUPPORT
OPPOSE
SUPPORT
OPPOSE
FPPC Form 410 (Dec /2012)
FPPC Advice: advice @fppc.ca.gov (866/275 -3772)
www.fppc.ca.gov
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Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
Russell Johnson for Council 2014
Not formed to support or oppose specific candidates or measures in a single election. Check only one box:
❑ CITY Committee ❑ COUNTY Committee ❑ STATE Committee
PROVIDE BRIEF DESCRIPTION OF ACTIVITY
List additional sponsors on an attachment.
NAME OF SPONSOR
GROUP OR AFFILIATION OF SPONSOR
STREETADDRESS NO. AND STREET CITY STATE ZIP CODE
Date qualified
• 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.
Page 3
1325514
-- 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 Advke: advice@fppc.ca.gov (866/275 -3772)
www.fppc.ca.gov
Ii"Itswe
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410 Notes
COMMITTEE NAME
Russell Johnson for Council 2014
Type or print In Ink.
Page 4 of 4
STATEMENT OF ORGANIZATION
I.D. NUMBEF
1325514
FPPC Forth 410 (June/09)
FPPC Toll -Free Helpline: 966/ASK-FPPC (8661275 -3772)
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