HomeMy WebLinkAboutJOHNSON 410 AMEND 7/9/15Statement of Organization
Recipient Committee
Statement Type ❑Initial i] Amendment ❑ Termination -See Parts
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03/05/2010
Data qualified as committee Date qualified aRcommittee Date of Termination
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Auoselli Johnson for CiCy COU-11 2018
)URIEDICLMN WHERE COMMITTEE IS ACTIVE
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Attach additional information on appropriately labeled continuation sheets.
NAME QF
EMette EBakke
FIRM I Of A MIAAxT TR LASE Me O RAI
STREMAODRESSINOP.O. ROY)
NAME Of PRINCIPAL OfncERNI
3. Verification
I have used all reasonable dl hgence iu preparing this stat3jjns nt a9dto the best of y nowledge the information contained herein is true and complete. I certify under
penalty of perjury under the laws of the State of Cahfo h t'f re oin is tr It correct.
Executed on 07/ 3015 By
SIGNATURE OF TREASURER OR ASSnMNt TREASURER
Executed on 07/09/2015 By
DATE —.....
Executed on By L, /
OMF SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR MATE MEASURE PROPONENT
Executed On By
W7E SIGNATURE OF CONTROLLING OIIICENOLDL R.OANDFUGE, OR MME MEASURE PROPONgT
FPPC form 410(Dec /2012)
FPPC Advice: advice @fppori(866 /275 -3]]2)
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Statement of organization
Recipient Committee
INSTRUCTIONS ON REVERSE
Russell Johnson for Cicy Council 2018
All committees must list the financial institution where the campaign bank acwunt is located.
Valley Republic Bank
4. Type of COndrimee Complete the applicable sections.
• List the name of each controlling officeholder, candidate, orstate 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 a as jointly with another Controlled committee, list the name and identification number of the other controlled committee.
NAME OF CANDIDATE /OFFICEXOIOER/STATE MEASURE PROPONENT ELECTIVE OFFICE SOOGXT OR X BID
(INCLUDE DISTRICT NURSER IF APPLICABLE( YEAR OF ELECTION
Primarily formed to support Or oppose specific Candidates or measures in a single election. List below:
CANDIDIDDS) NAME OR MEASURES) FULL TITLE (INCLUDE BALLOT NO. OR LETTERI CANDIDATE(S) OFFICE SOUGHT
(INCLUDE DISTRICT No.,
FPPC Form 430(Dee /2012)
FPPC Advice: a dVe.gfpPC..,,w(866 /2]5 -3)72)
www.fppC.ca.gaV
Di¢trice: T
Russell Johnson
Nonpartisan
Cl y
City Council MaRkeC
1010
❑ N¢nparbSan
Primarily formed to support Or oppose specific Candidates or measures in a single election. List below:
CANDIDIDDS) NAME OR MEASURES) FULL TITLE (INCLUDE BALLOT NO. OR LETTERI CANDIDATE(S) OFFICE SOUGHT
(INCLUDE DISTRICT No.,
FPPC Form 430(Dee /2012)
FPPC Advice: a dVe.gfpPC..,,w(866 /2]5 -3)72)
www.fppC.ca.gaV
Statement of Organization
Recipient Committee
INSTRUCTIONS ON RFVERSE
3 of 3
Russell Johnson for City Cocncil 2C16
Not formed to support or oppose specific candidates or measures in a single election. Check only one box:
i]CRYCOmminee ❑ COUNTY Committee❑ STATE Committee
List additional sponsors on an attachment.
❑ —/_
5. Termination Requirements By signing the wrificati ion, the treasurer, assistant treasurer and /or candidate, officeholder, or proponent certify that all of the followingcond6bns have been met:
• 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 abilityto 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 orgovernmental purposes under Government Code Sections 89511 - 89518, and are
subject to Elections Code Section 18680 and FPPC Regulation 18521.5.
FPpC Farm 410 (Dec/2012(
FPPC Advice: advicegifppc.ca.go, 1866/275-3772(
-- hppc.ra.gov
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