HomeMy Public PortalAboutForm 410 InitialStatement of Organization
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Committee
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Recipient
Statement Type Initial Amendment
Part
See 5
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0 Date qualification threshold met [)ale qualification threshold net
Date of lamination
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I.D. Number
NAME QFCCMAl
NAME OF TREASURER
Ethan Remik for Claremont City Council 2020
Oran Reznik
141OTulancRoad
5TU'
ZU" CODE APEACOM
ST R07 AC-URESS [NO P.Q. 909)
CA
91'711 909241977
1410 Tulane Road
Claremont
ll STATE ZIPCOUE AREA 1-0-DEIPHONE
NAME o -F &MISTANTIRIAWREk IF ANY
Claremont CA 91711 90%217849
STREETADDRIESSINO P.O. BOX)
E-WiLADO; -TIONAL)
SEU(REQUIRED)l PAX JOE
ace.rcznik@gmaii.com
OF DOMICILE
All"l WHERE COMM Il Il
NAME OF MINCHIALOFfiCell
ffCOUNIH
Los Angel es
Claremont, CA
5TREETAWl PCL Dom
UIFY
STATE
ZIP CODE AREA COD
Attach additional information on appropriately labeled continuation sheets.
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dtate st of my knom ilepenalty of perjury under a Ia s of the to l ria t age me imarmauuil ll IL0411CU INCA =U-
oril g is true and correct.
SIGNATURE or TREASURER OR TTREASURER
13ATE S GUATURE OFC FF9 DURM 01 STATE MEASURE FROFOl
Executed an DATE -- By SIGNATURE OFCONTROLUE10 OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
Executed on - BY ROPONEll
DATE SIGNATURE OF CONERCILLING OFFICEHOLDER, CANIXOMOR STATE MEASURE P FPPC Fal 410 (August/2018)
FP K Advice- adviLce@fpRL.O.gpv_(8661275-3772)
Recipient Committee
INSTRUCTIONS ON REMSE
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■Irtr1=411•RTT41REX-H Mr- 11:11111111 ill I � 1111F11�11A* a ..n -,
A"CRESS STATE ZIP CODE
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 I I III I III I! ill III I I III III I III I I Jill 1111i'll I I
�7121 ITIMy.
ELECTIVE OFFICE SOUGHTOR HELD YEAR OF PARTY
NAME OF CANDIDATEIOFF I CE11OLoEPISTATE MEASURE PROPONENT 1114CLUDE DISTRICT NUMBER IF APPLICABLE) ELECTION CHICKONE
lEthanReznik Claremont City CoIluncd. District 1 2020 won"Iff-11 (111st ri Pa' w Wcwl
Nenpardsan Peftan (list pdWcW ri belaw)
Primarily formed to support or oppose specific candidates or measures in a single election. List below.
CANDIDATE(S) NAME OR MEASURES) FULL TITLE JJINCLUOF BALLOT NO. OR LETTER) CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION
IF A RECALL, STATE -RECAW IN FRONT OF THE OFFICEHOLDER'S NAML (INCLUDE DISTRICT NO, CITY OR COUNTY, AS APPLICABLE) CHECKONE
SUPPORT OPPOSE
SUPPORT OPPOSE
Fill Fonn 410( st201 f
Fill Advice: advi ce!M c—mmu-'r 1666%275-3772)
Statement of Organization
Recipient Committee
WswuCTIONS ON REVERSE Ease 3
.D. Hu MEER
i
BRIEF DESCRPTION OFACTNM
Not formed to support or oppose specific candidates or measures in a single election. Check only one box:
El CITY Committee [] COUNTY Committee El STATE Committee
ET DRESS NMANDSMW STATE AP
There are restrictions an 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 420 (August/20181
Fppc Advice.- Ado�a K,= - (866/275-3772)
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