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HomeMy Public PortalAbout01. Form 410Statement of Organizatio n Recipient Comm- Statement Type s --`Not yet qualified or } Date qualification threshold met Attach additional information on appropria tely LiSe penalty of perju Executed on Executed on Executed on Executed on Rejected: of the State of California Amendment ID Terminatio n — See Part 5 Date qualification threshold met Date of termination °e ligence i;l pret er the laws of the State of -Ali [SATE By DATE F "e beLL OT MY Knatk. Ding is true and correct. AT JR E O €' COF�TRO tll NG O JUN 13 2022 OR STATE +- [;c^.E }R .O!-JF .r4T SIGH TUR_Ov pi UN 2 8 2022 Ciry cei under FPPC Form 410 (August/2018) FPPC Advice: advic e@fopc .ca .g ov (866/275-3772) www .fppc.ca.Rov Statement of Organizatio n INSTRUCTIONS ON REVERSE Icca O List the name of each conn-cdling officeholder, district number, if any, and the year ot the election_ hich each officeholder or -,_an didaie is e thhate d - if this corn acts joint NAME OF CATL/OFF ERIST Primarily formed to support or oppose specific candidates or measures in a single election. List below; CANDIDATE(S) NA ME OR MEASURE(S) FULL TITLE (INCLUDE BALLOT NO. OR LETTER) Page 2 DISTRICT NUMBER n'APPLICABL'' CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTI ON (INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE) D NUMBER • Ali corn im fin dal ins ution where CHECK ONE SUPPORT OPPOSE OE FPPC Form 410 (Dec/2012) €PPC Advice. adv ce@fppc.ca.ge (856/275=3772) www,ippc .ca.gov Stateme n of O. -- a nian na nnenememonee MONs 6 This committee has elimin ated 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 . -- There are restrictio ns 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. oppose s __v saniciaasesc measures m a isc ecesu r1. g :rye x: - nialee COUNTY o'_ m acs _ - - CorraniNee List This committee has ceased to receive contributions and make expenditures; This committee does not an ticipate receiving contributions or making expenditures in the future; -- Leftover funds of ballot measure committees may be used for political, legislative or governmental purp oses 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 Advice: advic e@fppc.c a.g ov (866/275-3772) www.fppc.ca.go v iN ›.-. +"' co . .: . • . co N , °�° _' i' M L. w \ M U I�" a. r a "O tp g ' . 05 o V o ❑ 3 1O 3 a 4 N W Na w w o > - °` L o `. r a a a u E ca * v aj 3. V % - a o 0:U V) a 6 r i _ R., � • 'CI CO1-1b V. 2 a> >r i 01 cr u Y a a r C O CI- '( cam+ Q. 4 v �0 c^� u n • o c • . co a �I . z a ° ��I ^�. � 6 °z., ¢Y.R p /) Lam. .w'1Y/ pp�� r.C.. 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