HomeMy Public PortalAboutMaria Santillan - Form 460 - 10.12.09 - 1st Preelection Statement Amendment 1Recipient Committee
Campaign Statement
Cover Page
(Government Code Sections 94200- 84216.5)
Type or print in ink.
Statement covers period
from 711 12009
SEE INSTRUCTIONS ON REVERSE
(through 9/19/2009
1. Type of Recipient Committee: An committees - Complete Parrs 1, 2.3, and 4.
® Officeholder, Candidate Controlled Committee
❑ Primarily Formed Ballot Measure
Q State Candidate Election Committee
Committee
0 Recall
Q Controlled
(Also Comph.Y.PWt55)
C Sponsored
(Also Complete Pan67
❑ General Purpose Committee
O Sponsored
❑ Primarily Formed Candidate/
O Small Contributor Committee
Officeholder Committee
0 Political Party /Central Committee
(aso Complete Fart?)
3. Committee Information I I. ----
Santillan for Council, 2009
STREET ADDRESS (NO P.O. BOX)
11700 Pope Avenue
CITY STATE ZIP CODE AREA CODE(PHONE
Lynwood CA 90262 (310) 863 -3894
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX / E -MAIL ADDRESS
Date of election if applicable:
(Month, Day, Year) _
11/3/2009 C
OCT 12 2009
TY OF LYNWO(
Y CLERKS OFF
2. Type of Statement:
�Q Preelection Statement
❑ Semi - annual Statement
❑ Termination Statement
(Also file a Form 410 Termination)
® Amendment (Explain below)
COVERPAGE
Page 1 of 12
- For Official Use Only
❑ Quarterly Statement
❑ Special Odd -Year Report
❑ Supplemental Preelection
Statement - Attach Form 495
Amend Summary Page, Schedules A, C, E and F
Treasurer(s)
NAME OF TREASURER
Maria T eresa Santillan
MAILING ADDRESS
11700 Pope Avenue
CITY STATE ZIP CODE AREA CODJPHOUE
Lynwood CA 90262 (310) 863 -3894
NAME OF ASSISTANT TREASURER. IF ANY
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE)PHONE
OPTIONAL: FAX / E -MAIL ADDRESS
4. Verification
I have used all reasonable diligence in preparing and reviewing this statement and tothe best ofmy knovdedge the in'ormation contained herein and in theattached schedules is true and complete. I ceR)fy
under penalty of perjury under the laws oothe State of California thatthe foregoing is true and con ct.
.Executed
en q S�y,ann T,oaSUrerorAsslSpnt Treasumr
Executed on l�19400 / BY G I -iJ /, + �
Date Slo=e orConboUing 0(AWnoldw. Caradalt% S to V& =w . cponent or Resporniblo O(flWrofS0or4tor
Executed on
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te SignawaofCOnrroc�ng Odiwho�tlw, Car,ddso,5tato tAeasum Proponent , '
FPPC Foim 460 (January/05)
FPPC TOD -Free Helplme: 8661ASK -FPPC (866/275.1772)
State of California
By
Slgro eofConY lldg Ofiwhodor, Candidate, State Measure Pno arft
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