HomeMy WebLinkAboutSpecht - Form 410 - 2022-10-04_RedactedStatement of Organization
Recipient Comm~e I
Statement Type l01nitial I I O Amendment O Termination -See Part 5
NAME OF COMMITIEE
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or
O Date qualification threshold met I Date qualification threshold met __ / / __
I.D. Number
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Date of termination
NAME OF TREASURER
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CALIFORNIA 41 0
FORM
For Official Use Only
AREA CODE/PHONE CI TY (b ~TATf-o t7 &DE (o V', ss. cf_ 17 + 719 'd:3;) ·y_~1 1
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ZIP CODE
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STATE
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NAME OF ASSISTANT TREASURER , IF ANY
FULL MAILING ADDRESS (IF DIFFERENT) STREET ADDRESS (NO P.O. BOX)
E·MAIL ADDRESS (REQUIRED)/ FAX (OPTIONAL)
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ZIP CODE ARE.'< COD(/PHONE CITY STATE
COUNTY OF DOMI ClLE JURISDICTION WHERE COMMITTEE IS ACTIVE
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Attach additional information on appropriately labeled continuation sheets.
CITY STATE
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ZIP CODE AREi\ CODE /PHONE
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SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT By~===~=~== Executed on
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 410 (August/2018)
FPPC Advice: advice@fppc.ca.gov_{866/275-3772)
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Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
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• All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION AREA CODE/PHONE
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BANK ACCOUNT NUMBER
CALIFORNIA 41 Q
FORM .
Page 2
I.D. NUMBER
CI TY STATE ZI P CODE
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Controlled Committee
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." Stating "No party preference" is acceptable
If this committee acts jointly with another controlled committee, list the name and identification number of the other controlled committee.
NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT
ELECTIVE OFFICE SOUGHT OR HELD
(INCLUDE DISTRIC T NUMBER IF APPLICABLE)
YEAR OF
ELECTION
PARTY
CHECK ONE
Nonpartisan Pa rtisa n (list po l•ti ca l party below)
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Nonpartisan Partisan (Ii pol ·tica l party below)
Primarily Formed Committee Primarily formed to support or oppose specific candidates or measures in a single election. List below :
CANDIDATE(S) NAME OR MEASURE(S) FULL TITLE (INCLUDE BALLOT NO. OR LETTER)
IF A RECALL, STATE "RECALL" IN FRONT OF THE OFFICEHOLDER'S NAME .
CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISD ICTION
(INCLUDE DISTRICT NO ., CITY OR COUNTY, AS APPLICABLE) CHE CK ONE
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SUPPORT OPPO SE
FPPC Form 410 (August/2018)
FPPC Advice: advif~ca.go.\1_(866/275-3772)
WWW.f!H!f·C~.JiOV