HomeMy WebLinkAboutDrake - Form 410_2024-02-08_RedactedStatement of Organization Oete SINMP
Recipient Committee - p.;.
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Statement TypeFED:
nitfaI ❑ Amendment ❑ Termination —See Perth
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quadattion threshold met Date qualifirafion threshold met Date of termination
T kW-& FOR SW CITY COvdUL 2.o2,q
STATE ZIP CODE
Attach additional information on appropriately labeled continuation sheets.
I have used all reasonable diligence in preparing thi stateW12ndtest of my knowledge the'mfamation contained herein is true and complete. Icertify under
penalty of perjury under the laws oft he Stag is true and cornea.
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DATE MGWTUPE OF WNTRIXLI IS 0E4NRRMRP, CANDIDATE, OR SOME MERURE PROMINENT
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o.RE AGNgrWE OF ONTROWNG 0IFCENOWEE MINOR DATE, OR ARE MEASURE PWWNENT FPPC Form 410(Oaober/2023)
FPK Advice: advicaRfaacra.eov (866/1
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Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
MDOR
All committer must listthe financial InsdWtion where the campaign bank account is located and the person(s) authorized to obtain bank records.
NAME OF FINANCIAL INSTITUTION
ADDRESS OF FINANCIAL INSTITUTION
CITY
BANK ACCOUNT NUMBER
List the name of each controlling officeholder, Candidate, ar 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 eledfon.
List the political parry with which each officeholder or candidate is affiliated or check "nonpartisan." Stating "No parry preference" is acceptable.
If this committee acts Jointly with another controlled Committee, list the name and identification number of the other controlled Committee.
ELECTIVE OFFICE SOUGHT OR HELD YAM OF MR"
NAME OF CAN DI DATE/OFFICEHOLDER/STATE MEASURE FROM MEW (INCLUDE DISTRICT NUMBER IF APPLICABLE) ELECTION CHECKONE
Musuang Primarily formed to support or oppose specifictandidatesormeasures in a single election. Listbelow:
CAN DI DATE(S) NAME OR MEASURES) FULL THE E INCLUDE BALLOT NO. OR LETTER)
M FISURES) JURISDICTION
FPPC Form 410 (October/2023)
OPEC Advice: advicetafoocca.eov(asp/27S3)12)
w Jpyc.ca.gov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
Not formed to support or oppose specific candidates or measures in a single election. Checkonlyonebox:
❑ CITYCommittee ❑ COUNTY Committee ❑ STATE Committee
List additional sponsors on an attachment.
NAME OF SPONSOR INDUSTRY GAUP ORAFFIEIATION OF SPONSOR
STREETADDRESS NO, AND STREET CITY STATE LIPCODE AREA CODUPRONE
El
Do. "Irted
5 Termination Requirements By s � h t h, on, assistant treasurer and/or candidate, Officeholder, OF current crnmrhr that all or the following conditions have been set I
• This committee has ceased to receive contributions and make expenditures;
• This committee does not anticipate retelling contributions or making Expenditures in the future;
• This committee has eliminated car has no intention or ability to discharge all debts, loans received, and other obligations;
• This committee has no surplus funds; and
• This committee has flied 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-
- Leftoverfunds of ballot measure committees may be used for political, legislative or governmental purposes under Government Code Sections 89511 -
89513, and are subject to Elections Code Section 18680 and FPPC Regulation 18521.5.
FPPC Farm 410 (October/2023)
FPPCAdvice: adYlicePfmc.ca.eov 1866/275-3772)
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