HomeMy WebLinkAboutLewis - Form 410_2024-09-16 (SOS Copy)_RedactedStatement of Organization rl� !! Date Stamp 0 -
1 " 1 l ECEIVED AIND FILE
Recipient Commit e t -
Statement Type �' For Official Use ON,
YP itial ❑Amendment ❑Termination —See Party office of the Secretary of State
Not yet qualified f the qi fye �I
or /A�f(JJD (W
O Dale qualification threshold met Date qualification threshold met Date of termination AUG 19 2024
1. Committee InformationLD. Number2. Treasurer and Other, Officers
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NAME OFCOMMIT7EE NA RE SURER T
Vow del I" Ga le15 2o24 C1 �� 1 S � � C1 Y STATE ZIPCODE
EMAIL ADDRESS OFTREA ER (REQUIRED) AREA CODE/PHONE
NAME OF ASSISTANT TREASURER, IF ANY
CITY _ _ _ .. _ - - - STATE 21P CODE
LL/t/1• S b�, R34-61I,-1"1
AREA CODE/PHONE
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STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE
iFULLMAILING ADDRESS .(IF DIFFERENT)�-._����`_.
EMAIL ADDRESS OF ASSISTANT TREASURER (REQUIRED) AREA CODE/PHONE
F-MAIL ADDRESS OF COMMITTEE (REQUIRED) /'l (OPTIONAL)
k/(S IT G A l µTI/
COLA
LA
NAME OF PRINCIPAL OFFICERS)
COUNTY OF DSO\MICILE
IURISDICTION
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WAERE COMMITTEE IS
(`��l ��j, '\
ACTIVE .
S U21l
STREET ADDRESS (NO PO. BOX) CITY STATE ZIP CODE
EMAIL ADDRESS OF PRINCIPAL OFFICER(S) (REQUIRED) AREA CODE/PHONE
Attach additional information on appropriately labeled continuation sheets.
I have Used all reasonable diligence in preparing this statement and to the best of my knowledge the information contained herein is true and complete. I certify under
penalty of perjury under the laws of the State of Falifornixthat. the foregoing is tru
Executed on -� 1 2-4+12,a . BY —A -it 'IV SIGN TREASU
RECEIVED
Executed on D E BY
DF E F 6 l( 4
PROPONENT 1 1
Executed on DATF By T SLO CITY CLERK
Executed on qlag� — By
DATt SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 410 (OctoberJ2023)
FPPC Advice: adviced0voc.caeov (866/275-3772)
www.fooc.ca.aov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSF
Pace 2
COMMITTEE NAME r r I.D. NUMBER
I Ga 1 c� 1 S 2024 C1 �OU-nc-1 l
• All committees must list the financial institution where the campaign bank account is located and the person(s) authorized to obtain bank records.
NAME OF FINANCIAL INSTITUTION AND PERSON($) AUTHORIZED TOOBTAIN BANK RECORDS
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ADDRESS OF FINANCIAL M,GU-C*-0,
UTION
96K 5f"
AR EA CODE/PHONE IBANK ACCC1UNt NUMBER
1335-n-
a8gd
CITY SW L LIP CODE
bbi's Po C13L
• List the name of each controlling officeholder, candidate, or state measure proponent. If candidate or officeholder controlled,
also list the elective office sought or held, and district number, if any, and the year of the election.
• List the political party with which each officeholder or candidate is affiliated or check "nonpartisan." Stating "No party preference" is acceptable.
• If this committee acts jointly with another controlled committee, list the name and identification number of the other controlled committee.
ELECTIVE OFFICE SOUGHT OR HELD YEAR OF PARTY
NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) ELECTION CHECK ONE
1
Nonpartisan
Partisan
(list political party below)
Nonpartisan
Partisan
(list political party below)
FormedPrimarily Primarily formed to support or oppose specific candidates or measures in a single election. List below:
CANDIDATE(S) NAME OR MEASURE($) FULL TITLE (INCLUDE BALLOT NO, OR LETTER) CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION
IF A RECALL, STATE "RECALL- IN FRONT OF THE OFFICEHOLDER'S NAME. (INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE) CHECK ONE
SUPPORT OPPOSE
SUPPORT OPPOSE
FPPC Form 410(October/2023)
FPPC Advice: adviceffifaDc.ca.JTov (866/275-3772)
Wwvy.fppc.ca.eov