HomeMy WebLinkAboutJohn Ashbaugh - Form 410 - Initial - 08-24-2008yo
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Recipient Committee
Statement Type initial
Not yet qualified F] or
� as �...�
Date quaiified as committee
9. -6--om- mittee -Information
Type or print in ink _�M
\ iA 61�
Ej Amendment [] Termination — See Part Ali
List i.D. number: List LD. number
Date qualified as committee Date of Termination
III' a'DPficable'
�---,EE7 ADDRESS {NO P.O. BOX)
STATE ZIP CCCE AREA CODC/PHONE
MAILIN-, ADDRESS (1F DIFFERENT)
OPTIONAL: FAXIE-MAILADDRESS
'OU, I' Ty E
N COUNTY WHERE COMMITTEE IS ACTIVE IF DIFFERENT
THAN COUNFFi ,'OF DOMICILE
Afta,"", ar;Uiti on appropriate)y labefed continuation, sheats.
2. Treasurer and
STATEMENT OF ORGANIZATION
Date Stamp
MV70 3 U,, U For Official lies: Only
Office of
Of the Sta r'crefary of 'C;zat�zo
. , of California
AUG 2 7 2008
1EE3RA 80WFju
NAME OF TREASURER
STREET ADDRESS
CITY
STATE
ZIP CODE
AREA CODE. /PHONE
4
NAME OF AS SISTANT TREASUREP, IF AW
STREET ADDRESS
CITY
STATE
ZIP CODE
AREA CODE(PHONE
1" 4
NAME AND POSITION OF OTHER PRINCIPAL OFFICER(S), IF APPLICABLE
MAILING ADDRESS
C'_Y STATE ZIP CCOE AREA CODE /PHONE
3. Verification
ve used 211 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
ha
�e-J_yunder the laws of the State of California that the foregoing is true and colr,�,
DATF AZURER OR ASSISTANT TREAS URER
Executed on
DAT_=
E3.eGia?2d at;
DATE
Ex&'-'Uiec On
DATE
By
OR STATE MEASURE
By SIGNATURE OF CONTROLLING OFFICEHOLDER. CANO'DATE, OR STATE MEASURE PROPONENT
By
SY,-NA:rjRE OF CONTROLLING OFFICEHOLDER, CANDIDATE. OP. STA7-t: NiEASURE- PROPONENT
FPPC Form 410 (January/05)
FPPC Toll-Free Helpline: 866/ASK-FPPC {8661275-3772}
Statement of Organization
Recipient Committee
Recipient Committee:
A recipient committee is any individual (including an
officeholder or a candidate), group of individuals,
organization, or any other entity that receives
contributions totaling $ 1,000 or more during a
calendar year.
The term "contribution" includes monetary
payments, loans and non-monetary goods or
services.
The personal funds of a candidate or officeholder
used in connection with seeking or holding elective
office are contributions and are counted toward
qualifying as a recipient committee. However,
personal funds used to pay a candidate filing fee or
a fee for the statement of qualifications to appear in
the ballot pamphlet are not counted toward the
$1.000 threshold,
File the Form 410 within 10 days of receiving
$1,000 in contributions. The date this form is
postmarked is the date it is considered filed.
A recipient committee qualifying during the 16 days
prior to an election in which it must file pre-election
statements must file a Form 410 (or the information
required on a Form 410) by fax, guaranteed
overnight delivery, or personal delivery within 24
hours of qualification with the filing officer who will
receive the committee's original disclosure
statements. A Form 410 must also be filed with the
Secretary of State within 10 days.
A recipient committee qualifying during the 16 days
prior to an election in which the committee makes
independent expenditures- of S1,00C or more to
support or oppose a candidate in that election must
file the Form 410 (or the information contained on
the Form 410) within 24 hours of qualification with
the filing officer who will receive the committee's
original disclosure statements and with the filing
officer(s) for the candidate(s) supported or opposed
by the independent expenditure. T hese filings must
be made by fax, guaranteed overnight delivery,
personal delivery or online (if online filing is
available).
Where to File:
All Committees:
Original & one copy Secretary of State
Political Reform Division
1500 11 th Street, Rm 495
Sacramento, CA 95814
County & City Committees:
Copy Local filing officer who will
receive the original,
disclosure statements.
The Secretary of State will assign an identification
number to the committee. Once assigned, the
identification nurnberwill be posted on the
Secretary of State's website (www.ss.ca.gov) and
written notification will be sent to the committee
treasurer,
EM32M
Except for the "24-hour" amendment noted below,
an amendment is due to the Secretary of State and
local filing officer (if applicable) within 10 days from
the date of any change to the information contained
on the Form 410.
24 -Hour Amendment'.
If, during the 16 days prior to an election when a
committee is required to file pre - election statements,
a change occurs in the name of the committee; t'na
treasurer or other principal officers-, or the
controlling candidate, an amendment must be filed
with the filing officer receiving the committee's
original campaign statements within 24,rours cfthe
change. The amendment must be sent b,� fax,
online transmission, guaranteed overnight cleliveryr,
or personal delivery. If the Secretary of State is not
the filing officer for the committee's original
campaign statements, the amended Form 410 must
also be filed with the Secretary of State within 10
days as stated above.
UZEM=-
All recipient committees must file disclosure
statements until the termination requirements are
met and the Form 410 Termination has beer), filed.
See Part 5.
This form was prepared by the Fair Pofiiical
Practices Commission (FPPC). For detailed
information on campaign reporting requirements
and the Information Practices Act of 1977, see the
FPPC Gam gaign Disci _sure MiMpal for YOUF t%,/pe 0
committee (available from your filing officer or the
FPPC). Campaign filing deadlines, forms, and
other informational materials are aval"able on the
FPPC,,,vebsite (vvwwJppc.ca.gov),
FPPC Form. 410 (January/05)
FPPC Toll-Free Helpline: 866,1ASK-FPPC (8661275-3772)
Statement of Organization
Recipient Committee
�NSTFIIIJCTICNS ON REVERSE
Page 2
O,%W,!;TTEE NAME 1.0, NUMBER
4. Type of Commiftee Complete the applicable sections.
- pist 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 inumber, if any, and the year of the election.
e List1he political party with which each officeholder or candidate is affiliated or check
1' this comrnittee acts jointly with another controlled committee, list the name and identification number of the other controlled committee.
ELECTIVE OFFICE SOUGHT OR HELD
NAME OF CANIDIDATE/OFFICEHOLDERISTA.TE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PARTY
financia. I
institution where the campaign bank account is located (controlled "candidate election" committees only)
NAME OF FINANCIAL INSTITUTION AREA CODEIPHONE BANK ACCOUNT NUMBER
e—
c-1,
-J I - ill — ( '
STATE ZIP CODE
Primarily formed to support or oppose specific candidates or measures in a single election, List below:
�ANDIDATE(S)11,11WE OR MEASURE(S) _-LLLTiTLE iINCLUDE SALLOT NO. OR LETTER) CANDIDATE(S) OFFICE SOUGHT OR HELD OR MFASURE(S) JURI . SOICTION
(INCLUDE CIISTRICT NO., CITY OP COUNTY, AS AF;PLICAB"El'
OPPOSE
FPPC Form 410 (JanuarytOS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (8661275-3772)
Instructions for
Statement of Organization
The "date qualified' as a committee is the date that
the committee received contributions totaling $1,000
or more during a calendar year. If a Form 410 is
ailed od prior to receipt of $1,000 in contributions, check
the box "Not yet qualified.' Once the committee
qualifies, file an amended Form, 410 to report the
Fate qualified.
UUMM-1117M
if any of the information reported on an initial
statement of organization changes, e.g., change of
treasurers,
• Mark the amendment box.
Include the committee's ID number and name.
Provide the changed information.
Complete the verification_
Unless otherwise prohibited by law, a candidate for
local office may amend the Form 410 to indicate that
he or she is seeking another term of the same office
(e,g, re-election). A candidate for state office Must
open a separate committee for each term of office
and may not amend the Form 410 to redesignate a
committee.
Termination
List the committee's identification number and
indicate the date of termination,
1. Committee Information:
Provide the full name of the committee- A
committee may use only one name.
The committee's street address must be reported. A
post office box is not acceptable. The committee's
mailing address must also be reported if it is different
from the committee's street address. Apost office
box is acceptable for the mailing address. A
committee's "domicile" is its address as listed on the
Form 410. Los Angeles is the county' of domicile for
committees located outside California_
The following name identification rules apply to the
Form 410, the committee's campaign statements
and to any other references to the committee
required by law. See the instructions for Part 4 for
committee definitions.
Legal Defense Fund
Astate candidate or officeholderwho is subject to
legal proceedings may establish a controlled
committee to defray attorney fees and other legal
costs. The words "Legal Defense Fund" must be
included as part of the committee name. See FPPC
Campaign Disclosure Manual 1 for state candidates,
Sponsored Committees
A sponsored committee (including most political
action committees) must include the full name of its
sponsor in the name of the committee. If the
committee has more than one sponsor and the
sponsors are members of an Industry or other
identifiable group, include a term identifying that
industry or group.
Primarily Formed Ballot Measure Committees
A committee primarily formed to support or
oppose a ballot measure must include the
statement, "Committee For Proposition/
Measure—," or'CommitteeAgainst
Proposition' ltvleasure_," in the name of the
committee. File an amended Form 410 if the
ballot number or letter is not assigned when the
committee qualifies.
A committee primarily formed to support or oppose
a ballot measure must also include in its name a
name or phrase that clearly identifies the
economic or other special interest of its major
donors of $50,000 or more. The committee nar"le
must also include the name of any candidate that
contributes $50,000 or more- See FPPC
Regulation 184150.3.
-- Recall elections: A committee formed by an
officeholder who is the subject of a recall Must
include the word "recall" in the name of the
committee. A committee primarily formed to
support or oppose a recall must Include the name
of the officeholder who is the subJect of the reca"
and whetherthe committee supports or opposes
the recall.
2. Treasurer and Other Principal
Officers:
The committee may have only one treasurer and
one assistant treasurer.
Lh
if the committee has other principal officers, such
I
as a president, secretary, or chairperson, list each
officer's full name, position held, and address. Use
an appropriately labeled attachment if necessary.
3. Verification:
The committee treasure,-or assistant treasurer must
sign the Form 410,
Controlled Committees
Each controlling officeholder, candidate or state
ballot measure proponent must sign the Forrn 410,
If more than three control the committee, one of
them may sign on behalf of all controllin.g,
individuals. If a candidate will serve as his or her
own treasurer, he or she must sign as the candida,e
and again as the treasurer,
FPPC Fenn 410 tJanuary,'10151
FPPC Toll-Free Helpfine: 366/ASK-FPPC (18661275-377T
' Statement of Organization
Recipient Committee
/nnrnoc��wSomRevcnoe
4. Type ufCommittee (continued)
Not formed msupppxo' oppose specific candidates o,meu5um,menmgie election, Check only one box:
[] CITY Committee [] COUNTY Committee [j STATE Committee
PROVIDE BRi EF7 DESCRIPTION OF ACTM Ty
Page 3
OF ORGANIZATION
---
List additional sponsors on an attachment.
NAME OF SPONSOR INDUSTRYGROUP ORAFFILLA-11ON OF SPONSOR
C3 1 Check box and provide the date this committee qualified ^vosmall contributor committee, n the committee qualified asa
Date qualified small contributor committee onJanuary 1.20m1. enter 1/1mi
5.Tarrninadon Requirements av signing the verification, the treasurer, assistant treasurer and/or candidate, officeholder, nrpmponenmyrtifymua:ofmefonm°mgcood/mm,oaveoaeomet:
~ ��|soommittoe has ceased Vureoe�eoo�hbu�ona and make axpand�ureu�
/ .
^ Thisoommit+ee does not anticipate receiving contributions ormakingexpendhores|nthyfutune;
~
This commbhaehasno surplus funds; and
^ Th|s committee has filed 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 8951S-
rppc Form wn(Jamarym5)
ppporvn'pns ye/pxne moauAnK-Frpc (866m75-3772)
Instructions for
Statement of Organization
4. Type of Commiftee:
A committee must complete each applicable
Section. in Some instances, a committee may
qualify as more than one type of committee.
Controlled Committee
A"controHed committee" is one which is controlled
directly or indirectly by an officeholder, candid4te,
or state measure proponent, or which acts jointly
with an officeholder. candidate, state measure
proponent, or another controlled committee in
connection with making expenditures.
A committee is controlled if the officeholder,
candidate, or proponent, his/her agent, or any
other committee he/she controls, has a significant
;influence on the actions or decisions of the
committee.
"Proponents" of state measures are persons who
request the Attorney General to prepare a title and
summary of a state initiative, referendum, or
measure.
Controlled "Candidate Election" Committee
A candidate must disclose bank account
information on the Form 410.
List the name and address of the financial
institution where the campaign bank account is
located and the bank account number.
If your campaign bank account is not open at the
time you file an initial Form 410, amend the Form
410' within 10 days of opening the bank account.
About Your BankAccount
• A campaign bank account must be established
at an office of a financial institution located in
the state.
• A new bank account and committee must be
established to run for a different office. File
initial Forms 501 (Candidate Intention) and 410
for the election.
All money to be used for campaign purposes,
including the candidate's personal funds, must
be deposited in the campaign bank account for
the specific office prior to expenditure, excluding
personal funds used to pay the filing fee and/or
fee for the statement of qualifications in the
ballot pamphlet,
• State candidates may have separate bank
accounts (and committees) for the primary and
general election. A state candidate seeking re-
election to the same office must open a new
bank account and committee.
Unless otherwise prohibited bylaw, a local
candidate may use the same bank account and
committee to run in more than one election for
the same office (e.g. re-election),
Primarily Formed Committee
A committee is "primarily formed" when its
principal activity is raising or spending money to
support or oppose a specific candidate or measure
or a group of specific candidates or measures all
being voted upon in the same election on the same
date. A committee established for the sole purpose
of a recall election is a primarily formed committee.
A committee controlled by a candidate for his ar
her own candidacy is not a primarily formed
committee.
If a primarily formed committee meets the
sponsored committee definition, also complete the
sponsored committee section.
General Purpose Committee
A committee is a general purpose committee if its
principal activity is supporting or opposing a varlety
Of Candidates or measures not voted uporlin a
sinale election.
• A city committee makes contributions and
expenditures in connection with a-, single city's
elections and includes special districts located
within a single city.
• A county committee makes contr butions and
expenditures in connection with a single
county's elections. A county committee also
includes elections for special districts located In
a single county or any number of cities located
in a single county.
A state committee makes contributions and
expenditures in connection with state elections,
or in connection with elections he'd in more than
one county.
Provide a brief description of the conimittee s
political activities such as whether or not it supports
candidates or measures that share -3 common
political affiliation. If the gene; al purpose committee
meets the sponsored committee definition, also
complete the sponsored committee section.
FPPC Form 4101 (J8nW2rY,`05)
FPPC Toll-Free Helpline: 8661ASK-FPPCt8661275-3772,1
Statement of Organization
Recipient Committee Type or print in ink
State€nent Type Initial (] Amendment
List 1',D, number:
fiat yet Gualiilad F-1 �3
Date qualified as committee Hate qualified as committee
it` appheblei
1 h Committee Information
NAME OF `.ONIMIT r EE
O
S7 REET ADDRESS (NO P.a, BOX) - - -
Termination — See Part 5
List I.Q. number:
�/___J
Date of Termination
STATE ZIP CODE AREA CODEiPHONE
NAAILING ADDRESS "T DIFFERENT)
OPTIONAL: - A'X i EMAIL ADDRESS
Date Stamp
2. Treasurer and Other Principal Officers
STATEMENT OF ORGANIZATION
A t3
SLO CITY CLERK
NAME OF TREASURER
STREET ADDRESS
�'
CITY STAT1E Z €I=CODE AREA CODE,PHONE
NAME OF ASSISTANT TREASURER, IF A - --
."I
-�
STREET ADDRESS # +� _
CITY STATE ZIP CODE � AREA COOEtPHOKE
NAME AND POSITION OF OTHER ORINCIPAL OFFICER(S), IF APPLICABLE
COUNTY OF DOM;CILE COUNTFY WHERE COMM117EE IS ACTIVE IF DIFFERENT
THAN COUNTY OF DOMICILE -
�,.�' PvtAILE.r+lG ADDRESS
CITY" STATE. ZIP CODE AREA C'OCE'PHONE
A ,aa;! ar;dWonai in,,ormatiori on approprieIely abeiec continuation sheets.
3'p 'Verification
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
oen'L y under the laws of the State of California that the foregoing is true and Corr
yet: Itse3 cn �. By
DATE ORASSISTANTTREASURE?
.S v im` fa ^•mss
tec. oil g f� -
r�9 e
y.s ute ors
Cti I
DATE
SIGNATij F .?F CONF RCItUNG OFFICEHOLDEA, GAN310ATE, OR STATE MEASURE PROPONENT
By r
SIGNATURE OF CONTROLLING OFFICEHOLDER. CANDIDATE, OR STATE MEg5JRE PROPONENT
By
SfGNI - -JRE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 430 (January/05)
FPPC Toll -Free Helpiine: 866 /ASK -FPPC (8651275 -3772)
Q-tatement of Organization
Recipient Committee
Recipient Committee:
A recipient committee is any individual (including an
officeholder or a candidate), group of individuals,
organization, or any other entity that receives
contributions totaling $1,000 or more during a
calendar gear.
The term "contribution" includes monetary
payments, loans and rion-monetary goods or
services.
Candidates:
The personal funds of a candidate or officeholder
used in connection with seeking or holding elective
office are contributions and are counted toward
qualifying as a recipient committee. However,
personal funds used to pay a candidate filing fee or
a fee for the statement of qualifications to appear in
the ballot pamphlet are not counted toward the
$1,000 threshold.
When to File:
File the Form 410 within 10 days of receiving
$1,000 in contributions. The date this form is
postmarked is the date it is considered filed.
A recipient committee qualifying during the 16 clays
prior to an election in which it must file pre-election
statements must file a Form 410 (or the information
required or a Form 4 10) by fax, guaranteed
overnight delivery, or personal delivery within 24
hours of qualification with the filing officer who will
receive the -committee's original disclosure
statements- A Form 410 must, also be filed with the
Secretary of State within 10 days.
A recipient committee qualifying during the 16 days
prior to an election in which the committee makes
independent expenditures of $ 1,000 or more to
support or oppose a candidate in that election must
file the Form 410 (or the information contained on
the Form 410) within 24 hours of qualification with
the filing officer w.-ici will receive the committee's
original disclosure statements and with the filing
officer(s) for the aarididate!s) supported or opposed
by the independe-itexpend expenditure. These filings must
be made by fax, guaranteed overnight delivery,
personal delivery or online (if o-,-,Ijpe fi linc is
available).
Where to Flie;
All Committees:
Original & one copy Secretary of State
Political Reform Division
1500 11th Street, Rm 495
Sacramento, CA 95814
County & City CGmmittees;
Copy Local filing officer who will
receive the onginal
disclosure statements.
The Secretary of State will assign a-i identification
number to the committee. Once assigned, the
identification rumberwill be posted on the
Secretary of State's website (www.ss-ca.gov) and
written rictificatic-i will be sent to the committee
treasurer.
Except for the "24-hou;'amenclmerit noted below,
an amendment is due to the Secretary of State anc
local filing officer (if applicable) within 10 days from
the date of any change to the in-formation container
on the Form 41 C.
24-Hour Amendment:
lf, during the 16 days prior to an election, vv-hen a
committee is required to file pre - election statements,
a change occurs in the name of the committee: the
treasurer or other principal officers; or the
controlling candidate, an amendment must beir-i-led
with the ding officer receiving the comm ii1tee's
original campaign statements within 24 hours o-- the
change. The amendment must be sent by fax,
online transmission, guaranteed overnight delivery,
or personal delivery. If the Secretary of State is nc,
the filing officer for the committee's original
campaign statements, the amended Form 410 7 lus
also be filed with the Secretary d State withM 1,11
days as sated above,
UMMM=
All recipient committees must file disclosure
statements until the termination requirements are
met and the Form 410 Termination has been filed,
See Part 5.
This form was prepared by the Fair Political
Practices Commission (FPPC). For detailed
information on campaign reporting requirements
and the Information Practices Act of 1977, see the
FPPC CamDaiari Disclosure Manual for your type of
Committee (available from your filing officer or lha
FPPC). Campaign filing deadline---, forms, anc
other informational materials are available on flh--
FPPC website (WWW, i - PPC.C2.gOV),
FPPC Form 410 (Januzit,
yfG 5)
FPPC Toll-Free Heipline: 8661A$K-FPPC (8661275-3772'
Statement of Organization
Recipient Committee
ON REVERSE
A-
5LC.
4. Type of Committee Complete the applicabie sections.
Page 2
- 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 poMical party with which each officeholder or candidate is affiliated or check "non-parlisan,"
ff -nis committee acts jointly with another controlled committee, list the name and identification number of the other controlled committee.
ELECTIVE OFFICE SOUGHT OR HELD
NAME G--;:;ANDIDATEIDFFI--EH,3LDER,STA.TE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PARTY
fist fh-= financia institution where the campaign bank account is located (controlled "candidate election" committees only)
NACRE OF FINANCIAL INISTMITION AREA 00DE1IPHONE. BANK ACCOUNT NUMBER
7- 7-
, 0 .7
ADDRESS CITY STATE ZIP CODE
-
7
Primarily formed to support or oppose specific candidates or measures in a single election. List below-
CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION
NAME OR MIEASURE(S) FULL T7LE 4INCLUDE BALLOT NO. OR LETTER) "INCLUDE DISTRICT NO.. CITY OR COUNTY, AS AP'PLICAB'El oHIECKONE
SUPPORT OPPOSE
OPPOSE
FPPC Form 4110 (January105)
FPPC Toll-Free Heiplina,: 866JASK-FPPC (8661275-3772)
Instructions for
Statement of Organization
Statement Type:
Initial
The "date qualified" as a committee is the date that
the committee received contributions totaling $1,1300
or more during a calendar year. If a Form 410 is
filed prior to receipt of $1,000 in contributions, check
the box "Not yet qualified," Once the committee
qualifies, file an amended Form 410 to report the
date qualified.
Amendment
If any of the information reported on an initial
statement of organization changes, e,g. , change of
treasurers:
a Mark the amendment box.
* Include the committee's ID number and name.
- Provide the changed information,
a Complete the verification.
Unless otherwise prohibited by law, a candidate fcr
iota! office may amend the Form 410 to indicate that
he or she is seeking another term of the same office
(e.g. re-election). A candidate for state office must
open a separate committee for each term of office
and may not amend the Form 410 to redesignate a
committee.
Termination
List the committee's identification number and
indicate the date of termination.
I_ Committee Information:
Provide the full name of the committee. A
committee may use only one name.
The committee's street address must be reported, A
,cost office box is not acceptable. The committee's
mailing address must also be reported if it is different
from the committee's street address. A post office
box is acceptable for the mailing address. A
committee's "dorrncile" is its address as listed on the
Form 410. Los Angeles is the county of domicile for
committees located outside Califomia.
The following name identification rules apply to the
Form 410, the committee's campaign statements
and to any otherreferences to the committee
required by law. See the instructions for Par', 4 for
committee definitions-
Legal Defense Fund
Astate candidate or officeholder who is subject to
legal proceedings may establish a controlled
committee to defray attorney fees and other legal
costs. The words "Legal Defense Fund" must be
included as part of the committee name. See FPPC
Campaign Disctosure Manual 1 for state candidates.
Sponsored Committees
A sponsored committee (including most political
action committees) must include the full name of its
sponsor in the name of the committee, If the
committee has more than one sponsor and the
sponsors are members of an industry or other
identifiable group., include a ter-ri identifying that
industry or grou.c.
Primarily Formed Ballot Measure Committees
A committee primarily formed to support or
oppose a ballot measure must include the
statement, "Committee For Proposition/
Measure—'or "CommitteeAgainst
Proposition/Veasure—," in the name of the
committee. File an amended Fcrnn 410 if the
ballot number or letter is not assigned when the
committee qualifies.
A committee primarily formed to support or oppose
a ballot measure must also include in its name a
name or phrase that clearly identifies the
ecoromic or other special interest of its major
donors of $50,000 or more. The committee name
must also include the name of any candidate that
cont-lbutes $50.000 or more- See FPPC
Regulation 18450.3.
-- Recall elections: A committee formed by an
officeholder who is the subject of a recall must
include the word "recall" in the name of the
committee. A committee primarily iorr-ned to
support or oppose a recall must include the na-,e
of the officeholder who is the subliect of the recai'
and whether the committee supports or opposes
the recall,
2. Treasurer and Other Principal
Officers:
The committee may have only one treasurer and
one assistant treasurer.
if the cOMMittee has other principal officers, such
as a president, secretary., or chairperson, list each
officer's full name, position held, and address. Use
an appropriately labeled attachment if necessary.
3. Verification,
The committee treasurer or assistant treasurer must
sign the Form 410.
Controlled Committees
Each controlling officeholder, candidate or sate
ballot measure proponent must sign the ForM 410
If more than three control the committee, cone of
them may sign on behalf of all controlling
indivicuals. If a candidate wili serve as his or ^er
own treasurer, he or she must sign as the candidate
and again as the treasurer,
FPPC Form 410 (Jonuaryi[55)
FPPC Toll-Free Helpfine: 866!ASK-FPPC 1,8651775-7,771 ?)