HomeMy WebLinkAboutMarx Supporting Documents - 2010MAY I
1.18 7 cruy of sAn oBispo
Oath of C)fIce
I, Jan HoweffNarx, do solemnCy swear that I wiCCsupport and
defend the Constitution of the United States and the Constitution of the
State of CaCfornia against all enemies foreign and domestic; that I will
bear true faith and aCCegiance to the Constitution of the United States
and the Constitution of the State of CaCfornia, that I take this obligation
freely, without any mentaCreservation orpurpose of evasion; andthatl
wdlweCCandfaithfuCCy discharge the duties upon which I am about to
enter.
Subscribed and sworn to before me,
this 1St day of December 2010:
Elaina Cano, City Clerk
CITY OF SAN LUIS OBISP�
FINANCE DEPARTMENT
990 PALM STREET
SAN LUIS OBISPO, CA 93401
CASHIER
(805)781 -7124
MISCELLANEOUS REVENUE
Please mark one:
Miscellaneous Revenue
❑ Voucher Refund
Complete the information below:
Date: -7 2
Issuin g Dept:
t: IN
Vendor Name:
.z
VoucTier No.: Date:
- r. Description:
G. L. Acct:
Amount: C�
Please prepare a duplicate if you want a
receipt.
Return to:
GROI PS /AR/NHSC. REVENUE VOUCHER
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VULICATERECEIPT
CIW OF SAN LUIS OBISFOU
RECVD BY: FINANCE CASHIER 01000291741
PAYOR: JAN HOWELL MARX
TOD,AY`S DATE: 07/27/10
RESISTER DATE� 07/27/10 TIME: 11:40
�E3CRlPTION AMOUNT
0SIlD;CANDIDATE ST'YT
, 13CELILANEGUS REVENUE $410.00
TOTAL DUE: $41G.00
CHECK PAID; $410.09
CHECK NU: 192
TENDERED: $401913
CHANGE: $.00
Required to be given to candt date
Option! to be signed and returned
CODE OF FAIR CAMPAIGN PRACTICES
There are basic principles of decency, honesty, and fair play which every candidate for
public office in the State of California has a moral obligation to observe and uphold in order that,
after vigorously contested but fairly conducted campaigns, our citizens may exercise their
constitutional right to a free and untrammeled choice and the will of the people may be fully and
clearly expressed on the issues.
THEREFORE:
(1) 1 SHALL CONDUCT my campaign openly and publicly, discussing the issues as I
see them, presenting my record and policies with sincerity and frankness, and criticizing without
fear or favor the record and policies of my opponents or political parties that merit this criticism.
(2) 1 SHALL NOT USE OR PERMIT the use of character defamation, whispering
campaigns, libel, slander, or scurrilous attacks on any candidate or his or her personal or family life.
(3) 1 SHALL NOT USE OR PERMIT any appeal to negative prejudice based on a
candidate's actual or perceived race, religious creed, color, national origin, ancestry, physical
disability, mental disability, medical condition, marital status, age, sexual orientation, sex, including
gender identity, or any other characteristic set forth in Section 12940 of the Government Code, or
association with another person who has any of the actual or perceived characteristics set forth in
Section 12940 of the Government Code.
(4) 1 SHALL NOT USE OR PERMIT any dishonest or unethical practice that tends to
corrupt or undermine our American system of free elections, or that hampers or prevents the full
and free expression of the will of the voters including acts intended to hinder or prevent any eligible
person from registering to vote, enrolling to vote, or voting.
(5) 1 SHALL NOT coerce election help or campaign contributions for myself or for any
other candidate from my employees.
(6) 1 SHALL IMMEDIATELY AND PUBLICLY REPUDIATE support deriving from any
individual or group that resorts, on behalf of my candidacy or in opposition to that of my opponent,
to the methods and tactics that I condemn. I shall accept responsibility to take firm action against
any subordinate who violates any provision of this code or the laws governing elections.
(7) 1 SHALL DEFEND AND UPHOLD the right of every qualified American voter to full
and equal participation in the electoral process.
I, the undersigned, candidate for election to public office in the State of California or
treasurer or chairperson of a committee making any independent expenditures, hereby voluntarily
endorse, subscribe to, and solemnly pledge myself to conduct my campaign in accordance with the
above principles and practices.
Al
Printed Name
- Jaaern4e-� a p 10
Date of Election
O: \FORMS \Nomination Documents \Code of Fair Campaign Practices.doc
2008 / Revised 2006
D&
RECEIVED
JUL 1.
SLO CTY CLERK
MC Elections
Required to be given to candidate
Optional to be signed and returned
CODE OF FAIR CAMPAIGN PRACTICES
(Division 20, Chapter 5, Elections Code.)
Chapter 5. Fair Campaign Practices
Article 1. General Intent
20400. The Legislature hereby declares that the purpose of this chapter is to encourage every
candidate for public office in this state to subscribe to the Code of Fair Campaign Practices.
It is the ultimate intent of the Legislature that every candidate for public office in this state
who subscribes to the Code of Fair Campaign Practices will follow the basic principles of decency,
honesty, and fair play in order that, after vigorously contested, but fairly conducted campaigns, the
citizens of this state may exercise their constitutional right to vote, free from dishonest and unethical
practices which tend to prevent the full and free expression of the will of the voters.
The purpose in creating the Code of Fair Campaign Practices is to give voters guidelines
in determining fair play and to encourage candidates to discuss issues instead of untruths or
distortions.
Article 2. Definitions
20420. As used in this Chapter, "Code" means the Code of Fair Campaign Practices.
Article 3. Code of Fair Campaign Practices
20440. At the time an individual is issued his or her declaration of candidacy, nomination papers, or
any other paper evidencing an intention to be a candidate for public office, the elections official shall
give the individual a blank form of the code and a copy of this chapter. The elections official shall
inform each candidate for public office that subscription to the code is voluntary.
In the case of a committee making an independent expenditure, as defined in Section
82031 of the Government Code, the Secretary of State shall provide a blank form and a copy of this
chapter to the individual filing, in accordance with Title 9 (commencing with § 81000) of the
Government Code, an initial campaign statement on behalf of the committee.
The text of the Code shall read, as follows: (See "CODE OF FAIR CAMPAIGN
PRACTICES" on reverse side).
20442. The elections official shall accept, at all times prior to the election, all completed forms
which are properly subscribed to by a candidate for public office and shall retain them for public
inspection until 30 days after the election.
20443. Every code subscribed to by a candidate for public office pursuant to this chapter is a
public record open for public inspection.
20444. In no event shall a candidate for public office be required to subscribe to or endorse the
code.
OAFORMS \Nomination Documents \Code of Fair Campaign Practices doe
2008 i Revised 2006 MC Elections
I city Of SAn Luis OBI spo
990 Palm Street, San Luis Obisno CA 93401-3249
July 27, 2010
Fair Political Practices Commission
428 J Street, Suite 620
Sacramento, CA 95814
Dear Sir or Madam:
Pursuant to FPPC requirements, enclosed is the Statement of Economic Interests (Form 700), for
the following San Luis Obispo City Council candidate in the November 2, 2010 General Municipal
Election:
Paul Brown, Candidate for Mayor
Jan Howell Marx, Candidate for Mayor
Dan Carpenter, Candidate for City Council
If you have questions regarding this form, please let me know.
Sincerely,
Elaina Cano
City Clerk
Enclosures
GA702 -01 ElectionslElection 2010XFPPC Form 700 Transmittal Letter. DOC
The City of San Luis Obispo is committed to include the disabled in all of its services, programs and activities.
Telecom munlcaIions Device for the Deaf (805) 781 -7410.
NOMINATION PROCESS CHECKLIST
Official Nomination Paper:
Not less than 20 nor more than 30 registered voters in the City of San Luis Obispo
signatures.
Candidate's Information (p.3)
Declaration of Circulator — Handwritten not typed
Affidavit of Nominee — Will complete with City Clerk when turning in documents.
Please don't sign before then. -- So r
Ballot Designation Worksheet
All information filled out, signed and dated.
Candidate Statement of Qualification
The State ent includes:
r A a ne, Age, Occupation of the Candidate
brief description (no more than 200 words) of the candidate's education and
qualifications expressed by the candidate in his/her own words (first person
si gular).
'l Correct spelling, punctuation and grammar
The State ent DOES NOT include
Warty affiliation
Membership or activity in any partisan political organization
Oq References to other candidates
. Boldface type, bullets, boxes, arrowheads, diamonds, asterisks, all capital
letters, or underlining
❑ Deposit of $410 for English or $920 for both English/Spanish
V Emailed Electronic version to City Clerk C c, f
❑ No Candidate Statement Submitted
Statement of Economic Interest — Form 700
'.Cover Page
Schedules (if applicable)
Y, Code of Fair Campaign Practices Form
Submitted by:
>(
Candidate
I y — a-91 n
(Date)
Received By:
City Clerk
(Date)
NAME: JAN MARX
OCCUPATION: CITY COUNCIL MEMBER
I'm running for Mayor at a challenging and promising time. San Luis Obispo needs to
respond courageously and creatively by renewing our commitment to economic vitality and
excellent stewardship.
A resident since 1988, married, with grandchildren, I earned degrees from Stanford and
Santa Clara Law School. I`ve served on the City Council from 1998 -2002 and from 2008 to the
present, and represent San Luis Obispo on the County Council of Governments and Air Pollution
Control District. I've been active in Chamber of Commerce, Rotary, neighborhood, anti -
domestic- violence, environmental, and humanitarian organizations.
I`ll provide capable, caring leadership, based on my experience in government and as a
business owner and community volunteer. I support residents' priorities, including conserving
our resources - -human, economic, environmental, cultural, and historical -- preserving open space
and safe neighborhoods, improving infrastructure and bike paths, and promoting a vibrant
Downtown.
I'll conduct the city's business with accountability, fairness, diligence, transparency and
civility. I'm a good listener and don't turn my back on anyone. My temperament, education and
record of dedication to public service make me the best - qualified candidate.
As Mayor, I will work with you toward a resilient and sustainable future. I would
appreciate your vote.
[Visit janmarx.com, email
CANDIDATE'S STATEMENT Ol� .4UALIFICATIONS
(Elections Code Sections 13307, 13308, 13309, 13311)
Candidate for
pf the _ C;, d,
at the November 2, 2010 Consolidated General Election
Date Statement Received from Candidate
original - file with CD or diskette attached
copy - candidate �4 x�
vY �//CU
INSTRUI DNS TO CANDIDATE
1. Carefully read the information below
2. Complete the Name, Age & Occupation
portion of this statement.
3. Attach your statement to this form.
4. Return this form, the statement and an
electronic version of the statement to the City
Clerk's office. The statement must be submitted
with your nomination papers, or if none, no later
than 88 days before the election.
It has been determined that the cost of the
statement is the responsibility of the
candidate. The estimated cost of printing
the statement is:
English $ 410 Spanish /English$ 920
NOTICE TO CANDIDATE: This statement may include your age, occupation and a description of
your education and qualifications not to exceed 200 words. The statement must be written in the
first person singular. All statements will be printed in uniform style and type size. Please type
your statement in upper and lower case. Check the statement carefully for errors in spelling,
punctuation and grammar before filing as your statement will be printed exactly as submitted by
you.
p 1 decline to submit a Candidate Statement.
Q- I submit the following statement:
NAME: N /"thl 2X AGE:
Ct 7-Y
Optional
OCCUPATION: C 0 L/ L L_ Al k-,LA
Optional. (Maybe more descriptive than what will appear on ballot)
EDUCATION AND QUALIFICATIONS - Statement and word count start here.
Statement should be printed on a separate page attached to this form. Statement must also be submitted
in electronic format.
CANDIDATE: PLEASE READ BELOW BEFORE SIGNING.
PURSUANT TO ELECTIONS CODE SECTIONS 13307 & 13308, 1 state that I prepared the attached statement which
is to be printed in the Voter's pamphlet and mailed to each registered voter in my district. I understand the deposit
amount is only an estimate of the actual cost that may be significantly more or les than the estimate, depending on the
number of candidates electing to file statements. Accordingly, the election official will bill me for any additional
expense or refund any excess amount paid depending on the final actual cost. 1 further state that I will pay for my
prorated cost of the statement at such time as required by the elections official
❑ I am indigent and unable to pay for my prorated costs in advance. Attached is a financial disclosure statement
pursuant to Elections Code Section 13309 and a release authorizing you to obtain a copy of my most recent federal tax
form. I certify under penalty of perjury under the laws of the State of California that the financial statement is true and
correct.
CHECK THE APPROPRIATE BOXES FOR PRINTING OPTIONS
❑ SPANISH - San Luis Obispo is not a language requirement county under the Federal Voting Rights Act. If you check
this box it indicates that you wish to have your statement translated and printed in Spanish in addition to English. The
cost of the Spanish statement is in addition to the cost of the English statement.
❑ WITHDRAWAL OF STATEMENT- If no other candidate has filed for election for the same office as of the close of
nominations, I authorize withdrawal of my statement of qualifications.
❑ WITHDRAWAL OF STATEMENT -If no other candidate for the same office has filed a statement of qualifications, I
authorize withdrawal of my statement of qualifications.
J 1i Alv1 i."\ '
(Print name as signed) /^
(
�
i
(Date of Signing)
NAME: JAN MARX
OCCUPATION: CITY COUNCIL MEMBER
I'm running for Mayor at a challenging and promising time. San Luis Obispo needs to
respond courageously and creatively by renewing our conitment to economic vitality and'
excellent ste'W_ a- rdship.
D, J -�
resident srnce X988 marred, with grandchildren, I earned degrees from Stanford an�
Santa Clara Liw School. I`vo�setv'ed on the City Council from 1998 -2002 and from 2008 to thef
pre�e'nt, aha re�ksent San Lu'i's Obispo on the County C&incil of Governments and Air Pollution
Control District. I've ben active in Chamber of Commerce, Rotary , neighborhood, anni-
domegtic- violence, environmental, and humahitarian organizations.
I`ll provide capable, caring leadership, based on my experience in government and as a 7
usii ess owner acid community volunteer. i support residents' priorities, including conserving
li `, title r 7 F •rte .. Ia3 �?
ou resources -- human, economic, environmental, culiural, and historical -- preserving open space
a-nd safe neighborhoods, improving infrastructure and bike paths, and promoting a vibrant
Downtown.
. I'll_ conduct the city's business with accountability, fairness, diligence, transparency an
civility. I'm a go6d listener and�d n't turn n�,y back on anyone. I1 y tem ament, education and'
record of dedication to public service iQce me the be canfiidate.
E As Mayor, I will work with you toward a resilient and sustainable future. I would
appreciate your vote.
[Visit
3allot Designation Worksheet
Name of Candidate. J;` -P-' R
Office Sought: 0 k SIN C� i S ® l ?r S Po CA-i r_o"e jV1 q
Daytime Telephone Number: Evening,
FAX Number: ,,` E -Mail
k f
I DO NOT WISH A BALLOT DESIGNATION LISTED UNDER MY NAME ON THE BALLOT ❑
C i T�'
PROPOSED BALLOT DESIGNATION: C'y ✓�� 1 L /4,1 PM R ,,=_,
(If using incumbent, appointed incumbent or the elective office currently held,
complete this section only)
I WAS ❑ ELECTED ON OR ❑ APPOINTED ON
(If using any designation other than incumbent, the information below must be completed)
THIS IS MY: ❑ OCCUPATION V, PROFESSION ❑ VOCATION
❑ 1 POSSESS THE LICENSE OR CERTIFICATION REQUIRED OF MY PROFESSION OR
OCCUPATION
❑ I DO NOT CURRENTLY HAVE A PRINCIPAL OCCUPATION OR PROFESSION, I HAVE
WORKED IN THE PROFESSION OR OCCUPATION IN MY BALLOT DESIGNATION IN THE
LAST 12 MONTHS
Describe what you do and why you believe you are entitled to use the requested ballot designation. If
using the title of an elective office, you may submit a copy of your certificate of election or appointment.
l rGS del `%'r _k f' ., s, l -e _ -e
_(1 s 061 PO 6� h i y, 2_0o,
Your Job Title: r , CO e,, W I /vt _Dates in Position:
Name of Employer or Business: G
Name and Phone # of Person(s) who can verify this information:
(If using retired in the ballot designation, complete information below)
❑ IF I AM ELIGIBLE TO USE RETIRED IN MY DESIGNATION FOR THE FOLLOWING
REASONS- see reasons on page 20 of the candidate's manual:
(if using community volur..er as the ballot designation, con., ate information below)
❑ My volunteer work is my sole, primary, main or leading professional, vocational or occupational
endeavor
❑ 1 am not engaged concurrently in another principal profession, occupation or vocation
I volunteer for one of the following:
❑ A charitable, educational or religious organization as defined by the U.S. Internal Revenue Code
§501(c)(3)
❑ A government agency.
❑ An educational institution
Name of organization:
If my ballot designation is determined to be unacceptable, use the following alternative:
1St Alternative: C l _F,-. C 0 vn/C_► L [_/0A�q A)
2nd Alternative: rJ L-vk S : Q►4 COwNC -1 t 1 AI`Oq�v_ '
To the best of my knowledge and belief, the above - requested ballot designation(s) represent my true
principal profession(s), vocations(s), and /or occupation(s) that I am entitled to use as my ballot
designations pursuant to §13107 of the Elections Code.
Signed this day of 20 _L� in r a k o
(Location)
Candidate's Signature
You may attach any docume 4s,,6r exhibits that you believe support your proposed ballot designation.
These documents will not be returned to you, so do not submit originals.
FOR fJr IAL USE
Approved for use
Signature Date
❑ Rejected Date Candidate Notified
Reason for rejection
City of San Luis Obispo - City Council Members
http: / /wwl• •i. san - luis- obispo .ca.us /citycouncilmembers.asp
city of
san luis owspo
Choose a Destination... Search conrAcs U% i+Pmo
City Council Members
Mayor
Dave Romero
(805) 781 -7415
Council Member
Allen Settle
(805) 878 -7646
Click mailbox to
J?
Email the
City Council
or call
805 - 781 -7114
F ouncil Member
n Howell Marx
(805) 783 -7752
Vice Mayor
Andrew Carter
(805) 431 -0844
Council Member
John Ashbaugh
(805) 783 -7753
NOTE: E -Mail correspondence sent to or from members of the City Council via the City's
website are considered public records and may be subject to disclosure and additional
distribution pursuant to the Public Records Act and Brown Act.
About the City I Visiting SL O I Wit's New I City Government I Employment
bids. .& Fro..A.0...s @J5 I EcQoQm0c D v lopm n I EAOs I How are we doina?
Q2009. Cltw of San Zuls C)btgIp
1 of 2 7/16/2010 8:30 PM
RECEIPT FOR MATERIALS PROVIDED BY THE
ELECTIONS OFFICIAL
hereby acknowledge receipt and review of nomination
documents and e- didate'S packet on behalf myself oi , as a
p
candidate for yor or Council Me ber in the General Municipal Election
to be held in the ity of San Luis Obispo on Tuesday, November 2, 2010.
Official Nomination Paper
Ballot Designation Worksheet
,�,andidate Statement of Qualification
'Statement of Economic Interest — Form 700
/Code of Fair Campaign Practices Form
Office Hours
L / �
Date
Received by:
Submitted By:
"�Z:) — r—, ::: �— ,- ,—
City Clerk
TO "d _ldlol
x _ OF Sacramento, CA 95814
STATE (916) 653 -6224
(916) 653 -5045 (FAX)
May 20, 2010
GREGORY T. GRIFFIN
ELECT JAN MARX MAYOR 2010
Dear Committee Treasurer:
I U. tsox ion
Sacramento, CA 95812 -1467
www ss.ca goo (Web Site)
RECEIVED
MAY 2 0 20119
SLO CITY CLERK
Thank you for filing your Recipient Committee Statement of Organization (Form 410). Your committee
identification number is 1327606. This number should be used on all the campaign statements your
committee files and given as information to all persons and committees to whom you make contributions.
Based on your Statement of Organization, your filing jurisdiction is at the city or county level. (Government
Code section 84215) (Note; All subsequent section references are to the Government Code.) Since the
Secretary of State is a state level filing officer, you will not ordinarily be required to file campaign
disclosure statements with this office.
Please refer to the information sheet "Where Campaign Statements Must be Filed by Candidates,
Officeholders, and Campaign Committees at the Local Level"
(www,sos,ca.gov /prd /campaign info /filing_ requirements /where`to_file_local.htm) in order to determine
your appropriate local filing officer(s).
You may need to file semi - annual statements (§ 84200.5) on an ongoing basis, even if you have no
activity. Your committee may also be required to file several types of pre - election and election - specific
statements, late contribution (§ 84203) and late independent expenditure (§ 84204) reports, various types
of amendments (§ 81004.5), termination statements (§ 84214), and other special reports required by law.
In addition, candidates may be required to file candidate intention statements (§ 85200), statements of
economic interests (§ 87201), and other types of reports. please refer to the appropriate Fair Political
Practices Commission (FPPC) campaign information manual for your specific filing requirements.
Changes may occur in the information contained in your original or currently -filed Statement of
Organization. For example, you may change the name of your committee, addresses, or treasurers. You
must designate a Statement of Organization as an "amendment" and file an original and one copy with
this office within 10 days of any change (§ 84103(a)). In addition, if any information contained in your
currently -filed Statement of Organization changes during the 16 days immediately preceding the election
in which the committee is required to file a pre - election statement, an amendment must be filed within 24
hours of the change. Keep in mind that a copy of all committee registration statements must also be filed
with your appropriate local filing officer (§ 84101(a)).
The law prohibits a committee from making or receiving contributions without a treasurer. If you resign as
the committee treasurer, your committee cannot make any financial transactions until a new treasurer is
appointed and the amendment is filed with this office (§ 84100).
When your committee is no longer active, or if it disbands, you must designate a Statement of
Organization as a "termination" and file an original and one copy with this office in order to officially
terminate your active status. 'Until such a Statement is filed, your committee will be subject to all filing
requirements and could be fined for failure to timely file (§ 84214).
Appropriate forms and manuals may be obtained from your local filing officer or you may download the
latest forms, manuals, and filing schedules from the FPPC website at www,fppc,ca.gov,
If you have any questions about your campaign filing requirements, please contact your local filing officer
or the Fair Political Practices Commission at (916) 322 -5660. If you have any questions about your
Statement of Organization, call Gloria Perez at (916) 653 -8763 or Regina Geremia at (916) 653 -8069.
TO /TO'd 62ZZtibSS08 upr Zz:60 0T0E- 8Z -),dW
Secretary of State
NOTICE OF' REJECTION
Statement of Organization (Form 410)
Name of
The Fair Political Practices Commission requires the Secretary of State to reject Statements of Organization (Form 410) that
do not provide all of the information required by 2 Cal. Code of Regulations (CCR) § 18410. Your Form 410 is being
returned for the reason(s) circled below:
1. The Form 410 (Page 1) does not indicate a "Statement Type." Please indicate whether it is an "Initial," "Amendment,"
or "Termination" filing by checking the appropriate box. Also:
a. If Initial — Indicate if the committee has "Not yet qualified" OR, if it has qualified as a committee, the date of
qualification. (2 CCR § 18410(a)(1))
b. If Amendment — Indicate the name and ID number of the committee. (2 CCR § 18410(a)(2) and (c))
c. If Termination — Indicate the ID number of the committee and the date of termination. (2 CCR § 18410(a) and (c))
2. The proposed name of the committee conflicts with the name of another committee. (2 CCR § 18402(b)) The conflict
is with:
I.D. #
3 ` The Form 410 (Pale 1, Section 1) does not include the full name of the committee: (2 CCR § 18410(a)(3))
a. A full name, not an acronym, is required. (2 CCR §18410(a)(3))
b. The name of the comm_ ittee does not include the name of its sponsor(s). (Government Code § 84102(a) and
2 CCR § 18419(b)(1))
c. The name of the committee does not include the number or letter of the applicable ballot measure and
support /oppose position. (Government Code §84107 and 2 CCR §§ 18410(a)(3), 18402(c)(4)(E))
d. The name of the candidate- controlled committee does not indicate the last name of the controlling candidate(s).
(2 CCR § 18402(c)(1))
0 The name of the cand Wate-control led committee formed for the purpose of the candidate's election (election
held on or after January 1, 2009) does not include: (1) the last name of the candidate, (2) the office sought, and
(3) the year of the election. (2 CCR § 18402(c)(2)) - t4sa•�s'`` C-��r• t��v -��.
f, The name of the noncandidate- controlled committee primarily formed to support or oppose one or more
candidates does not include the last name(s) of the candidate(s), the office(s) sought, the year of the election,
and whether the committee supports or opposes the candidate(s). (2 CCR § 18402(c)(3))
The name of the state "officeholder" committee does not include the last name of the controlling officeholder,
the office held, the year the officeholder was elected to the current term of office, and the words "Officeholder
Account." (2 CCR § 18531.62(c)(2))
h. The name of the legal defense fund committee does not include the candidate's or officer's last name and the
words "Legal Defense Fund." (2 CCR §§ 18530.4(b) and 18530.45(c))
The name of the committee controlled by the target of a recall does not include the words "Recall" and the
name of the elected official who is the target of the proposed recall. (2 CCR § 18531.5(c)(1))
The name of the committee primarily formed to support or oppose the recall of an elected officer does not
include the name of the elected officer proposed to be recalled and whether the committee is in support of or in
opposition to the proposed recall. (2 CCR § 18531.5(c)(3))
(OVER)
Secretary of State NOTICE OF REJ TION - Statement of Organization (Fo, 110)~
4. The Form 410 (Page 1, Section 1) does not include the full street address and telephone number of the committee.
(A post office box number is not acceptable.) (Government Code § 84102(a) and 2 CCR § 18410(a)(3))
5, The Form 410 (Page 1, Section 2) does not include the full name, street address, and telephone number of the
treasurer and /or assistant treasurer. (Government Code § 84102(c) and 2 CCR § 18410(a)(4))
6. The Form 410 (Pages 2 -3, Section 4) does not indicate the type of committee because one of the following sections
has not been completed: controlled committee, primarily formed committee, or general purpose committee.
(2 CCR § 18410(a)(5))
7. The Form 410 (Page 2, Section 4) does not indicate the full name and office sought by the candidate, including the
district number, if applicable. (Applies when the committee is a candidate - controlled committee for the
candidate's election.) (2 CCR § 18410(a)(6))
8. The Form 410 (Page 2, Section 4) does not indicate the name and address of the financial institution where the
campaign bank account is located and the account number. (Applies when the committee has qualified AND is a
candidate - controlled committee for the candidate's election.) (Government Code § 841020 and 2 CCR § 18410(a)(6))
9. The Form 410 (Page 1, Section 2) does not include the name of each principal officer. (Applies when the committee
is a noncandidate- controlled committee.) (Government Code § 84102(c) and 2 CCR §§ 18402.1 and 18410(a)(7))
10. The Form 410 (Page 2, Section 4) does not include the name of the candidates or the number, letter, or full title of
the ballot measure, the jurisdiction, and whether the committee is formed to support or oppose the candidate or
measure. (Applies when the committee is primarily formed to support or oppose specific candidates or measures
in a single election.) (2 CCR § 18410(a)(8))
11. The Form 410 (Page 3, Section 4) fails to indicate whether the committee is a city, county, or state committee.
(Applies when the committee is a general purpose committee.) (2 CCR § 18410(a)(9))
12. The Form 410 (Page 3, Section 4) fails to provide a brief description of its activity. (Applies when the committee is
a general purpose committee.) (Government Code § 84102(d) and 2 CCR § 18410(a)(9))
13. The Form 410 (Page 3, Section 4) does not include the full name, street address, and telephone number of each
sponsor and the industry group or affiliation of each sponsor. (Applies when the committee is a sponsored
committee.) (2 CCR §§ 18410(a)(10) and 18419(b)(2))
14. The Form 410 (Page 1, Section 3) does not include an originally signed verification of the statement, including the
date, by the treasurer or assistant treasurer AND the controlling officeholder, candidate, or state measure
proponent, if applicable. (Government Code § 81004 and 2 CCR § 18410(a)(I 1))
15. Other: (e.g., not legible)
In order to file your statement, you must submit an original and a copy of a correct and complete Form 410 to the
Secretary of State.
A blank Form 410 can be downloaded from www.sos.ca,g Wprd/fonnsl11 1 O.ndr.
Submit the signed original and a copy to the Secretary of State, ALONG WITH A COPY OF THIS "NOTICE OF
REJECTION" by mail or in person to: Secretary of State; Political Reform Division; 1500 11`x' Street, Room 495;
Sacramento, CA 95814
If you have any questions, call (916) 653 -6224 or fax (916) 653 -5045. See also the Fair Political Practices Commission's
"Form 410 Fact Sheet" at www.f c.ca.gov/fol-ilis/1-05foi-iiis/41 0FactSheet509. df,
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SOS /PRD 18410 09/08/2009