HomeMy WebLinkAboutJeff Aranguena - Form 410 - Amendment - 08-17-2012�p
Statement of Organization
Recipient Committee
Statement Type [I initial
Not yet qualified ❑ or
-Type or print in ink
Amendment
List I.D.number:
4 13y7465
❑ Termination — Sea Part s,
List I.D. number: In
Date qualified as committee Date qualified as committee Date of Termination
(Irapplimble)
Committee Information 2. Treasurer and
NAME OF COMMITTEE
NAME T E UR
-/Or 1 /J`IC/ 2012
ST ETADDRES (NO I
7Z! a�
STREET ADDRESS (NO P.O. BOX) CITY
721 Tail -on !4w- #77 - "_ ---'f
34 � Cf� 13141 $d5 AREACODE/PHONE
Sah �.s �%�'s
MAILING ADDRESS (1F DIFFERENT)
P0 l$x 161Y7 3441,LLI;5 Ob.fa� CA g3Yo�
OPTIONA : FAX /E -MAIL ADDRESS
. AlGN !/Ql9A /1'IA %(.Cdr'+
C NTY OF DOMIC3& COUNTY WHERE COMMITTEE IS ACTIVE IF DIFFERENT
D�• THAN COUNTY OF DOMICILE
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Attach additional information on appropriately labeled continuation sheets
41,
STREET ADDRESS (NO P.O. BOX)
A ila
AUG 2 8 20,2
it77
0
OF ORGANIZATION
SEP.17-2012
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CITY STATE ZIP CODE AREA CODEIPHONE
3. Verification
I have used all reasonable diligence in preparing this statement and to the best of my knowledge the information containe herein is rue and complete. I certify under penalty of
perjury under the laws of the State of California that the foregoing is true and correct.
Executed on ✓ 11 /7 �L BY ' I
E% SIG RE OF TREASURER ORASSISTANTTREASURER
Executed on ` BY6�'
OATE SIGNATURE OF CONTROLLING OFFICEHOLDER. CANDIDATE, OR STATE MEASURE PROPONENT
Executed on BY `�
GATE SIGNATURE OF CONTROLLING OFFICEHOLDER CANDIDATE, OR STATE MEASURE PROPONENT
Executed on - BY
DATE SIGNATURE OF CONTR LUNGOFFICEHOLDER CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 410 (April/2011)
FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275- 3772).
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
FI.DNU
..._ -
4. Type of Committee Complete the applicable sections.
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 "non- partisan."
• 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
NAME OF CANDIDATE /OFFICEHOLOER/STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PARTY
r uChc
UNq
XNOn- Partisan
❑ Non - Partisan
. List the financial institution where the campaign bank account is located (controlled "candidate election" committees only)
- 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) CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION
(INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE)
FPPC Form 410 (April /2011)
FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275.3772)