HomeMy WebLinkAboutJeff Aranguena - Form 410 - Initial - 05-15-2012'A�3
Statement of Organization
Recipient Committee
Statement Type N nitial
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Date qualified as committee
1. Committee Information
NAME OF COMMITTEE
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in the
❑ Amendment ❑ Termination — See Part 5
List I.D. number: List I.D. number:
n #
Date qualified as committee Date of Termination
(If applicable)
STATE ZIP CODE
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AREA CODE /PHONE
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MAILING ADDRESS (IF DIFFERER 0
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OMNTYOFDOMICIkV COUNTY WHERE COMMITTEE ISACTIVE IF DIFFERENT
THAN COUNTY OF DOMICILE
Attach additional information on appropriately labeled continuation sheets.
EIVEOM
fice of the Sec: etary of St
the State of i;G#iror; is
MAY 18 2012
EBRA BOWEN
wetary of State
2. Treasurer and Other Principal Officers
NAME OE-iREASURER
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3. Verification
I have used all reasonable diligence in preparing this statement and to the best of my knowledge the information
perjury under the laws of the State of California that the foregoing is true and correct.
Executed on `/ /� By _
SIGNS
Executed on -�/ ; By
DATE Ana ioc n� nnaTOni
Executed on
Executed on
By
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herein is true and complete. I certify under penalty of
FPPC Form 410
FPPC Toll -Free Helpline: 866 /ASK -FPPC (81
Statement of Or anization
STATEMENT OF ORGANIZ TION
9
Recipient Committee
CALIFORNIA
410
FORM
INSTRUCTIONS ON REVERSE
Page 2
COMMITTEE NAME
I.D. NUMBER
4. Type of Committee Complete the applicable sections.
• 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 CANDIDATEJOFFICEHOLDER/STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PARTY
on- Partisan
T/
❑ Non- Partisan
• List the financial institution where the campaign bank account is located (controlled "candidate election" committees only)
NAME OF FI CIALI TUTION
AREACODE /PHONE
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BANKACCOUNT NUMBER
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ADDRESS 6 - STATE
lel� ZIPCODE
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If
Primarily formed to support or oppose specific candidates or measures in a single election. List below:
CANDIDATE(S) NAME OR MEASURE(S) FULLTITLE (INCLUDE BALLOT NO. OR LETTER) CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION
(INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE) CHECK ONE
SUPPORT
OPPOSE
-
SUPPORT
OPPOSE
FPPC Toll -Free Helpline:
FPPC Form 410 (Apri 2011)
866 1ASK -FPPC (8661275-3772)