HomeMy WebLinkAboutJeff Aranguena - Form 410 - Termination - 04-15-2013I
Statement of Organization
Recipient Committee
Statement Type ❑ Initial
Not yet qualified ❑ or
II
Date qualified as committee
1. Committee Information
ORGANIZATION
Type or print in ink Date Stamp
❑ Amendment ((Termination- See Part 5 RECEIVED
List I.D. number: List I.D. number:
l3 4 APR 23 2013
J� 1 15-1 / SLO CI
Date qualified as committee Date of Termination
(If applicable)
NAME OF COMMITTEE
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2. Treasurer and Other Principal Officers
OF
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C`, � � C ( % s STREET ADDRESS
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STREETADDRESS (NO P.O. BOX)
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CITY STATE ZIP COD AREA CODE /PHONE
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MAILING ADDRESS (IF DIFFERENT)
OPTIONAL: FAX /E -MAIL ADDRESS
COUNTY OF DOMICILE COUNTY WHERE COMMITTEE IS ACTIVE IF DIFFERENT
THAN COUNTY OF DOMICILE
Attach additional information on appropriately labeled continuation sheets
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STREET ADDRESS
CITY STATE ZIPCCDE AREA CODE/PHONE
NAMEAND POSITION OF OTHER PRINCIPAL OFFICER(S), IFAPPLICABLE
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE /PHONE
3. Verification
I have used all reasonable diligence in preparing this statement and to the best of my knowle certify under penalty of
perjury under the laws of the State of California that the foregoing is true and correct.
Executed on ` /I�, '2) By
f�'D/ATE
Executed on � if C I By
Executed on By
Executed on By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 410 (January/05)
FPPC Toll -Free Helpline: 866 /ASK -FPPC (86611763772)
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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.
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 days
prior to an election in which it must file pre - election
statements mustfile a Form 410 (orthe 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 $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 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. These 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 11th 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 number will be posted on the
Secretary of State's website (www.ss.ca.gov) and
written notification will be sent to the committee
treasurer.
Amending:
Exceptforthe "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; the
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 hours of the
change. The amendment must be sent by fax,
online transmission, guaranteed overnight delivery,
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.
Terminating:
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 Camoaign Disclosure Manual for your type of
committee (available from your filing officer or the
FPPC). Campaign filing deadlines, forms, and
other informational materials are available on the
FPPCwebsite (www.fppc.ca.gov).
FPPC Form 410 (January/05)
FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661276.3772)
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
Page 3
UUlvllwj I .- W. NUNItltK
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4. Type of Committee (Continued)
Not I rmed to support or oppose specific candidates or measures in a single election. Check only one box:
CITY Committee ❑ COUNTY Committee ❑ STATE Committee
PROVIDE BRIEF DESCRIPTION OF ACTIVITY
Ca•, CO'�c� k 1 'ACS
List additional sponsors on an attachment.
NAME OF SPONSOR INDUSTRY GROUP OR AFFILIATION OF SPONSOR
STREET ADDRESS NO. AND STREET CITY STATE ZIP CODE
❑ ------ J_J Check box and provide the date this committee qualified as a small contributor committee. If the committee qualified as a
Date qualified small contributor committee on January 1, 2001, enter 1 /1/01.
5.Termination Requirements By signing the verification, the treasurer, assistant treasurer and /or candidate, officeholder, or proponent certify that all ofthe following conditions have been met:
• This committee has ceased to receive contributions and make expenditures;
• This committee does not anticipate receiving contributions or making expenditures in the future;
• This committee has eliminated or has no intention or ability to discharge all debts, loans received, and other obligations,
• This committee has no surplus funds; and
• This 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 89519.
FPPC Form 410 (January/06)
FPPC Toll -Free Helpline: 866 1ASK -FPPC (866/2753772)
Instructions for
Statement of Organization
4. Type of Committee:
A committee must complete each applicable
section. In some instances, a committee may
qualify as more than one type of committee.
Controlled Committee
A "controlled committee" is one which is controlled
directly or indirectly by an officeholder, candidate,
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 Bank Account
• A campaign bank account must be established
at an office of a financial institution located in
the state.
•
Anew 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 by law, 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. Acommittee established for the sole purpose
of a recall election is a primarily formed committee.
A committee controlled by a candidate for his or
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 variety
of candidates or measures not voted upon in a
single 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 contributions and
expenditures in connection with a single
county's elections. Acounty 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 held in more than
one county.
Provide a brief description of the committee's
political activities such as whether or not it supports
candidates or measures that share a common
political affiliation. If the general purpose committee
meets the sponsored committee definition, also
complete the sponsored committee section.
FPPC Form 410 (January/05)
FPPC Toll -Free Helpline: 866 /ASK.FPPC (8661275 -3772)
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
Page 2
cuitnmliitt rvAmt /� 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 CANDIDATE/OFFICEHOLDER /STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PARTY
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V
on- Partisan
E] Non - Partisan
• List the financial institution where the campaign bank account is located ( controlled "candidate election" committees only)
NAME q(`FINANCIFjIAINr INSTITUTION AREA CODE/PHONE BANK ACCOUNT 6NU`MBE
ADDRESS ,/` /—f� D C CITY f }, STATE \ ZWIP CODE
-. . 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, ASAPPLICABLE)
.19ZF�
OPPOSE
FPPC Form 410 (January/05)
FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661276.3772)
Instructions for
Statement of Organization
Statement Type:
Initial
The "date qualified" as a committee is the date that
the committee received contributions totaling $1,000
or more during a calendar year. If a Form 410 is
filed prior to receipt of $1,000 in contributions, check
the box "Notyet 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:
• 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. A post 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. Seethe instructions for Part 4 for
committee definitions.
Legal Defense Fund
A state 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 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 "Committee Against
Proposition/Measure—," 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 name
must also include the name of any candidate that
contributes $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. Acommittee primarily formed to
support or oppose a recall must include the name
of the officeholder who is the subject of the recall
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 state
ballot measure proponent must sign the Form 410.
If more than three control the committee, one of
them may sign on behalf of all controlling
individuals. If a candidate will serve as his or her
own treasurer, he or she must sign as the candidate
and again as the treasurer.
FPPC Form 410 (January/06)
FPPC Toll -Free Helpline: 866 /ASK -FPPC (86612753772)