HomeMy WebLinkAbout410 09/06/2016 Statement of Organization Recipient Committee - Ronde WinklerV CJ�
J Statement of Organization
Wi6ipient Committee
Statement Type ® Initial
Not yet qualified ❑ or
Date qualified as committee
1 313 v3
❑ Amendment
❑ Termif
List I.D. number:
List I.D. nurr
It
n
Date qualified as committee
Date of
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NAM OP COMMITTEE
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STREET ADO0.ESS IN0 P.O. BO %I T
FAX / EMAIL ADDRESS
// JURISDICTION WHERE COM MIrtEE 15 ACTIVE
Attach additional information on appropriately labeled continuation sheets.
Himpy
i — See Part
SEP ip 6 20
CITY CLERK
TREASURER
PO. BOX)
So.f•�. � c rtir,�.�.
in the office of the F2016 aryJ�t -. �f the State omia U I & 2 6 ?6Yr
OF VOTERS
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STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE /PHONE
I 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 perjury under the laws of the Statte,
CANDIDATE, OR STATE MEASURE PROPONENT
Executed on By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
Executed on
DATE
By
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE OR STATE MEASURE PROPONENT
FPPC Form 410 (Jan /2016)
FPPC Advice: advice @fppc.ca.gov (866/275 -3772)
www.fppc.ca.gov
Statement of Organization
Recipient Committee
INSAAUCTIONS ON REVERSE
NAME
NUMBER
• All committees must list the financial institution where the campaign bank account is located.
/
• 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 parry with which each officeholder or candidate Is affiliated or check 'nonpartisan."
• If this committee acts Jointly with another controlled committee, list the name and Identification number of the other controlled committee.
NAME OF CAN MEASURE PROPONENT ELECTIVE OFFICE SOUGHT OR HELD
(INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PARTY
Nonpartisan
7— z 62EF -),. 1 20
Nonpartisan
111 �illil�lilin�ll Primarily formed to support or oppose specific candidates or measures In a single election. List below:
CANDIDATE(S) NAME OR MEASURE(5)FULL TITLE (INCLUDE BALLOT NO. OR LETTER) CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S)IURISDICTION
FPPC Form 410 (Jan /2016)
FPPC Advice: advice@fppc.ca.gov (866/275.3772)
www.fppc.ca.gov
Statement of Organization
R�Iiipient Committee °
INSTRUCTIONS ON REVERSE °
COMMITTEE NAME 1Page3 /. y
4. Type of Committee ; IconbnDadJ '"
_._ _ a _
Not formed 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
List additional sponsors on an attachment.
NAMEOF
Small Contributor Committee .
Date qualified
CITY
AFFILIATION OF SPONSOR
_.. _... ,. - -. „.- .. ..... ,. - Dn-n,"oi one ,"Owing conditions have been me 7 '
• 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.
-- Leftover funds of ballot measure committees may be used for political, legislative or governmental purposes under Government Code Sections 89511- 89518, and are
subject to Elections Code Section 18680 and FPPC Regulation 18521.5.
FPPC Form 410 (Jan /2016)
FPPC Advice: advice @fppc.ca.gov (866/275 -3772)
www.fppc.ca.gov