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HomeMy WebLinkAbout410 09/30/2016 Statement of Organization Recipient Committee Amendment - Thomas MooreStatement of Organization Fzcipient Committee Statement Type El Initial © Amendment Notyetqualified❑ or List I.D. number: #1387478 06 12016 Date qualified as committee Date qualified as committee (If applicable) NAME OF COMMITTEE Thomas Moore, Friends of ❑ Termination — See Part 5 List I.D. number: u Date of Termination MAILING ADDRESS (IF DIFFERENT) 15 ACTIVE Attach additional information on appropriately labeled continuation sheets. I have used all reasonable diligence in preparing this statement and to penalty of perjury under the laws of the State of California that the for Executed on 08/31/2016 By �, [��� St,a 18ea� Date Stamp Te EIVED office of the f the State o a8iam SEP 0 9016 SEb 16 2016 NAME Of TREASURER SEP 3 0 2016 Robert Moore STREET ADDRESS (NO P.O. BOX) CITY CLERK ( NAME OF ASSISTANT TREASURER, IF ANY STREET ADDRESS (AND P.O. BOX) CITY STATE DECODE AREA CODE /PHONE NAME OF PRINCIPAL OFFICERS) Thomas Moore STREETADDRESS(NO PO. BOX) is true and correct. Executed on 08/31/2016 By DATE 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 CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PflODONENT FPPC Form 410 (Jan /2016) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov Statpment of Organization .Recipient Committee N INSTRUCTIONS ON REVERSE Page Z COMMITTEE NAME I.D. NUMBER Thomas Moore, Friends of I1387478 • All committees must list the financial Institution where the campaign bank account is located. NAME OF FINANCIAL INSTITUTION AREA CODE /PHONE BANK ACCOUNT NUMDEN Schools First Credit Union ADDRESS • 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 "nonpartisan." • If this committee acts jointly with another controlled committee, list the name and identification number of the other controlled committee. NAME OF CANDIDATE /OFFICEHOLDER /STATE MEASURE PROPONENT ELECTIVE OFFICE SOUGHT OR HELD (INCLUDE DISTRICT NUMBER IF APPLI CABLE) YEAR OF ELECTION PARTY Thomas Moore Seal Beach City Council District #2 2016 © Nonpartisan' ' SUPPORT ❑ Nonpartisan 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 I kirr I i FPPC Form 410 (Jan /2016) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov _._...._......1 ..... .... ...... �. �.... ,.rr ���..�ii� CHECK ONE ' SUPPORT OPPOSE Thomas Moore Seal Beach City Council District #2 SU4—IT OPP❑056 FPPC Form 410 (Jan /2016) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov Statement of Organization Recipient Committee a 0 INSTRUCTIONS ON REVERSE mom, age 3 COMMITTEE NAME .O. NUMBER Thomas Moore, Friends of I1387478 4TYPe9ofCommittee�(?nna) "" , ti"au.i,✓,i„' :mv,�rk�'+'"tfw- "ss„?1 "'"�s,..xf str`f•. a, ,�tw.�,».:c.. Not formed to support or oppose specific candidates or measures in a single election. Check only one box: ❑ CITY Committee ❑ COUNTY Committee ❑ STATE Committee DESCRIPTION OF ACTIVITY List additional sponsors on an attachment. ...c �'IIONIUn Small Cont4l3tor Committee- " OR AFFILIATION OF • 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 statemehts 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 Advicg: advice @fppc.ca.gpv (866/275 -3772) www.fppc.ca.gov