HomeMy WebLinkAbout410 03/06/2017 Statement of Organization Recipient Committee - Thomas Moore Termination 12/31/2016R
Statement of Organization
Recipient Committee
statement Type ❑ Initial
Not yet qualified ❑ or
06 118 12016
Date qualified as committee
❑ Amendment
List 1.0. number:
s
Date qualified as committee
(Rapplicable)
Thomas Moore for Seal Beach City Council 2016 District 2
Ill Termination — See Part 5 RC\
List I.D. number: In the
#1387478
12 t3l12016
Date of Termination
STREET ADDRESS INC PO. BOX)
CITY STATE ZIP CODE AREACOOE /PHONE
NAME OF TREASURER
�V G�i. Pl B..t -G•�.,
Date Stamp
:IVIED AND p1le"ID 1 Ice of the Secretto I' or PMCia a poly I the State of CalrfJ l JAN 0 6 20
JA 13' I � �bC
CITY CLERK
CITY STATE ZIP CODE AREA CODE /PHONE
NAME OF ASSISTANT TREASURER, IF ANY
STREETADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
I..— I.... wrvnu�c Imnnmu wn wnenc wMMI l l 11 15 AC II Vt NAME OF PR I NCI PAL OFFICERS)
Thomas Moore
STREET ADDRESS INC P.O. EOx(
Attach additional information on appropriately labeled continuation sheets. CITY STATE ZIP CODE AREA COOE/PHONE
.Wert' cation.
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 State of California that the foregoing is true
Executed on 12/31/2016 By �
DATE ATU URER ORo
REASURER
Executed on 12/31/2016
DATE
Executed on
By
By
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
Executed on By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 410 (Jan /2016)
FPPC Advice: advice @fppc.m.gov (866/275 -3772)
www.fppc.ca.gov
0
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
COMMITTEE NAME
Thomas Moore for Seal Beach City Council 2016 District 2
• All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION
FAREACODUPHON1. BAN K ACCOUNT NUMBER
Schools First Credit Union
ADDRESS
STATE ZIP CODE
4 Typ pe Of[ttttitL2E •Eomplete ifie.ap`phcable sect ons
Page 2
.0. NUMBER
• 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 CAN MEASURE PROPONENT ELECTIVE OFFICE SOUGHT OR HELD
(INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PARTY
Thomas Moore ❑ Nonpartisan
Seal Beach City Council District #2 2016
❑ Nonpartisan
Primarily formed to Support or oppose specific candidates or measures in a single election. List below:
CANDIDATEISI 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)
CHECK ONE
Thomas Moore PO sU PRT 070
Seal Beach City Council District #2 1 n I r1
FPPC Form 410 (Jan /2016)
FPPC Advice: advlce@fppc.ca.gov (866/275 -3772)
www.fppc.ca.gov