HomeMy WebLinkAbout410 09/06/2018 Statement of Organization Recipient Committee Amendment Peter AmundsonV,,,,- Statement of Organization
Recipient Committee
.Statement Type ❑ Initial ®Amendment
Q Not yet qualified
or
O Date qualified as committee OB / 10 ,` 2018
x Date qualified as committee
T
If /
L %Committee Information I•D. Number
,x (if applicable) 1407882
❑ Termination — See Part 5
Date of termination
TM Amundson for City Council 2018
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STREET ADDRESS (NO P.O. AOXI
STAi[ ZIP CUPI AREA CODE /PIIONf
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MAIL RELAOURESG (IF Onf LREN I)
6 "MAIL ADDRESS (REOUIRE01 /FAX DPDONAL)
COUNTY DE DOMICILE IUHISDICTION WHPRF COMMITTEE 15 AC1lVE
wt5`t 2.. Orange, Seal Beach
Attach additional information on appropriately labeled continuation sheets.
r I` have -used all reasonable diligence in preparing this statement and to the best of my
,.. penalty of perjury under the laws of the State of California that the foregoin
Executed on .l �15 �S By
DA1 E SIGNATURE Of CON TROLU N OF
CRY,
Execued on
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Executed on
Cale damp
the office of the Si
of the State of
AUG 20
2. Treasurer and Other Principal
Jen slater
AUG 31 2018
Z
SEP 0 6 2018
CITY CLERK
CITY STAFF -ZT�IHONE
NAME OF ASSISTANT TREASURER, IF ANY
STREET ADDRESS iNO PO,HOx)
CITY STATE 21PCODL AREA COOrTFONE
NAMC of PNINCIPAL OFf ufl(R)
STREET ADDRESS (NO ITS BOXY
STATE 21P COUE AREA
the information contained herein is true and complete. I certify under
STATE MEASURE PROPONENT
By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
By
DATE SIGNATURE DECONTROLLING OFFICEHOLDER, CANOIOATc DRStATE MEASURE 1'ROMPITAT
FPPC Form 410(February/2018)
FPPC Advice: advice@fppc.ca.gov (866/275 -3772)
www.fppc.ca.gov
Statement of Organization
".Recipient Committee
-- INSTRUCTIONS ON REVERSE
COMMITTEE NAME
,Amundson for City Council 2018
`i All committees must list the financial institution where the campaign bank account is located.
p. NAME.OF. FINANCIAL INSTITUTION
Hank of America
ADDRESS 1�
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4
,.
AREA CODE /PHONE
(
CITY
Page 2 Page 2 of 3
D. NUMBER
1407882
4 -Type of Committee Complete the applicable sections.
%c'•' 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.
4 •t,List the political party with which each officeholder or candidate is affiliated or check "nonpartisan" Stating "No party preference" is acceptable.
;-'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 H ELD YEAR OF PARTY
(INCLUDE DISTRICT NUMBER IF APPLICABLE) ELECTION CHECK ONE
A,,Peter
City Council Member: City of Seal Beach
SUPPORT
Nonpartisan
Partisan
(list political party below)
. M. Amundson, Jr
SUPPORT
OPPC5E
2018
X
Nonpartisan
Partisan
(list political party below)
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
mA ocr Ail C TATO" oC rAii ^InicRnNTnCTUCnPmrPNnlncRCNAMF. (INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE)
rHECK ONF
FPPC Form 410 (February/2018)
FPPC Advice: advice @fppc.ca.gov (866/275 -3772)
www.fppc.ca.gov
SUPPORT
OPPOSE
I
SUPPORT
OPPC5E
FPPC Form 410 (February/2018)
FPPC Advice: advice @fppc.ca.gov (866/275 -3772)
www.fppc.ca.gov
Statement of Organization
Recipient Committee
' ?INSTRUCTIONS ON REVERSE
Papa page 3 of 3
LD. NUMBER
.Amundson for city council 2018 I 1407892
4. Type of Committee (continued)
Not formed to support or oppose specific candidates or measures in a single election. Check only one box:
;;f;`,a::. ❑ CITY Committee ❑ COUNTY Committee ❑ STATE Committee ❑ Political Party /Central Committee
"PROVIDE BRIEF DESCRIPTION OF ACTIVITY
List additional sponsors on an attachment.
r,
NAME OF SPONSOR INDUSTRY GROUP OR AFFILIATION OF SPONSOR
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k
A., 5 TREE T ADDRESS NO.ANDSTREET CITY STATE ZIPCOOE AREACODE /PHONE
❑
T Date qualified
t,
S ;,Termination Requirements By signing the verification, the treasurer, assistant treasurer and /or candidate, officeholder, orproponent cerdfvthat all ofthe following conditions have been met:
This committee has ceased to receive contributions and make expenditures;
E -
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.
w Leftover funds of ballot measure committees maybe 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.
StiEfrr ^..'
4.,
FPPC Form 410(February /2018)
" -` - FPPC Advice: advice @fppc.ca.gov (866/275 -3772)
t, �, www.fppc.ca.gov