HomeMy WebLinkAbout410 07/18/2012 Statement of Organization Recipient Committee Initial David Sloan Received from SOSi
OPTVOI FAX/EMAIL ADDRESS
y -.-.T
COUNTY OF DOMICILE COUNTY WTERE COMMITTEE IS ACTIVE IF DIFFERENT
THAN COUNTY OF DOMICILE
a ►� r
Attach additional lnlom3ad w on appr pMatdy labeled corm6pAmOn sheets
NAME OF PRINCIPAL OFFICERS)
STREET ADDRESS 00 P.O. BOX)
CITY STATE ZIP CODE AREA CODEA44OME . .
C��1C" v, coI ".-(k .7.0 No -1-ii4ft 4-14t
3. Verffication
I have used all reasonable diligence in preparing this statement and to the best of my
MEASURE PROPONENT
Executed on BY
DATE SIGNATURE OF CONTROLLING OFFZENOLDEK CANDIDATE. OR STATE MEASURE PROPONENT
Executed on By
DATE RE R A A
FPPC Form 410 (ApdU2011)
FPPC Toll -Free Helpline: 866IASK-FPPC (866/275-3772)
STATEMENT OF
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE P•s• z
Lo. NUMBER
COMMITTEE NAME
1.eof 544j4w %v7om -"ox Bir CD NC:iL
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.
SOUGHT OR HELD
rF ePPI Ir`�RI F1 YEAR OF ELECTION PARTY
_ _ _ _ _ ..._._ .—.��.�..�. �.-.. �.�.� ..r.... � .a.,.,...c.�r car r.• a�nFG
..._.._ ...NOR
' �a
e,+' -t3 rr.�k d, �t ca �,k�:� �
?-o /�-
-Partisan
❑ Non-Pardsan
• List the financial instihrtion where the campaign hank account is located (controlled "candidate election" committees only)
NAME OF FINANCIAL
ADDRESS
® Prhlarily fomred to support Or oppose specific candidates or measures in a single election. List below..
CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASUW(S) JURISDICTION
CANDIDATE(S) NAME OR MEASURE(S) FULL TITLE (INCLUDE BALLOT NO. OR LETTER) (INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE) CHECK ONE
FPPC Form 410 (ApriV2011)
FPPC Toll -Free Helpline: 86WASK-FPPC (8061275.3772)