HomeMy WebLinkAbout410 09_29_2022 - Statement of Organization - Amendment - Lisa LandauStatement of Organization
EUAES[ IP CALIFORNIA
Recipient Committee
FORM
SEP 292022
For Official USE Oriy
Statement Type
El initial
Amendment
❑ Termination — See Part 5
Q Not yet qualified
or
C1T`fI CLERK
Q Date qualification threshold met
Date qualification threshold met
Date of termination C
ITY OF SEAL. BEAGH
/
✓ 22 / 7,2
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MW9• I.D. Number
2. Treasurer and Other PrincipalOfficers
livable)
NAME OF COMM ITTEZEt- I g_`r'�y.
NAME OF TREA$VRRLER / �\
wl-itJ
STREET ADDRESS (NO P.O. BOX)
CITY
/AJREA CODE/PHONE �,(y
CITY�
G
STREET ADDRESS (NO P.O. BOX)
E-MAIL ADDA S(RE0If-)-sea (OPTIONAL)
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e�maA-t - /`
`V1.•`(I(
CITY STATE ZIP CODE
AREA CODE/PHONE
COUNTY Or D]OM.IIICCII--L�eEVE
JURISDICTION WHERE COQMMMII�TTTEE�EE 15, ACTIVE
NAME Of PRINCIPAL OFFICER(S)
STREET ADDRESS (NO P.O. BOX)
Attach additional information on appropriately labeled continuation sheets.
CITY STATE ZIP CODE
AREA CODE/PHONE
3. Verification
1 have used all reasonable dlhgence In preparing this
STATE MEASURE PROPONENT
Executed on By
DATE 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 (August/2018)
FPPC Advice: advicerafppc.ca.eov (866/275-3772)
www.fonc ca.eov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
COMMITTEE NA(M/MEE' /J.. /� �/�/ /� }/.{ %�� /� ^ / (/� I 1
J I\ � % /\ � /•% ✓L J ClT-Y C40WC ` v 10 -ZZ- I.D. NUMBER
/L.YU� T��/l`�,L/XWr Y2't" �ECeI l%
All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION AREA CODE/PHONE BANK ACCOUNT NUMBER
V S Q)(,`
ADDRESS /�
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 "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.
ELECTIVE OFFICE SOUGHT OR HELD YEAR OF PARTY
NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) ELECTION CHECK ONE
Primarily formed to support or oppose specific candidates or measures in a single election. List below:
CANDIDATE(S) NAME OR M EASURE(S) FULL TITLE (INCLUDE BALLOT NO. OR LETTER)
IF A RECALL, STATE "RECALL" IN FRONT OF THE OFFICEHOLDER'S NAME.
CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION
(INCLUDE DISTRICT NO., CITY OR COUNTY. AS APPLICABLEI
SUPPORT OPPOSE
SUPPORT OPPOSE
FPPC Form 410 (August/2018)
FPPC Advice: advice@fooc.ca.eov (866/275-3772)
www.fooc.ca.gov
L N
Nonpartisan
partisan
(list political party below)
Nonpartisan
Partisan
(list polltical parry below)
Primarily formed to support or oppose specific candidates or measures in a single election. List below:
CANDIDATE(S) NAME OR M EASURE(S) FULL TITLE (INCLUDE BALLOT NO. OR LETTER)
IF A RECALL, STATE "RECALL" IN FRONT OF THE OFFICEHOLDER'S NAME.
CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION
(INCLUDE DISTRICT NO., CITY OR COUNTY. AS APPLICABLEI
SUPPORT OPPOSE
SUPPORT OPPOSE
FPPC Form 410 (August/2018)
FPPC Advice: advice@fooc.ca.eov (866/275-3772)
www.fooc.ca.gov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
i/ Fe"'f+ C� jT ,/ C I �Z� L(O.�NOMBERV /Je p( /ea
f—iRl'T1 _
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 OFAC7IVITY
List additional sponsors on an attachment.
NAME
STREET
CITY
OFSPONSOR
ZIPCODE
Small Contributor Committee
• 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 (August/2018)
FPPC Advice: advice@fooc.ca ov(866/275-3772)
wwwfooc ca eov