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HomeMy WebLinkAboutForm 410 - Amendment - Low, Ruth - 2015.10.05Statement of Organization Recipient Committee Statement Type ❑ Initial Not yet qualified ® or ® Amendment List I.D. number: 1379445 ® Termination — See Part 5 List I.D. number: IN Date qualified as committee Date qualified as committee Date of Termination (If applicable) ~<. a.vlrgnilT@G'11'�TOYiI7at10111" ,' NAMEOFCOMMITTEE Committee to Elect Ruth Low to City Council 2015 atRt. r ADDRESS (NO P.O. BOX) MAILING ADDRESS HE DIFFERENT) FAX / E-MAIL ADDRESS STATE ZIPCODE AREACODE/PHONE IS ACTIVE Attach additional information on appropriately labeled continuation sheets. verlticaiionx I have used all reasonable diligence in preparing rthis; Penalty of perjury under th laws of the State of 5-115 Executed on N DATE �,1 Executed on � " V /K DATE Date Stamp REIXIVED ANDid7PAIGN For Official Use Only in the office of the Secretary of VrJ k of the State of Califomla 27 SEP 28 1-015 CA FINANCE r NAME OF TREASURER STREET ADDRESS IND P.O. BOX) CITY STATE ZIP CODE AREACODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREACODE/PHONE NAME OF PRINCIPAL OFFICER(S) STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREACODE/PHONE 7 777, at ai�d the st of my know) ge-the information contained herein is true and complete. 'I certify under hat)t)teeegoin is and correct, OF OR ASSISTANT TREASURER OR 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 (Dec/2012) FPPC Advice: advice@fppc.ca.gov (1366/275-3772) www.fppc.ca.gov Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE COMMITTEE NAME Committee to Elect Ruth Low to City Council 2015 • All committees must list the financial institution where the campaign bank account is located. 1-- ur rINANCIAL INSTITUTION AREACODE/PHONE r K ACCOUNT NUMBER CITY STATE ZIPCODE Page 2 I.D, NUMBER 1379445 omp a e'., e:app. to a sectiohs Controlled Committee • 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. ELECTIVE OFFICE SOUGHT OR HELD NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT 1—'. Jnr --- ...,.. .. �. .. _. Primarily Formed Con7j-nittee. Primarily formed to support or oppose specific candidates or measures in a single election. List below: CANDIDATES) 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 APPLIC.ARI_EI FPPC Form 410 (Dec/2012) FPPC Advice: advice@fppc,ca.gov (866/275-3772) www.fppc.ca.gov SUPPORT v'OPPOSE • SUpvo¢T O FPPC Form 410 (Dec/2012) FPPC Advice: advice@fppc,ca.gov (866/275-3772) www.fppc.ca.gov Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE Committee to Elect Ruth Low to City Council 2015 imi'ttee (continued) General Put -pose Comn7ittee 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 OF ACTIVITY Sponsored Committee 1 List additional sponsors on an attachment. NAML Or SPONSOR UIY OR AFFILIATION OF SPONSOR STATE 21PCODE Page 3 1379445 7�mclll.Contributor Committee 1 / Dale qualified vs, TePf111tlati017.RegUfrernen#S Byslgnlrigtheverlf�cahon,thetreasure ass)stanftreasrerandoF.candidate• ; - _ , .. , ,::. _ .. G ..... _, . ; � / . ..:. -. r officeholder, ot,.proponent certify #hat all of tfie folliiwln, g conditions have beel?net ' • 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(Dec/2012) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov