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HomeMy WebLinkAboutForm 410 - Amendment - Low, Ruth - 2015.09.24Statement of Organization Recipient Committee Statement Type ® Initial Not yet qualified ® or / Date qualified as committee ® Amendment List I.D. number: 111379445 Date qualified as committee (If applicable) �. Committee;lifo_rmation = NAME OF COMMITTEE Committee to Elect Ruth Low to City Council 2015 STREET ADDRESS (NO P.O. BOX) ® Termination —See Part 5 List I.D. number: It CITY STATE ZIPCODE AREA CODE/PHONE MAILING ADDRESS (IF DIFFERENT) FAX / E-MAIL ADDRESS OF JURISDICTION COMMITTEE IS ACTIVE Attach additional information on appropriately labeled continuation sheets. _1-fTermination NAME OF TREASURER STREETADDRESS(NO P.O. BOX) Date Stamp 2015 SEP 24 f 9 1: 18 rlrlcipal ofttcer5 � ;: For Official Use Only CITY STATE ZIPCODE AREACODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY STREET ADDRESS (NO P.O. BOX) CITY STATE ZIPCODE AREACODE/PHONE NAME OF PRINCIPAL OFFICER(S) STREET ADDRESS (No P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE 3. Vert cafion, , °:_7.7-777 I have used all reasonable diligence in preparing this state nt a d the st of my knowle ge the information contained' herein is true and complete. I certify under : r penalty of perjury under th laws of the State of alifor is hat a regoin is and correct. Executed on�1 (N /I DATE 1 l,�/ NATURE OF E OR ASSISTANT TREASURER Executed on � v l g y DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT Executed on BY _ DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT Executed on gy DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT FPPC Form 410 (Dec/2012) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca,gov Statement of Organization CALIFORNIA Recipient Committee INSTRUCTIONS ON REVERSE FORM 410 Page 2 COMMITTEE NAME Committee to Elect Ruth Low to City Council 2015 13I.D. NUMBER UMBER 79445 • All committees must list the financial institution where the campaign bank account is located. NAME OF FINANCIAL INSTITUTION AREA CODE/PHONE BANK ACCOUNT NUMBER ADDRESS CITY STATE ZIP CODE 4 Type of Committee Complete Effie app. icableseetions. ` = 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, a 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 CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT ELECTIVE OFFICE SOUGHT OR HELD (INCLUDE DISTRICT NUMBER IF APPLICARI FI YEAR OF F1. FCTIFIN DADTV CommitteePrimarily Formed 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) CANDIDATES) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION (INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE) CHECK ONE T OPPOSE 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 Page 3 COMMITTEE NAME'V, WHI-11 Committee to Elect Ruth Love to City Council 2015 1379445 I---- 4. Type of C�mniittee (condrlued) General Purpose6molttee 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 List additional sponsors on an attachment. NAME OF SPONSOR OR AFFILIATION OF SPONSOR STREET ADDRESS NO. AND STREET CITY STATE ZIP CODE Small Contr1h.utor Committee Date qualified 5: Term h ort Re 1 meh S B st nln "the Ver llication the�treasure `as5lstalit tieas rerand or cajididate ofH eholder or ' p ojient cer, fy that ah of the fopowjng coed lions Kaye tieenitlet -: • 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 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. FPPC Form 410 (Dec/2012) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov