HomeMy WebLinkAboutForm 410 - Lin, Jimmy - 2018.09.05 (Initial)I
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Statement of Organization 11 i..�i 1t ai� `—'�
Recipient Committee t ECEIVED Am , rid 1
Statement Type Initial �/ ❑ Amendment ❑ Termination— See Part 5 I the office of the SOMAY7 bi 5#'
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or / / / / AUG 2 1 5
Q Date qualified as committee
Date qualified as committee Date of termination
1. Committee lnformatioe :__ 11.1). Numher
(if applicable)
NAME OF COMMITTEE
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CITY
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E-MAIL
ACTIVE
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una�E NAME OF ASSISTANT TREASURER,IF�
Attach additionat information on appropriately labeled continuation sheets.
STREET ADDRESS (NO P.O. BOX)
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STATE ZIP CODE AREACOD€/PHONE
STATE ZIP CODE AREA CODE/PHONE
CITY
NAME OF PRINCIPAL OFFICERS)
STREET ADDRESS (NO P.O. BOX)
STATE ZIP CODE AREA CODEJPHONE
CITY
1 have used all reasonajble diligence in preparing this statement and to the Best of my knowledge
penalty of perjury rider the laws of the State of California that the foregoing is true and correct_
Executed on fill 74)Y
g SIG RE OF TREASURER ORS
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Executed on /1-7 DATE BY SIGNATUR of cONTROLL?NG OFFICEHOLDER, CAI
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the information contained herein is true and complete'. I certify
STATE
Executed 4nDATE By SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
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DATE - SIGNRTUREOFCONTROLLINGOFFICEHOLD€R,CANDIDATE, 4R STATE MEASURE PROPONENT FPPCForm 410(February/2O1$)
FPPC Advice: advice@fppc,ca.gov {866/275-3772}
www.fppc.ca.gov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
COMMITTEE NAME
All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION
CITY
ADDRESS
BANK ACCOUNT NUMBER
STATE ZH` CODE
Liz. NUM DER
4:,TYpe,of:�ommltte�''Compietetheappllcablesections
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.
o 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 CANDIDATEIOFFICEHOLDER15TATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) ELECTION CHECK ONE
Nonpartisan Partisan (list political partybelow)
Nonpartisan Partisan (list political party below)
❑ ❑
Primarily formed to support or oppose specific candidates or measures in a single election. List below:
CAN DIDATE[S) NAME OR MEASURE(S) FULL TITLE (INCLUDE BALLOT NO. OR LETTER) CANDIDATES] OFFICE SOUGHT OR HELD OR MEASURE(S)3URISDICTION
IF A RECALL, STATE "RECALL" IN FRONT OF THE OFFICEHOLDER'S NAME. (INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE) CHECK O:]
NE
SUPPORT OPPOSE
❑ ❑
SUPPORT OPPoSB
❑ ❑
FPPC Form 410 (February/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov