Form 410 Amendment 2013 Statement of Organization
Recipient Committee
Statement Type ,_,,/ ��_
❑Initial B Amendment
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LUNG ADDRESS(IF DIFFERENT) G/vG'`"//T1
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Attach additional information on appropriately labeled contfnaotion sheets.
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AREA CODE/PHONE
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STATE ZIP CODE
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I have used all reasonable diligence
SIGNATURE OF CONTROLLING OFFICEHOLDER,CANDIDATE,OR STATE MEASURE PROPONENT
FPPC Farm 410 Dec/2012)
FPPC Advice:advice@fppc.ca.gov(a66/27s-3772)
www.tppc.ca.gav
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Statement of organization
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RANK ACCOUNT NUMBER
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STATE ZIP CODE
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• List the name of each controlling officeholder,candidate,or state measure proponent. If candidate or officeholder controlled,also list the efecti
district number,if any,and the year of the election. ve office sought or held,and
• 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 APPLICABLE) YEAR OF ELECTION
PARTY
Primarily formed to support or oppose spec
CANDIDATE(S)NAME OR MEASURE(S)FULL TITLE(INCLUDE BALLOT NO.OR LETTER)
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Nonpartisan
I1 U Nonpartisan
:tfic candidates or measures in a single election. List below:
CANDIDATE(S)OFFICE SOUGHT OR HELD OR MEASURES)JURISDICTION
(INCLUDE DISTRICT NO.,CITY OR COUNTY,AS APPLICABLE)
PPORT HEQ(DN
L-NG/nl 1T�S SUI I OE
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FPPC Form 410(Dec/2012)
FPPC Advice:advice@fppc.Ca.gov(866/275-3772)
www.fppc.ca.gov