Form 410 Termination 2013 Statement of Organization
Recipient Committee
31atement Type
NAME OF COM '—T ""I
C��/'h/�CL►
❑Initial
Not yet 9dlftd[;w
Dat qualified committee
❑ Amendment
List I.D.number:
Da�qualified
(NOPP i
i rerminatbn—See part S
List I.D.number:
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►mination
7
NAME OF TREASURER
STREET ADDRESS(�PQ fix)
Date Stain
CITY OF MfhC !l t,
CITY CLF'R,
2013 APR -8 P11 2: 2� Foro�raluseoRiy
Attach°ddJHonal JnformaHon on appropriate/y labeled
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FPPC Advice:advice FPPC Form 410(Dec/2012)
�fpPGca-gov(8W275-3772)
rvww%3C•Ca.gotr
Statement of Organization
Recipient
financial institution where the campaign b N��s
NAME OF FINANCIAL INSTPfUTION ank account is located.
DF %yj
ADDRESS AREA CODE/PHONE
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d9ANKACCoUNT UN ME
:p ♦ EA, STATE
c4� seictirns. C
Ust the name of each controlling officeholder
district number,if any,and the ,candidate,or state measure
Year of the election. proponent. If candidate or
Ust the political pant),with which each Officeholder Officeholder controlled,
er or candidate is affiliated or c
if this committee acts jointly with another controlled committee
heck"nonpartisan."
N I
NUMBEB�'—'
7
ZOV�9�/
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also list the elective office sought or held,and
AME OF � . Ist the name and Identification nu
CANOIOgT OFFICEHOLDER/STATEMEASUBE PROPONENT number of the Other controlled committee.
ELECTIVE OFFICE SOUGHT OR HELD mittee.
(INCLUDE DISTRICT NUMBER IF APPLICABLE)
YEAR OF ELECTION
Primarily formed support to
CANDIDATE(S)NAME OR MEASURE(S)FULL TITLE(INCLUDE o pNo t o oppose specific candidates or measures in a single election.
ETTER) Ust below:
V j0 CANDIDATE(S)(INCLUDE DISTR►R Np OR HELD OR MEASURE(S)JURISDICTION
CITY OR COUNTY AS APPLICABLE)
PARTY
Nonpartisan
rn_'
Nonpartisan
FPPC Advice:advi FPPC Form 410 0/2012)
Ppc."gov 00275-3772)
wuvw fpp«,gft
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
4.
OP oi/V ef/v �3
-•�/ LD.Nul
® � Not formed to Support or oppose specific candidates or measures in a single election. Check only one box:
❑
PROVIDE BRIEF DESCRIPTION OF ACTIVITY CITY Committee El COUNTY Committee❑ STATE Committee
List additional sponsors on an attachment.
NAME OF SPONSOR
STREET ADDR ESS
'rvuv5TRy GROUP OR AFFILfg710N OF SPONSOR
NO.AND STREET
CITY
STATE ZIP CODE
❑—Dace 9u�aNfled��
i II11t9 .8V signing the verifi
• This committee has ceased to receive contributionsand'make expenditures;Streasurerand orcandidate,o
ffueilolder,or
• This committee does not anticipate receiving contributions or making expenditures i ProponentcerMytFlata(lofthefollowingcond�ons havebee,met;
,
• This committee has eliminated or has no intention or ability to discharge all debts,loans future;
• This committee has no surplus funds;and s received,and other obligations;
• 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 ca
-- Leftover funds of ballot measure committees maybe used for political legislative or ov ndldates. Refer to Government
subject to Elections Code Section 18680 and FPPC Regulation Political
g ernmental purposes under Government Code Sections 89511-89518,and are
FPPC Form 410(Dec/2012)
FPPC Advice:advice@ fppc,ca.gov(8661275-3772)
www.fppc.ca.gov