Form 410 Termination 1/3/01
Statement of Organization
Recipient Committee
STATEMENT OF ORGANIZATION
Type or print In Ink
Date Stamp
CALIFORNIA 41 0
FORM
For O1IIcfal Use Only
Statement Type
0 Initial
Not yet qualified 0 or
0 Amendment
LIst J.D. number.
IX] Termination - See Part 5
LIst J.D. number.
#
#
961390
I 1
Date qualified as committee
I I,
Date qualified as committee
(If applicable)
1.LJ 3 1 I..Q..Q
Date of Termination
1. Committee Information
NAME OF COMMITTEE
2. Treasurer and Other Principal Officers
NAME OF TREASURER
John C. Lechleiter
MAILING ADDRESS
~ Friends of Chuck DuVivier
STREET ADDRESS (NO P.O. BOX)
144 West D street
CITY
pTATE
ZIP CODE
AREA CODE/PHONE
1182 Rancho Encinitas Drive
CITY STATE ZIP CODE
AREA CODE/PHONE
Encinitas, CA 92024 (760)753-1157
NAME OF ASSISTANT TREASURER, IF ANY
N!A
MAILING ADDRESS
Encinitas, CA 92024
MAILING ADDRESS (IF DIFFERENT)
(I9~ 942-8647
CITY
STATE
ZIP CODE
AREA CODE/PHONE
OPTIONAL: FAX I E-MAIL ADDRESS
NAME AND POSITION OF OTHER PRINCIPAL OFFICER(S), IF APPLICABLE
COUNTY OF DOMICILE
COUNTY WHERE COMMITTEE IS ACTIVE IF DIFFERENT
THAN COUNTY Of DOMICILE
MAILING ADDRESS
San Diego
CITY STATE ZIP CODE AREA CODE/PHONE
. Attach additional information on appropriately labeled continuation sheets.
3. Verification
I have used all reasonable diligence in preparing this statement and to the best of my knowledge the information contained herein is true and complete. I certify under penalty of
perjury under the laws of the State of Califomia that the foregoing is true and correct.
Executed on
1/3/2001
. DATE
!)r . :..)0 I
DATE
By
Executed on
By
Executed on
DATE
By
SIGNATURE OF CONTROLLING OFACEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
Executed on
By
SIGNATURE OF CONTROlLING OFFICEHOLDER, CANDIDATE. OR STATE Ml:ASlJR~-PÆOPON~Nr
DATE
FPPC Form 410 (8199)
For Technical Assistance: 916/322-5660
-'
Statement of Organization
Recipient Committee
STATEMENT OF ORGANIZATION
INSTRUCTIONS ON REVERSE
CALIFORNIA 41 0
FORM
p. 8. a. e. 2
9
I.D. NUMBER
COMMITTEE NAME
Friends of Chuck DuVivier
961390
4. Type of Committee Complete the applicable sections.
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 "non-partisan."
. If this committee acts jointly with another controlled committee, list the name and identification number of the other controlled committee.
8
NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT
ELECTIVE OFFICE SOUGHT OR HELD
(INCLUDE DISTRICT NUMBER IF APPLICABLE)
YEAR OF ELECTION
PARlY
IK] Non-Partisan
Charles G. DuVivier Encinitas Couhcil Member 1996
0 Non-Partisan
. List the financial institution and the disposition of surplus funds (controlled "candidate election" committees only)
NAME OF FINANCIAL INSTITUTION
AREA CODEIPHONE
BANK ACCOUNT NUMBER
DATE OPENED
San Diequito National Bank
ADDRESS' CllY
(760)436-5226
STATE ZIP CODE
01-253-034
DISPOSITION OF SURPLUS FUNDS
There wérenosurplus funds.
8/12/92
8
135 Saxony Rd., Encinitas, CA 92024
Primarily Formed Committee
Primarily formed to support or oppose specific candidates or measures in a single election. List below:
CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION
CANDIDAT"') NAME aR MEASUR,,') FULL TIm (INCLueE BALLaT Na, aR LETTER) I ('NCLueE D'STR'CT NO.. Cm' OR COUNTY. AS APPLICABLE) I su,,<:;::'CKI~;"'"
SUPPORT OPPOSE
FPPC Form 410 (8/99)
For Technical Assistance: 916/322-5660
Statement of Organization
Recipient Committee
STATEMENT OF ORGANIZATION
INSTRUCTIONS ON REVERSE
CALIFORNIA 41 0
FORM
P' I. att, 3
ge
I.D. NUMBER
COMMITTEE NAME
Friends of Chuck DuVivier
961390
4. Type of Committee (Continued)
General Purpose Committee
Not formed to support or oppose specific candidates or measures In a single election. Check only one box:
0 CITY Committee 0 COUNTY Committee 0 STATE Committee
PROVIDE BRIEF DESCRIPTION OF ACTIVITY
8
Sponsored Committee
List additional sponsors on an attachment.
NAME OF SPONSOR
INDUSTRY GROUP OR AFFILIATION OF SPONSOR
MAILING ADDRESS
NO. AND STREET
CITY
STATE
ZIP CODE
Broad Based Committee
0 (For purposes of special election contribution limits)
5. Termination Requirements By signing the verification, the treasurer, assistant treasurer and/or candidate, officeholder, or proponent certify that all of the following conditions have been met:
8
. 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 nD 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
the Information Manual on Camoaign Disclosure Provisions of the Political Reform Act. for Elected Officers. Candidates and their Controlled Committees
(Manual A).
-- Additional filing obligations will be incurred if, after terminating, the committee receives or spends any funds, or receives the forgiveness of a loan,
repayments of loans made to others, or any other receipts.
FPPC Form 410 (8199)
For Technical Assistance: 9161322-5660