Form 410 Amendment 9/16/96
(Government Code Sectron~ 84101.84103)
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WHERE TO FILE:
STATEMENT OF ORGANIZATION
RECE~\!õta~~D fILED
U' , 'ho S^'.ot~'\i U'I¡' Sta
!ntheolíiceOI'Ií"rv¡',,~jJ '
f)! th ~
. Statement of OrfJanization
Recipient CommIttee
SEE INSTRUCTIONS ON REVERSE
/I
961390
File original and one copy of this form with:
Secretary of State
Political Reform Division
P.O.80x1467
Sacramento, CA 95812-1467
And, If applicable, file one copy of this form with:
The city or county officer, if any, who receives the
committee's original campaign disclosure
statements.
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For Official us~b ~
Amendment
[ZJ Check box if an Amendment
and enter I.D. number: .
Type or print in ink
KILL JONES. Sf'..tfetary Of State
I Committee Information
Date Qualified as
Committee (Month. Day. Y~ar)
NAME OF COMMITTEE
8L9/96
0 Check box if not yet qualified
II Treasurer and Other Principal Officers
NAME OF TREASURER
JOHN C. LECHLEITER
MAILING ADDRESS
-. FRIENDS OF CHUCK DUVIVIER
ADDRESS OF COMMITTEE (NOT P.O. BOX) NO. AND STREET
144 WEST D ST.
CITY STATE
ZIP CODE
AREA CODE!DA YTIME PHONE
1182 RANCHO ENCINITAS DR.
CITY ST A TE ZIP CODE
AREA CODE! PHONE NUMBER
ENCINITAS, CA 92024
NAME AND POSITION OF OTHER PRINCIPAL OFFICER(S)
(619)753-1157
ENCINITAS
COUNTY OF DOMICILE
CA 92024 (619)756-5646
COUNTY WHERE COMMITTEE IS ACTIVE IF DIFFERENT
THAN COUNTY OF DOMICILE
MAILING ADDRESS
SAN DIEGO
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
CITY
STATE
ZIP CODE
AREA CODE!DA YTIME PHONE
1182 RANCHO ENCINITAS DR.
CITY STATE ZIP CODE
ENCINITAS, CA 92024
AREA CODE! PHONE NUMBER
(619)756-5646
Attach additional information on appropriately labeled continuation sheets.
III Disposition of Surplus Funds You must specify what disposition will be made of leftover campaign funds, if any, at termination.
ANY SURPLUS FUNDS WILL BE DONATED TO A NONPROFIT ORGANIZATION.
IV Vermëãi"ion
I have used all reasonable diligence in preparing this statement and to the best of my knowledge the information contained her
certify under penalty of perjury under the laws of the State of California that the foregoing is true and corrert: '" - r-
'n is true and complete. I
DATE
At ENCINITAS. CA
CITY AND STATE
By
EASURER
Executed on
9Lli/96
Executed on' ~ - I 1- 'Ü
iI DATE
Executed on
DATE
At ENCINITAS, CA
CITY AND STATE
At
CITY AND STATE
At
CITY AND STATE
By .
By
SIGNATURE Of CONTROLLING OffiCEHOLDER. CANDIDATE. OR STATE MEASURE PROPONENT
Executed on
DATE
By
SIGNATURE Of CONTROLLING OffICEHOLDER. CANDIDATE. OR STATE MEASURE PROPONENT
f OR INfORMATION REQUIRED TO BE PROVIDED TO YOU PURSUANT TO THE INfORMA TlON PRACTICES ACT Of 1977, ~EE INFORMATION MANUAL ON CAMPAIGN DISCLOSURE PROVISIONS Of_LHE POLITICAL REfORM ACT
State of California Fair Political Practi( ,~ rnmmi..inn
"
Sta~e~ent of Or~anization ~ 7
RECipient Committee ~
I ¡ ',' '. ¡.! ì" t '-;
(GovernmentCodeSectlon~8410'.84103) '-'II "', ':,'.";"'~,\'("\~
, i.1 ,-! \ .
WHERE TO FILE:
Q/¿/3C¡O
STATEMENT OF ORGANIZATION
Amendment
~Q£¡ bõ~f a rktn;ì:d 5Jnt
and enter ID number: .
File original and one copy of this form with:
Secretary of State
Political Reform Division
PO. Box 1467
Sacramento. CA 95812-1467
Date Stamp
RECEIVED AND fiLE
In the office of the Secretary of S
1)f the State of California
Type or print in ink
8 L9J 9 6
0 Check box if not yet qualified
And, if applicable, file one copy of this form with:
The city or county officer, if any. who receives the
committee's original campaign disclosure
statements. I dILL JONES. Secretary of SttJt€
II Treasurer and Other Principal Officers
NAME OF TREASURER
AUr, i 2 1996
SEE INSTRUCTIONS ON REVERSE
/I
I Committee Information
Date Qualified as
Committee (Month. Day. Y..r)
NAME OF COMMITTEE
JOHN C. LECHLEITER
MAILING ADDRESS
4It FRIENDS OF CHUCK DUVIVIER
ADDRESS OF COMMITTEE (NOT PO BOX) NO. AND STREET
144 WEST D ST.
CITY STATE
ZIP CODE
AREA CODE/DA YTIME PHONE
1182 RANCHO ENCINITAS DR.
CITY STATE ZIP CODE
AREA CODEI PHONE NUMBER
ENCINITAS, CA 92024
NAME AND POSITION OF OTHER PRINCIPAL OFFICER(S)
(619)753-1157
ENCINITAS
COUNTY OF DOMICILE
CA 92024 (619)756-5646
COUNTY WHERE COMMITTEE IS ACTIVE IF DIFFERENT
THAN COUNTY OF DOMICILE
MAILING ADDRESS
SAN DIEGO
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P,O. BOX
CITY
STATE
ZIP CODE
AREA CODE/DA YTIME PHONE
1182 RANCHO ENCINITAS DR.
CITY STATE ZIP CODE
ENCINITAS, CA 92024
III Disposition of Surplus Funds You must specify what disposition will be made of leftover campaign funds, if any, at termination.
AREA CODEI PHONE NUMBER
(619)756-5646
Attðch ðdditionðf informðtion on ðppropriðtefy fðbefed continuðtion sheets,
i~ication
I have used all reasonable diligence in preparing this statement and to the best of my knowledge the inform~ contained herejp is true and complete. I
certify under penalty of perjury under the laws ofthe State of California that the foregoing is true aJ1d"Cëm--~
Executed on 8/9/96 At ENCINITAS. CA By
DATE CITY AND STATE
Executed on 8/9/96 At ENCINITAS, CA By
DATE CITY AND STATE
Executed on At By
DATE CITY AND ST ATE
Executed on At By
DATE CITY AND STATE
SIGNATURE Of CONTROlliNG OffiCEHOLDER, CANDIDA TE, OR STATE MEASURE PROPONENT
SIGNATURE Of CONTROLLING OffiCEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
fOR INfORMATION REQUIRED TO BE PROVIDED TO YOU PURSUANT TO THE INfORMATION PRACTICES ACT Of 1977, SEE INfORMATION MANUAL ON CAMPAIGN DISCLOSURE PROVISIONS Of tHE POLITICAL REFORM ACT
State of California Fair Political Practices Commission