Form 410 Amendment 8/9/96
,
~ Statement of Or~anization
Recipient Committee
(Government Code Sections 84101-84103)
WHERE TO FILE:
STATEMENT OF ORGANIZATION
Date Stamp
d Ii " i-' r:;L.ii1nA~
CIf Y CLEm\
Type or print in ink
Amendment
0 Check box if an Amendment
and enter ID number: '
File original and one copy of this form with:
Secretary of State
Political Reform Division
P.O, Box 1467
Sacramento, CA 95812-1467
For Official Use Only
SEE INSTRUCTIONS ON REVERSE
/I
96
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.
UG -9 PM I: 35
I Committee Information
Date Qualified as
Committee (Month, Day, V..r)
8/9/96
0 Check box if not yet qualified
" Treasurer and Other Principal Officers
NAME OF TREASURER
JOHN C. LECHLEITER
MAILING ADDRESS
NAME OF COMMITTEE
~ FRIENDS OF CHUCK DUVIVIER
ADDRESS OF COMMITTEE (NOT PO BOX) NO. AND STREET
144 WEST D ST.
CITY ST A TE
ZIP CODE
AREA CODE/DA YTIME PHONE
1182 RANCHO ENCINITAS DR.
CITY STATE ZIP CODE
ENCINITAS, CA 92024
NAME AND POSITION OF OTHER PRINCIPAL OFFICER(S)
(619)753-1157
AREA CODEI PHONE NUMBER
ENCINITAS
COUNTY OF DOMICILE
CA 92024 (619)756-5646
COUNTY WHERE COMMITTEE IS ACTIVE IF DIFFERENT
THAN COUNTY OF DOMICILE
MAILING ADDRESS
CITY
STATE
ZIP CODE
AREA CODE/DA YTIME PHONE
SAN DIEGO
MAILING ADDRESS (IF DIFFERENT) NO, AND STREET OR PO. BOX
1182 RANCHO ENCINITAS DR.
CITY STATE ZIP CODE
ENCINITAS, CA 92024
AREA CODEI PHONE NUMBER
(619)756-5646
Attach additional information on appropriately labeled continuation sheets.
'" Disposition of Surplus Funds You must specify what disposition will be made of leftover campaign funds, if any, at termination.
.
IV Verification
I have used all reasonable diligence in preparing this statement and to the best of my knowledge the informa!in!, n contained herein is~ue and complete. I
certify under penalty of perjury under the laws of the State of California that the foregoing is true an_d ~Q.Œe~ì
Executed on 8/9/96 At ENCINITAS. CA By
DATE CITY AND STATE
Executed on 8/9/96 At ENCINITAS, CA By
DATE CITV AND STATE
Executed on At By
DATE CITY AND ST A TE
Executed on At By
DATE CITV AND ST ATE
SIGNATURE Of CONTROlliNG OFfiCEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
SIGNATURE OF CONTROLLING OFFICEHOlDER, CANDIDATE, OR STATE MEASURE PROPONENT
fOR INFORMATION REQUIRED TO BE PROVIDED TO VOU 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
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