HomeMy WebLinkAboutPreserve Saratoga 410 AmendedStatement of Organization
Recipient Committee
Statement Type
❑ Initial
0 Not yet qualified
OF
0 Date qualification threshold met
1. Committee Information
NAME OF COMMITTEE
Amendment
Date qualification�threshold met
EC
El Termination — Sei) P55
I.D. Number
(ifapplicable) fPPc lmFz.t3 2
01;Y-a 614-
Date of termination
--/-✓
SCITY STATE ZIP CODE AREA CODE/PHONE
FULL MAILING AD DIFFERENT)
C-� 5ge 7
E-MAIL ADDRESS (REQUIRED)/ FAX (OPTIONAL)
COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE IS ACTIVE
3fA_ cis- c y if )-
Attach additional information on appropriately labeled continuation sheets.
Date Stam
IVED At4b FIL
ce of the Secretary of S
the State of Caiifomia
OCT 0 9 201E
Treasurer and Other Principal Officers
NAME OF TREASURER
STREET ADDRESS (NO P.O. BOX
.
STATE ZIP CODE
STREET ADDRESS (NO P.O. BOX)
CITY
STATE ZIP CODE AREA CODE/PHONE
NAME OF PRINCIPAL OFFICERS) C
F{FRey / 7 ,/�. £ i ,z-j ?-
STREET ADDRESS (NO P.0.8 }
G)
STATE ZIP CODE AREACODE/PHONE
�� Ae-en 9 50 7e3
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 Califoyn'ithat the fore: •ing ilrue and cor
Executed on
Executed on
Executed on
Executed on
Oct. 5 20 ►i By
DATE /
DATE By
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
SIGNATURE OFTSURER OR ASSISTANT TREASURER
By
DATE
By
DATE
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 410 (August/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Recipient Committee
INSTRUCTIONS ON REVERSE
COMMITTEE NAME
Pit 0 5 t" Jfv4- .5►i R)A-y c7 44-
• All committees must list the financial institution where the campaign bank account is located.
Page 2
.0. NUMBER
Iq/z332.
NAME OF FINANCIAL INSTITUTION
14)
ADDRESS€ � , �/, V c
4.7ype of Committee C m plete the applicable sections.
Cbntrolled Cbmml ee
AREA CODE/PHONE
BANK ACCOUNT NUMBER
cPr is-/ z7
• 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 "nonpartisan." Stating "No party preference" is acceptable.
• 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 YEAR OF PARTY
(INCLUDE DISTRICT NUMBER IF APPLICABLE) ELECTION CHECK 0
Nonpartisan
Partisan
(list political party below)
Nonpartisan
Partisan
J
(list political party below)
Primarily Formed Chrnmiiee
Primarily formed to support or oppose specific candidates or measures in a single election. List below:
CAN DIDATE(S) NAME OR MEASURE(S) FULL TITLE (INCLUDE BALLOT NO. OR LETTER) CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION
IF A RECALL, STATE "RECALL" IN FRONT OF THE OFFICEHOLDER'S NAME. (INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE)
�R
SUPPORT
n
uric
OPPOSE
SUPPORT
OPPOS'
FPPC Form 410 (August/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Recipient Committee
INSTRUCTIONS ON REVERSE
COMMITTEE NAME
FRrL�RI I 4= 60141 P&
4. Type of Committee (conhnuad)
esneral Purpose CbmmiEee
Not formed to support or oppose specific candidates or measures in a single election. Check only one box:
%CITY Committee ❑ COUNTY Committee 0 STATE Committee
AA..FA•r\..•
FORM a.
PROVIDE BRIEF DESCRIPTION OF ACTIVITY
fb 50)°Pt9 1 B LLoI itartw/i CrJ/ JAl eitTotI4) e
gonsored Ctimmi.Tee
List additional sponsors on an attachment.
NAME OF SPONSOR -
INDUSTRY GROUP OR AFFILIATION OF SPONSOR
STREET ADDRESS
NO. AND STREET
CITY - STATE ZIP CODE AREA CODE/PHONE
Snail Chntrlbutor CbmmiEee
❑ /-./
Date qualified
5. Termination Requirements By signing the verification, the treasurer, assistant treasurer and/or candidate,officeholder, or proponentcertifythat all ofthe following conditions heve,beenmet:
'
• 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 no 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 Government
Code Section 89519.
-- Leftover funds of ballot measure committees may be used for political, legislative or governmental purposes under Government Code Sections 89511- 89518, and are
subject to Elections Code Section 18680 and FPPC Regulation 18521.5.
FPPC Form 410 (August/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov