HomeMy WebLinkAboutCappello Form 410Statement of Organization
Recipient Committee
Statement Type ® Initial
Not yet qualified ® or
J_ t
Date qualified as committee
1. Committee Information
3
Type or print in ink
❑ Amendment
List I.D. number:
Date qualified as committee
(If applicable)
❑ Termination — See Part 5
List I.D. number:
I —_(
Date of Termination
NAME OF COMMITTEE
STATE ZIP CODE AREA CODE /PHONE
Manny For City Council 2012
NAME OF PRINCIPAL OFFICER(S)
STREET ADDRESS (NO P.O. BOX)
6p aszb'�
CA
CITY
STATE ZIP CODE
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 California that the foregoing is true ar
Executed on 12 By
�1
DATE
Executed on I 1 0 �-t1 I s"' By
DATE
Executed on
DATE
Executed on
DATE
By
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
By
SIGNATURE OF CONTROLLING OFFICEHOLDER. CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 410 (April /2011)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275 -3772)
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
STATEMENT OF ORGANIZATION
COMMITTEE NAME ILD. NUMBER
mANq GrA2f,0w Fort— C,,ry Ca�c,� ZZI
4. Type of Committee Complete the applicable sections.
• 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.
ELECTIVE OFFICE SOUGHT OR HELD
NAME OF CANDIDATE /OFFICEHOLDERlSTATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PARTY
Manny Cappello
Saratoga City Council
2012
❑X Non- Partisan
❑ Non - Partisan
• List the financial institution where the campaign bank account is located (controlled "candidate election" committees only)
NAME OF FINANCIAL INSTITUTION
ADDRESS
AREA CODE /PHONE
%A6 -9i$-�, - o `
CITY
BANKACCOUNT
STATE ZIP CODE
169 5 5pa� -t�* ALu . CAI) S S I zJ
„l�. • . �� ,I;�{'��� Primarily formed to support or oppose specific candidates or measures in a single election. List below:
CANDIDATE(S) NAME OR MEASURE(S) FULL TITLE (INCLUDE BALLOT N0. OR LETTER) CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION
(INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE) CHECK ONE
SUPPORT IOPPOSIT
FPPC Form 410 (April /2011)
FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772)