HomeMy WebLinkAboutCappello Form 410 - Filed with State Statement of Organization STATEMENT OF ORGANIZATION
Type or print in ink Date Stamp
Recipient Committee CALIFORNIA 4110
FORM
Statement Type C1 Initial 6a Amendment ❑ Termination—See Part 5 n r io �(1 � _ For Official Use Only
Not yet qualified i] or
List I.D.number: List I.D.number: U u FILED
# 1348661 # JAN 2 9 2013 the office of the Secretary of Stain
of the State of California
_______J____1 ? / 2`f / 2012-- ___J__ ___J n __ _ / JAN �1
Date qualified as committee Date qualified as committee Date of Termination ByCV 1t P JAN 3 1 2013
(It applicable) (1 .
1. Committee Information 2. Treasurer and Other Principal Officers
NAME OF COMMITTEE NAME OF TREASURER
Manny Cappello for City Council 2012 Manny Cappello
STREET ADDRESS(NO P.O.BOX)
STREET ADDRESS(NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE
Saratoga CA 95070
CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER,IF ANY
Saratoga CA 95070 STREET ADDRESS(NO P.O.BOX)
MAILING ADDRESS(IF DIFFERENT)
CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX/E-MAIL ADDRESS
NAME OF PRINCIPAL OFFICER(S)
COUNTY OF DOMICILE COUNTY WHERE COMMITTEE IS ACTIVE IF DIFFERENT
THAN COUNTY OF DOMICILE STREET ADDRESS(NO P.O.BOX)
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 edge e infor••. o• containe• erein is t ue and complete. I certify under penalty of
perjury under the laws of the State of California that the foregoing is true and correc
Executed on l i 21 /20 i'J By Air 4
DATE SIGNATURE OFT'EASURE:OR ASSISTANT TREASURER
Executed on 1 1 2 9 12-(31 By _Aill■-•
DATE
W:rI•�:i i!tet` OLLING OFFICEHOL• ..■•TE,OR STATE MEASURE PROPONENT
Executed on By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER,CANDIDATE,OR STATE MEASURE PROPONENT
Executed on By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER.CANDIDATE,OR STATE MEASURE PROPONENT
FPPC Form 410 (ApriU2011)
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