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Statement of Organization Dale stamp _
Recipient Committee 0 _
111
Statement Type El Initial �2 Amendment ❑ Termination—See Part5 RECEIVED AND FILED F "IY®
Not yet qualified ❑ or List I.D.number: ListI.D.number: In I e office Of the Secretary Of Stat
It -2 Z 7 5') a of tba State of Califomia
OCT 06 2014 _OCT 17 2014
Dale qualified as committee Date qualified as committee Date of Termination Coryc�RK$pRj�
III aPPBca me)
1MM-OEM ttee�lnfor1mation a� 2 Treasurer andfOLher P'rinripaljOfficers
NAME OF COMMITTEE NAME OF TREASURER
' f/!K'/d.(GAJ �Du1�,PO.S r=or2 �iry�u,Er!'.t 2 0 Hn.a-5 G1. CAJQ20S
STREET ADDRESS(NO PO.BOX) STREET ADDRESSING P.O.BOX)
3/779 y/ya 7e4510 _? I ?'I '1 Ut /2 /e,s%o
CITY STATE ZIPCODE AREACODE/PHONE CITY -� STATE ZIP CODE AREA CODE/PHONE
TYFC'w /'C �/� 9?YZ `/TS $S/—.ZZ09 re/ QCuf �c (7A S92 /CS1-5' /- 1435
MAILING ADDRESS DF DIFFERENT) NAME OF ASSISTANT TREASURER,IF ANY
FAX/EMAIL ADDRESS STREET ADDRESS(NO PO.BOX)
M a r-12 te n , !P/Yro✓.y<<�.p�y
COUNTY OF DOMICILE IURISDICTIDN WHERE COMMITTEE 15 ACTIVE - q CITY STATE ZIP CODE AREA CODE/PHONE
/ZI UPi S/G+E �IUPlS.Oc �nuu�i / CC_ I/ "l'
NAME OF PRINCIPAL OFFICER(S)
Attach additional information on appropriately labeled continuation sheets. STREET ADDRESS(NO PO.BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
3.gVeffiftation i pie res rex �7 c s
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 Ca iforma that tth/�F fore o ng is tru d correct.
Executed on /(]- 2- --2(0j`'I By O� cJN'E/�j : _-
DATE SIG ATURE OFTREASURER CRASS I5TANTTREASURER _
Executed on /0— .2 —•2 O/`) //�
DATE _ ' - —+ T
1 � SIGNATGRE OF CONTROLLING OFFICEHOLDER,CANDIDATE,OR STATE MEASURE PROPONENT
�
Executed on By VVV -'- Ut - 1 r7
DATE SIGNATUR E OF CONTEND LL ING O F F ICEHO to E R.CAN DIDATE,OR STATE M EASU RE PRO PONE NT C7n
Executed on By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER.CANDIDATE,OR STATE MEASURE PROPONENT `S C' — ^J
413PC Form410(Dec/2012)
FPPC Advice:advice@fppc.w gov.f$66/275-37721
www.fppD.ca.gov
Statement of Organization CALIFORNIAt
Recipient Committee -
INSTRUCTIONS ON REVERSE
Page 3
COMMITTEE NAME
LO,NUMBE0.
FYI/-/2 /ve c ;Yy cL)GA/ aai ( 2 ?z -7
4 T-fP- Of3Commrtfee (CDnenbedt. :y,
Not formed to support or oppose specific candidates or measures in a single election. Check only one box:
❑ CITY Committee ❑ COUNTY Committee❑ STATE Committee
PROVIDE BRIEF DESCRIPTION OF ACTIVITY
List additional sponsors on an attachment.
NAME OF SPONSOR INDUSTRY GROUP OR AFFILIATION OF SPONSOR
STREET ADDRESS NO.AND STREET CITY STATE ZIP CODE
Dme quaGfieE
S%,rmination Requirements , 6 Igning:heverificarion,thetreasurer,assis anP, easurerand/orcanditla_te,off ceholder;,orproponenfcem that+a110fithe following-contl(bons.hav been fie "' °
• 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 89S11-89518,and are
subject to Elections Code Section 18680 and FPPC Regulation 18521.5.
FPPC Form 410(Dec/2012)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov
Statement of Organization
Recipient Committee CALIFORNIA � �
INSTRUCTIONS ON REVERSE • -
Page 2
COMMITTEE NAME
Lp,NUMBER
101A,2 m,/ / Lou �rcvs �c✓Z C nG c Z r Y
• All committees must list the financial institution where the campaign bank account is located. `
NAME OF FINANCIAL INSTITUTION AREA CODE/PHONE BANK ACCOUNT NUMBER
IAJ 5 /-A)246 , Co4n 5100 -ZZ15935- y25�/ 67Zo 5r577
ADDRESS CITY STATE 21P CODE
2 7630 vtiiccl TE a CA I
45Type of�Committee�Gomolete the applicablMIFF
e ections. t -
r -
• 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." '
• 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
7— (INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION rye PARTY
{'�1/T/�- //�^//✓( C�4/A>2r7s / �I✓IL�LtL/a C/T'7 �iJURJ�J �� 'Cl Nonpartisan
� / y
❑ Nonpartisan
Primarily formed to support or oppose specific candidates or measures in a single election. List below:
CANDIDATE(S)NAME OR MEASURE(S)FULLTITLE(INCLUDE BALLOT NO.OR LETTER) CANDIDATE(S)OFFICE SOUGHT OR HELD OR MEASURE(S)JURISDICTION
(INCLUDE DISTRICT NO.,CITY OR COUNTY,AS APPLICABLE) CHECK ONE
SUPPORT OPPOSE
SUPPOgTrm OPP()i�
FPPC Form 1410 IDellc//ZOI2)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov
a1�
Statement of Organization Date Stamp CALIFORNIA
,
Recipient Committee • '
10
Statement Type [I Initial .$Amendment Termination—See Parts E/�L'+VEDAND F IL ' D fNromcial use 0niy
List I.D.number: List I.D.number: V f
Not yet qualified❑ or i the offic to
u 1 Z-7 2Z 8 t p oft Slate of Calitornla
_/ / If / SEP 08 2014
Date qualified as committee Date qualified as committee Date of Termination
Ill a pplicable)
1 Com_mlttee Infor'matton_ �. a-�t� ,L � ''" � �2�TreasiarerandfOther'Prinil al`Offlcers 3h�' r�°� ' " t, i
, l _ _._.L._ .,_ ._,. ' sak. .T:v�' .ac�-� -.,,Y�stc`��"-"a�� "e�._.�-_..._�._._.,ti...__...b.s.�_._P__^'.__._ _ .z
ic
NAME Of COMMITTEE a NAME UP TREASURER
STREET ADDRESS(NO Po.BOX) re / STREET ADDRESS(NO Pa.Rox)
CITY STATE ZIP CODE AREA CODE/PHONt CITY SLATE ZIP CODE AREA COOF/YIIUNk
cit 9 TZ-/7o45Cccc-4 C.9 9Z5aZ 9s-/S5Y- la
MAILING ADDRESS(IF DIFFERENT) NAME OF A5515TANI IREASURLIT IF ANY
FAX/E-MAILAUDNE55 STREET ADDRESS(NO P.O.BOX)
COUNTY Of DUMICILIf' IURISDICTION WNnf RE COMMITTEE IS ACTIVE CITY STATE tIV CODf PIItq CODE/PHONE
R t ve rs td¢ 1c 1./E(C S fOIC' Ow'.6, `^'a4 a< • NAME OF PRINCIPAL OFFICEIS)
51REET ADDRESS(NO PO.ROxI
Attach additional information on appropriately labeled continuation sheets.
CITY STATE ZIP Cook ANEACODE/PHONE
Ver.
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 foregoin Is rue and car
Executed on c'l— il —2tyiil By
� j DATE ��// SIG ATURE OF rR ASURIR OR ASS15TANT TREASURER
Executed on '1 1 —�e i'/ By
DATE , ATUflE OFCONiROINNR UFFICEIIOINER,CANDUROATE,OR STATE MEASURE PROPONENT
Executed on By
DAIS SIGNATURE OF CONTROL LI LNG OFF ICE IIUIUfft,CAN UlUA1 f,ON STAT[MEASURE PNOVUNfNT ... ,
Executed on By
DATE By
OF CONTROLLING OFFICEHOLDER,CANDIDATE,OFF STATE MEASURE PROPONENT '- .. "
FP PC Form 410(Dec/2012)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc-ca.gov
Statement of Organization CALIFORNIA
Recipient Committee FORM 2
10
INSTRUCTIONS ON REVERSE
Page t
�NAME I. .NUMtlEII -
• All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUIIVN ApEA CODE/PIIV NE BANK ACCVUNi NUMBED
ikjeII S �wr�v• C�=„� 5co -zz5= 593 S f{2S! D7ZU l5 Y9 £f 57 7
ADDRESS CITY STATE 21V LUUE
7 (0 3p vNt2 IZD j r,nEcc, / a� c/7 ZK:!- I
4LTypeofComlrfittee p pp w 3Lµ f tY�tr ' - + Y r 'la e : a mr, 4 tM
Com lets the a licalile sections +� f � yi" "fy, ��; 1 ?j�f a�A��`i u�;r ,@��+ " s � yN
..,.;z.. �..�,...w.....,..,,,v,•.w.,kua '�..,'"� Mr ��� ��> «k,
• 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."
• 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
NI�AMEE OF CAN
tDI/DATE/OOFF'FICEEHHOOLLDER/S/TATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECT ION PARTY
rti
/i E �f'� 7f� i'-�- ``✓ CAI A-9/J Nonpasan
❑ Nonpartisan
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 NO.OR LETTER) CANDIDATE(S)OFFICE SOUGHT OR HELD OR MEASURE(5)JURISDICTION
(INCLUDE DISTRICT NO.,CITY OR COUNTY,AS APPLICABLE) CHECK ONE
SUPPIIRT OPPOSE
SUPpU11Trm OPV!)SE
_ FPPC Form 1410(DeIcc//200112i
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov
J Statement of Organization CALIFORNIA '
Recipient Committee • -
INSTRUCTIONS ON REVERSE
Page 3
COMMIIIRP NAME /� I.U_NUMRER
//7442yq,,Vnr ';`04- elrY �ocJUr-,'C- adit z7Z7 5'
�`�
Not formed to support or oppose specific candidates or measures in a single election. Check only one box:
❑ CITY Committee ❑ COUNTY Committee❑ STATE Committee
PROVIDE BWEF DESCRIPI IGN nF ACI IVI IY
List additional sponsors on an attachment.
NAME OFSPONSGN I NOUSINYGROUP UNAFRLIANON OF SPONSOR
SIREEI ADDRESS NO.ANDSTREEI CITY STATE ZIPCODE
Dale,V Tihed
S +Termination+Re uirementsTtByslgnfngthaverlNca o t etreaserasslsantteasurrawd/or4anAdtehofceholder°or proponentcetfjtfia ell ofthe`follnwingco dMunsavebeemet:'" . ""3
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(Dec/2012)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov
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