HomeMy WebLinkAbout2020 Statement of Organization Date Stamp , • , I '
Recipient Committee ZVI
Statement Type ❑ initial ® Amendment ❑ Termination—SeePart5 RECEIVED AND Fi ►- yFor Officialuse only
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Q Not yet qualified of the State of California � j (�; (��}
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1. Committee Information 2. Treasurer and Other PrincipalOfficers
if aPPlicable)
NAME OF COMMITTEE NAME OF TREASURER
Adam A. Ruiz for Temecula City Council 2020 Jody D. Nottignham
STREET ADDRESS(NO P.O.BOX)
43460 Ridge Park Drive, Suite 240
STREET ADDRESS(NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE
39785 Golden Rod Road Temecula CA 92590 951-296-1698
CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER,IF ANY
Temecula CA 92591 951-326-4698 Yolanda Orozco
FULL MAILING ADDRESS(IF DIFFERENT) STREET ADDRESS(NO P.O.BOX)
43460 Ridge Park Drive, Suite 240
E-MAIL ADDRESS(REQUIRED)/FAX(OPTIONAL) CITY STATE ZIP CODE AREA CODE/PHONE
Adam@AdamARuiz.com Temecula CA 92590 951-296-1698
COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE IS ACTIVE NAME OF PRINCIPAL OFFICER(S)
Riverside Temecula
STREET ADDRESS(NO P.O.BOX)
Attach additional information on appropriately labeled continuation sheets. CITY STATE ZIP CODE AREA CODE/PHONE
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 perju�r-y under t e laws of the State of Calif r la that Qcego' ye and correct.
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Executed on ( -a 0 aO By
ATE SIG OF TREASURER OR ASSISTANT TREASURER
Executed on �� 0i'0- 207�0 By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER,CANDIDATE,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(August/2018)
FPPC Advice:advice@fppc.ca.goiv(866/275-3772)
www.fppc.ca.Rov
Statement of Organization CALIFORNIA R ,
Recipient Committee • -
INSTRUCTIONS ON REVERSE
Page 2
COMMITTEE NAME I.D.NUMBER
Adam A. Ruiz for Temecula City Council 2020 3 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
First Citizen's Bank 951-506-1271 001064435892
ADDRESS CITY STATE ZIP CODE
44575 Avenida de Missiones Temecula CA 92592
4.Type of Committee Complete the applicable sections.-
Controlled Committee
• 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.
ELECTIVE OFFICE SOUGHT OR HELD YEAR OF PARTY
NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) ELECTION CHECK ONE
Adam A. Ruiz Temecula City Council, District 4 2020 Nonpartisan Partisan (list political party below)
Nonpartisan Partisan (list political party below)
PrimarilyPrimarily 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(S)JURISDICTION
IF A RECALL,STATE"RECALL"IN FRONT OF THE OFFICEHOLDER'S NAME. (INCLUDE DISTRICT NO.,CITY OR COUNTY,AS APPLICABLE) CHECK ONE
SUPPORT OPPOSE
SUPPORT OPPOSE
FPPC Form 410(August/2018)
FPPC Advice:adv_ice a>fppc.cagov__(866/275-3772)
www.fppc.ca.gov
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