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410 Initial StaterJ,Jnt of Organization 1~I')"'f~ ') STÆ"EMENT OF OR.... ..~IZATION Recipient Committee Type or print in ink REC ¡nthec ~'Initial ( Statement Type o Amendment o Termination - See Part 5 f\.UG ~ 9 2005 Not yet qualified M or List 1.0. number; List I.D. number: # # BR CE McPHERSON SEP 1 4 200 l:::J ~~- ~ I ~----1_ ecretary of State Date qualified as committee Date qualified as committee Date of TennínaUon (lf8JlPlicable) LERK 1. Committee Information 2. Treasurer and Other Principal Officers NAME OF COMMITTEE NAME c.¡;EASURER tn'le.l-~a\nooey .~~~~-§r Omn ~~onvy STREET ADDt9~ \\ Yì lO'i40 M\(o.mooic.. 1<d CITY STATE ZIP CODE AREA CODE/PHONe \0 q,-\O M\(C\ mOrL1e., R NAME OF(¥.£$rç~S~r~ IF ANV CÆ QSO\4 40B-725-17b7 CITY STATE ZIP COOE AREA CODE/PHONE MASG~D~S~~~£I CA <::\50\4 4ffi-12. 5 -nft' 7 STReET ADDRESS CITY STATE ZIP CODe AREA CODE/PHONE OPTIONAL: FAX I E-MAIL ADDRESS 4COlH1C\ \ aho\'ì( Oi POSITION OF OTHER PRINCIm.L OFFICER(S), IF APPLICABLE COUNTY OF DOMICILE COUNTY ERE COMMITTEE IS ACTIVE IF DIFFERENT THAN COUNTY OF DOMICILE MAILING ADDRESS SClnto. C\o.ra cm STATE ZIP CODE AREA CODE/PHONE Attach additional information on 8pproprietely labeled conlínuation sheets. 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 penaJty of pe~ury under the laws of the State of California that the foregoing is true and STATE MEASURE PROPONENT Executed on DATE ß{ SIGNNURE OF CONTROLliNG OFFICEHOlDER, CANDlORE, OR STATE MEASURE PROPONENT Executed on ÕÃTË ß{ ii' Ii rATE MEASUHE PROPUNENT FPPC Form 410 (Jan/03) FPPC Toll-Free Helpline: 8681ASK·FPPC ) ) Statement of Organization Recipient Committee .0, NUMBER -\Dr ornnJJ\ohon0 INSTRUCTIONS ON REVERSE COMMITTEE NAME C\ll'z.e G the applicable sections. Complete Committee 4. Type of controlled, also list the elective office sought or held. and If candidate or officeholder List the name of each controlling officeholder. candidate, or state measure proponent district number. if any. and the year of the election. Llstthe political party with which each officeholder or candidate · is affiliated or check "non-partisan. · controlled committee, listthe name and identification number of the other If this committee acts jointly with another controlled committee, · PAR TV Non-Partisan o Non-Partisan YEAR OF ELECTION 'loa 5 ELECTIVE OFFICE SOUGHT OR HELD (INCLUDE DISTRICT NUMBER IF APPLICABLE) Counc c NAME OF CANDIDJlfElOFFICEHOlDERlSTATE MEASURE PROPONENT Md.lnone committees only) BANK ACCOUNT NUMBER located (controlled "candidate election" ·gQIo - AREA COOEfPHONE ~i Dr) CITY ßonk f\ Tr institution where the campaign bank account is ~ Q±ì'ot7 OF FINANCIAL INSTITUTION er-hno Listthe financial NAME -º ADDRESS · \'22542- ZIP CODE 050 STATE CA '2.D1.~O stevens CYttk 'ß\vd did Primarily formed 10 support or oppose specifIC ca NAME OR 1 ---- ----, .."......"....... ¡-I- SUPPORT oppOSE ~ FPPC Form 410 (Jan/03) FPPC Toll-Free Helpline: 8661ASK-FPPC CANOIDATE(S) Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE COMMITTEE NAME -\DY .D.NUMBER (\11 z.e06 On In f'v\ 4. Type of Committee (Continued) General Purpose Committee Not formed to support or oppose specific candidates or measures in a single election. Check only one box: o CITY Committee o COUNTYCommittee o STATECommittee PROVIDE BRIEF oeSCRIPTION OF ACTIVITY Sponsored Committee List additional sponsors on an attachment. NAME OF SPONSOR INDUSTRY GROUP OR AFFILIATION OF SPONSOR STREET ADDRESS NO. AND STREET CITY STATE ZIP CODE Small Contributor Committee o ~~_ Check box and provide the date this committee qualified as a small contributor committee. If the commjttee qualified as a Date quaUfied small contributor committee on January 1, 2001, enter 1/1/01. 5. Term ¡nation Requi rements By signing the verification, the treasurer, assistant treasurer and/or candidate, officeholder, or proponent certify that all ofthe foUowing conditions have bean met 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 abiiity 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 surpius campaign funds held by elected officers who are leaving office and by defeated candidates, Refer to Government Gode Section 89519, FPPC Form 410 (Jan/03) FPPC Toll-Free Helpline: 8661ASK·FPPC