410 Initial
2. Treasurer and Other Principal Officers
NAME OFDREASUR .:>)! I
ANG _ENI'Y_ "1M# G
SToEO~VSSMyl'ct~ . Ave
CITY STATE ZIP CODE
-r (,( nt ~,)\O elf 'fJ:o IV-
AREA CQOE,PHONE ~~ANT TREASURER, IF ANY /l '
4oG-1q'-118~REET-:liiji:;s~t::r<.1 t. <-fiLl
/0 t41- Q LBJ CO E= Df<\\(t;;
CITY STATE ZIP CODE AREA CODE/PHONE
CUPete-rIAlO, CA. q!j)/'r 4og-11(-17~,
NAME AND POSITION OF OTHER PRINCIPAL OFFICER(S), IF APPLICABLE
Statement of Organization
Recipient Committee
Type or print in ink
Statement Type ~nitial
Not yet qualified Ei2I" or
o Amendment
List I.D. number:
#
#
-----1 I
Date qualified as committee
/----1_
Date qualified as committee
(If applicable)
1. Committee Information
NAME OF COMMITTEE
-ALee:RT
e.
C-f./ t.J
-
/-fJR.
d-ry (!,tJOA/t.,1 L
STREET ADDRESS (NO P.O. BOX)
10 Jj,. 2 C, L~t:. ()~ hI< J Vl:
CITY STATE ZIP CODE
LU/::J{;:l<-l7rJO , CA. q~o/Lr
MAILING ADDRESS (IF DIFFERENT)
NA
OPTIO~t6~~E~ i e. t~MC.~~ Yt~
COUNTY OF DOMICilE COUNTY WHERE COMMITTEE IS ACTIVE IF DIFFERENT
THAN COUNTY OF DOMICilE
Attach additional information on appropriately labeled continuation sheets.
I I
Date of Termination
~ CODElPHONE
B-54Q.:4~
MAILING ADDRESS
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 informatio 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 and correct.
Executed on -3 - 2.l - 20 di By
DATE --t-
Executed on -3 2.\ - 2.001 By
DATE +-
Executed on
By
Executed on
By
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
DATE
DATE
SIGNATURE OF CONTROlliNG OFFICEHOLDER. CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 410 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Statement of Organization
Recipient Committee
STATEMENT OF ORGANIZATION
COMMITTEE NAME
CALIFORNIA 41 0
FORM
INSTRUCTIONS ON REVERSE
~.
C+lLl
HI!..
elf
CO{)NCI L
I.D. NUMBER
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 "non-partisan."
· 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
(INCLUDE DISTRICT NUMBER IF APPLICABLE)
YEAR OF ELECTION
PARTY
-Ii U-&-Rj C. (! +l L1 e-r{ COuNCIL 2067 t'K Non-Partisan
o Non-Partisan
· List the financial institution where the campaign bank account is located (controlled "candidate election" committees only)
. .
NAME OF FINANCIAL INSTITUTION
-S
Ar<.O~
P:;oj.
~rofl
3~43
AREA CODE/PHONE BANK ACCOUNT NUMBER
UNION 4O€>-S4s-5L02.. 1138b 5~o
CITY STATE ZIP CODE
S\)ll~'tIALt:: e-A. '140~5
ADDR~. O.
Primarily Formed Committee
Primarily formed to support or oppose specific candidates or measures in a single election. List below:
CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION
(INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE)
CHECK ONE
I w~" I o,~,
SUPPORT OPPOSE
CANDIDATE(S) NAME OR MEASURE(S) FULL TITLE (INCLUDE BALLOT NO. OR LETTER)
FPPC Form 410 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Statement of Organization
Recipient Committee
STATEMENT OF ORGANIZATION
CALIFORNIA 41 0
FORM
INSTRUCTIONS ON REVERSE
COMMITTEE NAME A LI3 e::R.
c.
C+lU
t:oR
~J-rv
C.OONC!..I L
1.0. NUMBER
4. Type of Committee (Continued)
General Purpose Committee
~formed to support or oppose specific candidates or measures in a single election. Check only one box:
I:!I CITY Committee 0 COUNTY Committee 0 STATe Committee
PROVIDE BRIEF DESCRIPTION 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
0--1 1
Date qualified
Check box and provide the date this committee qualified as a small contributor committee. If the committee qualified as a
small contributor committee on January 1,2001, enter 1/1/01.
5 . Term i nation Req u irements By signing the verification, the treasurer, assistant treasurer and/or candidate, officeholder, or proponent certify that all of the following conditions have been 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 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.
n 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.
FPPC Form 410 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)