410 with committee number
Statement of Organization
Recipient Committee
Type or print in ink
/2q 7012--1
2. Treasurer and Other Principal Officers
~AME OF TREASUR ,:,) Ii
_EN"-Y vAfJ G
STOEO!vssAO{yl'tt~ . Ave.
CITY STATE ZIP CODE
i-. (,{ "'t ~l)\O elf '{>01C{-
~;~;*-178~tg~R""J<Yt. ('ALl ·
, J STREET ADDRESS I
10 1.41- ~ LBJ CO E= Df<\'vt;:
CITY STATE ZIP CODE
C uP€;te 71 NO, CPr. q!j; lit-
NAME AND POSITION OF OTHER PRINCIPAL OFFICER(S), IF APPLICABLE
J13
Statement Type f!(initial
Not yet qualified Ii:f or
o Amendment
List 1.0. number:
#
I I
Date qualified as committee
I I
Date qualified as committee
(If applicable)
1. Committee Information
NAME OF COMMITTEE
-ALee:re..T
~.
C-f./ t.J
kR. Celt CtJONelL
STREET ADDRESS (NO P.O. BOX)
lol4 2 C,L~t!.()lC hR.' ~
CITY STATE ZIP CODE
Lul)~t<-IiNO ~ CA. q~olLr
MAILING ADDRESS (IF DIFFERENT)
NA
OPTIO~l6~~E: i e. t~mQ~~ Yt~
COUNTY OF DOMICILE COUNTY WHERE COMMITTEE IS ACTIVE IF DIFFERENT
THAN COUNTY OF DOMICILE
Attach additional information on appropriately labeled continuation sheets.
o Termination - See Part 5
List 1.0. number:
#
EC oi the
th8~ state oi Cd
~~R ~6 20
DEBRA 80
i8cfet8I'Y 0
1----1_
Date of Termination
~ CODElPHONE
8-54Q:45/
AREA CODE/PHONE
4og-11{-17~
MAILING ADDRESS
CITY
STATE
ZIP CODE
AREA CODEIPHONE
3. Verification
I have used all reasonable diligence in preparing this statement and to the best of my knowledge the informatio
perjury under the laws of the State of California that the foregoing is true and correct.
-3 - 2.l- 2001
DATE -t-
3 - 2..( - :z..001
DATE --l-
Executed on
By
Executed on
By
Executed on
By
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
DATE
Executed on
By
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
DATE
contained herein is true and complete. I certify under penalty of
~IGNATURE OFTR SURER O~RER
~~..
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.
eMU
HI!.
elf
~O()Ne,IL-
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
-!l LB~R..-r C. (! +l Ll e-rf CaLJNelL 2.067 ts' 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<ONG-
5~
~ziOrt
3~*3
AREA CODE/PHONE BANK ACCOUNT NUMBER
UNION lHl€>-S4s-SL02 12.38b 5~o
CITY STATE ZIP CODE
S \ JlJ~i~AL~ c.-A. Cf4o~5
ADDR~. O.
Primarily Formed Committee
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(S) JURISDICTION
(INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE)
CHECK ONE
I '"""" 10''''''
SUPPORT "OPPOSE
FPPC Form 410 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Statement of Organization
Recipient Committee
STATEMENT OF ORGANIZATION
INSTRUCTIONS ON REVERSE
CALIFORNIA 41 0
FORM
COMMITTEE NAME A Lf3
c.
C+Ju
-r:o~
~/-rv c:.OONC!..1 L
I.D. 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
o 1------1_ Check box and provide the date this committee qualified as a small contributor committee. If the committee qualified as a
Date qualified small contributor committee on January 1,2001, enter 1/1/01.
5. Termination Requirements 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.
-- 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)