410 with committee number
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Statement of Organization
Recipient Committee
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'tYpe or print In Ink
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STATB.1ENT OF ORGANIZATION
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Statement lYpe
.Inltlal
Not yet qualified tJ( or
o Amendment
List 1.0. number:
o Termination - See Part 6
list 1.0. number:
DlIle St8mp
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AUG 1 32007
'---1_ DEBRA BOWEN
Date ofTermlnallon ecretary of Stat
2. Treasurer and Other Principal Officers UNT'(OF SANTA CLARA
NAME OF: TREASURER By)144 Deputy
STRE~.v)nll ~
..1d~3q L,~J
CI1Y ~
NAM~~1'~FANY
ZIP CODE AREA COOEIPHONE :nIST.
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CI1Y . STATE . ZIP CODE AREA COIlE ~: .__
C tAJI.' .J-ntt/l C A "r "1'( "01-1 'k'.'~II.
NAME AND POsmON OF OTHER PRINCIPAL OFFlCER(S).IF APPLICABLE
#
#
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Date quallfted as committee
~ 1
Date qualified as committee
(If .......1
AUG 2 4 2007
1. Committee Information
NAME OF COMMITTEE
II
IS
"2.-1 ,r I
/.., r",,,t y
1-4" .
STATE
La.ve ~l> I~
STATE ZIP CODE COOEIPHOtE
C fk ~ -S ~ lli-- ~ -,;(9-23&
STREET ADDRESS (NO P.O. BOX)
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CITY
C /A.Jlc.~ +-r"" 0
MAILING ADDRESS (IF DIFFERENT)
C-4
18
OP11ONAL: FAX I E-MAIL ADDRESS
C c.c.. 1'tt;Jtl",.. ""'~ ~ ,,... ~/I..~
COUNTY V\tERE COMMITTEE lSACTNE IF DIFFERENT
THAN COUNTY OF DOIIICILE
-
011
~
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COl.MTY OF DOMICILE
s~" /-~- clil#'1t
MAIUNG ADDRESS
CI1Y
STATE ZIP CODE
AREA COOEIPHONE
Attach addItfonallnfonnalion 0II1JfJPf'OP11ate1 labeled conlfnuellon sheets.
I
3. Verification
I have used a"~nable diligence in preparing this statement and to the best of my knowledge the infonnatlon 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 f.=..i. - 2 0 0 ~ By ~&.A"'" ~
~lI! SIGNATURE OFTRl!AllURER OR ASSISTANT TREASURER
Executed on t...=.....Y - 2,() 1J1' By ~.,/ ~
QJ.TE SIGNATURE OF CONTROWNG 0FI'ICEH0l.DER, CANDIDATE, OR STATE MEASURE PROPONENT
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Executed on
DATE
By
By
SIGNATURE OF CONTROWNG OFFICEHOlDER, CNlDlD'-TE, OR STATE MEASURE PROPONENT
-
Executed on
~TE
SIGNATURE OF CONTROlUNG OFFICEHOLDER, CANDIDATE. OR STAll! MEASURE PROPONENT
'PPC Fonn 410 (JanuarylOl)
'PPC Toll.'.... Helpline: 8IIIASK-FPPC (8811271-3772)
INSTRUCTIONS ON REVERSE
" .- .:"
. t .
Ctu:-, ".\" 410
'" ,..1:' . j
.....
J.D. NUMBER
Statement of Organization
Recipient Committee
~ y' . t..
COMMITTEE NAME
M4
S~"f-ro
4. Type of Committee Complete the applicable aec1lons.
COllt'ol!ed CUlTll1l1ttPI'
. List the name Qf each CQntroUlng officeholder, candidate, or state measure proponent. If candidate or officeholder controHe~ also list the elective office sought or held, and
district number, if any, and the year of the election.
. List the poUtIcalparty with which each officeholder or candidate is affiliated or check "non..partisan."
. If this commltteeacls jointly with another controlled committee. list the name and Identification number of the other controlled committee.
NAME OF CANDlDATEIOFFICEHOLDERISTATE MEASURE PROPONENT
ELECTIVE OFFICE SOUGHT OR HElD
(INCLUDE DISTRICT NUMBER IF APPLICABLE)
YEAR OF ELECTION
PARTY
,41.,.k S4#ff,~o C {-/.y C Dt4.#e ell ZOO,:/- Ji Non-Partlsan
DNon-PartIsan
. List the financial instllutionwhere the campaign bank account is located (controHed "candidate election. committees only)
~~.I
AREA CODePHONE .
tJ')2.rr...' 3SD
CITY
BANKACCOlMI' IUlBER
'$/1 'l.fl'fCflf
NAME OF FJNANClM; INSTITUTION
STAle ZIP CODE
'2.t>S-~3 $fCf/~J C~..<l< J/"A
C"yc,-Mo
CA 1.s-01't
PrlU7dfllV FOi/llr}d CCf17'111l:ec
P~marlIy formed to support or oppoee specific c:andidat88 or me,asu(8S In a single eIedIon. list below:
CAIODAn;($) NAME OR MEASURE(S) FULL TITLE (INCWDE BALLOT NO. OR LETTER)
CANDlDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION
(INCLUDE DISTRICT NO.. CI1Y OR COUNTY, ASAPPUCABLE)
CHECKONE
sul'l'ORT ' OPI'OII!
SUPPORT OPI'OII!
FPPC Form 410 (JanUlUJlO5)
FPPC TolI-Free Helpline: IItIASK-FPPC 1l1li271-3772)