2011 - Form 410 Initial
[<ejected
Dat~ ofTenni~atiOn SDEBR
ecreta
2. Treasurer and Other Principal
NAME OF TREASURER
\ ~ '-\\:)~-Sl
Type or print in Ink
#
o Amendment
List 1.0. number:
#
_~ I
Date qualified as committee
(" applicable)
L\3
Sta(ement of Organization
Recipient Committee
Statement Type 181 Initial
Not yet qualified 1&1 or
I I
Date qualified as committee
-
1 Committee Information
NAME OF COMMITTEE
Friends of Dion Bracco for Mayor 2012
AREA CODE/PHONE
408472-0206
Russ Valiquette
STREET ADDRESS (NO P.O.
95020
CA
Gilroy
NAMEOF ASSISTANT TREASURER. !F ANY
BOX)
1657 EI Dorado Drive
cm
Dion Bracco
STREET ADDRESS (NO P.O.
AREA CODE/PHONE
408 422-1734
ZIP CODE
95020
STATE
CA
Gilroy
N"AMEOF PRINCIPAL OFFICER(S)
STREET ADDRESS (NO P.O. BOX)
CITY
STATE ZIP CODE AREA CODE/PHONE
CA 95020 408 422-1734
-
95021-1485
COUNTY WHERE CQM'MiTTEE IS ACTIVE IF DIFFERENT
THAN COUNTY OF DOMICILE
STREET ADDRESS (NO P.O. BOX)
1657 EI Dorado Drive
CITY
Gilroy
MAILING ADDRESS (IF DIFFERENT)
P.O. Box 1485 Gilroy, CA.
OPTIONAL: FAX I E-MAIL ADDRESS
dionbracco@yahoo.com
COUNTY OF DOMICILE
AREA CODE/PHONE
ZIP CODE
STATE
Santa Clara
certify under penalty of
ll.
MEASURE PROPONENT
is true and complete.
\.
SIGNATURE OF CONTROLLING OFFICEHOLDER. CANDIDATE. OR
Attach additional information on appropriately labeled continuation sheets.
3. Verification I
I have used all reasonable diligence in preparing thi~ statement and to the best of my knowledQe
perjury under the laws of the State of California that~he foregoing is true and correct. /./
on 07/22/2011
By
Executed
By
07/22/2011
i5Ai'E
Executed on
Executed on
Executed on
SIGNATURE OF CONTROLLING OFFICEHOLDER. CANDIDATE. OR STATE MEASURE PROPONENT
FPPC Form 410 (Junel09)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
By
By
DATE
DATE
STATEMENT OF ORGANIZATION
D. NUMBER
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
COMMITTEE NAME
Friends of Dion Bracco for
Mayor 2012
4. Type of Committee Complete the applicable sections.
If candidate or officeholder controlled, also list the elective office sought or held, and
List the name of each controlling officeholder, candidate. Dr state measure proponent.
district number, if any, and the year of the election.
or candidate is affiliated or check "non-partisan
controlled committee, list the name and identification number of the other controlled committee.
List the political party with which each officeholder
f this committee acts jointly with another
.
.
.
YEAR OF ELE
181 Non-Partisan
Anthony Dion Bracco Mayor City of Gilroy 2012
o Non-Partisan
ELECTIVE OFFICE SOUGHT OR HELD
(INCLUDE DISTRICT NUMBER IF APPLICABLE)
NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT
. List the financial institution where the campaign bank account is located (controlled "candidate election" committees only)
I
NAME OF FINANCIAL INSTITUTION AREA CODE/PHONE BANKACCOUNTNUMBER
Heritage Bank 800801-3396 2602746
ADDRESS CITY STATE ZIP CODE
7598 Monterey Street Ste 110 Gilroy CA 95020
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)
-. .---. ----
j I '"'~" I ~,
SUPPORT OPPOSE
CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION
(INCLUDE DISTRIC
FPPC Form 410 (June/09)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Statement of Organization STATEMENT OF ORGANIZATION
Recipient Committee Type or print in ink Date Stamp CALIFORNIA 410
FORM
Statement Type 181 Initial o Amendment o Tennination - See Part 5 Ii;; For Official Use Only
Not yet qualified 181 or List 1.0. number: List 1.0. number:
# #
I I ~ I I I
Date qualified as committee Date qualified as committee Date of Tennination
(If applicable)
-
1. Committee Information 2. Treasurer and Other Principal Officers
-
NAME OF COMMITTEE NAME OF TREASURER
Friends of Dion Bracco for Mayor 2012 Russ Valiquette
STREET ADDRESS (NO P.O. BOX) a/~ b
STREET ADDRESS (NO P.O. BOX) - :::;-U) cr \. (' ~~
CITY ST. CODE AREA CODE/PHONE
1657 EI Dorado Drive Gilroy CA 95020 408472-0206
CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY
Gilroy CA 95020 408 422-1734 Dion Bracco
STREET ADDRESS (NO P.O. BOX)
MAILING ADDRESS (IF DIFFERENT) 1657 EI Dorado Drive
P.O. Box 1485 Gilroy, CA. 95021-1485 CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX f E-MAIL ADDRESS Gilroy CA 95020 408422-1734
dionbracco@yahoo.com NAME OF PRINCIPAL OFFICER(S)
COUNTY OF DOMICILE COUNTY WHERE COMMITTEE IS ACTIVE IF DIFFERENT
THAN COUNTY OF DOMICILE STREET ADDRESS (NO P.O. BOX)
Santa Clara
-
CITY STATE ZIP CODE AREA CODE/PHONE
Attach additional information on appropriately labeled continuation sheets.
-
3. Verification
I have used all reasonable diligence in preparing this statement and lei I certify under penalty of
pe~ury under the laws of the State of California that the foregoing is ar
Executed on 07/22/2011 By
DATE
Executed on 07/22/2011 By <:::;;.....
i5Ai'E SIGNATURE OF CONTROLLING OFFICEHOLDER. CANDIDATE. OR S EASURE PROPONENT
Executed on By
i5Ai'E SIGNATURE OF CONTROLLING OFFICEHOLDER. CANDIDATE. OR STATE MEASURE PROPQNENl'
Executed on By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER CANDIDATE. OR STATE MEASURE PROPONENT
FPPC Form 410 (June/09)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)