Dion Bracco - 2013 - Form 410 TerminationStatement of Organization
Recipient Committee
Statement Type ❑ Initial
Not yet qualified ❑ or
Type or print in ink
❑ Amendment ® Termination — See Part 5
List I.D. number: List I.D. number:
1340837
12 I 31 f 12
Date qualified Date qualified as committee Date of Termination
(If applicable)
1. Committee Information
NAME OF COMMITTEE
Friends of Dion Bracco for Mayor 2012
STREETADDRESS (NO P.O. BOX)
1657 El Dorado Dr
CITY STATE ZIP CODE AREA CODE/PHONE
Gilroy CA 95020 408 -422 -1734
MAILING ADDRESS (IF DIFFERENT)
P.O. Box 1485 Gilroy CA 95021
OPTIONAL: FAX/ E- MAILADDRESS
OF DOMICILE COUNTY WHERE COMMITTEE IS ACTIVE IF DIFFERENT
THAN COUNTY OF DOMICILE
Santa Clara
Attach additional information on appropriately labeled continuation sheets
STATEMENT OF ORGANIZATION
Stamp
FILE
toff
For Official Use Only
the office the Secretary of
ate
of the State of Califomia
JAN 31 2013
T
CITY
STATE
ZIP CODE
AREACODE /PHONE
2. Treasurer and Other Principal Officers
NAME OF TREASURER
Russ Valiquette
STREET ADDRESS (NO P.O. BOX)
P.O. Box 1485
CITY
STATE
ZIP CODE
AREACODE /PHONE
Gilroy
CA
95020
408 - 472 -1734
NAME OF ASSISTANT TREASURER, IF ANY
Dion Bracco
STREET ADDRESS (NO P.O. BOX)
P.O. Box 1485
CITY
STATE
ZIP CODE
AREA CODE/PHONE
Gilroy
CA
95020
408 -422 -1734
NAME OF PRINCIPAL OFFICER(S)
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREACODE/PHONE
3. Verification
I have used all reasonable diligence in preparing this statement and to the best of my knowledge t iG ontained herein is true and complete. I certify under penalty of
perjury under the laws of the Stat of California that the foregoing is true and correct.
Executed on % r 2 7 71-
By RE OFT SURER OR ASSISTANT TREASURER
7 DATE
Executed on ( By
DATE ON FFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
Executed on By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
Executed on By SIGNATURE OF DATE . CANDIDATE,
FPPC Form 410 (AprIV2011)
FPPC Toll -Free Helpline: 8661ASK -FPPC (866/275 -3772)
Statement of Organization STATEMENT OF ORGANIZATION
Recipient Committee Type or print in ink Date Stamp •
Statement Type ❑ Initial
Not yet qualified ❑ or
❑ Amendment
List I.D. number:
-I I I I
Date qualified as committee Date qualified as committee
(If applicable)
® Termination — See Part 5
List I.D. number: in
1340837
FILE
office of the Secretary of
of the State of Califomia
12 1 31 f 12 I JAN 312013
Date of Termination
1. Committee Information 2. Treasurer and Other Principal Officers
NAME OF COMMITTEE NAME OF TREASURER
Friends of Dion Bracco for Mayor 2012
STREET ADDRESS (NO P.O. BOX)
1657 El Dorado Dr
CITY STATE ZIP CODE AREACODE /PHONE
Gilroy
MAILING ADDRESS (IF DIFFERENT)
P.O. Box 1485 Gilroy CA 95021
OPTIONAL: FAX / E -MAIL ADDRESS
CA 95020 408 - 422 -1734
NTY OF DOMICILE I COUNTY WHERE COMMITTEE IS ACTIVE IF DIFFERENT
THAN COUNTY OF DOMICILE
Santa Clara
Attach additional information on appropriately labeled continuation sheets.
Russ Valiquette
STREET ADDRESS (NO P.O. BOX)
P.O. Box 1485
CITY
STATE
ZIP CODE
AREACODE /PHONE
Gilroy
CA
95020
408 -472 -1734
NAME OF ASSISTANT TREASURER, IF ANY
Dion Bracco
STREET ADDRESS (NO P.O. BOX)
P.O. Box 1485
CITY
STATE
ZIP CODE
AREACODE/PHONE
Gilroy
CA
95020
408 -422 -1734
NAME OF PRINCIPAL OFFICER(S)
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREACODE/PHONE
3. Verification
I have used all reasonable diligence in preparing this statement and to the best of my knowledge t tion 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 � � % By
SIGNATURE OF T ASURER OR ASSISTANT TREASURER
Executed on
( By
DATE—
Executed on By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
Executed on By
DATE SIGNATURE OF CN R LL I L CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 410 (AprIU2011)
FPPC Toll -Free Helpline: 866/ASK -FPPC (8661275 -3772)
Statement of Organization Type or print in ink
Recipient Committee
Statement Type ❑ Initial ❑ Amendment
List I.D. number:
Not yet qualified ❑ w
Date qualified Date qualified as committee
(If applicable)
1. Committee Information
NAME OF COMMITTEE
Friends of Dion Bracco for Mayor 2012
STREETADDRESS (NO P.O. BOX)
STATEMENT OF ORGANIZATION
® Termination — See Part 5
List I.D. number:
#1340837
12 / 31 � 12
Date of Termination
1657 El Dorado Dr
STATE ZIP CODE AREA CODEIPHONE
CITY
Gilroy CA 95020 408 - 422 -1734
MAILING ADDRESS (IF DIFFERENT)
P.O. Box 1485 Gilroy CA 95021
OPTIONAL: FAX/ E -MAIL ADDRESS
OF DOMICILE
Santa Clara
COUNTY WHERE COMMITTEE IS ACTIVE IF
THAN COUNTY OF DOMICILE
Attach additional information on appropriately labeled continuation sheets.
N Date Stamp.
�S
2. Treasurer and Other Principal Officers
NAME OF TREASURER
Russ Valiquette
STREET ADDRESS (NO P.O. BOX)
P.O. Box 1485
CITY
STATE
ZIP CODE
AREACODE/PHONE
Gilroy
CA
95020
408 - 472 -1734
NAME OF ASSISTANT TREASURER, IF ANY
Dion Bracco
STREET ADDRESS (NO P.O. BOX)
P.O. Box 1485
CITY
STATE
ZIP CODE
AREA CODE/PHONE
Gilroy
CA
95020
408 - 422 -1734
NAME OF PRINCIPAL OFFICER(S)
STREET ADDRESS (NO P.O. BOX)
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' rmation 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 I /Z S- / 3 By IGNATUW OF TREASURER OR ASSISTANT TREASURER IT DATJ B
Executed On / z DATE rT y SIGNATURE OF CONT ING OFFICEHOLD ATE, OR STATE MEASURE PROPONENT
Executed on By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
Executed on By
DATE IGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE,OR STATE MEASUREPRCPONENT
FPPC Form 410(April/2011)
FPPC Toll- Free ,Helpline: 8661ASK -FPPC (8661275 -3772)