Dion Bracco - 2017 - Form 410 Initialr ��)
Statement of Organization ,!� Date Stamp
Recipient Committee
Statement Type a''�(�cib ,�" -- F q�I , fl E
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i/ In the of ice of the Sccretartly of State
(Not yet qualified
or of the State of California
Q Date qualified as committee DEC ���
Date qualified as committee Date of termination
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NAME OF COMMITTEE
Dion Bracco for City Council 2018
STREET ADDRESS (NO P.O. BOX)
CITY
STATE ZIP CODE AREA CODE /PHONE
Gilroy
CA 95020
MAILING ADDRESS (IF DIFFERENT)
E -MAIL ADDRESS (REQUIRED) / FAX (OPTIONAL)
dionbracco @yahoo.com
COUNTY OF DOMICILE
JURISDICTION WHERE COMMITTEE IS ACTIVE
Santa Clara
City of Gilroy
Attach additional information on appropriately labeled continuation sheets.
NAME OF TREASURER
Elizabeth Bracco
For Official Use Only
STREET ADDRESS (NO P.O. BOX)
CITY
Gilroy
STATE
CA
ZIP CODE
95020
AREA CODE /PHONE
NAME OF ASSISTANT TREASURER, IF ANY
i
STREET ADDRESS (NO P.O. BOX)
CITY
STATE
ZIP CODE
AREA CODE /PHONE
NAME OF PRINCIPAL OFFICER(S)
STREET ADDRESS (NO P.O. BOX)
CITY
STATE
ZIP CODE
AREA CODE /PHONE
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have used all reasonable diligence in preparing this statement and to the best of my knowledge the information contained herein is true and';,complete. I certify under
penalty of perjury under the laws of the State of California that the fore oin is true and correct.
Executed on Z / e G 1201:] By
DATE
STATE MEASURE PROPONENT
Executed on By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
Executed on By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 410 (October /2017)
FPPC Advice: advice @fppc.ca.gov (866/275 -3772)
www.fppc.ca.gov
Stiatement of Organization ® -
Recipient Committee • : „
INSTRUCTIONS ON REVERSE
Page 2
COMMITTEE NAME
I.D. NUMBER
Dion Bracco for City Council 2018
• All committees must list the financial institution where the campaign bank account is located.
NAMt ur FINANC.IALINSIIlU110N AREA CODE /PHONE BANK ACCOUNT NUMBER
Rabobank 408 842 -1938 201393833
ADDRESS CITY STATE ZIP CODE
805 First Street Gilroy CA 95020--
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• 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 "nonpartisan." Stating "No party preference" is acceptable.
• If this committee acts jointly with another controlled committee, list the name and identification number of the other controlled committee.
ELECTIVE OFFICE SOUGHT OR HELD YEAR OF PARTY
NAME OF CANDIDATE /OFFICEHOLDER /STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) ELECTION CHFCK nNF
Dion Bracco
City Council
2018
Nonpartisan
✓
'Partisan (list political party below)
Nonpartisan
Partisan (list political party below)
Primarily formed to support or oppose specific candidates or measures in a single election. List below:
CANDIDATE(5) NAME OR MEASURE(S) FULL TITLE (INCLUDE BALLOT NO. OR LETTER) CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION
IF A RECALL, STATE "RECALL" IN FRONT OF THE OFFICEHOLDER'S NAME. (INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE)
CHECK ONE
i I OPPOSE
OPPOSE
FPPC Form 410 (October /2017)
Cl-® FPPC Advice: advice @fppc.ca.gov (866/275 -3772)
ear Pa id! PrinE >,1.. .. ......... .:_- www.fppc.ca.gov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
COMMITTEE NAME
PROVIDE BRIEF DESCRIPTION OF ACTIVITY
- List additional sponsors on an attachment.
NAME OF SPONSOR INDUSTRY GROUP OR AFFILIATION OF SPONSOR
STREET ADDRESS NO. AND STREET CITY STATE ZIP CODE
I
i ❑
Date qualified
,a:•,. , p., , . li'
:.;, 1. er11llnatlOnRequireme .nts;;..:; ,_Byslgningthe,verlficahon; the: - treasurer .;Easslstanttreasurerand or.candldate.officehold r. °'•
....._ , �.._.�..� ,.. _...�_..,�,..,_..,.._ >. , i. ...............�. ......u...�.., .�:.�. ,. .,..:....�. >,�.:..:... -..: ; .,...., e , ar:proponent- ,cerhfy.;that�a he',f owln :conditions have: . f._r .:.: ��,:•.
o,
• 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 dereated candidates. Reter to Government
Code Section 89519.
-- Leftover funds of ballot measure committees may be used for political, legislative or governmental purposes under Government Code Sections 89511- 89518, and are
subject to Elections Code Section 18680 and FPPC Regulation 18521.5.
i
FPPC Form 410 (Jan /2016)
FPPC Advice: advice@fppc.ca.gov (866/275 -3772)
www.fppc.ca.gov
Statement of Organization
CALIFORNIA
Recipient Committee
FORM
'
Statement Type ® initial
❑ Amendment ❑
Termination — See Part 6
D
For Official Use Only
t�Not yet qualified
.
N
{.v
f,���
2 o 0
or
O Date qualified as
committee --/ —✓ --/
Date cualified as committee
�
- -/
Date of termination
DEC
C� C`�R�S 0
)cers
1. Committee Information
I•D. Number
2, Treasurer and O
(if applicable)
m
NAME OF COMMITTEE
NAME OF TREASURER
Dion Bracco for City Council 2018
Elizabeth Bracco
STREET ADDRESS (NO P.O. BOX)
STREET ADDRESS (NO P.O. BOX)
CITY
STATE ZIP CODE
AREA CODE /PHONE
Gilroy
CA 95020
408 722 -7929
CITY
STATE ZIP CODE AREA CODE /PHONE
NAME OF ASSISTANT TREASURER, IF ANY
Gilroy
CA 95020 408 422 -1734
MAILING ADDRESS (IF DIFFERENT)
STREET ADDRESS (NO P.O. BOX)
STATE ZIP CODE
AREA CODE /PHONE
E -MAIL ADDRESS (REQUIRED) /FAX(OPTIONAL)
CITY
dionbracco @yahoo.com
COUNTY OF DOMICILE JURISDICTION WHERE COMMITT -'E ISACTIVE
Santa Clara City of Gilroy
Attach additional information on appropriately labeled continuation sheets
NAME OF PRINCIPAL OFFICER(S)
;�lL9l� �jY'C1LC_CJ
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE /PHONE
'i7 -Y'
Verification
have used all reasonable diligence in preparing this statement and to the best of my knowledge the information contained herein is true and complete. I certify under
penalty of perjury under the laws of the State of California that the fore oils true and correct.
Executed on 12 / I q I Zoi 1 By
DATE / ��
PROPONENT
Executed on By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
Executed On
DATE
By
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 410 (October /2017)
FPPC Advice: advice@fppc.ca.gov (866/275 -3772)
www.fppc.ca.gov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
COMMITTEE NAME
Dion Bracco for City Council 2018
• All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION
Rabobank
ADDRESS
AREA CODE /PHONE
408 842 -1938
CITY
BANK ACCOUNT NUMBER
201393833
STATE ZIPCODE
805 First Street Gilroy CA 95020
Page 2
I.D. NUMBER
+4. Type of Committee Complete the applicable sections.
• 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 "nonpartisan" Stating "No party preference" is acceptable.
• If this committee acts jointly with another controlled committee, list the name and identification number of the other controlled committee.
ELECTIVE OFFICE SOUGHT OR HELD YEAR OF PARTY
NAME OF CANDIDATE /OFFICEHOLDER /STATE MEASURE PROPOVENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) ELECTION CHECK ONE
Dion Bracco
City Council
2018
Nonpartisan
✓
Partisan (list political party below)
t
Nonpartisan
Partisan (list political party below)
Primarily Formed Committee Primarily formed to SLpport or oppose specific candidates or measures in a single election. List below:
CANDIDATE(S) NAME OR MEASURE(S) FULL TITLE (INCLUDE BALL 3T NO. OR LETTER)
CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION
n Nrl unr nI1TRIrT Nn.. CITY OR COUNTY. AS APPLICABLE)
CHECK ONE
b o1
V12! FPPC Form 410 (October /2017)
Clear Pagel Print a cAdvice: advice @fppc.ca.gov (866/275 -3772)
.., r
wvaw.fppc.ca.gov
SUPPORT
OPPOSE
t
SUPPORT
OPPOSE
b o1
V12! FPPC Form 410 (October /2017)
Clear Pagel Print a cAdvice: advice @fppc.ca.gov (866/275 -3772)
.., r
wvaw.fppc.ca.gov
Statement of Organization CALIFORNIA
Recipient Committee I., P191"T 41 J
INSTRUCTIONS ON REVERSE
Page 3
COMMITTEE NAME ; _
I.D. NUMBER
D�U�r��CC�
4. Type of Committee (Continued)
General Purpose Committee , Not formed to support or oppose specific candidates or measures in a single election. Check only one box:
❑ CITY Committee []COUNTY Committee ❑ STATE Committee
PRUVIUt BRIEF DESCRIPTION OF ACTIVITY
NAME OF SPONSOR
STREET ADDRESS
List additional sponsors on an attachment.
NO. AND STREET
CITY
GROUP OR AFFILIATION OF SPONSOR
STATE ZIP CODE
Small Contributor Committee
Date qualified
S.: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 intentior 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.
-- Leftover funds of ballot measure committees may be used for political, legislative or governmental purposes under Government Code Sections 89511- 89518, and are
subject to Elections Code Section 18680 and FPPC Regulation 18521.5.
FPPC Form 410 (Jan /2016)
FPPC Advice: advice@fppc.ca.gov (866/275 -3772)
www.fppc.ca.gov