Dion Bracco - Form 410 Qualified (2018)Statement of Organization
Recipient Committee
Statement Type El Initial ❑ Amendment
Q Not yet qualified
or
0-Date qualified as committee / /�-
Date qualified as committee
1. Committee Information I.D. Number %�/7(�
(if applicable) / `/ t: 6 / �y
NAME OF COMMITTEE
C�csVL�t�
STREET ADDRESS (NO P.O. BOX)
�-
MAILING A DRESS (IF DIFFERENT)
E -MAIL ADDRESS (REQUIRED) / FAX (OPTIONAL)
COUNTY OF DOMICILE - JURISDICTION WHERE COMMITTEE 15 ACTIVE
S/1 i t'T/9 r( a ✓','- C I( ro c/ C c 2-V
Attach additional information on appropriately labeled continuation sheets.
Date of termination
Date Stamp
'.EI ED AND r-119
Office of the Secretary of
of the State Of C;alifomin
AUG 00 2018
2. Treasurer and Other Principal Officers
NAME OF .TREASURER
Ett2Q� -e,� '[fir acc,o
STREET ADDRESS (NO P.O. BOX)
For Official Use Only
-
V i Or--, Vr'0.0 U-0
STREET ADDRESS (NO P.O. BOX)
CITY
NAME OF PRINCIPAL ICER(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 information 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 g - Ci - Zn (S, By
PROPONENT
Executed on
DATE
Executed on
DATE
By
By
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 410(February /2018)
FPPC Advice: advice @fppc.ca.gov (866/275 -3772)
www.fppc.ca.gov
C 4,—
Statement of Organization CALIFORNIA
Recipient Committee - „
INSTRUCTIONS ON REVERSE
Page 2
COMMITTEE NAME
I.D. NUMBER
�tnh grCC-c_o P6 C�r7'�{ �avnc �' ZG r? -- C�
(yO 9L
• All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION AREA CODE /PHONE BANK ACCOUNT NUMBER
ADDRESS CITY STATE ZIP CODE
Q�J S� r`�T �llrc3y G� 0,2—
4. Type
• 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
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
IF A RECALL, STATE "RECALL" IN FRONT OF THE OFFICEHOLDER'S NAME. (INCLUDE DISTRICT NO., CITY OR COUNTY. AS APPLICABLE)
SUPPORT
Nonpartisan
Partisan
(list political party below)
❑
fit( ro y
EZ
❑
OPPOSE
❑
Nonpartisan
Partisan
(list political party below)
❑
❑
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
IF A RECALL, STATE "RECALL" IN FRONT OF THE OFFICEHOLDER'S NAME. (INCLUDE DISTRICT NO., CITY OR COUNTY. AS APPLICABLE)
FPPC Form 410(February /2018)
FPPC Advice: advice @fppc.ca.gov (8661275 -3772)
www.fppc.ca.gov
SUPPORT
OPPOSE
❑
❑
SUPPORT
❑
OPPOSE
❑
FPPC Form 410(February /2018)
FPPC Advice: advice @fppc.ca.gov (8661275 -3772)
www.fppc.ca.gov
Statement of Organization CALIFORNIA
Recipient Committee ; „
INSTRUCTIONS ON REVERSE
Page 3
COMMITTEE NAME
I.D. NUMBER
scow alr�«d � ��rx Cv�u << l 2� l 8 1��d0.
4. Type of Committee (Continued)
Not formed to support or oppose specific candidates or measures in a single election. Check only one box:
❑ CITY Committee ❑ COUNTY Committee ❑ STATE Committee ❑ Political Party /Central Committee
PROVIDE BRIEF DESCRIPTION OF ACTIVITY
List additional sponsors on an attachment.
NAME OF SPONSOR
SIKEEI ADDRESS NU.ANU S KLI,I
CITY
INDUSTRY GROUP OR AFFILIATION OF SPONSOR
STATE ZIP CODE AREA CODE /PHONE
t�]IIU IIl4g1N /1.1111�JL4•lll/1I/111%( =� ❑ .
Date qualified
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.
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.
Clear Page Print FPPC Form 410 (February /2018)
FPPC Advice: advice @fppc.ca.gov (866/275 -3772)
www.fppc.ca.gov
Statement of Organization
Recipient Committee
Statement Type 'l Initial
Q Not yet qualified
or
(-Date qualified as committee
❑ Amendment ❑ Termination — See Part
Date qualified as committee Date of termination
Stamp
AUG - 6 2018
clr) GILR y �OFFICE
1. Committee Information I I.D. Number j, / � I 2. Treasurer and Other Principal Officers
(if applicable) r `T
NAME OF COMMITTEE NAME OF TREASURER
STREET / STREET ADDRESS (NO P.O. BOX)
STREET ADDRESS (NO P.O. BOX)
:
�
MAILING A DRESS(IF DIFFERENT)
E -MAIL ADDRESS (REQUIRED) / FAX (OPTIONAL)
COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE 15 ACTIVE
ry v C
Attach additional information on appropriately labeled continuation sheets.
-
NAME OF ASSISTANT EASURER, IF ANY
V i cn--� e1-0.LCo
STREET ADDRESS (NO P.O. BOX)
NAME OF PRINCIPAL O ICER(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 information 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 g — ca — ?1� l91 By
MEASURE PROPONENT
Executed on By
DATE
Executed on
DATE
By
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 410 (February/2018)
FPPC Advice: advice @fppc.ca.gov (866/275 -3772)
www.fppc.ca.gov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
Page 2
COMMITTEE NAME /� /� I.D. /NUUMMB/E�R/^
i !i v\ Y7'. c r [� F r C i f�f C[ U lz G i 2 G � d ! I `7
• All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION AREA CODE /PHONE BANK ACCOUNT NUMBER
R 0 c �I1\1� `l6_' 1�241 '2- - 1°1,3 t (2)c/i `s(11C� 9y�
ADDRESS CITY STATE ZIP CODE
� �5— ( 15-1-
1 ; r � �T
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 PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) ELECTION CHECK ONE
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)
IF A RECALL. STATE "RECALL" IN FRONT OF THE OFFICEHOLDER'S NAME.
CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION
(INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE)
CHECK ONE
SUPPORT
Nonpartisan
Partisan
(list political party below)
� ICS U\ � t [ _L (7
�l(i2T r U✓l
�G "'i4
�
❑
OPPOSE
;' •
❑
Nonpartisan
Partisan
(list political party below)
❑
❑
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)
IF A RECALL. STATE "RECALL" IN FRONT OF THE OFFICEHOLDER'S NAME.
CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION
(INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE)
CHECK ONE
FPPC Form 410 (February/2018)
FPPC Advice: advice @fppc.ca.gov (866/275 -3772)
www.fppc.ca.gov
SUPPORT
OPPOSE
SUPPORT
OPPOSE
;' •
❑
❑
FPPC Form 410 (February/2018)
FPPC Advice: advice @fppc.ca.gov (866/275 -3772)
www.fppc.ca.gov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
Page 3
COMMITTEE NAME
I.D. NUMBER
4. Type of Committee (continued)
Not formed to support or oppose specific candidates or measures in a single election. Check only one box:
❑ CITY Committee ❑ COUNTY Committee ❑ STATE Committee ❑ Political Party /Central Committee
PROVIDE BRIEF DESCRIPTION OF ACTIVITY
List additional sponsors on an attachment.
NAME OF SPONSOR
STREET ADDRESS NO. AND STREET
CITY
INDUSTRY GROUP OR AFFILIATION OF SPONSOR
STATE ZIP CODE AREA CODE /PHONE
l TiiI: 71[ �riTiF ]7lilliiiliQiliiliili�7 -1 =� ❑ -
Date qualified
5. Tern!inatlon Requir0m' entS By'slgnirigthe 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.
-- 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 (February/2018)
Clear Page: Print FPPC Advice: advice @fppc.ca.gov (866/275 -3772)
www.fppc.ca.gov