The URL can be used to link to this page

Home My WebLink AboutForm 410 - 2010 Termination STATEMENT OF ORGANIZATION [. Date Stamp I.. Type or print in ink ~ Statement of Organization Recipient Committee ~t~ 't\\\~ '::2i C\f.!~~ (' 181 Termination - See Part 5 List 1.0. number: o Amendment List I.D. number: o Initial Not yet qualified Statement Type o 1300323 12 I 07 I 10 Date of Termination # # ---1 I Date qualified as committee (If applicable) or I I Date qualified as committee Principal Officers Treasurer and Other NAME OF TREASURER Mark W. Good STREET ADDRESS (NO P.O. 2. Information NAME OF COMMITTEE Citizens for Woodward Committee 1 AREA CODE/PHONE 408-842-9033 ZIP CODE 95020 BOX) 750 Lepa Court STATE CA CITY Gilroy NAME OF ASSISTANT TREASURER, IF ANY Perry J. Woodward STREET ADDRESS (NO P.O. 7241 AREA CODE/PHONE 408-891-9204 ZIP CODE 95020 STATE CA STREET ADDRESS (NO P.O. BOX) 7241 CITY Gilroy MAILING ADDRESS (IF DIFFERENT) Eagle Ridge Dr. AREA CODE/PHONE 408-891-9204 ZIP CODE 95020 STATE CA BOX) CITY Gilroy NAMEOF PRINCIPAL OFFICER(S) Eagle Ridge Dr. E-MAIL ADDRESS FAX OPTIONAL: COUNTY WHERE COMMITTEE IS ACTIVE IF DIFFERENT THAN COUNTY OF DOMICILE pwoodward@terra-Iaw.com COUNTY OF DOMICILE STREET ADDRESS (NO P.O. BOX) Santa Clara AREA CODE/PHONE certify under penalty of ZIP CODE true and complete. STATE CITY By By Attach additional information on appropriately labeled continuation sheets. Verification I have used all reasonable diligence in preparing this statement and perjury under the laws of the State of California that the foregoing is Executed on Executed on December 5.2010 DATE December 5. 2010 5Ai'E 3 SIGNATURE OF CONTROLLING OFFICEHOLDER. CANDIDATE. OR STATE MEASURE PROPONENT By DATE Executed on PROPONENT FPPC Form 410 (June/09) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) SIGNATURE on;ONTROLLlNGOFFICEHOCDER. CANDIDAT-E. OR STAT By DATE Executed on Statement of Organization Recipient Committee .. I.D. NUMBER 1300323 INSTRUCTIONS ON REVERSE COMMITTEE NAME Citizens for Woodward 4. Type of Committee Complete the applicable sections. If candidate or officeholder controlled, also list the elective office sought or held, and is affiliated or check list the name and identification number of the other controlled committee. "non-partisan. List the name of each controlling officeholder, candidate, or state measure proponent. district number, if any, and the year of the election. . List the political party with which each officeholder or candidate . If this committee acts jointly with another controlled committee, . ELECTIVE OFFI 181 Non-Partisan Perry James Woodward Councilmember 2007 o Non-Partisan NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE campaign bank account IS located (controlled "candidate election" committees only) BANK ACCOUNT NUMBER 357 -2273872 STATE ZIP CODE OR 97228 AREA CODE/PHONE 1-800-869-3557 CITY Portland NAME OF FINANCIAL INSTITUTION Wells Fargo, N.A. ADDRESS P.O. Box 6995 oppose specific candidates or measures in a single election. List below: Primarily formed to support or CANDIDAT -, .--". -..- I r'"'' I ~" SUPPORT OPPOSE CANDIDATE(S) NAME OR MEASURE(S) FULL TITLE (INCLUDE BALLOT NO. OR FPPC Form 410 (June/09) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) .. Statement of Organization Recipient Committee STATEMENT OF ORGANIZATION INSTRUCTIONS ON REVERSE CALIFORNIA 41 0 FORM COMMITTEE NAME I.D. NUMBER Citizens for Woodward 1300323 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: o CITY Committee 0 COUNTY Committee 0 STATE Committee PROVIDE BRIEF DESCRIPTION OF ACTIVITY Sponsored Committee List additional sponsors on an attachment. NAME OF SPONSOR INDUSTRY GROUP OR AFFILIATION OF SPONSOR STREET ADDRESS NO. AND STREET CITY STATE ZIP CODE Small Contributor Committee 0---1---1_ Date qualified 5. Termination Requirements By signing the verification, the treasurer, assistant treasurer and/or candidate, officeholder, or proponent certify that all ofthe 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 (June/09) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) STATEMENT OF ORGANIZATION Type or print In ink .. Statement of Organization Recipient Committee Date Stamp ECIl'""- .If'''~ A\!'~D F\ \l'" ; \!i ~.. tl ," ~it "" h,....,r - !l the office cf ',he 3c;c.ret3ry 0 of the Stat8 of Ca\i\orn' 181 Termination - See Part 5 List 1.0. number: o Amendment Listl.D. number: o o Initial Not yet qualified Statement Type ,-,f) 7.-.122.23 of,,' . o'\~ & ,.....1..-: _ /,(\ . , (c I';; DEe 2010 \"-.'''' DEe 0 9 20 OEBl{;':' secretary 1300323 12 I 07 I 10 Date of Termination # # ----1---1_ Date qualified as committee (If applicable) or I I Date qualified as committee f3 1\."' {,t', ',',/ c: .(,: "\.' .I /'1 ~~~ / C v"/ v./ ICE Gli.ROY. ell \"- ~,.....(I'. t'" <'e:, Principal Officers and Other NAME OF TREASURER Mark W. Good STREET ADDRESS (NO P.O. Treasurer 2. Committee Information NAME OF COMMITTEE Citizens for Woodward 1 BOX) 750 Lepa Court STREET ADDRESS (NO P.O. BOX) AREA CODE/PHONE 408-842-9033 ZIP CODE 95020 STATE CA IF ANY CITY Gilroy NAME OF ASSISTANT TREASURER, Perry J. Woodward STREET ADDRESS (NO P.O. BOX) 7241 AREA CODE/PHONE 408-891-9204 ZIP CODE 95020 STATE CA Eagle Ridge Dr. Gilroy MAILING ADDRESS (IF DIFFERENT) 7241 CITY Eagle Ridge Dr. AREA CODE/PHONE 408-891-9204 ZIP CODE 95020 STATE CA CITY Gilroy N'A'MEOF PRINCIPAL OFFICER(S) E-MAIL ADDRESS FAX OPTIONAL: COUNTY WHERE COMMITTEE IS ACTIVE IF DIFFERENT THAN COUNTY OF DOMICILE pwoodward@terra-Iaw.com COUNTY OF DOMICILE STREET ADDRESS (NO P.O. BOX) Santa Clara AREA CODE/PHONE certify under penalty of ZIP CODE is true and complete. STATE CITY By By Attach additional information on appropriately labeled continuation sheets. Verification I have used all reasonable diligence in preparing this statement and perjury under the laws of the State of California that the foregoing is Executed on Executed on December 5,2010 DATE December 5.2010 i5ATE 3 OR STATE MEASURE PROPONENT By Executed on SIGNATURE OF CONTROLLING OFFICEHOLDER CANDIDATE, OR STATE MEASURE PROPONENT DATE SIGNATURE OF CONTROLLING OFFICEHOLDER. CANDlDA'fE:.OR STAlE MEASUR1:-PROPONE:NT FPPC Form 410 (June/09) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) By DATE Executed on I.D.NUMBER 1300323 .. Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE COMMITTEE NAME Citizens for Woodward 4. Type of Committee Complete the applicable sections. List the name of each controlling officeholder, candidate, district number, if any, and the year of the election. If candidate or officeholder controlled, also list the elective office sought or held, and is affiliated or check "non-partisan. or state measure proponent. List the political party with which each officeholder or candidate If this committee acts jointly with another controlled committee, . . . list the name and identification number of the other controlled committee. ELECTIVE OFFICE ,-.-------.-....-. ..-,..--........ -.........'..........., .-.......... ---............" Inl'l I 181 Non-Partisan Perry James Woodward Council member 2007 o Non-Partisan NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE - bank account IS located (controlled "candidate election" committees only) palg NAME OF FINANCIAL INSTITUTION Wells Fargo, N.A. ADDRESS P.O. Box 6995 . CANDID \"..-.......-.... .....,....,.".... I '''''''., v" I un. VVVI..' I, ,...,o/"\I"""t"'I..I\....Jo\DLt:} CHECK ONE SUPPORT OPPOSE SUPPORT OPPOSE AREA CODE/PHONE BANK ACCOUNT NUMBER 1-800-869-3557 357 -2273872 CITY STATE ZIP CODE Portland OR 97228 Primarily formed to support or oppose specific candidates or measures in a single election. List below: (INCLUDE BALLOT NO. OR CANDIDATE(S) NAME OR MEASURE(S) FULL TITLE FPPC Form 410 (June/09) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) STATEMENT OF ORGANIZATION Statement of Organization Recipient Committee .. ,. ~ ,. INSTRUCTIONS ON REVERSE COMMITTe-I: NAME: Citizens for Woodward 1.0. NUMBER 1300323 (Continued) Not formed to support or oppose specific candidates or measures in a single election. DCITY Committee 0 COUNTY Committee 0 STATE Committee ittee Comm 4. Type of Check only one box: sponsors on an attachment PROVIDE BRIEF DESCRIPTION OF ACTIVITY INDUSTRY GROUP OR AFFILIATION OF SPONSOR ZIP CODE STATE CITY NO. AND STREET o 1---1_ Date qualified and/or candidate, officeholder, or proponent certify that al assistant treasurer By signing the verification, the This committee has ceased to receive contributions and make expenditures; treasurer, 5. Termination Requirements the following conditions have been met of future; the making expenditures in ability to discharge al This committee does not anticipate receiving contributions or received, and other obligations; and campaign statements required by the Political There are restrictions on the disposition of surplus campaign funds held by elected officers who are leaving office and by defeated candidates. Government Code Section 89519. tra nsactio ns. reportable disclosing al loans Reform Act debts, intention or This committee has eliminated or has no This committee has no surplus funds; This committee has filed a Refer to Code Sections 89511 Government Leftover funds of ballot measure committees may be used for political, legislative or governmental purposes under 89518, and are subject to Elections Code Section 18680 and FPPC Regulation 18521.5. FPPC Form 410 (June/09) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)