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HomeMy WebLinkAboutPaul Kloecker - 2014 - Form 410 Amendment (May)Statement of Organization Recipient Committee Statement Type ❑ Initial Not yet qualified ❑ or Date qualified as committee AAmendment List I.D. number: ff� . Z,�3 /-3-0 Date qualified as committee (If applicable) ❑ Termination — see Part 5 List I.D. number: Date of Termination 1. Committee Information _ ° 2. NAME OF COMMITTEE STREET ADDRESS (NO P.D. BOX) CITY STATE ZIP CODE AREA CODE /PHONE C.' %4-y .a-J C w • g `�z� z- ►ray. MAILING ADDRESS (IF DIFFERENT) FAX / E-MAIL ADDRESS A V L \4.L.C7' G1L a— G Wlft L` + Pub V1,% COUNTY OF DOMICILE IU RISDICTION WHERE COMMITTEE IS ACTIVE fir✓ r� CLA Q� �kI.V —cy'i Attach additional information on appropriately labeled continuation sheets. Date Stamp R CEIVED A11D FILE in tlof office of the Secretary of St the State of California MAY 2 2 2014 EBRA BOWEN Icretary of State For Official Use Only tom. 1 ERKS Treasurer and Other Principal Officers NAME OF TREASURER "�?u STREET ADDRESS (NO P.O. BOX) CITY STATE ZIIPCODE AREA CODE/PHONE 4-,18-84e.— NAME OF ASSISTANT TREASURER, IF ANY STREET ADDRESS IND P.O. BOX) CITY STATE ZIP CODE AREA CODE /PHONE NAME OF PRINCIPAL OFFICER(S) STREET ADDRESS IND P.O. ROX) CITY STATE ZIP CODE AREA CODE /PHONE 3. Veri 'canon 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 oe"f fornia t ,(tt t�}.1e fore true and correct. Executed on '�`� 1 `� By V DATE a #°''�� (� SIGNATURE OF TREASURER OR ASSISTANT TREASURER Executed on "a �q �*► By '� Cx- — v`• V; Q .Q� ATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, Oft STATE MEASURE PROPONENT Executed on DATE Executed on DATE By SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT By SIGNATURE Of CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT FPPC Form 410 (Dec /2012) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE 2' COMMITTEE NAME - - T�S� C2 viay.- guk. C,1." -1 C-VT'( � CstJC tL lx� lL� • All committees must list the financial. institution where the campaign bank account is located. • 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.” • If this committee acts jointly with another controlled committee, list the name and identification number of the other controlled committee. NAME OF CANDIDATE /OFFICEHOLDER /STATE MEASURE PROPONENT ELECTIVE OFFICE SOUGHT OR HELD (INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PARTY Vr :L� 2, AREA CODE /PHONE BANK ACCOUNT NUMBER ADDRESS ❑ Nonpartisan CITY STATE ZIP CODE 7Z 71 & „�� GIB. 'Nur76© 4 Type Ofd, ,.iC�t1111itttee :Complete the applicable sections 4 � a ID • 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.” • If this committee acts jointly with another controlled committee, list the name and identification number of the other controlled committee. NAME OF CANDIDATE /OFFICEHOLDER /STATE MEASURE PROPONENT ELECTIVE OFFICE SOUGHT OR HELD (INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PARTY • . • • 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 h n�rr i me ncroe,• nor. Iry nn �., :L� 2, ❑ Nonpartisan f2-e P. SUrT ❑ Nonpartisan • . • • 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 h n�rr i me ncroe,• nor. Iry nn �., FPPC Form 410 (Dec /2012) FPPC Advice: advice @fppc.ca:gov(866 /275 -3772) www.fppc.ca.gov CHECK SUPPORT ❑ ONE OPPOSE ❑ SUrT OPPOSE FPPC Form 410 (Dec /2012) FPPC Advice: advice @fppc.ca:gov(866 /275 -3772) www.fppc.ca.gov Statement of Organization Recipient Committee Statement Type ❑ Initial A Amendment Not yet qualified ❑ or List I.D. number: �; 4 kzora / 0 Date qualified as committee Date qualified as committee (IT applicable) Date Stamp ❑ Termination — See Part 5 w 2014 List I.D. number: CLERKS Date of Termination 1 Committee Information �J NAME OF � COMMITTEE vq� f f� U I-- V, Y' Lc9 r_c. ,� �o'(L 't�.' f C4" K�u� Mc.t11- 51 REET ADDRESS (NO PO, BOX) CITY STATE ZIP CODE AREACODE /PRONE G%4-ndti C w • qz © 4� S�Z -� ���. MAILING ADDRESS (IF DIFFEREN I) For Official Use Only 2. Treasurer and Other Principal Officers NAME OF TREASURER TO *- R LA L V- `R.1t t va.Sl# STREET ADDRESS (NO P.O. BOX) fo 4 40 'e> leii yt m<n N CITY STATE ZIP CODE AREA CODE /PHONE Qb°'c 2 co NAME OF ASSISIANI TREASURER, IF ANY FAX / E -MAIL ADDRESS STREE I ADDRESS INO P.O. BOX) A,CO�.UNTTYY OF DOMICILE IUNISDICTION WHERE COMMIT I EE IS ACTIVE CITY STATE ZIPCODE AREA CODE /PHONE NAME OF PRINCIPAL Of f ICER(5) Attach additional information on appropriately labeled continuation sheets. 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 fornia t t e foregoing kZrue and correct. 61 Executed on �✓ { I t B DAIL SIGNATURE OF TREASURER ON ASSISIANT TREASURER J Executed on t!3 1 1,* By a--Q v' V—, ATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT Executed on By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT Executed on DATE By SIG NAT ORE OF CON I ROLLING Of F ICE HOLDER, CAN DI OAT E, OR STATE MEASURE PROPONENT FPPC Form 410 (Dec /2012) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE COMMITTEE NAME ��"��• '44�0 Ire ter.. k 6;11_a.0r C%-Tl� • All committees must list the financial institution where the campaign bank account is located. NAME Of FINANCIAL INSTITUTION AREA CODE /PHONE BANK ACCOUNT NUMBER -7 U0 �,ta rLGle� fN y- 'k4- ;� quo& 47 ag6 < l — 16-17 4' ADDRESS CITY STATE 21PCODE 4. Type of Committee Complete the applicable sections -V Mh -- Page 2 1 -D. NUMBER 1;&- 4— • 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." • If this committee acts jointly with another controlled committee, list the name and identification number of the other controlled committee. NAME OF CANDIDATE /OFFICEHOLDER /STATE MEASURE PROPONENT ELECTIVE OFFICE SOUGHT OR HELD (INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PARTY e-7)P1VL V V- 1Zq —P �G�� -' Ctl-� C0UL3C,. - �.Q `� ❑ND (LrfaV. SIFT ❑ Nonpartisan 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 (INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE) FPPC Form 410(Dec /2012) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov SUPPORT ❑ OPPOSE ❑ SIFT O FPPC Form 410(Dec /2012) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov