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Home My WebLink AboutDion Bracco - 2014 - Form 410 Termination• Statement of Organization Recipient Committee Statement Type ❑ Initial Not yet qualified ❑ or Date qualified as committee 1. Committee Information Type or print in Ink ❑ Amendment List I.D. number: Date qualified as committee (If applicable) . ® Termination — See Part 5 F List LD. number: in # 1367872 01 r 27 1 2015 Date of Termination NAME OF COMMITTEE Friends of Dion Bracco for Council 2014 STREET ADDRESS (NO P.O. BOX) 1472 Mantelli 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 -MAIL ADDRESS STATEMENT OF ORGANIZATION Date Stamp CALIFORN s- EIVED AND FILE For Official Use Only Ace of the Secretary-of Stat of the State of California !JAN 2 9 2015 2. Treasurer and Other Principal Officers NAME OF TREASURER Michelle Bracco STREET ADDRESS 6730 Monterey St CITY STATE ZIP CODE AREA CODE /PHONE Gilroy CA 95020 408 - 847 -5766 NAME OF ASSISTANT TREASURER, IF ANY Dion Bracco STREET ADDRESS 1472 Mantelli Drive CITY STATE ZIP CODE AREA CODE /PHONE Gilroy CA 95020 408 - 4221734 NAME AND POSITION OF OTHER PRINCIPAL OFFICER(S), IF APPLICABLE COUNTY OF DOMICILE I COUNTY WHERE COMMITTEE IS ACTIVE IF DIFFERENT THAN COUNTY OF DOMICILE MAILING ADDRESS Santa Clara Attach additional information on appropriately labeled continuation sheets. 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 01 -27 -2015 By DATE SIGNATURE OF TREASURER OR ASSISTANT TREASURER 01 -27 -2015 - �-^ Executed on By �, � _�_._.. -�— ..�'"— ""..�.-- --- -•- ------- DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE. E 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 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772) Statement of Organization CALIFORNIA Recipient Committee INSTRUCTIONS ON REVERSE Page 2 COMMITTEE NAME I.D. NUMBER Friends of Dion Bracco for Council 2014 1367872 • All committees must list the financial institution where the campaign bank account is located. NAME OF FINANCIAL INSTITUTION AREA CODE /PHONE BANK ACCOUNT NUMBER Heritage Bank 1(408)842-8310 002602746 ADDRESS CITY STATE ZIP CODE 7598 Monterey Street Gilroy CA 95020 �_ � �.� itt%�".c�o�:, etl i✓h� ceb a eo o s . � _ � .. .z� .,�, _ r . , ... n Y,. � -� . � � ,,� �I !,ae..... - z�':.��h� � . � � r,. � •, , � �, ....: ! . , Y =:.. . . �y �.. F -sc a.. , s �i� ..s . -F f.. "�, 'I .nc..1,. w - -s .. , "�.c . '-�?'. ,� 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 Dion Bracco City Council 2014 m Nonpartisan SUPPORT ❑ Nonpartisan • Primarily formed to support or oppose specific candidates or measures in a single election. List below: CANDIDATES) 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 APPI If ARI FI FPPC Form 410 (Dec /2012) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov SUPPORT 1:1 v OPPOSE El SUPPORT O[n FPPC Form 410 (Dec /2012) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov Statement of Organization • ;,, Recipient Committee . e INSTRUCTIONS.ON REVERSE . Page 3 COMMITTEE NAME - I.D. NUMBER Friends of Dion Bracco for Council 2014 1367872 General • Not formed'to support or oppose specific candidates or measures in a single election. Check only one box: ❑ CITY Committee ❑ COUNTY Committee ❑ STATE Committee PROVIDE BRIEF DESCRIPTION OF ACTIVITY • • List additional sponsors on an attachment. NAME OF SPONSOR STREET ADDRESS NO. AND STREET Date qualified CITY GROUP OR AFFILIATION OF SPONSOR STATE ZIPCODE r.f cr;.M, i^:�� , >.',%'. `4 4: -� m.Y 1, r$a•C�+� �a T._ Y,� � -� :L�sr: .� s.- + a = -. r ..; «-- x:. �.�; ^.. x,.__.�e t � r::. -' t .•S.�' -y,n �• .;....'9 -�.,. ...�' ='. .. ", .$ r 3 .. z .5; ry, y . y; ��i „etiiiat�orryii -_ eii3s ?8] j�e jam}, e�; a� j�e s er d /orc ntl �iej`oi{ic�holder� or _Eo den ce thatjall oNthe� ollow n eoit� s _ Veeifi e�' z?�.._ .�.`�- �!��.,"•�s ��:,�.. a .a:.:�:�t.�`�..�Y��1_�._�.,..� >r� - �?��: L _::�_.dh- -°��.,- �.�.._.'�.s�.,, _t;. ..::�p �.r.11;.� ...�i!� _1_ ;-. L _._.1. g�.. 1L ;.,�.� • 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 (Dec /2012) FPPC Advice: advice @fppc.co.gov (866/275 -3772) www.fppc.ca.gov Statement of Organization Recipient Committee Statement Type ❑ Initial Not yet qualified ❑ or —J— I Date qualified as committee 1. Committee Information Type or print in Ink ❑ Amendment List I.D. number: Date qualified as committee (If applicable) ® Termination — See Part 5 List I.D. number: # 1367872 01 1 27 1 2015 Date of Termination NAME OF COMMITTEE Friends of Dion Bracco for Council 2014 STREET ADDRESS (NO P.O. BOX) 1472 Mantelli 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 -MAIL ADDRESS COUNTY OF DOMICILE COUNTY WHERE COMMITTEE IS ACTIVE IF DIFFERENT THAN COUNTY OF DOMICILE Santa Clara Attach additional information on appropriately labeled continuation sheets RECEIVED JO 21 2015 CM CLERK'S OFFICE GILROY, CA , 2. Treasurer and Other P-MAPhPIlIfficers STATEMENT OF ORGANIZATION For Official Use Only NAME OF TREASURER Michelle Bracco STREET ADDRESS 6730 Monterey St CITY STATE ZIP CODE AREA CODE /PHONE Gilroy CA 95020 408 - 847 -5766 NAME OF ASSISTANT TREASURER, IF ANY Dion Bracco STREET ADDRESS 1472 Mantelli Drive CITY STATE ZIP CODE AREA CODE /PHONE Gilroy CA 95020 408 - 4221734 NAME AND POSITION OF OTHER PRINCIPAL OFFICER(S), IF APPLICABLE MAILING ADDRESS CITY STATE ZIP CODE AREA CODE /PHONE 3. 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 foregoing is true and correct. Executed on 01 -27 -2015 By ryL.c,, 1 �•-C�� DATE SIGNATURE OF TREASURER OR ASSISTANT TREASURER 01 -27- 2015`.. _- -- Executed on By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, RSTATE MEA6 E 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 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE Page 2 COMMITTEE NAME I.D. NUMBER Friends of Dion Bracco for Council 2014 11367872 • All committees must list the financial institution where the campaign bank account is located. NAME OF FINANCIAL INSTITUTION AREACODE /PHONE BANK ACCOUNT NUMBER Heritage Bank 1(408)842-8310 1002602746 ADDRESS CITY STATE ZIP CODE 7598 Monterey Street Gilroy CA 95020 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" • 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 NAME OF CANDIDATE /OFFICEHOLDER /STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PARTY Dion Bracco City Council 2014 ® Nonpartisan ' SUPPORT ❑ 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 ME ICTION (INCLUDE DISTRICT NO., CITY OR court/ C i CHECK ONE FPPC Form 410 (Dec /2012) FPPC Advice: advice@fppc.ca.gov (866/275 -3772) www.fppc.ca.gov - •' ' x� SUPPORT ❑ OPPOSE ❑ ' SUPPORT OPPOSE 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 Page 3 COMMITTEE NAME I.D. NUMBER Friends of Dion Bracco for Council 2014 1367872 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 PROVIDE BRIEF DESCRIPTION OF ACTIVITY List additional sponsors on an attachment. NAME OF SPONSOR STREET ADDRESS NO. AND STREET Small Contributor Committee Date qualified CITY RY GROUP OR AFFILIATION OF SPONSOR STATE ZIP CODE 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. FPPC Form 410(Dec /2012) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov