HomeMy WebLinkAboutPerry Woodward - Form 410 - 2015 Initial (Mayor)StateMent of Organization
Recipient Committee
Statement Type %initial ❑ Amendment
Not yet qualified ❑ or List I.D. number:
Date qualified as committee Date qualified as committee
(If applicable)
❑ Termination — See Part 5
List I.D. number:
Date of Termination
1. Committee Information t1
NAME OF COMMITTEE
CoM.ni 44 --, - %cf' Woodt.✓a�� /t/%Yo�r LoI�
STREET ADDRESS (NO P.O. BOX)
7a411 tF,,,/c
CITY STATE ZIP CODE AREA CODE /PHONE
G'r✓/ay C-1 �s'o dog- 84'-?70C-t
MAILING ADDRESS (IF DIFFERENT)
FAX/ E-MAIL ADDRESS
pwoodwarde- ftfrd- (It w.C-.AA.
COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE IS ACTIVE
Sq,4^a C Iq rcL
Date Starlt�'G
4
RECEIVED
JAN 3 0 1015
For Official Use Only
2. Treasurer and Other Principal Officers
NAME OF TREASURER
14, /k W. Gea d
STREET ADDRESS (NO P.O. BOX)
75 a <,V,
CITY STATE ZIP CODE AREA CODE /PHONE
NAME OF ASSISTANT TREASURER, IF ANY
?j c,rry J . 00od(4igrd
STREET ADDRESS (NO P.O. BOX)
7ag1
CITY STATE ZIP CODE AREA CODE /PHONE
C.-hroy CA fSZ2 -6 Lf0g - ,9'1l -7 Lo Ct
NAME OF PRINCIPAL OFFICER(S)
Attach additional information on appropriately labeled continuation sheets. STREET ADDRESS (NO P.O. BOX)
air
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
OR STATE MEASURE 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 (Dec /2012)
FPPC Advice: advice @fppc.ca.gov (866/215 -3772)
www.fppc.ca.gov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
Page 2
COMMITTEE NAME : I.D. NUMBER
�(// tC� Gclmoet{�yQrG� %avOl o�d�(o
e All committees must list the financial institution where the campaign bank account Is located
rvhmc OF r iNANCIAL INSTITUTION AREACODE /PHONE BANK ACCOUNT NUMBER
G✓eI15 ri90 h34-vk' ye8 °d77 -6/53
ADDRESS CITY STATE ZIP CODE
IA r PA sec 6,,,k� X14 7.0, CITY
cA 9r 1i 3
AJ 4. Type of Committee Ggmpiete 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.
e List the political party with which each officeholder or candidate is affiliated or check "nonpartisan."
o 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
a, dwa/ [7 �/%e p� �t Nonpartisan
❑ 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) CHECK ONE
SUPPORT I OPPOSE
Oln
FPPC Form 410 (Dec/2012)
FPPC Advice: advice @fppc.ca.gov (866/215 -3772)
www.fpPC.ca.gov
rl
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
Page 3
COMMITTEE NAME
COM/U ve -C --I+ C� /! �� �tJp�GyQ /Ql O✓ oZOI ((j I.D:NUMBER
4• Type of.Committee (co►nnuea) -
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.
n... yr o—mun
CITY
GROUP OR AFFILIATION OF SPONSOR
STATE ZIP CODE
Date quallRed
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 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