The URL can be used to link to this page

Home My WebLink AboutCraig Gartmen - Form 410Statement of Organization Recipient Committee Statement type linnl,l Note ❑ or Date quaW as ca vNttee ❑ Amendment ❑ Termination —See Parts List I.D. number: List I.D. number. Le, a a FY ` VA Date quaNed as committee Date of Tennina M tlor, (HapPRMt) i !- � /�.vD_1 p( C,e✓�iq Gf�ILTiYEA.�,J STREET ADDRESS (NO P.O. BOX) FAX / E -MAIL ADDRESS Attach additional information on appropriately labeled continuation sheets. penalty of perjury ndeer th/e laws of the 5 Executed on G tJ �s�L, ,� OY DATE Executed on z O By DATE Executed on By Executed On BY DATE NAME OF TREASURER STREET ADDRESS (NO P.O. BORI For off," Uw only // STREET ADDRESS (NO P.O. BOX) CITY STATE EIPCOOE MEACODE/PHONE NAME OF PRINCIPAL OFFICERS) STREET ADDRESS ENO P.O. BOX) CITY STATE EIPCODE AREA COOE/PNONE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT FPPC Form 410 (Jan /2016) FPPC Advice: advice@fppc.a.gov (866/2M3MI www.fw.ca.gov Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE Page Z I.D.NUMBER Friends of Craig Gartman City Council 2016 • All committees must list the financial institution where the campaign bank account Is located. Premier One Credit Union ADDRESS CITY STATE ZIPCODE 1193 East,Arques Ave. Sunnyvale CA 94085 *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" e If this committee acts jointly with another controlled committee, list the name and identification number of the other controlled committee. NAM E OF CANDIDATE /OFFICE HOLDE R/STATE MEASURE PROPONENT ELECTIVE OFFICE SOUGHT OR HELD (INCLUDE DISTRICT NUMBER IF APPLI CABLE) YEAR OF ELECTION PARTY Primarily formed to support or oppose specific candidates or measures in a single election. List below: CANDIDATE(S) NAME OR MEASURF(S) FULL TITLE (INCLUDE BALtor NO. OR LETTER) CAN DIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION (INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE FPPC Form 410 Van /2016) FPPC Advice: advice @fppc.ca.gov (966/276 -3772) www.fppc.ca.gcv SUPPORT OPPOSE - -- -- SUPPORT El OPPOSE I El FPPC Form 410 Van /2016) FPPC Advice: advice @fppc.ca.gov (966/276 -3772) www.fppc.ca.gcv Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE RIP of Craig Gartman City Council 2016 N. L,vue:aT' uommlueel IL DIFUTIUMIJ - - _ _ _ I PROVIDE BRIEF DESCRIPTION OF NAME OF Not formed to support or oppose specific candidates or measures in a single election. Check only one box: i] CITY Committee ❑ COUNTY Committee ❑ STATE Committee List additional sponsors on an attachment. NO. AND STREET OR AFFILIATION OF SPONSOR zIPCOOE 1] --/ DAN RTUlieeE S.TeriiiinationA uirements By signing dievergkation ;thetreasurer,ushtanttreasurer" and/or caW kWe ;offl4*holder;cr.omporwritcertify that All of the roiloWngoa ;aitlons haw been met IF This committee has ceased to receive contributions and'make expenditures; e This committee does not anticipate receiving contributions or making expenditures in the future; IF This committee has eliminated or has no intention or ability to discharge all debts, loans received, and other obligations; R 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 ondhe disposition of surplus campaign funds held by elected officers who are leaving office and by defeated candidates. Refer to Govemment Code Section 89519. Leftover funds of ballot measure committees maybe used for political, legislative or governmental purposes under Government Code Sections 89511- 89518, and are subject to Elections Code Section 18680 and FPPC Regulation 1852115: FPPC Form 410 (lan /2016) FPPC Advice: advice @fppc.ce.gov (866/2753772) www.fppc.ca.gov Statement of Organization Date Stamp , • - Recipient Committee Statement Type [] Initial ❑ Amendment ❑ Termination — See Part 5 P For Officlal use Only List I.D. number: List I.D. number: Not yet qualified ❑ RECEIVED x in the office of the Secretary of Stat # # of the State of California --/ --/ --� -I -t SEP 19 ?416 Date qualified as committee Date qualified as committee Date of Termination (If applicable( rTEE .. -- -- C) STREET ADDRESS (NO PO. ION) //" /'`_ L -MAkI ADOpFS9 COUNTY OF DOMICILE I JURISDICTION WHERE COMMITTEE IS ACTIVE NAME OF TREASURER 62A OL STREET ADDRESS (NO P.O. ISM STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE /PHONE NAME OF PRINCIPAL OFFICER(S) STREET ADDRESS IND P.O. BOX) 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 ncle'r the laws of the State PROPONENT Executed on By DATE Executed on DATE By SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPO SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT i : .rte. FPPC Form 410 (Jan /2016) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE COMMITTEE NAME Friends of Craig Gartman City Council 2016 • All committees must list the financial Institution where the campaign bank account is located. Premier One Credit Union ADDRESS AREA CODE /PHONE (408)524 -4500 CITY BANK ACCOUNT NUMBER STATE ZIP CODE 1193 East Arques Ave. Sunnyvale CA 94085 4. Type of Committee Complete the applicable sections. Controlled Committee Page 2 I.D. NUMBER • 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. NAM[ OF CAN DIDAT[ /Of'FICEHOLDER /STATE MEASURE PROPONENT 2'4� N ELECTIVE OFFICE SOUGHT OR HELD (INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION / l C' —rko zO I : Primarily Formed Committee 1 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) CANDIDATES) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION (INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE) PARTY Nonpartisan Nonpartisan CHECK ONE T I OPPOSE FPPC Form 410 (Jan /2016) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov -•s.