HomeMy WebLinkAboutTovar, Fred - Form 410 Termination | Filed 2021-01-31Executed on
Executed on
Executed on
Executed on ,
Statement of Organization
Recipient Committee
statement Typo 0 initial D Amendment
0 Not yet qualified
OF
0 Date qualification threshold met
1. Committee information
NAME OF COMMITTE -
ZIP CODS
AREA CODE/PHONE
STATE ZIP CODE AREA CODE/PHONE
3. Verificati#:)ii
I have used al reasonable diligence in preparing this
MEASURE PROPONENT
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 410 (August/2010
FPPC Advicel ptylpe_afpps,ca,go0866/275.377z)
WwW4fPX20.01
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
COMMITTEE NAME
• All committees must list the financial Institution where the campaign bank account is located!
NAME OF FINANCIAL INSTITUTION
ADDRESS
1
AREACQDE/PHONE
DANK
D� cy &,1 % � `al S0).b
• 4. Type t' Committee• tbropietP the appIk dblr set titms,
Controlled Committee
CA IFORNIA 410
F
Page 2
I.D. NUMQER
6 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," Stating "No party preference" is acceptable
• 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)
Primarily Formed Committee
YEAR OF PARTY
ELECTION CHECK ONE
Nonpartisan Partisan (11stpalticaTparty U ow)
Nonpartisan Partl-snn (Ilst polilTsai party -WOW.)
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)
IF A RECALL, STATE "RECALL" IN FRONT OF THE OFFICEHOLDER'S NAME,
CHECK ONE
SUPPORT APPOSE
SUPPORT
OPPOSE
FPPC Form 410 (August/2018)
FPPC Advice: edvi t fpnc,ca1gov (666/27 -3 72)
www,fpgcsa,gay
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
COMMITTEE NAME
r2.4. ye
0 • L. Lott num
General Purpose Committee
PROVIDE BRIEF DEBORIPTION OF AOTIVITY
NAME OF SPONSOR
cLJ
Not formed to support or oppose specific candidates or measures in a single election, Check only one box;
El CITY Committee El COUNTY Committee 0 STATE Committee
List additional sponsors on an attachment,
STREET ADDRESS No, AND STREET
Small Contributor Committee
Pate qualified
/
CITY
INDUSTRY GROUP OR AFFILIATION OF SPONSOR
Page 3
1,11 NUMBER
ILI 23-6 <
STATE ZIP CODE AREA COIN/PHONE
'er" I la"' o e - its By signing Out yeti cation, t le treasurer, osSIsLallt. LOAN' Ira and 'or tdorlIdole, offire' t Pr, or polletiL c'r1I y Hutt til o t lot owli'a on bona limit, eon tut
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 flied 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,CodeSection 18680 and PPPC Regulation 18521,5,
FPPC Form 410 (August/2018)
FPPC Advises odvicePlopc,ca.gov (866/275-3772)
Mtww.fppen,gov