HomeMy WebLinkAboutForm 410 - Amendment | Filed 2023-08-281556407
Statement of Organization
Recipient Committee
Statement Type x❑ initial
0 Not yet qualified
or
0 Date qualified as committee
06 27 2023
1. Committee Information
NAME OF COMMITTEE
Amendment
Date Stamp
RECEIVED AND FILE
❑ Termination — See Part 5 in tKe office of the Secretary of State
of the State of California
Date qualified as committee Date of termination
I.D. Number
(if applicable)
Kelly Ramirez for Gilroy City Council 2024
STREET ADDRESS (NO P.O. BOX)
JUL 10 2023
2. Treasurer and Other Principal Officers
NAME OF TREASURER
Denise Taylor
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
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 410 (February/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
COMMITTEE NAME
Kelly Ramirez for Gilroy City Council 2024
4. Type of. Committee
(Continued)
General Purpose Committee
PROVIDE BRIEF DESCRIPTION O.F ACTIVITY
NAME OF SPONSOR
STREET ADDRESS
Not formed to support or oppose specific candidates or measures in a single election. Check only one box:
0 CITY Committee 0 COUNTY Committee ❑ STATE Committee 0 Political Party/Central Committee
List additional sponsors on an attachment.
NO. AND STREET
Small Contributor Committee
❑ / /
Date qualified
CITY
NDUSTRY GROUP OR AFFILIATION OF SPONSOR
STATE
Page3 Page 3 of 3
I,D. NUMBER
• 1461143
ZIP CODE AREA CODE/PHONE
5. Termination Requirements By signing the verification, the treasurer, assistant treasurer and/or candidate, officeholder,: or proponent certify that all of the following conditions hav
e 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 (February/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov