HomeMy WebLinkAboutForm 410 - Al Boro for Mayor TerminationStatement Type El Initial
Not yet qualified El or
Date qualified as committee
1. uornmittee intormation
NAME OF COMMITTEE
Friends of Al Boro
STREET ADDRESS (NO P.O. BOX)
CITY
MAILING ADDRESS (IF DIFFERENT)
OPTIONAL: FAX/ E-MAILADDRESS
Type or print in ink
El Amendment
List I.D. number:
Date qualified as committee
(if applicable)
0 Termination — See Part 6
List I.D. number:
910701
12 r 31 _J 11
STATE ZIP CODE AREA CODE/PHONE
COUNTY OF DOMICILE'COUNTY WHERE COMMITTEE IS ACTIVE IF DIFFERENT
THAN COUNTY OF DOMICILE
Attach additional information on appropriately labeled continuation sheets,
Date Stamp
recd. 1/3/2012
City Clerk's
Office
ate of Termination
2. Treasurer and Other Pri
NAME OF TREASURER
STREETAIDDRESS (NO P.O. BOX)
STATEMENT OF ORGANIZATION
For Official Use Only
CITY STATE ZIP CODE AREA CODE/PHONE
NAME OF ASSISTANT TREASURER, IF ANY
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
NAME OF PRINCIPAL OFFICER(S)
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
3. Verification
I have used all reasonable diligence in preparing this statement and to the best of pknowledge 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 eat.
A_ t
Executed on December 27, 2011
By
DATE SIGNATURE OF TREASURER OR ASSISTANT TREASURER
December 27
Executed on , 2011 By
DATE 4L:;LL-' 40
Executed on By
DA7 E ORSTATE MEA SUPEPROPONENT
Executed on By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER CANDI�IATE CRS. . E MEASURE PROPONENT
FPPC Form 410 (April/2011)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Statement Type ❑ Initial
Not yet qualified ❑ or
Date qualified as committee
1. Committee Information
NAME OF COMMITTEE
Friends of Al Boro
STREET ADDRESS (NO P.O. BOX)
Type or print in ink
❑ Amendment
List I.D. number:
Date qualified as committee
(if applicable)
STATEMENT OF ORGANIZATION
R1 Termination — See Part 5
List I.D. number:
# 910701
12 1 31 / 11
Date of Termination
CITY STATE ZIP CODE AREA CODE/PHONE
MAILING ADDRESS (IF DIFFERENT)
OPTIONAL: FAX /7--MAILADDRESS—
COUNTY OF DOMICILE COUNTY `WHERE COMMITTEE IS ACTIVE
I THAN COUNTY OF DOMICILE
Attach additional information on appropriately labeled continuation sheets.
2. Treasurer and Other Principal Officers
NAME OF TREASURER
STREETADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
NAME OF ASSISTANT TREASURER. IF ANY
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
NAME OF PRINCIPAL OFFICER(S)
STREETAIDDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE"PHONE
3. Verification
I have used all reasonable diligence in preparing this statement and to the best of m ledge 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 corr t.
Executed on December 27, 2011 By
DATE
,e A SIGNATURE OF TREASURER OR ASSISTANT TREASURER
Executed on December 27, 2011
DATE
Executed on
DATE
Executed on
DATE
By
i Sic"NT URE OF CONTROLLING OFFICEHOLDER CANDIDATE, OR STATE MEASJRE PROPONENT
By — &
SIGNATURE OF CONTROLLING OFFICEHOLDER CANDIDATE.: R ST=TE MEASURE PROPONENT
By
SiGINATU DATE, OR STATE MEASURE PROPONENT
FPPC Form 410 (Apri1/2011)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Recipient Committee
Statement Type El Initial
mmyetqualified[]m
Date qualified oocommittee
NAME orCOMMITTEE
Friends of/UBom
STREETAIDDRESS (NO P.OBOX)
MAILING ADDRESS (IF DIFFERENT)
OPTIONAL: FAX I E-MAIL ADDRESS
Type or print in ink
[] Amendment
List |o.number
Date qualified as committee
(if applicable)
s��sm�wTo�ona�momlow
9 Termination — See Part S
List |.o.number:
910701
#
12 31 11
Date mTermination
STATE ZIP CODE AnsAucms/P*ums
Date Stamp
2. Treasurer and Other Principal Officers
NAME OF TREASURER
sressrAooxeeu(Nopo.aox
CITY STATE ZIP CODE AREA CODEiPHONE
NAME OF ASSISTANT TREASURER, IF ANY
STREET ADDRESS (NO P.O, BOX)
CITY STATE ZIP CODE AREA CODEIPHONE
NAME OF PRINCIPAL OFFICER(S)
COUNTY opDOMICILE COUNTY WHERE COMMITTEE mACTIVE /pDIFFERENT
I THAN COUNTY OF DOMICILE STREET ADDRESS (NO P.O. BOX)
Attach additional information on appropriately labeled continuation sheets,
3. Verification
| have used all reasonable diligence in preparing this statement and tuthe best o/ my
perjury under the laws ofthe State ofCalifornia that the foregoing iotrue
Executed on December 2y.2011 ar
~~.~ /
Dooembor27 2011
Executed on ' ayDATE
______
CITY STATE ZIP CODE AREA CODE/PHONE
the information contained herein is true and complete. | certify under penalty of
OF TREASI
cpeopowsnr
Executed on DATE By SiGNATURE OF CONTROLLING OFF10EHCLDEQ CANDIDATE OR ST)ATEMEASURE PROPONENT
Executed on By
DATE SIG�'�/TJREOPCCI�TPZ&-Lf�4GOPFICEH'OLDEP CAN
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