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HomeMy WebLinkAboutForm 410 - Greg Brockbank for Mayor 2011 TerminationStatement of Organization RecipientCommiftee Statement Type Initial El Amendment L- t I.D. number: M 3 Termination — See Part 5 Ust LD. r, u fn b e r: F-, r LCftic: at Use Only ------- ------- Date qLlafif--ed as comrni.,ttee Date clialified as u,.mmitee Date -;Df Term ination ---- ------- - --- - ----- ------ 7 ------ --- 7�7-- ------------- -------------------------------------------------- - ------------- -------- ------------------------------- --------- IN P I Com-mittee-Infoiman" Trtasurer and Other n t pat Officers - NANIE fC?z E ,f R Ca S, R El C AP EA Q- t)'t A*: L N G3 A ID DD Q E SS E P E N NA P E R A N, -E COM 71 E S C C UN Y 0 F ,-,'-C NA �•C - L E UP 3]^C C7 SO- N 'VVL P� A C-Xjr*�E,1�14CNE J NA M E FP IN*C L Ori ERW- Attoch addi6onal hnf&niotion on oppropriately fobeledcop.6titiotion -sheets. 3i ver ifficats,bn I have used all r-easonable aence in prc-,-paring this statement atird to the best of my kno�=vledge the infoi-mation contained hei-ein is true and complete. I ce t- tit rid e r t) - perialty of perjury wrider the. laws of the State- of California that th-.--- foregoing is true tand cofrect, E 0 E 4 Q F 6 C Z- PC 7 FPPC Form 410 (Dec/2012,1 FPP(f Advicer advice Ta)fppc.cagov (866/275-3772) WWWJPPC-Ca.g0v StatementofOrganization Recipient Committee C Psi M E E N M • All committees must list the financial institution where the campaign lank account is located. i'`IAMi. .}" `":;4:+w.N'.:t'.i....T,iv ",.nv{✓i.3.,``.is.;a',�i. .'�.`��w...:�` *.c <� ij K r <N T wew4�f+�+1+Pl+Yw++.MiwY++FY+y Ilrtrtffl+1 +tyVH<N�WP'HrMt+N4N•e+H<y�,r. #gy 1-4 !. p� ica,b * Ust the name of each controlling officeholder, canc ic.at , or state rri-astire proponent, if Calldidate or controlled, also list the elec-tive offlice sought. or held, an district: number, if any, and the year of the, election. * Ust the Politica I Party with vAlich eac h office ho1--,J or or Candidate is affiliated or check "nonpar-tisan.", } . If this cornrnittee acts jointly with another- controlled c4onimiflee, list. the earn and identification nr~rniber of the other contrAled committee. E -L E C" T' E crew.= r SC,i.JiGH 0 R i ti v NAME0,F CAND—CDA—". E!OF;CEEHOLDER=S AT MEAS"ri s. ti rrONEEN `'N"L :�F "�=�~� ' .�� �E#� F � i � "� �` .R EC 'C' t � . Primarily formed to support or oppose specific candidates or M asc.rr s in a single election. dist : + e tr n €� r a <..a: r. 0A FF`C� CC G H. H, -D 9�d�;`'S P, P'� T AN ' ! t�iAN � OR 1EAS .R,E S � � � T- :� �v � A CT Nom,'. 0 R N0. 0. C 3 2 G . Y �. , 4 - 4i. Pa *<v' e'` ,_ ,.. iw L ,s FPPC Form 10 (Dec/2012) FPPC Advice: advice Cap c.ca. ov (866/275-3772) www.fppc.ca.gov -2 Statement of Organization CALIFORN 1A 0 Recipient Committee FORM 41 Not formed to support or oppose specific candidates or meaSLIMS in a single election. Check only one box - COUNTY Committee STATE Committee CITY Committee 1 1-1-1 PNZOVIDE IF DESC'7?11CIN OF $;wnsored Canwrift, ---------- FlW7 XN` 0" S7 P E E -r '4D LD;ZE SS 1`40. A.NtD' STPEE - -------------------------- ------------------- 7-7-, ------ ------- ------------------ ---- -- th 'ikl 4� vp-ril Avon A e-, r4e'r aSS'btant tM-',aStjrer ffireholder, or Pr of -0 'n t -a t41 r ter U1 neti b(ndfor cand;d <-#e 0 orone r, -rti*f, a Al t�f fhe f6' 6 n' cotd b6ns 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 * Tbi,4,; committee has filed all camtpaign stater nents required by the Political Reform Act disclosing all reportable mansactions, -- There aree restrictions on the disposi'tJon of sui-pluss campaign funds field by e!ected ir)ffiicers who are teavin.61' office anid by defeated candidattris., Refer to (3over-riment Code Section 89519. -- Lpficover funds of ballot measure committees maw be used for p:)litical, legislativc- or 6,-overnmerital purposes Code, Sections 8.9511 - 89518, arid arc-, subje-c-1 to Elcctl ons C -ode Sezclion 118680 an- FPPC Regulation 18521.5 FPPC For 410 (Dec/ 20 .2) FPP C Advice: ativice@fppc.ca.gov (86612-75-3772) www.fppc.ca.go,v