HomeMy WebLinkAboutForm 410 - Mahmoud A. Shirazi; State 2Statment of ®rcganizat
Recipient Committee
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(.EIVED AND FREGaIVED
�p he office of the Secretary oflEftDftice of the
- - of the Siate of California of the State
r 1 AUG 2 7 2024 JUL 21
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Date qualification threshold met Date qualification threshold met Date of termination
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a office of the Secreia'ry�
of the State of Callforr
AUG 1.3 2024
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NAME of C:OMMTIICE , NAME OF TREASURER
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NA OF ASSISTANT TREASURER, IF ANY -
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Attach odditionol information on appropriately labeled continuation sheets
� qi1ADDRESS OF ASSISTANT TREASURER (REQUIRED) AREA CODE/PHONE
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Used all reasonable diligence in preparing this statement and to the best of my knowledge the information contained herein is true and complete. 1 certify under
penalty of perjury under the laws of the State of California thatforegoing is true and correct.
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A7E ISkGNATURE OF TREASURER
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SIGNATURE OF CON I RDLLING OFFICEHOLDER, CANDIDATE, Oil STALE MEASURE PROPONENT
SIGNATURC OF CON'rROLUNG OFFICE HCILDER, CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 410 (0ctoberJ2023)
FPPC Advice: advice_@fp,Jc.ca,gov-{866J275-3772)
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Statement of Organization
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Recipient Committee
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INSTRUCTIONS ON I(r VERSE
Page 2
I.D. NUMBER
All committees must list the financial institution where the campaign bank account is located and the person(s) authorized to obtain bank records.
NAME OE FINANCIAL INSTI fUTION AND PERSON(51 AUTHORIZED TO OBTAIN BANK RECORDS
AREA CODE/PHON
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ADDRESS OF FINANCIAL INSTITUTI N
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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 joinGy with another controlled committee, list the name and identification number of the other controlled committee.
ELECTIVE OFFICE SOUGHT OR HELD YEAROF PARTY
NAME OF CANDIDATE/OFFICEIIC) D£IT/STATE MEASURE PROPONENT (INCLUDE ❑[STRICT NUMBER IF APPLICABLE) ELECTION CHECK ONE
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Nonpartisan
Partisan
(list political part
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Nonpartisan
-
Partisan
tkt Political party helow)
Primarily formed to support or oppose specific candidates or measures in a single election. List below.
CA N I)I D A rE(S) NAME OR MEASIi REIS) FULL TITLE (INCLUDE BALLOT NO. OR LETTER) CANDIDATES) OFFICE SOUGHT OR HELD OR MEASURES) JURISDICTION
If A RECALL, S!'ATE "AECALL" IN FRONT OF THE OFFICEHOLDER'S NAME. (INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE) CHECK ONE
SUPPORT
OPPOSE
SUPPORT
OPPOSE
FPPC Form 410 (October/2023)
FPPC Advice: aciv_,i e[u?fpnc.ca.gov_(866/275-37721
www fp.pc.ca.gov