HomeMy WebLinkAboutForm 410 - Mahmoud A. Shirazi; State 1RECEIVED AND FILED
in the:office of the Secretary of State
Stafernert of Organization JUL 28 2025
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ReOpient Comrnittee
CALIFORNIA
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Statement Typer(0)Nol
❑ Termination art
2024
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For official Use or~ly
yet qualified
or
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C� Uato qualiFication threshold met Date qualification threshold met
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Date of ter Oat ff LERK'S OFFICE
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2, Treasurer and Other
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NAML OF COMIAI 1111
NAME OF TREA5URER
CLERK'S OFFS
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STREET ADDS ESS IN P,O. aDX)
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STATE
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211P COD' AREA CODE/PHONE
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STATE ZIP CODE AREA CODE/PHONE
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NAME OF ASSISTANT TREASURER, IF ANY
FULL MAiUNO ADDRESS !IF DIFFENENT) �
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STREET ADDRESS INO P.O. BOX)
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dylA I A DURe55(t I:Ou1 RE 0) 1 fAX 10 PTIONA LI
CITY
STATE
ZIP CODE AREA CODE/PHONE
COurl i/Y Or DOMICILE JURISDICTION WHERE COMMITTEE is ACTIVE
NAME OF PRINCIPAL OFFICER(S)
STREET -
ADDRESS tNO P.O. 1109)
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ZIP CODE AREA CODE/PIIOPIE
It have used all reasonahie diiiAranrF, in nrt n—i— Laic L
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penalty of perjury�aund r th+�fe laws of the
ORSTATE MEASURE PROPONENT
Gxec:L ted on By
DATE SIGNATURE OF CONTROLLING OFFICEIIOLDER,CANDIDATE, OR STATE MEASURE PROPONENT
Execu[ed on By
unrL SIGNATURE OF CONTROLLINGOFFICEHOLDER, CANDIDATE, OR 5TATE MEASURE PROPONENT
FPPC Form 410 (August/2018)
FPPC Advice: advice2fl?PC.Ca.9ov (866/275-3772)
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Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
WNW] I [El NAME
1'2 xS ,lam e- —z,t
All committees must list the financial institution where the campaign bank account Is located.
HA" OF FINANCIALINSTITUTiON AREA CODE/PHONE
ADDRESSimp
Page 2
LD. NU41ABER
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.
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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/OFEICEHOLDERJSTATE MEASURE PROPONENT
ELECTIVE OFFICE SOUGHT OR HELD
(INCLUDE DISTRICT NUMBER IF APPLICABLE)
YEAR OF
ELECTION
PARTY
CHECK ONE
® Primarily formed to support or oppose specific candidates or measures in a single election. List below;
CAINDIDATE(S) NAME OR MEASURE(S) FULL TITLE (INCLUDE BALLOT NO. OR LETTER) CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(.;) 1URISnICTION
IF A RECALL, STAT"E "RECALL' IN FRUN I OF I HE eWrIf FNn1 nca,c nlnnnc
CHECK
SUYP0 R TT
ONE
OPPOSE
SUPPORT
DPPDSE'
FPPC Form 410 (ADgust/2018)
FPPC Advice: advice _tRPS.ca.ROV (866/275-37721
www.fPPS.ca RUv