HomeMy WebLinkAboutForm 410 - Randy Warren for City Council 2013 (2013-09-23) Amendmentorat+► Organization
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#1359636 #
63 1662013 1
Date qualified as committee Cate qL] lified as committee Date of Termination
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RANDY WARREN FOR CITY COUNCIL 2013
STREET ADDRESS (NO P.O. BOX)
CITY STATE CODE AREA CODE/PHONE
SAN RAFAEL CA 94963 (
MAILING ADDRESS (IF DIFFERENT)
FAX/ E -MAI L ADDRESS
INFO@RANDYWARRENFORCITYCOUNCIL.COM
COUNTY OP DOMICILE HJURISDICTION WHERE COMMITTEE 1.5 ACTIVF
MARIN SAN RAFAEL, MARIN, CA
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NAME OF TREASURER
SIDE ELLEN O'BRIEN
STREET ADDRESS (NO P.OBOX)
63 EL PAVO REAL CIRCLE
CITY STATE ZIP CODE AREA CODE/PHONE
SAN RAFAEL CA 94993 (
NAME OF ASSISTANT TREASURER, IF ANY
STREET A€ D CESS (NCS P.O. BOX)
CITY STATE "LIP CODE AREA CODE/PHONE
NAME OF PRINCIPAL OFFICER(S)
STREET ADDRESS (NQ P.O. BOX)
CITY STATE ZIP CODE AREA CODE'PHONE
Executed onBy
L)ATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MCASURE PROPONENT
Executed on By
DATE SI NAIURL OF CONTROLLING OFFICEHOLDER, CANDIDATC, OR ST[A_'E MF SURE PROPONENT
FPPC Form 410 (Dec i.2.)
l IUPC Advice: advice fpc.c,ov (866/275-3772)
Statement of Organization
Recipient i WE
INSTRUCTIOI ON REVERSE
Page
COMMITTEE NAME
I.D. NUMBER
RANDY WARREN FOR CITY COUNCIL 2013 11359636
* All committees must list the financial institution where the campaign bank account is located.
CITY C0UNCIL, CITY OF SAN j A
Primarily Orm c o support Or Oppose specific candidates Or measures In a single election. List below:
CANDIDATE(S) NAME OR MEASURE(S) FULL TITLE INCLUDE BALLOT NO. OR LETTER) CANT IDATEN OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION
(INCLUDE DISTRICT NO., CITE OR COUNTY, , r S APPLICABLE
FPPC Form 410 (Dec/2012)
FPPC deice: advice ) ppc.c . c (866/275-3772)
www.fppc.ca.gov