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HomeMy WebLinkAboutForm 410 - John Gamblin for City Council 2015 TerminationStatement of Organization Recipient Committee Statement Type ❑ Initial Not yet qualified ❑ or ❑ Amendment L st I U. number - a 1378282 Date qualified as committee Dm,.- qualified a•, t.onlmittce ® Termination —see Part s I est I.U. number: tf 1378282 12 /31 /2015 Mau of TO rnination 1. Committee Information •1;,1.;- 14 1 11PAP.,n It I Gamblin for City Council 2015 IN - Al - 141'•:1 • ,y ..rnl1 .,,. ... ., .:III ,:. 111: '. 111 .IJ San Rafael CA 94903 ( hlAn1ll. '111111,".111 Ir'111101111 -••1tr I'• 1 11;I,I n ••t111'.t•11 ,I.:;F S1'IILII •'t1.1.^1i 111 .n II1:1 Marin City of San Rafael Attoch ndditinnol information on oppropnotely lobeled continuation sheets. Dale Sldn,p RE EIVED AND F11 in the office of the Secretary of of the Slate of Ca'ifon iia JAN 12 41016 Hated Delivered 2. Treasurer and Other Principa r:ANI. UI- I It: ASUnl It John P. Fronefield '.I III 1'1 ,;• LI:I •••. I'.: � I" 1 I' '>.i I a' Offival Use Only 'tl'• West Sacramento Al, CA .-In. ,1 95691 AH A 1. .:-1:..,,. ,;. ( '00,11 ' •1 A,;',:IAI.l Sr,l:.'.I11611 11 AI'. - John Gamblin San Rafael CA 94903 ( for—r: I t•lirla 6At i a l 1 3. Verification I have used all reasonable diligence in preparing this statement and to the best of r•ny knowledge the Information contained herein Is IrUe and complete. I certify under penalty or perjury LWder thc- laws of the State of Calif orni the f e in rue and correct. l xe tuned ons c 4 1r try I Ail I:nu r.l . r nsrns1l,r : aa:r:;r•,nn '.I A�ule 11 L �/ r f xl=ruten nn � By If I Alf Is,`JuVIAD n' :.1 U; NII!.!I In!7 '! - ': :I :?t It .-Arl1'h?:�IL� IU -1f.11 Ell ASL'F!'•'B•7P�n I rxeculed un By All ik5'IAT,IRP 11T CCln IIA -•Ir 14,}nI•.-nit GLr.a Prot i-r:Ia I. rxecured all Ly All •,ri,TJA! ViI!•. r;t(:; r:0111;IG 1111 r.LII 'Lfir. •LI,,, Ar1U11,A:'. .•'•SIf•'i r,'I nSIIF.I Fo!l11•I r':1 f,1 FPPC Form 410 (Dec/2012) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Statement of Organization Recipient Committee I1115TRUC. 110N,5 014 RI V. HSL Page Z Mfell :If t:ar.< Ili I111l.7 . is Gamblin for City Council 2015 11378282 • All committees must list the financial institution where the campaign bank account is located. Ihih!i l:u-'••.1 1., 114ln nlp.rjr�.l :......: per.: Ar.rtr.t •.ncl: •::I::NI�. Wells Fargo Bank (916)376-5680 2835675220 2140 Town Center Plaza West Sacramento CA 95691 4. Type of Committee Complete the applicable sections. • List the name of each controlling officeholder, candidate, or ,I ate 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" If this corllnlillee acts jointly with another controlled committee, list the name and identilicalion nurnber of the olhs'r controlled committee. aAM@ Itl ': ru1ji it All;l1' rrrl 1101 PI H.1%1 111 LIL h411111, I'll++'' I1F1Lfl I 1,ld't IIJI '711111 ?•UIIr4Rr[y l: nn ri ;N•Ii;I1-I fnS�IP.iC1 hY,IrAII!R II :.;'I'LI!rRlli :IRR I"'I flit HON VARI° Primarily formed to support or oppose specific candidates or measures in a single election. List below: CANIADAn IS) 111 FICf 5+ UGHT oil nL LU OH .",1LA:SI1M 151 Uhl IMIFTION 1.A IILUUAI F.N'IA(AF. fish I!1•. RArASf1�1111111111 r. (114 1. L110 F. RAI Lot NO C:R I17EIll 11 F: -, LIS I HI{)rlr: , I1Y11P.0 MINTY, A t API'LICARL LI ® r onjji1rt16HP John Garnblin San Rafael City Council 2015 I ❑ nnupvtl5arl Primarily formed to support or oppose specific candidates or measures in a single election. List below: CANIADAn IS) 111 FICf 5+ UGHT oil nL LU OH .",1LA:SI1M 151 Uhl IMIFTION 1.A IILUUAI F.N'IA(AF. fish I!1•. RArASf1�1111111111 r. (114 1. L110 F. RAI Lot NO C:R I17EIll 11 F: -, LIS I HI{)rlr: , I1Y11P.0 MINTY, A t API'LICARL LI FPPC Form 410 (Dec/2012) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Ulu E FPPC Form 410 (Dec/2012) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov