020421 Form 410 FullerStatement of Organization
Recipient Committee
Statement Type Initial
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penalty of perjury under the laws of the State of California that the
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FEB 04 2021
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Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
All committees must list the financial institution where the campaign bank account is located.
NAME OF iIXPX[IpLINnRUTgN
J
• List the name of each controlling officeholder,Candidate, or state measure proponent. Ifcandldateorotflceholdercontrolled,
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 Jointly with another controlled committee, list the name and identification number of the other Controlled committee.
ELECTAT OFFICE SOUGHTOR HELD YEAR OF ahow
^-^-• ••^ ^v. ........ry+•"•...... u,, runm' )INCLUDE DISTRICT NUMBER IF APNJCAREEI ELECTION CHECK ONE
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Primarily formed support or oppose specific Candidates or measures In a single election. List below:
CANDIWTEIS) NAME OR MEASURISI FULL TITIF IINCLUDE LI NO. OR LETTER) CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASUREIS)JURISDICTION
IFA RECALL. STATE °REdLP IN FRONT OF THE OFFICEHOLDERS NAME.
BAK Form 029 (August/2018)
FPPC Ativice: advlceHgfppc.oa.jJw 1885/2753D2)
wwwfnor Ca sav
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OPPOSE
BAK Form 029 (August/2018)
FPPC Ativice: advlceHgfppc.oa.jJw 1885/2753D2)
wwwfnor Ca sav
Statement of Organization
Recipient Committee
INSTRUCTI DNS ON REVERSE
PRM 3
Not formed to support or oppose specific candidates or measures in a single election. Check only one box!
i] CITY Committee ❑ COUNTY Committee i] STATE Committee
PROVIDE GRIEF DEscR I MI CFacmmY
List additional sponsors on an attachment.
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5. Termination Requirements ay 4amm4 mevrtlTiIXfm,, IN I�r.ms,wam b.x.me.am/w pnlgN+IGart;.emlm,, orpocenmenlryrxn all ol:xe ldlow.M, toMalom Mw cwnmetr
This committee has ceased to receive contributions and make expend[tures;
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 nosurplus funds; and
This committee has filed all campaign statements required by the Political Reform Act disclosing all reportable transactions.
— There are restrictions on the disposition of surplus campaign funds held by elected officers he are leaving office and by defeated candidates. Refer to
Government Code Section 89519.
— Leftover funds of ballot measure committees may be used for political, legislative or governmental purposes under Government Code Sections 89511 -
89518, and are subject to Elections Code Section 18680 and FPPC Regulation 18521.5.
FPPC Form 030 (August/2036)
FPPC Advise: advicelfifipm, a env (666/22S31272)
iwvnN.hPPC.Ca.