241125 Form 410 Medrano 2024For Official Use Only
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® Termination — See Part 5
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Date qualification threshold met
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NAME OF TREASURER
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(818) 749-2018
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NAME OF ASSISTANT TREASURER, IF ANY
David L. Gould
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EMAIL ADDRESS OF ASSISTANT TREASURER (REQUIRED)
dlgould@gouldorellana.com
NAME OF PRINCIPAL OFFICER(S)
Modesto -Assistant Treasurer
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12501 Imperial Hwy.
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EMAIL ADDRESS OF PRINCIPAL OFFICER(S) (REQUIRED)
(213)489-4792
nmodesto@gouldorellana.com
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Leo Medrano for Cypress City Council 2024
STREET ADDRESS (NO P.O. BOX)
12501 Imperial
AREA CODE/PHONE
(213)489-4792
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FULL MAILING ADDRESS (IF DIFFERENT)
E-MAIL ADDRESS OF COMMITTEE (REQUIRED)/ FAX (OPTIONAL)
JURISDICTION WHERE COMMITTEE IS ACTIVE
COUNTY OF DOMICILE
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SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
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for Cypress City Council 2024
. Additional Officers continued;
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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.
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(list political party below)
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PROVIDE BRIEF DESCRIPTION OF ACTIVITY
List additional sponsors on an attachment.
INDUSTRY GROUP OR AFFILIATION OF SPONSOR
NAME OF SPONSOR
AREA CODE/PHONE
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STREET ADDRESS
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: si ning the verification, the treasurer, assistant treasurer and or candidate, officeholder, or ponent certi that a o t e o owing con • itTons ave • een
- . Termination Re • uirement
• This committee has ceased to receive contributions and make expenditures;
This committee does not anticipate receiving contributions or making expenditures in the future;
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This committee has eliminated or has no intention or ability to discharge all debts, loans received, and other obligations;
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This committee has no surplus funds; and
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This committee has filed all campaign statements required by the Political Reform Act disclosing all reportable transactions.
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