HomeMy WebLinkAbout2022-01-13 - Form 410 - deHarteStatement of Organization
Date Stamp , EUseOnly
Recipient Committee
•Statement
T e
YP Initial El El -See Part 5
G ForOffidal
CITY Q F P h Lr1 S P R I Pd G S
t yet qualified
or
2022 JAN I Ali 9: 32
O Date qualification threshold met Date qualification threshold met
Date of termination
PF F ICE C Ii ,- CITY CLE'
1. Committee Information
2. Treasurer and Other
Principal Officers
7 0 licable
NAME OF COMMITTEE
)Awke- C
NAME OF TREASURER
o�
f
STREET ADDRESS (NO P.O. BOX)
..J�
STREET ADDRESS (NO P.O. BOX)
e0J VVI
STATE ZIP CODE AREA CODE/PHONE
S 224e2
;;,!
Statement of Organization CALIFORNIA '
Recipient Committee • -
INSTRUCTIONS ON REVERSE
Page 2
CO ITTEE NAME I.D. NUMBER
3 o2Z
• All committees must list the financial institution where the campaign bank account is located.
NAME OF FIN NCIAL INSTITUTION AREA CODE'PHONE BANK ACCOUNT NUMBER
tie s -F6<-a,0 1766- q13 9 7
ADDRESS L� "P0J
— 11 Cn >�nie urwve
/ .3 <5 . Wk, C�Q��rl�. �i^, Vj � Jail v�d "I , C A `'`/ �2C2`T
• 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.
• 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.
ELECTIVE OFFICE SOUGHT OR HELD YEAR OF PARTY
NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) ELECTION CHECK ONE
Nonpartisan
Partisan
(list political party below)
r
Nonpartisan
Partisan
(list political party below)
FormedPrimarily Primarily formed to 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) CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION
IF A RECALL, STATE -RECALL" IN FRONT OF THE OFFICEHOLDER'S NAME. (INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE) CHECK ONE
SUPPORT OPPOSE
SUPPORT OPPOSE
FPPC Form 410 (August/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov