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Statement o rganization <br /> . � . , <br /> � <br /> Recipient Committee • ' <br /> INSTRUCTIONS ON REVERSE <br /> Page 2 <br /> COMMITTEE NAME I.�.NUMBER <br /> 1 <br /> (� -r�rv� r��e.�. �c� ca.l�c� i�.-�. ; e. � 1 'r- c� 'iZ Q � �ca i�°� �� <br /> 'L o 03 <br /> • All committees must list the financial institution where the campaign bank account is located. <br /> NAME OF FINANCIALINSTITU?ION AREACODE/PHONE BANKACCOUNTNUMBER <br /> Z�co' —Q ; �S v L�i& --"7 c� I� C�y 4 c:c.s t i i <br /> ADDRESS CITY STATE ZIP CODE <br /> �-�-I ca v � rOA�ING� �-�'t��e e ,- �v �-r rc 1��� `2 ec�i�.�ao d C ��--� > � /� a �l` d (o ,5 <br /> 4 '�'������� �Sa�n#�ie���+�a�ii�t�te;�e�r��- ' � - _ <br /> . . . <br /> • 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 <br /> district number,if any,and the year of the election. <br /> • List the political party with which each officeholder or candidate is affiliated or check"nonpartisan." <br /> • If this committee acts jointly with another controlled committee,list the name and identification number of the other controlled committee. <br /> ELECTIVE OffICE SOUGHT OR HELD <br /> NAME OF CANDIDATE/OfFICEHOLDER/STATE MEASURE PROPONENT �1NCLUDE DISTRICT NUMBER IP APPLICABLE) YEAR OF ELECTION PARTY <br /> J�Nonpartisan <br /> � ,� ` <' 1 e r ,�- r,w Z c' I <br /> ❑ Nonpartisan <br /> • • • Primarily formed to support or oppose specific candidates or measures in a single election. List below: <br /> CANDIDATE(S)NAME OR MEASURE�S)FULL TITLE(INCLUDE BALLOT N0.OR LETTER) CANDIDATE(5)OFFICE SOUGHT OR HELD OR MEASURE(S)IURISDICTION <br /> (INCLUDE DISTRICT NO.,CITY OR COUNTY,AS APPLICABLE) cHecKONe <br /> SUPPORT OPPOSE <br /> ❑ ❑ <br /> SUPPOHT O�Q$� <br /> I I 1 I <br /> IJ L.J <br /> FPPC Form 410(Dec/2012) <br /> FPPC Advice:advice@fppc.ca.gov(866/275-3772) <br /> www.fppc.ca.gov <br />