CA Form 410 Eric Alegria for City Council 2017 RECEIVE
Statement of Organization err(OF RANCHO WM VERDE� CALIFORNIA 410
Recipient Committee FORM
Statement Type Z 'nitial 0 Amendment 0 Termination—See Part 5 AUG 9 ?or For Official Use Only
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O Date qualified as committee Date lified as committee Date of termination
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1 Committee Information 2 Treasurer and Other Principal Officers
NAME OF COMMITTEE //�� / ^ / NAME OF TREASURER
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STREET ADDRESS(NO P.O.BOX)
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STREE SS P.O. c (0 i% I`' C A- Qto� C (CITY u U `P STATE ZIP CODE AREA CODE/PHONE
TATE 'ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER,IF ANY Z 13 3 y-zQ
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MAILING ADDRESSSTREET ADDRESS(NO P.O.BOX)
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E-MAIL ADDRESS(REQUIRED)/FAX(OPTIONAL) CITY STATE ZIP CODE AREA CODE/PHONE
COUNTY OF DOty11CILE JURISDICTION WHERE COMMITTEE IS ACTIVE NAME OF PRINCIPAL OFFICER(S)
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STREET ADDRESS(NO P.O.BOX)
on appropriatelyCITY STATE 21P CODE AREA CODE/PHONE
Attach additional information labeled continuation sheets.
I have used all reasonable diligence in preparing this statement and to the best of my knowledge the information contained herein is true and complete. I certify under
penalty of perjuryunder t e laws of the State of Califo nia at theforegoing is true and correct.
Executed on / '21 /1 By L-(,�d
D E IGNATURE OF TREASURER OR ASSISTANT TREASURER
Executed on // a- ' /I By ,c ^
SIGNATURE OF CONTROLLING OFF
SURE PROPONENT
Executed on By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER,CANDIDATE,OR STATE MEASURE PROPONENT
FPPC Form 410(May/2017)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov
Statement of Organization CALIFORNIA 41 0
Recipient Committee FORM
INSTRUCTIONS ON REVERSE
Page 2
COMMITTEE NAME
l + Al I.D.NUMBER
\C 4. LC 1- p C \ (A
• All committees must Tist the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION AREA CODE/PHONE BANK ACCOUNT NUMBER
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ADDRESS CITY STATE ZIP CODE
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•
Controlled Committee
• 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."
• If this committee acts jointly with another controlled committee,list the name and identification number of the other controlled committee.
ELECTIVE OFFICE
NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENTSOUGHTHE OR(INCLUDE DISTRICT NUMBER IF D
APPLICABLE) YEAR OF ELECTION PARTY
Cry( ( F \ C �\ OL P.�1� Giki Ql�'nC.l D-lJ Nonpartisan
0 Nonpartisan
Primarily Formed Committee 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
(INCLUDE DISTRICT NO.,CITY OR COUNTY,AS APPLICABLE) CHECK ONE
I SUPPORT OPPOSE
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S C i C(JI �.ou►1ci Irl/\`l/7I
SUPPORT OPPOSE
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FPPC Form 410(May/2017)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov